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LAFAYETTE STREET 271-315 LAFAYETTESTREET 27l- 315 h I' I 1 a I lk t r�` o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • e 120 WASHINGTON STREET, 4TH FLOOR a � SALEM, MA 01970 CERT.# 164-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 04/23/2003 STANLEY USOVIC2, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 277 Lafayette Street UNIT #: 1st floor OWNER/AGENT: HTG Realty ADDRESS: 16 Lockwood Lane CITY/TOWN: Topsfield, MA ZIP CODE: 01983 24 HOUR PHONE: 887-8856 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, 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 .• 3.f '-JOANNE SCOTT, MPH,RS,CHO " HEALTH AGENT CODE ENFORCEMENT INSPECTOR III. { ' o CITY OF SALEM, MASSACHUSETTS •� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT 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 AT7-2 ^a UNIT# PlV'SI/F-/ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE"11 OWNER/LESSER IV(V-G 26-4 MANAGER/AGENT/ -di e. No P.O. Box P No P.O. Box ADDRESS Co C�c/Ctuor,�cy�1 G� ADDRESS CITY:2:�)ij 3 fl e (� /i i O/4��3 CITY RESIDENCE PHONE 79_ 7`�_V(Jl BUSINESS PHONE (24 HRS.) 2X'—pF7 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 14 U r 2. K; 3--g-04.8e 56-P— X1_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 SIGNATURGwDATE f 0 3 INSPECTORS USE O LY DATE OF INITIAL INSPECTION y- 9 - 03 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 'el-a3-03 DATE FEE PAID: TYPE OF UNIT: DWELLING LLOTHER_ CHECK# CHECK DATE /(�3 NOTES: /� CODE ENFORCEMENT INSPECTOR APR 17 2009 9/28/98 Cfre OF SAL--r:r BOARD OF HEALTH 77 City of Salem, Massachusetts AllBoard of Health 120 Washington Street, 4th Floor, Salem, Pub1PC8eatth Prcve°t.Animate_PsotehL MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-341 DATE ISSUED: 1411012017 Property Located at: 277 LAFAYETTE STREET UNIT#1 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane CitytTown: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978)884-8856 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter I) "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 u rs of age. Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS B(:ARD OF IIFevJXF1 120 WASHINGTON STRI-.1-T,4,'F�_001� RECEIVED TEL.(978)741-1800 KIMBERLEYDRISCOLL Fe\X (978)745-0343 OCT 102017 MAYOR LRANH iN c�SALVAT.C(AT SALEMCITY OF LARRY R.4MOtN,R3/ILEIiS,0-10,Cl'-FS BOARD OF HEALTH 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 UNIT#--I-- IS.THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER Marie Gagnon MANAGER/AGENT NO P.O.Box ADDRESS 8 Cleary Lane ADDRESS CITY, STATE,ZIP Topsfield Ma 01983 CITY,STATE,ZIP RESIDENCE PHONE 978-887-8856 BUSINESS PHONE(24HRS) BUSINESS PHONE 978-887-8856 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 3 9>%Z> 4 ' -' rr_c(r 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 THE TIME OF INSPECTION / APPLICANT'S SIONAT DATE LC 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:_ID I�— Notes: l Code Enforcement inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Pax(978) 745-0343 MAYOR DGRII3NBAUM((�SA,rM.COM DAVID GRLE',NB;1UM ACTING Hi?Ai,-D-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #315-10 DATE ISSUED: 6/30/2010 Property Located at: 277 Lafayette Street UNIT#2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 /oA DAVtD GREE filGREE , NBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR L CITY OF SALEM, MASSACHUSETTS • 3r-)D BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1SC0'F1'@SA1,En1.COM RECEIVED JOANNE SCOTT, JUL Q 6 HEALTH AGENT 2010 C=ITY OF SALEM =:.^..ORD OF HEALTH Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT -I—► ��FA�I TFc S+ a u7 L- UNIT#--3L- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER 1`'`wL�1*- CS —Nzs'-3 "MANAGER/AGENT NO P.O.BOX. ADDRESS q ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE c�-i�-g$�(-88S�o BUSINESS PHONE(24HRS) BUSINESS PHONE ' TOTAL NUMBER OF ROOMS: C& ROOM USE: 1.$X-D 2..&V--D 3.S&L-> 4.t-\✓ 5.ir-w-'r 6 .y_�r _. 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 SIGNATi DATE (,=>I3C)IID Inspectors use only Date on initial inspection: 3 U //, & Date of reinspection: Date of issuance of certificate: (Q f3O I/ ° Date fee paid: 7 Cv /U Type of unit: Dwelling Other Check#_Check date: 3 U O Notes: Code Enfo ent Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF 14EALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISCOTr(r ALEM.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 teriant/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 alisence. I/we expressly authorized the swine 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 occasionec by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date City of Salem, Massachusetts Tom PM Board of Health ` 120 Washington Street, 4th Floor, Salem, Pub&Health MA 01970 Prevent.Prumutc. Piuteel. _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-17-340 DATE ISSUED: 10/10/2017 Property Located at: 277 LAFAYETTE STREET UNIT#3R Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City(rown: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978)884-8856 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 er years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITA IAN o CITY OF SALEM, MASSACHUSETTS 1 BOARD of HE,\j n i 120 WASHINGTON S-1111,rr 4"'Fi,00la TFi.. (978) 741-1800 KIMBERLEYDRISCOLL F1\x (978)745-0343 RECEIVED MAYOR 01AMr)INCa)SAI rN t Omr LARRYR:\b{DiN,RS/IiFi.i-IS,Ci-i0,CP-PS OCT 102017 HEM,n—i AGENT CITY OF SALEM BOARD OF HEALTH Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT � j�-,r— Sr UNpp# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Marie Gagnon MANAGER/AGENT NO P.O. BOX ADDRESS-8 Cleary Lane ADDRESS CITY, STATE,ZIP Topsfield, Ma 01983 CITY, STATE, ZIP RESIDENCE PHONE 978-887-8856 BUSINESS PHONE(24HRS) BUSINESS PHONE 978-887-8856 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. L—%/ 3. 'V�-Cz::r 4. 5 6. 7. 8. 9 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE E TIME OF INSPECTION APPLICANT'S SIGNATURH,—� DATE lOI S 11-1 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: I M7 Notes: Code Enforcement Inspector r 'f co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH y, 120 WASHINGTON STREET, 4TH FLOOR i �ASa. SALEM, MA 01970 ' qB ice" TEL. 978-741-1800 a FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#313-04 DATE ISSUED: 07/13/2004 Property Located at: 277 Lafayette Street UNIT#3rd floor Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfeld, MA Zip Code: 01983 24 Hour Phone: 887-8406 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 OFis 6 14ay i' JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 33,0 1 !F 1�, SIF CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS 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 a1'1 Lrt'-P1Y -T-T -ST UNIT# FL IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER A<-VCZ=V. MANAGERIAGENT ADDRESS \ ( , LOC<"Jg:�00 L,tJ ADDRESS CITY-�5 Eta "Or CITY RESIDENCE PHONE 4�i8-S$�-840(o BUSINESS PHONE (24 HRS.) SAc-AcL BUSINESS PHONE ql'9-88-1- g$5(o TOTAL NUMBER OF ROOMS:S ROOM USE: 1 Y=LAe0 2.1Z-*4�Z 3.`v.arYs-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 E `-7/tZI0�{ INSPECTORS USONLY DATE OF INITIAL INSPECTION 7 -( � 0 `f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:?-13 9 DATE FEE PAID: 7 - 3 o TYPE OF UNIT: DWELLING__OTHER ;) 7 I -.e -7 soa 8 NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 s `°N City of Salem, Massachusetts - Board of Health 120 Washington Street, 4th Floor, Salem, Pu 1. i b1�C8�alth MA 01970 ft�eot.PIURU`R. MWO 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-17-85 DATE ISSUED: 3/2812017 Property Located at: 277 LAFAYETTE STREET UNIT#311- Owner/Agent: 3LOwner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978) 8848856 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOAKD OP HL'.Aun-1 . 1207 WASHINGTON S TFT'P,4''FLOOR Te-,I,. (978)741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 RECEIVED MAYOR n�n )m a)snLP <ox LARRY RAMD1N, RS/RF.xS,CHO,CP-FS MAR 2 7 2017 HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT L -per 5' UNIT#..��—.` IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR RACK,PLEASE CHICLE ONE OWNER/LESSER Marie Gagnon MANAGER/AGENT NO P.O.BOX ADDRESS 8 Cleary Lane ADDRESS CITY,STATE,ZIPsfield Ma 01983 CITY, STATE,ZIP RESIDENCE PHONE 978-887-8858 BUSINESS PHONE(24HRS) BUSINESS PHONE 978-887-8856 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2 L_� 3 F&j> 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 ' EI1ktE OF INSPECTION APPLICANT'S SIGNATURE _ DATE_„Z_23 \—I wry"` Inspectors use only Date on initial inspection: d __ Date of reinspeeti n: Date of issuance of certificate: _,_..— Date fee paid: c7� � Type of unit: Dwelling 4��Other Check Checkdate: Notes: Code ent Inspector I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"' FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR nc;IZEeNBAUM@SAIa_:mlr.OM DAVID GRIJ4Nimum ACTING HEM.;PI-I.A(;i;N'P CERTIFICATE OF FITNESS CERTIFICATE#311-09 DATE ISSUED: 7/10/2009 Property Located at: 277 Lafayette Street UNIT#3L Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 ,A y/ DAVID GREENBAUM ACTING HEALTH AGENT DE NFORCEMENTINSPECTOR 'Y CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Isco'rr e SALEM.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 a�� `ps'A`I TQC S! UNIT# �t— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER l"A`*,0a-vL MANAGER/AGENT NO P.O.BOX. ADDRESS ADDRESS CITY, STATE, ITY, STATE, ZIP RESIDENCE PHONE Cf'8 — $$� �� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: '3 ROOM USE: 1.Y-- " 2. 3. V--jP-7:> 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE--T Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: _711010 Date fee paid: ' WO 5 Type of unit: Dwelling Other Check# J. /0 Check date: Olt 910 9 Notes: Code Enforcement hispe&6r Qj CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ISCarr p sA1.EM 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 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/LessBe Owner/Lessor Address Address Address on unit to be inspected Date i p CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4:`FLOOR TEL. (978)741-1800 K NMERLEY DRISCOLL FAx(978)745-0343 MAYOR DGRUN MUM(Cr7SALEM.COM DAVID GRriENBAUM ACTING Hj-,ALIH AGLNT CERTIFICATE OF FITNESS CERTIFICATE#218-10 DATE ISSUED: 5/6/2010 Property Located at: 277 Lafayette Street UNIT#3R Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 I AVID GREEENI3 M ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR ` TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAZ(978) 745-0343 MAYOR ISCOT12SALF.M CONI 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 y t 1k_ s) 34-r> T-L TZ UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Ci-Ac� - MANAGER/AGENT NO P.O. BOX ADDRESS L ADDRESS CITY, STATE, ZIP=7 �y CITY, STATE,ZIP RESIDENCEPHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. g 2. lir 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 DATES �bII� c Inspectors use only Date on initial inspection: (0l/ D Date of reinspection: Date of issuance of certificate: S/(0 /0 Date fee paid:_ Type of unit: Dwelling O erth Check#�O 0 S Check date: J AV w Notes: Code Enfo ment Inspector ,4.ABti • k �= CITY OF SALEM, IVIASSACFIUSET TS y BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (97 8) 741-1800 KmERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISCOT11 SAUN.COM JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulation`s 410.000%et. Seq, ; State Sanitary Code Chaptar 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 aiid ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorzed'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 ti CERT.# 124-01 FEE $25.00 DATE: 03/09/2001 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: 278 Lafayette Street UNIT #: 2 Front OWNER/AGENT: Marie Plamondon ADDRESS: 278 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2850 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. i FOR THE BOARD OF HEALTH - i JOANNE SCOTT, MPH,RS,CHO I, I HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' 3 ��/MINB 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 b STUNIT#_� IS THIS UNIT DES[ NAT.ED AS RIGHT LEFT //RO BACK PLEASE CIRCLE ONE OWNERLESSJ� �11nNMANA ER/AGENT No P.O. Box No P: ox ADDRESS �bD/? S-ADDRESS CITY CITY RESIDENCE PHONE 7i ! c�- BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: V� ROOM USE: tx� 2. LiV 3!6� ' 4. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE\_-`%� DATE 6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 3' dl DATE FEE PAID: TYPE OF UNIT: DWELLING/ THER_ CHECK# 173 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 HIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGIZ813NI3AM(lDSAI,BM.COM DAVID GREENMUM,RS ACTING Hi..AI,Ti-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE #007-11 DATE ISSUED: 1/3/2011 Property Located at: 278 Lafayette Street UNIT#4 Front Owner/Agent: Carolyn Willwerth Address: 70 Summit Road City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-760-1140 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD PF HEALTH Al DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS n ,- BOARD of HEALTH 120 WASHINGTON STREET,4"'FLOOR Tf.;j. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ix;R1;EN13nu1,1@SALEN1.COM DAVID GREENBAUM,RS ACTING HEALTPI 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." 2 FEE: $50.00 PROPERTY LOCATED AT a2 7 �a �"ye�tc Stgc f UNIT# IS THIS UNIT DISIGNATED AS RIGHT LE RON OR BACK,PLEASE CIRCLE ONE OWNER/LESSERrnvoJyh LtJ Mve2fA MANAGER/AGENT I�Za(7C/t (t/i/leyG/fh NO P.O. BOX ADDRESS 7() S u rv,~,f /� / ADDRESS �U Su.•, . . t CITY, STATE,ZIP /'-(edrad ,ad A414 2 CITY, STATE,ZrP Mem/FdRoP ",4 RESIDENCE PHONE ��/' 3'��'3�y ) BUSINESS PHONE(24HRS) - 11q e) BUSINESS PHONE F-LX 39'(- 3 TOTAL NUMBER OF ROOMS: 3 ROOM USE: L &dome 2. �+,t�h.nlL":�,3. � � �" 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 11's/�l Date of reinspection:_ Date of issuance of certificate: nn Date fee paid: J 114 Type of unit:�Dwelling �i Other Check# )6 q13 Check date: ��l�/I'l nn __ Notes: I P [Duhf'Jft WiV��-�u) So '',t �oG6 �Si17 c��4_ j;m hntpI )D-e�tkA buw 5in� Code PnKorcement Inspector y6��ONDIT a � s n � ��0/AIINE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 10/18/2000 Tel:(978)741-1800 Fax:(978)740-9705 Cecile Abodeely 285 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 285 Lafayette Street UNIT # 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be . inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8 :00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD 0 HEALTH REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR " CITY OF SALEM, MASSACHUSET I'S _- BOARD OIC HE1LT1-1 120 WASHINGTON STREET,4".1 1002 KINIBERLF.Y I7RISCOLL TEL. (978) 741-1800 MAYORFAx (978) 745-0343 lin OQ sAcinxorn LARRI'RFi,1IDIN,RS/W J IS,C1i0,(T-FS Hi;A1:1Y1 AG[';N I CERTIFICATE OF FITNESS CERTIFICATE#518-11 DATE ISSUED: 12/7/2011 Property Located at: 293 Lafayette Street UNIT#Basement-Left Owner/Agent: 293 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". J Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR VQ' ��rJM11�CA V � 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 a3 UNIT# 16-6-V IS THIS UNIT DESIGNATED AS BI 1G I"HT F FRONT BACK PLEASE CIRCLE ONE st OWNER/LESSERYLIL "ek 5t, � AGER/AGENT No P.O.Box y� % No P.O. Box ADDRESS p� AQ)D X445 ADDRESS P,o� 6)X CITY �P�9 f.1 6191S RESIDENCE PHONE?!S j- 9?9_ T&(D BUSINESS PHONE (24 HRS.)] M- 2�gf_6%6 BUSINESS PHONE :Oq -WU(o TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2.1NJ" .�4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE o� I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION PW11 _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: III DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER_ CHECK# CHECK DATE NOTES: CODE EN RCEM T INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR so TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRFIY,NBAUM[@SA1,8M.COM DAVID GI2EENBAum,RS ACTING HEALTH AGEN"I' CERTIFICATE OF FITNESS CERTIFICATE#139-11 DATE ISSUED: 5/2/2011 Property Located at: 293 Lafayette Street UNIT# Basement-Right Owner/Agent: 293 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 B ARD OF HEALTH J DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENF RCEMENT 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)7409705 IN ACCORDANCE WITH STATE SANITARY:CODE, CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". , PROPERTY LOCATED AT m-d,� {,}((}2 UNIT / �T �„ O' NER/LESSER �aj ( , 4 aA� -Vo MANAGER/AGENT A ��I1YIg' -ValS(� 1 ADDRESS P,(} ,vvX y ADDRESS Q, ,�0)(' '4" czTY ciTy di�j 4�✓_ RESIDENCE PHONE BUSINESS PHONE (24 HRS.)3K j!fLW0(o BUSINESS PHONE :]�1� %- p�p — TOTAL NUMBER OF ROOMS: ROOM USE: 4 . 5. G. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MOM ORDER TO THE CITY OF SALEH UMTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGHATU RE, DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:_ -_ II DATE OF REINSPECTION PATE OF ISSUANCE OF CERTIFICATE: S DATE FEE PAID: s TYPE OF UNIT: DWELLING ✓ OTHER NOTES: CODE EN RCEME T INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DGRF,F..NBAUM(@SAI,FM.COM DAVID GREf',NBAum ACTING HEAuii-i AGEsN'I CERTIFICATE OF FITNESS CERTIFICATE#545-09 DATE ISSUED: 10/19/2009 Property Located at: 293 Lafayette Street UNIT# 1st front left Owner/Agent: 293 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 B D OF HEALTH DAVID GREENBAUM v — ACTING HEALTH AGENT CODE E O CEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -ell� 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 7scar1aSAt r.m COM JO ANNE 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 a q�J �T UNIT#I% ,*t' oA IS THIS -UNIT _DISI NN E"D AS RIGHT`Q EFT RONT R BACK,PLEASE CIRCLE ONE OWNER/LESSER�� C��eeY}� SSC&f—N1 , �t AGER/AGENT 41 NO P.O.BOX np �— —� . AWSADDRESS p CITY, STATE,ZIPS I �1t� I b I5 CITY, STATE,ZIP qv I-)P,46a,itI11- OmI5 RESIDENCE PHONE BUSINESS PHONE(24HRS) - )91 iD BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 a ROOM USE: l.ViAIle✓L 2. �P CM 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 AST'THE TIME OF INSPECTION � APPLICANT'S SIGNATURE �� C y�� E DATE C, Inspectors use only Date on initial inspection: I olzslo I Date of reinspection: Date of issuance of certificate: /U d3 16 9 Date fee paid: U a3 o 9 Type of unit: Dwelling�Other Check# 7 9 S S Check date: /Oh-7/0 Notes: reSUP.&l� L4CK door , BI.Uq in '/L 1 bc40yooln 0 Code Eilforcement Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 HIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR scoTr(�sni.�>nc 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 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 mi 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 i CITY OF SALEM, MASSACHUSETTS . .. BOARD OF HFm;TH 120 WAS][INGTON STREET,4„.FLooR IQM131 RLLY DRrBCOLL '1J-. (978)741-1800 FAX x)78)745-0343 MAYOR lra ndin a s ern.rota LA�utti'aAnaDtt�,its/Rrtr[s,a u�,cis-rs HFV:CI i A(;vN'i' CERTIFICATE OF FITNESS CERTIFICATE#519-11 DATE ISSUED: 12/7/2011 Property Located at: 293 Lafayette Street UNIT# 1 Left Rear Owner/Agent: 293 Lafayette Street Realty Trust Address: P.O. box 445 Citytrown: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-599-8866 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 LA RY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • :corm�r , 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 �J L� ei P �GrLT UNIT k, b reOLA IS THIS UNIT DESIGNATED ASRIGHT(( O C PLEASE CIRCLE ONE OWNER/LESSER Ot � GER/AGENAO 16it— 1 ` No P.O. Box Ate, No P.O. Box ADDRESS �,Q..�� Y-DO . , {S / ADDRESS ,0 (�o XtIgI t 5 CITY j�& �9{'l�ltl 1A f) I q(!i CITY Q 19 C �I ,kz�7e��'O�(L��gl�✓ RESIDENCE PHONE BUSINESS PHONE (24 HRS.)�v1 - � BUSINESSPHONE TOTAL NUMBER �� OFROOMS: � ROOM USE: 1.�� A&"� 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 SIGNATURE 1IV� ��A l�-C�U� DATE �a INSPECTORS USE ONLY DATE OF INITIAL INSPECTION It� I J Il / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 0 1/ DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER_ CHECK#��CHECK DATE NOTES: C DEE FORCEM T INSPECTOR 9/28/98 c NN CITY OF SALEM, MASSACHUSETTS e3' � BOARD OF HEALTH s 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#184-08 DATE ISSUED:4/17/2008 Property Located at: 293 Lafayette Street UNIT# 1 Right Owner/Agent: 293 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, 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 ANNE SCOTT, MPH, RS, CHO V,/ HEALTH AGENT CODE ENFORCEME INSPECTOR / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` (J • • 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 ;�A?) UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK P,L ASE CIRCLE ONE OWNERILESSERaL ' MANAGE'R/AGEN UIk,�YLJC No P.O. Boxnn No P.O.Box Q ADDRESS r b, 6I�( ADDRESS boK CITY CITY C RESIDENCE PHONE--It E OUSINESS PHONE (24 HRS.)�� " " to BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Rn . ko w1u. 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 O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION � - 1 7 '° 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 4 -/7 -e V DATE FEE PAID: �/- _ 1, 7 -° g TYPE OF UNIT: DWELLINCOTHER_ CHECK# ` 7 Y / CHECK DATE /7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, PabHcElealth 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-17-8 DATE ISSUED: 1/1212017 Property Located at: 293 LAFAYETTE STREET UNIT#2 Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O1 FLOOR I-EL (978)741-1800 KIMBERLF.Y DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&ALEACOM LARRY RAMDIN,RS/RRHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" /, /� FEE: $50.00 //Q PROPERTY LOCATED AT �1/ 3 GA l4 Y`/E„ d SF ;� a UNIT# c2\ Is THIS UNIT wsIGNATE�DJAs RIGHIR T LEFr FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER &CSG %/14KG{V/-4/ MANAGER/AGENT NO P.O.BOX l/ ADDRESS 3.3 / /rtl Z,4r//�N�� A (' ADDRESS CITY, STATE,ZIP SHOD// A4 dyl�?d CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINFSSPHONE Sd0 /ba �d TOTAL NUMBER OF ROOMS: ROOM USE: 1. K /�N 2.AV Cy✓ Ru/i. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECKPR Mg.NEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIMEOP IN N / /_ APPLICANT'S SIGNATURE DATE /7/ / 7 Inspectors use only Date on initial inspection: I/I l T Date of reinspection: Date of issuance of certificate:�/2 Date fee paid: DI I2 Type of unit: Dwelling Other Check#j I &a_Clieck date: Notes: Code 7 cement pector SND City of Salem, Massachusetts Board of Health tp 120 Washington Street, 4th Floor, Salem, PublfCH@81th MA01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.286 DATE ISSUED: 8/5/2016 Property Located at: 293 LAFAYETTE STREET UNIT#2A Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508)962-4800 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. JoJe Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r CITY OF SALE;M MASSACHUSETTS BOARD OF HEAL'T'H 120 WASHINGTON STREET,4' FLOOR TEL. (978) 741-1800 KIMBERLEY DR.ISCOLL FAX(978)745-0343 MAYOR LJ AMDIN0SAIY&MT COM LARRY RAbIDIN RS/RENS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" /? /FEE: $50.00 �A PROPERTY LOCATED AT UNrr# /S j�GP`r ��yy IS THIS UNIT DI�SIIGNA/TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER A C iIP L //� �G/7L/�Ll _MANAGER/AGENT ADDRESS 33 Zzy A// /j /_ADDRESS CITY, STATE,ZIP ,��b /yifl CITY, STATE,ZIP RESIDENCE PHONE d Lp BUSINESS PHONE(24HRS) BUSINESS PHONE �0 TOTAL NUMBER OF ROOMS: Z/ ROOM USE: 1. 411 r,' 2. 9!±IM 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 THEOF�rECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 0 2/0 Date of reinspection: Date of issuance of certificate:OX/00016 Date fee paid: 0R/D4/2016 Type of unit: rrDwelling_�Other Check# _ LZ Check date: 09/DV/2016 Notes: k r- eA w;Al uz does' m4 lock A dle wr'nJIQw IA I/V %C rmmn. Aar In 'ars In TOh SG.S rcement pector CITY OF SALEM, MASSACHUSETTS BoAm) OF HEAi;i'H 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 K1MLi]uRLEY DRISCOLL FAx(978) 745-0343 W YOR Iramdin@salcm.coin LARRY RAMI)IN, RS/RFI IS,CI 10,CP-FS Flan 1iI A(;F:N'r CERTIFICATE OF FITNESS CERTIFICATE#295-11 DATE ISSUED: 8/24/2011 Property Located at: 293 Lafayette Street UNIT#2nd Floor Left Owner/Agent: 293 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 LAR MDIN HEAL CODE RWRCEMENTINSPECTOR y t � I Cf 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 CENT IFICTE 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 aj � U 4p� CC:T UNIT 1; 'yl �" 7 OWNEP./LESSERaq� w{ 3'C`, Q 24IN�P.NACEP./AGENT ADDRESS P, ) , 0)t2(X t4.1.�t 5 ADDRESS IQ, 0 }f} , L7 �,�p� CITY Irl�.t m h 1�t A 1 4� (� ( , 7 CITY I I C 4� 5- RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE 'I &L-f�ffi -'�xb -- TOTAL NUMBER OF ROOMS: ,3 ROOM USE: 1_Y k"-en 2. `��14 1�3 vC-DoW 4 . 5. 5. 7. B. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' UEALTH DEPARTMENT THIS FEE IS PAYABIE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE tv C \ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: _ DATE FEE PAID: I�:u TYPE OF UNIT: DWELJLING OT7HER NOTES: ( C'c(J��!Q�CJ� S ( I111IM Int hai �2r-F� 6 CO E NFO CEMENT INSPECTOR I 1 CITY Or SALEM, MASSACHUSETTS BOARD OF HEAL:11-I 120 WASHINGTON$TREIT,4."FY,OOR KINEBEIU-EY DIUSCOIJ, TFI:.. (97 8) 741-1800 M YOR FAX (978) 745-0343 Iramch i a salem.com LARRY RAMDIN,RS/RHI IS,(A 10,CP-IS CERTIFICATE OF FITNESS CERTIFICATE #248-11 DATE ISSUED: 7/27/2011 Property Located at: 293 Lafayette Street UNIT#2nd floor right Owner/Agent: 293 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01970 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 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 LARRY RAMDIN \CJI HEALTH AGENT CODE ENFORCEMENT INSPECTOR i ,,, F - CITY OF SALEM BOARD OF HEALTH -----. Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO HEALTH AGENT NINE NORTH STREET Tei:(508)741-1$00 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' � �1 —y UNIT I O-WIT LESSER C � � ,� � —�& t*{p .rco a, F T ^() / J�, aLG�f�J f 5 Nf_,;... I-C..H_�(� yf (L� ADDRESS V10 ►�iDX C EJ/ T - ADDRESS 1 ,I>i,hC)Y, CITY ` � �2fc CITY ^ N 0 1 RESIDENCE PHONE BUSINESS PHONE (24 HRS.)gA �,�--MJD BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: t . 2 3. �4 5. 6. 7. 8. THERE IS A TWENTY-FIFE (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 APPLICAINTS SIGHAT_UF.E �� J� DATE4 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:- / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -7 -7111 DATE FEE PAID: / TYPE OF UNIT: DWELLING__�THER f NOTES:__Aas , CODE ENFOR NT INSPECTOR I T C1-1Y OF SALI Nr, MASSACHUSETTS BOARD UR Hrlv.TH 120 WASI]INc rON Srxrarl,4"' ["i:ooti Public Health Tf"l- (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCO11 h:amdio a s,dcln.com LARRY 7L1 MI)1N, t IS,Cfl(l,CP-IN MAYOR I I i.n I:rn A(;l CERTIFICATE OF FITNESS CERTIFICP,TE#248-12 DATE ISSUED: 6/18/2012 Property Located at: 293 Lafayette Street UNIT #3rd floor Owner/Agent: 293 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 LARR423RAMDIN HEALTH AGENT SANITARIA CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01870-3928 JOANNE SCOTT.MPH,RS,CHO NINE NORTH STREET HEALTH AGENT -_ Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 4 IN ACCORDANCE WITH. STATE SANITARY!CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ((�tt�(�j �� C7'J ( j -UNIT {�A= e, OWNER/LESSER Z83 1frn 5CMANAGER/AGENT Q ADDRESS VjQ, 4+l )4, �I �� q / ��-" ADDRE'SSSVi p, &K `F�il CITY L � U t� CITY Cj e J Q1 f&J I_�;T RESIDENCE PHONE BUSINESS PHONE (24 HRS.)-I-St p 6 BUSINESS PHONE $} TOTAL NUMBER OF jROOMS: t ROOM USE: 7. 8» THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM flIT.ALTH DEPARTMENT THIS �FEE } jIS�PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE_ / " DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: L-)k ) Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.:_�_1 r- ) L DATE FEE PAID: \,-Ip- e-1, TYPE OF UNIT: DWELLING ✓ OTHERS } NOTES: i CODE AENFORCEMENT NSPECTOR — .gON01T 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 01/29/2001 293 Lafayette Street Realty Trust c/o Madeline Frisch P.O. Box 445 Beverly, MA 01915 PROPERTY LOCATED AT 293 Lafayette Street UNIT # 4 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 Pf HEALTH REPLY TO I oanne Sco t, MPH,RS,CHO - PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCS@alth w MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-359 DATE ISSUED: 9/23/2016 Property Located at: 293 LAFAYETTE STREET UNIT#5 Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800 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. �effros Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SA ARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4� FLOOR MRC.. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 2xAi��Cs?�As FaH.ca a LARRY RAMDIN,RSfREHS,CHO,(P-FS HEALTH AGENT AppBeation for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 'AINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' / ,J FEE:$50.00 PROPERTY LOCATED AT 1 q 3 /.A6krl �Sl - /Sr/gad ri6�il� UNIT#_ 4� IS THIS UNIT DISIIGNATED AS RIGHT LEFT OR BAC PLEASE CIRCLE ONE OWNERTESSER -AX.06 !/ `Z. )QdX/ MANAGER/AGENT NO P.O.BOX ADDRESS3f 11111 AI& ADDRESS CITY,STATE,ZIP SAJ1D�/ �A a j d CITY,STATE,ZIP RESIDENCE PHONE r� q BUSINESS PHONE(24HRS) BUSINESS PHONE_ Sd4 /La2 yW TOTAL NUMBER OF ROOMS:_ ROOM USE: I,-1fi(r 2. Lr>l & 3. 4 5 4. 7. S. 9 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT��s �INSPECTION / APPLICANT'S SIGNATURE DATE P�,��,_ rp Inspectors use only Date on initial inspection: �� )�t3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date:N4' 14 Notes: i C cement ec#or CITY OF SALEM, MASSACHUSETTS BOARD OFHEUTH - PublicHeaIth. - .- - _ ..--- _- -- 120WASI3IisGToid"STxE> T,4 Fiboti TEL. (978)741-1800 FAK(978) 745-0343 KIMBERI.EY DRISCOLL Iramdin@salem.com - LARRY RA NID7N,RS/RP.I-Iti,C1-10,(T-FS ti MAYOR Hli AI I i A(;I:NT CERTIFICATE OF FITNESS CERTIFICATE#46-15 DATE ISSUED: 2/19/2015 Property Located at: 293 Lafayette Street UNIT#8 Owner/Agent: Thomas J Pelletier Address: P.O. Box 546 City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-531-6041 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH je- LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS a I R BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR v TEL. (978)741-1800 KIMBERLEY DRISCOLL FAA(978) 745-0343 MAYOR LRAMD N a$AI.EM.COM LARRY RAMDIN,RS/RL-TIS,CI 10,CP-FS H1�,AI;rH 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 ATG/gr7"J UNIT# ,S P.O. BO IS THIS UNIT DI,SSIGNATED AS I LEFT FRONT OR BACK PLEASE CIRCLE ONE O ESSER= /yo/�jaS MANAGER/AGENT NO P.O. BOX ADDRESS&��J�y6 �c�y�ao, MiY ADDRESS Sri. CITY, STATE,ZIP 6,07 �3 � CITY, STATE,ZIP Ss sem,r RESIDENCE PHONE ��SY 0/ � BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: l.1j;tcti.,.I 2./-?,,,',,,6ee,4 3. 6, Xwa. 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,- �GX� DATE /5 .ti Inspectors use only Date on initial inspection: I�� j Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#- Check date: o �L Notes: \fir ' Code (cement Inspector cel/ U ,�� C1 lE /PStt7f� fw� b- (r) e+? ( er- pi/ p�-�y✓�, l 1 � U o )A eftio✓1 , it e, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ]MONNEna,SALEM.COM JANET DIONNE SENIOR SANITARIAN CERTIFICATE OF FITNESS CERTIFICATE#420-08 DATE ISSUED: 8/25/2008 Property Located at: 293 Lafayette Street UNIT#8 B-Left Owner/Agent: 293 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 n *JANTIONNE SENIOR SANITARIAN CODE ENF R EMEN NSPECTOR ,Hca CITY OF SALEM, MASSACHUSETTS ( � BOARD OF HEALTH s, 120 WASHINGTON STREET; 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". �1 PROPERTY LOCATED AT '�� [� UNIT#_I�IS THIS UNIT DESIGNATED AS RIGHT. EFnT-, fROONT BACK PLEASE CIRCLE ONE OWNER/LESSER,lq?54 pit. ' MANAUXENT �V�A SC� No P.O. Box 1�, No P.O. Box n y� y� ADDRESS P.01 ,'JnnOX 1�I�E� ADDRESS C •D . 6o k -45 CITY &A M7k Q "l CITY �!Zk D1qI5J RESIDENCE PHONE BUSINESS PHONE (24 HRS.)]FS�FfSWO BUSINESS PHONEaI o :lya(0 TOTAL NUMBER OF ROOMS: J ROOM USE: l l 2Y\2. W 5.--6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. p APPLICANTS SIGNATURE ��r))LbL 1 L DATE 21 Q Q INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 'dA TYPE OF UNIT: DWELL ING,-'OTH ER_ CHECK# '7 c5db CHECK DATE 'L `� Y NOTES: vP 5)N(L coDrLNF&ItEMENT INSPECTOR 9/28/98 { Crry OF SALEM, MASSACHUSE I A 5 BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O1970 TEL, 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR- ,JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT RELEASE La 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 or residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residencE identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our ai)sence , 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 oges.`€. Troia any less or injury sustained of %Ibatever nature an description occasioneci b7 my/our absence du TIr. Sald inspectier._ i '01 tc"T 1014Ou.AIt- C, III111Ii` � OF fii,' 1 .ti,.. i:4 �'" CONE—T4 Q City of Salem, Massachusetts Board of Health w a 120 Washington Street, 4th Floor, Salem, PPrta b Promote.lea th MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-149 DATE ISSUED: 5/23/2017 Property Located at: 300 LAFAYETTE STREET UNIT#5 Owner/Agent: Teasie Goggin Address: 9 Wisteria Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7444181 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply Wth 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. of r Larry Ramdin, MPH, REHS, CHO Vr HEALTH AGENT SANITARIA CITY OF SALEM, MASSACHUSETTS BOARD OF HEALITI 120 WASHINGTON L (978) 7414800TH FL r1�CEIVED ICA4B ✓RLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINQaALFM.COM MAY 2 2 2017 LARRY RAMDIN,RS/RENS,CHO,Ce-FS CRY OF SALEM HEALTH AGENT BOARD OF HEALTH Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT UNIT# IS THIS UNIT DISIGN D S RIGHT LEF FRON R BACK PLEASE CIRC E ONE OW ESSER MANAGER/AGEN NO P.O.BOX ADDRESS '' D0 ADDRESS 9 I— f � CITY, STATE, ZIP y0?� f O/97y CITY, STATE,ZIP Y �:9JL� / &� G/ RESIDENCE PHONE& 1-7yy-111 i9/ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER ,OF./ROOMS: /� ROOM USE: L of/1C 2. -9 � 31k4 .V 4.6riP 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATT ,7ME OF INSPECTION APPLICANT'S SIGNATURE,\ t�/ b2 � s/ DATE / q Inspectors use only Date on initial inspection: 'k L7 Date of reinspection: Date of issuance of certificate: 2 Date fee paid: S/bq �01,t Type of unit: Dwelling_- Other Check#Check date: s42 1'{l�112 Notes: *dn ment pector OONDIT City of Salem, Massachusetts a Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-355 DATE ISSUED: 10/23/2015 Property Located at: 301 LAFAYETTE STREET UNIT#1 Owner/Agent: Mary Ellen Galaris Address: 301 Rear Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 815-8552 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,�A� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARI N PAGE 01 10/20/2015 03:16 9707450343 CITY OF SALE,M. MA,SSACHUSHI-118 WARD or 1•IIsaL ni 120 WASIiNOTO)N S11iF:ET',4"'P'LgQR �� rat.P,nmrvM.Piweet. KIM$kSR.T,EYf)RIW("OLA. I i 1 1.co>ra MAYORLARRY tZ:iMt}IN,ItFJR1s1tS,t:FtCt,t:i>-V•'ti . HF.A1:,11I Am,,,NT 4 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 41 O,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" EEU50100 j PROPERTYLOCA'CEDAT,) _ f`ti' �i`� i0 r�F'ta7� UNtI# I 'I IS THIS UNIT DISK f/;0 A/ i tI&I MONT OR BACK.PLEASE CIRCLE ONLY O BLESSER L t�ittl� I MANAGER/AGENT �S�V—LAJ O I;✓UVC-42 i NO P.O.1'.0.00X ! (� ADDRESS 3O� _ _ !�" FSS CITY, STATE,ZIP_�, ITY . � d if c C ,STATE,7IP RESIDENCE PHONF OP'Al i$�. BUS'TNESS PHONE(24kIR5} BUSINESS.PHONE, TOTAL NUMBER CF",ROOMS:_.,•., •_,•. ROOM USE: 1. /L(f2. 1.4"_ 5d,��Y? THERE IS A FIFTY i'$S AR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HF,ALTI. HIS F IS PAYABTJI&AT TH E OF INSPECTION APPLICANT'S SIGN,Atip Ln§pectorslase only Date on initial,inspection: Dale ofreinspection: Date of issuance of certificate: 12?'/Zr 1 �� Datc fee paid: 2J2S Type ofunit: Dweliinll Other Check#��„_Check date: ik2,W— D-S Notes: allr,6,r rij3b C fn entTn/Ytictor � CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, FIS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#688-05 DATE ISSUED: 11/7/05 Property Located at: 301 Lafayette Street UNIT#2 Owner/Agent: John & Ma Galaris Mary Address: 301 R Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5565 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 OA�OTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Z JF y. v si hINU C CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 66 • • 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABIITATION". PROPERTY LOCATED AT �/ Zu -t/�Cs 2 �5/' UNIT 9 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERJLESSERZ/d //1) MANAGER/AGENT No P.O. Box _ No P.O.Box ADDRESS �:3/194�- AaAw ADDRESS CITY ITY RESIDENCE PHONE g M2 Slf/,S S"6A BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITYEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTI N. APPLICANTS SIGNAT DATE1� _�S SPEC70RS USE ONLY DATE OF INITIAL INSPECTION /(_.-_T _01 DATE OF REINSPECTION pa 7 DATE OF ISSUANCE OF CERTSFICATE:/�. _I " __DATE FEE PAID:_/� TYPE OF UNIT: DWELLING] OIHER CHECK o CHECK DATE [f — 7 0 NOTES CODE ENFORCEMENT INSPECTOR 9/28'88 . R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV - 120 WASHINGTON STREET,4."FLOOR pA1bliCHealth TEL. (978) 741-1800 FAx(978) 745-0343 ICIMBERLEY DRISCOLL Iramdin@salem.com L;\RRY R;\ [DIN,RS/Rr?I[S,C1 10,CP-FS MAYOR H[u,V;TH Ac:7F.NP CERTIFICATE OF FITNESS CERTIFICATE #412-14 DATE ISSUED: 11/10/2014 Property Located at: 301 Lafayette Street UNIT#3 Owner/Agent: Mary Ellen Galaris Address: 301 R Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-815-8552 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 4ARP�e& N HEAL AGENT SANITARIAN Nov.06.2014 04 :27 PM Mary Ellen Galaris 7272233891 PAGE. 2/ 3 Y Cr:T'Y OF SALEM, MASSACHUSETTS 1.20WASI11NGTONS' REET,4... FLOOR v' Lj - I'lq- (978) 741-1800 V KiM14PAN-Y DRISCOLL PAN (978)745-0343 MAYOR I,aAMUIN61).SiUA Msx.JM I..AI\ItV R AM UI N,ItS/R fil Tti,CI10,CV-DS f 11(AI;l'I l A, WT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MI1,IIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AX4;,Z;¢ �r_ CSr,Ps s r UNIT#2_ /yis Tni L'NP�C DISIGNATEWA'S RIGHT{LENT FRONT OR AAQ( PLEASE CIRCLE ONE OWNER/LESSER 016',Cf/_LJ-Y--Al ( �A/A,6-S MANAGER/AGENT /f} NO P.O.BOX ADDRESS-yl*/ _ADDRESS CITY,STATE,Zip g/9 14 CITY,STATE,ZIP----" ! p RESIDENCE PHONEin! �0 !�l/.J BUSINESS PHONE(24HRS)_ a� BUSINESS PHONE TOTAL NUMBER OF ROOMS:—IA— ROOM OOMS: ROOM USE: I / Ye 2, �t 3 6 7 8 T' 9 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIIS PAYAB " AT THE T E OF INSPECTION APPLICANT'S SIGNATUR DATE Insneetols use only Date on initial inspection;, (� ' - N LI Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check dater h �C/1__i u_ - Notes; Code o c ent Inspector CITY OF SALEM, MASSACHUSETTS • Jr/ • BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 ICIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DG1U3r+M4AU�Na(@SA1,IFM.COM DAVID GREENBAUM ACTING Hj.-:AL"f14 AGENT CERTIFICATE OF FITNESS CERTIFICATE#303-10 DATE ISSUED:6/18/2010 Property Located at: 301 Lafayette Street UNIT#4 Owner/Agent: John Galaris Address: 301 Rear Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-739-2276 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 oneear from f y o date o 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 DAVID GREENBA (J(�— ACTING HEALTH AGENT CODE EN ORCEMENT INSPECTOR 06AL6/2010 20:59 9787450343 PAGE 01/02 CITY OF SALEM, MASSACHUSETIS BOARD OF HEALTH 120 WASHZNCTON STREET,4"'Fum TEL. (978)741-1800 V 1KTIvffiERL EY DRISCOLL FAX(978)745-0343 MAYOR ocsnBnRAUM a _. M.COM DAVID GrREENBAUM, 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." Q FEE: $50.00 ?ROPERTY LOCATED AT `i©/ 46r. �2 ��- UNIT# JZ IS TRM UNrpr l)lSIGNA 3 RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE 3WNER/LESSER MANAGER/AGENT 40 P.O.SOX I.DDRESS ZdAogg 1124r __�ADDRESS :ITY,STATE,ZIP CITY, STATE,ZIP tESIQENCEPHONE9P�5` —I- 5 BUSINESS PHONE(24FIRS) 97W 0/5 oo5" -Z- IUSWESSPHONE 'OTAL NUMBER OF ROOMS: J� :OOMUSE: 1-4-11" 2. ;2),2 Am 7. NERZ IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER.TO THE CITY OF SALEM 1OARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION LPPLICANT'S SIGNATURE DATE Inectors use only late on initial inspection: obs//p Date of reinspection: late of issuance of certificate: I —b—F, / Datc fee paid: "T1 /(- ype of unit: Dwelling _Other Check# 3 S Check date: 16 otes: -411(o 1) hY)4F n1GtRC /1 j d C'C4/ h0/1 Gl1� S) Rpt — e 1 orccment Inspector CITY OF SALEM, MASSACHUSETTS BOARD oFHEALTH 120 WASHINGTON STREFr,4..FLOOR TEL. (978)741-1800 K.IMBEIRLEY DRISCOLI. FAX(978) 745-0343 MAYOR 1MANQN1SA1a:Mc0M JANET N L\NCINI AC31NG Hlutl:ll i A(;ivN'r CERTIFICATE OF FITPIOSS CERTIFICATE#190-I0I9 DATE ISSUED --412B(j009 Property Located at: 302 Lafayette Street UNIT# 1 Owner/Agent: Stene Anezis Address: 10 Hamilton Road I City/Town: Peabody, MA ZipCode: 01960 24 Hour Phone: 978-375-4981 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 nawcbe reotedandLoco(xiupied. 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 Fitnessisvalid c4y.it.there.is avalixLCertificatia-of Occupancy. ! FOR THE BOARD OF HEALTH �fl � JANEMANCINI 'rt ACTING HEALTH AGENT CODE ENKORCEMENN PECTQ i CITY OF SALEM, MASSACHUSETTSb-�� BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TBl,. (978) 741-1800 IOMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR n)IONNJ (@SAI.i::M.COM JANET DIONNE, .ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." / FEE: $50.00 PROPERTY LOCATED AT ?O L G2�Z S<x G 1 r UNIT#�_ IS THIS UNIT DI�SIIGNATE AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNEWLESSER �L'(/¢ A'dr-iQ MANAGER/AGENT NO P.O. BOX / ,J /,� I� ADDRESS l 0 _fJ 2� G J o-I /I ADDRESS y // p CITY, STATE,ZIP CITY, STATE,ZIP / /`T O// b 6 RESIDENCE PHONE �7e%_CI J 2,7 Z f BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER/OF ROOMS: -9 ROOM USE: 1. h'Ifi4,- 2. /(., 3, r)J,. 4. 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAIV,E AT THE TIME INSPECTION APPLICANT'S SIGNATURElid, DATE-000 Inspectors use only Date on initial inspection: 4 Z$ J5 Date of reinspection: Date of issuance of certificate: '9-2_&-d9 Date fee paid: q- 2.S--04 Type of unit: Dwelling ✓ Other Check# 172- 1 Check date: Notes: A ill)dx Code Enforcement pe for CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 6, 2003 Steve Anezis 99 Birch Street Peabody, MA 01960 PROPERTY LOCATED 302 Lafayette Street Unit# 1 R It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. Fo th Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 341h i s .,. CERT.# 121-00 FEE $25.00 1 R DATE: 02/18/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)7414800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 302 Lafayette Street UNIT #: 1R Back OWNER/AGENT: 302LafayetteStreet Salem Realty Trust ADDRESS: 99 Birch Street CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 535-1501 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" . i SECTION 410.400 (B) : . DWELLING UNIT . (X) 'AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER -6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH C - JOANNE SCOTT, MPH,RS,CHO - _ 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 IN ACCORDANCE WITH-STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 Fax:(978)740.9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 2 k {fc Sf ; UNIT# IS THIS UNIT DESIGNATED,AS 4IGHT EFT FRO ACK LEASE CIRCLE ONE 3Oa t v S SG OWNER/LESSER �e-*!/�1c�•� ,.�.s L MANAGER/AG �j T ENT No P.O. Box No P.O. Box ADDRESS 9 rS � ck ADDRESS CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OFROOMS.: ROOM USE: 1. L Qn 2. 6B 3. vi✓74. 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 2- —1 &—U U DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE? ( � --c' v DATE FEE PAID: 2— I V _'u is TYPE OF UNIT: DWELLING OTHER CHECK# 3 f 54 CHECK DATE "O L NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 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 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit;, of Salem Ordinance, .undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agent; from any loss or injury sustained of whatever nature and description occasioned, .. by my/our absence during said inspection. TENANT/LESSEE OWNER/LESSOR ADDRESS — --- ADDRESS�C ADDRESS OF UNIT TO BE INS CTED DATE i +p, CITY OF SALEM, MASSACHUSETTS m]! BOARD OF HEALTH :R 120 WASHINGTON STREET, 4TH FLOOR sc SALEM, MA 01970 'q�MINe V�' TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#581-05 DATE ISSUED: 9/19/05 Property Located at: 303 Lafayette Street UNIT# 1 Owner/Agent: Mor-Pel Realty Address: 303R Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6945 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F )ILTf HRE BOARD OF EALTH L /te � 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. 978-741-1 800 FAX 978-745-0343 " STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _�d yp -:77; !�/ A e� UNIT N� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER o'- MANAGER/AGENT No P.O. Box Nc P.O. Box ADDRESS S�f' ADDRESS CITY CITY RESIDENCE PHONE� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS t y ROOM USE 1.Q�f� �„ 2. �' 3 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 p i DATE OF INITIAL INSPECTION ( ' a- O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-. ( -.�5 _DATE FEE PAID TYPE OF UNIT DWELLING OTHER CHECK ,1 3 a- tb CHECK DATE — -7 G NOTES CODE ENFORCEMENT INSPECTOR 9�2t4198 �o <- vv\ Gin v. A.Ititi s ®o v1��__C) ejo, cel` c� "�Sll• Ct-�td1 �- o+f� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �Ro SALEM, MA 01970 9y� s TEL. 978-741-1800 �gMHs FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT - CERTIFICATE OF FITNESS CERTIFICATE#: 397-03 DATE ISSUED: 8/1/2003 Property Located at:: 303 Lafayette Street UNIT#: 2 Owner/Agent: Mor-Pel Realty Trust Address: 303R Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6945 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. This approval does not certify compliance with the State Lead Law for occupants under 6 years of age. For more information call 978-741-1800. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH V Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY 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 UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER IV& &2.) MANAGER/AGENT 2 h--A- A No P.O. Box No P.O. Box ADDRESS 3o 3 1 a ADDRESS a CITY �a�e CITY RESIDENCE PHONEh��BUSINESS PHONE (24 HRS.) BUSINESS PHONE --- TOTAL NUMBER OF ROOMS: c ROOM USE: �/ ✓i . 3. 5 e� 6. lf-23 �� 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH P-EEABTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE - 3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION g �o� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: L 'O 3 DATE FEE PAID: TYPE OF UNIT: DWELLING / OTHER_ CHECK CHECK DATE _r a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 i v CERT.# 747-99 3 A FEE "$25.00 DATE: 12/14/99 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: 303 Lafayette Street UNIT #: 3 OWNER/AGENT: Moi-Pel Realty ADDRESS: 303R Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6945 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 ��wM11VE 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 AT03a �iP P1__ UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ol- fP/ &I& MANAGER/AGENT ,,,,, . (/�/�pf�,o} -7-z N - No P.O. Box �o P.O. Box ADDRESS o3 �a + ADDRESS c:0_ CITY CITY S2/oma A.? RESIDENCE PHONE 97F-7" 65Y(-- BUSINESS PHONE (24 HRS.) BUSINESS PHONE C:�o TOTAL NUMBER OF ROOMS: 9X ROOM USE: 1.J"✓�2. lhpphi+, 3. 5 is a 26. / '1+/ 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 SIGNATUR DATE INS�PE�C,TORS USE ONLY DATE OF INITIAL INSPECTION/Q2 - l y -4 S DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:IZ -14 -f t DATE FEE PAID)d-1`f-fY TYPE OF UNIT: DWELLING OTHER_ CHECK# P2l-0 1? CHECK DATE /a- / NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �6a �urw CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR < , E SALEM, MA 01970 CERT.# 378-02 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 07/19/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 303 Lafayette Street UNIT #: 5 OWNER/AGENT: Mor-Pel Realty Trust ADDRESS: 303R Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6945 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 [/y� /JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Q c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR / 3 SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 262 �a��e�� 2e% UNIT#� IS THIS UNIT DESIGNATED AS BRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER U - i/[2 I d1-Mr.,.Ac^r�n/RuENT 4 ',O'd -011r1la� /L No P.O. Box // No P.O. Box ADDRESS ?a.3 e�C�>e T Sr ADDRESS / � S—P CITY CITY &2 RESIDENCE PHONE 329'-M�4� BUSINESS PHONE (24 HRS.) S-+�a BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2101"1 2. an 3. 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 7� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '2 - I R - 0 2 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7-/,F- o 'er DATE FEE PAID: 7 - 1 !7-o z TYPE OF UNIT: DWELLINyOTHER_ CHECK# ,�,7/ CHECK DATE-? /1— O L NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 o CITY OF SALEM MASSACHUSETTS c � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR - SALEM, MA 01970 �rrnB TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#559-03 DATE ISSUED: 10/31/2003 Property Located at: 303 Lafayette Street UNIT#: 6 Owner/Agent: Mor-Pel Realty Trust Address: 303R Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-6945 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 if 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 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD i� H a V zale-, JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS S �� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT -2F-4�r/d SlAP?-� UNIT#–jp IS THIS UNIT DESIGN f02— TEDr RI �1Tt�T FRONT BACK PLEASE CIRC OWNEWLESSER C _MANAGER/AGE No P.O. Box P.O. Box ADDRESS—Y6'3 �1�F�P S1 ADDRESS CITYlCITY RESIDENCE PHONE -� ' /r5Y(BUSINESS PHONE (24 HRS.) 52,o BUSINESS PHONE TOTAL NUMBEROF''ROOMS: ROOM USE: 1.1Ji.dA'•�2. 4. 5. L)^»> 6. 7. 8. THERE IS A TWE�VE($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 /D , ?L- O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,0 ' L-v-f2 DATE FEE PAID:/19 , TYPE OF UNIT: DWELLING OTHER CHECK# gJd��' CHECK DATE `3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 � u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts R, !gulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/Lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. I:i the event it is necessary Lhat 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. TENANT/LESSE-r �k OWNE- LES OR r. - 10 ADDRESS ADDRESS ADDRESS OF fJNIT TO BE INSPECTED --- DATE k i ` ! �� r _ �� ; I CITY OF SALEM, MASSACHUSETTS b p • �]!. '� BOARD OF HEALTH qj 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 meq' F' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#. 338-04 DATEISSUED: 7/22/2004 Property Located at:303 Lafayette St. UNIT# 8 Owner/Agent: Mor—Pel Realty Address: ' 303R Lafayette Street City/Town: Salem, MA Zip Code:01970 24 Hour Phone: 978-744-6945 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 dale 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 9F HEALTH .JOANNE SCOTT, MPH, RS. CHO HFALI-1-i AGENT CODE ENFORCI-MENT INSPECT OR CITY OF SALEM, MASSACHUSETTS 3 '„� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL... 978-741-1800 FAX 978-745-0343 STANLEY USOV{CZ, 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 0—:1 IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-016,-J' A � MANAGER/AGENT �i- � No P.O. Box No P.O. Box ADDRESS a _ -ADDRESS �z—Q CITY---C,/.— -CITY- d JS? RESIDENCE PHONE � BUSINESS PHONE (24 HRS.) s- BUSINESS PHONE`? 1 TOTAL NUMBER OF ROOMS: ROOM USE: 11-1 2 .3. fliou� 4._.jcrt /LyPr- 5. _6. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _SPECTORS USE ONLY DATE OF INITIAL INSPECTION 71-y 'iDATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE-2,' 2. o ZIDATE FEE PAID: TYPE OF UNIT: DWELLING OTHER__ CHECK # a ��b CHECK DATE`Z_) 2- v T NOTES: /fl CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH e s 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 .pB4 �eT TEL, 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#. 339-04 DATE ISSUED: 7/22/2004 Property Located at: 303 Lafayette St. UNIT# 12 Owner/Agent: Mor—Pel Realty Address: ' 303R Lafayette Street City/Town Salem, MA Zip Code:01970 24 Hour Phone: 978-744-6945 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 Slate Sanitary Code,Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410 000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ,OR THE BOARD OF HEALTH 1 JOANNL= SCOTT, MPF, RS CI-10 HEAl-I I AG[-NI CODL GNI-01, FMEN I INSPL=C i OR CITY OF SALEM, MASSACHUSETTS i BOARD OF HEALTH • ro 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-7414800 �nrR FAX 978-745-0349 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER fl, 105 CMR 410.000 MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERYo _MANAGER/AGENT_yz _*oI e e /r No P.O. Box � No P.O. Box ADDRESS ADDRESS S_2• P CITY _ .zr� CITY �� OJS76 _ RESIDENCE PHONE 2E-74°x'-&jX<:�BUSINESS PHONE (24 HRS.) 5_> -- BUSINESS PHONE�4�-.._ TOTAL NUMBER OF ROOMS: ROOM USE: 1. u 2..- ri a•a 33.p. /�/7 5.�1'J 6.K''�••r 1 . ^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_ Z7 DATE 7 '2.z— v INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 yL t? __DATE OF REINSPECTION_. DATE OF ISSUANCE OF CERTIFICATE:''7,.�'2' c_ DATE FEE PAID: 2- 2- z_ .9 TYPE OF UNIT: DWELLINd'I/OTHERCHECK 4-7,2 5'G GHECK DATE Z L NOTES: — CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 343-99 � FEE $25.00 DATE: 07/02/99 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: 314 Lafayette Street UNIT #: 3 OWNER/AGENT: Z & M Realty Trust ADDRESS: 4 Pond Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-3027 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 , - Q lzd3v� " JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR V31 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 UNIT# J IS THIS UNIT DESIGNAAILEFT RONT BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT�� %&A-kNo P.O. BoxNo P.O. Box ADDRESS �0�1�J l- ADDRESS CITY_&&a61S ►lXJNA 4JO- Q tgyj CITY RESIDENCE PHONE7(f/G3 :ja7 BUSINESS PHONE (24 HRS.) ,S, t _ .e BUSINESS PHONE SA-inf TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 9C 4. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE-7,-2o- 2t INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7- �- _f f( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7- )'_*� DATE FEE PAID: 7- T/ TYPE OF UNIT: DWELLING/ OTHER,_ CHECK#� CHECK DATE� 'Ff NOTES: C( CODE ENFORCEMENT INSPECTOR 9/28/98 " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PI1b�1CHeA Ith Prevent.Pr"moe.Prolca. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin n salem.com - Ln$Iti RAMUIN,RS/Rf'sF[S,C1-I0,CP—FS MAYOR HEALTH AGFN1' CERTIFICATE OF FITNESS CERTIFICATE#253-13 DATE ISSUED: 7/22/2013 Property Located at: 315 Lafayette Street UNIT#1 Owner/Agent: Marblehead Office LLC Address: 8 Doaks Lane City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-4133 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 LAW RAMDIN HEALTH AGENT SANITA k n a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR PublicHealth Preeent.Promme.Protect.' TFi- (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR _ LARRY RAMI)IN,RS/RF.FH IS,CO,CP-FS IIF.AL:III AGI:'.N"F Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ,,//FEE: $50.0./00 PROPERTY LOCATED AT his I61 cad 47c— tit ' UNIT#_ -L— IS THIS UNIT DISIGNXTE0 AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 1;/tgA bl�k, (y �,I�e MANAGER/AGENT (�Klrgfv NO P.O.Box ADDRESS bof4p Ipk IAA ADDRESS 4To /RAI . � y t - ' CITY, STATE, ZIP /j� )044 4k& l I)9)V �/��/CITY, STATE,ZIPN�/y��NG�t n1.G1Yr RESIDENCE PHONE BUSINESS PHONE(24HRS) 2L-,6,11 ' V/XY BUSINESS PHONE TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. 2. 3. Ajf d 4. Zi✓JA 6. 1�i>w!� 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1� Inspectors use only Date on initial inspection: / d Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# a°� Check date: !7 I 1 Notes: CCodb-Entw6ment Inspector R l cR ,� m CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR Pt1bI1C$881th STREET, Prevent.Promote.Prumm. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinna salem.com MAYORL;\RRY R.\D1UIN,RS/Rlil-1S,Cf K),CP-FS I IEAI I i AG'E,NT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11 , t ' a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR P,I IM,pCI.' 8P, 1 > Prevml.Promnm.rmmci. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL ltamdin@salem.com LARRY RA M14DIN,RS/RRHS,CHO,CP—PS MAYOR HI''.AI;,fl-1 tAUI N"I' CERTIFICATE OF FITNESS POLICY 1. A Certificate of Fitness inspection is required for all rental units older than 5 years, per City of Salem ordinance; 2. A Certificate of Fitness is good for I year or the life of the tenant, whichever is longer; 3. A Certificate of Fitness inspection may be obtained by calling or coming into the Health Department and requesting an appointment; 4. Appointments must be requested at least 24 hours in advance pending an open appointment; 5. No "same day" appointments will be granted; 6. All appointments are subject to the schedule of the inspector; 7. A rental unit will be considered occupied when either the previous tenant or the current tenant has belongings in the unit. In the case of an occupied unit, either the tenant whose belongings are in the unit must be present at the time of inspection, OR have signed a release statement allowing the Board of Health to inspect the unit. 8. Please allow at least one week turnaround time for the Certificate to be issued, especially at the end of the month; 9. A Certificate of Fitness will be granted when: a. An inspection has been conducted by a Health Department employee b. An application has been filled out and a check or money order has been received 10. If you have any questions, please contact the Health Department City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-261 DATE ISSUED: 7/22/2016 I Property Located at: 315 LAFAYETTE STREET UNIT#2 Owner/Agent: Scott Thibideau Address: 8 Doakes Lane City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781)631-4133 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 &eyroX�� Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT 7IzI� 1� V4 CITY OF SALEM, MASSACHUSETTS a o BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDIN(C),SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 31S �AFF✓�y�2 S �-- IOW UNrr#--2,- IS THIS/ /UN//IT D))ISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE / ,I OWNERILESSER 6tfu�R��( o_L ��CIL lrLC MANAGER/AGENT NO P.O.BOX ADDRESS0 lJD�}�GS //L"4`R a ADDRESS CITY, STATE, ZIP Igt44 1II. i M14 CITY, STATE, ZIP_�/L1/ RESIDENCE PHONE �7SI 1031 tf(-3 BUSINESS PHONE(24HRS) - BUSINESS PHONE !a 1 (ZPV a511 TOTAL NUMBER OF ROOMS: nn ( ROOM USE: 1. L 2. R 3. 4. :-AS� 5. Ceti 4y 6. 7. t 8. 9. 10. 0 THERE IS A FIFTY($50)DOLLA FEE,P BLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I All± L� THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 7 f> Inspectors use only Date on initial inspection: O 7/2V2f 6 Date of reinspection: Date of issuance of certificate: Date fee paid: 02/2,112014 Type of unit: Dwelling-A-/—Other—Check# ��{_�Check date: t0 U Z Z�ZO Notes: C/#nfo ement InsKor CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4 "FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRA1MDIN(a),SALEM COTM LARRY RAMDIN,RS/REHS,CHO,CP-FS 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. n Tenant/Lessee Owner/Lessor Address Address 3/,5- 9--( au-L Address on unit to te inspected -2115-11 1(0 Date Updated 5/23/11