LARCHMONT ROAD LARCHMONT ROAD
a
I
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
c SALEM, MA 01 970
TEL, 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
03/07/2002
Charles & Anna Medeadis
12 Larchmont Road
Salem, MA 01970
PROPERTY LOCATED AT 12 Larchmont Road UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 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 propertyowners 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 OF HEALTH REPLY TO
qoanne Scott S,iC PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
st CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
�! 120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRC1SNIiAUM@SAI,r',MCOM
DAVID GRI_.ENBAUM
ACTING H LAL'IT I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#332-10
DATE ISSUED: 7/9/2010
Property Located at: 12 Larchmont Road UNIT#2
Owner/Agent: J.V. Mahan
Address: P.O. Box 4323
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE RD OF HEALTH
Ir I
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFO C ENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH 7
120 WASHINGTON STREET,4"'FLOOR
TEL. (978)741-1800
KIMIiERL.EY DRISCOLL FAX(978)745-0343
MAYOR UC'REENIiAUM@SALEM.COM
DAVID GREENBAuM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR.HUMAN HABITATION."
FEjE: $50.0/0 y
MPERTY LOCATED AT �J� G ^a r4 J�cf' , UNIT# G2
IS Ting 1NtT DISI//GNA ED AS Rffiffj6P7ER0NT ORB PLEASE CIRCLE ONE
KNERILESSER Naha n MANAGER/AGENT
)P.O.BOX r� f
3DRESS P.0 • f3D Y �Z3 e:I? 3 ADDRESS G �... i Xf✓✓'� 1
TY, STATE,ZIP P � CITY, STATE,ZIP
3SIDENCE PHONE —31 P.1 BUSINESS PHONE(24HRS}
7SINESS PHONE--------a,�-''
)TAL NUMBER OF ROOMS:
)OM USE: 1.Z&,', 2. >3, 4. 13J 5. re Lecw-
6
ERE IS A F=($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
1ARD OF HEALTH THIS FEE IS PAY LE AT THE TIME OF INSPECTION
PLICANT'S SIGNATURE
Inspectors use only
�—
eon initial inspection: f Date of reinspection:
-711110
e of issuance of certificate: Date fee paid:
to of unit: Dwelling L- Other Check# JW. . Check date: Cl 10
es: f Urn JAG b0ct baffoatA
c Enforcement Insp for
A
v���oNU1T CERT.# 495-99
�.q FEE .$25.00
DATE: 08/31/99
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: 5 Larchmont Road UNIT #: 3
OWNER/AGENT: A.M. Rutolo
ADDRESS: 22 Bates Street
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-4556
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
RIM
i M1,
Ire
Fs
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---L') /,j2YYLOd')'�1 w UNIT#
IS THIS UNIT DESIGNATED ASIR GHT-yLE'FTT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER //fes- �6Cl t J/O MANAGER/AGENT
ADDRESSrX� l�f�S <51- ADDRESS
CITY /CITY .MQ l9rgs�i
RESIDENCE PHON -W BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER
t�OO���F}}ffROOMS:
ROOM USE: ~k 2.A_3.
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 � � " AAL � �� DATEa���
IN PECTORS USE ONLY
DATE OF INITIAL INSPECTION k - '7t t DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:,i- .3 (_ftDATE FEE PAID: SS'' 3 ( 'tel `C
TYPE OF UNIT: DWELLING OTHER C 6 3
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date: 08/01/96 Fax:(508)740-9705
Richard Deckman & Jacqueline Provost
2906 Treelodge Parkway
Atlanta, GA 30350
PROPERTY LOCATED AT 85 Larchmont Road UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00' a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR