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LORING AVENUE CORING AVENUE , I l r li is a a. .I i l ,h �r a� q CITY OF SALEM, VMASSACHUSETI'S Bw) Rt)OF HEALTH 1201w.\SHINGTON STREET,4"'FLOOR PublicHealth PmvN.Prornuw Prnlec TET.. (978) 741-1800 FAX(978) 745.0343 KIMBERLEY DRISCOLL Iramdinta salem.cam LARRY"li•\AIDIN,RS/RLI IS,(A K),Q)-FS IYLAYOR CERTIFICATE OF FITNESS CERTIFICATE#269-14 DATE ISSUED: 8/4/2014 Property Located at: 8A Loring Avenue UNIT# 1 Owner/Agent: Sam Fischer Address: 8 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-535-4067 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 It"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 41 L. LARRIF�MDIN VVV HEALTH AGENT SANITARIAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER 11. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" q FEE: $50.00 PROPERTY LOCATED AT �/7 �ei�G UNIT# IS THIS UN1T DIS/IGNATED AS RIGATitjdmoNT OR BAC PLEASE CIRCLE ONE OWNER/LESSER � u�I / %sem MANAGER/AGENT NO NO.BOX •�/ ADDRESS ADDRESS CITY,STATE,ZIP 5 144 Ol R?p CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) r7r Sas' yoZ 7 BUSINESS PHONE TOTAL UMBER OF ROOMS: ROOM USE: Z• 3 (d`rlffi, /4. % S 6. 7. 9 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 <� - C9 DATE Cly � 11 InsDectors use onlv Date on initial inspection: O 1 /��{ Date of reinspection: Date of issuance of certificate. Date fee paid: ) / 0/ Type of uy�' : Dw`ellin�gP� Other Check# nC /IX 1 Check date: �/ 11/1 Y tes: 7 i O�RCI�, lXJ C41attnA ( k( or �ifc�tnn i k vp -g fpCf S ger e.vr on,fe G4d rnmiv�, r, 4,p- i0m Luck, h- Ct 1 �cJf ..s,. m�UN� q�OI�SS r Code cement Inspector 9-03 &tletfrVP6 xl Syj 5v(TE 300 54,&Yl, In4 e197D E �aNL CERT.# 453-99 FEE $25.00 9! DATE: 08/13/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 8A Lorina Avenue UNIT #: 1 Front OWNER/AGENT: Sam Fisher ADDRESS: 203 Washington Street #300 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8932 AN INSPECTION OF, YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR rJrylryg 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITTNNESS�S FOR HUMAN HABITATION'. PROPERTY LOCATED AT 11 4 f Olp-W ��lt/uG UNIT#—I IS THIS UNIT DESIG(N^'ATED AS RIGHT LEE O BACK PLEASE CIRCLE ONE OWNER/LESSER CN4- r5dp/ MANAGERIAGENT No P.O. Box ,'/ / � No P.O. Box ADDRESS Z03(WaSk,4N tog, 3o'd ADDRESS CITY twirl . '/ CITY RESIDENCE PHONE cBUSINESS PHONE (24 HRS.) BUSINESS PHONE / ( 7'W_9' 3? -"- TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY r 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 '� - ( 171¢.I DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: q, 13 4t DATE FEE PAID: TYPE OF UNIT: DWELLIN64—OTHER_ CHECK# 1Z7 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 755-99 3 R FEE $25.00 DATE: 12/16/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741.1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Lorina Avenue UNIT #: 2 OWNER/AGENT: Arthur Richard ADDRESS: 12 Lorina Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-4344 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 (K) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD 0F HEALTH �. U4 ae� qj=otsc. OTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ae� 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 hk,1r UNIT# Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ( u MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /2 LAN-ki G✓2 ADDRESS CITY So te-m CITY RESIDENCE PHONE Zql-'16 Ld BUSINESS PHONE (24 HRS3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: �F ROOM USE: 1.1((jl:]6yn 2.L&119_3. el 4. hei w1n)"11 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 /;;t - A '� 9 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:Z,2/� . DATE FEE PAID:/,�)- --16 - 1 7 TYPE OF UNIT: DWELLINGVOTHER_ CHECK#a lT a. CHECK DATE �2 NOTES: O/C CODE ENFORCEMENT INSPECTOR 9/28/98 u 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Rr-gulatior.s 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of rhe City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with t):e aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agenLs from any loss or injury sustained of whatever nature and description occasioned . by my/our- absence during said inspection. �7 - _ NT'ILeSSE"r. 04 a/LESSOR L ADDRESS ADDRESS ADDRESS OF UNIT TO EINSPECTED DATE L __ CI1'I' OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 41 .FLOOR PublicHea Ith f Prevent.Prnmore Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL tramdina.salem.com LARRY RA6II)IN,RS/RLHS,C1 10,CP-FS MAYOR H11.ALTI l AGI'.Nf CERTIFICATE OF FITNESS CERTIFICATE#75-13 DATE ISSUED:2/21/2013 Property Located at: 131/2 Loring Avenue UNIT# Owner/Agent: Erasmo Capellano Address: 115 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0861 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 B ARD O HEALTH .P a LARRY RAMDIN HEALTH AGENT *SANITARIAN CITY OF SALEM, MASSACHUSETTS C, <� BOARD OF HEALTH IV 120 WASHINGTON STREET 4"'FLOOR PubliCliealth STREET, Prevent.Promote Pr tcct. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnsalem.com MAYOR L/\Intl"It;\DIDM,RS/It1iF I5,C[K),<;l'-LS H13AI.PH AGI-:N"P 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 In ( 1 PROPERTY LOCATED AT �. if f �I/I, �PL�IP UNIT# I /Z IS THIS UNIT DISIbNATED AS RIG LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER L�lri/�SMv C,40-011,3 )I MANAGER/AGENT NO P.O. BOX / ADDRESS // s,, L7 A,,1 b.1 9 ad • ADDRESS CITY, STATE,ZIP ,SA14P M . /II`(/] CITY, STATE,ZIP PA . 0 Vi 70 I - i RESIDENCE PHONE cI7 6� 7 `f q " D 8 (,I BUSINESS PHONE(24HRS) 7 7 g/ 7 V 0 6f BUSINESS PHONE TOTAL NUMBER OF ROOMS: ��' ROOMUSE: LCuo2. ,5A('a 3.C��/Q4. 5. 6. 1 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only �� //� vJ ` Date on initial inspection: �,I!il I � Date of reinspection: Date of issuance of certificate: �� Date fee paid: Type of unit: Dwelling Other Check#6:,0-"�—Check date: Notes:: *-or'c&ie=nt Inspector a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH :9 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Sandra &Walter Power, III 18 Loring Avenue Salem, MA 01970 PROPERTY LOCATED AT 16 Loring Avenue Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of H alth Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector Z.� CERT.# 657-99 n R FEE $25.00 DATE: 11/01/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Loring Avenue UNIT #: 1 OWNER/AGENT: Sandra & Walter Power, III ADDRESS: 18 Lorina Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-6720 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 (K) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH SCOTT, MPH,RS,CHO HEALTH AGENTOD�CEMENT INSPECTOR w �m i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 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 UNIT# / IS THIS UNIT DESIGNATED AS RIGHT LEFT ON BACK PLEASE CIRCLE ONE G�Id OWNEWLESSER /" Z2 1P/MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS A- L��.nc� Duo ADDRESS CITY �L6v7-) CITY /w57 0/4 -;A RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: drrinq � / ROOM USE: 1. 2. 2ym 3,4V A329 4.�7 5. h r!rm6. IhJ l 7. R. 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 !/11A9 DATE OF REINSPECTION C�14 DATE OF ISSUANCE OF CERTIFICATE: !/1,46 DATE FEE PAID: TYPE OF UNIT: DWELLING vOTHER_ CHECK# 94a7 CHECK DATE NOTES: ©•�. - �w r� loos �o e G3z,'l: o un.r 7a /ISo r CO OR&EMENT IN PECTOR 9/28/98 � v��gONUfT ' CERT.# 337-01 FEE $25.00 DATE: 07/15/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street Tel: (978)741-1800 Fax: (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Lorina Avenue UNIT #: 2nd floor OWNER/AGENT: Walter & Sandra Power ADDRESS: 18 Lorina Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-6720 AN INSPECTION OF YOUR VACANT DWELLING ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH 'U gy JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 CONDIT ��MINg 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOfR HUMAN HABITATION". PROPERTY LOCATED AT /Lo 6 Arco UNIT#-Zr?L✓ IS THIS UNIT DESIGNATED AS RIGHT LEFT F/FRONT BACK PLEASE CIRCLE ONE OWNEWLESSEN& " t 0- MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /S- ADDRESS CITY CITY 16/6 0/47d RESIDENCE PHONE 15& JY6-6-1-2[) BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: df ROOM USE: 1. hkken2.E 3.41"n 4. .6Cd"" 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE—� C&0,ws DATE 7 d INSPECTORS USE ONLY DATE OF INITIAL INSPECTION (-� r/��J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-77- 5�' 61DATE FEE PAID TYPE OF UNIT: DWELLINGYOTHER_ CHECK#_CHECK DA-rf � f > NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 31� lP CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit or residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. .,SEE U OWNER/LESSOII ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE ; � CITY OF SALEM, MASSACHUSETTS BOARD ot,HLAI.rii 120 WASHINGTON SI'RLFT 4O. Fl,()()R 1'LL. (978) 741-1800 ILII fBF:R1.l31" DRISCOI,L FAX (978) 745-0343 MAYOR Iramchn(@.salciTi.com LARRI'RAMDIN,RSIRN IS,(1110, ril AGI(N'r CERTIFICATE OF FITNESS CERTIFICATE #28-12 DATE ISSUED: 1/19/2011 Property Located at: 16 Loring Avenue UNIT# 16-3 Owner/Agent: Sandra Power Address: 18 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-6720 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 RRY RAMDIN / HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, Mt�SS CHI S.HITSV BmRD OF IfEAI. I'H \\ 130WV \SIIJNGioNSrerr'1-,4T I''Lr ui (978) 741-1800 KINMERLEY DRISCOL), l.\ (978) 745-0343 MAYOR 1A\ IDJN(ui3Ai 14M.Cnhl i.\1MY R,\N1DIN, IiR/111(1 IS,t'I I<),CI'-I ,ti }-IttAi:171 A{�IiNT 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: $507.00 PROPERTY LOCATED AT /(pt^r /-)01 /1Lp UNIT#_ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER /ryl>,as�r— MANAGER/AGENT NO P.O. BOX ADDRESS... _ 60—L Lo� l"r�_ 1`)< +,a ADDRESS CITY, STATE, ZIP 4n 1 -t CITY, STATE, ZIP RESIDENCE PHONE �� "L�id2C7 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 'C/ ROOM USE: 1. c3 2. 3. L 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 P� YAB'E AT THE TIME OF INSPECTION ( APPLICANT'S SIGNATURE t' � i @ .fc l//FI ,s- DATE_ -4o? Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 1-L Date fee paid: Type of unit: Dwelling �/' Other Check# L)dl Check date: 1- Notes: A Code Enforcement Insp r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • a, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/11/05 Raymond M Doyon 103 Timberneck Drive Reading, MA 01867 PROPERTY LOCATED AT 20 Loring Avenue Unit 1 R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to - J,oanne Sco MPH, S, C Pablo Valdez �_ iealth Agent Code Enforcement Inspector I �v CERT.# 12-98 + + FEE $25.00 DATE: 01/16/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741.1600 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Lorina Avenue UNIT #: 2 OWNER/AGENT: Gary P. Bover ADDRESS: 30 Lorina Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2119 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARDO/OF •HEALTH I JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a 8, R � q CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT f 72- L OWNER/LESSER �A 24,+ O, ,�py., MANAGER/AGENT ADDRESS ,�(j LUQ ✓ c, v4lA ADDRESS CITY CITY .,RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. IJ2 c� 2. �1�r� 3. k " lYen 4 . h //r ( (we"( 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 11 ' d )F �—Z� DATE )-lb -�/� F INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE``: f/j lqg DATE FEE PAID:--.-//4 51 TYPE OF UNIT: DWELLING i/ OTHER NOTES: 1D psua CS ni- f'iJLmTs r� ✓ N IM LUL Qfl2S 4� ! ��S eY� Jll�ixcCauS. CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF FIRALTH 120 WASHINGTON S'1'RFF,1',4' FL(xnR PublicHC81t11 rrr.em.womme rr"rro,. T11.. (978) 741-1800 F'As (978) 745-0343 KIMBERLF.Y DRISCOLL lramdinOsalcm.com I„\RRY R.\MUIN,RS/RI{IIS,(;I IU,(;I'-I'S MAYOR Iirm xt i AG1SNT CERTIFICATE OF FITNESS CERTIFICATE#229-14 DATE ISSUED: 7/1/2014 Property Located at: 39 Loirng Avenue UNIT# 1 Owner/Agent: Gustavo Manon Address: 36 Loring Avenue#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only 9 there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH M*A LARY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH m y; 120 WASHINGTON STREET, 4TH FLOOR / SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/26/04 Salem College Assistants Corp. 352 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 71 Loring Avenue Unit Left Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Jdrahne Scow tt MPH, RS Pablo Valdez Health Agent Code Enforcement Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR p SALEM, MA 01970 TEL. 978-741-1800 ' FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 2, 2003 John Evangelista 33 Milford Street Boston, MA 02118 PROPERTY LOCATED 75 Loring Avenue Unit#2 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. Fo thf Health Reply to Z /C., Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector W ti CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH ® 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 -` TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #21-08 DATE ISSUED: 1/22/2008 Property Located at: 75 Loring Avenue UNIT#3 Owner/Agent: John Toy Address: 75 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE NFORCEME T T / CISwer� SALEM, MASSACHUSETTS 'Q O BOARD OF HEALTH `� • + 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01974 TEL. 978-741-1800 FAX 978-745-0343 ' JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor i APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". P'5+ PROPERTY LOCATED AT �� [t /jtj C- 10-(/ UNIT#_ 1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERlLESSER ./dWltj /L l MANAGEPJAGENT No P.O. Box I No P.O. Box ADDRESS 7. L,� rLi�C, 11v' ADDRESS CITY C--&M CITY RESIDENCE PHONE � 7k-7W',SZ. AUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. t/ 5. 6. T 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. p 1 r� APPLICANTS SIGNATURE /I DATE / 7 INSPEC?ORS U(Z291LY DATE OF INITIAL INSPECTION I/ Z L . D Y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /- Y "L 2SbATE FEE PAID: TYPE OF UNIT: DWELLING (ZOTHER_ CHECK# CHECK DATE NOTES: / CODE ENFORCEMENT INSPECTOR 9/28/98 I CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #475-07 DATE ISSUED: 9/24/2007 Property Located at: 81 Loring Avenue UNIT# 1 Owner/Agent: Amy Maguine Address: 81 Loring Avenue#2 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOTHE BOARD OF HEALTHr ( � l� 6 6/)//za/ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /� PROPERTY LOCATED AT OJ l�rl �� / IIPUNIT# ,—) - I _ IS THIS UNIT DESIGNATED�A/S� RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE —7 OWNER/LESSER �711� YY I� �/�/��Q MANAGER/AGENT No P.O. Box // ,, v - No P.O. Box ADDRESS �n/I 7_ ADDRESS CITY �_ C,SC ✓ CITY RESIDENCE PHONE LJZE'Sa7-�')7S / BUSINESS PHONE (24 HRS.) BUSINESS PHONE [ TOTAL NUMBER OF ROOMS: (� ROOM USE 12. k'ulv3ll4.__ �_ _RLLL� 5. Ue6 6 bjJj 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. 7 APPLICANTS SIGNATURE J_DATE M-dc/-U / INS CTORS USE ONLY DATE OF INITIAL INSPECTION �7 } " DATE OF REINSPECTION 9 DATE OF ISSUANCE OF CERTIFICATE: -L DATE FEE PAID TYPE OF UNIT DWELLIIC OTHER_ CHECK #7 V_5� CHECK DATE Zn- wv� NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 �l t 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4T°FLOOR PI1GHC It11 STREET, Prevent.Promote,Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin(asalem.coin - LARRY 1L\MDIN,RS/REI-IS,CFIO,CP-FS MAYOR Hi.,A1:PI-I AG I?NT CERTIFICATE OF FITNESS CERTIFICATE#434-14 DATE ISSUED: 11/21/2014 Property Located at: 81 Loring Avenue UNIT#2 Owner/Agent: Amy Maguine Address: 81 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-527-5957 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. FORTH E BOARD OF HEALTH LARORAMIDIN HEALTH AGENT SANITARIAN j w gm�—)Vmfz- CITY OF &U.,EM, MASSACHUSE1TS BOARD OF I IEAIL H 12t)WASHINGTON S'l-REF.F,4'"FLOOR TII . (978)741-1800 KIi\4BL'.RLFiY DRISCOLL FAX (978) 745-0343 M.\YOR r R\Nrm\(n'�u,Fr m.rcr l LAIM'RAIIDIN, 16/RF.HS,CHO,CP-14S FIUALTf I AGEN9 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 4-0r) UNIT# S IS'FHIS UNIT DISIGNATED.A�RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER(LESSER_/�WV1YJ0QVJ1'e , MANAGER/AGENT �, kkne NO P.O.BOX v. ADDRESS P/ / Ir iiJt? A& ADDRESS CITY, STATE,ZIP_, tt2�; 0/97D CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. 141ehen 2. b4l"k) 1//'0-0 4. h� cJ 5. fey 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 YABLE AT THE TIME OF INSPECTION DATE_.. � I 1 APPLICANT'S SIGNATURE IA-VI( / Ins_nectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: �/ �1 Type of unit: Dwelling Other Check# d ,;t Check date: 9 U Notes: Code Nftokeinent Inspector ' -- - CITY OF SALEMMASSACK SETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM; MA 019-70 TEL. 978-741-1800 Is FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 4119105 Gottawanna realty trust/ Nathaniel Durgin Tr 24 Eden Glen Avenue Danvers, MA 01923 PROPERTY LOCATED AT 83 Loring Avenue Unit 1 Dear Sir/Madam: It has come toourattention,that you may be consideringrentinga dwelling unit at the above-address. In accordance with Chapter 19,Article XIII of the City of Salem Code of Ordinances,Section 2- 334,titled "Certificate of Fitness,"each dwelling untt-must be-inspected and certified prior to allowing occupancy. The inspection wllFbe conducted in accordance with 405-CMR 410:009; State Sanitary Code, Chapter 11: Minimum Standards-of Fitness-forHuman Habitation. Please notify us if you do notintend-to-rent the,unit. Please contact thisdepartment-within24 hours of receipt of this notice at 978=741-1800,to schedule an appointment for an inspection._ Our officehoursare Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7.00-p.m.and Friday8:00-a.m:— 12:09 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 ta-paygas_and electricity for residential tenants-if there is not a written letting agreement stating_the-tenantis responsible for those utilities-and if the.meter(s)records electricity and gas use which is not used exclusively by that tenant- The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactivetothe date of initial occupancy in cases in which cross-metering has-beenproverrto exist. Fe Hoard of Head] Reply to- - _ l Janne Scott MPH, RS, CHQ Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM,- MASSACHUSETTS BOARD OF-HEALTH c @ 120 WASHINGTON STREET, 4TH FLOOR SALEw,, MA.04970 TEL. 978-741-1800 FAx-9-78-745-0343 STANLEX J. USO2V1CZr JR_ JOANNE SCOTT-MPH; IRS, CHO MAYOR HEALTH AGENT 4119/05 Gottawanna Realty Trust/Nathaniel Durgin Tr 24 Eden Glen Avenue Danvers, MA 01923 PROPERTY LOCATED,AT 83 Loring-Avenue Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting-adwelfing unifat the-above-addfess. In accordance with Chapterll,Article X111 of the City of Salem Code of Ordinances,Section 2- 3344rtltled"Certificate-of Fitness.'each-dwettinyunftmust-be-inspected-and-certified prior to- allowing occupancy. The-Inspection 105 CKR-44.880;,State- Sanitary Code,Chapter 1t: Minimum ..fFitness-for-Human-Habitation. Please notify us if you do not intend to rent the unit. Please contact thisdepartmentwithin 24 hours of receipt of this notice-at 97a-741-1800,_to schedulearl appointment for an inspection_ Our office hours are Monday thru Wednesday-from 8:00 am.—4:00 p:m. Thursday 8:00 a.m.to 7.00-parr. and-Frk 8:00 mm.—t2- 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 unitisoccupied-without a-Certificate-of fitness. A$25.00 check payable to-theCity of Salem is required for each unit inspected-at the-time-of inspection. A-property owner is requiredto-pay gasand electricity forresidentiaf tenants if there is notawritterrletting- agreement stating the tenantisresponsible-for thoseutilitiesand if the meter(s)-records electricity and gas use which is not used_exclusivety by that tenant_ The Department of Public Utilities has billed property owners-for their tenants-entire utUitybIDsretroactive to-the date of initial occupancy in cases in which cross-metering has been proven to exist, For the Board of He'allttthh` Reply to d` ne Scot RS, CHQ Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH " 120 WASHINGTON STREET, 4TH FLOOR CERT-4 594-03 SALEM, MA 01970 TEL. 978-741.1800 FEE $25.00 FAX 978-745.0343 DATE: 11/24(03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 91 LORING AVENUE UNIT #: 1 OWNER/AGENT: EDWIN LYNCH ADDRESS: 925 WATERTOWN STREET CITY/TOWN: NEWTON ZIP CODE: 02459 24 HOUR PHONE: 857-891-7053 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" . r 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 G YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800, FO T�D OF HEALTH -1 JOANNE SCOTT, MPH,RS,CHO �) �-- HEALTH AGENT PA'BLb'VAI,DEZ CODE ENFORCEMENT INSPECTOR "! t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 2 TEL. 978-741-1 �}j „io J FAX 978-745-034343 ✓`f1 � '(]` STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 1� �Oy/rY` /1 tJ`� UNIT# IS THIS UNIT L DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Z '^ t4-/ I/ f�MANAGERtAGENT No P.O. Box ,�- No P.O. Box ADDRESS LI`�5 �L+/C�lji{ � ADDRESS CITY Aber 11 cc?�,. - CITY c ?/ 910573 RESIDENCE PHONE 6f9- 9K- ("Oa3'/BUSINESS PHONE (24 HRS.) -W BUSINESS PHONE / TOTAL NUMBER OF ROOMS: ROOM USE: 1. K4- 2. 3. LJ 4. Z i r 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. �2 �1 11316-3 APPLICANTS SIGNATURE 13 � DATE INSPECTORS USE ONLY I DATE OF INITIAL INSPECTION l J — 13 .-0 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: //' / DATE FEE PAID: 3 -0 -� TYPE OF UNIT: DWELLING OTHER_ CHECK# �I Y CHECK DATES a 3 r NOTES: $ CODE ENFORCEMENT INSPECTOR 9/28/98 n Y� CERT.# 12-00 1� IFa FEE $25.00 DATE: 01/10/2000 M� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(976)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 91 Lorina Avenue UNIT #: 2 OWNER/AGENT: Ed Lynch ADDRESS: 925 Watertown Street CITY/TOWN: Newton, MA ZIP CODE: 02165 24 HOUR PHONE: 964-0034 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 (K) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH ,J JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r , c rt. �a�7NINBIY��. 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 FITNESjS FOR HUMAN HABITATION". PROPERTY LOCATED AT �/ /b/ UNIT#F IS THIS UNIT DESIGNATED/AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/P.OLE SER 7^ � ,,,&ANo POMANAGER/AGENT AGENT ADDRESS �® e),ac ADDRESS. . CITY \�)Z.--- l CITY RESIDENCE PHONE 1`,1,g11fA1JAI/SINESS PHONE (24 HRS.) BUSINESS PHONF TOTAL NUMBER OF ROOMS: vY ROOM USE: 1. Kir 2. t 1 t-)% 4. ' 16 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 �J.41�� DATE INSPECTORS USE ONLY / DATE OF INITIAL INSPECTION -lO -Pf() DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-/-/O -177> DATE FEE PAID:/- In - Oa TYPE OF UNIT: DWELLING OTHER_ CHECK#a 3 O CHECK DATE L/y-OO NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH m 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 333-02 FEE $25.00 TEL 978-741-1800 DATE: 07/03/2002 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Lorinq Avenue UNIT #: 1 OWNER/AGENT: Richard Newman ADDRESS: 266 Pelham Road CITY/TOWN: Amherst, MA ZIP CODE: 01002 24 HOUR PHONE: 253-7646 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH 14dalov JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Jun ED CE 09: U9a Joanne Scoi.c Salem BOH 978 745 0343 p2 i CITY OF SALEM, MASSACHUSETTSa� 'd BOARD Or HEALTH i 120 WASHINGTON STREET, 4TH FLOOr SA19 w, MA 01070 TEL. 978-74 1-1800 FAX 978-745-034:3 ' STANLEY UGOYaa, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNFSS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT .,92 Loring Avenue UNIT 41- IS IS THIS UNIT'DESIGNATED AS RiGHT LEFT FRONT RACK PLEASE CIRCLE ONE OWNER/LESSER Richard Newman_ MANAGER/AGENT David Hark No P.O. Box No P.O. Box ADDRESS 266 Pelham Road _ ADDRESS 600 Loring Avenue CITY Amherst, MA 01002 _`CITY Salem, MA 01970 - RESIDENCE PHONE--4.13-253-7646 BUSINESS PHONE (24 HRS.)_g,78-741=3696 BUSINESS PHONF _ TOTAL NUMBEH OF ROOMS:^c-�!- ROOM USE: 1J- �2.., 3 3.-, !?9' 4. K 5.5>;aC6eoA6. 7., 8. THERE IS A TWENTY-FIVE $25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF$�EM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. \\/\\ APPLICANTS SIGNATURE P\ - I' " `�1L DATE u7uly 3 _2002 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z- 3 '"7' _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFiGATE:Z' SL'd..' -DATE FEE PAID:_„? �--' TYPE OF UNIT: DWELLING /ZOTHER -._ CHECK g ,} CHECK DATE 7- _ NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 A CERT.# 152-01 FEE $25.00 DATE: 03/30/2001 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: 92 Lorina Avenue UNIT #: 2 OWNER/AGENT: Richard Newman ADDRESS: 266 Pelham Road CITY/TOWN: Amherst, MA ZIP CODE: 01003 24 HOUR PHONE: 741-3696 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M 01 ' ONUIT c s n � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT l-OV" P%V5,w.--"'—' UNIT# 2 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 ADDRESS cc,d Lov- ^� Aq5,, CITY Ga, ,tea s,— .r,— dlcru3 CITY 131QL15.rf\ . r— OAc1 7� RESIDENCE PHONE 41 BUSINESS PHONE (24 HRS.) �'�� U 1'3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. K 11tu-w.- 2. L�v`>h CM3: `5� 4. �- 5. 6. 7. 8. THERE IS A TWENTY-FIVE($ 0)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAE EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY , DATE OF INITIAL INSPECTION -3-' >J -O/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-3 -30 ` eat DATE FEE PAID: 3 - 3 a -off TYPE OF UNIT: DWELLINOTHER_ CHECK# �3 8� CHECK DATE 3 -39 ,01 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 rr CERT.# 245-01 99 FEE $25.00 DATE: 05/15/2001 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: 95 Loring Avenue UNIT #: 2 OWNER/AGENT: Nick NikoloUoulos i ADDRESS: 349 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-3045 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 ON1105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH `jJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I I I r , 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 �or 4� UNIT# IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER/ Z' /r1-°'� %iu/r�M/ANAGER/AGENT No P.O. Box f� No P.O, Box j ADDRESS 34'///9 F�Xet)7 e 7` ADDRESS S /e 60-1 CITY 5 '7 le CITY RESIDENCE PHONES 7� BUSINESS PHONE (24 HRS) 3 7' YGtl% BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM e ROOM USE: 1. _2. l 3. 13l 4. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ` DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION A=/� -01 DATE OF REiNSPECTION DATE OF ISSUANCE OF CERTIFICATE:-'/S -c/ DATE FEE PAID:< 5 °� TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE sir S-O> NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ` 4 R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. sea. ; State Sanitary Code Chapter II and Article XIII of the Cit;, of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, I/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents ' from any loss or injury sustained of whatever nature and description occasioned . ... 2, by my/our absence during said inspection. I i TENANT/LESSEE OWNER/LESSOR q5 Lor incl Chir 4-- P,41, S �— ADDRESS f ADDRESS S ctl er�-� ; 1q)q 0J Q-) U ADDRESS OF UNIT TO BE INSPECTED S� DATE . �''R'0',9`�s';gl� `• §":+y�'%.�ti��'� a,r. ��t4' a.,, y.- �:�''n'. -q. y �.rr^nA t' i� v;:� ,tee CERT-.# 244-01 `a- FEE $25.00 DATE: 05/15/2001 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: 95 Lorina Avenue UNIT #: 3 OWNER/AGENT: Nick Nikolonoulos ADDRESS: 349 Lafavette Street CITY/TOWN: -Salem, =MA ZIP CODE: 01970 24 HOUR PHONE: 740-3045 ,R AN INSPECTION OF-YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS INCOMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE 1{; 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 (K) AND 410.400 (C) : ROOMING UNIT � MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . �* NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. I FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 71 i V ,5 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Cc'Y,Fr UNIT#_3 IS THIS UNIT DESIGNATED ASII/G T LEFT FRONT,BACK PLEASE CIRCLE ONE OWNER/LESSER,' /` j�/0/ate MANAGER/AGENT No P.O. Sox I? No P.O. Box ADDRESS "3 y y �"` yam h C 5 7 ADDRESS CITY � lP�� t CITY RESIDENCE PHONE � 7i 7 C) —BUSINESS PHONE (24 HRS.) 7 —337- qoo f BUSINESS PHONE TOTAL NUMBEROFROOMS: /J ROOM USE: 1. / r 2. -� ,L 3. Rte( )f, 4. 5._-_6._. 7. 8, THERE IS A TWENTY-FIVE($25.04)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-Sl'- 1 < - O 1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:<-1.$'-0" DATE FEE PAID:S- 1 s ,d � TYPE OF UNIT: DWELLING,(OTHER_"_ CHECK# Sf t) CHECK DATE "_157-4) NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ! ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 185-03 SALEM, MA 01970 FEE $25.00 .� TEL. 978-741-1800 DATE: 05/06/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 100 Loring Avenue UNIT #: 1 OWNER/AGENT: Teodoro & Edith Blanco ADDRESS: 100 Lorinq Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2437 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f i u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �� 6 120 WASHINGTON STREET, 4TH FLOOR ' SALEM, MA 01970 TEL 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFI . 'TE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS Ln HUMAN HABITATION".�L PROPERTY LOCATED AT f� f) n F^I"/1') i1 A V e- UNIT# Y 1_1 — IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�nG�Orf7 4- EdA tl_MANAGER/AGENT No P.O. Box // No P.O. Box ADDRESS /i)[) .Q(/L_ ADDRESS CITY5a /e i'jl-414 , 00 -20 CITY RESIDENCE PHON5 f 9I7gl--2 ]BUSINESS PHONE (24 HRS.) BUSINESS PHONE -'r TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 7. L 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��xx:�ld -DATE INSPECTORS USE ONLY DATE OF INITIAL INSPFCTION � 3 _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:5_ K "03 DATE FEE PAID: -1 -a 3 TYPE OF UNIT: DWELLING OTHER— CHECK#.-/ CHECK DATE I--(- NOTES- CODE --6NOTES:CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS + i BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/11/08 T. Blanco 100 Loring Avenue Salem, MA 01970 PROPERTY LOCATED AT 100 Loring Avenue Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy, The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code,Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to oanne Scott MPH, RS,CH Pablo Valdez Health Agent Code Enforcement Inspector I CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "0 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#004-07 DATE ISSUED: 1/4/2007 Property Located at: 103 Loring Avenue UNIT# 1 Owner/Agent: Dennis King Address: 29 Connolly Avenue City/Town: Swampscott, MA Zip Code: 01907 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 ,� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I l)S C 0(�V1a a,,r SCA\Ovv\. IJNIT# A IS THIS UNIT DESIGNATED AS�RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �Nv\kt r1 1(111 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Cklrc ADDRESS CITY ��c v� ` xb�' i MJF- 011"' CITY RESIDENCE PHONE x`61 WZ 01,0 BUSINESS PHONE (24 HRS) BUSINESS PHONE 9>s 7`14 0 111 TOTAL NUMBER OF ROOMS: ROOM USE: 1._0 2. Lu-, Il�h 3. ,_4. ��Jro,✓ 5 R-l_.,-N 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. 77 APPLICANTS SIGNATURE �G�� DATE 115/67 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �- `F _p I DATE OF REINSPECTION_________ DATE OF ISSUANCE OF CERTIFICATE:[_71�{ 01—DATE FEE PAID.-_-/ I� 7 TYPE OF UNIT DWELLINC/1"6THER_- CHECK 9_3-0 gY_.CHECK DATE NOTES: v CODE ENFORCEMENT INSPECTOR 9/28/98 v6,�coniwr .5, CERT.# 271-01 99 FEE $25 .00 DATE: 05/30/2001 ��/MIHB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT Tel: (978)741-1800 Fu-(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 105 Lorino Avenue UNIT #: 2 Front OWNER/AGENT: Dennis & Stella Kim ADDRESS: 5 Witch Way CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 337-8349 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH L JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR or CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 09970-3928 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". ^t PROPERTY LOCATED AT ` , >(\Y\� A�r2 UNIT# d, IS THIS UNIT DESIGNATED AS RIGHT LEFT BACK PLEASE CIRCLE ONE OWNER/LESSERWX)6I`> -k \ �6 Ywx MANAGERIAGENT No P.O. Box _ Pio P.O. Box ADDRESS V� i� �1 WG ADDRESS CITY ?.�ri 1 I �)� ) CITY RESIDENCE PHONP / 4u-" `RCS U BUSINESS PHONE (24 HRS.)`-r i'0-�3 � �y BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: 2. trlYya ` x-n 8.�1a7. J 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEP HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE DATE( 1 ECTORS USE ONLY DATE OF INITIAL INSPECTION w '3& ,v j DATE OF REINSPECTION DATE OF ISSUANCE OF OERTIFICATE:�'"3D_rj � DATE FEE PAID:S �d TYPE OF UNIT: DWELLING POTHER_ -G #k775"7 6 CHECK DATE��3_d � NOTF� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS 9 : BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#507-06 DATE ISSUED: 1011612006 Property Located at: 109 Loring Avenue UNIT# 1 Owner/Agent: Nelson Trinidad Address: 107 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF' SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET. 4TH FLOOR , r SALEM, MA OL 970 If/) TEL. 978-741-1800 FAx 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". / PROPER T`, LOCATED AT j�_C46r^ qb `��L.a-fit � UNIT N /- IS THIS UNIT DESIGNATED AS RIGHT "iLEFRONT BACK PLEASE CIRCLE ONE OWNER/LESSER AJ C f MANAGER/AGENT No P.O. Bax ( N - O P.O.Box ADDRESSD- Z`� J ADDRESS CITYc�'�� /�1 `7 2? CITY RESIDENCE PHONE_qW jXt- BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: c_1 ROOM USE 1.--- - ? -- --- 3 -- - - --4 - ---- - THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. f APPLICANTS SIGNATURE -------�� ^".� --.—DATE. .��- Q-✓�JJ INSPE(:TORB USEONLY. PATE OF INITIAL INSPECI'ION,/b -{(a- Y?-;b DATE OF REINSPECTION - ---- DATE OF ISSUANCE OF CERTIFICATF/�V -/ 6 -fl DATE FEE PAID,-! b TYPE OF UNNIT. DWEL I- 1 OTHER CHECK 11 ,9 6 CHFCK DATE / 0 - 16 p b NOTES, W/ -'-t _ CODE ENFORCEMENT IN`;PECTOIi 8 � . cx.�-t'-�"5 �" l� i � �� ,CONUIT a CITYOF SALEM BOARD OF HEALTH Sale11 .111 , Massachusetts 01970 3928 . �. . ., .. f.. JOANNE SCOTT, MPH, RS,CHO _ NINE NORTH STREET HEALTH AGENT' Tel:(978)741-1800 01/29/2001 Fax (978)740-9705 Albert L. Morrison / v � 107 Loring Avenue c - � Salem, MA 01970 t� PROPERTY LOCATED AT 109 Loring Avenue UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 OF HEALTH REPLY TO Joanne Sco t, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH " 120 WASHINGTON STREET, 4TH FLOOR CERT.# 279-03 a aa,_, rc SALEM, MA 01970 FEE $25.00 qqY= TEL. 978-741-1800 DATE: 06/12/2003 W' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 109 Loring Avenue UNIT #: 2 Right OWNER/AGENT: Nelson & Margarita Trinidad ADDRESS: 107 Lorinq Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2073 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD F H LTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /D7 Zt`lm1. 14W UNIT#-2— IS THIS UNIT DESIGNATED ASJjIG LEFT FRONT BACK PLEASE CIRCLE ONE oildq OWNER/LESSER /Ve1r N i MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS 07 /lit/ P. ADDRESS CITY c5 GCCt . /� O Ql 97� CITY RESIDENCE PHONE -711-707___� 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_4 -/z—3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6 -0 71 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-4, /a- -fl 3 DATE FEE PAID: TYPE OF UNIT: DWELLING /OTHER_ CHECK#.CHECK DATE 1 -�.� �3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 12/09/99 Tel (978)741-1800 Fax:(978)740-9705 Estate of Charles Benoit 111 Loring Avenue Salem, MA 01970 PROPERTY LOCATED AT 111 Loring Avenue UNIT # House 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 so exist. F THE BOARDOi+� REPLY TO Kann Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ti f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH rs 120 WASHINGTON STREET, 4TH FLOOR r fi SALEM, MA 01970 _ TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#323-05 DATE ISSUED: 5/26/05 Property Located at: 112 Loring Avenue UNIT# 1 Owner/Agent: 112 Loring Ave Realty Trust Address: 36 Londonderry Road City/Town: Marblehead, MA Zip Code: 01945 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Mey 17 05 09: 26a Joanne Scott Salem BOH 978 745 0343 P. 1 CITY OF SALEM, MASSACHUSE°TrS 4n) J��/ BOARD OF HEALTHH4E ..N v' `.' 120 WASIN 'IUN 51 KET, 4T"1 FLOOR V}"y SALEM, MA 01970 TEL. 978-741-1 BOO 10 FAX 976-745-0,343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORnANCF WITH STATF SANITARY CODE. CHAPTER II. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT (�2 � UNIT# IS THIS UNIT DES GNATED RIGHT LEFT FRONT BACK_ PLEASE CIRCLE ONE (1?i Q OWNERILR ._.. ._.. MANAGER/AGENT No P.O. BoX,, >Landa �e f No P.O.Sox ADDRESS ��4,�� ADDRESS _ CITY X��,{{�� - — CITY.. 71 K✓ Pft E PHONF (a� '�// 1BUSINESS PHONE (24 HRS.) BUSINESS PHONE____ C TOTAL NUMBER OF ROOMS: 7 __ // ROOM USE: 1. � 2-&_.3. UU"1 5.64-X�F.. 7._.. ... THERE IS A TWENTY-FIVE ($25.00) DOLLAR FE AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H LTH DEP TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. � !8 APPLICANTS SIGNATURE ....... DATE ...y )NSP_ECTORS USE ONLY DATE OF INITIAL INSPECTION.. — It-0 J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICAT E r-(g '0'6� DATE FEE PAID' S'I '0 D TYPE OF UNIT: DWELLI C OTHER CHECK fl CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9128/x8 `OND ' City of Salem, Massachusetts n d m Board of Health IV 120 Washington Street, 4th Floor, Salem, PllbliCHeAlth MA 01970 Prevent. Promote. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.88 DATE ISSUED: 3/11/2016 Property Located at: 112 LORING AVENUE UNIT#2 Owner/Agent: 112 Loring Avenue, LLC Address: 36 Londonderry Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-3050 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT O JANITAN i CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR th TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin0isaiem.com MAYOR LARRY RAMllIN,RS/REBS,CIfO,CN-!5 H73AL1Yt AGFiN'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT � " &vt llor 4� V-'/ w-f- UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFTFRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 1 � l L�"� L MANAGER/AGENT ADDRESS 7(P �Y � ' � -7 f ADDRESS �} CITY, STATE,ZIP J ,pl "�r�� CITY, STATE,ZIP RESIDENCE PHONE N /I BUSINESS PHONE(24 S) BUSINESS PHONE N t o4 TOTAL NUMBER OF ROOMS: / ROOM USE: 1. G.!"B2. �� 3. °' 4. 1>�""� 5. b. 7. 8. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAY LE B ECK OR MONEY ORDER TO THE Cri'Y OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB AT TIME OF INSPECTION APPLICANT'S SIGNATURE / DATE p Inspectors use only Date on initial inspection: 0311012-01 1? Date of reinspection: Date of,issuance of certificate:0 3/�o/2 ab( Date fee paid:P4/1e)`/2-0.1 C Type of unit: Dwelling__�,,/ Other Check#�1/_).3 Check date:O 3/1n.12Q L Notes: C of ement I�peCtor t CITY OF SALEM MASSACHUSETTS BOARD OF H1--.ALTH lu 120 WASHINGTON STREET,4r..FLOOR PubliCHealth r�mnv rrm,�, 1'EI_. (978) 741-1800 KAx(978) 745-0343 KIMBERLEY DRISCOLL ILamdin(asalem.ccnn L,Vilil'RA\4DIN,RS/RN1S,CHO, MAYOR I-II?AI:I'1 I AGENT SNT CERTIFICATE OF FITNESS CERTIFICATE#104-12 DATE ISSUED: 3/26/2012 Property Located at: 112 Loring Avenue UNIT#3 Owner/Agent: 112 Loring Avenue Realty Trust c/o Charles M. Ricker Address: 36 Londonderry Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-639-3252 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR DIN 'd HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a. qt 120 WASHINGTON STREET, 4TH FLOOR Y ffi SALEM, MA 01970 .yBp TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 174-05 DATE ISSUED: 3/10/05 Property Located at: 113 Lorin Avenue UNIT# 1 P Y 9 Owner/Agent: Austria M. Capellan Address: 113 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0861 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for oneY ear from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there Is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a _ Crrr OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHIN,,;TON STREET, 4TH FLOOR SALEM, MA Of 970 TEL. 979-741-1800 ,,,, FAx 978-745-0343 - 17`jjjj �_Q5 STANLEY USOVICZ, JR. JOANNE SCOTT, MPN, RS, CH6 MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUM 4N HARITAItON` PROPERTY LOCATED AT _Z11 /-,a-.- E - --- -- -- UNIT 9_. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT RACK Pt EASE CIRCLE ONE OWNERA-ESSER-&gV4,t C,-PA�MANAGER/AGENT No P.O. Box � No P.O-Sox ADDRESS r13 !�^(1J° V _ADDRESS CITY p l e7" $4 CII Y a. RESIDENCE PHONE -�. BUSINESS PtiOPIE (24 HRS )_ BUSINESS PHONE I OVAL NUMBER OF ROOMS _--- ROOM USF: 1 . _ -- -- 2 5 6 i THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE_ CITY OF SALEM HEALTH DLPARTM1AI'=NT THIS FEV IS PAYABLE AT THF TIME OF INSPECTION. APPLIC;ANiSSIGN AURL= � `� � y �`� "- �^ i)AI i.. 3 OHS WA-- 0M ), DATE OF INI7IAl II,JSP(-CT10N I)r;! OI RI IfJ51�f c.'I lOIh [)All Ile 11- ()1 ilial MY[ I I INS;( t n! CERT.# 2G7-01 FEE $25. 00 DATE: 05/23/2001 �MINg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT iei 1y ro� ini-7800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 113 Lorin a Avenue UNIT #: 1 Front OWNER/AGENT: Austria M. CaDellan ADDRESS: 115 Lorina Avenue CITY/TOWN: Sales, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0861 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � ( s 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 FITNESSFORHUMAN HABITATION°. PROPERTY LOCATED AT// 13 �^6 YL i v� y !/� ° UNIT#)I- IS THIS UNIT DESIGNATED AS RIGHT EFRONI BACK PLEASE CIRCLE ONE OWNER/LESSER- c -, ;=�,4�ANAGER/AGENT No P.O. Boxes No P.O.Box ADDRESS 5'Gn y'L�� I ` —ADDRESS CITY P—"�'7 CITY _UA RESIDENCE PHONEf'7k_7_q_4D2Cb_ BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 2. 3. �� 4. 5. 7.7. 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. f �J�J APPLICANTS SIGNATURE-(`�]% �a LCCA-3 A."_—DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION !;_43✓0 ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:u' 3" 0) DATE FEE PAID: s 3 ,Z4,/ TYPE OF UNIT: DWELLING/OTHER_ CHECK# 13 ? ? CHECK DATE a 3 07 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 , s, l` �o CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH s i 120 WASHINGTON STREET, 4TH FLOOR ,- IjAa SALEM, MA 01970 TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#272-04 DATE ISSUED: 06/24/2004 Property Located at: 113 1/2 Loring Avenue UNIT# Owner/Agent: Erasmo R. Capellan Address: 115 Loring Avenue City/Town: Salem, MA Zip Cade: 01970 24 Hour Phone: 978-744-0861 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE-ENFORCEMENT INSP1�5 � a a� CITY OF SALEM, MASSACHUSETTS )� jJ BOARD OF HEALTH 3 • 120 WASHINGTON STREET, 4TH FLOOR ` SALEM, MA 01970 "qBQ�� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORHUMAN HABITATION". PROPERTY LOCATED AT /�3� �f-f7 �/ v}4J� ' 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 CITY z4/el- "/e CITY RESIDENCE PHONEEBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1/&q/A• 5. 6. 7. R 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-0064 Db'^oz ^O INSPE TOR SE ONLY DATE OF INITIAL INSPECTION ��y�o v DATE OF REINSPECTI N1�� 3� DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAIDf,O O TYPE OF UNIT: DWELLING _OTHER_ CHECK# r2CHECK DATE _ !l NOTES: J ,57�,ie_ . • o0/Gle CODE ENFORCEMENT INSPECTOR 9/28/98 e � n? CITY OF SALEM, IVIASSACHUSETTS IV 8 BOARD OF HL'\LTH LO WASHINGTON STREET,4...FLOOR PablicHeaIth TFL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL ttatndin(a�,saletn.com 1,A ItRI'R;V\dDIN,RS/RI;'T IS,C11c1,CP—I+S MAYOR Hr•.,v:rn AG ENT CERTIFICATE OF FITNESS CERTIFICATE# 178-12 DATE ISSUED: 5/1/2012 Property Located at: 113 1/2 Loring Avenue UNIT# Back Owner/Agent: Erasmo R. Capellan Address: 115 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0861 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 B06RD OF ALTH LARRY RAMDIN HEALTH AGENT SANITARIAN 1 I, CITY OF SALEM, MASSACHUSETTS ov BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMI)INO SA1.L:M.COM LARRY RAMDTN,RC/REHS,CHO,CP-FS HF�ALTH 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" JJ FEE: $50.00 PROPERTY LOCATED AT ��J �LC� /Zi�l �i hLSP.. UNIT# IS THIS UNIT DISIGNATED AS GHT LEFT FRONT O BACK, LEASE CIRCLE ONE OWNERILESSER C RAS lYn 0-A -e - � MANAGER/AGENT NO P.O.BOX f ADDRESS //S 10 'ry.14 9 AAI-- ae,X, 1* ®/9 7dADDRESS CITY, STATE,ZIP SA-fedfl� M a_ CITY,STATE,ZIP 0/970 RESIDENCE PHONE 94) '7V-'1- 0 Y4 / BUSINESS PHONE(24HRS) i BUSINESS PHONE '17 3 ) 5 7 9- ` 7y,0 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. U 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABI.,E BY CHECK OR ONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P THE T IN ECTION APPLICANT'S SIGNATURE ice_ // DATE Inspectors use only Date on initial inspection: S--) \1 Date of reinspection: Date of issuance of certificate: L Date fee paid: Type of unit: Dwelling Other Check#Z S 1 Check date: S '1 "L Notes: Code Enforcement Inspector 60) CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#557-07 DATE ISSUED: 11/21/2007 Property Located at: 117-119 Loring Avenue UNIT# 117 Owner/Agent: MSN Realty Trust Address: 22 Melch Road City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone: 781-334-5701 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JCC— c JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR .- SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT I I �/� 19 Loe"Akj ► vp, P% UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE _CIRCLE ,ONE S T�edi2 OWNER/LESSER ^'f'� \�l �nVS C MANAGER/AGENT .X6� SCR K,k ADDRESS x22.NVC ck 1� d` No P.O. Box ( ��1��AA �� c ADDRESS CITY t- ,�N��(� Wt4011YD CITY �fjfa ¢ Vi�u�jv6 RESIDENCE PHONE- offf&-II "�^�cI�B�USINESS PHONE (24 HRS.) ` v S / s �d BUSINESS PHONE ^171 ( 3 3Y - '� 0 ( TOTAL NUMBER OFROOMS: /, �� ROOM USE: 1 &A 2 3034 4. 4 WjO—N 5. LAIP6.�—� 8 THERE IS A TWENTY- 5.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE Cl OF SAL HEALTH RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTI N. APPLICANTS SIGNATUR _ DATE INSPECTORS US LY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING --'-OTHER_ CHECK# 8/3�- CHECK DATE //4, ' NOTES: 1UT"P<nr� vUAA] rho zw,\oe Nvao sc niaPba nip p�4o,.J t - CODE ENFORCEMENT INSPECTOR 9/28/98 .CO T v 8 p CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 03/01/2001 Fax:(978)740-9705 Timothy & Nicole Sampson 141 Loring Avenue Salem, MA 01970 PROPERTY LOCATED AT 141 Loring Avenue UNIT # Left 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. OR THE BOARDH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ��CON01 a � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 03/01/2001 Fax:(978)740-9705 Tim & Nicole Sampson 141 Loring Avenue Salem, MA 01970 PROPERTY LOCATED AT 141 Loring Avenue UNIT # Right 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. OR THE BOARD 0 HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .yBQMrretl TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/22/05 Richard Devitto 191 Spring Street Medford, MA 02155 PROPERTY LOCATED AT 152 Loring Avenue Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of Hea th Reply to l � Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PubliCHealth Prevent,Promote Protect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinasalem.com - L,\RRY R;\N4UIN,RS/RGI IS,CI 10,CP-FS MAYOR CERTIFICATE OF FITNESS CERTIFICATE#124-14 DATE ISSUED:4/14/2014 Property Located at: 152 Loring Avenue UNIT#2 Owner/Agent: Francisco Hernandez Address: 152 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH E LARkftAMDIN HEALTH AGENT SANITARIAN -F,tx �Q C.T I - G2�8 Ll 53 - qi so 1Nff•f(v)Qm cL, o'd SJY1 a v � e w CITY OF SALEM,MASSA CI-IUS ~."fTS BOARD f)F I-IT ALTH 120 WASHTNG C{)NS1'REL'1' !" I1I.f)t')R PtlbHcHealth i' PrcreTr,Nrnnma.Nmrert. TF.T.. (978) 741-1800 FAx(978) 745-0343 KI:MBERLEY DRIS{:!:-LL lraindinra).saiem;.cotn LARRYMAYOROLARRY RARIDIN,Rti/RIi.115,CI lO,CSS ]'-I l-17i,ii:171 A(;IiN'I' Application for Cerfifscate of Fitness IN ACCORDANCE WITH STATE SANITAR)r CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: _<0_OO PROPERTY LOCK'.M AT l.5 Z L O 2/et.) z r A Y C- UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEF-1;FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER-„/-/LAAJ (f is f✓r] NL2fJ rJt MANAGER/AGENT NO P.O. BOX ADDRESS 1 5� L o/1.ion G R UZ. —ADDRESS CITY, STATF, ZIP- 5"ALgyf MH. 0/`� � ---j!”TY, STATE,ZIP RESIDENCE PHONE �J � �' �9�/ /v `/� RUSIN?ESS PHONE(24HRS) BUSINESS PHONL TOTAL NUMBER 3F ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6.-_ 7!�. 8. THERE IS A FIFT" 350)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CI'T'Y OF SALEM BOARD OF HEAL T 4 THIS FEE IS PAYABLE THE TIME OF INSPECTION APPLICANT'S STC RTATURE J�/ _.------- DATE IgsFectors-use QUI Date on initial inspc:ion:-9/t-1tom"`—'- - Date of reinspection: -- ---- --- Date of issuance of c!rtificate: _-_ _ Date fee Paid: _ r Type of unit: Owe li xg—__—Otheri— __Check#_ check date: Notes:�P � r Yoorn S9 vrP�Z Ph�ttfP, (A )r�s, 1t��szazE�S�U�_ r {Itn Cod _ f ent Ir spector TRANSMISSION VERIFICATION! DEPORT TIME 04/29/2014 20:25 1 JAME FA:' 9787450343 TEL 9787411800 SER. # 000S0N341991 DATE,TIME 04/29 20:25 FAX NO. /NAME 919784539150 DURATION 00: 00: 24 PAGE{S} 01 RESULT OK MODE STANDARD ECM �b v i CERT.# 420-00 FEE $25.00 DATE: 06/29/2000 s gB��MINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 Fax:(978) 740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 173 Lorinq Avenue UNIT 2 OWNER/AGENT: Edward Pinanski ADDRESS: 124 Essex Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-8130 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r • .CANUIT - .. .. 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 nHUMAN HABIITATION". PROPERTY LOCATED AT 1 7. L � I & UNIT#2 IS THIS UNIT DESIGNATED D�A,S� IGHT LE,FT1C BONT BACK PLEASE CIRCLE ONE OWNER/LESSER EDIP91r{ v�lk64- ANAGER/AGENT No P.O. Box `24 E& EE-__ r No P.O. Box ADDRESS (t CC `T ,, ` M c'7a �^ ADDRESS CITY e�vci Lty n1R �1'�V CITY 0 Q,� pct RESIDENCE PHONE jab- 1t`P�7`e(��BUSINESS PHONE (24 HRS.) BUSINESS PHONE 6 0 - `� 1'3-52( L' TOTAL NUMBER4 �OF ROOMS: PLvs AftTHk(cffl ROOM USE: 1.&�A�DDPA 2. 4. LCVJ14 s 4Ci 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25. ) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THECITY OF SALEM ALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. p r APPLICANTS SIGNATUREDATE 1 - �aoot) 7 Y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �_ �/ o-6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -a Ce --V'P DATE FEE PAID: TYPE OF UNIT: DWELLING X—OTHER_ CHECK# .3 6 'f G CHECK DATE I/O- -�f NOTES:'' CODE ENFORCEMENT INSPECTOR 9/28/98 x CITY OF SALEM, MASSACHUSETTS + r' • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR mIACINI(@SALISN(CONS ]ANIS I'MANCINI ACPJNG HLALfl-I AGLiN"I' CERTIFICATE OF FITNESS CERTIFICATE#232-09 DATE ISSUED: 5/18/2009 Property Located at: 190 Loring Avenue UNIT# 1 Owner/Agent: Hector Ramirez Address: 190 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 774-1223 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 QF HEALTH JANET MANCINI ACTING HEALTH AGENT T/1 ENFORCRWNT INSPECTOR & CITY OF SALEM, MASSACHUSETTS BOARD Or HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNFna SALEM.COAL JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 0(, iJNIT# / IS IS UNIT DISIGNATED AS RIGHT LEFT FRONT ORB. ACK,PLEASE CIRCLE ONE OWNER/LESSER (e 47POC /&o% �MANAGER/AGENT NO P.O. BOX ADDRESS /gD_(,��.t q E (1(JE / ADDRESS CITY, STATE,ZIP<<; 4�J..a /}(+L� C7 CITY, STATE,ZIP -YO /9 019 Zh RESIDENCE PHONE-9Xff �rqq- /T� BUSINESS PHONE(24HRS)–&//�vR--A -3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 0 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABL HECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP TH TIM OF INSPECTION ��, APPLICANT'S SIGNATUREDAT ,/ l�3 / y / � / Inspectors use onlv r,Date on initial inspection: f(R ./Ur1 Date of reinspection: Date of issuance of certificate: ' / Date fee paid: Type of unit: Dwelling— Other Check# ��p�ti Check date: Notes: IP.Cl.� vr�g _��lT�T r Qr Code for ement Inspector iMPORTANT MESSAGE FOR ) ! r)ff � hj BATF �� ^TIME �L.7,5 , P. M OF Z(73 PHONF / AREA CODE NU�IIBER EXTENSION O FAX ❑ MOBII G AREA CODE UMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YUJ / WILL CALL AGAIN WANTS TO SEE YmUI/ RUSH RETURNEDYOUR L WILL FAX TO YOU MESSAGE SIGNED M FORM 4009 MADE IN U S A NOTES - - -- - -- - }-, - - � i I _ 1 � i .c—%6 •m CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 04/04/2001 Fax:(978)740-9705 Richard Tavilla 193 Loring Avenue Salem, MA 01970 PROPERTY LOCATED AT 193 Loring Avenue 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 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 OF HEALTH REPLY TO qcan ,, MP O PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR OOND City of Salem, Massachusetts t � 9 Board of Health 120 Washington Street, 4th Floor, Salem, PlublicHea Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Mayor lramdin@salem.com Larry RameMPH, REHS, CHO Ma Ha y @ Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.172 DATE ISSUED: 5/20/2016 Property Located at: 198 LORING AVENUE UNIT# Owner/Agent: Joseph C. Fabiano Address: 28 Boxford Road City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978) 884-2069 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO v HEALTH AGENT SANITARIAN • 1 { 3 " ' CITY OF SALEM, MASSACHUSETTS lu w� BOARD OF HEALTH 120 WASHINGTON SIREET, 4"' FLOOR PablicHeaIth Prevent Promote Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL tramdin(a�,salem.rom MAYOR LARRY RANIOIN,RS/R1,11-IS,(1I-I0, CP-FS I-I13A1:rl-I AG13N'r -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 R 60 i AGI t4,1e. Sc\,Jei'I I YV\ P O kJ76 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE 0�2 {1 C �Gr�iGi�lO OWNER/LESSER � C' MANAGER/AGENT NO P.O. BOX nn 11 ADDRESS ?-% $Ox�or k P-ok- ADDRESS CITY, STATE, ZIP TOPSTl l� >' tM t9 01'� 8 3 CITY, STATE, ZIP RESIDENCE PHONE �?g ^ g ' 2x61 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1�2 ROOM USE: 1. (C)_ICke-A 2.L!�1;0'\Io1 f l3. �1^(^a t2h4. f3afkree, 5. ��I ) n✓ti� 1^J�b�'" 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 w c li ^rt DATE Inspectors use only Date on initial inspection: 05 /26ZL Date of reinspection: Date of issuance of certificate:. Date fee paid: Type of unit: Dwelling—V—Other Check# 3(5— Check date: 05-12'I/2-011'_� Notes: C&rnf cement pector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4...FLOOR PublicHealth Prevent Pra—Le Protect TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL ]xamdin(a)salem.com MAYOR TAIMY RANIDIN, 16/1031IS,CI-10,CP-FS HI:,Al:1'1-I AG P,N'I' 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. pssor Tenant/Lessee Owner e �q3 Lc�r-Ie\ C Sc, ¢vy MSF 28 geot*�rd Q ®6S3 Address pl J-70 Address Larl,�� Ave Sri l&,L, c) ic,-7o Address on unit to be inspected Date Updated 5/23/11 4 r t ?a CITY OF SALEM, MASSACHUSETTS ~UJ BOARD OF FIEjLTH 120 WASHINGTON STREET,41°FLOOR PnblicHealth Pmrent.1'ramnte Pmlect TEL. (978)741-1800 FAx(978)745-0343 _ I IMBERLEY DRISCOLL lramdinnnsalem.com L.\RRY IUAIDIN,RS/R1;1 IS,c1110,UT-RS MAYOR HiI ",\L;I'hr AG IiN'I' CERTIFICATE OF FITNESS CERTIFICATE#397-14 DATE ISSUED: 11/5/2014 Property Located at: 219 Loring Avenue UNIT#2nd floor Owner/Agent: John W.Velardi Address: 28 Burley Street City/Town: Wenham, MA Zip Code: 01984 24 Hour Phone: 978-360-5534 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 1f there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L/ `�� LA RAMDIN HEALTH AGENT SANITARIAN r I CITY OF SALEM, MASSACHUSETTS V BOARD OF HEALTH PublicHealth 120 WASHINGTON STREET,4p.FLOOR Prevent.Promote Proem. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinaa salem.com - L,wlir IOnmIN,as/VISI Is,cl u1,c1>-Fs MAYOR H1;AJ '1t.AGI.'.N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 219 401flkl, ?9af S/��i�� UNIT# .2 IS THIS UNIT DISIGNATEID AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER -9111/ G(/ 11e,1,4RIP/ MANAGER/AGENT NO P.O. Box ate / Z �dc'/e,/ 5/- ADDRESS ADDREScS== - -- CITY, STATE,ZIP kk ihA77 . &W- CITY, STATE,ZIP 1 _ RESIDENCE PHONE S r/ GhK'-9i'0 BUSINESS PHONE(24HRS) I 1 •J BUSINESS PHONE Ce/ x/78 -3GU -SS3 el TOTAL NUMBER OF ROOMS: 45�- ROOM USE: 2., WW00wi 3. YeJ?ee), l 4. ki ae1V 5.-PiN�I'A l oo�n 6241i� i9aON7. 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 I PAYA L�� INSPECTION � APPLICANT'S SIGNATURE DATE Insnectors use only / Date on initial inspection: I I ' .S �( 1 Date of reinspection: I r Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_Check date: �� O Notes: Code of net'Inspector k vg�CONUITw_i CERT.# 106-99 f 9? FEE $25.00 DATE: 03/02/99 ��MINB 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: 219 Lorinq Avenue UNIT #: Top 3 OWNER/AGENT: John Velardi ADDRESS: 221 Lorinq Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6386 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE D O/ F HEALTH �LoE SCOTT, MPH,RS,CH0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR � V +; m n � 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 2l9 APA/It/ f' 111/H UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER,74m VPkdt' MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ;��l Lor;nrq qvhviv_ ADDRESS CITY . )niom CITY RESIDENCE PHONE $=-?yU-f 3Mo BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. r; 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 -2) — -A- - � II DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _,' _q 5 DATE FEE PAID: 3 -01- TYPE 01-TYPE OF/UNIT �DWELLING OTHER_ CHECK#� S6 CHECK DATE �3_"�" �C NNOTES: 4,_, S �9G� <I�C L h/Gt CODE ENFORCEMENT INSPECTOR 9/28/98 u \gyp s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE in accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit or residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ahcnCs from any loss or injury sustained of whatever nature and description occasioned by my/our- absence during said inspection. j SSEE OWNER/;FSSOR 9 TErt��(pi ADDrEss -- ------ -- - ADDRESS ADDRESS OF U T TO BE INSPECTED '• -�> i? CITY OI' SILL.1`4, 1VL15S;1(:HLiSG'T'1'S BOARD cm HEAJAF1 120 WASHINGTON STREJ-7,4°1 FL00R PublicHealth TFL. (978) 741-1800 F.\S (978) 745-0343 KIMBERLEY DRISCOLL kamdinOsalem.com L\RRl'R.\MUIN,RS/RISI IS,(;I K), MAYOR HI{A] IIAGI;N'I' CERTIFICATE OF FITNESS CERTIFICATE#64-12 DATE ISSUED: 2/22/2012 Property Located at: 249 Loring Avenue UNIT# 1 Owner/Agent: C. Guzowski Trust Address: 35 Liberty Street City/Town: Danvers, MA Zip Code: 01923 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 LARItY RAMDIN > lik '�� i^cn HEALTH AGENT CI ENFECTOR .s. CITY OF SALEM. MASSA(JIUSE-fTS Y BOARD OF HF-malI 120 W ASHING T ON S l-REST,4'' FI,()I )R TEL. (978) 741-1800 KiltII3IAU'HY DRISC;OH. 1�.AN (978)745-0343 MAYOR I,RAWANGSALFALCONI LARRY R.\\JOIN,WS/Ii PJ IS,❑ ),CP-I;< Hr\I 171 A(;ISNT 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 2 t1- PROPERTY LOCATED AT V(T L-o v^ r �+ qj 1 /'(, UNIT#_/— IS THIS UNIT DISIGNATED AS RlbkT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERfLESSER C MANAGER/AGENT NO P.O. BOX ADDRESS 3-\_ Li 6erh <I' ADDRESS CITY, STATE,ZIP b,)vr rl e°r S CITY, STATE,ZIP RESIDENCE PHONE -7-R 7 7 v sZ7 BUSINESS PHONE(24HRS) BUSINESS PHONE c TOTAL NUMBER OF ROOMS: ROOM USE: 2 k_ � jq 4tj� 5. 6. 7. 8. 9. 10. I 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 aim (s' i� , .j�( DATE �2 – a Insnectors use only Date on initial inspection: alga 11 a Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: aa � Notes: Qrrntir, Z G2QfiC 1C t �tC.il�Yl {K ,UG Co&eWfSre6ent Inspector CHY OF SAL.F,M, NIASSACHUSITITS lu BOARD cm I-113.\LT{-1 120 W,\SHIN( I'ON STR13IiT,4"'FLOOR PablicHeaIth TLL. (978) 741-1800 FAA(978) 745-0343 KIMBERLEY DRISCOLL lxamdinasalem.com L\RRl'R\1lUIN,RS/121:1 IS,Cl It), 11-FS MAYOR Hlt.\m'I I A(;VIN'I' CERTIFICATE OF FITNESS CERTIFICATE #65-12 DATE ISSUED: 2/22/2012 Property Located at: 249 Loring Avenue UNIT#2 Owner/Agent: C. Guzowski Trust Address: 35 Liberty Street City/Town: Danvers, MA Zip Code: 01923 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 LARRY RAMDIN 4� lfc� �zvJ HEALTH AGENT CObt ENFORCEWA INSPECTOR t CITY OF SALEM, MASS 1C�Ht-,I:'t"I'S 150ARD of HEALTH 120 WASHINGFON STREET,4... 1;1,0()R 'IT,i.. (978) 741-1800 KINIM .RI EN, DRISt;C)1,1, 1tjX (978) 745-0343 M,A)'OR ntlnNns:ua:Gf.(oaI LAIMY R VNIDIIN,ItS/RI{f IS,CI lo,CV-!•� 1.1f{Ai.i'iI A(; ,N'v 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 Y cl' 6#d r- I q C, A �F UNIT# IS TRIS UNIT DISIGNATED AS RI¢`RT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER t�v z q t, �_S vo 54 MANAGER/AGENT NO P.O.BOX ADDREss 3S L �*'� f . ca UeV_!S ADDRESS CITY, STATE,ZIP _P-Rh O P til A4 )� CfI'Y, STATE,ZIP b 1 2- 3 RESIDENCE PHONE T 7 8 7"7'7 S7-2b BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: P�idrwdr+M Kt�c�i �Kt� ,vtv14 ROOM USE: 1. 2. 3. 4. 6 7- 8. - - - 9 - - 10, - `(3 - 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 xio, �,,?i7. r�Zr� dor{ —r�lyt DATE_(-_ '-c),1 � - T Insnectors use only Date on initial inspection: . GTr�'I t o'� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: elling Other Check# t�� Check date: � Notes: 3�VtCA iiti�ir2 �� 14e+r m.Q,.j('n't Co`�l214��r emeni in CITY OF SALEM, MASSACHUSLI 1'S .'' BOARD OF HE:\I,TH 120 WASHINGTON STREETo 4...FLOOR PllblicHeaIth r...,�m rmm,nc.rrumr TEL. (978) 741-1800 FAN (978) 745-0343 IQNI1B Rl.,F.Y DRISCOI.J., hnidinnsalctn.com 1.„\aI(v I(nnu)IN,Ics/Itltl Is,c:I aO,(;r-rs .MAYO1Z HI?,\Ln I A(;FN'I' CERTIFICATE OF FITNESS CERTIFICATE# 191-12 DATE ISSUED: 5/8/2012 Property Located at: 251 Loring Avenue UNIT# 1 Owner/Agent: Gary E. Pierce Address: 9 Oakview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6571 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 AMDIN / U" HEALTH AGENT SANITARIAN TRANSMISSION VERIFICATION REPORT ` TIME 08/15/2013 21: 18 NAME FAX 9787450343 TEL 9787411800 SER. H 000S0N341991 DATEJIME 08115 21: 17 FAX NO./NAME 919788871986 DURATION 00:00:36 PAGE(S) 01 RESULT OK MODE STANDARD ti CITY OF SALEM, MASSACHUSETTS �i • 'I? BOARD OF HEALTH b 120 WASHINGTON STREET,410 FLOOR TEL. (978) 741-1800 KEYIBERLEY DRISCOLL FAS(978) 745-0343 MAYOR JAUNmAns,sl.IMCONI L,\ItRv RnNID1N,RS/RI?HS,CHO,CR-RS Hi',wCII AGIiN'C 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 2 I /_D/J.1AJ0 APS C UNIT#___� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNEWLESSER/jO/IXY / /��Q�_ MANAGER/AGENT NO P.O. BOX // ADDRESS Ale, ADDRESS CITY, STATE, ZIPS /17 PJ / 1740 CITY, STATE,ZIP p RESIDENCE PHONE /7r709 U%r7/ BUSINESS PHONE(24HRS) BUSINESS PHONE / TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. 2. LI V 3. /31 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 PPABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREA DATE Inspectors use onlv Date on initial inspection: 5- I ,i '1 Date of reinspection: Date of issuance of certificate: S"' "� Date fee paid: S,1"%L Type of unit: Dwellings/ Other Check# 3 I I'`I Check date: 5 & + t Notes: 'LG? L-nLs Z, m�5t• a ly Sw%&e;�A C6de Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON S-BEET,4"'FLOOR TEL. (978) 741-1800 KINIBERLLY DRISCOLL R-�x(978) 745-0343 MAYOR LRAMINN(a SALLM.COM L\RR\'R;\:N DIN,RS/RRFIS,CHO,CT-FIS 1II A a'1t Ac;IINT 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. s �f�o�Peu� /Af#4 �., � n e�� enant/Le e O er Lessor 6 �iyl,CDl��ty/V�P v /. �rir A6R7a Address Address Address o nit to be inspected Date Updated 5/23/11 tBOND . City of Salem, Massachusetts � � t Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-252 DATE ISSUED: 7/20/2016 Property Located at: 251 LORING AVENUE UNIT#2 Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: 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. FOR THE BOARD OF HEALTH f:;* Baros� Larry Ramdin, MPH, REHS, CHO SANITARIP1pd7 HEALTH AGENT i • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1P 120 WASHINGTON STREET 4"FLOOR PabhCIieAlth STREET, Prevent Promote Protect. TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdin(a.salem.com MAYOR L,\RRY RAMDIN,RS/RFI IS,CFIO,C1'-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 L 0 Ry 109 19V& UNIT# IS THIS UNIT DISIGNAT�D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 649&1 P1,0RC-F, MANAGER/AGENT NO P.O. BOX r ADDRESS 4 dAkweu) ADDRESS CITY, STATE,ZIP .SALEm �y CITY, STATE,ZIP 111A RESIDENCE PHONE 97? 7�-O �" /� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: J ROOM USE: 1.Ktr 2. /36i 3. geCl� 4. P1PV1A1f 5.`111111f 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�fIE TIME OF INSPECTION APPLICANT'S SIGNATURE �1 n^y 7' , 0-, DATE 7`7;,'lZ e Inspectors use onlv Date on initial inspection: - 7—meq Date of reinspection: Date of issuance of certificate: Q M I, 201_6 Date fee paid: D711 V2.14Type of unit: Dwelling I/ Other Check# 1331 Check date: (On W2-CIC Notes: C !F orc,ment hasp r i CITY OF SALEM, iVIASSACHUSE'I"I`S Bc)ARD 6F Hr 1t.TH { 120 WASHINGTON S1{t�> I",4 FLOOR publicHeAlth fEL. (978)741-1800 FAX(978) 745-0343 MIK U LKLEY DRISCOLL lramdin Ct salem.com LAiun,R.\%IDIN,RVRI':I Is,c110,cI,-I•'S MAYOR HuAi:ni At;I:Nr Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. ' • x Tenant/Lessee Owner/Lessor A 41V/4 Address V Address f / d,�1l&//1 Ale . . 0w7d - - Address on unWto be inspected h�4 Date d 40 U,r ted5/23/11 t•,oND City of Salem, MassachusettsIV � { ► Board of Health 120 Washington Street, 4th Floor, Salem, PuW>ZCH@a Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-277 DATE ISSUED: 8/3/2016 Property Located at: 251 LORING AVENUE UNIT#3 Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: 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 then: 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. &JeeyXrosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Zf BOARD OF HEALTH 120 WASHINGTON STREET 4°I FLOOR 1'ubhcHealth Proem.Promorc.Prmea TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdinna..salem.com LARRY R.\MDIN,RS/ItEHS,CI f0,C1)-VSMAYOR HEM.rij 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: $50.00 PROPERTY LOCATED AT Aver ��e. c�Qcarr q. UNIT#-3 IS THIS(UNIT DISIGNAT AS RIGHT LENT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER GC"t-) r \etc2 MANAGER/AGENT NO P.O. BOX a1 ADDRESS1 bC" kvice AVev rL ADDRESS CITY, STATE,ZIP Ja-Qvrr , r—A q, CITY, STATE,ZIP 01 Cee Kmm mNCh PHONE �ISSS- �$O(o� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Qa�N acv% "r�, �x�lrcxir— �i�Py 8. QV A 9. t�3b 10: THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ku-1 DATEG 6 Inspectors use onlv Date on initial inspection: CAI/01/2-01C Date of reinspection: Date of issuance of certificate: 2C Date fee paid: �O`V0.1./2nu Type of unit: Dwellin Other Check# 1 Check date: 061-420 _ rr Notes: / rgom� iaren tD I f ,, E %v n ,,1 p� !i ✓� 4�i wi misa a r Y a,C C e y or ment Insp for OONDiT,� City of Salem, Massachusetts 9 Board of Health F= 120 Washington Street, 4th Floor, Salem, PublicHealei MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-110 DATE ISSUED: 4/1/2016 Property Located at: 410 LORING AVENUE UNIT#2 Owner/Agent: Dikran Yakubian Address: 410 Loring Avenue#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(781)985-0806 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HE AILTH 120 WASHINGTON STREET,4"'FLOOR PabHcHealth TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL Iramdin(_n salem.com MAYOR L,\Rliy R,\bIDIi IN,RS� I_iI IS,CMO,(11)-FS 1-IEAI;J71 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" nn FEE: $50.00 PROPERTY LOCATED AT�►",�- C?r i%`P /��v� UNIT# Z IS THIS UNIT DISI(AATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER O iAW o90Y YA/A&X/4.�-/ MANAGER/AGENT NO P.O. BOX / ADDRESS `/�� i.^P /9v 19�a� / ADDRESS - I CITY, STATE,ZIP CITY, STATE,ZIP d RESIDENCE PHONE BUSINESS PHONE (24HRS) '900J-4, O i('06 BUSINESS PHONE TOTAL NUMBER OF ROOMS: �7 / `' ROOM USE: 1. 3 Q'<�dn 2. If, A// 3. s 4. A• AO 5. 7�� 7 6. f J4 ,moi - 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 PL AT THE TIME SP TION APPLICANT'S SIGNATURE �� _ DATE Insnectors use only Date on initial inspection: O3,/3C,/2n T Date of reinspection: Date of issuance of certificate: 51cv?41 - Date fee paid: 031W201-6 Type of unit: Dwelling�Other Check# qO� '� Check date: 0 31�V1u,116 Notes: Ffo1 �,OOF Cd orcement pector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PU}�HCHC81th TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinna salem.com MAYOR L.\RRY R,�>vn>IN,as/Rra-ts,a to,cr-Fs HLALU-t AGENT Release 0 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. Ten /Lessee Owner/Lessor A0111) -e_ d 2 H e o l;/J P �✓e �,p � // Address ' / Address \ AQ Address on unit to be inspected 3 Date Updated 523/11 cox+�yo,IT eta CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 09/27/2000 Fax:(978)740-9705 Jayne E. Smith 49 Hancock Street Salem, MA 01970 PROPERTY LOCATED AT 426 Loring Avenue UNIT # House Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8 :00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25. 00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist . R THE BOARD HEALTH REPLY TO oanne Sco MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ® a CITY OF SALEM, MASSACHUSIET"I'S lu BOARD()F HI Al• I-1 120 WASHINGTON STREET 410 FLOOR PublicHeaith TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL IramclinOsalein.com LARitY tUnnxN,aS/at,;i IS,cn0,<:1 i 5 MAYOR CERTIFICATE OF FITNESS CERTIFICATE # 138-12 DATE ISSUED: 4/4/2012 Property Located at: 430 Loring Avenue UNIT#2 Owner/Agent: Sheila Therberge Address: 430 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH fAl LAFUIY RAMDIN 7� � HEALTH AGENT SANITARIAN 0• ' CITY OF SALEM, MASSACHUSETTS 13��l s BOARD OF HEALTH J 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBE.RI.F.Y DRISCOLL FAX (978) 745-0343 MlU'Olt 1.w\nm)NnaS; IAFA.C.cm1 1:,,\it in'R,\i\IDIN, Rti/It It1 IX,CI IO,C11-1;5 1-11„\1;1'11 JV;FNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" JJ,, FEE: 550.0(0 PROPERTY LOCATED AT T �D Lp Y' tit C� G�1 V--2_. UNIT# o _ CC)J IS THIS UNIT DISIIGNATED AS RIG LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER5A e l 14 NII h,el�_-e V��n MANAGER/AGENT NO P.O. BOX ADDRESS '-C30 Z:o r l l, (, ADDRESS CITY, STATE,ZIP wel.I PJw /V1 Q CITY, STATE,ZIP RESIDENCE PHONE Q ' BUSINESS PHONE(24HRS) BUSINESS PHONE �J TOTAL NUMBER OF ROOMS: r ROOM USE: 1. Alk- 2,Z7 U 6,i,4 3. B4JV Pd>vn 4. b C�, (C-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 JIME OF INSPECTION �/ APPLICANT'S SIGNATURE �� Jj _ DATE !A// Inspectors use only Date on initial inspection: - 1\,L Date of reinspection: Date of issuance of certificate: y Y I`� Date fee paid: L� " Type of unit: Dwelling '� Other Check# 2 JNa Check date: 4,Li,\1 Notes: 1bG\ n ode Enforcement Inspector .¢oeslr�� sa �9B��MME CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel: (978) 741-1800 03/13/2000 Fax (978) 740-9705 Gary Pierce 9 Oakview Avenue Salem, MA 01970 PROPERTY LOCATED AT 497 Loring Avenue UNIT # 1 Front Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars , per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity apd gas use which is not used - - exclusively by that tenant. The Department of`Public Utilities has billed property owners for their tempts' entire utility bills„retrg;active to the date of initial occupancy in cases in which cross-metering has been{proven to exist. R THE BOARD 9fHEAIITH REPLY TO oanne Scott, MPH,RS,CH0 PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ' 14 �vTn CERT.# 309-98 •� Y" FEE $25.00 3 � DATE: 05/20/98 �'�7MIPB 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: 497 Lorina Avenue UNIT #: 1 Front OWNER/AGENT: Gary Pierce ADDRESS: 9 Oakview Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6571 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410. 000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS�/FOR�HjUM/AN HABITATION". y PROPERTY LOCATED AT `/9 / .(/Qti�jl) (U � UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FI RONT/ BACK PLEASE CIRCLE ONE OWNER/LESSER l•ti4ky Y/(1EC�. MANAGER/AGENT ADDRESS // ADDRESS CITY <'x&in CITY RESIDENCE PHONE 7 Ve le r/y)/ BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS. '�? ROOM USE: 1.�� 2 , / 3. 46- 4.f i 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 SIGNATUR d DATE�L/ �yX INSPECTORS USE ONLY DATE OF INITIAL INSPECTION.T'a- -`l8' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:Ti9V-MATE FEE PAID:.,` d- J TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 CERT.# 517-95 3 " FEE $25.00 • ��l', �ps DATE: 08/02/95 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 497 Lorina Avenue UNIT #: 1 OWNER/AGENT: Gary Pierce ADDRESS: 9 Oak-view Avenue CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-6571 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH t�/ f�8e gam ` f/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR A. 7 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEATH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4497 L0z/A/q , qfeUNIT i OWNER/LESSER Y/32 _�gee fid MANAGER/AGENT ADDRESS 9 o*AeVi6ti . ADDRESS CITY SBLf hl / CITY 'RESIDENCE PHONE '7v q &,r71. BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: 1. '06 2. Z 1 V/I✓(r– 3. 134P 4 . eZlD 5. 6. 7. 8. THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM DEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE , , DATE 4I�j INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: d DATE OF REINSPECTION r DATE OF ISSUANCE OF CERTIFICATE: y DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR y N City of Salem, Massachusetts Board of Health �,�L�� 120 Washington Street, 4th Floor, Salem, Ith MA 01970 Prevent Promote. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-499 DATE ISSUED: 12/27/2016 Property Located at: 497 LORING AVENUE UNIT#2 Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: 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 occupa under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Y CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL (978) 741-1800 KIMBERLEY DRISCOL.L FAX(978) 745-0343 MAYOR LRAMDIN(a)SALEM.COM LARRY RAMDIN,RS/REHS,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,.,0/0 PROPERTY LOCATED AT �h�� l,Or � ° "� UNIT# IS THIS UNIT DISIGNATED AS RIGH LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER � �� Fi MANAGER/AGENT NO P.O.BOX ADDRESS cI�� d��AtO t �-LI v k ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP 6 j e17 J RESIDENCE PHONE 9Iu -I\4'A W1 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Il, _ ROOM USE: 1. 2. 3.'�aA 4. wv 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)50 DOLLAR FEE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT SHE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 4114— Inspectors use only Date on initial inspection: I�C, dU\��rQ Date of reinspection: Date of issuance of certificate: I �/F 0 Q Date fee paid: Dr.C ) '1 r�r n�I Q Type of unit: Dwelling Other Check# '7�(� Check date: _ Notes: n II r I 1 74-r \ CodelEor6r6ctii"s ector 0 (/ r,0ND1'�� City of Salem, Massachusettslu Asd m Board of Health UA9 120 Washington Street, 4th Floor, Salem, PPubliCH� 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-16.111 DATE ISSUED: 4/4/2016 Property Located at: 505 LORING AVENUE UNIT#1 Owner/Agent: Robert Carter Address: 34 Smith Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-7954 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HE.iLTH lu 120 WASHINGTON STREET,4°1 FLOOR PubhCHealth Prevent.Promote Prosect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinnn salem.com MAYOR L,\RIs]'R.\DfDIN,]iS/IiILI IS,CI-IO,CP-ISS HEAL.T'l l 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" FELE:/$50.0,01 A PROPERTY LOCATED AT SO$ Lorlr?vAve, Pr►t /i�7y O/47O UNIT# OSE IS THIS UNIT DISIGNA ED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE GONE OWNER/LESSERSo-TZor>n4A1.9<tb P60 v WtANAGER/AGENT lCo�dr�C�r i` ADDRESS J ADDRESS 3Y Sml�% :5)p CITY, STATE,ZIP CITY, STATE,ZIP &i 'J lm 0I49,� RESIDENCE PHONE BUSINESS PHONE(24HRS)_617 oL7 0 '73 d O 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 PAYABL T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE%CvLl /b Inspectors use only Date on initial inspection:n V/0 412 Date of reinspection: Date of issuance of certificate:CJ ' a Date fee paid:0VlOgI2-69.6 Type of unit: DwellingOther Check# %6y Check date: ��H�/6 Notes: Cod or TnentInsp ctor • CITY OF SALEM, MASSACHUSETTS BOARD OF HE.-\LTH 10 120 WASHINGTON STREET,4°1 FLOOR PublicHealth PreventTEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL ]ramdln(c).salemxom MAYOR Lr\12121'Ii,1 NIUIN,RS/liftl-IS,(:I IO,Cl'-];S Hli:.\LTI-I AGb:N'I' 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 pection. Tena /L ee IJGUZdiopieg2 Oem�er,Lesser�ePertf.�� bf�itf�l� Uh1i * -5c,5&e;qe ve S ,°r MA 01977 S� /Yl�r ol9yS Address Address SoS�or�n Awe '<nU 194 o19�'o Address on unit'io be inspected /`'lore �/, (�O 14 Date Updated 523/11 EM CDND�T�yOJ City of Salem, Massachusetts 1�.t 3IB y Board of Health 120 Washington Street, 4th Floor, Salem, Pt1bliCHeAllth i� Preven i. P,...te. PWW. MA i31970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor IramdinClsalem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE:#: GHL-15-239 DATE ISSUED: 8/20/2015 Property Located 3t: 505 LORING AVENUE UNIT#2 Owner/Agent: Robert Carter Address: 34 Smith Street City/Town: Marblehead, MA Zip Code: 01945 24.Hour Phone: (617) 240-4300 Pursuant to the re auirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling ur it, 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 11 "Minimum Standards of Fitne ss 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 c ccupied. Maximum Numbe of occupants, must comply with 105 CMR 410.000. Certificate valid fc r one year from date of issuance or until the: current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO V U HEALTH AGENT SANITARIAN CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL(978)741-1800 Fax(978)745-0343 KDOERLEYDRISCOLL Iramdin0salem.com MAYOR LARRY RAMDIN,R.S/REHS,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 S o.S Lal-/r a 400, 1071f iZ ) :S-4jew, IR O f lyOUNIT#-j2?-- IS T®S IINrT DISIGNAAD AS RIGHT FBF FROM OR BACIL PLEASE CIRCLE ONE OWNER/LESSER5'05 Lor/h9/¢YP. �Prai � .-rn,AMANAGER/AGENT e 161Y-&Gr� NO P.O.BOX / ADDRESS ADDRESS_ �1f" I CITY, STATE,ZIP CrfY, STATE,ZIP& 1"Lh A RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.LivIn)r iQlll 2. /�inq�lYZ 3�G�Y'/lti#/ 4 �rlltZ 5 K�G�r-►t 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 Y AT THE TARE OF INSPECTION APPLICANT'S SIGNATURE W DATE Insoectors use only Date on initial inspection: R I I I Date of reinspection Date of issuance of certificate: Date fee paid: _VI&T Type of unit: Dwelling _Other Check# 675 Check date: V I n Notes: Codeo� t Inspector IS -a3q i s CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,AS.CHO NINE NORTH STREET HEALTH AGENT Tei:(508)Tat•1900 Fax:(509)740.9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter I1 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT/LESSEE AWN -k/i,ESSOR pr p6,.tYXV ro<Zo,rin4 !/ufl Uhr� # EhL � Ol47� ,3/7rShz17Y S`f p 6 Jr ADDRESS � t ADDRESS 6-05 ��ln�/7U�,!/nr` J /APiIK � ojq%lo ADDRESS OF UNIT TO 8F. INSPECTED DATE City of Salem, Massachusetts lu . ; � Board of Health 120 Washington Street, 4th Floor, Salem, PablicHealth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-16.6 DATE ISSUED: 1/8/2016 Property Located at: 505 LORING AVENUE UNIT#3 Owner/Agent: Robert Carter Address: 34 Smith Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-7954 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM,MASSACHUSETTS VQ BOARD OFHFALTH 120 WASHINGTON MEET,4y"FLOOR TEL(978)741-1800 FAX(978)745-0343 KHOERLEY DRISCOLL Inundin(a4Saiem.com LARRY RArifD Ho,cr-rs MAYOR - HEALTH AGENT Application for Certificate of Fitness iN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:$50.00 PROPERTY LOCATED AT 5'2�Zor lifo gV UN1T# IS TIRS UNff nISIGNAYM AS `Gid'. T LLffr r oR AC ,PLEASE CntCIE ONE OWNER/LESSER 5'o Z vinv g -<ol P,,A,7t", ANAOER/AGENT .,-&&�P' p r' NO P.O.BOX _.,G L, / �� ADDRESS /�StJnSPA �rP.z?4, l� ADDRESS 3h1 Sm; cm,STATE,vp cm , G✓czti37 CrrY,STATE,Zlut?��b lr h�A� RESIDENCE PHONE J BUSINESS PHONE(24BRS) (/7 f'a � b 0 . BUSINESS PHONE -203-S3v `" Y41 q? TOTAL NUMBER OF ROOMS: 16� // ROOM USE: 1. &lt w, 2. f�c�£ m 3. 1,�,ltlx, 4. 1<'O�a�N 5. �1✓ln4f 6Jwwj'APPL7. 8. 9. 10. YY THERE IS AFIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP YAB AT THE TIlMIE OF INSPECTION APPLICANT'S SIGNA'T'URE DATE Inspectors use only Date on initial inspection: U11LOV). ')I� Date of reinspecfioa Date of issuance of cet tificatm 02/07 IDU Date fee paid:�2;�/� Type of unit: Dwelling �Other #160 Check date: Ll&d 2 DI- Notes: ent or