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JACKSON TERRACE rpND tt City of Salem, Massachusetts �t F r 1 n Board of Health 120 Washington Street, 4th Floor, Salem, PllblfCHealth 0 MA 01970 Preeent.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-16.360 DATE ISSUED: 9/29/2016 Property Located at: 13 JACKSON TERRACE UNIT#3 Owner/Agent: Jesus Arredondo Address: 85 Seaport Boulevard City/Town: Boston, MA Zip Code: 02210 24 Hour Phone:(978)239-9552 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. os Larry Ramdin, MPH, REHS, CHO HEALTH AGENT ANITARIA • CITY OF SALEM, MASSACHUSETI'S BOARD or H&1LTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL iramdin salem.com ^� LARRY RAMDIN,RS/1tEHS,CI Io,CP-FS MAYOR ]� r 17a s— 2 MTnw"� HLA1:rH AGLNT ar ,;t �D dtLGpwn 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 133 k SOh Tzrr UNIT# ISMS UNIT DISIGNATED AS RIGHT LBPT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER TC1565 -Ptrr "-Oh a-0MANAGERIAGENT NO P.O. BOX L ADDRESS Pi`_) � l!1�fl�` ` LW k 2�- ADDRESS CITY, STATE, ZIP Nx �- Q�k c) CITY, STATE,ZIP RESIDENCE PHONE USINESS PHONE.(24HRS) BUSINESS PHONE al-!S Z 35 'S" 7 1 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. G. 7. 8. 4. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I AYABLE AT TIME OF INSPECTION APPLICANT'S SIGNATURE C, ` DATE J Insroectors use only Date on initial inspection:, 0 q0a0( 9 Date of reinspection: Date of issuance of certificate 2�� Date fee paid:Q�/ZAIZD Type of unit: Dwelling _Other Check#I Check date: �2g�7 Notes: #efo ,ement Ins tar CITY OF SALEM, MASSACHUSETTS L\lJ/J BOARD OF HEAL:I*H 120 WASHINGTON STREET,4."FLOOR Pllb�lCfIC81�1 Prevent.Promote.Fmteet. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY R.\b1DIN,RS/RIl.I-IS,CI-10,CP-FS MAYOR HEAIAI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #445-14 DATE ISSUED: 12/15/2014 Property Located at: 13 Jackson Terrace UNIT# 1 Owner/Agent: Jesus Arredondo Address: 13 Jackson Terrace City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-239-5921 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 LARR2MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4°{FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&SA1.rbI.00M LARRY RAMDIN,RS/RFI-1S,CHO,CP-I-S H rm:tI I AG GNT 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 13 Sa1r.w\ , MA 01940 UNIT# �- IS THIS UNIT DISIGNATED AS RIGHT L T FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Sd p MANAGER/AGENT NO P.O.BOX � ""�,,��, ADDRESS t Taw ifo +--rc 3 41001" ADDRESS CITY, STATE,ZIP !� a wY�'A ©1 R� O CITY, STATE,ZIP RESIDENCE PHONE USINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. / 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 IS PAYABLE AT E TIME OF INSPECTTION APPLICANT'S SIGNATURE DATE f O AY Inspectors use only Date on initial inspection: la (IS la( lu Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dw.elling Other Check#Check date: r Notes: L P U I`r r . ?-,:` X1 lit II vin ra��r1 V Co nioy ement Inspector r CITY OF SALEM, MASSACHUSETTS BOARD OF FIEALTH 120 WASHINGTON STREET,4"'FLOOR �� f'rtveN.Yrnmmc.pmlttr. TEI- {478},741,1800 FAX(978)745-0343 I IMBERLEY DRISCOLL Iramdin@salem.coin MAYOR I„1l?]iY RAtbtDiN,l{S/REIIS,CNt?,C1>-FS I-I}3r\L;LI-I AE;]i,N'I' CERTIFICATE OF FITNESS CERTIFICATE#008-15 DATE ISSUED: 1/22/2015 Property Located at: 13 Jackson Terrace UNIT#2 Owner/Agent: Jesus Arredondo Address: 13 Jackson Terrace#3 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-239.7996 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 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 THE BOARD OF HEALTH AV LA MDIN V �Sk- HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS ®, j r / BOARD OF HEALTH V Y 120 WASHINGTON STREET,4"{FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RAMDIN@SN-em(.COM LA1tRY RAMDIN,RS/RF31S,CI10,CP-ES HVIALTH 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 �L K-S O I-\� T \ r' C� 1 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC&PLEASE CIRCLE ONE OWNER/LESSER 11 d J MANAGER/AGENT NO P.O. BOX �7 ADDRESS J ��( � j 0 1Y �3� ADDRESS CITY, STATE,ZIP 7 a' {M V 1�_TOCITY, STATE,ZIP RESIDENCE PHONE `l '�V:6 D-� Sal BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ TIr`Y ROOM USE: 1. 2. 3. 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 I_S-PAYABLE AT THE TIM OF INSPECTION APPLICANT'S SIGNATURE li�l �" `— DATE 1-/ % /S 1 � Insnect'ors use only Date on initial inspection:T�I S Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Check#_Check date: Notes: Cod ncement Inspector n CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 365-02 TEL. 978-741-1800 FEE $25 .00 FAX 978-745-0343 DATE: 07/17/2002 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 13 Jackson Terrace UNIT #: 3 Left OWNER/AGENT: Jesus Arrendondo ADDRESS: 13 Jackson Terrace 2nd floor CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-7828 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 I Q L65'..,JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR - CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH u a 120 WASHINGTON STREET, 4TH FLOOR ✓Q� SALEM, MA 01970 36- 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 UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT - EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ��5J5 ��Kt� OW` OMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 13 'So( IC 410 s ADDRESS CITY CITY M (a , RESIDENCE PHONE c/aS �I 17e,)cSBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 'If 4k ROOM USE: 1. �1 5._ 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL M HEALTH DEP ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE %Aotl -- L)L-DATE �/ 1 INSPECTORS US NLY DATE OF INITIAL INSPECTION 7 - 1 7 iL DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7- 17 -0 v DATE FEE PAID: 7 - r ? JO TYPE OF UNIT: DWELLING OTHER_ CHECK# 106'Y 6' CHECK DATE7-/-Z'a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CONDI T CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR `-a SALEM, MA 01970 TEL. 978-741-1 800 �IV6 FAX 978-745-0343 - STANLEY LSOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 07/02/2002 Jesus & Divina Arrendondo 13 Jackson Terrace Salem, MA 01970 PROPERTY LOCATED AT 13 Jackson Terrace UNIT # 3 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 Ok' HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR