The URL can be used to link to this page

117 LAFAYETTE STREET LINCOLN HOTEL 117 LAFAYETTE STREET (LINCOLN HOTEL) r ML e a h .D e � i' v II l � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH " :9 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 TEL, 978-741-1800FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/26/05 Joseph Jackson/Caritas Communities 150 Wood Road Suite 300 Braintree, MA 02184 PROPERTY LOCATED AT 117 Lafayette Street Units 1 through 62 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 appointments for 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(or $20.00 x 62 units = $1240.00 per day)for every day that the dwelling units are 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. Fo�the Board of Health Reply to ✓foanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector eCity of Salem, Massachusetts , 3 ' Board of Health 120 Washington Street, 4th Floor, Salem, PtlbliCHealth MA 01970 Frrvr N. Prnmmc Prwoc Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayo• Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-396 DATE ISSUED: 12/1/2015 Property Located ;tt: 117 LAFAYETTE STREET UNIT#201 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: £alem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 Pursuant to the re luirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling urit, 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 FitnE ss for Human Habitation". Therefore, this Ce,tificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or cccupied Maximum Numbe•of occupants, must comply with 105 CMR 410.000. Certificate valid fc r 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 BOAR[i OF HEALTH Larry Ramdin, MFH, REHS, CHO G l SANITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAINIDINOSAUIM.COM LARRY RA1v1DIN,RS/RI311S,CIiO,CI }'S HF,AI.TI I AGI?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 � SQ�f�J "d9/,9iV UNIT# 1 IS THIS UNIT DISIG ATPD AS RIGHT LEVr FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER C<` !rJ' , ,WI,71W ,111.1f' MANAGERIAL 7NO P.O. OX ADDRESS SS r� 1�l ®. gyp/ ADDRESS ,?' ADDRESSO�� /l �5�� /J� - CI Y, STATE, CITY, STATE, ZIP Cqq,[ /r�11/ iJ��17t�J RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. ww-t--Ia 2. 3. 4. 5. 6. T 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE EBBYCHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ARAB TT E OF INSPECTION APPLICANT'S SIGNATURE--::;:1j S ��i�lp� DATE ++ f Inspectors use only Date on initial inspection: a I I �J Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: entInspector r Hn � City of Salem, Massachusetts a Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHea tth Prevent. Promal� Prnbcr MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHs,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17.255 DATE ISSUED: 8/24/2017 Property Located at: 117 LAFAYETTE STREET UNIT#202 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. SANITARIA Larry Ramdin, MPH, REHS, CHO !Aa HEALTH AGENT c � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,e'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR L a IN SAL x M coM LARRY RAmm,RS/RENS,CHO,CP-FS HF.At.TH 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 ATl I7 L��l�Y� S',�L /LJ Ol r�v UNIT#a 0.2 ISnTHmISCUNIT DISIGN�A/T�ED//AAS'/RIGHT LEFT FRO OR C PLEASE ,�CIRCLE ONE OWNERILESSER rkf tl� 1 dS w�'!f`d*1 rW'MANAGER1AAGGEENT /I/N,�f�n�� 4A ADDRESS ADDRESS `b !br, CM, STATE,ZIP ('.ITY,STATE,ZIP �i>!�/� C/� 6vmwWJ RESIDENCE PHONE 7��ZL J / BUSINESS PHONE(24HRS)/ TrP/-&�T–1/ Kv BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR PAYABLE BY C "CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABL AT THE E F APPLICANT'S SIGNATURE J'I DATE Inspectors use only Date on initial inspection: V27,/.,7i/s,?_I7 Date of reinspection: //,,a Date of issuance of catificate:� � 7 Date fee paid: rZ4& 7 — Type of unit: Dwellmg_l�fOther Check#ICheck date: Notes: C g, Lent Insp� or CI'J'Y OF SALEM, MASSACHUSEn'S BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR o Pr vtnt.Promote,Protc, TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOI,L Iramdin(aasalem.com MAYOR Laxl«�x,t�tutN,x5/R7?1 IS,010,(:>>-rs I-IvmxiI A(J4NP CERTIFICATE OF FITNESS CERTIFICATE#371-14 DATE ISSUED: 10/20/2014 Property Located at: 117 Lafayette Street UNIT#203 Owner/Agent: Caritas Communities Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 LAR RAMDIN V HEALTH AGENT SANITARIAN CITY OF S�U,EM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREIRIT,4"'FLOOR i7iL. (978) 741-1800 I4�Q�Ii.C1,PY DRISc OLL FAA(978)745-0343 �VI.3Ym DGRll-TaAtat�laS. lA% COM I)AVti)C;RRT-N BAT PJ, Ac.rm;H:-,-w zHA<i&N\' Application for Certificate of Fitness IN ACC MDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 ROPER"CY LOCATED AT, / �A�A S� �.4L/15,� W'A UNIT#2—c3 IS THIS UNIT D' IGNA ED IG �FRONT OR BA PLEA777 WNERlLE;iSER //hi /�Si�'MANAGER/AGENTy/� DDRESS�&2 4-A �y 0//�! ,I? ADDRESS .// 7 1,q AY O-1-1lee 51 ITY, STATE,ZIP=>,4L_ A�20 joL� 7alTY, STATE, ESIDENCE PHONE BUSINESS PHONE(24HRS)-7 7y5–7 5 � USINESS PHONE OTAL NUMBER OF ROOMS: OOM USE: 1.5TC% ,i 7 2. 3. 4. 5. 6. 7. 8. 9. 10. HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM CARD 4F HEALTH THIS FEE ISP AT E TIME OF INSPECTION GJ PPLICANT'S SIGNA DATE' / / tnsuectors use oniv ate on iritit.l inspection: I�I�01/!� Date of reinspection: ate of issuance of certificate: Date fee paid: ype of unit: Dwelling; Other Check# Check date: otos: . .... _.-._._..._.�_ ,_ _...� .. ._- ode En ret Inspector `°N°�'� City of Salem, Massachusetts m Board of Health > 9 120 Washington Street, 4th Floor, Salem, PablicHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-176 DATE ISSUED: 7/14/2015 Property Located at: 117 LAFAYETTE STREET UNIT#204 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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, REHS, CHO HEALTH AGENT SANT ARIAN CITY OF SALEM, MASSACHUSE rrs BOARD OF HEALTH 120 WASHINGTON STRFh-r,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAMDINO)SALLM.COM LARRY RANMIN,RS/RI?I IS,040,0P41-S Ih?,A1.Tt{AGISNT 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_& IS THIS UNIT DISI NATER AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE -- OWNERJLESSERr�� t-1z7WI&IZ /,e � , t�l�MANAGER/AGENT VLi/1 %f 6�"/��,�' eO— NO P.O. BOX / �3 ADDRESS /r//1777 ,may // Q_�� (� ADDRESS rJ CC�IZ It&e �ZG CITY, STATE,71P �7 D CITY, STATE,ZIP , c�� p RESIDENCE PHONE BUSINESS PHONE(24HRS) t � BUSINESS PHONE f TOTAL NUMBER OF ROOMS: G ROOM USE: 1.. /710 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 ISP AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /r /-, _ r Inspectors use only Date on initial inspection: 07/13/2-015" Date of reinspection: Date of issuance of certificate:07/1_312013- Date fee paid: 07/13/2W- Type of unit: Dwelling�Other Check# 5-97Y Check date: 06125/.20.2 Notes: G,J C of cement 19wor 4 . CIT"Y OF SALEM, MASSA(;HUSE`I`TS BOARD OF HE.\LTH 120 WASHINGTON STREET,41"FLOORr��I1CmH�El! TEL. (978) 741-1500 FAX()78) 745-0343 KIMBERLEY DRISCOLL IramdinQ..salem.com I,r1R1(1'&1RIl)iN,RS/REI-IS,C{-10,CY-Fti MAYOR HE,\i;I't I AGF,NT CERTIFICATE OF FITNESS CERTIFICATE#370-14 DATE ISSUED: 10/20/2014 Property Located at: 117 Lafayette Street UNIT#205 Owner/Agent: Caritas Communities/Wilson Tajada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-7457599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Divislon3, 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 2 4A0 LAR HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHL'SF.'ITS BOARD OF HEALTH 120 WAsl-rtNcrON STRr:.F r,4"'FLOOR 1'raL, (978)741-1800 ICIL%413E,W--Y DRISCOLL FAX(978)745-0343 NI.#YOlt Dctzri�\a&%f a&ALEu.COM I)A%'f )C AFT!,NBAT)Yt, ACrfNc;H„Ai.ri-[Ac.r:�r � � �� Application for Certificate of Fitness IN ACCDRDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION.” FEE: $50.00 ROPERI"Y LOCATED AT A Sr 4 UNIT# IS THIS UNIT DD IGNA EDA RIG LEFT FRONT OR BA PLEASE �E ONE �1 _ WNERILESSER� P/J/�in�iivi �e5. MANAGER/AC //�/S&Y) 0 P.O. BOX 1 DDRESSIA3 4 A? F-�4/ ADDRESS // 7 L 1/ l`/ A I ,0/A .S ITY, STATE,7IP—>�L , a/9 Zc�ITY, STATE,ZIP i7•�) ` w_ ESIDENCE PHONE BUSINESS PHONE(24HRS)-�,7�-- 7y,S-757/ USiNESS PHONE A OTAL NUMBER OF ROOMS: 1 /i OOM USE: 1.STG% .i� 2. 3. 4. 5. 6. 7. 8. 9. 10. HERE IS A FIFTY(130)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FEE IS PAT THE TIME OF INSPECTION PPLICANT'S SJGNAT '" r DATEV/t/0 L/ Insnectois use only ate on initid inspection: iQ 1J ao hT Date of reinspection: ate of issuance of cerficate: Date fee paid: ype of unit: Dwelling Other Check# Check date: ode Enoro ent hvq)ector r� CITY OF SALEM, MASSACHUSETTS BOARD OF HLAM'x 120 WASHINGTON STREET,4...FLOOR PublicHe8lth TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinOsalem.com L.\IiR1'li:\MDIN,liS/RI::I-IS,CI IO,CI 1 S MAYOR HI',.\I:fli AGI'.N'I CERTIFICATE OF FITNESS CERTIFICATE#208-14 DATE ISSUED:6/19/2014 Property Located at: 117 Lafayette Street UNIT#207 Owner/Agent: Caritas Communities Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 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 A10i LA RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS} BOARD OF HEALTH 120 WASHINGTON STREET,4..FLOOR TEL. (978)741-1800 I IINIBERLEY DR ISCOLL F.�X(978)745-0343 NLkYOR DGRr1:NBAUMOSALHM.COM DAVIDH q1 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 j �� PROPERTY LOCATED AT /l1 �pl�AYv fS� �.CJ Gird? IJNI'T#��o 27 IS THIS UNIT D IGNA1'`EA A RIGHT LEFT FRONT OR BAC PLEASE E ONE J- OWNER/LESS i�5 fid MANAGER/AGENT r:(///S/!Y� / NO P.O.SOX / / 9 - ADDRESS J/7 Xi yT! �l ,�7` ADDREss // 7 CITY, STATE,ZII' �L��?, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) �1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P T T TIMF OF INSPECTION APPLICANT'S SIGNA '�_ 1T - DATE' l Insnectcrs use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 16 �1-�v}_ Date fee paid: Type of unit: Dwelling t Other Check#5'47 Sb Check date: Notes: ,ode Enforcement Inspector " City of Salem, Massachusetts 9 V12 Board of Health 120 Washington Street, 4th Floor, Salem, PubIiCIIP.alth 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-15-278 DATE ISSUED: 9/3/2015 Property Located at: 117 LAFAYETTE STREET UNIT#209 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 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 N "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, RENS, CHO SAN "ARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINGSAIEM.C.OM LARRY RAMDIN,RS/Ri:(IS,C1 10,01-S HEALTH A(iliN,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" FLEE: $50.00 PROPERTY LOCATED Afi ��' UNIT#�(�Y IS THISNT O UNIT DIS16NATCD AS RIGHT LEFT FROR BACK kEASrE C CLE ONE OWNER/LESSER ( r/ C'� j �r�/iT� lAle MANAGERIAGENT � /moiNO P.OBOX �� ADDRESS ,.er 2e C�/ ADDRESS,117Ze �X10e'-Jr- CITY, STATE,ZIP. 1 /l� .)W /2,/!; /JCITY, STATE,ZIP )r>! RESIDENCE PHONE BUSINESS PHONE(24HRS�f Cc/, � BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 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 FE THE TIME OF INSPECTION APPLICANT'S SIGNATURE. DATE�� r Insnectors use only Date on initial inspection: Oglif s,I)o 1_ Date of reinspection: Date of issuance of certificate: 09/0 3J)fAS' Date fee paid: 06110312xl_S Type of unit: Dwelling_,)�_Other Check#LI 2t3'�30$70Chockdate: Notes: ,Ic Enf ement ector r� 4 V n " City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PtlbliCHealth MA 01970 Prevent.Promote Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-21 DATE ISSUED: 1/26/2017 Property Located at: 111-125 LAFAYETTE STREET UNIT#209 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745.7599 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. 10 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WA3HWGTON STREET,4'"FLOOR TEL. (978)741-1800 K.IM BERLEY DRISCOLL FAX(978)745-0343 MAYOR tanMPOWE COM LORRY RAM DIN,RS/REHS,CHO,CP-PS HEALTHAGENT 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 ATZI,;7, `/o f �J�'l�y � uwr#';0�1._F IS THS Db3dNAfW AS RHT I� FRONT OR APLEASE CIRCLE ONE�OWNER/LESSER/l�'/ ;.&1We-, MANAGERJAG ez NO P_a BOX ADDRESSrL �,�G PZ ADDRESS//.7 CITY,STATE,ZIP cl m o& r�/p�� CITY,STATE,ZIP l% �iS'el RESIDENCE PHONE �7BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1., CA///b 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TEE CTIY OF SALEM BOARD OF HEALTH THIS FEE STI IEE OF F, SPECTION APPLICANT'S SIGNATURE -� _ �5'o/r? �ai/i/ QU DATE—/X-Y'017 Inspectors use only Date on initial inspection: � � Date of reinspecti r Date of issuance of certificate: , Ld Date fee paid: s 14� Type of unit: Dwelling--Other (},Check# ^� { Cheek date.- Notes: ate:Notes: t-�kA) Code CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET 4"FLOOR I�l1��lO1K�th > Prevent Promote.Protect TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinasalem.com LARRY IZ<\bIllIN,RS/liIiHS,CI-10,CP-FS S MAYOR Hv.AI.TH AGENT CERTIFICATE OF FITNESS CERTIFICATE#396-13 DATE ISSUED: 11/1/2013 Property Located at: 117 Lafayette Street UNIT#208 Owner/Agent: Caritase Communities/Wilson Tejada Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4470 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I LAR Y RAMDIN - HEALTH AGENT SANITAR� CITY OF SAI.EM, MASSACHUSETTS � BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLE.Y DRISCOLL FAX(978)745-0343 MAYOR 2QRFJiN LAUM(0).SAIkM.COM DAVID GREEN'$AUM, 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." 1 FEE: $50.00 PROPERTY LOCATED AT �� h �A (P l� S� ,�!J L �7y7 UNIT#10 9 IS THIS UNIT DD IGNA D A RIGHT LEFT FRONT OR BAC PLEASS7E R ONE OWNER/LESS�.TA S t'/?t�iiiiiit�i MANAGER!AGENT le///S/!Y) / NO P.O.BOX ADDRESS f/7 2 �c j f�3�y`O//4'' ,5� ADDRESS // 7 LA /rY'?�Y' 5S - CITY, STA'L'E,ZIP . ��WIITY, STATE,ZIP -SA RESIDENCE PHONE BUSINESS PHONE(24HRS)-�- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.4,4i 7 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION APPLICANT'S SIGNA -moi - DATE' Inspectors use only Date on initial inspection: jj^ 3 Date of reinspection: Date of issuance of certificate: j j_l' 1 Date fee paid: l 7� a^/ ) Type of unit: Dwelling � Other Check#�9�� Check date: e- � Notes: aA/ ,ode Enforcement Inspector • m CITY OF SALEM, MASSACHUSETTS BOARD OF H&-1LTH 120 WASHINGTON STREET,4"°FLOOR Putl I Prevent Promote.Protect TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL 1ramdin(a)sa1em.com I.ARrO'1tAn1Dm,Rs/ru.xS,talo,CP-FS MAYOR HP.AI a'I-I AG t?N'1' CERTIFICATE OF FITNESS CERTIFICATE#362-13 DATE ISSUED: 10/7/2013 Property Located at: 117 Lafayette Street UNIT#209 Owner/Agent: Caritas CommunitiesMilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 Ile 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 LARO RAMDIN HEALTH AGENT SANITARIAN • � CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH J - 120 W.ISHINGI'ON STRFET,4"FLOOR k "IS:L. (978}741-1800 KIMRERLEY DRISC.OLI. FAX(978) 745-0343 MAYOR DGR[;FNBAtTN[@6S,\1J=.1,1.COM DAVID GREF.NBAum, ACTING HEAI:THAGENT 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 / �9 !}�} PROPERTY LOCATED AT � C� S� 7,GI L��/ /r�'/�``I UNIT# Lv IS THIS LTIIT D IGNA EDA RIGHT LEFF FRONT OR BACK PLEASE C E ONE _ �- 1 dVJNERlLESSE ri'�f�/,19i i S MANAGER✓AGENT °Gf✓/l S NO P.O.BOX ...�,t ADDREss `/7 21V ��f �� ADDRESS �/ 7 A AY177 CITY, STATE ZIP _zA O/� 7WITY, STATE,ZIP .-!>'4 G � y1/✓�4' RESIDENCE PHONE BUSINESS PHONE(24HRs) 9/� -257,q BUSINESS PHONE TOTAL NUMBER OFF ROOMS: ROOM USE: 1.5&G,, ,7 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 PAWABL AT THE TIME OF INSPECTION �/ APPLICANT'S SIGNA _ -.� � -__�- DATE l - 11,---: '' Inst7ectars use only Date on initial inspection: )a- ?4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling != Other_ __ Check# -1 Check date: Notes: Code Enforcement Inspector CERT.# 70-98 FEE 25.00 0 3 DATE: 02/09/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 117 Lafavette Street UNIT #: 210 OWNER/AGENT: Winn management ADDRESS: 12 First Street CITY/TOWN: Salem- MA ZIP CODE: 01970 24 HOUR PHONE: 741-4470 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) ROOMING UNIT ( ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ( �� pT {}i Q Q UNJ-1: 1 'O� 1.J I OWNERJLE55EIk (r{( A} ) tj _L- " ZAGERIAGENT (A r S rylz+ , Cc �fQ l.Utrir> � t� s � Co, the ADDRESS ('Z r—T YLS + ADDRESS Sl Jl 4 ol/!L CITY ��c� Ce.-��.) vvl �1 c ( ^?<� CITY &fr3C,�l . Wi ri c,? iU�7 RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE R7-q q7 0 -- TOTAL NUMBER OF ROOMS: ROOM USE: ]. 2. 3, 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY 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: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR ti a - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ¢ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#624-05 DATE ISSUED: 10/12/05 Property Located at: 117 Lafayette Street UNIT#211 Owner/Agent: Caritas Communities Attn. Wilson Tejada Address: 117 Lafayette Street(office) City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-858-1140 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 JNN�, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR O� Y SALEM, MA 01970 .yB 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 .j.jq_I AFAY•et� 5�- 5446E '.I UNIT#.2// IS THIS UNIT DESIG /TED A RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERZtAS mmunit'Plir/G MANAGER/AGENT.(!Asoe) -7e- No /efNENo P.O. Box �/ / ,(//Q No P.O. Box / AlA ADDRESS/�D .eLed �Y Cu;4300 ADDRESS //? FAY(o)? ,fJ OFFI•C2 CITY ff�/g/ 2P, �y//E P� CITY !?A��{e!) yyA 6/470 RESIDENCE PHONE BUSINESS PHONE (24 HRS.)7if/ rrl9S�f//S�� BUSINESS PHONE 97� TOTAL NUMBER OF ROOMS: 1 ROOM USE: 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. APPLICANTS SIGNA , DATE /&)/7//3!5 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION v • DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: /0 - 1 -v-a TYPE OF UNIT: DWELLINkOTHER__ CHECK # M b CHECK DATE/_0 _/_��'D NOTES. 3 .��i 1n9h 7 CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,yB TEL. 978-74 1-1800 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 Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. I'n the event it is necessary that said inspection be done in my/our absence, i./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 agen.s from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. � e IE1�lANI'ILESSEE OWNER/La SOR. ] V / 1 ASO ��ao� sU1 �e3ao IJ- /VA 021-- -- -- ---- -- ADD!:ES� ADDRESS ® l9j � p P!. D JESSOF UNIT TO UL: INSPECTED 0 /97D DA'L F' r City of Salem, Massachusetts Board of Health 1P 120 Washington Street, 4th Floor, Salem, PubliCHeBIth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-22 DATE ISSUED: 1/26/2017 Property Located at: 111-125 LAFAYETTE STREET UNIT#212 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976) 745-7599 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. 0 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET',4'"FLOOR TEL. (978)741-1800 KDOERLEY DRISCOLL FAX(978)745-0343 MAYOR l.RAMD N1aSA1EM.CnM LARRY RAMD1N,RS/REBS,C140,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CARR 410.000 "M[NIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:$50.00 PROPERTY LOCATED AT.& GZ -l' rO nom`_f'c��.r,� //-7 UNIT#c IS TFW UNIT DAIS GNATED AS RIGRT 1W'fOk�t TN OR BACK.PLEASE CIRCLE ONE OWNER/I,ESSER��/�C.�rr�✓��7�/ .MANAGER/ NO P.O.BOX ADDRESS CffY,STATE,ZIP—,�;�}�C t'p,��%' �i`J dJlA-4a CITY,STATE,ZIP _ �t2�/�i' /5/i/" 4X P,7 RESIDENCE PHONEBUSINESS PHONE(24m) ,7,P/ //-W p BUSINESS PHONE /77A' 7 TOTAL NUMBER OF ROOMS: ROOM USE: L (-,2d 2. 3. 4. 5. b. 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 T THE TIME OF INSPECTION APPLICANT'S SIGNATURE 55 G' 9 f'�!��`_ DATE/�✓'✓� v � Insvectors use only Date on initial ' on: �" Date of on: mspecti - � 1 reinsPecti tt Date of issuance of certificate: t (Q t Date fee paid:—.6�4 P -' Type of unit: Dwelling Othcr Check# �) Check date.- Notes: 1 h �, Code HL 4� w fi CITY OF SALEM, MASSACHUSETTS V BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PublicHea Ith TF,L. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdin(a),salcm.com LAltltl'1Lr1MUlN,RS�Ar?I-I ti,CI l(1,(;P-I�S MAYOR CERTIFICATE OF FITNESS CERTIFICATE# 149-12 DATE ISSUED: 4/19/2012 Property Located at: 117 Lafayette Street UNIT#212 Owner/Agent: Caritas Communities/Wilson Tajada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 LA RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, Mr1SSACH USI ITSR14 BOARD 0-F HEM-14 f y 120 WAYENGTON SPR1-:f!,,r 4"' 1.1„4008 TT-"L. (978) 741-1800 KIASBE.i LEY 1-WTS(011. FAX (978) 745-0,143 MAY01Zia1SALN&..COM DAVI )( Rl.Fiat3;lUM, Ac ni .ic H . -,ni A(;i;NT Application for Certificate of Fitness IN ACC:)RDANCE WITH STATE SANITARY CODE, CHAPTER. 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION.” 4b/gvpFEE: $50.00 /PROPL'R"1'Y LOCATED AT_/ �jl ' ,,�,� tZi7r,-ow UNIT# —2, 1S'r11I8UNIT D IGNA EUA IG LEFT F OTv OR 8AC„K PLEASES' C,E ONE OWNIEWLE3SERa' 061i ieS��cr MANAGER/AGEN T�ll NO P.O. BOX -77 I ADDRESS // 71"Ke S " CITY, S'IATE,ZIf'_, �G9'J_ Iris/� �L cf?IT1, STATE,ZIPZA RESIDENCE PHONE BUSINESS PHONE(24HRS) 9.2 i--� 75 BUSINESS PHONE ,p TOTAL 1"/1BER OF ROOMS: L ROOMUSE. 1.J'TG% .r f? 2. 3. 4. 5. 5. 7. 8. 9. 10. THERE IS A FIFTY(950)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD(7F HEALTH THIS FEE IS P AT'�IE TIME OF INSPECTION APPLICANT'S STGNAT LATE' / / Insoect©rs use only Date on ir)itiO inspection: t� !1 ci I a Date of reinspection: Date of issuance of ceriScate: Da •fee paid: 'Type ofunit: Dwelling; Other__._—Check#;��UA k date: '�!/ C1 f� ) o � c�aw� SvnaY.�.. C n orcement Inspector CITY OF SALEM, MASSACHUSETTS a ® 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# 149-07 DATE ISSUED: 3/28/2007 Property Located at: 117 Lafayette Street UNIT#213 Owner/Agent: Caritas Communites/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-858-1140 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH q",X� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t ,l_ur.yyJ It to i"H�NaWn .4TO FI-I I ^ K^QIill" 'rgtI 670-744-ISM FA%$78-74S4"3 STAMLAV USOWC74 JR- JOAMM6 SCOTT. MI'H.RS,CHO MAYOR HEA(-TH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER It. 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR �tH HUMAN HAB ATION'. PROPERTY LOCATED AT 1/ u�f ti 1r f - UNIT n�2/ IS THIS UNIT DESt j�,AT 0 AS T LEF FRONT BACK PLEASE CIRRCCjLL)E ONE ,OBJ OWNERILESSER i2 —+ �I}J/JI MANAGERJACaENT-L& ��'✓ �1Q No P.O.Bax o P.O.Box J ,, ADDRESS (1 (X.!! < �OADDRESS ll? � II�� CITYC� _UI �CITY_j�L l j MA S�G RESIDENCE PHONE _. BUSINFSS PHONE (24 HRS.),, BUSINESS PHONE TOTAL NUMBER Oli ROOM USE: Lis!. 4 THERE IS A TWENTY-FIVE(S25.00) DOLLAR FF.E,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTM4 NT THIS FFF IS PAYABLE AT THF: TIME OF INSPECTION. APPLICANTS SiGNAI - _ . ()All � 1N,1'1.0 101Iri 11S.L ONLY [?Alf—QtINIl'IAI, INSPIC l iON 3'21P — 7 DA)l Of- I It IN:1'1 i 11ON DAII Of IS;iIANC:t 01 1 11111 ri:AI1 5�—� b'—"� I)AIl I I I I'All) 3 � 1YVI Of UNII I)w! >1 1.1 i 111111 Ii 0111 CK 1: NO[i !� + � 0i INI + )Ii, dh41hlI , 1 ; ' City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-343 DATE ISSUED: 10/12/2017 Property Located at: 117 LAFAYETTE STREET UNIT#214 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN t, CI ry OF SALEM, MASSACHUSMS BOARD OF HuA-Mi 120 WASHINGTON S'IRIiHT,4O1 I"t.00R TEL(978)741-1800 KIMBERLEY DRISCOI1, FAX(978) 745-0343 MAYOR LRAMI)INn.SALNM.com LARRN-RAMDIN,RS/RnHS,0t10,CP-FS Ht:m.'m AGEN'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" j p / FEE: $50.00 C! PROPERTY LOCATED AT �� /I\I57TL �; ' S,�'4 /��6* /�`'r_ �� UNIT# IS THIS UNIT nISIGNATjED�As iti ur LLEMr moNT OR BACK•PLEASE CIRCLE ONE OWNER/LESSER �* giatS X01 ��`JI i 1 =-1 MANAGER/AGENT NO P.O.BOX / /? . --p ADDRESS Al-d6-1�7/- ADDRESS a5 1.��,'a17`��t./�err�2 11I P4. ! tl CITY, STATE,71P CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE ' / �Q �`/S ~ 7��q TOTAL NUMBER OF ROOMS: f ROOM USE: 1. 2. 3. 4. 5. 6. 7, 8. 9. I0. 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� �G/� ��.,.� 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 S_NoCheck date: Notes: 11 Code Enforcement Inspector 1 City of Salem, Massachusetts t � Board of Health 120 Washington Street, 4th Floor, Salem, PuWiCEealth MA 01970 Prevent.Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-88 DATE ISSUED: 3/28/2017 Property Located at: 117 LAFAYETTE STREET UNIT#215 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN J i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHIlVGTON STREET,47'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR t.RAMDTNrVsMEM.CnM LARRY RAMDIN,RS/RENS,CHO,CP-r5 IiEALTHAGENT Application for Certifwate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NUNHWUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:$50.00 PROPERTY LOCATED AT/X,7 Y�C�C cr4' I j r IL2�1'li%'.% UNIT#a`� IS TTw.fiumr-r AI,,SIr�G�NAT6 As RiG T un OR SCK,FL ASE CIRCLE ONE OR�IdER/LESSER�r�r!/I�l C.t�,rr.,�i,'��VIANAGER!AGENT�/.�1�r/i��id�'c-- NO P.O.IBX ADDRESS /r'r� �L2 jPIt E' ! S(,� ADDRESS// CITY,STATE,ZIP. �t %L»�/�/� o 1, 70 CITY,sTATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) f;, BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. PZ�� 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 THE FEE IS PAYABLE-AT-THE TIME OF INSPECTION APPLICANT'S SIGNATURES DATE Insnectais use only Date on initial inspection:-4i -1 « Date of reinspectio`n: ff Date of issuance of certificate: e3f Date fes paid: Type of unit: DweUWg,_,____Other Cheek#l Qq-+16q Check date: 901 l o l Notes: Code E t Inspector NniT City of Salem, Massachusettslu r +. Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-175 DATE ISSUED: 7/14/2015 Property Located at: 117 LAFAYETTE STREET UNIT#215 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 —9 HEALTH AGENT SA ARIAN CITY OF SALEM, MASSACHUSETTS • ` BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMr)rNna SAU-N.C'O�i LORRY RAMDIN,RS f REt IS,0140,CP-I,S HF.AL11 i AGI?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 s/7��¢%y ��y-� /�,y� Cif j�y�L7 UNIT#,�/� IS THIS UNIT D,IISIGNATED AS IGHT LEFT RO OR BACK PLEASE CIRCLE ONE OWNER/LESSER , C ( p./Woe,1, oC A1MANAGER/AGENTc��C�GZ NO P.O.BOX ADDRESS ADDRESS,J�/Z YP/2 ., CTI Y, STATE,ZIP, CITY, STATE,ZIP ,, �77 Z IO/�J RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: l ROOM USE: 1, C /O 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 PAYAT THE TIME OF INSPECTION _ APPLICANT'S SIGNATeI��' _ DATE Insnectors use only Date on initial inspection: 0711312-o.Z S' Date of reinspection: Date of issuance of certificate:(0'71012-01-S" Date fee paid:D7/1V12-0.Z S` Type of unit: Dwelling-- V Other Check#S-07._YS Check date: 041/2-/,201. S"` Notes: Code orcpenent In� f AA �! a CITY OF' SALEM, MASSAC:HIJSHITS r Ikmi ) car Hr?,\t;r1r 120 WAST IING ON StVRla r 4"' Irl,() 011 T1:1.. (978)741-1800 I,JTv1BI`,Rl.l'Y DRISCOL.I, ]-,,\x (978) 745-0343 MAYOR lramdinna salem.com LARRYRA NiN N,RS/RI?I Is,cl I(),(.I,-[;s CERTIFICATE OF FITNESS CERTIFICATE#445-11 DATE ISSUED: 11/1/2011 Property Located at: 117 Lafayette Street UNIT#216 Owner/Agent: Caritas Communities/Wilson Tajalda Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Ma>sachusetts 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 ocl;upied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR C.'ITY OF SALEM, "vLkSSACHU`SETTS BOARD Oi�HEALTH 120 WASHINGTON STREET-,4"'FLOOR TEL. (9-8)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGei;EMiADniOSALrna.COM DAV fD GREHNBAUM, ACTING H EALI H AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTERTI 107CIGI T16.006- "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 7FEE: $50.00 PROPERTY LOCATED AT �,,_� �Ay, S� L -... 1 UNIT#,f,? /l IS THIS UNIT I IONATED A O LEFT FROM OR AC (PLEASE E ONE OWNERlLESSER rr � P!1/7/th��isi ley. i MANAGER/AGENT /,6' /A ttY� NO P.O. BOX ADDRESS W ) 47F�n ,� y.0 J/ ADDRESS 1 A k' SJ CITY, STATE, ZIP � l�'l/ I'� .f $ITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)-��— BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM USE: L4/402.2. 3. 4. 5. b. 7. S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION / 4PPLICANT'S SIGNAT ---- DATE' Insnecto'rs use oniv )ate on initial inspection: 11 /j/11/, / Date of reinspection: )ate of issuance of certificate: _ 1(!( f l t Date fee paid: It///, ype of unit: Dwelling_ l- Other Check#t-AQ Check dater Totes: ode EmA rc&en Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEaI:I'H 120 WASHINGTON STREET,4"'FLOOR KIMBERLEY DIUSCOLL TEL. (978) 741-1800 MAYOR FAX (978) 745-0343 Immdin(a�,salem.com LARRY RAMAN,RS/RLFIS,(1110,CP-FS HI ,V:1'11 AG I;N'r CERTIFICATE OF FITNESS CERTIFICATE#44-12 DATE ISSUED: 1/31/2012 Property Located at: 117 Lafayette Street UNIT#217 Owner/Agent: Caritas Communities, Inc./Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4470 An inspection of your vacant Dwelling/Rooming Unit at the above address has beemapproved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary,Code, Chapter [[" 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 ofoccupants, 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. nFOR THE BOARD OF HEALTH L LA RY RAMDIN HEALTH AGENT C E20�CENATOR f CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 7 y! KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRETNBAUNznsAUE1.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: $';().00 PROPERTY LOCATED AT UNIT#.ZI 7 IS IS u ISIGNAT D AS RI HT LEFT FRONT OR BACK PLEA E LE O-N-E7�— / OWNER/LESSER I/ i /UVI, ,ts MANAGER/AGENT 704 NO P.O. BOX ADDRESS S ADDRESS 4 IIIA- {� S� CITY, STATE,ZIPS( `,,[M& tVA 0070 7l] CITY, STATE,ZIIf'>A E1M/I V A 0,/ q 7V RESIDENCE PHONL197t 757l g BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: L-91,14 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIfSIGNAT ($50)DOLLAR BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEH THIS FE EZS PAYABLE A��INSPECTION APPLICANT'S DATE Z Inspectors use only Date on initial inspection: 11-010, Date of reinspection: Date of issuance of certificate: Date fee paid: /0'� Type of unit: Dwelling Other Check# N-q�q`t)lkheck date: )/_Qk q- Notes: Coe&4btQ&cnt Inspector I , r 0 i i^ CI1Y OF SALEM, MASSACHUSETTS 10 12n W\stnNcrrc)N Sral:.l::r 4 � 1'+l.Oc)]2 PublicHeAl4h (978) 741-1800 r,\x (978) 745-0343 KIM13E111,1_a' DRISCOLL lramdinna salcm.corn - I,A 12121'R.\NII)IN,RS/R];I IS,CI I(),(111-PS MA1'C)R H S\I:1'II A(I I iNI' CERTIFICATE OF FITNESS CERTIFICATE#370-12 DATE ISSUED: 9/17/2012 Property Located at: 117 Lafayette Street UNIT#219 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved - - _ ---" -and is7n 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 BO RD OF ' EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN 1 CITY OF S,.9].,LM, Mf1SSACHL?SET17S p� I30;\Rll OF f IfiAI SI t V 120 WASHINGTON °ilIU-TI:T,4"'FLOOR FF1,. (978) 741 1800 K1111VB1;1 a,I;.1' 1�atISt.C)I L l;.\x(978) 745-043' _..- vI.\.Yt.}I2 uc>c!:Lasn azCrr� .v.i;4[ (;UM I).A+:[ ).C:RF,ENBAT IM, 1t:n ;t; H -iA;,r t AaI:NT Application for Certificate of Fitness IN ACC:)RDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ' N41NIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $$50.00 PROPERTY LOCATED AT_ A, . �4 r—A i. >? UNIT#� IS TIES UNIT D ICNA EDA GHT LEFT f RONT OR BAC PLEASE(' R�E ONE OWNER/LE:iSER�"�S Y'gi'v w4w4 ��° i C� MANAGER/AGENT ,el SJIY� NO P.O. BOX I / �c ADDRESS-&2, ,Cl "�p i��r f. ADDRESS // ;7 C;I"tY, STATE:,ZIP._ _;?aITY, STATE,ZIP RESIDENCL PHONE BUSINESS PHONE(24HRS)_g7 BUSINESS PHONE TOTAL NUMBED,OF ROOMS: 1 i ROOM USE. I.572-% . d 2. 3. 4. S. 6. 7. 8. 9. 10, THERE IS A FIFTY(950)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAWABtF AT THE TIME OF INSPECTION APPLICANT'S SIGNAT — DATE' 1p// 7/Z f� / Inspectors use only Date on hAtial inspection: `i to k Date of reinspection: Date of issuance of certificate: Dgte fee paid: Type of unit: Dwelling—_Other_, Check# heck date: Notes: _ .. _. — —_ C n�{c�:tnent Inspector I� l Co D City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Prevent PubPromote.cHealth 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-15-136 DATE ISSUED: 6/25/2015 Property Located at: 108-122 LAFAYETTE STREET UNIT#221 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 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, MASSACHUSETTS ` BOARD OP HEALTH - 120 WASHINGTON STREET,4O.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN0.SY'J.FM.00M LARRY RANIDIN,RS/RI?I IS,CI 10,CI'-ITS HI'dV:n I AGIiN'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" "� FEE: $50.00 PROPERTY LOCATED AT��2,, IeZle S' �� 171 /�ii� ®/S97 UN IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERs� j l'�6,W,19VAI%f f/.a/C MANAGER/AGEN ,l/E/J-OGL- NO P.O. BOX / � � 1Q ADDRESS /� �6t-Y.e� rz�- ADDRESS 117 CITY, STATE, ZIP- .2!f// jW D// CITY, STATE,ZIP ; 1 /GI�lp 7V,;? RESIDENCE PHONE BUSINESS PHONE(24HRS) ce;/7 ,,26/-L1L11;? BUSINESS PHONE 9f' �599 TOTAL NUMBER OF ROOMS: ROOM USE: 1.C'/1l9;v 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 PAYABL THE TIME OF INSPECTION / APPLICANT'S SIGNATURE -- /�ill rA.-- DATE Inspectors use only Date on initial inspection:-"/2-Y/20S Date of reinspection: Date of issuance of certificate: tntn/LV,?o1S Date fee paid:.0612-Y/Lcl Type of unit: Dwelling oo� Other Check# S-2661X Check date: 06/.L�/ r Notes: Cod Afo� ement ector k U� CERT.# 47-98 w " FEE $25.00 31� �Ft DATE: 02/02/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 117 Lafavette Street UNIT #: 301 OWNER/AGENT: Winn Manaaement ADDRESS: 12 First Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 741-4470 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTHqvLf"C,Lt� I/ i JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY:CODE, ;CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT P ( p p ! ,1 UNIT 11 ! OWNER/LESSEN vt(,P)�+ t )� L`- �' "MANAGERIAGENT" i/ iYl r'"5 Aa 1rt . .C L 0/6 (YlC _ ADDRESS r�`u uoW�� CITY SOI_Ctl � VVI lf1 Cn I �---? CD CITY ��, ro Cc4 1(3� 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) G��(E� BUSINESS PHONE a 7 - 7Q/ _H LD 0 - TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM' HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DAA r INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: e") i j DATE OF REINSPECTION DATE OF ISSUANCE OF CERT'LF/ICATF-:'-;? y � DATE FEE PAID: ) TYPE OF UNIT: DWELLING G OTHER NOTES : �— CODE ENFORCEMENT INSPECTOR L. CONDI City of Salem, Massachusetts e 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor lramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-410 DATE ISSUED: 12/10/2015 Property Located at: 117 LAFAYETTE STREET UNIT#302 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 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 F- ,--A� &2�1 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • f BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR, TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1,RAN1DINf-?O.SALFN.COM LARRY RAM AN,RS/REI IS,CI 10,CP-11S HRAi,—m AGF'sNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, I05 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT ,,4Z lj ,k; d � _ C�fL L�/� 9�/� UNIT#, 1� IS THIS UNIT DISI NA D AS RIGHT LEFT FRONT OR BAC PLEAS�SEE CIRCLE ONE OWNER/LESSER4r>`� r ///�;;--1 /WG' MANAGER/AGENT,�I t NO P.Q. BOX ADDRESS 1/17 / J '� CITY, STATE,ZIP-2�z e..�1 �&o CITY, STATE,ZIP, Q2—Ie w/moi It-121 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 9�� 7- Z/i - /P TOTAL NUMBER OF ROOMS:,� ROOM USE: 1. �/Zi ;7 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 FE ABI�I��THE TIME OF INSPECTION APPLICANT'S SIGNATURE— moi" �iifs .•.- DATE/J Inspectors use only Date on initial inspection: 1 _l oql 2_r)Z Date of reinspecgtin21l on:: Date of issuance of certificate:r�05/Z01-3 M Date fee paid: -� 1_/0q/ 5 Typeofunit: Dwellnng�Other C-heck"#232 75"79t&eckdate: 1210YI261 - Notes: �Y�grcemeni Ill�peetor • CITY OF SALEM, MASSACHUSETTS BOARD OF HF uxFI 120 WASHINGTON STREET,4...FLOOR TEL.. (978) 741-1800 KINMERLEY DRISCOLL FAX(978) 745-0343 MAYOR ix;icr:uNii:w,u(nDsni.e%(a>mi DAVIT)GRI?IiNBAUN,RS A(;I'IN(i W,AI:I'I I AGI':N'I' CERTIFICATE OF FITNESS CERTIFICATE #476-10 DATE ISSUED: 10/6/2010 Property Located at: 117 Lafayette Street UNIT#302 Owner/Agent: Caritas CommunitiesMilson Tejada Address: 117 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 BOA�F HEALTH A DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CI'IY OF SALEM, NLASSACHUSETTS . / 1201, A, l-IINC'CON SI'RL^'fi'I' 4". I'LOOR J'J3J,. (978) 741-1800 KIMI3ERLEY DF.1S--OLL P.IZ (978, 745-0343 MAYOR 1> ;is a I,N I a a)SAI,IiM.CO:t DAVID GREENBAUM, ACTING I-1FjLTI-, AU,RNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 `MINIMUM STANDARDS OF FITNESS FOR H UMAN HABITATION." FEE: $50.00 PROPERTY LOCA:rEDAT '�51 A UNIT# D✓ — �"t'F ONT OR BACK{,PLEA. CT CLE ONE OWNERtLESSF j vIANAGER AGENT NO P.O. BOX .A 1 V41 / ADDRESS ( w �CNI U)DRESS,,1�,4 � ve �/ �j/� CITY, STATE, ) (SG(� 7 :ITY, STATE, ZIP-X44 � —Ugdf V RESIDENCE PISS PHONE '24HRSl BUSINESS PH( N7 I t TOTAL NUMB] ROOM USE: L 5. ). 10. (THERE IS A F11 -_- , �K OR MON EY ORDER TO THE CITY OF SALEM BOARD OF HEALT I THIS FEE IS P LE AT THE TIME OF INSPECTION APPLICAN] S SIG(,A'FI7RE DATE,ID� Insoeetorss use only )ate on initial inspect on: t Date c f reinspection: ( (— )ate of issuance of certif:cate: U_ 4` Date f;e paid: 101 121/0 'ype of unit: Dweliin;_��Othe Check #_Cheek date: JPLS Jj/ L> _ Motes: 'ode Enfodent Incl ectcr i Iso n `n Love a CITY OF SALEM, MASSACHUSETTS B&)ARD( P HF..ILTI I 120 WA`'IIINGTON S'1 MJli 1' 4"' FLOOR Tr:r.. (978; 741-9800 KIM13FRLI:Y DFIS'OLL FAX(978, 745-0343 M�YOIt L>c;ucr. si iia,ni.i:mi CObi I)Avtn GRERNBAU\f, :\CTING HEALTf? A,-,ENT 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: $50.00 ��^'+ PROPERTY LOCA'tEt) AT L .5_. 1 UNIT#.0Z�- r?ISTHIS T DISION TED AS RIGHTLEFT FRONT OR BACK.PLEA C CLE ONE OWNER/LESSER�� MANAGER, AGENT NO P.O. BOX ADDRESS/,4LO _��j1Q ,,, �ADDRESS�f ,�ve17 S`T. UITY, STATE, 7,IP� � ,_ ( CITY, STATE,ZIP00 '.�fe ,I7V RESIDENCE PHONE BUSINESS PHONE '24HRS) BUSINESS PHONE 2 j:/ ' //yO TOTAL NUMBER C F ZOOMS: ROOM USE: 15?4iC1/d 2, 3. 4. 5. b. 7. 8. 9. 10. THERE IS A FIFTY "$S 0)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CI'T'Y OF SALEM OF HFALT3 THE TIME OF INSPECTION APPLICANT'S S IG;EA''.117RF. E P -LF AT_._�.. ._..__......_.. t _. a _._ ..,.. DATE /) 5 / Inspectors use only Date on initial inspect on: � ! Date c f reinspection: /. )ate of issuance of certificate: (J �l �V Date f�paid:_„J/()/0_ 0___ Cype of unit: Dwellin;__L'" Other____—Cheek#-�,�b j—Check date: Motes: 'ode F-nfodmt Ins}ector� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRFET>4"'FLOOR pllblicHeB&h Pm.em.Promote.Protect TSL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinOsalem.com - LARRY R.\N1DIN,WVRF:FIS,C1 10,C;]'-FS MAYOR HHAI.PI I AGISNr s CERTIFICATE OF FITNESS CERTIFICATE#338-13 DATE ISSUED: 9/16/2013 Property Located at: 117 Lafayette Street UNIT#303 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street(office) City/Town: Salem, MA Zip Cade: 01970 24 Hour Phone: 781-858-1140 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 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 // y6% LARR RAMDIN .� V /r-k HEALTH AGENT SANITARIAN + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGR1;ENBAun1(asA1-EM.CONI DAVID GREENB 1UM, 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." 7 I FEE: $50.00 PROPERTY LOCATED AT /// f��I�ArP 5� . /�,ml 10;zA vNi r#303 IS THIS UNIT DjpGNATED1 A RIGHT LEFT FRONT OR PLEASE E ONE OWNER/LESS �i7lfri//6�i /�' n�''MANAGER/AGENT �1// S/!?� / NO P.O. BOX ` ADDRESS .// /f7 I OAC ,5�7 ADDRESS CITY, STATE,Z1P6�'f� A OZ1.WITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) �, 7y,7 •-7J BUSINESS PHONE TOTAL NUMBER OFFROOMS: ROOM USE: 1.4f, %/, 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P E ,AT THE TIME OF INSPECTION /—/v /APPLICANT'S SIGNAT - DATE�5 �,T Insnectots use only Date on initial inspection: C I I I'd i 3 Date of reinspection: Date of issuance of certificate: Dake fee paid: �/b J Type of unit: Dwelling Other Check# �7 Check date: Notes: a Code of ement�spector TRANSMISSION VERIFICATION REPORT TIME : 09/30/2013 22: 09 NAME . FA:; : 9787450343 TEL : 9787411800 SEP.# : 000S0N341991 DATE,TIME 09130 22: 08 FAX NO./NAME 919787457599 DURATION 00: 01: 21 PAGE(S) 03 RESULT 04, MODE STANDARD ECM e oONWT',� City of Salem, Massachusetts 4 / w Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaith 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-15-205 DATE ISSUED: 7/31/2015 Property Located at: 117 LAFAYETTE STREET UNIT#304 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 / SANIT IAN G I - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1840 KINIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDINt7a SAUM.COM LARRY R,AMIAN,RS/R811S,CHO,CP-FS ' IIIiAL"1'4f ACi1dNT 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�F-EE: ,$50.00 / PROPERTY LOCATED AT,/./7!"-- IMLEG - See O�1 l?7.� C 1-Y-Z UNIT#Soy IS THIS UNIT DISI ATED A,S RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER!�l �� ...W,1/.rt/!llr, . C'- MANAGER/NO P.0,BOX ADDRESS�� ,�� 1�� ' ADDRESS/,/ CITY, STATE,ZIP4 /t'Ii'�/�'/l /y��9�� CITY, STATE,ZIPJ Yale RESIDENCE PHONE BUSINESS PHONE(24HRS) J7i9//��,�-' BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. .cl/7i0 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 T THE TIME OF INSPECTION f APPLICANT'S SIGNATURE ! . G'/r/i/?� e. I3A�li/ZJ� �DI✓t I Inspectors use only Date on initial inspection: L 2911 S- Date of reinspection: Date of issuance of certificate:-=J/2f LS' Date fee paid: e 2 /2�Z S� Type of unit: Dwelling—Z~ Other Check#_5& � Check date: 0 f,/30/2,ntr Notes: 96 orcement pector .� 0 pONDIgt�o City of Salem, Massachusetts 10 q Board of Health am " 120 Washington Street, 4th Floor, Salem, Public Health M FDO 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-15-44 DATE ISSUED: 4/22/2015 Property Located at: 117 LAFAYETTE STREET UNIT#305 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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, -4,i Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS s BOARD OF HEALTH 120 WASHINGTON STREET,4`"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 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." /9 FEE: $50.00 / PROPERTY LOCATED AT %I h A�i4Y0 S� ,�.a L UNIT# IS THIS UNIT D IGNATID RIGHT LEFT FRONT OR PLEASE E ONE e _ OWNERLESS v"v.,w/J0v za.. /�C MANAGER/AGENT l:(///S 0Y9 / NO P.O.BOX ADDRESS //7 210 �,c / �y p7/� ,q • ADDRESS// 7 CITY, STATE,ZIP ��/)G/vs7, Carry, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 17 BUSINESS PHONE TOTAL NUMBER OFFIROOMS: ROOM USE: Lc4e,,4�7 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION APPLICANT'S SIGNA 77� DATF��4L / Insnectois use only Date on initial inspection: � 'f,< IIS Date of reinspection: Date of issuance of certificate: Date fee paid: L4 1Itsf/C Type of unit: Dwelling Other Check# AA D- Check date: Notes: l7 -�,6z;.q O a 8cy-6 Q .ode EVorckifientInspector CITY OF SALFAl, M\SSACHUSU?IITS lu �q"nnR Bc)ARD011-I1-HIALT11 120W,\S1-11NCT()NSrRlil:'r 4"'FLcuaz PublicHealth 'rj-,L. (97S) 741-1800 FAX (978) 745-0343 KTNIBERLEY DRTSCOLL lcamd-in(asalem.com T,nizev ii-�nmm,as/�tia is,ca«�,c:r-i s MAYOR T vAj:fliAcaiNT CERTIFICATE OF FITNESS CERTIFICATE#371-12 DATE ISSUED: 9/17/2012 Property Located at: 117 Lafayette Street UNIT#306 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 LAR*ibRAMDIN HEALTH AGENT SANITARIAN � a C.ITI' OF SALEM, MA.SSMiAtoS1T1;S BoARDOF=H ,A1T11 ±204 '1'[.000 Tr".f (978) 741-1800 14L�Uif.R1.I.1' Ui2I5{OS.T_, P.kX (978) 745-0343 _....._�.,.._._ .. .._... DGRITNBAUM05ALLM.COM i 1).\�.iUCif2F=.t3t'd i3;\li\(, Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.040 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 1�� y S� UNIT#� IS THS UNIT D' IGNA(ED A RI HT LEFT CRONT OR l C PLEASE RC E ONE ,,gy�pp C f OWNER/LE35ER1 ��' / S MANAGER/AGENT S/!� J ' NO P.O.BOX I /` c ADDRISS,�O_4�A? Pv al eAe ,q ADDRESS-// C:I'TY, STATE,IZ°�>�.rl�'T. AfJ/ 7cITY, STATE,ZIP RES1DEtJCF:PHONE_ BUSINESS PHONE(24HRS)_�4Z�— ?Y,5— 75 BUSINESS PHONE TOTAL 71 IBER OF ROOMS: / ROOM USE: 12. 3, 4. 5. 6. 7, 8. 9. 10. THERE IS A FIFTY(9 50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION APPLICAN'T'S SIGNAT `-- DATE' t J Instors useonlyo Date on h:itis.l inspection: OrI 17 Ila � Date of reinspection: Date of issuance of certificate: t DD to fee paid: Type of unit: Dweliinl;�,_Other,_Check#IH��LSk/+"t�ChLPeck dater Notes: C 6 cement Inspector 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 JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT 2/26/08 Caritas Communities/Wilson Tejada 117 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 117 Lafayette Street Unit 307 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. For the Board of He Itg h Reply to 41o'annett MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ` 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 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 151-06 DATE ISSUED: 3/24/06 Property Located at: 117 Lafayette Street UNIT#308 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-858-1140 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 qv4i� 44.,15f— . / JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t CPi'Y OF SALEMMASSACHUSEtTS BOARD OF HEALTH 120 WASHINGTON STREET.4TH FLOOR j /-1 �+� /C./• SALEM, MA 01970 TEL. 978-741-1900 FAX 978-745.0343 STANLEY USOVICZ, JR, JOANNE SCOTT, MPH. R5, 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 HABITAT I N". PROPERTY LOCATED AT !- ir%6:l�! S - UNIT 4-5-0b I5 THIS UNIT DESIGTE9 AS RI HT LEFT FRONT BACK PLEASE CIRCLE O-Nq /y OWNER/LESSER / 1�MANAGER/AGENT,�), >CY7 11� A No P.O. Boxo P.O. Box ADDRESS47J�f! � t� 5Y,ADDRESS /� CITY ��-tLrtaL' // / CITY RESIDENCE PHON& tI 74T75 / BUSINESS PHONE (24 HRS.)� � //J r/�z/1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: 7. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEF IS PAYABLE AT THE TIME OF INSPECTION. _ APPLICANTS SIGN _ --^ ±-~�� DATE_3 v INSPECTORS_ll SF ONLY DATE OF INITIAL_INSPECTION s} 3+.lJ G_ _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATC 3'� 3 tOy DATE FFF PAID TYPE OF UNIT DWELLING OTHER CHECK N_/� 7j �/ 0iLCK DATE- ;1. -"O NOTES R -MEN I fN4 P ;T II G'tt1vN. CODE (-NFO L! _ ,. { i_( O tpND1T,t City of Salem, Massachusetts lu0 clugi. Board of Health 120 Washington Street, 4th Floor, Salem, PulblicHea 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-15-338 DATE ISSUED: 10/19/2015 Property Located at: 117 LAFAYETTE STREET UNIT#309 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 i 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� -- "d Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT SAN RIAN ' CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR I.RAMDIN(0)SAId^:M.I:010 LARRY ILANIDTN,RS/REI IS,CHH,CP-FS' Hr^:AI:rItA<>E;�T Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / �1 FEE: $50.00 PROPERTY LOCATED A� �GlflYo/f C�Z� t / 70 UNIT# �C /JIS THISS UNNIIT DD1 IGNA ED AS RIS LEFT FRONT OR BACK PLEA,SEECCIRCLE O�N-E OWNF..FAESSER/'- �/7 B_S'' 1- z✓ .MANAGER/AGENIN-4 NO P.O.BOX f ADDRESS./��t1lC�� ADDRESS CITY, STATE,ZIP ` �a �ZYA2. CITY,STATE,ZIP Cf�/z-/ /"'r RESIDENCE PHONEn BUSINESS PHONE(24HRS) �'Xl- � 11'5;"e- 11 BUSINESS PHONE 9P TOTAL NUMBER OF ROOMS: ROOM USE: 1 iY/ai 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE / Inspectors use only Date on initial inspection: J G�q/LS/2�L S— Date of reinspection: Date of issuance of certificate: LU/Zs/ZO.LS� _ Date fee paid: 101L5120LS- Type of unit: Dwelling ✓ Other Ctca#R2-06 402.13257Gheek date:I C)/1-4120 LS1 Notes: a�z T C of cement or �Y '�,� City of Salem, Massachusetts n 9 Board of Health 120 Washington Street, 4th Floor, Salem, Pu bliCHealthh MA 01970 Prevent, Prnmntr Prnt Crt KimberleyDriscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-138 DATE ISSUED: 6/25/2015 Property Located at: 108-122 LAFAYETTE STREET UNIT#310 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 SANIT IAN CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1.RAN1)[N0SA1J,,M.00M LARRY RANtUIN,16/RF1-IS,CIIO,CP-PS HI.:AL,i,j i AGFNT 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 n PROPERTY LOCATED AT-//7 2eraS /Y /a 272a lI UNIT# IS THIS UNIT DISIGNAfED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER e lf�,e a azm&Alam/,r&ANAGER/AGENi�,-,/�,oy/�.1//i1f� NO P.O. BOX � / - ADDRESS t C' , Pee, ADDRESS 11� llc0/y IK.C'.Z . CITY, STATE,ZIP ��L�nl, jq/CITY, STATE,ZIP _C/7Q0/90 RESIDENCE PHONE �j BUSINESS PHONE(24HRS) P� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I Lcll�;9 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I E TIME OF INSPECTION APPLICANT'S SIGNATURE_ �iir ®i Pri DATE 4'p/�`�� Inspectors use onlv Date on initial inspection: OL./24/7-rd-5- Date of reinspection: Date of issuance of certificate:N/)-V/2015— Date fee paid:06/� //24/�2�t?l Type of unit: Dwelling�Other Check# 5.260 Check dater/.F- 21.x-5- Notes: CodVyhlo4ement Insp for D City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, F1111 ealth MA 01970 Prevent. Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-87 DATE ISSUED: 3/28/2017 Property Located at: 117 LAFAYETTE STREET UNIT#311 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street Cityrrown: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEIv1 MASSACHUSEnS BOARD OF HEALTH 120 W 1gENGTON STREET,4-FLOOR TEL.(978)741-1800 KIMBERLE'Y DRISCOLL FAX(978)745-0343 MAYOR ax� rn(n1saL .r�.cont LARRY RAMDtN,RS/RENS,CHO,CP-FS HEALT 14 AGENT Appheadon 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 PROPERTYLOCATEDAT/�, fl ��r S^e' Pk;;- is TF su`NrrvzOGNATED as gim 3Err O ona xc PLFASSF CIRCLE ONE OWNER/LESSFdt �li7r�i1� / /Z/�3ANAOERIACrENT /// / ice NO P.O.BOX / ,c /3 ADDRESS .� ADDRESS/�/2 CITY,STATE,ZIP" CITY,STATE,ZIP G2 !�j' 0�9j7c7 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER , r?/OFF ROOMS: l ROOM USE: � r!;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 PAYAB T THE TIME OF INSPECTION / APPLICANT'S SIGNATURE //T ��q. �,fiv��c DATE—L/ . . i Inspectors use only Date on initial inspection: �Z)I Date of reinspection: { Date of issuance of cerdficate:_?�2? ��` Date fee paid: Type of unit: Dwelling—Other Check# {S? Cheek date: Notes: Code Fent Inspector ` D!T City of Salem, Massachusetts Board of Health 1 I ` 120 Washington Street, 4th Floor, Salem, PublicHealth 'N MA01970 Prevent, Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978).745-0343 Larry Ramdin, MPH, RENS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-137 DATE ISSUED: 6/25/2015 Property Located at: 108-122 LAFAYETTE STREET UNIT#311 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745.7599 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, RENS, CHO HEALTH AGENT SANITARIA CITY OF SALEM, MASSACHUSETTS • j e BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 AIAYOR I.RAMDJNnsyu j w.com L\ARl'RANiDIN,RS/RVI IS,CI 10,(:P-FS HI?N;1'I-I AGI?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//;71� �CZ�2_r�'_ �A�t 71l �li� /,/97Z� UNIT&// // IS THIS UNIT DISIG�NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE 7 OWNER/LESSER .Q /A/C-MANAGER/AGENT Nj �; !/l7l Dct NO P.O. BOX /- ADDRESS�/[ fir EY//G ��S� ADDRESS CITY, STATE,ZIP ��IZ)W WY1 1-2114772,52 CITY, STATE, ZIP _ 0Q'Z,W 1,V"/979 RESIDENCE PHONED BUSINESS PHONE(24HRS)� -7� a g l-zl�1 7 BUSINESS PHONE /0,77,6- 7-/�7-J 99 TOTAL NUMBER OF ROOMS: ROOM USE: L /fJ 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION / APPLICANT'S SIGNATURE AiiA.1 /i/� n��._ DATE C�/,-WI/J� Inspectors use onlv Date on initial inspection: O(,&gl2rt57 Date of reinspection: Date of issuance of certificate: Lt Date fee paid:06/24!9 n1s Type of unit: Dwelling Check#S& Check date: 06117/-o.1,5-- Notes: *Cn7rcement r / D City of Salem, Massachusetts _ s I 7 Board of Health 120 Washington Street, 4th Floor, Salem, 0 PttalliiCHCalth MA 01970 Prevent. Promote.Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-86 DATE ISSUED: 3/28/2017 Property Located at: 117 LAFAYETTE STREET UNIT#312 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 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. e.-&� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEK MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 K1 BERLEi'DRISCOLL. FAX(978)745-0343 MAYOR LRAMM a)sn�COM LARRY RAMDIN,RSfREHS,CHO,CP-M HEALTHAGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ll � FEE:$50.00 PROPERTY LOCATED AT/�7LC UNu#2 tS 1Fu5`UNTO D w.NATED A3 RiGHT uwr FRONT OR ACK PLPA,SE CIRCLE 4NE OWNER/LESSERI�i �9rr� '.� ii, d MANAGER!AGENT NADDRESS e S�i'` ADDRESS CITY, STATE,ZIP . 3"l2� ��P f�j �?/��G7 CTFY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I``S��PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA1I7RE— s � j�.�s�s _. DATE ✓`?.1 l hwoectors use only Date on initial inspection: )` 1 1, Date of reinspection: r Date of issuance of a tificate:�� Date fee paid �� ►l Type of unit: Dwelling_Other Check# l D�Check date: l�) ��4' Notes: I Cods E:nfin ntGpictor I - a y CITY OF SALEM, MASSACHUSETTS Y o &)ARD UI'HFALTH 120 WASHINGTON STREET,41° FLUOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGIWIMIAUNi( sALr.NLCOM D,\\,1U GRI?ICNRAum,RS Ac,HNG Hi;,\Lir i Acr•.NT CERTIFICATE OF FITNESS CERTIFICATE#477-10 DATE ISSUED: 10/6/2010 Property Located at: 117 Lafayette Street UNIT#312 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4470 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/�0 F HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT COd�FORCEMENT INSPECTOR i CITY OF SALEM, 1 ! 'VLASSACH.LSEITS I BOARD( [ IiFALTH 120 WASI IINGTONSTREET, 4°1 FLOOR TFtt,,. (978) 741-1800 KIMBERLEY DF IS":OLL FAx(978: 745-0343 1T1YOR DOWEN RA)lac 7s,u.i tll,C01\I DAVID GRr-_F.\BAu.\I, ACTIN(;HF;ALTi. A:.;ENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUAR STANDARDS OF FITNESS FOR HUMAN HABITATION." �,�y � FEE: $50.00 {^+ 7' PROPERTY LOCATED AT �:/j�(�_'.`z7S ,7_�� UNIT# 5� 9,�IS TI T DISICN TED AS RIGH DEFT F ONT OR BACK,PLEA C CLE ONE OWNERlI.ESSERJ, + ,_ MANAGER, AGENT NO P.O. BOX 1 �. ADDRESS' „Q„__�j�QQ ADDRESS.1��1 10 CITY, STATE, ZI(pr CITY, STATE, ZIP 'r ,�a _ 7V RESIDENCE PHONE BUSINESS PHONE '24HRS) BUSINESS PHONE_ TOTAL NUMBER C F ZOOMS: I ROOM USES! 2. 3. 4. 5. b. 7. 8. 9. 10. THERE IS A FIFTY-S_`0)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD A � TIME OF AiSPEC;'ION OF HEALTI-1711IS FEE IS Pry LF AT THE APPLICANT'S SIGnA,-URL f -mac. 3[ "^ * ~� DATE/O/-5//c'7 Inspectors use only Date on initial inspect.on: j t 1! Date tfreinspection:/ Date of issuance of ceI tit irate: ) OA-0110 Date f x paid: ! 0 t vko Cype of unit: Dwellin> Other Check# I j t' Check date: � __ dotes: :ode Enfo meet Inspector �pNDIT City of Salem, Massachusetts ^r_7 Board of Health L�=� 120 Washington Street, 4th Floor, Salem, PUPrav<nt. Pro Hc. PeAI>th MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-337 DATE ISSUED: 10/19/2015 Property Located at: 117 LAFAYETTE STREET UNIT#313 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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,—7A� X". .. Larry Ramdin, MPH, REHS, CHO -77 HEALTH AGENT SA ARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HrALTH 120 WASHINGTON STREET,4r'I'LOOR TEL. (978)741-2800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR I.RAMDIN(Q.SALIiM.(:11M LARRY RAMDIN,RS/RfiHS,0I0,(:P-F5 HEA11 4 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" ,FLEE: $50..r00�� /� yy� PROPERTY LOCATED AT.// �cl O l C}4 -L! //IA UNIT#may IS THIS UNITT D'IISIG14ATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE OONE!�� OWNER/LESSEl� Ils 44/ MANAGER/AGFN NO P.O. BOX ADDRESS/'7.zlZ/�//fG �f 7 ADDRESS//r;L/7 CITY, STATE,ZIP��/l0 CTTY, STATE,ZIP /� � �! Lc� RESIDENCE PHONE BUSINESS PHONE(24HRS)P,;;W- ;2 5 Z / BUSINESS PHONE, R_,/f'ye TOTAL NUMBER OF ROOMS: I ROOM USE: 1:�?//7 2. 3. 4. S. b. 7. 8. 9. 10. THERE IS A FIF'T'Y($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE AT THE/TIME OF INSPECTION APPLICANT'S SIGNATUR _ �/i.� DATE /19AL11 .� r Inspectors use onlv Date on initial inspection: �� 5/2p 1 Sr Date of reinspection: Date of issuance of certificate:1�/SS'2 n1-5- Date fee paid: 10115.11o1S— Type of unit: Dwelling__&her Ch&Ok#R206'0M25` eck date: Dom/ 01 S' Notes: AIA E rcement Wector a � i� CITY OF SAI-EM, MASSACHUSETTS 130.\R1)OF HF:.\i,,jvT 120 WAS[TING rON SrRer:r 4"' PLOOR PublicHeaIth 'Lr:A- (978) 741-1800 FAN (978) 745-0343 KIMBERLEY DRISCOL L tvmidinn,salcm.com Lmm2 ,R.\NIUIN,RS/IZHI IS,CI IO,(:P-I-S MAYOR HFm,I'I I A(iPN'r CERTIFICATE OF FITNESS CERTIFICATE#372-12 DATE ISSUED: 9/17/2012 Property Located at: 117 Lafayette Street UNIT#313 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 LAIR5144RAMDIN HEALTH AGENT SANITARIAN \� CITY OF SALEM, MASSACHUSET'I;S I3C).1r2D()F Ht:Ami 120\1 ASTUNG'ITYd1OFl.00it .. Tr1:. (ma) 741-1800 KINrr II'M J;,Y DRISC.OLL I,.LX{978}745-0343 M.1YOR ucina+xtSnoatta�sn�.r.�[ CONI DA. ,i')CrR1;Lidi3att,\i, Ar ro-1(- H 3A1,T! G N'1' Application for Certificate of Fitness IN l-,CC:)RDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410A00 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $$50.00 f PROPERTY LOC. AT A L�_S� L UNIT#_ IS THJS UNIT D 1GNA ED A RdC11T LEFT FRO i OR RAC PLEASE ' CLE ONE OWNIER/LE3SER�' -4 E_ ",�/.*�ii/7i /d' _MANAGER/AGENTjj�j/S//�t Na P.O. BOX Imo '4' ADDRESS // +�d�iFAYP /* S ADDRIiSS_,L1 `� ' T 7 CITY, STATE,ZIP,_ � 19?� �_-�j_ ITY, STATE,ZIP r}A, L5�� RESIDENCL PIIONE BUSINESS PHONE(24HRS)��- BUSINESS PHONE TOTAL,NUMBED.OF ROOMS: ly �i ROOM USE: I.STc% /d 2. 3. 4. 5. 6. T 8. 9. 10. THERE IS A FIFTY{930}DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ' AT THE TIME OF INSPECTION APPI,ICANT'S SIGNAT _ DATE' Inspectors use only Date on iuitia.l inspection: Date of reinspection: Date of issuaace of cenificate: Date fee paid:p "Type of unit: Dwelling; Other Check#�� ) �Vw iCt date: 1I�� Note,: Code u fbreement Inspector L " CITY OF SALEM, MASSACHUSETTS y � BOARD OF I-IRALTH 120 WASHINGTON STREET,4"'FLOOR 'F1--u4)78) 741-1800 K1MBE1U-F,Y DRTSCOI.L FAX (978) 745-0343 MAYOR ]tamdin a salem.com LARRY RA NDIN,RS/RI iI1S,(11 10,(T-FS 1-11?AI:iI i A(&,N'r CERTIFICATE:OF FITNESS CERTIFICATE #344-11 DATE ISSUED: 9/23/2011 Property Located at: 117 Lafayette Street UNIT# 315 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 o:cupied. 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 TH B RD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEA131-1 a- 120 WASHINGTON STREJE'T,4"`FLOOR TFL. (978)741-1800 KIMBERLEY DRISC:OLL FAX(978)745-0343 MAYOR uc rzrrvrl iva �[ M.COM DAVID GREENBAUM, ACTING HEALTIi AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "INGNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE�50.00 PROPERTY LOCATED AT A .S �� UNIT#ZJ l S IS THIS UNIT D IGNA D R GR LEFT FRONT OR AC PLEASE E ONE r OWNER/LESS] iJJ.nsi/hi i�Sin�'MAAIAGERtAGENT �GlSJIY� I NO P.O. BOX ADDRESS_Jl_7 lid F�al.P�-G ADDRESS r/ 7 fA 'rPP ' CITY, STATE, zjp,<, ,C: __ I _�. ITY, STATE, ZIP ,-<A RESIDENCE PHONE BUSINESS PHONE(24HRS)--2k- ?X 5--25 BUSINESS PHONE >k TOTAL NUMBER OF ROOMS: ROOM USE: 1.4 ./i� 2. 3. 4. 5. b. 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 ISP A THEE OF INSPECTION APPLICANT'SSIGNAT ^ '_" '- DATE' .`,311 Insnectdrs use only Date on initial inspection: 943114 Date of reinspection: Date of issuance of certificate: Gt h-) 1l I Date fee paid: Fype of unit: Dwelling_ Other Check#V�� Check date: r� g0tes: ,ode force ent Inspector _.. _�_ , __.� .-•-_- _. -- ,-- �laure raf� Wi �J�n �- 781 SS8-/I YO sii h2 iJ+ r TRANSMISSION VERIFICATION REPORT TIME : 09/27/2011 03:37 NAME : FAX : 9787450343 TEL : 9787411800 SEP,.# : 000BON341991 DATEJIME 09/27 03:36 FAX NO. /NAME 919787457599 DURATION 00:00: 48 PAGE(S) 03 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS r ,y BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 I INIBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1)CR114NBAUNf0.SA1.P:N C0M DAYIID Gt1::RN1i,\um ACTING HEAUH I AGi3N'r CERTIFICATE OF FITNESS CERTIFICATE #291-09 DATE ISSUED: 6/29/2009 Property Located at: 117 Lafayette Street UNIT#316 Owner/Agent: Caritas Communities/Wilson Tajada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-858-1140 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 rv- DAVID GREENBAUM ACTING HEALTH AGENT CODE El( MENT INSPECTOR » CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WA2-IINGl ON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 1X.R>2NBAU1v4A1 W 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 S�p�UNIT#31 (o S THI T DISIG TED A I GH LE ONT OR BACK PLE C CLE ONE ONER/LESSER MANAGER/AGENT W NO P.O. BOX ADDRESSADDRESS CITY, STATE,ZIP CITY, STATE,ZIP7t/ RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: wdlio 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 ISP LE AT_THE TIME OF INSPECTION APPLICANT'S SIGNATURE .`� "7 DATE (Ola 9/0 Insnectors use only Date on initial inspection: (p la I k q Date of reinspection: Date of issuance of certificate: tD A q/6 9 Date fee paid: to la q l(J I Type of unit: Dwelling Other Check#Check date: (0 b q I(J 9 Notes: FCWCC-- 1A klfiChp� 15 kCk-lA10vds (hOi- rcLld, Will L Code Enforcement Ins for l ` City of Salem, Massachusetts n 9 Board of Health 120 Washington Street, 4th Floor, Salem, PII><blicHea 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-16208 DATE ISSUED: 6/13/2016 Property Located at: 117 LAFAYETTE STREET UNIT#317 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)7457599 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 &rejqZ��/ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ' h CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,C FTLoOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR UAMD N0,S T LARRY RAMDTN,RS/RFHS,CHO,CP-FS HEAUM 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 AT1,LZ,CIpQ �/y fW&aZ2 #� AS THIS UNIT DISI4NATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/I ESSE _�� r�/ Z.�MANAGERI AGENT�.f yl it fi o a- NO P.O,BOX // ADDRESS// ..Z� n� � ADDRESS//� CITY, STATE,ZIPc_1�ICFIY, STATE,ZIP<-�Q'-�, r RESIDENCE PHONE p / BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: L. v%G7 2. 3. 4. 5. b. 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 FEE1�Y'AAT THE TIME OF INSPECTION APPLICANT'S SIGNAT M-2::1 �� a.� DATE Inspectors use only Date on initial inspection: Q1,(( A,19 i2jr Date of reinspection: Date of issuance of certificate: G Date fee paid: 6 o 2.t)jC _ Type of unit: Dwellin Other t": V-t7 374071117 Check date:06IN12-P71 Notes: ��Enf emeut or R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4 PablicHeaith FLOOR vre.en, Promote.Protect TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinnsalem.com L,\RR)'RANfI)IN,RS/REAS,CI-lO,CP—FS MAYOR HI?AL fH Ac 13N'T CERTIFICATE OF FITNESS CERTIFICATE# 187-13 DATE ISSUED: 5/28/2013 Property Located at: 117 Lafayette Street UNIT#317 Owner/Agent: Caritas Communites-Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 e 4 � LARRY MDIN ��4 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS $OARD OF HEALTH 120 wmii-IING'I"ON STREET,4...FLOOR TEL. (978) 741-1800 KMMERLEY DRISCOLL FziX(978)7€5-0343 NLWOR Ilt;fUENaAU:.'A(jt nUM COM DAVID GREENHAJM, ACTING I-IEAmi AGL',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 ATA S� �>�4_� .?X'f UNIT#3�J— is H S UNIT A IGNA EDA Big Lml I RO6T OR,mm PLEASE C E ONE OWNER/1-FSS AGER/AGENT-J" YO P.O. BOX �/7 17 ADDRESS4Z 5-/- ADDRESS CITY, STATE,ZIP SZ _wf i .✓,I 9-7&ITY, STATE,ZIP r<410Al?r RESIDENCE PHONE BUSINESS PHONE 241IRS) 92�- BUSINESS PHONE TOTAL NUMBER OFFROOMS: ROOM USE: 1.r�7// r� 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 'T,,HE TIME OF INSPECTION APPLICANT'S SIGNAT J Instrectoh use only Sate on initial inspection: J�j a$' 3 Date of reinspection: Tate of issuance of cervi 5cate: Date fee paid: Fype of unit: Dwelling__ Other Check# Check date: dates; 'Ode EnfcTr"cdjj1cntInspector ti_ TRANSMISSION VERIFICATION REPORT TIME 06/13/2013 21:25 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06/13 21:24 FAX NO./NAME 919787457599 DURATION 00:00:55 PAGE(S) 05 RESULT OK MODE STANDARD ECM City of Salem, Massachusetts n Board of Health 9 120 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-16.169 DATE ISSUED: 5/20/2016 Property Located at: 117 LAFAYETTE STREET UNIT#318 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 OL V Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,C'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDTN(&ALEM.COM LARRY RAMDIN,RS/RENS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 / PROPERTY LOCATED AT 1171'TCI IS THIS DIS16NA D AS RIGHT LEFT'FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER_/��I MANAGER/AG /Q�O NO P.O.BOX /y > ADDRESS�/,7, Z or",V, (? � - ADDRESSLln «/y CITY, STATE,ZIP ) elle /'W ��0�9�67CITY, STATE,ZIP J 0/�,e lel RESIDENCE PHONE / BUSINESS PHONE(24HRS) BUSINESS PHONE 15� S — 71z -f TOTAL NUMBER OF ROOMS: ROOM USE: 1S'loib 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 ISP YAB T THETIME-O INSPECTION APPLICANT'S SIGNATURE DATE AWZ4/ Inspectors use only Date on initial inspection: 03X17112-401� Date of reinspection: Date of issuance of certificate: M� Date fee paid:©Sa7L20.26 Type of unit: Dwelling Other Check#19 57014 f14[SCheck date: ®5/1301 E, Notes: CCee#fo OOND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCFIeAIth DO ( MA 01970 Prevent Promote. Protea. KimberleyDriscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-187 DATE ISSUED: 6/29/2017 Property Located at: 117 LAFAYETTE STREET UNIT#318 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 ears of age. PP fY P P Y 9 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,e'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDN('O SALEM.00M LARRY RAMDIN,RS/REHS,CHO,Cp-N HEA1,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" // / FEE: $50.00 2 PROPERTY LOCATED AT Irl? L. RYfAAI 0/-/'o UNTI# ll� IS THIS UNIT DISIGNATED AS RIGHT IM FRONT OR BAG PLEA�S/EE CIRCLE ONE OWNER/LESSER i l(TS G��I�1d��'l/tf MANAGER/AGENT /�G�i�YG G3�'1G'j• ADDR.ESSS ADDRESS 1/BOX 7G "/�`r 7 7 CITY, STATE,ZIP CITY, STATE, RESIDENCE PHONE BUSINESS PHONE(24HRS) 7f1 eT- I/t/h BUSINESS PHONE �'7�- 7 WC 73 9�y TOTAL NUMBER OF ROOMS: I ROOM USE: 1. 2. 3. 4. 5. & 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CH K OR WNEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA THE OF 7of APPLICANT'S SIGNATURE f 1-21Z DATE ! J nJ� ors e only I Date on initial inspection: Lp�aQ j Danspectrrionnn: Date of issuance of certificate: �y� Date fee paid: Type of unit: Dwelling Other Check# Check -date: } Notes: Cade Enforcement Inspector CERT.# 57-98 FEE 25.00 0 DATE: 02/02/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 117 Lafavette Street UNIT #: 318 OWNER/AGENT: Winn Manaaement ADDRESS: 12 First Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-4470 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH 96 zzdpl� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741.1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT }gyp UNIT I OWNER/LESSEI�,.� n(_6Ar') �}) F�^_+ �(x. ANAGERIAGENT f��y) r} 7 '{r! Cf(ey wtrl rte, GY1 Cj-}• • t�0� (Y) C , ADDRESS 12 F-I YL-, } 7i 1 Y V.v ADDRESS f�4!&l'><�}-Ori 1/1''.,l,�-(.'q1 4 j �to CITY �G `�) ni k q C'S 1 a� U CITY 6I �IC.�yl , (o I ' c' ((D� r 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) &0 N2_qSz)C_ BUSINESS PHONE TOTAL NUMBER OF ROOMS:__L_±__LjiC+r_) ROOM USE: 1. 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 c� APPLICANTS SIGNATURE DATE '/;,7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 4 i� _V DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: l zj DATE FEE PAID: Z TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR _ t•,oND - City of Salem, Massachusetts Board of Health ` 120 Washington Street, 4th Floor, Salem, PubliCHealth D Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-177 DATE ISSUED: 6/22/2017 Property Located at: 117 LAFAYETTE STREET UNIT#320 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 Wth 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. w< JOY 1 C-0 Larry Ramdin, MPH, RENS, CHO 6— HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STR.EFr,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR i RAMLITN SAz M COM LARRY RAMDIN,RS/REtIS,CHO,CP-M HFAi,, t 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 TO UNIT# C? IS THIS UNff D-ISIGN/ATTEED AS RIG I IT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERD�S //�I�V� G'-MANAGER/AGENT NO P.O.BOX Q kill p ADDRESS ADDRESS , � � //-�¢l(Il/LLL' f�� ill CITY, STATE,ZIP--- �- �� CTIY, STATE,ZIP I l h 4. 002( 11 V RESIDENCE PHONE p �j q BUSINESS PHONE(24HRS) BUSINESS PHONE 17(1 - 7Y.'` `/s-?/ TOTAL NUMBER OF ROOMS: ROOM USE: 1. ✓ 2. 3. 4. 5. & 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEAY LE BY C ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P L AT TIME O SPECTION — APPLICANT'S SIGNATURE l TE Z II ~� e only Date on initial inspection: v IO i3-1 �) Date of reinspection: Date of issuance of certificate: (p. l?1�?I f Date fee 'd: Type of unit: Dwelling`__Other Check# Check date: ll! 1 I t— Notes: Code Enforce nt Ins:)eVor r? CITY OF SALEM, MASSACHUSETTS li(I.\al�rm Hr.\3:rir 120 WASTnNGT IN SrREIrr 4"' I I,(x>It PablicHealth Tul- (979) 741-1800 F,\X 0979) 745-0343 1<I1113L'Sltl„l l'I�RItiCOL•I. lranulin(u�salcm.c nn 1„A Rlil'It,\�Il)IN,liti/ItISI is,cm),),(;l)-i's MAYOR I-II;AI:I'll AGISN'r CERTIFICATE OF FITNESS CERTIFICATE #373-12 DATE ISSUED: 9/17/2012 Property Located at: 117 Lafayette Street UNIT#320 Owner/Agent: Caritas Comm unitiesNVilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 EALTH l LARRY RAMDIN HEALTH AGENT SANITARIAN I f ` CITY OF SALEM, NL IASSAc:HUSETT'S 120 WASETINC. ON St'Rr:. ?.T 4"' FLOOR 1'1:1. (978) 741-1800 KL�I1iii,tl.IsY 1�12ititC)I,L, F: X(978)745-0343 I A\1O C,RFUNBAi'Nf, AC:HN(; H -IA1,1"t1WENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER I I; 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." a FEE: $$50.00 PROPERTY LOCA'T'ED AT /, /�f1�A`/JaZIGHT S � / UNIT# � IS THS UNIT D IGNA ICEDLE FRO ORB CK PLEASE C .E ONOWNER/LE3SEReA -1 'MANAGER/AGENT 1�/5 J!Y9 / NO P.O. BOX I ADDRESS-. 11_ ADDRESSZl7 QFAX e"7,* S (-,1TY, STATE,ZTP__ !/� �//l1,4_0./f 2! ITY, STATE,ZIP r5/ ) � �_YyJ RESIDEWE PHONE- BUSINESS PHONE(24HRS) 92 ?X5— BUSINESS PHONE TOTAL P"--BER OF ROOMS:.^_,_-_ ROOM USE: 1.,7G% ' � L1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PUblicHealth Prevent,Promote.Protect. TEL. (978) 741-1800 F.ax (978) 745-0343 IQMBER.LEY DRISCOLL IiamdinQuIem.com 1ARRY RAMI)IN,RS/RF'I IS,CI IO, MAYOR CP-ISS CERTIFICATE OF FITNESS CERTIFICATE#360-13 DATE ISSUED: 10/8/2013 Property Located at: 117 Lafayette Street UNIT#321 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 RAMDIN AU " \ HEALTH AGENT SANITARIAN I i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 00 120 WASHINGTON STREET,4ni FLOM TFL. (978)741-1800 KIMBERLEY DRISCOLL FAX )78)745-0343 MAYOR D(;RFL?NBALTNfr&.SAIAIM.COM DAVID GREENBAum, ACTING HE.II,THAGENT �J" p � 4soyvmvT t�`� OV-4 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 1 FEE: $$50.00} / PROPERTY LOCATED ATh ��[!�//Lc7 S' I l_ fr"i1'�?/ UNTl# Z I IS THIS UNIT D IGNA A RIGHT LEFT FRONT OR BACK PLEA�SE[R�E ONE ^J _ OWNERLESS MANAGER/AGE / NO P.O.BOX fff f ADDRESS ,//7 .24 r--A/oP Zt� SST' ADDRESS // 7 hfil Y v r S ' CITY, STATE,ZIPJiLl9l. 0-/6 :7!l21TY, STATE,ZIP ;-5'4 . t,2 RESIDENCE PHONE BUSINESS PHONE(241IRS) / . j'�J -7i 57/ BUSINESS PHONE TOTAL NUMBER OFFROOMS: ROOM USE: l.s?Z�tr, � 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION APPLICANT'S SIGNA / � � _ _ DATE' Insvectors use only Date on initial inspection: )99- S'17 Date of reinspection: Date of issuance of certificate: )d Date fee paid: Type of unit: Dwclling c/ Other Check#S 1 a't2 Check date: Notes: od ntbrce ent Ins t r TRAFISMISSION VERIFICATION REPOPT TIME 10/17/2013 22: 13 1 LAME FAX 9787450343 TEL 9787411800 SEP.# 000S0N341991 DATE,TIME 10117 22:13 FAX NO./NAME 919787457599 DURATIDN 00: 00: 46 PAGES) 04 RESULT 04' MODE STAHDAPD ECM • " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PtiblicHealth TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Ixamdinnn salem.com " LARRY R.\nIDIN,16/R1-HS,CI IO,C11-FS MAYOR I-IF.,\l;n r AGF.Nr CERTIFICATE OF FITNESS CERTIFICATE#424-14 DATE ISSUED: 12/2/2014 Property Located at: 117 Lafayette Street UNIT#401 Owner/Agent: Caritas Communities Inc Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 D a� LARR4KAAMDIN HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETTS « • BOARD OF HFALTH 9 // 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 (( KIMBERLEY DRISCOLL FAA(978) 745-0343 MAYOR llGRLL!?NRAI IM(a�.rtALRM.COM DAVID GREENS AUM, . 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." 1 FEE: $$50.00 J PROPERTY LOCATED AT, L ./7v9 UNIT#. IS THIS UNIT D IGNATED RIGHT LEFT FROM OR SA PLEASEE dNE J� OWNERILESS rJ� ii_is��' r��MANAGERIAGENT7/StlyJ l NO P.O.BOX ADDRESS J/7 2f X4�y,O ADDRESS // 7 LAf `,,07 ° CITY, STATE,ZIP L�j, �_J 7WITY, STATE, ZIP r5iQ b5T, i )VX RESIDENCE PHONE BUSINESS PHONE(24HRS)-��= ?1415-75-f BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.4rr/,�7 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS�FEEE IS P * ;AT THE TIME OF INSPECTION APPLICANT'S SIGNATU �' _ - DATE' O ✓I/ use oniv -- - --- Date on initial inspection: �0,I --k! ( Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other_ Check# .5��.Check date: Ad ld 111� Notes: ode r ode r entinspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, P1111p� s�$ fth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin,MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-386 DATE ISSUED: 1111412017 Property Located at: 117 LAFAYETTE STREET UNIT#402 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, NIA Zip Code: 01970 24 Hour Phone:(978)745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ii"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO SANITARIAN � HEALTH AGENT CITY OF SALEM, MASSACHUst"mrS ` BOARD OF HEALTH 120 WASHINGTON STREP*j*,4"'Fik)OR 'fEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMINN(a),SALEM-COM LARRY RAMO N,RSJRF.IIS,CHO,CP-FS HF.AI.TIi AGL+N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT d/ 7 1,4F4Y611�7E, S7. ..S.gCftn i 1� Drg7c� UNIT# `gyp IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR RACK,PLEASE CIRCLE ONE ,/ ,p OWNERtuss R CA-1�-1-r� ��&a1Jt IL'S MANAcERIAGENTe4&GV- �ZYGL� /-S�'�1,I NO P.O.BOX f l,,,� ADDRESS 117 LA/fAY�1 l�Sr w�}�/ (N� y°I�DRESS S A ary, STATE,7jP 7 A FIM Ilk Ol"l l(✓ CTI'Y.STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE q.70 - 7 16'�"" t�-p TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8, 9. 10. THERE IS A FIFTY($50)DOLLAR Fy,E,PAYABLE BY C CR OR MO ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P LE T CTION APPLICANT'S SIGNATURE f DATE I sD to use only r Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check dalp Notes: eqj?r�; I .r r I Code Enforcement Inspector 1 , OND t City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubiiCHeaith Prevent. Promote Pceteot MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHs,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17.254 DATE ISSUED: 8/24/2017 Property Located at: 117 LAFAYETTE STREET UNIT#403 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under$years of age. Larry Ramdin, MPH, REHS, CHO ! SANITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IN SAFASCOM LARRY RAMDTN,RS/REHS,CHO,CP-FS HFAcm 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 6i j l F��✓ �il�I /"/7�} l�70 UNIT#� IS THIS UNIT DISIGNATEED//ASS RIGH L��QOR C PLEASE CIRCLE ONE ? OWNER/LESSER ITA� COO' 1/I��IOIANAGER/AGENT �ILAFV— O Z✓L/�� NO P.O.BOX ADDRESS ADDRESS CITY, STATE,ZIP ,' CITY, STATE,ZIP RESIDENCE PHONE 7 �� 7 Y��I�y BUSINESS PHONE(24HRS) rI�P�' L BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. ,C 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR Vpp,PAYABLE BY CHECK OR ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS Y EAT TIME{)F PT p APPLICANT'S SIGNATURE /c � DATE a f rs ous�'nlv� Date on initial inspection:_�/ �2-'OtII // Date of reinspection: Date of issuance of certificate-2L V Date fee paid: Q//jZ��Z112� Type of unit: Dwelling Check#Check date: V1, 1201/ Notes: #CFAnt or " CITY OF SALEM, MASSACHUSBTTS BOARD OF HEALTH 120 WASFIINGTON SIRT-',Fr' 410 FLOOR liiML r1tL11Y llRISCOid, 'I'El.. (978)741-1800 FAX (978) 745-0343 MAYOR ]iunciin salem.com LAIMN'RAMI)IN,IN/RP:I IS,CI IO,CP-I S FI ISN:n j AG 1:N'I' CERTIFICATE OF FITNESS CERTIFICATE #345-11 DATE ISSUED: 9/23/2011 Property Located at: 117 Lafayette Street UNIT#403 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 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 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 IiAMDIN HEALTH AGENT CODE EN CEMENT INSPECTOR P • CITY OF SAI,EM, MASSACHUSETTS BOARD OF HEALTH J 120 WASH1j\TGTON STRFr-r,4"'FLOOR TEL. (978)741-1800 KIL4131.,'RLEYDRTSCOLL FAX(978).745-0343.,._. MAYOR (1GIUA3NHALINt a1sAi.i,u.COM DAt'ID GRIETUNBAt M, Ac TING HI ALn-TA(iEN'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 jj PROPERTY LOCATED AT"P74�6' S ,�4�� UNIT#-!tea IS TH S UNIT D IGNATED A G LEFT F�20NT OR AC PLEASE CC E ONE OWNERILESSER� ii?S MANAGER/ .�/SII)5 NO P.O. BOX / ADDRESS. ./ , /7i0 y p fi'�l ,Q7`• ADDRESS // J f-f,hir-AYd 70Y" .51- CITY, STATE, /t,Lj-,7aITY, STATE,ZIP -<A RESIDENCE PHONE BUSINESS PHONE(24HRS)_t 7F - .. BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.c5 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 THE TIME OF INSPECTION - — " APPLICANT'S SIGNAT y'G" "" -- - IJATE, of Insnectois use only C1 Id_� Date on initial inspection: //t/ Date of reinspection: Date of issuance of certificate: `)/qA/I I Date fee paid: "type of unit: Dwelling ""Other__ Check# V 1 Check date: ' Notes: Code 4ojrcew�lnspector I CITY OF SALEM, Mr1SSACFIUSETI'S 1P 109 BOARD OF HF_ALTH 120 WASHINGTON STREET,41O FLOOR PtibitCHPillth TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin@n,salem.com LARRY 12AbfUIN,RS/RISI-I5,Cf IO,CP-ISS MAYOR HeA1:rl1 AC ENT CERTIFICATE OF FITNESS CERTIFICATE# 184-13 DATE ISSUED: 5/28/2013 Property Located at: 117 Lafayette Street UNIT#404 Owner/Agent: Caritas Communities-Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01978 24 Hour Phone: 978-745-7599 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 LARM6 RAMDIN� HEALTH AGENT SANITARIAN W-1.3 CITY OF SALEM, N[ASSACHUSETTS Bo:tRD OF HEALTH 120WASITING'TON STREET,4...FLOOR TEL. (978)741-1800 I{IMBE.RLEY DRISCOLL F:tx(978)715-0343 1NLA,YOR 1M1t N13AUMQ p!„I,N.COM DAVJD GREENBAUNI, ACT NG I-IEALTTiAGL•NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, C:WTER 11, 105 CMR 410.000 "AAINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 _ . PROPERTY LOCATED AT A lG' .S ,s".v"J 0:�A UNIT#� IST 9 UNIT D IGNA ED20C [ OR; C ,PLEASE C E 04NE OWNER/LESSE-- MANAGER/AGENT NO P.O.BOX 09 ADDRESSIZZ2 C% r' a ''.0 � 4 ADDRESS4' j S ' CITY, STATE,ZIP . 1?Z._Z., WITY, STATS,ZIP RESIDENCE PHONE BUSINESS PHONE;'24HRS) �-- ?%'S—-25-f BUSINESS PHONE TOTAL NUMBER OF/ROOMS: ROOM USE: 1.�77i,!�i/Z 2. 3. 4. 5. 6. 7. S. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS ECTIONAPPLICANT'SSIGNA'I / ! )ate on initial inspection: s/a$ 1 o Date of reinspection: )ate of issuance ofcerti ftcate: Date fee paid: Cype Of unit: Dwelling__ Other Check# Check date: Oates: �` 'ode P.� t`ifo ent Inspe:etor a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR lth Pmvenl.Promo,c.Yrotem. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdinasalem.com - L,aaav nAhnxN,Rs/lima IS,ca lo,c;r-rs MAYOR HI+.AI;I'I I AG HNT CERTIFICATE OF FITNESS CERTIFICATE#337-13 DATE ISSUED: 9/16/2013 Property Located at: 117 Lafayette Street UNIT#405 Owner/Agent: Caritas Communities-Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 LARRY RAMDIN HEALTH AGENT SANITARIAN t CITY OF SALEM, MASSACIi.LSE717S BoARD OF FIE#LTH 120 WASHINGTON STRI;G.T,4"'FLOOR TEL. (978)741-1800 MMBERLEY DRISC OLL FAX(978) 745-0343 MAYOR D(;R]TNBAUm a�S,va:ro, CONI DAVID GREENBAUM, ACTING HFLALTH 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: SO.00 PROPERTY LOCATED AT A JARIGHT 7�7Yg5 IS THIS UN3T�hD IGh A LE FROhT OR BA PLEASE OWNERII.ESSER 4 �r�rn�siffdi, C7•MANAGER/AGENT �if3j ! NO P.O. BOX ADDRESS //7 213 1' f ,5�7 ADDRESS f/ 7 I,,rRI=Ar /,'1711 S1 CITY, STATE, ZIY� �%a <_ _zy� CITY, STATE,ZEP ,-5A RESIDENCE PHONE BUSINESS PHONE(24HRS) � BUSINESS PHONE TOTAL NUMBER OF ROOMS: 111 ROOM USE: L✓ r_>i L� 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION C� APPLICANT'S SIGNAT DATE' ✓_�fO�� f! inspectors use only Date on initial inspection: q �I t-3 Date of reinspection: , ' i Date of issuance of certificate: Date fee paid: Type of unit: Dwelling, Other Check# IC-H3a 07 Checkdate: r1 1 iOjj Notes: Caw(C ( }iyljnt t C(im I u Code Dement pector City of Salem, Massachusetts { • .,.E � 1. 9 Board of Health 120 Washington Street, 4th Floor, Salem, PuhliCHeaith MA01970 Prevent PLOMOte Pl Oteet Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-103 DATE ISSUED: 3/31/2016 Property Located at: 117 LAFAYETTE STREET UNIT#406 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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, RENS, CHO HEALTH AGENT SANITARIAN i } CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR i TEL. (978)741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR LRAAfDFNna SA7.F.M,r.0M LARRY RAMD N,RS/REI IS,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 ZZZ'64. 11/ e 0�- -UNIT# lad IS THIS UNIT DISIGNATED AS RIGHT LEFT'FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERj��m,,�r/,e/r //L t? MANAGER/AGegR� NO P.O.BOX / ,� ADDRESS/r�7 ADDRESS///1Cc/—Z?XZ CITY, STATE,ZIP,, 052�lelW CITY, STATE,ZIP_- RESIDENCE PHONE BUSINESS PHONE(24HRS) 7co7l - BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 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 PAYABi=-5 AT THE TIME OF INSPECTION c APPLICANT'S SIGNATURE F�g� / - r�/lmc� DATE Insnectots use only Date on initial inspection: 0 V?1hn1 f Date of reinspection: Date of issuance of certifi¢a • V?l'h n1 G Date fee paid: ®31311207,E Typeofunit: Dwelling Other Check#R2o4W-n;v20Checkdate: 0312.1112016 Notes: C e of cement Wvctor� CITY OF SALEM, MASSACHUSETTS a m BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#649-05 DATE ISSUED: 10/24/05 Property Located at: 117 Lafayette Street UNIT#407 Owner/Agent: Wilson Tajada Address: 7 Oak Street Unit 1 City/Town: Peabody,MA Zip Code: 01960 24 Hour Phone: 978-745-7593 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 IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO HE BOARD OF H ALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ^� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 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 HABITATIIOIN". PROPERTY LOCATED AT 11 7 A G:qq\/Q P l�T . UNIT# 7� IS THIS UNIT DESIGNS RI T L� FRONT BACK PLEASE CIRCLE O�P� OWNER/LESSER / MANAGER/AGENT / SU C)�A No P.O. Box / / No P.O. Box ADDRESS-Z_ , d &A j 00ADDRESS 77 2, K �A CITY / BP /�J (�2/qy CITY o'l I qi�® RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 9Jlr ffS7S� BUSINESS PHONE ')k - JS/U TOTAL NUMBER OF ROOMS: I ROOM USE: 1.5164d 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. APPLICANTS SIGNATU� -' i�ATE /DA?,D/OS INSPECTORS USE ONLY ` < DATE OF INITIAL INSPECTION /D ° °�/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �d' �' `O° DATE FEE PAID. /0 - ;10 -09 TYPE OF UNIT: DWELLING'VOTHER_ CHECK # M 0 CHECK DATE NOTES. CODE ENFORCEMENT INSPECTOR 9/28/98 f C*% , CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH120 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 Cit;l of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/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 agen�s from any loss or injury sustained of whatever nature and description occasioned by my/our. absence :luring said inspection. _ T3_d :N'L'jL SF R/LESSOR X2__36 0 TV P RE q D.IHESS OF UNIT rl dl, R:SPECTF,D /a/Z5 -- D;TE City of Salem, Massachusetts l AMU i. Board of Health 120 Washington Street, 4th Floor, Salem, PuPPrevcnt. Promote Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-188 DATE ISSUED: 6/29/2017 Property Located at: 117 LAFAYETTE STREET UNIT#408 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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/,/jj�l1,( 1z11,71-'66 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LrAMPTN(&s zh EMCOM LARRY RAMDIN,RS/RENS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" // n FEE: $50.00 PROPERTY LOCATED AT / / 7 li�7 �z� ��it rT�Sr � Lz� J �� (��Cf 7 0 umu IS THIS UNIT DISIGNATED AS IUGHTT LEFT FRONT OR BACK PLEAn,S�E CIRCLE ONE O N MII��J(l!�ESSER r IJUI J {� C 0 I /!�--MANAGER/AGENT ADDRESS ADDRESS CITY, STATE,ZIP CITY, STATE,ZIPS l Gl I'✓/ f� ('9/4P70 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 73'. 7 t11'7r4?9 TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE 1S P AB AT'T/ 4F PECTION / APPLICANT'S SIGNATURE /TG�� ✓ DATE d2 I use only Date on initial inspection: I.�/�4�('/�_ Date of reinspectio _r Date of issuance of certificate: C-0 Date fee paid: (0,J l Type of unit: Dweliing___,_Other Check Check date: O, Notes: 6` r C5C1 D l Code Enforcement Inspector 1 ` y °oNnlz"tee$ City of Salem, Massachusetts Board of Health A 120 Washington Street, 4th Floor, Salem, PablicHealth NF 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-15-43 DATE ISSUED: 4/22/2015 Property Located at: 117 LAFAYETTE STREET UNIT#408 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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,—�*4� 4A-01- 1eA- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CCITY OF SALEM MASSACHUSETTS , BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DG;REF_NAAUMOSALEM.COM DAVID GREENBAUM, ACTTNG 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 %V� �APAyo U N�IT— # IS THIS UNIT D IGNATIM RIGHT LEFT FRONT OR BA PLEASE eIONE OWNER/LESS y / P Ivl U� NO P.O.BOX ADDRESS //7 ,l d � Zt � .4 ADDRESS.// ?? IR�yQ� 511-- CITY, STATE,ZIP <4Z)r—,--l971, A-421 -5'-V&rrY, STATE,ZIP i��i �YI�Q Q RESIDENCEPHONE BUSINESS PHONE(24HRS) �7 7y.5-75- BUSINESS PHONE TOTAL NUMBER OFF ROOMS: ROOM USE: LL4/�/0 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CIT;117h5 A BOARD OF HEALTH THIS FEE ISP AT THE TIME OF INSPECTION APPLICANT'S SIGNA "� DATE - --_ - -- ff ,, Insroectors use onlv Date on initial inspection: 4 I6 MI5 Date of reinspection: Date of issuance of certificate: Date fee paid: s /, Type of unit: Dwelling Other Check# — Check date: Notes: I� ISag0agCt6 --ode A16rc6ent Inspector 15 43 MOONDI,t City of Salem, Massachusetts 10 +. m Board of Health > 9 120 Washington Street, 4th Floor, Salem, P11b1iCHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-19 DATE ISSUED: 1/21/2016 Property Located at: 117 LAFAYETTE STREET UNIT#409 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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,--A� &Iwag��v Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN j� CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDNOSAIYACCOM LARRY R\NIDIN RS/REHS,C HO,(-,P-1'S HF.Au i AGI;tiT 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 LOCATEDAT � ._S�IC UNIT#� IS THIS UNIT DIS GNA D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER�,/li�/J NOP.O,BOXr ADDRESS//� ti's tl2�lC LL G c i p ADDRESS/V/1?`/ff)/e CITY, STATE,ZIPQ�/�'J Qir/ CITY, STATE,ZIP ©j�� RESIDENCE PHONE BUSINESS PHONE(24HRS) ,7rr��/ CJ " �/y� BUSINESS PHONE TOTAL NUMBER OF ROOMS: I ROOM USE: 1.. 2�//71� 2. 3. 4. 5. & 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 1/,!F/r� �i Insnectors use only Date on initial inspection: 0 1 f2(0/2.f11(, Date of reinspection: Date of issuance of certificate-Al/2-0/2-016 Date fee paid: 01/Za�(, Type of unit: Dwellingmo Other C #I L709R? Cheek date: m1/2-bZ" 1 8 -A rza ,t r' Notes: L t ��iaA:thy-oyi�n s HK. C e or ement Ins for CITY OF SALEM, MASSACHUSETTS + + BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRBENBAUMOSALp.M.COM DAVID GRIiENBAUM ACI'ING Hiim TH AGENT CERTIFICATE OF FITNESS CERTIFICATE#176-10 DATE ISSUED: 4/15/2010 Property Located at: 117 Lafayette Street UNIT#409 Owner/Agent: Caritas Communities/Wilson Tajada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-858-1140 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 �jTHE /BOARD OF HEALTH 4) DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFO MENT INSPECTOR CITY OF SALEM, MASSACHUSEnS J BOARD or, HEALTH 1 cV UV 120 WASHINGTON STREI; ,4"' FLOOR T7:tL. (978)741-1800 1C11NIBERLEY DRISCOI1, FAX(978) 745-0343 MAYOR 12S1u'fi1114j3A mQSALJW-CUM D;AN DCiPEENBAUM, _ACTING HEALTj-j 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- $54.00 I 'ROPERTY LOCATED AT L UNITr# S THI T DISIGN TED AS OR RAJ;&PLEA C CLE ONE JWriTR/LESSER jr/ ►jf MANAGER!AGENT VO P.O. BOR j ADDRESS f ADDRESS L131 S"T CITY, STATE,Z.,ff 0(4W CITY, STATE,ZII' A10 RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 7,j'l &'r �Q TOTAL NUMBER OF ROOMS: I ROOM USE: lyk" 2. 3. _ 4. S. 0. 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 ISP LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ""> � DATE 1 Insn_ ectors use only Date on initial inspection: L4/9 /o o Date of reinspection. Date of issuance of certificate:__—i_— Date fee paid: `'�11 J //o Type of unit: Dwelling_L �Other Check t# � J .,_Check date: L41(110 Notes: Code Enfor mei\-�`t�'hn�`s'-p-�e"ctor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4p'FLOOR PublfcHealth STREET, Prevent.Promote.r.o«m TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(@salem.com LARRY RAMIAN,RS/R11 IS,CI 10,CP-FS MAYOR HI?AI;I'I-f AG ISN'I' CERTIFICATE OF FITNESS CERTIFICATE#185-13 DATE ISSUED: 5/28/2013 Property Located at: 117 Lafayette Street UNIT#410 Owner/Agent: Caritas Communities-Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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 L'ARhY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, NLASSACHUSETTS Bo m OF HEALI H 120 WASI•I!NG,I'ON STREET,4."FLOOR 'TFI,. (978) 741-1800 K11\03ERl..EY DRISCOLL F:tx(978)745-0343 MAYOR �x:it Lr tann(a�AkJd02.COM DAVID GRRENmum, ACTING I IrAmi AGL-.NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, C:JAPTER 11, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." F 100 PROPERTY LOCATED AT ,�� UNIT# yiC� Is TH 9 UNIT D IGNA EDA I�FRONT OR; C PLEAS RCE ONE Jam. OWNER/LESS- NO ir°S MANAGER/AGENT^� //S NO P.O.BOX ADDRESS Z/7 a d^'a �_y_ ADDRESS./ r-ow CITY, STATE, £'1/g -2$ITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE.24HRS)'q;2�'- BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: Lc$ !fi 7 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 iF,TIME OF INSPECTION �- APPLICANT'S SIGNA'i /1 // Insnectob use only Sate on initial inspection: SJR�/J Date of reinspection: late of issuance of cern Ftcate: Date fee paid: Cype of unit: Dwelling Other Check# Check date: dotes: We Obgent Ha p ctor B City of Salem, Massachusetts R Board of Health 120 Washington Street, 4th Floor, Salem, MA01970 Prevent. Promote. Pfeteet Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 tarry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agept CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-66 DATE ISSUED: 3/3/2016 Property Located at: 117 LAFAYETTE STREET UNIT#411 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City(rown: Salem, MA Zip Code: 01970 24 Hour Phone:(976)745.7599 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 SANITARIAN HEALTH AGENT • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREEP,4:�'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDN(aSAIEM.(-0M LARRY RAMDTN,RS/RENS,C 40,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT//, Sri? J` �5' . ��/�&70�1 69/, 2/70F# !K// /r IS THIS UNIT IIISIGNATEI)AS RIGHT LEFT LEFT FRONT OR BAC PLEASE CIRCLE ONES. � OWNER/LESSER/�Clf/_S' ( /J,Y/Jilli//r/!�S'MANAGER/AGENTSL%'_ /��r�� ird� NO P.O.BOX ADDRESS ADDRESSA,7,7 ,P��X� CITY, STATE,ZIP , � GQ j� /// /// CITY, STATE,ZIPze. RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 7e!5�/ A,. —g-//-5�/o TOTAL NUMBER OF ROOMS: J ROOM USE: L 2. 3. 4. 5. & T 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� " TIE T1MJ`OF INSPECTION APPLICANT'S SRiNATURE DATE= =�,� inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate-.D )- � Date fee paid:d2 .Z- j T of unit: Dwell' 0 YPe utg� Other #23SS5"212973 Check date: 02/29/2n.1(, Notes: C orcement Spector ¢ CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR �lOHeA II>th vreen�.rromom.rm,ece. TEL. (978) 741-1800 FAx(978)745-0343 1;IMBERLEY DRISCOLL lramdinOsalem.com LARRY tzAnautN,Its/REI-Is,(:1-to,cr-rs MAYOR H1,'AM H AG ENT CERTIFICATE OF FITNESS CERTIFICATE#186-13 DATE ISSUED: 5/28/2013 Property Located at: 117 Lafayette Street UNIT#411 Owner/Agent: Caritas Communities—Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978.745-7599 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 MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, N ASSACHUSETI'S BOARD OF HEALTH 120 wmiiiING N' STREET,4"'FLOOR TF,I.. (978) 741-1800 IeMflERLEY DRISCOLL FAX(978)7�5-0343 NL,YOR Ik'itlit,N rnf^ ,2 91.COM DAVID GRFmN%3 Tim, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, C:3APTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT�� A�O S� t� UNIT#.._ t8 THIS tJN[T D TGIYATED A t OR; C PLTASE ' yE ON r " OWNER/LESSFR /c5� � MANAGER/AGENT tt,/ SA#YI NOPO BOX / � ADDRESS�.�_�VO 2 �! ,q ADDRESS-,'/ t�YQ CITY, STATE,ZIP STATE,ZIP ,)52, .G,W, %I.YlX,c� RESIDENCE PHONE BUSINESS PRONE-;24HRS)J2k% BUSINESS PHONE TOTAL NUMBER OFF ROOMS:_.��, ROOM USE: I.t�7ri/�i L7 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 ? 1_Ii TIME OF INSPECTION APPLICANT'S SIGNAn —� A -, DA`I`13'" f ,tnsrrectcirs use otilv 4-9 1 ' date on initial inspection: S � Date of reinspection: Sate of issuance of certificate: Date fee paid: Cype of unit: Dwelling__ Other Check# Check date: 40tes: 'ode 1,nent Inspector CITY OF SALEM, MASSACHUSE'I"TS BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR PliblicHP.alYh Revem.Promote.Molmr. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL llamdinnnsalem.com - LARRY lir\N1DLN,RQ,/R1:'E-IS,CI-10,CI'-Ir5 MAYOR HEAL:CI-E A(;13NT CERTIFICATE OF FITNESS CERTIFICATE#336-13 DATE ISSUED: 9/16/2013 Property Located at: 117 Lafayette Street UNIT#412 Owner/Agent: Caritas Communites/Wilson Tejada Address: 117 Lafayette Street(office) City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 Y RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSE17S BOARD OF IIr--U,TH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 HIMf3ERLEk" llitlSCOi1. FAX(978) 745-0343 MAYOR uGlail',NBA11RInsAL1W.CONI DAVID GILEENBAum, ACTING HF.ALTII 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: 550.00 PROPERTY LOCATED AT..Z12 P Sr ,W UNIT#��2 IS TRIS UNff O IGNA EB A RIGHT LEFT FRONT OR BACK PLEAS�E.7E ONE J� OWNER/I,ESSETtt fl�i7>s��l7i'�C' C'•MANAGER/AGE NT 1�L1/ISIl�I NO P.O.BOX ADDREss-Z/7 �J7 �� ADDRESS // f/ 7 f q / �` CITY, STATE, ZIP��f=�7� �?ITY, STATE, ZEP ,!.J 1 `A'�'i RESIDENCE PHONE BUSINESS PHONE(24HRS)_9-�% '7y 5 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1,4ell i 7 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 ISP "A'C THE TIME OF INSPECTION �j APPLICANT'S SIGNAL DATE; /1�� .,. / Inspectors use only iDate on initial inspection: ��OI Date of reinspection: Date of issuance of certificate: f/ Date fee paid: 2 Type of unit: Dwelling Other Check#_111Y Check date: t Notes: t Coe n€ ement[nspector CITY OF SALEM, MASSACHUSETTS + Bo)_ RD OF HEALTH 120 WASHINGTON STREET,4...FLOUR TEL. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRF.:NliAUatna XI.r:m.cona Dnvlu Gm;i;NBAUM,RS ACTING HIi.A1;iij AGP.NT CERTIFICATE OF FITNESS CERTIFICATE #479-10 DATE ISSUED: 10/6/2010 Property Located at: 117 Lafayette Street UNIT#412 Owner/Agent: Caritas Communites Address: 150 Wood Road Suite 300 City/Town: Braintree, MA Zip Code: 02184 24 Hour Phone: 9-781-858-1140 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 T�RD F HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR TRANSMISSION VERIFICATION REPORT TIME : 01/27/2011 22:17 NAME : FAX : 9787450343 TEL : 9787411800 SER. # : 000BON341991 DATEJIME 01/27 22:17 FAX NO./NAME 919787457599 DURATION 00:00:22 PAGE(S) 01 RESULT OK MODE STANDARD ECM 'MPORTAMT 94i7�E—SSAGE FOR ll DATE ( 0� I /T`IME P M. NA mi OF l r-u,.,. (cf-S r, .,(M PHONE AREA CODE NUMBER EXTENSION FAX c� O MOBII F AREA CODE \ ' NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU I RUSH RETURNED YOUR CALL -� LFWIILLFAX TO YOU MESSAC�F( � W Cp— l &KO C4 U-7 Lag P S- t. *ala. 6r_e.K wsro hep c lv0 SIGNED VNiVERS.AL. 48005 MADE IN U S A NOTES r ' CITY OF SAID 1I, MASSACHUSE FS B0.�Rnc,rHEALTH ' 120 WAMIINGTON S`IREFT 4°'FLOOR TI.'.I.,. (978; 741-1800 Ii1MI3BRLI:i1'IJ1.IS "SLI. F.,t (978: 745-0343 MAYOR COM DAVID GREENBAU.M, ACTING HE_Lam: A,;FNI Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUNI STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50W 00 �-+ /�� PROPERTY LOCATED AT. jcA�/ 1+ .7_ � UNIT#iX " THIS T DISIG\ TED AS RIGH LEFT F pNT OR BACK.PLEA CI CLFONE J� OWNERJLESSI7t� .�F 'f� MANAGER AGENT= 7 NO P.O. BOX ADDRESS/5 :02 � Q� � 1 ��,/ ADDRESS.f //� CITY, STATE, ZIP*Q�� 4;0A__,W, Q,, Xy_CITY, STATE.ZIP �'�r�—GlL;C7G+ RESIDENCE PHON E BUSINESS PHONE '24HRS) BUSINESS PIIONE.7fL. f` TOTAL NUMBER C F ZOOMS: I ROOM USE: 2. 3, 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY "$50)DOLLAR FEE, PAYABLE BY CHECK OR MON F.Y ORDER TO THE CITY OF SALEM BOARD OF HEALTH"'HIS FEE IS PAYAlaLE AT TIIE TIME OF INSPEC71ON /5//�APPLICANT'S SIGN A"i'URE ww✓ y'`� �- DATE W Inspectors use onlv 1�Date an initial inspect / Date(f reinspection: Date of issuance of cc)o /f icate:.___�(4P l/0 I Date f:e paid: /0/&//o //o Type of unit: Dwellin> Othe- Check# /J �! Check date: 1ds�/0 Dates: r I+dVA fcwce4 Acids ko 6t -f t j h }e w . :odek3afntcement Ins eetor I CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PublicHealth Prevent Promote.Protea, TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin nsalem.com L,\R121'R,\NID1N,RS/Blit-IS,CI 10,CP-FS ti MAYOR HE.u;ri I AGIiNr CERTIFICATE OF FITNESS CERTIFICATE#49-14 DATE ISSUED: 2/20/2014 Property Located at: 117 Lafayette Street UNIT#413 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 QALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS I3G' ()F HEALTH I / ' 120 WASHINGrON STREET,4...FLOOR TEL. (978) 741-1800 ICM 3ERLLY DRISCOLL FAX(978) 745-0343 MAYOR DGRITNBALINin�,u.iENL COM DAVID GREENBAUn4, 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 11 1 LA V— sN\/ P f+,O S � UNIT# IS TISIUMT DIWNATED AS RIHT LEFT FRONT OR BACK,PLEASE CERCLE ONE OWNER/LESSER �Yi S vnVv��lY11 PS �MANAGER/AGENT S NO P.O. BOX �[ I ADDRESSW) u11-mc-a I I -e S'�- ADDRESS I LSI IAN/ d�fe S' CITY, STATE,ZIP �Q��y ��7�(/ gf3Q�� ]�� CITY, STATE,ZIP 1' j�r1/, i� i,Au/, /� q 7 Q RESIDENCE PHONE J �0 ' / / s --)5 % / BUSINESS PHONE(24HRS)'7 / �S� I 7 U BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 14)0 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 E TIME-OEII3SPECTION APPLICANT'S SIGNATURE 1 �� DATE �} Ins_nectors use only Date on initial inspection: wi 10 ( I Date of reinspection: Date of issuance of certificate: Date fee paid: q 2 Type of unit: Dwelling Other Check# .5i7733 Check date: Notes: CL�AP Code E rc entinspector E CERT.# 28-98 FEE $25.00 Y . �F� DATE: 01/26/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 117 Lafavette Street UNIT #: 415 OWNER/AGENT: Winn Manaaement ADDRESS: 12 First Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 741-4470 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO - - HEALTH AGENT CODE ENFORCEMENT INSPECTOR ss CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741.1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR H/UMANppHABITATTIIO/N". (� PROPERTY LOCATED AT ( O UNIT 1 1� OWNER/LESSEN )'}(_C)> n G'� �C;Lnsa LLAGER/AGENT �}.)iy) } rvi-s+ . (-,o i ADDRESS 12 P-(YL-s + ADDRESS 4r vl ' (f(. CITY �rx_ �`.� w( V-1 c) ( ctCITY �.1� , W1 CcD- iO i RESIDENCE PHONE BUSINESS PHONE (24 HRS.) Cr CI SIE .y C T_ BUSINESS PHONE -�-I If_ U — TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. b. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE. BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DEP NT IS FEE 1s7 AT THE TIME OF INSPECTION APPLICANTS SZGNATITRE ,_ (1 DATE �� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTItF'ICATE:/ a (p -�J'� DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR h CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR PI1bIicHeatth Prevent.Promote.Prole¢ TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL 1lamdin(asalem.com - LARRY RAAIDIN,RS/REI-IS,CfIO,CP-ISS MAYOR HF.AI.TH AGENT CERTIFICATE OF FITNESS CERTIFICATE#183-13 DATE ISSUED: 5/28/2013 Property Located at: 117 Lafayette Street UNIT#416 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-858-1140 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 RAMDIN HEALTH AGENT SANITARIAN -`7 �� 1 cCjj 'l �1 -��6 CITY OR SALEM, 11 IASSACHUSET7.'S BOARD OF HEALTH 920 WASHINGTON STREFT,4"`FLOOR TFL,. (978)741-1800 KLAQI3CYJ,EY DRISCOLL PAX(978)745-0343 KwOR nc;arr.NanuMtci};, kgi.COM DAVID GREENBAUM, Ac'rI:NG HEALTIi AGL,NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, C4APTER 11, 105 CMR 410,000 "bKNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: , 50.00 PROPERTY LOCATED AT A S� .S�t UNIT# is TIi UNIT D IGNA EDA G UaFRONT OR; C PLEASE RC „E 04E OWNER/LESS �� c res" MANAGER!AGENT 1 ADDRESS 7 �,t? ►`� �!lfri' .s�' ADDRESS•, L,? r P CITY, STATE,ZIP_ STAT R, zip r5.4 G �'I K RESIDENCE PHONE BUSINESS PHONE 1;24HRS)—q21'C'-- BUSINESS PHONE TOTAL NUMBER OFF ROOMS:- ROOM USE: 2. 3. 4. S. 6, 7. 8. 9. t0. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS AT T1iE TIME OF INSPECTION APPLICAATT S SIGNA`i DATE f j Insnectgrs use only date on initial inspection: s-lat/J 3 Date of reinspection: )ate of issuance of certi ficate: Date fee paid: Cype of unit: Dwelling__ Other Check# Check date: dates: 'ode I nfo ement Inspector — NDS" City of Salem, Massachusetts Board of Health V9 120 Washington Street, 4th Floor, Salem, Pt1b13iCHealth Prevent. Promote Prot<ot MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin,MPH,RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-253 DATE ISSUED: 8/24/2017 Property Located at: 117 LAFAYETTE STREET UNIT#417 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-7599 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. E-2r� &ffajn4�� Larry Ramdin, MPH, REHS, CHO ! SANITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAM�iN(n55AM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" // FEE: $50.00 PROPERTY LOCATED AT //7 11 F 4 YL17 �,OL��1. /�� N1 q 7o UNTT Gil� IS THIS UNIT DISIGN�AT/,E/D AS RIIGffr LEFT FRONT OR BACk PLEASE CIRCLE OONE, OWNERAmsERZ 5 O{�`vW 15 MANAGER/AGENT Z�v /7`d�'Jv�2 ADDRESS ADDRESS o�S �rr CITY, STATE,ZIP CITY,STATE,ZIP I�JOWAlwx RESIDENCE PHONF q Y f' ! (� �19 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MO ER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE rIAY LE A THETIN APPLICANT'S SIGNATURE DATE ;�/ only Date on initial inspection:��9 Date of reinspection: Date of issuance of certificate: 2=WI-7 Date fee paid:�Z2/2157'7 Type of unit: Dwelling OCheck#_Check date:—�` I7 Notes: C e f ement ector �pND�4� City of Salem, Massachusetts 1P Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHea Ith MA01970 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-16274 DATE ISSUED: 7/29/2016 Property Located at: 117 LAFAYETTE STREET UNIT#417 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 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 taw for occupants under 6 years of age. &Jeffr Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i CI'T'Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH I 120 WASHINGTON STREET,47-FLOOR TEL. (978)741-1800 KI1vfBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRA�gDINCulcnvu�Aq.COM LARRY RAMDIK RS/RENS,CHO,CP-M 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 /i? �z a SLS J'�.w7 -o UNIT# � IS TM UNIT D3/SIGNATED AS RKHT Ef" FPRF NT OR BAL' PLEAS- RCLR ONE OWNER/LESSER� llt�/J l L7. i �vtAlvAGERJ AC.EN'IC- �J NO P.O BOX ADDRESS //-7 ADDRESS,/ CITY,STATE,ZIP �PG�LQ 7 11�71Ya/910 CITY, STATE, 11!0`17111 X-21 RESIDENCE PHONE BUSINESS PHONE(24HRs) 979-A� _7-;QW BUSINESS PHONE ,r TOTAL NUMBER OF ROOMS: ROOM USE: 1s- D 2. 3. 4. 5. 6. 7. S. 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 lIS PAYA�BL.E_AT THE TIME OF INSPECTION APPLICANT'S SIGNATURES r 5'- .�G��G/C��2c�.. DATE 711,9 � InsDectois use only Date on initial inspection:_j��2C)l&'�, Date of reinspection: Date of issuance ofcear6ifica /L z fu2tb M Date fes paid: 0 l p�..2 l6 Type of unit: Dwe I'm g�Other k#JLOaQ�Check dater '014 Notes: C eat Inaba l CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET,4"FLOOR P11b11CHCAlfltl Prevent.Promote.Pr"lem. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL hamdin(a�salem.com - L/\11I(\'RA<vIU1N,RS/RIsl-IS,C1-10,(;P-FS MAYOR HEA1,1'I'I A(J3NT CERTIFICATE OF FITNESS CERTIFICATE#397-13 DATE ISSUED: 11/1/2013 Property Located at: 117 Lafayette Street UNIT#417 Owner/Agent: Caritas Communities/Wilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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.QF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN f CITY OF SALEM, MASSACHUSE'ITS Y • BOARD OF HEALTH 120 WASHING'T'ON STREET,4"'FLOOR TFL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRGI:,NRAUMO.SALE.4.COM DAVID GREFNBAUM, ACTING HEALTH AGE 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." 1 FEE: $$50.00 �} /-7 PROPERTY LOCATED AT %Il h�' �A P L S r �.4�.in! IY//`l UNTF# / 1 IS THIS UNITT D IGNA r RIGHJT LEFT FRONT OR BAC PLEAS E ONE �? OWNER/LE Gni TRS P f7r7/sr/ii`ii /QS // n MANAGER/AGENT rIJG/!/S§xq l NO P.O.BOX j / ADDRESS //7 �X1 y 07f� ,5�7 ADDRESS // ? lfi jAY 07* ' CITY, STATE,ZIP L1LF"Ot2r --OZ _;?WITY, STATE,ZIP %sA6 RESIDENCE PHONE BUSINESS PHONE(24HRS) 7 7y5—75— BUSINESS PHONE TOTAL NUMBER OF ROOMS:_._. i ROOM USE: l.4r'�i G7 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 S EM BOARD OF HEALTH THIS FEE IS P AT THE TIME OF INSPECTION APPLICANT'S SIGNA %��Tc= -- DATE' l k In -T- s oectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 11 j ` i Date fee paid: ) /-/-)3 Type of unit: Dwelling C Other _Check# 5�3?3 Check date: 10—I V Notes: 4&nftcent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASFIINGTON STREET 4°1 FLOOR PublicHealth f Prevent.Promote Prolvrt 'I`EL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin0salem.com L:\RRY anMutN,its/Rt;ns,cno,cr-Fs MAYOR I IE,V;rl I AG I?NT CERTIFICATE OF FITNESS CERTIFICATE#423-14 DATE ISSUED: 12/2/2014 Property Located at: 117 Lafayette Street UNIT#418 Owner/Agent: Caritas Communities Inc Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7599 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 IP'Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFHEALTH LA.R�Fi�AMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREFT,4".FLOOR /'/? U TEL. (978)741-1800 C �' KINMERLEY DRISCOLL FAx(978) 745-0343 iNLWOR DGRLA.NRAUMOSALEM.COM DAVID GRFzNBAum, 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." J FEE: 5%00 PROPERTY LOCATED AT /1 h XI�A fr�Sr <✓J L ��r�7 . UNIT'#� IS THIS UNIT D�GNAGHTLEFTFRONTORBAC PLEASE EONE I'owNER/LEss�(/7i�iswri/i: MANAGER!AGENTNO I ADDRESS//7 �/d �0//4' S}T , ADDRESSh/Ar CITY, STATE,ZIP AL i, 1 /� 'WITY, STATE,ZIP rS A )OX RESIDENCE PHONE BUSINESS PHONE(24HRS)-9,t% 7Y5 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE R.E IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS l i AT THE TIME OF INSPECTION APPLICANT'S SIGNA 1E " " — -- BATE'f ! }} Inspectors use only IDate on initial inspection: I a1I �l 1`f Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other _ f I7�Check#-66W—Cheek date: J Notes: "odeentlnspector City of Salem, Massachusetts 10 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Present. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-178 DATE ISSUED: 6/22/2017 Property Located at: 117 LAFAYETTE STREET UNIT#419 Owner/Agent: Caritas Communities Inc. Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7599 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO t V HEALTH AGENT / SANITARIAN J CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KII IBERLEY DRISCOLL Fax(978)745-0343 MAYOR LRAMDIN(@SA7-M.00M LARRY RAIo m,RS/REBS,CHO,CP-FS HFa1LT4AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / (pFEE: $50.00 /.�W PROPERTY LOCATED AT 7 4y;G TTZ S-r UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR!3A PLEASE CIRCLE ONE OWNER/LESSER G'4f;7i T 641AA*1115 f MANAGER/AGENT OI 4X13,EAZo NO P.O.BOX ADDRESS ADDRESS CITY, STATE,ZIP / CITY,STATE,ZII' Aw- lerr / RESIDENCE PHONE ,p BUSINESS PHONE(24HRS) 70 BUSINESS PHONE /1 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 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 P7;1�n. OF INSPECTION APPLICANT'S SIGNATUREDATEse only Date on initial inspection: Date of reinspection: Date of issuance of certificate: l Date fee paid: Q.I a� I} Type of unit: Dwellin f Others�Check# Check date: Notes: Code Enforcement t k CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH - 120 WASHINGTON STREET 4`°FLOOR PublicHeaIth f Pnvm[.Prnmom pl.UO TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinnasalem.com L.\RRY 12.\M1)1N,RS/RI?HS,CIiO,l;P-11 MAYOR Hl ,u;n I A(;U NT CERTIFICATE OF FITNESS CERTIFICATE #62-14 DATE ISSUED: 2/21/2014 Property Located at: 117 Lafayette Street UNIT#419 Owner/Agent: Caritase Communities/Wilson Tejada Address: 117 Lafayette Streeet City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4470 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 UFALTH / 6 *A - LARRY RAMDIN ((// HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR `l/ia�Tl TEL. (978)741-1800 Ego� KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRELNBAUMOSALLM.COM J / 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 11 LA v-�Nv Q tFFRONTORBAC10 �S] . UNIT#� IST IJW TV NATED AS RIGHT L PLEASE CIRCLE ONE OWNER/LESSER.�tOr i ivy S TL SMANAGER/AGENT S NO P.O.BOX �[ ADDRESS (na �m e 1 I -e 4 ADDRESS-I ::) LA 1c� CITY, STATE,ZIP SQfl�L F� . W-�7Vc� q(Z 1 CITY, STATE,ZIPq � 7: IAA I QUO RESIDENCE PHONE 1 �D - 7 YS /✓ / BUSINESS PHONE(24HRS)?l/ S-5 I 7 O BUSINESS PHONE TOTAL NUMBER R OOF (ROOMS: ROOM USE: Lb'/1��1 I'D 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 PAYABLELn?SPECTION APPLICANT'S SIGNATURE -f� DATE � 1 � �Insnectors use only Date on initial inspection: /a 111U Date of reinspection: J , , Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# `ra-))-N Check date: 7 Notes: Code Enforc(6entInspector CITY OFSALEM, MASSACHUSETTS IV BOARD OF 1Ir.\LXH 120 WASHINGTON STREET,4.°FLOOR PublicHealth rw. ", rr,mm" r,on TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinna.salem.com L,\RRY R,\NDIN,RS/RIsI-IS,CFR),CV—I+S MAI OR HD:,\t;LI I A(;FN F CERTIFICATE OF FITNESS CERTIFICATE#261-14 DATE ISSUED: 7/31/2014 Property Located at: 117 Lafayette Street UNIT#221 Owner/Agent: Caritas CommunitiesMilson Tejada Address: 117 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 BO RD OF EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN . CITY OF SALEM, MASSACHUSETTS �r,'�t,D 1 BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRV T-Nnnr:MnSAU`N.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." 11 FEE: $$50.00 PROPERTY LOCATED AT /© S' � � UNIT4l IS THPUNIT D IGNA RIGHT LEFr FRONT OR A PLEASE E ONE Jam_ OWNER/LElSS /�5, •MANAGER/AGENT / S!!yq NO P.Q.BOX f ADDRESS //7 46 s• r'0 4' ,4? ADDRESS 117 1Rs P=5!yQ;A1 5 _r �f,',3 CITY, STATE,ZIP JLC & 11', STATE,ZIP e<4)J -5�7/Wr W,4 RESIDENCE,PHONE BUSINESS PHONE(24HRS)) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.4r?/ 7 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 ISP^y� L�AT THE TIME OF INSPECTION APPLICANT'S SIGNA T ^_� DATE,'' Hectors use only - — Date on initial inspection: �3V'I Date of reinspection: r Date of issuance of certificate: Date fee paid: r Type of unit: Dwelling Other Check# '9 / Check date: 7/rZ15 /Z� Notes: Code ofVcement Inspector