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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(976)741-1800
10/18/99 Fax:(978)740-9705
Paul Michaud
5 Liberty Hill Avenue
Salem, MA 01970
PROPERTY LOCATED AT 7 Liberty Hill Avenue 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 1: 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.
,-4R THE BOARD O)f HEALTH REPLY TO
?oanne Scotl!"�MPHRS,�CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• y� a BOARD OF H&1I; H
120 WASHINGTON STREET,41°FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREE.NBAUM9SA1.EM.00n7
DAVID CRIEI'.NBAUM,RS
ACTING HFAj.,n-I AGr.'.N,i*
CERTIFICATE OF FITNESS
CERTIFICATE#422-10
DATE ISSUED: 8/31/2010
Property Located at: 20 Liberty Hill Avenue UNIT#House
Owner/Agent: Dianne & Bill Reddy
Address: 12 Nelson Avenue
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-922-8188
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
AV�I
EENBAUM, RS
ACTING HEALTH AGENT CODE NkFJRCEMENT INSPECTOR
• CITY OF SALEM, MASSACHUSETTS C �-,16
L
BOARD OF HEALTH I I
120 WASHINGTON STREET,4T"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGKEENIOAUNI S Ai M.CO\I
DAVID GREENBAum,RS
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT JO /`t ber �jj- Int (( cto-c UNIT#
IS THIS UNIT DISIGNATED9 AS RIGMT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER_D_gnl ,P P)'[ 1� r/��� MANAGER/AGENT
NO P.O. BOX
ADDRESS ADDRESS
CITY, STATE,ZIP_ ge U en CITY, STATE,ZIP
RESIDENCE PHONE & 15� BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:—
ROOM
OOMS:ROOM USE: 1. 2. 3. 4 ( PO -
6.
7. 8. 9. �
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P YABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: /(] Date of reinspection:
Date of issuance of certificate: /0 Date fee paid: & /0
Type of unit: Dwelling '/Other Check#tea U Check date: e I /D
Notes: r�S PUv
Code E force entInspector
CITY OF SALEM, MASSACHUSETTS
• e BOARD OF HEALTH
120 WASHINGTON STREET,461 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGItPi,I'.N13AUM(7Qe SAI,T'M.COM
DAVID Glwl-i.NBAUM
A(:,f'ING HFAI,fH AGNCN'C
Facsimile
Transmittal
T •
Fax #
RE: �J 6 f I I Aid,
Date
Page(s): including this cover#
Message:
Board of Health News ----------------------------------------------------------------For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
.r e
TRANSMISSION VERIFICATION REPORT
TIME : 09/09/2010 02: 09
NAME :
FAX : 9787450343
TEL : 9787411800
SER.# : 000BON341991
DATEJIME 09109 02:09
FAX NO. /NAME 919787449614
DURATION 00:00:28
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
i
CERT.# 161-00
FEE $25 .00
DATE: 03/03/2000
s
9��7iylryg
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: 25 Liberty Hill Avenue UNIT #: 1
OWNER/AGENT: Anthony Mirabito
ADDRESS: P.O. Box 3031
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-2542
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
Uv
JOANNE SCOTT MPH,RS,CHO
HEALTH AGENT -- CODE ENFORCEMENT INSPECTOR
BEG 13 19: 12: 32 PM SALEM HEALTH +5087409705 Page
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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
f' Far(978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'.
PROPERTY LOCATED AT UNIT
IS THIS UNIT DESIGNATED AS HIGHT LEFT FRONT BACK PLEASE CIRCLE ON .
OWNERILESSERMANAGERIAGENT_. ..JkSPd � U
t No P.O. Box (JO (� No P.O.Box
ADDRESS X 3 .. __.-ADDRESS 0A S-1 Z
7�u`� ---CITY
RESIDENCEPHONE PHONE (24 HRS.)_. .2�5 Z-
BUSINESS PHONE 22 2a 7 :7- a d,
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. --
k
5.
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.
I r
I
APPLICANTS SIGNATURE DATE. .
t lN,8P•ECTORS USE ONLY
DATE OF INITIAL INSPECTION��. _ -017. _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:,-,fir—(Z�DATE FEE PAID; - .�.._.= O e?
'r TYPE OF UNIT: DWELLING_-OTHER__, CHECK q.��/r�__-CHECK DATE a4_0�7
NOTES:— ----..-... . ---
CODE ENFORCEMENT INSPECTOR 9/28198
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��,ONUIT
CERT.# 314-00
_99 FEE $25.00
a a DATE: 05/18/2000
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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: 25 Liberty Hill Avenue UNIT #: 3
OWNER/AGENT: Anthony Mirabito
ADDRESS: 15OR Dodge Street
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-2542
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 4-10.000: 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
i_ 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 ®�,,�/j��
14g,
711/�'OANNE SCOTT, RS,CH0
,HEALTH AGENT CODE ENFORCEMENT INSPECTOR
F
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 A197,y—F//OR HUMAN HABITATION". ?
PROPERTY LOCATED AT S Al/,bl t�/ �� UNIT#J
IS THIS UNIT DESIGNATED AS RIGHT/LM FRONT BACK PLEASE CIRCLE ONE
OWNEWLESSER AW0,i t/ R/RHq MANAGER/AGENT Jahr
No P.O. Box (n� No P.O. Box
ADDRESS IJa ADDRESS
CITY d1v CITY
RESIDENCE PHO14E iW- 227-;ZOy2 BUSINESS PHONE (24 HRS.)jflly
BUSINESS PHONE S'JJ� .23� • 0OJ,r-
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. Gl 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 SIGNATUREDATE /S O 0
I C 0 S SE ONL
DATE OF INITIAL INSI ;PECTION
f
DATE OF ISSUANCE OF CERTIFICATES-- - P DATE FEE PAID:
TYPE OF UNIT: DWELLINGkOTHER_ CHECK# f (j CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
s e
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET
HEALTH AGENT - Tel:(508)741-1800
Fax:(508)740-9705
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 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 inspection.
ENAN LESSF OWNER/ .FSS
ADDRESS ADDRESS
S
A2
ADDRESS P.D OF UNIT ) BE INSPECTED
DATE
`. CITY OF SALEM, MASSACHUSETTS
w 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#421-06
DATE ISSUED: 8/25/2006
Property Located at: 33 Liberty Hill Avenue UNIT#3
Owner/Agent: Michael McLaughlin
9
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy-
FOR THE BOARD OF HEALTH ,f
J ANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSF-rM
BOARD Of HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL, 976-741-1600
FAX 976-745-0343
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 ,H.,U/M,(A�N HABITATION".
PROPERTY LOCATED AT 33 6 Ag/ /_.i!II/ A 67 —_UNIT
IS THIS UNIT DESIGNATED AS !R GHT LEFT FRQNT BACK PLEASE CIRCLE ONE I
J / / i
OWNER/LESSER, 1L�t0E !'4t0G't A) MANAGERIAGEN7 _-_,_
No P.O. Box //�1 J f No P.O.Box
ADDRESS 3 ly1tY 1111 41C ADDRESS------.-
CITY
DDRESS_ _ ___._CITYS� Q !/ �/
RESIDENCE PHONE/�a(1_ ?!!f?��—BUSINESS PHONE (24 HRS) _
BUSINESS PHONE _____ .-._
TOTAL NUMBER OF ROOMS
ROOM USE: 1..------2'--- ---3 -- ----4'- -- --
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPAXTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
INSPECTORS USE rONLY
DATE OT INITIAL INSPECTION ' -b.."DATE dF REiNSPECTIoN
DATE OF ISSUANCE OF CERTIFICATES,,?57.-D - DATE- FEE PAID
TYPE OF UNIT: DWELLIN .OTHER - CHECK ii 693 1 CHECK DATE
i
NOTES.
CODE ENFORCEMENT INSPECTOR 9!28198