KING STREET p f
CERT.# 64-96
/ 3 - FEE $25.00
DATE: 02/08/96
MRS
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: 5 King Street UNIT #: 1st Floor
OWNER/AGENT: Elaine Martin
ADDRESS: 24 Davis Terrace
CITY/TOWN: Peabody. MA ZIP CODE: 01960 24 HOUR PHONE: 532-9145
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 LA:4 FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OFF HEALTH
UU 7
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT 'CODE ENFORCEMENT INSPECTOR
1jiF x
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410:000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT <TPe e T UNIT
OWNER/LESSER Esq 4We,7-1;,a MANAGER/AGENT
ADDRESS )Z/ 69 ,s Tez,4it ADDRESS
CITY �A/f,� /^y///z_ CITY
RESIDENCE PHONE .S.3d - 9/r/ !" BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: I. .C�rzNe 2• �� 3• /�/n�. 4• LCn��
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTHDEPAR D NT IS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIG NATDRE / DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: G /DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE:_ ✓��f DATE FEE PAID:I�A�
TYPE OF UNIT: DWELLING_ OTHER
NOTES: G. �p ,�7� kv45' Aezfc _;- Fni2 84•�ve.0 lS A�tnye�
CqMENT INSPECT
Z
CERT.# 777-94
3 FEE $25.00
DATE: 09/08/94
MII�
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: 5 King Stret UNIT #: 1st Floor
OWNER/AGENT: Elaine Martin
ADDRESS: 24 Davis Terrace
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 532-9145
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
q47-IZ-1t1r z-d. I Q L&5""
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
OFFICE USE ONLY
�p
4 s CERT. /177 % J
; s
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
- - 9 NORTH STREET
soa-gat-teoo APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ) UNIT 111 1 r 1
OWNER/LESSER —}^ I� MANAGER/AGENT
ADDRESS 9 Ll p� G V IS �n\2V V C3 G Q_� ADDRESS,(
CITY Y(JO� 9 Y 1 Q �j (o a CITY C Ntn
RESIDENCE PHONE ( e8� S3�^�� �� BUSINESS PHONE (24 RES.) Z
BUSINESS PHONE
� v 9 33 �3a cf/ Y�S/
TOTAL NUMBER OF ROOMS: �p
ROOM USE: 1 .�2. "Y
d4�, 1
6. cT y lin 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE �Qjjy p � -DATE9:y
INS(PECTOOQRS USE ONLY
DATE OF INITIAL INSPECTION: c b �v( DATE OF REINSPECTION L
DATE OF ISSUANCE OF CERTIFICATE: ? p 9 DATE FEE PAID:
TYPE OF UNIT: DWELLING iC OTHER
NOTES: "'cccc
CODE ENFORCEMENT INSPECTOR
`oNnI' City of Salem, Massachusetts
n I
q Board of Health
120 Washington Street, 4th Floor, Salem, PabliC,'Health
INS D Prt'ocnt.Promote. Protect.
MA 01970
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-17-262
DATE ISSUED: 8/25/2017
Property Located at: 5 KING STREET UNIT#2
Owner/Agent: Eric Duhaime
Address: 5 King Street
CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 210-6715
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 III "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.
EGagakis
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
• CM OF SALEM MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREh-r,4"'FLOOR
TEL(978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR LRAMDIN )5ALA,r.C()M
LARRY RAMDIN,RS/RF.HS,cm,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 l UNrr#—
IS THIS UNIT DISIGNA AS RIGHT IMT FRONT OR BA�CB PLEASE CIRCLE ONE
OWNER/LESSER r ff, �V I j MANAGER/AGENT
NO P.O.BOX
ADDRESS �I ADDRESS
CITY,STATE,ZO' "► CITY,STATE,ZIP l
RESIDENCE PHONE BUSINESS PHONE(14HRS) ��I IGS
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: L 2.j Q MMC�3 Q-?*'Vb a W Q YM 5 1 i7
b. C�Q 7. �N4n 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 Y4YABLE THE TIME OF INSPECTION
APPLICANT'S SIGNATURE
Inspectors use only
Date on initial inspection: 117 Date of reinspection
Date of issuance of certificate: Date fee paid
Type of unit Dwel iug__p[her Check#__Check date:
Notes:
'b
Code me>t spedor