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LAFAYETTE STREET 106-160 LAFAYM SMW SMEA No.2-153LPE UPC 13034 smad.eom • Mach In USA IA�I�NA/IIOIIkT4i SFI �� wta..wa vaaaawoowl�ao a ND a City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, Health Prevent. Promote. Prnt"I MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdln,MPH, REHS,CHO Mayor health@salem.com Health agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-201 DATE ISSUED: 7/10/2017 Property Located at: 135 LAFAYETTE STREET UNIT#106 Owner/Agent: 135 Lafayette LLC Address: 135 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976) 744-0258 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. %9 ff Barosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT ////ANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRA1vDIN9S,\LEN1.00NI LARRY RAMDIN,RS/REHS,CHO,CP-FS 1 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" // �' // � �� � /I//F,,EE: $50.00 PROPERTY LOCATED AT /.�- f�vl�-H.f�l < , UNIT# /& IS THIS UNIT DISIGN TED RS RIGHT LEFT FRONT OR BACK,PLEASE CIRGLE ONE yy�� OWNER/LESSER I`�iS 4 LLC MANAGER/AGENT S� nntG) C�� 8(�� l�'r" NO P.O.BOX ADDRESS 1.�� ryt l,�/ s1 . ADDRESS CFFY, STATE, ZIP ': ?,k '1^n CITY, STATE, ZIP RESIDENCE PHONE — / 7y (�15� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE �TIMEE OF INSPECTION APPLICANT'S SIGNATURE [ L IJ.GC�I � — DATE Inspectors use only Date on initial inspection: Vio&ol 7 Date of reinspection: i Date of issuance of certificate: Date fee paid: =12017 YP Dwelling—4:0 e of unit: Dwellin Other e7 eck#L4S4441285�' Check date: T Notes: C of 'cement pector `� D City of Salem, Massachusetts lusBoard of Health 120 Washington Street, 4th Floor, Salem, Ptt1>i1iCS�ilth � � a 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-17-77 DATE ISSUED: 3/22/2017 Property Located at: 135 LAFAYETTE STREET UNIT#413 Owner/Agent: 135 Lafayette LLC Address: 135 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0258 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. 97 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL (978)741-1800 IGMBEKLF.Y DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN 9ALEM.C()M LARRY RAMDIN,RS/RF.HS,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 /�M CGL-/= UNTl# �f 3 IS Tms uNrr DmGNATgD AS RVGRT LEFr FRONT OR BAC PLEASE,C,CIRCLE ONE OWNERQ.ESSER %' 'J3 � C7 1 ( LLL MANAGER/AGENT eve- QC c }tea dLt�NO P.O.BOX ADDRESS 1 f Sc:t nom—,r) S� S�CU„✓� /,Y�DDRESS U /9-46 CITY, STATE,ZIP CITY,STATE,ZIP •M� RESIDENCE PHONE BUSINESS PHONE(24HRS) S 51 — Y v U 0- J� BUSINESS PHONE TOTAL NUMBER OF ROOMS; ROOM USE: 1. ,tau)ff7rO 2. ) 1j�hvl 3. l ✓ivjj5. 6. 7. S. 9.�rr4. 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 TIMEOFINSPECTION APPLICANT'S SIGNATURE e C ( y Y " DATE InsMtors use only 2 1 , Date on initial inspection: i�I�I U� Date of reinspection: Date of issuance of certificate: "2�J ? 1� Date fee paid:_ '9 Type of unit: Dwelling Other Check# 3 Check date: Notes: 4l> Code E orcement Inspector a 9. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - PublicHealth 120 W.ISHINGTON STREET,4P FLOOR Prevent.r."m",e.r. m",. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLI. Iramdin@salem.com salem.com _ LARRY R,1MI)IN,RS/Rril-IS,CIIO,CT-FS MAYOR Hi."A 'tiAGr4NT CERTIFICATE OF FITNESS CERTIFICATE#'450-14 DATE ISSUED: 12/4/2014 Property Located at: 135 Lafayette Street UNIT# 104 Owner/Agent: 135 Lafayette Street LLC Address: 135 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0258 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 LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH , 120 WASHINGTON STREET',4"'FLOOR PabhcHealth Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin&salem.com LARRY RAMDIN,RS/Rr HS,CHO,Ch-FS MAYOR HEALTI-I 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 135- La—Z. S+ UNIT# O Y IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE I OWNER/LESSER 1'55- Va -C�J� 1 L C MANAGER/AGENT So 1e Y117 j J 0L j Y� 4✓ bt NO P.O.BOX �� ADDRESS F.3s-- 5� 1 ADDRESS CITY, STATE, ZIP - a CITY, STATE, ZIP RESIDENCE PHONE C BUSINESS PHONE(24HRS) BUSINESS PHONE �/ �0 y� 0j- TOTAL NUMBER OF ROOMS:-2 _ ROOM USE: 1.ta 2. IN(V-VA 3. V RR- 4. 5 6. 7. ��J 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 ISf AYABLE�AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1 V2 (, Inspectors use only Date on initial inspection: v�I �� y Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# a1.�_7 Check date: Notes: Code n yr ement Inspector CITY OF SALEM, MASSACHUSETTS �+ BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PlPCHeil11.11 Preveentna.Promote.Protect, TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinQsgIem.ccm MAYOR 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. Tenant/Lessee Owner/Lessor 0 Address Address AVA /0 Address on unit to be inspected z �5 Date Updated 5/23/11 1 is i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH if 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 3/8/06 Josefina A. Pilarte-Rijo 146 Lafayette Street#2 Salem, MA 01970 PROPERTY LOCATED AT 146 Lafayette Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to jari*ne Scott MPH, IRS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS n BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR S SALEM, MA 01970 .9gQ,M� tF TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/15/05 Josefina A. Pilarte-Rijo 146 Lafayette Street#2 Salem, MA 01970 PROPERTY LOCATED AT 146 Lafayette Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of He�alth- � Reply to anne S MPH, RS, CH O Pablo Valdez Health Agent Code Enforcement Inspector �carolT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 344-02 FEE $25 .00 TEL. 978-741-1800 DATE: 07/08/2002 FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 146 Lafayette Street UNIT #: 1 OWNER/AGENT: Josefina A. Pilarte-Riio ADDRESS: 146 Lafayette Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-7487 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/� V� �� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR .a CITY OF SALEM, MASSACHUSETTS 3 1L"aa ! J�' BOARD OF HEALTH 4 i 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 �6 O� UNIT#- / IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER,�nSeFii4J9 j?40t9fCjnMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS / YG� �y�.i,v� _/ ;?_ADDRESS CITY 6_,&Hf4 ;,11 _2_Z> _CITY RESIDENCE PHONEZ7,e-7,eBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.)c_ 2._ 3. ZZ 24. 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 Z INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2s O ?DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:]- V -G - DATE FEE PAID: 7 -9 - ° z TYPE OF UNIT: DWELLING THER_ CHECK#2 CHECK DATE 7 q �- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ( �`p CITY OF SALEM, MASSACHUSETTS ]! HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#413-07 DATE ISSUED: 8/30/2007 Property Located at: 146 Lafayette Street UNIT#2 Owner/Agent: Milciades Pichardo Address: 146 Lafayette Street City(Town: Salem, MA Zip Code: 01970 24 Hour Phone: 825-7487 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT C0DI7ENFORCEM`ENT11T9MCqTR r ' / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR 7 ��/ a 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 AT1A(o 1-14 e S UNIT#_0__ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWN ER/LESSER 1N = vMANAGER/AGENT No P.O. Box/ No P.O. Box ADDRESS l4fi �i eu. f S ) • ADDRESS CITYSA/P�r h A - a 1 ,jo CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOM USE: i._..../� _ 2. ---� --3 5'-- — -8'-------- THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ,O APPLICANTS SIGNATURE ,�22G� ATE INSPECTORS U'SE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION_-._„ - DATE OF ISSUANCE OF CERTIFICATEY_73a^07 –DATE FEE PAID:-_g_-?j 7 9 TYPE OF UNIT DWELLIN _ _-OTHER ._. CHECK , _30,5_ CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL. FAY(978) 745-0343 MAYOR DC;R1,:FNBAUMt7ae,SALEM.00M Dl\\,j D GRFJ'SNBAUM ACTING Hr'.AI.11'r AGENT CERTIFICATE OF FITNESS CERTIFICATE #479-09 DATE ISSUED: 8/26/2009 Property Located at: 150 Lafayette Street UNIT#2 Owner/Agent: Mary Wanapha Address: 150 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3141 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 OAICD OF HEALTH I ✓ DAVID GREENBAUM ACTING HEALTH AGENT CO NFOR E T INSPECTOR r 4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#320-05 DATE ISSUED: 5/18/05 Property Located at: 150 Lafayette Street UNIT#3 Owner/Agent: Mulliga Wanapha Address: 150 Lafayette Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3141 An inspection of your vacant Dwelling/Roaming 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / • • 120 WASHINGTON STREET, 4TH FLOOR n / ^ 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 OFFj TNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I J O UNIT#j IS THIS UNIT DESIGNATED ASff AA'RIGHT OLEFT F ONT BA K PLEASE CIRCLE ONE NE ESSER I�UI,� A V� PNS T �R MANAGER/AGENT ADDRESS p X1150 WWII L5 sI- � NoADDRESS CITY J I�"v , I q f' I R ` �l}l 11�a CITY RESIDENCE PHON 1 O 1 141 14 I BUSINESS PHONE (24 HRS.) BUSINESS PHONE 1 Qu "J )A 2- TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. 3. 4. ✓ 5.--6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR F E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DE ARTME T THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 5- -/ 7 -0-Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: r- 0-P6' DATE FEE PAID:_ !-7 -o 5- TYPE OF UNIT: DWELLINGeTHER_ CHECK# IS-lo a CHECK DATE r-1 7 -ez- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX.978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit, of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ahents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT/LESSEE OWNER/LESSOR Kb URJ�d SJ,A3�SA ma, 0111 15o i.fi S1. ADDRESS ADDRESS 7— ADDRESS OF UNIT 1'O BE INSPECTED FOND CITY OF SALEMy MASSACHUSETTS BOARD OF HEALTH _ 4 120 WASHINGTON STREET, 4TH FLOOR n � SALEM, MA 01970 � . TEL. 978-741-1800 FAX 97$-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT 6/11/08 URBIS TrustlLori Kaiser trustee 63 Marmion Way Rockport, MA 01966 PROPERTY LOCATED AT 152 Lafayette Street Unit 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 X111 of the City of Salem Code of Ordinances,Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The Inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code,Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department Within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.—12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied Without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. ,Fpr the Board of Ho th Reply to ?Joannle=cottMPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector �N City of Salem, Massachusetts t ► Board of Health 120 Washington Street, 4th Floor, Salem, Pab1iCI3@alth 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-16-308 DATE ISSUED: 8/24/2016 Property Located at: 157 LAFAYETTE STREET UNIT#B Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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. &Jey Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ' CITY OF SALEM, MASSACHUSE'T I'S i BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TsL. (978)741-1800 FAX(978)745-0343 [CIMBERLEY DRISCOLL. IramdmL cnie,s_alern.com LARRY RANIDIN,M/RENS,L'I IO,c:P-t5 MAYOR Hl?AL`ITi ACi}'INT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIM[3M STANDARDS OF FITNESS FOR HUMAN HABITATION": 7 `� FEE: $54.00 PROPERTY LOCATED AT_ / I f(I�T /�z '' UNIT#� IS THIS"UM T DLSIGNATED AS, HT LEFT F6tON C OR BACK.PLEASE cI�G o 1 1.AAIt_t tis cam - No 1-lAIL- OWNE'R/LESSER �ti ��Ito t 1T Z i T ti� MANAGIIt1 AGEN NO P.O.BOX ADDRESS TO�34 0X 4(6�' ADDRESS 1-6 51 CITY, STATE,ZIP WaytyteS, MAO I ash CTIY, STATE,ZIP Sa(o m ,f . I�q 7 RESIDENCE PHONE7�ja '=ftp 6 BUSINESS PHONE(24HRs> BUSEITESS PHONE_ 9 ZS- 7 0 1. TOTAL NUMBER OF ROOMS:,.,._,___. ROOM USE: 1. 2. P)r<� 3. V;L 4. 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECX OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS YA//BLEAT 10E TIME OF INSPECTION APPLICANT'S SIGNATURE �4 Ir �` DATE#ff1 V Inspectors use only Date on initial inspectiowin�LlZ2,nZ' Date of reinspection: Date of issuance of certificate: VII D2L Date fee paid: Q$z Type of unit: Dwelling Other Check#44jq0 Check date: O�'V42-01,6 Notes: C,�^DArcementApector g CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,47`FLOOR TEi_ (978)741-1800 KIMBERL.EY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN@DSALF_M.O7Af LARRY RAMDLN,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 R 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 OwnerUssor � 03D/V Vey_ Address A LI/ 16 Address Z- Address on unit tojWinspecteic Date Updated 5/23/11 . e City of Salem, Massachusetts i Board of Health 120 Washington Street, 4th Floor, Salem, Pt><blicHea ith MA 01970 Prevent. Promote. Protem. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-389 DATE ISSUED: 11/25/2015 Property Located at: 157 LAFAYETTE STREET UNIT#1 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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 I jr ,kwexil Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEA MASSACHUSETTS BOARD OF HEALTH 120 WAsa NGTON STREET,4P FLOOR - - - — TEL. (978)741-T80p— -- KiMBERL EY DRISCOLL FAX(978)745-0343 MAYOR Iz 5 nplN(a�sni.itM.c:ont LAILRF'R,�nn>rN,lis/Rrl Is,ri«>,ca>-is Ili.;AI oL!\GF,N'I' Application for Cerdficate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ,%IND"STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT PE 7 / /�(% gV& ��J UNIT#� LS THIS UNIT IDISIGNATED AS W GRT LEFT PRONT OR RAM PLEASE CIItCd E ONE OWNER/LESg& �t �( mo �I�(� e�.p Iii/ MpJANAGER/AGENT�� NO P.O.BOX OI< �J IG t[J� 31�J CAPS Ri`� Q/JZ- ADDRESS 15:7 t 0:Q, _j�y�� �( AllDRESB �� ✓�v� '�t��l CITY, STATE, STATE,ZIP—A - 1) e o 1�3 RESIDENCE PHONE j L— ,a-1_ _ .�i l BUSINESS PONE(? HRS) R I S" X 7 DS BUSINESS PRONE ?79-7tl:5:.0af)(0 TOTAL NUMBER OF ROOMS: I VZ ROOM USE: 1. 2 k-I 4— 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 l��/Yl �k C/` DATE %%%'Y/off/j Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ' `lZ4'/201 Date fee paid: �2 y/20� Type of unit: Dwelling V" Othex Check#Check date:�� Notes: Co or ent Ins ctor 1 CITY OF SALEM, MASSACHUSETTS m BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#340-07 DATE ISSUED: 7/26/2007 Property Located at: 157 Lafayette Street UNIT#A Owner/Agent: Fairmont Realty/William Dzierzek Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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� - � � J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR a e SALEM, MA 01 970 (� TEL. 978-741-1800 FAX 978-745-03_43 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 PROPERTY LOCATED AT I-5_7 UNIT#_4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE // OWNER/LESSER MANAGER/AGENT� eaf No P.O. Box No P.O. Box ADDRESSADDRESS eD ?p�� ✓j/Cts'. CITY CITY RESIDENCE PHONEBUSINESS PHONE (24 HRS.) too BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5.--6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE /� /2�tz /{q _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION'7- y b a 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '��DATE FEE PAID: Z - / G "v--? TYPE OF UNIT: DWELLf OTHER_ CHECK#® 3 7,/ CHECK DATE 7 - �? NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#233-06 DATE ISSUED: 4/20/06 Property Located at: 157 Lafayette Street UNIT#A-1 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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. FO joTHE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ri, ra„O �.., 'Tc rryOFSALEMit . .y .0.. CHUM 120 WASNIN4Tom STREET.4TH FLOOR SALEM. MA 01970 TEL. 970-741-1800 FAX 978-74S-0948 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 HABITATION" PROPERTY LOCATED AT ` 7 UNIT 94 IS THIS UNIDESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER, L? Od MANAGER/AGENT No P.O. Box j// a No P.O.Bax ADDREESSS� 7' __.ADDRESS—____ CITY_)/QiIS RESIDENCE PHONE- �� 77 �1y�� BUSINESS PHONE {24 NRS.}__ BUSINESS PHONE TOTAL NUMBER OF ROOMS:,,'L r^15 ROOM USE 1.- 2.— THERE . 2.THERE IS A TWENTY-FIVE(S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _,.____ INSPECTORS USE ONLY [TATE OF INITIAL INSPECTION _ 7'�_ "� � -DATE OF REINSPECTION �i✓ DATE OF ISSUANCE OF CERTIFICATE �'a-o''O6 f?AT6' F61_ I'/UD u y�- rj t TYPE OF UNIT: DWELI.IN , OI HER CHECK 1' j} �, C3ibi:C}4 DATE t NOTF'S. CODI. [NIoiwl ml NI INtWl ClOI; l CITY OF SALEM, MASSACHUSETTS U BOARD OF HEALM 120 WASHINGTON SIREET 40.Fu)OR ,,�,,1f 1. 1. TLL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin ,saleln.com LARRY RAMDIN,as/arils,cno,cr-Fs MAYOR HFN:nI AG]N'T CERTIFICATE OF FITNESS CERTIFICATE#260-12 DATE ISSUED: 6/27/2012 Property Located at: 157 Lafayette Street UNIT#B Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT AN I Crty OF SALEM,MASSACHUSETTS BnARD OF HF-ALM 120 WaslnNGr0N=EEr,4"'FL00R TEL.(978)741-1800 KIMBERLEY DRISCOLL EAE(978)7450343 MAYOR 1ll10NN:o tisrrw.COM JANEf DIONNE, ACPtNG H&X1:rH AGF.Nr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." I f n FEE: $50.00 /� PROPERTY LOCATED AT / dS J�Q`K�l IINUII U ISTHLSUMTD GNATEDAS _LEFT Nr ORBAQZPLEASBCIRCLEONE 1ll0.v .. Aeva -son OWNERILESSER FQ%r� 12 a 1 J.V MANAGEV AGENT Fat r m��i mea i iai NO P.O.BOX --PO Max,419fe �aTd Idox 41p�► ADDRESS 146St rnMelc- S4- ADDRESS t't(p $u.mm¢r 5i CITY,STATE,ZIP-t-a ./�+rs 4Af4 CrTY,STATE,ZIP 1>arrver s 4 l�lh Ot4L� RESIDENCE PHONE c 78-b8 Z- +a (e b BUSINESS PHONE(24HRS) BUSINESS PHONE j2B-a4 -0356 TOTAL NUMBER OF ROOMS: ROOM USE: 1.CJ R 2.( 3. 114_ 5. 7. 8. 9. 10. THERE IS A F ff(S50)DOLW W,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F IS ABLE AT THE TIME OF INSPECTION 5 APPLICANT'S SIGNATURE 670 DATE �. I bgsp—ectors we Only Date on initial inspection: �7.� �� Date of reinspection: Date of issuance of certificate: Date fee paid: Type ofunit: Other eck# Check e: Notes: / GL entlnspector ooNDICity of Salem, Massachusetts �o Board of Health 10 a 120 Washington Street, 4th Floor, Salem, PlublicHea Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.59 DATE ISSUED: 2/26/2016 Property Located at: 157 LAFAYETTE STREET UNIT#2 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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,--A4� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIA)f W CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR P ft Yrevenr.rromwe.Ptaimr. TEL, (978)741-1800 FAX(973)745-0343 KIMBERLEY DRISCOLL lramdintt }i salem.com MAYOR LARRY RIWI)IN,Ic9/R1-,HS,ci io,(y-vS HI?AF;i'[I t1t�7iNT 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_,.„_( IS THIS UMT IDISIGNATEID AS IIT UPT FRONT OR BACK,PLEASE C ONE Idpt1L5 O ce_ - NO kAj4. OWNEiRtLESSER 1�2 i W P H Z L7�� MANAGEERt ADEN F �X YY� __. mss'� NO P.O.BOX ADDRESS ?C>-6t c /4 6� ADDRESS . 157 CITY, STATE,z11s”—i,.. yLyv p ,% jAA to I A,2a CTTY, STATE,Z1P_ RESB)ENCEPHONEJRIU-&I __BUSINESSPHONE(24HRS) BUSINESS PHONE 77 j 0354 TOTAL NUMBER OF ROOMS: ROOM USE: Lkj- . 2.F�r 3. 4. S 6. - 7. — I— 8. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEELE AT ZEIE TIME OF INSPECTION APPLICANT'S SIGNATURE $ a�& - DATE Inspectors use only Date on initial inspection: ()"W-2aj 6 Date of reinspection: Date of issuance of certificate: 2 ? w Date fee paid:_©Y2 5f2(�16 Type of unit: Dwellin� Check Check date: oS/2D 16 Notes: C or ent for City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaI'th MA 01970 Prevent. Promote. Protre.t. 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-16-60 DATE ISSUED: 2/26/2016 Property Located at: 157 LAFAYETTE STREET UNIT#3 Owner/Agent: Fairmont Realty Address: P.O. Box 466 Citylfown: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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, Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF H& LTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lsamdin@a salem.com MAYORLARRY12:11I1)IN,RS/IUiFIS,CI 10,CY-PS HR:\L-m AcmN'T Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION": I FEE: $50.00 PROPERTY LOCATED ATUNIT#—'�— IS THIS UNIT DISIGNATED RIGHT LEFT FRONT OR BACK,PLEASEZkol µptit_4 ND �1�41LOWNER/LESSER ittT�11oIIT�ZE,�LT�� MANAGER/AGENf QP +t7 NO P.O.BOX ( 1 ADDRESS ADDRESS CITY, STATE,Zp1 n v� n ►qaa CITY, STATE,ZIP Sca (onut� ,/VA- 014 7/D RESIDENCE PHONE / 7�'!0 —�`�d BUSINESS PHONE(24HRS) BUSINESS PHONE 97L— 7�'S- D`'3J��n TOTAL NUMBER OF ROOMS:_ I ROOM USE: 1 12 2 - 3 lit— 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 19 LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE a/y(QQ( 4-E _ DATE 0? Inspectors use only Date on initial inspection: 024n 7_016 Date of reinspection: Date of issuance of certificate: O 2 Z 20 _ Date fee paid: 02f25-12046' Type of unit: DwellingOther Check# .��Check date: O2Z25AQ,,6' Notes: Co for went Ins for ® CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PublicHeaIth STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY ILVN-fUIN,RS/REHS,CI 10,CP-ISS MAYOR Hu,\LrHAGI NT CERTIFICATE OF FITNESS CERTIFICATE #414-14 DATE ISSUED: 11/7/2014 Property Located at: 157 Lafayette Street UNIT#4 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 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 LADINR&M HEALTH AGENT SANITARIA CITY OF SALEM, MASSACHUSETTS L!! r 1 1 BOARDOF{�HEALTH ��q�y 120WASHINGTON STREET,'T,4"'FLOOR Yrevenv,psomdt,a�h�atth Ill TEL. (978)741-1800 FAX(9.78)745-0343 MBERLEYDRISCOLL IramdiaQW=.com MAYOR L,\1L1tY,}tAtilt)IN,RS/Rlilh3 CI C7,CJ'=IS Ht,kuni AGi:NT' Applicadoo for Cerdflcate of FMegs IN ACCORDANCE WITH STATE SANITARY:CODE,.CHAPTER 11, 105.CMR,410.000 "MINIMUM STANDARDS OF FITNESS FORHUMAN HABITATIONS' FEE: $50:00 PROPERTY LOCATED AT-1 4L .G s� ___._.,_�uwr#„�_ IS TATS iJNITDISIGNAEDRIGHT LFT FROM C OltACIf,P.I EASE ONE VAA� I t_ �~ No �.Alq u1 OWNER/LESSERin oN?' .J1-?�� MANAGER/Ac,Ft�fi'__�yy>,_ ,. .c�P- Y7 NO P.O.BOX ADDRESS '—Q7� �(o ADDRESS [53C2 � CITY,STATE,ZTT CrTY, STATE,ZIP �QJ A 'd J 4 7 RESIDENCE PHONE 9 cQ' L-j�C _"_BUSINESS PHONE(24BRs) q 79- ?'Y BUSINESS PHONE JpZS--77 x" �,.� TOTAL NUMBER OF ROOMS: . . 8 ROOM USE: IR lea? 2-41.+ 3 4 5 6.. 7. 8. 9: 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CIJECK OR MONEY ORDER TO THE CITY OF SALEM. BOARD OF IIIEAI TH THIS FEE ISP YABLE AT TRE TIME OF INSPECTION APPLICANT'S SIGNATUREQ �q /4! 1 ' DATE S`2 iWedor5:use oT11y. . Date on initial inspection:_ t�� �i----- Date of reinspection: Date of issuance"of certificate: Date fee paid: Tygeofttnit: Dwelling Otheu Check#&-�2—Cheekdate._ )9V-21/ L1 Notes: Co& ement Inspector CITY OF SAI EA, MASSAC;HLSETI'S B0 ,\Rll<)I III V:1I I 120 WAS IAGTUN tiLRFF"l,4...I LUl)R Ic1h1>3EIu,r:Y Dlzlscota. I1,1- (978) 741-1800 I�7�YOR F,vx (978) 745-0343 Iramclin G salem.com IARRY RANIDIN,RS/R1:1 is,CI R),a1-F.S A(;F\N I' CERTIFICATE OF FITNESS CERTIFICATE #368-11 DATE ISSUED: 9/29/2011 Property Located at: 157 Lafayette Street UNIT#5 Owner/Agent: Fairmont RealtyMilliam Dzierzek Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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 1-� I d Z��- LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • `� CITY OF SALEM, MASSACHUSETTS -, BOARDOFHL-ium 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 I:WERLEY DRISCOLI. Fxx(978)745-0343 MAYORtjfflu N�la ITE�t.COM JANET DIONNE, ACTING HE.tL'IH AGWr 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 kAZ. UNIT#- IS THIS iJNIT DiSIGNATED I HT LE F&f ONT ORBACK PLEASE CIRCLE O r NL i�, 1�0.vn �cnC�Cfi.SOtt, OWNER/LESSER A i t rr+c�nir RZ V a 1 d-tt MANAGER/AGENT V=cwt r mond rn.I in f NO P.O.nox -P 0 "t5o x 14 b to -� �IeO-Zox 44(a b ADDRESS 14(o Summgy S4- ADDRESS I`tla Summer St CITY, STATE,ZIP — of r-, CITY,STATE,ZIP )�tXntters+ Oi4 RESIDENCE PHONE 9-78' 8 2- t;3 (¢ b BUSINESS PHONE BUSINESS PHONE_ 7a- ",'(4 55*-_0, �—... TOTAL NUMBER OF ROOMS:_._ ROOM USE: I. j2Q 3_:1, R 4. 5. 6. 7. 8. 9. 10. i THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F XABLE AT THE TIME gOF _IIN/S�P�ECTION APPLICANT'S SIGNATURE lZt �5�//G1� � DATE4�gff Inspectors use only Date on initial inspection: /I Date of reinspection: Date of issuance ofccrtifrcate: Date fee paid:_,_ _, Type of twit: Dwelling L'�'rOthcr Check# yS71 Check date: Notes: Enf 3ncat Inspector . ..... ..._. � DIT City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, PabliaHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel, (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com . Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-352 DATE ISSUED: 1012312015 Property Located at: 157 LAFAYETTE STREET UNIT#6 Owner/Agent: Fairmont Realty Address: P.O. Box 460 City/Town: Danvers, MA Zip Code: 01823 24 Hour Phone:(978)682-1366 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. i Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANIT IAN I I o m LI CITY OF SALEM, MASSACHUSETTS BOARD of HE,3LTH 120 W1,SHINGTON STRHET,4"`FLOOR P Hic altlR Prcmnt.i'tamurt,Prvlrct. TEL. (978)741-1800 FAX(973)745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com L,UzxY UryMiN,RS/JtJ!,rrs,(110,(JI-FS MAYOR Hii;lliPLi A<i13NP Application for Certnfiate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE; CHAPTER 11, 105 CMR 410,000 "MINIMI,IM STANDARDS OF FITNESS FOR HUMAN HABITATION"a FEE: $50.00. PROPERTY LOCATED AT K-7 ►dAlt ', � � S OREU Nr# IS THIS Vk d)SIAT AS RGHT LEFTFSOR BACKPLEASE CGIt Ecs No 1AAu- OWNERJLESSER ��i 1t0t-iT'� 1 L?,. MANAGER/AGEN Cm NO P.O. BOX ADDRESS �b -z 4(p(n ADDRESS CITY, STATE, naZ11�_�,,�q p�"",. y MA d 71 qa3 CITY, STATE,ZIP_ Sa(;0 t m A- O 14 70 RESIDENCE PHONE p70�^± U—Z, _ BUSjNESS PHONE(24HRS)_� BUSINESS PRONE /pt 7�7— TOTAL NUMBER OF ROOMS: ROOM USE: L LC— 2. 01)2— ��/..: 4 5 6. 7. 8. 9. 10. 'I f E RE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE� (,4/' �. DATE4 C Inspectors use only Date on initial inspection:1Q17 n 1 Date of reinspection: Date of issuance of certificate: 1 Date fee paid:��ZD� Type of unit: Dwelling Other Check#!L�� --� Check date:����� Notes: *eo ement Ins v CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRl3'7NBAU,A@SAHM.COM DA vm GRIi?ENBA um,RS ACTING HEALTI-f AGI',N'I' CERTIFICATE OF FITNESS CERTIFICATE#37-11 DATE ISSUED: 1/28/2011 Property Located at: 157 Lafayette Street UNIT#7 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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 DAVID GREENBAUM RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HF-ALM 120 W aS13INGTON S REEr,e'FLCN)R TEL.(978)741-1800 KLNMERLEY DRISCOLL FAX(978)745-0343 MAYOR f1AQNN 'a -,gj;m COSI JANFf DIONNE, ACn:QG HEAI7H AGFNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIhIUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT b �I L. Ct_�euIINrr#� IS THIS UNIITDISIGNATED AS RIGHT FRO OR)3A PLEASE CIRCLE ONE �arr. .4nde�so^ OWNER/LESSER Fa(r rnrn4t2 ea 1 l V -MANAGER/AGENTVcii r i NO P.O.BOX -PO OX`'Fbb IeO'HOX -4(QG ADDRESS 146 5umff%PAr Si- ADDRESS i't(v Summer 54, CITY, STATE,ZIP �R %' rte„ i+W. CITY,STATE ZIP1�rs , MA 01423 RESIDENCE PHONE_q 7PJ' 8 2" a iQ 6 a°BUSINESS PHONE(24HRS) q 79 395 OG BUSINESS PHONE 9 78- ?4 5•-0356 TOTAL NUMBER OF ROOMS: 1,_1 ROOM USE: 2. IC I + 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 FEEMe& E AT THE ETTIME OF SPECTION APPLICANT'S SIGNATURE W4la � DATEA�n / InVeectors use only Date on initial inspection: o Date of reinspection: Date of issuance of certificate: Date fee paid / Type of unit: Dwellmg___,�tha -7 Check# 15 I Cheek date: Notes: Enfw cement Inspector . v r 3vv CERT.# 272-98 3 " FEE $25.00 DATE: 05/08/98 �Yry� 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: 157 Lafayette Street UNIT #: 8 OWNER/AGENT: Fairmont Realty ADDRESS: P.O. Box 466 CITY/TOWN: Danvers MA ZIP CODE: 01923 24 HOUR PHONE: 774-4260 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 i u CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORHUMANHABITATION". PROPERTY LOCATED AT �s t Lgty�c/, ��S UNIT #_� OWNER/LESSER MANAGER/AGENT } z( rz—el _ ADDRESS tic ADDRESS _�I Wo�ivuc✓ vr� CITY�I it" CITY 19s Lit" V _ 'RESIDENCE PHONE ^� r } p /s V BUSINESS PHONE 024 HRS.) 7L�e 1 BUSINESS PHONE � 1-1- 41 4 TOTAL NUMBER OF ROOMS:_3 ROOM USE: I .`( 2. _3.( 4 . 5, THERE IS A TWENTY-FIVE (25.00) LLAR FEE, .AYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTME f S FEE S PAYABLE AT THE TINE OF INSPECTION APPLICANT'S SIGNATURE DATE i INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: = DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ,,,. DATE FEE TYPE OF UNIT: DWELLING4 OTHER NOTES : CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR plibllCHP.811f11 p Prevent,Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEYDRISCOLL tramdin ,salem.com LA RRY RA\IUIN,RS/RF Sf IS,CI 10, MAYOR I-IF.N;rii Ac1WT CERTIFICATE OF FITNESS CERTIFICATE#253-14 DATE ISSUED: 7/17/2014 Property Located at: 157 Lafayette Street UNIT#9 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RA DIN HEAL H AGENT SANITARIAN • '� CITY OF SALEM, MASSACHUSETTS 1A) BO.j,ftD OF HE.at:ITI 1 1 120'W.,LSHINGTON STREET,4"'FLO()R Pi TEL.(978)741-18W K M EKEY DRISCOLL F.�CX(918)745-0343 MAYOR IDIONNE a s;mxim.COM AN14-Y DIONNE. ACCI\G HE.-ILTH AGF.tTf 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 PROPERTYUOCATF,D AT I`5 ka"Dc� UNff#� IS THIS UNITDMIGNATEOXS IRGHTLEFT'FRONT ORBAC PLEASE CIRCLE ON �0.vt^ ^de,�SOl� OWNER/LESSER 2�o t-LV MANAGER/AGENT Fui r mcn� NO P.O.BOX -P o ao x�l b to �— � at 'Xt ADDRESS 14b 5"rnmew- Si: ADDRESS I`tto Summer 5t• CITY; STATE,ZIP ' 1. nJp- - SAA CITY,STATE,ZIP 1>c�nyers, tA-A 014,2_� RESIDENCE PHONE q 78-b8 Z- 13 (e b BUSINESS PHONE(24HRS) 978- Z4J` '-OCG BUSINESS PHONE 9 78- 14 5b TOTAL NUMBER OF ROOMS:. (� (' /� ROOMUSE: 1. ( F 2.`4-� I/e 3_ 4. 5. b. 7. 1S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM 130ARD OF HEALTH THIS FjAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGN? c�! Inspectors use only / Date on initial inspection: !�I (1/14 Date of reinspection Date of issuance of certificate: Date fee paid:_ Type of unit: Dwelling Other Check#103YD-Check date: 7//(- //-F-- Notes: CodeTtAorement Inspector CT fY OF SALF.M, MASSACH US]-,,'I'I-) lu BOARD OV FiVALTI-1 It 120 WASHINGTON Srar 'rRr,4...FLOOR ...... h 'FFT- (978) 741-9800F`,,,x(978)',45-034.3 KTNfBE1U-EY DRISCOLL lraindin(a saleni.com MAYOR CERTIFICATE OF FITNESS CERTIFICATE#214-12 DATE ISSUI--D: 5/24/2012 Property Located at: 157 Lafayette Street UNIT#11 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Flour Phone: 774-4260 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 HabiWtion". 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 LA16i�RAMIDIN —* 1ANS*AN1TAF— HEALTH AGENT CITY OF SALEM, MASSACHUSETTS Bo im OF HF-Aum 120 WASHINGTON SMEEr,4"'FLOOR Tm-(978)741-1800 K MBERLEY DRISCOLL FAX(978)745-0343 MAYOR ll)joNNUJR&AlxAl.COM JANFr DIONNFy ACriNG HFA rH AGFW Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "NUNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE:$50.00 PROPERTY LOCATED AT 15� { UNIT# l IS TIM UNIT I)MGNATED AUNHTIE FRONT OR 13A PLEASE CIRCLE ONE OWNER/LESSERF0.{ rnc�nt 12e a\4 V MANAGER/AGENT �rui rr rrm n��2�u 1 in i NOP.o.BOX --Po ox4lote I ADDRESS 14to Summer S� ADDRESS Iytp Sumtnrr Si CITY,STATE,ZIP CITY,STATE,ZIP 1>canvers , MA C>Lct RESIDENCE PHONE Q 7®-� Z' t a SQ b $BUSINESS PHONE(24HRS) q 7$' Z q S 0,(e BUSINESS PHONE 9 78- 7'F 5-03'S TOTAL NUMBER OF ROOMS. ROOM USE: 1_ k ( 7 2.LT 6le— 3_ 4_ 5. 6. 7. 8. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM 130ARD OF HEALTH THIS FE=E AT THE ,,T,I,M^IE�,OF INSPECTION APPLICANT'S SIGNATURE (.�/� ILXX�LL� DATE 2 Insaectors use ons Date on initial inspection: Date of reinspection: Date of issuance of eeraficate: Date fee paid: Type of unit Dwelline other Check# G Check date: Notes: entlaspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s s, 120 WASHINGTON STREET, 4TH FLOOR / SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#232-05 DATE ISSUED: 4/13/05 Property Located at: 157 Lafayette Street UNIT# 12 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-1525 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 r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH '2• • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 (� 9 FAX 978-745-0343 �2�/ ✓ STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO W]•� 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 HABITATION". PROPERTY LOCATED AT jaeJ UNIT # I2� IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1Gt2{ 1 MANAGER/AGENT No P.O. Box Q No P.O. BoxPa" ADDRESS ADDRESS ✓ a"zw 7 CITY CITY RESIDENCE PHONE �> BUSINESS PHONE (24 HRS.) BUSINESS PHONE �n ? 7y� AIA 44 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.:� 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUREU, ) DATE �- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: d� TYPE OF UNIT: DWELLINGPOTHER_ CHECK #ZV-�Z 60 CHECK DATP�,/ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 OONDlTA City of Salem, Massachusetts Ivry'^(y rI Board of Health m 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote.Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-270 DATE ISSUED: 9/3/2015 Property Located at: 157 LAFAYETTE STREET UNIT#13 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANI RIAN CITY OF SALEM, MASSACHUSETTS IV BC).'.RD OF HF—uTH 120 WASHINGTON STREET,4" FLOOR Ith Pmwn,, TEL. (978)741-1800 F.1X(978)745-0343 KIMB=—Y DRISCOLL Iraindin@sadem.com salem.com L,vait'RAamtN,xs/urns,(1110,(T-VS MAYOR Hr;,s\L ii i Acmwr 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#'3 IS Tdis uNilr DISIGNATED Ar GILT LLTT FRONT ORBACK PLEASE CIRCONENO I A iL �AP(1 L', C�4' OWNER/LESSER r/,i i v U o NT'ZE A-L"f,,j MANAGER/AGFNf17it M 8LP =K� NO P.O.BOX ADDRESS 'y'030X ADDRESS 153 imp CITY, STATE,ZIl`T_�Q t'l V�ISA C I q CTTY, STATE,ZIP_ V 1 ,6/ul Q O I q -I/D RESIDENCE PHONE Q97oo!D ,�/-,,3 6 BUSINESS PHONE (24HRS) 9 79- 7 7 0` '036 fo BUSINESS PHONB / 7 77 � D� TOTAL NUMBER OF ROOMS:_ ' / �_ ROOM USE: 1 Li— 21 51,oc, 4 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOL FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THEEE - ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE M DATE Inspectors use only Date on initial inspection: M 102/2 off Date of reinspection: Date of issuance of certificate: O Date fee paid:x/02 QIT Type of unit: Dwelling Other Check#ltf q-l- Check date: 02/01/2015 Notes: C n rcement pector r CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR IMANCINI&ALI M.COM J,\NI;I'MANCINI ACTING HliALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#84-09 DATE ISSUED: 2/12/2009 Property Located at: 157 Lafayette Street UNIT# 14 Owner/Agent: Fairmont RealtyMilliam Dzierzek Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 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 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 ANET MANCINI ACTING HEALTH AGENT CODE ENFORCEMET INSPECTOR CITY OF SALEM, MASSACHUSETTS Q BOARD Or H&II.TF[ 120 VC ASFHNGTON ST'RI3L-T,4p'FLOOR Tet.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR n)IONG11_:f1.NA1.ent.CONI JANET'DIONNI , At.TINci HF+Ajxi-tAGE'NI' 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 ISS `i UNITtt—L�(— IS THIS UNIT DISIGNATED ASXLGHT LFFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER_ ( {rY�E7fL� MANAGER/AGENTJYY\ L�.(SCfL�__ NO P.O. BOX I �p $14W1 YN erSt t.Wl N�F.1f' �i- ADDRESS_., O3c�E ADDRESS CITY,STATE,ZIP CITY, STATE,ZIP �GLYt1R¢YS luz )!? RESIDENCE PHONE 7 -HA2"i %G lr BUSINESS PHONE(24HRS) q11 O ff_ BUSINESS TOTAL NUMBER OF ROOMS: �( ROOM USE: I $Ik 2. )C,`- 3. 4. 5. 6. 7. 18. 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 Y ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �� _DATI3 Inspectors use only Date on initial inspection:_L_I..Z- a Date of reinspection: Date of issuance of certificate: I` 12 ' Date fee paid: Type of unit: Dwelling_k,'- Other Chcck Check date: Notes: Code Enforcement Inspector A CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR PRbi1CFIC81th Prevent.Promme.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salein.com LARRY RAMUIN,12S/12}EHS,CHO,CP-FS MAYOR HIEA a'I-1 AGF?NT CERTIFICATE OF FITNESS CERTIFICATE#297-13 DATE ISSUED: 8/21/2013 Property Located at: 157 Lafayette Street UNIT#6 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 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 g�THE �BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM MNSSACHUSE'ITS BOARD OF HEALTH 7 J 120 WAsHINGTON STREET,4"'FLOOR – — – — --- __----- TEti:(978)741=18D0- - --- KTMBERLEY DRISCOLL FAX(978)745-0343 MAYOI( LRAWDINN.I{M.GOM LAR16'R,W]AN,R5/RW IS,(:I(O,('I'-1;s Application for Certiffente of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINR�RW STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT . ,akg& UNIT#� IS THIS UNIT DI.SIGNATED AS RIGHT LEFP FRONT OR BACK PINASE CIRCLE ONE OWNERLESS MANAGER/AGENT nc YYA NO P.O.BOX 0 c),< q (Q(D—� Y1�I eC�S • ®��Z� �Cll' t 4 ADDRESS 1DREsn / �or1 CITY, STATE, t � (Ips_ i �r 7 3 CITY, STATE,ZIP 1 V 'Ic�i)(I��)1 40 RESIDENCE PHONE�� 1�9BUSINESS PRONE(24HRS) R 70 Busmss pmNE TOTAL NUMBER OF ROOMS:_ '' I ROOM USE: 1. k 2eb I Z 3. W Z 4, 5. 6. 7. 8. 9. 10. THERE IS AFD—TY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE{f i1YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ��J ''�— DATE ZI Inspectors use only Date on initial inspection: SC -Z 1 ' 17 Date of reinspection: Date of issuance of certificate: g' Z ' ' Date fee paid: Type of unit: Dwel iug LOther Check# �' Check dater Notes: n4 d 4 �\ ode or ement Inspector `CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x 120 WASHINGTON STREET, 4TH FLOOR �` •� o SALEM, MA 01 970 ' - TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT t CERTIFICATE OF FITNESS CERTIFICATE#461-05 DATE ISSUED: 7/26/05 Property Located at: 159 Lafayette Street UNIT# 1 Owner/Agent: Arthur& Solange Marchand Address: 159 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7077 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS •'^ BOARD OF HEALTH • 120 WASHINGTok STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1 800 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 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER�20JRNa Iv1 � {} ANAGER AGENT 4 NO P.O. Box No P.O. Box ADDRESS )'ZAJ'__f� j�"7rf !j,r _ADDRESS CITY__ _F Ltn crry— m.A _S3-Ly 7 RESIDENCE PHONEq_7K�,_-Zq_q-20_T7—BUSINESS PHONE (24 HRS)___ _ BUSINESS PHONE TOTAL NUMBER OF ROOMS _�y��_� _ fWM ROOM USE: 1 k4j[ KOM2.(�11V1!C '3 1�_l, lCl_ .f�. Die00 A^ THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO 1HE CITY OF SALEM HEALTH DEPARTMENT THIS FEF IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTSSIGNATURE l° '.<SLh�e -. - DAIE -7 .l(_i.lc)y NSPE ORS USE ONLY DATE OF INITIAL INSPECTION T'« L� OATF OF RE1NSP{Cl ION UAT4- 0I I� UANGf C?i CEllll}=ICA1'I: �'�� � �DP.TC Pi_S. i'i.It) � �� TYPF OF UNIlDVdFLIJ>r 0 i'HER CHECK V 19-3 (:I1ECK H01LS 0001 I—M{ )l;Ci grid N 1N5I1I-CIOI3 p CITY OF SALEM, MASSACHUSETTS .T BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR - o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 177-04 DATE ISSUED: 04/29/2004 Property Located at: 159 Lafayette Street UNIT#3 Owner/Agent: Solange M. Marchand Address: 159 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH OANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR qq, CITY OF SALEM, MASSACHUSETTS "may BOARD OF HEALTH ' • • 120 WASHINGTON STREET, 4TH FLOOR ( 1/ 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 /5`9 IS THIS UNIT DESIGNATED AS RIGH1 LEFT FRONT BACK PLEASE CIRCLE ONE S0 �14IN G E OWNER/LESSER MANAGER/AGENT No P.O.Box No P.O.Box ADDRESS_ _ADDRESS _ CITY Sr-7/��'+1 CITY_ yYtt4 RESIDENCE PHONE BUSINESS PHONE(24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: h� ROOM USE: 1.I4,r6fLaA 2. GL r 3. 3602 c�_4. t 12• 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 1 y DATE �1 9/0 y INSPEC: RS USE ONLY DATE OF INITIAL INSPECTION ) f DATE OF REINSPECTION i DATE OF ISSUANCE OF CERTIFICATE:_K —L DATE FEE PAID: -f_ TYPE OF UNIT: DWELLINGkOTHER__ CHECK#,2�LZ__CHECK DATE 1;0 � f NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH .\ 120 WASHINGTON STREET, 4TH FLOOR � a. SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#462-05 DATE ISSUED: 7/26/05 Property Located at: 159 Lafayette Street UNIT#4 Owner/Agent: Arthur& Solange Marchand Address: 159 Lafayette Street City/Town: Salem, MA Zip Code: 01970 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 BOARD OF HEALTH r (I 0-�V '114 - J JOAANE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR r SALEM, MA 01970 �/ TEL. 978-74 1-1800 (o FAX 978-745-0343 - - STANLEY USOVECZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABFFATION"- PROPERTY LOCATED AT _1 59_L-Af -Y_ jr _UNIT P Y IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERj:0,LN_(qE &_MA&HOAI17 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS--L6�_k.- ��--rr6 -Sr---ADDRESS—,--,-- CITY Sr---ADDRESS—, TCITY _CITY %D RESIDENCE PHONEq7%--,?qv_70 27_[3USINESS PHONE (24 HRS)_ BUSINESS PHONE TOTAL NUMBER OF ROOM USE: 1�.J_V,-RGtltltv 21,11 N (lObA3 _K 17e1(�p 4 - G�c 5S.tt[YR06th 6.W 0_1 i3. _-- THERE IS A TWENTY-FIVE (S25-00) 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 7J/_ 4 - INSPCC ORS USE ONLY BATE OF IINITIALINSPFCTION DATE OF REDNSPFC-i ION !)ATFOI- 'S' UANCE <3f Cf.iillt=KATE �`l� DAll FEF PN- , TYPE= OF UNIT_ DWEI_LIN CSIHEFt C':HL-CK d f CHECK I)ATF ( 'i NW1 t;UUi i_.NI (Ai CI MIN 1 COPID CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 02/20/2002 120 Washington Street, 4°i Floor JOANNE SCOTT, MPH, RS,CHO Tel: (978) 741-1800 HEALTH AGENT Fax (978) 745-0343 Rose Fisher 160 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 160 Lafayette Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. I � 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 J 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. I F R THE BOARD OF HEALTH REPLY TO oanne MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CERT.# 301-99 FEE $25.00 3 DATE: 06/17/99 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: 160 Lafayette Street UNIT #: 2 OWNER/AGENT: Rose Fisher ADDRESS: 160 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7827 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 L ��Mnve cA 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 F R HUMAN HABITATION". PROPERTY LOCATED AT UNIT IS THIS UNIT DESIGNATED AS RIGHT _ FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box No P.O. Box ADDRESSO0 /f ADDRESS CITY /l �n4 _ CITY RESIDENCE PHONE-74"q —72,1?USINESS 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) 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 A-_;10 DATE- / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION v1`j d4 1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICAT . / -/&/(�_DATE FEE PAID: 6 � 1 7 �f TYPE OF UNIT: DWELLINOTHER_ CHECK# IS90 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98