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LAFAYETTE STREET 1-105 00 CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4"�FLOOR PablicHealth YrtveN.Yromoe.Protea. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin A,salein.com L,kRIO•izAnanlN,Rs/REIIs,cHo,cr-rs MAYOR HFAI;rN Ac11;N'f CERTIFICATE OF FITNESS CERTIFICATE#235-13 DATE ISSUED: 7/18/2013 Property Located at: 51 Lafayette Street UNIT#310 Owner/Agent: Nancy Von Borzestowski Address: 51 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-882-4595 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B RD O EALTH �� LARRY RAMDIN �L . j HEALTH AGENT SANITARIAN If 3 CITY OF SALEM, MASSACHUSETTS ria BOARD OF HF:\LTH 120 WASHINGTON STREET,4"" FLOOR � TEL. (978) 741-1800 K,IMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1,1tAMDIN QQSMLEM.COM LARRY 1L\MDIN,RS/REHS,CHO,Cl'-FS HEAL'Lt-I 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 51 LAFAYETTE STREET UNIT# 310 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACI,PL C-6E-9N OWNER/LESSER NANCY VON BORZESTOWSKIi MANAGER/AGE ZOE KARADEMOS NO P.O.BOX ADDRESS 51 LAFAYETTE STREET UNIT 310 ADDL(2 ST CITY, STATE, ZIP SALEM MA 01970 CITY, STAT970 RESIDENCE PHONE BUSINESS P4595 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. KITCHEN 2. LIVING/DWING 3. OFFICE 4. BED 5. BED 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 TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: "?—) �" T Date fee paid: �)8''I—>Type of unit: Dwelling ✓ Other Check# 3;�) Check date: S' I Notes: G -" I �pDD11' City of Salem, Massachusetts r � > Board of Health 120 Washington Street, 4th Floor, Salem, pt161iCHBe1lh MA 01970 Prevent. Promote. Proleet, 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-16-315 DATE ISSUED: 8/24/2016 Property Located at: 51 LAFAYETTE STREET UNIT#403 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. YffreXML4)t�X Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN u ti. CITY OF SALEM, AlAsSACHUSETTS . BOARD(w HI ALI E I 'fie I 120WASHINGTON StRii'-c 4'"FLOOR "PrL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 N'1AYOR i.xANIDI a�sN J;na.CON LARRY RAMI)IN,RS/RP.f fb,010, I-If - 1i,-ni A(-,F-'.NT 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 51 aia%fte. SAY& UNIT# 0L IS THIS UNIT DI GNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER MANAGER/AGENT Rk'�(LLC ADDRESS ADDRESS I'l1450 S�YC�f SI U /' CITY, STATE,ZIP CITY, STATE,ZIP S*U,YVtl(-f/'MI/f 07-R3 RESIDENCE PHONE BUSINESS PHONE(24HRS)(00"fDZ51 t% BUSINESS PHONE TOTAL NUMBER OF ROOMS: �" ROOM USE: 11oc OOrvl 2*Jrb6M 3.IOdkfRVn 4)Dli1.�11YU M 5.M(VU)V1 6. , i 7. 8. 9. 10. lv nuroom IabntlYwYuvtm 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 SIGNATUREIA►14/ DATE V G 116 Inspectors use only Date on initial inspection: 0-112-W—)OU Date of reinspection: Date of issuance of certificate: Date fee paid: AV22a0m Type of unit: Dwellin Other Check#_YWS:?_Check date: 0Y%22/2.Qk6 Notes: Co e�fo ement Ind ctor !a A CITY Or SALEM, TNL�sSACHUSETTS 3t BoARD O1 HF 1 ni 120 WASFUNGTON STRFi-,T,41"FLOOR ET-'. (978) 741-1800 KINIBERLL'Y DRISCOT.I, FAX(978) 745-034 3 MAYOR LRAMMN@a A cat.CO L uun'R,vnmrN,16/RFr1 ,(TIO,cr-res Hu A7:PFI AG[!N'1, 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, 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. Uwe 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. enant/L� see Owner/Lessor 51 LhLWQM4465 11 IVA100 1W SIN SWWV MA ZIN3 Address Address Address orVunit to be inspected to Updated 5/23/11 / ND City of Salem, Massachusetts Board of Health 9 p�� 120 Washington Street, 4th Floor, Salem, 1th MA 01970 Pf<.<nt.Promote. Pru Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-382 DATE ISSUED: 10/7/2016 Property Located at: 51 LAFAYETTE STREET UNIT#405 Owner/Agent: Margois Management Address: 891 Hyde Park Avenue City/Town: Hyde Park, MA Zip Code: 02136 24 Hour Phone:(617)851-6942 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. &re Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS F • BOARD or HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. ()78) 741-1800 KIMBERLEY DRISCOLL ,� FAx()78)745-0343 R•1AYOR �•0 � a L RAxDMQSAsLJ- LARRY RAR{DIN,RSfREHS,CHO,CP-FS ��I iJ g' HEALTHAGENT a0 }60. C�L'f� N�y Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE„CHAPTER 11, 105 CMR 410.000 IWINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.0 PROPERTY LOCATED AT 51 ( �GAy c{ e fes` 7�5 L N17'# tI IS TBIS UNIT DISIGNATED AS BIGHT LEFT FRONT OR,BACK,PLEASE CMCLE ONE OWNEMESSER &W) . ")b(,k1 J45 MANAGERt AGENT Mf Aaoe aN, ' NO P.Q.BOX r? ADDRESS ADDRESS X91 fj�l �1yr ' Atlz° X367 CITY, STATE,ZII' CITY, STATE,ZIP /�i✓Je Ar - tvJ✓� tS 3/36 RESIDENCE PHONE BUSINESS PHONE(24HRS) �to/�� '�� ' �6V BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOMUSE: I ji cJta- 2 133r&ayr^ 3 Liv,-� 4..&.� 5. &A- 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 Ti � DATE Inspectors use only Date on initial inspection: 11(' nn Date of reinspection: Date of issuance of certificate: Ef b Date fee paid: 5-/`2401' _ Type of unit: Dwelling_. Other Check# Check date: Notes: od for went InS7111r, �N City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, 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-16.381 DATE ISSUED: 10/7/2016 Property Located at: 51 LAFAYETTE STREET UNIT#408 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivalon Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. WeBjVzo� Larry Ramdin, MPH, REHS, CHO 6-1 HEALTH AGENT SANITARIAN A «. C l'1 Y OF SALEM, -NUsSACHUSETI"S BoARr)or HI ATA 11 120 WASHING rON S'L RGHT,4'" FLOOR TI>T- (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR i.xnnanm a2s.\T.t;:NT.coN LARR1 RAMI)7N,RS/RFf IS,0110,CP-FS I-IG,-At fi AcENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" y� FEE: $50.00 PROPERTY LOCATED AT51 Q S II � UNIT#18 I,�fa�,�k IS THIS UNIT DIS NATED AS RIGHT LEFT FRONT OR BACK,PLEASECIRCLE ONE OWNER/LESSER MANAGER/AGENT R(,G"LLC NO P.O.BOX SlfrM o/�1 ADDRESS ADDRESS(I IUa1D� SIUO CITY, STATE,ZIP CITY, STATE,ZIP SOW r 1(,(,pM2l A �OZII,j RESIDENCE PHONE BUSINESS PHONE(24HRS)Iol1'LD L�Ji OJ 4J BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1_.�� ROOM USE: A16fdVh 2.N rWM 1MROW, 4.bAMW) 5. "W\ 6VDDM� 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 �q APPLICANT'S SIGNATURE�,/�I/�/L+ IATA/✓ DATE U I Inspectors use only Date on initial inspection: 0��/i2E Date of reinspection: Date of issuance of certificate: 1n(b w2 D)-g Date fee paid:OW/1 L12-6.2,6 Type of unit: Dwelling Other Check#3 TI q-V Check date: fg/0ZZ201.6 t � . r , Notes: L v oo w o e as LLu C e f cement In ctor ❑ Pella Windows & Doors Report: ServiceTicket.rpt 45 Fondi Road Phone:(978)373-2500 Printed:October 05,2016 Haverhill,MA 01832 Fax: t ) _ Service Event: 101692 Email: Fin.XRef: Service Event: 101692 Terms: COD Created By: Larry Arsenault Service Tech: AL BETTENCOURT Request Date: Wednesday,August 17,2016 Schedule Date: Monday October 03,2016 01:15 PM Requested By: PHONECALL/LARRY Biu To Other: Yes Account# 9997 Hone DERBY LOFTS,CONDOS Biu To ERIC SIMARD Owner 51-71 LAFAYETTE STREET 217 NEW BOSTON ST UNDP 408 WOBURN,MA 01801 SALEM,MA 01970 Evening (978)758-7952 Day (617)908-0122 Directions BIANCA 978-758-7952 CALL 1/2 HR OUT OS ;Glass breakage external force Glass. ; Location:G Me .,x-a.. Qty `:,'' Brans Architceit'Scnics xft` edanng CASA5/8"InsulShld IG (521S ` ; .�,` 3 Product u„ _ FBn�ng A, ommercfal FIung ;� SCD)` Vent-Contemvorary 67:33 Top:Bot Sash S (VC) Accessory • Color - q Special Enduraclad(onl)r PR prefixes) (CSl) as,,z3 a t Vintage 7204 sine 5 x 84 aMateriat Bitting Category. Charge .e.:k. Labor Billing Category: Charge'.. u . ce r IVESTIGATE BROKEN"WINDOW I UN T 408;"GET MEASUREMENTS AND SERIAL NUMBER TO ORDER ORRECTSASH.,-" , Part No.and Description Order No. Qty Unit Price Ezt.Price Com ncom Tete ,Ciocdled Order Partsh T,`.�,r a�Addi Tn Est.Routs O 50 Act.Hours sz P � , P IN 0.50 * (s01 EV ALUATION'FOR.,TOl?SASHUNTT 408tLIV,IN4'ROOM*** For information regarding the finishing,maintenance,service,and warranty for all Pella products,visit the Pella Website at www.pella.com Page: ] it Pella ) i,�T D 7� ii L"ella Windows s C1(, Doors Report: ServiceTicket.rpt 45 Fondi Road Phone:(978)373-2500 Printed:October 05,2016 Haverhill,MA 01832 Fax: ( ) _ Service Event: 101692 Email e ipe -Difficult tocliOperation f.. Location:G Qty . Brand 'hiteot, Serie9" `'; i(AS) Glazing 5/8"In'sulShld IG (5215 Product Fnngiug x o»ectai Dung (CD) ent-Contemporary 67:33 Top:Bot Sash S (VC) Accessory :° Color z u11,Sbteen ° " ,(FS); Special Enduraclad(only PR prefixes) (CSI) 8561] rY; Vinta a` t r Size g 072004 '-s- Si5 x 84 nM atetial Billing CateS .. Chargge , Labor Billie Category:ry� Char e �O 3 i"�'*.*FARTS'**'NEED TO ORDER SASH:UNIT#`408 Part No.and Description Order No. Qty Unit Price Ext.Price ash Only Archttect Double Iung 45 Xv57'Eldndge,Gra�, 1850101692 1 $230.70 $230.70 Co ncoepplefea❑XiCam ed OrderRarfswv ,,� a Addl Trrp "'EH.Hours 1-00 Act.flours 1.00 df 74 MPLACED IGP SGASFF y Sf x Travel Hours 0.50 Payment Method ❑Check # Last anticipated deposit: Credit Card Parts $230.70 Amount Paid Labor $180,00 Tax Total $14.42 Credit Card Vendor Exp.Date Total charge $425.12 Adj $0.00 Account# And Paid $425.12 CustomerSignature Date Balance Due $0,00 For information regarding the finishing,maintenance,service,and warranty for all Pella products,visit the Pella Website at www.pella.com Page: 2 w a � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -- 120 WASHINGTON STRLET,4...FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRE.PNBAUM([DSALGM.COM D.Avu)GRI'.F.NBAuM ACTING Fft Am:n-I AGENT CERTIFICATE OF FITNESS CERTIFICATE# 110-10 DATE ISSUED: 3/11/2010 Property Located at: 51 Lafayette Street UNIT#411 Owner/Agent: Stephen & Nicole Costa Address: 51 Lafayette Street 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 D I/{V D GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS I BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAIW ilsALF.M.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: $50.00 PROPERTY LOCATED AT T I Lo a.,tUp- 94 Soy(@ .-, UNIT# Y IS THIS UNIT DISIGNA ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER91rdign N:"Ie C4s4-o, MANAGER/AGENT Set P NO P.O. BOX T$f/l� �vFt��') QQ��1/P fS ADDRESS I -L4- ADDRESS CITY, STATE,ZIP D Ry CITY, STATE,ZIP RESIDENCE PHONE 61'7- Sj I-7 O g q BUSINESS PHONE(24HRS) C I-7 -c{9 W— 3 %'S a BUSINESS PHONE TOTAL NUMBER OF ROOMS: `/ Sr 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 L.ecac .ns APPLICANT'S SINnUE _" Q / y � ygdJ�ATE / (<< D 1 Inspectors use only Date on initial inspection: /t ( Date of reinspection: Date of issuance of certificate: '31016 b Date fee paid: (311t110 Type of unit: DwellingOther Check#_Check date: C3/11// /U Notes: SV UA S j !) �/l/tn pw cS D R (16 ct- l� 4�I�' CA c Code E forc enI Inspector 1 CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON SFREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR UGILPIN6AUM�a SALGM.COM DAVID GR13I':NBAUM ACTING HISALni AGENT CERTIFICATE OF FITNESS CERTIFICATE# 113-10 DATE ISSUED: 3/11/2010 Property Located at: 51 Lafayette Street UNIT# 502 Owner/Agent: William Dillingham Address: 110 Stuart St City/Town: Roston =ip Code: 0 21 1 (?4 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 I 1 DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFb#CEMENT INSPECTOR 113-YO y • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL, FAX(978) 745-0343 MAYOR DGIIEENBAUMng ALe.M.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." L� rh FEE: $5,00.00 , _ PROPERTY LOCATED AT S 1 r-o.Tawe 4 f a-S4' oc S�G., , V t- UNIT# a IS THIS UNIT DISIGNATEb AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCTO`Fr, LC • OWNER/LESSER LU , I I:w . �- �� I ns ��.-��hb'iAh46 AGEaJN? t4m .� NO P.O.BOX V- I d ADDRESS 110 ,S4% -r- Sd. 1F1* ADDRESS CITY, STATE, ZIP_ Re)s i-dn HA 69 116 CITY, STATE,ZIP RESIDENCE PHONE C 17-'157- 6 OS 9 BUSINESS PHONE(24HRS) BUSINESS PHONE d; I I C? a.d CoM TOTAL NUMBER OF ROOMS:— ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION Leas:..v A aan+ APPLICANT'S SIGNATURE `-� �n �,.JCQ AJwM 6.gDATE l Inspectors use only Date on initial inspection: !f l d Date of reinspection: Date of issuance of certificate: 3/11//o Date fee paid: (3/oho Type of unit: Dwelling Other Check#_Check date: 3 /u/�o Notes: Cod n rcement Inspector s � � " CITY OF SALEM MASSACHUSETTS BOARD OF I-IE.ALTH " 120 WASHINGTON STREET 4."FLOOR PublicHealth Prevent.Promote.Protect. TEL. (978) 741-1800 FAl(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com L,V2R]'RnNrotN,Rs/tlt.rts,CI 10,CI)-FS' MAYOR I-Iu,Avri I AG1KNP CERTIFICATE OF FITNESS CERTIFICATE#328-14 DATE ISSUED: 9/30/2014 Property Located at: 51 Lafayette Street UNIT#504 Owner/Agent: Janice Kostopolous Address: 7 1/2 Church Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-365-6316 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r LARRY RAMDIN HEALTH AGENT SANITARIAN FromzGoldwell Banker Salem, Na. 9787455700 09/29/2014 10:03 #755 P.001/002 3 \ Bo-APD OF HE.iLTH 120 WkSHLNGTON JTF:F,ET,e FLOOR: TYa,.(97$)741.-18W ICIN23ERxALFEYT RISCOIL FAX(978)745-0343 iYTOR tRA°Kn7N M,,�C R3 LARRY RANiDw,its/9EHs,cxa cv-Fs I�_'E<4L'IFi 9GENT . Applkation for CerSsficato of lidless Ltu ACCORDANCE WITfI STATE SANITARY CODE,CHAPTER 11,105 CMR 47.0,000 '%GNIMUM STANDARDS OF PTTNESS FOR HUMkN HABITATION" / F $50.00 PROPEKTY.LOCATBD ATf 1 ITNZttl gv 15 THIS'I DISI AS YG,,. .Y.IL FRONTQRBACE., 'akcL "S a4JER/LESS �MANAGEW AGEN"I_ NO P:O.BOX ADDRESSegg Z., AL ADDRESS f +. CPIT,STAT)? 2IP v iTi,STATE,ZIP RESIDE .usimEssPHaly (24im) J7- 36I- 103 - Hus 'oSSPIiONE /t TOTAL N MBEROFROOMI S, jA��f7r ROOM T3SR I. 2. l liS 3. DG¢JYW7 4.ge AMPS- 6 M 5_5 f�( 7 RITAXIA a rul 49: 10. TIME IS AFIFTY(S50)DOUAR FEE,PAYABLE BY ORMONr ORDER TO THE CITY OF SALEM 13 RD OF HEALTH TITS FL E IS AYABLB AT THE T NSP W j/ APPLICANT'S STGNATi RE L� I}ATEt j _ �(yy ZZ IusPexxors use ozaty Date on initial inspection: "//V/� Date of rew,pectbn Date of issuance of certificate:_ Date fce paid: _ Typeo£lunt TwelLug _Other_�Chec7t# j�t._4heckdaic t � 'Notes- Cade ent lnapccfor (p14D City of Salem, Massachusetts ' f • i Board of Health 120 Washington Street, 4th Floor, Salem, PablicHea Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-153 DATE ISSUED: 5/6/2016 Property Located at: 76 LAFAYETTE STREET UNIT#3A Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 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 0,--A4� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OI'HEALTH 120 WASHINGMN STREET,4'"FLOOR TEL. (978) 741-1800 I IMBERL.EY DRISCO.L L FAx (978) 745-034.) MAYOR a,� rnm ilsni.r: 1.COM LARR}'RAMMN,16/11ETTS,CI[0,(T-Ps. Hi-,ALTFi AG1i,N'11 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 I I Lwdvyl�k WW UNIT#_. 34 IS THIS UNIT DISICNATED AS RIGHT LEFT"FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT �� LLC NO P.O.I}OX ADDRESS ADDRESS01VAI00 Sf(W WO CITY, STATE, Z1P _ _CITY, STATE, ZIP SOmiyyoe, RESIDENCE PHONE BUSINESS PHONE(24HRS) lol "lod5 BblS BUSINESS PHONE_ TOTAL NUMBER OF ROOMS: ROOM USE: 1 06uy\ 24414_QOVh,._ 3-bpd[.a 4 Iflft, .,a.ba YBOYYI b b�khl�nm _ 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 u APPLICANT'S SIGNATURE O L^ l DATE I d� l(0 Inspectors use only Date on initial inspection: © Q� -/,2 Qlz Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwellin Other Check#3Q2 7T Check date: Notes: o E orcement pector • a • CITY OF SALEM, MASSACHUSETTS u BOARD OF HEALTH 120 WASHINGTON STRFLT,4"FLOOR pPubliCHeatth TEL. (978) 741-1800 Fax(978) 745-0343 KTMBERL.EY DRISCOLL lramdin@salem.com MAYOR LARRY I2A MDIN,RS/REHH S,CO,CI)-FS I-I[.,,A L I-r AGENT CERTIFICATE OF FITNESS CERTIFICATE #468-14 DATE ISSUED: 12/30/2014 Property Located at: 76 Lafayette Street UNIT#3B Owner/Agent: RCG, LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone: 978-740-0006 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 ie- . LAR MDIN HEALTH AGENT SANITARIAN • b /L CITY OF SALEM, NZAssAcxusErrs I 9 Y>� BOARD OF HLALTFI 120 WASHINGTON STREET,4."FLOOR PabfiCHealth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnsalem.com ' MAYOR LARRY R9A91�IN,RS�REHS,CI{O,CP-1S HF.m.I H AGF NT 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 74 Lgy"7 ,eI ' S+ UNIT# -� 13 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER <<" , C,(_C MANAGER/AGENT NO P.O.BOX '— ADDRESS 17 Xyalo0 5T ADDRESS CITY, STATE, ZIP Swi.eryi 1�. ✓tA 0) "-(3 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 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 �T` DATE z 30 / Inspectors use only Date on initial inspection: a�3�I L1 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Coden&dement Inspector SND City of Salem, Massachusetts10 On f ► Board of Health n 120 Washington Street, 4th Floor, Salem, P11b1fCHeAlth MA 01970 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 M GHL-16318 DATE ISSUED: 8/24/2016 Property Located at: 76 LAFAYETTE STREET UNIT 0C Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. jjeqrVB12VWj1 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN p CITY OF SALEM, U°1SS11CHL'SET`17S .. ? B(.)ARD GI HEA1 I FI " 120 WASHINGTON STREET,4"' FLOOR TEL. (9 i8) 741-1800 MNIBERLEY DRISCOU Ea(978) 745-0343 MAYOR LRA NrniNfiALl'Af.CON L; izm,RANIDIN,RS/RUNS,C110,CR-FS F1u;\i rtt,A(&-xj. Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" C ° FLEE: $50.00 PROPERTY LOCATED AT 1 u Lc�1 a"'�QkI�, Y wt UNIT# 3 L IS THIS UNIT DIS GNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT Wr - LLC NO P.O.BOX ADDRESS ADDRESS �'Iy CaXQ0 S �k S�0 0 CITY, STATE,ZIP CITY, STATE,ZIP JAMY -"V dL(„ MPf ©U4S RESIDENCE PHONE BUSINESS PHONE(24HRS) (01`1- t�ZS'B31j BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1�� 2.bV*VWVn 3."WWJV 4.11V)4YWM 5. OVi(,L 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISPAYABLE AT THE TIME OF INSPECTION 6 APPLICANT'S SIGNATURE ► A,,.::1 %, DATE S Inspectors use only Date on initial inspection:Q a2f? Fi Date of reinspection: Date of issuance of certificate:W=01 6 Date fee paid: Mzw 0 OPi Type of unit: Dwelling_ Other Check#Check date: 69/2i1� Notes: C n rcement pector Nn City of Salem, Massachusetts fi n Board of Health tp n 120 Washington Street, 4th Floor, Salem, Puth 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-16.317 DATE ISSUED: 8/24/2016 Property Located at: 76 LAFAYETTE STREET UNIT#31) Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. J re arosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, NL-kSSACHUSETTS BoARn oi7 HFAT,-] 120 W1ti1nNcrtm Sr1wa'1,4"'Pi00it Tu- (978) 741-1800 KIMBERLEY DRISCOLL FAA(978' 745-0343 MAYOR i.RAN1nn@NA].t N1.(-.on1 L,uW,RAMI)IN,RS/RI'.f fS,t'I lo,(P-NS I Ii±Ata H Ac,rcNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" i c y� pSnFnE�E,: $50.00 PROPERTY LOCATED AT l9 1-066 11 l ��C�II UNIT# 3D IS THIS UNIT DIS NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT LUC NO P.O.BOX ADDRESS ADDRESS 11 1:0100 WP.O SIOO CITY, STATE,ZIP CITY, STATE,ZIPJ6Wl, VVi1lt n MA 01143 RESIDENCE PHONE BUSINESS PHONE (24HRS) 0 -b?-5' ©O 5155 BUSINESS PHONE TOTAL NUMBER OF ROOMS: tt ROOM USE: L,fAICpIhm 2.1iV(I�G VWYV) 3.11 N01 4.WhnuM 5. 6. �.J 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 I U V DATE B f Z II Inspectors use only Date on initial inspection: 22656 Date of reinspection: Date of issuance of certificate: 02/?-2/2L2W Date fee paid:0,112212 , Type of unit: Dwelling--/—Other Check#ltOOS�Check date:Co7� Notes: Co/�fnXrcement Spector lb CITY OF SALE,M, TNL-kSSACHUSE'17fS BOARD oi7, Hi-' ji Ai:r 120 WA,',ITJNGT0NSTRrr.T,41"Fl.,oOR 'f'T-",T,. (978) 741-1800 KWBERLEYDRISCOLL FAx(9 73) 745-0343 AWOR a:: nnN('vs: l.etir.cotil L%RRN,IU1 MD1N,RS/R];f 1,;,(:I-lo,cp-R"" HH WH I iV;kN F Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. State Sanitary Code Chapter 11 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 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. Uwe 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. k&nXes`see Owner/Lessor I� wftx�VW*50 Sb"iloA01143 Address U Address alis wvmAyu svo-*S� Address J unit to be inspected bate Updated 5/23/11 �oNttt "" City of Salem, Massachusetts x � a Board of Health ,a y 120 Washington Street, 4th Floor, Salem, 1311 icHealth MA 01970 Prevent. Promote. Prosect. 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-16-295 DATE ISSUED: 8/12/2016 Property Located at: 76 LAFAYETTE STREET UNIT#3E Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. AJeffr (Barosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 00 CI1'1' OF SALEM, NL�SSACHUSE'I 1S BOARD of FTt Ai l n 120 WstitNGTO'\ STltrrT,4'" F[,OOR. TFT- (9 8) 741-1800 I,ONIBERI E)7 DRISCOI L FAX(9 78) 745-0343. MAYOR :;1mu ix a' : f.fr f.cotif L1mu,y PU\MDl N,RS/Rlif fS,C110,CP-i s He:;1t;rlt Ace;:N'r 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 16 1,4 ;11L�i' UNIT# IS THIS UNIT DI GNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT 111 G W(- NO P.O.BOX 1r1 ADDRESS ADDRESS l 1 lVaM S�0, I. wl SILO CITY, STATE,ZIP CITY, STATE, ZIP SCY�9JOLU/M9 OZI�I? RESIDENCE PHONE BUSINESS PHONE(24HRS)��7"U�Z5"83IS BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: L Y10M 2. WrvOYM 3.00106M 4.�rau�� 5.iiM Wrn 6. N� K ihAnn 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 7 APPLICANT'S SIGNATURE (l7/L DATE J �� Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: W63120" Date fee paid:0V1 1_/2ng Type of unit: Dwelling ✓ Other Check# 3qqlL Check date: 0 24Q S 21.6 Notes: C d Ifo ment Insp or f n + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR PublicHealth Prevent.Pmm"m,Protect. TEL. (978) 741-1800 FAa(978)745-0343 KIMBERLEY DRISCOLL ltamdinna,salem.com LAiaa'RAn-mrN,Rs/RIA IS,cr-ro,ct I r,ti MAYOR HEALLL[AGENT CERTIFICATE OF FITNESS CERTIFICATE#344-14 DATE ISSUED: 10/1/2014 Property Located at: 76 Lafayette Street UNIT#4A Owner/Agent: RCG, LLC Address: 201 Washington Street Ste 100B City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-0006 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 RD F EA TH LARRY RAMDIN HEALTH AGENT SANITARIAN ` CITY OF SALEM, NU SSACHUSET"I'S BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR ftblicHealth Prevent Promote.Proter.t 'IYL. (978) 741-1800 FAx()78) 745-0343 KI.MBERLEY DRISCOLL Iramdin ae,salem.com MAYOR LARRY Iu\11 UIK,RS/RF�IS,(1110,CP-FS HFAIxi I AGLNr - 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 , UNIT# IS THIS UNIT DISIGNATE AS RIGHT LIFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER R Cbl LL(-' MANAGER/AGENT IZ( L NO P.O. BOX ADDRESS 1-7 ryfdooIS_k �}S—(010 ADDRESS 3-0l Wgnik,N< S�. Syi � ,mp CITY, STATE,ZIP S O vN%d+;(I jL MIA 0114-3 CITY, STATE, ZIPS K4 0 19 10 RESIDENCE PHONE BUSINESS PHONE(24HRS) 47R- _7y0 - 0 00(c 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 3 0 1 Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: )O Date fee paid: )0-1 -�� Type of unit: Dwelling ✓Other Check# Check date: 01,6_ a Notes: Code Enforcement Inspector City of Salem, Massachusetts Board of Health r 120 Washington Street, 4th Floor, Salem, PtibliCHrtA2th Prevent. Promote, Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin,MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15.150 DATE ISSUED: 7/1/2015 Property Located at: 76 LAFAYETTE STREET UNIT#4B Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 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, MPH, REHS, CHO SANITA HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOAR-DOF HEALFH 120 WASH I NGTOX STREET 4 1"FLUOR I`EL. (978) 741-1800 KIDIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRe1MDIIJQG SALUM.COM LARRY RANIDIN,RS/REIIS,CHO,CP-FS AG F::NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / FELE:: $50.00 P PROPERTY LOCATED AT 6 LAC,-MK-- ?Jr�� UNIT#�p ISTHISUNIT DISIGNATE AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER T)�!L LLL MANAGER/AGENT V,66-7 �� C NO P.O.BOX ADDRESSADDRESS 54- -#(003 CITY, STATE, ZIPr 1 ��` dZ�� CITY, STATE, ZIPc��td M� O ! U RESIDENCE PHONE Z BUSINESS PHONE(24HRS) BUSINESS PHONE 6 (� 6ZS JIS TOTAL NUMBER OF ROOMS: ROOM USE: L L-Z tGf�n 2. 6-(-L' - 3. V "am 4. VA? tVVbo�-, 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: �(>�24/�ods Date of reinspection: Date of issuance of certificate: P)612_q12,01-r v Date fee paid: 6 Type of unit: Dwelling—_V/ Other Check# =1�l� Check date: Notes: Vrj wS ;r y-now, we-re. C-a jkJ A,+, IVuz + le re of e med,, Coco,fn0rcernentl� ector SND " City of Salem, Massachusetts1P �. P9 Board of Health 120 Washington Street, 4th Floor, Salem, PnblicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-267 DATE ISSUED: 9/3/2015 Property Located at: 76 LAFAYETTE STREET UNIT#4C Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 6258315 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 0,- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANT RIAN n CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W\SHINGTON ST'RHBT,47"FLOOR TEL. (978) 741-1800 KBIBERLEY DRISCOLL FAx(978) 745-0343 MAYORLRAMinN(a�SALFM.COM LARRY RAMDIN,RS/REFIS,CHO,CP-PS HE.A1:MI 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 —7� JA-(4ye 4C Q—ccs- UNIT# �l G IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Dvejr 4ne.. l_LC MANAGER/AGENT (Z C L7 LLC NO P.O.BOX ADDRESS l4 To.l1 4(- ADDRESS 101 54- `ir:k 10013 CITY, STATE,ZIP M4 OZ 143 CITY, STATE,ZIP 5�� M� 0/?70 RESIDENCE PHONE —7 BUSINESS PHONE(24HRS) 170b Ill a 0006 BUSINESS PHONE ( ? 9 Z.S 13I 5 TOTAL NUMBER OF ROOMS: ROOM USE: 1. %400'11 2. e?,kt *0m 3.K/u/oFF4«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 SIGNATU DATE 11(V 1S Insa@6fors use only Date on initial inspection: 09/0±/20257 Date of reinspection: Date of issuance of certificate: 5— Date fee paid:02/1-00L�— Type of unit: Dwellin Other Check# 17HV5% Check date: 50, 0)'T) Notes: C of ement I pector WNDOV City of Salem, Massachusetts On- W Board of Health 4 120 Washington Street, 4th Floor, Salem, PublicHealth 01970 MA Prevent Promote. Protent. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.105 DATE ISSUED: 4/1/2016 Property Located at: 76 LAFAYETTE STREET UNIT#4D Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-6315 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 0,--A4� Larry Ramdin, MPH, REFS, CHO HEALTH AGENT SANITARIAN ITY OF SAIA N, MASSACH LJSFJTS oHi ,u:91 120WASHINM'ON S[iu;J;T,4'" Fi,om Tri,. (978)741-1800 KINIBERLEX DRTSC.011 F.xx (978) 745-0343 lvL,mR uu%il 11 q&-&al—c(1-k i 1,A100 RAMI)IN,161/11H IS,0I0,01-IN I)EA IA]j A(;vtN I Application for Certl0cate of Vitoess IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" EM�,% —()090 PROPERTY LOCATED ArTa,— T, R OWNEWLESSEP tAQUINT -LLC. NO R.O.ROX ADDRESS cay, STATE,zip_., STATF. RFSIDENCEPHONE_ . USlN1-9SPRQNR(24KRS),10 5- _ _,R BUSINESS PHONE- TOTAL NUMBER OF ROOMS:--. ROOM USE: j THERE IS A FIFTY($50) DOLLAR FEE,PAYABLP BY CFMCK OR MONEY ORDER TO Tgn,CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THF TIME OF INSPFCTION APPLICANT'$ SIGNATURE— DATE� Nt0 Q-4 i!ljtiql lmpqgtiop-o MOP!, ppm of i4wano of t i'� D 24 Tpe oaf vni!: Now$:- n °N°�� City of Salem, Massachusetts f ' i IV Board of Health 120 Washington Street, 4th Floor, Salem, PublieHealth 0 MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-161 DATE ISSUED: 7/10/2015 Property Located at: 76 LAFAYETTE STREET UNIT#4E Owner/Agent: RCG Mill Hill LLC Address: 171valoo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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". Enforcement Division of the Salem Board of Health and the unit may Therefore, this Certificate is issued by the Code Y 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 SANITA IAN K' 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W�p�ASHINGTON STREET,"4n'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 ' MAYOR t.0 aMD�NSAI!M-LOM LARRY RAMDIN,RSJRUIS,CHO,CP-1'S . 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' / / r:i"< FEE: $50.00 ? , PROPERTY LOCATED AT � L 6 UNIT# `7 is TRIS UmT DisiGNATEb ASGRi Til' Mrr ROIVT OR BA '1G PLEASE CMCLE ONE OWNER/LESSEK -(k :4 M' (` k U.L MANAGE.RJAGENT ��t ,LC ADDRESS 12- -://vw\oo 6d' ADDRESS2- Alp CITY,STATE,ZIP `-��✓.l,�< MA- 02..4`ii 3 CITY,STATE,ZIP �a�eµ't M� 0l 4� RESIDENCE PHONE j , � BUSINESS PHONE(24HRS) E��Zq0 Q0Q/ BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1 "n/L0` 2 '4.4 toyo 3 `Xlroorh 4 c�{aowt5 17 " 6 7 8 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE Y CHECK O 15EY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I LEForsuse :nI ECTION APPLICANT'S SIGNATURE DATE Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date f ee pad: / Z Type of unit: Dwelling � Check# J Cluck date: k �G Notcs: wi�a C/ndet k;+rl"'V\ s1n� C cement j&p r ` D,�� City of Salem, Massachusetts 4 Board of Health 120 Washington Street, 4th Floor, Salem, pubticl3eatth 0 Prevent.Promote. Protect MA 01970 KimberleyDriscoll TeL (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-271 DATE ISSUED: 8/30/2017 Property Located at: 90 LAFAYETTE STREET UNIT#201 Owner/Agent: RCG LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 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. r Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN 'S�ACHU, �TT, CITY 0I SALT 1M) NIAS, S17 S Bo,w(wi 1,20WASJ I IN(;[0% S-1 K I I, I'U)01� K NiBEIRLEYDRISCOLL J=A\ f9'78) 745-0343 MAYOR uia ALU,-',i_1 �1,11m L 16/1W'1 IS,t:110,(T-FS Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" EEE $50,00 PROPERTY LOCATED AT L Ckk";k Ic Of,_ �UNIT4261 ISTIUS UNIT DISIGNATEDAS RI T LEIFT FRONT OR 6ACK;PLEASE CIRCLE ONE OWNERILESSER QCG - L L C_ -MANAGER/AGENTk6Aj Ci-An,,a_ NO P.O.BOX IG W )C+kS+`-e-\- '�,�_2��,QaADDRESS ADDRESS CITY,STATE,ZCITY, STATE,ZIP ip RESIDENCE PHONE BUSINESS PHONE'. V'j(24HRS) 01 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 017 HEALTH THIS FEE IS PAYABLE T THE TIME OF INSPECTION ry APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate; O y Date fee paid: <Orj��n_ Type of unit: Dwcfling_Other Check#_Check Notes: Code Enforcement Inspector CC7 n CITY OF SALEM, NLASSACHUSETTS S BOARD of HEMA f 1 1201 ASIntiGTON SiRI E,T,4"'F7_ooR 1"U;T.,. (978) 41-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 Tv'l%YOR TTA5aD1N(duyy1 M.00N1 LARRY•RABuuti,Rs/RUns,010,Cr-Fs HEA[.71-1 AGI::'til' 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, 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 O r/Lessor 7L I c -sy. k' - a03 Address Address `IO La- ,lcti4e, 54- 0n--4- Z01 Address on unit to be inspected Date Updated 5/23/11 City of Salem, Massachusetts 60 Board of Health 0 120 Washington Street, 4th Floor, Salem, PUWiCHeatt 1 MA 01 970 Prerent.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-16.369 DATE ISSUED: 9/30/2016 Property Located at: 90 LAFAYETTE STREET UNIT#203 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. J Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ♦ � � T , CITY OF SALEM, NLISSACHLSE'I'TS BOARD of HEALTH H �w 120 WASINNGTON S TTir,rT.4`"FLOOR TEI- (918) 741-1800 KlX[BERIS Y DRISCOLL FAX(978) 745-0343 INLWOR r.. ni[ m�sni.rtmr.cci r LARRY R NIDIN,RS/REf-Is,C1 10,cn-Fs HG;A1.Tff A(:I3N'f Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" (� r FEE: $50.00 PROPERTY LOCATED AT I O Ldal-1 W, UNIT# Z�� IS THIS UNIT DISIGNUTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT KG-LLC NO P.O.BOX TT ADDRESS ADDRESS-11 1400 WW SI00 CITY, STATE,ZIP CITY, STATE, ZIP U''NW njl ft,M OZ�y RESIDENCE PHONE BUSINESS PHONE (24HRS) W17 bZ5 -83)5 BUSINESS PHONE L TOTAL NUMBER OF ROOMS: o a "I 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,i, OW01, //1/ DATE 22 L& Inspectors use only Date on initial inspection:mq,�2212-01 Date of reinspection: Date of issuance of certificate:?/z92Qt Date fee paid:0 2!) ther Check# _ Check date:��2 Type of unit: Dwelling_�O Notes: Coe f cement Spector a ^ OND City of Salem, Massachusetts lu � s Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-15-162 DATE ISSUED: 7/10/2015 Property Located at: 90 LAFAYETTE STREET UNIT#206 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 Pursuant to the requirements of Cit of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of 4 Y 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 SANIT IAN CITY OF SALEM, N ASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON IINGt ON STREET,4'"FUROR T'EJ.. (978) 741-1800 KINMERLEY DRISCOLL FAN (978) 745-0343 MAYOR IAAMD IN@&) N-,Nl.COM LARRY RA?4DIN,RS/RE.I-IS,CHO,CP-FS I-IG:�1;1'1I i1GBN'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" FEE: $50.00 PROPERTY LOCATED AT go UNIT# -Z6 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER 210 15 10 LL. C MANAGER/AGENT P L C7 L L L NO P.O.BOX pp ADDRESS l Zugb� ADDRESS -2,01 �Y loo1j CITY, STATE, ZIP �w �r9`1`L 'Yl �� CITY, STATE,ZIP STA M4 017W RESIDENCE PHONE �� 71 BUSINESS PHONE (24HRS) /--jq r7L40 0064 BUSINESS PHONE TOTAL NUMBER OF ROOMS: Z ROOM USE: 1. V->-W M 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: OVOT/ZPJJ T Date of reinspection: Date of issuance of certificate: 1.S Date fee paid: =V01,5— Type of unit: Dwelling Other // Check# 33 �1 Check date: (n/171h Notes: i WCLEAS Inn So in forcemeg inspector a CITY OF SALEM, MASSACHUSETTS BOARD OF HF.-\LTI-I lu 120 WASHINGTON STREFT 4�"FLOOR Pual � Prevent. P,Promme.Prthotaat. TFL. (978) 741-1800 FAx (978) 745-0343 KIMBERLF.Y DRISCOLL lramdinna.salem.com MAYOR Li\RY RIL\MFJIN,Rti/I2FHS,CI-IQ,CP-FS III3AJ Ti-I AGILNT 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, 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. ena t/Lessee Owner/Lessor Address Address 10 Le�. ttk Address on unit to be inspected 7�(�2PI5 Date Updated 523/11 fAND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, P �PublicH�eAlth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-326 DATE ISSUED: 10/9/2015 Property Located at: 90 LAFAYETTE STREET UNIT#207 Owner/Agent: RCG Mill Hill LLC Address: 171valoo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 SANITARI CITY OF SALEM, MASSACHUSF 1 1 S 1 � B(>ARD OI H] AL'll I 120\V v6(❑NG MN S F L',4T' 1`1,001: T> L. (978) 741-1800 KID-IBERI E'Y DRISCOLL FAX(978)745-0343 NLAYOR LRAwDIN@VSA1.EM.coM LARRY'RARIDIN,126/RF3I-15,CIiO,("P-PS Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" r� ,r FEE: $50.00 PROPERTY LOCATED AT ID�-rn> S�r�� UNIT# IS THIS UNIT DISIG ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT �C NO P.O.BOX ADDRESS ADDRESS �` CITY,STATE,ZIP CITY, STATE,ZIP JM'r�1RAA oaly RESIDENCE PHONE BUSINESS PHONE(24HRS) lel I J � 5 Y3 15 BUSINESS PHONE TOTAL NUMBER OF ROOMS: I ROOM USE: I.SAVi ib 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 PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREf, / DATE I� q r0Inspectors use only Date on initial inspection:1 /b`ylolSr Date of reinspection: Date of issuance of certificate:jgo0 /20 .5 Date fee paid: J-01e) 715 Type of unit: IDwelling�Other Check#35ztfj Chec1k/date: 1040612©15— Ntootes: Co-rV n4 wipnn)(;AC of Zc-Pnr-w,lrr,noW/"�{�Q �orja W t cornov' rx arnsr +ron, K i4 r_ " ware aca,o hw 4orn crren_>'1,, ry orcement Spector oxw CITY OF .SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR _ SALEM, MA 01970 TEL. 978-741-1800 W' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/26/05 Lafayette Housing 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 100 Lafayette Street 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. F V e Board of Health, Reply to X-X- Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c � 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 ane FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT r 7/25/05 Salem Point Rental Properties Corp. 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 100 Lafayette Street Unit 6 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. F theBoard of Healt Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector s�o CITY OF SALEM9 MASSACHUSETTS ye BOARD OF HEALTH c 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 November10, 2003 Salem Point Realty 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED 100 Lafayette Street Unit#9- 5-7 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; 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. 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. —7:00 p.m. and Friday 8:00 a.m.—4:00 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 tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector L e0NU1} g�. 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 Salem Point L.P. 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 100 Lafayette Street UNIT # 10 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 B;Z� H REPLY TO Jo�ottt,, MPH,RSS,,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t't FLOOR PubliCHealth STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinksalem.com LARRY RAMDIN,RS/RL;HS,L;HO,CP-FS MAYOR HEN;CH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 133-13 DATE ISSUED: 4/12/2013 Property Located at: 100 Lafayette Street UNIT#201 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 BO RD OF UFALTH LARRY RAMDIN I�h HEALTH AGENT SANITARIAN l � a CITY OF SALEM, MASSACHUSETTS I1 BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR H. ANIDIN(a�.SAI.FNI.CONI LARRY RANIDIN,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 AT 100 LAFAYETTE ST., SALEM MA 01970 UNIT# 201 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM, MA 01970 CITY, STATE,ZIP SALEM MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS:_2 ROOM USE: 1.LIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 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: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling ✓ Other Check# �)0'11 Check date: Notes: xtl� . (WO I CiNde 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 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#297-05 DATE ISSUED: 5/10/05 Property Located at: 100 Lafayette Street UNIT#202 Owner/Agent: Lafayette Housing Y 9 Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 THHEE BOARD OF/HEALTH JOA�NE SCOTT, MPH, RS, CHO {I�� HEALTH AGENT CODE ENFORCEMENT INSPECTOR i 1 r 7 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Y • i 120.WASHINGTON STREET, 4TH FLOOR D ' 1 SALEM, MA 01970 TEL. 978-741-1800 MAY V 3 2005 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR - HEALTH AGENT CITY O BOARD OF HEALTH 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 Ioo u-hlt�iP GIUNIT AaD,_)-- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafaet Hol SjnT_MANAGER/AGENTSalem Property Managers, No P.O. Box No P.O. Box ADDRESS1nq r.afaiyat+e St ADDRESS102 Lafayette Street t CITY' Salem CITY Galem RESIDENCE PHONE BUSINESS PHONE (24 HRS.p78- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1)44d,4�_2.L�f el-t, 3.ge 5 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. I APPLICANTS SIGNATURE DATE I INSPECTORS USE ONLY DATE OF ii MAL INSPECTION DATE OF REINSPECTION CZ DATE OF ISSUANCE OF CERTIFICATE: g�'o s DATE FEE PAID: ti TYPE OF UNIT: DWELLING OTHER_ CHECK# /0 CHECK DATE_ �a NOTES: �\ CODE ENFORCEMENT INSPECTOR 9/28/98 i i s 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# 107-07 DATE ISSUED: 3/14/2007 Property Located at: 100 Lafayette Street UNIT#203 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 J AN�TT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH fO;ze 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".(n PROPERTY LOCATED AT � � `� lh, UNIT#2()�) IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER T.afayette HousingLPMANAGER/AGENT Salem Property Managers No P.O. Box No P.O. Box ADDRESS102 Lafayette Street ADDRESS102 Lafayette Stret CITY Salem, Ma 01970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: ROOM USE: 1 - 4.- 5.----6.— 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 c g _DATE C3 I PECT RS USE ONLY) DATE OF INITIAL INSPECTION 3 .1 Lt 6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 -d �DATE FEE PAID: �o TYPE OF UNIT: DWELI_7�OTHER_ CHECK# 3 IF I CHECK DATE 3 -7-9_�°7 NOTES: _ CODE ENFORCEMENT INSPECTOR 9/28/98 ' pOND t�� City of Salem, Massachusetts lu at Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-27 DATE ISSUED: 1/27/2016 Property Located at: 100 LAFAYETTE STREET UNIT#204 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018 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 SANITARIAN CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIb1BERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRA\1DINn5N.ENLC0 1 LARRY RAmD1N,RS/REHS,CHO,CP-FS HEAL.TI'I 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" i FEE: $50.00 PROPERTY LOCATED AT 100 LAFAYETTE ST., SALEM MA 01970 UNIT# 204 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM,MA 01970 CITY, STATE, ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1. LIV./KITCHEN 2.BEDRM 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: I I/ � Date of reinspection: Date of issuance of certificate: Date fee paid:_ I� Type of unit: Dwelling Other Check# I I `7 Check date:)_ Notes: Code EV=66ientInspector f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 n 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#207-05 DATE ISSUED: 3/23/05 Property Located at: 100 Lafayette Street UNIT#205 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 Y CITY OF .SALEM, M*"AGHUSETTS •T BOARD OF-HEALTH ' t 120 WASHINGTON STREET, 4TH FLOOR jSALEM, MA 01970 . ' TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO V X 11 MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE;CHAPTER 11, 105 CMR 410.400 "MINIMUM STANDARDS OF FITNESS:FOR HUMAN HABITATION". PROPERTY LOCATED AT 100ku "Af- sa 4,y- , UNIT#61�j IS THIS UNIT DESIGNATED AS RIGHT`LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_L_£ayette - H_ n +usima__ MANAGERJAGENz. y Managers NO P.O. Box No P.O.Box - ADDRESSin2 T.AfAwp_t+.e St ADDRESS102 Lafayette Street CITY:; Salem CITY .Salem RESIDENCE PHONE BUSINESS PHONE(24 HRS.p78- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: llid( v 2._l _3. i m�_4. 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 3 v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 -3- o >DATE FEE PAID: TYPE OF UNIT: DWELLIN)�,,OTHER— CHECK#/D /[.,._.CHECK DATES=-2t_,'_- �r NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETI'S BOARD OF HEr1LTH IV 120 WASHINGTON STREET 4°1 FLOOR PablicHeaIth TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL liamdin a,saletn.com LARRY RAMD7N,RS/REHs,CHO,(111-1;S MAYOR MAYOR Hf.Ar.rl'I AG UNT CERTIFICATE OF FITNESS CERTIFICATE# 133-12 DATE ISSUED: 4/2/2012 Property Located at: 100 Lafayette Street UNIT#306 Owner/Agent: Lafayette Housing Limited Partnership Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 LAR MDIN //1 HEALTH AGENT SANITARIAN 4 o X34 s CITY OF SALEM, MASSACHUSETTS I BOARD OF HF-LTH 120 W 1SHING'ION STREET,4`1 FLOOR TEL. (978) 741-1800 KTMT3ERLF,,,Y DRISCOT L, FAX(978) 745-0343 MAYOR LRAMDING0 SALCM.COM LARRY RADIDIN,HS/RF I-IS,Cl 10,CP-RS HL'.AI.ni 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 100 LAFAYETTE STREET, SALEM MA 01970 UNIT# 306 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O. BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM, MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(241IRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 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 TWE OF INSPECTION APPLICANT'S SIGNATURE DATE 3_c;2' � 'l Inspectors use only Date on initial inspection: `1'Z I 1 Date of reinspection: Date of issuance of certificate: y'Z 11 Date fee paid: L4' Z^)Z Type of unit: Dwelling V Other Check# 7)L Check date: Notes: ode Enfo &ment Inspector CITY OF SALEM, MASSACHUSETTS )� BoARD LSF HEALTH 120WASHING'iONSIRH(T 4"1 1`1,0()R EL. ()78) 741-1800 KENTBL:RLF..YMSCOLL I�.Ax ()78)745-0343 A1IAYOR LRANIDINa S.MLI WNt LARRY RAAINN,RS/11I.HS,(A it,CP-i'S F{E;W`i'!1 AGLNT Release �I In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Cade 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 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. Tena r sor gp ti s 1 a® Ga m Address Address 100 GB ile, Ie 6/ �I-J0 Address on unit fo be inspected Date Updated 5/23/11 m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PublicHealth Prtvent.I'r"mott.Pmmct. TEL. (978) 741-1800 FAZ(978) 745-0343 KIMBERLEY DRISCOLL 1ramdinna=salem.com LARRY 1LVbRJIN,RS/REI-IS,Cf[O,CP-FS MAYOR HI m;i'i A(.:r.Nr CERTIFICATE OF FITNESS CERTIFICATE#310-14 DATE ISSUED: 9/16/2014 Property Located at: 100 Lafayette Street UNIT#307 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ^ FOR THE ARD HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN r � CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL-1 I I 120 V(1_1tiH1NG'T'ON 5[121 E'1",4"' FLoO]2 /� TEL. (978) 741-1800 5 V KM,[BERLEY DRISCOLL F.-\X (978) 745-0343 MAYOR ISAMDrNnSAI.TW.00%1 1.:AI2Rl'RAbI]>lN,RS/R1:1-1s,CI10,C], 1,5s HF,Ai.rt]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 100 LAFAYETTE ST., SALEM MA 01970 UNIT# 307 IS THIS UNIT DISICNATED AS RICHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX - ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM, MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 4 ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 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 FEEI Y AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ' DATE o Inspectors use only Date on initial inspection: CiWq Date of reinspection: Date of issuance of certificate: Date fee paid: q Type of unit: Dwelling Other Check#—c Check date: Notes: C E for ement Inspector ' CITY OF SALEM, MASSACHUSI I"YS BO.\RD OF He\LTH 120 WASHINGTON S"I'RF-ET,4r`FLOOR PI11111C�P. [t1 TEL. (978) 741-1800 Fax(978) 745-0343 IiIMBERLEY DRISCOLL Iramdin@saleni.com LAIt1tY RrAMIHN,RS/RF.I IS,CI[O,CP-I'S MAYOR Hr:n1a'�i Ac;isN i CERTIFICATE OF FITNESS CERTIFICATE #245-12 DATE ISSUED: 6/21/2012 Property Located at: 100 Lafayette Street UNIT#308 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 O pancy. FOR THE BOARD OF HEALTH LARO RAMDIN HEALTH AGENT ANITARIAN t1; CITY OF SALEM) MASSACHUSETTS BOARD OF HEALTH . 120 WASHINGTON S'I'RE,"1',4"FLOOR 'FEL. (978) 741-1800 KTMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN(a SALLM.COM LARRY RAMI)IN,RS/RI-1-IS,C1 CP-FS HEALn I 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 100 LAFAYETTE ST., SALEM MA 01970 UNIT# 308 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM,MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 2 ROOM USE: LLIV. ROM/KITCHEN 2. BEDRM 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: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check# Check date: //`,�� L Notes: ��" Code Enforcement Inspector CONDiT,t City of Salem, Massachusetts r rg Board of Health 120 Washington Street,4th Floor, Salem, PablicHea Ith MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-424 DATE ISSUED: 12/18/2015 Property Located at: 100 LAFAYETTE STREET UNIT#309 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018 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 SANITARIAN CITY OF SALEM, MASSACHUSETTS 13o_�Rn OF HEALTH 120 WASHINGTON SrRFLr,4""FLOOR TFL. (978) 741-1800 KIb(BE:RLEY DRISCOLL FAx(978) 745-0343 i\1AYOR LION[DIN QQ Sm'EN CON] L:viwy RAIMI)IN,RS/Ret[s,a-10,c:r-rS HF',AL t'i-r A(;FN'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" � FEE: $50.00 PROPERTY LOCATED AT 100 LAFAYETTE ST.. SALEM MA 01970 UNIT# 309 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM. MA 01970 CITY, STATE,ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1. LIV./KITCHEN 2.BEDRM 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 FEES YABLE AT THE TIME OF INSPECTION /n� APPLICANT'S SIGNATURE \ DATE �d 20 J Inspectors use only Date on initial inspection: �2�1SY2�25� Date of reinspection: Date of issuance of certificate: uiu&4E Date fee paid: ULI sI204s�— Type of unit: Dwelling Other Check# 3D�Z Check date: Notes: Vk�er 'I TcrycIA ,re- c-¢ . -370F CCCoo#f9 cement pector Q . CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH ' 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax (978) 745-0343 MAYOR DGRI,1 NBAUMgSALFM.COM DAVID GRE:I?NBAuM,RS ACTING HF.AI:;rL-f A(;UN'I' CERTIFICATE OF FITNESS CERTIFICATE #39-11 DATE ISSUED: 1/31/2011 Property Located at: 100 Lafayette Street UNIT# 310 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 AUI DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I l • BOARD OF HEALTH 120 WASHINGTON STREET,401 FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR DGREENBAUM SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MMMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." / (� FEE: $5000 PROPERTY LOCATED AT �d f.0-f Rall�! 67 -ee S 4f le,-Y7 UNIT# 3/6 IS THIS UNIT DISIGNA AS RIGHT LEFP VRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Lafayette Housing L.P. MANAGER/AGENT Salem Property Managers, INC NO P.O. BOX ADDRESS 102 Lafayette Street ADDRESS 102 Lafayette Street CTI'Y, STATE,ZIP Salem,-=MA 01970 CITY, STATE ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: ROOM USE: I..&4iLni 2.4I J.A5m 3. &AOM 41NVA^ 5.4jee4.P, 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 FEEISJPAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE I o7 Inspectors use only Date on initial inspection: 1 Date of reinspection: Date of issuance of certificate: I Date fee paid: IAI 711 Type of unit: Dwelling l�bther Check#_Check date: Notes: Code Enforcem It ector ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHealth 120 WASHINGTON STREET,4"'FLOOR Prcenr.Promote.Pralom. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com L,\RRY RANdDIN,RS/RE[-IS,CFR),CP-FS MAYOR HEA1;rFI AGENT CERTIFICATE OF FITNESS CERTIFICATE#335-14 DATE ISSUED: 10/15/2014 Property Located at: 100 Lafayette Street UNIT#411 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000.. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOA D OF ALTH LARRY RAMDIN HEALTH AGENT SANITARIAN ii CITY OF SALEM, MASSACHUSETTS k si BOARD cx HEtlLTH. s L 120 WASHINGTON S1 REM,,4." FLOOR �e p TEL. (978) 741-1800 RECEIVED KINMERLEY DRISCOLL FAX(973) 745-0343 NOV1\I1YOR 1,RAN[DIN 11SALENI.CONI N 0 3 2014 LLraIM RAnIDIN,tis/RlJ1l ,CNO,cr-NS CITY OF SALEM H1,.+Ln i A(;L'Nr CITY COLLECTOR 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 A4 1 OOLAFAYETTE.ST. SALEM MA 01970 SUNIT# 411 - IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. ' OWNEWLESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO 13.0. BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM,MA 01970 CITY, STATE,ZIP SALEM MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 1 BUSINESS PHONE 978-825-4010 t TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 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 P YA TTHE TIME OF INSPECTION APPLICANT'S SIGNATURE �— l I DATE Q Inspectors use only Date on initial inspectionDate of reinspection: Date of issuance of certificate: Date fee paid;_ Type of unit: Dwelling Other Check# &4�Check date: b Notes: 46 d i ' •cement Inspector TRANSMISSION VERIFICATION REPORT TIME 11/12/2014 03:18 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 11/12 03:17 FAX N0. /NAME 919787455569 DURATION 00: 00: 23 PAGE(S) 01 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS y'j • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUMQSAI.EM.COM DAVID GRF,Ii'.NBAum,RS ACTING HI3ALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #69-11 DATE ISSUED: 3/7/2011 Property Located at: 100 Lafayette Street UNIT#412 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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. F/�✓�✓ \ D OF HEALTH DAVID GREENBAUM, RS !JM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR - DGREENBAUM SALL'M.COM DAVID GREENBAUM, FE C F IV E D ACTING HEALTH AGENT �! MAR 1 0 211 Application for Certif d9a Itness 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 QUO L?XG� � a � , m14 ,I UNIT# 1 IS THIS UNIT Disi#(NATEb AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Lafayette Housing L.P. MANAGER/AGENT Salem Property Managers,INC NO P.O.BOX ADDRESS 102 Lafayette Street ADDRESS 102 Lafayette Street CITY, STATE,ZIP Salem,-MA 01970 CITY, STATE,ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE X78-745-8071 TOTAL NUMBEROF ROOMS: ROOM USE: ll i J ,Pte.. 3.&-alkx� _. 4. 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 � 02 Inspectors use only Date on initial inspection: I Date of reinspection: Date of issuance of certificate: Date fee paid: / Type of unit: Dwelling Other Check#_Check date: Notes: Code Enfor ement pector CITY OF SALEM, MASSACHUSETTS BOARD OF HEj; rf-i 120 WASHINGTON STREET,401 FLOOR TEL. (978) 741-1800 KINIBERI.EY DRISCOLL FAX(978) 745-0343 MAYOR DG R1:1:NBA UM&A1.rd M.COM DAvtn GREFNHAUM,RS ACPING Ffi:?AL:CI-I A(;i;N'T CERTIFICATE OF FITNESS CERTIFICATE#480-10 DATE ISSUED: 10/6/2010 Property Located at: 100 Lafayette Street UNIT#413 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 Au✓aT �,_ ) ,� DAVID GREENBAUM, RS ACTING HEALTH AGENT AODNFORCEMENT INSPECTOR CAN(w l CITY OF SALEM, MASSACHUSETTS Y96 I (� BOARD C:F 120 WASHINGTON STREET,4"'FLooR TEI:,. (978) 741-1800 KIMBERL EY DFISubLI. FAX (979745-0343 M 1Ydljnr,b ).COM DAVID GREEN BA O V, ACTING 1-FALTE A:a '.NT Application for Certificate of Fitness IN ACCCRLIANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 4MINIMUh.4 STANDARDS OF FITNESS FOR HUMAN HABITATION." FEB: $50.00 PROPERTY LOCATED AT ��_�-�; 7�- UNIT# ��lS TIilS T RISIGN TFB AS RIGH k EFT F ONT OR BACK.PLEA C CLE ONE OWNERILESSER�� MANAGER AGENT NO P.O. BOX ADDRESS/5A2--4�� OADDRESS,t��)C,4ye t �C CITY, STATE, ZII�, � fVCITY, STATE,ZII' i ,—07o RESIDENCE PHONE_-_— BUSINESS PHONE "24HRS) BUSINESS PHONE. f/ TOTAL NUMBER C F 20OMS: _ ROOM USE: f/'� 2, ^� 3. 4. _ 5. b�--- 7.-- 8. 9. 10. THERE IS A FIFTY.$50)DOLLAF PEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALT)I i'HIS FEE IS PA LE,AAT THE TIME OF INSPECTION �I ~ACIRAPPLICANT'S ,✓ r . DATE4/S/� Inspectors use only Date on initial inspect:on:_ 1 /G Date c f reinspection: _ Date of issuance ofce)tificate: OAP 0 Date f,epaid: (O�tv Fype of unit: Dwellin T_U Other Check# Check date: Dotes: :ode EnforNgient his, City of Salem, Massachusetts ll 3� q Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote. Prntect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-227 DATE ISSUED: 8/7/2015 Property Located at: 100 LAFAYETTE STREET UNIT#414 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018 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 SANITARIAN tJ CITY OF SALEM, MASSACHUSETTS � ( " BOARD OF HEALTH der ' 120 WASHINGTON ST'ruzLT',4"'FLOOR TEL. (978) 741-1800 KT IMBERLEY DRISCOL.L, FAX(978) 7 45-0343 1AYOR LRAMI)IN(r-I)SALr•MCON LARRY RA.IIDIN,RS/REFIS,CHO,(T-FS Hil A1:I H AGI>NT - Application for Certificate of Fitness ess 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 100 LAFAYETTE ST., SALEM MA 01970 UNIT# 414 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM MA 01970 CITY, STATE,ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961" BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS:–3 ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 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,fA ' A AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 1 DATE O Inspectors use only Date on initial inspection: D6IADZS Date of reinspection: Date of issuance of certificate: ®Blow-zoi ' Date fee paid: 60001-T Type of unit: Dwelling__�,/—Other Check# 0 Check date: 07/1 N/,D-L Notes: Coe for vent Inspe r L CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR %bl1CI;Cdt11 Prevent.Promote.Proleet. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR Lnlatl�tiabl[xN,Rs/Itl:ats,cno,(T-FS H1....At.:frr AGENT CERTIFICATE OF FITNESS CERTIFICATE#423-13 DATE ISSUED: 12/4/2013 Property YLocated at: 100 Lafayette Street UNIT#415 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 7454961 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA- HEALTH AGENT SANITARIA N CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH �trmxs 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY.DRISCOLL FAX(978) 745-0343 MAYOR LRMIDIN@a sALEIlI.cohl L.-\RRY RANIDIN,RS/RI31IS,CI IO,CP-FS HEAL'T'H ACUEN'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" FEE: $50.00 PROPERTY LOCATED AT 100 LAFAYETTE ST., SALEM MA 01970 UNIT# 415 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM, MA 01970 CITY, STATE, ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1.LfV. ROM 2. KITCHEN 3. BEDRM '4. BEDRM 5. BEDRM THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THECITYOF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: ` 3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date:: Notes: 1rwA l lX l t h t:J D Code Enforcement Inspector a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEI... (978) 741-1800 KINIBERLEY DRISCOLL IiAx (978) 745-0343 ;MAYOR I.RAN1DINnsALLNf.Co a LARRY R\N'IDN,RS/R7-JN,CHO,CT-PS 111i.AL.T1 I AG Ii.NT 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, 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. A,A f1 Q V'a's Ula Z Z '0 Le 7 1e Tenant/Lessee Owner/Lessor a 4 Q- L � )DD�af� �e f� �f��/5 IOa �� s Address Address f 0 0 Z I �PAddress on on u List to be inspected Date � � Updated 5/23/11 6 CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "0N6 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# 188-07 DATE ISSUED: 4/26/2007 Property Located at: 104 Lafayette Street UNIT#2-1 (21) Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I71 w•�/ l > t 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL, 978-74 1-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR 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". PROPERTY LOCATED AT jd`+ L 114 ,4 u? UNIT# 2 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSalem Point Rental_MANAGERtAGENT_Sa em Pxonerty ManagersIn No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street ADDRESS 102 T a ay_P,tte._ St_eet CITY Salem, MA 01970 CITY Gatam,, MA 0197E._ RESIDENCE PHONE BUSINESS PHONE (24 HRS) g]$-7d5-4961 BUSINESS PHONEa-.7Q_^ras�.,,}_o_ _an�l _ ^. TOTAL NUMBER OF ROOMS._._ " _ ROOM USE: 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 7 S EC OS USE O LY DATE OF INITIAL INSPECTIONSPECTION __ DATE OF ISSUANCE OF CERTIFICATE:-q 6 —6?DATE FEE PAID: 47' TYPE OF UNIT: DWELLIN�OTHER_ CHECK#_j .a_CHECK DATE �'?`w 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 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# 189-07 DATE ISSUED: 4/26/2007 Property Located at: 104 Lafayette Street UNIT#2-2 (22) Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 X�r_� t/a J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • ♦ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUM N HABITATION". PROPERTY LOCATED AT l_4 G ��J On. UNIT# IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE Salem Point Rental OWNER/LESSER _MANAGER/AGENT Salem Property ManagersIn No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street_ADDRESS 102 La Fayette__S.tr—eet CITY Ca1hm- Ma n1970--.- CITY Sa7Pm��1A 0197 _ RESIDENCE PHONE _BUSINESS PHONE (24 HRS.) 078-745-4961 BUSINESS PHONE 74_745 gg.71 TOTAL NUMBER OF ROOMS: ROOM USE: 1N✓�. 2. r-.✓3. 4. 5.--6._7._._8.-- THERE ._.__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 NSPE TORS USE ONLY DATE OF INITIAL WSPECTIONJ� L {f .7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Y 'a �" -o/' DATE FEE PAID: ' -=z>7 TYPE OF UNIT: DWELLINQ !-� OTHER� CHECK#_/ ✓ 3 CHECK DATE NOTES: _ --- CODE ENFORCEMENT INSPECTOR 9/28/98 aSCITY OFALEM, MASSACHUSI BOARD.OF HEALTH120 WASHINGTON STREET, 4TH FLOOR SALEM; MA 0.1970 TEL. 978-741-1800 FAX 97.8-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 Citv 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 Chat 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. TENANT/LESSEE OWNER/1,ESSOR ADDRESS AffDRESS� %4 � a- ADDRESS OF U T OBE INSPECTED 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# 190-07 DATE ISSUED: 4/26/2007 Property Located at: 104 Lafayette Street UNIT#2-3 (23) Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 J NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 7 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 10 q 4 4-Y4-de- : bq e-1 Sp 4" UNIT#,:9,5 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSalem Point Rental MANAGER/AGENT Salem Property ManagersIn No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street ADDRESSio2 LafayetteStreet CITY Sa j2�01970 CITY Ralam, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESSPHONEa7S__T _g07t TOTAL NUMBER OF ROOMS: o`er ROOM USE: 1 KtICAd-►- 2-e)&_ i_3. 4. 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 T O SPECTORS USE ONLY DATE OF INITIAL INSPECTION b `D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELANZ_OTHER__ CHECK# /S 3 CHECK DATE :_ w NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, (MASSACHUSETTS o : 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# 191-07 DATE ISSUED:4/2612007 Property Located at: 104 Lafayette Street UNIT#2-4 (24) Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 i CITY OF SALEM, MASSACHUSETTS +� BOARD OF HEALTH / • s 120 WASHINGTON STREET, 4TH FLOOR tk SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITZ:�' PROPERTY LOCATED AT.�� - —UNIT# �J Ii IS THIS UNIT DESIGNATED AS RIGHT LEFT FRO T BACK PLEASE CIRCLE ONE OWNER/LESSERSalem Point Rental MANAGERIAGENT Salem Property ManagersIn No P.O. Box No P.O. Box ADDRESS_ 102 Lafayette Street ADDRESSI�Ta ave�Gtmeet CITY s 1 k0,_Ma 01 j_0 .. __CITY SA 1 em, MA 01 97Q_ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 97R-745-4961 BUSINESS PHONEaj 7dS an7� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.j _3.__-4. 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_ 1_ NSPE ORS USE ONLY DATE OF INITIAL INSPECTIONW 9 z''� DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: -eATE FEE PAID: - v7 TYPE OF UNIT: DWELLINOTHERCHECK# -3 CHECK DATE __ NOTES: — CODE ENFORCEMENT INSPECTOR 9/28/98 r u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 ' .! 120 WASHINGTON STREET, 4TH FLOOR - SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT,MPH, RS, CHO - MAYOR HEALTH AGENT 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 identifiedbelow in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Chat 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. TENANT/LESSEE OWNER/1,tS'SOR ADDRESS -- ADDRESS ADDRESS OF UNIT TO BE INSPECTED UATELi '1h ` 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# 192-07 DATE ISSUED: 4/26/2007 Property Located at: 104 Lafayette Street UNIT#2-5 (25) Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 � A JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR A CITY OF SALEM, MASSACHUSETTS � 71? BOARD OF HEALTH • • ! 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978.741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 ATOYA c rw&_ y UNIT#,043_� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSalem Point Rental MANAGER(AGENT Say-_iem-Pro -grty ManagersSn No P.O. BoxNo Lafayette Street No P.O. Box ADDRESS y ADDRESS 102__7a_ta_yette-,qtr—eet CITY_Sy1;gJrl� Ma n147p CITY_,.-Sa.1Qm, MA O197Q ^ RESIDENCE PHONE BUSINESS PHONE (24 HRS.)_M-29.5-4961 BUSINESS PHONER7g_745_gQ�l TOTAL NUMBER OF ROOMS:. ROOM USE: 1.4~ti 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 G _ S CT S USE ONLY DATE OF INITIAL INSPECTION I,' ' ""� 7 DATE OF REINSPECTION____ DATE OF ISSUANCE OF CERTIFICATE: a TATE FEE PAID:�d"& -v TYPE OF UNIT: DWELLING-1,` OTHER_ CHECK #� CHECK DATE _-4-6 NOTES: --_ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS o ; 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#52-06 DATE ISSUED: 2/9/06 Property Located at: 104 Lafayette Street UNIT#3-1 Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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. FO THE BOARD OF HEALTH �-�- JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR j CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR / SALEM, MA 01970 i ,yB - TEL. 978-741-1800 �a Q' 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 lu 4 L44I -e jFC � UNIT#3-j IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSalem Point Rental MANAGER/AGENT Salem Property Managerslnc No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street ADDRESS i a2 Lafayette Street CITY sal.#m, MT 01970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE9:72-7455-8071 TOTAL NUMBER OF ROOMS: ROOMUSE: 1k\W" 2. 3._ 4. 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. f APPLICANTS SIGNATURE _DATE r SPE ORS USE ONLY DATE OF INITIAL INSPECTION .2 g - a w DATE OF REINSPECTION____ DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: L TYPE OF UNIT: DWELLWOTHER_ CHECK# CHECK DATE NOTES: \\ - CODE ENFORCEMENT INSPECTOR 9/28/98 c CITY OF SALEM, MASSACHUSETTS $ ma! BOARD OF HEALTH 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# 163-04 DATE ISSUED: 04/20/2004 Property Located at: 104 Lafayette Street UNIT#3-2 Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 CODE ENFORCEMENT INSPECTOR 'L I I i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970.3928 ANNE SCOTT, PH, RS1 CHO - NINE NORTH STREET HEALTH, AGENT I Tel!(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fac:(978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 MINI UM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY;LOCATED AT IP-Y.. b`// Je JJ/e 5 GP 7 • UNIT# 3-�- I IS THIS UNIT DESIGNATED AS RIGHT LEFT FROM BACK PLEASE CIRCLE ONE i OWNER/LESSER SAIPmPnint Rpntal MANAGERIAGENTsa1Am p_-nrPxty Managers , Inc E ADDRESS 02TAfalCPttP S*rept ADDRESS y02 T afaYettp G*'pP+ I , i CITY Salam, ""— A 03 970 CITY Salem, MA 01970 RESIDENCE!PHONE BUSINESS PHONE (24 HRS.)978-7454961 BUSINESSPHONEg7R- 45-1071 i TOTA NUMBER OF#ROOMS:_ C I RO0 ` USE:i 1•..Ifs„2. ' i4• 3. 4. 5. 6. 7. 8. THE E IS AITWENTY-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 ^ 0 IN4/EC'TORS USE ONLY DAT OF INIITIAL INSPECTION_4 :_� c' ~U DATE OF REINSPECTION__ DATE OF ISSUANCE OF CERTIFICATE:_ dU ,:DATE FEE PAID:_ _�-d- _2V' TYPE OF UNIT: DWELLING,OTHER�� NOT S: i I I i CODE ENFORCEMENT INSPECTOR I 5/19/98 I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 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# 136-06 DATE ISSUED: 3/14/06 Property Located at: 104 Lafayette Street UNIT#3-3 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 JOA NE SCOTT, MPH, RS, CHO j� HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEE. 978-741-1800 06" FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MA4OR HEALTH AGENT t i 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 IS THIS UNIT DESIGNATED AS RIGHTLEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER La,_f-Ayettte H.o_using---MANAGERIAGENT3-4 em Property Manages No P.O. Box No P.O.Box 4 ADDRESS1n2. T,afaWAi-fiA e+ ADDRESS102 liafaYette Street CITYo Salam CITY Rat m RESIDENCE PHONE BUSINESS PHONE (24 HRS.f- 8- 745-4961 BUSINESS PHONE 978 745-4961 I TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.W ja0- _im--.a. s E I 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_�-�o S "Jr DATE OF jNITIAL INSPECTION —0 6 DATE OF REINSPECTION i DATE OF ISSUANCE OF CERTIFICATE: .. i DATE FEE PAlD: �--O TYPE OF UNIT: DWELLING—OTHER— CHECK �CHECK DATE�-'d & NOTES:_- CODE ENFORCEMENT INSPECTOR 9/28/98 h �! o CITY OF SALEM, MASSACHUSETTS $v BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR apo SALEM, MA 01970 ' TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 161-04 DATE ISSUED: 04/20/2004 Property Located at: 104 Lafayette Street UNIT#3-4 Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 An inspection of yourvacant Dwelling/Rooming Unit atthe above address has been approved and is in compliancewith 105 CMR410.000: 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 ��W-xt�l"e�� 1/ 1491"- "JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 F j CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 i ANNE SCOTT.0 IPH,RS1 CHO - NINE NORTH STREET HEALTHiA ENEN T Tel:(978)'741-7000 APPLICATION FOR CERTIFICATE OF FITNESS FaY tsTs>740•9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410,000 "MIN, R4UM STANDARDS OF FITNESS FOR HUMAN HABITATION°, III PROPERTY LOCATED AT Ia Y UNIT# 3 ! f IS TH S UNIT DESIGNATED AS RIGH] LEFT FRONT BACK PLEASE CIRCLE ONE i OWN R/LE9SERgs1pm Pnint Rcanral MANAGER/AGENTSaIam Prn»ar+v Managers , Inc ADDRESS1�09 T,Afapai-t,p qt-rpL-t ADDRESS 1 (12 T.afnyetrP Ri-rppi- CITJYl 01970 CITY Salem, A 01170 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE g7R-745-Ro71 TOTAL NUMBER OF49OOMS: j ROO USE 1a.A" 3. 4.- 6.__ .6. _7. 8.� THERE IS Ai 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 11/ 2 z I . ,TC 013S t}�,E.ONLY DAT OF IN INSPECTION,,., ; V' DATE OF REINSPECTION__ DAT EINSPECTION — DAT OF ISSUANCE OF CERTIFICATE:_ -D 0'b1OATE FEE PAID:_LS=2 TYP OF UNIT: DWELLING OTHER_ CIL G _ '2 -2- NOT S: 2NOTES: (=2..}----- r CODE ENFORCEMENT INSPECTOR 5/19/8 I CITY OF SALEM, MASSACHUSETTS I - BOARD OF HEALTH ~ f f } 120 WASHINGTON STREET, 4TH FLOOR I SALEM, MA O1970 , i TEL. 978-741-1800 - FAX 978-745-0343 STA Y WSOVI Z; JR. ,JOANNE SCOTT, MPH, R5, CHO - MAYOR j HEALTH AGENT. - 1; � ! RELEASE I i k; n accq d2nce with Massachusetts General Laws Chapter -'Ill ; . Code of Massachuset ' �Iegula . or,6 410.000 et. ,- seq ''State Sanitary Code Chapter II and Article XIII heCit of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a un If resi eEltial.propeity,' hereby, authorize the Salem Board of health or its auth - zed ag n s to: inspect,the residence identified below in accordance with the foreme tioned.statutes regulations and ordinances. I ; i tile `; vent it is necessary that said inspection be done in my/our absence, I/ spress yauthorize the same and for my/our successors and assigns hereby releA �I nd dis Na ge the City of Salem, Salem Board of Health and its authorized anent ' rom a{i loss or. injury sustained of whatever nature and description occasioned y my/a r.jabsence during said inspection. .f% ESSEE1NE- I Zcnv I DRESS — ADDRESS ( i ja ADDRESS.OF UNIT TO BE INSPECTED I ' i ATE 3 - i I t � r ; CITY OF SALEM, MASSACHUSETTS o 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 #319-07 DATE ISSUED: 7/16/2007 Property Located at: 104 Lafayette Street UNIT#3-5 Owner/Agent: Salem Point Rental Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 Lgle,-- J ANNE SCOTT, MPH, IRSCHHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH sv • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 le UNIT# --�b IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSalem Point Rental MANAGER/AGENT Salem Property ManagersInc No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street ADDRESS102 Lafayette Street CITY sAi ,:m, Ma n1970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE97a-745-8071 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2./Ik 0 (IN 3. 4. 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 I SPECT S USE ONLY\/ DATE OF INITIAL INSPDATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE-4 -9� DATE FEE PAID:_- 16 a TYPE OF UNIT: DWELLINCje�- OTHER CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 — f R CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR Pl1tl�1CHC81/Ch TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL tramdin@a,salem.com LARKV'R.AbIlJIN,RS/RI:IIS,CIfO,CP-I",'; MAYOR HG1;A1;17-!A(.Hi,N'I' CERTIFICATE OF FITNESS CERTIFICATE#258-14 DATE ISSUED: 7/31/2014 Property Located at: 104A Lafayette Street UNIT#2-3 Owner/Agent: Salem Point Rental Properties Address: 106 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 7454961 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 LARRY DIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS a -.q- BoARDOFfIEAUM 120 W.-1smm;1'()N STRF']-_'1,4'''FI.00iz Tit,i_ (978) 741-1800 KINMERLEY DRISCOLL F-kx(978) 745-034.3 MAYOR LRAPfl)INgSALFNI.00J\ LARRYF_4NIDIN,RS/10d IS,(;I I(), 11FIALT1 I A(,.];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" FEE: $50.00 PROPERTY LOCATED AT 104A Lafayette St., Salem, MA 01970 UNIT# 2-3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Salem Point Rental Properties MANAGER/AGENT North Shore Property Manager&jnc. NO P.O.BOX ADDRESS 106 Lafayette Street ADDRESS 102 Lafayette Street CITY, STATE,ZIP Salem, MA 01970 —CITY, STATE,ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS:— oz ROOM USE: I.Bedrm 2.Kitchen 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 X7 DATE_7 . ' IInspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling_Other—Check# Check date: Notes: cj"T-U,r ement Inspector