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CITY OF SALEM, MASSACHUSETTS
0 6 BOARD OF HEALTH
s 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#329-06
DATE ISSUED: 6/28/2006
Property Located at: 1 Lussier Street UNIT#2
Owner/Agent: Luis A Cruz
Address: 1 Lussier Street#3
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.
FO HE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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^ CITY OF SALEM, MASSACHUSETTs
BOARD oFHEALTH
120 WASHINGTON STREET, 4TH rLuon
SALEM, wAov97o
TsL� s7e'74x-1eOo
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, cnn
HEALTH AGENT
Kimberley Driscoll
Mayor
APPLICATION FOR CERTIFICATE OFFITNESS
|NACCORDANCE WITH STATE SANITARY CODE, CHAPTER ||. 10SCMR 410OOO
"MINIMUM STANDARDS U HABITATION".
PROPERTY LOCATED AT / \/^M7��' "��m'' `� -YJN|T #i;�
_-_-~. ' ��--------'�'�-
ISTHIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
ADDRESS ADDRESS
CITY
RES|[)ENCEPH8NE—_ BUSINESS PHONE (24HRS.)___,___
BUSINESS PH()NEA � o2l4
TOTAL NUMBER OFROOMS:
R(}[)MUCE: 1,_________2`-3_________4._________-
THERE IS ATWENTY-FIVE(S25.O0DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TOTHE CITY (}FSALEM HEALTH DEPARTMENT THIS^FEE (SPAYABLE ATTHE
TIME OFINSPECTION.
/
APPLICANTS SIGNATURE DATTYPE OF UNIT: DWELLINGeO'THER CHECK # E-4
INSP RS USE ONLY
DATE OF INITIAL INSPECTION -a-�'-�O:e�L,DATE OF REINSPECTION,--,----- ,
DATE OF ISSUANCE OF CERTIFICATE:C-�L,.y--�o 6 DATE FEE PAID:
�
CHECK DATE
9/28/90
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CITY OF SAITA, MASSACHUSETTS
Bo,ARD OF 1-1 EALT14
120 WAS111NGI`0N S—rRFim'1',4t..F'LOQR mH
Tat.. (978) 741-1800 F,,x(978)745-0343
KIMI3ERLEY DRI 3f 01 Z liarndin satet�com
1.ARitY RA Nit) Rs/tu+.t-ts,C1 10,rt'-rs
MAYOR FWAJ'T1-tA(a; r
i
CERTIFICATE OF FITNESS
CERTIFICATE#18-15
DATE ISSUED: 115/2015
Property Located at: 7 Lussier Street UNIT# 1
Owner/Agent: Edward Lapham
Adnress: 5 Lussier Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-998-1209
Put suant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
701,: 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
10!i CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of
Fitness for Human Habitation".
Th.:refore, 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.
Ce rtificate valid for one year from date of issuance or until the current tenant vacates, whichever
is'ater.
TI-is Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Lf4 RAMDIN
HFALTH AGENT SANITARIAN
I
I
I
CITY OF SALEM, MASSACHUSETTS
a BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR I.RAM1DIL4&, r MCON1
LARRY RAMDIN,RS/Rf?PIS,CI10,(:I)-ISS -
HE ;m 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 7 L u S S t,-�—Y— �� UNIT#__�.,_
11 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER ., MANAGER/AGENT
NO P.O. BOX '
ADDRESS SJ_ ADDRESS
CITY, STATE,ZIP i '� [i 1 Ci7C7 CITY, STATE,ZIP
RESIDENCE PHONE `t 7 J - �/% — BUSINESS PHONE(24HRS)
BUSINESS PHONE ^
TOTAL NUMBER OF ROOMS:
ROOM USE: I. 1 i T 2. 3 ' 4. i)({ 5 rO 1<
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 TIMEOF INSPECTION � f,
APPLICANT'S SIGNATURE _DATE
InEpectors use only
Date on initial inspection: '[S (�) Date of reinspection:
Date of issuance of certificate: _ Date fee paid:
Type of unit: Dwelling Other tt ��Check#��Check date:
Notes: 4-^ i Jt i1 a` 1 V) E'rC.. �'^ r
illC`l? ., C)O QQ r
LCA)d1'ei=Wr_emcnt Inspector
CITY OF SALEM, MASSACHUSETTS
+ BOARD OF HEALTH
o w.
9sa2 120 WASHINGTON STREET, 4TH FLOOR
c SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 112-04
DATE ISSUED: 03/25/2004
Property Located at: 9 Lussier Street UNIT# 1
Owner/Agent: Lorraine Beauregard
Address: 11 Lussier Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-2484
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in
compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter 11"Minimum Standards
of Fitness for Human Habitation".
Therefore,this Certificate if 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 CRM 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy.
OR THE BOARD V
1/ 96
491e-11
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
{ 107 'U
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 USOVFCZ, JR, JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
i
�J 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—r3�f 4 / til✓ ✓ UNIT#/
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE
OWNE SSE �MANAGERIAGENT
O.Box _ No P.O.Box
ADDRESS /� 55/f'P JJ ADDRESS
CITY- CITY
RESIDENCE PHON /'fBUSINESS PHONE {24 HRS.Akd4e >
BUSINESS PHONErfli 'ol,`
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 / �wiv 2ZP.lp de3 d&&W &/
5 ul f6.
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 SIGNATUAZ �/�( _DA7
INSPECTORS USE&Y
PATE OF INITIAL INSPECTION -p _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-3 ` "� ,7 DATE FEE PAID: 7- } 0
TYPE 4F UNIT: DWELLINGGOTHER_ CHECK# CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9128198
soxm CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 CERT..# 142-02
TEL. 978-741-1800 FEE $25.00
FAX 978-745-0343 DATE: 03/11/2002
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Lussier Street UNIT #: 2
OWNER/AGENT: Lorraine Beauregard
ADDRESS: 2100 Grayson Drive Apt. 1611-2
CITY/TOWN: Grapevine, TX ZIP CODE: 76051 24 HOUR PHONE: 421-4219
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
"'11� / J
JOANNE SCOTT, MPH,RS,CHO VV
i
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
CITY OF SALEM, MASSACHUSETTS 00
.. o j
I BOARD OF HEALTH ,L
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN(HABITATION".
PROPERTY LOCATED ATUNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT F=RONT BACK PLEASE CIRCLE O E �
OWNER/LESSER AcWlgl�e Xj;r_ t�MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS /6D �/s'9✓r r.J / A&A-7-ADDRESS
CITYl2Pf/llU' v a1�d,5/ CITY
RESIDENCE PHONEfZ� W/-- d/ BUSINESS PHONE (24 HRS.)
BUSINESSPHONE �✓ 31�
TOTAL NUMBER OF ROOMS: �J
ROOM USE: 1. 2. 3. 4.
5. X 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.
APPLICANTS SIGNATURE�I�l�y/� DATE
INSPECTORS USE ON Y
DATE OF INITIAL INSPECTION 3 : [`1 -0 �' DATE OF REINSPECTION
DATE OF ISSUANCEOF CERTIFICATE:.? -(f-O Z' DATE FEE PAID:3 - // -6'z—
TYPE OF UNIT: DWELLING
/OTHER_ CHECK#1-0 1CHECK DATE -// z-
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98