LAFAYETTE STREET 201-233 LAFAYETTESTREET ,
201 - 233
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• CITY Or SALEM, MASSACHUSETTS
BoARD()F FIH.ALTH
` 120 WASHINGTON SIREE-fT 4... FLOOR
TEI,, (978) 741-1800
KINGiERLEY DRISCOLL, FAX(978) 745-0343
MAYOR Dcael:rN Is,wmi(7snt.lt nLcoNf
DAVID GRI'.I:.NRAUNI
ACTING Hi;Ai:H-I AGI'.NT
CERTIFICATE OF FITNESS
CERTIFICATE #295-09
DATE ISSUED: 6/19/2009
Property Located at: 201 Lafayette Street UNIT# 1st floor
Owner/Agent: Marie Gagnon
Address: P.O. Box 431
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-314-5346
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
AVID GREENBAUM
ACTING HEALTH AGENT DE ENF CEMENT II E TOR
CITY OF SALEM, MASSACHUSETTS .
_ • BOARD OF HEALTH'V�
120 WASHINGTON STREET,4t°FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGRFU NBAUMa�SALEM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
nn , FEE: $$50.00
PL^
�
PROPERTY LOCATED AT (�� -� * Isii UNIT#
p IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MIQ1 I"E Gcko w _MANAGER/AGENT
NO P.O. BOX �
ADDRESS pc�) 6cw Lo 1 ADDRESS
CITY, STATE,ZIP A&4 1rQA3 CITY, STATE,ZIP l
RESIDENCE PHON$/9J 8 �R$,(;C BUSINESS PHONE (24HRS)601 9'78 L 3!q-S3 46
BUSINESS PHONEx
TOTAL NUMBER OF ROOMS: "1
ROOM USE: 1. $� 2. ICcf zn ( 4. 6MIM 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 FEEI5�5PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE /dl C-., DATE
Insn_ ectors use only
Date on initial inspection: 11
Date of reinspection:
Date of issuance of certificate: �D I l y IG Date fee paid: (,7I01 N/G q
Type of unit: Dwelling Other Check# Check date: I� L/&
Notes:
nim ,U h
Code Enforcement Insptor
f
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Jul 02 2009 12:17pm
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CITY OF SALEM, MASSACHUSETTS
' BOARD OF HEALTH
b 120 WASHINGTON STREET,4"°FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR vcar:I cNnAu nrnsnLi tni.coal
DAVID GRIiI',NBAUNI
Ac nNG I-11 SAI;PI-I AGINT
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Fax # rQ%'�I �4� S La /
RE: C7 '- GU. 4, 7
Date : `7lZ/A 9
Page(s): including this cover#
Message:
Board of Health News ----------------------------------------------------------------For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
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978 745 0343
Jul 02 2009 12:15pm
LAst Fax
D-= nm T= Identification Duration P esilti
Jul2 12:15pm Sent 919788877692 0:37 2 OK
Result:
OK - black and white fax
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ncRi atNl3AU,\I ..sv.r;\I.conl
DAVID GRr-'TNRAUNI
AC.:'1'ING Hm ,n I AGI:,N'r
Facsimile
Transmittal
To: UC�i
Fax #
RE: 53 I aI �
Date : '7 la,16 '43 77
Page(s): including this cover# J
Message:
1�Pn_ .�rLv/dt<
Board of Health News ---------------------------------------------------------------For Your Information/
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
I
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Jul 02 2009 12:13pm
Last Fax
DAW n= I= Identification Duration EaW Result
Jul2 12:12pm Sent 919786544270 0:49 3 OK
Result:
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IMPORTANT MESSAGE
FOR S Al � ��A
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PHONF
AREA CODE NUMBER EXTENSION
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AREA CODE NUMBER TIME TO CALL
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CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
4 RETURNED YOUR CALL WILL FAX TO YOU
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MESSAGE J / -lk /'a)
AOE IN USA.
NOTES
i
City of Salem, Massachusetts
r ►
q
Board of Health lu
0
120 Washington Street, 4th Floor, Salem, Pub1iCHCalth
MA01970 Prevent, Promote. Protert.
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-16-24
DATE ISSUED: 1/26/2016
Property Located at: 201 LAFAYETTE STREET UNIT#2
Owner/Agent: Marie Gagnon
Address: 8 Cleary Lane
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978) 884-8856
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
f
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
IMPO,RRTAW MESSAGE
�FOR
DATF s-•I��/� TIME
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M Lew] ii,,5VLP>.n
OF nn p C /
PHONE 6
`"I 9 �- nti a r"�.
AR A COLE UMBER EXTENSION
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J/
AREA o NUMBER '
cU�
TELEPHONED PLEASE CALL �I
CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
RETURNED YOUR CALL WILL FAX TO YOU l
MEE3 AGE n _f
SIGNED VI &
v
�NERSAL. 48005 / MADE IN U.S A.
QUOTES
f
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4ni FLOOR
TEL. (978) 741-1800
IQMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRE.ENEAUMOSALEM.CONI
DAVID GREENBAUNI,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT ST UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O. BOX
ADDRESS ADDRESS
CITY, STATE,ZIP --T 0 CITY, STATE,ZIP
RESIDENCE PHONE ���'�`��.$�JS b BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. �Cr4. TAS 5. 'SREP
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
v
Inspectors use only
Date on initial inspection: )O�4) Date of reinspection): , /
Date of issuance of certificate: v Date fee paid: icz) _01-:�
Type of unit: Dwelling Other Check#/5,30) Check date: 1-2*jl 5
Notes:
Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR P17�1I1CAC81t$
Prevet Promote Protect
TEL. (978)741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL lramdinOsalem.com
- LnILRs It,Anro1N,Rs/Rill-Is,crlcl,
MAYOR 1-17'.AI;I'I-1 AG I';N'r
CERTIFICATE OF FITNESS
CERTIFICATE#355-13
DATE ISSUED: 9/23/2013
Property Located at: 201 Lafayette Street UNIT#3
Owner/Agent: Marie Gagnon
Address: 8 Cleary Lane
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856
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
LARN RAMDIN //�
HEALTH AGENT ��`` ANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DG EENBAUM&Ai.M.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT �O\ i _w,v�a�trcrrv_ S— UNIT#�_
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O. BOX
ADDRESS '6 ADDRESS
CITY, STATE,ZIP—\ CITY, STATE, ZIP o v `tr�iZ
RESIDENCE PHONE BUSINESS PHONE(24HRS) I
BUSINESS PHONE < <
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.Y-'c 2. 3. LW \f 4. 5. P->vu7
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 SIGNATUREi _ - _ DATE Ia3 \Z
Inspectors use only
Date on initial inspection: 97' 2-3 ' ) 3 Date of reinspection:
Date of issuance of certificate: C l - ,2 3 ,�3 Date fee paid:
Type of unit: Dwellingf Other Check# )224 2 Check date: 2-3 1Z
Notes:
Co eEnforcement Inspector
CITY OF SALEM9 MASSACHUSETTS
g� BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
-"Y TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 18-04
DATE ISSUED: 01/13/2004
Property Located at: 208 Lafayette stret UNIT#: 1 Left
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CRM 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SC MPH, RS, CHO Jeffrey Vaughan
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'e
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH S1RcE T
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978) 741 1800
Fa) (978)7411-97115
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS /FOR HUMAN HABITATION'.
PROPERTY LOCATED AT C;Q ( �� _._ UNIT #_
IS THIS UNIT DESIGNATED AS RIG[iT QFRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER . (�I f aAQTY MANAGER/AGENT___
No P.O. Box '—No P.O. Box
ADDRESS_ . _ADDRESS
CITY pffP_� CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 9710-7yY l i 7
TOTAL NUMBER OF ROOMS: pp
ROOM USE' 1._8k— 2Af� 3- 4. _
5 ----6.__. 7. II._
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. n (!
APPLICANTS SIGNATURE - SQL DATE_ .03 - O_7
INSPECTORS USE ONLY
DACE OF INITIAL INSPECTION //1l y DATE OF REINSPECTION_ ---
I
DATE OF ISSUANCE OF CERTIFIGATE:_� y'��DATE FEE PAID 1�? ..__
TYPE OF UNIT DWELLING THER_ CHECK# CHECK DATE Ile!d
NOTES.
CODEPTC MENT SS L� – -- — -- 9i26/92
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
gj 120 WASHINGTON STREET, 4TH FLOOR
�p c SALEM, MA 01970
TEL. 978-741-1800FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
8/9/05
Paul Marchand
214 Lafayette Street
Salem, MA 01970
PROPERTY LOCATED AT 214 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.
F the Board of Heal Reply to
oanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Cade Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD-OF HEALTH
a 120 WASHINGTON STREET, 4TH-FLOOR
SALER7; MA 01970
TEL. 978.741-1800-
FAX-978-745-x343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS;"EHO
MAYOR HEALTH AG€NT
4/19/05
Sparta Realty Trust/Constance Markos Tr
241 Lafayette Street
Saelm, MA 01970
PROPERTY LOCATED AT 216 Lafayette Street Unit 1
Dear Sir/Madam:
It has come-to our attention that youmay be considering renting a dwelling unit atthe above address.
In accordancewith 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 Standarrcls of-Fitness for Human-Habitation.
Please notify us if you do not intend to rentthe,unit.
Please contactthis department-within 24 hoursofreceipt.of this notice at 978-74h-1800, to schedulean
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 parr. 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 isnotusedexclusivety bythattenant- The Department of Public Utilities has billed
property owners for their tenanYsentire util y-bills-retroactive to the-date of initial occupancy in cases in
which cross-metering has been proven to exisL
Fthe Board-of Healtj7 Reply to
Scott MPH, RS, CHO Pabio Valdez
Health Agent Code Enforcement Inspector
`y n
CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH
q 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 878-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#60-05
DATE ISSUED: 1/28/05
Property Located at: 216 Lafayette Street UNIT# 1
Owner/Agent: Sparta Realty
Address: 216 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
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
JOANNE SCOTT MPH RS CHO
HEALTH AGENT CODE ENFORCEMENT INSPEC OR
l:
_ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
>+ + 120 WASHINGTON STREET, 4TH FLOOR
9 SALEM, MA 01970 V�
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, 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 O ICo LAS e_I l,P .0 UNIT# I
I
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER `�QiR I4 Re_a i+4 MANAGER/AGENT
No P.O. Box a I No P.O. Box
ADDRESS 24LA - (PPIIV Sf ADDRESS
1
CITY ls4f(,\4p,N\ CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)QZ(S-7414-(017
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._L ' 2. A. L,K- 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/ spa DATE OF REINSPECTION
9 i
DATE OF ISSUANCE OF CERTIFICATEI 'a_"J�� DATE FEE PAID: `'�°�
TYPE OF UNIT: DWELLIN/OTHER_ CHECK # CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
r
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#89-07
DATE ISSUED: 3/7/2007
Property Located at: 216 Lafayette Street UNIT#2
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
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 froin 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 6uu I i,twr
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
w�—
CITY OF SALEM, MASSACHUSETTS
3• ' BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 ` 1
,p�,Q TEL. 976-741-1800
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 2ICD l� F�1e��. �� UNIT #Ck
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE '
OWNER/LESSER l5 RO� VD-4 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS �41 PrF��2I f ADDRESS
CITYL M CITY 1 x t Ct
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)_qa�j�fH- (017
BUSINESS PHONE II '' Q
TOTAL NUMBER OF ROOMS L4 F
ROOM USE 1 'DO 2 ,LjL_3 y` 4
5 _6_7 7 8.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION,
APPLICANTS SIGNATURE DATE 7 O7
INSPECTORS USE ONLY Z
J,
DATE OF INITIAL INSPECTION 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATES�_�._DATE FEE PAID 3 _-7_ __�_7
TYPE OF UNIT DWELLING ____OTHER-__ CHECK #_[g 91.1 CHECK DATE
NOTES
------------------------------
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
Y BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOOR
TEL. (978) 741-1800
KINIBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGart NBAUN[OSLUNIa M
D.\vn)GRFENBAUM
A(:I'ING Hi.AI..'I'I-I AGF.N'r
CERTIFICATE OF FITNESS
CERTIFICATE#368-10
DATE ISSUED: 8/3/2010
Property Located at: 216 Lafayette Street UNIT#4
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
An inspection f n
p o youry 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
DAVIDGREENB ' /M
ACTING HEALTH AGENT CODE ORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
I BOARD OF HE.iL'rH
120 WASHINGTON STREET,411' FLOOR
TEL. (978) 741-1800
KIMBER-LEY DRISCOLL P,,\ (978) 745-0343
MAYOR o10NNr:r7sn1.1+N1.CONI
JANET DION N E,
SENIOR SANITARIAN
I
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
�,-i- e!.
PROPERTY LOCATED AT ai� I Ci �cav 2`t-� Cv ( UNIT# L4
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
aWNO /ERESSER R ern Chi MANAGER/AGENT BOX A
'I
ADDRESS &t{l l C-CmvpT�, St ADDRESS
4 ,fin Y
CITY,STATE,ZIP ��0tn 4 Y O, �IC17� CITY, STATE,ZIP
- a
RESIDENCE PHONE BUSINESS PHONE(24HRS) R� -�IPV-IOt
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 14
ROOM USE: 1. L 2. 4.
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 ECTION
APPI IC
ANT'S SIGNATURE-2S( >' A r DATE ,E
Inspectors use only
Date on initial inspection: 1311 Date of reinspection:
! 1
Date of issuance of certificate: M /d Date fee paid:
Type of unit: Dwellinp t./ Other Check# aaa 0 Check date: ��3��6
Notes:
Code Enfor entlnspector
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#575-06
DATE ISSUED: 11/20/2006
Property Located at: 216 Lafayette Street UNIT#9
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
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
_
hyu�r/l r /
J NNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f CITY OF SALEM, MASSACHUSETTS y/�t
���-----�` BOARD OF HEALTH i
120 WASHINGTON STREET, 4TH FLOOR !
SALEM, MA 01970 ,
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT of I�o ( P +a : ST r UNIT 43
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER SCAR-tY1 "ReA-L-7Lf MANAGER/AGENT
No P.O. Box INo P.O,Box i
ADDRESS c� U l (.AFF1 viTT fi ADDRESS
4 '
CITY �qu 'gym CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) q 7R-7>4 100
BUSINESS PHONE
i
TOTAL NUMBER OF ROOMS: IS
// J�
ROOM USE: 1.i--� 2. ,�L_I'+C�'!3. 4. 1D�
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 SIGNATUR4 �(
� d9AV DATE1I-OY),(T
U
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION /) " a 0--0-6 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE lk*Q -o DATE FEE PAID:--,,/^� 0
TYPE OF UNIT: DWELLIN OTHER__ CHECK #jLR DO CHECK DATE
NOTES.
CODE ENFORCEMENT INSPECTOR 9/28/98
i„
i
YOu-
--
.� � a
5
r'_ ., {7
�,
r CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
r 120 WASHINGTON STREET, 4TH FLOOR
a 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 III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary-Code Cbapter II and Article XIII of
tie City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author-
ized agents to inspect the residence identified below in accordance With the
aforementioned statutes, regulations and ordinances .
In the event it is necessary that said inspection be done in my/our absence , i-/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 s;co:S
from any loss or i.pjury sustained of Watever nature and description occasioned
by my/ou, absence during said inspection.
14*_— - OWNER/LESSOR---- - --
n1:nl,:LSS - ADDRESS
�,�e^+:e•aw»� - y�.ir+ ",4-._ ,.,.,,%q.s•'�Ca:.'"e„n;m:.,,,;z.-K =' ,�"'".�.- . . __ - -
ADDRESS OF UNfT-'Tr) BE, INSSPPECTED /
t CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 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#359-07
DATE ISSUED: 8/8/2007
Property Located at: 216 Lafayette Street UNIT# 10
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
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 CODE ENFORCEMENT INSPECTOR
4 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• * 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
' PROPERTY LOCATED AT a t(CJ t_,r ep�Pj St UNIT#
IS THIS UNIT DESIGNATED AS RIGHRIGHTLEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER. & MANAGER/AGENT
No P.O. Box _ to P.O.,Box ;
i « ADDRESS C�I+t I APa,_i_e `_S I' ADDRESS M
CITY (\Hfn ' CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS)R.)&2�N- 00
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 1
ROOM USE: i._ 2_612' _3. LZ 4_(,t�+ `LJ
5. 6. 7. 8.
THERE 1S 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
" NIMH OF.,INSPECTION.
.._z.... .DATE6 _ <� 3
� INSPECTORS I1SE ONLY « ' ., .
`
71P.
.°'`"�y}� ""}yAj§�-�' DATE OF INITIAL INSPECTION 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:�af_5�'a_?,DATE FEE PAID _ 0 zO 7__
TYPE OF UNIT DWELLOTHER._ CHECKCHECK DATE zs
NOTES
SPECTOR 8128198
CODE ENFORCEMENT IN
CITY OF SALEM, MASSACHUSETTS
e BOARD OF IIF-ALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX,(978) 745-0343
MAYOR Dc RH ENBAU'daSA1.1;M.0 0 M
D,AvID GREENBAUM,RS
ACTING HLAI;PH AGuN"r
CERTIFICATE OF FITNESS
CERTIFICATE # 148-11
DATE ISSUED: 5/16/2011
Property Located at: 216 Lafayette Street UNIT# 11
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017
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.
FORT WEALTH
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
MON 10:6
INSRecnr -Cor
t
CITY OF SALEM, MASSACHUSETTS 1 `
BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IDIONN(g S V J.\1.COM
JANET DIONNE,
SENIOR SANITARLI�N . _.
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT I lv A�YeTCQJ ST UNIT# ( i
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER SPAe� RPA L-T%4 MANAGER/AGENT
NO P.O.BOX I
ADDRESS of t FI L47�a -1 2ItPJ ST ADDRESS
CITY, STATE, ZIP ---moi�ern ff\a W-70 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE sam e'
TOTAL NUMBER OF ROOMS: L4
ROOM USE: I. LIQ' 2. $'F_ 3. 6fVt-C QOM- 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 x,
,z t�
} DATE
APPLICANT'S SIGNATURE
/ Inspectors use only
Date on initial inspection: J///0�l . Date of reinspection:
Date of issuance of certificate: J Il(2'l ( q Date fee paid: 11;� // iP
Type of unit: Dwelling___I�ther Check# d 6 S I Check date: I telt <
Notes: W n �InP9P� /lPW rC(rP.(/L1 .r �n(G rl/tMR�t (s/t b U��
r /lift\ r-PiL-I�-
Code Enfo cemen Inspector
r €
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4' FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx (978) 745-0343
MAYOR 1D10NNRn.SA1J--Nf.COM
JANET DIONNE,
SENIOR SANITARIAN
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.
A
Ten essee Owner/Lessor
2,►(D � � � St d 2 i1 I A"<Jelto, St << q v\
AddressAddress
Address on unit io be inspected
SI1 (o`►1
Date
CERT.# 254-99
FEE $25.00
DATE: 05/19/99
s
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: 216 Lafavette Street UNIT #: 12
OWNER/AGENT: Sparta Realtv
ADDRESS: 235 Lafavette Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
Q L4,11
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r ��CONY�O,IT�
s
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 Tei:(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 tHABITATION".
PROPERTY LOCATED AT n� I�o A PlI V 0 1�P UNIT it IQ
I "
IS THIS UNIT DESIGNATED AS IGHT LEFT FRONT ACK PLEASE CIRCLE ONE
OWNER/LESSER�C-k_- Ppr:� Iqi MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS
CC�3`� �AVC�11 P,S1 ADDRESS
CITY �lCITY l
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)q-7R 7 + (017
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �j
ROOM USE: 1.bp-- 2.-_bL3. tQ- 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 H ALTH DEP TAMET HIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. pp
APPLICANTS SIGNATURE /1 LA DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S`�L�i y 4 DATE OF REINSPECTION
DATE OF ISSUANCE OF CE''''R////TIFICATES�- /4-15 DATE FEE PAID:��
TYPE OF UNIT: DWELLT OTHER__ CHECK CHECK DATE er�e
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
f
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 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#281-07
DATE ISSUED 6/21/2007
Property Located at: 216 Lafayette Street UNIT# 13
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017
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� da-9��el
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
* CITY OF SALEM, MASSACHUSETTS
��ca
�. � BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR
`� a SALEM, MA 01970 n{�
TEL
J' EL 978-741-1800 (,•jJ'�Ij J
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
s• MAYOR HEALTH AGENT
r
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 �nFtIP_I 1 PJ Vfi UNIT#13
IS THIS UNIT DESIGNATED AS RIGHT IEFT FFONT SACK PLEASE CIRCLE ONE
OWNER/LESSER 'SA_ ARIVI RElIJI-1 -MANAGER/AGENT
No P.O. Box No P.Q. Box
ADDRESS_-atfA__ 4elte[_�ADDRESSn
CITY 4 (- M em CITY A
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)_q7(�_7q )-(()12
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: "l
ROOM USE: 1._ __2. fe- .3. Le— 4.__44 :Ifr i
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, 7
APPLICANTS SIGNATURE_E `�l A6_ q.Q.�1i— DATE (0 -Z- I -0J
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION !_ J --0 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEZ ,_)-t' D 7 DATE FEE PAID: / - bcl 0 T
TYPE OF UNIT: DWELLI OTHER___ CHECK #/J-G- J_CHECK DATE G _'_l �( '0
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
a+ry, CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
A 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
G' FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
November10, 2003
Sparta Realty TR
141 Lafayette Street
Salem, MA 01970
PROPERTY LOCATED 216 Lafayette Street Unit# 14
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,
Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants If there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
vv_v_ i
A
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,401 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DCRl; tNl1AUNlaAl,l;M.cx %l
DAvlU Gill;{IidJBAUAI,RS
ACTING HLAL'I'l l ACi1:N'I'
CERTIFICATE OF FITNESS
CERTIFICATE # 147-11
DATE ISSUED: 5/16/2011
Property Located at: 217 Lafayette Street UNIT# 1
Owner/Agent: Esther Iwanaga
Address: 284 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5741
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 OF HEALTH !�
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
• C,ITY (.)F :i.�-�I. E- I, IMASSACHUSM'S
Bk)),RD(IF 1-11-1L["I{
120 V"\SI IlmG1% r\ 5"i'KI ,J''. i'Ll H 1A
(97ti) 741 1800
0
KINfB _RL1l DRI5(;t)I.I. I \x(97817, 5-0341
1'L11 OIt ncdau vii\(
%1611<Nu m co.m
DAVID(;REI_,'NBAI m,R`;
ACTING I-IFALI I AGFIVY
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 -It r eb UNIT# �
IS THIS UNIT DISIG It
AS RIGHT LEFT FRONT OR SACK,PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O. SOX _
ADDRESS ��y �llc�cG�� ADDRESS
CITY, STATE,ZIP �� � �/I ���! Jc CITY, STATE, LIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: ,7
ROOM USE: L e-7L1AI-1 2. 3. 4. 55D 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 f
APPLICANT'S SIGNATURE / �('`P� DATE S f
t / Insnectots use only
Date on initial inspection: 111(i I 1 Date of reinspection:
Date of issuance of certificate: II�' Date fee paid: .I�1.112 �lI
Type of unit: Dwelling `Other Check#�Sa _Check date: 57I pb
Notes: ko+ watf jurnd dower � wT�r �e�.dr f&r 41-;-L� Sril�
1245 S hct44</,n
Codenforce entInspector
CITY OF SALEM, MASSACHUSETTS
• a 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
4/11/06
Esther Iwanaga
300 Lafayette Street
Salem, MA 01970
PROPERTY LOCATED AT 217 Lafayette Street 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 Xlli 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.
qthe Board of Healt Reply to
nnMPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
f
i
E CONDIT
CERT.# 199-01
_ FEE $25.00
DATE: 04/20/2001
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: 217 Lafavette Street UNIT #: 2
OWNER/AGENT: Michael Kozak
ADDRESS: 217 Lafayette Street #1
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 723-8200
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.
ARD O HEALTH I
JOANNE SCOTT, MPH,RS,CHO V
HEALTH AGENT ODE ENFORCEMENT INSPECTOR
/ 9.0/
C F+
n �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
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 1-7 UNIT#
7
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O.Box No P.O.Box
ADDRESS c 1 ADDRESS
CITY CITY
RESIDENCE PHONE ` jq - _7NS-6d 91 BUSINESS PHONE(24 HRS.)r,/'7-
BUSINESS PHONE -
TOTAL NUMBER OF ROOMS: 15pm
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. J /
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION (f • 2-6 —6 f DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:4/ - 2-0 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER--,_ CHECK# CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9128198
f — —
f -
CITY OF SALEM, NLASSACHUSETTS
BOARD OP HFALTH
120 WASHINGTON STRH.ET,41"FLOOR
TEL. (978)741-1800
I IMBERLEY DRISCOLL. FAX(978)745-0343
MAYOR ]NIANCINIQ5Ai.r;NLCONi
J,SNE t'NIt\NCINI
ACTING HEAL;a-I AGLNT
CERTIFICATE OF FITNESS
CERTIFICATE#625-08
DATE ISSUED: 12/9/2008
Property Located at: 220 Lafayette Street UNIT#L.S. Front
Owner/Agent: Sparta Realty
Address: 241 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 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
ACTING HEALTH AGENT CODE ENFOR EME1H1'fNSPECTOR
1
CITY OF SALEM, MASSACHUSETTS 1
BOARD OF HEALTH
• 120 WASHINGTON 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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
��^^ L.S. t�y Ory-t'
PROPERTY LOCATED AT _ 3a.0__ LQ-i-c> i P fP� Sr UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE
OWNER/LESSER l�I ra Rita ify MANAGER/AGENT
No P.O. Box • No P.O. Box
ADDRESS rI 1l ( .�lFfk i C �i ADDRESS
CITY SchU 1 ee,^ CITY 1G
RESIDENCE PHONE BUSINESS PHONE (24 HRS )
BUSINESS PHONE CA7FN-71-14-k00
TOTAL NUMBER OF ROOMS L4
I
ROOM USE 1 - --' 2._ L R-- 3.kIt-C '- 4' -B" -
T 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.
4 ,
APPLICANTS SIGNATURE DATE I
vw .. _ ,..
#h r ` INSPEGTORS`US'EEONCY. "
1 'ta 9 i T. .o-;A e..`.�. a, �aS'!�My w'Md., 6;t ..n'
a�+ 'IN(TtAL INSPECTION i^Z C}•o DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 12-9a8' DATE FEE PAID. /-Z oS
TYPE OF UNIT DWELLING OTHER,._-. CHECK a_/ 63 CHECK DATE 'iF'a8
NOTES -- _.--
CODE ENFORCE T INSPEC'CR s 9/28/98
j,1
I
orwr CITY OF SALEM, MASSACHUSETTS
"� '� BOARD OF HEALTH
3 w 120 WASHINGTON STREET, 4TH FLOOR
� SALEM, MA 01970
CERT.# 75-03
_
'J' TEL. 978-741-1800 FEE $25 .00
��� FAx 978-745-0343 DATE: 03/03/2003
STANLEY LSOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 220 Lafayette Street UNIT #: 1st Right
OWNER/AGENT: Sparta Realty
ADDRESS: 241 Lafayette Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017
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
� 'SOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f CITY OF SALEM, MASSACHUSETTS
v� BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR / J
SALEM, MA 01970
TEL. 978-74 1-1 800
AmH6 FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS r`
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT oZa d IAFf�+/eC(e. ST 6ST F1) UNIT
IS THIS UNIT DESIGNATED AS l
G0 LEFT FRO7 SACK PLEASE CIRCLE ONE
OWNER/LESSER SCi_gq_ Qg IT
�_MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS zi H t LAr-AwAte., ST ADDRESS
w
CITY SFru--m MG CITY m(4-
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-14q-l017
BUSINESS PHONE A canine
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1. L R 2. 11Q -3 �C' '&) 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—?-,-A-67�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 3 - 3 Z 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -3 -v 3 DATE FEE PAID: g - 5 —v �
TYPE OF UNIT: DWELLING,/,-'OTHER__ CHECK#/72 ?/ CHECK DATE=3_
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
r
City of Salem, Massachusetts
0 m�
f • � 1 � r
r
9'
Board of Health
P 120 Washington Street, 4th Floor, Salem, Pt
MA 01970 Prevent.Promote. Proteet.
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-17-64
DATE ISSUED: 3/8/2017
Property Located at: 220 LAFAYETTE STREET UNIT#3rd Floor
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, Ma Zip Code: 01970 24 Hour Phone:(978) 744-1017
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
n City of Salem, Massachusetts
1
Boas alth ��u
120 Wasg <h
MA 01970
hinof n Street, 4th Flo Salem, Prevent. m<r<i3WYt
''
Kimberley Driscoll T . (978) 741-1800 Fax. (978) 745-0 3 Larry Ramdin, MPH, REHS,CHO
Mayor health@salem.com Health Agent
ERTIFICATE OF FITNES
CERTIFICATE#: GHL-17-64
DATE ISSUED: 3/7/2017
Property Located at: 220 LAFAYET STREET UNIT#3d Pof---
Owner/Agent:
Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, Ma Zip ode: 01970 24 Hour Phone:(978)7441017
Pursuant to the requirements of City of Salem ordinance Chapt 2 Article IV ivision 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your avant D Iling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massa se s State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Divisio of the alem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 0.000.
Certificate valid for one year from date of issuance or ntil the current tenant va tes, whichever is later.
This Certificate of Fitness is valid only if there is alid Certificate of Occupancy.
Note: This approval does not certify complian 'th the state lead law for occupants under ears of age.
lawzov z
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
AOL Mail /c 1/�� /�I /'1 2017-03-06 11:30 AM
��. CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL.(978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR LRAMDINna SA_1_FM.00M
LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
` ' r�
FEE: $50.00 � � r
PROPERTY LOCATED AT r� r) � C -l—O-�r P I l-P )"ST UNTT# y l U T � .
IS THIS UNIT DISIGNATID AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER SPA�A RGq L ry MANAGER/AGENT
NO P.O.BOX
ADDRESS ra 41 L a�v0� , �{— ADDRESS
_ c� /
CITY, STATE,ZIP SCI�C fy-' M0, O I r-{-70_ ray,STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE q -7 LN-1017
TOTAL NUMBER OF ROOMS: `7
ROOM USE: I. 2. l ) 3. 4. 5. .-P
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 �Y^AB T THE TIME OF INSPECTION
APPLICANT'S SIGNATURE i DATE -31 -fl 17
v
�y Instlectors use on1V
Date on initial inspection: I I 1 Date of reinspection:
Date of issuance of certificate: XJ 1 Date fee paid: i 7I�I
Type of unit: Dwelling—Other—Check# N22,47-4 Check date:
Notes:
Code ynforcement Inspector
https://maii.aol.com/webmall-std/en-us/DisplayMessage.7ws-popup=true&ws suite=true Page I of 1
CITY OF SALEM, MASSACHUSETTS 10
BOARD OF HEALTH
120 WASHINGTON STREET 4t"FLOOR PI1CI�C81th
> Prevent.Promote.Protect
TEL. (978)741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Ixamdin(cNalem.com
- LARRY ILIMUIN,I2S/RFiHS,CI-IO,CP-ISS
MAYOR HEAL PH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#323-13
DATE ISSUED: 9/12/2013
Property Located at: 220 Lafayette Street UNIT#3rd Floor
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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
LARR MDIN I
HEALTH AGENT S hSwo
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4' FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR mrONNF a� ATYNL COM
JANET DIONNE,
SENIOR SANITARIAN
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: $5-0.00 Cis
PROPERTY LOCATED AT as O t_L�C(�v ���. x>rt Jl� -Q" UNIT# 3('0 .
IS THIS UNIT DIS,IIGGNATE}D-hS RIGHT LEFT'FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER <SP� 1�Pa 1_l+_i MANAGER/AGENT
NO P.O.BOX } 1
ADDRESS dol LA-(�:A�iPTI-P S-T ADDRESS
CITY, STATE,ZIP 5flLeM M A 01970 CITY, STATE,ZIP 9- 7&--744-1017 RESIDENCE PHONE BUSINESS PHONE(24HRS) I 1&--744-1017
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. IZ 2. 3. VIS 4. L-kf l 5. IJ Z6r
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 F ,1PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S S1GNAA� DATE LD O
Inspectors use only
Date on initial inspection: (/IJI�rl /I�� Date of reinspection:
Date of issuance of certificate: /2� Date fee paid: r /
Type of unit: Dwelling Other Check# LN V V'C/n" Check date:
Notes:
_f
Code 4 ment Inspector
CITY OF SALEM, MASSACHUSETTS
' • BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR IMANCINI(I SALRM.COM
JANET MANCINI
ACTING HEALTH ADEN"T
CERTIFICATE OF FITNESS
CERTIFICATE#001-09
DATE ISSUED: 1/6/2009
Property Located at: 221 Lafayette Street UNIT# 1
Owner/Agent: C &C Northeast, LLC
Address: 9 King Philip Way
City/Town: E. Freetown, MA Zip Code: 02717 24 Hour Phone: 617-922-6749
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
JANET MANCINI _
CTING HEALTH AGENT CODE ENFKEMINSPECTOR
� r
CITY OF SALEM MASSACHUSETTS u
BOARD OI'HEALTH
120 W.ISHINGT(:)N STRFL•'T,4°1 FLOOR
TFL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978)745-0343
MAYORID(0NNf,naMJ Nf.CO'M
J ANEr Dit.)NNE,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT `' ' jy r- t�e frlY ' �^ UNIT#
IS THIS UNIT DISIGNATEI)AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER �`� Lt t w'f t t- MANAGER/AGENT lq� _ , IeAlc<
NO P.O. BOX
ADDRESS `I kl a %l111•,v Gt ^y ADDRESS
✓ 1
CITY, STATE,ZIP M,q N-7/7 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE 6-/7"%Z,2. -ta /y `/
TOTAL NUMBER OF ROOMS: 7
ROOM USE: 1. i;ru. i 2. V1,-1'
�4 3.gef-Iv-, 4. e�e>c.. 5.,-J
6, 7. 8. 9. t0.
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 ATTHETIME.OF SPECTION
APPLICANT'S SIGNATURE <'� `"Z G-` `� ' DATE
Insnectors use only
Date on initial inspection: 1 - r ^O� Date of reinspection:
Date of issuance of certificate: - o t`i Date fee paid:
Type of unit: Dwelling ✓' Other Check# ld 9 Check date:
Notes: 1:�i ci\1�.o� Si•CL��:.oJ 767 5�5 �,�' to\xl'�ou CSQLtL ij�-. - ZGS�VJl1„- Q'SvGhLc51
ode Enforcement Inspe or
Of
` CITY OF SALEM, MASSACHUSETTS
� ,a.jJ✓ BOARD OF HF L-i'H
120 WASHINGTON SPREET,4...FLOOR
KIMBERLEY DRISCOLL TF1.. (978) 741-1800
MAYOR FAQ:(978) 745-0343
Ira rn6 n(a).sal ern.com
LARRY RAIIDIN,RS/RI?I IS,(A-10,CP-I�S
HR:\7;I'H AC I SN'I'
CERTIFICATE OF FITNESS
CERTIFICATE# 170-11
DATE ISSUED: 5/27/2011
Property Located at: 221 Lafayette Street UNIT#3
Owner/Agent: C &C Northeast LLC C/O Donald E Casale
Address: 22 Pickman Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-992-6749
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. A
HEALTH AGENT CODE EN RCEMENT INSPECTOR
4 �
CITY OF .SAL,EM, MASSACHUSETTS 176) -')
BoARD OF f 111
(978) 741-1800
K11fBRR1.1?l' I)R15C;f)l.l, I-tS (978) 745-0343
:11;11"012 n ,rra err a tfn x 1.i i.COSI
D.\vit)GKCENBALIM,RS
ACTING HF?ALIH 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 S/ La-1<yet1(e � UNIT# 3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER(f'"Cf�r��_ Lt'(� MANAGER/AGENT"
NO P.O.BOX q!G 9AA '( '
ADDRESS / % P ADD S^�°L f" C �C � ��
CITY, STATE, ZIP Cl Y, STATE, ZIP,f �QAl /-A 017 '70
.r"Frce dfLwt i"t/f A271?
RESIDENCE PHONE BUSINESS ONE(24HRS)Co(7-`IZZ
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: M G/
ROOM USE: 3. 1-4� 4. A� 5.& p
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
T�TIMINSPECTION
APPLICANT'S SIGNATURE f
DATE
i
Inspectors use only
Date on initial inspection: 17 1001t Date of reinspection:
Date of issuance of certificate: S Iw�7�lI 77 Date fee paid: tJ ta7/!/f /
Type of unit: Dwening Other Check# .l d Check date: J tQ //
Notes: t RD14(0_ WrPJA !A I�� b((Jt✓� I,A 0 U (j1 �GV
In , AE
r—
al WflLtlGLv -fo lock,
11fn CGU rt �G } WrA
C e En orcement Inspector
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR
TEL. (978) 741-1800
KINIBERLEY DRISCOLL FAX(978) 745-0343
MAYOR uclu:+tNnnunl(�sn+a.nccona
DAvm GRrENBAUnI
ACTING HEAI:nI AGI?NT
CERTIFICATE OF FITNESS
CERTIFICATE #369-10
DATE ISSUED: 8/3/2010
Property Located at: 224 Lafayette Street UNIT# 1
Owner/Agent: Sparta Realty
Address: 241 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 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 BOf1,RD OF HEALTH
Au✓hAy�^//\ f�
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• . s CITY OF SALEM, MASSACHUSETTS -�
�R BOARD OF HEiUM s
120 WASHINGTON SPRFET,4"' FLOOR
TEL. (978) 741-1800
KIMI3FR.LEY DRISCOLL FAN (978) 745-0343
N'L11'OI2 a innurriil;•u,i: i t;ON
JANET D joN N E,
SENIOR SANITARIAN
i
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
r_ ,F-{EE: $50.00
PROPERTY LOCATED AT ala W LG t tra 2 ► tQJ �T ( UNIT# ;
IS THIS UNIT DISIGNATED ARIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER Ci fl > et R eCt_LMANAGER/AGENT
NO P.O.BOX ii 1
ADDRESS rY#Ia �pP �� �S�r ADDRESS
v
CITY, STATE,ZIP , Jem CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE q-7 �-
TOTAL NUMBER OF ROOMS: ,
ROOM USE: L LR 2. k A� 3. E e 4. 6�T� 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_. o Ab— \C 2 DATE -3 D
J f Inspectors use only
Date on initial inspection: ! 3 IIDate of reinspection: .�� #
Date of issuance of certificate: ! t/0 Date fee paid: // 0
Type of unit: Dwelling /'Other, Check# rpt 0 ,0 Check date: 3 f/
Notes, 13nIk !eAlll 0,U?1v(VCL t LI Inlrt CGtbrn ,cmn�e
111,4-fCkjrs dcvl hiGC.t up (e c4onzk Dla Ir.f food
Code Enfor ent Inspector
t r
CITY OF SALEM, MASSACHUSETTS
m11. BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
/ q SALEM, MA 01970
9 TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY ORISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 105-08
DATE ISSUED: 3/3/2008
Property Located at: 224 Lafayette Street UNIT#3
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1017
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
AN`�TT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH .n/
s r 120 WASHINGTON STREET, 4TH FLOOR PI
SALEM, MA 01970
TEL, 978-74 1-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, GHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS, FOR HUMAN HABITATION",
PROPERTY LOCATED AT . a {I i !° f UNIT H_
IS THIS UNIT DESIGNATED A RIGHT LEFT FRON AC PLEASE CIRCLE ONE
OWNERILESSER ?Q[tr�_-Gqw MANAGER/AGENT
No P.O. Box 1 No P.O. Box
ADDRESS_ a?41 LArq egf,_$T _ ADDRESS
CITY_,_ CITY M A,
RESIDENCE PHONE— _ BUSINESS PHONE (24 HRS )_qZ871if-I017
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:,_—
ROOM USE: 1.-L 2 lC1 _1_13R 4.- _&+�j_
0 ---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.
PPLICANTS,SI.GNATURE'-6' .- DATE
-•, -3-SFS
.:..r r ns =t•`q '«J..i.`:' g:,% ,
'sEv1"ea'i¢,''.tr` ?;e:+.? t`.y`».y.py. .,., ;.,«..;:.,..•..
INSPECTORS USE ONLY '
DATE OF INITIAL INSPECTION _ Oh' DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-__3__-,O S–DATE FEE PAID._-? -V a'
TYPE OF UNIT DWELLIN-- /OTHERCHECK j__. }-_.CHECK DATE .Z_ ,
NOTES J�
i CODE ENFORCEMENT iNSPEC i OR 9/28/98
1
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
+ s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, R5, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Riegulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
rhe City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
ci residenCial 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.
1:� the event it is neceSsary that said inspection be done in my/our absence , i./we
expressly authorize the same and for my/our successors and assigns her.nby relcasc
a-id discharg^ the City of Salem, Salem Board of Health a:nd its authorized
f:-010 any less or injury sustained of whatever nature anc description occasioned
by my/cur ab.senc- Buri-'g said inspecti.cr. .
t,no�.c,s r, oRGss
A0[iHFSS t�F Uidti' 1'r1 tit: i�4'EC.TED
• + CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DCRrrNl3AUM(a)sAr.a:aa.cO.�t
DAVID GRF,ENBAum,RS
ACTING Hl]AI Al l AGI iN1-
CERTIFICATE OF FITNESS
CERTIFICATE#74-11
DATE ISSUED: 3/14/2011
Property Located at: 224 Lafayette Street UNIT#6
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-7501
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
DAVD4EENM,)RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 94- l,1
BOARD OF HEALTH
120 WASHINGTON STREET,4' FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR miONNEGSAI i_m.COM
JANET DIONNE,
SENIOR SANITARIAN
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 Qat{ LAQP4 g�-) ST UNIT#�_
IS THIS UNIT DISIGNAfED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER SPPerA MANAGER/AGENT
NO P.O.BOX
ADDRESS ADDRESS S�f�MQ
CITY, STATE, ZIP mo ('mcoo CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE 911a —I LN-l t)t-,
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. V�R 2-_ LQ_ 3. -Ka4-rhM, 4. Ba-- -d 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 F YY AT THE TIME OF INCTION
APPLICANT'S SIGNA 1 (;lDATE
Inspectors use only
Date on initial inspection: Z y/�/ Date of reinspection:
Date of issuance of certificate: 3)1q Il I Date fee paid: //
Type of unit: Dwelling ✓ Other Check# Q1 �/ Check date: 3/////,
Notes: PPA/'601-L fi .S/hfi�� i no L M-Ii4fi 0S. iWl GO hod- I I&JP -
Code E orce entInspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
IQMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR iDTONNEn.sw.r.N1.COM
JANET DIONNE,
SENIOR SANITARIAN
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
Z2.41 , -�2Lti
Address Address
LA p;AgpUe.) ar � (o
Address on unit to be inspected
3 -i � �1 ►
Date
• CeNUITM CERT.# 251-99
FEE $25.00
< s <
DATE: 05/19/99
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: 224 Lafavette Street UNIT #: 9
OWNER/AGENT: Sparta Realty
ADDRESS: 235 Lafayette Street -
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017
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 CHEALTH
' /a L63"."
OS T, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
4,
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT a y l V P � l� UNIT#–
IS THIS UNIT DESIGNATED ASIR GHT FT RON BACK PLEASE CIRCLE ONE
OWNERILESSER pea
c MANAGER/AGENT
ADDRESS � {��� P. cl ADDRESS
CITY So I,(,W 1 11 1 11 Q CITY
RESIDENCE PHONIF _. BUSINESS PHONE (24 HRS. 7
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. �2._ 4fb3. ,, }}���4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THECITY OF SALEM HEALTH DEPARTMENT MENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION
APPLICANTS SIGNATURE(] VZ DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �1 ' 4 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:5_ I f 4f DATE FEE PAID:
TYPE OF UNIT: DWELLIN5�__OTHER C4# l 5'65 /
NOTES:
i
CODE ENFORCEMENT INSPECTOR
5/19/98
3
M
„v
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date: 07/10/97 Fax:(508)740-9705
Sparta Realty Trust, Constance Markos, Trustee
P.O. Box 591
Salem, MA 01970
PROPERTY LOCATED AT 224 Lafayette Street UNIT # 9
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result, in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Mondav thru Wednesdav from 8:00 a.m. - 4:00 p.m. Thursday 8:000 a.m. - 7 :00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO e NINE NORTH STREET -
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
RELEASE
In accordance with Massachusetts General Laws Chapter III ; 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 the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, i_/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 age:-.Ls
from any loss or injury sustained of whatever nature and description occasioned .
by my/our. absenc during said inspection.
TENANT/LESSEE WN R/i,ESSOR
�
C P��7 S" cA �...St-
ADORESS ADDRESS
`-St ZW- 9
AD15RESS OF UN T To BE INSPECTED
DATE/
//vsP?chcnv UJ I zed morn)n� MCV / 9- ..
4
0
CITY OF SALEM, MASSACHUSETTS
� J
BOARD OF HEALTH
mss_ 120 WASHINGTON STREET 4"'F1,OOR
TLL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR )cxi:lNiinuninn.sni,i:na.conf
DAVID Gm;1SNBA UTf,RS
ACTING HHAi,,n-1 AGF.NT
CERTIFICATE OF FITNESS
CERTIFICATE #50-10
DATE ISSUED: 2/3/2010
Property Located at: 224 Lafayette Street UNIT# 11
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
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
DAV�l
BAU 4S
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CODCITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLC)OP,
TEL. (978)741 A 800
KIMBERLEY DRISCOLL PAY(978) 745-0343
MAYOR DG ET-UNRAUMt SAL1.M.COM
DmRD GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
{ 1 FEE: $50.00
PROPERTY LOCATED AT.2 40 ��Q„st i �Ca. SJ . uNITt#_y
IS THIS UNIT DISIGNATEA AS RIGHT LEFT FRONT OR BAC IG PLEASE CIRCLE ONE
OWNERILESSERUL Lab MANAGER/AGENTw C`YwOr�1Tu5�C�
NO P.O.BOX 4
ADDRESS ZsS �t1as�.;.��o� ST ADDRESS
CITY, STATE, ZIP >akel.. ,)1q'10 CITY, STATE,ZIP
I
RESIDENCE PHONE BUSINESS PHONE(24HRS) ' 2t- 7 SSL
BUSINESS PHONE ua
TOTAL NUMBER Or ROOMS; tI
ROOM USE: L i14196k J;IIA;rmM. 3;"" 0K 4-DIa�m 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 AYABLE ATTI IE TIME OF SPECTION
c
APPLICANT"S SIGNATURE DATE ,ZI S J _
11I.SDectorS use only
Date on initial inspection: ' ( I Date of reinspection:
Date of issuance of certificate: (� �1 N" Date fee paid:
Type of unit: Dwelling �O thcr Check# Check date:
Notes:
1.�
Cod&Enforcd4nent Inspector
City of Salem, Massachusetts
$� An Board of Health
9
120 Washington Street, 4th Floor, Salem, PublicHealth
y o Present Ptnmmn, Protect
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-15-383
DATE ISSUED: 11/19/2015
Property Located at: 224 LAFAYETTE STREET UNIT#13
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, Ma Zip Code: 01970 24 Hour Phone: (978)744-1017
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
HEALTH AGENT SANITARIAN
S'u .1"Am', N1iVSS_( IU'SiETTS
l i i (97F) 74I-NOO
I \ (t)-4;i 7 45 U; t.3
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 LOCA i'ED AT ;r:a �^H LQ�C-`-P e 7-Q, UNI`C#�—
IS THIS UNIT DISIGNAATED AS RICHT LEFT FR NT OR BACK,PLEASE CIRCLE ONE 1
OWNERILESSER 'SPP(eM ReOIT0 MA'NAGERtAGENf
NO P O BOX c._,.L i
ADDRESS t)4i L,:x-��//��`cx-,4 PT o ,�S ADDRESS
CITY, STATE, ZIP � ' _Q� Cl7Y, S'FATE, ZIP 1 'r1..�'c� rnL. t,7�
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE CO-4Y\ Q
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 2. L xt 3. 4. 5.
6. 7. 8. ). 10.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE ISP ABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE J DATE
I,
InsDectors use only
Date on initial inspection: �> / Date of reinspection:
a:
Date of issuance of cerificate, 1 I- 1}L` Date fee paid,
Cype cfunit Du,el;in2 L OtnerCheck #eJ,22d"lU Check date: )LIZ-Is
gotes
h
t� w
Y Vv
ode Enforcemen! Inspector
u• u CITY OF SALEM, MASSACHUSETT'S
BOARD OF HEALTH
120 WASHINGTON STREET. 4...FLOOR PubliCHeaIth
STREET, Prevent.Promote.Protect.
TEL. (978) 741-1800 FAt(978) 745-0343
KIMBERLEY DRISCOLL Iramd-inO.salem.com
MAYOR L�\I2Rl"R.\bID1N,RS/RI?I-IS,CI-IO,CP-ISS
1-IE.AL n i A(I[SNI
CERTIFICATE OF FITNESS
CERTIFICATE#33-15
DATE ISSUED: 1/14/2015
Property Located at: 224 Lafayette Street UNIT# 14
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1017
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 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
LAR RAMDIN
HEALTH AGENT SANITARIAftY)
�US�� ��� ,Ari�,�r;
m� q�� -cxf aq i
R CJI,y oi-, NIASSAC;1-[US1:.'1"I >
120 \K/ \�,l S'i'Ktazf 4"'
11.1,. (978) 741-1800
K \;isl i?1 .a' DiZ'it:CL !- \ :1 " I -1x 43 {{
i_
v
JL�IUK 5ANI l \RI \� i
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 as N LQ7 C -ye-R-e-) ST Sp„Q.c4", UNITN_,".�
IS THIS UNIT DISICNATED AS RICHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
OWNER LESSER,_ MANAGER/ AGENT
NO P.O BOX
ADDRESS caH I LLA �Ci io.TP `lam ADDRESS
CITY, STATE, ZIP SrJoM 1 Y IQ C1tci70 CITY, STATE, ZIP
RESIDENCE PHONE BUSINESS PHONE (24HRS) 79 --71-(t-{ -int-7
t� S
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �/�
ROOM USE: i KQ 2. L 3. �<AP ) 4. 5.
6 7, 8. 9. 10.
THERE 1S A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS F - 'AYABLE AT THE TIME OF INSPECTION
APPLJCANT'S S1GNA"I'UR _ $r
Sin AUC DATE:
r — —
Inspectors use oniv
Date on initial inspection: C i I�I Date of reinspection:
Date of issuance of cenificatc: Date fee paid:
Type of unit- Dwelling_—Other__Check Check date:
Notes
CoOno ent Inspector
CIITY 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#579-06
DATE ISSUED: 11120/2006
Property Located at: 224 Lafayette Street UNIT# 14B
Owner/Agent: Sparta Realty
Address: 241 Lafayette Street
City[Town: Salem, MA Zip Code: 0I970 24 Hour Phone: 744-1017
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 1OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
6,T- "
CITY OF SALEM, MASSACHUSETTSBOARD OF HEALTH 1'20 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-7411-1800
FAX 978-745.0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
g
APPLICATION FOR CERTIFICATE OF FITNESS
i
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT Qa, bq r-A"f P.Tt-P/ (Sr UNIT#-t48
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER �5PARTAMANAGER/AGENT
No P.O. Box �t No P.O. Box q
ADDRESS C1� L4I (AAA�(pP�) Si ADDRESS
r
CITY
�e(n CITY 91)0
RESIDENCE PHONE BUSINESS PHONE (24 HRS) ciZS 7LF -IC)i 7
BUSINESS PHONF
TOTAL NUMBER OF ROOMS:,�J
ROOM USE: 1. _2, 3. �2- _4.
5. 8. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. (�
APPLICANTS SIGNATURE;` dCk _p17 t4 S�� DATE I i-c30,0�D
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 11-.YD - 0 4- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE(/ b DATE FEE PAID: f,
TYPE OF UNIT: DWELLING OTHER__ CHECK #; /frt00 CHECK DATE ff_ d 4�
NOTES-
CODE
OTES CODE ENFORCEMENT INSPECTOR 9/28/98
i:;
CITY OF SALEM, MASSACHUSETTS
v$ .� BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
.� SALEM, MA 01970
TEL. 978-741-1800
pryer FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
RELEASE
7.a accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary-Code Chapter II and Article XIII of -
rhe City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
or residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
_forementioned statutes, regulations and ordinances .
Lo thr event it is necessary Lhat 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 agon.s
, roy any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
AVILESSEE Or' ER/iFSSCR.
ADDRESS
DRESS OF UNIT IMSPECTED i
�vg��ONU1T��
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
07/24/2001 Fax: (978)-745-0343
Sparta Realty c/o Constance Markos
235 Lafayette Street
Salem, MA 01970
PROPERTY LOCATED AT 224 Lafayette Street UNIT # 15
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4 :00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
o 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#259-07
DATE ISSUED: 6/1/2007
Property Located at: 225 Lafayette Street UNIT#2
Owner/Agent: Ed Scialdoni
Address: 10 Lafayette Place
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 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
qv-o,�
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD HEALTH
STREET,
• s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, R5, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT#
IS THIS UNIT DESIGNATED AS RIGHTLEFT FRONT BACK PLEASE CIRCLE ONE // _
OWNER/LESSER M� 54 IA-1r utw MANAGER/AGENT r SG td-4��(�
No P.O. Box 4 No P.O. Box
ADDRESS /D L_,+A /�///:l ADDRESS / ��
CITY 4� • CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS )
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE 1._ 2— -3_3 -_ 4
5 6._T 8 _
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY C K OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEP TM S E IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE �/t DATE ///
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION(? - I -0 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:__��( 1(6 7
TYPE OF UNIT DWELL _OTHER____. CHECK a &d—q __CHECK DATE �_-I 0
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#265-06
DATE ISSUED: 5/26/2006
Property Located at: 225 Lafayette Street UNIT#3
Owner/Agent: Mary Scialdoni
Address. 225 Lafayette Street#1
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8436
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
4
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
t .
CITY OF SALEM, MASSACHUSETTS ` /7
BOARD OF HEALTH 5' /
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 6
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'.
PROPERTY LOCATED AT �2a S F y 7– UNIT# 3
IS THIS UNIT DESIGNATED AS RIGH/TT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERILESSER MANAGER/AGENT
No P.O. Box / No P.O. Box
ADDRESS .24-S- L/1'FyC71Za_ S7_ ADDRESS
CITY S �r� CITY
RESIDENCE PHONE-97�Wil-Mb BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 7�I-771-77- '-
TOTAL NUMBER OF ROOMS: 2l
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 ��/ 4 �i�i DATE '� La
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 0 � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE::4"-JI'S d-6 DATE FEE PAID: 5—-d. �d
TYPE OF UNIT: DWELL _OTHER_ CHECK# !W2 CHECK DATE,'�!1� D
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
t
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
- FAX 978-745-0343
JOANNE SCOTT, MPH, R5, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter li 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 a^oenis
from any loss or injury sustained of whatever nature ani description occasioned
by my/our absence during said insAecti.cn.
Lc SSE: .TIJ.LIe. C�Q,�/'Qi l�1, OWNER/LES .
ADDRESS
5 r&tIP .
ADIRESS O ON11' BE RESPECTED
CITY OF SALEM, MASSACHUSETTS
e BOARD OF HEALTH
s 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
CERTIFICATE OF FITNESS
CERTIFICATE#79-07
DATE ISSUED: 2/27/2007
Property Located at: 230 Lafayette Street UNIT# R
Owner/Agent: Carol H. Daras
Address: 230 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4021
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
/A
f
J NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
10001, OF SALEM, MASSACHUSETTS ��
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT --', 3"0- _ = UNIT k__ _
IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Boxfi No P.O.Box
ADDRESS_,a\00 0 ADDRESS
CITY �lt 0/u / CITY
RESIDENCE PHONET7$_j_7'/!1 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS
ROOM USE: 1 - 2 -- - - 3 ...- - 4 --- --
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 -__0 __- 'r- - _ -__. -DATE / `SCO '
INSPECTORS USE ONLY
DATE OF iNiTiAi- INSPECTION )_ _ J- 7 r/f DA T F OF REINSPECT 0%
DATE OF ISSUANCE- OF C'ERTiFICA'E 2_ ;,-7--17 DATE FEi- PAO _?
TYPE OF UNIT DVdk LUN15k/ 0'1 FIEf-)' Cl ti= Y. '3 IEC DVI-E
NOTES
CODE ENFOI-iCt'MEN I IIJSP1__CI'Ui?
l
aCITY 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
08/15/2002
Carol H. Daras
230 Lafayette Street
Salem, MA 01970
PROPERTY LOCATED AT 230 Lafayette Street UNIT # 1 - 1st Right
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.
X2¢2 THE BOARD O� REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
/ CITY OF SALEM, MASSACHUSETTS
m BOARD OF HEALTH
s 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#258-07
DATE ISSUED: 6/1/2007
Property Located at: 231 Lafayette Street UNIT# 1
Owner/Agent: Ed Scialdoni
Address: 10 Lafayette Place
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
JON�MPH, RS, CHO �� f✓ L�, F/
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
l_
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
.JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT Z( ������% UNIT It
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASSEEJCIR LLE ONNEE
OWNER/LESSER _.tr Wd7 R4- 7'�f{tl1 � ANAGER/AGENT I'�JwCn�
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY CITY
RESIDENCE PHONE IISINESS PHONE (24 HRS.)
BUSINESS PHONE �?2�-- 2`5 } '���9 `
TOTAL NUMBER OF ROOMS _IS' Q
ROOM USE: 1._ 2C� '"9 �_pJ
5. 6 T 8
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CH CK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH D ARTMENT THIS E IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE �� DATE
i
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION (i -L - 0 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE4 l 1�7 DATE FEE PAID _W r / ® �_
TYPE OF UNIT DWEL),Pd OTHER__ CHECK 41_f_41_I__CHECK DATE
NOTES.
CODE ENFORCEMENT INSPECTOR 9/28/98
�pNDiTCity of Salem, Massachusetts
Board of Health
a * 120 Washington Street, 4th Floor, Salem, Pt1bIfCIieellth
MA01970 Prevent.Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-129
DATE ISSUED: 5/3/2017
Property Located at: 233 LAFAYETTE STREET UNIT#1
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508)962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
kBs
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIA
CITY OF SALEM, MASSACHUSL:'rrs
BOARD OF HE:rl t
120 WASHINGTON STRFhT,4"'FLOOR
TFL_ ()78)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDINn.SALEM.COM
LARRY RAMDIN,RS/RF.1-IS,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 93-3 h A 1I�C1 7 sr UNIT# I
IS THIS UNIT DHISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER III[ QG h�G,tJG�h� MANAGER/AGENT
NO P.O.BOX
ADDRESS 33 44mflALII Alm ADDRESS
CITY, STATE, ZIP SA NA / A N M a CITY,STATE,ZIP
RESIDENCE PHONE v r p BUSINESS PHONE(24HRS)
BUSINESS PHONE S6 `�6�- yYoo
TOTAL NUMBER OF ROOMS: S� e
ROOM USE: 1. /,irk & 2. X1 rr�v 3. )dP&/ 4. wed 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 TJMEOF ECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: 5�t)2/2C91I Date of reinspection:
Date of issuance of certificate::V0212nJ-7 Date fee paid: Q0212�i 7
Type of unit: Dwelling V Other Check#312- Check date: .-1/92/2C,1,/
Notes:
*Cnf ement In ctor
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR ocara,:Nlinoht asnl..rnt.co�[
DAVID GRIiFNIiI\um
ACTING HEAI.11-I AGL'.NT
CERTIFICATE OF FITNESS
CERTIFICATE#432-09
DATE ISSUED: 8/31/2009
Property Located at: 233 Lafayette Street UNIT#2
Owner/Agent: 233 Lafayette LLC
Address: 62 Jefferson Avenue
City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 BOARDOF HEALTH
/�' 'Y � p
DAVID GREENBAUM
ACTING HEALTH AGENT C �
Q&PENFORCEfv1E1VT INSPECTOR
e + CITY OF SALEM, MASSACHUSETTS
BOARD OF HEAj,rH
120 WAsI-IINGTON STREET,41°FI,OOR (((
'TEL.. (978) 741-1800
ICIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR DGREENBAUM(a.SALEN1.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
//� /� -/ FEE: $50.00
'ROPERTY LOCATED AT L-; 33 Grt/Y,p y ESC S r UNIT#
IS THIS UNIT DISIGNATED ASIIG LEFT ONT R BACK PLEASE CIRCLE ONE
)WNER/LESSER L,4F�C' LLc MANAGER/AGENT ,41( ' 4
40 P.O.BOX
UDDRESS ADDRESS
Iffy, STATE,ZIP Teed 11114 niY7o CITY, STATE,ZIP 1"; %/r1 LT/970
tESIDENCE PHONE ?IoD Tyr A61 BUSINESS PHONE(24HRS)
WSINESS PHONE 971' 7Vr /ela/
'OTAL NUMBER OFROOMS: 3
tOOM USE: 1. b l/ 2. bil. 94 3. IS 021 4. 5.
6. 7. 8. 9. 10.
-HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INECTION
tPPLICANT'S SIGNATURE DATE
Inspectors use only
)ate on initial inspection: /m Date of reinspection:
)ate of issuance of certificate: I 'n Date fee paid: n
'ype of unit: Dwelling Other Check# t 1 I Check date:
Totes:
CALAAGZ4,0�
'ode nforcement Inspector
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, pll Heakh
MA 01970 PK a ..Prom:a.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-17-306
DATE ISSUED: 9/15/2017
Property Located at: 233 LAFAYETTE STREET UNIT#3
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for oneY ear from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
RECEIVED 09/15/2017 08:33AM 9787450343 Salem Health Dept
Sep.15.2017 08:33 AM Michael McLaughlin 19787414385 PAGE. 1/ 1
CITY OF 5111 FM. fMASSAC! iLasl , 4"1 s
1S[).\ItI)I?P 1-11 i,\l I'l I
120 WNS I I I NGI ON STIt I Il.T 4...FLtunt
T(I I1 (97 9)741-123[10
lanaBl-,RI,F,v DItISt,1)1,I• V,\4(978)7450343
MAY011 IRAMDIN60K.tic:tl.rent
1.,\ItR1'tt r\\tilt\,itK/Itlii Lti,CII(>,(:P-15
blt.vatt Acr•.v'r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 10.5 CMR 410.000
'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $.50.00
PROPERTY LOCATED AT g 3 l/If.91�/IC' cSI� UNITti
ISI NISUNIT DISICNATEDJA/S RIGH11+EF.T FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER i 2/)-e ��41OV4'11AJ MANAGER/ArPN'I'
NO Y.O.BOX
ADDRESS f ZdvFP ADDRESS wIll-A
CITY,STATE,ZIP !W// /it1 explo CITY,STATE,ZIP_
RESIDENCE PHONE S BUSINESS PHONE(24HRS)
BUSINESS PHONF. ?; f
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. �i 1' 2. ,titlflW 3. 4, 5,
6. 7. 8. 9. 10.
THERE IS A FIFTY(SSO)DOLLAR FEE,PAYABLE BY CHECK O MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THP TIME O SPP.CTION
APPLICANT'S SIGNATURE DATE
lnsnectors use only
Date on initial iospec ion: Date of n:inspcction;
Date of issuance of certificate' Date fee yid
Type of unit: Dwelling Other Check#�'� _�Check Jaw—441
Notes:
Code Enforcement Inspector
L
CITY OF SALEM, MASSACHUSETTS
r ' BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRI3I NBAUM(n/SAI.GM.('OM
DA\'LD GREENBAUM
ACTING HPALTA AGFXr
CERTIFICATE OF FITNESS
CERTIFICATE#433-09
DATE ISSUED: 8/31/2009
Property Located at: 233 Lafayette Street UNIT#3
Owner/Agent: 233 Lafayette LLC
Address: 62 Jefferson Avenue
Cityfrown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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
DA IV D GREENBAUM
ACTING HEALTH AGENT CO NFORCE INSPECTOR
d
CITY Or SALEM, MASSACHUSE I"I'S
BOARD OF HFA7:C1-I
120 WASHINGTON STREI,r,4O'FLUOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR UGRrENRAUMOSALLM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
//�� // FEE: $50.00 s
'ROPERTY LOCATED AT L-; 33 l rA ��0e 's I UNIT#�
IS THIS UNIT
1DDISIGNATED S RIG LEFT FRONT(QR BACK, LEASE CIRCLE ONE
)WNER/LESSER /�41iYf TC L�C MANAGER/AGENT ,//�7' /f'� �dC��h�
70 P.O.BOX � .� A /
1DDRESS b� 1/!' i7Jc / /U/Y ADDRESS
;ITY, STATE,ZIP .S_O1411 ,A4 n1?76 CITY, STATE, ZIP 11,d -1 AW 0/{70
tESIDENCE PHONE ?7� 75/S— /o/a/ BUSINESS PHONE (24HRS)_�17'JJYr Af/o/
IUSINESS PHONE 97J' 7V.r /elol
'OTAL NUMBER OF ROOMS: Snip
LOOM USE: 1. \6 2. 460 3. 4. 5.
6. 7. 8. 9. 10.
-HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF IN ECTION
APPLICANT'S SIGNATURE DATE
Insnectors use onlv
)ate on initial inspection: Date of reinspection:
)ate of issuance of certificate: ' 'n Date fee paid:
'ype of unit: Dwelling `1 Other Check# / f Check date: I' )) V"1
Totes: I
'odl-enforcement Inspector
l_
P� City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, Publi�Health
MA 01970 Prevm2. Pr mole P otttt.
978 741-1800 F 978 745-0343
Kimberley Driscoll Tel. � � ax. � � Larry Ramdin, MPH, REHS,CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-249
DATE ISSUED: 8/17/2017
Property Located at: 233 LAFAYETTE STREET UNIT#4
Owner/Agent: Michael McLaughlin
i
Address: 33 Liberty Hill Avenue
I
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(50 8) 962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter it "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.
awvz"� ale
Larry Ramdin, MPH, REHS, CHO j
HEALTH AGENT SANITARIAN I
I
I
I
I
I
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STRhhT,4"'FY.00R
TEL(978)741-1800
KIMBERLFsY DRISCOLL FAX(978)745-0343
MAYOR LRAMDIN(0).SALEM.COM
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
"M[NIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
// /J J FEE: $50.00
PROPERTY LOCATED AT (A� L/l/4 hk� 1NIT#�
is Tms um T DISIGmT/ED As RJIGHT LSFL FRONT OR BA PLEASE CIYCLE ONU
OWNERILESSER /lClde 6 /�/��//l,)(/ ��1!) MANAGER/AGENT
ADDRESS .3 3 Z4r 1 X,�iIY/I/ Agi1� ADDRESS
CPI'Y,STATE,ZIP S�1 I/7 /I4 d,/7 6 CITY,STATE,zr
RESIDENCE PHONE / BUSINESS PHONE(24HRS)
BUSINESS PHONE 46 0
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. J(l 2. /3e(! 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FHW($50)DOLLAR FEE,PAYABLE BY CHECK OR VONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYA=THE
O ON
APPLICANT'S SIGNATURE DATE �7
InSDectors use only
Date on initial inspection l�I�� I�� Date of reinspection:
Date of issuance of certificate: I�� I �� Date fee paid:
Type of unit: Dwelliug__Other Check# Check date: I
Notes: v
Code Enforcement Inspector
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAZ(978) 745-0343
MAYOR DGu31iNSnunl(a).SAJ l?NI.C.OM
DA\'1D GREENBAUM
ACTING HEAI:CII AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #434-09
DATE ISSUED: 8/31/2009
Property Located at: 233 Lafayette Street UNIT#4
Owner/Agent: 233 Lafayette LLC
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 T�RD F HEALTH
I
DAVID GREENBAUM rP�
ACTING HEALTH AGENT CO ENFORCEMl NSPECTOR
CITY Or SALEM, MASSACHUSETTS
BOARD OF HEALTH y �//!l
o
120 WAST IINGTON STREEr,4°'FLUOR
'ISL. (978) 741-1800
KINIIBERLtY DRISCOLL FAX (978) 745-0343
MAYOR Dc:IzeaN13AUM(a)Sn1.1:M.CONI
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
'ROPERTY LOCATED AT c� 3,3 14Y 4 (f0C .S r UN17r#-1—
IS THISS UNIT,,DDISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
)WNER/LESSER 41;16-17_(-- LLG MANAGER/AGENT_l J(� �dr411/
10 P.O. BOX
WDRESS ADDRESS 4�r _
;ITY, STATE,ZIP 704411 IY4 0/f7o CITY, STATE, ZIP fX''/r /t.r 011 70
,ESIDENCE PHONE �V 7(/,r Azlo/ BUSINESS PHONE(24HRS) 197
3USINESS PHONE 197,' 7(/.r /e'o/
'OTAL NUMBER OF ROOMS: Z
:OOM USE: 1. 2. LId130.PA 3. 4. 5.
6. 7. 8. 9. 10.
-HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INECTION
kPPLICANT'S SIGNATURE DATE
Inspectors use onlv
)ate on initial inspection: Date of reinspection:
)ate of issuance of certificate: Date fee paid:
'ype of unit: Dwelling Other Check# l Check date:
z
totes: Mtgd� C-6 �0 �� 'or —� C�((�G CI CAT- f D 0*mSPfO:tpn.
of,
'od&FAlforcement Inspector
f CITY OF SALEM, MASSACHUSETTS
+ e BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRI?II,NRAUMna tiAl,l?bLCOM
DAVID GRLF'NBAUM
ACTING HEALI'II AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#435-09
DATE ISSUED: 8/31/2009
Property Located at: 233 Lafayette Street UNIT#5
Owner/Agent: 233 Lafayette LLC
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 BOAWF HEALTH
J
DAVID GREENBAUM
ACTING HEALTH AGENT CQ&Z ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
j BOARD OF HIi.1I•TH '( V
120 WASHINGTON STREET,4°1 FLUOR
TEL.. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREF.NIMUMONAIAL M.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
7 / / FEE: $50.00
'ROPERTY LOCATED AT � IV UNIT# s
IS THISS UNNI�T,/DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
)WNEMESSER 1;32L,0%0 YF/TC" /LG MANAGER/AGENT ,D,&��dC��h�
JO P.O. BOX � � �+ / /
WDRESS b� U<`/Pi2Jc / A/P ADDRESS 6r,� f�f�2Jo�/ Alz
'ITY, STATE,ZIP .SdAll ll_`1�4 (7/Y7c) CITY, STATE, ZIP AV O/f 70
tESIDENCE PHONE ?7JO 7/.- /o/a/ BUSINESS PHONE(24HRS)
IUSINESS PHONE 97Y 7V r /.)'0/
'OTAL NUMBER OF ROOMS: 3
LOOM USE: 1. Xi f 2. tiO. A/f 3. A044 4. 5.
6. 7. 8, 9. 10.
-HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
tOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIMEOF IN ECTION
APPLICANT'S SIGNATURE DATE
/ Ins_nectors use onlv
)ate on initial inspection: �/3�!��t Date of reinspection:
)ate of issuance of certificate: Date fee paid:
ype of unit: Dwelling Other Check# 7 Check date:
1 � r
totes:
e nfor�cetne to Inspector
y
CITY OF SALEM, MASSACHUSETTS
• ' BOARD OF HEALTH
120 WASHINGTON STREET,4F"FLOOR
TEL. (978) 741-1800
KINIBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRF:BNBAUMaSA].ISM CONI
DAVID GRE@.NBAUN1
ACTING HuAI,i7 i AG GNP
CERTIFICATE OF FITNESS
CERTIFICATE#436-09
DATE ISSUED: 8/31/2009
Property Located at: 233 Lafayette Street UNIT#6
Owner/Agent: 233 Lafayette LLC
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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
DAV GREE B
ACTING HEALTH AGENT CO NFORCEM INSPECT R
F.
CITY OF SALEM, MASSACHUSETTS
J BOARD OF HFiA1:I'li �(
120 WASHINGTON STREET,4O.FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR UGR1:f:NBjWM( SA1J:M.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
'ROPERTY LOCATED AT c� 33 GrG>e�? <S r UNIT#--L
IS THIS UNIT'DDISIGNATED AS RIGHT LEFT'FRONT OR BACK,PLEASE CIRCLE ONE
)WNER/LESSER ,;32L,4
32 / YFTC' LLC. MANAGER/AGENT Z&
40 P.O. BOX � .� � ,�
WDRESS bird b4rA'-i jo- -- 't111P ADDRESS �� VF�14-
;ITY, STATE,ZIP SO4d 11YX (7if7c) CITY, STATE,ZIP %/.r/ O-I 70
.ESIDENCE PHONE ?7J 7551.E / o/ BUSINESS PHONE(24HRS) IpId, AW /140/
WSINESS PHONE 197,' 75/,1' /elol
'OTAL NUMBER OF ROOMS:
ZOOM USE: 1. 2. 3. 161 ' 4. 5.
6. 7. 8. 9. 10.
'HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT TH=ECTION
IPPLICANT'S SIGNATURE DATE
Inspectors use onlv
)ate on initial inspection: /3 I /0-t Date of reinspection:
)ate of issuance of certificate: I n Date fee paid:
'ype of unit: Dwelling Other Check# t / Check date:_
Totes:
A-Vnforcement Inspector
w �
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR
TEL. (978) 741-1800
KIM 3FRLEY DRISCOLL FAx(978) 745-0343
MAYOR DGREENBAUM([l A FM.CY)M
DAVID GREENBAUM
ACl'ING HG.AL"I7"I AGLNP
CERTIFICATE OF FITNESS
CERTIFICATE#437-09
DATE ISSUED: 8/31/2009
Property Located at: 233 Lafayette Street UNIT#7
Owner/Agent: 233 Lafayette LLC
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 BBOAfj�D OF HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CO NFORCE INE NS ECS TOR'
• l CITY OF SALEM, MASSACHUSETTS /�' f/S/7r
y/ BOARD OF HI-ILTH `
120 WASHINGTON STREET,4O.FLUOR
TEL. (978) 741-1800
I4MBERLEY DRISCOLL FAX (978) 745-0343
MAYOR, DGREEM;AUMOSALEM.CONI
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
/ FEE: $50.00
'ROPERTY LOCATED AT I; 33 /�G� �L<�C <5 F UNIT#-7—
IS THIS UNIT11DDISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
)WNER/LESSER ;- 33L,4�YFTr LLQ MANAGER/AGENT d/& //`
70 P.O. BOX
DDRESS we-eJo"I sai- ADDRESS 411� tl/-L //
2IP.1�l 167/1_'
;ITY, STATE,ZIP SS 1,91/ /YX o/Y70 CITY, STATE,ZIP IX'�/y A. OYY70
tESIDENCE PHONE ?IP 71T /olo/ BUSINESS PHONE (24HRS) 91Y 11r /140/
tUSINESS PHONE 97,P 7V r P elol
'OTAL NUMBER OF ROOMS: �I
:OOM USE: 1. 2. I i tl. 3. &Q 4. 4(-4 5.
6. 7. 8. 9. 10.
-HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
tOARD OF HEALTH THIS FEE IS PAYABLE AT THE TWECTION
IPPLICANT'S SIGNATURE �/2W DATE
Inspectors use only
)ate on initial inspection: gR.hi1'/� Date of reinspection:
)ate of issuance of certificate: / I,, , Date fee paid:
�i
'ype of unit: Dwelling Other Check# `—C 1 1 Check date:
)
totes:
`F/�if"DI.v1�A v
'o&-Rnforcement Inspector
6dCONDIT,t� City of Salem, Massachusetts ]
a Board of Health
an
120 Washington Street, 4th Floor, Salem, PubliCHea Ith
MA01970 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-15-207
DATE ISSUED: 7/31/2015
Property Located at: 233 LAFAYETTE STREET UNIT#8
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City(Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANIT IAN
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4ni FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343 . '
MAYOR LRAMDINOISMEMMM
LARRY RAMDIN,RS/RIJIS,cno,CP-1'S
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 a3,3 .GAC41,055 SF UNrf#
IS T// //HIS UNIT D�IISIGNNATEA/AS RIGIIT I.FXr O OR BACK PLEASE CIRCLE ONE
OWNER/LESSER A6 4P 6 eG9UC7lA.11 MANAGEW AGENT
NO P.O.BOX / �I
ADDRESS 33 Zir/kif N/// 4,jp ADDRESS
CITY, STATE,ZIP S bA Ad CITY,STATE,ZIP
RESIDENCE PHONE // BUSINESS PHONE(24HRS)
BUSINESS PHONE Shc� 9�a fle0
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. k T 2. /i// X17 3. hi 4. A 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 PA;XkOF INSPECTION
APPLICANT'S SIGNATURE :� DATE ��T
Inspectors use only,
Date on initial inspection: f)V3012-015- Date of reinspection:
Date of issuance of certificate: 071301201-5- Date fee paid: 0 7/30/2 OJ-r
Type of unit: Dwelling Other Check# 3 LZ Check date: 071 0/241-5-
Notes:
C ant actor
45- aa�-?
5
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR UC Rl',I?NBAUNI @.,SAL,Y:NLCON1
DAVID GREENBAUM
ACTIN(, HU.A1.11-I A(1vN'I'
CERTIFICATE OF FITNESS
CERTIFICATE#371-09
DATE ISSUED: 8/5/2009
Property Located at: 233 Lafayette Street UNIT# 9
Owner/Agent: 233 Lafayette LLC
Address: 233 Lafayette street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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
DAVIDG EENB M
ACTING HEALTH AGENT COD EN ORCEMENT INSPECTOR
, 01
/ CITY OF SALEM, MASSACHUSETTS ,1 l
/ BOARD OF HEAI.CH
120 WASHINGTON STREET,4°1 FLOOR
TEI- (978) 741-1800
ICIMBERLEY DRISCOL L FAX (978) 745-0343
MAYOR DGREHNRAUMOSALIN COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
// FEE: $50.00
°ROPERTY LOCATED AT C� 33 /�� 3/F�C �S� UNIT#__?—__
IS THISS UNIT
'/DISIGNATED A IG LE FRO OR BACK.PLEASE CIRCLE ONE
)WNER/LESSER G,4f�J yFT� LLC M GER/AGENT
10 P.O. BOX A /
kDDRESS b� Ifr�Jc / /M✓P ADDRESS
--ITY, STATE,ZIP.S, All //X1 nlf70 CITY, STATE, ZIP %/tel 011Y70
tESIDENCE PHONE ?IP NS- /oa/ BUSINESS PHONE (24HRS) 91d' 1/S- /140/
3USINESS PHONE 107,y 7V r /elo/
'OTALNUMBER OFROOMS: 3- /-44e4
l �
LOOM USE. 1. � r 2. L/U, 3. ✓off 4. 5.
6. 7. 8. 9. 10.
'HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT THETIME OF IN ECTION
APPLICANT'S SIGNATURE '� ` DATE %�T
Inspectors use oniv
late on initial inspection: G �7�ti Date of reinspection: /
late of issuance of certificate: Date fee paid:
ype of unit: Dwelling Other Check# Check date:
otes:
ode Enforcement Inspector
r
I
CITY OF SALEM, MASSACHUSETTS
• BOARD OF Hr LTH
120 W.�sl-rINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGlaT,,NBAUNIQSA a;NLCONI
DAvm GREUNRAUM
ACTING HEAL.ri i A(;ENI'
CERTIFICATE OF FITNESS
CERTIFICATE#370-09
DATE ISSUED: 8/5/2009
Property Located at: 233 Lafayette Street UNIT# 10
Owner/Agent: 233 Lafayette Street
Address: 233 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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
r
DAVID GREENB M
ACTING HEALTH AGENT COD ENF RCEMENT INSPECTOR
Y
/ CITY OF SALEM, MASSACHUSE=S �r7
BOARD OF HLiA];I'H
120 WASHINGTON STREET,4O'FLUOR
TBI.. (978) 741-1800
IUMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR Dcar.eNBAUMnSA1J.,M CONI
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
7 / . ,/ FEE: $50.00
Y
°ROPERTY LOCATED AT 3 J /�Gt A Eg-2-- S r UNIT# �G7
IS THISS UNIT'1DDISIGNATED A IG EFr FRONT OZ ACK LEASE CIRCLE ONE
�WNER/LESSER 3 3 �,4�YE//C LLG MANAGER/AGENT %J/&
10 P.O. BOX // L
kDDRESS Ar/P ADDRESS
--TTY, STATE,ZIP SdO d //fu nlr7v CITY, STATE,ZIP x/970
tESIDENCE PHONE ?7,J 75/S' /4'g/ BUSINESS PHONE(24HRS) /12/01
3USINESS PHONE 97,P 7vr /e�o/
'OTAL NUMBER OF ROOMS: Jl di ro
:OOM USE: I. /i r 2. /-Cr. 3. 4. 5.
6. 7. 8. 9. 10.
-HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF IN ECTION
LPPLICANT'S SIGNATURE //� '! DATE �J�
/ J Ins_nectors use onlv
]ate on initial inspection: / / t �p7, Date of reinspection:
We of issuance of certificate: Date fee paid:
ype of unit: Dwelling Other Check# /I 7 2) Check date: -PrI7 1 eti
otes:
ode Enforcement Inspector
r.
• CITY OF SALEM, MASSACHUSETTS
BOARD OF FIE-M TH
120 WASHINGTON STREET,41°FLOOR
TEL. (978) 741-1800
KINMERI EY DRISCOLL FAZ(978) 745-0343
MAYOR DGREEN&WM(n1SALEM COM
DAVID GRUENBAUM
ACTING HI?ALn-f AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#369-09
DATE ISSUED: 8/5/2009
Property Located at: 233 Lafayette Street UNIT# 11
Owner/Agent: 233 Lafayette LLC
Address: 233 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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.
i
RHEALTH
HEALTH
KT COD ENF RCEMENT INSPECTOR
r 3 ,q oa
CITY OF SALEM, MASSACHUSETTS
/
13 OA RD OF HEALTH
He 120 WAsHINGrON STREET,4"' FLoOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENRAUMntiALEM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
// '' / FEE: $50.00
°ROPERTY LOCATED AT � 33 /4r J FSC �S r _ UNTT# f�
IS THISS UNIT DISIGNATED AS IG_H;ILEFT FRONT OR&ACIeVLEASF CIRCLE ONE
DwNER/LESSER -;32G,4
32 1ij/F/T-' LLC MANAGER/AGENT %/Z& //� �d >'�
QO P.O. BOX / L
kDDRESS 75/� 1/�'��2J� r/ IDUP ADDRESS 4i� I/Prima 2 ro / �/P
:ITY, STATE,ZIP SdAd /YX n/f7v CITY, STATE, ZIP f/✓�/� %/0 OIY70
tESIDENCE PHONE ?V 75T /elo/ BUSINESS PHONE (24HRS) 127d' Aw I-elo/
3USINESS PHONE 97,P 7V1`�Mo/
J fu
'OTAL NUMBER OF ROOMS: t/l a
:OOM USE: 1. 2. A5 3. 4. 5.
6. 7. 8. 9. 10.
'HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
IOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INFECTION
LPPLICANT'S SIGNATURE /� i/ 9'ZiL%/ DATE 6/0/
Insoectors use only
late on initial inspection: �6�j7�� Date of reinspection: /
late of issuance of certificate: �J�;��7 Date fee paid:
ype of unit: Dwelling Other Check# Check date: e V/7/q
'otes:
ode Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS 10
BOARD OF HEALTH publicAealth
120 WASHINGTON STREET,4...FLOOR Prevent,Prnmme NOW
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL lramdin(a),salem.com
LARRY R,\t`RJiN,RS/REI-IS,CFIO,CP-FS
S
MAYOR HEM 11 i A(A NT
CERTIFICATE OF FITNESS
CERTIFICATE #379-14
DATE ISSUED: 10/22/2014
Property Located at: 233 Lafayette Street UNIT# 12
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV 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 1
Y J . BOARD OF HEALTH
120 WASHINGT(,1N STREET,41°FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR I.RAMD1N([1SM,EM.00KI
LARRY RAMDIN,RS/REI-IS,(A 10,CP-PS
H EALTIi 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 /, .�.3 Dill'160E Sr UNIT#—Ze?—
IS THIS U//NIT DISIGNAAD AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Arlx,(,e Aclv4dAlt / MANAGER/AGENT
NO P.O. BOX
ADDRESS z1.,,1er1111/1 AJP ADDRESS
CITY, STATE,ZIP DJ/1 /�U 0/ 76 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE sof Ala ydba
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 1 allr.t 2. /d, /I l 3. /f/r 4. /-k! 5.
6. / 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY 91ECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE T E OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: as/I 1 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#Check date:
Notes:
Code Enforc6ent Inspector
M � f
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH Ftib11CHP.A��1
120 Wd5HINGTON STREET 4""FLOOR
Prevent.Promote Protect
TEL. (978) 741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL 1ramdinna,sa1em.com
LARRY 1L\MIl>IN,RVREHS,010,U-16
MAYOR HEA1,T1-I AGENT
CERTIFICATE OF FITNESS
I
CERTIFICATE#203-13
DATE ISSUED: 6/20/2013
Property Located at: 233 Lafayette Street UNIT# 13
Owner/Agent: 233 Lafayette LLC
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Div1sion3, 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 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.
n FOR THE BOARD OF HEALTH
LARRY RAMDIN ((//
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTSIV
"
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR P#F �
TEL. (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL Iramdm(@,salem.cam
MAYOR LARRYRAbIl>IN,RSf Rl:tIS,C,tft7,(7'-ll
H13dLTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT UNIT#_l
IS THI g UNIT DI,SSI &IGNAAD AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
+ r
OWNER/LESSER a3-3 �4riP /9' MANAGER/AGENT /lftr
ADDRESS r e ADDRESS
CITY, STATE,ZIP S1411( fV CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE .sad P -Z WOO
TOTAL NUMBER OF ROOMS: �...)
ROOM USE: 1. b r" 2. I d• 3. get 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 A THE T INSPECTION
APPLICANT'S SIGNATURE DATE
/ Insnectors use only
Date on initial inspection: 9/0100 - -1; Date of reinspection:
Date of issuance of certificate: I t Date fee paid:
Type of unit: Dwelling Other Check# , Check date:
Notes:
Codent Inspector
A CDNDIT,, � City of Salem, Massachusetts
D Board of Health
m 120 Washington Street, 4th Floor, Salem, PabliCHeA Ith
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-16-43
DATE ISSUED: 2/12/2016
Property Located at: 233 LAFAYETTE STREET UNIT#14
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
O�--A4� &1^1/
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
Y
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4`"FLOORr... YeeH( Qr
th
TEL. (978) 741-1800 Fax(978)745-0343
KIMBERLEY DRISCOLL hamdin6i).salem.com
MAYOR LARRY R1MDIN,RS/RL-'IIS,C1 10,CR FS
HEALTI J 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/,Z3-2 ,GOP. %'k7 C `5 UNIT# //9'
SIS THIS UNIT
/DISIIGNATED/AS RTGIIT O �OR BACK PLEASE CIRCLE ONE
!/
OWNER/LESSER eIA-� lf`Lo�41,41 A[ fMANAGER/AGENT
NO P.O. BOX
ADDRESS 33 /fir✓ ///// 9✓(- ADDRESS
CITY, STATE,ZIP CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE SOY A2 ' 000
TOTAL NUMBER OF ROOMS: V /
ROOM USE: 1. k r 2. 40. A/1 3. )�-W 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHEC
K OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE THE TAT
TION
APPLICANT'S SIGNATURE DATE
Inspectors use onlv
Date on initial inspection: 02/26/2.r)t 4 Date of reinspection:
Date of issuance of certificate: 0211012n16 Date fee paid:_2L/I 012-, 2:`'
Type of unit: Dwelling—v/—� Other Check#'361Q—Check date: Q21/1R/ZQIA'
Notes:
C rcemeuI Ipcctor
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DCRF1INBAUnInSAI.M\LCON1
DAVID GRI;IiNBAUM
ACTING HEAL'n I AGi,N r
CERTIFICATE OF FITNESS
CERTIFICATE#327-09
DATE ISSUED: 7/20/2009
Property Located at: 233 Lafayette Street UNIT# 15
Owner/Agent: 233 Lafayette Street
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 BOAR OF HEALTH
DAVID GRE B ^ �/
ACTING HEALTH AGENT Q�O ENT INSPECTOR
L�
1
CITY OF SALEM, MASSACHUSETTS
13O.1RD OF HF_11:I'Ii /
/ 120 WASI'UNGTON STRF.Ln',4°1 FLOOR
"ITru.. (978) 741-1800
KIMIIERLEY DRISCOLL FAX (978) 745-0343
MAYOR DG)WE:NRAUM(ni NNL -0.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
// �?J FEE: $50.00
'ROPERTYLOCATED AT 02`33 L��/F�� -_r lJo4tu'll UNIT# IS'
IS THIS UNIT DISIGNATED ARIGH' E FRONT R BACK PLEASE CIRCLE ONE
)WNER/LESSER '733 61(5-11C LLC MANAGER/AGENT IN& /��lWe'd
10 P.O. BOX /' M
LDDRESS 6a7 I' 'e�''� fde ADDRESS
'ITY, STATE,ZIP,9�/01 /71 O1114' CITY, STATE,ZIP 4
4,// /P 01f70
.ESIDENCE PHONE M' Ar A'd BUSINESS PHONE(24HRS) /(9�
IUSINESS PHONE
'OTAL NUMBER OF ROOMS: // r
:OOM USE: 1. tI r 2. Z11. 3. Ad 4. �'p 5.
6. 7. 8. 9. 10.
'HERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
;OARD OF HEALTH THIS FEE IS PAYABzr_
TIME OF INS CTION
YPLICANT'S SIGNATURE DATE
Ins_nectors use onlv /
)ate on initial inspection: ��tog Date of reinspection: 7�a�/CYI
late of issuance of certificate: Date fee paid: r�
'ype of unit: Dwelling Other Check# U 1 Check date:
rotes: I %I vd t wac
foo . F— wffecpd a re,-1n5�eclion.
pry;^rA�'
'ode Ehf6rcement Inspector
S CITY OF SALEM, MASSACHUSETTS 1J
BOARD OF HEALTH PubliCHealth
120 WASHINGTON STREET,4"'FLOOR Prevent.Promote Protect.
TEL. (978)741-1800 FAx(978) 745-0343 _
KIMBERLEY DRISCOLL Iramdin0salem.com
- LARRv a,\htutN,tts/ta+,t t5,cr 10,c,F-Fs
MAYOR HI?,V; i[AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#146-14
DATE ISSUED: 5/6/2014
Property Located at: 233 Lafayette Street UNIT# 16
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 BOOIRD OF.WEALTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON &I-RF-ET,4°1 FLOOR PabliCHealth
Pre.em Prnmom Proles
TEL. (978) 741-1800 FAX (978) 745-0343
KIMBERLEY DRISCOLL Iramdin(asalem.com
LnRity xAnrotN,Rs/arils,c:tut,c:P-Fs
MAYOR HFAla71 Acr;N'r
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 X3-3 ` AT�Sl! UNIT# /�
IS THIS/UNIT DISI ED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O. BOX
ADDRESS .73 4. i/—✓ .1/11,61(' ADDRESS
CITY, STATE,ZIP CITY, STATE, ZIP
RESIDENCE PHONE r) BUSINESS PHONE (24HRS)
BUSINESS PHONE 52T Mol Moe
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. ki f' 2. LU Arm/ 3. /1Ec✓ 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CH CK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE T E OF INSPECTION
APPLICANT'S SIGNATURE DATE s��y
// Inspectors use only
Date on initial inspection: 41df ' Date of reinspection:
l 1 -
Date of issuance of certificate: 5-537
�7 Date fee paid:
Type of unit: Dwelling Other Check# J`J3 / Check date:
v ,
Notes:
Coen
o.0�—
Code)'n'i�oroe�ient Inspector
r _
• ` CITY OF SALEM, MASSACHUSETTS lu
BOARD OF HFALTH
120 WASHINGTON STREET 41°FLOOR PablicHea ith
Y¢venL Yrnmotc.Pro,err
TEL. (978)741-1800 F.\s(978) 745-0343
KIMBERLEY DRISCOLL Icamdinna salem.cnm
L;\lilil'IL\bR)1N,RS/RLSI-IS,C1 10,CP-ISS
MAYOR HFAJ:1'1I A(;FNT
CERTIFICATE OF FITNESS
CERTIFICATE# 117-13
DATE ISSUED: 3/26/2013
Property Located at: 233 Lafayette Street UNIT# 17
Owner/Agent: Mike McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV 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.
FfaR THE BOAR OF HE TH
�l
LARRY RAMDIN (/
HEALTH AGENT SANITARIAN
� __ - k��
c�DYv I
CITY OF SALEM, MASSACHUSETTS /
BOARD OF HEALTH P ibHcHealth /
120 WASHINGTON STREET,C FLOOR Prevent Promote.Plolect. /
TEL.(978)741-1800 FAx(978)745-0343
KIMBERLEY DRISCOLL ltamdin(a.salem.com
MAYOR LARRY lt<1MDIN,RS/RTHS,CHO,CP-IS
HEAL'T'H 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"
14 / FEE: $50.00
PROPERTY LOCATED AT D-3 ���- 'ST UNIT# #1-�7
IS THIS UNIT DLSIGNATED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE
OWNER/LESSER /%i bete' /7C MANAGER/AGENT
NO P.O.BOX
ADDRESS 7� ��t�✓ /�iOdP ADDRESS
CITY, STATE,ZIP -G� CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 5r,41. U
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 TE OF INSPECTION
APPLICANT'S SIGNATURE � DATE
/ Inspectors use only
Date on initial inspection: 31,Ull ;; Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# / Check date: '2) �
Notes:
Co meat Inspector
CITY OF SALEM, MASSACHUSL-rrs
I3omwovHE um
120 WAsf[rNc,roN S'rttscr,4"t7.txnt
7'la..(978)741-1800
lit\ I1:RI,[:r'1)IUSCt>LI, r,ux(978)745-0343
MAYOR Ir indin0a satetn.cofrl
111;,U;r11 MOON'!'
Facsimile
Transmittal
To: 1 n\ 1
Fax# 9, q
RE;
Date
Page(s): including this cover#
Message:
Board of Health News ------------ - ---- ----________ _______. _For Your Infonnation
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
TRANSMISSION VERIFICATION REPORT
TIME 04/08/2013 21:25
NAME
FAX 9787450343
TEL 9787411800
SEP.# 000BON341991
DATEJIME 04/08 21:25
FAX NO./NAME 919787449614
DURATION 00:00:26
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
TRANSMISSION VERIFICATION REPORT
TIME 04/08/2013 21: 27
NAME
FAX 9787450343
TEL 9787411800
SER. # 000BON341991
DATEJIME 04/08 21: 27
FAX NO./NAME 919787414385
DURATION 00: 00:5
PAGES} 01
RESULT Oh
MODE STANDARD
M q
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLUOR
TEL. (978) 741-1800
KID113ERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGccrNBAUN1 SAI.FN1cons
DAVID GRIr:ISNIi,%UN1
ACTING HE,V;17-I A(;FN*i'
CERTIFICATE OF FITNESS
CERTIFICATE #330-09
DATE ISSUED: 7/20/2009
Property Located at: 233 Lafayette Street UNIT# 18
Owner/Agent: 233 Lafayette Street LLC
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 BO OF HEALTH
J
DAVID G EENBA
ACTING HEALTH A NT CO ENFORCE INSPECTOR
CITY OF SALEM, MASSACHUSETTS �0
BOARD of HEALTH
"- 120 WASII1NGTON 4...F1,00R
TE.I- (978) 741-1800
KINMERLEY DRISCOLL FAX (978) 745-0343
MAYOR DCRiq;NBAUMnClSA1.1;M COM
DAVID GREENBAUM,
ACTING HF-U TH 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
� l �)
'ROPERTY LOCATED AT o2.3 3 ���IefE r— Sfd I UNIT# `O
IS THIS UNIT DISIGNATED A RIGH LEFT FRONT O BACK LEASE CIRCLE ONE
)WNER/LESSER aT ? ��><<�� LLC MANAGER/AGENT 171A /��Lp��Gf�r✓
10 P.O. BOX
DDRESS! aZ bfN�V f`l 4de ADDRESS Aoweja>v -foe
TTY, STATE,ZIP,94 /I/D O//7v CITY, STATE, ZIP SOnL,1/J `Z9 O��7o
:ESIDENCE PHONE W AS A(el BUSINESS PHONE (24HRS) /PT AV'
IUSINESS PHONEf7� 7W /,�o/
'OTAL NUMBER OF ROOMS:
:OOM USE: I. Irl 2. 3. 4. 5.
6. 7. 8. 9. 10.
'HERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
tOARD OF HEALTH THIS FEE IS PAYABLE T i TIME OF INSPECTION /��9
APPLICANT'S SIGNATURE DATE
Inspectors use only
/
)ate on initial inspection: 1�6 /Get Q Date of reinspection: 7/,30/m
)ate of issuance of certificate: p q 1 Date fee paid: pq
'ype of unit: Dwelling Other Check# `1 7 I Check date: �'U I
totes: VIAn r wtn' 4a , W nOt locks INm5room 1�314J��� m+ i&sfi? c51tD�b7lbj
_ LLlr�t� tLPDrIC Q �1� + U (Ti/1 '�J'F'i)1^n i f 7 56YI (f 0�` 60 Ylc-t v j FYr11Y rDr�/65
Carw�* at he-(,r)5fecfiion �
Y�C`.Lr�iLpt�
Enforcement Inspector
1
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WA5HINGT(1N STREET,410 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGAIdINBAUN1na SAI.BNICOM
DAVID GRFvNimum
ACTING HF.Aixi i AGIi.NI
CERTIFICATE OF FITNESS
CERTIFICATE #316-09
DATE ISSUED: 7/16/2009
Property Located at: 233 Lafayette Street UNIT# 19
Owner/Agent: Michael McLaughlin
Address: 62 Jefferson Avenue
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
DAVID G EJENAUM�
ACTING HEALTH AGENT C ENFORCEMtNINSPECTOR
d 1
CITY OF SALEM, MASSACHUSETTS �>t�•b�
r, BOARD OF HE -TH
120 WASHINGTON STREET,4O.FLOOR
TEL. (978) 741-1800
I IMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR DGREE:NB aUu(r). ALAW.COSI
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT � 33 L4a4 eAp— S UNIT#—L'3—_
t I IS THIS UNIT DISIGNATtli AS RIGHT LEFT FRONT OR ACK PLEASE CIRCLE ONE
OWNER/LES
S
__ER A r kn ed )A C LaL(Q0('./\ MANAGER/AGENT
NOP*
0 BOX
ADDRESS lv� ��et�uSon fVe ADDRESS
CITY, STATE,ZIP �X�(leM. / A 01 Q`-Tn CITY, STATE,ZIP
RESIDENCE PHONE q I7X —g45 1 (9 01 BUSINESS PHONE(24HRS)
qBUSINESS PHONE '?-T c-
' T`I,S'11001
TOTAL NUMBER OF ROOMS: q
ROOM USE: 1. [Ci-"eA 2. I(Vr rraean 3. 64m m 4. 64,raoA, 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 �t E TIME,0F INSPECTION
APPLICANT'S SIGNATURE DATE 1144,P
( / Inspectors use only
+�
Date on initial inspection: / I(6/ Da Date of reinspection:
Date of issuance of certificate: I ' Date fee paid:
Type of unit: Dwelling Other Check# Check date: 7I �/n
Notes:
C'bkEnForcement Inspector
CITY OF SALEM, MASSACHUSETTS 40W
(1Z BOARD OF HEAL:I'H
J
120 WASI I!NGTON S'I'RE E'1' 4°1 FLOOR
TE.I,. (978) 741-1800
KIMBLRLEY DRISCOLL FAX (978) 745-0343
MAYOR DGREH:NIMUM nsAHN.CONI
DAVID GREENBAUM,
ACTING HE m,'ni 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
'ROPERTYLOCATED AT 0233 Li�IFr� sly 0I e��A UNIT#—/-7—
IS THIS UNIT DISIGNATED AS RIGH'D'r FRONTO AC LEASE CIRCLE ONE
)WNER/LESSER ,733,e�F'Ikhp;�' LLC MANAGER/AGENT Ii& /r lWeld n l
fO P.O. BOX / L
LDDRESS� ifrFXfJ_ .u/ /DJC ADDRESS ba fWf,?JOKI .A✓P
'ITY, STATE,ZIPS 16 /%l LT///o CITY, STATE, ZIP Sgo�6// * 01f70
XSIDENCE PHONE M' AT /4V BUSINESS PHONE(24HRS) /�� 7�T A(°�
IUSINESS PHONE f7d 7W /1(0/
!/
'OTAL NUMBER OF ROOMS: / J
',OOM USE: I. rj r 2. Z/v 3. 4. %sus 5.
6. 7. 8. 9. 10.
'HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
tOARD OF HEALTH THIS FEE IS PAYABLE �4 TIMEiOF CTION /Y P/
TPLICANT'S SIGNATURE DATE
/ Inspectors use onlv ty /
late on initial inspection: 71 SIS In q Date of reinspection: 1 fie�C_'
)ate of issuance of certificate: ' Q "?) )
/ n Date fee paid:
'ype of unit: Dwelling Other Check# �%1 l Il Check date: )
fotes:eT�C�po= Wilted w dict lncn±
h,-,i- L
�Oc � SYY�f7L O�Y�C �r Y1am�frl¢ CfLi
(Yo{�I nL'C1�C)7Y1 t Yl�ow [Virg (�'1C, I I _16c n t11�d ouJ Mi SSinc: aLR' w VftC M
v wti'd OLL) chod' lo(_t, ,�,"
'ode Enforcement Inspector "" �1 �mC' �`I pec+)lin 1C
C-ITY OF SALEM, ILVjASSr1t;I-IU5F:I`1:S
ROr11tD OF t-h'AI.!'1't
12CllY�a�t-Itrsc;�c7�;�,7•xl.r:r 4' �Fu)ott PnblicHealth
TEL. (978) 741-1800 F,\ :(978) 745-0.343
KIMBLRLEYDRTS(.:01J, Iramdinl7_ satem.coui
MAYORL\utty u,1�71)t;v,lts/ItI?!IS,(.t{c�,(:!�_!.>
i-t h;ll all A(&XI'
CERTIFICATE:OF FITNESS
CERTIFICATE# 199-13
DATE ISSUED: 6/20/2013
Property Located at; 233 Lafayette Street UNIT•0 20
Owner/Agent: 233 Lafayette Street LLC
Address: 33 Liberty Hitt Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV 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 11" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LAMDIN
R�RqAw�&14-
HEALTH AGENT SANITARIAN
tt ` SdSa a Ava��ads
C-Nmrrn-S-ALr,M MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4'"FLOOR PublicHealth
STREET, Prevent Promnte Protest
TEL. (978) 741-1800 FAx(978)745-0343
KIMBERLEY DRISCOLL Iramdin(iNalem.com
MAYOR L:1S"RRxr\MDIN,RS/x1311S,C1 10,CP-1'S
HI?Al:n-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 d2J-7 Ae f lF� sY--*4 UNIT# ad
IS THIS UNIT DIISI[LGNATED/AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE �y /
OWNER/LESSER 623-3 //�OlD�4v `CC MANAGER/AGENT C l�eAd`/NO P.O. BOX4
ADDRESS 33/ L, Rr/�� s9✓(' ADDRESS
CITY, STATE,ZIP �Al CITY, STATE,ZIP
RESIDENCE PHONE (y/l,711 BUSINESS PHONE(24HRS)
BUSINESS PHONE S00 V
TOTAL NUMBER OF ROOMS: r
ROOM USE: 1. Ali 2. Lae 3. b[ 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 TIJ9TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE -�
Inspectors use only
Date on initial inspection: �a���3 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#—Check date:
Notes:
Code rc ent Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD of HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR Dcxv.IaNBAUhIOSA1a;nt.(coaT
DAvtD GmgI NBAUM
ACTING HI?ALTI-I AGI?N'I'
CERTIFICATE OF FITNESS
CERTIFICATE#333-09
DATE ISSUED: 7/20/2009
Property Located at: 233 Lafayette Street UNIT#21
Owner/Agent: 233 Lafayette Street LLC
Address: 62 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1601
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 THE BOJRD OF HEALTH
DAVID G yEENBA
ACTING HEALTH AGENT CC 5 ENFOR EQId INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF I-11210 I'H
120 WAStnNGTON STREI- r 4"'FLUOR
TEL. (978) 741-1800
KIM11ERLEY DRISCOLL FAX (978) 745-0343
MAYOR ucar:r:wi,wMONALEM.CONI
DAVID GREENBAUM,
ACTING HEAI:fH 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
'ROPERTYLOCATED AT 0233 loC lF7nc sl� �n ./�r/�� UNIT#--d?l
IS THIS UNIT DISIGNATED AS RIGHT&EF'*R���R BACK PLEASE CIRCLE ONE
)WNER/LESSER n7-33 L1�/�,V;�" LLC v MANAGER/AGENT 171&
f0 P.O. BOX
LDDRESS daZ lhvxfst7' /nje ADDRESS �-a A0we r°'v Sd�'
:rrY, STATE,ZIP94/, /yA e1110 CITY, STATE, ZIP .W 11' /?? 01170
,ESIDENCE PHONE Mf 70— M&I BUSINESS PHONE(24HRS)
IUSIAIESS PHONE 171 7W /V'af
'OTAL NUMBER OF ROOMS: 7 n l
:OOM USE: 1. � T' 2. 110 3. dam'(' 4. 4(l 5.
6. 7. 8. 9. � 10.
"HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
;OARD OF HEALTH THIS FEE IS PAYABLE T i TIME OF INS CTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
)ate on initial inspection: C1 ' 16 loq Date of reinspection: -ao
]ate of issuance of certificate: Date fee paid:
Iype of unit: Dwelling------Other—Check#Check date:
rotes: }tau( 11'5111 IDA c SPP t ; Cc-) rl o fp 4aa d4 nit uj-o K k.`��—' h l l corfedol
of
v
'ode orcement Inspector
d`°NDS City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PubliCHealth
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-17-185
DATE ISSUED: 6/29/2017
Property Located at: 233 LAFAYETTE STREET UNIT#23
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
Cityrrown: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
e � ilc
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
"meg CITY OF SALEM, MASSACHUSETTS
BOARD OFHEAUJTJ
120 WASHINGTON STrm i-,F 4"'FLOOR
TEI-. (978) 741-1800
KIMBERLEY DRISCOL.L FAX(978)745-0343
MAYOR LRAMDwnsAI I-NIMM
LARRY RA m)w,RS/RGf-IS,CIIO,CP-FS
HEALTH AGL•NT
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:: $$550.00
h 9
PROPERTY LOCATED AT ,�33 CA �"e ': UNIT# O
IS THIS UNIT DISIGNATEE-D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNERILESSER AC40�. /7�J(1�7✓G t/1W) MANAGER/AGENT
NO P.O.BOX
ADDRESS 33 /vrV Ili 44) ADDRESS
CITY, STATE,ZIP Qb7 /G1 Y76 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE0
d� 9�x1lx0
TOTAL NUMBER OF ROOMS: Sdtlo
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 TIME OF INSPECTION q
APPLICANT'S SIGNATURE DATE
inspectors use only
Date on initial inspection: Q I �G(I t� Date of reinspection:
Date of issuance of certificate: 0_I dYl I� Date fee paid: G
Type of unit: Dwelling Other Check# ' �4 Check date:
Notes:
Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
. too BOARD of HF—Auri-1
120 WASFIINGTON STREL T,4°`f ,c)OR
TEL (978) 741-1800
KIDIBERLEY DRISCOLT. FAX(978)745-0343
MAYOR 1.RAHDIn(a SArFALCO,u
1..ARR)'RAmm\i ,ILS/RI'.IIS,C110,CP-I'S
HtiAl.Tlt AGi N'r
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter IT 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. Uwe 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.
15 r;eqA4, a- 6-4-C/ 1//L C A% elAl
Tenant/Lessee Owner/Lessor
22 3 L afa�/P}f2 f�, t44 Z--9
Address Address
,,7.33 4 4k4-cr/- Adm
Address on unit to be inspected
Date
Updated 5/23/11
i
CITY OF SALEM, MASSACHUSETTS
P X BOARD OF HEALTH
n q
120 WASHINGTON STREET, 4TH FLOOR
o - 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#460-04
DATE ISSUED: 10/12/2004
Property Located at: 233 Lafayette Street UNIT#23
Owner/Agent: Robert Barnard
Address: 249 Green Street
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone631-7878
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 YF HEALTH d;
i
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 4
BOARD OF HEALTH %&0 '�
� s 120 WASHINGTON STREET, 4TH FLOOR �/
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 3'J -74 n UNIT# d`•3
L
IS THIS UNIT DESIGNATED AS RIGHT nLEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER 1�. -111, �ll./�G Iyu-/X MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS/G (n✓-e_,e� ADDRESS
CITY__jAIt LII ff,, nnI ��
��C-!ate 5 CITY
RESIDENCE PHONE Ole BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: O� L`C�
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. m I D
APPLICANTS SIGNATURE 1 I l ��A� % ��^ l _ DATE o`Z
VVV INSPECTORS USE ONLY
-/ '�
DATE OF INITIAL INSPECTION 1D DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:%D,/ DATE/F/EE PAID:
TYPE OF UNIT: DWELLINGXOTHER_ CHECK# B I CHECK DATE o
I
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
`oND Tg10 City of Salem, Massachusetts
E q Board of Health
120 Washington Street, 4th Floor, Salem, PabliCHealth
H) Yr
MA 01970 Prevrm Promntr Vrn,e.t
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-17-160
DATE ISSUED: 6/1/2017
Property Located at: 233 LAFAYETTE STREET UNIT#24
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code 01970 24 Hour Phone: (508) 962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
1 '
CM OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°"FLOOR
TEL(978)741-1800
IUMBERLF,Y DRISCOLL FAX(978)745-0343
MAYOR LRAMDIN@SALEM.COM
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 ;,33 LA r4 Yc�l-rC `S 1� UNIT#_�jY
IS THIS UNIT DISIGNATIM AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER ACkPC /l ` elw MANAGER/AGENT
NO P.O.BOX /
ADDRESS 33 G{Fid r✓ 1111/ 4d P ADDRESS
CITY,STATE,ZIP SA/P/i 114 d/JI 0 CITY,STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE Sd 74z 10c'
TOTAL NUMBER OF ROOMS:
ROOM USE: I. 57'd di 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK R MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAY7;�77
INSPECTION
APPLICANT'S SIGNATURE DATE /7
Inspectors use onlv
Date on initialinspection: Date of reinspection ,
Date of issuance of certificate: 7 Date fee paid: Le
ZI
Type of unit: Dwelling Other Check# bfiTCheck date: Lo
Notes:
Code Enforce ntlnspect
{
I
CITY OF SALEM, MASSACHUSETTS
.j BOARD OF HEALTH
- L$j 120 WASHINGTON STREET, 4TH FLOOR CERT.# 339-03
SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 07/15/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 233 Lafavette Street UNIT #: 24
OWNER/AGENT: Robert Barnard
ADDRESS: 249 Green Street
CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 10S 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
I r
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 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 OJ✓- �0i UNIT#oZ
IS THIS UNIT DESIGNATED AS RIGHT L FT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER 44U MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY K-N CITY
RESIDENCE PHONE V-63/-2eT7BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �U�/6
ROOM USE: 1. 9 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 DATE
Oe C.
INSPECTORS USE ONLY
DATE OF INITIAL_ INSPFCTION�-/ �_--O__'? DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-7 -/S 3 DATE FEE PAID: 7, ( S' a 3
TYPE OF UNIT: DWELLING�OTHER_ CHECK# L CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
City of Salem, Massachusetts
,Au�- .0�4 '
Board of Health
120 Washington Street, 4th Floor, Salem, PnbliCHealth
t8ND(T7 h
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-16-344
DATE ISSUED: 9/7/2016
Property Located at: 233 LAFAYETTE STREET UNIT#25
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code:'- 01970 24 Hour Phone:(508)962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
a sy
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT /�/ SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
l�imBERLEY DRISCOLL FAX(978)745-0343
MAYOR LRAAID NO.SMFW.C.OM
.LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
,MR,UMUM STANDARDS OF FTINESS FOR HUMAN HABITATION"
jj�/� L� FEE: $50,00
GdF
PROPERTY LOCATED AT A33 d� njr r UNIT# A�r_
ppIS//THIS UNIT DLSIJGNAT)E/D AS RI_GII LFT FROM OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER AIU 1 crtlJG� Zlltl) MANAGER/AGENT
NO P.O.BOX / /
ADDRESS 33 GY°eCY N,tcrl Ae ADDRESS
CITY,STATE,ZIP SIJ jI 1�Y CITY,STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSIIVESS PHONE 30e f"(A#00
TOTAL NUMBER OF ROOMS: OAl C� —SGd'd
ROOM USE: 1. 2. 3. 4, 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHEC R MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE T F INSPECTION
APPLICANT`S SIGNATURE DATE
Insrrectors use only
Date on initial inspection: '6 Date of reinspection:
Date of issuance of certificate:Oglol�101-6 Date fee paid:
Type of unit: DweIhng_VOther Check# 6 7 2 Check date:
Notes:
nM
C c menz pector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
r 'w 120 WASHINGTON STREET, 4TH FLOOR
r SALEM, MA 01970 CERT.# 398-02FEE $25.00
,pB
TEL. 978-741-1800 DATE: 07/31/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 233 Lafavette Street UNIT #: 26
OWNER/AGENT: Robert Barnard
ADDRESS: 249 Green Street
CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518
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 1
///e/
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM,-MASSACHUSETTS
:BOARD OF HEALTH " - " '° " • `
• i, 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970. Y
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":
77 i
PROPERTY LOCATED AT C2 3 3 ./� / .� � ' UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT_F AC
FRONT BK PLEASE CIRCLE ONE
OWNER/LESSER /C e—r)�AI--Aat— /MANAGER/AGEN�T' JtI-Z-1 4JS
No P°O. Box 7I / No P.O:Box /J?,
ADDRESS 4q II ��P� ADDRESS 7 J' �/ `/ . ,.
CITY n I (, CITY '; i?5 `
RESIDENCE PHONE-V-b3�-7 d BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL"NUMBEROFROOMS:�,,x
ROOM.USE: 1.`62.+ .'3='
a ,-
.p.Cw . 1 a i s i - �fi, t.,t�•T3,„p�.�f�1F�Y�t”" � »
. x _. . -
THERE IS'ATWENTY-FIVE($25.00) DOLLAR'FEE PAYABLE;BX'CHECK.ORAONEY�
ORDER.TO THE CITY OF SALEM HEALTH DEPARTMENTaTHIS':EEE IS`PAYABLE AT THE
TIME OF INSPECTION. ."' y' xJ ,
APPLICANTS SIGNATURE �a4// , ;ii DATE
INSPECTORS USE ONLY.-:
DATE OF INITIAL INSPECTION 7 3 L 'DATE;.OF;REINSPECTION ..,
DATE OF ISSUANCE OF CERTIFICATE:? r3 %'bAtF FEE PAID: 7 3
TYPE OF UNIT: DWELLING OTHER_ CHECK#' '-9 5I k"#`CHECK DATE—,7 �'t' L
E.
NOTES:
• �.¢Y' 5���b'� , �']3S ,tie, . ! {
CODE,ENFORCEMENT INSPECTOR
E wY +yi 'i fy�'
if
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