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LAFAYETTE STREET 181-200 LAFAYETTESTREET 181 — 000 i dMl Ifi a M1 l a G pppp I1� Dom" City of Salem, Massachusetts i J r a m Board of Health 120 Washington Street, 4th Floor, Salem, Pth MA01970 0.e..bt. Promote. ProteM 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-15-351 j DATE ISSUED: 10/23/2015 Property Located at: 182 LAFAYETTE STREET UNIT#1 Owner/Agent: Fairmont Realty j Address: P.O. Box 468 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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 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 Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANT " RIAN e n CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOORomifleel$$5 TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin tni salem.com LARRY li:\tiIDIN,ILC/1t1iFIS,CI10,(:Y-IS MAYOR Hr.AI:rIi Am wr 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 1k, UNIT# / IS Tifig-IFNiT DISIGNAT AS RIGHT LEFT FRONT OR BACK,PLEASE CII 0 No I R 1 L VAJ%1 L_ , C9 3' OWNERILESSER gWo r-ITZFA L-T MANAGER!AGF'Nf C,LM a .2-C40 NO P.O.BOX i ADDRESS ADDRESSJS� c ( p T CITY, STATE,ZT--M 7p n x/�eeS, biA C 1 qc CITY, STATE, ZIP �X� IQnVVI ,6/ulA O� Q C RESIDENCE PHONE / /k /o /` � BUSINESS PHONE (24HRS) 9 7d" 7 7 S DS b BUSINESSPHONE�7Sr- 7 TOTAL NUMBER OF ROOMS:_ ` ROOM USE: � 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 F E YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE / Inspectors use only Date on initial inspection: �0�2fJ1 5� Date of reinspection: q Date of issuance of certificate: .012 4&QJ L Date fee paid: Type of unit: Dwelling--ZZOther Check# 1 LS�Check date: 0/j 11201 Notes: jCoob*reut Ins for 9 City of Salem, Massachusetts 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 Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-403 DATE ISSUED: 12/4/2015 Property Located at: 182 LAFAYETTE STREET UNIT#2 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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 HumanHabitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAs;HINGTON STREET,4"'FLOOR 00 — TEL. (978)741-MO — KTMBERLF_Y DRISCOLL FAX(978)745-0343 MAYOR tac i4lpin faas�iatnt.c:Ont Lnitlt\'R.\ntD1N,Rti�RR,Ilti,ca tt),CP-Iti Application for Ceram° Ic$$e of Fatness 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/ a 7 UNIT'# "2 IS THIS UNIT DISIGNATI&b AS RIGHT LEFT FRONT®fit BACYC PLEASE CIRCLE ONE OWNER/LESSER �raI (Mpnl-�ece 14-q MANAGER/AGENT�� f)\ J&e,—a� NO P.O.BOX �� I¢b--Z) b 1�I{�v {c%`� ®�f z ADDRESS r�� L ca�'�, .IP{�� fp t�uDRESSq CITY, STA'L'E, l rr/C - � � _C1TY,STATE ZIP M RESIDENCE PHONE BUSINESS PHONE(241M) U 7ff' BLJsINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 11/4u6z 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 FPAYABLE A�Tg THE TIME OF INSPECTION APPLICANT'S SIGNATURE,C , 0 X LL%/y,L 4iw, DATE S Inspectors use only Date on initial inspection: 12103/2015 Date of reinspection: Date of issuance of certificate: 03/2.01,5_ Date fee paid:12/0 Y2=041_� Type of unit: Dwe ' Othes Check#JL� _Check date: Notes: ZL r zk 1 OF, -14A btrvcrr i5n S4o ie - no+ �tc, 2N Coe 90or &nent Ins* ctor A:. j'. L CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ' SALEM, MA 01970 "0NB 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#71-06 DATE ISSUED: 2/21/06 Property Located at: 182 Lafayette Street UNIT#3 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4266 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 .40,00 D7�-'wzL� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR soCITY OF SALEM, MASSACHUSETTS pp BOARD HEALTH S 124 WASHINGTON STREET. 4TH FLOOR .IYoV SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT l��!� UNIT H3 IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGERJAGENT_—. No P.O. Box / L Na P.O. Box ADDRESS '�[7�i+ ,/QyyvGq SADDRESS_ CITY_ RESIDENCE PHONE711717 /S 11 BUSINESS PHONE {24 HRS)-9PB 7 !iwb b 0 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 5..-6.—T_8._ THERE IS A TWENTY-FIVE{525.00} DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ) ,. APPLICANTS SIGNATURE Gll /4�'Z� �-b"—DATE' ` .�.�•"©� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ,,DyyATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:__. EV/ZDATE FEE PAID:. yJF�{G7 TYPE OF UNIT: DWELLING . _-OTHER - CHECK tl_G")�q CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9,28198 a • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR %blicHealth Prevent.Promote.Protect. 1`EL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL 1rarn&i a�salem.com LARRY R,]MDIN,RS/RFU IS,CI f0,CP-1^,S MAYOR HIi,Af;I'Pf A(ili,N'1' CERTIFICATE OF FITNESS CERTIFICATE#66-14 DATE ISSUED:2/24/2014 Property Located at: 182 Lafayette Street UNIT#4 Owner/Agent: Fairmont Realty/Pamela Anders Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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. 4Hr7 LTH LARRY RAMDIN HEALTH AGENT SANITARIAN - CITY OF SALEM, MASSACHUSETTS { e ¢ BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR 1 —_ ------- ------ ._. ._-- ------- KIMBERLF_Y DRISCOLL FAX(978)745-0343 MAYOR J RAMDiN(alsAWW i:on1 L;uca�•R,\ncu1N,its/i\itr rs,ci w,rr-is 14i{;\7;1Yf AGIiN'I' Applicati®n for Certificate ®f Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT—&2 LTNZ#— is THIS I7NIT DISIGNATO AS RIGI$T LEFT FRONT OR BACKS PLEASE CIRCLE ONE OWNER/LES5 MANAGER/AGENT NO P.O.BOX ,�q-&r'L)—� 2 1 0.ee ¢%��D��Z� ADDRESS � l cI�' a tv�DRES f fsd S^ CITY,STATE,ZIIl�j� r - ) Ups /� � ? CITY, STATE,ZIP /V6 >" C�I S3'/O . RESIDENCE PHONE� ��_fi' Cn(o BUSINESS PHONE(24HRS) BUSINESSPHONE ?79-7115055(p / TOTAL NUMBER OF ROOMS:.// ROOM USE: > Pl,�IQ 2. / 1 3. 4 5 6�7 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=ABLE E TIME OF INSPECTION APPLICANT'S SIGNATURE ! ` Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: G � . Code Enforcement Inspector CTFY OF SALT M, 1MASSACNUSE;I"IS BOARD OF 1.1(+,Al.'I'St 1.20 WASHING ON STRI-a'u 41.Fl,00lt �l1b GHP >�l TEL. (978) 741-1800 Fiix (978)745-0343 KIMBEIU,EY DRISCOLL Ixaindin a salmm.pon3 LiiILItY 1L\bi7llN,RS/1w 15,C(IU,t;P-liS MAYOR 14v'Alln i A(;kNT CERTIFICATE OF FITNESS CERTIFICATE#213-12 DATE ISSUED: 5/24/2012 Property Located at: 182 Lafayette Street UNIT#5 Owner/Agent: Fairmont Realty/Pam Anderson Address: 146 Summer Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 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. n FOR THE BOARD OF HEALTH Y RAMDIN --- HEALTH AGENT ONIAN ' y CITY OF SALEK MASSACHUSETTS B2�RD OF HE-ILTH 120 W3SWNGTOTN STREET,4"'FLOOR TEL.(978)741-1800 YJUBERLEY DRISCOLL FAX(978)745-0343 MAYOR BONN,a L91]SAf.COSI JANFT DKRVNE, AcnNTG HEM rH A(;Fw Applieation for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410"000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE:$50.00 PROPERTY LOCATED AT l 6 Z' 3� UNIT# IS THIS UNIT DWGNATFA AS R RT LPFr FRONT ORBA�CY PLEASE CIRCLE ONE i�arn Anctf-esom OWNER/I ESSER Fly: rnn nt l2 -a t dy MANAGER/ADEN T >=aa1 r rnoni- RoM. 1 Tn�' NO P.O.Box --Po o x'4 to I� '' o-kjox '-Ha b ADDRESS 14105 &MVNEX- Sl ADDRESS I't(a Su.rnin-W 5F CITY,SPATE,ZIP rL�x n-/�/4 CITY,STATE,ZIP 1>canV¢rs, �A 0t4Li RESIDENCE PHONE_q 78-b8 Z' (3(Q b z BUSINESS PHONE(24M) -7$' Z S O ` BUSINESS PHONE 1178- ��f j-0356 TOTAL NUMBER OF ROOMS: �{ ROOM USE: I. E 21KI 6 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 F =YABLET THE TIM EpO.F IINSPECTION APPLICANT'S SIGNATURE �LCA� _ DATE use only �(� �/ Inspectors Date on initial inspection ✓ 1 0 Date of reinspection Date of issuance of certificate: Date fee paid:_ Type of wait: Dwelling Other Check# 4 Check date: 5 �� Notes: Code eatlnspector CITY OF SALEM, MASSACHUSETTS BOARD OF HF:a]:rH 1?0 WASHINGTON STREET,4... FLOOR TEL. (978) 741-1800 I IDIBFRLLY llxISCOLL FAX (978) 745-0343 MAYOR Iramdin@salem.com 1.lARRY]L\MD7N,RS�RP,I IS,CI ICI,CI'-IS HRAI:ri i AGI',Nf CERTIFICATE OF FITNESS CERTIFICATE# 17-12 DATE ISSUED: 1/13/2012 Property Located at: 182 Lafayette Street UNIT#6 Owner/Agent: Fairmont Realty/Pam Anderson Address: P. O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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 l LAR Y RAMDIN HEALTH AGENT C DE ENFORCEM NT INSPECTOR • CITY OF SALF.A I, MASSACHUSETTS Bo-ARD of HF-Arm I 120 W_LswNGTON STREET,4"FLooR TEL.(978)741-1800 GGG KIMBER7�L,(EY DRISCOLL F.-X(978)745-0343 NRYOR 1VIUNNL@SAIJ?A3.C0.V JANFf DIoNNE, ACTING HEALTH AGF:Nr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." _ FEE: $50.00Q(� PROPERTY LOCATED AT I S2 L� V UNuft IS THIS UNIT DISIGNATED AS GBT LEkT FRONT OR BACK PLEASE CntCLE ONE OWNER/LESSER F0.i�rnn t�� "lZt,.a l y,V MANAGER/AGENT 2o-vv% 4ndevsor,Fri r mor`Ir^Z.�. 14wr NO P.O.BOX -P 0 B '4 b e X' (a � �( �C�oX •4(a(� ADDRESS 14Io S5"mmey- S4 ADDRESS I'tip Summer S+ CITY, STATE,ZIP CITY,STATE,ZIP 1>ca,nv �h ptrt _3 q RESIDENCE PHONE 78-b 8 Z- t 3 i� i BUSINESS PHONE(24HRs) q 7 8' 7 4:5-o 264 BUSINESS PHONE_Jj - X4 T-Od, TOTAL NUMBER, O _ F ROOMS: , ROOM USE: _.01-12) Z 64-- 4. 5 b. 1 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 F YABLE AT THE OF I/NSPECnoN APPLICANT'S SIGNATURE Cka-4J� DATE�1 '� - Ingectols use only ' ' Date on initial inspection: /)3 - Ib- Date of reinspection: Date of issuance of certificate: ))S 1 Z Date fee paid: 3� 1Z Type of unit: Dwelling v Other Check# ) 1 -) Check date: Notes: EnforckemutInctor II f.ONDiT,, City of Salem, Massachusetts Board of Health M 120 Washington Street, 4th Floor, Salem, PtlblfCH@alth MA01970 Prevent, Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-463 DATE ISSUED: 11/23/2016 Property Located at: 182 LAFAYETTE STREET UNIT#7 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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. a Larry Ramdin, MPH, REHS, CHO Ell HEALTH AGENT SANITARIAN CITY OF SALEM, Mt1SSACHUSETrS BOARD OF HEALTH 120 WA&HNGTON STRESr,411'FLOOR TEL. (978)74T-1800 KTNIBERLEY DRISCOLL FAX(978)745-0343 MAYOR iac i�om(alsni.rn�.cnnt LAtae�•R,\nn>rN,us/ItF,I Is,ca«>,c;l>-F 1-Ih;\1:1'11 r�CI+,N'I' Application for CerdfTcate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 1%11rTU"STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED ATI,l //o� `/ UNrr#� IS THIS i 'DISIGNATED A LEFT FRONT OR BAM PLEASE CIRCLE NO _( OWNER/LESSEl�. r-1 I (mr-'4 2 n I l �! MANAGER/AGENT�a 0A AACVC C2f. ADDRESS --��t CX �I IO ID� A 1 2L7S Y®/�z f , cT r CITY,STATE, v� � I� I Z3 CITY, STATE,ZIP /V� %�� 0104 RESIDENCE PHONE pf 7r�— BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER' /OAF ROOMS: ROOM USE: 1 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 F I/� AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE / A/I�� / � DATE Inspectors use only Date on initial inspection: T��ntc Date of reinspection: q Date of issuance of certificate• Date fee paid: Type of unit: Dwe Other Check#Check date11711 Notes: 460 , for 1.1 o e. CrTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR PIIbI1CHf'.alth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iratudin�saleut.cota T ARIiI'1ZVPt[UIN,RS/R1;'I IS,CL1C?,CV-ISS MAYOR HFAI 1'H A( vNf CERTIFICATE OF FITNESS CERTIFICATE#333-12 DATE ISSUED: 8/15/2012 Property Located at: 182 Lafayette Street UNIT#8 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-744-4260 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 LA42Y RAMDIN HEALTH AGENT SANITA AN I f • CITY OF SALEM, MASSACHUSETTS Boum OF HF-Arili 120 WASHINGTON STREET,4"`FLo()R TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR )UIUNiNL SAIJa Al.COINI JANHr DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." (� FEE: $50.00 �iY PROPERTY LOCATED AT � ,r a �D � UNIT#" IS THIS UNIT DISIGNATFAIGHT LEFT FRONT ORB PLEASE CMCLE ONE+ i�w... .4nde�son OWNER/LESSER 1 0.1 12e_a 1 V MANAGER/AGENT �••F�ri r mond Zt i 4Aa NO P.O.BOX --P O O X''�tv b `O'$pa( •{(Q(� ADDRESS IVto S"mrnew- 5�- ADDRESS I`tio Summer S{ CITY, STATE,ZIP ^1�r�Jers, iAA CITY, STATE,ZIP 1>anv��40lrtZ� RESIDENCE PHONE q 3 `(08 Z- I d le b BUSIIVESS PHONE(24HRS)q-7 T 4:!5-0,:W(, BUSINESS PHONE J7cg 7 L 5-035 b TOTAL NUM 3E,R�OF ROOMS: ROOM USE: I,t` i-� 2_Ll2.15,4 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 FAYABLE AT TIME OF INSPECTION APPLICANT'S SIGNATURE C blaj"f 1 DAT / Inspectors use only Date on initial inspection: R(Is ha Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#—Lqj Check date: a— Notes: Cdd' e went Inspector g.CONU1T " CERT.# 371-01 FEE $25 .00 DATE: 08/01/2001 SWM CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 182 Lafayette Street UNIT #: 9 OWNER/AGENT: William Dzierzek ADDRESS: 146 Summer Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-4260 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, -"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF IHEALTH JOANNE SCOTT, MPH,RS,CHO (/J/ HEALTH AGENT CODE ENFORCEMENT INSPECTOR l �coNorr,� ' 3 n I G _ CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO 120 Washington Street HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)-745-0343 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4 2-N ok 0 UNIT# IS THIS UNIT DESIGNATED AS RIG�� /-SEHHjT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER t L!%hr/7 4GRIk MANAGER/AGENT / No P.O. Boz,� d No P.O. Box ADDREESS019,,,� ADDRESS CITY CITY RESIDENCE PHONE !W, Z7Y/--2�BUSINESS PHONE (24 HRS.) 7&0—'2W BUSINESS PHONEg7�7y- 42} TOTAL NUMBER OF ROOMS: ROOM USE: 1.Jd V. 22)"e" 3,A_e�l 4. 5.-6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF-SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: �6 1 —d TYPE OF UNIT`. DWELLING OTHER_ CHECK# 70 53 CHECK DATE Q ( ` O NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 4 . 00 CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR PablicIiealth Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL liatndin@salem.com salem.com LARRY RA MDIN,RS/Rl'.IIS,CFIO,CP-PS MAYOR HI_.AI,IIi ACili.Nf CERTIFICATE OF FITNESS CERTIFICATE#42-13 DATE ISSUED: 1/30/2013 Property Located at: 182 Lafayette Street UNIT# 10 Owner/Agent: Fairmont RealtyMilliam Dzierzek Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 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 BOARD OF HEALTH e /�� MDIN LARR HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS // m s BOARD OF HEALTH y 1 �— 120 WASHINGTON STREET,4"c FLOOR -- T —TEL.. (978) 741-18W - KTIABERLEY DRISCOLL FAX(978) 745-0343 MAYOR )RAMD]N(a�s,1 LARM RSM IN,M/R.F,1 is,u I(),c v-I'S I31?-U;1'6fl3GR,N'f Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED ATG—) 4a�-S UNIT# 0 IS THIS UNIT DLSIGNATED GIiT LEFT FRONT OR BACd{ PLEASE CIRCLE ONE OWNERLESS W _MANAGER/AGENT PCU",Ic R— �� _ NO P.O.BOX ©�&-IDA 21 ADDRESS I L ia 9c�e �( [jDDRESJ CITY,STATE,Z1I �/S Y� V2IOS, � �J CITY, STAT$ZIP !Vp IA n I 40 RESIDENCE PHONE 17cT—�-( In(p BUSINESSPHONE(24HRS) Busmss PHONE '?79-7115--035(0 TOTAL NUMBER OF ROOMS:__ ROOM USE: J. L�� eR�R 2. j 3 4 5 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 131011,E Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: 1.5b Notes: f/ Code kbf6r6inent Inspector aND�" City of Salem, Massachusetts ir . l �I ' �. a q Board of Health A0 120 Washington Street, 4th Floor, Salem, PubliCHealth 0 MA 01970 Present. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-462 DATE ISSUED: 11/23/2016 Property Located at: 182 LAFAYETTE STREET UNIT#11 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Vreyjarj Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN n � m CITY OF SALEM, MASSACHUSETTS BOARD OF H&-1LTH Ifl��:RI$y'fl 120 WASHINGTON S-iRHET,4"'FLOOR vn vrom w.v mcn. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LI\R1tY R\bIDIN,RS/121iFIs,CI10,CY-l6 MAYOR HFSAli C[i 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 AT 0� � UNIT# _ IS THIS UNIT ISIGNATED A� GHT LE_FF FRONT OR BACK,PLEASE CHW E ONE NO "A I L OWNER/LESSER r/A i g V o t-H TZE A•LT�� MANAGER/AGEN'-t,C M AA P i5A 0 NO P.O.BOX 1 1 ADDRESS �O-l. O,g 46� ADDRESS 153 c CtR S 7 CITY, STATE,ZII5 VI vPJeS A to 1 q,23 CTTY, STATE,ZIP Sa(OAAA 007-0 RESIDENCE PHONE /p/y ta 1f iX-I(3 d BUSINESS PHONE(24HRS) BUSMESS PHONE 7S- 7�' �� TOTAL NUMBER OF ROOMS: ` ROOM USE: Ill 2 L 1C��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 ISYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 0( CQ�� DATE 2 Inspectors use only Date on initial inspection: J/ _112DD U Date of reinspection Date of issuance of certificate: -1 1/11/2dt� Date fee paidJ-142V20.t6 Type of unit: Dwelling_ZOther Check#1LI�_t_Check date: 1112112Z�C Notes: Cod/ cement In ector C E � . K + CITY OF SALEM, MASSACHUSETTS Q BOARD of HEAm'fI - 120 WASHINGTON S'I'REE'I',4...FLOOR PlibilCAC911 TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL liamdin(a�salem.com LARRY RAIIDIN,RS/RFI IS,CI10,CP-1'S N AYOR 11v Vi: '11 AG I tN'1' CERTIFICATE OF FITNESS CERTIFICATE #60-12 DATE ISSUED: 2/13/2012 Property Located at: 182 Lafayette Street UNIT# 12 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-1525 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. O FOR �THE �BOARD OF HEALTH LARRY RAMDIN 4 2.44// HEALTH AGENT CO E T INSPECTOR • CITY OF SALEM, MASSACHUSETTS n BCHRD of HF-Arm 120 W.asmNGTm STREET,4V'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLI. FAZ(978)745-0343 MAYOR JUI()NNL R :VA d1.COM JANET DIONNE, ACTING HEuxH AGrNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT UNIT# IS THIS UNIT DISIGNATED AkOLGHT LEFT FRONT OR BACK.PLF_,ASE CIRCLE ONE OWNER/LESSER F0.>:rrrnnV deo 1,l.V -MANAGER/AGENT Fuirmons �2fln 1i+ NO P.O.BOX 'P Q -%3o X,4 to 1n ADDRESS 1410 ADDRESS lite Summer 54. CITY, STATE,ZIP STATE,ZIP 1>anve�h Olrt�� RESIDENCE PHONE 9 7�' 13 (Q 1, BUSINESS PHONE(24HRS) Q-7S' 1_45'-Oa 4, BUSINESSPHONEJ?8- 74��'Oc356 I TOTAL NUMBER OF ROOMS: 1 17 ROOM USE: l-je b)e 2.k 4Aa r\3. 4. 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOL F E,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F S YABLE AT THE OF INSPECTION APPLICANT'S SIGNATURE DAT �C3 IZ Inspectors use only Date on initial inspection: al a h a Date of reinspection: Date of issuance of certificate: Date fee paid: Type of l: Dwell' Other Check# - Check date: — Notes: u tc� 2�Z'f P/ v�ml� fi'oY1 i n u of P e Co&1Fj&bmdiuent hispector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET 4`"FLOOR PublicHealth > Prevent.Promote:Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com LARRY R;\hiDIN,RS/REfIti,CI f0,<:P-FS MAYOR HE,ALTFT AGENT CERTIFICATE OF FITNESS CERTIFICATE#65-14 DATE ISSUED:2/27/2014 Property Located at: 182 Lafayette Street UNIT# 13 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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 DIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSEM BOARD OF HEALTH _ `( 120 WA,mNGTON STREET,41"FLOOR Ir�� TEi::(978)741�18i76 - ---- KIMBERLFY DRISCOLL FAX(978)745-0343 MAYOR UU,�jQIN(alSAiatnl.c o { LA1C4t4'R,1AIl>IN,itS�lt!'J 15,Cl 1t 1,(a'-h' l�.l?A1;1'I I AGI;N'I' 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 / Q�� UNTT# V-? IS THIS UNIT DISIG RIGHT LEFT OR BACK PLFASE ci cLF ONE OWNER/LESS ra I ( pry{ n MANAGER/AGENT c A-\ ^11t4R..Iec�fI` NO P.O.BOAC J q-&�O �1 t J{Y DRkS z y 1 ADDRESS CITY,STATE, RESIDENCE PHONE 7 1 _f � BUSINESS PHONE(24HRs) g7ELJ�t -t BusmssPHoNE �79-7115=O35(p / TOTAL NUMBER OF ROOMS:/ ROOM USE: A--2j t` 3. 4. 5. 8. 9. 10. i THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F IS M AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE �p t; inspectors use only Date on initialinspection: 1 `� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling__,_.__Other Check# Check date: Notes: Code ikehLot Inspector l °OND City of Salem, Massachusetts Board of Health s 120 Washington Street, 4th Floor, Salem, PublicHea 1b MA01970 Prevent. Promo«. P.o««. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE F FITNESS CE ATE S O C S CERTIFICATE #: GHL-16-108 DATE ISSUED: 4/1/2016 Property Located at: 182 LAFAYETTE STREET UNIT#14 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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,—7A4� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN m CITY OF SALEM, MASSACHUSETTS B()ARI)OF HFA.LTH 120 WASHINGTON STREET,4..FLOOR r.<.eac TEL. (978)741-1800 FAZ(978)745-0343 KIMBERLEY DRISCOLL Iramdtn�lasalem.com L MY R,%NIDIN,ItS/IWFIS,0110,CT-F5 MAYOR Hi?Af;t't3 At.;fiNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MIND" STANDARDS OF FITNESS FORHUMAN HABITATION" FEE: $50.00! PROPERTY LOCATED AT Sf UNIT#1�_ IS THIS UMt DISIGNATED L_Err FRONT OR BACK PLF,ASE C ONE "iL Com - No PAU1 OWNEUI.ESSER � ,Z _NT�ZEA L7�/ MANAGERlAG�, tT c� P tbo NO P.O.BOR ADDRESS464 ADDRESS 151 r � p( a' tf'- k6�5 CITY, STATE, p CITY, STATE,ZIP t. a l0 0157 RESIDENCEPHONE ql 7�»�Q-- 1 BUSINESS PHONE(24HRS) BUSINESS PHONE_ J 763, 7 0.-�35� TOTAL NUMBER OF ROOMS: ROOM USE: ILIf Abe 2. 3. 4. 5. 6. 1 7. 8. 9. 10. THERE IS A FIN`TY($50)DOLLAR PEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THISAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 'Vy_/1 (/9_/1� DATe��4 Inspectors use only Date on initial inspection: C,' /�'� Date of reinspection:Date of issuance ofZaf' �j2[ 1 Date fee paid:03/2Z'2c�Type of unit: DweOther Check#_UaL Check date: DY42 cl Notes: n re etnent pector� e{ CITY OF SALEM, MASSACHUSETrs BOARD OF HEALTH 120 WASHINGTON STREET4" FLOOR PublicYiealtts '111- (978) 741-1800 FAX(978) 745-0343 I IMBERLEY DRISCOLL lramdin(a�salem.com LA1212P RA A'ID1N,Rti/Rtil IS,CI[O,CP4S MAYOR HEr\1:CI I A("UNT CERTIFICATE OF FITNESS CERTIFICATE#313-12 DATE ISSUED: 8/2/2012 Property Located at: 182 Lafayette Street UNIT# 15 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 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 FOR THE B ARDLTH LARRY RAMDIN HEALTH AGENT AN i r - - • CITY OF SALEM, MASSACHUSETTS BO.kRD OF HE,1LTIi 120 W<LstuNGTON STREET,4"'FLcxtR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 14L4YOR 010NNL(Q ATAw COM JANErf DIONNE, ACTT\TG HEALTH AGEW 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 LOCATID AT' mrr#_A _ IS TM DLSIGNATED AS RI LEFT FRONT ORBACK PLEASE CIRCLE ONE 1�wrn Andc'som OWNER/LESSER FOL i r rY,c,n� IZQ-a l Y MANAGER/AGENT Fcxl r mor.� 2 P� 1 iia NO P.O.BOX —PO 80X`4" 'SiO�0oai `i(a(� ADDRESS IVIo Suvr,w%PY- 54- ADDRESS tYlp Surnm¢r S# CITY, STATE,ZIP ' 1�XymfP r-:,, KA, CITY, STATE,ZIP 1?a r.. _�A pt LL_ � RESIDENCE PHONE—q-78 78'(oS Z' I (Q b BUSINESS PHONE(24HRS) (378- Z Y S O 364 BUSINESS PHONE 4 78- 724 T-03 Sie TOTAL NUMBER OF ROOMS: I ROOM USE: Lk C// Ajl� 2. 3. 4. 5 6. 1 1 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 FI YABLE AT THE TIME OF INSPECTIO APPLICANT'S SIGNATURDATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate:_ Date fec paid: Type of unit: Dwelling___Other Check#,q—Check date: 6 Notes: 7 ement Inspector / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR Pab14CHealth Prevent.I•mmom.Protect TEL. (978) 741-1800 FAx(978) 745-0343 _ KIMBERLEY DRISCOLL Iramdin a,salem.com LARRY]U\MDiN,RS/REFIS,CHO,CP-F5 MAYOR HFAI:rH AGENT CERTIFICATE OF FITNESS CERTIFICATE#251-13 DATE ISSUED: 7/26/2013 Property Located at: 182 Lafayette Street UNIT# 16 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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 LARRfftAMDIN HEALTH AGENT SANITARIAN ~ _ CITY OF SALEM, MASSACHUSETTS BOARD OF H&1LT1-j 120 WASHINGTON ST=, ,4`°FLOOR l - 'I'FL.-(978)741-1800---- --------�-1,� - - -- KTNII3FRL,.FY DRISCOLL FAx(978) 745-034.3 MAYOR I.R\MDIN a SMIAW.CUM .I,A1M 'R,ANfD1N,RS/JiVf IS,(A f(i,CP-I+S 131IMIXII,Aclwi- Application for (Certificate ®f Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" h �FEE: $50.00 PROPERTY LOCATED AT , �� I, (, za 4±5 - UNIT# IS TH1 UNI�ISIGNATED RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESS E �rI (M�1��Cl 14-q MANAGER/AGENTPnp--M. ,241 rb_ef.� NO P.O.BOX p>< l.L ADDRESS _' JIIP CITY, STATE,Z11�7/s.11V2 �� ? CITY, STATE,ZIP /U \/4 N n RESIDENCE PHONE 97d—j8,a-t 3 2p , BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: lk14- 2)& &/n 4. 5 6. 7. 1 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS LAYABLE AT THE TIME OF INSPECTION � / // APPLICANT'S SIGNATURE /a2 DATE Inspectors use only Date on initial inspection:_ '/, Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IMANCINI@SAI.L:M.COM JANE Y MANCINI ACTING HI?, :PH AGENT CERTIFICATE OF FITNESS CERTIFICATE #99-09 DATE ISSUED: 2/19/2009 Property Located at: 182 Lafayette Street UNIT# 17 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J ET MANCINI ACTING HEALTH AGENT C ENFOR M NT INSPECTOR CITY OF SALEM, MASSACHUSETTS • BOARD OF HEAT:IH 120 WVASIFIINGTON STREET,4°1 FLOOR TU,.(978)741-1500 KIMBERLEY DRISCOLL FAX (978)745-0343 MAYORDIONNF.4 SALEM.COAT JANEP DIONNE, AcTINt:, HRm:m AGE-NI' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: 50.00 PROPERTY LOCATED,ATUNIT#fl_ TU�UMTnISt &.D AS RiOHTLEi�rFRONTOR$A.CK,PLEA5ECIRCLEONE G OWNERILESSER i1 k ' MANAGER]AGENT-- NO GENT _NO P.O.BOX t-- O O?e Q IO f{ ADDRESS t w S w�,rs f— ADDRESS CITY, STATE,ZIP --a m eY,5 144 _CITY, STATE,ZIP �! RESIDENCE PHONE q Spm PO �`�3 BUSINESS PHONE(24HRS)-_?�7 IS�C��_St� BUSINESS PHONE TOTAL NUMBER OF ROOMS: _ ROOM USE: 1. 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 on1v Date on initial inspection: Date of reinspection: Date of issuance of certificate: _ Date fee paid: _ Type of unit: Dwelling Othcr_ Check#--Check date: Notes: �. C Enforcement Inspector CITY OF SALEM, MASSACHUSE M'S BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR P1117�1CHC81�1 I4nrn,.Prmm�,a.1'rnlecr. TEL.. (978) 741-1800 F,1X(978) 745-0343 KIMBERLEY DRISCOLL 1tanldinDsalen7.com . L,VtRY]L\MDIN,RS/RCGIIti,CI 10,CI 15 MAYOR Hi:;\I:rH A(;Ir.N r CERTIFICATE OF FITNESS CERTIFICATE#296-12 DATE ISSUED: 7/19/2012 Property Located at: 182 Lafayette Street UNIT# 18 Owner/Agent: Fairmont Realty/Pam Anderson Address: 146 Summer Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 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 RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS a%l j- • Boi-im OF HF-ir H 120 WxsHwGTON STREET,4„'FLOOR TEL.(978)741-1800 I+IMIIERLEY DRISCOLI. r�Z(978)745-0343 1bL4YOR 10IUNNL"a xAIEM.COM JANFr DIONNE, ACTING HE'\L:rH AGFNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." F3 FEE: $50.00 PROPERTY LOCATM AT_-1 F3 Lan�� " h UNIT#-J-,V, IS THIS UNIT DLSIGNATED AS RtCHT LEFT FRONT OR BA PLEASE CIRCLE ONE i�am .4ndt�sa^ ie OWNER/LESSER �0.i�rrc,nt a l L V MANAGER/AGENT Fexi r muni e� (iii NO P.O.BOX 'F O a x'4 b(o n'T3arK `11a 4 ADDRESS 1,4 to S�mm k- S 4- ADDRESS I`t LP Sum mar S+ CITY, STATE,ZIP —_C l �Y�� CITY,STATE,ZII' DP� s , I lhO14L3 RESIDENCE PHONE 13(e b BUSINESS PHONE(24HRS) BUSINESS PHONE 4 75- 7 4��'0356 t TOTAL NUMBER OF ROOMS: J D I ROOM USE: 1. 2. 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 CTI'Y OF SALEM BOARD OF HEALTH THIS FEE IS ��^LE AT TBE TIME OF INSPECTION APPLICANT'S SIGNATURE 17 (�C � DATE Inspectors use only Date on initial inspection: (nl 1 1 Date of reinspection: n Date of issuance of certificate: -1 S 1 L Date fee paid: Type of unit. Dwelling L,-'- _Other Check#]q 5l\o S Check date: 11— Notes: Enforcement Inspector City of Salem, Massachusetts p, � f a Board of Health 120 Washington Street, 4th Floor, Salem, Pt#bIiCBBalth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-82 DATE ISSUED: 3/2412017 Property Located at: 182 LAFAYETTE STREET UNIT#20 Owner/Agent: Northfield Properties Address: 65 Maine Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 854-2341 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 r • `rn�fnn /'I ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL (978)741-1800 KIMBERLFY DRISCOLL FAX(978)745-0343 MAYORI•RAMDTN(Za SALE A M 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 LAr/ty�TTt Si UNIT# �v ��JJ IS THIS UMIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERi JS/dg/kP 4T 1AFAV4EE77'& S&A MANAGER/AGENTN02yN/'/CLQ P&PE2y/t� NO P.O.BOX ADDRESS �D 5�� / S ADDRESS Cdl9G CITY, STATE,ZIP A-boa(0 � I71/a /%W— CITY,STATE,ZIP ee RESIDENCE PHONE 97D'o�7b 'SFSy�o BUSINESSPHONE(24HRS) 7�- OSN _23Y BUSINESS PHONE TOTAL NUMBER OF ROOMS: �I ROOM USE: . V. 4-C AAA 2. LA U I ht s 3. iJ4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS kIS1 PAYABLE kT HE OF INSPECTION APPLICANT'S SIGNATURE DATE lJ 3 1nsMtors use only Date on initial inspection: Date of reins pect`i : 2 y Date of issuance of certificate: Date fee paid: �(J _ " 1 Type of unit: Dwelling Other Check#Check date: a Notes: Oct- Code Enf cement Inspector A w rcoxorr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �s ry.. SALEM, MA 01970 •�Q TEL. 978-74 I-1800 �llNe FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 07/02/2002 Stephen DiPietro P.O. Box 524 West Lynn, MA 01905 PROPERTY LOCATED AT 185 Lafayette Street UNIT # 1R Right 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; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25 .00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. FOR THE BO�FHETH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 1 ` �. CONUIT CERT.# 304-01 99 a ; FEE $25 .00 DATE: 06/21/2001 '�p�M111� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 4th floor Tel: (978) 741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 185 Lafayette Street UNIT #: 1R Right OWNER/AGENT: Stephen DiPietro ADDRESS: P.O. Box 524 CITY/TOWN: West Lynn, MA ZIP CODEi 01905 24 HOUR PHONE: 254-3522 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH c JOANNE SCOTT, MPH,RS,CHO /✓ --7 1�-,-._-�. �� HEALTH AGENT RdbErEfiFOCEMENT Il`SPECTOR 3� yGyo/ �r ,gT 9eoi,�goo�'" CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS gFOR . �HUMAN HABITATION". PROPERTY LOCATED AT I�Z7 G/'��ld 7� /L ` UNIT#LIL IS THIS UNIT DESIGNATED AS IG LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSEFI, l/l ZTl��/ D�/if/2f MANAGER/AGENT No P.O. Box 5 QQ // No P.O. Box ADDRESS/�/7d� �7 ADDRESS CITYW L//Ld 7 ' ©l q'1e CITY RESIDENCE PHONE7V-67Dc'_V0$ BUSINESS PHONE (24 HRS.) 1?/' BUSINESS PHONE *W- 5 . - 3377 // TOTAL NUMBER OF ROOMS:: �Y ROOM USE: 141(1. 4 2. 3. Alt 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SMAL FEE IS YA T THE TIME OF INSPECTION. APPLICANTS SIGNATURE 1 DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /10/ DATE OF REINSPECTION e" DATE OF ISSUANCE OF CERTIFIICATE: /glaly DATE FEE PAID: G/a� TYPE OF UNIT: DWELLING ✓OTHER_ CHECK# CHECK DATE G o/ NOTES: O. Lc. C R ' ENT INSPECTOR 9/28/98 �ONUIT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Tel: (978)741-1800 Fax:(978) 740-9705 05/29/2001 Lafayette Street Realty Trust c/o Thomas Carpi P.O. Box 524 West Lynn, MA 01905 PROPERTY LOCATED AT 185 Lafayette Street UNIT # 1RR 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. Theinspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F R THE BOARD 0 HEALTH REPLY TO oanne co MPHHEALTH PABLO VALDEZ ealth Agent CODE ENFORCEMENT INSPECTOR I Ai o 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 06/18/2002 Lafayette Street Realty Trust P.O. Box 524 Lynn, MA 01905 PROPERTY LOCATED AT 185 Lafayette Street UNIT # 2F 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; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter IT: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit . Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants ' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist . J�R THE BOARD HE T REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ~ xw CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 384-02 FEE $25.00 qB TEL. 978-741-1800 DATE: 07/30/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 186 Lafayette Street UNIT #: 2 OWNER/AGENT: Vasile Steven ADDRESS: 415 Atlantic Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-1070 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. F R THE BOARD OF HEALTH 96 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 0� BOARD OF HEALTH 2 • 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". --,�� PROPERTY LOCATED AT I $ 6 ),.A F 4 V Err? UNIT#J. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER M S%1. F 5fi-1Aa�ANAGER/AGENT No P.O. Box No P.O. Box ADDRESS W 5 A 7'L A-Alli� aVj�ADDRESS CITY AA A, R 8 L E µ)�_A-6 M'�r' CITY RESIDENCE PHONE,? S) 4%l 1010BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._ 2. 3. 4. _6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. r� APPLICANTS SIGNATURE V 5 ( f�" WV DATE J L( 1- —Q°Z !NSPECTORS USS ONLY DATE OF INITIAL INSPECTION?- �0 _o t DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:?-3 0 —0 -L- DATE FEE PAID-.--?- TYPE AID:--?-TYPE OF UNIT: DWELLING / OTHER_ -EHE2K# 8d S 8)- CHECK DATE Jam_002' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 olp, CITY OF SALEM, MASSACHUSETTS 3" 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 07/18/2002 Vasile Steven 415 Atlantic Avenue Marblehead, MA 01945 PROPERTY LOCATED AT 186 Lafayette Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8 :00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8 :00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD�[q/;F HEALTH REPLY TO Joann t, H, 0 PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR f :r e' �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 1*1 ' = TEL. 978-741-1800 �4'ymg FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 402-03 DATE ISSUED: 7/28/2003 Property Located at:: 187 Lafayette Street UNIT#: 1 Owner/Agent: Bob Cook Address: 5 Folger Avenue City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-473-9110 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. This approval does not certify compliance with the State Lead Law for occupants under 6 years of age. For more information call 978-741-1800. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS o T v BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,��/MIN6 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 HU�MAN HABITATION". PROPERTY LOCATED AT 67 I,6C �L _L;f UNIT# I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Ra�p _ K MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS FolfAg4 Avg ADDRESS CITY CITY RESIDENCE PHONE q�?P -kf7,3"GJ)/OBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: d-2._AV (CM Y'Gk(ffy .&&06.&&065. 1 6.0 (p 7.�7(M _8. THERE IS A TWENTY-FIVE($25.00) D LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H LTH DEPARTM T THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z ✓ g D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:2zl g w 3DATE FEE PAID: TYPE OF UNIT: DWELLINGkTHER_ CHECK# 1'9' 3-9 CHECK DATE] jQ3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 R J V \ �� l� ;/ l �� '4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll www.SALEM•COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 2/6(06 Robert Cook 14 Spring Street Beverly, MA 01915 PROPERTY LOCATED AT 187 Lafayette Street Unit 3 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 alth Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector f a, .�o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR . a SALEM, MA 01970 qqq TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 8/4/05 Robert Cook 14 Spring Street Beverly, MA 01915 PROPERTY LOCATED AT 187 Lafayette Street Unit 3 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 Health Reply to Jbdnne oo MPH,,4 HO� Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/8/05 John J. Santisi, Jr. 189 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 189 Lafayette Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 Health Reply to I� Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector jy '57 Ft KIT- CERT.# 587-99 FEE $25.00 DATE: 09/30/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, IRS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 189 Lafayette Street UNIT #: I OWNER/AGENT: John J. Santisi, Jr. ADDRESS: 189 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3868 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED .AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000- MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT .(X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH - ,` U 10� 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 APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 1 �iQ �AFAc+,gTCz ST UNIT# 1 IS THIS UNIT DESIGNATED A IGT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSEFLA&jAa� 01 g, '\cc- MANAGER/AGENT No P.O. Box \ No P.O. Box ADDRESS ) Lq ADDRESS CITY �Ya u,nn CITY 1 1/�1 A t RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 4 Cts. 2. a 5 �6. �sn�7. T • 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE 30 SCP C O S USE ON DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 0 DATE FEE PAID: `/ ` 3 TYPE OF UNIT: DWELLING OTHER_ CHECK# .7 CHECK DATE 9 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts 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 Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-323 DATE ISSUED: 10/512015 Property Located at: 189 LAFAYETTE STREET UNIT#2 Owner/Agent: Sorkadh Mustafa Address: 289 Shore Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 210-5477 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—� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAN ARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LU*TN $tjXM. M LARRY RAMDIN,RS/RRJJS,CHO,CP-15 HrAI.m AGENT , e Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "M MMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �� C4- UNIT#— IS THIS DISIGNA°TI�AS—RIG LEF1'FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER �0 �� 0 MANAGER/AGENT NO P.O.BOX II �— ADDRESS �p-�. ADDRESS CITY, STATE,ZIl' s IJ C Lo( f('o CCITY, STATE,ZIP 1i-L71 RESIDENCE PHONE—ILK 7K 0 J BUSINESS PHONE(24HRS) BUSINESS PHONE-42_5 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. � = 2. 6. kb s N 0-7. 8 9 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB THE TIME OF SPECTION APPLICANT'S SIGNATURE DATED/��/ I� Inspectors use only T " Date on initial inspection:10f0S/7.W- Date of reinsection: P Date of issuance of certificate:ID Of 201 Date fee paid:l0%f/?-03-s- Type of unit: Dwelling Other Check# 2 Check date: IQ/0S/2b1�'- Notes: L4r d + A� w i e4 r�5 Ar b¢dXnn C CC4e cement pector . City of Salem, Massachusetts c f Board of Health 120 Washington Street, 4th Floor, Salem, PU ith Prcveot. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHS,CHO Mayor health@salem.com Health Agent l CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-363 DATE ISSUED: 10127/2017 Property Located at: 190 LAFAYETTE STREET UNIT#1 Owner/Agent: Maria Correia Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)223-5756 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 occupan der 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARi CI;x of SALEMI ;MASSACHUSET'TS' 4� 120 WAS NOTON S1 RT i- , > I QC1R Tia..(9781 741-18(X) i:i�tBFR,:rY TAT'sc )u, FAX(978)745-0343, }`1CoG � ComC.a � he !.'•:RR1 R�\i )?V,t2.tiJR':??5..... �.t) }y. -� . . ,Cod I loom rRarsr : 0 ��fh �l�jf e S _ umw 6-4 �c�rhrn a Am'Wr P/r;,�,, o-e;.;i, . arY,3€A�8.4� Scl �f YYl Y-h r - crrySWIL "s� ( l�1 f / d I �/? 6• �( �hy�2kz( air�r�aaaas aiL4 r, pe € I - IL CITY OF SALEM MASSACHUSETTS HEALTH AGENT + d 120 WASHINGTON STREET, 4TH FLOOR +f SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745.0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#539-07 DATE ISSUED: 10/31/2007 Property Located at: 190 Lafayette Street UNIT#1 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-576-9497 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO ffr HEALTH AGENT CODE ENFORCEMENT INSPECTOR x. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J n • • 120 WASHINGTON STREET, 4TH FLOOR o/ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR/HUMAN HABITATION". PROPERTY LOCATED AT /?0 C2 UNIT#—/ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERNn � �fA1f 1ANAGER/AGENT No P.O. Box �1 y No P.O. Box ADDRE/SS�� 7- / C2�Af�_ADDRESS � CITY�AaCU-Ic HjN/j/,_'_f� CITY RESIDENCE PHONE�7�/0 I7B7u BUSINESS PHONE (24 HRS.) "74 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 5. —6.—T-8. .THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE (,DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /O - 31 `0 )DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID: 3 1 -0 TYPE OF UNIT: DWELLIA�_l OTHER___, CHECK#__/_t_0 CHECK DATE _w 31 '' 5) NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts �j 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, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-140 DATE ISSUED: 5/3/2016 Property Located at: 190 LAFAYETTE STREET UNIT#2 Owner/Agent: Maria Correia Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 223-5756 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, y7/kL0C0j( / Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 17 admm o o . IN ACCORDANCE WMSTATE°SAI3TTARY CGDE,CHAPTER I i, I05.CMR 4lObW, "RflN3f UM STANDARDS OF FIT10M FOR MWAN HABITATIOM' FEE:�SfkOO PROPERTY I OCATE D AT I g.® I R�c� --vDaPk- GNAMASWGIff ONAAMCNO N OR'i+iFd2/L SS �O� P C �Ci�� 1 ANA(sEdt/AGENT xopa.� ADDRESS 'Q , b X Z. ADDRESS CITY,STATE,ap g, m h ® (qj L) crff STATE,ZIP` llSys Re3IDENCE PI,IONE BUSHdESS;PHONE(24MS) " L 9 BUSINESS PHONE TOTAL NUMBERI`�-O�'FROOMSi ROOM USE:'' 1.'>Gt Yv,&I" 2.) A plky-1 in 3. Ifl'tGrl4✓i 4. 5. TI ERE ISA FIFTY($5D)DOLLAB E PAYABLE BY CHECK OR ABY ORDER TO WECn'Y OF SALEM BOARD- ,OF?F :PiLTYi Tminn Is kyAEiLd(?ATI TH�£E 4?mP� APPUCANT'S SIt'iNATURE 1 /1, "d DAT$ " (` haimm use Qoby Daze on ` Date of r pewm. /2zoz G Daw'bfaff� ��1 Type of writ:.."DSO Check#2 OS Checkdate 0 N/2-M2l).� . s _' C01HCHt' PCCt91' " " CITY Or SALEM, MASSACHUSETTS ,..:. BOARD OF HEALTH 120 WASHINGTON STREET 4"' FL()()it KJNfBJ R1d-;Y DRISCOLI. T6:1- (978) 741-1800 MAYOR FAN (978) 745-0343 ]ramdin@salem.com LAILILY ILAAIDIN, RS/RF;I IS,(:I10,CBIS - FfFAI:n I AGI(N'I' CERTIFICATE OF FITNESS CERTIFICATE#382-11 DATE ISSUED: 10/13/2011 Property Located at: 190 Lafayette Street UNIT#3 Owner/Agent: Robert Barnard Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 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 LARR RAMDIN HEALTH AGENT COD N ORCEMENT INSPECTOR I CrTY OF SALEM, MASSACHUSET-fS !! � Bo,vRn or H6�ALTH � 120 WASHINGTON STREW,4°.FLOOR Ti-a_ (978) 741-1800 IiIMBERiEY DRISCOLL FAx (978) 745-0343 MAYOR IXAMDINntiAIE%LCOn1 LARRY RAN{DIN,RS/RF1 IS,(1110,0'-15 Ili,\1:1'11 A(11(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: $50.100 PROPERTY LOCATED AT ��0 �/�7�e S - UNIT#_ 3 IS THISUNITDISIGNATED A RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER�O 2C r ,rZ7,91-" MANAGER/AGENT NO P.O. BOX ADDRESS—f-0- � 5Z ADDRESS CITY, STATE, ZIP �gd�t q 0 1 10 CITY, STATE,ZIP RESIDENCE PHONE Q 1? BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:- ROOM OOMS:ROOM USE: 1.&4AV, 2 1/Z,6,f 34-IUzo— 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 C/ � w DATE Inspectors use only Date on initial inspection: ��/ /I 1 Date of reinspection: Date of issuance of certificate: 16//J i/ Date fee paid: loll Type of unit: Dwelling—\,�-' Other Check# r�Check date: Notes: Vf Un. For le 0 f It d ovu 111 B0_ Coke Enforc ment Inspector 3 TRANSMISSION VERIFICATION REPORT TIME 10/17/2011 22:39 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 10/17 22:38 FAX NO./NAME 919785310757 DURATION 00: 00:31 PAGE(S) 01 RESULT OK MODE STANDARD IMPORTANT MESSAGE FOR DATE l� TIME M OF CIA [" PHONE VAREE�A CODE NUMBER 1� EXTENSION FAX 0BILE ( -2O .'531- o /:5 7 AREA CUUE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL.CALL AGAIN WANTS TO SEE YOU RUSH W RETURNED YOUR CALL WILL FAX TO YOU ME SAGE SIGNED ftiVERSAL. 48005 MADE IN U.S.A. I � NOTES {� I I I I I .¢o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#258-05 DATE ISSUED: 4/25/05 Property Located at: 190 Lafayette Street UNIT#4 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 745-0518 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.F�E BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Bt�ARt)OF HFwLT}I 120 W,t SFIINGroN srREF...P,4ru FT.,00it TEL {478)741-1800 I{,1MBP1tT:F.Y DRISCf3LL FAX(478)745-0343 MAYORIrunditiQs_alem.rosn L1RRY RANIDIN,Its/Rr?F[S,(j 1(),cjP-I s I-I1r.AI XI i AC FNT CERTIFICATE OF FITNESS CERTIFICATE#494-11 DATE ISSUED: 11/28/2011 Property Located at: 190 Lafayette Street UNIT# 5 Owner/Agent: Robert Barnard Address: P.O.Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 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 LARR4 RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS _ s I� ' BOARD OF HEALTH ( ' 120 W-vSHINGTON STREE:-r 4°' F1,OO1z TEL (978) 741-1800 1<iMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRnnunN ni.r:al.ami 1..>RRY U-NIDIN, ItS�RI•:I!5,C1 R?,CY iS 1-1F.M X1I AGFN'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" n FEE: $50.00 PROPERTY LOCATED AT 1 CID ! C1 �I Ltlj ei44e s UNIT# (� IS THIS UNIT DISIGGNNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Ro r�P_( \SGIr� �d MANAGER/AGENT NOP*0' OP.O. BOX (n_ Y/� ADDRESS tt'. O J (7 SL Z ADDRESS CITY, STATE,ZIPS �$ W, /L4 A O10 70 CITY, STATE,ZIP RESIDENCE PHONE z– BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER O''F ROOMS:-3 ROOM USE: 1 Y A Yll-b-n 21U n owft,3. K- '1 �4. 5. e 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 � I APPLICANT'S SIGNATURE 1t'^ Cx=��`�- 'i DATE j I o1 l Inspectors use only Date on initial inspection: 6I her Date of reinspection: Date of issuance of certificate: � I 1 Date fee paid: Type of unit: Dwelling 1,--'Other Check# :3d S Check date: Notes:_ ecd(( n cei 4 o W [ 1 C - o . ((� t C 1 ( J rw 1 h {p Code nforc ment Inspector I CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH z 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 a 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#364-07 DATE ISSUED: 8/3/2007 Property Located at: 190 Lafayette Street UNIT#6 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-7878 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 O2:;— JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I /� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR f SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", 6ISPROPERTY LOCATED AT—M�- / UNIT#6- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSEq� c� llf[/ MANAGER/AGEN /5 No P.O. Box No P.O. Box ADDRESS ' /�L°/1 ADDRESS �f 3 CITY/ CITY � f if w ----. r RESIDENCEPHONE � �p BUSINESS PHONE (24 HRS.)--nz bS� BUSINESS PHONE ___ TOTAL 'NUMBER OF ROOMS:_--__ ROOM USE: L_ / °v3 - _4 _ 5.--- -- 6. 7--- --8.-- THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ---d,Z,51� --DATE__ INSPECTORS USE ONLY / DATE OF INITIAL INSPECTION-7,30 7 . - DATE OF REINSPECTION - -. - DATE OF ISSUANCE OF CERTIFICATE: '_5_ 76, 71 DATE FEE PAID:__Q_� p TYPE OF UNIT DWELLI _ _OTHER.-. CHECK ;i Y- 3 CHECK DATE NOTES:_ _ CODE ENFORCEMENT INSPECTOR 9/28/98 cA1iD 1'� City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-178 DATE ISSUED: 7/14/2015 Property Located at: 190 LAFAYETTE STREET UNIT#7 Owner/Agent: Robert Barnard Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 223-5756 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-� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT S;,OB ARIAN i C-r,, or, S �i guy Nfj AS"l' CFfU 17TTS .. S 1.?R Action for C xdrw lte of IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 145 CMR 410:000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" Q FEE:$50,00 PROPERTY LOCATED:AT 19 O l g46+e UN1T#� IS TM UMT D1 MAT Ep AS 1OGHT IMT FROM OR PLEASE MME ONE OWNER/LES SER off-,p,r a r cl-ttl -MANAGER/ADENI NO P.O.BOX n ABDRESS C S z ADDRESS CPi'Y,STATE;ZIP S d k 0,M M h CITY,STATE,Z� RESIDENCE SHONE BUSINESS PRONE(24HRS) BUSINESS PHONE c;T-$ aa3'S-7 5.b TOTAL NUMBER OF,ROOMS 3 ROOM USE: 1.h 404-kn I WW� 3. 41a hWT!!2j. 5. 6. 7, :' & 9. 10: . THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF.HEAL,TH THIS FEE..-IS PAYABLE AT THE TIME OF PCWECTION APPLICANT'S SIGNATURE Inspectors use only Date on iniriat nspedton: o7/Z3/2©1 s Date of reinspecdm: Date of issuance of certmco 15— Date fee paid:07/13/2015 . . Type of unit: Dwelling/ rr _oEk r deck#))2OW2 II Checck date 11 0Zj&2ojs / NOteS'!4 �/viDo,". �$#--{ Dt;Yner nn5't�v2. �n✓nrnW�rn n'f �(��t. ("�SS��IF_ V'a�iu�nr UNLCCY'Ylea�� . . .; ke Erifcarcenmt r Yf - f i • CITY OF SALEM, MASSACHUSEI 1 S .-„- BOARD OF HI Ai:IH 120 WASHINGTON STR'f T,4°. F[,OOR TF1.. (978) 741-1800 Y v 3t RLFY llRISCOLL 1,-fit (978) 745-0343 MAYOR tramdin o salemxom LARRYRAMUIN,RS/RF1 IS,CI.10, HIS-AI.l'Ff 1(;F.NT CERTIFICATE OF FITNESS CERTIFICATE#008-12 DATE ISSUED: 1/9/2012 Property Located at: 190 Lafayette Street UNIT#8 Owner/Agent: Robert Barnard Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH l LARRY RAMDIN 4j//�;/�� HEALTH AGENT CODE ENFORCEMENTINSPECTOR - CITY OF SALEN, MASSACHUSTTS - I BoaRD of HL�\LTH 120 WASHINC;TON STRI3CT. 4°. I'LU( )R Thi.. (978) 741-1800 KIMBF.RLFY DRISCOI.I, IAN (978) 745-0343 MAYOR mi.com l,.AliltV' R.AMUIN, ItS/Iwl Is,CI lo,cv-l�s 1 n At;rm' 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_: t "1 > aL&V-eSz-y UNIT#_, ,__ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER kD s't �r- � MANAGER/AGENT NO P.O. BOX ADDRESS J(� CJ DX ADDRESS arY, STATE,ZIP C>a.&,,tV2 O/97t) CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:.._ ROOMUSE: 1./akt&-pl- 2. dkO2^ti3. 13�° 5. 6. 7. 8, 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE,?!t -(.C.dL �Fr DATE—'A&_ Inspectors use only Date on initial inspection: >'- 1 Date of reinspection: Date of issuance of certificate: 1 - c►- ) L Date fee paid: Type of unit: Dwelling ✓ Other Check#,j Check date: 1-Q1' / L Notes: Code Enforcement Inspec C��tT ' CERT.# 307-01 _ m FEE $25 .00 DATE: 06/26/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 120 Washington Street 4th floor Tel: (978)741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 190 Lafayette Street UNIT #: 11 OWNER/AGENT: Robert Barnard ADDRESS: 249 Green Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR v��ONDIT,(,i 36-?,01 4 Q CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 WASHINGTON ST. 4TH I JOANNE SCOTT, MPH,RS,CHO XNgSXHKX HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT#V Li IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER MANAGER/AGEN S No P.O. Box No P.O. Box ADDRESS ADDRESS l �d n CITY S CITY // CC RESIDENCE PHONE �� (D2 S%�BUSINESS PHONE (24HRS.) - BUSINESS PHONE 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 MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �J/ APPLICANTS SIGNATURE /l `/�I2� /% �ilwi.� DATE_J%7Li�;� INSPECTORS Ud6NLY DATE OF INITIAL INSPECTION (D a (o " D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 2 '-b _6 DATE FEE PAID: 6' -v TYPE OF UNIT: DWELLING YOTHER CHECK#.5 CHECK DATE_,'�6 >5l NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 F CITY OF SALEM, MASSACHUSETTS ® BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR www.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#633-05 DATE ISSUED: 10/17/05 Property Located at: 190 Lafayette Street UNIT# 12 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 745-0518 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 J ANNE 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 HABITATION"- /� PROPERTY LOCATED AT ® 90 L�F V %� V? UNIT#_1a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Dpo. ea G�� &/, WAGER/AGENT No P.O. Bo No P.O. Box ADDRESS��/ /2��-/��i�, ADDRESS CITY�dMseesf�fj�� / %!/T CITY 61 q5.0 RESIDENCE PHONE 7T/&/ 70 fZXUSINESS PHONE (24 HRS.) BUSINESS PHONE 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 MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTSSIGNARC��d�.� _DATE /� O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I a DATE OF REINSPECTION_____ DATE OF ISSUANCE OF CERTIFICATE:/p_-_/_�_ate/DATE FEE PAID:_ 13 TYPE OF UNIT DWELLING! /L,--OTHER_- CHECK #A4¢__-__CHECK DATE(b NOTES- CODE ENFORCEMENT INSPECTOR 9/28/98 �oNDuCity of Salem, Massachusetts f • - - i, F Board of Health 9. 120 Washington Street, 4th Floor, Salem, PubiCHeettlt 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-16.32 DATE ISSUED: 1/29/2016 Property Located at: 196 LAFAYETTE STREET UNIT#1 Left Owner/Agent: Frisch Realty Address: P. O. Box 634 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 248-0554 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 O�--A4� a Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS _ BOARD OF 14BALTH r • �� 120 WASHINGTON S`rRELY,4T0 FLOOR TEL. (978)741-1800 KIMAFRLEY DRISCOLL FAX(978)745-0343 MAYOR JA MMUalsni -% rani L.AI{J24'RA[{'DiN,ttlf RGk[ti,C;t 10,t,Y-iS 14imixii. (;INf 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 _�.TC`l �Z I UNIT I IS THIS UNIT DISI AS RIGHT LEFT FRONT OR SACK,PLEASE CIRCLE ONE OWNER/LESSER " d. MANAGER/AGENT_ u Soo,, NO P.O.BOX ,�y ADDRESS_ �O, y►' 0Y, (P�'J14 _ ADDRESSe" q q � gy p` bt� CITY,STATE,ZIP � Lqg6S CITY, STATE,ZIP Nc�i Y1�� YIII R!� ��, � t 5 RESIDENCE PHONE-:O-SS 05 BUSINESS PHONE BUSINESS PHONE_ TOTAL NUMBER OF ROOMS: i ROOM USE: II i r� 76. . 11Ji n4 Litt 3AAj 4. �sC #t-1JM 10._ THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT S SIGNATURE �t A .VI DATE Inspectors use Q& Date on initial inspection: 01/2&2016 Date of reinspection: Date of issuance of certificate: 61 Date fee paid: CIA6/261 Type of unit: DwellingOther Check# RR Check date: 01 Notes: C of cement ector PW CITY OF SALEM, MASSACHUSET"T"S ` BOARD OF HEALTH 120 WASHINGTON STREET,4Q1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUN1@SALEM.COM DAVID GREENBAUM ACTING HEAI:PH AGENT CERTIFICATE OF FITNESS CERTIFICATE#573-09 DATE ISSUED: 11/2/2009 Property Located at: 196 Lafayette Street UNIT# 1 Right Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-592-8858 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 yearfrom date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH V'D -DAViID GREENBAUM �J ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON SrREBT,4°t FLOOR TEL.(978)741-1800 KLMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IX,RU ENLIAUM S M EM COM DAVID GRF'i'iNBAum ACTING HF.Ami j AGF3NT Facsimile Transmittal To: A��}tk Fax# �1 RE: Date Page(s): including this cover# c� Message: I UI Board of Health News --------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON i HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Dec 23 2009 4:15pm Last Fax Date Time Tyles Identification Duration Pages Rua Dec 23 4:15pm Sem 91978744%14 0:35 2 OK Result: OK - black and white fax CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOUR HUMAN HABITATION". ,Q PROPERTY LOCATED AT /96 zlft�7 �� UNIT#�/1 IS THIS UNIT DESIGNATED AlRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER .5f MANAGER/AGENT No P.O. Fox�O e, _ A � No P.O.Box ADDRESS &a ADDRESS CITY S r, 0�/907 CITY p RESIDENCE PHONE 7��'aT�a[-pWJTBUSINESS PHONE (24 HRS.) `781-.59/ 6 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L►E^ 2-2*� 3._ 4. ��w 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. p APPLICANTS SIGNATURE DATE I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION i I Ia IO 1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: it Id, /D 5 DATE FEE PAID: llhlo 9 TYPE OF UNIT: DWELLING OTHER_ CHECK# ?ca 5 CHECK DATE 11uZ 7 NOTES: QGuy, COD NF RCEMENT INSPECTOR 9/28/98 e �n� : . . s:_�"9 i ,� - ��y r Cfir, Q � " G�,'t ¢i> Z�� rC j �� t � ^r• r �� : r. t� „t, �.' �i 1. w rvM1 ty..t .`'.4 amxw �N d i ti t 4... ':. k . `:�'r " 5 t + At: . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"' FLOOR TEE. (978) 741-1800 KIMBERLEY DRISCOLL FA-X (978) 745-0343 MAYOR MANC1N1@SMJ.',N.COM JANI rMANCINI ACTING HEALTH AGENT' CERTIFICATE OF FITNESS CERTIFICATE #88-09 DATE ISSUED: 2/26/2009 Property Located at: 196 Lafayette Street UNIT#2L Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-592-8858 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 JAN MANCINI AC G HEALTH AGENT E EN OR MENT t ECTOR CITY OF SALEM, MASSACHUSETTS • y BOARD OF HEALTH V " 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE&ALEN COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT_ZfC, del UNIT# aZC� IS THIS UNIT DISIGNATED AS RIGHT [FRONT OR BACK PLEASE CIRCLE O/NE OWNER/LESSER 4a,,_e fiu.scz/ —MANAGER/AGENT .Jig,, i(llg,&ica2 NO P.O. BOX ADDRESS An '&ob ,moo r 4✓ ADDRESS PO,3a�(_ /�yC f CITY, STATE,ZIP Rsep�Tyl�l/7� 0 CITY, STATE, ZIP C/�i/!' RESIDENCE PHONE 7 /�) —HA7 BUSINESS PHONE(24HRS) (-7!f (V0 aw— 047'y BUSINESS PHONE!,,ZM) OLj3 _ � 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 O ONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT THE T E OF PECTION p APPLICANT'S SIGNATURE DATE 2 Jb OJ Inspectors use only Date on initial inspection: -2- '2-k--3 ` O r) Date of reinspection: Date of issuance of certificate: 1• _).-b d'I Date fee paid: "L` Z L a I Type of unit: Dwelling_Ne�— Other Check# -I bq I Check date: Z` Z-b as Notes: Nl Code Enf &cement hispe for w CITY OF SALEM, MASSACHUSETTS BOARD OF HF-AiT'H 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F Ax (978) 745-0343 MAYOR JMiWCINI aSN.EM4COM JANISI'MANCINI AC'CING HEAL 111 AC;BN'I' CERTIFICATE OF FITNESS CERTIFICATE#89-09 DATE ISSUED: 2/26/2009 Property Located at: 196 Lafayette Street UNIT#2R Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-592-8858 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 / )NET MANCINI ACTING HEALTH AGENT /// CODE E FO CEME SPECTOR s t + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNE SALEM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 4A1 fL UNIT#� IS THIS UNIT DISIGNATED ASXI-6111 LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER-, cn MANAGER/AGENT �r» �l�cl.>•✓L NO P.O. BOX ((33 ADDRESS b. -a ,(�✓/z ADDRESS '?O.Z0f� CITY, STATE, ZIP / sad CITY, STATE,ZIP RESIDENCE PHONE / 2- BUSINESS PHONE(24HRS)6Y4).S'31 -�'r K, BUSINESS PHONE A79,O 5173 - 99j.9 TOTAL NUMBER OF ROOMS:___ ROOM USE: 1. 2. 3. 4. 5 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT THE TIM OF ECTION APPLICANT'S SIGNATURE DATE 6 �� Inspectors use only Date on initial inspection: 2- 2 io o g Date of reinspection: Date of issuance of certificate: Date fee paid:_ Type of unit: Dwelling ✓ Other Check#--2 4 \ Check date: Notes: 1)�aX2n� dode`fdbrccme`# Inspector i CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR I o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 8/9/05 Michael Ratte 16 Taylor Street Georgetown, MA 01830 PROPERTY LOCATED AT 196 Lafayette Street Unit 3 Left Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. or the Board of H Ith Reply to qoan'ne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 703-99 1] (pa FEE $25.00 DATE: 11/24/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 196 Lafayette Street UNIT #: 3 Left OWNER/AGENT: Michael Ratte ADDRESS: 16 Taylor Street CITY/TOWN: Georgetown, MA ZIP CODE: 01830 24 HOUR- PHONE: 352-4034 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO �� Z HEALTH AGENT CODE ENFORCEMENT INSPECTOR 'pBpIM1NBl� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F77,1_4� HABITATION"./ PROPERTY LOCATED AT / C 5/- UNIT# aZ-- IS THIS UNIT DESIGNATED AS RIGH LEFT ROUT BACK PLEASE CIRCLE ONE OWNER/LESSERM- MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS47-1 ' Gr s J ADDRESS . . Clv-4 v rte. CITY RESIDENCE PHONEM-3'1_2-V03 YBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2_5�A3. L Q 4. \J� 5.�. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE / I SPECTO S USE ONLY DATE OF INITIAL INSPECTION allay/9y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 111207 DATE FEE PAID: / d GJC, TYPE OF UNIT: DWELLING ✓ OTHER_ CHECK# 5 30 CHECK DATE NOTES: In pegs of Venf' cover euer ce.'&9 Kin I'll bnt r rl, ZA oce Cesli'mQS 1'n 1'576DTrQOA2 ad S' rc i . CODE ENFORCEMENT INSPECTOR 9/28/98 rpNDIT,,� City of Salem, Massachusetts r3 ; Board of Health 120 Washington Street, 4th Floor, Salem, Puth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-435 DATE ISSUED: 12/24/2015 Property Located at: 196 LAFAYETTE STREET UNIT#311 Owner/Agent: Frisch Realty Address: P. O. Box 634 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 248-0554 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN C p CITY OF SALEM, MASSACHUSETTS f a BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TF-T. (978)741-1800 KTMBFRL.FY DRISCOLL FAX(978) 745-034.3 MAYOR bRANI L71N asnih,N[A;oroi .L.ARRY R,\nID1N,RS/RI?I IS,010,(T-ISS Ili mi iiA(;uKi, - 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`` ,n,FEE: $50.00 � 4 PROPERTY LOCATED AT " UNIT# �✓ el IS THIS UNIT�iDISIG tt --TE IGIIT EFT FRONT OR BACKPLEASE CIRCLE ONE OWNER/LESSER JL$C- k �PGt�T�1 MANAGER/AGENT PKr � 1 NO P.O.BOX ADDRESS P,n( (J19X le3`F ADDRESS f D q1 ,gy CITY, STATE,ZIP I \Aon �,I C� -i 7 CITY, STATE,ZIPV >�1� d-Ai"CD 4!5' RESIDENCE PHONE BUSINESS PHONE(24HRS) -7 iEI-),q 6—DG5L-4 BUSINESS PHONE �45I—a�4�—O SS`s TOTAL NUMBER OF ROOMS:-4 ROOM USE: l t�f � \ 2.L-Wt M 3. 6l w 4. W'CLk-VV\ 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 �A�T(�THE TIME OF INSPECTION APPLICANT'S SIGNATURE ( /lit l b DATE (2 2 i S Inspectors use only Date on initi&inspection: Date of reinspection: Date of issuance of certificate: 23 2-42 - Date fee paid:�IIZV26ZE Type of unit: Dwelling Other Check#R q o Check date: 1L,L)- 42-01r Notes: C rcement pector r ,�e0ND1 a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street 4"Floor HEALTH AGENT Tel: (978)741-1800 06/27/2001 Fax: 978-745-0343 Aser Frisch 80 Blodgett Avenue Swampscott, MA 01907 PROPERTY LOCATED AT 198 Lafayette Street UNIT # 1L 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; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8 :00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. FOR THE BOARD F HE LTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR l - CERT.# 94-00 31� IP? FEE $25.00 DATE: 02/09/2000 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: 198 Lafayette Street UNIT #: 1L OWNER/AGENT: Aser Frisch ADDRESS: 80 Blodgett Avenue CITY/TOWN: Swampscott, ZIP CODE: 01907 24 HOUR PHONE: 592-8858 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. j MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : . DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD fOOFHEALTH ANNE 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 APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT A UNIT# IS THIS UNIT DESIGNATED AS RIGHT" "�F RONT BACK PLEASE CIRCLE ONE Q OWNER/LESSER / ��Z, - lQiSUC MANAGER/AGENT No P.O. Box q No P.O. Box ADDRESS 6 A�L- ADDRESS CITY ��/ii1 G�/9�7 CITY RESIDENCE PHONE*At-� l BUSINESS PHONE (24 HRS.) `L BUSINESS PHONE SA-fl L TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE r _DATE A INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -Uo DATE FEE PAID: TYPE OF UNIT: DWELLINVX OTHER_ CHECK# 4K?61 CHECK DATE NOTES,: �f\ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 - STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/4/05 Aser Frisch P.O. Box 445 Beverly, MA 01915 PROPERTY LOCATED AT 198 Lafayette Street Unit 1 Right 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. ((Fo,,r the Board of Healtthi� '� Reply to Po1PHk ;;Of y(7 Pablo Valdez ealth Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 33 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 _ TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Aser Frisch P.O. Box 445 Beverly, MA 01915 PROPERTY LOCATED AT 198 Lafayette Street Unit 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F the Board of Health Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector f ' �aNwr CITY OF SALEM, MASSACHUSETTS ��•� '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 562-02 _ FEE $25.00 TEL. 978-741-1800 DATE: 11/01/2002- FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R8, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 198 Lafayette Street UNIT #: 2 Right OWNER/AGENT: Aser Frisch ADDRESS: P.O. Box 621 CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-8858 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD �OF HEALTH u,TOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM,,MASSACHUS.ETTS v" .fTy BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �s TEL. 978-741-1600 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR.HUMAN HABITATION". PROPERTY LOCATED AT_ _'iE tK co�t!i \ UNIT#�—pa tlIVi IS THIS UNIT DESIIG�NAT_EDD RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1SS?A S ►\Sb\ MANAGER/AGENT No P.O:Bq No P.O. Box ADDRESS �,0� iA (PZA ADDRESS CITY �A N"psc ()1%O CITY RESIDENCE PHONBUSINESS PHONE (24 HRS.) BUSINESS PHONE 'ISC� �SZIA -Ijs1� TOTAL NUMBER OF ROOMS:' - fi$likes . e a ROOM USE i`r `2. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BYCHECK,OR MONEY ORDER TO THE CITY.,OF:SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME ORINSPECTION APPLICANTS'SIGNATURE DATE INSPECTORS USE ONLY i DATE OF INITIAL INSPECTION /( / , y L DATE OF REINSPECTION DATE OF ISSUANCE OFCERTIFICATE// ' a L' DATE FEE PAID: TYPE OF UNIT: DWELLIN _OTHER_ CHECK#4 D' `� CHECK DATE NOTES: - r CxOOErENFORCEMENTINSPECTOR 9/28/98 Y5 '�'1'•t r � > s�i $p'tp x *�P�f�4 � ° } j kfi(SIst ,y ' �' 1 k.. cit r xzp'; f,F $i #§[�:`11y '11*"r ��k �f f3:1�s <+{f .'iA* ��v°Pi��'f'#kg § ��.. .. i, i X2: . d; � :�•:,iF - .�A9 k`3.��.E� r�.:_a.; F e 3 i U ry. Cary OF SALEM, MASSACHUSr rTS 130 m-)OF Hax LTH 120 WASHINGTON STRFSr,4"'FLOOR PublicHeellth TFL. (978)741-1800 Fax (978) 745-0343 KIMBERLEW I)RISCOLL Iranidi-no3aialem.corn 1.,ARRP R,lhfl)IN, RSf RP.I tS,Ci 10,CP-i:� W YOR CERTIFICATE OF FITNESS CERTIFICATE#194-12 DATE ISSUED: 5/11/2012 Property Located at: 199 Lafayette Street UNIT# 1 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8406 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 MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS f r , BOARD OF HEALTH I `j 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR oGtr1`.NI3AUN,1@SALe:M.COM DAVID GREENBAUM, .ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED IT#_� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �—A 4xt r—_ MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP s O"a �. U7r tW� ON%%Z� CITY, STATE, ZIP RESIDENCEPHONE Amo-B�� - `b$sIo BUSINESS PHONE(24HRS) t BUSINESS PHONE I TOTAL NUMBER OF ROOMS: ROOM USE: 1.Y-ter 2. 57zm�v�__ 3. t-✓ 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 �-r-z DATE S I 1 t t7— Inspectors use only Date on initial inspection: / II ha Date of reinspection: Date of issuance of certificate: '1,7 Date fee paid: Type of unit: Dwelling—Other—Check#—~L Check date:_ Notes: Code'PAWementhspector dl;oNn City of Salem, Massachusetts IN" PIN Im lift Board of Health 120 Washington Street, 4th Floor, Salem, PuWcHealth MA 01970 'PtGVMG pro..t., P tett. 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-17-339 DATE ISSUED: 10/10/2017 Property Located at: 199 LAFAYETTE STREET UNIT#2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978)884-8856 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 ears of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN �r CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH " - 120 WASHINGTON STREET 4"FLOOR TE,I..(978)741-1800 KIMBERLEYDRISCOLL FAX (978)745-0343 RECEIVED MAYOR cn narr»N a snu; .r:onr OCT 102017 LARRY R,\MDIN,RS/REHS,CYTO,CP-I+S FIF Aunt AGENT CITY OF SALEM BOARD OF HEALTH 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 ST UNIT#_�_ IS THIS UNIT DISIGNATED AS RIG T LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Marie Gagnon MANAGER/AGENT NO P,O.BOX ADDRESS 8 Cleary Lane ADDRESS CITY, STATE,ZIP Topsfield Ma 01983 CITY, STATE, ZIP RESIDENCE PHONE 978-887-8856 BUSINESS PHONE(24HRS) BUSINESS PHONE 978-887-8856 TOTAL NUMBER OF ROOMS:-- ROOM OOMS:ROOM USE: 1 S—V s 2 M? D 3 — 4 Nc-� + 1 5 6. 7 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATU DATE Inspectors use only l Date on initial inspection: Date of reinspection: _ Date of issuance of certificate: Date fee paid: /,0 G> Type of unit: Dwelling Other Check# _Check date: Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR - DGRVTNSAUM@SArF,%000M - D;\VID GRF?HNBAUM ACPING HEAI:CN AGIIiNT CERTIFICATE OF FITNESS CERTIFICATE#339-10 DATE ISSUED: 7/20/2010 Property Located at: 199 Lafayette Street UNIT#2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 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 W' 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 DJI ZRONBALIM1 ACTING HEALTH AGENT CODE E O CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 r� MAYOR ISCOrl(@SALrM.COM JOANNE SCOTT, A HEALTH AGENT ey)r, e? LI 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: $50.00 PROPERTY LOCATED AT UNIT# � IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERMwas%�— C \-Ax-t )OVJ MANAGER/AGENT NO P.O. BOX ADDRESS 18 ADDRESS CITY, STATE,ZIP'S—aPS s s ate;] t•-Ay+- O t4a3 CITY, STATE,ZIP RESIDENCE PHONEEh 8 -$g1 —885 � BUSINESS PHONE(24HRS) BUSINESS PHONE ' i TOTAL NUMBER OF ROOMS: S ROOM USE: 1.r--MT -ate 2.L2w-1Lr 3.Vic_ 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 J Inspectors use only Date on initial inspection: a /� 0 Date of reinspection: Date of issuance of certificate: -7 a U ly Date fee raid: fJ II D Type of unit: Dwelling ✓Other Check# 1 I� (9-7 Check date: h c/ 0 Notes: di)((L down- hc1t W�-1L1 , bulb in. he oom cntoc, Code orce nt Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, "FLOOR TEL. (978) 741-1800 KIMBERLEY DR18COLL FAX(078) 745-0343 MAYOR tsCOTi n!SALEM.COM JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq, ; State Sanitary Code Chapter 1I and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereUy authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes; regulations and'ordinances. In the event it is nacessarythat said inspection be done iri my/out absence. I/we expressly authorized the same and for my/our suceessofs and assigns hereby release and discharge the City.of Salem, Salem Board of Health and its authorized agents from any lose or injury Sustained of whatever nafure and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRFENBAUM([,SALRM COM DAVID GREENBAUM ACTING HE.ALT1-I AGENT - Facsimile Transmittal i To: Z4 LcSCG. ( — Fax# 9"7<R r7g !2 9 RE: j�S (�, c.� e .<�7 '/Lnj &V/ Date Page(s): including this cover# Message: Board of Health News -----------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 07/22/2010 23:22 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATE.TIME 07/22 23:22 FAX NO./NAME 919787449614 DURATION 00:00:19 PAGE(S) 02 RESULT OK MODE STANDARD ECM i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4.°FLOOR �1]bi1CHP.A a TEL. (978) 741-1800 FAs(978) 745-0343 KIMBERLF_Y DRISCOLL liamdinnsalem.com L:VLRY RAnaDiN,ILS/Reins,ciu�,cr-r;S Ii. I A 11 i GB:NP CERTIFICATE OF FITNESS CERTIFICATE #345-12 DATE ISSUED: 8/23/2012 Property Located at: 199 Lafayette Street UNIT#3 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I LA MDIN �" HEALTH AGENT 'SANITARIAN • . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 4o 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 IUNMERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRP.ENBAUM(Ce7iSA1,EM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT \44r Ste— UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER t- a . MANAGER/AGENT NO P.O. BOX ADDRESS 'cb`�E�+z-� �+�$ ADDRESS CITY, STATE,ZIP -tis tW'I- t 4`bz�,CITY, STATE,ZIP RESIDENCEPHONE 1 -QHS 1=a�S So BUSINESS PHONE(24HRS) t / BUSINESS PHONE / TOTAL NUMBER OF ROOMS:-5- ROOM OOMS: 5ROOM USE: 1. 0�7 2. 5t�7 3. Yt�_� 4. 17=7-arz- 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 SIGNATUR - DATE 11-7 1 Inspectors use only Date on initial inspection: `L- Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling C_ Other Check# ) �: � Check date: Notes: Code Enforcement Inspector } CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH +f 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor CERTIFICATE OF FITNESS CERTIFICATE#757-05 DATE ISSUED: 12/21/05 Property Located at: 199 Lafayette Street UNIT#3 Left Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 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. FOPIFiE BOARD OF H LTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ,Hcat+ul� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH p • 120 WASHINGTON STREET, 41H FLOOR II LS SALEM, MA 01970 �s TEL. 978-741-1800 �QrnI'm FAX 978-745-0349 DEC 21 2005 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT BOARD OF SALEM HEALTH APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT %99c k._{FA`i'tcTCV_i 5- G- AFL UNIT Na IS THIS UNIT DESIGNATED AS RIGHT LEE FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERT-tAl& VAQc-)C*Z MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Uo -, oCkwoCQ L-Q ADDRESS CITY CITY RESIDENCE PHONE 978-881-%RSb BUSINESS PHONE (24 HRS.) f BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.%y-c> 2. SA 3. V=5-4<0 5.r,wxC- 6. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE_.� Q DATE iZIL9lOS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER_ CHECK it X375 CHECK DATE NOTES: I CODE ENFORCEMENT INSPECTOR 9/28/98 - . / Vil