LEMON STREET & LEMON STREET COURT LEMON STREET &
LEMON STREET COURT
i
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`oNDlz"'d City of Salem, Massachusetts
6
Ws Board of Health 9
A P 120 Washington Street, 4th Floor, Salem, PublicHeaith
M Prevent. Promote. Protect.
MA 01970
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-15-184
DATE ISSUED: 7/17/2015
Property Located at: 3 LEMON STREET COURT UNIT#1
Owner/Agent: William and Kathleen Medeiros
Address: 8 Brentwood Circle
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 853-0499
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,,A4L�
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAE /
CITY OF SAL14.M, MASSACHUSETTS
!I BOARD OF HI ALTs I
120 WAS]IINGION STREET,4...FLOOR
TFL. (978) 741-1800
KINIBERLEY DRISCOLL FAX(978) 745-0343
M 1YOR HOM DIN'nSAtY'Mfobt
LARRY RAMDIN,RS/RF-11S,CMO,CP-FS
I-IEALT1I 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#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR RACK,PLEASE CIRCLE ONE
OWNER/LESSER \nh ti ov-\ �Aly&NAGER/AGENT
ADDRESS -� jr-e.�V r"J CA (-e-U ADDRESS
CITY, STATE, ZIP �A^ 5, M ✓� o \�a 3 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS-PHONE(24HRS) 91
S8' 70� �
BUSINESS PHONE t�
TOTAL NUMBER OF ROOMS: I
ROOM USE: 1. \tikc 2. 3. n OKI,' P eS
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 IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ��&-tk— DATE 1 t�
Inspectors use only
Date on initial inspection:07/-1y/=S Date of reinspection:
Date of issuance of certificate: 1 2 Date fee paid:07/�yQ=4
Type of unit: Dwelling Other Check# 12.66 Check date: l9'JfZf2ols
Notes:
C of cement Xfector
g�c°
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
c +�. 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 CERT.# 31-03
FEE $25.00
gq�`lll�; TEL. 978-741-1 800 DATE: 01/28/2003
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 3 Lemon Street Court UNIT #: 2
OWNER/AGENT: Deborah Dillingham
ADDRESS: 3 Lemon Street Court
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 869-5602
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 /
f ,i
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
Is
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 31-0TEL. 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
11 HABITATION".
PROPERTY LOCATED AT %3Lf_Y 'N\ Sd C UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER ✓�O 1 u MANAGER/AGENT
No P.O. BoxNo P.O. Box
ADDRESS 3 L ADDRESS
CITYS4 �2AIV\_ CITY M ASS
RESIDENCE PHONn7K SSL 9 S6b2BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2._ 3. 4.-,'�--
5.--6.-7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNAATURE DATE
INSPECTORS USE ONLY
/
DATE OF INITIAL INSPECTION � DT-V 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE] DATE FEE PAID: �� y
TYPE OF UNIT: DWELLINfG/OTHER_ CHECK#,2 1 ? CHECK DATE 3
NOTES: /
CODE ENFORCEMENT INSPECTOR 9/28/98
l CITY OF SALEM, MASSACHUSETTS
BOARD of HEkui-I
40) 120 WASHINGTON STREFiT,4`"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR Ix,ur•F asr UNi&SA.' Cotit
DAVID GRHLNB AUNT
ACTING WAL'I71 A{iEN`I'
CERTIFICATE OF FITNESS
CERTIFICATE#23-10
DATE ISSUED: 1/25/2010
Property Located at: 6 Lemon Street Court UNIT#House
Owner/Agent: Alby Mieli
Address: 9 Lemon Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
i
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, 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 �E� OF HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CODE F RCEMENTINSPECTOR
crry orS.,w�'vi, INIASSACI-IUSE"'TTS
Bo.umol; J-11�.m.tif
120 W \ m\G IONS IRIH"i,4"' Fj.()OiC
I :J_ (978) 74'I 1800
KI MB1:11ZJ.1(N DR ISC01,1, F\N (97ti) 745 0,34'
DAVID GRI�I%NBMTNj,
V1 INU 1-IIWAIJIIAGI;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 L_ey-y-)o4�
. _ cwt
IS'1'11[SLjNITDISIGNA,rE[) ASRiGii,rt,EF'I'010ORLBACK, PLEASECIRCLE ONE
OWNER/LESSER &D,, M1011 MANAGEP/AGENT --
NO P.O. BOX N�7__
ADDRESS-9 L,---,>,-y-)rx, ADDRESS
CIT}', STATE, ZIP Djq3:0 CITY, STATE, ZIP
MA
RFSIDFNCF PHON CI �):;4t ;
_BUSINESS PHONE (24I-IRS)_____
BUSINESSPI-IONE
TOTAL NUMBER OF ROOMS:—
ROOM USE: 1 GEt:;;1,qCn,
6rinv�;, 7. S. 9. 10.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR [MONEY ORDER "f0 Tl-1E CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE ATTHE TIME OFINSPI;C'I ION
APPLICANT'S SIGNATURE ZVDATE' 1 /2,S:/10
Inspectors use only
Date on initial inspection: Date of reinspection:
_
Date of issuance of certificate: //V Date fee paid-..—]/
Type of unit: Dwclling_1 Othcr Check Check date:
Notes: ,O� vb` I
W'�JA C, U- ftVY DUfC6 Aek, 1/1
ON-1
1-4, cod
Code Enfor ment Inspector
I
SND City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, Pill
MA 01970 ,Prevent: Promote.
978 741-1800 Fax. 9,78 745-0343
Kimberley Driscoll Tel. � � � � Larry Ramdin, MPH, RENS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF: FITNESS
CERTIFICATE#: GHL-17-165
DATE ISSUED: 6/8/2017
Property Located at: 7 LEMON STREET UNIT#1
Owner/Agent: Francisco Lora
Address: 7 Lemon Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
Pursuant to th 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 ]] "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 lawlfor occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
�oiz � ?�
der rr�i S-S i 0-�'i• � ��'`(CA.�Ci-S C�c7 ��-{7 �A. :
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. 1,8 8
Inspection of c /� Date � l'f. Time 1
Name�rl'u)CI ,l Address 7
Owner Tel. No.
Type of Inspection Inspector I oy
( � 1 Remarks and Violations are listed below:
(laii (GSD
�- D ,�e-i h nr-
VV i`nCdc4v in D&MMM MM 1 a(a&- d C -A y'h oft)
J CK M(A- 1"�- 1. Cw- t&g — 1�S
2 z�,� ►` r YldS��P r)Y Q
a144 4
Report Received by:
CM OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STRELrr,4"'FLOOR
TEL(978)741-1800
ICIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR t xronar�snr Rnt.cc�af
LARRY RAMDIN,RS/REHS,CHO,CP-PS
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 (" L,� OY) (��=(2,Lg_L0,7,, IWO UNIT# 2-
is Tins UNIT DISIGNATED AS RIGHT LErr FRONT ORBAB_CH CIRCLE ONE
OWNER/LESSER4Y{�J(./S( � /A MANAGER/AGENT
NO P.O.BOX
ADDRESS V' Q. ADDRESS y�
CITY,STATE,ZIP �CZ/'QGYI CITY,STATE,ZIP / / 11_ l!2 222
RESIDENCE PHONE BUSINESS PHONE(24HRS)/ql� 9441 Bud
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: G�
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 TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: ` Date of rein spectio
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date:
Notes: ICLAQaq 1_L4
Code Enforcement Inspector
1
I-
� 1
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#620-06
DATE ISSUED: 12/18/2006
Property Located at: 7 Lemon Street UNIT# 1
Owner/Agent: Francisco Lora
Address: 7 Lemon Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-1561
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 BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO '° GCU
HEALTH AGENT CODE EN ORCEMENT INSPECTOR
CITY OF SALEM MASSACHUSETTS
qrh
BOARD OF HEALTH
� r 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 / 1AV&V 91 UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ACK LEASE CIRCLE ONE
OWNER/LESSER 5Cd Lb9_ MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS m ADDRESS
CITY S4"_ CITY
�7 HR �`�S s7s-�z7v
RESIDENCE PHONE 32 77 BUSINESS PHONE (24 HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE 5 00 DOLLAR FEE, PAYABLE BY HECK OR MONEY
ORDER TO THE CIT SALEM H ALTR-DERARTMENT TT
EE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION IIle-& DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFFI�ICATE:/y`leP- DATE FEE PAID:-/,
TYPE OF UNIT: DWELLINGte<VTHER CHECK# _CHECK DATE
NOTES: I`C\� ,1�1
CODE ENFO CEME T 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
JOANNE Sco-r-T, MPH, RS, CHO
HEALTH AGENT
Kimberley Driscoll
Mayor
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 Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health of 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 Lhat said inspection be done in my/our absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge. the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description ocr_asioned
by my/our absence during said inspection.
TFNAd NT LE S SEE O'AINER/i!ESSOR.
AD'J!.ESS ------ ------- �,L)DRESS --
A.D??NESS OP UNIT TO BI, li'SPECTED
CERT.# 391-01
FEE $25.00
DATE: 08/14/2001
�Grylf�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
Fax: (978)745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Lemon Street UNIT #: 1
OWNER/AGENT: Phil Jesoraldo -
ADDRESS: 23 Becket Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 275-6000
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 V
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
Q l 1
n' & U
c �
���YrONB SP�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO - 120 Washington Street
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800
Fax: (978)-745-0343
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT—fl, 1y1( SJ UNIT#1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER QN L l �_MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS__ -C k 7 6ST. ADDRESS
CITY 5�� CITY
RESIDENCE PHONE 9'Ar N7' 30RR BUSINESS PHONE (24 HRS.) -)7f
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:__
ROOM USE: i. edAROY)l_2. _3. 4.k,rNr_A
5.LA'i&km 6. 7. MTRQ M 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 lY
SPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE• _/61'0(/ q DATE FEE PAID: 8 / e--) '
TYPE OF UNIT: DWELLING\OTHER_ CHECK# ev 7 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
4
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
fr' 120 WASHINGTON STREET, 4TH FLOOR CERT.# 177-03
o SALEM, MA 01970 FEE $25 .00
TEL. 978-741-1800 DATE: 04/25/2003
rnr+s FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Lemon Street UNIT #: 2
OWNER/AGENT: PhilipJesoraldo
ADDRESS: 23 Beckett Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-3088
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800 .
FOR THE BOARD O/Ar F HEALTH �JI
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 3
BOARD OF HEALTH tel.'6
3 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF!IFITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT G' I I e/1sO11) ST:. UNIT#_
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
j
OWNER/LESSERykl JG,�W6L40 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS Z--s gpr-f fET ST. ADDRESS
CITY S�, I FM q CITY
RESIDENCE PHONE f-_�aB&_BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:—
ROOM USE: 1 r l 2. UO KM RM 4.8E kM
5.b$j}I_Rn . c ffcN7. 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 ! ,d 3--()3 DATE OF REINSPECTION Y1-a a —0
DATE OF ISSUANCE OF CERTIFICATE: ; �'D DATE FEE PAID: Sy3
TYPE OF UNIT: DWELLING J�OTHER_ CHECK# �_
._ 1CHECK DATEs'��
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
STANLEY J. USOVICZ, JR. FAx 978-745-0343
MAYOR W W W.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
10/18/05
Albert J. Meili
13 Lemon Street
Salem, MA 01970
PROPERTY LOCATED AT 13 Lemon Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
nne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
o ; BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. LISOVICZ, JR. FAX 978-745-0343
MAYOR W W W.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#677-05
DATE ISSUED: 11/3/05
Property Located at: 13 Lemon Street UNIT# 1
Owner/Agent: Albert J. Meili
Address: 9 Lemon 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
JO NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
^ • .. r -
v.
1 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
� s 120 WASHINGTON STREET, 4TH FLOOR
e 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 13 Lemt71 StTee+- UNIT#
IS THIS UNIT DESIGNATED��AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER QI� I 1gBbl(e I i MANAGER/AGENT
No P.O. Box ((IINo P.O. Box
ADDRESS ADDRESS
CITY Sa�Cm CITY
RESIDENCE PHONE 14�_-1T�9USINESS PHONE (24 HRS.)
BUSINESS PHONE Obo- 2ZZo - 03(00
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._L(�- 2. T) _3._ i`r 4. B irm
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. v
�i APPLICANTS SIGNATURE N DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION ��- _ b�/DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE://-3D—DATE FEE PAID:
r
TYPE OF UNIT: DWELLI OTHER_ CHECK# / 5 CHECK DATE//�_3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
v��«OU yNDj�IT CERT.#. 501-99
FEE $25.00
5� DATE: 09/01/99
��QMINB i
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: 13 Lemon Street UNIT #: 2
OWNER/AGENT: Jeffrey W. Indeck
ADDRESS: 15 Ellery Street #11
CITY/TOWN: Cambridge, MA ZIP CODE: 02140 24 HOUR PHONE: 492-0993
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
i
MAXIMUM NUMBER OF OCCUPANTS, 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
9
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CI-10 NINE NORTH STREET
HEALTH AGENT lel:(508)741-1800
APPLLCATLON FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY: CODE, .CIIAPTER l.l , 105 C14R 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION" .
PROPERTY LOCATED AT ( J/ �Z'fi� UNIT t_L—
OWNER/LESSER M _ MANAGER/AGENT
ADDRESS__ i� ADDRESS
CITY �/►/�"N/f�/� _ CITY_ _
RESIDENCE PHONE (o f 7— 9Z -' O /J/ BUSINESS PHONE (24 IIRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:— f
ROOM USE: I . 2. J. 4 .
5.
THERE IS A TWENTY—FIVE (25.00) DOL BE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEH TIRALTH#DEPARTMENT 1 FEE PAY. AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: J( : ( — ( �( DATE OF REINSPECTION C
DATE OF ISSUANCE OF CERTIFICATE: ,Fi/ _ � DATE FEE PAID:
TYPE OF UNIT DWELLING_ OTHER__
NOTES: ---_----- -- —
CODE ENFORCEMENT INSPECTOR
v0gONU1T CERT.# 503-99
FEE $25.00
DATE: 09/01/99
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: 13 Lemon Street UNIT #: 3
OWNER/AGENT: Jeffrey W. Indeck
ADDRESS: 15 Ellery Street #11
CITY/TOWN: Cambridge, MA ZIP CODE: 02140 24 HOUR PHONE: 492-0993
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 I
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
VJOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
5'�3 99
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 CE,RTIFICT E OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH SPATE SANITARYICODE, .CILAPTER 11 , 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT
OWNER/LESSER—(,7�� IAI)e MANAGER/AGENT
��ADDRESS � ^ � R T ADDRESS
CITY Iv( CI'T'Y _
RESIDENCE PHONE �� /�� O�i3 BUSINESS PHONE (24 LUIS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: I . 2. 3. 4 .
5. G. 7. 8.
THERE IS A TWENTY-FIVE (25.00) BE, PAYABLE CIB CR OR MONEY ORDER TO THE
CITY OF SALFM' IIEALTR'DEPARTM�tYf T. IS P TIME OF INSPECTION
APPLICANTS SIGNATURE ---- DATE �V-9� --
INSPECTOR USE .ONLY
DATE OF INITIAL. INSPECTION:-!L/ L DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE:E /_E y _DATE FEE PAID: /Cj -'
TYPE OF UNIT: DWELLING OTHER___
NOTES:
CODE ENFORCEMENT INSPECTOR
d
n
s� M
c�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
08/24/2000 Fax:(978) 740-9705
Rodger Tyler
2 Noahs Hill Way
Essex, MA 01929
PROPERTY LOCATED AT 14 Lemon 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 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 I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 : 00 p.m. and Friday 8:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist .
OR THE REPLY TO
Joanne c PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
�OIJ�IT
.* CERT.# 66-99
�3 FEE $25.00
9' DATE: 01/26/99
/MING
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: 14 Lemon Street UNIT #: 2
OWNER/AGENT: Rodger Tyler
ADDRESS: 2 Noahs Hill Way
CITY/TOWN: Essex, MA ZIP CODE: 01929 24 HOUR PHONE: 768-6114
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.
qFOR THE BOARD OF HEALTH jjAAyyO[/r/
v�lGxt�/'11� .1;9ev
JOANNE SCOTT, MPH,RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
3 �
� ; Fq
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 Tee(978)741-1800
Fax: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT / v'l 0�PM 6Y1 _:2� UNIT#—,2?
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I� �f'f�MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY ��(�JG Gi .�r /yA CITY
RESIDENCE PHONE_BUSINESS PHONE (24 HRS.)___ Cx705
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. �1J(/ ._ �5
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.
--- z6
APPLICANTS SIGNATURE 1t_ DATE
INSPEC RS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/f 4- `I7 DATE FEE PAID:_
TYPE OF UNIT: DWELLINCOTHER_ CHECK#�2 / O CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
r � �
K �
31jiP x
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1500
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
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
aforementioned statutes, regulations and ordinances.
In the event it is necessary Lhat said inspection be done in my/our absence , is
/we
expressly authorizethesame and for my/our successors and assigns hereby release
.and discharge the City of Salem, Salem Board of Health and its authorized aAe-'s
.`sora any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
0y1��1 - -- ------
_tx I/LESS_EE E LESSOR
FSS
i
/ZLADD.,a
a�---- ----- ---- ADDRESS �—
4 56_'/ 0192,�
112,
ADDRESS OF UNIT 1'o BE INSPECTED
WT
l
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: 07/09/97 Fax:(508)740-9705
Rodger Tyler
Noahs Hill Way
Essex, MA 01929
PROPERTY LOCATED AT 14 1/2 Lemon 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.
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
Ltandards 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
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7 :00 p.m. or
Priday 8:00 a.m. to noon to schedule an appointment for an inspection.
: EE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY
- ery truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSE I I'S
BOARD OF HEALTH
120 WASHINGTON STREET 4"'FLOOR PablicHealth
Prevent.Promote_Protea.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdin e salem.com
LARRY RAMDIN,RS/IiL'1'1S,CI-Ip,CP-FS
S
MAYOR HG:AL If AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#303 13
DATE ISSUED: 8/26/2013
Property Located at: 15 Lemon Street UNIT# 1
Owner/Agent: Stuart&Beth Talbot
Address: 15 1/2 School Street
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-927-5842
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 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 tater.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE B RD OF EALTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
e I BOARD OF HEALTH
120 WASHINGTON STREET,4T"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx (978)745-0343
MAYOR I.RAMDIN(&_SA1-FN1.00M
LARRY RAbIDIN,RS/REHS,CHO,CP-FS _
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MTNTMUM CTANDARTIS OF FTTNF$S FOR HUMAN HA_RTTATTON"
FEE: $50.00
PROPERTY LOCATED AT L t M 04 UNIT#
5 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER /V011 � 6C111 7-4.1-601— MANAGER/AGENT
mn P n.snx
ADDRESS l�%� �chDO , �� ADDRESS
CITY, STATE,ZTP �r�7 M� CITY, STATE,ZIP '»
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: /
ROOM USE: l.LI'V �M 2. 3. �drM 4. g( 1 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 TEE ISSPAYABLEE-AT THP TIME OF INSPFOTION
APPLICANT'S SIGNATURE_—
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: __ __—___ __ Date fee paid:—.
Type of unit: DwellingOther Check# Check date:
a
Notes:
c)E
Code E cement Inspector
r
City of Salem, Massachusetts
{ ' 11
Board of Health
120 Washington Street, 4th Floor, Salem, oPUth
« c,,,l<
MA 01970 Pr*ltct
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-17-153
DATE ISSUED: 5/23/2017
Property Located at: 15 LEMON STREET UNIT#2
Owner/Agent: Stuart& Beth Talbot
Address: 15.5 School Street Apt2
City/Town: Beverly, Me Zip Code: 01915 24 Hour Phone:(978) 927-5842
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
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL(978)741-1800
KIMBF,RLEY DRISCOLL FAX(978)745-0343
MAYOR LRAMD]Nna.SALEM.C()M
LARRY RAMDIN,RS/RF.HS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINA4UM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT LP w o^ SF UNIT# ?'
IS TILS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER U fua 'f S Rx4 Toy I bo F MANAGER/AGENT
NO P.O.BOX
ADDRESS I5 �Z 4: -too S� E� Z� ADDRESS
CITY, STATE,ZIP &e\ytf CITY,STATE,ZIP
RESIDENCE PHONE 1 7 S 927 -cSS 4 7- BUSINESS PHONE(74HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS-
ROOM USE: 1. v 2. 1�, 3. 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 IS PAYABLE AT THE TIME�OF
INSPECTION
APPLICANT'S SIGNATURE � �L'fJGtM� DATE S�L3�a�0� 7
rr rr Inspectors use only
�J
Date on initial inspection: rC-) Date of reinspection:
Date of issuance of certificate: � b Date fee paid: ��— ✓Q,��
Type of unit: Dwelling Other Check# Check date: ��7 -23— r/
Notes:
fig
Code Enf rcem nt pector
sn� albokx s�C Coyt)C-0 net
1
T 1"91
53-,289.2113 ,., 645,
ST ART N TALBOT
BETH E F TALBOT
5/a3�d�� 7
15 1/2 SCHOOL ST dart
d
BEVERLY, MA 01915
Au
yfr 1�� rV�al O UOI LVtS ' m \
MARBLEHEAD BANK R ,
�. 2113729961: 23 364L20i1' 0645
j
may? CITY OF SALEM, MASSACHUSETTS
BOARD OF H>_--uTH
IV
120 WASHINGTON STREET 4"FLOOR �I1b11CHC81tI1
v...em.Promote.Protect.
TEL.(978)741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL ltamdin@salein.com
T rV2Rl'RAMUIN,Rti/Rl�l-IS,010,C11-F'5
KV YOR HI?AUJIf AC I::NI,
CERTIFICATE OF FITNESS
CERTIFICATE#418-12
DATE ISSUED: 10/23/2012
Property Located at: 15 Lemon Street UNIT#2
Owner/Agent: Stuart& Beth Talbot
Address: 15 1/2 School Street
City/Town: Beverly, MA Zip Code: 01915 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
L RAMDIN
HEALTH AGENT SANITARAN
r 1� To��ay o7;00
L LIJ
CI1,Y OF SALEM, MASSACI-IUSET"TS
BOARD OF Hn-\LTH I
120 WASHINGTON SMLET,4"' FLOOR PublicHealth
Ti:u_ (978) 741-1800 FAX(978) 74570343
KIMBERLEY DRISCOLL lrauzdinCa_�salem.com
LA RRI'RA AIUIN,1Lti/RL{IiS,(1110,(JI-FS
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"
FEE: $50.00
PROPERTY LOCATED AT < I%M�� �� UNIT#
�� IS THIS UNIT DISIGNATED�+AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
CQWNERlP ESSER 51(J (f c? B E �q 1 4 LB 0 � MANAGER/AGENT
BOX
ADDRESS /5%a(55chzY).l 5f 1AW2 ryf✓l�_ADDRESS
CITY, STATE,ZIP (5e,Vedh/VIA. 0/,q,/,'_ CITY, STATE, ZIP
RESIDENCEPHONE 9�f qac- Skya BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 Jj Viha 2 1A Illikk 3 604t 4 jCN MCM
6. bd4ti'1 7• 13: brx441 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 6'T0?- �d Z
Inspectors use only
Date on initial inspection: 10133 1(a Date of reinspection:
Date of issuance of certificate: /� Date fee paid:
Type of unit: Dw-elling Other Check# �L,>,`, Check date: /0 z/
Notes: P(nu( /� Qi �16YI�I,� �� �4-Qr+C)r ( 1 Y00mj,
CoV ement Inspector
4
CITY OF SALEM, MASSACHUSETTS
�Kme >3oAxD or HEALTH VU
120 WASHINGTON STREET,4."FLOOR PllblicHeal4h
TEL. (978) 741-1800 FAx (978) 745-0343
KIMBERLEY DRISCOLL lramdin@salem.com
MAYOR LrA1L1tY RA AIUIN,RS/RIiNS,(;I-IU,(Y-FSH 13A I:n 1 AG 13NT
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.
_ 'fD
Tenant/Lessee Owner/Lessor
Address Address
�f �a
Address on unit to be inspected
as-00 -
Date
Updated 523/11
a
o r CITY OF SALEM, MASSACHUSETTS
�" BOARD OF HEALTH
+� 120 WASHINGTON STREET, 4TH FLOOR
` SALEM, MA 01970 CERT.# 42-03
FEE $25 .00
gB�Mlf� TEL. 978-741-1800 DATE: 02/05/2003
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 17 Lemon Street UNIT #: 1
OWNER/AGENT: Charles McManus
ADDRESS: 20 Links Road
CITY/TOWN: Gloucester, MA ZIP CODE: 01930 24 HOUR PHONE: 283-8728
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.
,�tFOR THE BOARD 9F HEALTH
i
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
CITY OF SALEM, MASSACHUSETTS �J
BOARD OF HEALTHIs
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 17 Ler10n 5-1'- UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER CharICS hf- OCMOIVvAANAGER/AGENT
No P.O. Boxr No P.O. Box
ADDRESS 27o�e /;f) Ks cd ADDRESS
CITY_ OI OrJC-t-s+Pr / 1 )a (3/g-�o CITY
RESIDENCE PHONE 9'7E- SM -CRg7&USINESS PHONE (24 HRS.)
BUSINESS PHONE q 7l `o 3 `D 2d 9
TOTAL NUMBER OF ROOMS: 7
ROOM USE: 1. 14-ChEr2. V1/)9rcgr4 .ped 4. 13ed
7
5. 1)>°d 6. oc 7. lie d 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 2 -S_o ?7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:2- S-V 3 DATE FEE PAID: 2
TYPE OF UNIT: DWELLING THER_ CHECK# CHECK DATE ,2`� U-3
NOTES: 'X\
CODE ENFORCEMENT INSPECTOR 9/28/98
I
' y
CERT.# 159-00
FEE '$25.00
_ DATE: 03/02/2000
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: 17 Lemon Street UNIT #: 2
OWNER/AGENT: Charles McManus
ADDRESS: 20 Links Road
CITY/TOWN: Gloucester, MA ZIP CODE: 01930 24 HOUR PHONE: 283-3240
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, 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. (8) 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.
i
I
i
FOR THE BOARD OF HEALTH
a
JOANNE SCOTT, .,MPH,-RS-,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
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
Fait:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". JJ��
PROPERTY LOCATED AT I � t1'PR6N 5T UNIT j0L.-
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER6C 15LVINI 9.0 rMANAGERIAGENT
No P.O. Box �� vi
P.O. Box
ADDRESS20_ ADDRESS
CITY 6116 v c I��pT_M r` CITY
RESIDENCE PHONE &IIN93-3 Z 2SINESS PHONE (24 HRS.)
BUSINESS PHONE 2 V- 012
TOTAL NUMBER OF ROOMS:
_
ROOM USE: 1. j: I 2. �1ke 3. �'�' 4-
5. r . gds' 7. RIX ' 8. 15R •
THERE IS A TWENTY-FIVE($25.00) D LLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM H LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. /� ]�
APPLICANTS SIGNATUREi4A&L DATE 0
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 0() DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �,UJ DATE FEE PAID:
TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE
NOTE
CODE ENFORCEMENT INSPECTOR 9/28/98
4
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
gj 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
fisgBp' TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 391-03
DATE ISSUED: 7/31/2003
Property Located at:: 17 Lemon Street UNIT#: 2 Left Back
Owner/Agent: Charles McManus
Address: 20 Links Road
City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 283-8728
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
Joanne Scott, MPH, RS, CHO
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS �ql
BOARD OF HEALTH
120 WASHINGTON STRCCT, 4TH FLOOR
a1 SAL Eat, MA 01970
TEL, 978-741-1800
FAX 978-745-17343
Sl'ANLEY USOVICZ, JR. JOANNE SCOYT, MPH, RS, CHO
MAYOr HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM .^TANDAROS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �� li ti1Q/ ` UNIT# 7
IS THIS UNIT DESIGNATED AS RIGH L F JRCO C LEASE CIRCLE ONE
OWNEWLESSEPG �I�'j 7. IGiANAGCNAGCNT
No P.O. Box No PA. Box
ADDRESS /-//N/' 49 ADDRESS S /WE.. .. ......... -
CITY C �yG �E ' CITY 1�^�
RESIDENCE PHONEZ6 �r��� 3�C�USINESS PHONE {24 HRS.} 791-367
BUSINESS PHONEZQ_5" 97z
TOTAL NUMBER OF ROOMS:
ROOM USE: 1..G,�Z
5-4�6. ' 7. 8. '
THERE IS A TWENTY-FIVE{$25.00}DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _�/��% �! L DATE �b
INSPECTO�i$.S1�F ONLY
DATE OF INITIAL INSPEgtl_?-N 7 �3 � 6 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIF-KATE:-'_-3.!. S.__DATE FEE PAID:.?�„}-_�( % 6
TYPC OF UNIT: DWCLLINGOTHER_., CHECIf#4 !Z7Q._ZCi IECK DATE
NOTES, 4o __e ��..-_._..._.__._..... ........... .. .. _�-�_
CODE ENFORCEMENT INSPECTOR 9/28/98
s
9`P�7MM6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
08/24/2000 Fax:(978) 740-9705
June Lojko c/o John Lojko
28 Hillside Avenue
Salem, MA 01970
PROPERTY LOCATED AT 18 Lemon Street Rear UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwellingunit
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 I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
. 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8 :00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant . The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist .
R THE BOARD 0 HEALTH REPLY TO
oanne Sco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
GON
City of Salem, Massachusetts
m Board of Health tp
120 Washington Street, 4th Floor, Salem, Pd th
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-16-419
DATE ISSUED: 10/26/2016
Property Located at: 18 LEMON STREET UNIT#2
Owner/Agent: John Lojko
Address: 28 Hillside Avenue
CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 335-8108
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.
B
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANIT IAN
Ir�on E1IC44�4 �G
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4`FLOOR PublicH pC�t
TEL. (978) 741-1800 FAx (978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
MAYOR Iramdin@salein.com
ILIMDIN,RS/REI-1S,C110,CP-FS
H'ALP1-1 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"
/SUNI/T
FEE: $50.0PROPERTY LOCATED AT Z'� tG� S% UNIT# 7,
IS THDISIIG'NATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER O►+1gy {-a1k MANAGER/AGENT-,q9e r � �r/
ADDRESS Z // S/A E' ADDRESS
CITY, STATE, ZIP+��/�G� CITY, STATE, ZIP
RESIDENCE PHONE �tS'� OI�O BUSINESS PHONE(24HRS)r� j
BUSINESS PHONEf i
TOTAL NUMBER OF ROOMS:
ROOM USE: /ZY 3. o ffire 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 T
JuPrgE OF INSPECTION
APPLICANT'S SIGNATURE DATE'��
l Inspectors use only
Date on initial inspection:��/��/ �o �U y�� Date of reinspection:
Date of issuance of certificate: ��Z6�ZlJ1( M� Date fee paid: ��, azul _
Type of unit: Dwelling_ Other f =#I-q U%U MO Check date: ��2/;
Notes: S• ��(p 'rr�'Dr 1[� S0tC--C q"Je�( i h bapr,meA411
C o ement eetor
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4"'FLOOR PCHCB)LY}l
STREET, Prevent.Promote.Protect,
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL lramdin@a salem.com
MAYOR LARRYIL\MDIN,RS/KERS,C1 10,CP-ISS
HEAL,r1I 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 an lose or injury sustained of whatever nature and description occasioned b m /out absence
g Y J rY P Y my
/out
said inspection.
r
Tenant ssee er/Les r
Address Address
Z
5-7-- S'�cL Pn /2�iSf
v AJ I
Address on unit to be inspected
X
�
Date
Updated 523/11
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#458-04
DATE ISSUED: 10/12/2004
Property Located at: 19 Lemon Street UNIT#2
Owner/Agent: Charles McManus
Address: 20 Links Road
City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 781-367-9538
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
V
JOANNE SCOTT, MPH, RS, CHO -i
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i CITY OF SALEM, MASSACHUSETTS 0
• BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR r!
s 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 -1 �Y�� 8 V�) UNIT#�
IS THIS UNIT DESIGNATED AS`RIG LEFT FRONT AC PLEASE CIRCLE ONE
OWNER/LESSER ^ �--v\' 0AQ MctAvSMANAGER/AGENT SJ
L1
No P.O. Box �c r� 1 No P.O. Box
ADDRESS � a C� J l� G� ADDRESS
CITY 61 0005 V-0-SS CITY
RESIDENCE PHONE BUSINESS P ONE 24 HRS.
Zg
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1\k- Z�2 ` 4. \\
5.?��Som6.�,kOv,7.��beQJY\ 8���CoOvn �1\u� �00 v� Sy0.i �S
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 M d— -"b/' DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: - 9' v 1' DATE FEE PAID:,D —L5--
TYPE
'STYPE OF UNIT: DWELLING eTHER_ CHECK# D/ CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAX 978-745-0343
MAYOR WW
W .SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
8/11/05
Jefferey Ward
27 High Street
Salem, MA 01970
PROPERTY LOCATED AT 21 Lemon Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Heal t Reply to
�1
anne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
r
i CERT.# 419-99
I FEE '$25.00
f X DATE: 08/06/99
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 21 Lemon Street UNIT #: 1
OWNER/AGENT: Ed McGlynn
ADDRESS: 203 Washington Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 639-1437
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" .
t
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
Jo '.ANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
i
� ��oNorr
1 .
fNB1�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT Z 1 LPMO N S r UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Ffl M"6t`'JV� MANAGER/AGENT
No P.O. Boxp No P.O. Box
ADDRESS 2o'3 ohSH(N5`ON Sr ADDRESS
,�
CITY SA�.F_M M401170 CITY /"
RESIDENCE PHONE 937` 143 7 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 6
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 H LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION,
APPLICANTS SIGNATU DATES
INSP TORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: �/_- G - f
TYPE OF UNIT: DWELLING OTHER_Z CHECK# I{Ll CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
��MIN6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 03/11/99 Tel:(978)741-1800
Fax:(978)740-9705
21 Lemon Street Trust c/o Brigid McGlynn, Trustee
47 Pilgrim Road
Marblehead, MA 01945
PROPERTY LOCATED AT 21 Lemon 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 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.
FOS THE BOARD OF yIEALT H— REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
f:
CITY OF SALEM, MASSACHUSETTS
a e BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAx 978.745-0343
MAYOR WV W.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
8/11/05
Jefferey Ward
27 High Street
Salem, MA 01970
PROPERTY LOCATED AT 21 Lemon 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 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.
/Fqr the Board of Heglkh _ Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
9 P
' CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHiNCTON STREET.4TH FLOOR
SALEM, MA 01970 CERT,# 476-03
TEL. 978-741-1800 FEE $25.00
FAX 978-745-0343 DATE: 9/30/03
STANLEY USOVICZ, JR.
JOANNE SCOTT, MPH, R5, CHO
MAYOR HEALTH AGENT
11
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 21 LEMON STREET UNIT #: 2
OWNER/AGENT: EDWARD MC GLYNN
ADDRESS: 47 PILGRIM ROAD
CITY/TOWN: MARBLEHEAD, ZIP CODE: 01945 24 HOUR PHONE: 478-745-7882
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
/ 96
JOANNE. SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Y
u CITY OF SALEM, MASSACHUSETTS
�� BOARD OF HEALTH
• a 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
"MINIMUM STANDARDS OF FITNESS/FOR HUMAN HABITATION".
PROPERTY LOCATED AT oZl L-�� UNIT#
IS THIS UNIT DESIGNATE�D AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT '
No P.O. Box / No P.O. Box
ADDRESS r( Qt ADDRESS
CITY ea / CITY &0/99
RESIDENCE PHONEc7�1�31 1Y3BUSINESS PHONE (24 HRS.)
BUSINESS PHONE / 9-71 E)- M6 y,Z
TOTAL NUMBER OF ROOMS:/r
ROOM USE: t,6W 2. kK43. A& 4.)&&�
5.- 66 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 SIGNATURF,-_ DATE a D
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION R Y -i 5 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -M-O 3 DATE FEE PAID: --Y '� -11 3
TYPE OF UNIT: DWELLINOTHER_ CHECK# j 0 3 CHECK DATE
NOTES:(' aoa //tau Uuc�2 [� f ciUfG
CODE ENFORCEMENT INSPECTOR 9/28/98
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PubIiCAB81th
MA 01970 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-17-60
DATE ISSUED: 3/2/2017
Property Located at: 22 LEMON STREET UNIT#1
Owner/Agent: William Twomey
Address: 13 Tophet Road
City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone:(781) 334-2309
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.
WJe9a -
Larry Ramdin, MPH, REHS, CHO 01
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4 FLOOR
TEL. (978) 741-1800
KINIBERLEY DRISCOLL FAX (978) 745-0343
MAYOR LRAM NCSALFALCOaI
LARR)'RA;�IDIN,RS/REHS,CHO,CP-FS
HFALTH AGP: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 �iM 5' UNIT#
IS THIS UNIT DISIGNA�/TE�D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER J/�//,G° CG�'Y! 0 m MANAGER/AGENT
NO P.O.BOX r
ADDRESS 3/�`� �U/A �� ADDRESS
CITY, STATE,ZIP /�J 4 (� , oil�O CITY,STATE,ZIP
RESIDENCE PHONE / c���/' 3/� / GZ���L/ BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OFR�O'OMS: I , 'n
ROOM USE: 1 Pr (12 2.la I( 3. �VleRnO-h 41I1/ 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
APPLICANT'S SIGNATURE DATE
sj Inspectors us only
Date on initial inspection: 1���� 017 Date of reinspection: Z
Date of issuance of certificat/e: �� Date fee paid:�L ���
Type of unit: Dwelling ✓ Other Check# J-10(o Check date:
Notes: 1 S � brrcr�
Code Iy rc ent Insp or
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALLH
m 120 WASHINGTON STREET,4"'Fl„OOR
TEL. (978) 741-1800
KlMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR LRAMDIVaC SALrJM.COy(
LARRY RAi`tDIN,RS/RFFIS,CHO,CP-FS
HE.ACFH AGENT
Release
In accordance with Massachusetts General Laws Chapter 1 11; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter 11 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 1ny/out absence
during said inspection.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
Updated 5/23/11
Inspection of n - cr,rl mju,4 Date pL�� t` Time
Name n Address d–Z I nh S�Yee–+4-
Owner. B i I I �WOOYAe✓ L Tel. No. /�
Type of Inspection CeA Lcale, of Fie5f Inspector JeCPrOev 6arOSV
( ' ) Remarks and Violations are listed below: 41– �—
L Iv,nA room V.4I t-nw SlZcbhl 'hn I°+� GY �a� In alp S6-sr
.
w L e
e
alrV S r
_ � l
L.��r �X11 /Leo c__T✓bn C {o l rwav w ri�OW APs/1r-oA+ 5 1-Okj
' a
r a.. o
few+ 12 � ge-Ir P.64J!anCef4
A (O�
C I V I n�n,�'�n y�„�/Y1 U5'{' icy Chir►^ nor yY1A rip rre-c4 LL.-E- pn ��
0 r II
S l r
Report Received by:
a ��coxutr
3 CERT.# 109-02
FEE $25.00
9g .,... DATE: 03/04/2002
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—4t Floor
HEALTH AGENT Tel # (978)-741-1800
Fax# (978)-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 22 Lemon Street UNIT #: 1
OWNER/AGENT: Nikollaq Mino
ADDRESS: 22 Lemon Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-3282
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 t%
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
I
i CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY 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 2 2 5�� UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER ���� A �� MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 22 ralv?OV ADDRESS
CITY S,qLE CITY
RESIDENCE PHONE Q 7i) 76,032 USINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: i.-le-1 -2. 3. 3 4.
5. :�) 6. T 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAi 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 hlj � DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION :3 J '� _p 2- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -V 2-DATE FEE PAID:? q I L
TYPE OF UNIT: DWELLING /OTHER_ CHECK# / 4'/0 CHECK DATE 3-'f -'ZP 2'
NOTES: �\
CODE ENFORCEMENT INSPECTOR 9/28/98
�.
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
. Y SALEM, MA 01970
�s TEL. 978-741-1800
�QMIf� FAX 978-745-0343
STANLEY USOVICZ. JR. !n -;.lE SCOTT. MPH, R� i
IY A,U,, HEALTH AGENI
02/08/2002
Egjente & Nikollaq Mino
22 Lemon Street
Salem, MA 01970
PROPERTY LOCATED AT 22 Lemon 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 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 O HEALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�dOONDlgq� City of Salem, Massachusetts
n ) 1
m Board of Health
a 4
A ` 120 Washington Street, 4th Floor, Salem, PlublicHealth
o
MA 01970 '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-17-61
DATE ISSUED: 3/2/2017
Property Located at: 22 LEMON STREET UNIT#2
Owner/Agent: William Twomey
Address: 13 Tophet Road
City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone:(781) 334-2309
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.
&Jey4 aroysy
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
e 6
CITY OF SALEM, MASSACHUSETTS
� BOARD OF HEALTH
120 WASHINGTON STREET,4". FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx (978) 745-0343
MAYOR LRAA[DIN n sALELC.oar
LARRY FU\MDIN,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 UNIT#-2�—
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER A/( [-'a ::Z .nrYA>� MANAGER/AGENT
ADDRESS �GY
ADDRESS
CITY, STATE,ZIP �/ 0/ CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:— r ��,Q/J // '' / n
ROOM USE: 1. �/� � 2. ��'G� 4 U 3. Ft 4. bed 5.
6. 0 7. Q 8. tA 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
q p Inspectors use only
Date on initial inspection: ,1 /�92Z127 Date of reinspection:
Date of issuance of certificate: Z 20Date fee paid: h
Type of unit: Dwelling Other Check# 1106 Check date:
Notes: (SLcDr-,-C f
Code 7 ceg ntlnspec
t
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEM;CH
120 WASHINGTON STREET,4". FLOOR
TEL (978) 741-1800
KENMERLEY DMSCOLL FAX(978) 745-0343
MAYOR r.RA.NU)]Ng.SA[R),l.co�r
LARRY RAML)IN,RS/REHS,CHO,CP-FS
HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 1 11; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenantAessee 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.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
Updated 5/23111
}mss CITY OF SALEM, MASSACHUSETTS
• �� �
BOARD of HEALTH
120 WASHINGTON STRFE—r,4"' FLDUR
TEL.(978)'41-1800
KIMBERLEY DRISCOLL F;kx (978)745-0343
MAYOR 1 il,cainiuiu :u.r i ru,i
LARRI R.U[DI\,RS/RF.tIS,CHP,CP-FS
HT,U.TH AGR\T
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq.
State Sanitary Code Chapter I1 and Article X111 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
Le,fth . IemMA.
Address 01970 Address
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Address on unit to be inspected
Date
Updated 523/11
9nspectibn of Or aeuinie n4 Date �2ttCY _Tiimte r1
Name Address 1-2- SAN ]7Y-Ce+
Owner�I F-WO»nG�U Tel. No.
Type of Inspection„CAJ1/4y�i'CnTe oC Ej'he.5t Inspector ,. AS
( ')I Remarks and Violations are listed below:
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Report Received by:
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
5/18/06
Ergjente Mino
22 Lemon Street
Salem, MA 01970
PROPERTY LOCATED AT 22 Lemon 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 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.
r or the Board of Health Reply to
J Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector