LAURENT ROAD LAURENT ROAD
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
4 9
� 120 WASHINGTON STREET, 4TH FLOOR CERT.# 202-03
a ! c SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 05/13/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Laurent Road UNIT #: 2
OWNER/AGENT: Megalopolis Realty Trust
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
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.
FO THE BOARD OF HEALTH
� JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
+ , CITY OF SALEM, MASSACHUSETTS 6 3
,� BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
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� f2P/ UNIT#Z
IS THIS UNIT DESIGNATED AS RIGHT L FT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER m2 a( z-l;S a 41-IANAGER/AGENT a�4I6(
No P.O. Box No P.O. Box
ADDRESS c,7 At ADDRESS
CITY Sc � � CITY
RESIDENCE PHONE-7 7J-- 7 U`/°5�7° BUSINESS PHONE (2 RH4 S.��
BUSINESS PHONE
TOTAL NUMBER OF ROOMS' - �
ROOM USE: 1. L/Z 2.
5. 6.-7.-8. l
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THI EE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUREgT �
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION�- /5 2-3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE. 5--/3 "3 DATE FEE PAID;S-`/3
TYPE OF UNIT: DWELLINC�OTHER_ CHECK#.;�Z 6 - CHECK DATE'(
NOTES: /l
CODE ENFORCEMENT INSPECTOR 9/28/98
r
7
CERT.# 351-98
3
FEE $25.00
DATE: 06/10/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Laurent Road UNIT #: 2 Rear
OWNER/AGENT: Meaalonolis Realty
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 . 000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
//�V/F/IO"aR THE BOARD OF HEALTH
g1Gx_f_1/e
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 AGENTTel:(978)741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITA 10
PROPERTY LOCATED ATI' " -Za-o lzecr << UNIT#��Clit
IS THIS UNIT DESIGNATED AS I LEFT FRONT B K PLEASE CIRCLE ONE
OWNER/LESSER M wI I <s �� pnr GENT
ADDRESS 42c, f2e� .Qcu , ADDRESS
r
CITY CAL, CITY
RESIDENCE PHONE yy �S—qo BUSINESS PHONE (24 HRS.) ��
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �(-
ROOM USE: 1. 2. 3. 4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00 OLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF 7M AALTH DEPARIMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION
APPLICANTS SIGNATURE DATE " (0
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION "o 8 DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE: 98 DATE FEE PAID: 6//o/YB
TYPE OF UNIT: DWELLING * OTHER
NOTES:
COD ENFORCEMENT INSPECTOR
5/19/98
CERT.# 83-01
FEE $25.00
DATE: 02/22/2001
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: 1 Laurent Road UNIT #: 4
OWNER/AGENT: Meglopolis Trust
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
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
ii
I
I
,r
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT Z Z w b Re,y`%-/2oI, UNIT# �I
IS THIS UNIT DESIGNATED AS RIGHT LEE FRONT BACK, PLEASE CIRCLE ONE
OWNER/LESSERmeojdkq, diir eoL� - MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS �ctua2 w�/ �( ADDRESS
CITY CITY
RESIDENCE PHONE 24 I✓ -m C74 —BUSINESS PHONE (24 HRS.) -�-
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: -2—
ROOM USE: 1. 8J 4�2: hi-l— 3. 73A�l, - 4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -O JDATE FEE PAID: 2 ,a-_z- -0
TYPE OF UNIT: DWELLING OTHER_ CHECK# 4 4 1,4 CHECK DATE 9 '0)-2- p/
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
o
.l vg
� d
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
02/15/2001 Fax:(978)740-9705
Meglopolis Trust
2 Laurent Road
Salem, NIA 01970
PROPERTY LOCATED AT 1 Laurent Road 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 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.
F R THE BOARD REPLY TO
oanScot
t, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
n
,.� CITY OF SALEM, MASSACHUSETTS
"� '� BOARD OF HEALTH
,�° s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 CERT.# 150-03
TEL. 978-741-1800 FEE $25 .00
FAX 978-745-0343 DATE: 03/09/2003
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Laurent Road UNIT #: 5
OWNER/AGENT: Megalopolis Realty
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
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
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS v^
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 �ayJZPC f � UNIT# /
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIR LE ONE
OWNER/LESSER Eo It 6 s PW MANAGER/AGENTO o�1Lz� G
No P.O. Box / �-- / No P.O. Box
ADDRESS Ch�a1v /pip v/ %?cd, ADDRESS
CITY J ° 1 CITY
RESIDENCE PHONEBUSINESS PHONE (24 HRS.) S d^ --
BUSINESS PHONE �,-r—
TOTAL NUMBER OF ROOMS:
L 7
r^
ROOM USE: 1. f2 , 2. k' (- 3:1 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 D✓AT-EE q J -0J
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION ? -?0 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-5,?-0 -5 DATE FEE PAID: 3 -I' 0 3
TYPE OF UNIT: DWELLING OTHER_ CHECK JU t*%- CHECK DATE 3'`G'V3'
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
r T�,6:CONUIT
CERT.# 79-02
- FEE $25.00
DATE: 02/19/2002
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970=
120 Washington Street—4`" Floor
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel # (978)-741-1800
Fax # (978)-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Laurent Road UNIT #: 6
i
OWNER/AGENT: Megalopolis Realty Trust
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
i
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
Ilk
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800 /
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /_aa fid, Ulm _UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE
--( CL� �
�r-
OWNER/LESSER ;MANAGER/AGENT
No P.O. Box ` No P.O. Box
ADDRESS /�r�+¢ ADDRESS
CITY ��4L� CITY
R 9094e " MNE y�y S�F!�BUSINESS PHONE (24 HRS.)
BUSINESS PHONE �f
TOTAL NUMBER OF ROOMS: /
ROOM USE: 1.,f R �2.�3.J-jt, lZr..
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HE TH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE� DATE
INS CTORS USE ONLY
DATE OF INITIAL INSPECTION f/ g- G� "L DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: I - l Y -o z—
TYPE OF UNIT: DWELLINg-OTHER_ CHECK# I -D CHECK DATE 2 ` z-
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
w 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO - -
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter 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 author—
ized agents to inspect the residence identified below in accordance with tt:e
aforementioned statutes, regulations and ordinances.
Ln the event it is necessary that said inspection be done in my/our absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE OWNNEERR/i, SORE 9 6 ,
cA
ADDRESS ADDRESS
ADD 'SS OF UNIT TO BE INSPECTED
DAT E--- --
v6t;.
CERT.# 204-00
9 FEE '$25.00
DATE: 03/13/2000
��7MINETP
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: 2 Laurent Road UNIT #: 7
OWNER/AGENT: Megolonolis Realty
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
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 INSPECTORw
6)
��M/IVB7
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT � UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASECIRCLE ONE
OWNER/LESSER /"/1 �' JJS MANAGER/AGENT !� C�✓(r a
No P.O. Box No P.O. Box
ADDRESS r� �� ADDRESS
CITY CITY
RESIDENCE PHONE S��G �BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS:�r /
ROOM USE: 1.—/—JL 2. 81-� 3. -2-
5.—
. 25. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR (r�( DATE _2-/ f d G
COS USE O LY
DATE OF INITIAL INSPECTION.�_I. —6 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE14`I 3 -CiD DATE FEE PAID: -3 3 -o
TYPE OF UNIT: DWELLING:—OTHER CHECK_# CHECK DATE [w -
CODE ENFORCEMENT INSPECTOR 9/28/98
f
e
y� C
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 03/13/2000 Tel:(978)741-1800.
Fax:(978) 740-9705
Megolopolis Realty
2 Laurent Road
Salem, MA 01970
PROPERTY LOCATED AT 2 Laurent Road UNIT # 8
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.
OR THE QF HEALTH _:. REPLY-'TO _
lin—
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT 'CODE ENFORCEMENT INSPECTOR
CO IT
CERT.# 203-00
n FEE "$25.00
DATE: 03/13/2000
'�/MINB
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: 2 Laurent Road UNIT #: 8
OWNER/AGENT: Megolopolis Realty
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
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 -
�or1a a o -3
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#�.
IS THIS UNIT DESIGNATED AS/RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER / ! �( �,�I PS MANAGER/AGENT
No P.O. Box / �""� No P.O. Box
ADDRESS E�C�z�� u��'li (/ ADDRESS
CITY CITY
RESIDENCE PHONE T7 VY—() S 9Z' BUSINESS PHONE (24 HRS.)
BUSINESS PHONE J
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 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. /1111
APPLICANTS SIGNATU O ----DATE 3 lJ v
IN PECTORS USE ONLY
DATE OF INITIAL INSPECTION 3 0 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 3 —13 —on
wa TYPE OF UNIT DWELLING 00THER CHECK# f CHECK DATE
CODE ENFORCEMENT INSPECTOR 9/28/98
_ CITY OF SALEM, MASSACHUSETTS
� BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
� SF CERT.# 148-03
SALEM, MA 01970
FEE $25.00
TEL. 978-741-1800 DATE: 04/09/2003
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 2 Laurent Road UNIT #: 10
OWNER/AGENT: Megolopolis Realty
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH • //��ii �j
120 WASHINGTON STREET, 4TH FLOOR
e SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT C,9 /au IZPg'Jc'a 1 l"` UNIT#
IS THIS UNIT DESIGNATEDAS RIriHT LEFT FRONT BACK PLEASE IRCLE OJNE
p
OWNER/LESSER a IQ 4'(' Qa 1 , MANAGER/AGENT
No P.O. Box / o P.O. Bo
ADDRESS /,a/ f 1 ?�Io ADDRESS�ri
CITY �" 1 ate` CITY
RESIDENCE PHONE S74:- 7yq-6$j%G BUSINESS PHONE (24 HRS. l 1
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. y EI - 2. '��" 3. y ✓ .
5.__6._7._8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. // / "
APPLICANTS SIGNATURE ✓L DATE 1
INSPECTORS USE ONLY /
DATE OF INITIAL INSPECTION 3 -t-o3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 3 -t-v 3 DATE FEE PAID:
TYPE OF UNIT: DWELLING _OTHER_ CHECK#a-?-`tz CHECK DATE jr 3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
i-- �ONUIT,(,�
yr " CERT.# 199-99
3
FEE
$25.00
DATE: 04/27/99
����/MIN6 tiT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fu: (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 3 Laurent Road UNIT #: 3
OWNER/AGENT: Megalopolis Realty Trust c/o Omer Talbot, Trustee
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�y.cu.ori4�k OFFICE USE ONLY
4
CERT..—f
'2
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
. R013ER*-E.-BL-ENKH0RN• - - .... - 9 NORTH STREEZ
HEALTH AGENT
50e-741-1800 APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY' CODE, ,CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT J �d U?oiA ., UNIToo� a
OWNER/LESSERo' i Gvx iil//F /C�tI✓TG, MANAGER/AGENT
ADDRESS ._ _.o ✓1j GJd ADDRESS�7 —.
CITY CITYyii,.
'RESIDENCE PH0NE ��1�f��'6S 7� BUSINESS PHONE (24 HRS.)
x L777 X690
BUSINESS PHONES `
TOTAL NUMBER OF ROOMS: /
ROOM USE: 1. 3./z 3. ' �' 4•--�/
5. 6. 7. 8.
TBERE IS A TWENTY—FINS (25.00)
ALFEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HETH DEP N COMPLIANCE AND SSSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:'_ DATE ,OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 7 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER ��� 1 (f(f
NOTES:
CODE ENFORCEMENT INSPECTOR
' CITY OF SALEM, MASSACHUSETTS
. o
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR CERT.# 149-03
98S SALEM, MA 01970
FEE $25 .00
TEL. 978-741-1800 DATE: 03/09/2003
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 3 Laurent Road UNIT #: 5
OWNER/AGENT: MeoalopoliS Realty
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0590
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
,..r
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
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 410.000ItEM4./r�
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
L
PROPERTY LOCATED AT 3 z 0 Z AI_l . -k'�Jz-- UNIT#_S
IS THIS UNIT DESIGNATED AS RIGHT Lti,FT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERN' eJ 4 Io c1MANAGER/AGENT I a
� S lloafll
No P.O. Box —_T No P.O. Box
ADDRESS ,C//� i2P v )?� _ADDRESS r
CITY Sq la_ CITY A-
RESIDENCE PHONE q?C-2V Y-0SN6 BUSINESS PHONE (24 HRS.) S� -�--
BUSINESS PHONE 9 - --- ---
TOTAL NUMBER OF ROOMS:—
ROOM USE: 1. J-2 2. IT 1 7 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 HE LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. (/ �N�/J'/ -
APPLICANTS SIGNATURE � DATE b 1]
INSP CTORS USE ONLY
DATE OF INITIAL INSPECTION 3 T"0 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:3; -r-03 DATE FEEPAID:_? -K 'e 3
TYPE OF UNIT: DWELLING '-OTHER CHECK CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 625-97
3` "'• FEE $25.00
DATE: 09/08/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 3 Laurent Road UNIT #: 6
OWNER/AGENT: Megalopolis Realty Trust, Omer R. Talbot, Trustee
ADDRESS: 2 Laurent Road
CITY/TOWN: Salem Ma ZIP CODE: 01970 24 HOUR PHONE: 744-0590
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
F
k6OANNE MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
1� meq✓//J�(�
�Ww3Y
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
i
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY! CODE, CHAPTER II, 105 CMR 4110.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT } C`� . � UNIT I
OWNER/LESSEcR� p..r MANAGER/AGENT 'V �t h , U tl
ADDRESS \} ADDRESS
CITY �` of ��,, CITY
T
RESIDENCE PHONE %D� : I y p ' `� (1 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. tJ 2 1C 3.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25-90) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH r_7
S S PAY/ABLLEEAT,,THE TIME OF INSPECTION
APPLICANTS SIGMA �
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:_ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTItFgICATE: (—_�_.�j_ DATE FEE PAID:
TYPE OF UNIT: DWELLING x, OTHER
NOTES: 7 _
CODE ENFORCEMENT INSPECTOR
.00NOIT�
y 'a5
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 06/24/99 NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Catherine Tetreault
Fax:(978)740-9705
11 Laurent Road
Salem, MA 01970
PROPERTY LOCATED AT 11 Laurent Road UNIT # House
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.
F R THE BOARD OF� REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
li