LIONS LANE LIONS LANE
f
w
I
i
I!i
I ,
o I
• r
CITY OF SALEM, MASSACHUSETTS
BOARD OF HF-ILTH
120 WASHINGTON STREET,4." FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR lMANCINTQSAL,Af.Co\l
JANET MANCINI.
ACI'ING HEAT:I7-1.AGENT .
CERTIFICATE OF FITNESS
CERTIFICATE#234-09
DATE ISSUED: 5/15/2009
Property Located at: 12 Lions Lane UNIT# 1706
Owner/Agent: Doris Ryan
Address: 400 Highland Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-2003
An inspection of your vacant Dwelling/RoomingUnit at the above address has been approved
PP
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JANET MANCINI
ACTING HEALTH AGENT CODE NFRCEMENTINSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEuTI-1
120 WASHINGTON STREET,41" FLOOR
'TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR JM,w(INIRSAI.@:M.COM
JANET MANCINI,
ACTING HF�NLTH 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
Z7/ NIT#PROPERTY LOCATED AT LIONS Aw
IS THIS U IT Y SSI�G�NNA)TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE.ONE
OWNER/LE
SSERJ/� yb1%(/ MANAGER/AGENT l s �� 1� /)PW6101.
ADDRESS /X / 1. I/l '�G' ADDRESS
CITY, STATE,ZIP—(I- CITY, STATE,ZIPRESIDENCE PHONE171 ) BUSINESS PHONE(24HRS) 221-
BUSINESS
2 -BUSINESS PHONE
TOTAL NUMBER OF ROOM'S/:
ROOM USE: L. J IVI, /N 2. PWiQf71 4. WImS. /� IV
.al A 8. iC/J7�9. 10.
THERE IS A FIFTY($50)DOLLAR FEE, PAYAB BYE CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS F E'I� YABLE TH TIME OF INSPECTION jj
APPLICANT'S SIGNATURE ( DATEdj/`—`7
Inspectors use only
s
Date on initial inspection: als G q Date of reinspection:
Date of issuance of certificate: S 16 q Date fee paid: A//,s/l/
Type of unit: Dwelling Other Check# J;� �� (P Check date: SLS
�4
Notes: (A VV04fr Wb JUCN6 (I g6C41, r
Code Enforcement Iens
CITY OF SALEM, MASSACHUSETTS
i • BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
K MBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREI?NBAUM@SAI Ii:NI.COM
DAVID GREF.NBAUM
ACTING Hi.;M.'n I AGENT.
CERTIFICATE OF FITNESS
CERTIFICATE #485-09
DATE ISSUED: 9/24/2009
Property Located at: 20 Lions Lane UNIT# 1804
Owner/Agent: East Coast Properties
Address: 400 Highland Avenue Ste. 11
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-2003
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.
FORTHR F HEALTH
I
DAVID GREENBAUM
ACTING HEALTH AGENT COM ENFORCENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH ��'�
120 WASHINGTON STREET,4."FLOOR
TEL. (978) 741-1800
K NIBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRF.ENBAUM@SAILEM.COM
DAVID GREENBAum,
ACTING HEALTH AGENT -
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
EE: 50.00
PROPERTY LOCATED AT CV d1J aA UNIT#
IS THIS UNIT ISIGNATE RIGHT LEtF r FRONT OR BACK, U PLEA CHIC NE
OWNER/LESSER rl//MANAGER/AGENT
NO P.O.BOX
ADDRESS ADDRESS
fast �aa�t �topettiee
CITY, STATE, ZIP webCITY, STATE,ZIP 400 Hi¢hland Avenue
� Salem, MA 01970
RESIDENCE PHON6Z///V BUSINESS PHONE(24HRS) 1978) 741.2003
BUSINESS PHONE
9 2JIZ SCI_ yi�G3
TOTAL NUMBER OF ROOMS: r
ROOM USE: 1. 7 211V1,01413. /n 4. Ae11L11 5. /�Dev/�
6. /44a& 7. 8. z 9. 10.
THERE IS A FIFTY($50)DO FEE,PAYABLE HECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS EE I F INSPECTION p
APPLICANT'S SIGNATURE DATEI'G
Inspectors use only
Date on initial inspection: '"I//��4 L4 nq Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#—/-679 q0Check date: 9//0 J0 9
Notes:
Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
r e BOARD OF HE,\LTH
120 WASHINGTON STREET,4°'FLOOR
TEL. (978) 741-1800
KIM3ERLEY DRISCOLL FAx(978) 745-0343
MAYOR ix;liVGN13AUM@SAJ.1.M.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
Tenant/Lessee Ow /Lessor
Address Address
Address on unit to be inspected
Date
aCITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 1, 2003
John Richardson
36 Lions Lane Unit# 1901
Salem, MA 01970
PROPERTY LOCATED AT 36 Lions Lane Unit# 1901
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
� �oanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector