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LYNDE STREET LYNDE STREET r „ e 0 • CITY OF SALEM, MASSACHUSE'1"TS BOARD o> HimvLTH IV 120 WASHINGTON STREET 4."FLOOR P[1bI1CHC81�1 � Prevent.Pr—om.r.o,vv,. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramclinnsalenn.com LAItRY 10N1D1N,RS/Rf?ITIS,CHO,CT-FS MAYOR December 23, 2015 Jacob Missaghi 203 Newtonville Avenue Newton, MA 02458 VIA CERTIFIED MAIL: 7013 3020 00021522 8006 Dear Sir/Madam: - In accordance with Chapter 111, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code,Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation,an inspection was conducted of the property 15 Lynde Street#20 permitted by occupant Linda Skudlark conducted by David Greenbaum,Senior Sanitarian on December 15, 2015 @ 2:30p.m. Notice: if this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility to notify tenants of lead related reports and tests, and to ensure that this unit complies fully with 105 CMR 460:000: Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the Salem Board of Health at 978-741-1800. You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report and to take all positive action to prevent these violations from occurring again in the future. Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being sought against you in Trial Court. Time for compliance begins with receipt of this Order. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing,you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn.You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection in investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. For the Board of Health Reply to: arty in David Greenbaum Healt Agent Senior Sanitarian cc: Tenant CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET,4"'1 7LOOR PubliCHealth PrtvenL Ytomole.Prc4cr. TEL. (978) 741-1800 Fat(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a�salem.com LARRY iL\MDIN,ILS/RFSHS,CHQ CP-FS MAYOR State Sanitary Code, Chapter II: 105 CMR 410.000 Minimum Standards of Fitness for Human Habitation Occupant: Linda Skudlark Phone: 978-744-4076 Address: 15 Lynde Street Unit#: 20 Floor: Third Salem, MA 01970 Owner: Jacob Missaghi Address: 203 Newtonville Avenue Newton, MA 02458 Inspection Date: December 15, 2015 Time: 2:30 PM Conducted By: David Greenbaum Accompanied By: Tenant S ecified Time Re . 11410. Violations) Based upon a tenant complaint a permitted inspection was conducted in accordance with Article II of the State Sanitary Code, 105 CMR 410.000. Upon Inspection the following were noted: 14 Days .500 1. There is water damage on the wall and ceiling of the kitchen. Owner must investigate the source of the leak and repair. Repair and repaint the walls and replace all water damaged ceiling tiles. 14 Das .500 2. The kitchen faucet is loose. Repair and re-secure the faucet. 24 Hours .200 3. The pull cord is missing on the kitchen light fixture. Repair or replace the pull cord. 14 Days .500 4. The dishwasher is damaged and not working properly. Repair or Replace the dishwasher. 14 Days .500 5. There is water damage on the hall ceiling. Owner must investigate the source of the leak and repair. Repair and repaint the ceiling. 14 Days .280 6. There is water damage on the ceiling of the back bedroom. Owner must investigate the source of the leak and repair. Repair and repaint the ceiling. 14 Days .500 7. The light fixture in the back bedroom does not work. Repair the light fixture to good working order. One or more of the above violatio ma a ger or materially impair the health, safety and well-being of the occupant(s) Code Enforcement Inspector / YyV" X i I Este es un document legal importante. Puedb que afecte sus derechos. Puede adquiriruna traduccion de esta forma. LEM REMEDIES FOR TENAWTS OF RESIQENTIAt.HOUSING .E FOLLOWING IS A BRIEF SUMMARY OF SOME OF THE LEGAL REMEDIES G------ t�fBNSL'0 . Rent WN00V(General taws Ctrapter 239 Section 8A) 9 Code Violations Are Not Being Corrected, you may be entified to hold back your rent payments. You can do this without being emoted It. A You can prove td your dwelft tm9 or common areas coag code VbWons Wit are serous eraugh to end ger or mated*Impair your heailh or safety and brat your land W knew about the vioialions before you were bewinyouarent B. You did not cause go valaiions and feycan be rept while you continue to Ove in the bOng. C. You are pmp W to payany portion of Uro rent[*ooud tia judge orders you to pay IL (Fortifs rTis lostio putthe rent reyasirhr in asafe pIaoe) Wpairand_beducfiGen0rattmws.CtiapW11-1-Section 127L} The law sometimes allow you to use your rent money-to make the repairs yourself. 9 your ices! code enforcement agency c Wahl that there are code vfetaUor s which endanger or mated*kv*your heaMi,sdiety orw1bdng and your tandford.has received written notice oftfhe vtotations,you may be abie to use this remedy: If the owner fails to begin necessary repairs (or to order into a written =hot to have,them made) wiUhfn be,days after notice or to compiefe repafrswitldn td days affernoticeyou canuse up to fourmonths.renthu anyyearto mataet m repairs, Rentir reales orEftons.Prchrf W(GeneWLaws t2hapteri86.Section 1$m dC1apter239S%fw 2A). The owner may not Increase your reef or evict you In rMaft for maidng a compfalnt to yourlocat code enforcement agency about code vi�9a►s.-If the owner mised your rentor trial to w1bin six months;atferyou have merle ft complaint he or.che WON have to show a good.reasonforthe incraise or eviction whictuts unrelated to your complaint. You may be abietosue the landlord.for the damages If he or she tries this. i d Receivers*(Gene d aws 0hapter iii SecOen 1270. The 000prife andfor the board of health•may peition the DIsltict or Superior Court to allow recd to be paid into court uatihar-than lathe owner. The um d may then appoint a lie*er'Who mar spend as much of the rent money as is neededtocorrect1heviotation. Then:ceiverisnctsubjectoasperuUrugfiintlaUonoffourmordhsmat soh of Warm*of You may be enured tosmyour landlord tohave a H or soma of your rent retumed 9 your dwMOng unit does not meet minimum standards of habltabf9ty. akand Deceift Placttces(General iIza Chapter 934 Renting an apartment with code viotattons is a vicieft of Uhl consumer protection act and regulations for WA you, maysue an owner: 1FORMAMON PRESENTED ABOVE IS ONLY A SUMMARY OF THE LAW.BEFORE YOU DECIDE TO WITHHOLD YOUR RENT . KE ANy OTHER LEGAL ACTION, IT iS ADVISABLE THAT YOU.CONSULT AN ATTORNEY. IF YOU CANNOT AFFORD TO ATAN ATTORNEY,YOU SHOULD CONTACT THE NEAREST LEGAL SERVICES OFFICE WHICH IS: Nortir Shore CommanityAction Programs Inc. NorU>ast Housing Court 98 Maki Street 2AppftStreet Peabody,MA,01960 L wrano%MA01840 (978)531-0787 (M1)6119-7833 t : CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �. SALEM, MA 01970 rllf� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#518-04 DATE ISSUED: 11/15/04 Property Located at: 12 Lynde Street UNIT# 103 Owner/Agent: George Ahmed Address: 102 Columbus Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1464 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 JO /NNE SCOTT, MPH, RS, CHO ° HEALTH AGENT COD ENFORCEMENT INSPE OR r ` CTTY OR SALEM,, MASSACHUSETTS BOARD OF HEALTH ti" • • 120 WASNtNGCON STREET.4T" FLOOR SALEM, MA 01970 TEL. 978-741 034 3 Fax 978-7a5-0343 r 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 107,_1LJ;/q _UNIT 410.3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE 014E OWNER/i ESSER_. }�(3T= d8Iyr:=D MANAGER/AGENT _ No P.O. Box No P.O.Box ADDRESS_j�U.? C -1p ,tky,/._Aly-_.ADDRESS_ CITY.. (/l9Li=1 _f _CITY RESIDENCE PHONF&7 'Y-j,�BUSINESS PHONE (24 HRS )______ BUSINESS PHONE(f;?�9) 'J�}`t- 30b _ TOTAL NUMBER OF ROOMS: 3 _ ROOM USE: 2,�!e3 4. . THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNATURE (-_ - � __ __-__" DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION j ( l G DATE OF REINSPI-C i ION OAl k Of IS UANCi Chi ,1'IFiCAi E �(�� '? -61, PAI L l i l- PAID / / -., 7 �— ­� -/ TYPE OF UNIT" DWEI_LIN( ()I I IF CMI-i'K t' g C:!IFCK PATI t NOH NI Oita i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR 1 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#384-04 DATE ISSUED: 08/16/2004 Property Located at: 12 Lynde Street UNIT# 104 \ Owner/Agent: George Ahmed Address: 102 Columbus Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7306 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD OF HEALTH 1pag d JOANNE SCOTT, MPH, RS, CHO lkvy HEALTH AGENT CODE ENFORCEMENT INSPECTOR /�/�^;/��/tr$V .w.tA ,c���ygy,'.,tl5 .,�yy'�,V`�"�yt ■����/_ ,mow A`Tc x'.. - } ,y." r PIPE, - '�.4�. Jt.• R ! r^rt"ST `f(`n `�az i V.M4>Mn fiii�v',y aw w+ i W s, Az FSAG.EM �v1A,07970 - .. 36 ` TEL 978-741 7800 - r .{ , £AX 978-745-0343, - STAN LEYUSOViC2, 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 12 f ✓sem - f" UNIT tt oa f IS THIS UNIT DESIGNATED ASIR GHTT�LEFT f FRONT BACK PLEASE CIRCLE ONE OWNERILESSER 0CCO� -I "�' MANAGERIAGENT No P.O. Box No P.O.Box ADDRESS � o4 1-;,W- ADDRESS CITY r11� TN _CITY RESIDENCE PHONE ZZ f� K�BUSINESS PHONE (24 HRS.)_` BUSINESS PHONE 9� TOTAL NUMBER OF ROOMS:__._ �J ROOM USE: 1. THERE IS A TWENTY-FIVE{525.00} DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE -._ DATE, ; INSPECTORS USE ONLY DATE OF INITIALINSPECTION 46 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE; '—/6 �.tDATE FEE PAID: ''I 7 TYPE OF UNIT DWELLIN OTHER._ CHECK # I_-�____CRECK DATE NOTES: --- -- ._—._ _—` -- -.._ - --._ ------- ---- 9!28198 CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 21 120 WASHINGTON STREET, 4TH FLOOR a o SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 137-04 DATE ISSUED: 04/13/2004 Property Located at: 12 Lynde Street UNIT# 106 i Owner/Agent: George Ahmed Address: 102 Columbus Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7306 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter 11"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This 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 q �� '� BOARD OF HEALTH 1 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL, 978-741-1800 FAX 978-745-0343 STANLEY USOVICI, 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".A PROPERTY LOCATED AT� � A. UNIT#Ldle �o IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER GLi2eaz jo."maO MANAGER/AGENT _ No P.O, Box No P.O.Box �tr ADDRESS I o 1. 40n Ltry—,6 u8 AS ADDRESS CITY If RLN► CITY JJI - RESIDENCE PHONEaL782 Y!V-,7,�Yo BUSINESS PHONE(24 HRS.��3C BUSINESS PHONE&7v)2V9e 1306 TOTAL NUMBER OF ROOMS:--I t� ROOM USE: 1..1LV eCY 3. " V'✓4. C, 'F or tGi 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 _� DAT Ea INS USE ONLY DATE OF INITIAL INSPECTION7 "� DATE OF REINSPECTION L/ _ DATE OF ISSUANCE OF CERTIFICATE: - `0�( DATE FEE PAID:_ -_f TYPE OF UNIT: DWELLTTHER` CHECK# 15 CHECK DATE NOTES: //�� CODE ENFORCEMENT INSPECTOR 9128198 II Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s r. 9 _ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 517-04 DATE ISSUED: 11/15/04 Property Located at: 12 Lynde Street UNIT#202 Owner/Agent: George A. Ahmed Address: 102 Columbus Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1464 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 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 TEL. 978-74 1.1800 FAX 978-745-0343 } STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT V 1q APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410 000 j "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT _/:s_[ `/y��r�l UNIT u o7o Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER_ a,e,/ rLMANAGERIAGENT _ No P.O. Box j No P_O. Box ADDRESS 107 CU6vJd ADDRESS CITY--- srt tt -l6 _.CITY _ RESIDENCE PHON(�)fYV4 _BUSINESS PHONE (24 HRS ),- BUSINESS RS )._BUSINESS PHONE_ , 73�5z- cPb -,— TOTAL NUMBER OF ROOMS: Z tt ROOM USE: 5._.—.-6. 7._ 8. THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION- APPLICANTS SIGNATURE DATL-_�/f�f�3 ref. INSPECTORS USE ONLY GATE OF INITIAL_ INSPECTION �p ' �� ' DATE OF REINSPECTION DATE OFA ISSUAtJCL 0I DAII- FLG I'/SIL) TYPE OF UNII DWEI_LIN / 01111=R! C:Hfl-CK t: � j � (-11FCk 0A"i F (\ NI>tl S NI )Iil'l I'll Iv' I iN'Wl CIOk 1 y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR . o 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#385-04 DATE ISSUED: 08/16/2004 Property Located at: 12 Lynde Street UNIT#203 Owner/Agent: George Ahmed Address: 102 Columbus Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7306 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This 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 t1SE3'� � la as » .' a i 1»'20 WASHIRGTGN rSTyREE�a.4Tj1 �'IOOR t +5 � .-� ' °*' �• 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 It. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN ABITATION". PROPERTY LOCATED AT o UNIT# �3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTBACK PLEASE CIRCLE ONE OWNER/LESSER--Cip � G MANAGER/AGENT No P.O. Box �' // �- No P.O.Box ADDRESS1G.2 l/ -_kV r . Yi.ADDRESS_ CITY {{a� CITY RESIDENCE PHON�r7d2/ 7. a-4 BUSINESS PHONE (24 HRS-)_jiF �" de BUSINESS PHONEq�7 ^�c' _ TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.. ,�_2.jjjr_3,��4. _ — THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 1� APPLICANTS SIGNATURE DATE—4-11' Al INSPEQT_OR$ USE ONLY DATE OF INITIAL INSPECTION L?? DATE OF REINSPFCTION_. DATE OF ISSUANCE OF CERTIFICATE:'Xj d d DATE FEE PAID r1 7 TYPE OF UNIT: DWELLIM,/ OTHER.__._ CHECK , l �_v CHECK DATE 1_7 NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR . p SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 136-04 DATE ISSUED: 04/13/2004 Property Located at: 12 Lynde Street UNIT#204 Owner/Agent: George A. Ahmed Address: 120 Columbus Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7306 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 HEALTHq"GX4- da� ly �0 �JOANNE SCOTT, MPH. RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t CITY OF SALEM, MASSACHUSETTS Y/,v BOARD OF HEALTH ✓ e • 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 11,105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS rFOR �HUMAN HABITATION". PROPERTY LOCATED AT 42 � � UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER J G ,i}f MANAGER/AGENT No P.O. Box / /t No P.O. Box ADDRESS-,W A01- ADDRESS _ CITYi`��/�=/7 CITY RESIDENCE PHONBIy��9Jh�`.�-`/'r�'Dlii BUSINESS PHONE (24 HRS.) 1J BUSINESS PHONE-&�c ZW-:Z crt"o TOTAL NUMBER OF ROOMS: ROOM USE: 1. 411.�2.'4 . 4. /1//4.,,,x "fel .cfu..s.eya-�i.�+,��a,,.�µ•�'�..._.o, 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 I DATE OF INITIAL INSPECTION /3 -D `P DATE OF REINSPECTION_„ DATE OF ISSUANCE OF CERTIFICATE: -13 Jo DATE FEE PAID:_' - / 3 TYPE OF UNIT: DWELLING) OTHER_ CHECK# 5--f-�CHECK DATE V/3 a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a Y CERT.# 2-00 � FEE "$25.00 DATE: 01/03/2000 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 Lynda Street UNIT #: 205 OWNER/AGENT: George Ahmed ' ADDRESS: 102 Columbus Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7306 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 ISSUEDBYTHE 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 HEALTH V l/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I 6-0 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 HUMAN HABITATION". i PROPERTY LOCATED ATZ2 --Jt Aa �` / UNIT# ' 06 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER49 O�Sc MANAGER/AGENT ADDRESS,&.,? 4sLi ��Urlli ADDRESS d� CITY CITY RESIDENCE PHONE(27��S BUSINESS PHONE (24 HRS.) t BUSINESS PHONE TOTAL NUMBER OOFF �i� �jROOMS: ROOM USE: 1 2.as? 4. 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 APPLICANTS SIGNATUR ' DATE 6/ /1GG INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-90'P O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEA3' ofl DATE FEE PAID:L� a TYPE OF UNIT: DWELLING OTHER—C//- 7F 73 _1 _ 3 NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 QL 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 10/15/2007 Rufus Choate Trust/ Kenneth Lindaur Trustee 14 Lynde Street Salem, MA 01970 PROPERTY LOCATED AT 14 Lynde Street Unit Rear 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 Healt Reply to Qnne Scott MPH, RS, CHO Pablo Valdez 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 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/11/06 Saz Corporation 111 Pleasant Street#15 Watertown, MA 02172 PROPERTY LOCATED AT 15 Lynde Street Unit 5 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. oan�F r the Board of Health Reply to MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH gl 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/22/05 Saz Corporation 111 Pleasant Street#15 Watertown, MA 02172 PROPERTY LOCATED AT 15 Lynde Street Unit 5 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 t/ �r �./y ,t7t�1LY t� UJoanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector - 4 �:.z x � n:F �`4 i ( 6 �mra CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 02/28/2000 Tel:(978)741-1800. Fax:(978)740-9705 Saz Corporation 11 Pleasant Street #15 Watertown, MA 02172 PROPERTY LOCATED AT 15 Lynda Street UNIT # 9 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 %III 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 410.0001 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 iC exclusively by that tenant. The Department of Public Utilities has billed. property ---=---towners fortheir .tenants!-entire utility bills-retroactive-to .the=date,of=initial^-:LL occupancy in cases in which cross-metering has been proven .to exist. R THE BO jY�� - REPLY TO •oanne�Scott, MPH;RS,CHO PABLO VALDEZ I Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH A 2 120 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 2/22/05 Flora Farmarzi Matghalchi 83 Andrew Street Newton, MA 02161 PROPERTY LOCATED AT 15 Lynde Street Unit 12 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 nne Seco MPH, RS, CHO' Pablo Valdez Health Agent Code Enforcement Inspector c CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IMANCINI&ALEM.COM JANIi;I'MANCINI ACTING Hr'.AL:n.I A( INT CERTIFICATE OF FITNESS CERTIFICATE # 139-09 DATE ISSUED: 3/24/2009 Property Located at: 15 Lynde Street UNIT# 14 Owner/Agent: Jacob Missaghi Address: 213A School Street City/Town: Woburn, MA Zip Code: 0180124 Hour Phone: 978-979-1119 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 405 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. THEBOARD OF HEALTH SO;R T MANCINI CTING HEALTH AGENT CODE ENFORCEM INS ECTOR 09/24/2009 10:19 FAX 141001.'001 Mar -24 08 32zo3p-- Joanne -Scott Sol em BOH - 8-78 .745. 034.3._- R. I Czn ()p SALEM, SSACHUSB:I4TS B minol:HEAt:l11 120 W:t`;MNGTON"+TILL-M—,44"'F1.0(m, Tial.,(97H)741.1900 KU0IM- L,{F.Y DRISt't?LI. F41x(778)745434:2V, MAYOR - _. ,�!:]xxr•.f1�;,v�.rtt.f,01t JANDTV DIONNE, AmtNo Hmmxk I ACt;nrr i Appticatioitfor Certi#i¢aft of Fltnm IN ACCORDANCE WITH STA'L'E SANITARY CODE,CHAPTER 11, 105 CMR 410.001 "MINIMUM STANI)ARDS'OF I'ITNESS FOR HUMAN HARITATIOR2' PROI?WTY.LUCA:rE))AT IS THIS VNI CNATStt ASEKIM :EL O*t#"PLEASE CIRCLE ONE. . . OWNF.RILESSh'R �1zfG_f t$S ',MANAGER1AULiJ1'V _ __ ��— NO P-O.BOX ADDRESC_: ., CITY;STATBr Z)P_,1a&bq��. III CITY,STATE,ZIP ./_, RESIIIL'NCL!PHONL_ —,�� BUS)N$SS 1�HONk (241tKSj�fl i• =f��� BUSI14ESSY}IUNIi 'COTAL NUMBER OF ROOMS:2 _ ROOM USE: L! _Be 'fb`!&_2. til nj QO�� 4. S• _ 6�i 7 —/ ._ �__ _._9.—.— 1 _ THE IS IS A FIFff(S50)DOL E:AR FB£,PAYARLE RY CHECiC011MONEY.0Ii,DER•1'O TI If CITY OF SALEM BOARD OF ItEM TH TRIS FEE IS PAYAALEA+'I KTLME OF INSPECTION AYPLICANT'SSIGNATURE_ Insncwi9S$��.9111X Dalcml initial inappctiuri` 3'`2-' _"'r? DafGai.reittYpeCtt0II'... �,, Date of issuance of ccrtlrkAte._-�2� ��__ _ Date fm Type of unit: Dwclling, _ vthcr_ —._Chxk it 1aa rhmk date: Notes:*bJeEnfom-etment Ins •tor CITY OF SALEM, MASSACHUSETTS BOARD OF HaALTH 120 WASHINGTON STREET,47"FLOOR To.; (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR IDIONNU SALeM.CUM JANF'.T DIONNE, ACTING HPI ALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessm of a unit of residential property,hereby authorize the Salem Doard of I leahh 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 Som any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. i Tenant/, ee Own essor add s Sa C,-1A , 1AA Address 15- I,ytd,✓ 4(-T Addr&s on unit to be inspected X 312a/oFg Date I 'd EbEO SBL OLS HOU wales zzoos auueoC ebb : ll 60 02 Jew �t 4 CITY OF SALEM, MASSAC.HUSETIS I90ARD OF HEALTH 120WASHINGTON STREET,4a'MOOR -1-0,, (978) 741-1800 K MBERLEY DRISCOLL Fi1X(978)745-0343 MAYOR 11)10NNr a eA11 COiv1 JANET DIONNE, ACTING HEALTH AGENT Ite ease 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/lessou of a unit of residential property,hereby authorixn the Salcra Board of I lealth or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Own essor �, U. LAI i,1b b- '-1 eP 1488 " !!S=Z; Aj Address Address Addr s on unit to be inspected Date I d EiPCO SBL BLS H08 wales 14,00s auueor es* : TT Rn n2 .yew IMPORTANT MESSAGE FOR �- 00- Z TIME k. M ac-c) I r l.L D eS 4 x AREA CODE NUMBER EXT SIGN U FAX 0 MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH' RETURNED YOUR CALL WILL FAX TO YOU MESSAGE ' \`,, 11. G c -a u-=> a�� o SIGNED -- ops FORM 4009 Y MARE IN UB.A. N®TES l HP Fax Series 900 Fax History Report for Pl9a Paper FaxtCopiec-. _ Joanne.-Scott-Sale a BOH 978 745 0343 -I Mar-26 2009 3:34Rm Last Fax Q Tinig-_ TT)q e .- Wentification _. _ paw-Regult .Mar 26 3:33pm Sent 915085883972 0:26 1 OK `tesult: OK.—black and-white-Lw / CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, FOS, CHO Mayor HEALTH AGENT 2/8/06 Joseph M. Missaghi 8 Pine Ridge Road N.Reading, MA 01864 PROPERTY LOCATED AT 15 Lynde Street Unit 17 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 tenant is responsible for those utilities and if the meters agreement stating the e p 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 +oanVneXScott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 4/27/05 Joseph M. Missaghi 8 Pine Ridge Road N.Reading, MA 01864 PROPERTY LOCATED AT 15 Lynde Street Unit 17 Dear Sir/Madam: unit at the above address. It has come to our attention that you may be considering renting a dwelling Y Y 9 9 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 oann�e Scott MPH, RS, CHO Pablo Valdez V Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH y; 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1 800 NM FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/26/04 Joseph M. Missaghi 8 Pine Ridge Road N.Reading, MA 01864 PROPERTY LOCATED AT 15 Lynda Street Unit 17 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. or the Board of Hef He lthReply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCO1:1. FAX(978) 745-0343 MAYOR iMANCINI(a SALI�:M.COaM JANL?T MANCINI Ac 11NG HF.Auni ACi G.Nf CERTIFICATE OF FITNESS CERTIFICATE # 198-09 DATE ISSUED: 4/30/2009 Property Located at: 15 Lynde Street UNIT# 19 Owner/Agent: Jacob Missaghi Address: 213A School Street City/Town: Woburn, MA Zip Code: 01801 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 JANET MANCINI ACTING HEALTH AGENT CODE4*SIT INSPECTOR IF • s / 1 yf CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"i FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IniONrvr•.la?sWW CCINf JANET DIONNE, X ACTING HEALTH AGENT Fnl Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." I ff FEE: $50.00 S PROPERTY LOCATED AT ! S � '+� e- f7 IS THIS UNIT DLSIGNATED ASIR GtHT LEFT FRONT OR BACKS PLEASE CIRCLE ONE OWNER/LESSER c-(3 h eu SC✓>/� c MANAGER/AGENT NO P.O.BOX ,ADDRESS—' 13 S G�t2/lZ _S� ADDRESS CITY,STATE,ZIP Va J fi�� (5{ T 0 { CITY,STATE,ZIP ` RESIDENCE PHONE BUSINESS PHONE(24HRS) C`I'��/,�9' _ J I( q BUSINESS PHONE $ TOTAL NUMBER OF ROOMS: Z ROOM USE: 1. 2. �tmss '3 iic110M4. 5. 6. r 7. / 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PA BY C CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY EAT TH OF INSPECTION APPLICANT'S SIGNATURE DATE 4,13 o / Inspectors use only Date on initial inspection: `3cS- Ii Date of reinspection: Date of issuance of certificate:, `I sb^� �' Date fee paid: 'I-3g Type of unit: Dwelling__\,�Other Check#_I� Check date: �'I- 3a"a Notes: n lxj�j- J& lboye hnfjrcwnent Inspect HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 May 05 2009 12:24pm Last Fax Date Time Twe Identification Duration Paces Result May 5 12:24pm Sent 915085883972 0:33 1 dK I Result: OK - black and white fax IMPORTANT M(IESSAGE FOR J Aed4_" 1, DATE l( /0 TIME L Y`5 P.M. MyGC�h OF _ _�?'_ 352 PHONE—k 3 `^ AREA CODE NUMBER EXTENSION FAX O MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TOO� < YOU � MESSAGE l`!= L i_/ SIGNED MA M 400A. ��■■YYYY�������� MA E IN U.5.A. ETES ��oxw CITY OF SALEM, MASSACHUSETTS �v BOARD OF HEALTH 'a 120 WASHINGTON STREET, 4TH FLOOR ` + CERT.# 87-03 SALEM, MA 01970 �� �• FEE $25 . 00 TEL. 978-741-1800 DATE: 03/05/2003 C FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 15 Lynde Street UNIT #: 20 OWNER/AGENT: Thomas Camire ADDRESS: 62R Lawrence Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-6437 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 _ 0 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �� '� BOARD OF HEALTH 3 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 S L y NOY f UNIT# go IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER2 ZZ_ i/�/S' e aAj j/L6 MANAGER/AGENT C^jXZ,,- No P.O. Box No P.O. Box ADDRESS r� ADDRESS CITY S� &-m CITY AI RESIDENCE PHONE ?�70' 2K 03 7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE SAMGr TOTAL NUMBER OF ROOMS: S ROOM USE: 1. < v 2. 13,14A 3. L/U/n5 4. grP 5.ISZf�V 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 S o3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTIO�J_`C-,�-:5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE. 5_-O DATE FEE PAID:---, TYPE OF UNIT: DWELLINGI/ OTHER7 CHECK CHECK DATE - v NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 f co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 CERT.# 23-03 FEE $25 .00 TEL. 978-741-1800 DATE: 01/15/01/15/2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO \ MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 15 Lynde Street UNIT #: 22D Right OWNER/AGENT: Biian Missaghi ADDRESS: 8 Pine Ridge Road CITY/TOWN: N. Reading, MA ZIP CODE: 01864 24 HOUR PHONE: 828-4959 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 6 ` o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 0 TEL. 978-741 FAX 978-745-0343 v ./z STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I s L Yh,,(e Sr UNIT#22-L) IS THIS UNIT DESIGNATED A RIGHT _LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1 Zt ah dj SSS�/�A MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS-"h e- ADDRESS / CITY �CL11r`Y� h `L vvv ___ CITY �I�F d/��b46 RESIDENCE PHONE BUSINESS PHONE (24 HRS / Cell BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 27 4!f� 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 SIGNATU DATE G ? CTORS USE ONLY DATE OF INITIAL INSPE N DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:-/ i� TYPE OF UNIT: DWELL INGP/bTHER_ CHECK# S S� CHECK DATE1'/I� 3 NOTES: /� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 qq9, TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT _ CERTIFICATE OF FITNESS CERTIFICATE#: 351-03 DATE ISSUED: 7/18/2003 Property Located at:: 15 Lynde Street UNIT#: 23 Owner/Agent: Paul Hoff Address: 47 Hathorne Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-8060 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. 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. 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 / y/Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1806 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OFFITNESS FOR HUMAN HABITATION". t PROPERTY LOCATED AT 5 - UNIT#D�:-) IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER LI L �b MANAGER/AGENT No P.O. BoxC 1 - No P.O. Box ADDRESS-211. . ,; wn�_ ADDRESSn 1n CITY f Y J (� t ��TT CITY 11 \,_ Q�G RESIDENCE PHONEW*741"Z5✓GI-MUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER �OF�ROOMS: \ _ ROOM USE: 1. U a } . b1arVV�3. V�1)� 4. 11 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) D LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM,H ALT EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 % Q- 0 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:7-(3-o 3 DATE FEE PAID:-'7 0 3 TYPE OF UNIT: DWELL ING/OTHER_ CHECK#d3 / CHECK DATE 7 ' '0 3 Al NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#359-04 DATE ISSUED: 08/02/2004 Property Located at: 15 Lynde Street UNIT#23 Right Owner/Agent: Kathleen Hoff Address: 47 Hathorne Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-8060 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 IN 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, CHOi �M✓ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r 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 W ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORUMAN AGITATION". PROPERTY LOCATED AT UNIT #- IS THIS UNIT DESIGNATED AS IG LEFTRF ONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGERIAGENT '—` No P.O. Box No P.O. Box ADDRESS ADDRESS CITY �� D� �l�l`-- _CITY 6 �. RESIDENCE PHONEBUSINESS PHONE {24 HRS.}_ .. � BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ - ROOM USE: j'�Q`"�_4. . THERE IS A TWENTY-FIVE{$25.00}DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA"THDETHIS FEE IS PTIME OF INSPECTION. APPLICANTS SIGNATUREDATE iiJSP"CTORS USE ONLY DATE OF INITIAL I SP CTION ` 1'�_ t) 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTI/FICATE8'; V ` 9 .DATE FEE PAID:_ Z TYPE OF UNIT: DWELLI� /OTHER_ CHECK# ZCHECK DATE 'S NOTES: CODE ENFORCEMENT INSPECTOR 912$10$ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 VAX 978-745-0343 STANLEY USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 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. I:. 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 a.ge- .s j -from any loss or injury sustained of whatever nature and description occasioned by my/our- absence during said inspection. la J/'C' E_IAATT/LiSSEE G4IN _ LESSOR --- ADDRESS A J ySs ADDRES iF UNIT TO BE IN CTED CITY OF SALEM9 MASSACHUSETTS 3 BOARD OF HEALTH 99 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 _ TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/24/05 Flora metghalchi-Faramarzi 83 Andrew Street Newton, MA 02461 PROPERTY LOCATED AT 15 Lynda Street Unit 27 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. Forjhe Board of Health Reply to iV'lam-K.c, 0 Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BoARu OF HEALTH 120 WASHINGTON STRFET,4'..FLOOR TEL. (978) 741-1800 KIIvI13ERLEY L�RISCOLL FAX (978) 745-0343 MAYOR Iramdin(@salein.com LARRY RAMIAN,R1,/R1;1JS,CI 10,CP-FS HI?wa'lI AGFNI' CERTIFICATE OF FITNESS CERTIFICATE#207-11 DATE ISSUED: 6/29/2011 Property Located at: 15 Lynde Street UNIT#28 Owner/Agent: Erick Perez Address: 16 Lynde Street#6 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 LARRY RAMDIN HEALTH AGENT CODE NOORCEMENTINSPECTOR - ,°"� ot (I6v- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR Tha.. (978) 741-1800 KIMBERI�EY DRISCOLL FAX (978) 745-0343 MAYOR LRAMDIN&ALI M.COM LARRY RAMDIN,I6/RFI-IS,CHO,CP-1';S HL:AL:II I A(;I;N'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 Sk _� 8 UNIT#;� Is THIS UNIT DISI NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERZ MANAGER/AGENT NO P.O. BOX ADDRESS 1'S E S� C� ADDRESS CITY, STATE, ZIP S a c5 cl � CITY, STATE,ZIP RESIDENCE PHONE_h5 - (of - 0 � BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS E PAYE AT THE TIME OF INSPECTION / APPLICANT'S SIGNAT FDATE a ! `/ Inspectors use only Date on initial inspection: o I( Date of reinspection: Date of issuance of certificate: I 1 Date fee paid: 4A A-) q c�G�r Type of unit Dwelling— Check#_�^^ Check date: `J Notes: UCN\ -frit- 0 n 4 Imo/I/)Goti l SlyW ka In Ki4-cGI�,� CodEnfol ement Inspector 1�tcni CITY OF SALEM9 MASSACHUSETTS .j BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01 970 9BQrymg TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 193-04 DATE ISSUED: 04/30/2004 Property Located at: 15 Lynde Street UNIT#30 Owner/Agent: Jacob Missaghi Address: P.O. Box 2291 Cityrrown: Woburn, MA Zip Code: 01888 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 IP' 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. EOR THE BOARD OF HEALTH r� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR U ly SALEM, MA 01970 TEL. 978-741-1800 I 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 AT �L /g UNIT# 30 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER7:�_ACoh M1.S5A!J41 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 'P D �C a a CJI ADDRESS CITYW 0 hU /2 A.) � 41 4-D [9 88 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: l.-2.- . 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE__ INSPECTORS USE ONLY t� DATE OF INITIAL INSPECTION I- -3 6 —p I DATE OF REINSPECTION / �/ Q DATE OF ISSUANCE OF CERTIFICATE: -moi' D ' b� DATE FEE PAID: TYPE OF UNIT: DWELLIN?OTHER_ CHECK# 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 j HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Apr 30 2004 8:23am Last Fax Date Time Twe Identification Duration Paees Result Apr 30 8:23am Sent 919786644649 0:39 2 OK Result: OK - black and white fax �ENIDEJR: CO�MPLE THIS SECTION COMPLETE TQS SE CTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signa re item 4 if Restricted Delivery is desired. 0 Agent X ■ Print your name and address on the reverse 0 Addressee so that we can return the card to you. B. R�eived by(Printed ryame) C. Date of Delivery ■ Attach this card to the back of the mailpiece, V cam^ /Vl r or on the front if space permits. D. Is delivery addressdifferentfrom Rem 17 ❑Yes 1. Article Addressed to: If YES;enter delivery-address below: 0 No Jacob Missaghi P.O. Box 2291 i\ Woburn, MA 01888 3. Service7ype Xncedifl,6,Ma1l,-0❑Express Mail 0 Registered 0 Return Recelpt for Merchandise 0 Insured Mail 0 C.O.D. (15 Lynde St.) pv 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7OD3 16.80 ,0006, .5995 �9608„ . Qiansfer from service I - ,S Form 3811,August 2001 Domestic Return Receipt 102595-02--M-1540 ! UNITED STATES POSTAL SERVICEc First-Class Mail *^' 33 - ..� USPS o.G-10 Paid Permi `A11Y • Sender: Please print,your n me, address,.and ZIP+4 in this-box,!-- BOARD his_box'-BOARD OF HEALTH g(C9 9 VV jqEM, MA 01970 MAY 10 2004 III if 1111111,I!lI11III IIIIIIfIIIIfIllillllllililillfllll.ill U.S. Postal Service,. CERTIFIED MAIL,. RECEIPT r (Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our website at www.uspsxome r © •: PS Form 3800,June 2002 __ y _ _See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt (esieneld moz eenr'ooge moj ad ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First lass Mail®or Priority Mall®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Forll valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receippt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete antl attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece,"Return Receipt Requested".To receive afee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agant.Advise the clerk or mark the mailpiece•with the endorsement"ResMcted Delivery". s If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery Information Is not available on mail addressed to APOs and FPOs. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .pBp TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT �( April 30, 2004 Jacob Missaghi P.O. Box 2291 Woburn, MA 01888 Dear Sir/Madam: In accordance with Chapter III, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property 15 Lynde Street conducted by Pablo Valdez, Code Enforcement Inspector, on Thursday April 30,2004. Notice: if this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility to notify tenants of lead related reports and tests, and to ensure that this unit complies fully with 105 CMR 460:000: Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the Salem Board of Health at 978-741-1800. You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report. Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being sought against you in Salem District Court. Time for compliance begins with receipt of this Order. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection in investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. For the Board of Health Reply to: [[:i Joanne Scott Pablo Valdez Health Agent Code Enforcement Inspector CERTIFIED MAIL 7003 1680 0006 5995 9608 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9; 120 WASHINGTON STREET, 4TH FLOOR s r .�c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT y - 7 y� -e c 1` i s a Tr_,e A (2i2l tr v N r v g k1c o aA _------ 12�e (9q 1•lL C l VU A I ALL w � / l Oe PP / "T 1A) V2 -21 177e�6- S / A,1 /V D C U U C WAle P VL C'er ( r � 5 SPA K j2 I2A j'L S AA rn 1 � � ' uT �/a I SIT W A l �Q ►� /L /ve e� (,a i /1 i�e. ��qt 3 �A r lu �/��.� l �A vi c e 7 . C,(/o fl�� MJp7e 2 - j4AlklcJ � ��. cAL) ALL �J2cucv � .S K y 1( 5/- Iy . (/1f INC'�LW / 5 uNClQ(-n/ M CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH ' 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 K IvMERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGRI;19.NBAUM@SAL1!M.00M DAVID GRI:iG.NBAUNI ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#258-09 DATE ISSUED: 6/4/2009 Property Located at: 15 Lynde Street UNIT#31 Owner/Agent: Matthew Kaminski Address: 23 Lemon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAVID GRAEBA ACTING HEALTH AGENT CO E EN ORCEMENT INSPECTOR f'• � T CITY OF SALEM, MASSACHUSETTS—d� BOARD OF HEALTH 120 WASHINGTON STREET,4"1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IMANUNI ALEM.COM JANET MANCINI, 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 2 l ,U4G UNIT#� IS THISYIMT DISIGNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER A/)i�2i ,�.¢r�t/AK/ MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP O CITY, STATE,ZIP RESIDENCE PHONE 77J '7hS 0903 BUSINESS PHONE(24HRS) Z BUSINESS PHONE TOTAL NUMBER OF ROOMS: 4/ ROOM USE: 1. 4'w4 awm 2. +2.s .Gam 3. Ak/,., 4. 1� 1�iyyvti 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME 0 INSPECTION n APPLICANT'S SIGNATUREDATE C'—S- ae>z�9 I / G Inspectors use only Date on initial inspection: ! S /U I Date of reinspection: / Date of issuance of certificate: (D/ 16 Date fee paid: Type of unit: DwellingJ,�' Other Check# 1 17 L _Check date: Notes: kerne" in bP cam hone vnal, hohs o -7� wndow ij. L9 b7i brace vovy no vent /endow /fry in bG#voom . Code Enforcement Woctor o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH $ 120 WASHINGTON STREET, 4TH FLOOR q SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/8/05 Jacob Missaghi P.O. Box 2291 Woburn, MA 01888 PROPERTY LOCATED AT 15 Lynde Street Unit 33 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. Fofhhe Board of Healt Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS ® BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 e TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 8/11/05 Bijan Missaghi 8 Pine Ridge Road N. Reading, MA 01864 PROPERTY LOCATED AT 15 Lynde Street Unit 35 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 It: 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-'— n ie 1o4C161PHAS, CHO Pablo Valdez ,Health Agent Code Enforcement Inspector ce CERT.# 153-00 FEE $25.00 _ DATE: 03/01/2000 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: 18 Lunde Street UNIT #: 1 OWNER/AGENT: James P. Burrell ADDRESS: 130 Bowdoin Street CITY/TOWN: Boston, MA ZIP CODE: 02108 24 HOUR PHONE: 742-2918 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. i MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD �OF.�HEALTH , J 'JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i i I �w j�omAT ' i(�la��La1�11 CITV ne &^`eu nnwMIM ^V uru +u rn/ uVf1/\Y v. {.VI9r. n Ralarn AAS wM.. ..u.. A4 MIA onnn 1 • vyywv ...ay\\J V IJI V1 V&w -IAAAIAIP CCnTT uau oc rte.. NINE NORTH STREET HEALTH AGENT APPI If.ATlnN PMQ nCCT1Clr"ATC nC CITAICcc Faw 19781 760.9705 IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER If. 105 CMR 410.000 -1VIINIMUM a'IANUAHUS OF FITNESS FOR HUMAN ✓HABITATION'. PflnPCRTv I_MATCn AT �� L/ `7_ljf- IS THIS UNIT DESIGNATED AS RIGHTiliFT)FRONT BACK PLEASE CIRCLE ONE ^i !I // -I—_ UV11NtHJLt.5,5tH / MANAGEFUAGENT 11w V•v, D4,JAn /�f 1`!O Y.V. tiox A nn�rOG. 12,A /S if.._��h. N l/L1 G! T .w..r..v wy Jr - I_. MUUrIGJCf ' A r CITY tf©,S lbIn 11,9. d,)-/D 9' rrl7v .�. RESIDENCE PHONE oRY/�( BUSINESS PHONE(24 HAS.} oV JIIYCD.71'1lVIY CwL.f / 7?1•-t/ I• U TOTAI NI IAARCG nC Onnkm, .- ---------. _. . .__..._. _ ROOM USE: 1. 2.- J /h 3. A77- 4. 0151 l �..� .J n I rr Ln 1 I-ncc VV1.LMf1 rGC/1••MT MtlLt 6T I.tICI.N UH MVNkT nCPiCG Tn TYC 1-ITV ne OKI KI I CaR CL uo A 1 Tu nrn•nru r..r�....+ ��� ..+ ...... • • � •••� �•• • �• �..1. 1 VI\I /I.IV I VV IY fMINY/•... I.I IIIL TIME OF INSPECTION- _ A O/ APPLICANTS SIGNATURE R.-.�� �DATE ���//� Irvart�I urt5 ust vrvy,� r)ATF nF INITIAI INRp Cf:71nN n S ✓1 � �� f1ATC/1C OCIh�OOryTlyu � :T��CIv.C..:.l.A.�:.�..�.�.r v�n•r�r�•+.Tr. ...+• w T.. E - I ..... MAIOI J . �.1. - r vl...vl VI,.♦. LICITES wuE ENFORCEMENT INSYtu I uH 9�28/9B r t q a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - - 120 WASHINGTON STREET 4"t FLOOR PublicHCAlfh Prevent.Promote,Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdinpsalcm.com LARRY RAbIDIN,RS/ItIi?HS,CFIO,CP-FS MAYOR 1-112'.A1;'i i A<7FN'r CERTIFICATE OF FITNESS CERTIFICATE#010-15 DATE ISSUED: 1/21/2015 Property Located at: 18 Lynde Street UNIT#3 Owner/Agent: James P Hurrell Address: 130 Bowdoin Street#302 City/Town: Boston, MA Zip Code: 02108 24 Hour Phone: 6177422918 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 LARK94tAMDIN f "' HEALTH AGENT SANITARIAN n, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PI1blicHeatth 120 WASIHNGTON STREET,4"'FLOOR Prevent.Promote.Protect. TEI.. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com salem.com LiARRY RAMUIN,RS/RF,11S,CHO,CP—I'S MAYOR - - HI{i :fl i AG VNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" /F/EE: $50.00 PROPERTY LOCATED AT ��Gl 7�i� / UNIT# ISTHIKUNITDI NATED AS&IGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER /llleof �/I MANAGER/AGENT NO P.O. BOX ?7 ADDRESS 1�Q dw DG/�7 (>/ �J � —ADDRESS CITY, STATE,ZIP0//</,6CITY, STATE, ZIP RESIDENCE PHONE7�k–?�D BUSINESS PHONE(24HRS) BUSINESS PHONE l/ TOTAL NUMBER OF ROOMS: ROOM USE: 1 Zyyl,i 2 '��3 /1/ l/4• 5• 6. 'a 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR! AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F SPAY LE AT THE T E F- SPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 2 ) Date of reinspection: Date of issuance of certificate: /6S•) Date fee paid: 1 L'- 13' Type of unit: Dwelling Other Check#Check date: 2j , ).1 Notes: Code Enforcement hupector a � 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 12/06/99 Fax:(978)740-9705 James & Nancy Burrell 130 Bowdoin Street Boston, MA 02108 PROPERTY LOCATED AT 20-22 Lynde Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 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 Cit of Salem is required for each unit inspected at the P Y Y qu P 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 HE TH REPLY TO I iannt, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 3 � CERT.# 762-99 FEE $25.00 DATE: 12/20/99 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: 20-22 Lvnde Street UNIT #: 1 OWNER/AGENT: James Burrell ADDRESS: 130 Bowdoin Street CITY/TOWN: Boston, MA ZIP CODE: 02108 24 HOUR PHONE: 742-2918 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 4.10.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE 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 i . . 9 • �ONUIT ��i g / CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION`. PROPERTY LOCATED AT �� ac�F J//ice%/� UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER E//1+'+ pL/�/P� MANAGER/AGENT No P.O. r Box No P.O. Box ADDRESS /36.-J30Lv,Jot iit, ADDRESS CITY F4f /��/�h psi, b-.-L/O CITY RESIDENCE PHONEBUSINESS PHONE (24 HRS.) BUSINESS PHONE d/?-N)4141 TOTAL NUMBER OF ROOMS: ROOM USE: 1.4/i,- 2. r //tel 5. 6.-T 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALR HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE �D INSPECTORS USE ONLY DATE OF INITIAL INSPECTION/ � �D� q I1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-/j %-,2-0`"(NATE FEE PAID: L�_d v — TYPE OF UNIT: DWELLING ,0 /J OTHER_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ' t '.. :p','e v .� CERT.# 588-99 FEE $25.00 DATE: 09/30/99 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: 20-22 Lvnde Street UNIT #: 2 OWNER/AGENT: James P. Burrell ADDRESS: 130 Bowdoin Street CITY/TOWN: Boston, MA ZIP CODE: 02108 24 HOUR PHONE: 742-2918 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. QFOR THE BOARD OF HEALTH -'SrJO. SSC/OTT/�M�PH�"R�S�,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 APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fav(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 e20—ZZ CK�OG`S UNIT#A IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER JIB# Plh rre I l MANAGER/AGENT No P.O. Box �J,, No P.O. Box ADDRESS 1.30 &(tldVOly S7- ADDRESS CITYs-r�ti CITY RESIDENCE PHONE 6 7'12-2gIV BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS::_ �j ROOM USE: 1.k�2.LSV 3. 4. &e— 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. Gy APPLICANTS E/�2� DATE ! 9 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �( 3 b – �1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:I( /3 6 DATE FEE PAID: TYPE OF UNIT: DWELLINGIg_OTHERZ CHECK#93S CHECK DATE C NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 t CITY OF SALEM, MASSACHUSETTS .S- BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR CERT.# 244-03 SALEM, MA 01 970 FEE $25.00 TEL. 978-741-1800 DATE: 05/27/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 20-22 Lynde Street UNIT #: 3 Left OWNER/AGENT: James Burrell ADDRESS: 130 Bowdoin Street, Suite 302 CITY/TOWN: Boston, MA ZIP CODE: 02108 24 HOUR PHONE: 742-2918 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 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR s a n �O�ire�W 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". nn PROPERTY LOCATED AT O(L)—,U LY,Uo�e ST UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERjk,95 Ntcrre-11 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 13� k49ou� �e7e .3cCz ADDRESS CITY 305TDitjJ _AJf 6 10 CITY RESIDENCE PHONE 6or7-7Vi7 PZQ/e BUSINESS PHONE (24 HRS.) BUSINESS PHONE 6/7-7112-Z''/9" TOTAL NUMBER OF ROOMS: .7 ROOM USE: 1. /— 2. 0/NWu(r3. KcT 4. 6,edRlti) 5.&J4M 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 4713 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION C—d 7 —D 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-5- ? -0 3 DATE FEE PAID: S -'� 7-0 3 TYPE OF UNIT: DWELLING rTHER_ CHECK# 07tCHECK DATE_' &--os NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 t t �oNBIT g CERT.# 152-00 FEE -$25.00 ' - DATE: 03/01/2000 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: 20-22 Lunde Street UNIT #: 5 OWNER/AGENT: James P. Burrell ADDRESS: 130 Bowdoin Street CITY/TOWN: Boston, MA ZIP CODE: 02108 24 HOUR PHONE: 742-2918 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: . y 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' iHEALTH AGENT CODE ENFORCEMENT INSPECTOR i i i /•ITV AC !.. Snl c.• vu . VI �awa_ PVAI�V Vf fIGMG11l nunuo�n�IJmls V 1.7/V'JDLO JOANNE RCCITT uow oc run HEALTH AGENT NI Nt NUK I rl STREET APPLICATION FOR Fair. (976)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER II, 105 CMR 410.000 "ivliiviiviiim Sii.i�uhnua�+��i i IV tjJ FOJ j HUMAN MAOI IA I IUN PROPERTY LOCATFn AT IS THIS UNIT DESIGNATED AS RIGHT IM FRONT BACK PLEASE CIRCLE ONE _ 'T A,,—e D_LJ .roar-// f Jlvi//J Ga MANALitFVAUhNI Afn b A b..•, y� r/ AnnF1FRC%2/) /l/_�fi..��lJ/Gl �I / �hnoccc CITY_ Ile S %b`1 1�7A, tja7'/ Q CITY Mt�1utNCt I'MUNt/li/�iTr p.i u BUSINESS PHONE(24 NRS.) OI Ionlrnn nunur /�/7�7 C/1`�a1v _�...avv TOTAL NUMBER OF DOOMS " 14 . v a ROOM USE: 1.-6-/G TUCOC IC A TAACAITV CIVC tone^^% I\IV 1 wn rrr . rnl.w..r•wa w ORdER TO THE CITV h •_1_-_•••_�FAI TWnPD••••��•• �•�,r.w.:'.:.�.•A.A. u. vl Icon vn invi�c i F CAI Fid Il• ARTUCNT TFI1C CFC M DAVAMI C Ar TUC TIME OF INSPECTION. APPLICANTS SIGNATIPRE nmarr—%,1 vnci USE ONLY DATE OF INITIAL (N86ECTION - O_UnATF ng:RFINSLDG(:TlnM, DATE OF ISSUANCE(pF CERTIFICATE:.? 0'6 DATE FEE PAID: 3— O i) " T/f'1r PYP 1..I.T e•••,.'• �, .., �//' I r w yr wrI I. urr Gt(,L;IV 1 nCn_ �ntl.r\ii�t_,i•ECK UA 1 C�y NOTES: I� /`nnc GRI Gf1G��AA�AI �A�OD��T�O n.nnlnn ••• •• mcvruv I� I( 1 i o CITY OF SALEM, MASSACHUSETTS �` BOARD OF HEALTH 3{ 120 WASHINGTON STREET, 4TH FLOOR CERT.# 245-03 o SALEM, MA 01 970 FEE $25.00 TEL. 978-741-1800 DATE: 05/27/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 20-22 Lynde Street UNIT #: 6 Right OWNER/AGENT: .James Burrell ADDRESS: 130 Bowdoin Street, Suite 302 CITY/TOWN: Boston, MA ZIP CODE: 02108 24 HOUR PHONE: 742-2918 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 qo-p ( JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ��- NOIT,('� u 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 o2 16P 57' UNIT# 6 IS THIS UNIT DESIGNATED l/AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERV&) /S /t Yry cO MANAGER/AGENT No P.O. Box No P.O. Box ADDRESSEu S J-26 &UdO(k)5 i Sl Te 3oz ADDRESS CITY &5-1-6AMA O0170E, CITY RESIDENCE PHONEBUSINESS PHONE (24 HRS.) BUSINESS PHONE&7-7V2 TOTAL NUMBER OF ROOMS: Z-1 v 0 ROOM USE. 1. 2.1�/.{/,C-flLG-3. C T q, f,� 5.Q/1A S.—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 L�i�/ DATE X7`63 INSPECTORS USC ONLY DATE OF INITIAL INSPECTION S - J- 7 j DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S' 7•v3. DATE FEE PAID/- 2 ? e TYPE OF UNIT: DWELLING OTHER_ CHECK#CHECK DATE_)-R tl NOTES: Get/ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS m BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#80-07 DATE ISSUED: 2/27/2007 Property Located at: 24 Lynde Street UNIT# 1st front Owner/Agent: Ken Deschene Address: 7 Dale Street City/Town: Peabody, 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! .THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR T: CITY OF SALEM, MASSACHUSETTS C30AR0 OF HEALTH 1.20 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 HJA�BITATION". PROPERTY LOCATED AT �/ UNIT g�_ � i2Ce IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE _o�_MANAGER/AGENT T._.. No P.O. Box No P.O.Box ADDRESS 7 QL�' .�� --ADDRESS— RESIDENCE ADDRESS_RESIDENCE PHONE.��� q 412BUSINESS PHONE (24 HRS.) BUSINESS PHONE i TOTAL NUMBER OF ROOMS:-_-_–___ RCOM USE'. t. 2_ ..___S _ ._ _ ..__-4 5--- —F` —7.--- --- 8-- - THERE IS A TWENTY-FIVE (S25.00) 9D]—,LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE C3TY OF SALEM ALT ARTMENT THIS FEE IS PAYABLE AT ThE TIME OF INSPECTLOI _ APPLICANTS SIGNC_ADATE a INSPECTORS USE ONL!' DAZE OF IN,LT AL INSPE •T�ON- DATE OF REINSPECTION DATE OF ISSUANCE OF CER 11FICATE `� �-�7 DATE FEE PAID TYPE OF UNIT_ DVVLLL< OTHER CHECK J '� `� CI-IEGK DATE � NOTES, CODE I-NF0HCE%46N 1 INSPF,CTOR L CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 101-07 DATE ISSUED: 3/12/2007 Property Located at: 24 Lynde Street UNIT# 1 Middle Owner/Agent: Kenneth Deschene Address: 7 Dale Street City/Town: Peabody, MA Zip Code: 01960 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 Lgy— HEALTH J NNE SCOTT, MPH, RS, CHO AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �pb�a� BOARD HEALTH S E - RECEIVED CEIVE tVd • 120 WASHINGTON STREET, 4TH FLOOR G SALEM, MA 01 970 TEL. 978-741-1800 MAR 13 2007 FAX 978-745-0343 CITY Cr; ' JOANNE SCOTT, MPH, RS, CHO BOARD OF HEALTH Kimberley Driscoll HEALTH AGEN Mayor I M Idd�e 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 S�p _UNIT 4,����1' 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 - ( r7 ADDRESS CITY,& !�l/ CITY_1/ RESIDENCE PHONE��� :;14,7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 5--6-7 3. THERE IS A TWENTY-FIVE (S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAL H DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNAf & INSPECTORS USE ONLY DATE OF INIT IAL INSPECTION3 — DATE OF REINSPECI ION DATE OF ISSUANCE OF CERTIFICATEDaTE FEI E AID 3 -7 TYPE OF UNIT DV LLIN OTHER CHECK :; f� 7 a CHECK DATE 3 NOTES CODE ENI OkCF[,1[-N1 IISPECTOR 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 WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #77-07 DATE ISSUED: 2/26/2007 Property Located at: 24 Lynde Street UNIT# 1s` Rear Owner/Agent: Kenneth T. Deschene Address: 7 Dale Street City/Town: Peabody, 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 THE BOARD OF�ALTH p JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR /.. CITY OF SALEM, MASSACHUSETTS �} BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR Y/ SALEM, MA 01970 TEL. 978-741-1 SOO 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". f /J PROPERTY LOCATED AT _ UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER °;' �1'5A '� MANAGER/AGENT _ No P.O. Box No P.O.Box ADDRESS_-, Z Z)e sy _ ADDRESS— _ CITY CITY --- RESIDENCE PHONE� BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE,, TOTAL NUMBER OF ROOMS:, ROOMUSE: THERE IS A TWENTY-FIVE(S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. i APPLICANTS SIGNATU _ NSPECTORS USE ONLY i Df TE OF iN11 kA N�ECTION ,2 � � � 7 DATE OF REINSPECTION DATE OF ISSUANCE OF(,ERTIFICATE:,;2 -Y( --el DATE FEE PAID: } TYPE OF UNIT DWELUX OTHER CHECK 41eCIIECK DATE' NOTES CODE ENFC7RCEt✓GIVI INSPECTOR - CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 10/18/05 Kenneth Deschene 20 Michael Road Beverly, MA 01915 PROPERTY LOCATED AT 24 Lynde Street Unit 1 RR 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. r the Board of Heal Reply to oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector l CITY OF SALEM, MASSACHUSETTS 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#76-07 DATE ISSUED: 2/26/2007 Property Located at: 24 Lynde Street UNIT#2nd Front Owner/Agent: Kenneth T. Deschene Address: 7 Dale Street City/Town: Peabody, 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 ' - 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 fJ` Sv� UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �� e/`'C_ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS � ,�,1�Ge J _ ADDRESSSS CITY 4 e?r, —CITY. — RESIDENCE PHONE-�"7R�fl 7e7 BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ �� ROOM USE: 1._ 5. 6.—T-8— THERE 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 SIGNAT' ._ __DATE_ __6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION - _ Y(�--v-_DATE OF REINSPECTION.- DATE OF ISSUANCE OF CERTIFICATE:--?--,)-(--07DATE FEE PAID:____ TYPE OF UNIT: DWELLINI1OTHER._ _. CHECK _J �f_Y_ CHECK DATE z J G 7 NOTES:. CODE ENFORCEMENT INSPECTOR 92 98 y CITY OF SALEM, MASSACHUSETTS BOARD OF I-IFALTI-I 120 WASHINGTON SIRF_Pr,4'°1;i-ooR KTMBI'1U YDRISCOLL 'rFl .(978)741-1800 Fj\X (978) 745-0343 MAYOR LramdwjWsdem.com TARRY RAMIAN,RS/RI"IIS,CI f ),(:M-S HVIAL 1)'I Acu!NT CERTIFICATE OF FITNESS CERTIFICATE#425-11 DATE ISSUED: 10112/2011 Property Located at; 24 Lynde Street UNIT#2Ft Owner/Agent: Kenneth T. Deschene Address: 7 Dale Street City/Town: Peabody, MA Zip Code: 01960 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 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuan--e 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 HEALTH AGENT CODE ORCEMENTINSPECTOR • CITY OF SALEM, MASSACH USET I'S 1� h ' BOARD of HEALTH 120 WASHINGTON STREF..'I',4"' FL()()!z TEL (978) 741-1800 KINIBERL EY DRISCOLL FA\ (978) 745-0343 MAYOR RAv1D1N@SA1EN1.00M 1.,;ARRY R;A. [)!N,]iS,/R!U!ti,CI I0,CI'-I;s !! A(!!;;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 0 l azP7r� Sf• UNIT#,2_�_ IS THIS UNIT �DIiSIGIN ED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER�/7 �S'C/1�/(Q MANAGER/AGENT NO P.O. BOX /`__ \/� /, L ADDRESS 7 �Lf' .91 ADDRESS -DCLLCn�/-c�/ CITY, STATE,ZIP fiQ.(2rJC'/(.t' CITY, STATE,ZIP c��/(y j RESIDENCE PHONE 9 -63J5"3.2,Z 3 BUSINESS PHONE(24HRS) BUSINESS PHONE 9ZZe, ^ 5873 TOTAL NUMBER OF ROOMS:� _ /� ROOM USE: 1./,'ybi g 2.A/��COn 3.&a/i Pi 4&A 0901 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF PECTION APPLICANT'S SIGNATURE DATE/D Inspectors use only Date on initial inspection: (/ I( Date of reinspection: Date of issuance of certificate: 10/00111 J Date fee paid:_ �d Type of unit: DwellingOther Check# U tCheck date: I U AQ // Notes: .__ n d O 126 ct 0 co -e � rI bA ct_ (be- wv7 � rtr1ct 1 Cod Enforc ent Inspector o CITY OF SALEM, MASSACHUSETTS 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 #297-07 DATE ISSUED: 6/28/2007 Property Located at: 24 Lynde Street UNIT#2RR Owner/Agent: Kenneth T. Deschene Address: 7 Dale Street City/Town: Peabody, MA Zip Code: 01960 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. F R THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO 6Y HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH A 120 WASHINGTON STREET, 4TH FLOOR ., SALEM, MA 01970 lam, 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". p PROPERTY LOCATED AT Q� 6Z/ �r UNIT#t���ceL/_- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER/<0s'J�((�/)e__ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY,4�� CITY- 4_�"M6 RESIDENCE PHONEf 'f3�. 3BUSINESS PHONE (24 HRS.) BUSINESS PHONE % TOTAL NUMBER OF ROOMS: _ ROOM USE: l� ��.2 _ d __3. &_4A49PWk 5. ---6.-7.-8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL-EM H ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNAT DATEI'o� � INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Io�EY�Z -DATE OF REINSPECTION_ ��G 7 DATE OF ISSUANCE OF CERTIFICATE: __-__DATE FEE PAID:_/UZ- TYPE OF UNIT: DWELLING —OTHER CHECK # —CHECK DATE NOTES: 171/,113CI15�P C E ENFORCEMENT INSPECTOR `�G d�� 9/28/98 CITY OF SALEM, MASSACHUSETTS B0ARD OF F1F_u:ri i 120 WASHINGTON STREET,4'"FLOOR ICNIBERLEY DRISCOLL TEL. (978) 741-1800 FAX (978) 745-0343 M1Y(lR -'� �snl�tn.eetn 1ARRY 11,WDIN,RS/RF'1IS,CI10,CI'-I;S HFAI,'ni AGENT' CERTIFICATE OF FITNESS CERTIFICATE#237-11 DATE ISSUED: 7/22/2011 Property Located at: 24 Lynde Street UNIT#3F Owner/Agent: Kenneth Deschene Address: 7 Dale Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-857-5813 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 HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OI''HEAIX1-1 120 WASHINGTON STREET,401 PLOC)R 'rte.. (978) 741-1800 14MBEM—EY DRISCOL L FAX (978) 745-0343 MAYOR 1.RANIDIN(@S'A1.L1N.(0NI LAmn,R,AMI)IN,RS/RHI IS,CHq,CP-I'S HIS;\1:111 A(;i:N,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" /' �J(/.0 rFEE: $50.00 y r� PROPERTY LOCATED AT�W d141 S,7� UNIT4�C/z5-� IS THIS UNIT DIIG14ATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER /Ja..Q MANAGER/AGENT NO P.O. BOX I �,/" ADDRESS--;Z .�J'JP /J� ADDRESS �f CITY, STATE,ZIP_ ,�E%1�? / CITY, STATE,ZIP40' RESIDENCE PHONE ��� �3S J7�7/� BUSINESS PHONE(24HRS)% -7 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,PA BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY E AT E TIME OF INSPECTION APPLICANT'S SIGNA - N. DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: d / _ Type of unit: Dwelling Other Check# Check date: II� as II Notes: G by G I rl CI GO(- r° Grrr— c!' Coll Enfor ement Inspector s CITY OF SALEM, MASSACHUSETTS ��R10 ll U Il l� BOARD OF HEALTH - V FEB P.9 2006 1'20 WASHINGTON STREET, 4TH FLOOR .• . SALEM, MA 01970 CITY OF SALEM.. "1N6 ,,TEL. 978-741-1800 BOARD OF HEAL H FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll " JOANNE SCOTT, MPH, RS; CHO Mayor � � � HEALTH AGENT 1/31/06 Kenneth Deschene L (� 20 Michael Road Beverly, MA 01915 Cha/? uk66 �\of PROPERTY LOCATED AT 24 Lynde Street Unit 3FR 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. r the Board of He h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS a ; BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 1/31/06 Kenneth Deschene 20 Michael Road Beverly, MA 01915 PROPERTY LOCATED AT 24 Lynde Street Unit 3FR 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. r the Board of He h Reply to /aCnr.C� Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector f ATTORNEYS & COUNSELLORS AT LAW 25 LYNDE STREET SALEM. MASSACHUSETTS 01970-3432 OFFI 978-745-5151 • FAx 978-745-0261 -MAIL: DREw224990CS.COM H. DREW ROMANOVITZ tl, 6 b \ CHARLES F. MANNING. DECEASED y Janus ,11005 City of Salem, Massachusetts Board of Health 120 Washington Street, e Floor Salem, MA 01970 RE: Property Located at 25 Lynde Street, Unit 2 Dear Ms. Scott and Mr. Valdez: Please be advised that I ha a no intention of renting Unit 2 of 25 T.vr1dRtreet Salem, Massachusetts. Thank you for your attention to this matter. Do not hesitate to contact this office with any questions you may have regarding this matter. Ver truly yours, I H. Drew Roma itz HDR:rtf 1 ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH # 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/13/05 Drew H. Romanovitz 25 Lynde Street Salem, MA 01970 PROPERTY LOCATED AT 25 Lynde Street 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 ad 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. Forttle Board of Healthf Reply to < 1:, Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 364-97 3 FEE $25.00 DATE: 06/10/97 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: 25R Lvnde Street UNIT #: 2 OWNER/AGENT: H. Drew Romanovitz ADDRESS: 25 Lvnde Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5151 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 dqv-� f�G J 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 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 i�{{A2 a 5yI` r)(� UNIT Y. 11 a OWNER/LESSER H ., L�C' o ALJ (Y)LgrtoLil� MANAGER/AGENT S(,�YnP: ADDRESS LV ,'e S+ ADDRESS CITY SGt�Pm CITY RESIDENCE BUSINESS PHONE (24 HRS.) �. BUSINESS PHONE L CRA TOTAL NUMBER OF ROOMS:__ ROOM USE: IbvI C(IAI 2. rdt>, 3. 4 , i 5, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMEN THIS S PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE'tC INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: '! .-!'-7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 1(�__ ,DATE FEE PAID: v1j} z TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR i� ♦ y 3 � mr� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (508)741-1800 Date: OS/08/97 Fax: (508)740-9705 H. Drew Romanovitz 25 Lynde Street Salem, MA 01970 PROPERTY LOCATED AT 25 Rear Lynde Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit- Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11 : Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 : 00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 609-00 FEE $25 .00 DATE: 09/21/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 25 Lynde Street UNIT #: 3 OWNER/AGENT: H. Drew Romanovitz ADDRESS: 25 Lynde Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 283-3432 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 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR g�coxorT�� n � CITY OF SALEM BOARD OF HEALTH C 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 FORHUMAN HABITATION". f PROPERTY LOCATED AT �!/Gi�P_ SPP ' UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERO&AM"m/`tZ MANAGER/AGENT/,, /J ��ol�i' z No P.O. Box �AI No P.O. Box _ ADDRES SL�lnd�e Sfi'ee ADDRESS,, /yIcP� S -r-" CITY si?km q o� CITY h-) RESIDENCE PHONE 8 -C 0.�7/- BUSINESS PHONE (24 HRS.Y/�\T-SJ7s( BUSINESS PHONEI U TOTAL NUMBER OF ROOMS: ROOM USE: 1._ L 2. 3._JQJ n 4. BTom' 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 NSE CTOR SE ONLY DATE OF INITIAL INSPECTION �/�� ( -0 J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: q--kI 'If -0 DATE FEE PAID: q TYPE OF UNIT: DWELLING�THER_ CHECK#// 7 'f S CHECK DATE Li _VID 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 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 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. Ln 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 a.geats frora any loss or injury sustained of whatever nature and description occasioned by my/aur absence during said inspection. c X-111AN117776VTs . 4N R/ ESS LJ — -- -- A7DC�ESS � � \ f,DDR° S � /lSZ �t — ADI1R�� INSPECTED D 3 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 04/24/2001- John Cempellin 8 Woodbury Court Salem, MA 01970 PROPERTY LOCATED AT 32 Lynde Street UNIT # 1st Floor Rear 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 O HEALTH REPLY TO oanne Sco MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR