JUNIPER AVENUE 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
4/4/06
Mary Wenzel c/o Tache' Real Estate
596 Minniford Avenue
City Island, NY 10464
PROPERTY LOCATED AT 13 Juniper Avenue Unit House
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
or the Board of H lea th Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
a e. 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#474-06A
DATE ISSUED: 9/25/2006
Property Located at: 18 Juniper Avenue UNIT# 1st floor
Owner/Agent: Stephen Livermore
Address: 16 Juniper Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5354
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 /
qr-oe-�
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SAL IEW, MASSACHUSETTS ey )))
80ARD OF HEALTH ! ��
120 WASHtNCTON STREET, 4TH FLOOR j
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 HUMANHABITATiO "
PROPERTY LOCATED AT C.! {' �_i �v � 1�{/UNIT # '�k
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT T BACK PLEASE CIRCLE ONE
OWNER/LESSER �,_�(�� IANAGER/AGENT ___—_
No P.O. Bo No P.O.Box
ADDRESS_V7 t�L�?l/ILIa&V �Z WU ADDRESS ._____
RESIDENCE PHONE% S "15VUSINESS PHONE (24 HRS)_
BUSINESS
TOTAL NUMBER OF ROOMS ._+__
Room USE: t
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 -_-9�E�c
OATET_ s UN
E AY
DATE OF INITIAL�hSpECTION_ %'�-J" DATE OF REIN SPECTION „
DATE OF ISSUANCE OF CERTIFICATE r� s !� (,DATE FEE PAID d ,s
TYPE OF UNIT: DWELLING OTHER CHECK 0 p2 �/ CHECK DATF
INOTES _
CODE F_NFOHCLMLN1 011 rN2ttPtS
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