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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NWE NORTH STREET
HEALTH AGENT TeC(978)741-1800
Fax�(978) 740-9705
OB/31/2000
Bruce Whear
� P.O. Box 8291
, Salem, MA 01971
PROPERTY LOCATED AT 1 Linden 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 CFIIt; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CI+�2 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness £or 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 BOARD HEALTH REPLY TO
`y�/'(J�-'K'X-C���i�"���
��Joanne Sco , MPH,RS, CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
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� ° CITY OF SALEM, MASSACI�USETTS
}30ARD OF HP.AI:I7�I
120��UTSFIINGTON STItP.Pi"T,4'”I�1.00R
7'�L;. (978)741-1800
KZM13r1�1�EY nluscoi.r. i�:��(978) 745-0343
MAYOR lrlmdinna galcm com
I.rV1Rl'liAMl)7N,12��IiF.FfS,CHp,C7'-I^S
� I-Il�.r\l:l'I9AGPSN'I'
CERTIFICATE OF FITNESS
CERTIFICA�-E#512-11
DATE ISSUE:D: 12/5/2011
Property Located at: 1 Linden Street UNIT# 1 L
Owner/Agent: YamiletToro
Address: 1 Linden Street 1L
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-8219
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: M��ssachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habit<dion". �
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 or,cupied.
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� �'" �.
LARRY RAMDIN
HE
ALTH AGENT CODE ORCEMENTINSPECTOR
�,.
. I
`� CITY OF S.ALLM, MASSACHUSETTS
s r ;, 1
��n
- ..� F3O,1AU OF�LN',AlTN �� ��
120 W�s[-rrvGro�S'Pttis�'[',4°'Fioox
'Trt. (978) 741-1800
KIM131'sRL]i;Y DRISCOl.,1., F���Y(I78)745-0343
NIAYC)R �.itnmum(pZsni,i;��s.r,on�
1,niiitv Ltnn���t�GN,iss/uc�:ris,c:i�r�,<:r-i��s
1-u c;�,:ri i�c,i�;N r
Application for Certificate of Fitness
IN ACCORDAN(',E WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITidESS FOR HUMAN HABITATION"
FEE: 150.00
PROPERTY LOCATED AT � Li V�/��P�� ZS�Y-(�C-�� �.L� S�I �-eG� /�Ol I�UNIT#�
IS TH1S UNIT DIS[GNATED AS RIGHT LE;FT FROI'�T OR BACK,PLEASE CIRCLE ONE �
OWNER/LESSER �____�� �� I O1�D _MANAGEA/AGENT
ADDRESS� l�(�[�I _ -P�'� � I L— _ADDRESS
CITY, STATE,ZIP S��Wl i{/t�' d I Gl�I v CITY, STATE,ZII'
RESIDENCEPHONE l.P� ��I�' ���I BUSIIVESSPHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:._�_
ROOMUSE: 1. v1"'fl�� 2.t�'fitYWY�/1 3.�V��1� F^"I`-� �� 5. • '�1�
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CH ECK OR MONEY ORDER TO THE C1TY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE �Z "� I I
Ins�ectors use onlv
Date on initial inspection: ��IS'�� _ Date of reinspection:
Date of issuance of certificate: ��. S �/ _ Date fee paid: � ��
Type of unit: Dwelling � Other Check#��Check date: �� 5 � !
Notes: (1_,_�1IU <^�-�'f/19.5 �r C�����G U�.• CLI� S I �d�
Code nforc entInspector
� �
�j �v��C�a�,�� CERT.# 27-02 .
� 3 FEE $25.00
�,�` DATE: O1/22/2002 I
CITY OF SALEM BOARD OF HEALTH I�
Salem, Massachusetts 01970� ',
120 Washington Street — a'h Fioor I
JOANNE SCOTT, MPH, RS,CHO Tel # �
HEALTH AGENT (978)-741-1800
Fax# (978)-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Linden Street UNIT #� #4 2nd £1. Riqht
OWNER/AGENT: Bruce Whear
ADDRESS: 24 Hawthorne Boulevard �
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 AOUR PHONE: 745-8219
' AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVS ADDRESS HAS
' BEEN APPROVED AND IS IN COMPLIANCB WITH 105 CMR 410.000: MASSACHUSETTS STATE
� SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITTIESS 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 OCCUPPNTS, BASED ON 105 ChII2 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 O .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL D08S NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPPNTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
I �:�i.,n ���� �,a.._!._... /} V
�.�✓.�...-Ci -`�'''—�:'�i-.l / r / �
JOANNE SCOTT, MPH,RS,CHO � J L%`� _
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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C�TY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
NINE NORTH STREET
JOANNE SCOTT.MPH,RS,CHO Tel:(978)741-1800
HEAITH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Fax:(s7s)7ao-s705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000
°MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°- UNIT i�� �M' T�
� ► � .�n, ►1 �'�
PROPERTY LOCATED AT
IS THIS UNIT DESIGNATED A RIG LE RO T BACK FLEASE CIRCLE ONE
MANAGERIAGENT�� � '
OWNER/LESSER No P.O•Bax `� L '
No P.O. Box RESS
ADORESS
�1�� L � CITY �A r 6 YY� -
CITY�
RESIDENCE PHONE~u C�Q�19 BUSWESS PHONE {24 HRS.) S' 9
BUSINESS PHONE ��"�S' �9
TOTAL NUMBER OF ROOMS:�
1 Q 2�3.�� �c�4.� .. . .
ROOM USE: 1- �--��
6 � 8.
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. �cy�
ATE I___�`D--�
' APPLICANTS SIGNATU � ----
� � ws�FrTORS USE ONLY
/
u.uTie� wSPFCTION��a�'�� DATEOFREINSPECTION�--
Uh�i � vr ��.���„� ..._. — � �
DATE OF ISSUANCE OF CEFTIFICATE�._:��6�=-DATE FEE PAIO: � �_ �"�--�
TYPE OF UNIL �WELLI _OTHER_ CHECK# �' ���CHECK DATE �� �� '� �'
NOTES: �
-------
9I28/98
CODE ENFOfiCEMENT INSPECTOR
I
� `°ND �° City of Salem, Massachusetts
• : . � �
Board of Health I
� " 120 Washington Street, 4th Floor, Salem, PubliCFiealth
MA01970 Prev<nL Promote. Prohc[.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, cHo
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-90
DATE ISSUED: 3/14/2076
Property Located at: 3 LINDEN STREET UNIT#1
Owner/Agent: Kathie Strout
Address: 29 Intervale Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 479-9266
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 occu ants must com I with 105 CMR 410.000.
P , PY
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
�" �W ' "'"' �
� �
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SA ITARIAN
a� +
� �• • CITY OF SALEM, MASSACHUSETTS
BO<1RD OF HE.�LTH �
12O W�ISHINGTON STREET,4"�FLOOR p��,���C,,,,�H��
I TEL. (978) 741-1800 Faa(978)745-0343
KIMBERLEY DRISCOLL �amdin e salem.com
MAYOR L,\RRY RAMDIN,RS/liT'1�IS,CFIO,CP-FS
HG�V:I'1-I AG13N7'
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 � /1�� �` LJNIT# /
IS THIS UNIT DISIGNATED AS RIGHT LEFI'FRONT OR BACR PLEASE CIItCLE ONE �
OWNER/L,ESSER �� �� MANAGER/AGENT
ADDRESS �� .-/�/1 �C�iY(/C�lFX /�I' ADDRESS
CTTY, STATE,ZIP SG�.-f P/Y1'1 CITY, STATE,ZIP �� � � � 7O
RESIDENCE PHONE J�I;�j'�7� �JG�v BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:�
ROOMUSE: l.,�i�h'l 2. ��? �!� 3. i3�c���t 4. G�' � 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P YABLE AT TIME O INSPECTION
APPLICANT'S SIGNATURE��� � � ;; DATE � �
Insnectors use on�
Date on initial inspection:�I W I I� Date of reinspection:
Date of issuance of certificate: Date fee paid: �
Type of unit: Dwelling Other Check# F3�a'�Check date:3 � �6
Notes: .pi� �Q U�N�{')LzJ iV1 br_g�'� rSVvi �l ���Q��1$ />� nn�pVLp�
_� ,�—
Code o ment Inspector �I�-��
,A-: : �!
.� �.f�.�
• . �� CITY OF SALEM, MASSACHUSETTS ur
BOaRD OF HF�ILTH _
1��W.-�SHINGTON STREET 4'"I'LOOR PublicHealth
� � er<.rn�.rromom.r.me�c .
T�L. (978) 741-1800 F.�x(978) 745-0343
KIMBI:RL,P:Y DRISCOLL �amdin e salem.com ,,
L;\2121'R;\TIDIN,RS/Rf?I IS,CFIO,CI I S
MAYOR HIIN;t7-r r1C I�:N.1. .
CERTIFICATE OF FITNESS
CERTIFICATE#289-14
DATE ISSUED: 8/25I2014
Property Located at: 3 Linden Street UNIT#2
Owner/Agent: Kathie Strout
Address: 29 Intervale Road
City/Town: Salem Zip Code: 01970 24 Hour Phone:
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
� � ,
RAMDIN
HEALTH AGENT SANITARIAN
. , . 'w
� �����
a
KfMeERLEY PRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BonRo o� MEn�.rH
120 WASHINGTON STREET, 4'" FLOOR
I TE�. (978) 7A1-1$00 FAX (978) 745-Q343
IramdinQsalem.com
Application for Certificate of Fitness
IN ACCORDA.NCE WCIF�STATE SANITARY COAE,CHAPTEit i i, 105 CMR 410.000
°'NIINT�vIUM STA�IDAR.DS OF FI'L'NESS POR HUMAN HABI'fAT10�1"
kEE: $50.00
PROPSRTI'JACf�TEn AT
.� �/h 1,�� � UNIT# �`
� IS TH[3 UN1T A1S[GNATED As�_LF� R� Opl��R BACK+pLEASE C1�RCLE ONE
OW'NEA/LBSSERJ l� t � 0 �/ � MANAGETZJ AG�NJ,'
NO P.O.BOX
ADDRESS�2� � '��V Q��` � ADDItESS
CITY,STATE,ZIP � � � CITY,STATE,ZIP � 1 � � �
RESIDENCE PHONE l �_ ��� � ��� a�SINESS PHONE(24HRS) �—
BUSINESS Pk10NE_��� �
TOTAL NUA'1BER OF ROOMS: `Y
ROOM USE: l. 2. !" 3. y�-0`r'k4. r 5.
6, S. 9. 10.
�'S�g(tk,Tg A FJFTY($50)DOLLAR PEE,�'AYAHLE BX CHECK OR MONEY'ORDER TO THE CCTX OF SAL.EM
gpARD OF FiEALTH 7H1S FEE IS PA Ag E OF 1NS FsCTION
APPLICANT'S SIGNATURE '" '� "=— �^ ""'" - —���£ � /
Ins ctoz use o
Date on initial inspection:�a� —
Date of xeinspection:
Date o£issuance of certi�cate: Dace fee paid:
Type of unit• Dwellia� Other Check#��Check date: ���� L�
v^� ,
Notes:
, � <
� ; ��cotuur'c�
� � �� CERT.# 397-01
a � — FEE $25.00
�s�Ca... DATE: 08/16/2001
�'�1u6
CITY OF SALEM BOARD OF HEALTH �
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEA�TH AGENT 120 Washington Sheet
TeL (978)741-1800
Fa�c (978)745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 4 Linden Street UNIT #: 3
OWNER/AGENT: Jonea Company c/o Joe Jones
ADDRESS: 147 Colon Street �
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 922-7935
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'HEREFORE, 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 IiABITATION" .
SECTION 410 .400 (B) : �DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT O .
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 ��
�i9�,��..�c�-- �
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE� ENFORCEMENT INSPECTOR
r---
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO 120 Washington Sheet
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 � �C.PM�'S �'IQ,L� UNIT# 3
IS THIS UAlT DES�ATED AS RIGNT LEFT FRO"JT BA�K ?LER3E CIRCLE �yE
OWNER/LESSER MANAGER/AGENT �0�-���
No P.O. Box No P.O. Boz � �� ,,_ p f,�,
ADDRESS ADDRESS �'e����
CITY � �XNf,c�.vt CITY V�/�/�. OI Qi7U
RESIDENCE PHONE �� �S�b 6'"��INESS PHONE (24 HRS.)
I BUSINESS PHONE �Yu�—
TOTAL NUMBER OF ROOMS: Y�
ROOM USE: 1.�2. ✓1Jd� 3 13� 4. 1�/Ir.�
5. 6. 7. S.
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 SIGNATURE `C� DATE � �� 8
INS CT S USE O Y
DATE OF INITIAL INSPECTION �� � �� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: � . 6 �� DATE FEE PAID: � �� 6 "�I
TYPE OF UNIT`. DWELLIN OTHER_ CHECK#�CHECK DATE���`�
NOTES:
CODE ENFORCEMENT INSPECTOR g/pg/gg
• . � GONDIT
��g� � �
� ; �
�����n� —
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington SQeet 4�'Floor
HEALTH AGENT Tel: (978)741-1800
Fax: 978-745-0343
06/27/2001
Jones Company c/o Joe Jones
147 Colon Street
Beverly, MA 01915
PROPERTY LOCATED AT 4 Linden Street UNIT # 3
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 o£ Salem Code of
Ordinancea, 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 CI9t; State Sanitaxy Code, Chapter 2: General Administrative
' Procedures and 105 CMI2 410.000; State Sanitary Code, Chapter I2: 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 BOARD HEALTH REPLY TO
oanne Sco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
i 08/04/2001 19:58 . 9769221968 PA6E 01/01
,• ` '" � ��`�!°�
, • • , a ����
CITY OF SALEM BOARD OF HEALTH �����
Salem, Massachusetts 019703928
—��..._.. — .,— __—..__.
JOANNE SCOTT,MPH, RS,CHO - 120 Wash'vlgton Stteel 4m F�oor
HEALTHAGENT Te1:(978)741-1800
Fax:978-745-0343
06/27/2001
Jones Company c/o Joe Jonee
� 147 Colon Street , �
Heverly, MA 01915 �
PROPERTY LOCATED AT 4 Linden 8tzeet IINZT N 3 _.___ _,._....,,
JOC JOt1C5, AEP, CFP, C1.0
Dear Sir/Madam: 147����t
� jonce Company .
ficvcrly,MA 019I7
� It has come co our attention, that yov may 6e coneiderirn �mo�eee-�ress-�a�e�s�x-ia�-ca��e�s�a�x.+eae
at .the above address. � }oe�ieneato.com-�tlp�lA�w.jonaeeo.com
� � In accordanea with Chsyter 11, Aiticle RIIS of Ehe City of 9alem Code of
Ordinaneee. 9ection 2-339,titled "C0=tiEiaate of FlExl09B," each dmelliag unit rouet be
lnepected and certified prior Yo allowing occugaacy. The inepection will be conducted �
sin aceordaitee with 105 CDQ4 State &enitary Coda, Chspter Ii General adminietrative
Procefluree and SOS CD�t 910.00U; 8tate 9anitary Codo, Chaptaz I2: Minimusn 9tendarde of
Fitnaee for Hwpen-Ha6itation. �- �
Pleaee notify ue if you� do �not i,ntend� to rent the �unit.
P,leaee �ontact thie department within 24 hovrs of receipt of thie notice at
978-791-1aoo, to echedule an appointmene for an inspection. Our office houre are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thurgday 8:00 a.m:�� - 7:00 p.m. and Friday 9�:00
a.m. - 4�00 p.m. -
Failure co comgly with thie procedure, may reeult i❑ a fine of Twenty (201 dollars
per day for every day that the dwelling unit ie occupied wi[hout a Certificate of
Fitneea. _
A $25.00 check payable to the City of Salem ie required for each unit inepected at the
Cime of inepection.
A property owrler ie required t0 pdy gae and electriCiCy fOz reeidential tenan[e ,if there �
is not a written letting agreement stating the tenant ie responsible for thoee
utilities and if the meter(e) recorda electrlcity and gas uae which le not used
exclusively 6y that tenant. The Depaztment of Public Utilities hae billed property
owners for their tenants` entire utility bills retroactive to the date of initial
occupancy in cases in which croes-metering hae been proven to exist.
OiY{ R THE HOARD HEALTH � REPLY TO �
� s�:�iLIL. � .
�7oanne SCo � , MPA,RS,CHO - � � PABLO� VALDE2 � � � �
Health Agent CODE ENFORCEMENT SNSYECI'OR
�������D
AUG 6 206i
HIEAL�TH DEPTM.
�
�
3�"c��
° � ° CERT.# 108-01
� � � FEE $25.00
��� DATE: 03/O1/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
. JOANNE SCOTT, MPH, RS,CHO - NINE NORTH STREET
HEALTH AGENT . Tel:(978)741-1800
Fax: (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 6 Linden Street UNIT #� Z Riqht
OWNER/AGENT: James & Adeline Mullen
ADDRESS: 6 Linden Street
. , CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8365
FiN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROV&D AND IS IN COMPLIANCB WITA 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 AEALTH 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 WITA TAE STATE LEAD LAW FOR
� OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
' i OR THE BOARD F HEALTH .
C,�,���'��(�X.(,i
� �
JOANNE SCOTT, MPH,RS,CHO � �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
�
�. ��.� log.� l
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)7a�-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 ��� �f� S�, UNIT#�
IS THIS UNIT DESIGNATED A RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERA� � ���d MANAGER/AGENT
No P.O. Box � No P.O. Box
ADDRESS � �/ l� PVI SI � ADDRESS
CITY_;��G7 �� WI � CITY
� �
RESIDENCE PHONE ��J � c�3�i S BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �L2_
ROOM USE: 1. J�� 2. �� M- 3.�`��0
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE��iL`p��u���/I% DATE / �110�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 3� I �O / DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ��'� � DATE FEE PAID: �-� ) ��
TYPE OF UNIT: DWELLING�THER_ CHECK#��CHECK DAT�`���7
�r
NOTES: � �
CODE ENFORCEMENT INSPECTOR g/pg/gg
�
�o�,T�
. ��� � ,
]� ,yr � �CERT.# 421-00
�'' � � � FEE $25.00
��" { � DATE: 06/29/2000
�9�°�rI1NE
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS.CHO NWE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Linden Street UNIT #: 2 Back
OWNER/AGENT: Trustee William Arnold
ADDRESS: 10 Linden Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7043
� 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 STP.NDARDS 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 BOARDi* aF HEALTH �/ .
C/�jy�"�'�-e� �Y
� r,, Jo�^a'UL
l
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I �X L
G �
J
i i�%� CONDIT . . � .
, p� ,� g�.
�5 �°v � '� � a , -�
, . V,, �
� .� � � �� �, ���
� � ���°�
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 � ree �s�&)�a�-�eoo
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 I O L� h aen S�I', UNIT# o�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ACK LEASE CIRCLE ONE
OWNER/LESSERTr�S�vR. W����a. C, fffno�d�MANAGER/AGENT_IYi���¢. /i�^/t�l�
No P.O. Box L No P.O. Box
ADDRESS__� � LindQ.h .ST ADDRESS �O LIn�Q,n S'r'�
CITY So�,le.rn CITY 5��� I tr�
Y�)
RESIDENCE PHONE -IyS'7�y3 BUSINESS PHONE (24 HRS.) ' I ��.�
BUSINESSPHONE 14S II1r
TOTAI NUMBER OF ROOMS: 3
ROOM USE: 1. foorv�2. K��C�tn 3.�;vi n9 IQ�►1•4. a�+rodm
✓
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.
D ryy� ,, n I /
AP� LICANTS SIGNATUP,E�Q 11! . (�!7l�o�A pq?E b' „L�J - OO
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION� -'�} �'1 -' Da DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ��� 4-�' DATE FEE PAID: �-r3 9 �o a
TYPEOFUNIT: DWELLING�OTHER_ CHECK# l�� CHECKDATE �—� -�"�
NOTES:
CODE ENFORCEMENT INSPECTOR g/28/g8
� '� City of Salem, Massachusetts
3.
Board of Health
120 Washington Street, 4th Fioor, Salem, prevp�„�:
MA 01970
Kimberley Driscoil Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO
Mayo[ health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-17-297
DATE ISSUED: 9/13/2017
Property Located at: 10 LINDEN STREET UNIT#3
Owner/Agent: David Palumbo
Address: 78 Bluejay Road
City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone:
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�acant 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.
Certifcate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid anly if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead lawfor occupants under 6 years of age.
���
' Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
��� �
�
� CITY OF SALEM, MASSACHUSET I'S ,
� ;y���a BOARD OP HF,AS.TH
120 WASHINGTON STRE23T,4���� FLOOR
Tr.�.. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR LRAMllIN(G�SAI.liM.COM
LARRY RAMDIN,RS/RHHS,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 I O l���G1 E�'1 S� UNIT# 3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER��c�v �C � ���`'�^�� MANAGER/AGENT �
NO P.O.BOX �1 (�/ �q
� ADDRESS � �.In�r� S� � � _ADDRESS_I��_ ��'� ��{ � , �����a �� � `
CITY, STATE,ZIP__ S a I t� M � O I �� 0 CITY, STAT�,ZIP
I RESIDENCEPHONE � S� �50 � Go39 BUSINESSPHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: + I � a k'�.io o-�-- -
ROOM USE: 1. ���'7 aw^ 2. �Q 3. aQ 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 TffiS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE � • IV� DATE � � Z& I��'
Inspectors use only
Date on initial inspection: �I'�I I� Date of reinspection:
Date of issuance of certificate: Date fee paid: Z> a-
Type of unit: Dwelling Other Check# I l7�Check date: '�
Notes:
Code Enforcement Inspector
'� CITY OF SALEM, MASSACHUSETTS
s a.
' � BoAitv or Hrnr_TH
�� 12O WASHINGTON STREET,4°i FLOOR
TEr.. (978) 741-1800
KIMBERLEY DRISCOLL Fex (978) 745-0343
MAYOR I.RAMUiN((�.SN_E�LCOM
n
LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTH AGGNT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitazy Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenanUlessee of a unit of residential property, hereby authorize the Salem Boazd 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.
G �.---�� � . �...�..
Tenant/Lessee Owner/I,essor
� � ���1�,�:�'1 '� 1 � � � 1 h d-�h J� #k �
Address Address
-� 3
Address on unit to be inspected
� I Z � ` I �
Date
Updated 5/23/11
_il'�i" .� _ , 4n` + ��ibY � Vc • ' ' 6 . -.. a-�r•..f�.`r -Y T^ VT--...ti�.•.. >A'h"' �1aiK*'
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a
. Inspection of� � � ' ' -Date � � Time � �
�Name � ` . � . ' . . - : 'Address � ' .. ' ' ' � . � ..�.
I ..-Owner - .. . . . . , � . . . . � ' �� Tel. No. - , . . .. . .. � � . . ..
- � .Type of Inspection . � - ' � ' ' � � �' Inspector ' � - � � � �
( � 1�Remarks and Violations are listed below: � � � � � � � � � � � � � - � � � '
I '.1� �.r-ri ��'rrrt � �''(� -(�ir�.cc r�xec �r;r��li:rt-�c.i G��ir.i' �f-r�c� ��Ucw,n�
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,�\ \\'�r� �`�C:l�{i 1,c;1�`�C�Lu' i I1 , �`i'l\ C . - (`�C <<V�P i l ,Y i C . . <.i � iC '�C' . C.`i? •-� ltP
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/ �� :: ' : :
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� � � � . . -. • � � � . ' . : . Report ReceiJed by�:�. � . �� � . . .
p�inspection of .,�,�1 � Date Time
. 'YV'�c"" �a'
Name Address
y,
Ownet Tel. No.
Type of Inspection � Inspector
( ' ) Remarks and Violations are listed below:
V..} 4 . 4 �, . � . � . � �
Y
� � ' ti i� � 1'. ' f � i � . � . � � . : ��� M
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Report Received by: �
v6,�CONDIT
� � �
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I �����MINB�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NWE NORTH STREET
HEALTH AGENT 09/25/2000 Tel:(978)741-1600
Fax:(978)740-g705
William Arnold
10 Linden Street
Salem, MA 01970
I PROPERTY LOCATED AT 10 Linden Street UNIT # 3
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
��� �
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
. _. . C1TY OE SALEM� MASSAGEttlS�TTS
BOAREIOF�HE�L�H
m e
120 WASHINGTON STREET, 4TH FLOOR_ .
SRtEnt, MA O}�970 ,
TEL. 978•741-1 BOO
Facx 9�76--745-0343 . �
STANLEY J. USOVICZ, JR. � JOANNE SCOTT hAPI-f RS; f'.�HO
MAYOR HEALTH AGENT
CER'FtFIEkfE OFFtFNESS
CERTIFICATE#252-05
DATE ISSttEQ:4/2Q/05
Property Located at: 11 Linden Street UNIT# 1
Owner/Agenr Eynthia Rossi
Address: 11 Linden Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-397-8082
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and ls in compliance with 105 CMR-4t0:U06r MassaehnseHs State Sanitarq Eode, Ghaptgr II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the.Salem BoaKd of
Health and the unit may now be rented andlor occupied.
Maximum Numberof oecriparrts, must compty witYr 105 CMR 41 o-00Q.
Certificate valid for one year from date of issuance or until the current tenant vacates,whiciiever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HERLTIt
� : � �
JO NE SCOTT, MPH,,RS�GHO �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
(��j�Y r.r�_n+�y `t���. �ry Y�'��ve.yw�{ .e vr,.+�JJ�nn �'h4+ ��Ri1F�R����.Y , .. .�n.�
, � .�rA�.,�.�`F.� � -•�r�. _g'�c,u , .� �i �. a. ��.�'�a'a�w.��d ...`.� Yu1` 4;v ._ .'t'.. ; �.'�� , ., .:�"T
p, CITY OF SALEM, MASSACHUSEITS
i . � =�1' . '...��. •BOARD OF HEALTH ' : •.y • •
� �� � , 120 WASHINGTON'STREET. 4TH FLOOR � ./.Sh
SALEM. MA 01970 � 'v\J
TEL. 978-74 1-t 800
FAX 978-745-0343 �
STANLEY USOVIGZ, JR. "
JOANNE SCOrf, MPH, R5, CHO -
MAVOR
HEALTM AGENT
APPUCATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY COOE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �� L �N/�G� S� UNIT#1 /
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEA �, �� ON't
OWNER/LESSERy2S/„��NSr /2 �- MANAGER/AGENT'C`'��ni�� � �'�'r� �
No P.O. Box No P.O. Box
ADDRESS_ l°U av X 3 U 11 AODRESS �� L/tin�� sr
CITY �E(-�� Ul�y n//�- CITY Si¢"L�'r� /�9 � / Y' -� o
RESIDENCE PHONE!�tY"7yI���73 BUSWESS PHONE (24 HRS.)��US 2
BUSINESS PHONE 9�8- YG3 — ��io ���
TOTAL NUMBER OF ROOMS:y
' Roonn usE: �. C � fzrf 2. L� ✓rvG s. �'�� a. f�� C[�
5. 6. 7. 8.
THERE IS A TWENTY-FIVE(�25.00) DOLLAR FEE, PAYAB�E BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _ __DATE ��f �S
W�pECTOR� USE ONLI'
DATE OF INITIAL WSPECTION_�_�/ S_d_�____DATE OF REINSPECTION
DATL= OF ISSUANCE OF CERTIFICATE�J'.-_��, �'� �/ i� — " a
__DATE P6E Pl�ID . �
TYPE OF UNIi` DWEL�I ' OTHER CHECK t: �J �L' CHECK DAT[ �,%(����
NOTES
COD6 EN1=0HCEM�NT INSPECTOR � 9/ZS/98
�
� w
�ONUIT
�� ' ��� �
� � CERT.# 522-00
� � FEE $25 .00
i :
��j�, . m. � DATE: 08/16/2000
'�'c�ryMg
CITY OF SALEM BOARD OF HEALTH
, Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NWE NORTH STREET
HEALTH AGENT Tel: (978)741-7800
Fax:(978) 740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Linden Street UNIT #: 2
OWNER/AGENT: Cynthia Rossi
ADDRESS: 3601 Woodbirdqe Road
� CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 536-2769
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 O .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: TAIS APPROVAL DOES NOT CERTIFY COMPLIANCE WZTH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH /
�D�-�-z-L�',i��'" . � v�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
4 ,
` .. ' t • � . . .
� �.�a�,T ' �aa ��°
. ��g � �� ,
� � ��
����� ;
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 �� L- ����1-' r��=�-� UNIT# �-
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEl�SE CIRCLE ONE
OWNER/LESSER L%��"c�9- �qossi MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 3E�1 �"�GO�h�-�G� /Uj ADDRESS
CITY ��,�a v"`7 M�1' �� � 6 o CITY
� RESIDENCE PHONE 97�'- S3.0 27 (�f' gUSINESS PHONE (24 HRS.)
IBUSINESS PHONE
TOTAL NUMBER OF ROOMS: `�
ROOM USE: 1. K��/�2.�'�- 3. � r viN�p 4. b i,v s-�
5.��'JJ.wDr� g. ��.�j7. 8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
QRDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE A7 THE
TIME OF INSPECTION. �
APPLICANTS SIGNATURE C/%y�,Z:��/�`�C — DATE �� �� _
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 4� — J�-� � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:��G � d DATE FEE PAID: g �l b a�
TYPE OF UNIT: DWELLIN�OTHER_ CHECK# u�0 �/ CHECK DATE ��/6 a J
�� ,
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
_. ..__. . . . .:�_'.m ,�°w�� � r.w--�,�.t `- _ r x.p �,>; � ° � s y�'��c:'n � ` ay,?., �, .
. . _ _ '�.«`r 'CC:...c 'y+ sNCt;X Yt���r {'`� � .
. . � .. � - .� , . . .
v��Co . . . . . . . . .
� �
n �
� �
�s�� `
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO � NINE NORTH STREET
HEALTH AGENT � TeC(978)741-1800
Fax:(978)740-9705
OS/25/2000 -
William & Linda Ronan
11 Linden Street �
Salem, MA 01970
PROPERTY LOCATED AT 11 Linden Straet IINiT # 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 Fikness," 'each dwelling unit muat be
I inspected and certified prior to allowing occupancy. The inapection will be conducted
in accordance with 105 Qqt; State Sanitary Code, Chapter I: General Adminietrative
Procedures and 105 Ct9t 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitnesa for Auman 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 5:00 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 ro ert owner is re ired to a as and electrici f r
p p. y qu p y g ty o 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 �, MPH,RS,CHO PABLO VALDEZ
� Health Agent CODE ENFORCEMENT INSPECTOR
a
CITY QF Sp[LEM,-NFASSAEH�iS�TTS
I !- ` - � � BQAF3D�OF�MEALTH
M A
120�WASHINGTOf�YSTREET, arr+�FtooR _,
SatenF, MPt41-9Zo
r�. s�s-ra�-t aoo
F,tit 378-7-45-0343
� STANLEY J. USOVICZ, JR. �1QAP1�1E SEOFT, MPH-, RS,-E�HO
MAYOR HEALTH AGENT
I CEI�F{HEhFEOFFFFM�SS
CERTIFICATE#253-05
QFCTEISSUED:4/24/05
Property Located at: 11 Linden Street UNIT#3
Owner(Agent: Eyrrt#tiaRassi
Address: 11 Linden Street
City(fown: Satem; IvtEF Zip Eode: Otg70 24 FtourPhone: 5E?8-39t-8082
An inspecGon of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with t05 GPotR 4t0000- Massachnsetts State Sanitary Gcide;6hapt�r II'`
Minimum Standards of Fitness for Human Habitation".
Therefore,this Certificafe fs issuedbyttre EodE EnforcemenYDivisiort of theSalerrrBoafd of
Health and the unit may now be rented and/or occupied.
fNaximum Numberof occupartEs, musfcomply wiHr 1or6AAR 4f0.000.
Cert�cate valid for one year from date of issuance or until the current tenant vacates,whichever
, is later.
This Certificate of Fitness is valid only rflher�isa valid Certificat�ofOccup�ncy.
i FOR THE BOARD OF HEALTH
� �•��
,� �
f . ,,,�
dO NEA�MPH RS CHO � �
NEALTH AGENT C('ID NFORCEMENT INSPE OR
�•r . v 's.._ nti. a �C3�fi � � s'+�L t "S^n ^ �w' � x -r„+-
, {�M�r.�i '+{�'���^�`,�"a¢� E .? >`� .JG°' �re�i��s+++qY*M+v.-.". M 4 Y
y e::.,r.w,�4 r tk.y{�°` .. E..x�t�T�,�`�TR:n e ,°°`•. �,-'^�. y, . �-t
�...,,
�P � y,Yyw�.�A�.r ., sh. 'S�.��'S',�''�s�'4,"�"�A3, � .�.`"�t' t` �. .a .�"n e .. .`-
• ' CITY OF SALEM, MASSACHUSER'S
,
+ `� • . .e '" 'BOARD OF HEALTH � Y..i� • •
j' '
� � 120 WASHINGTON'STREET. 4TH FIOOR �
SAIEt�, MA 01970 /�,/�
TEL. 978-741-1800 ��� �
FAx 976-745-0343 . � - lJ
STANIEY USOVICZ, JR. "
JOANNE SCOrr, MPH, R5, CHO -
MAVOR HEALTIi AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCOROANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 470.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �� L �^'���^� tr UNIT#� �
IS THIS UNIT DESIGNATED AS RIGHT I_.EFT FRONT BACK PLFASc CIRCL� t3NE I�,
OWNER/LESSER '�2r �"�"� ST�T MANAGER/AGENT �-�/�vTN�/� /luz S�
No P.O. Box No P.O. Box
ADDRESS PrJ �o'� 30 l/ ADDRESS /I L r�-n ts N S T
CITY 7���3�DY /�v}— fJ � �j (�� CITY s/-i2LS�`^ �} � (�i'7 �
' RESIDENCE PHONE�1?�' 7�// 71r7 BUSINESS PHONE (24 HRS.) �� 3s� �U� Z
BUSINESS PHONE �/�� �63 �(�/ CJ ��
TOTAL NUMBER OF ROOMS�
ROOM USE: 1.��tL� 2. L�VIN 3. �� a. D�ri�c-�
� s. s. �. s.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABI.E BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR ___ _DATE � �� UJ
INSPECTO!�S USE ONLY
DATE OF INITIAL INSPECTION _�- I�}r'�J�_ _DATE OF REINSPECTION______ _ _ ___ _
DATE OF ISSUANCE OF C�RTIRCATE�('-�y�'�' � DAT� FEE PAID _ jf�`_ /�'�d ��
TYPE OF UNI1 DWELLIN � OTHER CHFCK r �� �a. CHECK DATE % '�5 � ;l
NOT�S.
CODL= FNPORCI=M[NT WSPECTOR 9/2ki/9F3
v��coxo%t,rd
�P � �
< „
9�= Wr'
s9 "'
�'C/p�NE
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
09/OS/2000
Marblehead Realty Trust c/o Leonard Garfield, Trustee
6 Cushing Road
Marblehead, MA 01945
PROPERTY LOCATED AT 12 Linden Street UNIT #
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
I inspected ,and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CFII2; State Sanitary Code, Chapter 2: General Administrative
Procedures and 105 C[92 410.000; State Sanitary Code, Chapter ZI: 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
978-741-1600, 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 i£ 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 BOAR�H REPLY TO
C�'r}!G�Lyy �
l�Ifoanne-� MPH,�R ,CHO PABLO VALDEZ
��Health Agent CODE ENFORCEMENT ZNSPECTOR
M
( � +t�, CITY OF SALEM, MASSACHUSETTS
m3! BOARD OF HEALTH
• 9
" 120 WASHINGTON STREET, 4TH FLOOR CERT.# 212-03
� . �. � � SALEM, MA 01970 FEE $25.00
�'.���. TE�. 978-741-7800 DATE: OS/19/2003
Fnx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO .
MAYOR HEALTH AGENT
- CERTIFICATE OF FITNESS
� PROPERTY LOCATED AT:. 12 Linden Street � UNIT #� 3
OWNER/AGENT: John Derby �
ADDRESS: 11.5 Albion Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0297
AN INSPECTZON OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
I 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 976-741-1800.
. FOR THE BOARD OF HEALTH
� �3-,��x'.F.�����.. (iZ�Clu/ �/ �'��/
JOANNE SCOTT, MPH,RS,CHO - . � CZwM` I
HEALTH AGENT CODE ENFORCEMENT INSPECTOR �
�� 3s� _ apa 7
' i .
'- '-; , CITY OF SALEM, MASSACHUSETTS
?j � � ,� BOARD OF HEALTH � . Q�
� • 120 WASHINGTON STREET, 4TH FLOOR I� '
� SALEM, MA 01970
TE�. 978-741-1800 '
� - Fnx 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 I� � i ���� � S T UNIT#3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER T� � '� Yx'�� �/ MANAGER/AGENT
No P.O. Box c No P.O. Box
ADDRESS �I � � �J �6i �K S�" ADDflESS •
CITY S Q�I�' � �/� CITY
RESIDENCE PHONE `/�7�-`� 4� ����USINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: `�
ROOMUSE: 1. �:TC4�✓�2. ��y:n 3. �e Y',,G.i4. �C'c� i�°0:^
� 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
� TfME OF INSPECTION.
� -Pv APPLICANTS SIGNATURE � DATE �` f�-a3
� IT �
y INSPECTORS USE ONLY
V
j �� AATE OF INITIAL INSPECTION ��'' � Z �� DATE OF REINSPECTION
� \ � � DATE OF ISSUANCE OF CERTIFICATE:S"���+� 3 DATE FEE PAID�'��'�3
� � � TYPE OF UNIT: DWELLING�/OTHER_ CHECK# � 7 J CHECK DATE����
/� — p,3
NOTES:.i_/�1% / I h/�u w �/ / � � i i i S J L( ,Z
CODE ENFORCEMENT INSPECTOR g/pg/g8
I ��, . � CITY OF SALEM, MASSACHUSETTS
� � ;, BOARD OF HEALTH
� s 120 WASHINGTON STREET, 4TH FLOOR
� SALEM, MA07970
TEL. 978-741-7800
Kimberley Driscoll Fnx 978-745-0343
W W W.SALEM.COM
Mayor JOANNE SCOTf, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#314-06
DATE ISSUED: 6/19/2006
Property Located at: 28 Linden Street UNIT# Room 1
Owner/Agent: North Shore Heritage Association
Address: 64 Holton Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878
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
� �
C���� � �
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
. ,
3i`�-" ° �
CITY OF SALEM#, M.45SAGHiJSET7S
� BCARD OF h'EAITN �
° 12C WASHINGTON STFEEI', 4rli F:pOP
� SALE�+., MA 01970
� �\ TEL� 878-741-180n
/ rnx 97fi•745�03a3 �
Jo.xNhc Scorr, t,�PH, RS, CHO .
Kfmberley Gris�oll �j EA!Th Ac�nr
Ma1��r
APPL':CATION FOR CERTfFiCATE OP FITNESS
IN ACCOP,DA�CE WITN S7ATE SANI7ARY CO�E, CHAPTER II, 105 CENR 410_OCO
"MINIMUM STANQARpS OF FI7NeSS FOR HUMAN HA6RATIUN".
PRLIPERTY LOCA7E0 AT 28 Lilldefl S��pm�A O."I 9�0 u�iT�„____
' IS 7H15 UNIT DESIGNATEC)AS RiGH7 LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LE88�RNOffII ShOf@ H@lItB9@ ASSOCp�pNAGERlAGENT
No P.t7. 6ox No P.fl.Box •
ADDRESS 64 Holten Str�____.,_. . ,. AD�RESS __ . _,._.__
CITY flanvers, Ma111932_. . ----- G!7'( .. -------
R�3ibENCE RHONE 978-744-1006 BUSINESS rHONE(24 HRS.)�cZg__�R9�dR]g
BUSNIESS PH4NE�7@1�-�$_ _.,...
TOTALNt1MBEROFR00:�9S;._... ______._. '
i100M USE: t. 2. 3, a. .
I' ___....,..-- --� -----... ..
5.�_S. 7. _8,..
'i'tiE�iE IS R1 TWEFITY•FiY�($25.00}D4i.LAR FEE,PAYABLE f3Y GH�CK aFi h1CNEY
ORpER TO THE C1TY OF SAL�js1 WEAL7H DEPARTMEFJT TNIS FEE!S PAYABLE AT 7HE
TiNtE bF i�SpECTION. _ '�.
,�PPLICRP�TS S:GNA:!UR��� . ea,rE_.111N � 4 2L'DS
Tc-����--
INSPECTORS USE ON_Y
I �ATE OF INITIAL IN:;PCCTION� '�I-(_�;"D,CJ__DR.'Fc OP REINSFECTIOPd_____ �����
DATF_p�15SUANCE OF CERTlFICATE:�,.._����tIATE FEE pAlb: - ",�._.!�v �
, TYPE OF UNI?": DLVELL;N OTHER�. CHEC.K tt�_].,I 7� CHECK DATE{;?- . I�f-�C3 G .
na�r�s:
--_.___._.._....__._. _ __... _-----------_...
� _- - _._.�..___... __.... .._..... __..--------- __ _----._._..........
COCJE F..NFORCEh1ENT INSPGc�TOR s;�8/98
� ,
�,, C'°ry or- $ALE6w, MassaCiiusL7'rs
� - BpARP UF HEALTH
a • I7Q WASNiNGTON STREET� 4TH F'LOOR �
SALeM, MA 01870 ;
TE�. 878-741-i 8P0 � '�.
Fnx 9?2-945-Q343 • '�.
JOANNE SCO'T, MPN, R$, S.Hp � '�.
HEnLTN AV'E''�T '.
ttimbeiiey- pr�SColl I
�nayor
� REI.EASF: ��
�°� ac<arciance with MasSachoseCCS Geuexa� !.aws LiiapCer lll ; �ode nf M:�ssarhna�rr4 .
i:�;�ulatioi'�5 410,0OS? ec, seq. ; Sfale Sanicary Code Chap�er 11 ,:nd ArCxele XIII ol' ��
r.iir. �7i:;• of ti21zm Ordin?nce, und2rsiQned owuer/le5sor xnd te❑�n�/le.sr.o o' a uuic ��
�,i Yn`ci�1r.'�nCia1 prnt�nr[y, iinen.bY ���thnri�r ihr Salr.m Rn::rrl ni Hr.a�fh nr ir�e n�C��GT��'
i..>.e.i n�cnts to �insVe=t [h� r.esi.d2nce idenCif.ied De1oe J.n acenrdance �ait!i the
a:or�mention(�c 5ta�uCCS, �'eP,ulatinn;a a�.id or4inanees.
i:� L!��c cver,l it' i5 necr.sc��ry �h�L s'�i.d in5i7cr.ri0r. be dou�� in tay/uur ai��ence, i!we '�.
exp:esely su�hm'izr t.he c:;�ree and lor nq•/our sue�t�ssues :�ud s.si.�n5 het�:�Y :cl�:ast• ��.
snd disrha:r,e. [t�e Cisy n` S:�Len'�� 5.1en� lin:n�,_ oi� BnnJcii ;:iid ii.c andiori;.,•.{ ..;�:c.,•...• �
frn:a 2P.)' ;.cSy o� i.ujuty ;�I.s•Csinc2 �;r ,cii:ltcvcr nelure an.� tii:sc:iptina ncca:¢ioncri
b'V m�Jr,�i! •sb,er,ce :lucing said iasner.t.icc.
� � I� � JUN ? 4 20� /� JUN ? 4 7pp5
I'` 1.�_1� �� --_. _._.. .... ... .._....... .. . . . . C. " .
'':��::�T.r� �.`:��>:•- Michael 0'Brien `��'�� '%��`�»�" rth Shore Heritage Ass ciafes
281,jAdQn Street Salem, MA 01970. . 64 Holten Street Danvers,.MA.01.932 _ '
��oi��.;�;:,:� �.�>:n:s::;s
�.:;i•.;;I'.1;5 r.i' �.i^i�i`� r�� ilf . .�;PP,,.,,7',�� ��'.
�)�,'i I'
T����t Certa#i�ation Forrr�
RYeqaired�'edarai Lesd Warning StaiemenT
HousinG buili Y�(Cre 1978 msy enntain lead.base3 paint. LcaB from pain4 paine ehips,and dus�can ppSe hea1N ha2ded5 j(not �
rnana�ed properiy, Lead cxposare is especialiy harmful to young children and pregnanc wamen. Before ren�ing pre-197g
I:ousing,lessors must disclpse thc prasenrc of k.-�o��n lead-based paint and/or Irad-based paint ha�rds in the dwelling.Lessces
must�ISo tt�celve a federallY apprDved pamphlet on lead pnizoning prev¢ntion. The Massachusec�s 3'euant LearJ Lgw
NotiGcarion and Ccrtifiratian Form;s for coaipliancc with staee and federal lead aoii�ication requfremem,
Owner's Disclosure '
{a) Prese�tcc qf lead-ba5ed pzint and/or iead-based pain�hazafds(check{i)or(iij�eiow): .
(i)�Known Iead-ba5ed pain�aad/0r lead-based paint hazards a�e pnSent in thc housing(explain}
(ii)_�Owner�Lessor has no kno:�iedge o`lead-Oascd paint andior lead-6a,ed paiat hazards in ihe hnusing
(b� Racurds and repons availab�e iu the nwner/I�s}or(Check{i)or(ii)uclow);
(i)_Own�r/Lessos�ha4 providcd�he tenazn wlih all av���a��E r.�ords and reports ptrtainino.m lead-oazcd �
paim andlor lead-hr,�ed pain�huards in thc Itousing(ciide decuntena helpw). -
LC d InSDectian Repon; RiSk ASicssment R��pnn; I.e:ter pf laterim Con[rol; (,eurr of Cucr,piiance
{ii)�wnerlLessor has no rcpons o� rew�Ja pcnainina?o l�ad-based paint andlor!ead-baxd pairr h�zards ia [he �
housing.
'feuani's AckllUwaedrn�Clll(3mtial) �
!c)^�Te�ant has nceived copic�a[ali documems cirded aouae, d Teaant hax recerved n
( ). . 0 locumeiits listed.t+uve.
(e�Te.nar•,haS recciveJ tlie Maisachuicits ienzm Lcad E,aw Nonlica�i0n.
A�en�'S.4tkaowledgment(initial) ,
(n_Agetri h35 iniot'med iie ow�1e!Ac55or of the owii��'yl%:i5xtsr�^,Oblip?atie�r:�;under fedei�a.l and 511�e la�v for Iead-bascd pairit
disclow�c:ui�! nviilicni;on end i5 a•,aan o! h�s/hcr responsilJiG�y to cir;iuc compli;aitCc.
, CerliTicatiortarAtruracy .
7 Lc Ic�llowire�,panicS FIdVI'I::VICWCC lMC II)W(ffiilUQll 3I)IIVL '.IIIU 1L111I\' Il� ihr he:F ii([hc;r I;pO�alc:l;;,�•.Iha�litt inFOn!tz;!nn ihP�� .
I��,�� provtder.l i5 true alvi 2ta�.�r,�'�; '
itonh S1�Qr�.Heritape Associates JUN ? 4 2��� JUN ? 4?nn5
� c�„����;..z�s��� - _.. ._ —_.-
[}:Ill' � O�eilti/:.l)1U�___ .';....- .._
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tl�vner/19anatiin4 AGeui lnGtruiali��n Cur'Cananl 1f9ra;�� Drini�: -
f�10Ith.Shore Herritage Associates . , 64 Holten Street
n:,,,:�• _
. �u:�i r,n,
Ranyers, MA.01932.._. 978-762-4878 . .. ..
t'i:v;r�.;wn �� .. ... .. . ... ....
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f\!'ihiVi. �.C.11j :.3lvl�qCJf11G011!pi�:�iClr.liN. 1�Ull�ICL:IIIWl1:�lu�.Ci� i���.u':ilin�.tlCllIIU.1iqIR ' .
I ho ntn:fnl �prvi' Ihr fir;�rnam:� ir:r,un
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� �� � . i�'i�,l'.i i tu ir:ll I�n I ill.l���,'�, u�:d;��il��.l,�clt rl i�cu Im..� .
L�nnp,rt u�illl rluid:al be:;tu�r�.!I Ei:ld o:nni � �
t'�:ui:ICI I�IC Cluitl�iotl�) I.r::tl �'uP:�llnur. �'li',�III::q'� i`��,:'.t:llli ini �i�1�Vth.�lr.��l�:�u:l�u�.r.:pl:tlqlil\ �:I Il�r, i��l:ll ;I!oI�!CI Lt�fP.U;i:;�1 �.
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i '.a�:'�q\Ir:��11')^St(u11ii',:ti!�rl'�.� ? ..�: {6^. .i9$
, �
CITY OF SALEM, MASSACHUSETTS
a `� ; BOARD OF HEALTH
� �ZO WASHINGTON STREET, 4TH FLOOR
� � SALEM, MA 01970
TEL. 97$-741-1800
� Kimberley Driscoll Fax 978-745-0343
W W W.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#315-06
DATE ISSUED: 6/19/2006
Property Located at: 28 Linden Street UNIT#Room 2
Owner/Agent: North Shore Heritage Association
Address: 64 Holton Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878
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.
Certifcate 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 EALTH
�- , ��.�,`
�� �� ��
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
; � ,
� �oC�
. 31�
' ctrr oF �At��n+�, MAss,acHus�`rrs
� BOAFO OF H�A�TH '
° 12C WASNiVGTON STREET, 9?H FLOJR
� ` SALEM-, MA07970 ,
TEL. 978•741-18Q0 ��
'��'�' 1'nx 978•745�03a3 ' ��'.
JoaNtiF 5Cc�rr, M1=H, RS, CHO
Kimberl�y Criscofl "E"'-T'; ^ce"T
May�r
APPL?CATION FOfl CERTfFICATE OF�ITNESS I
��I AGCO'?DANCE WITH $7A7E SANI7AfiY CODE,CHAPTEfl II, 10.5 CMR A1 tJ.00U
'MIPdIMUM STANQARp{ bF FI7NeSS F�R HUMAN tiA61TATION"_ '�.
PROPEFlTY�oCA7Eo�.r 28 Linden St,��m114P,0.1970 UNIT a..__,_ '
IS THI5 UNlT DESlGNATED AS RIGH7 LEF7 FR�NT BACK PLEASE CIFiCLE C?NE '
QWNEWLE98cRNORh ShOfB HOflteg2 ASSOC{y�p�,�AGER(AGENT ���
PJo P.C7. B�ir. No P.O.Box � �_�
ADDRESS. 64 Holten Strp�___,__, ADDRESS _., . _„_.__
CITY_ nanvers, Ma �9.932_. .. ----- C!TY .. ..-_--- ;
RE�3bENCE PHQNE 978-744-1006 BUSINESS PHONE(21 HRS.)���qg.�g
', 8U911VESS PHON�$Z.@I.�2�$Z� _....
TOTAL NUMBER OF R00�'�S;......, _______. '
IlQOMU3E: Y._.._...-----2.__ 3,_ 4.----. �.
�'--s--'--7' —8. . .—_
'THERE IS A TWENTY•�iV�($25.00)DALLAa EEE,PAYABLE�3Y GH�CK OFi MCNEY '
ORi�ER TtJ TH�C1T!OF 5ALE(v! HEAi.7H DEPARTMEPJT TNIS FEE iS PA'lABLE AT'fNE
Tii1RF.6F I�S4'ECTION. _ ����.
IaPpLICRNTS SiGNATU<8�'��"_.",.`�-����J. .._._._.__ a-rE__JUN 1 4 2��6 I
INSPECTORSUSEON_Y �
�ATE OF INITIAL IIJ;PCCTION ,-r� _�l�!�k!. .pp'TE qp REIN3PECTtON �
, UATE C�F ISSUANCE 0:�CEATIFfCAI'E:��,..I,.�/�O GpRTE FEE r�Alb: � l � � ,4,� �
TYPE OF UNIT: DWEI L!N -_OTHER_. C�EC.K 1t_Q�2.,�,.J �S :;HF.CK DATE C�-�� �G' �
Nq'fES: I�
Ii �__....---, _—__ . ......_... __--- ---_..
v ,
' :.(JiJE F..NF�?RCEh1ENT 1NSPC(�TOR 9;�8/98
�
, � �
c,ry aF s�.L�n�; M,a���craus�ras
� BOARP UF' HEALTN ',
� • IZC WASHiNGTON STREET,4TH F'LOOR ���.
SAL�M, MA 0�970 '�.
TEL. H78-741-1800 ' ',
Fnx Q?8-74S-03A3 • '�
JOANNE SCO'T, �F'H, RS. CH❑ �
NEAIT`� A4E'�1T
Kimbeiiey priSColf
PAayor
� RE1.EhSE ��
In a�caectJne� witti Mo55achu:.eC[s ��cnera� t.aws Chap[er : II ; Cnd�� oF Ma=.a:�rh„<rrrc
f:qgulation.^> ai0.CU0 ec. �eq. ; 5fate Sani�ary Code Chap�er 1T and A�:[i.tic kIII ol'
r.i��� �7i:; ef tie;tew Urdin?nce, undersip,nc^ owner/lessor and tenscu/le:$C.0 pI a uuir.
ni in`cidc.riCi.iL pt�nperty, It+srebY anthnri�r r�r Silr•m lin::rd ni Ilr.ali'h nr ira ?�Chr,�'...
j,z.a,i 2F�nt.s fo inspoc[ f�a t•esi.d2ncc iden:'it`icd UeLoe i.n accnrdaace wiUi tl�r
a:orCmCn[ionCr. 5K2tufe5, �'�'gulationv aaid orQivanc�_5. ;
I:� LPie c��erl i�� is necassnry thuL s'si.d in517c�iri0r be donc� in my/uur <�i�se�Fcc, i!:ac ;
exp:reseLy au�horiac t.he u>.�mi and lor niy/aur sut�c��sues aiid s.sf.gns' hcee�y celcaa�• ��.
Snd. cli6cha:ctc: [Li Ci�yo u:` SaLem� Sal.e�q li;.aru ni' f?nniti� ::nd iL.e nn.^.hi�ri:,,•..i �,:�;�;�:..a �.
::'n:n a,r.y !.c55 ot i.ojoty 5•.�.s'C�i?�cd nf o.•i�;�[cvrr n�!ure �ic_ ti:<sc:ipLin❑ occas;nn��i
. b'V m�•/%ur absruce :luci��g said in.^,nc.r.t.icc.
�/� L� �/ ✓ � [f �� �n JUN 2��5
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!:.,e;,x:i�.�;,c�,i:::•: - iiu;�.�;iLitss�,,i:
James T Murphy �ho e Heritage Associ tes
2.$J.illden Street Salem, MA 0197Q. . 64 Holten Street Danvers,.MA..01.932 ..
<�no:u�;,:� >.�>;�;a��.ss
�.:•!'.i;li;., r:P :;fa i��i .��� i!i . .1;1';'.�'�i'I(�it
U'.'�'f
' I •
Teta�nt C�rti,�ication �orm '
�eqaired�'eder�i Lead Warning 5tatemenY
Housing huilt f7ef0ee 19i$may cnntain 3end-baseo paint L�ac from psint,paine ehips,and�9u�t can yo5e Rcaith haZo,[x15 if not
rnanaged properiy, Lead cxposare is especialiy harmfuf ta you,�g cNildren and pregnanc w�men. Before rencing p�-i47g
L'ouSing,lessors must disclpse the prasencc of k,�o�•n lead-based paint and/ur lead-based p�int haxards in�he dwelling.L�sces
musl�lso receive a federallY app�oved pamphie�on Iead pnfy�nin�pmveotion. Thn nlsssachuscc[s 1'enenl LearJ Law
NotiCeatian and Cerz;�ration Form is fur co+npliancc with staee and tederal Iead noiifisation rGqviremems
O.sner'S piSe105ure
{a? Presence qf lead-hased paini ancVor?ead-based paim hazards{check(i)nr(ii)�e!ow):
(�.1�,Known tead-based pairn aad/or iead-based aaint hazards are pr¢>em in thc housing(explain).
(ii)____,Owner�Lessor has nu knowtedge af lead-L�aSed paint andror lead-6b5ed paint hazards in�he housing � �
(b} Recurds and repons availab�e io thc nwnQr/l�ssor(Check{i)or(ii) o¢low):
(i)_OvmLr!Lcssor has provided ihe tenazn v�i�(�af�av�ilahle re�ords and re�ons penainina.�n�ea4 .,ased
pai�u and/or lead-ba5ed paint h�tzgrds:in the I;uusin�(eiide cfor.umems beiow}. �
Lead Inspectian Repmt; RiSk ASxlsment R��pnn; i.c;icr of Interim Contrel; Lencr of Cumpii2nce
(ii)�wnerlLes:qr has no rcport5 u� ic;.indn pcnainine i0 ICed-b25P.d p3int,�tld/Or!ead-b3S:d pyiN h�ZdfdS in Ihe �
IIOUSiflg. , '
7cuant's ACkIIOwledrqlCul(amtial) �
�t T�nt hat nezived copics�f all documen�s cirded�oo�c. (d). Teaaat hax reccrved qu�ocumei�ts listed abul•c.
{e) 2n rt has rCCcived lhe Massachu5ens�ienam Lcad [.aw No;diavi0n.
agenCS,+�cAao�vlerigment(initia!) . �
(�_Aaenl has informed ihc o�Nner/Ic�sa�uf thc owner'S1ie5sar 5 Obli�atiur.<,tuidcr (cAe�a{nnd s�:l�e ia„�f�r iead-bascrJ G2int
discfaswc,nu n<ni4c��;�>n znd!y a•,�.vm nt hi3/bir rc.spam;ibifty ta cr5iuc rumpliBDCc.
Certific;a(iun of flCcuracy �
' 7 h< f�ill„wl.�eg panics fiuoc mvicwrc ihc infJinraUon ;al�iovt.inu cnt�h� �a ihc hi:6t uf dich'F:nowlc<I,c.llia�lhe in(Oiin�:Lnn thi•v .
P�avc provided is truc and ato.ir,!�:' � .
JUPJ ? 4 ?nn5 /��'L��' ,�
11�rt11_S114r�.Heritaae Associates _ JLJ ,J�j�� 1 !} ���5
O���ncrl;..essor � —.. .. .--' ` .
Dati O�r���i/ �Sso' .._ U�2 . .- .
_James T Murphy .. -- - --. . �U�� 1 � ��nrj � i ' 1 � �� 1 � I,�C[1`J ��nrrj ,
Tu�an� ..... ..
Ua�.• lu.u � . ... _ � - —.... �.
I.stc
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..._._... .. ._�
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.. 4 .'_'.r::C1❑ 178f4' '.
t)�x'ucdYlsnaKinY AG��nt InCarma4i0n G:n'�fciianl (PSra::r 1"rint�: .
N9ith.Shore Herritage Associates 64 Holten Street '
nanic . .. .. , . ._. .. �
.n::i AP;
RanY�rs, MA_01932._. .,.,. _ 978-762-4878
(�iip!Ilnvn /�p Iti.cph;mr . .. .. .. .. .
I lu�accflii�Un:;�7��,:;:i;,;;�il cut�il�� IIL:I I pru���d�rd Ibc I�•��,nil I r.i�i ! .nc Ni+i�l�i� :.�iui:r I�,�u;�nl t rr�i111:�I�uL Fon�i:1'1J;ii�•
CCi9tin'i. �.C.ltj :.:M1Y l�pC:11!Ki11F,iV f�::iCu;101. l�Ul I�Ic'Ifrt;u�.l i:�hr,f�l Io-.i.•h liu�.U:INI�i.�iµ'ilt ' .
� I ho tcct�nl �pivc Ihi' li,;ln��.mr ir:r,uu .
I �Ili' ��.Il'n:�.'�'.IP,CII'.�.rdt! i l�� ���:���lil�r�l. i�'Id.0 ,.!I'.� IUl��ll.l:���i� IIL'�.�blllq' : iy'.�:I�� [u li':II D.t CIII:I��Y', a�tll:�Ip��llt'I{�9 Crtt I�1�..• '.
I.wiip�:��ni6 rlui:Lcn bc;,uni��,�I li:i�l n,nni .. .
4��:uiaCi f�IC(.Ii�Idh00�) Lr.:d Ptq��:wuur. l'�f'.Y�ll�uf� i'trn:'.t:ll�i i,n uJ�wh.�lp-.u:�n;l'ir.r.:uf:IhiLl� yl IhP. inl:ll Illol�!il I.GIi',UJ;,�'ti
T'rwml 7iii1 o.�ucr :nu;; c2eL l�cr:� a r...nnPiriail !a�l .it�rrd euU� �d �L;� inrm '�
i l���r�11Hr:�i11'r:'�:Vulbrl•.C!p`l'�.I .' .�pket .i0\ '.
� CITY OF SALEM, MASSACHUSETTS
� ; BOARD OF HEALTH
� � 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
�°"""� TEL. 97$-741-1 HOO
Fnx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTf, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#316-06
DATE ISSUED: 6/19/2006
Property Located at: 28 Linden Street UNIT#Room 3
Owner/Agent: North Shore Heritage Association
Address: 64 Holton Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878
An inspection of your vacant DwellinglRooming 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.
F THE BOARD OF EALTH '
C���' . � G"��r7, �
� `r
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� ,o�
. . � 31 �
� c'ry oF SAL�rvs, lvegssAct�us�rrs
� � BCARO OF F[EA�?H �
° 12C WASHi\GTON STFEEI', 4TIi F_ppR
1 , SALET!, MA OI 970
\\ TE�. 878-741-10p(J
�-.._'�/ rA>: 978-745�03a3
JoaNnF SCOrr, MPH, RS, CHt? �.
Kfi�iberley Criscofi �aEA!TH A�Ervr '
Mayor
APPL'CATION FO�I CEFiTIFiCRTE 0�FITN6SS
IN ACCO°DA�lCE WI'fH STA7E SANI7ARY CODE, CHAPTER II, 1p5 CMR A1�,OCU
"MIN4MUM STAN�AftD� OF FITNrSS FQR HUMAIV HAESITATION".
PRC�PERTI'LOCA7�p AT�I 111d2f1 St„�1LPm�A 0,1970 U��1lT#.._.._
IS'fH15 UNlT DESIGNA�E�AS RIGHT LEF7 FRONT e�YCK PLEASE CIf�CLE�NE
OWNEWLESSERNorth Shore Heritage AssocpqANAGewAGENT ����.
No R_O. �cx No P.O.Bax � �__ .
ADDRESS. 64 Holten Str�___�_.__, . .. AppRESS ___ , __
CITY Danvers, Ma ➢�.932.. .. ----- CITY - -------
RE31bENCE PHQNE 978-744-1006 BUSW ESS PHONE(2A HhlS.) q7R_7R9_da7g
�usiniEss PHON��Z62�a�a __.
TOTAL MUMBER OF ROO:�AS;.,.,. _.__ _____
ilOOM USE: 1. 2. 3. 4.
S.--s---�' —8,.. ___
'i'HERE IS A TWENTY-FIVE($25.00)pOLLAFi FEE,PAYABLE E3Y Gii�CK DF� M4NEY
ORDER TO THE ClFY OF 5AL�ry? H�AL7H DEPARTMEh1T TNI5 FEE tS PAYABLE AT'fNE
TiME 6F INSpECTION. _ �
APPLICANTSS:GNA'"U • ._. .. . ATE_.(�. �
.�.....__. . . _
INSPECTORS USE ON-Y IrL��
jSATE OF INITIAL IN;PCCTION ,�/i. -'_�.(_.�D._�'__DP,TE O�REINS�'F'CTlON_�___ �����.
DATE OF ISSUANGE OF GERTIFICAI"E�f�j �o C:.DATE FEE�A,ID: ., �_ � y �� �`'
TYPEOFUNI`: DbVEILINr=` OTHER�_ C�EC.K�.I,.17.5 CHFCKDATE .�-a �r_���� �
NnTES:
COC.�E F..NFORCEh1ENT INSPEC:TC�R �;28/98
�ITY t7F' $ALE9at, MA��A�HUS�T3S
� BOARP OF HEAUN ',
• r 1�O WASHiNGTON 5TREEi� 4TH F'IOOR �'�,
SALeM, MA 01870 .
TEL� 978-741-1800 -
Pnx 8?8-745-0343 '
JonNnE SCOTi, PdPH, RS. CNp �
HE/.LT:a AGE"1T
F(1R1l7uliC}�fiSCOlI I,
DAayor ',
� R�i.LASF; ��:
I;i acror4lae�ce wiUi Moss;:ciiuse!'Cs Gciierat i.aws LSiapCcr ! I ! ; �ode nf M:a=Sr;rhucrrr. '�.
i:;;t;ul.abio�ss 4 �;1,CO0 e[. seq. ; 5(ate Sani��ry Coda Chapter lI dI1:I At:CACLL' XIII „I' ���.
r.iic �7it; of tirlem Urdinrr�ce, ��adrrsiyne3 owuer/les'sor and Ce���n�/leasr.e o' a uuir. �.
ni T�:`zi�lc.nCi.il. pToprrCy. {�ernbl �urnpri�r t4o $alnm Hn::rA n� ❑�,.qlfh nr ii.�c nCCMCY-.
i.za.^' a�ent.s to 'insD��t fhE tesi,dence idenCitiicd L•eloa ?.n acer.irddntB t✓ii!i tl�r.
ainr�mentioncd a'Ca:ute5, �"Cgltlation;; and orSittdRCi35.
t;� t!'�n everL iC i; neca::snry UiuL s'ai.d �ns�lc�:[i0c !�e duu!� in tuy/uur ai�sence, i!uc �
CX��:r.SPLj+ :1ULIlOY12C �.he 5:!rn. aad ior niy/p�r suecesaue.s ai��d a.si.ens' he[�:oY :4'.l�i2se .
,;:�d �.�isCha:Ce. Chc f.i�.y n:` SaLen�,� Sa}pni 1>,-.:irti nf Fnalci5 ::�id ii.g au^huri�.,•d ;:�.e:�;>„ '
."n:n <'�l:y :.CSs oi i.:�jaty ��.t5Cb7ncd o( ,..•ii:�tevcr naLin-c un_� d:asc:iptiau or.ca:?in�a��i
b'J m�'/�;u� aCsrrc�: :I�:;�ing sai� i;isno.ct.ir.c.
�-_`_�- ( � _--- -- ..._. �� 5 - _�'_5
1 �/ � JUN ? 4 � .� - - , ��.� � 4 7nn
' ' William Koulas '' ��!��� Nort hore eritage Associat
....4P.�;�i;.ii5::;�i.r. �
2.$J.inden Street Salem, MA 01970. . 64 Holten Street Danvers,.MA.01.932 ..
;,t�nse:;:, •.nu:::�:;��
,.:u:,:G., nc ;;�.il'. .�i i�.t . . ;i�;'.�.:'t.i,
u�.�;�:
°�"enant �er�ifca�ion �`�rm
CLeqaired�'edarai Lesd Waraing 5tatamenC
Housin�buili heTOre 19T$may cnntain lead-bzsed paine. L:a9 from paine,paint ehips,and,1us�can gose heatth haa;,rds if no�
managed properly, Lead expo>we is especially harmfui to young children and pregnant women. Beforc renung pre-i478
f<ousing,lessors must disclose thc presencc of k.�o�•n lead-b�ed paint and/or lead-based paint haxards in�he dwelling.3,essces
musi 815o mceive a federalfV approved pamphlet on lead pnfsoning pmvention. The hRassachuscc[s 3'encnt Lead 3.,aw
Notifearion and Ce�tifiration Form is for compliance with sta�e and Cederal lead noeilication requiremem,.
Ownes'S Ai5cI05ere -
{a) rresence of iead-hased paim ancUor lead-based paim hazards(check{i)or(ii)be!ow):
(i)�Known lead-6ued painl andlor te2d-based�aint hazards are pnsent in Yha housin2(cxplam). -
(ii)___^OwnerlLessor h:u i3u kno�ledge of lead-based paint andiur lead-baud paint hazards in the hausinp. �
(b1 Recurds and reponS available tu the»��merilessor(Cliecic(i)or(ii)ueloev);
(�)_Owmr!Lccsos has prov;ded�he tenazn wiih all availsbic records altd repoRs ptriainino tn lead-based
pain�and�or tead-b,�scd paint i.�tzardS in thC I'.UuSmG(ClldC dUWttl�itts belOw}. �
Lead Inspectiun Reaat; Risk Asscssment Repon; 1,ener�P lnterim ConLOF, Leucr o(Cumuii2nce �.
(��)�O�+nedLessur has no rcpons o� re�o�Jn pcnainine!o Ie`ad-based paint a�td/or!ead-b35ed pairr hazards in the
hoasing.
TeuznCs Acknuw3edrlyieut(imtial) �
(c �e�ani fias r�ceiveci c�pics�f all documents circfed.ou�c. d T
I O. _-- Eaant hax recerved qu d<xum�ittc listed,buvc.
{e^` eq�:.i&(as r�ived the Ma�isachusetts�Ten2nt Lcad C.:;w Neuf icaiion.
1
agent', Ackao�ledgmeae(ini[ia!) . -
(n_AgeN has inFonned ihe o�.+,OcrAcssor oi thc owne�'slL:ssar'�,obli;?ation=uudir (cACral nml Sla�e ia�v for I,i��-n;igi•�j��int
dixlosu��+nit!nv�ilicnii,�i�zriil!s a•,rarc n! h�s/hcc responsiLility ia cr,siuc cotopli;jncc.
Certitication of A4curacY �
I hc Inllowireg psr�i;I�IdYI'I.VIC\4�:{; ��:C IIY�VIII![{UOII 3I)lNC.Illl•.O_1�1I\' IU ihc he5: V(di,u'kn0�alc�l�:o.l6ai(h,:lnfOnu:'��� •v -� .
I���rv: provided is irue nn�i accur:uc '
;I t1�1h_Shgi�.Fleritaae_Associates �U�� � � 2�`S J(J�� � 4 2��5 '
t)uncrli.,z�sor C}att � ---.�.. �an�i/� i}vr — - ' I'N�ti� .
` � ) \ \ � _
William Koulas --_- — -.�I�,l 1 C} ?nrS � � . f . .. / .7 �U�J � h �nnS
l�rr;in� Uan I u�:�n; ..__ . � --- _ - ..., ,
I;�lc
.�_.. .---�- � --- � ..,..._.._... .
...._._... .. .�.
Ap,em �� � � .___.. . ., ._ .
�)1!iK ._...A.I;CIFi ... .- I1JIl' _..
Owiicr/�Isnatifn„AGent Sn(armation fur"feirant (f9ca�i�Print)�. '.
N9fth.Shore__Herritage Associates 64 Holten Street
_.
r:un�c , .. . . .... .. �
'Yn:.i �.���.� '
Raaters, MA_01932_._, 978-762-4878
i t'iiy!ft;wn _..... .. . _ .. .. .. .. . . ��.
/!I` Icirplr..fm� .. ... '..
i (o�er.ciiin;m:;��inn:i;�r��U c�:;�if)� �h.:l I prnvidc�i ibr I ruent I :�.��i ! .n: iV;�.!il�„,�.aai:' I�.�i:;inl i onifli;ih,.;i: Pni nr nnJ:tu�
' C\ :i�ln!i. �.C:H� .l1VlIpCJ1!iCi1ISiUi�:�ICu:1�11. Iqqf�ICli:ltul� 'lu•.f�� ��•�� :ilhi��.�rllllh.�iqt❑
' I hi• tr.a:ml !i�rvr Ihr li:;lm�m�� ir,r,uu
I hr 1�l.rr:.i�.'fn:.Cli�.�!�.id i :n� �,:r"uiqi. iri�i.:! ,.lr.,nnuu.i'�.i��ii �:i.L:,hr,:� �.'i',r.iu��,tn irai �.�n C�wllir�, �vn6�I�Ib.�lcu�=I c.ii lin•� '.
Luii�hr>>��iilt rlul:heli be;au�r�.!t li ad Valni � . .
l�on!:�CI (fl�•CI�dd60il�� Lr::�l �'tq<unuiv.Ih�'VP�Naq'. i'hn:t;�ih Ini uJ�ucp.�ir.�.l�iqi ;Lr.r.:ul:ih�lnt yl ILP. i:q:ll ;I!ul�:il Id�i�',UI�;',�'�
'F'r�u�nl :tuil,mnei' :nu�.� c'r.:L l�cr.i a ti..nupie(eif .�ad <it•r,rd.euU� ��i �L�� lnem
. '.�.�:'dllir:��.11'!':',ltuwr:Cl�rl'�.� ) .��: ko. .i9ti
l
� �I
� CITY OF SALEM, MASSACHUSETTS
� ; BOARD OF HEALTH �
� s 120 WASHINGTON STREET, 4TH FLOOR
,��� SALEM, MA 01970
TEL. 97H-741-1800
Fnx 978-745-0343
Kimberley Driscoll wwwsn�ern.corn
Mayor JOANNE SCOTf, MPH, RS, CHO I
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 317-06
DATE ISSUED: 6/19/2006
Property Located at: 28 Linden Street UNIT# Room 4
Owner/Agent: North Shore Heritage Association
Address: 64 Holton Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878
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 TC�D OF H� .
✓ ��
JOANNE SCOTT, MPH, RS, CHO �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
,
. � � 31 ��6(0
C1TY OF SALIEM9 MASSAG3-#L1SE'{'7S
, � BGARD OF H�A�?H _
° • 12C WASHiNGTON STeEET, 4TH FLOpR .
,a _ SALEn+., MA 01970
�� "� TE�. 978441-18C1p
�.._'�/ rnx �7a•7a5•0343
�oaNnF SCorr, Mf'N, RS, CHc.� :
Kin�berl�y Criscoli �jEA!Th Ac�nr
Mayor i
APf�L'CATION FOR CEFTlFICATE OF FITi�ESS
IN ACCOaDANCE WI'fH S7A7E SANI7AfiY CODE, CHAPTER II, 105 CRAR 4t O.00b
'MINIMUM STANQAROS OF PITNt55 FOR i1UMAN H1161TATION". .
PROPERTY LOCA7�D AT 28 Linden S��m� 0.1970 U�viT#,____
IS THl5 UNIT DESIGNA7ED AS RIGHT LEF7 FR9NT BACK pLEASE CI[�CLE 4NE
OwNEWLE33FRNOrth ShOre Herltage ASSOqy�p�,�AGERtAGENT __,_
No P.D, �pY. NO P.O.Bok •
ADDRESS 64 Holten Strg�_._..__ __.__, . .. AD�RESS _, __
ClTY Danverc� MA.Q9.932.. , ---- G!7Y -. _------ :
RE3ibENCE PHONE 978-744-1006 BUSINESS PHONE t24 HRS.) Q7R_7�4878 '
6USINESS PHONE_�Z$.Z�-%}878 _...._
TOTAL NUM6ER OF ROOMS;.....,_______. I..
i�COM JSE: 1. 2. 3, a.
S.�_6.--7. —8.... --
, 'tHERE IS A TWENTY•FiV�($25.00}D4LLAR FEE,PAYABLE flY GH£GK OFl MCNEY
ORpER Ttk THE CIFY OF 5A1� H�ALTH DEPARTMEFJT THlS FEE i5 PAYABLE,4T YNE
ri�ue a� irusp�cno?�.
� / � ' /
APPLICAP:TSSiGtvA"!U �L� . __ ___ ATE__�7�' �/�� ,
,/
INSPECTORS USE ON_Y
XIATE Of INITIAL 1N.9PCCTION .E�-.._I��,,.y�.�AYE 9F REINSPEC?ION '
DATF_Q�I5SUANCE OF GERTIFICATE:(�z__I 'C/b L,pATE FEE r�A.ID: .
TYAE OF L1NI7 D4VELL(NG_OTHER--- C�ECK ti�.�_�7 r CNFCK DA'fE(�; -._I_.�f —G� �'
P10'fES:----------...__._. �.�r �.�ll �
COUE F..NFORCEMEhf71NSPC4TCFl 9;28/98
I ' •
,, Cary or �,ac.�na, M�s�,�cttus�t`rs
' � BOARD UF HEALTN ',
i " • S�O WASHiNGTON STR[ET, 4tn FLDOR '�.
SALeM, P7A 01870 ,.
TEL, 978-741-1800 ' '�
Fnx 9?8-7AS-0343 �
JOANNE SCO'r, MPH, R$, �Hp �
HE4LTN A4E'�T
Kimbe�iey qriscoll
AAayor
� R�i.L�ASF: � �'�
{a aeco�etance with Massach�iseC[s Geuexai !.aws CS�;iPLcr lII ; �odc nF Mas.aarh�,srrr. �.
i;r:�uG:atioos 4i0,C00 ec. �eq. ; Sfate Sanicary Cod�a Cliap�er 11 and A::[xtle kII1 c.;l'
ci��� �JiCp n( tic�lein Urdlnance, undersiYned owoer/lessor and tensn�/le.sr.e o! a uni;.
nr t'�;cidr'�nCin1 prnprYC}', ilnYnby anCn��ri�r i!��= $alrvm Rn::rd ni Hnql�'h nr ipc -:�th.r�-
i.z2e ap�enLs Lo i��spe,t Ch� iCsi.dantc id�nCiLicd 6e1oN i.n accnrdance �aiUi �L•c
arorcmen[ionCu SkaCUCe.S, rerulacionv and ardinances.
I:� Ghr ����r,L iY i; nccescnry �h�L s'�zd ii±sUccrioc bc donc� in my/uor ell�.`.BIVtC, A�W{'
� ex;,:rzsely au�hori^.c l.hr. t;;�tni and tor my/'>ur' iUiCossurs and. ::551.cns' hcreny :el�i.�tae .
dn. di6chxc�o. [h� Ci�_y n` SaLem� Sal.e�q ii:�:n�n' oF I?nnJeii ::nd iC.9 n��,^.hOri:.,•d ..i,�;,•..a �.
� :rn,n aoy lOg• oi iujuty �•.rs•Csin�d �,( ,cii:�e�wer nu!ure an5 desc;iptia❑ �xca�:in:�e,i
b'V ir,)'/i;�i! sb�erc5 ;I�ri:�g said insncr.t.ir,r..
,� �Pl � 4 ?nn5 JUN � 4?pn5
-� ��,:����� � F �-.�_�- -
' ��-%'�.i���,`•!��>�• Ri ard elyea �'�'ti�• ���`� ;�'-�'� North ore Heritage Associat s
�$J,jnden Street Salem, MA 0197�. . 64 Holten Street Danvers,.MA.01.932 _
��un�.;r.:;:� r,c:ii;:!ss
�.:P:i;li:,_ nf' ;i!•!�i��i :�� i'.f . .�;1'I'.�`i'I�.;�
I;L'i I'
�
Ten�aat Certa£aca�on �'vrm '
Reqaired Fed�rai T.ead Warning 3eataeaent
HovSine L�uili he(gCE 1478 may c�ntain lead.base3 painc. Lzad from psmP,paint ehips,an�i dasi can�Ose Reaith halA,rcis if nu;
mana�ed properly, Lead axpo,uie is esF+ecially fiarmful to young thildren and pre�nan[women. Before ren[ing pre•147g
laousing,lessors must disciose thc presencc o=`k;iown lead-6wed paint and/ot Itad-yased paint hatards in Ihe dwelling.Lessces
mu51 also ec°ceiv¢y federalfV aDproved pamphlet on lead pnisoning pmventio». The IsRassachu3cets?'euent Lead Law
NotifcaGon and Cert'rfcation Form is fo3 compliancc with sta�e and (�deral lead noeiGcation requiremems
Owner's�)isclosure
f�) �'rese�uc qf lead-based painc ancVor icad-based paini hazards(check{i)or(ii)6e!ow):
(i)�Known Icad-based pa(tq aadfOr IeTd-Uased paint hazards are pnsenl in thc housin2(explamj.
(ti)^OwnerlLessor has i3u knowiedge of IeaA-bazcd paint andror lead-hased pai+it hazatds in ihe housine. �
(Ut Recurds and repons available tu the mvnedlessor(Check(i)or(ii) uelow);
(�) Own�Y!LcsSor has provided ihe cenazn wiih a!I available records vvd re,orts per�aininn,ir tead-�ased
paint and/or lead-based paim huerds in�he Itou3ing(cilcle docunleitts below). �
Lead tnspectian�epoit; Risk Asicszmen�Repnn; l,e;ter�f��tCrim Com:ol; [,eucr of Cumuiiance
(u)�wnerlLessor has no rcports vi �c�o�Jn pcnainina!o iead-baSeU paint anNor!cad-b35:d paim htza�d's in [Ge
housng. , '
7euant's ACklluwyedtlitellt(3mtial) �
;c) enant has received copics of 311 documents circleA aouv�_ d Teaant kc�reccrved i+,p documei�IS listed abuve.
O. _—
{e) ec n has reccive;l the Ms;sachusetts-ienam Lcad 1..3w Ne.dicaiion.
J
� Agent's.Acknowledgment(initia!) .
.. (1}_A7etA h3S infOtlned�ne owpCrllc550��Oi She own@r';li:_Ssar'g obli��ation-,iuldCr (cACfal nnd SIdIC ia�+�t(1r li��-h;i4i•�j �;�inl
� disdos���:uid nviilicn�;pn znd i;�w,trc ol h�5/hir rcxpansiliil:ty [o cr5iuc cotnpliaucc.
� Cercit�eatiunofAtcurac�' .
7 Le fuli�,.ving panirs have ievicw�:c tl:c ir;IJim.alion alxivi� :mu o_nih� m ihc he::uf dic:r ki�r,«4r.1„o.Uiai itic infoiinzi�- :h���- .
I��,v: provided is vuc nn�i atc�.ir!i; �
JUN ? 4 ?nr.g JUPJ _1 � ?nn
llo�lh_S11oie Heritaye.Associates S
I _ —_—,. �
I, O��ncrP,.,e�sor Dau 3 — . . _ . —t. —
.���14 ...,.; (>�wi�.r! �Sv��• fL�h' �. .. .
� �nn5 __
Richard Belyea - _.}� I� � � I��--�F �- ��BUN � � 7�rs
- — -� . .
i�:r;,n� __.. _ .
D;n ��nan:.
I:at�
'—." .--.- . _._—... .._....___.. '
...._._... .. '--'
...�_. ,.. „----"... ...
1 VCII( i ii:iK . .__„— �
n.;;��,� i.���:: �
i)wiirr/�Isna�iny AGcnt IrtGzrina4inn [or�fcu:a�n (E'lrasr Drin�): '.
Nodh Shore Herritage Associates 64 Holten Street
na�r�r . . .. . . . .. . . ._. .. �.
. .. qir.i �.,p; '.
RapyErs, MA,01932,__ __. 978-762-4878
t'it};�I ou�n �� .. ... .. . ... .... '.
/�p Icicpir,m��
I (u���uciiin;q::�:cu,;:i;'•:'�iil c.e:Yil�� 16.:1 I rrr•��id�:d 11��• �� ' . .
� � � 11 IIII � ',. n: i�!�.' in .l�pl6 �✓L.411� �Ylih�:llH:l: �'(H111 '{.1�� ,.il��
C\ iiin:{ �.C:Il� �.fll l�!Y�JItI�'016 U I�:t iL'Iu101. ��lll IiIC 1:'.�I u•1 �.'Iip.t' � � � i liu��.�,rihl�� n'I�
i ho tui:fnt ���rvs' Ihi' li,;�mvin�- irr,uu '
I li :��.�'�',ev'I'�� , �I. �.rdd i �R� � ��'�i�,iiql, I !Qi��.iin.ill il��.li ��i. .' {.0 � . i�,r.i I t �ir:ll :�.� I �L I�i:'�, cvtlli�Ip��.11rll��l c��n hn,• '�.
Liiuili�:t wiib rluL•I:cn bu;;iu�r�,�I I�a�I P:qnl �
l'�;ut:iri Uio l:laid;�o;l�l i.r::d Pm�:numv 19i',t;11;:n: I'�r.,.i:uii i,n uJn:;i�.nr.�.0 :�u;hr.r.:uf�.�l��lm �J i6r. i:�nu :I!ulh:i I.uip,ua;;�..�
' �fruan� ;iud n•�ner :nu�.� c1.:l� ker:i a r...nnPieieti .�ail .r�r,a•,l ruU� �d �L:� brrm .
.i. :'�11 r'�1 4'P l! , '.
i i I .�. i . � \.�I '1',. . ., .
I �IItP�.... � I ' �� . . �'71 .
� � 1 {l� ! �
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�
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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)747-1800
oi/zs/z000 Fax:cs�e��ao-s�os
Shirley Remon
- 29 Linden Street
Salem, MA 01970
PROPERTY LOCATED AT 29 Linden Straet IINlT # 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 BIII of the City of Salem Code of
Ordiaancea, Section 2-334;titled "Certificate of Fitnesa," each dwelling unit muet be
inspected and certified prior to allowing occupancy. The inepectioa will be conducted
, in accordance with 105 C[9Lt State Sanitary Code, Chapter I: General Administrative
, Procedurea and 105 Ct�! 410.00Oj State Saaitary Code, Chapter II: Minimum Standarda of
� Fitnesa 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 6:00 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 inapection.
A property owner is required to pay gae and electricity for reaidential tenants if there
� is not a written letting agreement stating the tenant is reaponeible for those
� utilities and if the meter(s) records electricity and gas use which is not used
I exclueively by that tenant. The Department of Public Utilities has billed property
owners for their tenanta' entire utility bills retroactive to the date of initial
� occupancy in casea in which cross-metering has been proven to exist.
' �R_T,�� . HE. REPLY TO
anne Scott, MPH,RS,CHO PABLO VALDEZ
I Health Agent CODE ENFORCEMENT INSPECTOR
- - - -
..a . � ..
��� � V.h CERT.# 59-00
�/'p St FEE -$25.00
����� ' DATE: O1/28/2000
�,:r.f"✓
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STfiEET
HEALTH AGENT � � Tel:(978)741-1800
Fax:(978)740•9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 29 Linden Street UNIT #: 1
, OWNER/AGENT: Shirlev Remon
� ADDRESS: 29 Linden Straet
� CIT'Y/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2196
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOV& ADDRESS HAS
BEEN APPROVBD AND IS IN COMPLIANCB WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR AUMAN 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 CNII2 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT , (%) AND 410.400 (C) : ROOMING UNIT ( ) .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOSS 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 AEALTH �
. . �// '�-���� ���� ��
UJOANNE SCOTT, MPH,RS,CHO �
, HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� �
.
1 . , �— �
���c� � � ' 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)�41-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT o� l L Vt de,c, �S�'" UNIT# /
, IS THIS UNIT DESIGNATED AS IGHT LEFT RONT BACK PLEASE CIRCLE ONE
OWNER/LESSER �l„ar� MANAGER/AGENT
No P.O. Box . No P.O. Box
ADDRESS ADDRESS —
' CITY S pi.��1�.-� CITY
RESIDENCE PHONE � �`�'-a�9'� 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($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 � '�-� � D
INSPECTOR USE ONLY
; DATE OF INITIAL INSPECTION � --� � k �6 6 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:�� �!7� DATE FEE PAID: l —�-��"�
TYPE OF UNIT: DWELLING�OTHER_ CHECK# S R'� CHECK DATE��:'G�
�`
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
�� �
, ;' � . CITY OF SALEM, MASSACHUSETTS
=r � BOARD OF HEALTH
� 4
120 WASHINGTON STREET, 4TH FLOOR CERT.# 218-03
r � SALEM, MA O 1970 FEE $25.00
� � TEL. 978-741-1800 DATE: OS/20/2003
Fnx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR , HEAL.TH AGENT �
- CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 32 Linden Street UNIT #: 1
OWNER/AGENT: Joe &.�Nicole Desmond c/o Joan Pelletier
ADDRESS: 79 Ocean Avenue �
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7941
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLZANCE 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
i SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT O .
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
���''����/� rr S .
/ �
JOANNE SCOTT, MPH,RS,CHO
� HEALTH AGENT CODE ENFORCEMENT INSPECTOR
-�
• . � CITY OF SALEM, MASSACHUSETTS �/�,�
. � BOARD OF HEALTH
� � 120 WASHINCTON STREET, 4TIi FLOOR
SALEM, MA 01970
�, TEt_. 978-74 I-1800
FAX 978-745-0343 ' -
STANLEY USOVICZ, JR. ,jpqNNE SCOTT, MPH, RS, CHO �
MAVOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT,o� � N�E� S � UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I�� � I��i C�4�p��S)YidTYDMANAGER/AGENT �Q iC�r
No P.O. Box -t�o P.O. Box
ADDRESS ADDRESS �I ��r7 A 1/'C
CITY CITY �a �D.,-» �J� �
RESIDENCEPHON���f 7 ��J���BUSINESSPHONE (24HRS.)CC��� �'"��I
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE� DATE `� � �3
� �,
INSPECTORS USE ONLY
AATE OF INITIAL INSPECTION S� � �' - b3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: S` a"a"�3 DATE FEE PAID: 5 ' ��'� � �'�
TYPE OF UNIT: DWELLING�OTHER_ CHECK# 2b 2 CHECK DATE�-yc ^`�j
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
;
�
i
CITY OF SALEM, MASSACHUSETTS
-• � BOARD OF HEALTH
� .� '.
120 WASHINGTON STREET, 4TH FLOOR
Y� SALEM, MA 01970
�� TEL. 978'741-1 800
Fnx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR � HEALTH AGENT
May 8, 2003
Joseph Desmond
32 Linden Street
Salem, MA 01970
PROPERTY LOCATED AT 32 Linden Street Unit# 1
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: Generel Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
��9��,�
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
�� .
.�
o CITY OF SALEM, MASSACHUSETTS
� � BOARD OF HEALTH �
�
" 120 WASHINGTON STREET, 4TH FLOOR CERT.# 217-03
� � SALEM, MA 01970 FEE $25.00
�.➢�,�� TEL. 978-741-7600 DATE: O5/20/2003
Fax 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 32 Linden Street UNIT #: Z .
OWNER/AGENT: Joe & Nicole Deamond c/o Joan Pelletier
ADDRESS: 79 Ocean Avenue �
CZTY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7941
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.
MAXZMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINZMUM 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
��i�,N"�z'Ul �t / /
� �� ���.
JOPNNE SCOTT, MPH,RS,CHO
HEALTH AGENT � CODE ENFORCEMENT INSPECTOR
:
_ CITY OF SALEM, MASSi4CHUSETTS '�
�. � BOARD OF HEALTH � / � �
• � • I20 WASMINGTON STREET, 4TIi FLOOR
SALEM, MA 01970
TEL. 978-741-I 800
FAX 978-745-0343 '
STANLEY USOVICZ, JR. JOANNE SGOTT, MPH, R5, CHO �
MAVOR 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 ",�- �—I 1VV�V� �� UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�� � O�.�il�v �SYY1CJ�ePMANAGER/AGENT�I c�('�✓� �P,I I�i�7 e�
No P.O. Box No P.O. Box , �1
ADDRESS� � ADDRESS � OCO�n �t Ve
CITY CITY � l�'n ✓1�f� �(r1� �
RESIDENCE PHON��?'�5���`I��gBUSINESS PHONE (24 HRS.�S — ��'! '1 �
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: Jn
ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE a0 6
S EC O S USE ONLY
AATE OF INITIAL INSPECTION S�f�_� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:S �� '� � DATE FEE PAID: �`'�D�3
TYPE OF UNIT: DWELUNG�OTHER_ CHECK# a O � CHECK DATE�'���3
NOTES:
CODE ENFORCEMENT INSPECTOR g/28/98
�
� `�ND�"�° City of Salem, Massachusetts �I1�' y'�1
' A � LJ
� Board of Health
� 9 120 Washin ton Street 4th Floor Salem PublicHeatth
9 � � Prevent Pramnte. Protect.
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-15-242
DATE ISSUED: 8/21/2015
Property Located at: 47 LINDEN STREET UNIT#2
Owner/Agent: Wesley and Faith Simons
Address: 19 Woodside Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 578-0472
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 b the Code Enforcement Division of the Salem Board of Health and the unit ma now
Y Y
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
F�
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARI N
CI'TY OF SALEM, MASSACHUSETTS.
.� BOARD OF HEALTH
' � 120 W.vs'HINc'mN S'r�sr,4"'FLooR
TEL.(978)74]-1800
KIIvIBERLEY DRISCOLL FA]t(978)745-0343 . � -
MAYOR �M(a1s�b:coM
I.ARRY R1MDiN,RS/RFJaS,CHO,CP-IiS �
HFaL7't�AGera�• �
Application for Cervificate of Fitness
IN ACCORDANCE WITH STATE SNVITARY CODE, CHAPTER l l, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
FEE: 550.00
PROPFRTY LOCATID AT ��J L i d1 d �-V� 'f UN1T#�_
1S 7AIS UNIT DffiIGNA7'�Ag GI���OR�G Pl�r►SE COtCLE ONE
OWNER/I,F,SSFR �. a� MANAGER/AGENT
NOP.O.BOX S��a.n_S
ADDRESS ` L. ADDRESS
CITY, STA7E,ZIP��Gt I e(Nt C17'Y,STA7E,ZIP�_� �� ��
RESIDENCE PHONE IT��S Z SY�U�1 a—BUSWESS PHONE(2AHRS)
BUSINESS PHONE
T07'AL NUMBER OF ROOMS:�_ �
ROOMUSE: 1. �Vi ocx2.a;aiRa reo�c4. (/��Ir�.� 4.�.ut S. �Z�ucr�
6.'�,o�Irr��.,.�7. (�S oc,�-�8. 9 � 10
THERE IS A FIFIY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CiTY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT OF INSPECTION
APPLICANT'S SIGNATURE DATE����
In�edois use onlv
Date on initial inspaction:�t712D1S Date ofreinspaction:
Date of issuance of c�ti5cate:0 1 �91 S Date fee paid:0 B/Z�120 S
Type of unit: DwellinR Otha Check#}�_CLxk date: O 8/�'���
Notes:
�
C rc�ent pector
�pONUIT
vQ' 'ry� i
cP � �"�,
� f �
���c'�� ;ATK
tu'"
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 0 2/11/9 9 Tel:(978)741-1800
Fax:(978)740-9705
Donald & Linda Tremblay
51 Linden Street
Salem, MA 01970
PROPERTY LOCATED AT 51 Lindea Street IINIT # 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 I2: Minimum Standards of Fitness
for Human Aabitation.
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 6:00 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 inapection.
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.
F THE BOARD OF EALT REPLY TO
�F-'�X-Ei/�i?�� -I �
nne. Scott, MPH,RS,CHG � PABLO VALDEZ
�
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
,
L � ,{�, CITY OF SALEM, MASSACHUSETTS
.j m31. '� BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
� � � ��q � SALEM, MA 01970
��-� TEL. 978-741-1800
�'�� Fnx 978-745-0343
� KIMBERLEY DRISCOLL JSCOTT@SALEM.GOM
MAYOR
JOANNESCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#53-08
DATE ISSUED: 2/1/2008
Property Located at: 52 Linden Street UNIT#2
Ovmer/Agent: Gary Statezni
Address: 16 Tremont Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacanY 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 andlor 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
i� . ^ �
' �c�' CITY OF SALEM, MASSACHUSET�S
(� BOARD OF HEALTH ���
• �t � �'�'�20 WASHINGTON STREET, 4TM FLOOR `��-� U
SALEM, MA 01970 `'�
TEL. 978-74 I-1800 '
� � FAX 978-745-0343 '
JOANNE SCOT7, MPH, RS, CHO �
KIfI1bCfI2Y DfISCAII � 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 WUMAN HABITATION".
PROPERTY LOCATED AT ,Jl� G� f Y+C�-p�j2 SI`/ S� `��UNIT# �
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERILESSER G , � � /X '� �M�NAGER/AGENT
No P.O. Box - No P.O. Box
' ADDRESS �� "�r!'-P.1t�JJ /l ?l f�L ADDRE aS
CITY �� �-l�///l�� /�%�{ CITY
RESIDENCE PHONE �J������-- 3�USI�IESS PHONE (24 HRS.) _
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: J
. �
ROOM USE: 1.Y��2. � ! ✓,.Y/ 3. L+�4.��,K �`✓�'�
5.!?�r'rJ�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.
��
APPUCANTS SIGNATURE � � � _DATE � �, I���
i
INSPECTORS USE ONLY � �/
DATE OF INITIAL INSPECTION `J- � � '� 75 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �' ' � - a�DATE FEE PAID:__�1_I��'
TYPE OF UNIT: DWELLIN�OTHER_ CHECK# 3 �0 _ CHECK DATE �-_�J_� D8
NOTES: �
---_-------- ----------- —
�
CODE ENFORCEMENT INSPECTOR g/2g/gg
i
y . f \
�
� ' CIT'Y OF SALEM, MASSACHUSETTS
.:�.� � BOARD OF HE�1L'PH
120 WdSHINGTpN STI2F.ET,4���FLOOR
KIMI3ERLEY DRISCOLL TFL. (978) 741-1800
Fax (978) 745-0343
Mr1YOR
lxamdin o saletn.com
L;UIRY RAMI>1N,RS�R{SI IS,(:I10,CP-FS
H13A1:1'1-]AG 14;N'P
CERTIFICATE OF FITNESS
CERTIFICATE #229-11
DATE ISSUED: 7/18/2011
' Property Located at: 66 Linden Street UNIT#
Owner/Agent: Henry Kantorosinski
Address: 84 Linden 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
LARR� �
HEALTH AGENT CODE E RCEMENT INSPECTOR
. . � :
• � = CIT'Y OF SAL�M, NLASSACHUSETTS �/,j�- (�
8 D7/ �
Bo.�Rti�oF Hea��T[�
� �� 1ZO W�ISHINGTON STRt3LT,4���FLq(?R
T[:L. (978) 741-1800
KIMI3ERLLY llRiSCOLL P.�� (978) 745-0343
M���O� 1.RAMDIN�a SN.L'M.COM
I.ARRY R;AMDIN,RSIRI?IiS,CI IO,CY-I^S
HHAI:1"H AG I�dN"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 � �lJ L I✓✓��nr 5; IJNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER M'ENR� �A�iD{�OJ/NS{l� MANAGER/AGENT
NO P.O. BOX (f
ADDRESS d�I�' L lit/UC N �r S�I l_C� ADDRESS
CITY, STATE, ZIP S�HLE�1 /Y1fISS Ol9'70 CITY, STATE,ZII'
RESIDENCE PHONE I7�- ?Y y - ��� BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. ,(�/
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE �%JYN �RtiYb'YbSI hS��� DATE �/' ��` 20/;
Inspectors use onlv
Date on initial inspection: I�� Date of reinspection:
Date of issuance of certificate: � � � Date fee paid: ��
Type of unit: Dwelling ✓Other Check#�Check date:
' Notes: � (���/�: �()� t��U�/YI-PiU(" .S/YIQ�
Code nfore nent Ins ector
P
�
� " , �
� " � " CITY OF SALEM, MASSACHUSETTS
���` Boa�tD(7H'HF.aL'I'x
120 Was�-rrNG roN SrxeL��,4°'F�.00�z
IiIMB�RLL'Y llRISCOLL TEI,. (978) 741-1800
Fa� (978) 745-0343
�1AYOR Iramdin o salun.com
L�VtRI'RiAMDIN,Rti�lil�:l Iti,CI I(1,(;P-I�S
I-[r.Ar;l'i i Ac i:N'i'
CERTIFICATE OF FITNESS
CERTIFICATE#274-11
DATE ISSUED: 8/8/2011
Property Located at: 68 Linden Street UNIT#
' OwnedAgent Eric Easley
Address: P.O. Box 4542
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892
An inspection of your vacant DwellinglRooming 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
LAR�
HEALTH AGENT C E ENFO ENT INSPECTOR
r
�_
4� o_.�
6�,. f \
• � / � \
�� '; CITY OF SALEI�Z, yIASSACHUSETTS
�„ ,��.
ia a. . . % olj . i
� �.. r'` �/ BU�1RDo�HE�1LTx ^^ ��� �:I
\\�nne_� 120�K/�SHIi�GTON STREET,=}T�FLOOR
/ '
�rEL. ���s� �4i-isoo � ri �
I�IMI3EFLEY DRISCULL FnX (978) 745-0343
MAPOR DGFEENDAUiv(�?SSL�tv1.COM
DAVID UREENSAun�t,R5 � � � �
ACTING HEALTH AG'ENT
Apptication for Certificate of Fitness
IN ACCORDANCE WITH STATE SA�TITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMiJM STANDARDS OF FITNESS FOR IIUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT �!� ��x-�.✓ ��}— UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFI'FRONT OR BACIC,PLEASE CII2CLE ONE
OWNER/LESSER ��� �.S Ca-y MANAGER/AGENT
NO PA.BOX /�
ADDRESS '- �. F� a,� �/.�y Z ADDRESS
CITY,STATE,ZIP S,�-[-e� �'L.� ��g? CITY, STATE,ZIP
. RESIDENCE PHONE �?£� Z 6 S�� �S'I3 BUSINESS PHONE(24HRS) \7 ��� 7y3�-5�8�'2
. .
BUSINESS PHONE � i �
t
i
, TOTAL NUMBER OF ROOMS: �'
ROOM USE: 1 6.5-�GC 2 (,c�t� 3 GSLPX 4 (r�tr� 5 '-"`"�
6 LG/1�l�.a. 7 L/�I,,,E 8 /�q,.,JA, 9 10 '
,�
,I —TE�RE IS A FIFTY($50)-DOL-LAR FEE, PAYABLE BY-C-HECK OR MONEY ORDER TO Tf�CITY OF SALETvt
BOARD OF HEALTH THIS FEE IS PAYABLE AT Tf�TIME OF INSP TION y ,
APPLICANT'S SIGNATURE � - ` ` f ' DATE � -3 ��
:,'�....____ ;1 : �...:..-
Insoectors use only �'•",;
�� ` �� '
Date on initial inspection: 15�� � Date of remspection: � F
z m�
Date of issuance of ceRificate: Date fee paid: ;�.,d
Type o nit: Dwelling pthe(r Check�t Check date`-' - -
Notes: CsJI� ���C�( 1 Y�—"�'c� 2Y'l5 c�1^�_G�1 I �p,�Q�c>�'(1S
�. I VI CfR.4 � ` " ,
�r �
; .�.
de nforcement Inspector
� • �R tl '� �, � CITY OF SALEM, MASSACHUSETTS
BO�\RD OF.HP.dLTH .
120 V(��1tiHINGTON STR�PT,4���I�LOOR p1321�1CHCS1�1
Ti;l:,. (978) 741-1 800 1���� (978) 745-0343 P,����� �•.�m�,"��.��"�
KIMI3�RLfiI'DRISCOI,L l�amdin a salem com
Mr1YOR I,ARItl'R�\btl)1N,t2S/RIfSI'IS,C1I0,CP-I..�S
Hi?N:;I"H�GI?N'I' - .
CERTIFICATE OF FITMESS
CERTIFICATE#318-13
DATE ISSUED: 9/5/2013
Property Located at: 68 Linden Street UNIT#Right Side
Owner/Agent: Eric Easley
Address: P.O. Box 4542
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892
Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
I 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 B ARD O EALTH
�. ��
LARRY RAMDIN y����
HEALTH AGENT SANITARIAN
� Ob/YtlJYtlltl Ytl:Z4 y1�/4bb346 YAUt tll/tll I
� , i
�' CI'TY OF SALEM, Mt1.SS.�.CHUSET�'S ���1�
• SOt11tU QF HFr1LTH
120 W.ISHINGTC)N ST'R6EI',An�T�UOR
'TEz,. (978)741-1800
I<IMBERLEY DRISCOI.L Fax(978)745-0343
MAYpR �)Si1ti°FiJ1+d�C�Snu;nt.C(7hi
Davtp G��r�,�uNt, .
ACI'[NG I-IF.ALTH AGENT
Application for Ce�rtaficate of Fitness
IN ACCORDANCE WITH STATE SAI�IITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STAND�#RDS OP FITNESS FOR HiJMAN HA.BITATION."
- FEE: $50.00
(Z r5�,r
'ROPERTY LOCATP.D AT vl d� L;,�.�-J Sd` �.K /��A- ��� s�-�
IS',17�iS[1NIT DISIGNATED A6 RIG�i ���OR BACK.PL�A3E CIRCI,E pNE
)WNER/LESSFdi L%l�Jc— �r MANAGER/AGENT
ao P.a aox � /�
�bbRFSS � f��X s'�'Z AADRESS
;z�z�x, s�r��,znP 5��. d��- p i g7 a crrY,s�r.A.'z'�,zzr
:ESID&NCE PHONE BUSIIVESS PFIOIVE(24FiRS) ���k� Z��' `tS��
,
; aus�ss r�zorn� �g?6) �4's- 5 S�z
b�rai,r�v��a��.oaz�s: �
:OOM USB; 1. /�e.iP 2, � 3. '.1�X 4. � S. �
' 6. L„L/kc 7. GCi 8. GJr,v�kc 9 10 �
TiERE IS A FIF'I'Y($50)17qLLAR FEE,PAYABLE HX C�ECK OR MONEY ORDER TO TIiII C�'X O�SAI.EIVI
�OARA OP HEALTH THIS F�E IS PAY�TL�T�NIE OF SPECTION
�PLIGANT'S STGN,A'CUItE i�� DATE �� � 3
Inspector�use o�l
' �ate on initial inspection: v� Date of reinspection:
�ate of issuan:ce of certificate: � � Date fee paid:
ype of unit: Dwelling Othex Check#� q� Check date: SrI/ l) '�
ot�s;
ode B nt Tnspeetqr
20100E272121 9787450343 Page1 ,
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• }}����77 CITY OF Sr1LEM, MASSACHUSETTS
E,��1�• I�t�.�ltn cm He,�t7ri
12O W.1tiHINCTON S'L'RL'Ef,4n'FL(7QR
'i�L.(978)741-1800
KIIv1BERLGY DRISCOLL Ft�(978)745-03h3
�IOR ix,xi>rw+n�! .rr•�i.CO�!
D a�1n GxE��s.�Unt,RS
11CT(NG HE.�LTH AGENT -
Rclease
In accordance with Massachusetts General Laws Chapter 11 I;Code of Massachusetts Regulations 410.000 et. Seq.;
State Sanitary Code Chapter II and Article XIti of the City of Sa(em Ordinance,undersigned owner4essor and
tenanUlessee of a unit ofresidential propedy,hereby authorize the Salem Board of Health or its authorized agents W
inspect the residence identified beiow in accardance with the aforementioned statutes,reg�ilations acid ordinances.
In the event it is necessary that said inspection be done in my/out absence.Ilwe expressly authorized the same and for
my/our successors and assigns hereby release and discharge the Ciry 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. �
.. !
`�� � �
TenauULessee Owner/Lessor
6 Sl L�.�d.� ��. ��,,, X�
� Address Address
6 S� C�`� ���
Address on unit to be insQected
--t—2 � l �
Date ,
_. �
�,00rm�,�
�� � °a City of Salem, Massachusetts
,: s� {. � _ � ���
> � 9 Board of Health
I � a "� 120 Washington Street, 4th Floor, Salem, P �o�P11bIiC�e �HeATth
MA 01970 °
Kimberley Driscoil Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO
Mayor health@salem.com Heaitn Ayenc
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-265
DATE ISSUED: 8129/2017
Property Located at: 69 LINDEN STREET UNIT#1
i Owner/Agent: Alexsandro Azevedo Gois
Address: 69 Linden St.
CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone:
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
' Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
e—` fn'"��„� �---
2S
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
�� CIT'Y OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978)741-1800
KiMBERLEY DRISCOLL FAx(978)745-0343
MAYOR IRAM�QQ SAT.PM DM
LARRY RAI�IN,RS/REHS,CHO,CP-PS
FIP,ALTH AGENT
Application Yor Certiscate of Fitness
IN ACCORDANCE W1TI3 STATE SANTfARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FTPNESS FOR HUMAN HABiTATION'
FEE: $50.00
PROPERTY LOCATED AT � GI G �^'7�E^� -ST ,�ALE''ti — MA UNTI� �
IS THL4 UIVIT DISIGNATID A9 RIGITC EFf I�'R N_T�R B�.'�K+PLEASE CIItCLE ONE
OWNER/LESSERAL�X.SA�✓�N'H A G�'.S MANAGER/AGENT
NO P.O.BOX
� nDDxEss � 9 L i ,.-r>�-,- s r �a..aunxEss
CTfY, STATE,ZIP -s.�l LE^^n — .a`'1 A CTfY,STATE,ZIP
RESIDENCEPHONE BUSINESSPHONE(24HRS) 8��� 65/'s�li-3
BUSINESS PFIONE
I TOTAL NUMBER OF ROOMS:_�_
ROOMUSE: �1� 2� �(1P.V1 3 � 4 �/}P` S.
6. � 7. 8. 9. 10.
'I'f�RE TS A FIPTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TI�E CTl'Y OF SALEM
BOARD OF HEALTH THIS FEE LS PAYABLE AT TEIE TIIvIE OF INSPEC!'ION
APPLICANT'S SIGNATURE �9'�- DATE � � Z 8-- l��
Inspectors use onlY
Date on inival inspection: 'T/ 1 Date of reinspection:
Date of issuance of certificate: Date fee paid: 2 ��
Typa of uuit: Dwelling Other Check#��Check date: � 1�
Notes:
Code Enforcement Inspector
I "" . CITY OF SALEM, MASSACHUSETTS
$pdRD OF Hl.�'1LT'I-I
120 WASHINGTON$TREET,4"'FLOOR
'I�.. (978)741-1800
KIIvISERI.EY DRISCOLL FAX(978)745-0343
r o e�rt�7*(ltS_AT RM GOM
MAYOR
j,AgRy RAI�IN,RS/REHS,CHO,CP-FS
HF.ALTH AGEN7'
Release
1n accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 41U.iluu et. Seq. ;
' State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned ownerAessor and
tenanUlessee of a unit of residential property,hereby authorize the Salem Boazd of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances.
Tn 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 Boazd of Health and its
suthorized agents from any lose or injury sustained of whatever nature and descripdon occasioned by my/out absence
during said inspecdon.
� �(,� �
��^�►'� �� �4.v.==�- ,�
Tenant/L.essee Owner/L.essor
(�o� L/n�DEv.� �'T'
Address S,c��,n,� _ M A Address
0/9 � 0
Address on unit to be inspected
f3`'- ��'- !�-
Date
updarea srz�u
�
_ `oND�" City of Salem, Massachusetts �j
`` , LI
1�.y t �
a Board of Health
120 Washington Street, 4th Floor, Salem, P �PubliCHe PeAlth
MA 01970
Kimberiey Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-1&725
DATE ISSUED: 4/20/2016
Property Located at: 69 LINDEN STREET UNIT#1
Owner/Agent: Donna Talbot
Address: 9 Mount Vernon Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 560-8444
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
�
R
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
. �., ,,� CITY OF SALEM, MASSACHUSETTS
BoaRD oF HE�LTH
l2O W1ISHINGTON STREET,4"'FY.00R ,,,,��,,,,,.H�v,l,,.��,.
TE[.. (978) 741-1800 Fa�;(978) 745-0343
KIMBERLEY DRISCOLL kamdin salem.com
' MAYOR L.�RRY IUMllIN,RS/R&liS,CFIQ CP-FS
H1sAL1'H AGFN7' .
Application for Certiticate of Fitness
IN ACCORDANCE WITH STATE SfWITARY CODE, CHAPTER 11, ]OS CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATID AT U/ j� Li n�%P N J� • UNIT# �
IS THIS UHIT DISIGNATED AS RIGHT LEFf FRONT OR BAC PLEASE CIRCLE ONE
owrr�xa,EssEx �Q n �� ��1 G b d ~�— MANAGER/AGENT
NO P.O. BOX �+ 1 /
ADDRESS % �� - V�v` Y► c''YL �_ADDRESS
CTTY, STATE,ZIP C���� +'K-� , ` a Ol 9'D CTI'1', STATE,ZIP
RESIDENCE PHONE �a � � �� CJ yy�fBUSINESS PHONE(24HRS)
BUSINESS PHONE /V �77
TOTAL NUMBER OF ROOMS: `7`
ROOM USE: ��f C k�°�'L 2 /Vl n4 /'y{� 3. b�'t�P n't-4. ��t��'�Y�,5.
6. 7. 8. 9. ]0.
THERE IS A FIF1'Y($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO Tf�CITY OF SALEM
BOARD OF HEALTH THIS FEE S AYABLE T Tf�TIIvfE OF INSPECTION
APPLICANT'S SIGNATURE DATE �" l ��
Inspectors use onlv
Date on initia]inspection: h�{�1�� Date of reinspection:
Date of issuance of certi5cate: (�l�/1�1�2D� Date fee paid: ���?�'/2�9,i6
Type of unit: Dwelling �Other Check# 1-y� Check date: ��1�/ZO1,�_
Notes:
C i rcement pector
;,
�ND " City of Salem, Massachusetts �
� :��
� � - �
3 � ; Board of Health
120 Washington Street, 4th Floor, Salem, P �PublicHealth
' MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor Iramdin@salem.com Heaim ayern
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-16-124
DATE ISSUED: 4/20/2016
Property Located at: 69 LINDEN STREET UNIT#2
Owner/Agent: Donna Talbot
Address: 9 Mount Vernon Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 560-8444
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
I 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 Heaith 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 Certiticate of.Occupancy.
FOR THE BOARD OF HEALTH
F--�
���
, Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
�� �� � . CITY OF SALEM, MASSACHUSETTS
BoaRn oF HsaI,Tx
l2O W.9SHINGTON STREET,4"'FLOOR ,n,e��m,,,.�
Trs.. (978) 741-1800 Faa(978)745-0343
' KIMBERLEY DRISCOLL kamdin n.salem.com
' MAYOR LARRY RAMllIN,RS/RGHS,CFiQ CP-PS
� HL'.�L1'}{AGENT � .
' Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SATTITARY CODE, CHAPTER I 1, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HLTMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT (!/ / Ljh pf�h � � UNIT#�
IS THIS UT7T DISIGNATED AS RIGHT LEET FRONT OR HAC PLEASE CIRCLE ONE
OWNERQ,ESSER,,�/O h h,�-�,�-Lb 0� MANAGER/AGENT
NOP.O. BOX^ ��/ j /����- �' �DRESS
ADDRESS��f !/
CITY, STATE,ZI��IiYL /—1 a O I�'I �� CITY, STATE,ZIP
RESIDENCE PHONE.��O �S �D � �`7"�'Y'BUSINESS PHONE(24HRS)
BUSINESS PHONE N �,TI
TOTAL NUMBER OF ROOMS: �J
ROOM USE: �7'//f+.r�,,�2 bll�lhC1 � Ic�'�j`��. ����br�.
�r` 7. �r1 8. 9. ]0.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS F IS AYABLE AT TI�TIME OF INSPECTION
��r � /{L ��
APPLICANT'S SIGNATURE DATE
Insnectors use onlv
Date on initial inspection:��1�Zl1T� Date of reinspection:
Date of issuance of certificate: 0�14�201� Date fee paid: D�1���0.��
Type of unit: Dwelling_�Other Check# .� �f� Check date: O`f�1-Yl2O�
Notes:
C orcement pector
,
` � CITY OF SALEM, MASSACHUSETTS
+ • � � - BO�1RD OF HF�ILTH
12O WdSHINGTON STRE�T,4T"FLOOR
TE[.. (978) 741-1800
KIMB�RLEY DRISCOLL F�x(978) 745-0343
MA�'OR �cxci?N�a�uMCcilsni.r�.com
DAVID G1tEF,;NB�10M
ACTING HIP.ALTIi AG[?N'1'
CERTIFICATE OF FITNESS
CERTIFICATE#305-10
� DATE ISSUED: 6/29/2010
Property Located at: 68-70 Linden Street UNIT#68
Owner/Agent: Eric Easley
� Address: P.O. Box 4542
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.
FORI�O✓'" �J F HEALTH
�
DAVID GREENBAUM ,r�
ACTING HEALTH AGENT CO ENFOR NT INSPECTOR
I
NhlYHIYN'IN YYI•'lA 4/H/AhNiai I Ytu+r nirp�
2070-OE2727'4U » 9787450343 P212
J � I
�
� CITS' OF SALEM, IV'�f1.SS.�CHUSETTS �`����
80.+w oF Hc,u.'rt-t
120 W�ISHINGTON 57'RF.EI',4��PY.O(�R
'I�E+.L. (978)�41-1800
KIMIIERLEY DftISCOLL F.qX(978)7I45-0343
MAYOR i,?�'��PnuMfdtNa;M.C01�1
DAvtp GRHEntB�lclt�L
AC'TING HFr1LTH AGEIVT �
�
Applicat'ron for Certi£cate of IFitness
IN ACCOR.I7ANGE WlTH STATE SANI'fARY CODE, C�iAPTBR i 1, 105 CMR 410.000
� "MINIMUM ST.41dDARDS OP P'ITNESS FOR HiJMAN HABI'tATION."
FEE: $50.00
'ROPEILTX LOCATED AT �� � 7� L;,��P,� S¢ vvrrrr# ��'
r
i6'I'N19 UNfT DJ9IGNA'CED AB��F$Q�OR�PLCA9E CINCLB ON6
)wNEx/i.BssElt CF�:c �AS�e�- MAr1AGERI,�G�N?
�o�.a sax �7 �
U7bR.ESB (r U Q�� `J�S�`/ �- ADARESS
:TZ'1(, STATE,ZIP 5��+� . /�'1/� d/ %7�' C1TX,STATB,�Tl'
:�smsnrcE Pxoxr��?�1 ?,6 5'";_,.�'SY3 sus�ss��zorr��2a�s�
tU5JNE5S PI-IONE ��}7�� �5'f- � 8� Z,
'OTAL NUMBER OF ROOMS:
:OOMU3t3; ��� �¢X 4. �3P�X , 1Jec-C
7. d-..;. ..,..,,� .ir � �o. zf3q�- , li. s'foi4S-2
'FIF,RE IS A F1FTY($SO)DOLLAIt F'EE,PAYABLE HX C�CK OR MONEX ORDER TO THB C�'X OF SAI,EM
�OARD OP HLALTf�TH],S PE8 TS PAYAgLfi AT'�'kI$T�$OF ECTION
�PPLICANT'S STQNA'CUAE � � � DA� (, 7 P . u
�-
�Zasnectors use onlv
�ate on initial inspection: Date of teinspection;
�zte tlf i56u&aCe Of CU'tiScate: Date f6e paid;
ype of unit: Awellia�„„.,.,,„,�,OU]Cr CheCk tk_�7 a�Check dato: `� , L-��_Q
otcs:
odc anfarcement Tnspectpr �
vnx�riLev ere� o�a��cnv�a ..'"''
Y
2070-Ob272i40 nn 9787450343 Pi/2
� • I
r�ax Transmitta] Cov�r Sheet
Date: � �z S �� �'
Fax # : - -- �1`7�'� _ l`�s" -- c� :� Y �
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Fax To: C� z �"`' ,`r� �
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�►aming: Please norc, 1'he doeuments accompanying this fa�ma} contain confiden�iaY o�
pnvileged infortnation. This information is intended to be for the snle and cxciusivc use of the individuai or
rntiry�named on this cover shee[. If you are not the intended recipient,please understand that any
disclosure.cop.�in�,distrihution or use of the coneenu of this fax is pr hibited.
�..<����J � -
� �`
� �`°ND,�",� City of Salem, Massachusetts
E � t . - - 3
� q Board of Health
� n 120 Washin ton Street 4th Floor, Salem, �c��
0 9 � Frevent Promotc. Prat<ct.
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-17-206
DATE ISSUED: 7/1412017
Property Located at: 68-70 LINDEN STREET UNIT#70
Owner/Agent: Eric Easley �
Address: P.O. Box 4542
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-5892
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.
IMaximum Number of occupants, must compty 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.
I t...—<��'I`--* �
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
OV+LViLV1V �V�LT JtVf`�JYJ`�J . �.� ��� ��
r• � '
CI'1'I' OF SAT FM 14'IE1SSt'iCHL7SETTS
Bo�xn oF Ha.u.�
12{2 WdSt�fGTOt3 S7'RETiT,4"`kLUc�t
TEL.(978}741-1300
I�TsRLEY DLtLSCOLL F 1,�(97�745-034� _
�y�R t,�8!tG�1�AS�"' A raf.COt�z '
Dat�Gx�.►.tma,
1LCT[IvG fIE�ILTHIIGENT �
A�►pif���aa for�Ce�cage of�� I
IAT AE�ORDAt'�CE�i►iTii S'fi4,1`�SANiTt�RY COD�,CfIAPTBR 1I, 105 �410.UD0
"14III�iII41CJAq S'1':AN�1lRDS OF PTPN�SS�OR FYY3MAN HA�IT�TiON."
�$50.�0 � y� �'� �
20P�TYIACAT�RT ,�� - �o �-� � `S�- UId7T� S�
,.,..- .t..
]fS�IS41EV17'1J�3[t3NAT�DAS��'' �OR$ACiLPL$AS$CFRf.'�Oi� rJc�
WI�RtLESS'�t �.,C't` �s Cs-� MANA.GER/t�GENT
)P_A BOX -��-
�DRffiS ��, �� � `�S���Z AI3D1�'SS
�'SC,S7CATE,2IP �.t. l��r �-" c7/p�o Cd7'X,STATE,7,LP
�SID�tC&PHONE BT)4,iNE�F�OIVE C1.4ffit.4�
Js�Ss r�vr� �9 7�) � ��' �8� 2 _
)TALNUM��i.OF RQt111dS: `
�M YTSIs: I. � �-� 2. �-�3 �-� '-'-�.�C . �
6. �r 7. L��i•�,�, S. ��ti/� 9. 10.
�ttEIS AFtNTY($50)IIOLLABFBE,PA7CAB7�H7t C,�C�O%CD�OPIEXORDIItT�D 1�B�CA1'Y OF SALEM
)ARU.O7F HEAL�'IITffi3�'BHI3 PAYAB�1`�ifSOF INSPE�TII�N
'PLIGADIT'S SICsNA'�CJRE �'�� DATF � � �
InsaectoFs use unlv
.������ �-�.�,I��- ���,: �-� l
-.����:�of��: .�� ���: -
peofumr Dwelling.�„�Oti� Clteck#_��CJuekddfe:
t�s:
3c finforc�ueat Taspea�o�r
207Q-0G2Y2L'Lt 978745Q343 ' Page1
:- - �' �
� " � � CITY OF SALEM, MASSAC.�IUSE I I'S
�e-�,� Bo�x�or�Hr�i:rrr '
12�W:ASHINGI'ON STRI3ET,4���FLOOR
KfIvIB]�IZL.rY L�RISCOLL TLt. (978) 741-1800
M��1 OR � r.a� (978) 745-0343
lcamclin=salem.cotn
I.ABRY RA\NIN,RS�RI�;I fS,Cl�lb,(:P-I�S �
H r�:,-��,fI-r AG I_,N'P
CERTIFICATE OF FITNESS
CERTIFICATE#473-11
DATE ISSUED: 11/14/2011
Property Located at: 70 Linden Street UNIT# I
Owner/Agent: Eric Easley
Address: P.O. Box 4542
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
Nealth and the unit may now be rented and/oc occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Cert�cate valid for one year from date of issuance or until the current tenant vacates, whichever
is latec
This Cert�cate of Fitness is valid only ff there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
�,r�`ti'""
LAR Y RAMDIN
�
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I .
_,.�.
"• Y� p CITY OF SAL�M, MASSACHUSET"TS •
�' BO�RD(7F HLr1LTH �� //� J�
��
120 Wt�s�-rtNc��oN Sr�r��,4"'Fr.00x j ���
'I'�L. (978) 741-1800
KIMB�RLL:Y DRISCOI.I., F.�x()78) 745-0343
MAYOR �ciee;i:Nisn��edn�sni.iax.COM
D.1�'ID GR�ENB.�U1f,RS �
i ACTING HEdLTH AGENT
Application for Certi�cate 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 %� �^`>"y^' S6 5��... /�(.d- UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE OIVE
OWNER/LESSER G���-c �s� � MANAGER/AGENT
NO P.O. BOX
ADDRESS ��. �o� �.S"�YZ ADDRESS
CITY, STATE, ZIP ���," /7'I/�- d!�o CTTY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE�g�I �ys'— ��� Z
TOTAL NLJMBER OF ROOMS: '
ROOM USE: 1. ��X 2. !�� 3. I].E'1C 4. �� 5. � � %J
6. � ,... 7. ;v' 8. 9. � 10. . ,e-t
.
THERE IS A F1FTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH TAIS FEE IS PAYABLE AT THE TIME OF IN ECTION
APPLICANT'S SIGNATiIRE ��� � DATE �� `I °�
' Insnectors use only
i
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: �1 I�y l I Date fee paid: // �/
Type of unit: Dwelling�Other Check# '7�1/ Check date: /
Notes:
Code En cem t Inspector
�
>. �
• • CITY OF SALEM, MASSACHUSETTS
� � BO.�RD()F HF�ILTH
12O WdtiHINGTON STRE�T,4�"FLOOR
TEL. (978) 741-1800
HIMBERLEY DRISCOLL F�x(978) 745-0343
MAYOR �c�ar.c,NnnoM�sniasna.con�
D��vio G1t[:[sNs;�u�t
ACLING HF.AI:11-I AGE:NT
CERTIPICATE OF FITNESS
CERTIFICATE#192-10
DATE ISSUED: 4/28/2010
Property Located at: 72 Linden Street UNIT# 1
Owner/Agent: Henry Kantorosinski
Address: 84 Linden Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dweliing/Rooming Unit at the above address has been approved
and is in compiiance 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�y✓� (J`'�---
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
.• � + CITY OF SALEM, MASSACHUSETTS L�� ) �
B0�1RD OF HE�ILTH
120 WasHINGTON STxEE'r,4"'PLoox
'i'Fr.. (978) 741-1800
KIMBERLEY DRISCOLL F�(978) 745-0343
MAYOR ucxe.r:Niinani(r�sni.sM.COM
DaviD G��sauM,
ACTING HF�ILTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION."
FEE: $50.00
' PROPERTY LOCATED AT I1i L /NI�rN S i UI�JIT# /
IS THIS U1VIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER_/fE�✓�Y l:llN�/��Of�/✓SK� MANAGER/AGENT
NO P.O.BOX I
ADDRESS �� Lliv.DEN SY ADDRESS '
CI'TI', STATE,ZIP 3'_ f�G� Mkjl O�R�� CTI'Y, STATE,ZII'
RESIDENCE PHONE �l�7�'— �ff�- p�r� BUSINESS PHONE(24HRS) �
BUSINESS PHONE II
TOTAL NUMBER OF ROOMS: I
ROOM USE: 1. 2. 3. 4. 5.
r 6. 7. 8. 9. 10.
lTHERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
i BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLIGANT'S SIGNATURE I�/iY�l �a+1� �'�S� �'�i DATE �" L�����
�
Inspectors use only
I Date on initial inspection: a l�U Date of reinspection:
Date of issuance of certificate: a �L) Date fee paid: � � � U
Type of unit: Dwelling �her Check#�Check date: y G?8��6
Not�: -rr � ��.•, �+ � �c hrhiib.r i � � v� �
inlin��W ln ���1��h�1� �'v, i� �� fti�. . �ti �l�ih�'��u16 ��1
htict lcPr 1,��,��� �n sl-c�z i�ic�l . �
�-�i t„o�K_
C e E orcement Inspector
i __.____-_...._.v___.__' �- . -, , __ . '� - . . . f -:.�t�"fi�' +`�-T�-... .r.._.......
� ; � .. � . . .- .
,� � ����Tti4p CERT.# 511-99
���: �
r � FEE $25.00
9
� � DATE: 09/07/99
a3 ����MIN6
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: 76 Linden Street UNIT #: 3
OWNER/AGENT: Edward & Mary Flot
ADDRESS: 76 Linden Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE; 745-3662
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVHD AND IS IN COMPLIANCS 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 ChIIt 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (%) AND 410.400 (C) : ROOMING UNIT ( ) .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . �
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH TAE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 976-741-1800. �::Q
�FOR THE BOARD OF HEALTH
7q/ i���� V
' O�Yf�SC�OTT, MPH,RS,CHO � �
� HEALTH AGENT CODE ENFORCEMENT INSPECTOR
-
. .
_..
f�, . ' g�CONDIT
5�� ��`°� ,j l 1-c1
� U
n �
e 5 _
����M�N6��.
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 / (0 �� ��� s � UNIT# �
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER L�U� �' ��d� MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS rI ` � � �✓'��-- S �' ADDRESS
CITY ✓/� ��� �/� CITY
RESIDENCE PHONE 7 �S�' �C12 BUSWESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: � �"t—
�
ROOM USE: 1. 2. 3. 4. '7—
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 WSPECTION.
APPLICANTS SIGNATURE � DATE / �,� f I
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �— � '� f DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE t- 7 C�DATE FEE PAID: (�— � '�f
TYPE OF UNIT: DWELLINC�OTHER_ CHECK #�� 3�CHECK DATE��Z__�/G
i'\
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
,
i{
' ,
t.�
• � � CITY OF SALEM, MASSACHUSETTS
�'� ; B0.�1RD OF H&�LTI-I
� 12O W�ISHINGTON STREET,4"'FLOOR
TeL. (978) 741-1800
KIMI3ERLEY DRISCOLL Fas(978)745-0343
MAYOR �uroNNF:(r�sn�a.���.c'ou
JAN I�:I'DIONM�: � .
AC:7'ING Hf?r\l;l'1-I ACIr.N'1'
CERTIFICATE OF FITNESS
CERTIFICATE#580-08
DATE ISSUED: 11/78/2008
Property Located at: 79 Linden Street UNIT#Right Front
IOwner/Agent: Joyce Furey
Address: 63 Moffatt Road
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�fHE BOA HEAL�H
i��,�, � �
JANET DIONNE �
ACTING HEALTH AGENT CODE ENFORCEMEN PECTOR
� • "+
�
. � /���
� � CI:T'Y OF SALEM, MASS�CHUSFI'1"S �
'����r�'� t3c� �itn c�r[It �t;rtr
� �,� 120 W1�strm< r<�N Si iti i r h„E�Y oo�z
i� r.. ����8� 7ai-�soo
K1i��fB13RI,Es1'I�RiSCOLL F�(J78j 745-0343
1�I�YOR inio�Nr:(n�se�Leni.CQn�I
J;\Ai Ir:'I'D I<>NN If;,
S�_hioii S:wr:r.�iir.��
Application for Certificate of Fitness
I IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 1 l, 105 CMR 410.000
"MII�IIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTYLOCATEDAT � � h�✓�lX2� �� �� 1—�1/�✓L � UNTT#
IS THIS UNIT DISIGNATED AS RiGHT LEFT FRON OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER > ('�,�-1 MANAGER/AGENT
NO P.O.BOX nT\ .
ADDRESS ���(� '�� 1�6) ADDRESS
CITY, STATE,ZIP �\�Cn^ � DI��CITY, STATE, ZIP
RESIDENCE PHONE � SC�� �Uy ' � 7C�BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE� I - I �S-D v
�� II1SpeCtOfS uS8 Only
Date on initial inspection: �� -18'•�� Date ofreinspection:
Date of issuance of certificate: �1' 18`G� Date fee paid: I l-I �'a�
Type of unit: Dwelling ✓ Other Check# S �� �i Check date: �)� Il•oY
Notes: � NS rG,l V� C�i �t,���a'��- Ov`�ifa i�- ��A4-aoe�nf•
1'ajSS��n, \=1C��OR.c*��, 'F��Sc.1,.,�c+ - S� ii�):
0
Code En orcement Inspector
I FE `�
�
J
,�� `� � CTTY OT SALE1�1, MASSACHUSF_.I"1'S
a�����l I3���ki�or I li ��:rn
�;"',, „�
120 WnsFnn<,�u�S�i.>> 2,4'"`EY ooR
�
'IEC.. (978) 7�41-1800
KIMB�ItI.EY L�ItISC<�I.L FaY(973j 745-0343 �
IVLAS012 in�oNNE;ua�u ena.COn�t
),wi:rDtotv�F ,
SGIVIOR S:W1:G\RI:\V
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 orinjury sustained ofwhatever nature and description occasioned by my/out absence
during said inspection.
a �
n of
Tenan essee Owner/Lesso �—
�
� I- b� �n���-�-�
Address Address
7 � ��� ��
Address on unit to be inspected
11- � � - D`6
Date
r
' ' � CITY OF SALEM, MASSACHUSETTS
` - � `� �,� BOARD OF HEALTH .
s iZO WASHINGTON STREET, GTH FLOOR
�� SALEM, MA 01970
Te�. 978-741-1800
Fnx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#34-06
DATE ISSUED: 1/24/06
Property Located at: 86 Linden Street UNIT# 1
Owner/Agent: Henry Kantorosinski
Address: 86 Linden 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.
I Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
��� �
R HO �
JOANNE SCOTT, MPH, S, C
' HEALTH AGENT CODE ENFORCEMENT INSPECTOR
•i� �� � �"'q, �.,.. , p
Z '-'. ,�.p, CITY OF SALEM, MASSACHUSEfTS �
�1 BOARD OF HEALTH �7 1 �,�D
� • 120 WqSHINGTON STREET. 4TH FLOOR ��i
SALEM, MA 01970 �/
TEL. 978-7q�-�800
Fax 978-745-0343 -
_ STANLEY USOVIGZ, JR. JOANNE SCOTT, MPH, RS, CHO � �
MAYOR HEALTH AGENT
�; � sT �—
�,�e G/o � -2
APPIICATION FOR CERTIFICATE OF FITNESS
' IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HADITATION".
PROPERTY LOCATED AT ��o L J�v,j��,� �f— UNIT N�
IS THIS UNIT DESIGNATED AS RIGHT� FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER fI'E�'R� KAN�b�401/N Kl� MANAGER/AGENT
No P.O. Boxp No P.O. Box
ADDRESS_d�o L/NOI"N S' ___ADDRESS
CITY s�q�/ CITY
RESIDENCE PHONE__ __a11SWESS PHONE (24 HRS.)___
BUSINESS PHONE
_, ----
TOTAL NUMf3ER OF ROOMS: i
ROOM USE: t. f�—'� 2. C�;' 3.__�._ q �
5.�-6.�7. g.
THERE IS A TWENTY-FIVE ($25.00) UOLLAR FEE, PAYABLE BY CHECK OR h10NEY
ORDER TO THE CITY OF SALEM HEA�TFi DEPARTMENT THIS FEF IS PAYABLE AT THE
Tih1E OF INSPECTION.
t
APPUCANTS SIGNATUR Eh // / /
� / -
' � — �L�J/l�lK_i---- DATE_1.__'��-�'Q kJ
INSPECTORS_USE ONLY
DATE OF INITIAL INSPECTION__l���- O� _DATE OF REINSPECTION
__ .._ _.....
onT� or issur�NCE oF c�r�rir-ic�1�/'d�%' -D & onr� F=�r_ r�ni� %- a- y�_-v �
TYPE OF UNIL DWEL�ING�/ OiHER CHECK �! 7 7 3 CHECK DATE � Ja" � �� �
NOTES
%\
COD� LNFORC[MENT INSPEC1013 9/2ki/98
� � � CITY OF SALEM, MASSACHUSETTS
. ; BOARD OF HEALTH
� s �ZO WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
� Te�. 978-741-1800
STANLEY J. USOVICZ, JR. Fnx 978-745-0343
MAYOR W�•SALEM.COM
i JonNNe Scorr, MPH, RS, CHO
HEALTH AGENT
10/18/05
Henry Kantorosinski
84-86 Linden Street
Salem, MA 01970
PROPERTY LOCATED AT 86 Linden Street Unit 1
Dear Sir/Madam:
I It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 17,Article Xlil 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 tenanPs entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
r the Board of He th Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
�ND� City of Salem, Massachusetts i
; ,
� . . r � � '�
� m Board of Health ,
120 Washington Street, 4th Floor, Salem, PublicHeslth
MA01970 PrevenL Promoh. Pro[ect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,cHo
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-196 '
DATE ISSUED: 6/3/2016
Property Located at: 80 LINDEN STREET UNIT#
Owner/Agent: Carolyn Ross
Address: 34 Lantern Lane
City/Town: Weston, MA Zip Code: 02493 24 Hour Phone:(781) 373-2700
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
�-`,��-'�--�,
ffr R�
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
r
CITY OF SALEM, MASSACHUSETTS v
� ' BoaxD oF H�u,�
l20 W+ISHINGTON S7REET,4'"F7.00R r,...�mH.��
-0343
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• NIAYOR Hii,u,Tl�AG&N7'
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE�SANITARY CODE, CHAPTER 11, ]OS CMR 410.000
"MIN7MUM STANDARDS OF FITNESS FOR HUMAN HABITATTON"
FEE: $50.00
PROPIItTY LOCATED AT l�V �, l\l���� v� � UNIT#
IS THIS UNI7'DISIGNATED AS xt1CHT��t0��R BACK.PLEASE CIItCLE ONE
OWNER/LESSER l�4/� MANAGER/AGIIVT
NO P.O.BOX I
ADDRESS ��` � ) i�lti-e- ADDRESS
crn�, STATE,ZIP �-��J�1 crrx, STATE,ZIP VUI�A d2`�-�3
RESIDENCE PHONE ��S I—�� 'Z� BUSINESS PHONE(24HRS) 1C7��— 1� �X--,�2
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
ROOIvl USE: 1. 2. 3. 4. 5.
7 8 9. ]0.
THIIZE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO Tf�CTlY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT Tf�TIME OF INSPECTION
APPLICANT'S SIGNATURE �.a1� DATE � Z �b
Ir�ectors use onlv
Date on initial inspection:��2,�2l�.Z� Date of reinspection:��
Date of issuance of certificate: Date fee paid:6S`"�9 2/2rJ16
Type of unit: Dwellin Other Check# �� -t . Check date: OSY12���>6
Notes�Sc���'�ache�
C e o ent tw
C-c',,olv/) 16
tnspectian of� 0.k4�'� Date ��p�ZQ.0 Time �F�(un
Name (j Address d/�' � � �p/2
Owner� � I�0 �S Tel. No. 1� � I 7'"Ob/ �
/^ 1� ,�L p
Type of Inspection l_CP7 I. �Pd�e [i� �!1�e.SS Inspector ��V�v 1'SG
( ' 1 Remarks and Violations are listed below: �
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From: Sales[supply@vintagetub.com]
Sent: Tuesday, May 31, 2016 10:32 PM
To: Carolyn Ross
Subject: Vintage Tub & Bath: New Order# 10036632
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ordec If you have any questions about your order please contact us at customerservice(�vintaqetub com or call us at I
877.868.1369 Monday-Friday, 9am-5pm ESL
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34 Lantem Lane
'� Weston, Massachusetts, 02493 i I, Credit cara rype: MasterCard , i
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Carolyn
From: Sales [supply@vintagetub.com]
Sent: Tuesday, May 31, 2016 10:32 PM
To: Carolyn Ross
Subject: Vintage Tub & Bath: New Order# 10036632
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Hello, Carolyn Ross l
, Thank you for your order from Vintage Tub& Bath. Once your package ships we will send an email with i
� �� a link to track your order. If you have any questions about your order please contact us at
i customerservice(�vintaqetub.com or call us at 877.868.1369 Monday-Friday, 9am-Spm ESL I
Your order confrmation is below. Thank you again for your business. I
�
�, YOUf Ofd2f'��0036B32 (placed on May 31,2016 10:32:02 PM EDT) I
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IWeston, Massachusetts,02493 � credi[card rype: MasterCard i I
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. � CITY OF SALEM, MASSACHUSETTS
�� � BOARD OF HEALTH
�ZO WASHINGTON STREET, 4TH FLOOR
� SALEM, MA 01970
TE�. 978-741-1800
Fnx 978-745-0343
Kimberley Driscoll WWW�SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#344-06
DATE ISSUED: 7/5/2006
Pro ert Located at: 89 Linden Street UNIT# 1
P Y
Owner/Agent: Coca Ramirez
Address: 89 Linden Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-3060
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
fe
A � � /'
� , � j J
„] ,/�'{ i�e,': :r
�.i a.�.� V.
JO NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�
/ • ,. ,
i
!
q, � CITY OF SALEM, M�SSACHUSE7TS In�� �
y BOARD OF HEALTH l/ � /`
� • 120 WASHINGTON STREET, 4TH F'LOOR �
` SALEM, MA 01970
TEL. 9"!$-I41-1800 �
� FnX 978-745-0343 �
JonNNE ScorT, MPH, R5, CHO -
Kimberley Driscol� 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 HIiMAN HABITATION".
PROPERTY LOCATED AT _ S� UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�'QC�4 ��.�,{ i 2 e Z MANAGER/AGENT
No P.O. Box / No P.O. Box
ADDRESS�� o� I N�p rN S7 Z ADDRESS
cirv�����.Nl � - �7 / 97� ciry
RESIDENCE PHONE�� ��F/ 3d 6dBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1._�_2,�__3._�4.___�_
5. �"J 6. 7. 8.
3 THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
T(ME OF INSPECTION.
APPLICANTSSIGNATURE���. _DATE 7 S—D �
INSPECTORS USE ONLY
DATE OF INITIAL �NSPECTION 7`-'J �v�___DATE OF REINSPECTiOiJ
DATE OF ISSUANCE OF CERTIFICATE��.� "_6 � DATE FEE PAID: � S � v �
TYPE OF UNIT: DWELL�OTHER__ CHECK #�3�__CHECK DATE �_ .� "�b �
�/�, --
NOTES:
CODE ENFORCEMENT INSPECTOR g�28�gg
�
i
,
:.R
. __ ,
� . �.
� � �' � � � CERT.# 740-99
r 3t FEE �$25.00
����' ' ��F DATE: �12/10/99
��. �1,
��
CITY OF SALEM BOARD OF HEALTH '
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO � NINE NORTH STREEf
' HEALTH AGENT Tel:(978)741-1800 �
Fax:(978)740-9705 '
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 93 Linden Street UNIT #� 3
OWNER/AGENT: Peter Polemenakos
ADDRESS: 76 Fialker Road - � � � �•
I CITY/TOWN: SwamPscott, IdA ZIP CODE: 01907 24 HOUR PHONE: 592-3794 � � �"- �
PN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVB ADDRESS -HAS
BEEN APPROVBD AND IS IN COMPLIANC$ WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, TAIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF AEALTH 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 HUMAIQ HABITATION" . �
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT ( ) . .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL D08S 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 �
� i� (j�� V
- 0`"�TT, MPH,RS,CHO �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
.�
1 ,�
�o�T 9
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= �
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�s�c����
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 LOCATEO AT ��.r L� M �/I- p/�I UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSF��Ra"�K.�D� . �� NAGER/AGENT
No P.O. Box �C� �� Q �O. Box
ADDRESS � ADDRESS
CI� �U�� �S �677 4 � ��ITY
' RESIDENCE PHONE�� �� ��Z��BUS1NESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: r� �2
, ROOM USE: 1.(�Q�.�3.�C?[�c�4. ed�!"6o
5��6. 7. S.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SA M HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR �'GC�''�'�/ DATE� �
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION � -/D ��DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �/0 � DATE FEE PAID:��- � �� ' ��/
TYPE OF UNIT: DWELLING OTHER_ CHECK#—�{-��CHECK DATE r a� "�b -`l y
� �L18�-ypu�7 6"9 t�/O o
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
4 ' `'vg�;co� CITY OF SALEM, MASSACHUSETTS
,�S � �q�, BOARD OF HEALTH
�;1� � 720 WASHINGTON STREET, 4TH FLOOR
� �\`� �lpo.'' SALEM, MA 01970
�'�d�y����� TEL. 978-741-1800
� FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM,COM
MAYOR
JOANNESCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #220-08
,
DATE ISSUED: 5/15/2008
Property Located at: 98 Linden Street UNIT# 1
Owner/Agent: Thomas Doyle
Address: 53 Gallows Hill Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 97&836-8471
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 T�D OF EALTH
J
JOANNE SCOTT, MPH, RS, CHO ��k�"Ci�R.`��.�t.�C�a�
HEALTH AGENT E ENFORCEMENT INSPECTOR
� t
: : . a�.°�
� CITY OF SALEM, MASSACHUSETTS
• • B0�1RD OF H&1LTH
1ZO WdSHINGTON STREET,4"'FLOOR
� TEL. (978) 741-1800
HIMBERLEY DRISCOLL Fax(978) 745-0343
l�1AYOR Isco'rr�sni,rnT.COM
J0�1NNE SCOTT,
HFar.TTi AGENr
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HLTMA HABITATION."
PROPERTY LACATED AT �� L� "���r� S� �� ' UNIT# �
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE �
OWNER/LESSER �nrnikS l�oY(.e MANAGER/AGENT
NO P.O.BOX
aDDxEss 53 _ ��u.�;�:>s N�I ) P-� �D�ss
CITY,STATE,ZIP S�A1,E4n � mq Ol�� � CITY,STATE,ZIP
RESIDENCE PHONE�'I $ 1 �d S 1 U �' BUSINESS PHONE(24HRS) 9 � � �3(n ��7�
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
ROOMUSE: 1. D�a�a6 Z, U��.�6 g, �C��-c1w� q �eoRoa. S.�je�'�.
6. 7. 8. 9. 10.
THERE IS A TWENTY-FIVE($25)DOLLAR FEE,PA LE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH THIS FEE IS PAYAB THE TIME OF INSPECTION
APPLICANTS SIGNATiJRE !C.-• DATE �� � s� �
Inspectors use onlv
Date on initial inspection: �I �J/�� Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#��Check date: � _
, tvotes: �� iaNnc�a� in �t�,V�an �S Sc�('�eXl ou'� i�1
�
de Enforcement Inspector
a
� �
• • CIT'Y OF SALEM, MASSACHUSETTS
�� B0�1RD OF HE�II.TH
i
12O Wt1SHINGTON STREET,4"�FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOI.L FAx(978) 745-0343
MAYOR iscorr(c�sni.t�na.COmi
JOdNNE SCOTT,
HF�ILTH AGENT
CERTIFICATE OF FITNESS
C -
ERTIFICATE#2
95 08
DATE ISSUED: 6/24/2008
Property Located at: 104 Linden Street UNIT# 1
Owner/Agent: Dianne Springer
Address: 23 Colgate Road
' Cityffown: Bevedy, 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 compiiance 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
`' �
J ANNC���3COTT, MPH� RS, CHO
HEALTH AGENT CODE FO CEME TINSPECTOR
4
.
� • � 8 CITY OF SALEM, MASSACHUSETTS �
Bo��oF H�.TH aqs �
� � 12O W�SHINGTON ST�ET,4"'FLooR
TEr.. (978) 741-1800
KIMBERLEY DRISCOLL Fax(978) 745-0343
MAYOR isco'rr e snt.EsnT.CObt
JOdNNE SCOTT,
HF.�U�TH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
FEE: $75.00
PROPERTY LACATED AT I U�1 L\����� UNIT#
IS THIS U1VIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �Cs,.'cl'6� � \"f� ' 2 MANAGER/AGENT
I ADDRESS di�� ��0.�� ADDRESS
CITY,STATE,ZII' +�ev A.c.� CITY,STATE,ZIP �"� Y�' U 1CI �S
RESIDENCE PHONE � � a ���'a5 `�R37 BUSINESS PHONE(24HRS)
BUSINESS PHONE q� � - 3��{ -Sa� a.
TOTAL NLTMBER OF ROOMS: 5
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FI . 5)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CTI'I'OF
SALEM BOARD OF HE TH T FEF,�IS PAY L AT THE TIME OF INSPECTION
APPLICANTS SIGNAT E DATE � a1 U�
ct se onl
Date on initial inspection: (,-1.�1 'a Q' Date of reinspection:
Date of issuance of certificate: �'Z-7 •�F Date fee paid: � ' Z�1 ' �F
Type of unit: Dwelling `� Other Check# 1 Ffo� Check date: ` 'Z1 '�'v
Notes: ��.P�l�iti- '�D-o�L�vs' u��aCtU ia ��.�"p - R�R�q�.�, er�S����, 5����,a
�
ode Enforcement Ins ector
P
r
x
� �
' � � CITY OF SALEM, MASSACHUSETTS
Bo�Rn oF H�Tx
120 WdSHINGTON STREET,4`"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL F�(978) 745-0343
�ypR )sco'rr(r�snr.sht.COM
JOdNNE SCOTT,
HF�1LTT-I AGENT
Release
In acwrdance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitazy Code Chapter II and Article XIII ofthe 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 acwrdance with the aforementioned statutes, regulations and ordinances.
In the event rt 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 Boazd 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
s
Date
. , . ,
-
` . ��r � �y� � � CERT.# 284-96
r 3 � k. FEE $25.00
�1)� . �(F'� DATE: OS/13/96
I ���J
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEAITH AGENT Tel:(508)741-7800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 104 Linden Street UNIT #: 3
OWNER/AGENT: Jeffrev Sorinaer
ALDRESS: 104 Linden Street /
�
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7954
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS ZN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIM[TM 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, "MINIM[JM STANDARDS OF FZTNESS FOR HUMAN HABITATION" .
SECTION 410.40D (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UIVIT ( ) .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR �
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
/ ., a�
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/ L,.,.:,,, /, .�
`-�,.:i' °-�r-'_+.ti.. �-'w:.�.__t'.. ' �k....
V `•��' ��;;
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
-
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GITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATI FOR CERTIFICTE OF FITNESS Fax:(soa)7a0-9705
IN ACCOEtDANCE WITH STATE SANZTARY C DE, ,CHAPTER II, t05 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABI TION". ,
PROPERTY LOCATED AT I�`-1 ( jN�'�JI �C� _[TNIT l � 3
� OWNER/LESSER��x ��II�C�— MANAGER/AGENT �
ADDRESS �(}L� LJAI�_`X � ADDP.ESS
CITY�� ' CITY _
RESZDENCE PHOIIE !'[ 5 ���� BUSINESS PHOfIE �24 HItS.) _
BUSZNESS PHONE (gt� c�-�� —�`�� —
TOTAL N[R�ER OF ROOMS: �
ROOM USE: (. ��� 2. L--� V 3. IT�T(. 4 . '���
5. 6. 7. 8.
TgERE IS A THENfY—FIVE �Z5.00) DOT.LGR FEE, PAYASLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEH HEALTH D PARTtL:NT THZS FEE IS PAYABLE AT TflE T]Z1E OF INSPECTION
APPLZCANTS SIGNATIIRE i� DATE —
INSPHCfORS US@ ONLY
2 — Cy / TION
DA'CE OP REINSPEC
DATE OF INITIAL
INSPECTION: IO —
�'_�,..J__—L—
DATE OF ISSUANCE OF CERTIFICATF.:���3 -�/�, DATE FEE PAID: �� `: ✓�
TYPE OF UNIT: DWELLING� OTHER
NOTES: _ —
CODE ENFORCEMENT INSPECTOR
;
..�:
. v��gONDiT
' nc � ��' CERT.# 285-01
� 3 � FEE $25 .00
�s,�� �..... � DATE: 06/06/2001
���
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, FS,CHO
HEALTH AGENT 120 Washington Slreet 4th floor
Tel: (978)741-1800
Fax: (978)745-0343
CERTIFICATE OF FITNESS
FROPERTY LOCATED AT: 106 Linden Street UNIT #: 1 �
OWNER/AGENT: Thomas R. Doyle
l,IJDRESS: 106 Linden Street #3
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-5109
FN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCS 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 IfUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT O . .
[4INIMUM 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
`i�'�`�'�� V
JOANNE SCOTT, MPH,RS,CHO �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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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 ree�s�e��a�-isoo
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 i 6 6 . L�� ��� SI UNIT# �
IS THIS UNIT DESIGNATED AS IGHT LEFT F ONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�TNOmAS VZ- 1�. y = MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS�06 Li..1 oEN �si 1� � ADDRESS
CITY �ALEm CITY
, RESIDENCE PHONE�J78`�I`�0-�10`j BUSINESS PHONE (24 HRS.)
BUSINESSPHONE �o$ 31`1 �S3I
TOTAL NUMBER OF ROOMS: S
' ' ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE.($25.00)DOLLAR FEE;PAYABI:E BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH UEPARTMENT THIS FEE IS PAYABLE AT TfiE
TIMEOF INSPECTION.
APPLICANTS SIGNATURE� `t� �� DATE � - � -� I
1NSPECTORS USE ONLY
DATE OF INITIAL INSPECTION — �Q � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:�6��� DATE FEE PAID: 6 ' � �
TYPE OF UNIT: DWELLINC�OTHER_ CHECK# 01/� CHECK DATE 6 ( -a I
i NOTES:_13s9-7"�/Zr�-r- Ci�z�..� Gc�.,rt, - £..-�..�.�. ��,..�' —
I 9'//e lo.�..-
CODE ENFORCEMENT INSPECTOR g/2g/gg
� �
- - - �
,
' o+� CITY OF SALEM� MASSACHUSETTS
,;"� a.3R. BOARD OF HEALTH .
x o
`� � 120 WASHINGTON STREET, 4TH FLOOR
���� -�/�sAa. SAIEM, MA 01970
� � "'"�" (�� TEL. 978-741-1800
�p'�°� � Fnx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#260-04
DATE ISSUED: 06/15/2004
Property Located at: 106 Linden Street UNIT#2
Owner/Agent: Thomas R. Doyle
Address: 53 Gallows Hill Road
I CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: 740-5109
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in
compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter 11"Minimum Standards
of Fitness for Human Habitation".
Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and
the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certifcate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF/� ,HEALTH _
�r.acCy('—
JOANNE SCOTT, MPH, RS, CHO � �J�
HEALTH AGENT ENFORCEMENT IN R
let
� � ' �
' CITY OF SALEM, MASSACHUSETTS ��6 -0�
'� BOARD OF HEALTH
� � 12O WASHINGTON. STREET, 4TH FLOOR
� � SALEM, MA 01970
.fB TE�. 978-741-1 800
� �°� Fnx 978-745-0343 �
STANLEV USOVICZ, JR. �OANNE SCOTT, MPH, RS, CHO -
�MAVOR 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 �Q` L�a ��a ST UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER'r�+ornAS Q 7v4 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS�3 6Ftu..ows �{��,yefp ADDRESS
CITY �ry7 Frr CITY
RESIDENCE PHONE q7 '�4o-SI o 9 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 97$ �3 � �`'�7 �
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1. nPLa�M2. �aoo,�. K,�1�, q, i a�+� �0�^
5.Lan,.Ift�°"G. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM NEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
T(ME OF INSPECTION.
APPLICANTS SIGNAT� •� OATE 6 � �{�Q
INSPECTORS ONLY
DATE OF INITIAL INSPECTION G ���U_fl DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: G U DATE FEE PAID: G �3 /U S�
TYPE OF UNIT: DWELLWG _OTHER_ CHECK# �O �1v_CHECK OATE��3/v�
NOTES:
Ts -� / . �iuz
CODE ENFORCEMENT INSPECTOR g/2g/gg
i
.
i v�:coxw,� CITY OF SALEM� MASSACHUSETTS
�3' � � BOARD OF HEALTH
� i � . 120 WASHINGTON STREET, 4TH FLOOR
� � �r��o� SALEM, MA 01970
��._`v� TEL. 978-74 1-1 800
���
� FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNESCOTT �
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#266-08
DATE ISSUED: 6/5/2008
I Property Located at: 106 Linden Street UNIT#3
Owner/Agent: Thomas R. Doyle
Address: 53 Gallows Hill Road
CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-836-8471
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 Standerds 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 yEALTH
.k`J=�d�f'J(" t
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFO CE INSPECTOR
' t
`�, " � ��,,
i ' ,,,� °�� �; ��„��
CITY OF SALEM, MASSACHUSETTS
��'��.-�* �,?'�l
BO.�RD OF HE.�LTIi
I `�?��,� 120 WasxivcroN ST��T,4T"FLooa
� ._._
TEL. (978) 741-1800
KIMBERLEY DRISCOLL F.�i(978) 745-0343
M.�YOR � r > i c,,,,'�� .__i;COtit
JO.�NNE SCOTT,
HEdLTH AGENT
Application for C'ertificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
PROPERTY LACATED AT � D(c /-.1�1 DEsJ' ,�' QEE7 ` UNIT#�
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER_7i-Fen..a� YC• �o�/c� MANAGER/AGENT
' NO P.O. BOX
ADDRESS 53 C�q��uus I-�� II 2o ADDRESS
CITY,STATE,ZIP SA�EMr I✓IR Oi4"10 C1TY,STATE,ZIP
RESIDENCE PHONE q?� 7`(0 S10 9 BUS[NESS PHONE(24HRS) 4'7� �36 �/7�
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1. L�v ia 6 2, )��rc�/e� 3, QEne� 4. 5.
6. 7. 8. 9. 10.
THERE IS A TWENTY-FIVE($25) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS S[GNATURE �'�S� R �1'� DATE s a-q °�
Inspectors use onlv
Date on initial inspection: S '2�j -oC Date of reinspection: �' S '��
Date of issuance of certificate: 6 '$� Y Date fee paid: S''"�-R -��
, Type of u 't: Dwelling ✓ Other Check# /S 6 Check date: S''�-g go$
Notes: .i r1 8ip��a�,-Fs �1�worn c�3edrw,v� l,��ndnu� no� larr,he, nw(� nQa �15k1-
9tu no�i-�,roe w�n Ff - nq
�no,ow cr� st���� �fi brur�.n sash� �2g �h,n, K�i� ce-Q-l�'�J ha�.� Cn�.f��n3
� �'��� n�n �.oCe tla�e�to�Rx ho-1- �h wow-kAr��c o�n.
Code Enforcement Inspector `�� C/YY17� SYI�� 1V� �Wvvw•
�roC.a�� �14ss S����
� '
, �
� . ,,i�'9r�
,r � �';, CITY OF SALEM, MASSACHUSETTS
���fr4 i
BOdRD OF HE.�LTH
\V i,;,u. .t
��pyg� 12O W��15HINGTON STREET,4T"FLOOR
'`�_..'..-"
TEr.. (978) 741-1800
KIMBERLEY DRISCOLL F.�(978) 745-0343
Mi1YOR J,c.;r,-p(a,,;.;�,[:'::=',,COb-I
J0.�1NNE SCOTT,
H&-�LTH AGENT . . . . .
Release
In accordance with Massachusetts General Laws Chapter ll 1; 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
tenanUlessee 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.
���^— �' �
T nant/Les e Owner/Lessor
�D(� �-i.� oe,^' ���T
Address Address
�ob ��aoEa ���T �3
Address on unit to be inspected
S a9 dB'
Date
; - -
_______ . .
�� . � y,.co�T'k��. CERT.# 491-99
- yry � "e,.�� FEE $2 5.0 0
� � DATE: OB/24/99
��'���
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO , NINE NORTH STREET
HEALTH AGENT Tei:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 107 Liaden Street UNIT #� 1
OWNER/AGENT: Wayne Hanscom
ADDRESS: 104 Broadway '
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 631-3321
AN INSPECTION OF,YOUR VACANT DWELLING/ROOMING UNIT AT THE AB0�7& ADDRESS HAS
BEEN APPROVSD AND IS IN COMPLIANC$ WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIM[JM 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 O .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOBS NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPP.NTS 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
_ \, _ . �-r -- S¢-.-ac-7'-�a_..__..�_.,...............,. _...
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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:(9�8)7a�-�800
Fax: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATI
PROPERTY LOCATED AT ���/,[/(�'� '��� UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER � � MANAGER/AGENT
� No P.O. Box No P.O. Box
ADDRESS �F ADDRESS
CITY 'e�.. C�TY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSI.NESS PHONE �v/ �3 ( ��� �
TOTAL NUMBER OF ROOMS:._�_
ROOM USE: 1. 2. 3. 4. .
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
+ ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE �
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �'�b �(r Y DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �-� '� �* y DATE FEE PAID:� 'l b � �
TYPE OF UNIT: DWELLING�OTHER_ CHECK# ��/ CHECK DATE�f�-F �
NOTES:
CODE ENFOFCEMENT INSPECTOR g/2g/gg
1
_,✓ _` . Page —ol _ , i
�� � SALEM HFJ�LTH DEPARTMENT �` ' '
a ?i_ 9 North Straet Date: I
•;��� Salem..MA 01970 .
��..�..r' /'
' ll� 7 � �u�c,�.P w S 7 �
� Name: Address:
' SpecAied Reg # Violation
, Time 410. . . .
� '
�J 2 .
l N S il, d • IG( l � K�
W '
W GL 2 �
Q cv 2 .P - e.
.� r U � w � „�, -� � ;
yv - e. .
c � . .
�wuest, s�� -� l?Q-PI� ce rt� I� .
/ ,
GU C� -P O U YL ' 11/ .
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S/�D��Q. 2�d/�- ,/��e% _ ;�GL
u��f Fid"il2'G �i1��F C' �i .ti � S /l / � .
�,,,.,� Page _ot _
� � SALEM HEALTH DEPARTMENT ' � ' "'Y;�
a 9 NoAh Street Date: .
�� Salem,.MA 01970 "•
•o �r
•,,,
Name: Address: .
Speci(ied Reg # Valation
Time 410. . . .
` '
�
I
. �" , v6�CONUIT
• , � � � CERT.# 528-00
< ,��,
� 3 FEE $25 .00
�j�,� . � DATE: 08/04/2000
�Q�MMB W
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-7800
Fax:(978) 740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 107 Linden Street - UNIT #� 3
OWNER/AGENT: Wayne Hanscom
ADDRESS: 108 Broadway
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 631-3321 .
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCS WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE ZS ISSUED BY THE CODE ENFORCEMENT DZVISION 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 HABZTATION" .
SECTION 410 .400 (B) : DWELLING UNTT (X) AND 410 .400 (C) : ROOMING UNIT O .
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: TAIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
. OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. �
� THE BOARD OF HEALTH � �� �
l��C,C..��i�'�"' � �
� JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�r . v���ONUfT ! � .� . .
. � � � ��
. � �
n �
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���MINE�
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)�41-t800
Fax: (978)7q0-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN MABITATION".
PROPERTY LOCATED AT �D� ����'�, UNIT# `3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS � 1'bQ ADDRESS
CITY CITY
RESIDENCE PHONE �� �3�USINESS PHONE (24 HRS.) _ �
BUSINESS PHONE � �C
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4.
5. 6. 7. S.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MQNEY - -
ORDER TO THE CITY OF SALEM HE TH OE T NT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE � ��
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION G��� DATE OF REINSPECTION ��C%o.2 7a �e,�.Tn/
DATE OF ISSUANCE OF CERTIFICATE: ���"a�ATE FEE PAID: (a�� ,� �
TYPE OF UNIT: DWELLING ✓OTHER_ CHECK# �P9- CHECK DATE_S� ����
NOTES: � '(e� ' rsi�a� ri 1 o�rlc .�.�e .L-� Aio %Iz na/
i .
C�,�-r�( /fatf.'--, /1¢ -:,�So_
���--� `�-,� ' /
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� CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO June 29, ZOOO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
Wayne Hanscom
108 Broadway
Salem, MA 01970
Dear Mr. Hanscom:
In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws,
105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 107 Linden Street#3 conducted by
Jeffrey Vaughan, Senior Sanitarian of the Salem Board of Health, on June 26, 2000.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code Chapter 11: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the
Salem Board of Health and the unit may not be rented or occupied until the noted violations have
been corrected and a reinspection has been made.
VIOLATIONS: SEE ENCLOSURE:
ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR
THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS.
Please note that some of the necessary repair may require permits for the Building, Plumbing,
Electrical, Fire or other City Departments. These must be obtained before the work is
commenced.
FOR THE BOARD OF HEALTH� REPLY TO
j-cfl����.e �Yt_
�anne Scott Jeffrey Vaughan
Health Agent Senior Sanitarian
Este es un documento legal importante. Puede que afecte sus derechos.
Enclosure
CERTIFIED MAIL Z 447 277 839
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, � SALEM HEALi}I DEPARTMENT
� 9 North Slreet
� Salem,MA 01970
� 4�-�'" State Sanitary Code, Giapter 11: 105 CMR 410.000
Minimum Slandards of Fitness for Human Habitation
Occupant: Phone:
Address: 107 LINDEN STREET Apt. 3 Fbor 3
' Owner. Wavne Hanscom Address: 108 Broadwav
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� Salem, MA. 01970
Inspection Date: 6/26/00 _ Time 10:00 AM
Conducted By: Jeffrev Vaughan q�mP�i� gY: B. Dunn
Anticipated Reinspeciion Date: Prior to rental
Speci(ied Reg # V"rolafan
Time 410. . . .
Certificate of Fitness Ins ection was conducted. Due to the
ollowin violations this unit did not ass and is not considered fit
or human habitation. This unit ma not be rented until the violat�on
have been corrected and this office has issued a Cert. of Fitness.
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One or more of the above violalions may endanger or malenally impair
ihe healih, safery and well-being or �he occupaNs(s)
—_� ___ Sr_Sanitarian ___
Code E orcementlnspeclor
Este es un documento legal importante. Puede que alecte sus derechos.
Puede adquiriruna traduccion de esta �orma.
APPENDIX II(14)
Legal Remedies for Tenants of
Residenfial Housing
The Collow[ng Is a brle!summary of some oC t6e legal remedles tenants may use ln order to get housing code vlolaUons
corrected: .
1. R .nt Wi hholding(Massacbusctts Genual Laws,ChapGcr 239,seclion 8A): IL Code Vlolallons Are Nat Being Corrected you
may be entided to hold back your rent paymcn�s.You can do this withou[bcing evicted i(:
A. You can prove tbat your dwelling unit or common areas eoniain code violauons whic6 are serious enough to endanger
or materially impair your healU�or safety and that your landlord I�ew abou��he violations before you were behind in:
your ren�
B. You did not cause the violaUons and Wey can be repaired while you continue to live in ihe building.
C. You are prepued to pay any portion ot the rent uito court if a judge orders you to pay i� (For�his, it is best to put�hc ,
rent money aside in a safe place.) _
2. Ren ir nd D ❑ +(Massachuset�s General Laws,Chaptcr 111, section 127L):The law sometimes allows you to use your�t .
money to make the repaits youcself.If your local code enforeemeat agency cenifies that tbere ue code violatioas which
endanger or ma[erially impair your health,safety,or wel}-being,and your landlord 6as received wntten notice of the violations; .
you may be able to use this remedy.If the owner fails to begin necessary repairs(or to enter into a writtco comract w have d�ec(r
made)within five days ahu uotice or ro complete repai�aithin 14 days after notice, you can usc up w four montLs'renc in any
year to make the repairs.
3. Retaliatoru Rent Increaus or Evictions Pmhihited(Missachusetts General L.aws,C6apter 186, section 18,and Chapter 239,. .
section 2A):Tt�e owner may no[increase your rent or evict you in retaliauon for making a complaint to your local code
enforcemeot agency about code violadons.[f the owner raises your ren[to tnes to evict within six montl�s after you have made
the complain4 he.or she will:hay.e to show a good rea3on for tl�e increase or evicuon which is unrelated eo your complaint. You
may be able to sue the landlord for damages of he or she vies tbis.
4. R n R reiv rshio(Massachusetts General L.aws,Chapter 1l, section 127 C-I-n: The occupan�s and/or tbe Board oC Nealih may
petiiion the District or Superior Coun to allow rent to be paid into court ratber tban to the owner.ll�e coun may ihen appoint a
"receiver" who may spend as much of Ihe rent money as is needed to correct the violauon. The receiver is not subjcct to a
spending limi�aaon of four monihs'rent -
5. Breach of Warrarity of Hahi�abili[v: You may be entitled to sue your landlord to have all or some of your rent rewrncd if your.
dwelling unit does not meet minimum standards of habitabili�y.
6. inf ir nd Decen�ve Pra ; rs(Massachusetts General Laws,Chapter 93A): Renung a�i aparunem witb cocie violations is a
violauon of the cons�mer protecbon act and regulaboos, for which you may sue an ovmer.
T6e inCormation presented atwve is only a summary o(the law. Qefore you decide lo with�old your rent or takc an} othcr
legal action, it is advisable that you consult an attorney. II you cannot atTord to consull an attorney, You should contact the
nearest legal services oftice, which is:
Neighborhood Legal Services
37 Friend St
Lynn, MA 01902
(617) 599-7730
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' � � SALEM HEALTH DEPARTMENT - "�
� 9 North Straat Dale: _ G�,�
.e44�r
� Salem,.MA 01970 �
Name: Address: ��7 L ;��� � ���,� � .
Specilied Reg tk Violalion
rme 410. . . .
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� SALEM HEALTH DEPARTMENT � '-
9 North Straet
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� � Salem,.MA 01970 '
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Name: Address: ��:��ti /�.-r �
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Time 410. . . .
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT . MBfCh 11, 1998 Tel:(978)741-1800
Fan:(978)740-9705
SWJ State Realty Trust
P.O. Box 8085
Salem, MA 01970
Dear Gentiemen:
In accordace with Chapter III, Sections 127A and 127B, of the Massachusetts Generai Laws, 105
I CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 107 Linden Street &2 Loring
Avenue conducted by Pablo Valdez, Code Enforcement Inspector of the Salem Health
Depariment, on March 2, 1998.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetis State Sanitary Code Chapter II: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from ihe Code Enforcement Division of the
Salem Heatth Department and the unil may not be rented or occupied until ihe noted violations
have been corrected and a reinspection has been made.
VIOLATIONS: SEE ENCLOSURE:
ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR
THE HEALTH, SAFETY AND WEIL-BEING OF THE OCCUPANTS.
Please note that some of ihe necessary repairs may require permits from ihe Building, Plumbing,
Electrical, Fire or other City Departments. These must be obtained before the work is
commenced.
FO� THE BOARD OF HEALTN REPLY TO
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JOANNE SCOTT Pablo Valdez
HEALTH AGENT Ccde Enforcemen� Inspector
Este es un documento legal hnpo:iante. Puede que afec�e sus derechos.
Enclosure
CERTIFIED MAIL Z 279 293 030
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CfTY OF SALEM HEALTH DEPARTMENT '
• 1`f �`,�' Nine North Street �I
`—"' Salem,Massachusetts 01970 li
Enclosure �
SWJ State Realty Trust
2 Loring Avenue
Front Haliway 1, 2, 3 Floors - Repair or replace missing balusters.
Repair window.
Unit 1 Right side - Evidence of a leak- investigate & repair or replace tiles.
All windows need lock and must open &close easily.
Unit 2 - Bathroom - Evidence of a leak- investigate 8 repair or replace tiles.
Repair toilet seat.
Repair wallpaper.
Unit 3 Replace missing electrical outlet cover.
107 Linden Street
Left side 3rd floor- Replace pantry light fixture cover.
Replace smoke detector
Repiace bathroom light cover.
Replace front door lock.
2nd Floor Left side - Repair sashr,ords on windows.
Repair broken storm window& replace lock.
Kitchen Pantry - Replace missing light fi�ure cover.
Ceiling evidence of a leak, investigate & repair or replace tile.
Repair smoke defector.
Living Room - Repair sashcord, replace lock and repair window so it opens & closes easily.
Repair or replace broken back door.
Bathroom - Repair broken sashcord & storm window Window mus� be �epaired so it opens &
closes easily.
Replace floor linoleum
NOTE: Inspect left side first floer.
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II CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Dat e: 9�Z��94 Fa�c:(508�740-9705
St�J State Realty Trust c/o Shawn Shea .
P.O. Box 8559
Salem, MA 01970
PROPERTY LOCATED AT 107 Linden Street UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above addresssss.
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 CME2 410.000; State Sanitary Code, Chapter 11:
Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11,
Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of
Fitness.
. There is a twenty-five (25) dollar fee payable by check, or money order to the
City of Salem Health Department. This fee is payable at the time of inspection.
Ins ction will not be erformed without recei t of ent.
Pe P P PaYm
, . 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 £rom 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
��'�/��/� .
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetrs 01970
� - - � .�t � _� 9 NORTH STREEf
5p8-741-1800 � .
DATE: March 15, 1994
SWJ State Realty Trust '
S.Shea W. Hanscom. J. Candelaria, Trustees
P.O. Box 8586
Salem, MA 01970
PROPERTY�LOCATED AT 107 Linden Street UNIT 8 2
DEAR SIRJMADAM:
- _ - - . . _....._.._ .
I It has come to�our attentian, that you are about to allow rental af 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.
Each dwelling unit �ust be inspected and certified by the Salem flealth Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B,
of_ the Massachusetts General Laws, ]OS CPIIt 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter .II: .Minim� Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.
There is a tventy-five (25) dollar fee payable by check, or money order to the Ci[y
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, wi11 resul[ in a fine of twenty �z0) doliars
per day for every day that the dwelling unit is occupied vithout approval of the
Code EnforcementDivision of the Salem Health Department.
Con[act this department withiri .24 hours of receip[ of' this no[ice. (508) 741- 1800
Monday thru Flednesday from 8a.m. - 4p.m. , Thursday Sa.m. - 7p.m. , or Friday Sa.m. to
noon to schedule an appointment for an inspection.
SSB SHCLOSBD SHCPIOH 105 (� 410.354 MBTSBIFG OF GAS 6 SLSCfBICITY
Verp LK{ily'you�s'�
FOR THE BOARD OF HEALTH REPLY T0:
r . -.�.'' PABLO VALDEZ �
��^^ � • Y�:'_';'- - Code Enforcement Inspector
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ACTING HEALTH e1GENT
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CITY OF SALEM HEALTH DEPARTMENT I
BOARD OF HEALTH . '
$alem, Massachusetts 01970 ��
I ROBERT E. BLENKHORN � 9 NORTH STREEf '�
1{EAITH AGENT
508-741-1800
DATE: March 5, 1992 I
SWJ State Realty Trust
S. Shea, W. Hanscom, J. Candelaria, Trustees
P.O. Box 8586
Salem, MA 01970
PROYERTY LOCATED AT 107 Linden Street/4 LorinR Avenue UNZT 0 2
DEAR SIR/MADAM:
It has come to our attecition, that you are about to allow rental of 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.
, Each dwelling unit .must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter lll , Sections 127A and 127B,
of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter li: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.
There is a tventy-five (25) dollar fee payable by checic, or money order to the City
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, will resuLE in a fine of twenty �20) dollars
per day for every day that the dwelling unit is occupied vithout approval of the
Code EnforcementDivision oF the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. �508) 741-1800
Monday thru Wednesday from 8a.m. - 4p.m. , Thursday Sa.m. - 7p.m. , or Friday 8a.m. [o
noon to schedule an appointmen[ for an inspection.
SSS SBCLOSSD SECTION 105 Clflt 410.354 MBTSBIAG OF GAS 6 ELECTRICITY
Very t�riily`yours,
FOR THE BOARD OF HEALTH REPLY T0:
���E � PABLO VALDE� �
Robert E. Blenkhorn, C.H.O.
Nealth Agent Code Enforcement Inspector
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CITl' OF S?,LEM
'�.ALTH DEPT'
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CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetis 01970
ROBERT E. BLENKHORN 9 NORTH $TREET
HEALIH AGENT
(617) 7at-1800
September 25, 1989
Jeff Miller
To Whom It May Concern:
According to the records of the Salem Board of Health a Certificate of Fitness
was not issued to property located at 107 Linden Street/2-4 Loring Avenue Apart-
ment ll7 in September 1988.
FOR THE BOARD OF HEALTH
�tr�7�'l l� - ��1�,��iir,.'� .," ' -L �L�
ROBERT E. BLENKHORN, C.H.O.
'. HEALTH AGENT