LAFAYETTE PLACE 4^3' CERT.# 578-99
� R FEE $25.00
11�• ' 9'p DATE: 09/29/99
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: 21 Lafayette Place UNIT #: 2
OWNER/AGENT: Mark Lima
ADDRESS: 5 Andre Drive
CITY/TOWN: Succasunna, NJ ZIP CODE: 07876 24 HOUR PHONE: 927-7033
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
i HEALTH AGENT CODE ENFORCEMENT INSPECTOR
v6
rig
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".r
" PROPERTY LOCATED AT 2 �_ ac F UNIT#oZ
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER� A- \f \iHPr MANAGER/AGENT
No P.O. BoxL No P.O. Box
ADDRESS�' 0<144-ke, ADDRESS
078_7
CITY ���rrRS�c�t1 - �A CITY
RESIDENCE PHONE X033 BUSINESS PHONE (24 HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: kJ
ROOM USE: 1. 2. 3. 4.
5. 6._ 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF M HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. `
APPLICANTS SIGNATURE DATE
JNSP TORS USE ONLY
DATE OF INITIAL INSPECTION l�� l 'S�DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: IF f2:21. fDATE FEE PAID:
TYPE OF UNIT: DWELLING
,<OTHER_ CHECK# 3190 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
. CQNDIT
y!
��/MIN6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 09/15/99 - Tel:(978)741-1800
Mark Lima
Fax:(978)740-9705
5 Andre Drive
Succasunna, NJ 07876
PROPERTY LOCATED AT 21 Lafayette Place UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
SII in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
1 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.
1 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.
R THE BOARD 0 HEAL REPLY TO
oanne Sco -, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
00N01T 1
CERT.# 519-99
FEE $25.00
3 3i DATE: 09/09/99
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: 33 Lafayette Place UNIT #: 1
OWNER/AGENT: Marvin Goldstein
ADDRESS: 200 Vantage Terrace Apt. 311
CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 581-2432
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; '
IJOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR •THE BOARD OF HEALTH ,
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fav (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 3 L UNIT#
IS THIS UNIT DESIGNATED AS RIGHT , ,
LEFT FRONT BACK PLEASE CIRCLE ONE
OWNE SSER� y l TE�4I\IY�I1� MANAGER/AGENT
Roo-7-0. Box \` —�No P.O. Box
ADDRESS I-00 UDuJ '/ ADDRESS���
CITY �} � CITY_ 1,�- blj 1�
RESIDENCE PHON-IE. BUSINESS PHONE (24 HRS. t"-{�1`
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: h
ROOM USE: 1.�_2. 3. L 2_ 4. D4
5.K6. _7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH EPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
r
APPLICANTS SIGNATURE - DATE
-qq
vv
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION -� 11,�� ' �DgATE OF REINSPECTION q
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLIN9eOTHER_ CHECK#CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 98-95
3 FEE 25.00
X11'. fp' DATE: 02/15/95
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: 37 Lafayette Place UNIT #: 1 _
OWNER/AGENT: James & Lucille Goldrick
ADDRESS: 37 Lafayette Place
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2356
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
1
f OFFICE USE ONLY
CERT: 11
DATE:
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICATE 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 r�a YE TT
`
OWNER/LESSER Ja )%Q$ FIC ( l'� 601-P )CL MANAGER/AGENT
ADDRESS 77 ,LA :-49 9-7'C. I ADDRESS
CITY /' �^�/ CITY _
RESIDENCE PHONE -7 �`i `.01� ) (� f BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_ 9 �J
ROOM USE: 1 ._2. /9.g 3. L ' /` 4 . L✓ `
5. 6. T 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH D PARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE DATE_ r
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: 2 �5 �J�DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �/ 7J^ -el -)' DATE FEE PAID:
TYPE OF UNIT: DWEI.LING_Y- OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR