HODGES COURT 'r
CITY OF SALEM, MASSACHUSETTS
is
. „ BOARD OF HEA,UM
120 W,\Si-TTNGTON STREET,4...FLOOR
KINfBE'RLLY DRISCOLL Tr,T,. ()78) 741-1800
MAYOR
FAX (978) 745-0343
Iram(lin@salem.com
salem.com
LARRY RAA4DIN, IS,(,:110,
H7 m:I'1IAGI1N"1'
CERTIFICATE OF FITNESS
CERTIFICATE#278-11
DATE ISSUED: 8/8/2011
Property Located at: 2 Hodges Court UNIT# 1
Owner/Agent: Gerald Wilkens
Address: 9 Herbert Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4760
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
LARRY RAMDIN
HEALTH AGENT C015E ENFORCEMENT INSPECTOR
i
At sl L?,S^
CITY OF SALEM, MASSACHUSETTS
BOARD OF HrJ\LTH
120 WASHINGTON SCREE'[',4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR LRAiMD)NDsA EM.COINI
LARRY RAMI)IN,RS/RI{I IS,CHO,(T-VS
H I?A L Il I A(]I xi
Application for Certificate of Fitness
IN ACCORDANCE WITH ST ATE SANITAPN CODE, CHAPTER 11, 105 CMI:410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
/ FEE: $50.00
PROPERTY LOCATED AT 7i /fiV d 'u-S ��` UNIT#
IS THIS UNIT DISIgGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER W 1�.5MANAGER/AGENT SZitc Q
NO P.O. BOX
ADDRESS � � S 7�' ADDRESS
CITY, STATE, ZIP �CL�-�/�?�A �l� O X70 CITY, STATE,ZIP
RESIDENCE PHONE gZY 7 >6(D BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER ROOF ROOMS: S
ROOM USE: 1 6dt-rnw. 2 ��C�o a�.�3 %!�<< 4 (� '�i/i e��. 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 ..� di/G� DATE
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Cr ) Date fee paid:�3rw
Type of unit: Dwelling 1/ Other Check#)6� _Checkdate: (f ))
Notes:ZiRnNR- 1�S 1 o, S(iti ToJf,i)bk C.d i) �J,f 4 -1)L5(,J-Ij- 9-'Jm3wi ..
1
ode Enforcement Ins ector
CITY OF SALEM9 MASSACHUSETTS
e
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
' ry_ �Sa SALEM, MA 01970
s - 1C TEL. 978-741-1800
�p'YrH66 FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 361-03
DATE ISSUED: 7/21/2003
Property Located at:: 2 Hodges Court UNIT#: 1 Right
Owner/Agent: Gerald Wilkens
Address: 9 Herbert Street
City/Town: Salem MA Zip Code: 01970 24 Hour Phone: 744-4760
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.
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.
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
Joanne Scott, MPH, RS, CHO
Health Agent CODE ENFORCEMENT INSPECTOR
a CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• t. 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
yeq 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 C4- UNIT#
IS THIS UNIT DESIGNATED A I RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER l NAO 1 Ii�S MANAGER/AGENT Sc,,�
No P.O. Box // No P.O. Box
ADDRESS_ J L�i`A_,o_ 7" 57r: ADDRESS
CITY 5a �. bl4! i CITY
RESIDENCE PHONE!?2i Z"4"760 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.-
5.--6.—
. 3. 4.-
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.
APPLICANTS SIGNATURE DATE 7- 2l U3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 'y ) '� �i DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 7- k 1 .3 DATE FEE PAID: / -V 3
TYPE OF UNIT: DWELLING/OTHER_ CHECK#Lr 2 V CHECK DATE? —' 3
NOTES: /{\
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
• • BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGRHBNBAUMGSALEM.COM
DAVID GREENBAum,RS
ACTING HFeV:.1'FT AGUNT
CERTIFICATE OF FITNESS
CERTIFICATE#99-11
DATE ISSUED: 3/31/2011
Property Located at: 2 Hodges Court UNIT#2
Owner/Agent: Gerald Wilkens
Address: 9 Herbert Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4760
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
Z�" ' d
DAVID GREENB , RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
`I
CITY OF SALEM, MASSACHUSETTS -
y� BOARD OF HEALTH
120 WASHINGTON SrxEEr,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR DGR2HM3AUM@,9A1,LM.COM
DAVID GREENBAUM,RS
ACTING HE LTj-i 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 ATye Z ?7 �S e UNIT#
IS THIS UNIT DISIGNAITED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER G2r�l& W i Oc_QRS MANAGER/AGENT
NO P.O. BOX
ADDRESSADDRESS
CITY, STATE, ZIP �� -�ylil. �� yl 97G CITY, STATE, ZIP
RESIDENCE PHONE 979 7y2,4a BUSINESS PHONE(24HRS)
r
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �J
ROOM USE: 1. 5;eev 2. i5e_d 3. L v%n 4. &,'Vc hk5. Xlq
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
�A�T"TTHEE TIME OF INSPECTION
APPLICANT'S SIGNATURE --C��O �� DATE j 3l Il
Inspectors use only
Date on initial inspection: Date of reinspection:
. Date of issuance of certificate: I Date fee paid: r
Type of unit: Dwelling ✓ Other Check#. I Check date: 3
Notes:
Cod Enfor ement Inspector
61NOW
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#434-07
DATE ISSUED: 8/31/2007
Property Located at: 2 Hodges Court UNIT#2Front
Owner/Agent: Gerald Wilkens
Address: 9 Herbert Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4760
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
✓�
JOANNE 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 7 J
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 -qOd/ p S q-= UNIT#_�-
IS THIS UNIT DESIGNATED AS RIGHT LEFT ;OP: BACK PLEASE CIRCLE ONE
OWNER/LESSEWGe C-aU w,' � ka-wS MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS IL"9 s ADDRESS
CITY CITY-45
RESIDENCE PHONE27g-7ry-1�764 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE _
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1._ 2._89��3.
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. q
APPLICANTS SIGNATURE DATE S I o
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION Sf C -0 ) _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: .� 1 'T'j DATE FEE PAID:
TYPE OF UNIT: DWELLINOTHER_ CHECK #-V-_D CHECK DATE _' V
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
` r
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
,pBG6`S' TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 466-03
DATE ISSUED: 9/3/2003
Property Located at:: 2 Hodges Court UNIT#: 2 Left
Owner/Agent: Margaret & Gerald Wilkins
Address: 9 Herbert Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-7444760
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.
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.
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
Joanne Scott, MPH, RS, CHO
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 2 AOAQ�&$_ VI'. UNIT#z
IS THIS UNIT DESIGNATED AS RIGHT EFT FRONT BACK PLEASE CIRCLE ONE
l90mw
OWNER/LESSER M .U,r• i W ke4,5 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY .ow,� �.A - CITY
RESIDENCE PHONY ')56Vq760 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
1
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. 6A-R-L2.L�/Np _3._iOzJ h��
`I'//
5.kc�6. V 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 o�f� d 14!,z�DATE z Z-o3
INSPECTORS USE ONLY
/
DATE OF INITIAL INSPECTION `7 ' �� 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -V3 DATE gqFEE PAID: �3
�
TYPE OF UNIT: DWELL OTHER— CHECK#S'9-/ CHECK DATE�3�3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
i
CITY OF SALEM, MASSACHUSETI'S
b BOARD OF HEAfxii
120 WASHINGTON STREET,4... 11.00R
TEL (978) 741-1800
1{IM131LRT LY DRISCOLL FAX (978) 745-0343
MAYOR Iramdn(@salein.com
salem.com
L\RRY R,\%1DIN,ItS/11Ii1 IS,(1110,CP-I;S
HFAI:njAGP.NI'
CERTIFICATE OF FITNESS
CERTIFICATE #392-11
DATE ISSUED: 10/7/2011
Property Located at: 2 Hodges Court UNIT#3
Owner/Agent: Gerald Wilkens
Address: 9 Herbert Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4760
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
/RRY RAMDIN \ 1
HEALTH AGENT CODE`EN ORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD(1P HL:.\t:I7-I
120 WASHINGTON STRI3GT,4°.1'1,OOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR RAMDIN@as;vI.rM.0 NI
1..,AItH1'R.AA[D 1N,HS/IWII IS,CI 10,(T-PS
Hr,AI:f11 A(11(N'I'
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 -z <° T, UNIT#
/IS THIS UN/(IT DI..S'I\GNATED AS kfGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �Z(Ye �el W I�C�i2S MANAGER/AGENT
NO P.O. BOX
ADDRESS �r�GrrT 5 ADDRESS
CITY, STATE, ZIP SQ/:: /lig 401 �20
.5 S CITY, STATE,ZIP
RESIDENCE PHONE 9�78 7 y`l '1;6C1 BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 &A/ 2. 3 �� �6�IYL4. /���c L S
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 PAYABLEATTHEE TIME OF INSPECTION
APPLICANT'S SIGNATURE `—'/i,%� � /�` ��/�'�- DATE
Inspectors use only
Date on initial inspection: ) 01-7 /l / Date of reinspection: /
Date of issuance of certificate: l(1 -7 1 ) Date fee paid: to bll I
Type of unit: Dwelling +�er Check# 6 q O a— Check date: IriI7///
Notes:
Code Enfo ement pector
CITY OF SALEM, MASSACHUSETTS
• . BOARD OF HEALTH
120 WASHINGTON STREET 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
4111/06
Richard Mello
5 Hodges Court
Salem, MA 01970
PROPERTY LOCATED AT 5 Hodges Court 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.
I 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
q�=anne Cott MPH, R Pablo Valdez
alth Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
3 a BOARD OF HEALTH
R 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#417-06
DATE ISSUED: 8/24/2006
Property Located at: 7 Hodge Street UNIT# 1 Left
Owner/Agent: 7 Hodge Street Realty Trust
Address: P.O. Box 445
City/Town: Beverly,MA Zip Code: 01915 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
q°` -
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, 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 FITNESS FOR HUMAN HABITATION". � p�
PROPERTY LOCATED AT1 (/v(1 sr _C �i�'�- UNIT# t1
IS THIS UNIT DESIGNATED
AS RIGHT E ON BACK LEA��SE CII, � ARC,LM1EON ��pp��
OWNER2ESSERarr_vA AVERtAGENTJ ^'
No P.O. Box jj}} No P.O. Box
ADDRESS 3 =O v VW ADDRESS < 1 0(1CITY _CITY_ Cos
RESIDENCE PHONEi � /US,INESS PHONE (24 HRS.)
BUSINESS PHONE7�� �,j-2 �_
TOTAL NUMBER F ROOMS.-I+ _ r ,. `��
ROOM USE: 12.�_ �4._-t�K a
THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SA EM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. J�
APPLICANTS SIGNATURE } _1-DATE__
i SPECTORS USE ONLY
DATE OF tNiTIAL INSPEGTIO :_. 7_.. � _I�... .. _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:9-')_!�,--v_G DATE FEE PAID:-eW_' 0-( '
TYPE OF UNIT: DWELLI /OTHER_, _ CHECK #��f V CHECK DATE g
I� f
NOTES:-
CODE
OTES CODE ENFORCEMENT INSPECTOR 972k3/98
eONDIT
vel
'i
� 3 a
nim
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO 120 Washington Street 4'floor
HEALTH AGENT Tel: (978)741-1800
08/13/2001 Fax: (978)745 0343
Walter & Kelly Williams
14 Hodges Court
Salem, MA 01970
PROPERTY LOCATED AT 14 Hodges Court UNIT # 1 Right
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 most 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.
4T�R
THE BOARD F H TH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO 02/15/2000 NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
Walter, Mary, Kelly Williams
14 Hodges Court
Salem, MA 01970
PROPERTY LOCATED AT 14 Hodges Court UNIT # 2 Right
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 the 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 One Week 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.
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 eo exist.
OR THE BOARD gF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
6� 11
Su."
3 �
c
CITY OF SALEM BOARD OF HEALTH
Salem, MassachasalttS)WWA-
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—41" Floor
HEALTH AGENT Tel # (978)-741-1800
Walter & Kelly Williams
14 Hodges court Fax# (978)-745-0343
' Salem, MA 01970
PROPERTY LOCATED AT 16 Hodges Court UNIT #
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 oL [he 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 the 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 One week 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.
A $25.00 check payable to the City of Salem i-s--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
I
which cross-metering has been proven eo exist.
FOR THE BOARD OF HEALTH REPLY TO
Vo"anne Scot tt, MP PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT # 114 91+
f+4y, FEE $,..5 00 n,,;,,;n n Y:,•
G
DATE. 0:/ 5/.9 -'
It
,G3 CITY OF,SAI:EO"as BOAR® OF HEALTH
" Salem, Massachusetts 019%0 3928
JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705 .
CERTIFICATE OF FITNESS -
PROPERTY LOCATED AT: 16 Hodges Court - UNIT #: 1
OWNER/AGENT: W. David Crosby
ADDRESS: 40 Prince Street -
CITY,'TOWN: Beverly. MA - . ZIP CODE: 01915 24 HOUR PHONE: 921-1312
Ali INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR '4.10.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE .CODE ENFORCEMENTDIVISIONOF THE
SALEM HEALTH DEPARTMENT 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 APPROVALDOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
/F R THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH '
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO
NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SAN ITARY'CODE, _CHAPTER II, 105 CHIC 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION
PROPERTY LOCATED AT 1 c3 T UNIT
OWNER/LESSER W � 1 V I Ct2e5 13 V K&NAC-Eg,/A(7FNT ^
ADDRESS VO- P jCl, 1'N @.L.� S7- ADDRESS
ADDRESS
GITY t� Ut l? t-Y, tY t A 5_ cr ice{ t 5 CITY
'RESIDENCE PHONE 2-2 OR 6-f BUSINESS PHONE (24 HRS.)
BUSINESS PHONE �-
TOTAL NUMBER OF ROOMS:
ROOM USE: 4 .
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 DEP NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGKATUIR�ho// DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: , DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE,: / t( DATE FEE PAID:
TYPE OF UNIT: DWELLING , / OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR Y
__ r
CITY OF SALEM, MASSACHUSETTS
3
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
0� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
10/26/04
Walter Williams III
14 Hodges Court
Salem, MA 01970
PROPERTY LOCATED AT 16 Hodges Court 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 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
J nne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector