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JEFFERSON AVENUE 300+ JEFFERSON AVENUE 300-- F o V a i 0 CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR r 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#294-05 DATE ISSUED: 5/9/05 Property Located at: 316 Jefferson Avenue UNIT# 1 Owner/Agent: Ray Beaupre Address: 16 Vista 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. FOI THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J/ < • 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 HABITATION". PROPERTY LOCATED AT 3 16 &., 41C UNIT# J IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box No P.O. Box f- ADDRESSI6 � - R �- ADDRESS 4 CITY CITY RESIDENCE PHONE 17k-7Y5-—"5 PHONE (24 HRS.) Sf}M E BUSINESS PHONE 9 7& _7 /,Y-- TOTAL ys-TOTAL NUMBER OF ROOMS:___ ROOM USE: 1.4�1 2. 3. /x, n4. iMc 5.-6.- . 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. /� c APPLICANTS SIGNATURE/d2dz DATE u� S OS If INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ��'�J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:r --4f—o�_DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER_ CHECK# CHECKDATE.5_- ,�_ '�;5' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 'OND City of Salem, Massachusetts n Board of Health 120 Washington Street, 4th Floor, Salem, PU Health 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-17-90 DATE ISSUED: 3/30/2017 Property Located at: 316 JEFFERSON AVENUE UNIT#2 Owner/Agent: Tom Goodwin Address: 316 Jefferson Avenue City/Town: Salem , MA Zip Code: 01970 24 Hour Phone:(978) 7445342 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. P—-'Z� Cjaw Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,IV"FLOOR TEL. (978)741-1800 KIM 3HRLF.Y DRISCOLL FAx(978) 745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/RENS,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: $50.00 PROPERTY LOCATED ATI 1NV I— IUNIT# IS THIS UNIT DISIGAS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT—r, vvr &o'D 41 l�- NO P.O.BOX ADDRESS ADDRESS_�o CITY, STATE,ZIP CITY,STATE,21—5,2 RESIDENCE PHONE BUSINESS 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 THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 1 Date of reinspection: Date of issuance of certificate: CID I 9DO Date fee paid: Type of unit: Dwelling Other Check#Check date: Notes: Code Enfor ement Inspector Inspection of Dateime Name A `'it Tr j �� Address 'rZ� tPC )T 1 Owner Tel. No. ' Type of Inspection Inspector ( ' ) Remarks and Violations are listed below: , ti , l Report Received by: �`o City of Salem, Massachusetts 9 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, REHS, CHO Mayor lramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-263 DATE ISSUED: 9/3/2015 Property Located at: 316 JEFFERSON AVENUE UNIT#2 Owner/Agent: Raymond Beaupre Address: 16 Vista Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-3774 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 SA ARIAN ns� CITY OF SALEM, MASSACHUSETTS ' • BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/RPI IS,CHH,CP-PS HI'.Arn I AGI?N'j 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 .3( G (� _ • UNIT# ' IS THIS UNIT DISK A ED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER l'--a, "" �F }�eeci.D�e _MANAGER/AGENT NO P.O.BOX ADDRESS / G 9I C4 r _ ADDRESS CITY, STATE, STATE, ZIP o ! 9 70 RESIDENCE PHONE q7&'_7/5—!2 7 BUSINESS PHONE(24HRS) .2 BUSINESS PHONE 1]> — 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 THISIFEE IS PAYABLE AT THE/TIME OF INSPECTION APPLICANT'S SIGNATURE6 _ 0 d Lam+ «I�e DATE R 7 Inspectors use only Date on initial inspection:OV,]4122s- Date of reinspection: Date of issuance of certificate: nw 44201S: Date fee paid;02a7Z2.0�L�— Type of unit: Dwelling—z—Other Check# 1qq Check date:��27�20��' Notes: csem¢n } Sta;r£ Aej r,,L. Jlrne C or ment Insr for CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4''"FLOORPI1bliCHeaIth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdingsalcm.com LARRY RA�4TJIN,RS/Ril-fS,CI-10,CP-FS MAYOR H 13AI,"fl-f 11G1N'T 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,y, 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 3/ & U� ay---9-- Addre4 qV'<— Address i v Address on unit to be inspected Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH 3 s 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 CERTIFICATE OF FITNESS CERTIFICATE#31-05 DATE ISSUED: 1/13/05 Property Located at: 319 jefferson Avenue UNIT# 1 Owner/Agent: Gustavo Herrrera Address: 319 Jefferson Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-596-9940 An inspection of our vacant Dwelling/Rooming/Roomin Unit at the above address has been approved P Y 9 9 PP 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 SCOTT, MPH, RS, CHO C HEALTH AGENT CODE ENFORCEMENT INSPECTOR r �„�.• CTTY OF SALEM, MASSACHUSETTS BOARD OF HF-ALT" ' « • . 120 WASH1NG70N STREET,ATH FLOOR SALEM, MA 01970 ' �{' TEL. 978-741-1800f,^_~J FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO iIMAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER !I, 105 GMR 410.000 'MINIMUM STANDARDS OCF1 FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED�FF6-Fid 50 UNIT If IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER----MANAGER/AGENT--- No WNER/LESSERMANAGER/AGENT_ —No P.O. Box No P.O. Box ADDRESS / —Wfit&WA 0.1�.—ADDRESS CITY.._. � CITY__.—�._ RESIDENCE PHON�ULU� _BUSINESS PHONE (24 HRS. pQ ��� yQ BUSINESS PHONE_ TOTAL NUMBER OF ROOMS,--�—� ROOM USE: 1- 2 _. —_3 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 . , .. - - DINE (� - .'- 06, INSPECTORS USE ONLY NATE_ I- INITInL INSPLCTIQN DATE 01= 1317INSPI=C I ION 0ATLO- InSE1ANCF OI I_;1-HTIIlGATL /113105 hall iI:IEPAID 11AX '6 IYPI-- OF- UNIT DWt-I UN(, OIIil-H 0 n:CK �� d r.�Ir�.r; nATr /fI fl�DS NI li :'Pi Jo H CITY OF SALEM, MASSACHUSETTS m]L BOARD OF HEALTH s ILO WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 - FAx 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/1/05 John Sirigos 319 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 319 Jefferson 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 crass-metering has been proven to exist. For the Board of Health y Reply to J nne M Scott cott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS J • - BOAR'DOF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR JUIONNP:a SALEM CC)M ]ANfl"TDIONNF, ACTING I-11.;A AT-1.AGIi.N•T CERTIFICATE OF FITNESS CERTIFICATE#595-08 DATE ISSUED: 11/24/2008 Property Located at: 321 Jefferson Avenue UNIT#2 Owner/Agent: Joseph Sutherland Address: 321 Jefferson Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978.741-1465 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. METIONNE D HEALTH ACTING HEALTH AGENT CQPX E FORCED T INSPECTOR i� CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASHINGTON STREET,4.°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR JDIONNEQALEM.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." .yam FEE: $50.00 PROPERTY LOCATED ATS( �� ,GFD (Jf� ry, ,Q. UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERWSO�� CA OI MANAGER/AGENT NO P.O. BOX ADDRESS .��n PrInCQ-- �T ADDRESS CITY, STATE, ZIP (Y)CA Q lC1g) CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: (0 ROOM USE: 61. Kn� l2� M 3 $Pror4fWfoon 5 Q. tcv7. o I 8. 9 t0 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 MPE ION APPLICANT'S SIGNATURE DATE s, Inspectors use only Date on initial inspection: �k (aL4 102 Date of reinspection: Date of issuance of certificate: �/ Date fee paid: Type of unit: Dwelling-----Other Check# r� ! r Check date: Notes: tGD�� (y rt,vVld �t)�1- Owher �b CArrP nforcement Inspector CITY OF SALEM, MASSACHUSETTS a � * BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR JUIONNr-, CALI:+M C'OM JAN ET DIONN E ACTING HEALTH AGENT Facsimile Transmittal TO: Wa-artc� rlyI k "�) - cc(rt< �J �,XUPJdA( z2- Fax # Cgll) 94 - 96� RE: #�. t_ ffVlP3S Date Il (�6 �� t Page(s): including this cover# Message: 1 v v 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 Nov 26 2008 12:24pm Last Fax Date Time Twe Identification Duration Paces RMU Nov 26 12:24pm Sent 919787449614 0:36 2 OK Result: OK - black and white fax f i• CERT.# 587-97 3 FEE $25.00 elf-'I. DATE: 08/28/97 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 321 Jefferson Avenue UNIT #: 3 OWNER/AGENT: Joseph Sutherland ADDRESS: 321 Jefferson Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-1465 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. FOR 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 SANITARY! CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT � �PS �,1�}Y UNIT If OWNER/LESSER �S ���� ILI MANAGER/AGENT ADDRESS C,'�[D(\ 14' ADDRESS CITYCITY .-RESIDENCE PHONE 2 BUSINESS PHONE (24 HRS.) I BUSINESS PHONE_ - TOTAL NUMBER OjF` ROOMS: ROOM USE. 1,1�1C�2,t , I,nc 3. n 5 M7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM REALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIRE OF INSPECTION APPLICANTS SIGNATURE(% � INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: g=� ? DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE:—! i7 DATE FEE PAID: TYPE OF UNIT: DWELLING( OTHER NOTES :-----I"` 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 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 160-07 DATE ISSUED: 3/30/2007 Property Located at: 322 Jefferson Avenue UNIT# 1 Owner/Agent: Oscar Begin Address: 322 Jefferson Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4063 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I jl • • 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". PROPERTY LOCATED AT,<X�s �Y UNIT H_ _ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ---MANAGER/AGENT_ ' A_ rr No P.O. Box No P.O. Box ADDRESS_� Y C7 _AvQ_ADDRESS r� CITY-6��.------CITY1'T RESIDENCE PHONEA_j 49(4USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. ( yt,2._tAWn 3. 1y� THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, 3Z APPLICANTS SIGNATURE _ DATE.� ✓� INSPECTORS U E ONLY DATE OF INITIAL INSPEGTION�-30 ^-;7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ">� `�TDATE FEE PAID: 3 3 o ' TYPE OF UNIT DWELLIN,t�,/�OTHER _ CHECKft a l 6 CHECK DATE NOTES: ✓✓�� CODE ENFORCEMENT INSPECTOR 9/28/9t3 City of Salem, Massachusetts WIL AV Board of Health NF 120 Washington Street, 4th Floor, Salem, Pohl rN alth MA 01970 pre tnt.Trmnolt.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-17-285 DATE ISSUED: 9/6/2017 Property Located at: 324 JEFFERSON AVENUE UNIT#2 Owner/Agent: Ivan Pina Address: 324 Jefferson Avenue City/Town: Salem, MA I Zip Code: 01970 24 Hour Phone: 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 HEALTH AGENT SANITARIAN Set Uv : CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fixx(978) 745-0343 MAYOR LRAMDIN&SALEMMM LARRY RAMDIN,RS/RFHS,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: $50.00 32� i�2F1=ee-SoA1 �v2 S4le�I iv�q PROPERTY LOCATED AT � t UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER SQA i i hl A MANAGER/AGENT NO P.O.BOX A ADDRESS 32y TCFreZSor/ A j e ADDRESS CITY, STATE,ZIP 0I9�© CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:}} p " ROOM USE: 1 ^'�sQ°0nl bejZoowl 3 Sel¢oowr 4 lel atom 5.12eJ7iD 6.K4cker� 7. t�k7. Veco.ti 8. &ia IftM9. 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 INSPECTION APPLICANT'S SIGNATURE DATE //�� Inspectors use only qDate on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: 91 Type of unit: Dwelling Other Check#10q Notes: O Code En for ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 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#466-06 DATE ISSUED: 9/25/2006 Property Located at: 327 Jefferson Avenue UNIT# 1 Owner/Agent: 327 Jefferson Realty Trust Address: P.O. Box 8671 City/Town: Salem, MA Zip Code: 01971 24 Hour Phone: 978-265-4032 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 �/ v , J ANNE SCOTT, MPH, RS, CHO `? HEALTH AGENT CITY OF SALEM, M USEfiS BOARD OF HEALTH 6 120 WASHINGTON STREET, 4TH FLOOR ♦ SALEM, MA Or a70 TEL. 978.741-1800 FAR 978-745-0343 JOANNE SCOTT, MPH, RS. CHO Kimberley Driscoll HFALrH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STA I-E SANITARY CODE, CHAPTER It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCAIED AT 327 Jefferson Avenue UNIT b 1 IS THIS UNIT DESIGNATED AS RIGHT LM FRON(BM PLEASE CIRCLE ONE OWNERA.ESSER 327 Jefferson =MANAGER/AGENT— -r:n•..,. T , No P.O.Box Realty Trust No P.O.Boz �.reux, Trustee ADDRESS___ _ _ -ADDRESS� PQ Box �7 A1 PO Box 8671 CITY--------CITY— Sa gm __•_ RESIDENCEPH 978=744-7264 BUSINESS PHONE(24HRS.) ,�,&-2,y5-4032 BUSINESS PHONE­ TOTAL TOTAL NUMBER OF ROOMS:_. 4 _, ROOMUSE. 1._ktclln2•_LV_ .3.� . _a. batlirm THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER 10 THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. NTS 5tGN ULA ATJRE DATE._„_ APF f�1S, �vT�.v��ONL1 60 OF INITIAL NSNQMN�O��:I _, �� .-DATE OF REINSPECTION_. . DATE OF I33VANCE OF CERTIFICATE:�Q S_D 6 DATE FEE PAID: TYPE OF UNIT: DWELLING ._-OTHER_., CHECK xa S-2-, _CHECK DATE�.: v,6 NOTES:_ _ _. _ _... - -.. _.. .... CODE ENFONCFMFNT INSPECTON 912P/92 m SENDER: I also wish to receive the V .Complete items 1 and/or 2 for additional services. following services for an .Complete items 3,4a,and 4b. n g m .Print your name and address on the reverse of this form so that we can return this extra fee): card to you. N N .Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address u permit. Z m .Write"Return Receipt Requested'on the mailpiece below the article number. 2.❑ Restricted Delivery 0 • on The Return Receipt will show to whom the article was delivered and the date p Consult postmaster for fee. delivered. a 0 3.Anicle Addressed to: 4a.Article Number 0 a V Paul L'Heureux & Z 594 594 899 X Em Mark Audette, Trustees 4b.Service Type P.O. Box 8671 E O Registered enified u N - ❑ Ex ress l El O1 Salem, MA 01970 p E �Mp' 49. h LU ❑ Retur - l for Merchandise. _COD 7. Dat of Delivery 0 e� -Z (327 ff-eF _ Ave.) js 5.Rec d (tri me) 8.Ad ressee s Ad'diessl'fO if f'equested m F o an fee is paid) j L 6.Sib Vul r IF r Agent) c X T PS Form 3811,December 1994 102595-98-6-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE Y PPosiage a os'ag:SMail &Fe»s Paid \ USPS I Permit No.G-10 • Print your name, address, and ZIP Code in this box • JUL 12 1999 Salem Health Department CITY OF SALEM 9 North St. HEALTH DEPT, Salem, Mass. Ot970 Z .594 524 8.59 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See.reverse Sentto Street&Number Post Office,State,&ZIP Code Postage $ Certified Fee _ Special Delivery Fee Restricted Delivery Fee N m Return Receipt Showing to Whom&Date Delivered n Retum Receipt Showing to Whom, Date,&Addressees Address mTOTAL Postage&Fees Is fr1 Postmark or Date 'E N a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See hont). 1. if you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. It you do not want this receipt postmarked,stick the gummed stub to the right of the 0 return address of the article,date,detach,and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address m on a return receipt card,Form 3811,and attach it to the front of the adide by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article .Q RETURN RECEIPT REQUESTED adjacent to the number. < 4 If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. 00 M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. .r`oi 6. Save this receipt and present it if you make an inquiry. 102595-96-B-P005 d ��M1N6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 June 29, 1999 Fax:(978)740-9705 Paul L'Heureux& Mark Audette, Trustees P.O. Box 8671 Salem, MA 01970 Gentlemen: Our records indicate that notices have been sent to you that you contact this office to conduct Certificate of Fitness inspection prior to renting your apartments in accordance with 1988 Salem Code of Ordinances Article XIII. You have not responded to our communications including those of November 12, 1992, May 19, 1997, and August 7, 1996. You are ordered to schedule inspections at 327 Jefferson Avenue Units#1,2, 3, 4, 5 which are currently in violation of Salem City Code Ordinance Certificate of Fitness, State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. The inspections must be scheduled within 7 days of receipt of this letter or the Board shall file a complaint against you in Salem District Court. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. F r the Boardof He Ilth Joanne Scott Health Health Agent JS/mfp CERTIFIED MAIL:Z 594 524 859 Certificate of Fitness 06/14/99 DATE LETTER SENT DATE PROPERTY LOCATED AT UNIT # OWNER/AGENT ---------------- ---- -------------------- ------ ----------------- ----------- 08/07/96 327 Jefferson Avenue 4 Three Hundred 27 Jefferson Realty Trust 11/21/96 327 Jefferson Avenue 3 Three Hundred 27 Jefferson Realty Trust 05/19/97 327 Jefferson Avenue 3 Three Hundred 27 Jefferson Realty Trust 7/23/9/ r t e, C�, O � G � ox Cv . 0M 7/ -eCITY OF SALEM, MASSACHUSETTS 0 �v� BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 SI CERT.# 32-03 � 1 � TEL. 978-741-1800 FEE $25.00 FAx 978-745-0343 DATE: 01/30/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 327 Jefferson Avenue UNIT #: 1 Front OWNER/AGENT: 327 Jefferson Realty Trust ADDRESS: P.O. Box 8671 CITY/TOWN: Salem, MA ZIP CODE: 01971 24 HOUR PHONE: 744-7264 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 , o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �3 e 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 HABITATION". PROPERTY LOCATED AT 2.2- 7 ArJiF- UNIT#L IS THIS UNIT DESIGNATED AS RIGHT LEFT ?RONT BACK PLEASE CIRCLE ONE OWNER/LESSER397 J9�JA! /1Li MAN GER/AGENT %0 yGFi�/Icd'J No P.O. Box No P.O. Box ADDRESS iib. 307' FG 71 ADDRESS lea 3c7° 967% CITY S 4LCA1 11.14- 01578 CITY '34IG6A'l, 1714 61476 RESIDENCE PHONE 0lZ-74V- 7d(-E/—BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9X- 7510 -/15°3 TOTAL NUMBER OF ROOMS:_3 ROOM USE: 1. L1Jiu6 Aist. 9X0&--J 3. 89cP49JA74. 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. /J APPLICANTS SIGNATURCe�.% P X° %�GJV/_&DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION J DATE OF ISSUANCE OF CERTIFICATE:7T30-6 3 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# 7 S?a CHECK DATE NOTES: 1\ CODE ENFORCEMENT INSPECTOR 9/28/98 u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �/ • 120 WASHINGTON STREET, 4TH FLOOR a 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 _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. Ln the event it is necessary [hat 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. 337 yT�- L�a� �¢✓>Ll _N AE„SEE 04.NER/LESSOR 397 , �Tr�23y�J eI✓z ?o. 3a _ 0G7/_ 5'•41kij 0,14, o1576 ADDRESS — --- ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE CITY OF SALEM, MASSACHUSETTS 4 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#465-06 DATE ISSUED: 9/25/2006 Property Located at: 327 Jefferson Avenue UNIT#2 Owner/Agent: 327 Jefferson Realty Trust Address: P.O. Box 8671 City/Town: Salem, MA Zip Code: 0197124 Hour Phone: 978-265-4032 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 SCOTT, MPH, RS, CHO r HEALTH AGENT CODE ENFORCEMENT INSPECTOR ~ CITY OF SALEM, MASSACHUSETTS BOARD HEALTH ,. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01870 �•/ TEL. 978.741-1800 FAR 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll H/ALrH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STA I•E SANITARY CODC.CHAPTER It, 10S CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCAIEDAT 327 Jefferson Avenue UNIT#._I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTRgQK PLEASE CIRCLE ONE OWNER&ESSER 327 .Jefferson "..=MANAGER/AGENT n-.,, r �, _. No P.O.Box Realty Trust No P.O.Box —_� = .reux, Trustee ADDRESS___ —_ADDRESS_ PC) Hnx A671 — PO Box 8671 CITY------ -CTY sat e RESiDENC0PA&k 978=744-7264 BUSINESS PHONE(24HRS.)-L—%74--2,r.,5-4032 BUSINESS PHONE_ _ — TOTAL NUMBER OF ROOMS:_. 4 —, RCOM USE. 1,_ k-f-.cbri�,--Lv._3.$.(Lrm. ,_,4 ha f h rye THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER 10 THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APFLICANTS S;GNATJRE !�? _ DATE._._ T(�z jsitz DATE OF INlIlAL1N$PEOI(4N� �_�.�. ._DATE OF REINSPECTION_. ._ _ DATE OF 130UANCE OF CERTIFICATE. .�- O d DATE FEE PAID: TYPE OF UNIT: DW-_THER__, CHECK s j-j-a... _CHECK NOTES:.. _.. . CODE ENFORCFMFNT INSPECTOR 9/28/9t' Sep 20 06 03301P Joanne Scott Salem BOH 878 745 0343 P,2 Y CITY OF SALF-M, MASSACHUSETTS OOARD OF HEALTH • 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 TCL. 078-74t-1000 FAX 978.745.0343 JOANNE SOOTY, MPH, R$, CHO Kimberley Driscoll IIeA_711 AGeur Mayor RELEASE In accordance with Massachusetts GeneraL Laws Chapter ill; Code of Massachusetts Regulations 410.000 et. sea. ; State Sanitary Code Chapter It and Article XTIT of r.he City of Salem Ordinance, undersigned owner/lessor and tenantilessec of a unit of residential property, hereby authorize the Salem Board uL Health or its aLthor- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regufatious and ordinances. In the eVOr,t it is necessary that said inspection bc. done in my/our absence, i./we expressly authorize the same and for my/our successors and assigns hereby relaasc and discharge the City of Salem, Salem boere of Health and its authuriz.d aj;eut; froom any loss or injury susti.incd of whatever nature and description occasioned by my/our absence during sid inspection,. Glv, 327 JEFFERSON REALTY TRUST ? dt'f'i/I.P,S Z'io' --- Ub'NERIiESSOi; —_ -- 327 JEFFERSON AVE . P•O. BOX 8671 SAL M,11-4 01970 # � 327 JEFFERSON ,'. AVE dllfIRI—S OF UNIT '1'0 iW I N>PHCTEII 1 CITY OF SALEM, MASSACHUSETTS r e BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ncRe r NHAUM@.SALr�M.COna DAVID Gm-F.NBAUM ACTING HEALn I AGENT CERTIFICATE OF FITNESS CERTIFICATE #411-09 DATE ISSUED: 8/26/2009 Property Located at: 327 Jefferson Avenue UNIT#2R-back Owner/Agent: 327 Jefferson Realty Trust Address: P.O. Box 8671 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7264 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 D I�I ENBA ) ACTING HEALTH AGENT CODE NFO CEMENT INSPECTOR (9 8)7 4 1-I*)tl DJUSCOLI Nf.1 vt m I �lk (-O.M D1vvw \um, AC iw; 0 Application for Certificate of Fitness IN ACCORDANCE VOTH STATE SANITARY CODE, CHAPTER 11, 10` CNIR4W.000 -NITNIN11T)l STANDAMS OP FIT NtSS FOR HUMAN HA8lT'ATI0N-- FFF-$50-00 PROPERTYLOICATEDA1327 JEFFERSON AVE. UNIT2 (STIRS t.!N1TDJ'>1GNA1-ED A FRONT 016—ACMI'L I,,ISI?c I lu,I K.(INF. OWNEWLESSER 327 JEFFERSON REALTY TRUc�,TAVAGER, Ai917NT PAULL 1HEUREUX NO P.0 BOX ADDRESS Po BOX --8,671_. _--------AF)DRESS2-4-L-AFAYE-TT.E- CITY, STATE,LIP SALEM MA 01970 CITY, STATE,Zjp SALEM MA 01970 RB I DENICH,PHONTU, 9 7 8-7 4 4--7 2 6-4. .--B US I N LSS PI I ON r- (24RR Q) 978-744-7264 BUSENESSPHON2 TO'rALNUiViBEizOl-'ROOMS:-----4 -- ROOMUSE: 1,LV-.RM 2-13D RM 3.KIT-qHEK-j._ BATH 5. 6, 1. 1 8- 9. 10 WHERE IS A FIFTY (S501 DOLI-,,,R FEE, I'AYABLE BY CHECK- OR kIONEYOnT)J-R T(--1 THE CITY OF SALEIv[ BOARD OFHEAL:1`H I'll IS 1 ULJ-',:-PAYA1.3!.FAT THF TB IE OF F,:sPECTI ON API'LiCANI-SSIGNATUTRIE-1. use onIy Daic Oninitial 4iwoct�on: Id ujol Date ofissuance Dalefcopaid:_ Tspcofunit DweWag_J __C)(1wr check i4 hce.1- datc: 1,� Code 17 nfbrcea CITY OF SALEM, MASSACHUSETTS b 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#467-06 DATE ISSUED: 9/25/2006 Property Located at: 327 Jefferson Avenue UNIT#3 Owner/Agent: 327 Jefferson Realty Trust Address: P.O. Box 8671 City/Town: Salem, MA Zip Code: 01971 24 Hour Phone: 978-265-4032 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 JOANNE SCOTT, MPH, RS, CHO V HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON > 0t 9. 4TH FLOOR SALEM, MAA Of 870 (/J^/•-t/�CJ/ TEL. 378.741.1800 FAX 978-745-0943 JOANNE SCOTT, MPH, RS. CHO Kimberley Driscoll MFALtH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STA fE SANITARY CODE,CHAPTER It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTYLOCAIEDAT 327 Jefferson Avenue _ UNITM 3 IS THIS UNIT DESIGNATED AS RIGHT LM FRONT RACK PLEASE CIRCLE ONE OWNERA.ESSER 327 _Jefferson .fMANAGER/AGENT-- :n_.., T , reux, Trustee L_. No P.O.Box Realty Trust No P.O.Box ADDRESS__—_— --ADDRESS_2D Bn,r 8071 — PO Box 8671 CITY------— CITY_ Sa1ea�__—._ RESIDENC0PA 978=744-7264 BUSINESS PHONE(24 HRS.) , p- —,65-4032 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_, 4 — ROOIAUSE. 1.- it Chn2.—L.v_3.hdrm. ._4. har},rm THERE 1S A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER 10 THE CITY OF SALEM HCALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION �� APFLI( ANTS S GNATURE ! 2.2-r' f -_ DATE_._ D26—TUE:OF INITIAL Iy,�p��jj��J _ � �D (7 GATE OF REINSPECTION_ DATE OF IDDUANCE OF CERTIFICATE:.�P' J L-0 0 DATE FEE PAID: TYPE OF UNIT: DWELLI OTHER--, CHECK a L3.,. _CHECK DATE f:�..,J. J o NOTES:.. CODE ENFORt`FMFNT INSPECTON W28/98 •� , -_ .zR�. "i "+ l"`s,s.. -T � xe a+. �'��`,;,,.'=3x,2 '' #� � cotmtr CERT.# 541-99 FEE '$25.00 + DATE: 09/15/99 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: 327 Jefferson Avenue UNIT #: 3 Back OWNER/AGENT: 327 Jefferson Realty Trust ADDRESS: P.O. Box 8671 CITY/TOWN: Salem, MA ZIP CODE: 01971 24 HOUR PHONE: 744-7264 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 r i 3 S2' 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 LOCATEDAT '1*27 Jaffer.-qnn Ayanna Salam MA UNIT#—I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT AC PLEASE CIRCLE ONE OWNER/LESSER 327 Jefferson RealtMANAGER/AGENT Paul L'heureux, Trustee No P.O. Box Trust No P.O. Box ADDRESS PO Box 8671 ADDRESS CITY Salem MA 01971 CITY RESIDENCE PHONE 744_72611 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.Liv RM 2Kitchen3. Bed gm 4. Bath 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 PAYABL,p AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION S -/J-' S 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: F- /I%!r DATE FEE PAID: �7 TYPE OF UNIT: DWELLING/OTHER_ CHECK# 3 L CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 05/19/97 Fax:(508)740-9705 Three Hundred 27 Jefferson Realty Trust P.O. Box 8671 Salem, MA 01971 PROPERTY LOCATED AT 327 Jefferson Avenue UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant .dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO �i 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 NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 11/21/96 Fax:(508)740-9705 Three Hundred 27 Jefferson Realty Trust P.U. Box 8671 Salem, MA 01971 PROPERTY LOCATED AT 327 Jefferson Avenue UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City.of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. -. 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR � �ONDIT CERT.# 540-99 FEE "$25.00 A DATE: 09/15/99 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: 327 Jefferson Avenue UNIT #: 4 Back OWNER/AGENT: 327 Jefferson Realty Trust ADDRESS: P.O. Box 8671 CITY/TOWN: Salem, MA ZIP CODE: 01971 24 HOUR PHONE: 744-7264 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: . j 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 4dpoy JOANNE SCOTT, MPH,RS,C 0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 �o 441 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 Tee (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 327 Tefferson Avenue Salem MA UNIT#_ 4 IS THIS UNIT DESIGNATED ASIR GHT LEFT FRON ACK PLEASE CIRCLE ONE OWNER/LESSER327 Jefferson RealtyMANAGER/AGENT Paul L'heureux Trustee No P.O. Box Trust No P.O. Box ADDRESSPOBOX X8671 Salem MA ADDRESS ( CITY Ralem MA 01.971 CITY (�\ RESIDENCE PHONE 744_7964 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.r,i v RM 2.Kitcher3. Bed RM 4. Bath 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION (-/f-Y 4 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: fir'- - Py DATE FEE PAID: �- -/S - f F TYPE OF UNIT: DWELLING 1f OTHER_ CHECK# 3 w CHECK DATE WSJ 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 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, 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 agents from any loss or injury sustained of whatever nature and description occasioned ... by my/our absence during said inspection. 32 Taffcr cnn_,�c� Y-_y} TENAN' ESSEr. Phyllis Flemin OWNER/LESSOR 327 Jefferson Ave A ± 4 Sa t em MA Pn anx - 8671 ADDRESS ADDRESS 327 Jefferson Avenue Apt 4 Salem, MA 01970 ADDRESS OF UNIT TO BE INSPECTED DATE V Y 4 3 gj CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 08/07/96 Fax:(508)740-9705 Three Hundred 27 Jefferson Realty Trust P.O. Box 8671 Salem, MA 01971 PROPERTY LOCATED AT 327 Jefferson Avenue UNIT # 4' Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR a � y �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 Date: 03/21/95 Fax:(508)740-9705 Three Hundred 27 Jefferson Realty Trust P.O. Box 8671 Salem, MA 01971 PROPERTY LOCATED AT 327 Jefferson Avenue UNIT # 4 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (S08) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE OF� REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DCRGFNBAUM@SAI.PM.COM DAVID GRI:?ENBAUNI ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#410-09 DATE ISSUED: 8/26/2009 Property Located at: 327 Jefferson Avenue UNIT#5 Owner/Agent: 327 Jefferson Realty Trust Address: P.O. Box 8671 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7264 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 D VI �� I A DGREENBAUM ACTING HEALTH AGENT COD EN RCEMENTINSPECTOR S TI S rn' OFSAI.EM, �l A (9781"4 ij 3 Yk m App(icaliwa for Certificate of FitIlCS,3 IN ACCORDANCE 'XITH STATE SAN11"ARY CODL, CHAPTER 11, 105 CVIR 410.000 "NITNIN'll T)l STANDAlU)S 0" l-'!TNt-SS FOR HUMAN HABITATION!' FEE: $50DC; PROPFATYLOCATE-DAT327 JEFFERSON AVE. 5— ISIS UN I T D)S I(-',NATE D ll�ca I'L Est FIR7; EONF, OWNEKILESSER 327 JEFFERSON REALTY TRU�XANA(,IEIt;AciENT_?_Ap�LL ' HEURE-UX—–----- NO P.O. BOX ClTY, STATE, Z!P SALEM MA 01970 CITY, SATE,Zip SALEM MA 01970 REWE-4,-r, Pp�DNJ� - -7264 BUSINESS PIIONF;('2414RS) 7B_-744-7264 .11 , _9_L8_744—......---l— BUSMSSPHONE— TOTAL NUNIBL"R 01, WWvIS: RDC)M USE: L.Ly__RM �KE;LKIT :j_ BATH 5,--- 6. 10 Ili ER El S A Fl F I Y(S50)DOLLAR FEF, 1 AY-kbLE I)Y CHECK OR ki 0 Ni EY OPJ)J--R TC-0 THE CITY C)F S"kLEN1 APPLICANT'S SIGN ATt-,RF_,_? __DATE I=ls tzPc tir'3—11sk,u-ly Date ofissuarice of Date i'ce Imid: T,, )a of Unit: Diveli og ai C Tkin vg�CON01T CERT.# 539-99 FEE $25.00 12 DATE: 09/15/99 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: 327 Jefferson Avenue UNIT #: 5 Front OWNER/AGENT: 327 Jefferson Realty Trust ADDRESS: P.O. Box 8671 CITY/TOWN: Salem, MA ZIP CODE: 01971 24 HOUR PHONE: 744-7264 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 �ONU1T,{� n � ���7MIIBW 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 327 Jefferson Avenue Salem MA UNIT#_ 5 IS THIS UNIT DESIGNATED AS RIGHT LEFT RON BACK PLEASE CIRCLE ONE OWNER/LES Terson Realty MANAGER/AGENT Paul L heureux Trustee No P.O. Box No P.O. Box ADDRESS PO Box 8671 Salem MA ADDRESS CITY Salem MA 01971 CITY RESIDENCE PHONE 744_7264 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1KITCHEN 2,Liv RM 3. Bed RM 4. Bath 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I - /-s-, S- F DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -/J � % DATE FEE PAID: t'-/3` 9 TYPE OF UNIT: DWELLING OTHER_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 5b • 'CeT'�iQ CERT.# 537-99 v4 FEE $25.00 r DATE: 09/15/99 1 a � nen w 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: 329 Jefferson Avenue UNIT #: 2 OWNER/AGENT: Steven O'Grady ADDRESS: 329 Jefferson Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-6116 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 ,J qvl�'-00� v JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOW. PROPERTY LOCATED AT 329 Sa✓1 Afe UNIT#Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER ��OG'*. 1 MANAGER/AGENT _ No P.O. Box ^ � No P.O. Box ADDRESS 329G sM t 5y �-- ADDRESS CITY �J o fit. /� ("t CITY RESIDENCE PHONE _NS- 1611►, BUSINESS PHONE (24 HRS.) BUSINESS PHONE 1`�y` 0915 TOTAL NUMBER OF ROOMS: S ROOM USE: 1. Wk2. 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_ 4 R INSPECTORS USE ONLY DATE OF INITIAL INSPECTION . f DATE OF REINSPECTION_... DATE OF ISSUANCE OF CERTIFICATE:/ DATE FEE PAID:_r� TYPE OF UNIT: DWELLINGX" '—OTHER_ CHECK#CHECK DATE �l NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 t . 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 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, Vwe 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 anddescription occasioned . by my/our absence during said inspection. Vervh Deli"_ TENANT%LESSEE. OWNER/LESSOR _329 Jt-�p.' 3-n ADDRESS -- -- --- ADDRESS -- — ADDRESS OF UNIT TO BE INSPECTED DATE--� I � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4t"FLOOR PubI1CSe81fh Prcvcnt.PmmuM.Protcn. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnsalein.com LIAR1tY lU\MDIN,RS/RFIIS,CHO,CP-FS MAYOR HFSr1L1'IiA(;I;N7' CERTIFICATE OF FITNESS CERTIFICATE #425-12 DATE ISSUED: 10/24/2012 Property Located at: 330 Jefferson Avenue.UNIT# 1 Owner/Agent: Gary Nadeau Address: 296 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-580-1488 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 LARRY RAMDIN HEALTH AGENT V SANITARI ) 10 m f CITY OF SALEM, MASSACHUSETTS ] '�Nmm BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PubHciKealtB Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL tramdin@salem.com LAIt1tY RAMllIN,RS/RI,sHS,Clio,CP-1^S MAYOR I-I IiAI,Tf I ACiI'.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" 7 JFEE: $50.00 PROPERTY LOCATED AT 330 eFFe1j-0i, ✓e _C 1C6A_jj UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OW / NER/LESSER V'a ry MjJeu MANAGER/AGENT NO P.O.BOX n ADDRESS 9Z �' t�54 �,g A-VC ADDRESS CITY, STATE,ZIP -/ lei U) 1�0 CITY, STATE,ZIP RESIDENCE PHONE "/ �� S �'l�f�� BUSINESS 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 P ABL AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only. Date on initial inspection: ld(kl} Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other Check# Check date: / Notes: UiL �cj`%n ri'at m,'d / e �IUiVIG(`U�VYl lUll� reJ� K,?-,z) k4)Ve— +0 �e ih,5-kt,ILFC7 p rlOY 6(3 ��zyt wiou( '311 h. Cod E o cemen pector '00 CITY OF SALEM, MASSACHUSETTS 'sur BOARD OF HEALTH 120 WASHINGTON STREET 4""FLOOR PtiblicHea Ith > Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 I IMBERLEY DRISCOLL Iranadin e,salena.com LARRY Rr1MDINr RS/REFIS,(A 10,C]?-F5 MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #424-12 DATE ISSUED: 10/24/2012 Property Located at: 330 Jefferson Avenue UNIT#2 Owner/Agent: Gary Nadeau Address: 296 Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-580-1488 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 RAMDIN HEALTH AGENT ANITARIA 10 CITY OF SALEM, MASSACHUSETTS SH �Iy��/� ' y BOARD OF HEALTH ��� a 1 120 WASHINGTON STREET,4"'FLOOR �� b h TEL. (978) 741-1800 F.AS(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com LrA1LR1"RAMUIN,ILS/ItI?FIS,CHC),<:P-YS MAYOR . H6ALTIl 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��(� J FF��� �� �° J����� UNIT# IS THIS UNIT DISIGNAnTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER r q�eu14 MANAGER/AGENT NO P.O.BOX p ADDRESS I � � C ADDRESS CITY, STATE,ZIP sq111"1A, AA( 0 °I Z d CITY, STATE,ZIP C� /J, G RESIDENCE PHONE 7 7� 577Y i y�� BUSINESS PHONE (24HRS) / 7� SSU 1 /j k 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 PA ABLE AT TRE TIME OF INSPECTION APPLICANT'S SIGNATURE ice' DATE Inspectors use only Date on initial inspection: 10 U (I a Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: S(C1U c7" Sr_y�p_eV1 hn b4rno l'1 cmk4 ProyIl I oc.!`c :6( bzet,( Loom 1n1,���tii.t I 0 rcement Inspector ��eONWT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 07/19/2001 Tel: (978) 741-1800 Fax: (978)-745-0343 Luis Santos DeLos 334 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 334 Jefferson 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 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. FOR THE BOARD 9F HEALTH REPLY TO Jo�otttt,,/Jf MMPH,RISS,,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ~ +'I��, CITY OF SALEM, MASSACHUSETTS .T It BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 10-5 rho SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#552-05 DATE ISSUED: 9/1/05 Property Located at: 336 Jefferson Avenue UNIT#2 Owner/Agent: Bernard Martineau Address: 336 Jefferson Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-2676 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 SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR w4CTTY OF SALEM, MASSACHUSETTS a" BOARD OF HEALTH t • 120 WASHINOTOk STREET, 4TH FLOOR �j• SALEM, MA 01970 I - TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SGOT(, MPH, RS, CHO '�♦„/ MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 10.5 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN LIABBIITJA�TIION" PROPERTY LOCATED AT -_.)Jl C1SIc UNIT IS IS THIS UNIT DESIGNATED A RIGHT LE T FRONT_BACK PLEASE CIRCLE ONE OWNERILESSER j ( lvIANAGER/AGENT_At`-% r4� No P.O. Box -��,»/ r No P.O. Box ADDRESS .4�rrF�/i.�dN1Lv - ADDRESS CITY.� � ._. _._CITY RESIDENCE PHON rj�� _.BUSINESS PHONE (24 EARS) {�xvr-a (t BUSINESS PHONE TOTAL NUMBER/}OF ROOMS: ROOM USE: i.� a 2, 64F_ dell 4 >�O la --ry�— THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THS FEE IS PAYABLE AT THE TIME OF INSPECTION. p APPLICANTS SIGNATURE -_ . -. --.DATE p'' -0 INSPEC I ORS USE NLY [SATE OF INITIAL INSPECTION �S � DATE OS= REINSPECTION DATl. OF ISSUAIUCf Cf= C[_I,'11Fi i�Tl' 9 b D 1 r- FI-F 11,011) r^ G Li TYPE OF UNI I DWG . �oTtar(1 CHECK 14 ' 7 .�;� ECE: oATF_ c� � NOTI_`S CITY OF SALEM, MASSACHUSETTS o 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 W W.SALEM.COM JOANNE SCOTT, MPH, HIS, CHO HEALTH AGENT 8/11/05 Bernard Martineau 336 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 336 Jefferson 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. 9F a h r the Board of HeReply to oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector �N, City of Salem, Massachusetts { Y B s 4n 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-17-164 DATE ISSUED: 6/8/2017 Property Located at: 347 JEFFERSON AVENUE UNIT#1 Owner/Agent: Donna Cooke Address: 347 Jefferson Avenue#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)741-1546 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. r B Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITAR/lAd CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 FOMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDIN@SALEM.COM 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" FEE: $50.00 // PROPERTY LOCATED AT -3y 7 _TB ��S�bi%4,,t� UNIT# Z<,?ZCI�y IS THIS UNI�TIDISIGNATED AS RIGHT LEFT FRONT OR BAa,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT crnp NO P.O.BOX ADDRESS— ADDRESS CITY, STATE,ZIP70 CITY, STATE, ZIP RESIDENCE PHONE 2 797W /5 & BUSINESS PHONE(24HRS) �ZQ BUSINESS PHONE TOTAL NUMBER OF//ROOMS:- ROOM USE: IJZ I(4 2. ,�/y Zt� 5:x�540' 6. 7. / 8., 9. 10. THERE 1S A FIFTY($50)DOLLAR FEE, P BLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA BL AT THETjjA4E OF INSPECTION .�.,, APPLICANT'S SIGNATURE DATE 6GA //� Inspectors use only ` Date on initial inspection:V30=7 Date of reinspection: /00v %2-017 Date of issuance of certificate: . .� Date fee paid: Type of unit: Dwellin Other Check# Za- Check date: ��6812OZ Notes: Vimmina wove 641-019m rrrwav mejS +0 r C d no ement Inspe or ® — mom. tom. Q�nSvl,C�� Inspection of124 Aa114 Date Time 2-i© Name Address Owner /J Tel. No. ! — OZA 2 Type of Inspection Ce.�nkr ;�ctt� �f�"neSs Inspector Y ( ' ) Remarks and Violations are listed below: ,, rl+a /� �__ l -Il w! cw'S rieA SGYCerlf 4ai &re. in �.C,& S mr^`10IP.S Fr 1 L � , r1 l / Ir_ n4 nr� Wau ha,�Llc+ DIlrN4 -oC�� lxrtG� oor�'noC�. r r Girt r 6 �LC$l Y- (241 (241 relwrt�114 e /ii be ��era�L,p 1 onh S , ttU.4 e.co rrt r.+ nn"rg- Crf4)irCi) 41!,oqjC hjf4-m plc ea4 64 sSS�e�, o wger lea S © liau s d rnrn f�Site c �r m>n �o CpYYIr��P ��_ � CoP'yroL�r l44 s® Once- �we invlS rAa - C,6m1I(_- , erl- ✓e-^lnSagc l0MWl �I be, r Report Received by: 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#71-07 DATE ISSUED: 2/21/2007 Property Located at: 347 Jefferson Avenue UNIT# 1 Owner/Agent: George J. Cooke Address: 347 Jefferson Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-1546 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 Q-4� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MAs8AGHUSE7TS 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT --UNIT # IS THIS UNIT DESIGN,TED AS R-! /H LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER _ _�A - - MANAGER/AGENT No P.O. Box /7 No P.O. Box -—� ADDRESS ADDRESS __ CITY- mv .. 0/ / ' CITY. RESIDENCE PHONE AUSINESS PHONE (24 HRS)_A/�� BUSINESS PHONE TOTAL NUMBER OF ROOMS:,- �i ROOM USE: 1,_-__--- 2.-_ 34. r77--. —5 THERE IS A TWENTY-FIVE ($25.00)/DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HF9TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, 4N- APPLICANTS SIGNATUREDATE- O&e- TORS USE ONLY 04 E OF i -Ij- INSPECTIONs 7 DATE OF REIi�SPECTION DATE OF ISSUANCE OF CERTIFICATE 2 ) "7 DATE FI:,i= PAID r& 7 TYPE OF UNIT DWELL IA's' OTHER CHECK I! 1 b CHECK DATF ' NOI FS �_._ CODE FNFORCLME.NI INSI'LC:'I Of � y r CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR ma 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#73-07 DATE ISSUED: 2/23/2007 Property Located at: 350 Jefferson Avenue UNIT#2 Owner/Agent: Donald Williams Address: 350 Jefferson 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 q l�JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECT R j. 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". d7 PROPERTY LOCATED AT '3S regsolu 1e UNIT # v�)— IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-&WAOLZ 20W-19H-S MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS -3Sa _2AFEi259V AV46 . ADDRESS CITY -`5,gAer / —CITY— RESIDENCE RESIDENCE PHONE f7tf-7y�11/ {BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS _�____ ROOM USE: 1.8Fd2ax" 2 _ 3._d _ 4 THERE IS A TWENTY-FIVE (S25.00) 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 __-_- A� [�-�--C �ltG�2- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION y 'd �3 "� / D.A T E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE a 5 - 7 DATE FEE PAID 2 - Z 3 '--) ? TYPE OF UNIT: DWELLITHER CHECK - tJ Z1 3 CHECK DAME :2- NOTES CODE ENFORCEW1ENIINSPECI OR ! CITY OF SALEM, MASSACHUSETTS „ e 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 #266-07 DATE ISSUED: 6/6/2007 Property Located at: 355 Jefferson Avenue UNIT# 1 Owner/Agent: Paul Lyons Address: 351 Jefferson 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 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODt INFORCEMENTINSPECTO CITY OF SALEM, MASSACHUSETTS • '� BOARD HEALTH S f f� 3 � 120 WASHINGTON STREET, 4TH FLOOR 1•IYfR�� 1 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". PROPERTY LOCATED AT .3:50- Jiri2tun Az! if UNIT# r IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 0 ��( �1`O�S MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3 ,4;-/ �%72f;;�,ro, ADDRESS CITY S -CITYf�4 f RESIDENCE PHONE S'7G"7�, d /S3 BUSINESS PHONE (24 HRS.) BUSINESS PHONES TOTAL NUMBER OF ROOMS: -� ROOM USE: 1._M4 2. 04 3. I) y 4.�Sv 5.x`4 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 SIGNATUR�. _DATE G G INSPECTORS USE ONLY DATE OF INITIAL INSPECTION dle le _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 41.-/9/42 DATE FEE PAID: - n TYPE OF UNIT: DWELLING OTHER CHECK# / 7 CHECK DATE_!C/4,k7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 C4��T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 09/27/2000 Tel:(978)741-1800 Fax:(978)740-9705 David & Kathleen Carpentier 356 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 356 Jefferson 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 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. FOR THE BOARD 0 HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR e0NU1T C 4 ��IMlryg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 120 Washington Street 07/25/2001 Tel: (978)741-1800 Fax: (979)745-0343 Cecelia Delande Realty Trust c/o Donald Delande 357 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 357 Jefferson 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 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. R THE BOARD 0� REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR v��00NU1T ���Q70NB> CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 05/29/2001 Tel:(978)741-1800 Fax: (978)740-9705 Cecelia L. Delande Realty Trust c/o Donald Delande 357 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 357 Jefferson 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 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. FOR THE BOARD REPLY TO oanne 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 DGRE.ENI3AUMna,SAI.EM.00M DAVID GRT-:FNI3AUM ACTING HEA IH AGF..N'r CERTIFICATE OF FITNESS CERTIFICATE #394-09 DATE ISSUED: 8/21/2009 Property Located at: 396 Jefferson Avenue UNIT#2 Owner/Agent: Mark Levesque Address: 396 Jefferson Avenue#3 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of yourv avant 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. FO TH� B(� kD OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT COD EN ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ��d� ams f,/• 8 BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRraENis,wM@SAJ.EM 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 ( � t Te i=t—e / le So I-em UNIT# a IS THIS UNI DISIG Fig-As CD S RIGHT LEFT FRONT OR BACK.PLEASES 6RC�LE ONE OWNER/LESSER Mac'K I PEN�u� MANAGER/AGENT SOLT 1 NO P.O.BOX � ADDRESSBOX ?43ADDR CITY, STATE, ZIP �e, . /�- / CITY, STATE,ZIP D IU�Io � RESIDENCE PHONE-U BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:) ROOM USE:�`I t ( 2&h M20 3 1Pri� 4�f COO M Ck I . LLIU 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY C ECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE S AYABLE AT THE T E OF INSPEC ION Q �p Q PLICANT'S SIGNATUR DATE p��I �V / ,�.rIC-S Si Sher Inspectors use only Date on initial inspection: f b( 16 g Date of reinspection: Date of issuance of certificate: oZ G 9 Date fee paid: /��/0 Type of unit: Dwelling V7/ Other Check# 7' Check date: j( d / G Notes: Q cyy a U, rcif ain rr6(1G)'1GQ-C_ &wi&— '-f� T(O/1fi 6k ') Code nforcement Ins or t. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 s 120 WASHINGTON STREET, 4TH FLOOR a �s SALEM, MA 01970 ', -„p• TEL. 978-741-1800 vTM - FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#353-05 DATE ISSUED: 6/1/05 Property Located at: 396 Jefferson Avenue UNIT#3 Owner/Agent: Mark W. Levesque Address: 396 Jefferson Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4844 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 SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECT R , qq CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON 'STREET, 4TH FLOOR SALEM. MA 01970 TEL, 978-74 1-1800 2.•• FAX 978-745-0343 .l 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 �„^„y OHUMAN HABITATION" PROPERTY LOCATED AT f ft p �fSE?nr / 4— 0`0- UNIT 4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE i•- �'i,.a ru OWNE Ma* ESSERG/ •l +�+/^FXeG MANAGER/AGENT— No P.O. BoxiL_� � No P.O.Box ADDRESS��p J�/Tze/S" q� ADDRESS_ CITY �/�{hr { Q�(-70 CITY _ RESIDENCE PHONE T — S^ BUSINESS PHONE (24 HRS.)______ BUSINESSPHONE ( "!J(� 'f 9` 6762 TOTAL NUMBER OF ROOMS R_ /J i _/ ROOM USE: 1. 1�GI7{�2 _{ 3._EJ1��_--4_LIA�#^ 77 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS PEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE , '/ [ , „ DATF 2,6 INSPECTORS USE ONLY (DATE_OI__INITIAL IN PEGTION J DATE OF REINSF'1=C I ION DA l E OF lo`iUANCF OF (:ER I11 CAIL3 DA I i I-E I'AI() lYPF 01- UNH DWl-LE-IN O'1liE0 LFii.CK j �7 U �7 Chif CK (PAIL5._ N')I ! c� CITY OF SALEM, MASSACHUSETTS �a BOARD OF HEALTH Z - $ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 '18q — TEL. 978-741-1800 Mn� FAx 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#216-08 DATE ISSUED: 5/14/2008 Property Located at: 402 Jefferson Avenue UNIT#1 Owner/Agent: Patria Berges Address: 402 Jefferson 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 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 O HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT E ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR Iscarr&AIRM.COM JOANNE SCOTT, HEALTH 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 U .Q ��2,�5� , � S� . c.m bywdi, UNITi« IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ��. A �� rCYQS MANAGER/AGENT NOP.O. BOX ADDRESS yacP1aV-P2/Sn-Al AJs2 ADDRESS CITY,STATE,ZIP SN I&jM JW k n L!o t) CITY,STATE,ZIP RESIDENCE PHONE 917%-'sIq- 1, 3% BUSINESS PHONE(24HRS) BUSINESS PHONE q-1 TOTAL NUMBER OF ROOMS: 11- 0p ROOM USE: I jn-,t Q_ 2. 14) q , �3. k i bG,4�4. Y1,110, ),n 5. 6. vj7. — 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 P( o, � � DATE Inspectors use only Date on initial inspection: ��.JI N40.2 Date of reinspection: i Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 9-7-2-0—Check date: Notes: w IIVIYI o TA wiyJow 1 � ' doom -6_iM r e in I InGc I in cca lAtng , rL �d 1V�ece is o_- &tjI C_(m on wl'rldow in bctulmom. e Enforcement Inspector a. 5 CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PablicYieaItb Tr1- (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL kaindin@salein.coin LrARR]'RA NdUIN,RS/RP.I IS,CHO,CP-PS S MAYOR Hj?'AI:IPI A(;FNf CERTIFICATE OF FITNESS CERTIFICATE # 175-12 DATE ISSUED: 5/7/2012 Property Located at: 402 Jefferson Avenue UNIT#2 Owner/Agent: Shana Quince Address: 402 Jefferson 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 LARRY RAMDIN HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �- 120 WASHINGTON STREET,4°`FLOOR TEL. (978) 74171800 Liz I KIMBERLEY DRISCOLL FAX(978) 745-0343 JJJ(((fff MAYOR UAMUIN e SALEM.COM LARRY RAMDIN,RS/REHS,Clio,CP-FS HEAUI'II AGI:',Nr 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 SV4a Je ecs6n AyVV . Snlem (ha 01986 UNIT# a IS THIS/UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �IIQ/Ya (�Gui(K.2. MANAGER/AGENT NO P.O. BOX ADDRESS yaa .)tec cow Ave. ADDRESS CITY, STATE,ZIP 5ulem. mA CITY, STATE,ZIP RESIDENCE PHONE Pb-�SOo-a 10`j BUSINESS PHONE(24HRS BUSINESS PHONE TOTAL NUMBER OF ROOMS:--5 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I//S PAYABL T THE TIME OF INSPECTION APPLICANT'S SIGNATURE 7 DATE (P// a. -( GCI: Gti$ 4S3 qi -1 Insroectors use only Date on initial inspection: 4 I 6IIa Date of reinspection: Date of issuance of certificate: Date fee paid: ' Type of unit: DwellinOther Check# 1 Check date: Notes: V3A✓IVl e aft r0 '" lAilmdow., urai a �rovt F err h h an mcub bie Co rcement Inspector