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LAFAYETTE STREET 234-270 LAFAYETTESTREET r 234-270 u D 0 „ n 6 I: q ' V r 1 1 a X11 M Y Ir M CITY OF SALEM, MASSACHUSETTS s + BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR QGRFF:NBAUM 7a SAIEM.COM _ DAVID GRI?I;NBAUM - Ac,I'INCi I-1EdU-:'H AGI,,NT CERTIFICATE OF FITNESS CERTIFICATE#588-09 DATE ISSUED: 11/18/2009 Property Located at: 235 Lafayette Street UNIT# 1 Owner/Agent: S& H Realty Address: 2.41 Lafayette Street City/Town: Salem, MA Zip Code; 01970 24 Hour Phone: 744-1017 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 THEiBD OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 5e6e6J61 BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE g SALEM.COM JANET DIONNE, SENIOR SANITARIAN 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 y- PROPERTY LOCATED AT a35 LoQ-(c� 2��e I S�l�e!✓I UNIT# ccIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER c] d I Rea MANAGER/AGENT NO P.O.BOX ADDRESS all (Ivg 2J <<T ADDREss CITY, STATE,ZIP SCi G'JYl M Cl O lgi 70 CITY, STATE,ZIP RESIDENCE PHONE {� 1 BUSINESS PHONE(24HRS) Q BUSINESS PHONE 17(,-�� -I11-1D I-7 TOTAL NUMBER OF ROOMS: oc, ROOM USE: 1. 2. Lf�/Kkh 3. bath 4. 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 HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE(aLa�� �Sc,N- -� DATE I L' 19-OCt /' Inspectors use only Date on initial inspection: G7 Date of reinspection: ✓� Date of issuance of certificate: li C/O; 5 Date fee paid: G Type of unit: Dwelling LGOther Check#Check date: k0 7 Notes:_ Or(1 d /; CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'i FLOOR TEL. (978)741-1800 KSMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DCRI'FNpAUM, t S 11 pM C('1M DAVID GREENBAUM ACPING HEALTT-I AGENT Facsimile Transmittal To: (liar me Fax # - d 7 /� RE: zie �K Date Page(s): including this cover# Message: I 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 ( ° CERT.# 172-01 FEE $25.00 DATE: 04/11/2001 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: 235 Lafayette Street UNIT #: 2 OWNER/AGENT: S & H Realty ADDRESS: 235 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVEADDRESSHAS BEEN. APPROVED AND IS IN COMPLIANCE -WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . I 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" . itSECTION 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.` i OR THE BOARD 9F HEALTH l JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i i 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 2.35 a4 it 41z -UN IT# tt IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTBACK PLEASE CIRCLE ONE OWNER/LESSER-,57/ MANAGER/AGEN "=:e � No P.O. Box o P.O. Box ADDRESS ADDRESS CIT_yITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) F7X_2411-1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 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. APPLICANTS SIGNATU DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Y " (( —0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - I / DATE FEE PAID: V TYPE OF UNIT: DWELLING OTHER_ CHECK# CHECK DATE q NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 173-01 FEE $25.00 ' DATE: 04/11/2001 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: 235 Lafayette Street UNIT #: 3 OWNER/AGENT: S & H .Realty ADDRESS: 235 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS INCOMPLIANCE .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 I 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 Z ` 1 ( f UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-S T )4 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS �Z 3} L� d P IAC '2�ADDRESS CITY SCL lE (v7 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.)—Z - 1017 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. C 4.- 5.-6.-7.-8. .5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATU DATE � U , INSPECTORS USE ONLY' DATE OF INITIAL INSPECTION( - /( -D / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: - / ( 0 / TYPE OF UNIT: DWELLING:OTHER_ CHECK# a 3 CHECK DATE -l l l NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 A CERT.# 174-01 FEE $25.00 DATE: 04/11/2001 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.: 235 Lafayette Street UNIT #: 4 �. OWNER/AGENT: S & H Realty ADDRESS: 235 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017 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 . J FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I Ilk, 3. V 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 iT 3S A4&M UNIT#.� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGE No P.O. Box No P.O. Box ADDRESS ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 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_ z�c , DATE ( INSPECTORS USE ONLY DATE OF INITIAL INSPECTION�6 — (/ —0 / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: // -0 / DATE FEE PAID:_ '� —// TYPE OF UNIT: DWELLING (- OTHER_ CHECK#,-�' / 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4m FLOOR Prevent.Promote.Protect: PublicHealth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com ' LAItR1 R<\MDIN,Rti/ltlil-lS,CHO,CP-F'S MAYOR HEAL'T'H AGENT CERTIFICATE OF FITNESS CERTIFICATE#386-13 DATE ISSUED: 10/17/2013 Property Located at: 236 Lafayette Street UNIT#3 Owner/Agent: Marie Cardillo Address: 236 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1266 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of tented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". ` Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Y RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublioHeakh > Prevent.Promote.Prmom. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR Lr\RRY'Rr\DIDIN,RS/RFhIS,CHQ,(T-ES H]i.A].rI-I A(;Ii.N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 1JMVElKr �;7 UNIT#_9__ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER .&A,ki c L g�G VN N MANAGER/AGENT NO P.O. BOX r/ ADDRESS /��t' �i ADDRESS CITY, STATE,ZIP ��e{yl NNI/�/ O)q-7U CITY, STATE,ZIP 7 RESIDENCE PHONE �70 .�7� 756 �lo� BUSINESS PHONE,(24HRSg)/ /� 74110 t/ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT /TIME OF ION APPLICANT'S SIGNATURL��� C 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: Cod orc ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o 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 3/11/05 Sparta Realty Trust 241 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 241 Lafayette Street Unit Basement 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 (� Joanne Scott MPH RS CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM} MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ry SALEM, MA 01970 TEL, 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#58-05 DATE ISSUED: 1/28/05 Property Located at: 241 Lafayette Street UNIT#3 Owner/Agent: Sparta Realty Trust, Constantine Markos, Trustee Address: 241 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017 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. F�OfRj THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR >' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 J FAX 978-745-0343 - -. y 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 3 Li I �' `421 Z-f UNIT#,�L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER a 5MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS o7f EQ;_ ADDRESS CITY csc__4ew) CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) -1 -1017 BUSINESS PHONE TOTAL NUMBER OF ROOMS: `�2 ROOM USE: 1._l 2. 3.&442h 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 _ _ y --DATE - 2.0 O� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION j DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEI- DATE ,FEEE PAID:_ / a'U - °'3 � y� TYPE OF UNIT DWELLING _OTHER--_-. CHECK 4 CHECK DATE _. NOTES: -- - /- , - - /S v — ---------- --- CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 so FAX 978-745-0343 STANLEY USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance With Massachusetts General Laws Chapter I 1 1 ; Code of Massachusetts R,':gulations 410.000 et. seq. ; State Sanitary Code Chapter 11 and Article X111 of the City Of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit cr residenLiaL property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the a;orementioned statutes, regulations and ordinances. in the event it is necessary Lhat said inspection be done in my/our absence , INC expressly authorize the same and for my/our successors and assigns hereby release and dischargo. the City of Salem, Salem Board of Health and its authorized alien" from any loss or injury sustained of whatever nature air,-' description lon occasionea by my/our absence during said inspection. i'E Ea OWNER/LESSOR ADDRESS ADDRESS ADDRESS OFA—T7F0-­AE INSPECTED TN DATE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - ---120-WASHINGTON STREET 4""FLO0R H th-- � Prtvent.i'romnie.Prnitct. - TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinsalem.com MAYOR LARRY RANIDIN,RS/REI Is,Cf lO,cv-I+5 fI AI L'Lf AGENT CERTIFICATE OF FITNESS CERTIFICATE#24-15 DATE ISSUED: 1/14/2015 Property Located at: 241 Lafayette Street UNIT#4 Owner/Agent: Heidi Realty Address: 241 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR C HEALTH AGENT SANITARIAN `s F�a�t it a/ ba" 120 \U:vsni\C','i Si)tt F r 4„. Pu x)it I r]- (978) 74 1-1800 K I'Ils(?Rt.l �” P�R�SC:hLI- 1,.vN (97S) 74S-0343 ,t i SI:NIUR Sh.NI LARIAN ,j i, Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 145 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50,00 PROPERTY LOCATED AT c)q I T UNIT# IS THIS UNIT DISIGNATE AS RIGHT LEFT FR NT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 1tk.I_bI er, lti, MANAGER/ AGENT NO Y.O. BOX ADDRESS_ aLEI -&F26ADDRESS CITY, STATE, ZIP &I6tIYI © n tg70 CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) qM-744—I Q17 BUSINESS PHONE TOTAL NUMBER OF ROOMS:--3— / r _^ ROOM USE: 1. 2. 1 _ 3.1�t S l 4 S 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 AYABLE AT THE TIME OF INSPECTION ( _ 'APPLICANT'S SIGNATURE _����1- �^ DATE [�f i 1 Inspectors use oniv i Date on initial inspection:—Jf 114LI5 Date of reinspection: Date of issuance of certificate: /_�{ Date fee paid:_ _� Type of unit: Dwelliny Other _Check #� Check date: , / f� Notes: CodeQfo ment Inspector I. +ry, CITY OF SALEM, MASSACHUSETTS �]! HEALTH AGENT ' 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #551-07 DATE ISSUED: 11/16/2007 Property Located at: 241 Lafayette Street UNIT#4 Left Owner/Agent: Lafayette Realty Trust Address: 241 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017 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. FO TH/��D OF FjEALTH Q V zyae� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Please -Q,, t, PeQ body f-lCrosi rte Re: 94m) 1 GnjitcvAcb mar 1�ec. f rr + 1 978 - ot77 -04 $1 r — � , 01aC� Y OF SALEM, MASSACHUSE�S 8o*noorHcacr* /znvvASn/woromsrnssr, urorLnon sxLcw. mA ^|y7u TsL, y7o'74/ 1000 ~+N�°�^ �pAxy7a^74s'os4a � ��»���� ' ���. sr«wL,c, osnv/Cz �n � JOANNE SCOTT, MPH, PS, coo m«,00 vsxLroAocoT APPLICATION FOR CERTIFICATE 0FFITNESS � |NACCORDANCE WITH STATE SANITARY CODE, CHAPTER ||' 105CMR 410.00O / "MINIMUM STANDARDS 0FFITNESS FOR HUMAN HA0TAT0N" l� PROPERTY LOCATED AJ -UNIT #_�� AS THIS UNIT DESIGNATED AGRIGHT BACK PLEASE CIRCLE ONE ! «�~ OWNERILESSER NAGERAGENT CITY— ­—CITY— RESIDENCE PHONE ----BUSINESS PHONE (24 HRS.) _________C|TY__RES|DENCEPHONE8U8|NESSPHONE (24HRS.) /`� BUS|NEG8PHONE TOTAL NUMBER OFROOMS: ^ ROOM USE: 2� 3 _4. THERE \S /\TWENTY-FIVE ($2S.0O) DOLLAR FEE, PAYABLE BYCHECK URMONEY ORDER TJTHE CITY OFSALEM HEALTH DEPARTMENT THIS FEE |3PAYABLE ATTHE TIME VFINSPECTION. j APPLICANTS SIGNATURE —DATE V, -TO-B5-USE ONLY ! DATE 0FREINS PECT0N _________ DATE OFISSUANCE OFCERT|FICATF: _Z27DATE FEE PA|D:_ ��_��-7 TYPE OFUNIT: DVYELL| OTHER--_ CHECK CHECK CHECKDATE /(/ ��/ NDTES�_�____ __ ____�____________ CODE ENFORCEMENT INSPECTOR 9/28/98 , u ----" CITY OF SALEM, MASSACHUSETTS fi.11, a 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 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Re-gulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of ti the Cit; of. Salem Ordinance , undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its acthcr- .'ized .agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessarV Lhat said inspection be done in my/our absence , 1/we expressly authorize the same and for my/our successors and assigns hereby relaasc and discharge. the City of Sales, Salem Board of Health and its authorized- age-;ts ora any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection . r l,i N"I LESSE O'W'NER/ SSSQR. -` Ai)il!iE>l5 A "7DDR=SS " ' t 6*1 ADDRESS OF',U IT;1�:?'INSPECTED 07 CITY OF SALEMI, MASSACHUSETTS BOARD OF HEALTH } 120 WASHINGTON STREET, 4TH FLOOR t 9 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 - STANLEY J. LISOYICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#59-05 DATE ISSUED: 1/28/05 Property Located at: 241 Lafayette Street UNIT# 5 Owner/Agent: Sparta Realty Address: 241 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017 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 Il" 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 INE SCOTT, MPH, RS, CHO f � ' HEALTH AGENT CODE ENFORCEMENT INSPEC OR v s CITY OF SALEM, MASSACHUSETTS k BOARD OF HEALTH • � t 120 WASHINGTON STREET,. 4TH FLOOR `I` ? SALEM, MA 01970 y" TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, Jft. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS t;1{ IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT a�1, �PP- �� �UNITN IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER.SCIak �MANAGERIAGENT� No P.O. Boxes ' ` 0 No P.O. Bax ADDRESSj� =¢ ADDRESS CITY- -��A5 —CITY RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.,)-..9-78` MI 7 3'w ; I BUSINESS PHONE_ t;1 TOTAL NUMBER OF ROOMS:. ,n ROOM USE: 1._t- 3. � i 2. 4. # F l � THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. k� 1 APPLICANTS SIGNATURE _DATE �� � INSPECTORS USE ONLY DATE OF INITIA iN PECTION DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE/ 'a�f� DATE FEE TYPE OF UNIT: DWELIINOTHER__. CHECK #JS-Q t��' CHECK DATE _ �V� NOTES:, CODE ENFORCEMENT INSPECTOR 9/28/98 IF si f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ _.. ..-_. —1-20WASHINGTON STREET-4"'FLOOR - Pnb1iCHCalth _._._. Prtvenl 1'rmmute.VrotCcl. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin e salem.com MAYOR LARRY RAF MDIN,RS�REH$,C [Q,CP-FS HGA,ta'F1AC;ENP - CERTIFICATE OF FITNESS CERTIFICATE#22-15 DATE ISSUED: 1/5/2015 Property Located at: 244 Lafayette Street UNIT# 1 Owner/Agent: Kathie Strout Address: 29 Intervale Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-479-9266 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH _ LARRY—RXMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS '-) BOARD OF HEALTH J 120 WASHINGTON ST ,4'"Pi-ooR (7` T> I..(978)741-1800 KEMBERLEY DRISC?LL FAX(978)745-0343 Mr1YUlt r.aar� rrolZrlawr.utd,�St".� LARRY RANIDIN,M/REtl15.CRO,CP-FS IIRAI;TH,AGENT Application for Certificate of Fitness IN ACCORDANCE Wr HH STATE SANITARY CODE,CHAPTER 11, 105 OMR,41.0.000 `m1NjmUM STANDARDS OF FITNESS FOR.HUMAN HABITATION" PROPERTY LOCATED AT a�7 7 T r UNIT# I }1IS'IWS UNIT DISIGNATED AS)KIGUX LEFT FRONT ORD C PLEASE CIRCLE ONE n OWNEWLESSFR.„i1 &dA -S +rJ u_V MANAGEFJ AGENT_,& ADDRESS 2� � s.s'y� �- �nDRESS CITY,STATEZP 7CITY,STATE,zrn ! RESIDENCE mONE' kX19 9 `7 G, j�a Busml>;ss PHoNp(24ms) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: c t 0 2'./A R M 3. &-t4 4. j&d4PAU g . 7 S 9 10. THERE IS A FIFTY($50)DOLLAR RE,PAYABLE BY CAECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P YA13LE AT THE OF INSPECTION APPLICANT'S SIGNATURPv�1 L. ,� DATE/ j inspectors use only Date on initial inspecaon: IfSLIs Data of reinspection Date of issuance of certificate: Date fee paid Type of unit: Dwelling Other Check 7tiCheck date: — Notax: Code n nrezltlnspector . CITY OF SALEM, MASSACHUSETTS Yt .J BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TFs. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR 12AMN@S,L.AM 1M LARRY RAMDTN,RS/RF.HS,CHO,CP-FS HEALTH AGFNT Release In accordance with Massachusetts General Laws Chapter 111;Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence.I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenan see er/Lessor ds 1� 0 �/G Address Address on u6A to inspected J rA -7 X&e�� -Date �j Updated 5/23/11 r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH q 120 WASHINGTON STREET, 4TH FLOOR a o SALEM, MA 01970 ".� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/25/04 Peter Strout 29 Intervale Road Salem, MA 01970 PROPERTY LOCATED AT 244 Lafayette Street Unit 2R 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 Jo e Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector e 31jF CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO 02/15/2000 NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 Peter Strout 244 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 244 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. - - A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in. which cross-metering has been proven so exist. JOR THE BOARD�TH REPLY TO Gr Joanne Scott, MPH,RS,CHO PABLO.VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR w CERT.# 723-97 3 FEE $25.00 DATE: 10/23/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 244 Lafayette Street UNIT #: 3 OWNER/AGENT: Peter & Kathie Strout ADDRESS: 29 Intervale Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0187 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 ;B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH (/JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT - CODE ENFORCEMENT INSPECTOR 7,23-97 3 tj �p N CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABJ(IITTAATION". PROPERTY LOCATED AT i ' 1 �'/ � UNIT # OWNER/LESSER X , �kl.W P _ �(� �`' MANAGER/AGE- _ ezv a � ADDRESS�j (� ADDRESS Y? CITY �/j'V�.� V CITY RESIDENCE PHONE­jjJ � BUSINESS PHONE (24 HRS.) BUSINESS PHONE -/7/// TOTAL NUMBER OF ROOMS: ROOM USE: I.EG 2. 3. ��1/1J ti.,. 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 DEPAR NT THIS FEE S PAYABLE AT THE TIME OF INSPECTION py APPLICANTS SIGNA / DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:-Zo - a--3-:' j l 7DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:� _la DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR n CERT.# 175-01 FEE $25.00 DATE: 04/10/2001 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: 245 Lafayette Street - UNIT #: 1C OWNER/AGENT: Park Towers LLC ADDRESS: P.O. Box 524 CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 AN INSPECTION OF YOUR VACANT DWELLING/ROOMINGUNIT 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 ,J j00 96 OTT, MPH,RS,CHOyy HEALTH AGENT CODE ENFORCEMENT INSPECTOR gONWT n APR•I 02001 CITY OF SALEM BOARD OF HEALTH CITY OF SALEM Salem, Massachusetts 01970-3928 HEAL114DEPT.,)�.D JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee (978)741-1800 Fu:(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�� P p({ ( S - UNIT#-ZA, IS THIS UNIT DESIGNATED RIGH AS GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERdzy �f7tan YaMANAGER/AGENT SGt tM P No P.O. Box No P.O. Box ADDRESS NO GOX ADDRESS CITY RESIDENCE PHONE Y01-M-3272—BUSINESS PHONE (24 HRS.) SCA V" BUSINESS PHONEJB/- S-7(--7 7177 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. ,TGA-' 2.jj�3. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DO F YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H A MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 16 -0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/D -o/DATE FEE PAID: �� b ✓U� TYPE OF UNIT: DWELLING�//OTHER_ CHECK# CHECK DATES O 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 s � ° CERT.# 70-01 } FEE $25.00 ...... DATE: 02/12/2001 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: 245 Lafayette Street UNIT #: 1E OWNER/AGENT: Park Towers, II LLC ADDRESS: 732 Lynnway CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 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 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 UMAANN HABITATION". PROPERTY LOCATED AT �i ) �� f /I( P_ UNIT#�L IS THIS UNIT DESIGNATED AS RIGH//T LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER191t aV-( / 1-Z-C- MANAGER/AGENT� No P.O. Box 1J No P.O. Box ADDRESS / 31 Z ADDRESS �1Y11� CITY CITY a 1-n e RESIDENCE PHONE r^pBUSINESS PHONE (24 HRS.) BUSINESS PHONE ✓71 7/SI TOTAL NUMBER OF ROOMS: oo LouROOM USE: 1. et 2.-erg 3. VI- 4. L 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PA Y CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT IVIENT FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORSE ONLY DATE OF INITIAL INSPECTION _-9- - I L 6 / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: a -r 2 0 / DATE FEE PAID:Q- - TYPE OF UNIT: DWELLINGi/OTHER_ CHECK# $6 b CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 M �a CERT.# 69-01 a FEE $25.00 DATE: 02/12/2001 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: 245 Lafayette Street UNIT #: 1F OWNER/AGENT: Park Towers, II LLC ADDRESS: 732 Lynnway CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 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. OR THE BOARD QF HEALTH (;;96 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �61 g 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�,2�JL <7`TIUNIT#11f� IS THIS UNIT DESIGNATED ASIR GHT LEFT FROM BACK PLEASE CIRCLE ONE OWNER/LESSER? QJ�J�!i _�CMANAGER/AGENT_ � No P.O. Bo No P.O. Box ADDRESS /l/JCli ADDRESS CITY- CITY j2 p-7 / RESIDENCE PHONE BUSINESS PHONE (24 HRS.) j /77'f BUSINESS PHONEZ/ TOTAL NUMBER OF ROOMS: ROOM USE: 1. [�J_2. Klk 3. `YL) 4. 5. 6.-T 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH RT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE , DATE 12-✓0/ INSPECTOR USE ONLY DATE OF INITIAL INSPECTION �2-1 a aJ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE; -I a -e ) DATE FEE PAID: �;l TYPE OF UNIT: DWELLING/KOTHE�,Z CHECK#_3 X 6 CHECK DATE -O ) NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a % CERT.# 639-99 11 1P R FEE $25.10/22/ DATE: 10/22/99 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: 245 Lafayette Street UNIT #: 2A OWNER/AGENT: Norick Realty Corp. ADDRESS: 101 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0555 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,CH0 i HEALTH AGENT CODE ENFORCEMENT INSPECTOR I -99 t CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT NINE (508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY! CODE, CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT .245 Lafayette Street, Salem, :MA 01970 UNIT 1_2L___ OWNER/LESSER Norick Realty Corp. MANAGER/ACENTRichard M. SHribman ADDRESS 101-Washingtontreet ADDRESS same CITY Salem, MA 01970 CITY same .,RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE- 978/744-0555 TOTAL NUMBER OF ROOMS:' ROOM USE: I. bedroom 2, bedroom 3. kitchen 4bathroom 5livina/dininabcombination 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'HEALTH THS IS PAY AT THE TIME OF INSPECTION APPLICANTS SIGMADATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: to .a-2 ' c( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /0 :� 'Z 7 DATE FEE PAID: -2 TYPE OF UNIT: DWELL TI OTHER3 6 NOTES: CODE ENFORCEMENT INSPECTOR CERT.# 68-01 FEE $25.00 00, DATE: 02/12/2001 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: 245 Lafayette Street UNIT #: 2B OWNER/AGENT: Park Towers, II LLC ADDRESS: 732 Lynnway - CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 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 � I i I i � T y,v� n � 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 Fav (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS O�FITNESS AN HABITATION". PROPERTY LOCATED AT S//- UNIT#,22/� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE � OWNER/LESSER �l v-1�/ZXMANAGER/AGENT S�f�� No P.O. Box No P.O. Box ADDRESS �_ �q //C(/Gui ADDRESS / lrl CITY 44,i? CITY RESIDENCE PHONE / BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9� b 3 72 TOTAL NUMBER L OF ROOMS: / ROOM USE: 1._ bi 2. 3. iv, 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -) Z I DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:2 -11 a 1 DATE FEE PAID: ')� I -I-n ) TYPE OF UNIT: DWELLINGOTHER_ CHECK# 39(n CHECK DATE a- -dl NOTES: /�L/ CODE ENFORCEMENT INSPECTOR 9/28/98 _ �, N 4..y. Kir �T vyi3' rs- u}f1 3�;3 3 ••k. K - p CERT.#, 3,0;97� r I S25 UO �vv d DATE 01/23/974� " a Y CITY-OF SEMALBOARD OF HEALiii g' Salem;Massachusetfs 01970-3G28 +� ':y JOANNE SCOTT,MPH,RS,CHO - - - -NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 , CERTIFICATE OF FITNESS PROPERTY -LOCATEDAT 245 Lafayette Street' _ UNIT #: 7D OWNER/AGENT: Norick Realty Corti_ ADDRESS: 101 Washington-Street CITY/TOWN:TSalemt MA ZIP`CODE: 01970 24 HOUR PHONE: 744-0555 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED,ANDIS INCOMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT. AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR. HUnAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: -THISAPPROVAL .DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO AGEiJ'l CiiDL ENFOi,:Ei:ZNiNSPECTOR y r ; CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(568)741-1 BOO APPLICATION FOR GERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER IT, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT245 Lafayette Street, Salem, MA UNIT # `2D OWNER!?.ESSERIorick Realty Corp. "L4NAGER!AGENTRichard M. Shribman ADDRESS 101 Washington Street ADDRESS 101 Washington Street CITY Salem CITY Salem RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 508-744-0555 TOTAL NUMBER OF ROOMS: 4 ROOM USE: I bedroom 2, bedroom 3-kitchen 4 • living/dining combo 5 bathroom 6. !• 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION::��. /� 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ��c� r7 7 DATE FEE PAID TYPE OF IfUNIT* DWELLING..-. OTHER NOTES: CODE ENFORCEMENT INSPECTOR �,OImtT CERT.# 495-00 FEE $25.00 DATE: 08/03/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fac:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 245 Lafayette Street UNIT #: 2F OWNER/AGENT: Norick Realty ADDRESS: 101 Washington Street CITY/TOWN: Sales, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0555 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 � 3 F a. WWI 6D �r✓MINE�� 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 il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTYLOCATEDAT 245 La fayet tP St Ca1Pm UNIT#9F IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Norick Realty Corp .MANAGER/AGENT Richard M. Shribmah No P.O. Box No P.O. Box ADDRESS 101 Washington Street ADDRESS 101 Washington Street CITY Salem, MA 01970 CITY Salem . MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 978/744-0555 TOTAL NUMBER OF ROOMS: ROOM USE: 1. bedroom2.kitchen3.bathroom4.1 i vi n "fining combo 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL E�H DEPARTMENT THISF IS-PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE0 /W �ATE-- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 9 -3 - C-0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICAT — ,-a_0 DATE FEE PAID: TYPE OF UNIT: DWELLING KOTHER_ CHECK#,�?S // CHECK DATE.2=�vCD' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ��oxn;r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 Wy FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 06/18/2002 Park Towers II, LLC P.O. Box 524 Lynn, MA 01905 PROPERTY LOCATED AT 245 Lafayette Street UNIT # 2G 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 9f HEALTH REPLY TO C oanne Scotrt, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR t CERT.# 294-01 FEE $25.00 DATE: 06/11/2001 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 245 Lafayette Street UNIT #: 2G OWNER/AGENT: Park Towers II, LLC ADDRESS: 732 Lynnway CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 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. q THE BOARD O/ F, HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT 2 D L FORCVMEN INS-PECTORA o CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 WASHINGTON ST. 4TH JOANNE SCOTT,MPH,RS,CHO X§(zvDflnMu=XRMM HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tei:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F R HUMAN HABITATION". PROPERTY LOCATED AT. ) /1{ V- UNIT# Z G� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER J1,ATTW1rr—YZZ(? MANAGERIAGENT 5 No P.O. Box No P.O. Box ADDRESS ADDRESS CITY !TCITY / RESIDENCE PHONE IVI-OW-.IJZJ BUSINESS PHONE (24 HRS.) Si�R-02%r4 BUSINESS PHONE /f TOTAL NUMBER OF ROOMS: 7 / ROOM USE: 1.aim 2.411A_ 7- 5-____6._7._8, THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 16,� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /11 DATE FEE PAID: GZ/Z/ ��T Hwy TYPE OF UNIT: DWELLING_OTHER ✓ CHECK# �Q ? CHECK DATE NOTES: o-k. CODr= ENFORCEMENTI ECTOR 9/28/98 gu., 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 05/23/2001 Park Towers II, LLC P.O. Box 524 Lynn, MA 01905 PROPERTY LOCATED AT 245 Lafayette Street UNIT # 2G 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. THE BOARD�HEALTH REPLY TO qOR oanne Sc , HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ( � . r ` 7-7 3x 'ten 8o- )t .+ `. gpNDIT CERT.# 593-99 fo FEE $25.00 s DATE: 10/04/99 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: 245 Lafayette Street UNIT #: 2H OWNER/AGENT: Norick Realty Corp. ADDRESS: 101 Washinatoa Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0555 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 .(K) 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 �/ I q=,144t�— � UT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r: 3 . CITY OF SALEM BOARD OF HEALTH `Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 245 Lafayette Street, Salem • MA UNIT 1__21L__ OWNER/LESSER Norick Realty Corp. MANAGER/AGENT Richard M. 5hribman ADDRESS 101 Washington Street ADDRESS 101 Washington SrraPr CITY Salem, MA 01970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 978,-744-0555 TOTAL NUMBER OF ROOMS: ROOM USE: !.bedroom 2. bedroom 3. kitchen 4. hathrow 5.living/dininig. combo 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM*HEALTH DEIyP}ARTMENT THIS FEE IS`7PA`Y � THE TIME OF INSPECTION APPLICANTS SIGNATURE /jllj tij � a�sLxftltj , INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIJJJFICATF.:10 " !7 DATE FEE PAID:_ TYPE OF UNIT: DWELLING // OTHER NOTES: 'tel" t C� CODE ENFORCEMENT INSPECTOR CERT.# 293-01 FEE $25.00 DATE: 06/11/2001 ��7MINE 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 245 Lafayette Street UNIT #: 3A OWNER/AGENT: Park Towers II LLC. ADDRESS: 732 Lynnway CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 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 OD'd ENFORCEMENT INS F CTOR q: n 7 s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 WASHINGTON ST. 4TH FL JOANNE SCOTT, MPH, RS,CHO - XN %%XRKX HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fav (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F R HUMAN HABITATION". PROPERTY LOCATED ATUNIT#,40 3rd IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER f�rr/�W/rr.LLLLC� MANAGER/AGENT �.l-77Z No P.O. Box No P.O. Box ADDRESS ADDRESS CITY__� CITY RESIDENCE PHONE/ffl/-S16--.-?1 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OFROOMS: ROOM USE: 1111&l 2. /U ` 3. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, P E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP M THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE NSPECTORS USE ONLY JJ DATE OF INITIAL INSPECTION &/// /0/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 6:�//�j 4PI TYPE OF UNIT: DWELLING_OTHER L CHECK# y-2 3 CHECK DATE G NOTES: 0-A. COEfET=I`1fFO E��PECTOR 9/28/98 PPF CERT.# 541-97 FEE $25.00 DATE: 08/08/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 245 LafayetteStreetUNIT #: 3B OWNER/AGENT: Norick Realty Corporation ADDRESS: 101 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0555 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE _ SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR PITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tek(508)741-1800 APPLICATION FOR GERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, -CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION,'. PROPERTY LOCATED AT 245 Lafayette Street UNIT #3'B OWNER/LESSER NORICK REALTY CORPORATION MANAGER/AGENT Richard .M-� Shribman ADDRESS .101 Washington Street ADDPESS101. Washington Street CITY Salem, MA 01970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 508/744-0555 TOTAL NUMBER OF ROOMS: ROOM USE: l.kitchen 2. bedroom 3.bedrOOm 4, hathrnnm 5. living/digiing 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ] DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: � DATE FEE PAID: iC TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR ° CERT.# 176-01 FEE $25.00 DATE: 04/10/2001 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: 245 Lafayette Street UNIT #: 3C OWNER/AGENT: Park Towers II, LLC i i ADDRESS: P.O. Sox 524 - CITY/TOWN: Lynn, MA ZIP CODE: 01905 24 HOUR PHONE: 548-2156 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 - ' i 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 (K) 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. j FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I � I � I � D a�� t 0 nui CITY OF SALEM CITY OF SALEM BOARD OF HEALTH HEALTH DEPT. Salem, Massachusetts 01970-3928 /, '7 (� ' 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ��� � ( S UNIT#,k IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER/�/iC ibttP�� ZMANAGER/AGENT SG IM P No P.O. Box n No P.O. Box ADDRESS 1'O f0QX �� ADDRESS RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 5CA iM G�f7 i g,IS 6 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 4. 5.-6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DO F YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H A MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �j/� D_A�T{,E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:.--obATE FEE PAID: TYPE OF UNIT: DW OTHER_ CHECK# CHECK DATE )7/-,,/6 -0) NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �` .. Y v K ^^:•�.L � ,4�p �.C' =Z. �`�.`r� 4`v+Y-cc-eF r �-w 'P�'-`w' r�'a .i 'r .r "e# - .y x . ., w '� w, "` t'_, 97r n e k'my.NY' •" '�% ,;p n b CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(978)741-1800 11/15/99 Fax:(978)740-9705 Norick Realty Corp. 101 Washington Street Salem, MA 01970 PROPERTY LOCATED AT 245 Lafayette Street . UNIT # 3F 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 beenproven to exist. THE BOARD OFAIMALTF REPLY TO anne CScotte, MPH,RS,CHO PABLO VALDEZ 1 Health Agent CODE ENFORCEMENT INSPECTOR i CERT.# 299-98 FEE $25.00 DATE: 05/15/98 mra 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: 245 Lafayette Street UNIT #: 3F OWNER/AGENT: Norick Realty Corp. ADDRESS: 101 Washinaton Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0555 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH (JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM.BOARD OF HEALTH - Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHp NINE NORTH STREET HEALTH AGENT Tei:(508),741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 245 Lafayette Street, Salem, MA UNIT If 3� OWNER/LESSER Norick Realty Corn_ MANAGER/AGENTRichard .M. -Shribman ADDRESS 101 Washington Street ADDP.E'SS101 Washington Street CITY Salem, MA 91970 CITY Salem, MA 01970 =RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 97$1744-0555 TOTAL NUMBER OF ROOMS: ROOM USE: 1. harlrnnm 2kitchen 3. bath 4. living/dining combination 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.0 ,LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'HEALTH DEP TMENT ✓ S PAY T THE TIME OF INSPECTIO APPLICANTS SIGNATURE �jf' .. DATE J y l i -- 1 IN•SPECTORS USE ONLY DATE OF INITIAL INSPECTION: '7 �/~ DAT£ OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE — fy�? DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: ,r t CODE ENFORCEMENT INSPECTOR CERT.# 680-99 � FEE -$25.00 DATE: 11/15/99 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: 245 Lafayette Street UNIT #: 3G OWNER/AGENT: Norick Realty Corp. ADDRESS: 101 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0555 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 O 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 tOANNE SCOTT, MPH,RS,CHO HEALTH AGENT Q215E ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY!CODE, -CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 245 iafapet Y Salem,,..MA UNIT 1 . 3f OWNER/LESSER Norick Realty Corp. MANAGER/AGENT R.M. Shribm3n ADDRESS 101 Washington Street ADDRESS 101 Washington Street CITY Salem, MA CITY Salem MA RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 978-744-0555 — TOTAL NUMBER OF ROOMS: ROOM USE: 1. -bedroom 2. bedroom 3.kitchen 4,bathroom 5]iving/dini.ng,,combo 7, 8. THERE IS A TWENTY-FIVE 0) LLAR PEE, ABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH f.� FEE A LE AT THE TI1E OF IRSPEC ION APPLICANTS SIGNATURE DATE l INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-/-/ ,J�___,DATE FEE PAID: 1,1`,A'� TYPE OF UNIT: DWELLING_ OTHER­4.7 C ccfK 3 jo/ bf/i11aAV NOTES : ®.�. c-o-ff�ORCE442NT INSPE OR ti coxes CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 9qp TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT . CERTIFICATE OF FITNESS CERTIFICATE #240-08 DATE ISSUED: 5/23/2008 Property Located at: 245 Lafayette Street UNIT#3H Owner/Agent: Nikos J Georgakakis Address: 7 Meadow Creek Drive City/Town: Dracut, MA Zip Code: 01826 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 IP' Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENJ INSPECTOR CITY OF SALEM, MASSACHUSETTS a d c� • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Iscarr@SAi,en2.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT L q 5 L cl 4�q t4e 7 k Sly-. UNIT#_jy IS THIS UNIT DISSIGNATED AS-RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Akdi 6e�.i^3C[� k4 -1 MANAGER/AGENT NO P.O.BOX / � ADDRESS ea��w /G � W)Ir ADDRESS CITY,STATE,ZIP_ rekcEar CrfY,STATE,ZIPM A , RESIDENCE PHONE11781 q,55 _3 Z 3 C BUSINESS PHONE(24HRS) BUSINESS PHONE(9713)9 7c3) 61CL _7 _ 'Y b TOTAL NUMBER OF/ROOMS: J5 f / j ROOM USE: 1.�d ry d:- 2. fled re orA 3. &oa:1h///u c n'I 4.A✓" roo y- 5. K. 'i��l�✓l 6. 7. 8. 9. J 10. THERE IS A TWENTY-FIVE($25)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 APPLICANTS SIGNATURE DATE OS O Inspectors use only Date on initial inspection: S- 2-1 , oK Date of reinspection: Date of issuance of certificate: S' 2-7 -off Date fee paid: S'' 2-3 2 Type of unit: Dwelling ✓ Other Check# 2.Io I Check date: S'-L3-d It Notes: U.RtR�)i_ w%0ca,4 >o I&Ye Enfor ement Insp r �coxw CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH m 120 WASHINGTON STREET, 4TH FLOOR � + e SALEM, MA 01970 CERT.# 77-03 s FEE $25 .00 TEL 978-741-1800 FAX DATE: 03/03/2003 AX 978-745-0343 STANLEY USOVICz, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 248 Lafayette Street UNIT #: .3 OWNER/AGENT: H.R. Realty Trust ADDRESS: 255 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2552 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH 'p JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CH NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tet:(978)741-1800 Fu:(978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.004 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HA j}BITATION". PROPERTY LOCATED AT Z V S- �t)W)011" h UNIT#_3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER : L Pa t' 2�S7v MANAGERtAGENT No P.O. Box / No P.O. Box ADDRESS �� rs��4�C y �7` - ADDRESS CITY, r Ic O t q 70 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) T?t- 7YF '- Z.fS'Z BUSINESS PHONE ' 1 TOTAL NUMBER OF ROOMS:__�f I IM Sid/t3 ROOM USE: 1. 2. 3. 4. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNATURE DATE T /� INSPECTORS USEDA.�/ DATE OF INITIAL INSPECTION - —0 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: .-3 ---C> SATE FEE PAID:3 ~ 3 TYPE OF UNIT: DWELLING OTHER_ CHECK# 70 7 CHECK DATE ��i NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 oNn� City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, PubIiCH lth MA 01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-287 DATE ISSUED: 9/6/2017 Property Located at: 249 LAFAYETTE STREET UNIT#1 Owner/Agent: Heidi Ziman Address: 2360 Dresden Lane City/Town: Golden Valley, MN Zip Code: 55422 24 Hour Phone:(763) 588-1196 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 Il "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for.one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF Si\&EM, MASSACHUSETTS BoAxt>oi IIt'Al.ii[ 120�w SIIINGiT� N St 1Gu •4°'FLOM Ti- (978) 741-1800 RECEIVED KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYQR LR vMDIN&SALHAI.CONI SEP 0 6 2017 1.wzizr Rnnrui�,its/rrtts,ca-ro,cis-Fs CITY OF SALEM Hr.ALrvi A(;1' ;'r 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: $550.00 PROPERTY LOCATED AT , ( L1 P U,0-Ltp 6f• UNIT# IS THIS UNIT DISIGNATED XS RI H LEFT RONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �LJ L i I (71 PLVIMANAGE AGENT NO P.O.BOX ADDRESS L��Ihreqs d e h (/ A.Le- ADDRESS (5 Cke'ryVI s CITY, STATE,ZIP l�n�r IPS UQ.� J `CtITY,STATE,ZIP_��I �I rVA�T' RESIDENCE PHONE-3fa:�,--SYIFL qBUSINESS PHONE(24HRS) / BUSPiESS PHONESjZ TOTAL NUMBER OF ROOMS: t 3 l;A.Y ROOM USE: I +�✓�c 2.1� 3�' " Sr 4. �i 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- � fYr Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: y '� Type of unit: Dwelling Other Check#Check date: Y '�(2.06��— Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS Bc),\1z1)()p FIFa,lii - 120 WV1SI IIAGCOA S IRt;1A 401FLOOR Ti li- ("978) 741-1800 KIMBERLI Y DRISC011_ F\X(978) 745-0343 MAYOR JAvMIAN -SALE .(ohl 1,;V2Rti"R:AiAiDl��,RS/R13FfS,CIfO,<:P-i`S - Httnc['i-i Acr;n�r Release In accordance with Massachusetts General Laws Chapter I11; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Uwe- Tenant/Lessee Owner/Lessor ru�` eWA 0?3(Q� DYe3d2r� Address Address Address on unit to-6e inspected Date Updated 5/23/11 mc�c�C�"'�.`� . c� i� Inspection fnn'' /� Date - -Time l Name �l �.±1mr�a� Address Owner Tel. No. Type of Inspection � � Inspector � ) Remarks and Violations are listed below: ig i ��f O1 [�Yt S' dyj & �'z�11��cry1J Ili qni IP-k In bxdhazmjzjoj�jjo 00 02& g" ur 1 Report Received by: l CITY OF SALEM, MASSACHUSETTS o « BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL, 978-741-1800 FAX 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#250-07 DATE ISSUED: 513012007 Property Located at: 249 Lafayette Street UNIT# 1 Owner/Agent: Richard A Winer Address: 29 Clifton Heights Lane City[Town: Marblehead, Ma Zip Code: 01945 24 Hour Phone: 631-4376 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. FQJR THE BOARD OF HEALTH ✓5 �/� JOANNE SCOTT, MPH, RS, CHO _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 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". PROPERTY LOCATED AT _-� yg LA a e-Ne- St ae�- UNIT # I _ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �?l (ter?r,eLl4• W fNaF MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS C�I� r'�1S Lam' ADDRESS CITY Mt ) —CITY !V RESIDENCE PHONE )S/- 3/-L/3X BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1. 2. ( 3.L1v, Q2� 4. 72drav 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. (� Q APPLICANTS SIGNATURE �` Q, WtA4! _DATE K1 O-t.�O, d 0c) INSPECTORS USE ONLY DATE OF INITIAL INSPECTION E- 30 --r) 7 -DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES-30 - 07 DATE FEE PAID: _9_= U TYPE OF UNIT: DWELLING OTHER CHECK # 7_b 5' __b .CHECK DATE -.._ / - o7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 t . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTt-I 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR F11 iNBAUMQSALI-M.CONI DAVID GREENBAum,RS ACTING HEA]xi f AGF,NT CERTIFICATE OF FITNESS CERTIFICATE#495-10 DATE ISSUED: 10/7/2010 Property Located at: 249 Lafayette Street UNIT#2 Owner/Agent: Dorothy L.Winer Address: 29 Clifton Heights Lane City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-4376 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 DAVIIAG kEEN1 'AM, ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR LO C— �J G —7P (o l �v v, f CITY OF SALEM, MASSACHUSETTS BOARD OE HEALTH j 120 WASHINGTON ST7tEFT,4"' FLOOR JJJ T'FS,L. (978) 741-1800 KIMBERLEY DRISCOLL FAZ (978) 745-0343 MAYOR DGRITNBAUNIG( SN.L3M.COM DAVID GREE_N&AUM,RS 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 ATS �a \ u e&ss " _ UNIT# IS THIS UNIt DISIGNATEIJJAS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE 1yF✓ i OWNER/LESSER �( ,fir' B1UJ- �� . /,F, 4 er MANAGER/A ( ._b('t-8 U ` ADDRESS ,�� ��i�YIl�^\ > ( ^^ L ADDRESS ��{{' r CITY, STATE, ZIP NQ C:�I(E VQ„r7 // CITY, STATE,ZIP�tA a( 9 � J RESIDENCE PHONE' -4-2, -1 23 7 p BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ a ROOM USE: 1 2 Q& atK1 3 }��e�T Yrs 94. �nnli &: 2 tjA_�4.7. 8. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE T4,OF INSPECTION / APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: U I II Date of reinspection: Date of issuance of certificate: 0 H /U Date fee paid: I U'7 U Type of unit: Dwelling—_6z6ther Check# i' Check date: 07110 Notes: m-em_ J'a0 % n61-F klm( ""adt Code Enfor ment Inspector CITY OF SALEM, MASSACHUSETTS / BOARD OF HEALTH 120 WASFIINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAN (978) 745-0343 MAYOR COM DAVID GREENBAL'M,RS ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETTS + y� BOARD OF HEALTI-[ '-- 120 WASHINGTON STREET,4Q1 FLOOR TEL. (978) 741-1800 I IMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR D<aar rm3nun(�snurnL :Om DAVID GRBENimuM A(.I'IN(i HBAI xf-I ACISN'I' Facsimile Transmittal To: I` Jw��2o-LALSIow "\[� Fax # -)q RE: Date Page(s): including this cover# Message: 0 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 : 10/26/2010 01:25 NAME . FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 10/26 01: 24 FAX NO. /NAME 919787449614 DURATION 00:00:29 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM9 MASSACHUSETTS a BOARD OF HEALTH A 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 AB�igm � TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#272-08 DATE ISSUED: 6/5/2008 Property Located at: 249 Lafayette Street UNIT#3 Owner/Agent: Richard A Winer Address: 29 Clifton Heights Lane Citylrown: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-4376 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT ODE EN ORCEM NT INSP OR Jun 0506 02: 50p Joanne Scozz Salem BOH 978 745 0343 ` p. 2 CITY OF SAI MM, MASSACHUSETTS BOARD or� HEALTHis 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA, O1,'b70 TEL. 976-741-1600 FAX 976-745.0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor I APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT o�tF „ .� _. .. —. ,.._UNIT #L IS THIS UNIT DESIGNATED AS RIGHT "EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�: ! ` 4Pr/ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS­-. G —ADDRESS _ CITY O{�e-4/ _ RESIDENCE PHONE {. (t3t �3�r „BUSINESS PHONE (24 HRS)_. _. BUSINESS PHONE_._ TOTAL NUMBER OF ROOMS: ROOM USE: 1 /_ 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 INSPECTORS SE ONi y RATE OF INITIAIINSPFCTIQR t --5-p'e DATE OF REINSPECTION ,,... DATE OF ISSUANCE OF CERTIFICATE;,.,, .6,5-<A- „ DATE FEE PAID:—&-,S aF TYPE OF UNIT: DWELLING,—�-OTHER ._- CHECK#�I �aGHECK DATE ..(, S aF NOTES: )EENFOLMEN T INSPECTOR C �IWO lY�^ CERT.# 254-97 3` 3 FEE $25.00 DATE: 04/25/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 254 Lafayette Street UNIT #: 1 OWNER/AGENT: Edward Mello ADDRESS: 6 Walsh Avenue CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-9152 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH Q—LeQ-,� UUUJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Il— CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, .CHAPTER II, 105 CMR 4 !0.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 2 5A UNIT #j OWNER/LESSER_ - c.LO MANAGER/AGENT �� d VHCU� ADDRESS L d1nG ADDRESS CITY j ,.g,!/*i4y k4f CITY RESIDENCE PHONE _531-1Ij2- " BUSINESS PHONE (24 HRS.)J71-4/0.1 BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE: I. 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 DEP4WWNT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE i INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: )S ` 47-7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE -PAID-: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH p gj 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 8/9/05 Edward Mello 6 Walsh Avenue Peabody, MA 01960 PROPERTY LOCATED AT 254 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. Fo the Board of Hea i y Reply to J I. Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector .�o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH y, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 9q TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 16, 2003 Maura Bullock 258 Lafayette Street Salem, MA 01970 PROPERTY LOCATED 258 Lafayette Street Unit#6 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 Cit of Salem Code of Ordinances, p Y Section 2-334,titled Certificate of Fitness, each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to JoannH RS CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS a BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#53-07 DATE ISSUED: 2/6/2007 Property Located at: 259 Lafayette Street UNIT# 10 Owner/Agent: Matthew Slowick Address: 22 C Hawthorne Village City/Town: Franklin, MA Zip Code: 02038 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 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 f JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 02/09/2007 15:12 FAX 1 617 476 5271 245 SUMMER OLP PROP MGT Q008 CITY OF SALEM, MASSACHUSL'TTS /} BOARD OF HEALTH '/",,,.�� • 120 WASHINGTON STREET,4TH FLOOR J ` SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER ii, 105 C AR 410.(300 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 2�.L_jQ �t f��.�-�� " UNIT IS THIS UNIT DESIGNATED AS RIGHTLREFIKERONTBACK PLEASI CIRCLE ONE OWNERILESSER,,," {j1oJ-5JWIGIc MANAGERIAGENT No P.O. Box No P.O. Box ADDRESSY1�et (LljiC- ADDRESS CITY— .CL 7—rCITY_ RESIDENCE PHONE BUSINESS PHONE (24 HR }_ BUSINESS PHONE ka -;rj A- 1�" 4 b TOTAL NUMBER OF ROOMS:_. 14_Y ROOM USE: 1.� htn.2 THERE IS A TWENTY-FIVE($25.00 DOLLAR FEE,PAYABLE BY CHICK OR MONEY ORDER TO THE CITY OF SALE EALTH DEPARTMENT THIS FEE S-PAYABLE AT THE TIME OF INSPECTION. j APPLICANTS SIGNATURE / D,,TE_ q 97 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION l-c4-<d;?___DATE OF REINSP -CI'ION _, DATE OF ISSUANCE OF CERTIIFICCAATE: -d�?ATE�}FEE PA q: TYPE OF UNIT: DWELLiNGY OTHER.__. CHECK#.... fes _..__C 1ECK NOTES: r CODE ENFORCEMENT INSPECTOR 9/28198 I i PAGE 818'RCVD AT 2/812007 2:58:51 PM[Eastern Standard The) SVR:FAXB0SFM01NNl8-DNIS:3851738'CSIO:1 517475 5271'DURATION)mn1 ss):14.40 V CERT.# 171-98 FEE $25.00 1A1FR DATE: 03/3 03/30/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 260 Lafayette Street UNIT #: Y OWNER/AGENT: Mimi Colby ADDRESS: 629 South East 19th Avenue CITY/TOWN: Deerfield Beach FL ZIP CODE: 33441 24 HOUR PHONE: 532-7771 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD O/ F HEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR _,{.� •';;.,- -:f# s a 3 y`l`n 4 r1 'fi. r r .x,e s :n * aq d '-Y.x /T A CITY OF SALEM>BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 iN ACCORDANCE WITH STATE SANITARY!CODE, jCRAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT o L 14 PSC• S UNIT # OWNER/LESSER �A L IVB of MANAGER/AGENT ADDRESS S �/v.T7kl �N ADDRESS a` 00 CITY CITY t�1�T 904 ?3441 RESIDENCE �4BUSINESS PHONE24 MRS.) -7 , 1 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, PAYAB BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DEPA/JR(/T/�fE THIS FEE S PA AT THE TIM OF INSPECTION APPLICANTS SIGNATURE (/` 1;0DATE 3 _� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:: DATE OF REINSPECTION �> DATE OF ISSUANCE OF CERTTFICATE:3_ ?j � - Jr� DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER�_4 L/ NOTES:,,,�// o lis S- ,q 5- 9 S' CODE ENFORCEMENT INSPECTOR To Oete 3- 07T42e? Time l WIJIL,E YOU WERE OUT M 01 ? Phone 'Area Code Number Extension TELEPHONED PLEASE CALL CALLEDTOSEEYOU WILLCALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Mes egs Operato G1 AMPAD 23-021.200 SETS , EFFICIENCY® 23-421.400 SETS CARBO ESS / � r r & an??/C �l, r I r t � � l Page i of SALEWHEALTH DEPARTMENT 9 Norin Stieet 0�4 Salem,MA 01970 Stale Sanitary Code,.Chapte.z_ _04 z", 410.000 Minimum Standards of Fitness foe Human Habitation l� C ;EoneL-A21: 53a - Address: Apt. Floor Owner. 241114 Z Address: 9 aJT4 /2 S71 I47-k � �d a-eh . 334f Inspection Date: 3- 3--g Conducted B Th 1 Accorn.anted B �- Anticipated Reinspection Date: Specified Reg # Violation -rime 410. Ls- 2c7� � K P Y1/Cp ry .. :K; .Z, S [ � . w 6//t– — Z9 One or more of the above violations may endanger or masenally impair the health, safety and well-being or occupants, , / Code Enforceme nspector Este es un documento legal importance. Puede que afecte sus derechos Puede adquinruna traduccion de esta forma. I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 03/12/98 Fax:(978)740-9705 MMC Realty-Marblehead Properties 78 Front Street - Marblehead, MA 01945 PROPERTY LOCATED AT 260 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 . It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11 : Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department . This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department . Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4 : 00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 709-97 - FEE $25.00 X11'. . r1 DATE: 10/15/97 ', �Yry� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 260 Lafayette Street UNIT #: 3 OWNER/AGENT: MMC Realty Trust - Marblehead Properties ADDRESS: 78 Front Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-0601 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO - HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY!CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". G~ 75PROPERTY LOCATED AT �' PIfQ _5 UNIT># OWNER/LESSER Z(,U C, C f "�ygL.s� MANAGER/AGENT ,XA f_4C�/l� c��fY ADDRESS ADDRESS t S k CITY CITY �7y �S` RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 6/7 631 BUSINESS PHONE t — TOTAL NUMBER OF ROOMS: t ROOM USE: 1. la-,el 2./�iv fit✓r �3, j�6ct221jc„� 4, �&IJ9103," 5. _6. 7. 8. THERE IS A TWENTY-FIVE (2��5,.�0,�0;)�-DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP NT nttT THIS UE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE -� {yi -� DATE t►� . INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:/Q q r7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:�(��! JJ -q( ? DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER i NOTES: it CODE ENFORCEMENT INSPECTOR .nvnm ����M11V6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 1 02/21/2002 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street— 41" Floor HEALTH AGENT Tel # (978)-741-1800 Gianoulis Family Trust Fax # (978)-745-0343 64 Page Brook Road Carlisle, MA 01741 PROPERTY LOCATED AT 263 Lafayette Street UNIT # 1st floor Dear Sir/Madam: renting w i It has come to our attention that you may be consideringa d ell n unit Y Y 9 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. IF T BO.pF HE TH REPLY TO Joanne Scott, MMPH�RS�CHO PABLO VALDEZ - Health Agent CODE ENFORCEMENT INSPECTOR CDND T� -• � 6�`" City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCEiee 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-15-181 DATE ISSUED: 7/17/2015 Property Located at: 265 LAFAYETTE STREET UNIT#Ground Level Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781) 599-8866 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT AN CITY OF SALEM, MASSACHUSETTS ' e BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISCO I&ALPM.COM JOANNE SCOTT, 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 �u�Q er� tc �iCU UNIT#-qna IS THIS UNIT DISI AT D AS RIGHT LEFT CKFT FRONT O APLEASE CIRCLE ONE ' `-f OWNER/LESSER3UG � -A• t -`LEF' GAMAN GER/AGENT�� IVO , ,T J925 °f NO P.O. BOX ADDRESS P,D p t ADDRESS n G d&% 4,,''4'((7 CITY, STATE,ZIP iwt&4 CITY, STATE,ZIP- RESIDENCE PHONE BUSINESS PHONE(24HRS) ✓I b 1" L1 BUSINESS PHONE TOTAL NUMBER OF ROOMS:- ✓Y�MS l •, , ROOM USE: L MAQ 2. �Q!Nk3. �7 dill o�` 4.b '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 SIGNATURE I !1 ` DATE 3 I5" Inspectors use only Date on initial inspection: (9711�Z2,0� Date of reinspection: Date of issuance of certificate:-07/1-3/2-01-3 Date fee paid:O7/2 V2,91 S Type of unit: Dwelling__V"' Other Check#-1112,y--Check date: o 6130/2-01S Notes: EP orcement pector CITY OF SALEM, MASSACHUSETTS ' e BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR tsco*rrnsALEni.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 II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and r� tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date r 0 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR CERT.# 608-02 SALEM, MA 01970 FEE $25 .00 TEL. 978-741-1800 DATE: 12/02/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 265 Lafayette Street UNIT #: Ground Level R OWNER/AGENT: 265-267 Lafayette Street Realty Trust ADDRESS: P.O. Box 445 CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 599-8866 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 ' .�ONOIT 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 Tec(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 UMAN HABITATION PROPERTY LOCATED AT 3105 u tAL c 4 UNIT#gq-rkd Flo IS THIS UNIT DESIGNATED AS RIGHT SETC PLEASE CIRCLE ONETA e OWNERILESSER_ ,` l�fi-GER/jAGENTPafA�� iiS(.A �(L. No P.O. Bo No P.O. Box p ADDRESS k0 W ADDRESS f.b, 45 / cayll T U CITY 11P�UClKU ��Ib _ RESIDENCE PHONE BUSINESS PHONE(24 HRS.) „ U- %,b BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1? 4�__2.U 3. A�4.\tC"_ 5.-6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ) DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION f a-"- 2- 0 — DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: I Z- + - DATE FEE PAID: 12 - a- -a 1 TYPE OF UNIT: DWELLING OTHER_ CHECK# 3 tfS� CHECK DATE,.��,_� v L NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 SND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pr<.< mo,< MA 01970 . 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-16-353 DATE ISSUED: 9/15/2016 Property Located at: 265 LAFAYETTE STREET UNIT#11- Owner/Agent: 1LOwner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781) 599-8866 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. &effr 21z� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY:CODE, ;CHAPTBR II, 105 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 9-kS Lxa PAf_ 51' T 1IHIT # t 4T �S� ( OWAER/LESSER ($_ v NAGER/AGENT_ G�CI1aP_ & (2-1, ADDRESS (� ((��X mayy( j ADDRESS Q D t0 `E I�tT5 CITY Id� Y CIT . U'tk D t q(c_7 RESIDENCE PHONE �� c[�( - BUSINESS PHONE (24 .)2K �'��12� BUSINESS PHONE -- TOTAL NUMBER OF ROOMS: ROOM USE: 2. �t)) 3. '(V&Qy \ 4 . [I-fILM_ 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MOM ORDER TO THE CITY OF SALEM-HEALTH DEPAR ;NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE � 1.' DATE ' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: } �ry DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFIC E:_o ja,?42.0- DATE FEE PAID: TYPE OF UNIT, DVELLINGOTHER- 533 THER C`T > 33 NOTES: > I #CQF CEMENT PECTOR �oNDtP,t City of Salem, Massachusetts Board of Health "9 120 Washington Street, 4th Floor, Salem, PublicHea Ith FD 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-15-180 DATE ISSUED: 7/17/2015 Property Located at: 265 LAFAYETTE STREET UNIT#1st Floor Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781) 599-8866 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 SANITAR AN i CITY OF SALEM BOARD OF HEALTH Salem;Massachusetts 01970-3928 JOANNE SCOTT,MPH.RS,CHO NINE NORTH STREET HEALTH AGENT Tei;(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY:CODE, ;CHAPTER II, 105 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". UNIT I ` PROPERTY LOCATED AT,946 Lte ' �tf�'Y � � (DNIT�/ ,(j OWItBP,/LESSER�(p� a4� �a 7I W{llT�41�5� MANAGER/AC y �ilig PU`�1�`-Q. ADDRESS e�,} r�t)( ADDRESS CITY . k V CZTY t4P.t �4� ✓ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) , BUSINESS PHONE �gIYSK�t � _ TOTAL NUMBER OF ROOMS: ROOM USE: 1 . A 2. 4�i11�� .��4 4 a7m1 5. 6.-7.-8. THERE IS A TWENTY—FIVE (25-00) DOLLAR, FEE, PAYABLE BY CHECK OR MONEY ORDER TO TDE CITY OF SALEH HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE 1'll / � DATE 11:3115. INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: (,°plj23� b�4N- _ DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:2Q 17/ / 1$"- DATE FEE PAID: TYPE OF UNIT: DWELLING_ OTHER �hyC�i I-Lg2,.,2. NOTES: Z01>7,NF CEMENT) CTOR 3 r, F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -_ 120 WASHINGTON STREET,4."FLOOR IPublicHealth Prevent.Promote.rrnteeP. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOL.L Ixamdin@a,salem.com L,ARRT RANn)IN,Rs/IualIs,c.Iio,cN-Fs MAYOR HE;\];ri I AC;FN'I' CERTIFICATE OF FITNESS CERTIFICATE#176-14 DATE ISSUED: 5/19/2014 Property Located at: 265 Lafayette Street UNIT# 1st rear Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-599-8866 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR MDIN 44OY214�-A- HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS pp BOARD OF HEALTFI 120 WASHINGTON STREET,4''�FLOOR 1 TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR f iLAM[71N�4ft1,1_d.t'C}hi 1..11t1i\'IZ,\t`tl>IN,Itti/li.l tl IS,CI IO,CI'-I ti t ir.,\I xri Acr.N`r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF—FITNESSFOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT CLE ONUNMA t'`&( IS THIS UNIT DISIGNATED AS RIGHT LEFT FILO. O ACK,P EASE CIRE OWNER/LESSER '�2_., S:--1_ te_��AGERI AGENT —�— � NO P.O. BOX ADDRESS P-t? , ADDRESS Q,> &Y q'45 CITY, STATE,ZIPCITY, STATE,ZIP P4 D I� I� RESIDENCE PHONE 151t°I '`iS`64b BUSINESS PHONE BUSINESS PHONE-7 � Sits tD TOTAL NUMBER OF ROOMS: �. ROOM USE: l.�th� `2. `k�jNo,�A 3.Vf-d * AC-M1 kmfik 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 IS PAYABLE AT THE TIME OF INSPECTION �r ..DATE J -1— — APPLICANT'S SIGNATURE J�x �� l gctors Use Q& Date on initial inspection:1/6a Date of reinspection: Date of issuance of certificate: Date fee paid: �/ Type of unit: Dwelling Other Check# _.._.Check date: +�3 � �= t Nates: Ceetor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1 800 UQ _ -- - FAX 978045-0343 STANLEY IJSOQCZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT RELEASE la accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the SaLem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. Ln the event it is necessary that said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized age',:_. f_oa any loss or injury sustained of whatever nature ant description occasioned by my/our absence during said inspection, VT'.NTi LESSEE LAO P,o pJ. let-To nDaRESS . - - -- IUB 0 lei i - - 4 *11` CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH PublicIieaith 120 WASHINGTON STREET,4'"FLOOR r,<."",,P„"m",r,Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin @salem.com LARRY RAMDIN,RS/RT4FIS,CHO,(:P—FS MAYOR HEA1;1 H A(;l?N'1' CERTIFICATE OF FITNESS CERTIFICATE#348-14 DATE ISSUED: 10/2/2014 Property Located at: 265 Lafayette Street UNIT#2nd floor Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-599-8866 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 LARR MDIN HEALTH AGENT SANITARIAN IL )ND!, - n � CITY OF SALEM BOARD OF HEALTH I- 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 11, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY-LOCATED ATl{ ✓1Y GT UNIT# e ` IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE'CIRCLE ONE OWNERlLESSER - ln�I Ge C `rr' "MANAGERIAGENT�1i� -moi W Sof No P.O. Bo No P.O. Box ADDRESS ?.0, �L igkA� ADDRESS P Od ons t F�S fL� CITY ,4P P.&o U7� 0 I 1151. 1 RESIDENCE PHONEIM-'Al- p��r-cpy& BUSINESS PHONE (24 HRS.)2 BUSINESS PHONE fI�CI- 5q Do l _ TOTAL NUMBER O�F_ROOMS: _,_ ��p�� � ROOM USE: 1. }�rrl• 2.jM".—vsc 4A4._WW_ 5. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE `_ "\ Lr�,� _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION tC�( I DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING—OTHER_ CHECK#- CHECK DATER NOTES: CODED CEMENT INSPECTOR 9/28/98 -' City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PUb1fCBealth MA 01970 Present.Promole. 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-17-49 DATE ISSUED: 3/2/2017 Property Located at: 265 LAFAYETTE STREET UNIT#3 Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781) 599-8866 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 f w ,aeuiT,, x. �s �'C/MiNEW 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �)(ga —UNIT IS UNIT IS THIS UNIT DESIGNATED AS RIGHTLEFT FRONT BACK PLEASE CIRCLE ONE OWNERl�SER� ��- �, QL1 MANAGER/AGENT_�I No P.O. Box r o P.O. Box ADDRESS 9,0t ( Y ADDRESS CITY ` tf t ; i 00116 ,_CITY::ktgA�� (J{ RESIDENCE PHONEW S�I�I � BUSINESS PHONE (24 HRS.)_ 'Siq BUSINESS PHONE J� --'2q 0 TOTAL NUMBER OF ROOMS: uS ROOM USE: 1. 5. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �} y APPLICANTS SIGNATURE v " ' DATE r INSPECTORS USE ONLY / DATE OF INITIAL INSPECTION DATE OF REINSPECTION i DATE OF ISSUANCE OF CERTIFICATE:&��I3DATE FEE PAID: O i I TYPE OF UNIT: DWELLING_OTHER_ CHECK# �CHECK DATE�I� NOTES: CODEE O GEM NT INSPECTOR 9/28/98 Inspection of Date -41 A, AT'je �D Name Address Owner Tel. No. ly Type of Inspection Inspector ( ' 1 Remarks and Violations are listed below: 1 J Ki dc'wZig h Report Received by: ` Ia CITY OF SALEM, MASSACHUSETTS �� xF BOARD Or Hr.:-m.ri-I 120 WASHINGTON STREET,4°. FLOOR KINf13ER-LEY DRISCOLL TEL. (978) 741-1800 MAYOR FAx(978) 745-0343 lramdin@ssalem.com LARRY RANIDIN,RS/R1:'111;,(J10,(:1'-FS FIISAI;111 A(71(NT CERTIFICATE OF FITNESS CERTIFICATE#247-11 DATE ISSUED: 7/27/2011 Property Located at: 265 Lafayette Street UNIT#3rd Floor Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-599-8866 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 /w LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 .JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, CHAPTER LI, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATS_ 1.664 _ ( UNIT / OWNER/LESSER�4 (�� t I �11T ANACER/AGENT sc ADDRESS ,(), &-,< ( r ADDRESS V QC> hp)( (1q,qV1M� CITY !&:SY ^ CITY � Spp- pOBRESIDENCE PHONE BUSINESS PHONE (24 HRSS.`)]sj: -(�w(o BUSINESS PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: 2. {� 3• � 4. , � � _ 5. 5. 7. $. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEki HEALTH DEPARTMENT THIS �}FEE IS PAYABLE AT THE TIRE OF INSPECTION APPLICANTS SIGNATURE �J� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: III_ DATE OF REINSPECTION — DATE OF ISSUANCE OF CERTIFICATE: r! DATE FEE PAID: 742-7-111 —. TYPE OF UNIT: DWELLING ',OTHER + � SUS � UJ R fQc� G t/NOTES: � cAc�! ( lf C JCUf{Pf" 0.1 (eA4-d def CODE E4RC T INSPECTOR t� CITY OF SALEM;MASSACHUSETTS BOARD OF HF.ALTIJ PublicHealth 120 WASHINGTON STREET•,4."FLOOR Prevent,Promote.F,mea. TEL. (978) 741-1800 FAR(978)745-0343 KIMBERLEY DRISCOLL Itamdin e salem.com LARRY ILIMDIN,RS/RI: IS,CI 10,01-115 MAYOR HI;A1 I'li AG IP;N'I' CERTIFICATE OF FITNESS - DATE ISSUED: 8/29/2013 Property Located at: 265 Lafayette Street UNIT#3rd Left Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-599-8866 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RAM DIN HEALTH AGENT SA CCTV OF SALEM, MASSACHUSETTS "� BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR /// 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 OMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _L -CC1_ UNIT# Q?� IS THIS UNIT DESIGNATED ASIR GHT(OE )F OQN BACK PLEASE CIRCLE ONE OWNERILESSER�l �_WA6EWAGENT WjlkR _ VyLtSdq No P.O. Box No P.O.Box ADDRESS Pd), ADDRESS 'PID+ CITY :h DRQ IkA Qtgr CITY RESIDENCE PHONE_ `{L -59 -���� BUSINESS PHONE (24 HRS.) 1�6 �J�Iq` lPtG BUSINESS PHONEa%�-t� {O TOTAL NUMBER ,OFppROOMS1:' ROOM USE: 1. rCK2n 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-j � C� {_ _ DATE � - INSPECTORS USE ONLY DATE OF INITIAL INSPECTION__.__... _ __ _. _ _.,.... _DATE OF REINSPECTION,_..,,.. _ .. DATE OF ISSUANCE OF CERTIFICATE:_. . ..__ .DATE FEE PAID:__.,._,.,_ TYPE OF UNIT: DWELLING ..OTHER_ _. CHECK R _ CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 'OND �. City of Salem, Massachusetts 3 Board of Health ��L��� �y MA 01970 9 120 Washington Street, 4th Floor, Salem, 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-15-401 DATE ISSUED: 12/4/2015 Property Located at: 267 LAFAYETTE STREET UNIT#1 Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781) 599-8866 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,� /1, 2VLO� Vy. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN WIT 0r mXe P' L C; 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 Fav(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS AFOR AHUMAN HABITATION". .PROPERTY-LOCATED AT��.P�- t ) � Y� UNIT#-L IS THIS UNIT DESIGNATED A IGHT L FT FRONT SACK PLEASE CIRCLE ONE OWNER/LESSER - MANAGE AG NT WAI✓ CL 1�vU5 No P.O. Bo No P.O. Box ADDRESS �'0, bQ-�- y-45 ADDRESS y t),)b�s CITY:?�� " ©o �`� C1 --4 RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER ��OLF�ROOMS: 5 ROOM USE: 2-63- 4 1184. 3M 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-"U0 15_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 12�� DATE OF REINSPECTION__ DATE OF ISSUANCE OF CERTIFICATE:j2L0,ZZ2a DATE FEE PAID:PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# 12110 CHECK DATE 1142- NOTES: - C E 'ORCEM " T INSPECTOR 9/28/98 City of Salem, Massachusetts 2j m Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-16-47 DATE ISSUED: 2/12/2016 Property Located at: 267 LAFAYETTE STREET UNIT#2 Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781) 599-8866 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH F— Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN nor Wp, Ilk, h 4 f n g 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 �� L-a S ALT UNIT#1°v AQ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE u OWNER/LESSERM AG RIAGENT_ 1 e X'�X� No P.O. Box " \ No P.O. Box / ADDRESS P C�s"kyC�1 yL4S ADDRESSt0 t CITY A4P i 1a W� �� 1 CITY a" RESIDENCE PHONEIB\-S6(°(<6lS p BUSINESS PHONE (24 HRS.) ZS BUSINESS PHONE—:XL-9-Cl-_-5S_�SUk TOTAL NUMBER OF ROOMS: ROOM USE: 1�t�2. 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- 1 1� 1 DATE- .b!IN INSPECTORS USE ONLY i DATE OF INITIAL INSPECTION 02/9 ? f DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE: ©2 12/ 0,jj DATE FEE PAID:Q211..24Z-a[ TYPE OF� ot, r{UNIT: DWELLING v OFITHER_ CHECK#?23—CHECK DATE pZf � �6 NOTES: L _us/a rnah� �nr� �> �vmmNr win�0w, C�D h0f a F I *CNK&EME INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSL7:I'S BOARD of FILALTH i 120 WASHINGTON SrRELr,4"'FLOOR TEL. (978) 741-1800 KIM3LRLEY DRISCOLL FAX(978) 745-0343 M.AYOItucar;i,NnnumQ7sAi.r.M.CQM DAvu>GRITNRAUM,RS A(:I'ING I-11':A1X1I AGI'NT CERTIFICATE OF FITNESS CERTIFICATE #536-10 DATE ISSUED: 11/16/2010 Property Located at: 267 Lafayette Street UNIT#2nd Floor Right Owner/Agent: 265-267 Lafayette Street Realty Trust Address: PO Box 445 City/Town: Beverly Zip Code: 01915 24 Hour Phone: 781-599-8866 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 HEALTH /I�o , DAVID GREENBAUM, RS !/— ACTING HEALTH AGENT CODE EN R EMENT INSPECTOR r S J 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 L%�&gek UNIT#oNr` y oft RTAI:k IS THIS UNIT DESIGNATED AS g(1�G _+'LEFT FRONTC PLEA�S�E"C�IRICLE ONE OWNER/LESSER�] U'V%4 44 S+MANAGER/A ENT r'15cIX� 1tN2. _&S�A No P.O. Bo (� No P.O. Box ,pp ADDRESS �0,;yX W'K ADDRESS D,CRUX 4�� CITY D ��k CITY cc������cc�� (� RESIDENCE PHONE ( q BUSINESS PHONE (24 HRS.)��_Ia�rb BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.>� _\\2.13."""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 l 1 DATE I< <S INSPECTORS USE ONLY DATE OF INITIAL INSPECTION j1 bDIJO DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 11 11(P/1D DATE FEE PAID: 11(2l(R l/ TYPE OF UNIT: DWELLINGIZOTHER_ CHECK# W S CHECK DATE & / /1U NOTES: CO EN ORCEMENT INSPECTOR 9/28/98 . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRr rNIIAUM(7Ge,SAI.rM.COM DAVID GREENBAUM ACTING HE.AL11-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#586-09 DATE ISSUED: 11/16/2009 Prope Located at: 267 Lafayette Street UNIT#3 Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 599-8866 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 DA I�l NBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR ° CITY OF SALEM, MASSACHUSETTS 3Z(0-06q • • BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR Iscorr e sALEnt.COM JOANNE SCOTT, 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." / 'f FEE: $50.00 PROPERTY LOCATED AT 40 � .A 4- �`b UNIT# a7✓ IS THIS UNITrDISIG'N\A_ E�JAS RIGHTfLEFT FRONT OR B�PLEASE CIRCLE ONE � OWNEWLESSER��j Q10 L LI-f-k 4 �A�fin�AGER/AGENT NO P.O.BOXv ADDRESS 4i(2 SOX �4S ADDRESS �ibi �JOX 4'45 CITY, STATE,ZIP iS CITY, STATE,ZIP:" RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER /I OF ROOMS: _ ROOM USE: 1`F.4,P..01� 2`\QNq (,M 3 4 WVA 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ( 1�A DATE LI _ 'n Inspectors use only Date on initial inspection: 'i I�/G 7 Date of reinspection: Date of issuance of certificate: y Date fee paid: //// Type of unit: Dwelling Other Check# O 6 3J Check date: // //,3 /01 Notes: X �9� �n I-fCAi-- f&ct;4- Code Enf&4nent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR J$(-a'rr@SALcef.CONI JOANNE SCOTT, HEALTH AGENT Release i In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence: Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. _ Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date w- '. .` �omwr CERT.# 98-99 3 M FEE $25.00 DATE: 02/26/99 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: 270 Lafayette Street UNIT #: 1 OWNER/AGENT: Stephen Newburg ADDRESS: 270 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-2457 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' �•.CONUIT ')j c s M 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 110 UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER , � MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Ste- ADDRESS CITY CITY RESIDENCE PHONE 97e_7`0 2Yr7 BUSINESS PHONE (24 HRS.) �j� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. f 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ff ALTH EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE F _DATE_ L 26 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION T DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: .) -yI, 'f"`/ DATE FEE PAID:_,_-�� TYPE OF UNIT: DWELLING#OTHER__ CHECK #_CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �tj (F CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter TI and Article XIII of rhe City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. L. the event it is necessary that said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. n_ 1NTT/LE S UWN R/i�Es s - ---- --- ADDRESS ADDRESS ADDRESS OF UNIT TO F /INSPECTED CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR PIib11CmHC811h TFL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin ,salem com LARRY RAbIDiN,ILS'/Rlil IS,CfiO,(T-FS MAYOR I-Ic,nt�n[AG GNT CERTIFICATE OF FITNESS CERTIFICATE#313-14 DATE ISSUED: 9/30/2014 Property Located at: 270 Lafayette Street UNIT#3 Owner/Agent: Tansu Demirbilek Address: 19 MacArthur Road City/Town: North Reading, MA Zip Code: 01864 24 Hour Phone: 978-318-8884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF H ALTH fid` �7J LAR MDIN (/ HEALTH AGENT SANITARIAN ANDREA DODGE REALTOR' (781)953-4396 CELL (877)293-7945 FAX Andrea.Dodge rr NEMove .com I� 4 RESIDENTULBROKERAGE 7 12 Church Street Salem,MA 01970 Operated by a subsidiary of Aar LLC. NewEnglandMovescom/Andrea.Dodge CITY OF SALEM, MASSACHUSETTS BOARD OFHE.-�LTH p r 120 WASHINGTON STREET,4`FLOOR FLOOR J TEL. (978)741-1800 777 kSMBERLEYDRISCOLL Fati(978) 745-0343 MAYOR Lx.AMDtN@,cM.T.mf.Co,�t LARRY RAmDII.,RS/REHS,CI-L0,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 ROPERTY LOCATED AT GAC14 gx � �! = _V- UNIT# IS THIS UN,IIT DISIGNATED AS RIGID LEFT' RONT OR SACH PLEASE CIRCLE ONE )WNE I, Su � EA(f -wL61< MANAGER/AGENT_# . ADDRESS /t{ �fiN _D ADDRESS TTY,STATE,ZIP A)oa-T-w 4-i>f & �M A CITY, STATE,ZIP .7tg(a RESIDENCE PHONE 1 (` S 1 g l t l iB&INESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: A L4 ROOM USE: 1.&Ivo " 2!Wca-M 3. 4. 5. 6. 7. 8. `�— 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DAVE 2 t /Vitt j J Inspectors use only Date on initial inspection:=� I Date o€reimspection: Date of issuance of certificate: Date fee paid: Type of unit: welling_ Other Check# Check date: Notes: 1 eal t1 O txh h �c7 �gv- 6p4mmc I/V U D ft fy\a el --- -- Code nfement Inspector