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LAFAYETTE STREET 161-180 LAFAYETTE STET (o - 180 1 I' it Y, v yp F I .3 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR p{1b�CI�P.81t1 Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY IL9MDIN,RS/REl-iS,CI 10,CP-1'S MAYOR HF,\LTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 127-14 DATE ISSUED: 4/7/2014 Property Located at: 173 Lafayette Street UNIT#1 Owner/Agent: Maria Correia Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 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 LARRY RAMDIN HEALTH AGENT SANITARIAN t 6 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4P"FLOOR PublicHealth > Prevent,Promote.Protect. TEL.. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin e salem.com MAYOR LARRY RnNn�iN,Rs/tuH : s,cHO,C11-FS I-hi'.Ai:1'1'1 AG1,'N'1' 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 0 -1 I c�� 1P 4e S� UNIT# O n IS THIS UNIT DISII�GNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER Ci MANAGER/AGENT NO P.O. BOX ADDRESS - L3C7}� S Z ADDRESS CITY, STATE,ZIP SO VVV rn A 0 CITY, STATE,ZIP RESIDENCE PHONEn / BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1 I U a b'w'" 2. ��' `^3�dl U 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 IS1 PAYABLE ATIEIIMM TIME OF INSPECTION / p APPLICANT'S SIGNATURE I vl �/I/�� (N " DATE Inspectors use only Date on initial inspection: Date of reinspection: \, Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: `7- Notes: Code Enforcement Inspector s 06y CI IOF SALEM, MASSACHUSETTS BOARD OF HE\LTH 120 WASHINGTON STREET,4°`FLOOR BCH Itb Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL 1Pamdin@SXtem.com LARRY RA+bIDiN,RS/RFA IS,CHQ,CF-Id' MAYOR CERTIFICATE OF FITNESS CERTIFICATE#251-13 DATE ISSUED: 7131/2013 Property Located at: 173 Lafayette Street UNIT#2 Owner/Agent: Maria Correia Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 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 Cale 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 A DIN HEALT AGENT SANITARIAN a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOORNblicHealth - rrc.eoo.r.omnec.r.omm. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR _ LrARI2Y IL\MllIN,Rti/Rl31-I5,CHQ,C]'-FS HEAL:n AGii.N'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 173 /A V Q.4:4C Z�-+ UNIT# IS THIS UNIT DISIG,NNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER M Q � / t CI `-CJ�C 6 C1 MANAGER/AGENT NO P.O. BOX ADDRESS n . (7 �C Z ADDRESS CITY, STATE,ZIP 0.l py6 VA A I 4`?0 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE T� a a3- S7S TOTAL NUMBER OF ROOMS:_ ROOMUSE: 2.1',AhWojh3 1 MACk+, 4. g4h0 7n5. 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 IIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE�� CILAw " `^ �^ DATE 7-3i-13 / Inspectors use only Date on initial inspection: 2b' )7 Date of reinspection: Date of issuance of certificate: to' L.6-)3 Date fee paid: Type of unit: Dwelling t/ Other Check# h Check date: T 1 17 Notes: Code Enforc&nent Inspector IMPIORTANT M���AG� FOR DATE TIME . M. OF PHONE AREA CODE NUMBER EXTENSION O FAX Q MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE.CALL CAME r TO SEE YOU WILL CALL.AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE v5 /Qk Lee- 9�8 -91-11- - 6N SIGNED ftIVERSAL.. 48005 41AIE w U.S.A. NOTES TRANSMISSION VERIFICATION REPORT TIME 08/07/2013 00:07 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 08/07 00: 06 FAX NO. /NAME 919787449614 DURATION 00: 00:20 PAGE(S) 01 RESULT OK MODE STANDARD ECM SND , City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, PablicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor lramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-1689 DATE ISSUED: 3/11/2016 Property Located at: 173 LAFAYETTE STREET UNIT#3 Owner/Agent: Maria Correia Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 223-5756 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,--� If/_ Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARI N CITY. O S5ALEM, NL-V7b )SETTS ' (ON� }' tl, at-18tiii Fii.'rt.T.Z"R i ;i r,"(.11F.�1. \x LP.R ((ii\ C obi i 9lyv Xf C?oimCr><s-.. � _ct IN ACCOBDAMCE WTWSTATE SANITARY COM OMPM 111.M.CM410A00 STA OF I sS MR X36 M HABUA71W FEE PRaMRTY i.00ATEA.AT 1 ,73 ©w Z Psi`F AGENT . NOP,O.BO% ArEss a .I' a1G Sz —ADDRESS CITY,STATE,ZIP . a 1 !� b'!q 2k-CITY,STATE,21P . BUSHMSS: TIE(ZOM) ,. 57sb TOTAL . fIFR S: _ ROOM USE:' L)W -�2.j.f x,3./y/ ins 4. 5 6 7.-r & 9. #!. THM 1.5A;FI Y($5Q)DOWA E�,PA-YAM SY ORA43 y..,Oi 2TO iCuybpSALEM E(} Q� .'I�i`Ti MAYA AT Thi TF)T? , Dmotum " amass case o�Iv I af' T efeepiait 3 �� Typeofc #" :. rte..... `. , , �J d�ND City of Salem, Massachusetts lu a 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent TI TE F FITNESS CERTIFICATE O SS CERTIFICATE#: GHL-16-193 DATE ISSUED: 6/3/2016 Property Located at: 173 LAFAYETTE STREET UNIT#4 Owner/Agent: Maria Correia Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 223-5756 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 tF Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN hl. L4?Fiii. r'Y ,14 O,-.. :. r \ (9-19') 47� 'i313. . NI aYOR . iN ACCOBi�Ai+i�E�."TA 3? s�+T1TARY Ct3�E>ICKANFMRII> `fit 41UN "WMdMSTANDARMOFMMWFORHUMARBABUkTOW 'IM moo m PROPERTY. OCATE�3 AT—L-11 r-eAADDRWS— �4ANACtJACsEN f NOP;:O.BU% .�Q fox Z. q CITY,STAM 2ZP J ak,/M fnIfl D I T7 .CITY>ST'ATE,.Zw RMWENMPHO NE s TOTALNU&%M 11 ROOM USE:' Ll,-)A Ul9-?S 2. 1 AIA 3.� u� Yr 4. 5 6 ..: $: 9. 3(k T 3S-AH!TY( )2 .PAA EBXC S3dt Y TO arybFSA i � A � $� R _ tes�An3 > .�f } n.rcC. n4 � yo1 . � r s �coxorr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR E SALEM, MA 01970 CERT.# 149-02 TEL. 978-741-1800 FEE $25.00 D Fax 978-745-0343 ATE: 03/20/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 173 Lafayette Street UNIT #: 5 OWNER/AGENT: H.L. Realty Trust ADDRESS: 255 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2552 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE', CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 7j�� 'ta TT+n 2 Q c UNIT f "5 OWNER/LESSER � e� (/ ' // l(/J1� MANAGER/AGENT ADDRESS`Z S3 L(/(� S�lliivT/� �/ ADDRESS CITY d�(. P�11 r��6 /S I y 7V CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) sosiNEss PHONE -�VV 2- SS Z - TOTAL NUMBER OF ROOMS: ROOM USE: 1. .h 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 SALEH HEALTH DEP TME i[/S!�FEE IS PAYABLE AT THE TIME OF INSPEC ION APPLICANTS SIGNATURE /�//IA�lcc7 J� DATE 3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:- --v `- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATF.iiyu - � " DATE FEE PAID:��% y6 �O TYPE OF UNIT: DWELLING OTHER- NOTES : THERNOTES : ( G (r 3 CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I\Uyl BmRD of 1-IE.AL'I'H .. . .. .. . - 120 WdSIIINGTON4: -STREET; "�Fi OOR . - ]PL►.�l)IiCHC8I 1 r Frc,rnt.Promom Frotr t. ` TEL. (978)741-1800 Fix (978)745-0343 KIMBERLEY DRISCOLL iramdingsalem.com MAYOR LIUZRY R.VbIDiN,RSJREHS,CHo,Ch-�S I Iim CLf AGENT CERTIFICATE OF FITNESS CERTIFICATE#467-14 DATE ISSUED:12/512014 Property Located at: 173 Lafayette Street UNIT#6 Owner/Agent: Maria Correia Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 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 i / AlHE tH AGENT SANITARIAN r ' CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH I 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANUMN&A LENI.COM LARRY RAMDIN,RS/RFI-IS,(J 10,( P-F'S H I3,rU.:f H AG ENT 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 ��01 h e S f UNIT#—L— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �� 1 GI �e) �Y �� G� MANAGER/AGENT NO P.O. BOX �9 ADDRESS I/ -�S t) )( S Z ADDRESS CITY, STATE, ZIP �l.j c) I 5 )&CITY, STATE, ZIP a)4_ \ l RESIDENCE PHONE BUSINESS PHONE(24HRS) q-70 3--T-?l BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. Yah 2. 1 L\,h,Wfvn 3.b.*)rvo ., 4.IU jj4),e 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 K Ckk(-D, v DATE 1) N Inspectors use only Date on initial inspection: 1 s I of Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: rN Cod fo cement Inspector J T CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON STREET 4"'FLOOR PI1blICHcRlfl1 STREET, Prevent.Promote.rrmem. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin a,salem.com MAYOR � LAIi1LY KA hIlJIN,1LS'/RFStiS,C1 10,CP-FS HFAMt i AGI:(NT 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 Address Address Address on unit to be inspected Date Updated 523/11 m �: CITY OF SALEM, MASSACHUSEI"I'S 10 BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR PubliCHealtth - PrcvrnL Pmmatc Pmtcct. TEL.(978) 741-1800 FAx(978) 745-0343 . KIMBERLEY DRISCOLL lxamdin@salem.com LARRY 1L1NMDIN,RS/R1--',1-1S,CNO,CP-FS MAYOR HFA1;111 AGENT CERTIFICATE OF FITNESS CERTIFICATE#012-13 DATE ISSUED: 1/8/2013 Property Located at: 173 Lafayette Street UNIT#7 Owner/Agent: 173 Lafayette St LLC/ Maria Correia Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-429-7380 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETI's 1�� BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PublicHealth TEj . (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL liaindin@s2lcin.com MAYOR LARRY aAatulN,Rs/ae�a 1s,C1 10,Cr-Fs HEAL IJ i A(3Ii,Nf Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEET :�$50.00 PROPERTY LOCATED AT 1-7 _) UNIT#__7_ IS THIS/UNIT DISIGNATED AS RIGHT LEFT FRONT ORBAC PLEASE CIRCLE ONE OWNER/LESSER J 7 ,� /Gl TgAjjjz SJ-1-Lee MANAGER/AGENT A_0 r ^— NO P.O.BOX ADDRESS f=0� Y S-L /� ADDRESS CITY, STATE, ZIP Sri q.,m m ! © l�0L CITY, STATE,ZIP 5 AAW X� d 1_7d RESIDENCE PHONEq // BUSINESS PHONE(24HRS) BUSINESS PHONE / �� a�3 ` S 7S 5� TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. P=�`OA 2. 3.11'1n WAIN'" 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: j-- k- )3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling V' . Other Check# 1 3) Check date: 7 S' Notes: Code Enfo cement Inspector co CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 spa FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 409-03 DATE ISSUED: 8/6/2003 Property Located at:: 173 Lafayette Street UNIT#: 8 Owner/Agent: Robert Chilton Address: 7 Gerry Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 617-429-7380 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. 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. 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 � V Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR y 46 CITY OF SALEMBOARD OF HEALTH, Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". A-� e M PROPERTY LOCATED AT 1-73 LBUNIT#_0 IS THIS UNIT DESIGNATED AS RIGHT` LEFT FRONT.BACK PLEASE CIRCLE ONE OWNER/LESSER O�i2✓�' ��`�°� MANAGER/AGENT No P.O. Box No P.O. BOX ADDRESS � Ge/� S� • ADDRESS CITY �p�_ V�l wb(,k' {�� CITY ©1 '110 !f RESIDENCE PHONE 7kL_ ,110- 3003BUSINESS PHONE (24 HRkAy2 o- Vee BUSINESS PHONE Si9w�� TOTAL NUMBER OF ROOMS: l(� ROOM USE: 1. (�ktia 2. '}+ 3. L IK� A. NJ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY/OF SALEM HEALTH DEPARTMENT THIS FEE ISPAYABLE AT THE TIME OF INSPECTION. Q APPLICANTS SIGNATURE DATE U�lk_G� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 4 —0 5 DATE.OF REINSPECTION ' ` DATE OF ISSUANCE OF CERTIFICATE: -L-203 DATE FEE PAID: TYPE OF UNIT: DWELLIt�OTHER_ CHECK# 7l (.-o CHECK DATE NOTES&,�'T� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARDOF HEALTH Salem;Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS;CHO 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, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned ... by my/our absence during said inspecti-on. rhe ---- TE ANT%LESSEEOWNER/LESS RobeRChilton _ p0 Box 4446 Salem,MA 01970 AD KESS ADDRESS -- ADDRESS OF UNIT TO BE tNSPECTED RTE CITY OF SALEM, MASSACHUSETTS �vb BOARD OF HEALTH s }. 120 WASHINGTON STREET, 4TH FLOOR t 3S SALEM, MA 01970 CERT.# 150-02 FEE $25.00 TEL. 978-741-1800 D FAX 978-745-0343 ATE: 03/20/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 173 Lafayette Street UNIT #: 9 OWNER/AGENT: H.L. Realty Trust ADDRESS: 255 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2552 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. - FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR X0 .0) CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED /AT 7 3 UNIT I OWNER/LESSER / e� ]�!// 1U31/ MANAGER/AGENT ADDRESS Z S,, G(//e S�7/iirT/4 �/ ADDRESS CITY '_Pwl . rB4 CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) p7 BUSINESS PHONE '/ 2l'i-1 . Z Sys Z TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1 ,�2 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 SALEH HEALTH DEP AR i1 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE �rr,� , '-✓ _DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION yG o DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:, TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR 4 � 1 4 CERT.# 174-98 FEE $25.00 R DATE: 04/01/98 �Yry� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 173 Latayette Street UNIT #: 10 OWNER/AGENT: H.L. Realty Trust ADDRESS: 255 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2552 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 10`_ CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE 'WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH �'l�-moi/ � � '✓ JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � '2 K q 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY' CODE, .CNAPTER II, 105 CMR 410:000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . PROPERTY LOCATED AT -1j � � DNIT .i�b OWNER/LESSER/ F �44/ 1/-L'J 7'__ MANAGER/AGENT ADDRESS L[ '6 t 7-1 ."57 ADDRESS CITY �(_ ' e_ml, ,��� �l `171 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE °�Gf� Z ,S":S TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 2. 3._ dlJl1C� 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 DEPARTF47NT THIS FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE DATE-y -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ( 11 ,GDATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: — ` Y DATE FEE PAID: TYPE OF UNIT, DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR rpND City of Salem, Massachusetts Board of Health L�!� 120 Washington Street, 4th Floor, Salem, PUPrevent. PtomuHe81th MA 01970 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-16-331 DATE ISSUED: 9/1/2016 Property Located at: 173 LAFAYETTE STREET UNIT#11 Owner/Agent: Maria Correia Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 223-5756 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. ;AeKe� Osy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r 2 �1 � %qCeA- CoY.�lc4S� ,k7 -L�r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET,4"'FLOORPnbHCmoH CB�th TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin e salem.com LARRY ItAMD[N,RS/I2EHS,CI 10,CP-FS MAYOR HEALTU 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" F :iEt: ,$50.0 X7'`1 q0 PROPERTY LOCATED AT I J 1 � t- ' S'11 UNIT#--L I IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER YTU��� CO ,e/ MANAGER/AGENT NO P.O. BOX ADDRESS (�'- Uc d k SZ- I� / ADDRESS CITY, STATE, ZIP J q l f`j /moi Tl 7j) CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESSPHONE q-4;4)-5 - S7Sl TOTAL NUMBER OF ROOMS: ROOM USE: YV� 2. 3.ki 4zA,^, 4 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION AII� / APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: OS1Zqj_b Date of reinspection: Date of issuance of certificate: 2 202 Date fee paid: 3� _ Type of unit: Dwelling Other Check# tk3q _Check date: Notes: C e ,nf ement luepector f, c4 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR pllbliCHC81th Pr<vrnt.Promote.Protect. TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL Iramdin e salem.com MAYOR LARRY IU\MDIN,RS/REHH S,CO,CP-11 HEAL.TII AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11 s ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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 4/11/06 173 Lafayette St. Salem Realty Trust/ Robert Chilton P.O. Box 4446 Salem, MA 01970 PROPERTY LOCATED AT 173 Lafayette Street Unit 12 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. i For the Board of Health Reply to J anne Scott MPH, RS, CHO Pablo Valdez ealth Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s e � 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 -- STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/14/05 173 Lafayette St. Salem Realty Trust/ Robert Chilton P.O. Box 4446 Salem, MA 01970 PROPERTY LOCATED AT 173 Lafayette Street Unit 12 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. FoWhe Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4n'FLOOR PUb11CHCe Ith f Prevent Pmmom.Prole.. TSL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinna,salem.com MAYOR LARRY IL\MD1N,RS/ItIsFIS,0-10,CP-ITS HI-.A1,rH AGENT CERTIFICATE OF FITNESS CERTIFICATE#002-14 DATE ISSUED: 1/7/2014 Property Located at: 173 Lafayette Street UNIT# 14 Owner/Agent: Maria Carreia Address: P.O.Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 I , LAR MDIN lth ) HEALTH AGENT SANITARIAN CITY OF SALEM, MASSA CHUSETTS BOARD OF HEALTH C�{1{L��{�i/�1��LL��Y�i 120 WASHINGTON STREET,4"'FLOOR Prevent.Promote.Protect. TEL: (978)7414800&AX(978)745-0343 KIMBERLEY DRISCOLL lmmdinna.salem.com MAYOR - LARRY RAbIIDIN,RS/REAS,CHO,CI'-f5 HEALTH AGENT �r7}�5i6)L 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 e I— UNIf#� IS,TMS UNITSIGNATED AS RIGffr LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER CL t-21 ,p I CL to rQ�^-u- MANAGER/AGENT NO P.O.BOX ADDRESS :3!. D. Y X10 5 Z ADDRESS CITY, STATE,ZIP S cP> g jA � 1 17 b CTI Y, STATE ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: IIzlCys`r2 �lu�yYr° 3 4 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE fiA, A Ail DATE �- 7-/G/ IIMectors use only Date on initial inspection: " '7' Date of reinspection: Date of issuance of certificate: 7-1`0 Date fee paid: Type of unit: Dwelling ✓ Other Check#j Check date: Notes: Code Enforcement Inspector jl v Irk, CERT.# 806-97 FEE $25.00 1J �F DATE: 12/03/97 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: 173 Lafayette Street UNIT #: 15 OWNER/AGENT: H.L. Realty Trust ADDRESS: 255 Washington Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2552 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH 14ay JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR K q CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01870-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABB{ITAT^^ION". 1 PROPERTY LOCATED AT DNIT ..r. ..�j OWNER/LESSER L0 MANAGER/AGENT ADDRESS SS QS ADDRESS CITY_Al lei/f7U CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 / DOOM USE: I.--� 2 LlVtt,Rt7Y)w� 3._jJ'� -4 5. b. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DEPARTME(+////JL/j�((IIS F,EEEE IS PAYABLE AT THE TIME OF INSPEC ION APPLICANTS SIC NATIIRE----� Yd, -`�C� _ DATE 1,23 ...__..._ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:Z2- j_:jf7 DATE OF REINSPECTION 7 _ DATE OF ISSUANCE OF CERTiFICATE:Z-, 3 ---�-7 — DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF H&-1LTH - . . . -._..._._-120 WASHINGTON STREETe 4..FLOOR .. . Pt1�1�1CH@81'th - b-- vr".em.r.omm".wmai. TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL Iramdin ,salem.com MAYOR LARRY IL-\bIDIN,RS/RI:1-IS,CFR),(:P-I^S Hj;m:n-I AGENT CERTIFICATE OF FITNESS CERTIFICATE # 19-15 DATE ISSUED: 1/13/2015 Property Located at: 176 Lafayette Street UNIT# 1 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter []" 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, NIASSACHUSETTS BOARD OF HH.ILTH 120 WASHINGTON STREET,Orr.FLOt3R PWkHea kh TEL. (978)741-1800 F.1x(978)745-0343 KIMBERLEY DRISCOLL Iraiiadin@s,,ilem.com MAYOR LARRY RANDaN,IWIu I s,a u3,c),-I's H1:.A unIACI;Nf' 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 AT171 � � UNIT# I IS TH19 IJSIGNATE S RIGHT LEFT FRONT OR BA PLEASE CONE !Apr It- '• CC79SS'' cam _ No 1AAli- OWNER/LESSER �, �o Wr-EgE A L.T 14 MANAGER/AGENT NO P.O.BOX ADDRESS ?D_?�oX tj(o la ADDRESS, 5 y�CITY, STATE,STATE, 2,T ny XLS 1AA n I Qat CITY, STATE,ZIPSa(Q m A- 01 9 7Q RESIDENCEPHONEJ7�' 8 lb d BUSINESSPHONE(24HRS) 79- 745 t a6L BUSINESSPHONE__� � TOTAL NUMBER OF ROOMS: " ROOM USE I.) 2.{A);e 3-11"t 4. 5, 6. 7._ 1 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 FLAYABLE AT THE TIME ajOTF/INSPECTIONAPPLICANT'S SIGNATURE DATE-4 5/a)1, Inspectors use only Date on initial inspection: 1 t ' I Date of reinspection: Date of issuance of certificate:_„_I - 15, Date fee paid: Type of unit: Dwelling r/�Other Check# J �*_� Check date: )-11, !J Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PI1�I�CHP.a1l PrevcnL Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 IQMBERLEY DRISCOLL liamdin@salem.com_ MAYORLARRYItAMDIN,RS/REHS,CI-(O,CP-FS HF ALTI-I AGI%NT CERTIFICATE OF FITNESS CERTIFICATE#383-13 DATE ISSUED: 10/17/2013 Property Located at: 176 Lafayette Street UNIT#2 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Il" 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 BA ARD O EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF $ATEA/4 MASSACHUSEITS BOARD OE HEA-LTH 120 WAmiNGTON STRELm 4"'FLOOR TEL.:(978)741-M KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR I RAMUN&SAi itnUr.OM L,1RR�'R.\Ad171N,hti/RI?I fti,f:I 10,(;P-1 I-II lu xi I.A(;I+,N'P . Application for Cerdficate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 I MMMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �(g UNIT#(t� IS TWS UNIT D .IG GHT LEFr_FRO N I OR BACK PLEASE CIRCLE ONE I OWNERM=00)( OrT�� e ldy MpANAGER/AGENT�aQ m NO P.O.BOX q'IP&� (1 Etv ¢T`/yo( Z-3 -� ADDRESS �a�� �� )RES CITY, STATE,ZII _Q/S 10 jZegn /11 I Ct i-3-CITY,STATE,ZIP nl< ' � -) dQ_ A n 1 343 RESIDENCE PHONEg7L- �1+��-�' In(a BUSWESSPRONE(24HRS) R78_ 7�L-_ (rte BusmEssPHONE ! 79-71/5'035�0 TOTAL NUMBER OF(IROOMS: ROOM USE: 1. T 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 IS,�AYABLEjA�T THE TIME OF INSPECTION APPLICANT'S SIGNATURFIL /�/Yl DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: lO ^ 0- �'� Date fee paid � 11— 0 Type of unit: Dwelling V'Other Check# S �) Check date: C7,2- J� Notes: Code Enforcement Inspector tpND1T� City of Salem, Massachusetts 10 i Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-107 DATE ISSUED: 4/1/2016 Property Located at: 176 LAFAYETTE STREET UNIT#3 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH O- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN - —------------- t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W kSHINGTON STREET,4'FLOOR FLOOR TEL, (978)741-1800 F x(978)745-0343 KIMBERLEY DRISCOLL lranidjp@salem.com L my R,\%1171N,Its/1ua ls,(.,I to,C)-b5 MAYOR Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOM" f�7 j 1 FEE: $50.00 PROPERTY LOCATED AT --1 J-(!� b i'0 ry o,, gy 6� IS THIS UNIT DIS NATER G LE r FR_ om OR BA PIXASE c i ONE IdA1L' No Uf}w OWNER/LESSER q s�ltytlT��A t�f-'� MAINAGERlAGEN �t( p NO P.O.BOR ADDRESS ADDRESS � t tR CITY, STATE,Zl I�: p ,nlytea ,M o I q,aa CITY, STATE,ZIPSa V RESIDENCE PHoNE /� '-xi h/,BUSINESS PHONE(24HRS) 7 ' 7'7',:r—036 C+ BUSINESS PHONE T Z�, TOTAL NUMBER OF ROOMS: t' ROOM USE: 2,Ale : 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 YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE � �� DATE Zal� Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: wl"Q16 Date fee paid:0W2V201S Type of writ: Dwellingg _CUdrer Check#j"-k--Check date: C) 312-312-= Notes: E orccmen pector City of Salem, Massachusetts Board of Health 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-15-271 DATE ISSUED: 9/3/2015 Property Located at: 176 LAFAYETTE STREET UNIT#4 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,—�� 4da4iy—l�� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN t CITY OF SALEM, MASSACHUSETTS IV BOARD OF HFALTH 120 WASHINGTON STRE1;1',4"'FLOOR r. �.� Ith TFL. (978)741-1800 F:1Y(978)745-0343 KIMBERL.EY DRISCOLL Iramdin a alem,com MAYORLARRY.RdW131N,1t,9/1t1iHS,(;li(7,(:P-D5 Hr•.AJ I'ti ACa9?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 FEEL $5000 PROPERTY LOCATED AT j7��Pl IS THIS UNIT DISIGIVATEI3 RIGHT FR6NT OR BACK,PLEASE CI E oNE 1-l�h i t.. C��ce - No lA A li- OWNER/LESSER � i j211A 1,iT LT�� MANI AGER/AGENTS YYi cat P t'�Li K? NO P.O. sox ADDRESS `) b %�QX q(o(p ---ADDRESS�� — CITY, STATE,ZIT��T� yP� A i qac IT CY, STATE,ZIP Q C I R -D 1 RESIDENCEPHONE p�p n7t�' 4:" �BuSINESs PHONE(24HRs) BUSINESS PRONE /pf� — TOTAL NUMBER�-!OF ROOMS: ROOM USE: 1. i 2. 6'2)�! � 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 FE YAELE jAjT THE TIME OF INSPECTION APPLICANT'S SIGNATURE C/ X0, � DATE_. 2� Inspectors use only Date on initial inspection: W021201 S Date of reinspection: Date of issuance of certificate: O 9/0212 b1.r Date fee paid:0q,lra2.1�l,5-- Type of unit: Dwellin8_V,---Other Check# Y 9 2 _Check date:(}glol1.2D1 S— Notes: C d rcem Spector J CITY OF SALEM, MASSACHUSETTS 1 BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCIu�e:NnnuMC�snr.[:M.cona DAVID GREENM um,RS ACTING HI eV.a'H Ac; NT CERTIFICATE OF FITNESS CERTIFICATE #95-11 DATE ISSUED: 3/28/2011 Property Located at: 176 Lafayette Street UNIT#5 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THEIBOrOF HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CrrY OF SALEM, MASSACHUSETTS _ tt BOARD of HsALTH - I 120 W- S1HNGTON STREET,4"-FLOOR TE:[-(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IuioNNilu2,:)J: COM JANFr DIONNF, AcnN,G HE.kvrH AGFNr 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 /-7� ka fZ�z S /�- UNmL' ,,5 IS THLS UMTDMGNATqp RIGHT LEFI'FRONTORBA PLEASECIRCLEONE OWNER/LESSER F0 (rrv%m nttZ2e 1 d V MANAGER/AGENT mr�►-o ni -Zen 1 i+�i NO P.O.BOX 'V O O X''►to �;,oftiat '"►Ia& ADDRESS S� ADDRESS 14[p Summ¢r 54, CITY, STATE,ZIP '1�t nJer s, IOW CITY,STATE,ZIP 1>anve�4 o14d� RESIDENCE PHONE q-7 -b8 a- [a Ser b -4 BUSINESS PHONE(24HRs) -78- 39:5'-0,2 BUSINESS PHONE-J3,8- 7 4 S-Oa -6 TOTAL NUMBER OF ROOMS f: ROOM USE: 1. � I9 2 1 C 3.�1�� 4. 5 7. 1 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 FE IS YABLE AT TBE �0FF INSPECTION APPLICANT'S SIGNATURE � /.C7 DAT hM3ectors we Only Date on initial inspection: 1 1 Date of Ieinspectioa Date of issuance of certificate: Date fee paid a Type of unit: Dwell' Other Check# yW AP--Check date: Notes: ) n- G VI O(X 11J Enf ent Inspector EDNntz City of Salem, Massachusetts f • i 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-15-130 DATE ISSUED: 6/18/2015 Property Located at: 176 LAFAYETTE STREET UNIT#6 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT AN 8 L1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4` 'FLOOR nr nE.vromotc.�4,�<: TEL. (978)741-1800 FAX(978)745-0343 KIMBERLI;YDRISCOLL Iramdin ,s&m.cotp MAYOR LARRY R;I;Yri>IN;RS/itli.FlS,(:I IO,CP-1,1', HI':Arm ACa7?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-R, FEE: $50700 PROPERTY LOCATED AT 17 [/ a nd � UNIT#� I3 THIS UNIT DISIGNATED#RIGHT LEFT FIEF OR BAt K PLEASE C E C OWNER)LESSER �GloNT Z ,)�� MANAGERJAGENtGfVYI c�2P. �1t7 NO P.O.BOX ADDRESS ?LE�Qt [ 146( ADDRESS 15-7 La 'WAI CITY, STATE,ZIlr -rp n VP�SS IIIA jo i 9,.a3 CITY, STATE,ZIP-&iw R/---0j RESIDENCE PHONE ZL- — ' BUSINESS PHONE(24HRS) 7 - 7 4,5`OA6 o� BUSINESS PHONE TOTAL NUMBER OF+ROOMS: ROOM USE: LHR 2.6E�-. 3. k"- ., 4. S. 6. 1 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 EEE P ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 4 Z r�' at�,4- '- ' DATE / O)J� j Inspectors use only Date on initial inspection: 0A1171201 - Date of reinspection. Date of issuance of certificate:6�Z7/2OZSr Date fee paid.: 0611 7,=S- Type of unit: Dwelling x/ Other Check#j&31 Check date:()4 IJ&2,W� Notes: CY rcement Lector a CITY OF SALEM, MASSACHUSETTS lu BOARD OF HF-ALTH 120 WASHINGTON STREET,4."FLOOR PublicHealth ere.em.rmmma raorec,. TEL. (978) 741-1800 F\t(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RA MUIN,RS/RVI is,(;1I0,CP-I+S MAYOR Hi:,\ia'I I AGFNP CERTIFICATE OF FITNESS CERTIFICATE #252-14 DATE ISSUED: 7/17/2014 Property Located at: 176 Lafayette Street UNIT#7 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS Bmm OF HF-imi W I 120'W-,LSMNGTO\STREu,4"'FLOoR a/JV TEL.(978)741-1800 KIMBERLEY DRISCOLI. FA1(9-8)745-0343 MAYOR 1V10NNL' %1j;m.COM ).ANSI'DioNNE, ACTING HEALTH AGF.Nr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" // FEE: $50.00 PROPERTY L.00ATFD AT UcL"A UNIT#- ' IS THIS UNIT DSIGNATED AS AT LEFT FRONT OR PLEASE CIRCLE ONE -Po..ry. Aeidevzon OWNER/LESSER 1-Q(f rrc,ni- -R-P.0-1-Ly MANAGER/AGENT Fctl r+ror.i �2�� f iii NO P.O.BOX 'PO %5OX'4%ofo O-LC50X 441&Ip ADDRESS 14(a 5...rrmrr.em- S� ADDRESS IY(p Summer 5+ CITY, STATE,ZIP -lPOL ~Ys, iAf1 CITY,STATE,ZIP Panye r t,, 1AAoA� RESIDENCE PHONE-q-7&-682 - i 3112 b BUSINESS PHONE(24HRS)_Q703Z 4 S D as. BUSINESS PHONE'j�45f-03 56 TOTAL NUMBER OF ROOMS: ROOM USE: 1. �I\ 2, li ',k 5- 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM 130ARD OF HEALTH THIS F 7 AYABLE AT PT TIME OF INSPECTION APPLICANT'S SIGNATURE DATE ? I Inspectors use otlly Date on initial inspection: �I�rl I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# � Check date: Notes: Cod n ement Inspector � ?y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PubfiCHealth Prevent.Promote.Prolmt. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY D-RISCOLL Itamdin@salcin.com LARRY RAMDIN,RS/REFIS,CHO,CP-FE'S MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#40-13 DATE ISSUED: 1/30/2013 Property Located at: 176 Lafayette Street UNIT#9 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MAZip Code: 01923 24 Hour Phone: 774-4260 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,,Chapter IP'Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates; whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. _ /90R THE BOAPD OF HEALTH C LARRY RAMDIN HEALTH AGENT SANITARIAN 1 CITY OF SALEM, MASSACHUSETTS ' BOARD of(yHH .EALT 120 WA&HINGTON STREEP,4"'FLt?(}R _ ------ -- ..— -- - - — -TEL.—(978)7F4r-f800 -.. — --.. KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LA MDIN a ej, Kas.CQM L.,alt)t\'.It,\AtllIN,liti/RJ±I IS,i;l)q,CP-I& I1Heli;lY1 1GI.IJ'P Application for Certificate of)Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAP'T'ER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT t z Q G T#� IS T1119UNIT AISIONATED IGHZ LEFT FRONT oR BACK,PLEASE CIRCLE ONE OWNERILESS MANAGER(AGLWT 1'1'\M NOP.O.BOX OO� (lJ� D1l/EC�s �O� Z� ADDRESS 15 7 t 9 DRES +' �t CITY,STATE, lk 17 1IpiG I CI I Y,STATE,ZIP.A�p6Anc" J� ' Vl C�i�'/o J RESIDENCE PHONE L �-(��i(+�(P_ - _ BUSINESS PHONE(24HRS) 17F5J '�- (Q BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 1 k--6-- 2. 3'8 4 5. 6. �7 _ 4. i0. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FI' YABLE AT TIMTRYIE OF INSPECTION APPLICANT'S SIGNATUREE /III DATEjjf� Inspectors use only Date on initial inspection: 3 J 3 Date of reinspection Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other II Check# -Checkdate: d'yV! '�' Notes: nA Co cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4�"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISCOIT e SALEM.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#383-08 DATE ISSUED: 8/12/2008 Property Located at: 176 Lafayette Street UNIT# 10 Owner/Agent: Fairmont RealtyM/illiam Dzierzek Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter W' 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 J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCE T INSPECTOR ` LACY Uh OALCM, IYlA55AIa7U,C 1 1 D f _ BOARD OF HEALTH ?� • • 120 WASHINGTON STREET, 4TH FLOOR' ( SALEM, MA 01970 TEL. 978-741-1800 - FAX 978-745-0343 _ STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 t "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°. PROPERTY LOCATED AT I'Iln I_Cl�a S j' UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /1Iii1 -> imrsP.lr MANAGER/AGENTI:�X;VyN%oyl4 ?-to�t4 l No P.O. Box I��qt c/(Q(o o P.O. Box "?o i3 d y wr y ADDRESS 1�� 5 cl W.,,,�t S�- ADDRESS 1�L aSwti,w.`p s /- CITY lJd.ryevZ �k CITY �UPlPS N1�1— RESIDENCE PHONE40-J,3106 BUSINESS PHONE (24 HRS.)2 740— NS:-03,T-4 BUSINESS PHONE 7p7S- 77q - �- gle O TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.k } 2. _3 � -4. 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 (. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION R- \"j--O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: $- \L 3a_ DATE FEE PAID: c - - I-L- -0� _ TYPE OF UNIT: DWELLING✓OTHER_ CHECK# )l R Ot 1 CHECK DATE NOTES: C DE EN 0 EM T INSPECTOR 9/28/98 GOND City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth Prevent. Promote. Pmteet. 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-15-353 DATE ISSUED: 10/23/2015 Property Located at: 176 LAFAYETTE STREET UNIT#11 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has State Sanitary Code Chapter II "Minimum been approved and is in compliance with 105 CMR 410.000: Massachusettsry P 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 /,��, 4/SANITARLP;(' HEALTH AGENT 00 00 A S CITY OF SALEM, MAASSACHUSETTS BOARD OF I F-uTH 1217 WASHINGTON S7"REET,4"'FLOOR P ith mxtnt.rmmate.Ptetrc,. TEL. (978)741-1800 Fax(978)745-0343 [QMBERLEY DRISCOLL Iram&jAsalem.com MAYOR Lmmy iuNfDIN,RS/IWHS,U 10,(T-FS HI�.;it;E7fi i1GIiN'7" 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 L _ UNIT#-�/ _ IS TATS T BISIGNAT S RIG} S EF i FRONT OR BA Pi,EA3E TrA S ONS l.AR1t_ S rte _ No �- Aa- OWNBUESSER (fit (�1tot IT Zc�, L �� MA*tAGERtAGEN NO P.O.BOX ADDRESS t� 4 o gC ADDRESS 15:z L ,.�. CITY, STATE,ZIP—jeb_nyy�% UtA jo I q CITY, STATE,ZIP QVy1 .4 O► R 70 RESIDENCE PHONEp Z !O /t'���_._BUSINESS PHONE(24HRS) 7d- -7#5---C 7i5 ka BUSINESS PHONE 17 „ ��— QHS TOTAL NUMBER OF ROOMS:— ROOM USE: I 2S I4 3 / ]� 4 S 6. 7. 8: 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F E AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE.� l.,E� QD Inspectors use only Date on initial inspection: t7f�11``�772��,!//},15 Date of reinspection: Date of issuance of certificate: L 11 0 Date fee paid:. 4224 2Q1_E Type of unit: Dwelling Other Check#J -f _Check date: 0l„ 9122-0 4S- Notes: *Corcj;4ent Inspec/� k CITY OF SALEM, MASSACHUSETTS BOARD OF FIEALTH 120-WASHINGTON STREET,4 1"FLOOR Prevent.Yromaic.Rniccf. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdwgsalem.com - LARRY RAMDIN,RS/S2LiI-IS,CH(?,Cl'-FS - MAYOR CERTIFICATE OF FITNESS CERTIFICATE#18-15 DATE ISSUED: 1/1312015 Property Located at: 176 Lafayette Street UNIT#12 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". i Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. � OR THE BOA( OF LARRY RAMDIN HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETTS BOARD OF H&!LTH 120 W.ISHINGTON';'1W T,4"'FLOOR H�$�& Prevent.Prnmaee,ftaiccr. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLI, Iramdin@salem.com hlrlYOR LARRY RANIDJN,RS/RBI-IS,CI IO,C114N IIj{m,f'I I AC.;I?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: $50.00 PROPERTY LOCATED AT 171, La „� UNTI#__jZ. IS THIS bI DISIGNATED AS GAT LEFT FRONT OR BACK,PLEASE CI C E ONE l_ooflL', _ No kAtL. O WNI R/.I,ESSER_ o tiiT Z1',k LT f MANAGER!AGEN NO P.O.BOX ADDRESS `fib�o�C 46� ADDRESS 157 La ( S T CITY, STATE,Zp n V5;�A- !9a CITY, STATE,ZIP �G2 l U VYl 4 RESIDENCE PHONE t� 1BUSINESS PHONE(24BRS)j 4- 7 BUSINESS PHONE ? 7 035 TOTAL NUMBER OF ROOMS: ' I5' ROOM USE: 1.`( 1 2, N_r2 3. (8 4. S. 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 FEIS YABLE AT THE TIME OFF pINSPECTION APPLICANT'S SIGNATUREZQnn .X-�� DATE Inspectors use only Date on initial inspection: l t 3 S Date of reinspection: Date of issuance of certificate: ') S Date fee paid: Type ofunit: Dwelling Other Check#! _Check date: Notes: Code Enfor ement Inspector ti f . y City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, FI>fbl>tCH@>31t11 Prevent.Promote. Protect, MA 01970 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-17-200 DATE ISSUED: 71712017 Property Located at: 176 LAFAYETTE STREET UNIT#13 Owner/Agent: Northfield Properties Address: 65 Maine Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978)854-2341 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, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSE17S BOARD OF HEALTH 120 WASHINGTON STREET,47 H FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN((_ISALHM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH.AG ENT 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 ja,-> 5� UNIT# 2 IS THIS UNIT �ISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �IIYIOSI-40 rIKL!r �J XISKf MANAGER/AGENT NO P.O.BOX ADDRESS 72ADDRESS CITY, STATE,ZIP Sc ( P it(0,,Q10 70 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE( 4 968-d�Q4 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. Y9L 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 7/ Inspectors use only Date on initial inspection: Date of reinspection: P P Date of issuance of certificate: l T Date fee paid: Type of unit: Dwelling Other Check# 5 Check date: Notes: Fa Code Enforcement Inspector r 4 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR PablicHealth STREET, Prevent.Promote.Prnteet. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com salem.com LARRY RA T4llIN,RS/RISI-IS,C1 10,CI I.S MAYOR Hi;m,nLI A(:"I',N"I' CERTIFICATE OF FITNESS CERTIFICATE#251-14 DATE ISSUED: 7/17/2014 Property Located at: 176 Lafayette Street UNIT# 13 Owner/Agent: Fairmont Realty Trust/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HE.ArRI I 120 W!,SIIINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBMEY DRISCOLL FAX(978)745-0343 MAYOR iuiuN t @&N1j.m.COA4 J.ANEr Dw.NNE, ACTING HEum4 AGE.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." l FEE: $50.00 PROPERTY LOCATED AT O�LC" Sa UNIT#jj-- IS THIS UNI DISIGNAYIMLGHT LEFr FRO OR BAC7 PLEASE CIRCLE ONE OWNER/LESSER i�Q i r rrw-,rvVtZ e rl 1 l V MANAGER/AGENT mond NO P.O.BOX —P0 �lox-4%o(o a x+106 ADDRESS 1410 -5". mer S1- ADDRESS I`t!c 5urnrncr 54- CITY, }CITY, STATE,ZIP ^�A.n%r CITY,STATE,ZIP PG n ver S, �A A 0 2—A RESIDENCE PHONE q- -�8 Z - I a i¢ 6 BUSINESS PHONE(24HRS) Q?0' 1 S-0264 BUSINESS PHONES 78- 7 4:5:�-035b TOTAL NUMBER(( OF ROOMS: v ROOM USE: L(6 1 k 2 3. l 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 AY�A,BLL AT TIME OF INSPECTION _ 5 r APPLICANT'S SIGNATURE Ccl�% 6 �r� DATE y .�/' / Inspectors use only Date on initial inspection: [IyL'_I L{ Date of reinspection Date of issuance of certificate: �T Date fee paid: Type of unit: Dwelling Other Check#Check date:7�I�a I t Notes: CQ&VA&Dkement Inspector i . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PI1bI1CHP.81Ith -- .---120-WASHINGTON STREET,.4"'FLOOR .. ._-. . - -. - " ..:... Prevent.r.omm<.rroa<,. TEL. (978) 741-1800 FAX(978) 745-0343 _ KIMBERLEY DRISCOLL Iramdin e salem.com 1.ARR]R;\bIDIN,RS/REI IS,C1 10,(T-FS ti MAYOR HIS.\l:,ii A(:;vNT CERTIFICATE OF FITNESS CERTIFICATE# 17-15 DATE ISSUED: 1/13/2015 Property Located at: 176 Lafayette Street UNIT#14 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r LARR*ftMDIN HEALTH AGENT SANITARIAN O fi w CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR PubUcHealth 14aeeN.PMmCt4.Pinroct To- (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin e salem.com MAYOR DvImY IIA NMIN,]ts/ItEl IS,CI icy,cr-trS H('.Ai,,m iAGi,,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:": r FEE: $50.00 PROPERTY LOCATED AT_ I -7_ / 4, ,t4� UNITd-�/— IS THIS UNU DJSIGNATED IGHT LEFT FRONT aR BA PLEASE C�II� E flNE VAAtIL C?I ca. _ No PAii- OWNER/LESSER i ( 0r�Z�A L-r,,,/ MANAGERIAG;N GtYYI sem?! NO P.O.sax La vc—u ADDRESS13oYx ��)a ADDRESS ` ( jy CITY, STATE, ZII - pM�yy1t�/�YG . U A �f7 I Q.�?, CITY, STATE,ZIP UCS (O�]_M A- t)l q 7� RESIDENCEPHONE t Zt3 tQ�-�� BUSINESSPHONE(24HRS) 7d' 7'7 ` D�r'jS BUSINESS PHONE) 7--/-5- TOTAL -- -5-TOTAL NUMBER Ll e- ROOMS ROOM USE: 1. Ll e- 2.V� kj-�-' 4. 5. — 6 7. S. 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 ABLE AT THE TIME.OF INSPECTION APPLICANT'S SIGNATURE �yy� DATE_) Inspectors use only Date on initial inspection: 1 " 3 ) Date of reinspection: Date of issuance of certificate: )-)3" 1 Date fee paid: Type of unit: Dwelling ±'" Other Check# ) 6 Zy Check date:--L-)3-1 Y Notes: Code Enforcement Inspector } CONDlT,t�e City of Salem, Massachusetts 9� + a 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-269 DATE ISSUED: 9/3/2015 Property Located at: 182 LAFAYETTE STREET UNIT#8 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, —A-a-,c &A1&d4Wz Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAXITARIAN CITY OF SALEM, MASSACHUSETTS Bt�-lRD of HEdi:rfl 120 W SWNGTO\STREET,4"'FLOOR TEL.(978)741-1800 K1A,fBMUEY DRISCOLL F,�.1(97 8)745-0343 N43YOR nnurvr i fal,u�?D.COB1 J.ANEf DIONNE, Acm*HE.unt AcFnrr Application for Certificate of Fitlless IN ACCORDANCE'WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT UNIT#�JL isTHjstFNftjDisxGAA ASRiCATLEFT ONTORBAC[ PLEASE CIRCLE ONE r'r mv» Andctson OWNER/LESSER FoLir n-V�l�_eeill, MANAGER/AGENT Vcwlrmcn�---ter. lw NOP.O.BOX —PO O%4 'i%p(o IeO Ai 44te(o ADDRESS l4fw .5"en,m,esy- 5k ADDRESS I'Vo Summer 54, CITY, STATE,ZIP " 1t nJp CITY,STATE,ZIP �} tiny¢r,is, /�014 RESIDENCE PRONE 9`7Lj Z- 13� i, BUSINESS PHONE BUSINESS PHONE� 7f3- 7 4 T'Oy TOTAL NUMBER OF ROOMS: E ROOM USE: 1. ! c1 �P� I$le 3. 4. 5. & 7. 1 8. 9. 10. THERE IS A FII'fY($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 APPLICANT'S SIGNATUREId.E /� ,7 DATE�J �- Iuegctors use only Date on initial inspection:d?UW2,jQl 5- Date of reinspection Date of issuance of certificate: 9/022a22S"' Date fee paid:QV02/.2OZS _ Type of unit: Dwelling Othcr Check#_U t 9 Cheek date: O 9/0.%12.01S— Notes: G��� ement ector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR P1b�1CHC8Ith -rrc.anr.rmmme.rromm. TEL. (978)741-1800 FaX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin nsatem.com MAYOR L;\RRY RANnDIN,tis/HerIS,Cf 10,014;S W AL'n I AGr',N'r CERTIFICATE OF FITNESS CERTIFICATE#250-14 DATE ISSUED: 7/17/2014 Property Located at: 182 Lafayette Street UNIT# 11 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRIWMDIN �lr HEALTH AGENT SANITAR • CITY OF SALEM, MASSACHUSETTS Bo_iRD of HEArm 120 W r1.SBINGTON STREET,4"'FLOOR TEL.(978)741-1800 K M EJUEY DRISCOLI. F 36X(97B)745-0343 MAYOR JD1Q1NNli Q1j;,%1.COM JANFjr DiONNE, ACTING HE a rH AcF.w 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# // IS THiS MTDIS16NAT RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE -T"'G.vn Anctow-Son OWNER(LESSFdt1 Qi rrnni L2Pa ► ,MANAGER/AGENT FcGIrmuni �2P� tWi NO P.O.BOX --PC z%0 X''F b tc x 44Io L ADDRESS 14(a 5"rnmeJr Si- ADDRESS I`tto Surntn¢r 5} CITY, STATE,ZIP_'_ �J -s� CITY,STATE ZIP Danvers . iAA Otrt 'c 3 RESIDENCE PHONE C 7 -' Z 1t 3 la b BUSINESS PHONE(24HRS) Q 7 S- 345-_0,:W4 BUSINESS PHONE 5 ,8- 7#I 5-03 5 b TOTAL NUMBER OF ROOMS:�_� ROOM USE: 1.� pkc 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 F=PAYABLE AT TIME OF INSPECTION 0/c/ -y ' / APPLICANT'S SIGNATURE DATE_ /6 yIJ/ T Inspectors use only 7 '�/ Date on initial inspection: :7,6bq Date of reinspection Date of issuance of certificate: _ Date fee paid: Type of unit: Dwelling Other Check#Check dater Notes: 4 Codetn_Vcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOORPUbI>lCHC81th Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@saleni.com MAYOR LARRY RA MDIN,RS/REHS,CFIO,CP-FS HEALPII A(iL1NT CERTIFICATE OF FITNESS CERTIFICATE#122-14 DATE ISSUED:4/9/2014 Property Located at: 182 Lafayette Street UNIT# 16 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit,apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. eR THE BOA O ��j�f+ LARRY RAMDIN HEALTH AGENT SANITARIAN CITY Off` SALEM, MASSACHUSETTS e BOARD OF HEALTH 120 WASHINGTON STREET,4P FLOOR TEE. (978)741-1800 KIMBERI EY DRISCOLL FAX(978)745-0343 MAYOR IafAMuiN(ISnia!M(:OM .LASLRV'R,IAfI)1N,32ti/Iti?{iy,(:3(t},(;i'-iti I1.iimxii.A(wm- Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ME: 550.00�� � PROPERTY LOCATED AT {fit a�� �✓�7 [7N]I# IS TIM U NN DMGNATEiD AS LU LE"-FFROO Vim' OR BACK,PLEASE CIRCLE ONE OWNERLESS - YQC+ __M�ANAGER?/ACrENTT ADDRESS NO PA 13OX © t')t +� Ip Ips b 1 i1 S&RREERSS z ✓ �C CITY,STATE, C tit->/P S, ,�Q / I 7 CITY,STATF,ZIP /V(� JO 101,0 �40 R.ESIDENCEPHONEp-Yrs-' 65��?- - ri(a BUSRdESSPHONE(24IIRS) 871' 7 BUSINEsSPHONE rr�}=C �c (r' TOTAL NUMBER OF ROOMS: o� ROOM USE: ._ % . 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 AYABLE AT T THHE,'T,Dv E OF INSPI:i(:TION APPLICANT'S SIGNATURE rC�1�2Z�� ( ✓�(LC112{ DATE c�Q f �1 Inspectors use only Date on initial inspection: C�Tq! Date of reinspection: Date of issuance of certificate: tt Date fee paid:,p Type of unit: Dwelling__,__Other Check#„ ' Check date:, Notes: Cod ten or