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7 PALMER STREET COF CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 330-02 FEE $25.00 •b,0 TEL. 978-741-1800 D Fax 978-745-0343 ATE: 07/02/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 7 Palmer Street UNIT #: 1 OWNER/AGENT: Linda Locke ADDRESS: 1 Pickerinq Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5135 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 I i a CITY OF SALEM, MASSACHUSETTS 6 �� BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 p 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 '7 elJ-ZAi' 4- Z UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER L /,v,6A LLOCte MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS I P/6AG/Z /N� ST ADDRESS CITY Sd-/ /H, A74 CITY RESIDENCE 14PHONEr707/V -cf /al/' BUSINESS PHONE (24 HRS.) BUSINESS PHONE �+n C_ cw rQ. TOTAL NUMBER OF ROOMS: to R'A76/h-,j ROOM USE: 14/ /Z/h 2.D/N/ZM 5/& 8. vrSvv2wlr, 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 r �t//le� DATE 7///0 2_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 - ?- v L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:?IZ016 DATE FEE PAID: TYPE OF UNIT: DWELLING/z'v OTHER_' CHECK#CHECK DATE '7/to i a -2 a3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 / o CITY OF SALEM, MASSACHUSETTS 3"� '� BOARD OF HEALTH 3 + 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 97B-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 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 or 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 agents from any loss or injury sustained of whatever nature and description occasioned by my/our- absence during said inspection. TE1VNT/L29oEE OWNER/LESSOR �aoLo&� -�ct� -✓ S h ,J ,� } "',-- O I97o ADDRESS �Sfi p� ADDRESS '01F UNIT TO BE INS CT DATE .. a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 + 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 October 10, 2000 Dear Property Owner, Property Manager, o:-Real Estate Agents: As you may know, landlords, sellers and agents are now required to disclose known Information on lead-based paint and/or lead-based paint hazards in virtually all rent, lease, and sales transactions in dwellings built before 1978 to enable parents to protect their children. The required Tenant Notification Form is enclosed. The United States Department of Housing and Urban Development along with the State of Massachusetts Childhood Lead Poisoning Prevention Program has asked the City of Salem Board of Health to help in ensuring the disclosure process is working. The Federal Residential Lead-Base Paint Hazard Reduction Act, 42 U.S.C. 4852d, requires sellers and landlords of most residential housing built before 1978 to disclose all available records and reports concerning lead-based paint and/or lead-based paint hazards, including the test results contained in this notice. to purchases and tenants at the time of sale or lease or upon lease renewal. This disclosure must occur even if hazard reduction or abatement has been completed. Failure to disclose these test results is a violation of the U.S. Department of Housing and Urban Development and the U.S. Environmental Protection Agency regulations at 24 CFR Part 35 and 40 CFR Part 745 and can result in a fine of up to $11,000 per violation. To find out more information about your obligations under federal lead-based paint requirements, call 1-800-424-LEAD. Thank you in advance for your assistance. If we can be of any assistance, please call the Salem Board of Health (978-741-1800) and ask for a Lead Paint Determinator. For the Board of Health r' `l " �anne Scott" Health Agent / JS/sjk 414 Ad- - L CERT.# 240-97 FEE $25.00 �11-` lF DATE: 04/22/97 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 CERTTFICATE OF FITNESS PROPERTY LOCATED AT: 7 Palmer Street UNIT #: 2 OWNER/AGENT: Linda Locke ADDRESS: 1 Pickerina Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5135 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 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 APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. (�/^QF'yOR THE BOARD OF HEALTH JOANNE SCOTT MPH RS CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR P�P CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II , 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT e/ �'° � _ __ UNIT OWNER/LESSER ///� 4 /—Q-e:�« MANAGER/AGENT ADDRESS � �/�` G S�1' ADDRESS CITY S� G{I/�j , /`�� ©/e 7 0 CITY S � / \ �`O ®/ypza RESIDENCE PHONE b 7 ✓ JJ BUSINESS PHONE (24 HRS.) i BUSINESS PHONE / TOTAL NUMBER OF ROOMS: l0 ROOM USE: 1 A/�"7C 4� 2j�V1 ` r1n 3.GL7,L � 4 . i/oedlrvam 5RL'�leoa7+i 6. k—Od/OvI417. 8. SILK ff THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPS^�T�4ENT THIS FE IS AT THE TIME OF INSPEtCTION APPLICANTS SIGNATURE _ '[�-mac- DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:�1DA"FE OF REINSPECTION ll DATE OF ISSUANCE OF CERTIFICATE.:y -Z" DATE FEE PAID: . �� z TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR " CITY OF SALEM, MASSAC,HUSE'TTS BOARD OF I IEAL'.CH 120 WASHINGTON STREET,4...FLOOR PI1b CHC81 1 TEL. (978) 741-1800 FAZ(978) 745-0343 KIMBERLEY DRISCOLL Iramdina.salem.corn L,\ItRY RANWAN,16/1UMS,CFIO,CI 15 MAYOR HF.,\I:riu\Gi+.N'r CERTIFICATE OF FITNESS CERTIFICATE#425-14 DATE ISSUED: 12/1/2014 Property Located at: 7 Palmer Street UNIT#3 Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5135 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 LA RAMDIN HEALTH AGENT SANITARIAN H-ou CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAtiHINGTQN STREET,4°1 FLOOR l TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX,(978) 745-0343 MAYOR LRAMDIN(as u,rmcom LARRY RxNIDIN,RS/RSI IS,C1{O,CP-PS HEALTH AGEN"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 p�` VNIT# `�) IS THIS/UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER L-C"JI�� MANAGER/AGENT NO P.O.BOX ADDRESS 1 P/c IIc I �1/L I iU G Ste•. ADDRESS CITY,STATE,ZIP s(� "� ��� ��� 0 r W?CTfY, STATE,ZIP RESIDENCEPHONE vl?-� � YG�� l�J BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ��"T�L'�+r ROOM USE: I.b , d 6O)n 2. (�t, 3./' �'I } (n�4. C ] r 9,5.LL 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 ISPAYABLE AT HE TIME OF INSPECTION / ) APPLICANT'S SIGNATURE =7 c72/u/�-� DATE Inspectors use only Date on initial inspection: a I(_I(4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit:^^Dwelling—Other—Cheek# ( Check date: I tl l) / r Notes:—ldM C-,Vmclk- _,a - O-n ( IOD( �Cw dF'V10 i r' Code Ifo ent Inspector