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HIGHLAND AVENUE 41+ City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliGHe8lth [ Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-179 DATE ISSUED: 7/17/2015 Property Located at: 42 HIGHLAND AVENUE UNIT#2 Owner/Agent: George Hoxha Address: 52 Highland Avenue City/Town: Salem, MA I Zip Code: 01970 24 Hour Phone:(976)9446674 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ii"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Y1, X 1,i n sYGN/Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT ��j • CITY OF SALEM, MASSACHUSETTS 1F$!Y BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KMERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/REI iS,Clio,CP-IS HFALTII AGP,NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE CHAPTER 11 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT U Z 1419 Ia,n J A-j P UNTI'#-2-- IS THIS UNIT DISI NATER AS RIGHT LST FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER CC-)eV r5,e 0,v h R MANAGER/AGENT NO P.O.BOX 1 ADDRESS S2 AJ.e ADDRESS CITY,STATE,ZIP Vl',�ct CITY,STATE,ZIP 01 g O RESIDENCE PHONE Or-),?) g 4 q 6(0-7U BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. UC-A 2. Z P 3. 4. 5. 6. LYL 7. 0 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE APPLICANT'S SIGNATURE _ DATE Inspectors use only Date on initial inspection:0 7/1 3/2n tS- Date of reinspection: Date of issuance of certificate: .7/1-3/2,1 Date fee paid:��(�2�25 Type of unit: Dwellin=ther Chock# 6.pC7 Check date: (_17/1-3/2o1S Notes: Codg� or meat Inspy for f " CITY OF SALEM, MASSACHUSETTS ' BoARD of HF-m-ri-r 12CW,\SHINGIYINSTREI 'I',410171,001? KIMBERI,EY DRISCOLL 'CrL. (978)741-1800 MAYOR F.\x (978) 745-0343 Iramdin(a)salem.com L,\wR),RANID1N,RS/RIU[S,(1110,(A-FS I-11;1'\I:I'I I AGI{N I CERTIFICATE:OF FITNESS CERTIFICATE #323-11 DATE ISSUED: 9/6/2011 Property Located at: 46 Highland Avenue UNIT# 1 Owner/Agent: George Hoxha Address: 48 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 HOnr Phone: 741-0293 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAt";RA M D I N HEALTH AGENT CODE ENFORCEMENT INSPECTOR e CITY OF SALEM, MASSACHUSETTS ,� I �I BoARD oil HEALTH 121)WASHINGTON S"fREGT,4... Fj,OOR TEL. (978) 741-1800 KIMBEM-Fy DRISCOLL FAX (978) 745-0343 MAYOR IAAai1>IN0,S!VI,F f.(oaI L.\RRl'RAMI)IN,RS/RISI IS,CI 10,CP-FS - HI V:I'I-IA(;im, srrliCation for Certificate of FitnPcc IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ` FEE: $50.00 PROPERTY LOCATED AT \X,-^ �- UNIT# L(tp IS THIS UNIT DISIGNATEI'AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER—C—)mor�,P � x�� MANAGER/AGENT NO P.O. BOX ` `` 9 ADDRESS �� 1-�,C`�, G �_c�• t%J P ADDRESS CITY, STATE,ZIP ) \�P �^—� . a 15DOTY, STATE,ZIP RESIDENCE PHONE7BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1`� 2. 3. 1 4. L Q- 5. F Z 6. i i h 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ :�; DATE 1 7 . Zpj Insnectors use onlv Date on initial inspection: C�, (0' Date of reinspection:Q Date of issuance of certificate: 1-c," I Date fee paid: l to 11 Type of unit: Dwelling 1/ Other Check# S`) q Check date: Notes: Code Lor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLUOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL. FAX (978) 745-0343 MAYOR ]RAKI DINGi SAu.N1.00n1 LARRY RANHAN,RS/RIG IS,CI 10,CP-f S HI'.Al:)71 Ac�l'.N'I' Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor "!S�? \A, Address Address Address on unit to be inspected �:-e Q� . Date Updated 523/11 CITY OF SALEM, MASSACHUSETTS BOARD of HE,aI.:I'I-i 120 WASHINGTON S'PRrI T,4"'IAI.()(n( l'E:L. (978) 741-1800 K1ML3LW_EY DiZISC01,1_ FAN (978) 745-0343 Mt\YO1Z Iraindmna.salem.com LARRY R\NIDIN,RS/1z1;.1 IS,(:I I(1, Facsimile Transmittal To �1P�V1 v ,PrV.A Fax # L//�� q6 tic gl"=0_ IL .p RE: Date Page(s): including this cover# Message: A l y i Board of Health News ---------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 09/14/2011 21:49 NAME FAX 9787450343 TEL 9787411800 SER. # 000B0N341991 DATE,TIME 09/14 21: 48 FAX NO./NAME 919787449614 DURATION 00:00:34 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERIXY DRISCOU FAX(978) 745-0343 MAYOR VIONNN([_17SALI N.COM ]AW'i'DIONNI? A(:'I'INO Hji/u,, I-I AoI:N,r CERTIFICATE OF FITNESS CERTIFICATE#594-08 DATE ISSUED: 11/13/2008 Property Located at: 50 Highland Avenue UNIT# A Owner/Agent: George Hoxa Address: 57 Stonecleave Road City/Town: Boxford, MA Zip Code: 01921 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR E B A O HEALTH JA ET TONNE 41 ACTING HEALTH AGENT C00�'ENFORCE T INSPECTOR CITY OF SALEM, MASSACHUSETTS rq 1 F ` BOARD OP HFALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMI3ERLEY DRISCOLL FAX(978)745-0343 MAYOR ]DIONNtintiALEM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT UNPf01— (�IS THIS UNIT DISIGNATtD AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER ` /£''0( Q �44 F-\ MANAGER/AGENT NO P.O.BOX t ADDRESS ''�nc)gC`?c�\t-q P-U ADDRESS CITY, STATE,ZIP `7- IrV4CJr A CrfY, STATE,ZIP rC NO, . C�l Ott t RESIDENCE PHONE Crf6 bOly BUSINESS PHONE(24IIRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 14 ROOM USE: 1. 2. 3. 4. t-�L 5. 6. 7. $. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER To THE CITY OF SALEM BOARD OF HEALTH THIS FEE 15 P(7 -_= IFHbtE 6F 1TION APPLICANT'S SIGNAT1Jitf' --- _ _ DATE / InsDectors use only Date on initial inspection: 1 13 lot Date of rcinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#-5—Check date:��i, t Notes: t Cfx I.SCP 2 f ueact� d Irl aT — �t V1 v 0 O 11SVT@ t 10° YN IYl e l.4 yt� in `CC{'C.4241 i. m--� y "a VQ-&Ir or i^e�77arsz G �tt�,e �mvklc�¢ coue� Ynt rnarn 6-j4d. ��X�-ei,o�-vav_ CocT�Entoroement Inspector CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCREEABAUM(G7SALL;M.COM DAVID GRISENBAUM ACTING HEALTH AGENT Facsimile Transmittal To: C-r eA Fax # �1'�� Lel �6q RE: Date A,6i Page(s): including this cover# CV Message: 1 � lI Board of Health News --------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Oct 22 2009 2:51pm Inst Fax D= Ti= T= Identification Durati EW Rcsi t Oct 22 2:51pm Sent 919785311012 0:35 2 OK Result: OK - black and white fax F , CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRu.r:NHAUNf .S,\ia;Nt.coNI DAVID GRi.,FNBAUM ACTING H13Aj-Ti I AGI7.N'r CERTIFICATE OF FITNESS CERTIFICATE#385-09 DATE ISSUED: 8/14/2009 Property Located at: 50 Highland Avenue UNIT#B Owner/Agent: George Hoxa Address: 57 Stonecleave Road City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR �THE 00\,�D OF HEALTH , DAVID GREENBAUM ACTING HEALTH AGENT CODE NFO CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASI-IINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOI.L FAX(978) 745-0343 MAYOR pGRiiILNBAU�Nt rn.SAIIIAI.CODs DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT UNIT# _ �IS THIS UNIT DISIGN'&Eb AS RIGHT LEW FONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 1 P. r v H J 7c 1 t^ MANAGER/AGENT NO P.O. BOX ADDRESS 1 STD nP f I PA V P 2f) ADDRESS CITY, STATE,zip r F�2 cl VSA . CITY, STATE, ZIP RESIDENCE PHONE � �3�� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 3e l 2. 3. 4. L✓Z 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB TIM ON APPLICANT'S SIGNATURE _ — — — DATE Insnectorsuseonly Date on initial inspection: R 11401 Date of reinspection:, Date of issuance of certificate: v Al ql � Date fee paid: O I (t-1/6 � Type of unit: Dwelling Other Check# (D Check date: fi I l 1 1G Notes: ,Jbrnl-�v � - Code Enforcement Inspector • CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/4/06 George Hoxa 50 Highland Avenue Salem, MA 01970 PROPERTY LOCATED AT 50 Highland Avenue Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not Intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. or the Board of He Itg hQ _ Reply to (Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector L `P CERT.# 379-99 y�v FEE $25.00 DATE: 07/22/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel;(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 50 Hiahland Avenue UNIT #: 2 OWNER/AGENT: Maxine Bock ADDRESS: 52 Hiahland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2345 AN INSPECTION OF'�YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMLM"NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 ' (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH J i JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 �9-99 i �COPIDIT 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Of UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER SAV 60C�MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS CITY ��X (JSc� V \ `l"H1 CITY RESIDENCE PHONEV9 _Nco_--�Cl 5 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBEROFROOMS: <4 ROOM USE: 1. B� 2. 3 A. / V tKM 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. n APPLICANTS SIGNATURE C 111 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7, Y 7- -4 f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:7�j 2 y f DATE FEE PAID: 7 YZ Vf TYPE OF UNIT: DWELLING&OTHER_ CHECK# ,f CHECK DATE 7 -2 > NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ager.Ls from any loss or injury sustained of whatever nature and description occasioned q by my/our absence ing said inspection. L N �U - Vats TENANT/LESSEE OWNER/LESSOR �o �! --- ---- - ADDRE--SS ADDRESS ADDRESS OF IT TO BE INS E TP CED ` DATE CITY OF SALEM MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR 1%1ANC1N1 , A1.V%1.ccml JANET MANCINI AciING HEALTI AGENT CERTIFICATE OF FITNESS CERTIFICATE #233-09 DATE ISSUED: 5/14/2009 Property Located at: 51 Highland Street UNIT# 1L Owner/Agent: John Stavardis Address: 51 Highland Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR !THE BOARD �OF HEALTH JANET MANCINI ACTING HEALTH AGENT CO&tNFORCEML40 INSPECTOR .JV CITY OF, SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,4+u FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR i1xONNu @,,sAiaaM.COM ` JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ._ FEE: $50.00 PROPERTY LOCATED AT &— Gqw , U NIT# IS HIS UNIT DGNTRIGH7VfE-FIWROkORBAC PLEASECRCLEONE S ��.ESSERJMG5�wrtji- MANAGER/AGENT ADDRESS 61 H � VA ADDRESS CITY, STATE,ZIP t` ` ,.,,_ Mnk ntq�D CITY, STATE,ZIP RESIDENCE PHONE; "— BUSINESS PHONE(24HRS) BUSINESS PHONE t �tl t 3 TOTAL NUMBER OF ROOMS: ROOM USE: Lbttirq l x t2.`�lLQVtr vl 3. rM9W 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEF 3S R YABLE T E TIME OF INSPECTION APPLICANT'S SIGNATURE DATE –5*— �-/ / Insvectors use only Date on initial inspection: . A I L) 1 rm Date of reinspection: Date of issuance of certificate: Date fee paid: � fype of unit: Dwetling Other Check#_._, _,_Check date:– -' . f Qotes: 0 � 1 Ts_pe"� od E oreementnt Inspector + City of Salem, Massachusetts �� `' - n Board of Health Y � d 120 Washington Street, 4th Floor, Salem, Pt1bIiCHCAtth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.470 DATE ISSUED: 11/30/2016 Property Located at: 51 HIGHLAND STREET UNIT#2 Owner/Agent: JOHN STAVARIDIS Address: 51 Highland Street City/Town: SALEM, MA Zip Code: 01970 24 Hour Phone:(978)740-5658 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. &JejL0PV Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,47"FLOOR TEL. (978) 741-1800 KIMBERLEY"DRISCOLL FARC(978) 745-0343 MAYOR LRAMDINaSALRM.C.OM LARRY RAMDiN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" � 1. FEE: $50.00 PROPERTY LOCATED AT Cl 1 "6 l6Wll 1 l`t , UNIT#-&-- IS THIS UNIT DI GNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER Y) ' &M �I � W,3V MANAGER/AGENT NO P.O.BOX r ADDRESS I(n u tn, , A*, ADDRESS ADDRESS CITY, STATE,ZIP,tq' `vt%S, I'w-C n023 CITY, STATE,ZIP_ _ GGG /� r � i( RESIDENCE PHONE Ont) A6-4LZI BUSINESS PHONE(241IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. U( 1�,,'I'W` 2. Uv41 00\ A)ffity� AA 4. 1tJ"W` I 5. WZ,, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE A T THE TIME OF INSPECTION APPLICANT'S SIGNATURE, DATE �� q f p Inspectors use only I 11 Date on initial inspection: 2F/2�4C Date of reinspection: Date of issuance of certificate:I�V2D-14� Date fee paid: ggy�2�?/ Type of unit: Dwellingv/ Other Check# 2-4L Check date: 1 /29/zo1 Notes: *do ent Insp for t , ` n CITY OF SALEM, MASSACHUSETTS b�(a 130ARt) Ot: HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 hTMBFRLE?Y DRISCOT,1_ FAX(978) 745-0343 MAYOR lramchn d.salcsnxom LARRI'R,ANIDIN,RS/RP.I IS,(710, H 1?,\I:1'1 l AG 1:NI' CERTIFICATE OF FITNESS CERTIFICATE #324-11 DATE ISSUED: 9/6/2011 Property Located at: 52 Highland Avenue UNIT#52 Owner/Agent: George Hoxha Address: 52 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-944-6674 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ' FOR THE HEALTH LARRY RAMDIN I�a HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS„ nl � BOARD cit-, HF q.i'ii 120 WAS1-IINGT0N S'rRr?GT,4... FLUOR l T f-a- (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAiUDINdSN.1.aL M 1,\10W RANIDIN,RS/RN IS,CI 10,(T-FS HI AI:n-iAa;N'r s Application for Certificate of FitnPcc IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT T2 �� a r` AJe- UNIT# u�2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER—CrDrWr0 MANAGER/AGENT NO P.O. BOX i' � ADDRESS )�L Cv��n�e v�c� �*%Je- , ADDRESS CITY, STATE,ZIP e rh n O CITY, STATE,ZIP RESIDENCEPHONE C11 �/�4 L (914 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. '�3eA- 2. WeZ 3. ar'A- 4.1�J 5. �2 6. VC t'V- 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE — D,gT� 7 `>01 ) Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: -\7 - Date fee paid: Type of unit: Dwelling � Other Check# o Check date: Notes: ode Enforcement Inspector i CITY OF SALEM, MASSACHUSETTS 120 WASHINGTON STREET,41°FLOOR TF-i-,. (978) 741-1800 ICINMERLEY DRISCOLL FAX (978) 745-0343 MAYOR L RAMI)INGSALEM.(AT1 LARRY RAMI)IN,RS/REI IS,(;110,CP-FS HiS,u 'l l AGr:N r Release In accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11 d ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 8t 120 WASHINGTON STREET, 4TH FLOOR CERT.# 220-03 c SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/20/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 62 Hiqhland Avenue UNIT #: 1 Front OWNER/AGENT: Sam Allen ADDRESS: 97 Columbus Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1580 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . (/JFFOOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECT R -17 7UL 26 1"99 10: 33 AM SALEM HEALTH +5087409705 Page CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax'(978)740-5705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORH MAN HABITATION'. PROPERTY LOCATED AT "� /� i� UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT RO BAQK PLEASE CIRCLE ONE OWNEWLESSER Jd ��a±'✓ MANAGER/AGENT-__—_-, No P.O. Box No P.O.Box ADDRESS--1/I2 `� - ��y `S -- DRESS- CITY l,f?G!� 0�� 007 CITY__, --. --- RESIDENCE PHONEr 2Z".7 -_BUSINESS PHONE (24 HRS-) BUSINESS PHONE_ _ TOTAL NUMBER OF ROOMS: = ` ROOM USE: THERE IS A ENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAMTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. � APPLICANTS SIGNATURE . . --- DATE. INSPECTORS USE ONLY ' DATE-OF INITIAL INSPECTION S /� w'_DATE OF REINSPECTION_,.- _ DATE OF ISSUANCE OF CERTIFICATE:j, - "0 °3 DATE FEE PAID:_ 3 TYPE OF UNIT: DWELLING_OTHER_ CHECK# 6-.-� 7 CHECK DATE 15-�k-a3 NOTES: - -- CODE ENFORCEMENT INSPECTOR 9/28198 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - gt 120 WASHINGTON STREET, 4TH FLOOR .�c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#417-05 DATE ISSUED: 6/30/05 Property Located at: 62 Highland Avenue UNIT# 1 Right Owner/Agent: Scott &Tina Durepo Address: 131 Avalon Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-762-6799 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH / ,I JOAN E SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS '$ BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT(0)4nU -4a;*lar\A.Agmw 5�ri_6_dVl UNIT#(�9- IS THIS UNIT DESIGNATED ASRIG LEFT FRONT BACK PLEASE CIRCLE ONE ��+,,,, 11''� T0`�� `'' ' I o�n�Y1 e Yl'la`f� OWNERILESSER�6�c$T\/lr� L�/��ANAGER/AGENT No P.O. Box No P.O. Box n ADDR(tE�SS 3f,�!jl:n I,, `� �v>? ADDRESS�Iq-Qb,jQ 4 QSfW_j2j CITY 0)O) (.Qo CITY-Sa U rn. AU O1'� '7 G� RESIDENCE PHONEQIZ74I;5.33 BUSINESS PHONE (24 HRS.) 971f-7(c-)-�0/9 BUSINESS PHONE TOTAL NUMBER OF ROOMS: fs- ROOM USE: i.ri (�` Oi _4 &AAWM 8 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. Q p �/, APPLICANTS SIGNATURE_, GZ V �FtI (DATE INSPECTORS USE ONLY ' DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID _� - 2 6 TYPE OF UNIT: DWELLIt>f1;� OTHER__ CHECK CHECK DATE_;�_ J'' NOTES.---- CODE OTES.___CODE ENFORCEMENT INSPECTOR 9/28/98 o CITY OF SALEM, MASSACHUSETTS 61 BOARD OF HEALTH Tv 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 CERT.# 48-03 TEL. 978-74 I-1800 FEE $25.00 FAx 978-745-0343 DATE: 02/07/2003 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 62 Hiqhland Avenue UNIT #: 2 OWNER/AGENT: Sam Allen ADDRESS: 97 Columbus Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1580 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH r JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH /� O✓ • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN ABITATION". PROPERTY LOCATED AT 6>, UNIT#�L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box / No P.O. Box ADDRESS �i7 611l �/s ADDRESS CITY S CITY RESIDENCE PHONE lL ��'->�"d76_yZBUSINESS PHONE (24 HRS.II BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 3. 4. 5. = 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �� [D�G--/ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z 7- 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '2 ~ 3 DATE FEE PAID: 2 `f S TYPE OF UNIT: DWELLING OTHER CHECK# AS- 3 3 CHECK DATE NOTES: ��f\' CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH + 2 120 WASHINGTON STREET, 4TH FLOOR .. SALEM, MA 01970 ~ TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 5/9/05 Sam Allen 97 Columbus Avenue Salem, MA 01970 PROPERTY LOCATED AT 64 Highland Avenue Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not Intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to V-cc t F4 Joa ' Scott MPH, R S, CHO Pablo Valdez Health Agent Code Enforcement Inspector vg �o�11 CERT.# 414-99 FEE $25.00 ~ DATE: 08/04/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 64 Hiahland Avenue UNIT #: 1 OWNER/AGENT: Sam Allen ADDRESS: 97 Columbus Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1580 AN INSPECTION OF; YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C)':..ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR JUL 26 '99 10: 33 AM SALEM HEALTH +5087409705 Page t 1 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH.RS.CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMANHA�TION". PROPERTY LOCATED AT t , UNIT#_I IS THIS UNIT DESIGNATED AS RIGHT FT FRO 0= PLEASE CIRCLE ONE OWNER/LESSER tE-A-1 MANAGER/AGENT_-_.___ No P.O. Box / / No P.O.Box ADDRESS—_. AG__ADDRESS_ -- CITY -- RESIDENCE PHONE 2 fKlSPO. ._—_BUSINESS PHONE (24 HRS.) BUSINESS PHONE_ TOTAL NUMBER OF ROOMS:_ �a�c ROOM USE: 1.-_ 2.__ __3- 4.. _ 5. -- THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. i' APPLICANTS SIGNATURE ,...G=Y�� - DATE. 2 P. INSPECTORS USE ONLY DATE 0 INITIAL INSPECTION Y ` IF 'Q 4r .___—DATE OF REINSPECTION___.,, DATE OF ISSUANCE OF CERTIFICATE: C:. f�DATE FEE PAID:_( TYPE OF UNIT: DWELLING/(eLOTHER_— Ch�m# 010 CHECK DATE NOTES:-. CODE ENFORCEMENT INSPECTOR 9/28/98 , g�ooxwr CITY OF SALEM, MASSACHUSETTS �y BOARD OF HEALTH '. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 632-02 FEE $25 .00 TEL. 978-741-1 BOO DATE: 12/19/2002 FAX 978-745-0343 STANLEY USOVICZ. JR JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 64 Hiahland Avenue UNIT #: 2 OWNER/AGENT: Sam Allen ADDRESS: 97 Columbus Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1580 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 . 000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH A r � , JOANNE SCOTT, MPH,RS,CHO � c �= --- HEALTH AGENT CODE ENP09CEMENT INSPECTOR Feb 19 02 11 . 32a Joanne SOOLt Salem BOH 978 740 5705 p. 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET-, 4TH FLOOR SALEM. AAA 01870 TEL. 978-7d 1.1800 �•'7 _©d- 0 FAX 978-745-0343 3 STANLEYUSOVICZ, JH. JOANNE SCOTT. MPH, R5. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT r4_. —UNIT�f IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNEA/LESSER�9rv��7/may✓_.. MANAGER/ArFNT _ No P.O. Box No P.O.Sox ADDRESS `7 7 (gyp s' _......_ADDRESS. CITY.,_ c1t'tr� .....CITY ! RESIDENCE PHONE ;; BUSINESS PHONF{2.4 HRS1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: _4.. LL •�/ 5. ,_6. 7, THERE IS A TWENTY-FIVE(525.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ° rDATE-/ / ��Z. =RECTORS USF_D&Y DATE OF INITIAL INSPECTION ,_DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_/2�/,�_DATE FEE TYPE OF UNIT: DWELLING ✓OTHER•_,_ CHECK* S-D,' CHECK DATE_�� D.2 NOTES:,_. r's. COgE-tWeRCEWNT INSPE 8 9%28198 00 D � City of Salem, Massachusetts { i a Board of Health sulk� 120 Washington Street, 4th Floor, Salem, PUPablzCmaHP.atth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-376 DATE ISSUED: 11/2/2017 Property Located at: 84 HIGHLAND AVENUE UNIT# Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Lar ryRamdin MPH REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT C �� L 2 �;5UNIT#_ IS THIS UNIT DESIGNATED AS RLGHT LEFT F�RyO�NT BACK PLEASE CIRCLE ONE OWNERILESSERc) 556&�s� leeevd�_v/IPCAPGER/AGENT AD P.O. Box / No P.O.Box ADDRESS� L2� �t/HST/G !�i/2- ADDRESS CITY /1/O.STC� 1/ 1��if/¢ Z /�Q CITY / RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE / TOTAL NUMBER O,,F ROOMS: ROOM USE: 1. 2_��__&Nn/g1r24. �✓el)/lDOrGi 5& x_6. 7. 8 THERE IS A TWENTY-FIVE($-0i.00 DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE t� /f/ / �ll/� DATE INSPECTORS USF ONI V - DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER__. CHECK ft -----.CHECK DATE NOTES: -- ---�� L----- -- ----- CODE ENFORCEMENT INSPECTOR 9/2II/98 t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PilblicHe8lti'1 Prrven, Prumnle Prnte„1 TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(a),salem.com L,\RRYRAnnxN,Rs/iti:IIS,(:rtu,(:i i5 MAYOR 1ll:m ii A(;F.NT CERTIFICATE OF FITNESS CERTIFICATE#230-14 DATE ISSUED: 7/1/2014 Property Located at: 84 Highland Avenue UNIT#G-2 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. �R THE BOAR OF H TH �44 LARRY RAMDIN / y�AC HEALTH AGENT SANITARIAN e CITY OF SALEM, MASSACHUSETTS �0�'1 4 ~ , BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74"343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 *MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION', PROPERTY LOCATED AT_ LZ` 1 �/` UNIT#-(20)— IS (20) .IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER ` MANAGER(AGENT- NoP.O. Box 3� P.O.a� �ssADDREss_ 6�QP� ��ADu CITY ASMA_/ WYif CITY- __ RESIDENCE PHONE 7Y�J?2d_L3BUSINESS PHONE (24 HAS.) BUSINESS PHONE ,15Z/7 + TOTAL NUMBER OF ROOMS:_ ROOM USE: 7 8 THERE IS A TWENTY-FIVE(SeA'.0 DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALT D ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. JJ (� APPLICANTS SIGNATURE s DATE_��/-�(__� {NSP TC TORS USE ONLY. DATE OF INITIAL INSPECTION _DATE OF REINSPECTION_____ DATE EINSPECTION_ -_— DATE OF ISSUANCE OF CERTIFICATE. _DATE FEE PAID._—__,_._.� TYPE OF UNIT: DWELLING_OTHER_-- CHECK tt�41Py---CHECK DAT41ct1a NOTES: COD RCEMENT INSPECTOR 9128198 d`°NDS" City of Salem, Massachusetts a 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-99 DATE ISSUED: 6/2/2015 Property Located at: 84 HIGHLAND AVENUE UNIT#G3 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR I& SALEM, MA 01970 TEL. 978-741-1800 FAX 978-748-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATtOW PROPERTY LOCATED AT 75 7 /T 1` �r9 '1� r'}//P cS � UNIT#e\? IS THIS UNIT DESIGNATED AS RIPHT LEFT FRO IST ACK PLEASE CIRCLE ONE OWNER/LESSER /-40Z,"/��A MANAGER/AGENT � NO P.O.Box too P.O.Box ADDRESS /,.,7 ire- ADDRESS CITY da�7nLJ N14 6 aMC) CITY RESIDENCE PHONE / L/, 3�� BUSINESS PHONE(24 HRS.)7gr ^-BL 14tSS PRONE TOTAL NUMBER OF ROOMS: T ROOM USE: 8. THERE IS A TWENTY-FIVE($ .00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH D PARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURES DATE �� T /PECTORS USE ONLY DATE OF INITIAL INROFC T1tNli �( " DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:'4______ TYPE OF UNIT: DWELLING OTHER__, CHECK#I 11716 _CHECK DATE SI ot7jl- NOTES: C EXWI'T INSPECTOR 9128/98 < CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PR11�1CHC81th STREET, Prevent Promote.Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL kamdinkisalem.com - LARRY RA6ffJIN,RS/R1-'I IS,CHO,CP-P'S MAYOR HEAI.PI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#492-12 DATE ISSUED: 12/12/2012 Property Located at: 84 Highland Avenue UNIT# 1 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. R THE BOARDOF HEALTH LARRY RAMDIN (j �_J HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS n BOARD OF HEALTH ) i ✓ `� 1220 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01870 TEL. 978-741-1800 FAX 978-74"343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS. CMO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 414.000 'MINIMUM STANDARDS OF FITNESS�FOR HUMAN HABITATION". PROPERTY LOCATED AT f d6pAre ,IU_l 44/C?' ^PZ9 UNIT#-L IS THIS UNIT DESIGNATED AS RGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERtLESSER,%;&s7 A4s5�=tt. +NXJHMANAGER/AGEN No P.O. Box 14wm P.O.Box ADDRESS 63A1_14lt7c_ *ve- ADDRESS CITY,_&2sr0'L/ Vj'I� O1/47 CITY RESIDENCE PHONE M, 33a3 BUSINESS PHONE (24 HRS.) 2TIa `BUSINESS P1 ONE 74 e +r.vy . .t DOTAL NUMBER OF ROOMS: x ROOM USE: 5. s. T a. THERE IS A TWENTY"FIVE(StA.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S M HEATH PARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. '' APPLICANTS SIGNATURE DATE J / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:.—__--DATE FEE PAID:---.- TYPE AID:- —.-TYPE OF UNIT: DWELLING OTHER,.,-_- CHECK#15 3C�t7CH£CK DATE NOTES: RCIIE'MENTINSPECTOR 9l2II/9ti CITY OF SALEM, MASSACHUSETTS 'V1 BOARD OF HEALTH 120 WASHINGTON STREET,4"!FLOOR P �th Preren6 Yromme.Proleq. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL 1lamdinna.salem.com - LARRY LUnmLN,Lis/REHs,caro,cn-ts MAYOR HEAL: [i AGENT CERTIFICATE OF FITNESS CERTIFICATE#493-12 DATE ISSUED: 12/12/2012 Property Located at: 84 Highland Avenue UNIT#2 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOA D OF H LTH LARRY RAMDIN 64 HEALTH AGENT SANITARIA -/ CITY OF SALEM, MASSACHUSETTS n � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978.741.1800 FAx 978-745.0343 STANLEY IJSOYICZ, JR.. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS '�FOR ��+'HUMAN HABITATION'. PROPERTY LOCATED AT ��'^'�'�E?' . m , .49 UNIT#4, IS THIS UNIT DESIGNATED AS RIGHT_ LEFT f$OY BACK PLEASE CIRCLE ONE OWNERILESSER,$,� A4f� AW, MANAGER(AGEN ,-1 No P.O. Box o P.O.Box ADDRESS 63 lf7_1AAXT l A✓e. ADDRESS f CITY„ 4/ rn,�_ 0.1/0' ---CITY RESIDENCE PHONE '•7Y/,3$a3 BUSINESS PHONE (24 HRS.)_2V:4r ' BUSINESS PHONE 74 t '2 8'f /TOTAL NUMBER OF ROOMS: ROOM USE: 1.lk7t /2_ THERE IS A TWENTY-FIVE(34;d.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _DATEJ4��-' - t. 4- INaPEVCTORS USF ONS DATE OF'INITIAL INSPECTION W/a DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE- DATE FEE TYPE OF UNIT: DWELLING OTHER.--- CHECK -CHECK DATE — NOTES: C FORCEMENT INSPECTOR 9128198 -41 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET 4'°FLOOR PI1bi1C$C8Ith STREET, Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdina.salem.com LARRY IzAnmlN,25/xF.IIs,CHO,cr-n MAYOR HI�.ALTI I AGRN'r CERTIFICATE OF FITNESS CERTIFICATE#494-12 DATE ISSUED: 12/12/2012 Property Located at: 84 Highland Avenue UNIT#3 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RAMDIN HEALTH AGENT SANT A SALEM MASSACHUSE"S �� F BOARD OF HEALTH ` 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 t-1800 FAX 978-74S-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11. 105 CMR 410.00 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT Z74ig 1i� ,[r,�i{e�r /0719 UNIT#J. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER,S, xj4 Yu'� AVM MANAGERJAGEN , -� No P.O. Box o P.O.Box ADDRESS 63hr/_/4ar7c ,II✓¢.. ADDRESS uCITY RESIDENCE PHONE M'7Yt 33;3 BUSINESS PHONE (24 HRS.) �BLISINESS PHONE . .s /TOTAL NUMBER OF ROOMS: X ROOM USE 1. ' n/2. 4ir -�.d (IEf 8. THERE IS A TWENTY-FIVE(S%00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY CITY ORDER TO THE OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE ,lj"(V ,1';,� UT _ _ OATS ,� .�10 - - J NSPECTORS USE ONLY DATE 01=INITIAL INSPECTION a I a a. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE _--_ ...-DATE FEE TYPE OF UNIT: DWELLING ,OTHER_._- CHECK#Ea CHECK DATE NOTES: ---- - ---- - — C RCEMEiNT INSPECTOR 9/28195 CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH _ 120 WASHINGTON STREET,4"FLOOR PublicHeatth Present.Promote Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(cNalem.com LARRY RANmiN,Rs/RENS,ca io,CP-FS MAYOR HEAL-HI AGENT CERTIFICATE OF FITNESS CERTIFICATE #495-12 DATE ISSUED: 12/12/2012 Property Located at: 84 Highland Avenue UNIT#4 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARK DIN HEALTH AGENT SANITARIAN .4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.400 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT R'5 W& ��e,' �.UNIT#y JS THIS UNIT DESIGNATED AS Blr!HT. LEFT FRONT RACK PLEASE CIRCLE ONE OWNERILESSERS9�s MANAGER(AGENT�� No P.O.Box P.O.Boz ADDRESS 63lr/444-c A✓Q ADDRESS.--/ CITY f'Y7�1,�_�CITY RESIDENCE PHONE'Y` -7Y/33ea3r� BUSINESS PHONE (24 HAS.) 2T/arX4 �BIISRJESS PK-ONE ,TOTAL NUMBER OF ROOMS: x -ROOM USE 5. R. 7. 8, THERE IS A TWENTY-FIVE(S DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL EALT DEP RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. }} APPLICANTS SIGNATURE _ _DATE_ r MPECTORS USE ONLY DATE OF INITIAL INSPECTION I al� +� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:. ._—�.-. TYPE OF UNIT: DWELLING —_OTHER__. CHECK#_l_ �,Vk_CHECK DATE CFiEZWORCEMENT INSPECTOR 9!28198 co DIN City of Salem, Massachusettslu f a Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA 01970 Prevent Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-72 DATE ISSUED: 3/4/2016 Property Located at: 84 HIGHLAND AVENUE UNIT#5 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978)741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITA N CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 41970 TEL. 978-741-1800 FAX 978-74S-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOW PROPERTY LOCATED AT �Y� J�IJ 4h✓t� '�'U'e �{'l'r UNIT V� IS THIS UNIT DESIGNATED AS BLGI T. LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER '1010 1) MANAGER/AGENT No P.O.BOX f-41 T NO PO.BOX . _p ADDRESS`� _l f'/,,i.��C r'Ijv� _...ADDRESS �"� CITY (20S7VA/ �� ©d 1) V CITY RESIDENCE PHONE.f -?YI 213 3 BUSINESS PHONE(24 HRS)18N-VY"?8'?S_ BQSIIVESS PHONE 21W-70-63323 TOTAL NUMBER OF ROOMS: ROOM USE: 1X42AW_2. Y•kS .- ��Ct��rl - THERE IS A TWENTY-FIVE($ .00)OOLLA EE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALT EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE AM^PECTORS USE ONLY DATE OF INITIAL INSPECTIONLVDjA2=_,DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEfi7,D1lld�DATE FEE PAID: 0�24f.,__ TYPE OF UNIT: DWELLING OTHER_-_, CHECK a 4I 1OZ__,CHECK DATE!�s24 G NOTES: C FORq;WNT INSPECTOR 9!28/98 jj City of Salem, Massachusettslu 4 . a Board of Health a e 120 Washington Street, 4th Floor, Salem, PtlblicHealth MA01970 Prevent Promote- PrMrct. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@E;alem.com Health Agent CERTIFICATE: OF FITNESS CERTIFICATE #: GHL-15-322 DATE ISSUED: 10/2/2015 Property Located at: 84 HIGHLAND AVENUE UNIT#21 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: B Aston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the rec uirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum Standards of Fitne>s for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or o,;cupied. Maximum Number of occupants, must comply with 105 CMR 410.000- Certificate valid foi one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of =itness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH VVVVVV /l� ,�F'��l��/�✓�L, Larry Ramdin, MP 1, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR I& SALEM, MA 01970 TEL. 978-741-ISM FAX 978-748.0343 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION''. PROPERTY LOCATED AT (? C UNIT#a! JS THIS UNIT DESIGNATED AS RIGHT, Lam[ FRONT BACK PLEASE CIRCLE ONE OWNERA-ESSER cSsz/ew/949;Le MANAGERIAGENT No P.Q.Box A�,O/pt, 7ZfyJr- No P.O,Box ADDRESS— ,, .r /fare ADDRESS CITY l�c�v?>ns .�is�t d�/�U CITY RESIDENCE PHONE BUSINESS PHONE(24 HRS.) ^BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 5&&0_>n 8, THERE IS A TWENTY-FIVE(S "00)D LAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE TH DEP T ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE LNSPECTOtRfJ!/Sf1USE ONLY DATE OF INiTJAL INSPECTIOty� 7� � / DATE OF REtNSPEGTiON DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:.._,-__._-_._._ TYPE OF UNIT: DWELLING __OTHER-_-. CHECK tt—„--_.,__CHECK DATE __- NOTES: --- - _ -- - --- CO E F EMEf4T INSPECTOR 9128/98 # 15 -3019, 4 CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOORPubliCHea Ith rewm.romm..r.m«,. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(a.salem.com - LAIiRI'RAnu>IN,Rs/Rolls,cl lo,cr-rs MAYOR HEAL m-I AG eNT CERTIFICATE OF FITNESS CERTIFICATE#498-12 DATE ISSUED: 12/12/2012 Property Located at: 84 Highland Avenue UNIT#22 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH l CARR MDIN HEALTH AGENT SANITARI 'e'er jyM MASSACHUSETTS � C17'Y OF SALE BOARD OF HEALTH , 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 414.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION* PROPERTY LOCATED AT _� ��'J� 'Z 1 /}�/�e K 'j! - /L.UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEFVLESSER50 lq ANAGERIAGENT No R.O.Box P.O.8oX fp ADDRESS, 9 3 ADDRESS_ CITY 011//0 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 7 / 3' Wsiwr_ssf PHONE 78Y drb /TOTAL NUMBER OF ROOMS-__ h - /ROOM USE: 1.� ta'L.�✓t� .-�A1Q -4., R ' 5. 6._&+" 7. 8, THERE IS A TWENTY-FIVE(S .00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DE ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. � !� APPLICANTS SIGNATURE DATE INSPECT RS USE ONLY LATE OF INITJAL INSPECTION Ia I +I a DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FES} PAID:.--,------ TYPE OF UNIT: DWELLING ,_OTHER___- CHECK #�G,CHECK-DATE NOTES: CO h ORCEMENT INSPECTOR - - ---------- ._..___ --_- .---9/28!96 f, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978.741-1800 FAX 978.745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter til ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of The City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with tl:e aforementioned statutes, regulations and ordinances. Li the event it is necessary that said inspection be done in my/our absence , 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem. Board of Health and its authorized a.-en.--sfrom any loss or injury sustained of- whatever nature and description occasioned by /our bse = during said inspection. :N .T% ESSEP. OKINER/i,ESSOR ADDRESS ADDRESS _ ADDRESS OF UNIT TO BE INSPECTED T!,Y E. ` CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PublicHea ith STREET, Prevent Promote.Protect. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL ItaIndinOsalem.com LARRY iL\RIUIN, IS,ChlO,CP-I'S MAYOR Hisw:Cl[A(.INr CERTIFICATE OF FITNESS CERTIFICATE#499-12 DATE ISSUED: 12/12/2012 Property Located at: 84 Highland Avenue UNIT#23 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Ile Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RAMDIN H 4"ffAky HEALTH AGENT t '# CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 111 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74"343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION-. PROPERTY LOCATED AT RAZ;��t Pm AV R___UNIT#;�3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERlLESSER5 -j°iYr 1 4hkl9 `A �MANAGER/AGEN No P.O. Box o P.O,Box p� ADDRESS 63/r//,g"r-r-G A✓t, ADDRESS / 7 CIT!_�•L�.(/ 4YI d //�_—CITY RESIDENCE PHONE T28, M33a3 BUSINESS PHONE (24 HRS.)7� 'BUSENESSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.� *+/2. 4v�ri _ /J1IC�y4._ /lFaCwtf THERE IS A TWENTY-FIVE($ .00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEMEALTH EPA7HIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE_/,Z/��_ INSPECTORS I1.5,E ONLY DATE OF INITIAL INCPFCTION 10\6149---DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID. _ TYPE OF UNIT: DWELLING _OTHER__- CHECK#L' �b _CHECK DATE NOTES: C�R ENT INSPECTOR 9/28/98 t' CITY OF SALEM, MASSACHUSETTS t 4 1 BOARD OF HEALTH r 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978-74 1-1BOO FAX 978.745-0343 STANLEY USOVtCZ, JR. JOANNE SCOTT, MPH, RS, C,HO MAYOR HEALTH AGENT 1 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of t" City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ahen'ts from any loss or injury sustained o£ vihatever nature ani description occasioned by my/our abseoca- during said inspection. Tr-NANT/LESSEE O', E" ,ESSOR g' (6 fo L ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED 0,/ 00131) City of Salem, Massachusetts r t. Board of Health 9 120 Washington Street, 4th Floor, Salem, PablicBwealt I MA 01970 Pr"ent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-420 DATE ISSUED: 10/28/2016 Property Located at: 84 HIGHLAND AVENUE UNIT#24 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. 4r2f'r // � Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHtNGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74S-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS r �/FOR HUMAN HABITATION'. rl PROPERTY LOCATED AT O 7 .IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT RCK PLEASE CIRCLE ONE OWNER/LESSER`5-)jl/eRr//lr� /46IYYMANAGERIAGENT 0-111 No P.O.Box lw+fo P.O.Box ADDRESS ADDRESS CITY ?rlS 0 A✓ CITY AW - RESIDENCE PHONP �-72el&?P)2 BUSINESS PHONE (24 NAS) `BUSINESS PHONE;/-02- TO TAL 02-TOTAL NUMBER OF ROOMS: ROOM USE 5. ja2?r6. %/� n 8. THERE IS A TWENTY-FIVE(S .00) OLLAR F E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALTM ALTH d ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �� APPLICANTS SIGNATURE /� /.G`' J DATE INSPECTORS `qUSE ONLY DATE INITIAL INSPECTION 19/28 ,�(e _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE_jE3f�.,�f „DATE FEE PAID: vf �DpE_. TYPE OF UNIT: DWELLING OTHER_- CHECK# c�.2g7�—_CHECK DATE 9 20/016 NOTES' - --- —— - -- --- - — C FORC ENT INSPECTOR 9/28/98 CONDI City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01970 Prevent. Promote Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-230 DATE ISSUED: 8/3/2017 Property Located at: 84 HIGHLAND AVENUE UNIT#25 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. a--X� �-�P_u/ - Larry Ramdin, MPH, RENS, CHO � 6A HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74$-0343 STANLEY USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT9t�1s� i�/� UNIT# IS THIS UNIT DESIGNATED AS$(£;HT LEFT FRONT BA tC,S PLEASE CIRCLE ONE OWNER/LESSE GER/AGENT n No P,O,Box NO P.O.Bax ADDRESS (�.S Vr1,a ✓,,I. egG,'c ADDRESS— CITY DDRESS—CITY t�kS7I9n./ 11W.4 01//d CITY RESIDENCE PHONE- BUSINESS PHONE(24 HAS.) WSili`tSS PHONE %7e/-,2 'Y s/'$ TOTAL NUMBER OF ROOMS. 6 r ROOM USE: 4� _ .-- 5.�eb> i s. rZ 8. THERE IS A TWENTY-FIVE(W-.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALT DE ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �c -y APPLICANTS SIGNATURE DATE // `J? 1 INSSPPF,CTORS USE ONLY DATE OF INITIAL INSPECTION UI`zl �DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID: 6{� �I TYPE OF UNIT: DWELLING OTHERCHECK 4_L _CHECK DATE NOTES: - -- -- �.-- -- — CODE ENFORCEMENT INSPECTOR 9/28/98 4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4..FLOOR Pl1b>IicHealth TEL. (978)741-1800 FAx(978)745-0343 Prevent.Pmmot" Pmlect. KIMBERLEY DRISCOLL lramdin(a�salem.com - LARRY R:\MDIN,RS/KERS,CI 10,CP-PS MAYOR HEA]:rii AGrNT CERTIFICATE OF FITNESS CERTIFICATE#98-14 DATE ISSUED: 3/28/2014 Property Located at: 84 Highland Avenue UNIT#25 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY MDIN 5 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS (� ✓\ , J BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978.74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT P cS,9klj'7 Ag ,UNIT a2S iS THIS UNIT �?. DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLEEESONE OWNERIESSERc.y}/�Pry/ f/Y117 4//Yj�AGER/AGEN� B �G No P.O. Box No P.O.Boz ADDRESS14xI T�uT C �!!Z -ADDRESS CITY 77U1 AFI_ f3dl!/D CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS)7o/64Y RE71. — BUSINESS PHONE M TOTAL NUMBER OF ROOMS:_6 ROOM USE: 1.Kl�/f4+� THERE IS A TWENTY-FIVE($ .00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION--DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID: TYPE OF UNIT: DWELLING _OTHER___ CHECK k_____--CHECK DATE NOTES: COD CEMENT INSPECTOR 912£3/96 NDI�,t City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent, Promote Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-249 DATE ISSUED: 8/28/2015 Property Located at: 84 HIGHLAND AVENUE UNIT#26 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT /� SANI RIAN GtTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASH4NGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-748.0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO ' MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN ,HABITATION*. PROPERTY LOCATED AT UNIT IS THIS UNIT DESIGNATED AS RIP.HTrLEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE�/T� N /GPP�rrP MANAGER/AGENT o P.O. Box , �°v1/i9w /ii No P.O.Bax �j f ADDRESS G�3T C� !' ADDRESS_ ! .�' " �2 CITYs/��✓ry/� ��/�� CITY 1 (� RESIDENCE PHONE?17F2, XXfN�2 BUSINESS PHONE (24 HRS) BUSINESS PHONE t/ ya e- �' TOTAL NUMBER OF ROOMS: ROOM USE 1 LJ�X/2.�✓ �'3"-..... �/ �� 5. R 7. 8. THERE IS A TWENTY-FIVE(S .00OLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALVM ) ALTH PAR MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INtTIAL INSPECTiON_C)- _/Wl 5� DATE OF REINSPECTION GATE OF ISSUANCE OF CERTIFICATE_PFEE PAID:. (-�/z-0L2o _- TYPE OF UNIT: DWELLING 'V OTHER__, CHECK#Cj 2 3QC _CHECK DATE �RZ_,2DIZ015- NOTES: _-- n C F CEMENT SPECTOR 9/28/98 ry v� CITY OF SALEM, MASSACHUSETTS `VJ BOARD OF HEALTH publicHea ith 120 WASHINGTON STREET,4°1 FLOOR Prevent.Prom"to Prot,,., TEL. (978) 741-1800 FAx(978) 745-0343 _ KIMBERLEY DRISCOLL lramdin(asalem.coln L.\RRI'lit\D(UIN,IiS/RJiHS,CI-K),Cl I,,S MAYOR HF,AI;1'1-1 AGI?N'I' CERTIFICATE OF FITNESS CERTIFICATE# 153-14 DATE ISSUED: 5/1/2014 Property Located at: 84 Highland Avenue UNIT#26 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD OF EALTH LARRY RAMDIN 4 " HEALTH AGENT SANITARIAN I' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTHLI/ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74S-0343 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II. 105 CMR 410.000 `MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT CLC IZL l2 St3`C l;l all' UNIT#G� IS THIS UNIT DESIGNATED AS RICIT LEFT FRONT SACK PLEASE CIRCLE ONE OWNERILESSEF16dkr` /�� ANAGER/AGENT No P.O.Box Na P.O.13OX ADDRESS_ 19TI9alT�G i�(/e ADDRESS CITY 6,1116 CITY (1511 y�- RESIDENCE PHONE_"-7W-,33,? ._BUSINESS PHONE (24 NRS.) /t5�o��y✓' t `E sil4ESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.L? fre 2 GTCAv3. 8eI0 4AA6gy9 8. THERE IS A TWENTY-FIVE(SP.O())DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALKM EALT DE ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION.SIGNATURE ./// j�1 DATE_ I, L— APPLICANTS StGNATURE �� iNSPFCTORS USE ONLY DATE OF INtTlAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE- DATE FEE PAID: J j� TYPE OF UNIT: DWELLING OTHER---- CHECK �� --CHECK DATE�4j�l l NOTES: - -- ----- - — cobt,WFOAlC7=HENT INSPECTOR -_ __--�--'---'-_J-- — -V +~-9Y28/98 " D City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, prevent_�,-L''—vtnl.Promote, Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-20 DATE ISSUED: 1/26/2017 Property Located at: 84 HIGHLAND AVENUE UNIT#41 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978)741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. , .allo Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS`FOR HUMAN HABITATION" PROPERTY LOCATED AT �IkeUNIT a_y IS THIS UNIT DESIGNATED AS BIGHT LEFT FRONT MACK PLEASE CIRCLE ONE OWNERILESSER FJ MANAGER/AGENT, No P.O. Box �p No P.O. Box ADDRESS 63 /��.9aJt�G A/2ADDRESS CITY G2SM/I/ fJ7/� --CITY_-- ---__--- RESIDENCE PHONE 'M 7W2_?-aUSINESS PHONE (24 HRS.)2F agK-,?9wj,- BUSINESSPHONE 71; -,WL?d-3 TOTAL NUMBER OF ROOMS: ROOM USE: -&N&W 5. k') 6.--- 7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH D PARTMENT THIS FEE IS PAYABLE Al-THE TIME OF INSPECTION. APPLICANTS SIGNATURE �/f /.r/s� DATE_/ 6_ INSPECTORS USE ONLY PATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE _I L 74_ DATE FEEEEPAID. 4 G ui vi7_- TYPE OF UNIT: DWELLING _OTHER__-_- CHECK gata '(JQ.CHECK DATE ► NOTES: CODE ENFORCEMENT INSPECTOR 9/'l_II/98 �axw> CITY OF SALEM, MASSACHUSETTS �v�' BOARD OF HEALTH 't 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 s �+ �,�� TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, i./we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized alpe,nts from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. 0 oP� � ►J r -- — TENANT/LESSE. WNER/iFSSOR ADIM�ESS ADDRESS ADDRESS OF UNIT 1'0 BE INSPECTED 1�6y/ Tri E 4 CITY OF SALEM, MASSACHUSETTS • �/ BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DCREI,NBAUMnSAu IM.C.OM DAVID GREUNBAUM Ac PING HEAL-II-f AGR.NT CERTIFICATE OF FITNESS CERTIFICATE#202-10 DATE ISSUED: 5/7/2010 Property Located at: 84 Highland Avenue UNIT#41 Owner/Agent: DFI Management Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH ��,f/ �yy DAVID GREENBAUM ACTING HEALTH AGENT CODE RCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTHjrl • • 120 WASHINGTON STREET, 4TH FLOOR V SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT2__sZ_2V -- -_.UNIT N�1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER i� ��6�7��//11,c �` MANAGER/AGENT No P.O. Box No P.O. ADDRESS 63 r%l�.1r•e /'�'�e- ADDRESS \ CITY Aa:'87-0v /1?6' 0-kma CITY------_— -- RESIDENCE PHONE BUSINESS PHONE (24 HRS.) ?S_I - _kk-__?8_ f<s- BUSINESS PHONE 975t7f�/ 3 4 TOTAL NUMBER OF ROOMS: ROOM USE 5, ¢mm 6. 7 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE w__Z4�� DATE-------__-- N S /-7 //O __ CT_ORS USE ONI-Y S PATE OF INITIAL INSPECTION I l/0 DATE OF REINSPECTION___ DATE OF ISSUANCE OF CERTIFICATE _� U _DATE FEE PAID._�_�./,�/U/_ TYPE OF UNIT: DWELLINGIe<'0THER__. CHECK k (r?_7_L_.CHE.CK DATE lA). NOTES: CO EN ORCEMENT INSPECTOR 9l28l9H 1 - 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 i< 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,ye�� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author– ited agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence , i-/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem. Board of Health and its authorized a esnts from any loss or injury sustained of whatever nature ani description occasioned by my/our absence during said insDecti.on. TENA:�rt/LuSSE� OMJNE!Y/i ESSCR -----. — ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE — -- 0 City of Salem, Massachusetts aLanq Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA01970 Prevent Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-250 DATE ISSUED: 8/28/2015 Property Located at: 84 HIGHLAND AVENUE UNIT#42 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Ate/ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAN ARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 40 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-743-0343 STANLEY USOViCZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OFcFITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT O 1 !l 1Ir '/W ✓� `5 ��/ UNIT# JS THIS UNIT DESIGNATED AS RIGHT, LEFT FRONT 0ACK PLEASE CIRCLE ONE OWNER/LESSER" �� MANAGERIAGENT No P.O.Box f6co lrl NO P.O.Box /f ADDRESSl!��__G ,2 -/��> A27 'C 04e- ADDRESS CITY ge5?v?�iI/ ''Vor CITY - RESIDENCE PHONE /� -33+? BUSINESS PHONE (24 HRS)./ '/v29y ,apps N`Ess PHONE TOTAL NUMBER OF ROOMS: ROOM USE: t �+ppl��sl` r7w {� /GcTi%`+� E�✓ 5_J & 7. 8. THERE IS A TWENTY-FIVE7� 7T YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION.APPLICANTS SIGNATURE ' DATE N5PFCTORS USE ONLY DATE OF INITJAL INSPECTION O"W t)rl S DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE2_ /2d 9 S"DATE FEE PAID: - TYPE OF UNIT: DWELLING ✓ OTHER-_.__ CHECK#PUCCa__CHECK DATE Q 2p L242Z5 NOTES: #N dRCEME INSPECTOR 9128/98 I 1 ¢o CITY OF SALEM9 MASSACHUSETTS c �v BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR asM SALEM. MA 01 970 — p• TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#433-05 DATE ISSUED: 7/11/05 Property Located at: 84 Highland Avenue UNIT#42 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of Issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JI JOANNE SCOTT, MPH, RS, CHO O HEALTH AGENT CODE ENFORCEMENT INSPECTOR { CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR //HUMAN HABITATION'. !� PROPERTY LOCATED AT <�� i�/L, IS THIS UNIT DESIGNATED A/S�RIGHT LEFT FRONT BACK PLEASE CIRCLE BC'IR,CLE ONE OWNER/ <Y/�Psn ESSER /Yid//�+ ANAGER/AGEN // No P.O. Box o P.O. Box ADDRESS 13 '')W4,✓ ADDRESS CITY ��pr97t� ©'2.//()CITY B RESIDENCE PHON� b/LW-3.3o� 3 BUSINESS PHONE (24 HRS. BUSINESS PHONE CV,W, P_ TOTAL NUMBER OF ROOMS: I ROOM USE: 1./1ircll�2. LYS. ' Awa �M /jam/ry/c1 mat_ 5. 4)2cv 6. 7. R. THERE IS A TWENTY-FIVE($25. 0) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. _ APPLICANTS SIGNATURE i DATF 7 �� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '7 - ! - n. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7 - I - v -1 DATE FEE PAID: 7 TYPE OF UNIT: DWELLING/J'OTHER_ CHECK# 10 �f CHECK DATEZ[�c NOTES: 11V CODE ENFORCEMENT INSPECTOR 9/28/98 o CITY OF SALEM, MASSACHUSETTS / BOARD OF HEAL-TH i 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 01970 TEL 978-741-1800 FAX 978-745-0343 SrANt F, LISOVICZ JR JOANNE SCOTT. MPH, RS. CHO t.•tArUR HEALTH AGF'.." RELEASE in accordance with Massachusetts General laws Chapter III ; Code of Massachusetts Y,egulations 410.000 et . seq. ; State Sanitary Code Chapter 11 and Article X111 of rise City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of + unit or residential property, hereby authorize the Salem Board of Health or its suthp,r- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. K Cho event it is necessary that said inspection be done in my/our absence , 11we expressly authorize the same and for my/our successors and assigns hereby relnasv and discharge the City of Salem, Salem Board of Health and its authorized z,un fora any loss ur 11131017y sestained of 0arever nature ana description occa. ir„ & by my/aur absence during said inspection. ` cf'A'INE lYiLES l ADDRESS F•.DIIHIiR�d�P�'1'0 is f. P;til'c(,.`?'E;1 -- -- — - - 3 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET 41°FLOOR PubliCHeaith STREET, Prevent.Promote Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinnusalem.com - I,.vzar UnnnN,Rs/Rhos,cl-l0,cr-rs MAYOR H F AI:f H AG I Wf CERTIFICATE OF FITNESS CERTIFICATE#210-13 DATE ISSUED: 6/27/2013 Property Located at: 84 Highland Avenue UNIT#43 Owner/Agent: Salem Highland Reality Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-2843885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF LARRY RAMDIN (/ HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 1 V f J BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER It, 105 CMR 410.000 `MINIMUM STANDARDS OF FI/TNNEESSSS.FOOR�HUMAN HABITATIOM. PROPERTY LOCATED AT jI Z_L/'<-� ` � �—UNIT#�3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BASK PLEASE CIRCLE ONE QWNER/LESSE��1 �de tror MANAGER/AGENT No P.O.Box f7?&5r to P.O.Box � J ADDRESS._ ADDRESS CITY {y1�rJL DZ!!d CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) Ll _ - �f -BUSINESS PHONE TOTAL NUMBER R�O�F" `ROOMS: � ROOM USE: 1.�_y_Z—/A%4/2.�3..Lrh 56WM,�L6.__ 7. 8. THERE IS A TWENTY-FIVE($ .00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALT EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _1r � DATE__{� �.13 . INSPECTORS USE ONLY DATEOF INITIAL INSPECTSON Ct�* ._DATE OF REINSPECTION___._,_,__. DATE OF ISSUANCE OF CERTIFICATE -,-_-_._DATE FEE PAID.- __.-___.-_ TYPE OF UNIT: DWELLING _ OTHERCHECK#__.___._-.CHECK DATE G O CCE NSPEGTOR (1 J_ j l/� 9/2II/98 TRANSMISSION VERIFICATION REPORT TIME : 06/27/2013 20:13 NAME : Fk" : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 06/27 20:13 FAX NO./NAME 919787449614 DURATION 00: 00: 20 PAGES) 01 RESULT OK MODE STANDARD ECM TRANSMISSION VERIFICATION REPORT TIME 06/27/2013 20:14 NAME FW" 9787450343 TEL 9787411800 SER. # 000BON341991 DATE,TIME 06/27 20: 14 FAX HO. /NAME 919787413323 DURATIOI! 00: 00:27 PAGES) 01 RESULT 04, MODE STANDARD ECM C CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WiASHINGTON STREET,4"°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ncaraaNl;nunl(7sni.r:nt.cOni DAVID GR1:;I'Nmvum AcFING HI;AI;I'I-I AGI dNT CERTIFICATE OF FITNESS CERTIFICATE#381-09 DATE ISSUED: 8/11/2009 Property Located at: 84 Highland Avenue UNIT#44 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 741-3323 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter W' Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I DAVID ACTING HEALTH AGENT CODE ENFORC NT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF 120 WASHINGTON STREET, 4 4TH FLOOR SALEM, MA 01970 TEL. 978-741.1800 • • FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �_ /JAW � Q�?_ _.UNIT N�f IS THIS UNIT DESIGNATED AS RIGHT HT LEF��TT''FF/RONT BACK PLEASE CIRCLE ONE OWNEWLESSER, J',��W i/ 4�W�FANAGER/AGENT No P.O. Box -81— No P.O. Box ADDRESS 6.3 151�1411r%f_ All ADDRESS— CITY-_,6,7's7Dr2w /�I% Oa-t``� --CITY-- RESIDENCE PHONE /`7� 7,W-33-A?BUSINESS PHONE (24 HRS.)1ol o��Y )s BUSINESS PHONE 9,�'a- 71'11- 33c 13 TOTAL NUMBER OF ROOMS: S ROOM USE: 1.n �/ 5141 6.- 7.------8' THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALT'7H /:EPA TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE '�//� DATE_ �l IN PECTORS USE ONLY DATE OF INITIAL INSPECTION '�,jII Iaq DATE OF REINSPECTION_______ DATE OF ISSUANCE OF CERTIFICATEDATE FEE TYPE OF UNIT: DWELLING _OTHERCHECK If _CHECK DATECw_/147 NOTES: clot ENFORCEMENT IPJSPECTOR 9/'l_8l9H .3 iQ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOORP11blicHea Ith Prevent,Promote.Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL 1tamdin(a salem.com L(\IlRl 1L\DDIN,RS/KERS,CI-K),CP-F5 MAYOR HIS:V.;fI-I AG Ii,N'I' CERTIFICATE OF FITNESS CERTIFICATE#86-13 DATE ISSUED: 3/6/2013 Property Located at: 84 Highland Avenue UNIT#45 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IIr'Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RAMDIN HEALTH AGENT SANITARIAN r t ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMA 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT—�_< /� G� 54NIT#_y,. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT SACK PLEASE CIRCLE ONE OWNER/LESSER dL�- ANAGER/AGENT No P.O.Box *P.O.Box ADDRESS_1 91�2'�./T�`C lir/ ADDRESS__. 79A9220___ CITY _ 15Ti'Jti I12/ a�ff0 CITY pv RESIDENCE PHONE BUSINESS PHONE (24 HRS.) l�o/'� �^ -BUSINESS PHONE_2 ! _2_0_3- 00 ? TOTAL NUMBER OF ROOMS: ROOM USE THERE IS A TWENTY-FIVE(Sj..00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH D ART ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE `=S IN PECTORS USE ONLY DATE OF INITIAL INSPECTIQNN-6 71"3-_. _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID.__ TYPE OF UNIT: DWELLING _,_,OTHER___- CHECK 1t4AL- __CHECK DATE NOTES: — -- -- --- -- -- — -- — CO FORCEMENT INSPECTOR 9/2II/9s ' � CITY OF SALEM, MASSACHUSETTS BOARD OFRIAOB - ^`~ 120 WASHINGTON STREET,4///FLOOR PublicHealth TEL. /97X\ 741 1800lll3/978\745-0343 - �um��dm��m� }�l��B]KDlJ�Il}D2SC(}DL � L,\lO<lD,\k8)lN,DS/lUA IS,(lK},(3`|'S &8/\Y()D ll|;\|;T||A(V:01' CERTIFICATE OFFITNESS CERTIFICATE#182'14 DATE ISSUED: 5/29/2014 Property Located at: 84Highland Avenue UNIT#4G {}vvnor/Aoer8: Salem Highland Realty Trust Address: 83Atlantic Avenue ^ City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit nt the above address has been approved and ioincompliance with 1O5CMR 410.000: Massachusetts State Sanitary Code, Chapter ||" Minimum Standards nf Fitness for Human Habitutinn". Therefore, this Certificate ioissued bvthe Code Enforcement Division ofthe Salem Board of Health and the unit may now berented and/or occupied. Maximum Number(foccupants, must comply with 105CMR 410.OU0. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate UfFitness isvalid only if there iSovalid Certificate ofOccupancy. FOR THE BOARD OFHEALTH LARWRAMDIN HEALTH AGENT SANITARIAN ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1� -'�� 120 WASHINGTON STREET, 4TH FLOOR \\\ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745.0343 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION- PROPERTY LOCATED AT �..11I} I-ei / mit -UNIT ityl IS THIS UNIT DESIGNATED AS RICHT. LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSERl5ele- Zjl ,A, MANAGERIAGENT _ X ADDRESS 6 /1f`A `��'I�G�t� ADDRESS c1TY ilos d4i CITY RESIDENCE PHONE `lac'7�/��d3 BUSINESS PHONE(24 HRS.)7ff1--vWY?,?gT` -BQ-9tNESS PHONE ISAoce TOTAL NUMBER 1OFROOMS: ROOM USE: 5.&_ALAW_6._ 7. 8. THERE IS A TWENTY-FIVE(S .00 DOLLA FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALT EP RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE / DATE INSPECTORS USE ONLY DATE OF INIT#AL INSPECTION S DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:, TYPE OF UNIT: DWELLING—OTHER___. CHECK#9,?Z-,-_CHECK DATE `T" t� NOTES - ------ -- - - --- — COPE thFOACEMENT INSPECTOR � ---_--`-- -_ -- _.____.---'-9l2II/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PablicHea Ith Prevem Prmm�te Prolan. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramd-in ccD..salem.com - L,\RRY RAnmiN,Rs/Rr.��s,cr-ro,ci>-rs MAYOR Hti,„��:ri t AG e:N'r CERTIFICATE OF FITNESS CERTIFICATE#417-14 DATE ISSUED: 11/5/2014 Property Located at: 84 Highland Avenue UNIT#47 Owner/Agent: DFF Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only K there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR DIIV� HEA AGENT SANITARIAW CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH t� 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-748-0343 STANLEY USOVIC.Z, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER It. 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT - _L1�? P c �Pi UNIT#y� IS THIS UNIT DESIGNATED AS RIGHT_ LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGERIAGENT Nopo ADDRE S7X 62# -'t-- A, .! __._ADDRESS CITYASU l✓ MO>4 0+ ,2.//C) CITY RESIDENCE PHONE 1W 7!/-3W BUSINESS PHONE(24 HAS) W!SIFIESS PHONE 'SG. 1yL�P f' TOTAL NUMBER ROOF ROOMS: ROOM USE: 1._4�k�2. _e7, t �1e'` THERE IS A TWENTY-FIVE(3 .00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. /� APPLICANTS SIGNATURE / ;!`1 �- DATE A0 PFCTORS USF ONLY DATE OF INITIAL INSPECTION I I �DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:,^--_-__,__ TYPE OF UNIT: DWELLING_OTHER__., CHECK #,L6�'��_„__,CHECK DATE W/ ))GI NOTES:.__ C F RCE T INSPECTOR 9128/98 4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#405-06 DATE ISSUED: 8/18/2006 Property Located at: 84 Highland Avenue UNIT#48 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only If there is a valid Certificate of Occupancy. FORE BOARD OF HEALTH - DE ENFORCL6, JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT C EMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH no6 • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OFFITNESSFOR HUMAN HABITATION". PROPERTY LOCATED AT 75 �� 4/%� A/e Cs�e--Y�, fw UNIT#k�9 0/y 70 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER '51171,0 / .6,166,h&a"i ANAGER/AGENT No P.O. Box X46ffo P.O.Box /J ADDRESS PC? JaT1w, ,r.r,4z 2 ADDRESS CITY ml ,09 U..1 /f0 CITY RESIDENCE PHONE 7 7 /2361_3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE �r TOTAL NUMBER OF ROOMS: ROOM USE: 1 1 v 2. -brdtAgL¢74� gi 9 gew 4. AV ONQ 1 5.a&W 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I 0 -T) 10 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ' DATE FEE PAID: TYPE OF UNIT: DWELLIN /OTHER_ CHECK# 11 6 6 ( CHECK DATE/v NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 Dom, City of Salem, Massachusetts Board of Health suf- --4 , 120 Washington Street, 4th Floor, Salem, PlubliCH�lth MA 01970 Prevent Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-328 DATE ISSUED: 10/3/2017 Property Located at: 84 HIGHLAND AVENUE UNIT#49 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978)741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO ✓v 7 HEALTH AGENT J SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET. ATH FLOOR SALEM, MA 01970 TEL. 978-74t-1800 FAx 978-748-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 405 CMR 410.000 'MINIMUM STANDARDS OF F TNESS FOR HUMAN� -pHyABITATION', / PROPERTY LOCATED AT l!r�//xo'�) '/ -e- 6 fP/J? UNIT#kI9� JS THIS UNIT DESIGNATED AS RIC.UT LEFT FRONT BACK PLEASE CIRCLE ONE 0WNER/LESSERW0 A';/4440 10flllvlVAANAGER/AGENT_. NoPO Box / No P.O.Box C le5e_ADDRS 9,4k/r,/C //f/( ADDRESS ) CITY �517Jnr� �ry/)Y//�l 0.2-110 CITY RESIDENCE PHONE �/0 �y/�33"�3 BUSINESS PHONE(24 HRS.)2��-.2FkJeJ'� �a ESS PHONE ,_, TOTAL NUMBER OF ROOMS. ROOM USE: 4.1f 7 C!�/2_ / A "/ $A"" i P'ar r7 5. tYjPLl1 6. 7. 8. THERE IS A TWENTY-FIVE(256.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. /2 APPLICANTS SIGNATURE DATE/O-3-//7 1MPECTORS USE ONLY DATE OF INITJAI_INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID: .---.---. TYPE OF UNIT: DWELLING—OTHER__. CHECK* `-.,__CHECK DATE NOTES: - - CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts Jan Board of Health D 120 Washington Street, 4th Floor, Salem, Pr{oraet� MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHs, CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-186 DATE ISSUED: 612912017 Property Located at: 84 HIGHLAND AVENUE UNIT#50 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978)741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. ..sjlllr� ( i Larry Ramdin, MPH, RENS, CHO v SANITARIAN HEALTH AGENT Y I CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL- 978-741-1800 FAX 978-74S-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS /FOR HUMAN HABITATION'. PROPERTY LOCATED AT�7f�fff�!71A *lt- S/�ILffN W%1 UNIT#10 JS THIS UNIT DESIGNATED AS HIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNERlLESSER l� Y 077//^,;�L64,Af- MANAGER/AGENT No P.O.Box . No P.O.Bax ADDRESS jD<3 d7i 1' r �� J94";e ADDRESS CITY &K 7—� 02//0 CITY RESIDENCEPHONE 333 BUSINESS PHONE(24 HRS) +&E SENESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: t. �1'i� N 2. {(may,3.-t2rAl,, ,_,-4 5.-6.-7. 8. THERE IS A TWENTY-FIVE(S .00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CIT Y OF SAL-VlmfiEALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 1*1- //7 APPLICANTS SIGNATURE 1 � nATE � MPIFCTORS IISF ONLY DATE OF INiT1AL tNSPECTiON j � c' ` DATE OF REINSPECTION GATE OF ISSUANCE OF CERTIFICATE_ DAT'E FEE PAID:,A � TYPE OF UNIT: DWELLING—OTHER_--. CHECK #„_---„_-.CHECK DATE NOTES: - -- L - ------ ---- CODE ENFORCEMENT INSPECTOR 9/28198 coNDITq� City of Salem, Massachusetts y 9' Board of Health 120 Washington Street, 4th Floor, Salem, PublicFIealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15432 DATE ISSUED: 12/24/2015 Property Located at: 84 HIGHLAND AVENUE UNIT#50 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978) 741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, 1ZLO/lot Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN �• " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 979-741-1800 FAX 979-74"343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410-000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT � WT#dZ) AS THIS UNIT DESIGNATED AS RIGHT, LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERcX �ANAGER/AGENT �{� e P.O.Box ADDRESS 4� %l"� G 11(-le ADDRESS CITY Igi9STIIiT� / "� 0,211d CITY RESIDENCE PHONF 9 �yl a73 BUSINESS PHONE (24 HRS.)__2Fj-d4&_3wj� -WSiNESS PHONE TOTAL NUMBER OF ROOMS: Sr ROOM USE: 1.,927a/ „�L �Y•v i� 4. ! 8. THERE IS A TWENTY-FIVE(S .00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALVI EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ' l APPLICANTS SIGNATURE lOG _OATEJ�`�d 1MPECTORS USE ONLY DATE OF INITIAL INSPECTION �1 24&10 _DATE OF REINSPECTIO�N/ DATE OF ISSUANCE OF CER70THER--, TE•2Z0 91DATE FEE PAID:.�-`- ;__ zo ,�� TYPE OF UNIT: DWELLING _ CHECK# CHECK DATE�<-,/ 2-0-Z NOTES: C FORCE . T INSPECTOR 9/28/98 l - °° City of Salem, Massachusetts AMU k,. Board of Health 120 Washington Street, 4th Floor, Salem, Ith roo MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-276 DATE ISSUED: 911/2017 Property Located at: 84 HIGHLAND AVENUE UNIT#51 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone:(978)741-3323 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 0 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74S-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 0 / /1`� ' L�t �!� /� � J�rf��i�1�/�17NIT# l IS THIS UNIT DESIGNATED AS RIGHT LEFT FRyONNTT��BACK PLEASE CtRCLE ONE OWNER/LESSER, 1,' 2sd'Ar1ANAGER/AGENT _ WP'0* P.O. Box No P.O.Box ADDRESS 62 ADDRESS ��/ CITY 60Sfvv riot 0 .2//0 CITY RESIDENCE PHONEy2 / d,9_S/_?91s 3USINESS PHONE (24 HRS) . �StNESS PHONE / 7l/ Sr. TOTAL NUMBEROFROOMS- ROOM USE: 2._ 54&f 4V_Z 6. 7. 8. THERE IS A TWENTY-FIVE(S .00) LLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM LTH D ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE l / DATE INSPECTORS USE ONLY 12ATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:, _„•___,_-_ TYPE OF UNIT: DWELLING—OTHER-_ CHECK #---.,__CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS V BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR PublicHeaith Preeent Prmm�le.Pramm TEL. (978) 741-1800 FAx(978)745-0343 IQMBERLEY DRISCOLL lramdina.salem.com MAYOR LARRY RA6IDF IN,RS�RI?I-IS,CIO,CP-ISS HIiAI;PFI AG FNT CERTIFICATE OF FITNESS CERTIFICATE#454-14 DATE ISSUED: 12/11/2014 Property Located at: 84 Highland Avenue UNIT#61 Owner/Agent: Salem Highland Realty Trust Address: 63 Atlantic Avenue City/Town: Boston, MA Zip Code: 02110 24 Hour Phone: 781-284-3885 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP'Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RAMDIN HEALTH AGENT SANITARIAN .V CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It. 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FORK HUMAN HABITATION'. ! PROPERTY LOCATED AT ; f 1� Ak!I- UNIT#.G t IS THIS UNIT DESIGNATED AS RIGFH,T, LEFT FRONT BACK PLEASE CIRCLE ONE OWNERIL.ESSERS; 71e,WA�A. o0wo MANAGER/AGENT NoPO ADDRESSL_ /� f/" 7" t o P.Q.Bax /�r/P, ADDRESS- CITY 6621V/$ pc�//Q CITY RESIDENCE PHONE %�S / ,' BUSINESS PHONE(24 HRS) `3ONESS PHONE Sf97�1 TOTAL NUMBER OF ROOMS. ROOM USE: 2._f k, _ .. - 4. I THERE IS A TWENTY-FIVE(S .00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALT DE RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE OATE/c,2-//-/r tMPECTORS USE ONLY DATE OF INITIAL INSPECTION �DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAfD:. TYPE OF UNIT: DWELLING _OTHER___,. CHECK#a�___CHECK DATE NOTES - -- ---- `.-- --- - — CO CEMENT INSPECTOR 9128198 l CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#404-07 DATE ISSUED: 8/23/2007 Property Located at: 90 Highland Avenue UNIT#2R Owner/Agent: Michael A. McLaughlin Address: 3 White Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • 63 CITY OF SALEM, MASSACHUSETTS tit Bo vtn OF HE,,u:ri i .� 120\Y'Asi-nNc'roN S'rxr_:Cr 4"'FLOOta 11'j- (978) 741-1800 KBf IBERLEY DRISCOLL RAX(978) 745-0343 MAYOR isa,TrOsm.['m CON )OANNE.SCU'17, H v A i:1'1-1 AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT D C// AV — IINIT#,2& IS THIS UNIT DIISSI AT� /D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �I( e' /7 y(cLQi{p�� MANAGER/AGENT NO P.O.BOX ADDRESS 3 �J� f� ADDRESS CITY,STATE,ZIP FA0h, 01f:20 CITY,STATE,ZIP WESIDENCE PHONE D/ 2j�K,3, 6.23 BUSINESS PHONE(24HRS)_ 4 T BUSINESS PHONE 92d' ?VY,4014( TOTAL NUMBER OF ROOMS: ROOM USE: I. 4'✓ 2 L06' J. A 41— 4. kd 5. 6. 7. 4:0,6a0- 8. 9. 10. THERE IS A TWENTY-FIVE($25) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE `0'��/L'� DATE i Inspectors use only Date on initial inspection: - TSn ? Date of reinspection: Date of issuance of certificate: ?� 7 �J 7 Date fee paid: %• J Z 9 Type of unit: Dwelling Other Check# S! Check date: Q _ �_ t✓ 7 Notes: •Code Enforcement Inspector t� CITY Or SALEM, MASSACHUSETTS j ilry` B<I, R )orHi,"m:rli 130 VVASrnNcroN S'nwi;r,4°'FJ.00R Ti?I.. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 NL-�YOR 'A'0 F1,0,s v.r: 1.CUM ]OANNV.SCOTT, I-I t::u:n-I AG I XF Release In accordance with Massachusetts General Laws Chapter 1 11; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article X111 of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 1/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Al Address Address Address on umt o be inspected 7 Date 0 �j • CI 1'Y OF SALEM, MASSACHUSEI°TS BOARD oi- HEAi:n-t 10 120 WASHINGTON STREET,4O'FLOOR PubliCHeaIth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnsalem.com - L;Vtlil'RAatoiN,Rs/ara Is,(1110,(T-FS MAYOR Hr,AmI I A(;iiN I, CERTIFICATE OF FITNESS CERTIFICATE#62-12 DATE ISSUED: 2/21/2012 Property Located at: 123 Highland Avenue UNIT# 1L Owner/Agent: Andrew Stevens Co. LLC Address: 10 Winterhaven Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 508-843-2105 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved - and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for oneY ear from date of issuance or until the current tenant vacates whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RR YRAIVIDINzt HEALTH AGENT CO NFORC4�NSPECTO—R r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR I RANmINOSALFNIX OM LARRY RAb1TJIN,RS/RI HS,CHO,CP-FS FIEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" pFEE: $50.00 PROPERTY LOCATED AT-lig Gv/7/��/ � UNIT#� IS/THIS UNIT DISI ATED AS RIGHT FT FRO OR BACK,PLEASE CIRCLE ONE J OWNEWLESSER/l7G!/Yncc2 ,5kV&-)5 MANAGERIAGENT�7LG.r&cJ .S7Gt/�t5 NO P.O.BOX ADDRESS k"- > fin �� /a/ir� /l ADDRESS `. L' CITY, STATE,ZIP CITY, STATE,ZIP q , RESIDENCE PHONF BUSINESS PHONE(24HRS) BUSINESS PHONE 9?$07ad-- /q--7- TOTAL yaTOTAL NUMBER OF ROOMS: / ROOM USE: 1. ZleAm 2./✓!nof,910)N3.AVII& 4./, W/R-fh5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE / A .w �_ l DATE Inspectors use only Date on initial inspection: a.1 'i g. Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date:__/ Notes: E✓\-�v(e- Q ( I tMtn dOL'O e n ;etn pmaef lv. Code�yfd �ment Inspector va' �Y,y1Hg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/08/99 Fax:(978)740-9705 Paul & Jeanne Scanlon 5 Brookview Drive Derry, NH 03038 PROPERTY LOCATED AT 123 Highland Avenue UNIT # 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. R THE BOARD0 HEALTH REPLY TO oann� MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 'b^B TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#276-07 DATE ISSUED: 6/14/2007 Property Located at: 124 Highland Avenue UNIT# 1 Owner/Agent: Thomas Rice Address: P.O.Box 39 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 41111 4ticXt— JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 06/15/2007 11:14 8669154111 PREMIER DS PAGE 01/01 p2 Jun 13 07 04:05p 86/12/2007 13:56 0669154111 PREMIER DS PAGE 02/02 Jun 11 07 03:2SP Joanne SooL6 Salem BOH 970 745 0243 }� P• 1 CITY OF SALEM, MASSACHUSETTS @OAkO On 615A6Tr. IPO WASHINGTON STg66T. BTM FLOOR 3A64N. MA UI 11 tv Te L. 978.7A 1•1900 I& FAS 978-745.034S v,...{... JCANNG SCOTT, MPH. RS. CMO KlnlberlayDrlsaen HCALTV AnrN- Mayor APPLtCAT;ON FOR CFSTIFiOATE Of EITNE00 IN ACCORDANCE Wn STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "U NINUM STANDARDS OF FITNESS FOR HUNAN HABITATION". PROPERTY LOCATED AT '�„1-�� ]r„Q,, , 13 THIS THIS UNIT DESICNATED AS 31GHT LEFT FRONT BAC PLEASE CIRCLE ONE OWNERILESSER- ,,CGT •e 'Ce" .. MANAGEFVAGENT _ No P.O.Box No P.O.. Boz ADDRE991 GAY, 317 .--ADDRESS—. , „-,•�_ CITY�lrsleW4 GITY.,,,,_Alk RESIDENCE PHONE•m /w-/538 BUSINESS PHONE(244 HRS.). _-- BUSINESSPHONE F78 +231-4'`/,l` — TOTAL NUMBER OF ROOMS: ROOM USE: I-j'yer—7 5. 7 THERE IS A TWENTY•FNE[$26.48)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF MPF"10N. J f APPLICANTS SIGNATUR E j�r'.� DATE, ,tf��•_A7 ( TORS USE ONLY DATEt>FJhjln—AttN�? �T10Nl+�lA� ___(1gTFnGREINGPECTION.l..___ _ DATE OF ISSUANCE OF CERTiFiicATE:61121-0.9 UATE FEE PAID._6//Y�� ,/J TYPEOFUNIT: DWFlJ1%Gf-- THER„ CHECK 4 CHECKDATE �,/1I'1.,d2 NOTES:V7417--01 mar to t3e11. <gkeu 13- 'aDE INSPECTOR age a ( IMPORTANT MESSAGE ) I� FOR.T 1a i)/I DATE W TIMEP.M. f M -K1 rca �i ATA rn n�' OF PHONE-L-4(&? CmOQ^ � R EXtENSION ❑ FAX _/y�` ❑ MORiI F AREA CODE4 NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU -WILL CALL AGAIN WANTS TO SEE YOU 'RUSH RETURNED YOUR CALL WILL FAX TO YOU ' ESSAGEshe wormt ,� -�'-o t . nb�) o� �I', an _ V nU CSD L) ho l np S�,_r104r�� SIGNED � r � �1IfOC FORM 4009 MARE IN IJ 5 A NOTES 9 � s— s I CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#55-06 DATE ISSUED: 2/14/06 Property Located at: 128 Highland Avenue UNIT#2 Owner/Agent: Salem Realty Trust/Pejman Telebian Address: 128 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR/THE BOARD OF HH ALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR / SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT lZQ 14vt UNIT# Z v IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE -5eel �#7 7PAuj OWNER/LESSER 4m" %D/ej&, fnr MANAGER/AGENT No P.O. Box. ' No P.O. Box ADDRESS `-lt R eIWF Avu ADDRESS �] CITY Si e-AA zell" CITY RESIDENCE PHONE 7.P/ V1 2-3i-L2- BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: I ROOM USE: 1. hlIqen 2.&An 9/� 3. G,4,4 4. rthsn J �xrLnor7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �" DATE 2-1/4 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -4 C7 DATE OF REINSPECTION 7 DATE OF ISSUANCE OF CERTIFICATE: `1 C U - & DATE FEE PAID: rY - �? -p TYPE OF UNIT: DWELLINQ OTHER_ CHECK #Z5 CHECK DATE�G- 9 .G NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74T-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO ` Kimberley Driscoll HEALTH AGENT Mayor RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized atients from any loss or injury sustained of ¢hatever nature and description occasioned by my/our absence during said inspection. � SE_. - - Z? :9 I/LSSE; FSsop. 129 A00IESS ADDRESS ADDRESS OF OWPP 0 ilr•. INSPECTED CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 1/31/06 Salem Realty Trust/Pejman Telebian 128 Highland Avenue Salem, MA 01970 PROPERTY LOCATED AT 128 Highland Avenue Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and b that tenant. The Department of Public Utilities has billed gas use which is not used exclusively y P property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For a Board of Health Reply to Jo nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE.(a)SN.I?M.CON1 JANE;I'DIONNE. ACTING HI?Al;l'FI AGE,NP CERTIFICATE OF FITNESS CERTIFICATE#542-08 DATE ISSUED: 10/21/2008 Property Located at: 130 Highland Avenue UNIT# 1 Owner/Agent: Michael Caron Address: 3 Bailey Lane City/Town: Georgetown, MA Zip Code: 01833 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate-is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH t 1 , JANT DIONN CTI G HEALTH AGENT 4DE E R MEN PECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KINMERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNEOSALEN1.CONT JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT_L3AI&/f LAalb .��r T# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER M t G W 4L L C AIZOA) MANAGER/AGENT NO P.O. BOX ADDRESS 3 RAjL!q b4rmADDRESS CITY, STATE,ZIPC'rL�GRfsTO WhY H,+ 0/8 3 CITY, STATE,ZIP RESIDENCE PHONE_9 7Tf 36i ,7.3&7 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 47— 2. 7D/V-) 3. L l Y 4. RrA 5. R4fb 6. LjCb 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNAT /1. 11,1) DATE /G —a! l Insnectors use only Date on initial inspection: & )v —2a -o Date of reinspection: Date of issuance of certificate: to `2 o Ir Date fee paid: 1 d 'V ,od Type of unit: Dwelling ✓ Other Check# S X ZIZ Check date: io -21 - o d" Notes: Code Enforcemen Inspector III ' CITY OF SALEM, MASSACHUSETTS �� .. BOARD OF HF:AI..1'I f 120 W.\SHINGTON STREET,4... FI J)OR TEL. (978) 741-1800 IiIb113LItLFY llRISCOLL FAX(978) 745-0343 MAYOR Iramdm0saleinxom L,\RRY RANII)IN,RS/RFI IS,CI 10,CP-FS HFA :1'I I A(;FNT CERTIFICATE OF FITNESS CERTIFICATE #391-11 DATE ISSUED: 10/6/2011 Property Located at: 130 Highland Avenue UNIT#2 Owner/Agent: Michael Caron Address: 1 Waumoag Row City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARAY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • C1'I'Y OF SALEM, MASSACHUSETTS X91 11 BOARD m Hf-_\J;I II 120 W,\ti HING'FON STREET,4... FLO(1R TF:L. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYORZAMI1N(alN\I, NIJ()nI 1.,\1MY R \i\II)IN,HS/RH IS,(:I 10,('1'-FS 1I A(;kN'1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 1 30/-//C 6f 4,4Wr) Y#t/Ls" UNIT# ,L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CHICLE ONE OWNER/LESSERJ4- it ,ri�ihsv,(J MANAGER/AGENT NO P.O. BOX ADDRESS l alAva4j4t G Ld ADDRESS CITY, STATE, ZIPDA,yt//vr•c P(-,kA 6/1i,P-� CITY, STATE,ZIP RESIDENCEPHONE7S/ 74,6 7G 9y BUSINESS PHONE (24HRS) 1 BUSINESS PHONE 514, 1 TOTAL NUMBER OF ROOMS: 7 ROOM USE: 1. 2. 3. 4. 5. 6. ll'.- ' 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUR Lf" DATE Inspectors use only p IOU/l p —� Date on initial inspection: /1 Date of reinspection: Date of issuance of certificate: )a Ilp Ili Date fee paid: 4, Type of unit: Dwelling Other Check#Check date: I oho /ll Notes: jodetnf cement Inspector CI7Y OF SALEM, MASSACHUSETI'S ' Y 130ARD OF Ht3ALTH 120 WASHING CON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR �cautr•:Nl�nunln ,v.I a.cona DAvu)GRiJ...NBAUnt f1CCING HI'.AL.Ilt A(i1 N'I' CERTIFICATE OF FITNESS CERTIFICATE # 127-10 DATE ISSUED: 3/19/2010 Property Located at: 205 Highland Avenue UNIT#1201 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOAR OF HEALTH WI ! DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR _ L CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4O.FLOOR TEL. (978) 741-1800 KiMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1JGRu:FN13Autv[0SALENI.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50..00 PROPERTY LOCATED AT Z5 q -��nv)A AU-C &Ile(Y) ,M A—G jQi G UNIT# 20 IS THIS UNIT DISIGPVATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER HO i AOV(%E CO rn mo rt3 MANAGER/AGENT Do h Yin Te v)aq� ct NO P.O. BOX V ADDRESS 90S (4i,yS avo- Ao-e, ADDRESS CITY, STATE,ZIP .Sc11Ew. lV\A!- 01q--10 CITY, STATE,ZIP RESIDENCE PHONEUSINESS PHONE(24HRS) BUSINESS PHONE(Cl*lgds 00�0 TOTAL NUMBER OF ROOMS: ROOM USE: L l f vt ) ✓i 2. K rl'ChEV1 3. �enP_0or/� 4.�Pc�Rec m 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($5 O FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH IS FEE S PAYABLE AT THE T4OFINECTION APPLICANT'S SIGN IRE DATE —/ Insnectors use onlv Date on initial inspection: -? l of II U Date of reinspection: Date of issuance of certificate: 3 Il of/l0 Date kkfee paid: I1 I//a Type of unit: Dwelling IOther Check# �" �7,� S Check date: , �/I qf/o Notes: l om (,0k)(\ I10"I VVLA4-v V Code Enforc ent Inspector IL 0CITY OF SALEM, MASSACHUSETTS BOARD OF I-IFALTH - -- -- 120 W.ALSHINGTON-STRFET,4°1 FLOOR -- -- - _- - PlibIiCHCAlYh PreeN Pmm"m Praleel TEL. (978) 741-1800 FAx (978)745-0343 KIMBERLEY DRISCOLL lramdinnasalem.com L,\latY 12.\MDIN,RS/RI7,1IS,CFIO,CP-ISS MAYOR I-IP„U:1'I-I AC I iN'I' CERTIFICATE OF FITNESS CERTIFICATE#444-14 DATE ISSUED: 12/4/2014 Property Located at: 205 Highland Avenue UNIT# 1301 Owner/Agent: MIREF Hawthorne LLC Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FQR THE BOA OF H TH �j, LARRY RAMDIN 67 HEALTH AGENT SANITARIAN 1 CITY OF SALEM, MASSACHUSETTS §§ i e BOARD OF HFr1LTI I f S 120 WASHINGTQN STREET,4°.FLOOR ,I TEL. (978) 741-1800 KIiVIBERLEY DRISCOLL FAX(978)745-0343 MAYOR r.RewlDIN cni.SALFMCOM LARRYPUMDIN,RS/RE3IS,t:!Rl,01-13 HEALT'GI AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 ,z O6 , NIgh �d Ave, PROPERTY LOCATED 6P�A—UNIT#J,--�Lj I U T DIS NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER - f G MANAGER/AGENT rYl�}r NO P.O.BOX ADDRESS 205- " 3h\r)rrA A�jl-e-_ ADDRESS CITY, STATE,ZIP—,5n l . R!�R G��7(�CITY, STATE,ZIP a RESIDENCE PHONF -.. BUSINESS PHONE(24HRS)9:— BUSINESS PHONE jj 3C TOTAL NUMBER OF ROOMS: ROOM USE: I. C.i v i rxs 2. L iA-C')gt1. ?-eA 4. PxffA 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME QF INSPECTION APPLICANT'S SIGNATURE 1 //j ,^ DATE 12]q Inspectors use only Date on initial inspection: 1 4 114f Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Cod� m'Apector t CITY C)F SA1.i,M, MASSACHUSL-;YrS -.% Bo,\RD t)F HE U:r1i 1201JU:'ASI-11NG`r0NSI'RL'L-r,4° 1'Lt)olt TI7,. (978)741-1800 KIMBBRLE,,Y DRISCOU, F.\x (978)745-0343 MAYOR hindin ansalem.com LA It IiY RANID1N,RS/RI?I IS,to ftl,CI'-I1,' Facsimile Transmittal To: rA ti,re",N&rh niOA - /"!(ji4 V,� Fax # 91 ? t/5---S " q/ 56 RE: ,� A I Date : l,�/�%?l JJ Page(s): including this cover# Message: Board of Health News ----- ------- ---------------- ------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON * . TRANSMISSION VERIFICATION REPORT TIME : 12/16/2814 22:47 NAME : FAX : 9787450343 TEL : 9737411808 SER�# : 00D80N341991 DATE TIME 12/16 22:47 FAXNO. /NAME 919784539158 DURATION 08:80:32 PAGE(S) 02 RESULT OK MODE STANDARD ECM � ` Ilk CITY or SALEM, MASSACHUSETTS &)ARD OF HF-m.'ri-I 120 WASHINGTON STREET,4"FLOOR PtiblicHeelth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLI, lramdmnsalem.com. L,\tiliY R,\\uDli J,tts/RkI IS,(.t 10,cr-rs MAYOR HeAI:Tn A(;FN'T CERTIFICATE OF FITNESS CERTIFICATE #61-12 DATE ISSUED: 1/11/2012 Property Located at: 205 Highland Avenue UNIT# 1302 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' Udg CITY OF SALEM, NLkSSAc.H SE"C'1S t TFI. (tJ j;)741-1800 MAYOR uLa liIi4f13E1t1.1{Y DR'1SCU1,1. 1-AY(97$) ;45-1134;� LAR)ivRAA OIN,RS/ltI(I, ,CIItl,(:)-I•ti If Al:III AG I'.N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It. 10:5 CMR 41(}.400 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 1 FEE: $50.00 PROPERTY LOCATED AT } I l�(�`(l. K UNIT#_Iy'l—O� I5 THIS UNIT'DisiGpPirD AS RIGHT LEFT FRONT OR&ACK,PLCASC CIRCLE ONE OwNE^R/LESSF:1:� T�1 1Nlk (1m)LU. MANAGERJAc F ' QS40 NO 11.0 BOX ADDRESS �rJ [ 1l hkJlA 1� ��' ADDRESS if�� 1 (VN CITY, STATE,zrP—;j� Y`(1�(� �iG`1O carry, sTA"1E.zrn3 �'�(n,�l ►r�61C3 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONI? SO X�(Y2.. TOTAL NUMBER OF ROOMS: r} ROOM USE: I. 2. 3, 4, 5. 6. 7. 5. 4. 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HF-AI-X14 THIS FEE IS PAYABLE AT'IHE TIME OF SPECTION y� APPLICANT'S SIGNATUREJ) DATE- lnsnectors use only Date on initial inspection: -)7-I'L Dato of reinspection: Date dissuance of certilicatej-)-)- \'L.. Date fee paid: Type of unit Dtmelling_" t.)ther, _ Ciicck m� j 1'� ("heck date: t 1 r'1 U Notes: Code Enforcement hispec:or C11Y OF SA1,EM, 11rIASSA(wHUSE-171-S 1�Ii\1faSl r1NC','C(h\' SCartET,4"I i.c1a7R '£rtr. (97S) 741-1800 ICAMi3RLLY DRISC011- FAX(978, 7=11"0.143 iblAl•(�R u.�aggn?It`sni.ra�,r7 n LARRY'RAti1Dla\,RS/lil.i ly,(;I I!1,CIr-13 F.elease In accordance with Massachusetts General Laws Chapte, 111; Code of Massachusetts Regulations 410.000 et- Seq. ; State Sanitary Code Chapter 11 and Article X111 of the City of Salern Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my./our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor HAWTHORNE COMMONS 205 HIGHLAND AVE SALEM, MA 01970 Address Ad res ;!Vnm , MW O\q-t D Address on unit to be inspected Date 11 _pJa edS. CI'1Y OF SALEM, MASSA CHUsi-,-r 'S lu BOARD OF HF_i,'i'Ii 120 WASI-IINGTON STREET,4...FLOOR PublicHea Ith TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL llamdinnusalem.com L,utit) RAnIOIN,RS/Intl IS,c:I a i,ri'-rs MAYOR HUAI:I'I I Ac P:N 1' CERTIFICATE OF FITNESS CERTIFICATE#62-12 DATE ISSUED: 1/11/2012 Property Located at: 205 Highland Avenue UNIT#2201 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. s FOR THE BOARD OF HEALTH ARRY HEALTH AGENT CODE EN ORCEMENT INSPECTOR 1 i 1 • t�mf ((- CITY cit- S!U.E.M, )ANSS, U Bot, Rt)tlly 1411 T[,1. C)-,8)741-i SOO iI�f1iL'•lt1.l{Y'DRISCOLL Fas(478) 745-034; NI_lYi)R i x_'.111x(t <;f_P:M-i\t LAItIkV RAjA1i)1N,RS/ttid Is,CI i(1,(,P�I.5 FIteArl!1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 C1uiR 41t?.( O "MINIMUM STANDARDS OF FITNESS FOR IfUNIAN HABITATION" FEE. SkOO PROPERTY LOCATED AT Odb l�1(�Y \CI.M Amp, UNIT#_C7( o` !S TH15llril`4'DIS1G. TED AS RIGHT'1.F.FT MOOT OR RACK,PurA5ECY�RC,,I,,E ONF OWNER LESSERC�ti1A AGER AC3EvT LY tPQFt T �LS_�� Fjf T(111f 1j NO P.O. BOX 1,..�;,, .�,,1 A ,4 l V y��( (A7-u.'(�J ADDRESS Qn t 'T a `I✓7 Am- _ ADDRESS � � ��1nYttu t�il� . CITY, STATE, ZIP `J�j�1g A o\q l 0 _C:rrY, sTArE,zIP RESILIENCE PHONE BUSINESS PHONE(24HRS) m • 00-�3[) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. 4. S. 6. 7. 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CEtECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIkIE OF INSPECTION APPLICANT'S SIGNATURA I � 4 � DATE Inspectors use only Date on initial inspection: Date of reinspection: Date oCissuance of certificate: Date fee paid , Type of unit- Dtrellmg--Ae<Other_. C'h xk# Check date: iMaces: _- Code Enforcement Inspector rrnv ,�W .nw r , r f CYNOF SAI.E-AI, MASSACHUSETTS BOARD OU HL\L11 If 120\V.,,S1(INtGTc)N5'l1iF.ET,=t• I.7.(a7R Tcf ;'973) 741-1500 t.:.i B1'.RUY DRISCOLL (978'N 7=43-0143 1ZA%11)i14Nm'rm ow 1<1 aRy 11-v.1D1N,11s'n1j;i Is,C11o' Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Set). State Sanitary Code Chapter 11 and Article Xiil of the City of Salon Ordinance, undersigned owner/lessor and tenantilessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. l/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of$alem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. F 1�aw Oyv�e UP— mite Tenant/Lessee Owner/Lessor HAWTHORNE COMMONS 205 HIGHLAND AVE SALEM, MA 01970 Address Address Address a unu to be inspected Date L,p;Lited 5,'23,i I CITY OF SALEM, MASSACHUSETTS ' y • BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DceFF.NBAU,Mna SALFUCON1 DAVID GRIiiSNRAUNI ACTING HI?,ALTII AGI,M, CERTIFICATE OF FITNESS CERTIFICATE# 126-10 DATE ISSUED: 3/19/2010 Property Located at: 205 Highland Avenue UNIT#2202 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH UUPd e�l�, DAVID GRE ENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ' e BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ucaL•;eNBAUNi(aSAi.i.�c COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED ATa0s NI hlav Ave Sa�Pun M �1 �1�U UNIT#- IS THIS UNIT DISIGI�ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Co mmn-n-� MANAGER/AGENT -Do fwr. fern a911x. NO P.O. BOX V ADDRESS -')(33 u,c &�vd A.�e ADDRESS CITY, STATE,ZIP 7a Ievn MA- 001 -70 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) hUSINESS PHONE 01 00) TOTAL NUMBER OF ROOMS: ROOM USE: 2. � t-h 3. &d fou r, 4. �3 cd rwvr 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($ D LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALT . THIS F I AY L/E� AT THE T E OF INSPE TION 7 APPLICANT'S SIG ATURE //l/'mit % �/h Gt.P7�7 DATE J Insnectors use onlI ' Date on initial inspection: I / Date of reinspection: Date of issuance of certificate: �� Il D Date fee paid: 3 I(q�l U Type of unit: Dwelling Other Check# �q 0 i3gS�yCheck date: A14/0 Notes: Code Enforce eat pector } -,I'll 0 q� City of Salem, Massachusetts { • i Board of Health 0 120 Washington Street, 4th Floor, Salem, PubliCHealth AE D MA 01970 Prevent. Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-259 DATE ISSUED: 8/25/2017 Property Located at: 205 HIGHLAND AVENUE UNIT#2207 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:825-0030 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO y HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL I FAX(978)745-0343 MAYOR I/1 (i �� uummi NOsAr.I/n'rf COM /� LARRY RAMDIN,RS/RF-HS,CHO,CP-FS1w'�GN,J,� v, _ HEALTHAGENT 1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 CMR 410.000 '?vDND UM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT k;rbQIP. UNrMaXf� IS THIS ffmT Bili TED RIGHT LEFT'FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER N dAd�/I,bVi.P I fiWti� MANAGER/AGENT 1M 41n S'r-e�ti NO P.O.BOX J ADDRESS ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.1f1VWA V1 r M 2. 3. 4. 6'd 5. """ "p�,�jn— 6. v 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE = — DATE_J T� 11 Inspectors use only Date on initial inspection: Date of reinspection: Daze of issuance of certificate: Date fee paid: ll'2H I l� of unit: Dwellin Other Check# Tree P Check date: Notes: Hluc'l0 10 Code Enforcement Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, P�WtJtLL��i D .7 ttb PrIv nv-P�°mote eroecet MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-260 DATE ISSUED: 8/25/2017 Property Located at: 6 HORTON STREET UNIT#3 Owner/Agent: Nicole Bouchard Address: 20 Pierce Road City/Town: Lynn, MA Zip Code: 24 Hour Phone:(781)267-6121 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter it "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note:This approval does not certify compliance with the state lead law for occupants under 6 years of age. -1-M l Larry , MPH, REHS, CHO LT SANITARIAN HEALTHTH AGENT • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRN.L'T,4"'FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDINOSALRM.COM LARRY RAMDIN,RS/RAMS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.000� �1 ` , PROPERTY LOCATED AT "Hcy Urn - Jf� (2 �, Y Y� C� i1NTT# IS THIS UNDP DLSIGNATED AS`RIGHT LEFT FRONT OR BA PLk4M CIRCLE ONE OWNER/LESSER 0.A Co Gv�Imo&---A MANAGER/AGENT NO P.O.BOX ADDRESS C ADDRESS CITY,STATE,ZIP /ki /0 n CITY,STATE,ZIP RESIDENCE PHONE( ' l c5 �) O\(n ( �o I BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.LcV 2, D,b 3. �!'T—') 4. \3 e3, 5. K c 6. 7. S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INS P ON r APPLICANT'S SIGNATURE ` f V \/` _ DATE �I a�F I'AO/ 1 d Insoectors use onlv Date on initial inspection: Date of reinspection Date of issuance of certificate: r� ^ Date fee paid: �_I2-q I Type of unit: DweIhn&_Other Check# ��1 i !- Check date:_ I7 I t Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41P FLOOR TEL. (978)741-1800 KIIviBERLEY DRISCOLL FAx(978)745-0343 MAYOR IX;RI:I?NIIAUM[@1 SAM'M.CL DAVID GREFNBAUDI AM ING HFALTH ADEN,r CERTIFICATE OF FITNESS CERTIFICATE#563-09 DATE ISSUED: 10/29/2009 Property Located at: 205 Highland Avenue UNIT#2207 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue Cityfrown: Salem, MA Zip Code: 01970 24 Hour Phone: 781-404-4200 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness-is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAVIDNBAUM ACTING HEALTH AGENT CODE EdCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS t ` BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMOSALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $$5.,0!.00 PROPERTY LOCATED AT UNIT#�� IS THIS UNIT DISIIGyNA D AS RIGHT LEFT FRONT OR BACK,PLEASE CHICLE ONE OWNER/LESSER QIl1 ne- l omyymi MANAGER/AGENT �7nnU T NO P.O. BOX o I y� , L ADDRESS a�5 Ic1�1 y��W nd Il V P .nnUQ ADDRESS ('n5 FTI n�1 CITY, STATE, ZIP ��1 I P Y Y� 1 1 1 "1 CITY, STATE,ZIP fl, �q D A' I& RESIDENCE PHONE p BUSINESS PHONE(24HRS) q�18 635 BUSINESS Od�� OOHO F,W: q77 0S—(�0q7 TOTAL NUMBER -SOF pROOMS: 1 - ROOM USE: 1. � 2�rY✓i_m_m 3.1.tW ) -, ��., 5. 6. 7. 8. / 9. 10. THERE IS A FIFTY($50 LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALT HIS F IS PAYABLE AT THE TIME OF INSPECTION p APPLICANT'S SIG�ATI_IRfiL � DATE Ins_nectors use onlv Date on initial inspection: 1014 910 9 Date of reinspection: P P Date of issuance of certificate: Iola 5 /0 9 Date fee paid: /0 Id 4b 9 Type of unit: Dwelling),,� Other Check#Q S (&�&&Check date: �a�a X I0 9 Notes: Code Enf ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR COM DAVID GREENBAUM, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Nov 04 2009 12:13pm Last Fax D= TI T= Identification Duration Eaw Result Nov 4 12:12pm Sent 919788250097 0:25 1 OK Result: OK -black and white fax IU( iSf';if:.? lfST Vis: f;:"::!, 7.?'.�:. NO! l;it;& ;111:;11 ... ��.�......��..s�.4e..�_�.....-.s.�.. ..„tee.,......._-. .._ .� ... fdfa'_r)r{ )�r:;`i ✓;:,:fl,•:,l;:, i• :'�}thi;, r(�; ;�i'l'£" :meq��,� 3�. F� ;'jA10 1 MPI ,1'rMA no vow us Wd OR) CI CITY OF SALEM, MASSACHUSETTS + - BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ncace.r.Nxnu�t(asnt,r t.co�a DAVID GREENBAUM ACTING HEM.TI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #652-09 DATE ISSUED: 12/18/2009 Property Located at: 205 Highland Avenue UNIT#2307 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-404-4200 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR T�HEEBBOARp OF HEALTH ��" ✓/yin//%\ DAVID GREENBAUM ACTING HEALTH AGENT CODE ENF EMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUNIGSrU,IiM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 //�� -7 PROPERTY LOCATED AT d 05 N h land A v g UNIT#� T +} IS THIS UNIT DISIGN ED AS RIGHT LEFT FRONT OR BACK,PLE 1ALSE CHICLE ONE OWNER/LESSER- IOaw-�OmC'e,�!�S ' N)ber, MANAGER/AGENT Ka�iClk�o� (Q ADDRESS 90S14 hlon,l Awe ADDRESS CITY, STATE,ZIP )a'e_h'1 MA (3 ) q'-70 CITY, STATE,ZIP RESIDENCE PHONE—i. g, _dG BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. Living 3. Ree) 4. R_ Pl_1 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION q APPLICANT'S SIGNATURE cY n+AO now. �V cOw R_ DATE Inspectors use only Date on initial inspection: �� II X U Date of reinspection: 1 C Date of issuance of certificate: u X l Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: vl ,shim woch,iae w6 s In e i { ck/u- 14 /j .�j rea57lrrPc,C � Code En w/ent Inspector December 22,2009 RE: Inspection Please find enclosed a money order in the amount of$50.00 for the inspection of unit 2307 done on Friday, December 18,2009 Thank you and Happy Holidays! Very truly yours, THE DOLBEN COMPANY,INC. ging Agents For Hawthorne Commons Donna Tenaglia Property Manager 205 Highland - 0 978.825.0030 009 www.HawthorneCommonsApts.comwww.dolben.com CITY OU SALEM, MASSAC HUSE'I TS x. J BOARD OFHFA),'IN 120 WASHINGTON S'1'Ri'Li'I' 4...FLOOR KIMBI ]WIX DIUSCOLI.. TFL.. (978) 741-1800 MAYOR FAX()78)745-0.343 lramdin t17i.salem.corn L IM'It,1hIDIN, IS,C!It),(11-US 1]I'?AI;PI I AGINI' CERTIFICATE:OF FITNESS CERTIFICATE#356-11 DATE ISSUED: 10/3/2011 Property Located at: 205 Highland Avenue UNIT#4102 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human HabitaJon". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or oc:upied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L.ARR {RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR l CITY O SA7.E-Nf, ASS_UTU'SE-I S �� 12t1\�`,1SI❑NtITUN ti9"R1lL.`I',4"'1�Luc)it Tr:,,- (978)'741-P,00 KI'43111W,:Y DRItiCOLL t a\ (979) 747-0343 I-aR1tYRa\ii1iV,Rti11tV(IIS,CIitL(.1'-I'S �C• X1� ��U Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER I t, 105 CMR 410.000 "MINIMUM STANDARDS Of FITNESS FOR HONIAN HABITATION" y� _ ^FEE: $50,00 PROPERTY LOCATED AT 2DS . t „LC K i Tile- UNI7-f LMQG IS THIS IINI`I'DISIGNr4ED AS RIGHT LUT MONT OR 13ACM PLEASE CIRCLE ONE OWNER;'LCssERSCNP 1-hw'1 �,CiMM lMilaiAN,kGr-IVACEN4— Q�V1 NO 11.0. BOX r� r�F ^ ' ^\ p 1 ADDRESS /�✓ �� ,1Y7 11vQ {{�� ADDRESS �v3 Vvt1n ^ CITY, STATE,Zf' X PYYl . MYA 0\Clq ll CITY, STATE,ZIP7'f1\e0) . RESIDENCE PHONE BUSINESS PHONE(24HRS) M-'ac` i Dc)3Ao BUSINESS PHONE Lln $ - UC> s0 TOTAL NUMBER OF ROOMS: t ROOM USE- 1. 2, 3. 4. 5, 6, 7. 8. 9, 10. THERE IS A FIFTY($50)DOLLAR FEC, PAYABLE BY CHECK OR MONEY ORD'E'R TO THE CITY OF SALEM BOARD OF HEALT14 THIS FEE IS PAYABLE ATTnIE TIME OF INSPECTION /� Il APPLICANT'S SIGNATOR V X DATE mV p 1, 111 y , Insnectors use oniv Date on initial inspection: �Q .Z/f Datc of reinspuotion; Date of issuance of certificate: �� 1 t _ Date fee paid; Type of unu' Dwelling— 3 Iter- Cin'c:k= Clieckdat4: Notes: Cc&L. foreern I Inspector �• CI'-n' 017 SALEM, iNIASSACHUSE S 120 WASt IING O..," S'1'ar.GT, +"I,I.00ia "Pt,r. (473)7-41-131)0 KIM111-M LY DRISC01l- FAX(978) 7=45-034.1 Nli%w1i I RAnu Sia rnsm.� at,cutd LARRY R NIDIN,Its/1wi Iti,c.1It!,i9'-IZ t-f 1 C.11:1'1 s :YC 4 tiN'i ' Ftele se In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter Il and Article 71111 of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee o f a unit of residential property, hereby authorize the Salem Board of health or its authorized agents to b inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my%out absence during said inspection, TQnant/Lessee Ow er/L ssr�r HAWTHORNE COMMONS 205 HIGHLAND AVE SALEM, MA 01970 Address Address Address on iter!t tPbe inspected Date bpilaled 5.23'I I 1 oONDlt,� City of Salem, Massachusetts >� IV q Board of Health " 0 120 Washington Street, 4th Floor, Salem, Public Health MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-55 DATE ISSUED: 4/30/2015 Property Located at: 205 HIGHLAND AVENUE UNIT#4104 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:825-0030 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W.ISHINGTgN STREET',4".FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LR1%MQ[N&,U RXCQM LARRY RAMDIN,RS/REI IS,CI 10,CP-FS HFiALTFT AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ' ! / pFEE: $50.00 PROPERTY LOCATED AT 1�7f Aa t-I ted /ate UNIT#A-4 IS THIS UNIT DISS14NA�TED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE 1 OWNER/LESSER !v1 (� FtA�W Yt^�. MANAGER/AGENT D AWJC iShDVo NO P.O.BOX f p ADDRESS MS ? �S lam 1 A I<, ADDRESS v CITY,STATE,ZIP f CITY, STATE,ZIP IM,A 0 0 7 O RESIDENCE PHONE -BUSINESS PHONE(24HRS) `9 BUSINESS PHONE q7 S"- 2 v 3 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. le 44U`4. "Mm1 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Z3 /5 / ]] InsDectors use only Date on initial inspection: Li t�Z t I S Date of reinspection:4 t / Date of issuance of certificate: Date fee paid: a X11 Type of unit: Dwelling Other Check#5 0C, Check date:4 bo�« Notes: C,11=entlnspector ,Iiedq/1 111 * t,5-ss ` CITY OF SALEM, NlAsSACI lU`iETTS e ' BOARD OF ii ' rlI 130 WASHINCT(>N STREET,4' TF.L. (978) 741-1800 KINMERLE:Y DRISCOLL F.1S (978) 745-0343 MAYOR Ixnmdina..snicrn.com L ARRY RA\IIIIN,RSfRP,HS,(:I 10,CP-PS H r.At:rt r A{:F.N r CERTIFICATE OF FITNESS CERTIFICATE #419-11 DATE ISSUED: 9/26/2011 Property Located at: 205 Highland Avenue UNIT#4308 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem Zip Code:01970 MA 24 Hour Phone: 978-825-0030 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR O (< CITY OF SALENI, N-1; SSACKU. E TS I�,, his �r�> I?t�.it:3)uI !il .it:rll 11:1, B LILI.I'.Y DW S( (aLl, ')r 5) 747-0343 LA RAY R iO10I N,RS/R I'.1 I5,c IL I,f:1'-I'S Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CRM 44000 "MINIMUM[ STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED ��J�L{,tC �_ U11'1T#- YsA/� f911T,,i{--ES UY;"i'DIS] '1•I:D Ai4RK' M,EFr F9tON'r C)tt 8_A(Pt E Cit2CLr ONE OWN4EC /LrSS -41ANAG[-:' /J AG ENT NO P.O. BOS -ADDRESS-- _—ADDRESS 01'Y, STATE, ZfP CITY, STATE.,ZIP LJ/7 RESIDENCE PHONE BUSINESS PMONE(^_•9IIRS)_!—Ll...�2� �U3� BUSINESS PHONE TOTAL NUMBER OF ROOMS: �t0 ROOM USE. 1. Ri }�y7�HCJf1 1 {'Tl 3. 4 � 5.Y,('CCl0 91 10. TI(F.R,'ISA FIFTY($50) 1)O(,t,AR FEE.PAY,1BLE RY CI,.EC'K OR',�10NEY ORDL'R TO THE CI'T'Y OF SAI.EMt BOARD OF HEAL-I 11 THIS FEE . PAY E,3J"114E ITFI "INSPECTION ! APPEICANI:'S SIG\A1URfi _ Insnectors use ol)1v Date on Initial inspection:_.--__ . _ Date of'reinspc::tion: Dzuc of issuance of cctti ictte: Dare fee paid' Type of unit: Dwelling_(�Odier__„—_C(iuck: _Check u tt/Pw 7 Notes Cad Lrtt'orcGtt ent Irtsger.wr CITY OF SALEM, MASSACHUSETTS BO.1RD OF 1-1EALTH - . . - -- 120 WASHINGTON STREET 4u.FLOOR- , Prevent,Promote Protect. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin(2lsalem.com ; MAYORL.\RRl"R.iRtUiN,RSf RI?i IS,CI t23,Ct i S I-I1�;:11,'CI I AGI�NT CERTIFICATE OF FITNESS CERTIFICATE#443-14 DATE ISSUED: 12/4/2014 Property Located at: 205 Highland Avenue UNIT#5101 Owner/Agent: MIREF Hawthorne LLC Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter It"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of.Fitness is valid only if there is a valid Certificate of Occupancy, FOR THE BOARD OF HEALTH AVLARK MDIN h HEALTH AGENT SANITARIAN V �- r, « CITY OF SALEM, MASSACHUSETTS BOARD OF HE,�LTH _ - - PublicHealth . .. - - --- - - - -- -120 WASHINGTON STREET,4T°.FLOOR - - -are.•eo, r.nmmc v.mea - TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL lramdin(asalem.com MAYOR L,\RI21'R,\MDIN,RS/RI{I-IS,CFIO,CP-RS I-IE,V;ri-i Ac;ENT CERTIFICATE OF FITNESS CERTIFICATE#443-14 DATE ISSUED: 12/4/2014 Property Located at: 205 Highland Avenue UNIT#5101 Owner/Agent: MIREF Hawthorne LLC Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. 87 R THE BOA D OF LTH �+ LARRY RAMDIN HEALTH AGENT SANITARIAN } CITY OF SALEM, MASSACHUSETTS " 3 � B()AROOFI-IFsiLTH 120 W LSHINGTg\N STREET,4"`FLOOR TEL (978) 742-1800 — KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMD[h9 ,;AI rM.00Nf LARRYRAMDIN,RS/REIMS,CI10,(:I)-FS l ` Y 3'-wiq tQA1d HEMLz7rAGEN,r � q Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.00 PROPERTY LOCATED AT 9,013 4 i hlr,nr+1_A\/&.. �1�a n t&-A ___UNZF#,jLCjL IS THIS UNIT DLSIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE 9 OWNER/LESSER L\ffi�how 4 helm-. LLC, MANAGER/AGENT NO P.O.BOX ADDRESS ZC.Iz_ Ave ADDRESS CITY, STATE,ZIP—,SDkXn,- q � CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)C]u 7S- 60 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I I�ri f7c�6. 7 kl� f hPp t� 4. 5. '� 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION f j APPLICANT'S SIGNATURE �1� . ..�1-- v DATE444L F _ Inspectors use only Date on initial inspection: la/t4 /1q t1Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code .n ement inspector r _ + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET,4°1 FLOORIth Prevent, TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL tramdin(a.salem.com - LARRY IL\bID1N,Rti/1UiLIS,CI-TO,CP-ISS MAYOR HL:AT.PFI AG L:NT CERTIFICATE OF FITNESS CERTIFICATE#26-13 DATE ISSUED: 1/24/2013 Property Located at: 205 Highland Avenue UNIT#5206 Owner/Agent: MIREF Hawthorne LLC Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter It" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF EALTH —2rl/t� LARRY RAMDIN HEALTH AGENT SANITARIAN i (. m CITY OF S LEM, NL LvsSAC.T-TUSE1TS Bg,� �qBOARDOFf-I I::..al_"t'4T 120WASIITNGT )NSrrizrm,4"`II.caxt TrL. (178)741-ISO() KIMIIERLRY DRISCOL,L F.Lx(17S)745-0343 MAYOR1 tnlNfr",ta at i-c M LARRY R:U1IDIN,iL�/RT?I I%,CI It 1-CI'-f•S Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 41OMO "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' r� t FEE: $50.00 PROPERTY LOCATED AT C90:5 C �`C�(l� PNP, UNIT#6Q(X0 IS THIS UNITiDISIGNA&D AS RIGHT t.FFFT FRONT OR BACK,PMASECIRCLEONNE /� OWNERILESSERMT4� �•-MAN ,t— �IAV1�V��R UAGER/AGENTAJ"Y) \ )M 3f N W . NO V.O. SAX J ADDRESS aann AllDI2ESS C\i( 1 ��111f1��`��"'--- CITY,STATE,ZR) 5r'�.\P,M , i "Pn� CrrY, STATE,ZIP<,ZPI�iAYNI RESIDE'NCEPHONNF, BUSINESSPHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. _- 4. 5. 6. 7. s. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALELI BOARD OF HEALTI4 THIS FEE IS PAYABLE AT THE TIME SPE ION APPLICANT'S SIGNATUiMakDATE 3 Uk Inspect rs use only Date on initial inspection: )"Zy'13 Date of reinspection: Date of issuance of ocrtificate 1'Z`I 1 Date fee paid: Type of unit: Dwelling Other Cheuk Check date: Notes: _ 1 Lode Enforcement Inspector 1 _e iR On, or, SAI'sm, NL�SSAGRUSFTTS t L1OARJJ OF H&if,1 l r 3r 120 WG SI MNGID_N St'RriEr,4n'11,00a - Tcx_-(978)7.11-1800 'I Vdi%U31 1UZY DRISCOLL FAX(9",8)745.0343 141i1�`C}It 11141 iM(\11.7!1.t_!,)�1 ( LA ItRY Ra:.Nn)IN,RS/Rftl IS,(:I X i,CP-IS 1-111:1:111 A(;IW1 14.lilease 1 III � 1n accordance with Massachusetts General Laws Chapter 111;Code of Massachusetts Regulations 410.000 et• Seq. ; State Sanitary Code Chapter Hand Article X111 of the City of Salem Ordinance,undersi* ed owner/lessor and � tenant/lessee o Fa unit of residential property,hereby authorize the Salem Board of H or its authorized agents to inspect the residence identified below in accordance with the aforementioned state ,regulations and ordinances. In the event it is necess that said inspection be done in my/out absence. e expressly authorized the same and for M my/our successors and asst s hereby release and discharge the City of em, Salem Board of Health and its authorized agents from any los r injury sustained of whatever nat and description occasioned by my/out absence during said inspection. 4 } Tenant/Lessee Ow r/Les 11 it Address Address I •� i ddrem on unit to be impeeted a Date ` r I t _I i UaaL W 5,23'11 .L�'�y ?" CITY OF SALEM, WSSACHUSL'ITS 10 BOARD OF HF-\I:rH 120 WASHINGTON STREET,4"'FLUOR PubliCHealth P...—1 P�"mntr P'"'—' TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOI,L. lramdinnasalem.com 1✓\RltlAR4,\IUIN,RS/K1:11 IS,(.110,1:1'-I,ti MAYOR HI4AI:rl I AGI;:N'I' CERTIFICATE OF FITNESS CERTIFICATE #547-11 DATE ISSUED: 10/6/2011 Property Located at: 205 Highland Avenue UNIT#5301 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH /oA LA RR YRAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR ( \ •v,r CITY Of, SAJr�m, MASSAUTU�ETTS 120\".1si niNVYON'4TREFf "I:::FLOOR T' (978; 7.11-1`i60 <li4IldEltl.1{l'I�RItiC:ULL G:�S(978) 745-0343 VIAY )lt r„ ntnl•.?;v_rur�iat LARRY RAN D IN,Bti/itlll Is,(:I I(7_LI'—inti Flr.Al tyrACHN'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4T0.000 "MININIUM STANDARDS Of FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT' �M li)Qh I CSM M E' UNIT r,1530) IS T141S UNIT DISIG:ti ' PD AS RIGHT t,Fk"P FRONT OR BACI,,PLEASE CIRCLE.ONE OWNL^RtUS e F y"4aW pYY� WCS YIUYIS �.V�AGER/AGEN'TL�V �,� NO N O. BOX ,ry tom,,,, ADDRESS!-LQ—,5 H'�1, ftnd tt1�VL�{�t� ADDRESS 2 y t i�_t,�JT� tP(�• CITY, STATE,ZiP` 1 V�(' Yl 1�� t J,�` 1 V C t'SY, STA1E,ZIP I RESIDENCE PHONE BUSINESS PHONE(24HRS) QI I D a5— BUSINESSPHONE qqr -S'�- 0030 TOTAL TNTMBER OF ROOMS: C [. ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9, 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CH..ECK OR MONEY ORDER TO THE CffY OF SALEM BOARD OF HEALT14 THIS FEL' AYABLE ' T TIb1E OF INSPECTION (� APPLICANT`S SIGNATURE _ O DATE / I Inspectors use only Date on initial inspection: l o/u 1 i I Date of reins- %tion: Date of•issuance of certificate:/ /�>-! / _ Date fee paid: Type of unit: Dwelling,_ t7ther___-__Cheek ��P10 Clleck date: Notes: ode,Eni' Icelnenl Inspector C11Y O F SALrtil, MASSACRUSr IMS Bo zoouHuCI.rII 120 NASI R\jGTnh'S'rart5T,4 1 1-(K Vt "L'ra..!<iJ78}741-1 SO4 Ii1.&11i!'.1tLLY DRTS(:ClL1_ FA\' (9?S; 7-15-0143 i�1.t1C7R t iz�ta:riw!i+`•xta;:iic:a au LARRY RA\-J AN,HS/Uf lts,I:I10,(T-P'S 1-16.,11'1 I1 a'1({ISN'I F:Llease In accordance with 1\iassacltusetts General Laws Chapter 11 !; Code of Massachusetts Regulations 410.000 et. Sec. State Sanitary Code Chapter 11 and Article X111 of the City of Salern Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event 4 is necessary that said inspection be done in my/out absence. 1/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem. Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my./out absence during said 'inspection. 'tenant/Lessee Owner es )r 11AV' i HCRNE COMMONS 205 HIGHLAND AVE SALEM, MA 01970 Address Address Address an it to be inspected Date {{ 1 i;pdated 5,'2 3+11 CITY OF SALEM, MASSACHUSETTS ' + s BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR Dc;RFT.Nl3AUM(a7SALEM.00N1 DAVID GRI.ENBAUM ACTING HE Ln-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #623-09 DATE ISSUED: 12/4/2009 Property Located at: 205 Highland Avenue UNIT#5302 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-404-4200 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR T�R�HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFO EMENT INSPECTOR HP Fax Series 900 Fax History Report ort for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Dec 08 2009 5:41pm bast Fax Dag Time 1= Identification Duration Ea=_ gem Dec 8 5:40pm Sent 919788250097 0:24 1 OK Result: OK - black and white fax CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBALINI SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FE/E: $$55,0.00 PROPERTY LOCATED AT Q�h K�Yt�/�- (�liLt�L� UNIT# 4 /I Z ISTHISUNITDI'S,IG TED AS RIGHT LEFT FRONT OR BACK P ASE CIRCLE ONE / e / OWNER/LESSER / /LU, , 110 P ( /DYItJllifl�A�IAGER/AGENT / NOP'0' OP.O. BOX ADDRESS S ADDRIm,�1 CITY, STATE,ZIP l. CITY, STATE,ZIP f RESIDENCE PHONE l) D BUSINESS PHONE(24HRS) '3 CJ .BUSINESS PHONE TOTAL NUMBER OFJ ROOMS: / ROOM USE: 6:Ir�-4.4 . 2.b VLIn4� A 6 4.�� - - 5. 8. 10. THERE IS A FI5THI AR FELE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEIS ABLE A THE TIM OF INSPECTION APPLICANT'S 7,/ DATE 4� 7 1) Insnectors use only Date on initial inspection: )a I N IO q Date of reinspection: Date of issuance of certificate: la I`-I l0 1 QDate fee paid: ]a /g/01 Type of unit: Dwelling /Other Check# S j a V theck date: ( I�I01 Notes: �,�rn �aaw� hok- wel+cr Code Enforc went Inspector I A • CITY OF SALEM, MASSACHUSETTS N BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAY(978) 745-0343 MAYOR ncREC.N11AUh1(@,SA1J-N1.COM DAVID GREENBAUM, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Own essor Address Address d 17 Address on unit to be inspected / Date r COND3T City of Salem, Massachusetts t i q Board of Health 120 Washington Street, 4th Floor, Salem, PlliblicHeatth D MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-54 DATE ISSUED: 4/30/2015 Property Located at: 205 HIGHLAND AVENUE UNIT#5303 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:825-0030 Pursuant to the requirements of Ci of Salem ordinance Chapter 2 Article IV Division 3 Section 705: Certificate of fitness of 9 City P rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W AS-HINGTQN STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR [.RAMDfNaSAJ rM.C.0M LARRY RAMI)IN,RS/RFJlS,CHQ,cros HEALTt t AG LINT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.00 PROPERTY LOCATEDAT ?/DJ [� (44. 1..- }�vc UNITO S�S6 IS THIS UNIT DISIGNA-DW AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE j OWNERf mER iVt�/ 1 4;l J �YY� MANAGER!AGENT 1 ' B Zs"(20�Ca ADDRESS t7rrgl. �th+ 1tVR-- ADDRESS CITY,STATE,ZIP U� CITY,STATE,ZIP A444- 0 t9 ?O RESIDENCE PHONE BUSINESS PHONE(14HRS) BusiNEsspHoNE TOTAL NUMBER OF ROOMS: �,3 ROOM USE: 1. L-12 2. t4 T 3. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABL)g AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE t7 �.. DATE / Inspectors use only Date on initial inspection: f�a 3 �' Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# C;06 Check date: C!/,1-6 /S Nov.— Cn� ttmC�ilCcl �t13�{Is ement Inspector t 6 �coNnlq�'� City of Salem, Massachusettslu q Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-53 DATE ISSUED: 4/30/2015 Property Located at: 205 HIGHLAND AVENUE UNIT#5308 Owner/Agent: Hawthorne Commons Address: 205 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:825-0030 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, .MASSACHUSETTS BOARD nF HEALTH 120 W ASHtNGTQN STREET,4"'FL(x)R TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR mDit&s j rm.com LARRY RARIDIN,RS/KRIS,CHO,CP-FS HF„ALTFt Ac,wr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION” FEE: $50.00 p� PROPERTY LOCATED AT rL�J ! V - - UNI#� 0 IS THIS UNIT DISR.I46FA AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER }M I F 4A 'fid l"1't-9-- MANAGER/AGENT NO P.Q.BQX 45 ,, // ADDRESS `�S �i�5L&41LI Avl-2 ADDRESS I�t�r� a�neCOt?(tnowsty(�r� �ihca�n { f � � ct�IS CITY,STATE ZIP '^— CITY,STATE,ZIP /�/ � V �I q7o V £4 m RESIDENCE PHONE p BUSINESS PHONE(24HRS) BUSINESS PHONE 97r �0 7i TOTAL NUMBER 9OFpp��ROOMS: ROOM USE: 1. //f 2. �tir� 3. &drams. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PA ABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE l/1 ,/ --- DATE Inspectors use only Date on initial inspection: 3'I S Date of reinspection: Date of issuance of certificate: Date fee paid: 1:15//S Type of unit: Dwelling* Other Check# 5()(; Check date: Notes: Code�ent Inspector I ._ F 3 C� CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, AS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#385-06 DATE ISSUED: 8/9/2006 Property Located at: 286 Highland Avenue UNIT#House Owner/Agent: Mahmoud Tabak Address: 36 Bradley Avenue City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 617-233-1444 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFF HEALTH /;96 V r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSEWS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESSFOR HUMAN HABITATION" 0117-0 PROPERTY LOCATED AT 29(o Fj'%Sue ... J 51-110VAfHA UNIT# 4c)5-e- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERMQLImc,,IJ "T_e_ Inv 1< MANAGER/AGENT No P.O. Box " � 1 No P.O. Box ADDRESS_�_a A flet e p J 4vt_ ADDRESS CITY SWilrrtieg.� {11 0 _CITY RESIDENCE PHHfONE�L7• .?3-1-1yqj1L _BUSINESS PHONE (24 HRS.)- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3- 4. 5. .-- 6—_ —7 8. THERE 1S A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �� APPLICANTS SIGNATURE 4�� =1 -� — — —DATE 00- � - -ZO C INSPECTORS USE ONLY DATE OF INITIAL INSPECTION;1-0. 6PDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE" --V DATE FEE PAID TYPE OF UNIT DWELL1 0I HER - CI IECK 4 7-7 -. CHECK DATE p 0 NOTES:_F/osz.C� e2- CODE INFORCEMFNT INSPECTOR 9/28/98 L r CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR PublicHealth Prevent Promote.Promci TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL 1ramdinl7asa1em.com LmMY RAMDIN,RS/REHS,CHO,CP-FS MAYOR Hi Aj;H 1 AG vN'r CERTIFICATE OF FITNESS CERTIFICATE#54-14 DATE ISSUED: 2/19/2014 Property Located at: 387 Highland Avenue UNIT#House Owner/Agent: John Femino Address: 90 Margin Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-2842 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARJD OF HE LTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PablicHealth f Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdinna.salem.com MAYOR LARRY IL\MDIN,RS/ACRS,CRO,CI'-ISS HI?Al:rH AGFNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 In PROPERTY LOCATED AT 7 �l9 N�� AV EJ UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER J ° f F ti >CE✓�l I h( � MANAGER/AGENT NO P.O. BOX ADDRESS go M H/R &//V ST - ADDRESS CITY, STATE,ZIP �.A c-Gyii M,4 CP/�17�CITY, STATE,ZIP RESIDENCE PHONE %7k�y/-a S�� BUSINESS PHONE(24HRS) BUSINESS PHONE / TOTAL NUMBER OF ROOMS: Y ROOM USE: 1. r 7- 2. L 2 32R 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IIS "t'"1 S PAYABLE AT THE TIME OF INSPECTION ( APPLICANT'S SIGNATURE `� DATE a -� C/ V Inspector;use only Date on initial inspection: a I I D1. b N Date of reinspection: Date of issuance of certificate: Date fee paid: J! Type of unit: Dwelling Other Check# ( Check date: �W Notes: i CdW'f4brc�54ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W WW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#658-05 DATE ISSUED: 10/31/05 Property Located at: 401 Highland Avenue UNIT#2 Owner/Agent: Joyce Nelson Address: 401 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-2123 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. r FOR THE BOARD OF HEALTH JOANN�T, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O1970 I�.Yw EV TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT dI✓ UNIT#i9 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Qyrtz 7!%=._MANAGEPJAGENT No P.O. Box �� f No P.O.Box ADDRESS S11w e ADDRESS CITY :i ple-In CITY k7!4SS RESIDENCE PHONE l79-7P<6 - ,2/�� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. 2. 3. 4. 5. Jc — 6.- — — T 8._. — -- THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE� C� ��G��A� DATE y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 112 _ DATE OF REINSPECTION___ DATE OF ISSUANCE OF CERTIFICATE/a_a}b °'---DATE FEE PAID.__Zo TYPE OF UNIT DWELI INC OTHER_ _ CHECK p_a,37( --,CHECK DATE /0 NOTES _ CODE ENFORCEMENT INSPECTOR 9/28/98