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MASON STREET MASON STREET I i r I i �I II y ram CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,e FLOOR - PublicHealdi Prevent,Promote Protect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinasalem.com MAYOR LARRY RAMDIN,RS/KERS,CRO,CP-FS HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 161-14 DATE ISSUED: 5/20/2014 Property Located at: 3 Mason Street UNIT# 1 Owner/Agent: Luis Minana Address: 9 Brooks Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978495-0659 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 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 IAN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS I BOARD OF HEALTH / Lp 120 WASHINGTON STREET 4"t FLOOR PabliCHealth t f Prevent Promote.Protect. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL 1raindin0_salem.com MAYOR LARRY R,%NDIN,RS/REI IS,CI R),CP-FS HEAI;IN 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 3 `YJh Sa ✓ SX UNIT# / IS THIS UNIT DISrIGNATED AS RIGHT LEFT FRONT OR RAM PLEASE CIRCLE ONE OWNER/LESSER Za ,�- /yi A14✓/ �j MANAGER/AGENT L U i S MIAA L/gi NO P.O.BOX ADDRESS /3roOKs Sf ADDRESS CITY, STATE,ZIP �� / A G CITY, STATE,ZIP IPK17 11 RESIDENCE PHONE BUSINESS PHONE(24HRS) 9 7 k' N qS- D BUSINESS PHONE GJ 8 Q Q,5- TOTAL .5-TOTAL NUMBER OF ROOMS: If ROOM USE: 1. k IcLai✓t 2. Gauw_ h-Ar, 3. rJc drnor- 4. be l roa^ 5. 11e roo"`- 6. 7. S. 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 PA LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE✓ - DATE , 7n- 701Y InsDectors use only Date on initial inspection.- - - - Date of reinspection: -- -- Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Otherrl Check- QL lM # Check date: J Notes: 1(P�larD CJ(' Ih 1 U):A-16)3< IH r4r-PA l7i7%ifL f l I ,Pj/n r -elnCile winc�.t�c max t�r7 1tl�tvn DDeho �. • t r Code ETdor6dent Inspector CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 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#343-07 DATE ISSUED: 7/26/2007 Property Located at: 3 Mason Street UNIT#2 Owner/Agent: Osiris Vittini Address: 3 Mason 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. FFT(��RD OF rEALTH - / JOANNE SCOTT, MPH, RS, C-H'O � U� HEALTH AGENT CODE ENFORCEMENT INSPECTOR L CITY OF SALEM, MASSACHUSETTSBOARD OF HEALTH120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT PS O h1 _UNIT # Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ��1 S �� ItJ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS MQ S D N � _ ADDRESS CITY SN kQ M Yl'�(k CITY __- RESIDENCE PHONE `Ito' Wq-1352BUSINESS PHONE (24 HRS.),____,__, BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._L9 _ 2., _3_ c, _4. ?-,CLC, 5._ r _ 6.- -7 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �,.�> `� DATE -2 -0 O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION `J- DATE OF REINSPECTION__-_ _ _ DATE OF ISSUANCE OF CERTIFICATE? a ?_//DATE FEE PAID._. TYPE OF UNIT DWELL�G(OTHER._.- CHECK #L _CHECK BATE" G NOTES: --- — - --- -- --- CODE ENFORCEMENT INSPECTOR 9128196 0 CITY OF SALEM, MASSACHUSETT'S 0 BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR PublicHealfh TES,. (978) 741-1800 F.�x(978) 745-0343 KIMBERLEY DRISCOLL ltamdinnsalem.com r.,A,zR, R,vNtum,its/ar.i Is,ci 10,cr-rs MAYOR Hr,w:Pn Ac FN i CERTIFICATE OF FITNESS CERTIFICATE #231-12 DATE ISSUED: 6/1/2001 Property Located at: 3 Mason Street UNIT#3 Owner/Agent: Luis Minaya Address: 3 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-0375 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH kQWY RAMDIN HEALTH AGENT SANITARIAN J z CITY OF SALEM MASSACHUSETTS N r�� BOARD OFHFALTIi � � ) �Iv 120 WASHINGTON STREET,41°FLOOR (TJ TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 �2 MAYOR IRAMDINnsALLM.COM LARRY RANIDIN,RS/R171 N,CI R),CP-I5 HF.AI;PI I AG HNT 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 3 /y/,07,VAJ ,371 .SP C/^ /hA 0/, 92 e UNIT#---3_ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER iP+ / AJI') y!J MANAGER/AGENT NO P.O. BOX ADDRESS 4vk;wTo,-1 c;4- std/es ADDRESS CITY, STATE, ZIP S419 ,-- 44 w G 6 9 Td CITY, STATE,ZIP ( q La RESIDENCE PHONE k — C1 065-1 BUSINESS PHONE(24HR.S) n�o� BUSINESS PHONE N(7r C TOTAL NUMBER OF ROOMS: 5— ROOM USE: 1. K,C ,"d12. lhklms l+hl 3. /S��- 4. Ac -L, 5. L. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P{1YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 1 -/_ L I �� '� DATE ln Inspectors use only Date on initial inspection: / 1 ICT Date of reinspection:-1Vq/__ Date of issuance of certificate:' Date fee paid: Type of unit: Dwe�lli In 1 they Check# Check date: (o Notes: VtQ 1 C hh�.� n►C F dS Ce �r_'PeD.Y�'(�VY1 2 � ✓ ( IS 1 ;��c�V P) I�w .r -�v�O 5� � 'r� Dre\tJt?. cry-,5A&-.- k� e'clor (6 t btdroom, l WI &- 'ref (h (t�t 691yoo-m 5"U c gded-n-Arr 1gCe bro�Ncf� Code entInspector yell /zwS -t (� ( y I� (ICI( COV42f la1K��' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 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#253-06 DATE ISSUED: 5/23/06 Property Located at: 9 Mason Street UNIT# 1 Owner/Agent: Alba Guevara Address 9 Mason Street Apt. 2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1274 An inspection of your vacant Dweliing/Rooming Unit at the above address has been approved and Is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation" Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH p JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ,4 Jq r�;- VP 11.010iA, 1CHUSET a 80"0 OF VEALTH 120 V4,kSHINQM"STM".4TH FLOOR SALEM,14^01970 TEL- 978-741-1000 FAX 978-74S-0343 ST^f4Lcv USOVICZ.JR. JOANNE SCOTT, MPH. IRS, 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 HABITATION" PROPERTY LOCATED AT Y -4 1, UNIT 4-Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER )q&L, MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS_ ADDRESS C I TY'5:7411e, CITY RESIDENCE PHON&7p �-BUSINESS PHONE (24 HRS)_ BUSINESS PHONE TOTAL NUM3ER OF ROOMS ROOM USE: I 6 —7 THERE ISAIWENTY-FIVE (S25-00) DOLT AR FEE, PAYABtEBYCHECK 0R %lONI-Y ORDER TOTHF UIYOF SAU.'rA I-iEAITHDI-PARTtvlFNTTHlS FFI- ISPAYABLEATTI*. -1 IW OF INSPECTION. APPLICANTSSIGNATURF&'t -- I-)AFi- INSPFCT'n", US VNLY �JO OAT(- Of INII [At- INSPFC I 10N M I i- (--)I: 1 1 IoN 01' 1-'SUAW.i '5 L t$Nll 1 )*v'Vl ! ! it "I I It. H t1l ( I< : 561 .I II ' Ll WO [ 5 �ONOIT n ��MINg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/20/2000 Fax.(978)740-9705 Jane Millette 182 Newbury Street Peabody, MA 01960 PROPERTY LOCATED AT 10 Mason 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 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 . / jOR THE BOARD HEA TF REPLY TO (Aoane�Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR �, CITY OF SALEM, MASSACHUSETTS 1L BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �a. SALEM, MA 01970 .pe TEL. 978-741-1800 4' FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#551-05 DATE ISSUED: 9/1/05 Property Located at: 10 Mason Street UNIT#2 Owner/Agent: Lisstefany Rivas Address: 10 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-8953 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. FOTHE BOARD OF HEALTH (,-- JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • r 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1 800 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 FOR HUMAN HABITATION". PROPERTY LOCATED AT f_(�.fG�l>}SotN �J UNIT 4__9 IS THIS UNIT DESIGNATED ASIR GHT LEFTRF ONTAStACCK PLEASE CIRCLE ONE OWNEPJLESSER,, J,SS f6 "AA�y_j&AS__MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS //-) 121 q S_O vv - ADDRESS CITY_s'a-ja"I' t 'Oek_ C7 1 U CITY RESIDENCE PHONEVYZC(( 9953 BUSINESS PHONE (24 HRS ) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE I _3 _3 __- 5. A __6_ _ 7 8 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR � — INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ' 6�- . DATE Or= REINSPECTION DATE OF ISSUANCE OF CERTIFICATE' z"'r- DA1 E FEE PAID: TYPE OF UNIT DWELLI E OTHER CHECK 0 � _ CHFCK DATE NOTES CODE ENI ORCEMENT INSPEC FOR 9i28/96 roar { �$� CERT.# 738-00 FEE $25 .00 a c DATE: 11/21/2000 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: 10 1/2 Mason Street UNIT #: 1 OWNER/AGENT: AMY Smith ADDRESS: 16 Huron Street CITY/TOWN: Swampscott. MA ZIP CODE: 01907 24 HOUR PHONE: 477-2398 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M C, CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978)741-1800 Fax*(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT fD X St1rU ,t7` " UNIT#1 IS THIS UNIT DESIGNATED(AS RIG T LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERAt ,7iYJ /7 MANAGER/AGENT No P.O. Box ,,// No P.O. Box ADDRESS 1-L 1761 Of ,ST ADDRESS CITY�j(C jq qt– MA CITY RESIDENCE PHONEVI.477 Z73 fe- BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 19a[L'j'L 2.4WW�3._6 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 j INSPECTORS USE ONLY DATE OF INITIAL INSPECTION //- OX --O 'o DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.. t_n'92�,00 DATE FEE PAID//` L( `0 TYPE OF UNIT: DWELLING OTHER— CHECK#- 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 v� 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: 11/25/96 Fax:(508)740-9705 Joseph Sweeney 10 1/2 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 10 1/2 Mason 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. 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 Ccde, 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 EALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 PIIfB; CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/21/99 Tel:(978)741-1800 Fax:(978)740-9705 Joseph M. Sweeney 10 1/2 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 10 1/2 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25..00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. F R THE BOARD O� REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR .gONU1T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 05/31/2001 Tel: (978)741-1800 Fax (978)740-9705 Amy L. Smith 10 1/2 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 10 1/2 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. oan�F R THE BOARD O� REPLY TO t, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH it 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ye = y� TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Novemberl0, 2003 Alfonso Barcamonte 13 Jenning Circle Peabody, MA 01960 PROPERTY LOCATED 11 Mason Street It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a m. —4:00 p.m Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health ` Reply to vnx_� , `."'tet Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector I , o I n CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 08/03/2000 Fax:(978)740-9705 Alfonso & Marie Barcamonte 13 Jennings Circle Peabody, MA 01960 PROPERTY LOCATED AT 11 Mason Street UNIT # 1R 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. OAARD HEALTH REPLY TO oanne Sco , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS o ; BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 Fax 978-745-0343 Kimberley Driscoll WWWSALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 194-06 DATE ISSUED: 4/13/06 Property Located at: 11 Mason Street UNIT#2 Owner/Agent: Luis Rosero Address: 11 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7219 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 14, JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • .. I!`,�<..1^tt F �I.I it �/ dillS�+w�. Now x: �irld�,i�_ �+ c I VF" SALE2 IWvr�CMSL �3 .. ... S0ARO OF HEALTH n1 120 WAsNINGTpN STREET.4TH FLOOR SALEI4. MA 01970 TEL. 97"4t-1000 FAX 978.745-0348 STANLEY USOVICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ,,_,/,/ HA-S'Oly Z-1 ef-d UNIT N z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �viS /2C�sE� MANAGER/AGENT No P.O. Box j No P.O.Box ,Ji* ADDRESS HAsoA) S16-ala-{ ADDRESS CITY SACC-114 "A• p!'J�O CITY RESIDENCE PHONE(q ) �'IY9'1� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS 7 ROOM USE: 1. 2 3 4. 5. 6 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE% 1 EALTH DEPARTMENT THIS FEE IS PAYABLE AT HE TIME OF INSPECTION. APPLICANTS SIGNATURE _ _ INSPC(,TO—RS USE 0—NI Y DATE OF INITIAL INSPECTION �� 'v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICAT(= `t — �3 ' [lnTC GLI- I''All) .f .6 �L 6 TYPE OF UNII DWFLLINC�O1-14EIA CH[CK 11 C (,I if (-X OATL NOTFS c'UDI I N( ()Iit.l A41 N I IN'1I'I Cl OI CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 Luis Rosero 11 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 11 Mason Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. FW,the Board of Health Reply to % I /` -- < <,.�r.,'AC:r Y .ref-�y;.+i-i- Toanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector . CITY OF SALEM MASSACHUSETTS o y�� BOARD OF HEALTH d 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#94-06 DATE ISSUED: 3/3/06 Property Located at: 11 1/2 Mason Street UNIT# 1 Owner/Agent: Suchand Pingli Address: 26 Burroughs Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR -CrI it OF'SAtiEM;MASSACHUSE M BOARD OF HEALTH • 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 ` „ I � TEL. 978-741-1800 FAX 978.745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEATH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410-000 "MINIMUM STANDARDS OF}FL!IT/NESS FOR HUMAN HABITATION". r PROPERTY LOCATED AT I 1 l Z Ma-Si6 , S1. UNIT #, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE_ OWNER/LESSER �U6 CA T llr:j; MANAGER/ GENT ,)19&1 mkeee No P.O. Bax No P.O.BO / ADDRESS 1I 7- �`r V" . - UA—. —Z ' ADDRESS CITY_- 11_SlL!' CITY �(tG S M RESIDENCE PHONE BUSINESS PHONE (24 HRS.)j2 'LY- 676P BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: _4- 5.----8._ 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. J APPLICANTS SIGNATURE _DATE_- INSPFC ORS USE ONLY DATE OF INITIAL INSPECTION _ � _ DATE OF RFiNSPECFION DATE OF ISSUANCE OF CERTIFICAI E 3 �� DATE FFE PAIL) L� TYPE OF UNIT DWELUI rOTHCR CHf_CK N .? // CHECK DATE i NOTES i1\ / CODE ENFORCEMENT INSPL=C 1 OR I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET 4t"FLOOR P"cHealth STREET, Prevent,Promote.Protect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Itamdin(@.salem.com - LARRY RAAFl>IN,RS/REI-IS,CI 10,CP-FS MAYOR HEAL:fl-L AG13N'I' CERTIFICATE OF FITNESS CERTIFICATE#387-13 DATE ISSUED: 10/17/2013 Property Located at: 11 1/2 Mason Street UNIT#2 Owner/Agent: Suchand Pingli/Harbor Rental Realty Property Management Address: 111 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-852-0650 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 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 A . '4wv LAR] HEALTH AGENT SANITARIAN `3 a • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH S�� 0 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 13GREf:NRAUM(O7SAMM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." / //�/// FEE:: $$50.00 PROPERTY LOCATED AT I �,`� /"lA50)1 ZATC / UNIT# IS THISJJUNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE Qf r OWNER/LESSER 50rhd o,�� P�}7(J) MANAGER/AGENT �{I�)l 1Ll.�1 NO P.O. BOX l/ �^ ADDRESS ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP /�/('icc7 Mk O l Q 70 RESIDENCE PHONE BUSINESS PHONE(24HRS) H//3� ?5,�-066-0 BUSINESS PHONE TOTAL NUMBER OF ROOMS: I�I ROOM USE: 6. 7. 8. V 9. 10. THERE IS A FIFTY($50)DOLLAR F AYABLE CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF I[EALTH_THIS FEE IS / T THE INSPECTION APPLICANT'S SIGNATURE / DATE Q y� I Inspectors use onlv Date on initial inspection: II 1'� II (� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: ]Dwelling Other Check#Check date: Notes: Code En for t pector ,:Z7 - �- - , t �- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �s SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#103-08 DATE ISSUED: 2/29/2008 Property Located at: 11 1/2 Mason Street UNIT#3 Owner/Agent: Harbor Rental & Realty Property Management Address: 111 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-852-0650 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. F07L=ORD OF HEALTH Frey U�� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR Ina SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". a PROPERTY LOCATED AT 1.1.'" lqA*)f7 5 ker, UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 11 1 OWNER/LESSER �!17 MANAGER/AGENT 0a1� � �1» al ADDRESS No P.O. Box NADDRESS G(l 1>74rb\Jee� v JJJ CITY CITY i/d l)M v RESIDENCE PHONE BUSINESS PHONE (24 HRS.)M_36 `_o 6 6lJ BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 Q�j�JJ ''� ROOM USE: 1l t 2. i 3.�1[Ai• 4. bl'� 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. / p APPLICANTS SIGNATURE DATE 1 NS CTOR U ONLY DATE OF INITIAL INSPECTION 2 5-7 -otDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Z- Z4-aY DATE FEE PAID:_Z -2 1-y___ TYPE OF UNIT DWELLING HER_ CHECK# /Y_r?_CHECK DATE NOTES: CODE ENFORCAAENT INSPECTOR 9/28/98 /r� V ` CITY. OF SALEM, KASSACKUSIETT-S BOARD OF HEALTH 120-WASHM116TCW STREET 4TH FLOOR SALEW MA 019-7Q TEL. 9-7$74 i-1800 FAx 978.745.0343 STANLEY J. USOVtCZ, .1R. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTHAGENT CERTIFICATE OF FITNESS CERTIFICATE#SQA-05 DATE ISSUED:8/10/06 Property Located at: 1 a Maso2Street ,L"T#t Owner/Agent: Rafael Batista Linares Address: 13 Mason treat City(rown: Sakm IIMfir Zip�Code: 0197024 Hour Phone: T44-9864 An inspection of your vacant DweifingfRoomft Unit at-the above-address-has:been-approved- and is In compliance with 105 CMR_4*,000: Massachusetts State Sanitary Code,Chapter tr Minimum Standards of Fitness.for HnmarrHabitation". Therefore,this Certificateis issued..by the Code Enforcement Division of the Salem Board of Health and the unWmay-now-berented.andtor occupied. Maximum Number of occupants, must complywith105CMR-410:000: Certificate valid for one.year from date-of issuance-or-until the-curreatenant vacates..whichever is later. This Certificate of Fitness is valid only if there is a_valid Certificate ofOccupancy, FOR THE BOARD OF HEALTft JO NE SCOTT-MPH, RS,CHO' HEALTH AGENT CODE ENFORCEMENT.WSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 0197 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 LOCAL ED AT ,-� m4 S d v ,<� UNIT IS 7 HIS UNIT DESIGNATED AS RIGHT LEFT FRONT_BACK PLEASE CIRCLE ONE OWNFRILESSER��A i t/ AOL b-tW MANAGER/AGENT 1 No P.O. Box No P.O. Box ADDRESS /_3 / A,5D N _25)� # 2 ADDRESS CITY 1eaci ,f a .pJg7d CITY I RESIDENCE PHONE =W-,JV �c/BUSINESS PHONE (24 HRS)_.____ BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE 1._- _-- 2.- --3 --=7--- 4 - J- -- I THERE IS A TWENTY-FIVE (S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEF IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTSSIGNAIURf. -_.DATE iJSPECTC (t USL ONLY DAL_COFI_NIIUAI,-_INSPECTION_�C( -b DATFOl'- iN.;P4=i:TiO'd UA [1- 'JF I^Stl'th1,;P ','4 ::LI;i lli IGATi-QC d1 lYt:'F OF UtJI i iiVVi LLiN�� .__-I I iERV CHIcCK a �� jLf � .Iil-Ch; D.11 F �'f '�z� iJOTLS I t'lli )10 I MI I`+ f INSI'LClOH r CITY OF SALEM, MASSACHUSETTS _X, '�, BOARD OF HEALTH C ti roQ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/28/05 Rafael Batista Linares 13 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 13 Mason 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 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 4lth H, RS,"CHA Pablo Valdez Agent Code Enforcement Inspector IIIc-^?"�A.'.. r:�,y� a'*s - .�ii:,s.,. - .:4."si^'4 �.Y•r',s..,.'....., 6 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 10/19/99 Steven Lipsky 16 Brown Street Peabody, MA 01960 PROPERTY LOCATED AT 13 Mason 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 i 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. i i Please contact this department within 24 hours of receipt of this notice at I 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 I 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 Ojf HEALTH REPLY TO oanne Scot , MPH,RS,CHO PABLO VALDEZ Voanne Health Agent CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS a s 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# 114-07 DATE ISSUED: 3/27/2007 Property Located at: 14R Mason Street UNIT# 1 Owner/Agent: Sandra Rosario Address: 14R Mason 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT C I, ENFORCEMENTINSPECTOR / CITY OF SALEM, MASSACHUSETTS : BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 1/ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". I t PROPERTY LOCATED A7_ � � Y� � SC/vL � UNIT II IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �1 �O�CA VJ� MANAGERIAGENT No P.O. Box No P.O.Box ADDRESS I44i2YOQWV1 ADDRESS CITY �� vl f� ' CITY RESIDENCE PHONE q7t�r7LIS S(3 BUSINESS PHONE (24 HRS ) BUSINESS PHONF__ TOTAL NUMBER OF ROOMS _ ROOM USE: t__ ..__ 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 - _� _k0 7/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION_ � ".r}_`__7_!d 7.DATE OF REINSPECTION DATE OF ISSUANCE OF CEPTIFICAI E 3 is 7`47 DATE FEE PAC J ? 7 TYPE OF UNIT DkIVELLIN I -CI HER_- CH LCK v Z CHECK DATE ' NOTES CODE ENFORCEML NT INSPECTOR G/28/(M CITY OF SALEM, MASSACHUSETTS c 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# 195-06 DATE ISSUED: 4/20/06 Property Located at: 16 Mason Street UNIT# 1 Owner/Agent: Joseph P. L'Heureux Address: 11 Intervale Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6751 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 Ir' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410 000 Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 -:-C�OFSALMM�NASSACHUSETTS BOARD OF HEALTH 120 W"HomoMm SmesM 4TH FLOOR SALEU,MA 01970 Tat- 970-741-1 SOO FAX 978-74S-0343 STANLEY USOVICZ,JR. JOANNE scom meH. 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 FkTNESS FOR MAN HABITATION" PROPERTY LOCATED AT n, HUUNIT gj- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERtLESSE A AGEPJAGIENT No P.O. Box P.O. Box ESS _ng�P NO ADDRESS 4V&VaOCO a ADOR CITYS� 0 tq RESIDENCE PHONECFW_�YH( n CITY ,01( 41NESS PHONE (24 HRS-)----- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I.— 2._3 6_ -7. 8.------ THERE ------- THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL 'M HEALTH DEPARTMENT THIS FEE IS PAYABL E AT THE E TIME OF INSPECTION qj�qo APPLICANTS SIGNATURE P FQ T OR U S C-QN-LY DATE OF INITIAL INSPECTION DATE OF REINSPECTION _ DATE E OF ISSUANCE OF CERT!RCA1 F DAI E f-1-1- PAID TYPE OF UNII OWLLt INC�A OMER CIIECKI! 00t, (',Iff-_(;K-K0AT(-_ NOTES 0001 1,NI 01 (A Mi N i IN W1 ' j 0I; CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Z gj 120 WASHINGTON STREET, 4TH FLOOR ? o SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 199-05 DATE ISSUED: 3/30/05 Property Located at: 16 Mason Street UNIT#3 Owner/Agent: Joseph L'heureux Address: 11 Intervale Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6251 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 i rr 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 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 �O —MA�0r\ Sr UNIT#3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER \\05�t)k P tNeUreWXMANAGER/AGENT No P.O. Box JJ _ No P.O. Box ADDRESS i��^•• �nTf�i/A G /ZJ ADDRESS CITY )//1 CITY /11A 0070 RESIDENCE PHONE 7W- 7�f't-6 1 BUSINESS PHONE (24 HRS.) Syme_ BUSINESS PHONE l/IML TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1.%?t d 2_17e d 3. &j 4. ItfQe+ , 54011 1) 6. q/r7. jdAd- R THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. JJ APPLICANTS SIGNATURE d,� c/ --' DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '� `I �/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7 /I y m DATE FEE PAID: TYPE OF UNIT: DWELLING _OTHER_ CHECK#_ _.�_ CHECK DATE 3 NOTES (/� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978.741.1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/17/05 Joseph L'heureux 11 Intervale Road Salem, MA 01970 PROPERTY LOCATED AT 16 Mason Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XII!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 He h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector +R, CITY OF SALEM, MASSACHUSETTS �L BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/17/05 Joseph M. Rogers 18 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 20 Mason Street Unit 1 L 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. Fq,r the Board of Health Reply to 'aIf3-f�wz� �-E-�— anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector r �� cots CERT.# 225-01 FEE $25.00 DATE: 05/08/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 21 Mason Street UNIT #: 1 OWNER/AGENT: Paul Brown ADDRESS: 21 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0626 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVEADDRESSHAS 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. FO� R THE BOARD OHEALT�H ,J JOANNE SCOTT, MPH,RS,CHO V� HEALTH AGENT CODE ENFORCEMENT INSPECTOR z 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". � n PROPERTY LOCATED AT � // Y'I::M "�A7_ . UNIT# IS THIS UNIT DESIGNATED AS SS-RIGHT LEF RONT ACK PLEASE CIRCLE ONE OWNER/LESSERI ( ' l�f 1 hW{� MANAGER/AGENT S+l�Y1Is� No P.O. Box �M No P.O. Box ADDRESS a 1 J V/l 9- ADDRESS CITY �� CITY RESIDENCE PHONE 978 7 /_ 2(t3USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER --�SOF ROOMS): ROOM USE: 1.�7� 6 w 2.L 121 - 544XJ4�-- 6. _7. ha8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY 0 DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTI { � I APPLICANTS SIGNA DATE '1 do 1 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 5 "R -'C) ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 5'(Z ,v 1 DATE FEE PAID: S ,g —O/ TYPE OF UNIT: DWELLINN OTHER_ CHECK# `t< �S' CHECK DATES 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 n CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 04/02/2001 Fax:(978)740-9705 Paul Brown 21 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 21 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. R�ARD/ REPLY TO lJoanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I 5 vg��ONDIT CERT.# 352-99 FEE $25.00 3 _ t DATE: 07/08/99 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: 21 Mason Street UNIT #: 1 OWNER/AGENT: Paul Brown ADDRESS: 21 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0626 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH l OANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 5 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax*(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEF FONT ACK PLEASE CIRCLE ONE OWNER/LESSER IKI� 1 �Y� MANAGER/AGENT ��/1(�/1 Box ADDRESS �1 _Sl CkI"AD RES{S � CITY � t {/�� CITY / ►�/�P'k_)S RESIDENCE PHONE" 71TA I^7 Y/^b A?_( BUSINESS PHONE (24 HRS.) BUSINESS PHONE 'Q_ �7 TOTAL NUMBER OF ROOMS: / l ROOM USE: 1. ) _ 2. Lx V 3._ V_Vk hl, .15crw6. .� l� 5 + 7. t`� 8. ) D THERE IS A TWENTY-FIVE($25.00) DOLLA5S.FrE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTOO Q� APPLICANTS SIGNATU V" DATE u INSPECTOR SE ONLY DATE OF INITIAL INSPECTION 'I— DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:? —S' DATE /FEE PAID 7 TYPE OF UNIT: DWELLINGOTHER_ CHECK# �3`f CHECK DATE elf NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 o CERT.# 595-99 FEE $25.00 DATE: 10/05/99 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: 21 Mason Street UNIT #: 2 OWNER/AGENT: Paul Brown ADDRESS: 21 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0626 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 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 �N �/� J�CU�/ UNIT#_CPI- IS THIS UNIT DESIGNATED AASIR GHT LEFO C PLEASE ,CIRCLE gONE , OWNER/LESSI�[ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS c3� l �� ADDRESS //� �l'?4Sjo� CITY sq/cm i� r:ITY7nrEIV // / �u3 ��---- RESIDENCE PHONE P-06Z 6 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. fr�8. ) . THERE IS A TWENTY-FIVE($25.00 FE , PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF HEALT DEP RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNAT DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /U--5--Y L? DATE OF REINSPECTION DATE OF ISSUANCE OFCERTIFICATE,/E>--5--f� DATE FEE PAID: TYPE OF UNIT: DWELLINGOTHER_ CHECK# -7 �4 CHECK DATE �l / NOTES: /\ CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 510-97 3 M. FEE $25.00 '` 07/31/DATE: 07/31/97 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: 22 Mason Street UNIT #: 2 OWNER/AGENT: Mary T. Fleminq ADDRESS: 22 Mason Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-5326 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 V OANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' w CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II , 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT_U U MZt j t j ( (� UNIT I OWNER/LESSER 1)214x v I jn MANAGER/AGENT ADDRESS _1,7�� { ,+,5,(qn. e5r ADDRESS CITY C5,,i-( UP( CITY RESIDENCE PHONE c!�Vl? 711-11( tj 3,P/ BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 7 rr ROOM USE: 1. 2. 3, /rJ 4. 5. _,,,_5_, 7. 8. TUERE IS A TWENTY IYE (25-.00) ,LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAL PARTMENT IS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE t/ r a2� DATE 7 / c�I f�7 / / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 7j — �( � DATE OF REINSPECTION DATE OF 'ISSUANCE OF CEnnSS FICATE- 7 DATE FEE PAID: 7� TYPE OF UNIT: DWELLING OTHER NOTES: r CODE ENFORCEMENT INSPECTOR �. r . otawT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 05/15/2001 Tel:(978)741-1800 Fax: (978)740-9705 Bruce Howe 24 Mason Street, 2nd floor Salem, MA 01970 PROPERTY LOCATED AT 24 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of. Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by I that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD OF HEALTH REPLY TO Joanne Sco , MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i 4 � b .�ONUIT e CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 05/16/2001 Fax: (978)740-9705 Bruce Howe 24 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 24 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us. if you do not intend to rent the unit. 1 Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. - A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. I A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FF R�ARD O� � REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I i I CITY OF SALEM, MASSACHUSETTS o 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#304-06 DATE ISSUED: 6/7/2006 Property Located at: 27 Mason Street UNIT#Room 1 Owner/Agent: North Shore Heritage Association Address: 64 Holton Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH f JANN�T, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR eco CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH (�'1 • a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS ES OFF�FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATp�~I I � ICS SO n 5T. Qom 0?4 UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT �FFoRONT BACK PLEASE CIRCLE ONE OWNER/LESSEF�YVD/ D(e �/�r7� , � Qv GER/AGENT No P.O. Box / No P.O. Box ADDRESS rr�/z� o/7f� LS'f ADDRESS CITY d)Vtn✓orz RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTSSIGNATU_ WRti//4 DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _U 6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/n—7 D w DATE FEE PAID:r, 7 — o TYPE OF UNIT: DWELLIN _OTHER_ CHECK#CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Kimberley Driscoll Mayor RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts R. !gulatiocs 410.000 et. seq. ; State Sanitary Code Chapter lI 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 tl:e aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence , i./we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ahec�t. from any loss or i-n3ury sustained of whatever nature ana description occasioned b-� my/our absence during said inspection. S�Ieohen Eri r)0 ce'qI AJor-tt1 Shore �, �e �ssoe- ?c.i","""R/LESSEE O'AINER/i ESSOR. Or, MCSon _(5f -A-34- t�_. olfcn -S _ APD;:ESS %%DRESS m _M4 Tl)iiESS OF UNIT '1', i 1P;S1'I:CTIiO 4-N 0 S ?nng )!TF r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 COD 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#305-06 DATE ISSUED: 6/7/2006 Property Located at: 27 Mason Street UNIT# Room 2 Owner/Agent: North Shore Heritage Association Address: 64 Holton Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-7624878 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 JOA E SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR u CITY OF SALEM, MASSACHUSETTS I / _ BOARD OF HEALTH dZQ r 120 WASHINGTON STREET, 4TH FLOOR g' SALEM, MA O1970 a e TEL. 978-74 1-1800 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 FITNES R HUMAN HA TATION". _ on PROPERTY LOCATED AT / v� UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER%VU(,�lA ,!&(e j7Ge-"MQA AGER/AGENT No P.O. BoxJ' // / No P.O. Box ADDRESS /fid 1No/TP n -5 . ADDRESS CITY d P,/11/./f-4 Gg§� m, ©10i Z,� RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. —6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION., ii � APPLICANTS SIGN ATU PilAi!DATE ( _/p�_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION A - 7 -o (' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:6�7-D 6 DATE FEE PAID: /,_- 7 �o TYPE OF UNIT: DWELLITHER CHECK#10 9'6(dCHECK DATE— NOTES: /C\ CODE ENFORCEMENT INSPECTOR 9/28/98 l 07 06 11 : 46a Joanne Scott Salem BOH 978 745 0343 p. 3 ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, GHO Kilnbelley Driscoll HEALTH AGENT Mayor RELEASE in accordance with Ha SSaChUBetts General LawS Chap Ler III ; Godo of Mass•vrhnsnrrc R::gulations 410.(700 ec. Seq. ; Stale Sanitary Code CNII)Ler 1.1 and Article XIII of rico t,ity of Satem Ordinance, undersigned owner/Lessor and tQIIdnL/lessee of a unit- ,.i( ice idr.nlint pt'oper[y , hereby nut h4iri7e Iho S:,lr•m Rn,rd n1 He.alt'h or if, ,. -uther- izcd agunts to inspect me resider.-cc idencif.icd below in accordance wit-h Lhe aioremcntlonr.d ata('tttc5, regulations and ordivanceS, I.-, Lh,2 event- it is race 5l:.'1?'V Ll1aL Sill.d Inbpecrioo be dorso 1P Illy/(IU[ ah8e0Ce, 1/WV expressly au Lhori2o Lhe 8i!I11P and for my/our wCCessots ,n:d ossiptts hereby :P.lua sc sed diecharso rhe City nr Sa Len„ S+lent 15c';Ird Of Pna](i, ::nr1 its nuPhpri! "i g ,. 8115, 105$ Ol iu]uLy Of 4•'n;il Cve l' IL1Lu 1'C' a119 (i(-KarlpLiOn Occasioned by ttty/our b.arucP duo tng said inspecLicn . �` h UN0 30 200. N 0 , ?an6 1 &— �' .. 10AA- . Pva.n5 N-01- h. Shore- '771' tr ! MJ1 lOy Wo14cn64- .- )anv !dW!"E3., i`I111"SS .ill l;;; I'!I' ii!fl : 'i'n ii: CITY OF SALEM9 MASSACHUSETTS c ; BOARD OF HEALTH j 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#306-06 DATE ISSUED: 6/7/2006 Property Located at: 27 Mason Street UNIT#Room 3 Owner/Agent: North Shore Heritage Association Address: 64 Holton Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JO/ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 'un 07 06 11 : 45a Joanne Scott Salem BOH 978 745 0343 P. 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEAI.TH • ♦ 120 WASHINGTON STREET, 4T- FLOOR SALEM, MA 01970 TEL. 978-741-t Soo FAX 979.745.0343 JOANNE, SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Z�_ Q�,C2_�S _ M AA UNIT ff-_-- IS THIS UNIT DESIGNATED AS ann LEFT FRONT BACK PLEASE CIRCLE ONE }} As a OWNER/LESSERMO(TYN •r7V1nrt- He(,ia-�f,-MANA ER/AGENT_ .--- ., No P-O, Box No P.O.Bax ADDRESS�Qr n `5�4 . .. ADDRESS CITY•_(I✓Y 3 - — . . . - — Mf- (M OL L-i RECIDENCE PHONE "1H5�'WggBUSINESS PHONE(24 HRS)jA_1LZ.4$1( BUSINESS PHONE ` jf !Ie2 TOTAL NUMBER OF ROOMS:..,.,,___.-_-- ROOM USE: 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 SIGNATUA - ZlDTE JUN 6 2006 INSPECTORS USE ONLY PATE OF INITIAL INSPCCTION�j, ,.7, ''©,.!_,.DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:c .7 -(:� DATE FEE PAID: C — 7 TYPE OF UNIT: DWELL1rOTHERN_ CHECK Na_( a CHECK DATE Gn — — Ca 6, NOTES: --- - - -- ...._.... - --- - --- ... CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Kimberley Driscoll Mayor 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 cf residential property, hereby authorize the Salem Board of Health or its .author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence , i_/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ogc,._ from any loss or injury sustained of whatever nature ano description occasioned by my/cur absence during said inspection . ?'=.ltiANT7?.ESSEi; U1INER/;,ESSO iu)DRESS ADIV SS ADDRESSc' F UNIT TO i;!� !1:SrEC!'ED JUN 0 3 2005 o h - --- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH j 120 WASHINGTON STREET, 4TH FLOOR me 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#307-06 DATE ISSUED: 6/7/2006 Property Located at: 27 Mason Street UNIT# Room 4 Owner/Agent: North Shore Heritage Association Address: 64 Holton Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-762-4878 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH qJANN`7SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS c� BOARD OF HEALTH � + 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE ScoTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".PROPERTY LOCATED AT Qr/ d222on S5/.LLcS L&M tY74 UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�IFdh Sholy �i p�_4-'VRNAGER/AGENT No P.O. Box l No P.O. Box ADDRESS ��]�1 /� �_n 6S. ADDRESS CITYJJ7)Q4I/w/5 t= M4 X97 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR��i(i2 � DATE 641060 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION (n-7�O 61 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE6, 7�-O 6 DATE FEE PAID: Z' — 7—o6 TYPE OF UNIT: DWELLIN OTHER_ CHECK#_5-0 �4 7_ CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 is CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Kimberley Driscoll Mayor RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Ri!gulations 4 10.000 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 tl:e aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, i_ /we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agen._ from any less or injury su Lained of whatever nature and description occasioned b7 nu.. absence curi. id i s_ ecticc . i�s2h� Nn cib Shop _,UD-c --- T5NkNT/LESSEw OWNER/iFSSOR. DDRL:SS '.O' RESS "( LY�Acin S:} CCt�M �.iylitESS OF UId IT Tr) M INC)PECTEO CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH R 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 6/15/05 Peter Bick 29 Maosn Street Salem, MA 01970 PROPERTY LOCATED AT 29 Mason 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 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 atYM� Pablo Valdez ealth Agent Code Enforcement Inspector m pp? CITY OF SALEM, MASSACHUSETTS \ 7 BOARD OF HEALTH 120 WASHINGTONSTREET,4°1 FLOOR PablicHealth TEL. (978) 741-1800 Pax(978) 745-0343 KIMBERLEY DRISCOLL katndinasalem.com - I,i\RKl'IU\MUIN,RS/RI,1-15,CI-IO,CP-15 MAYOR He:,\I:fi 1 AG ENT CERTIFICATE OF FITNESS CERTIFICATE # 124-12 DATE ISSUED: 4/3/2012 Property Located at: 30 Mason Street UNIT# 1 Owner/Agent: Yaleena Shrestha Address: 11 Good Hope Lane City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-2049 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARR+ HEALTH AGENT ANI Z_6 �y X , j , �?c 67 53-9150 �2a�s s4-- #1 CITY OF SALEM, MASSACHUSETTS y 1 BOARD OF HEALTH �� I 120 WASHINGTON STREET,4°1 FI..00R TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR i uAXIDINGSAIENLCONI LARRY RAi\dDIN,1IS/R1:11 IS,CI 10,01-15 1-I13AL;1'I I AGI?NT 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 30 Yon S O Y1 S'-I- UNIT#� IS THIS UNIT l'DISIGNNATIED AS RIGHTLEFTFRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER NQ 1 eeylq Sl re' Y'IQ MANAGER/AGENT NO P.O. BOX ADDRESS 1 l I aaCAUddd V0V1,cQ, ADDRESS CITY, STATE,ZIP s DAM rn R CITY, STATE,ZIP ©1 9 7+6 RESIDENCE PHONE q9-9 - 7i-/ill 73 L BUSINESS PHONE(24HRS) q"�Lf 2 o L/ BUSINESS PHONE TOTAL NUMBER OF ROOMS: /�'� ROOM USE: 1. 2. 3. 4. < 5.J 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAAF ,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ABLE AT�[E OF INSPECTIONDATE APPLICANT'S SIGNATURE fV Ins%ectors use only Date on initial inspection: Li 1�I o� Date of reinspection: Date of issuance of certificate: _ C� Date fee paid: / , A q l Type of unit: Dwelling Other -Check# .-)�I I Check date: Y / I ,v Notes:�U�- C� ( &jMW5 alno 1d1,�TCI 11 Pd oil J' row v ury i1' 9I C/o �i£6rcement Inspector CITY OF-.SALF. ,M, NCASSACHLISFJ-1-i Baum of-, FlLki:ITI 120 WASHINGTON STRHIT,4"'H,om KINMERLE?Y DRISC()LL FI i3- {978)741-1800 Exx (978)745-0343 MAYOR Iramdinna salcan.attg LAIMY RANHAN,Rbj1(vi ts,c1lo,(;P-f•S I I1:A1:1'I A(atN'r Facsimile Transmittal \A/3 LwJ �L" I � Fax# RE: � "ceyY n Date : 11 Page(s): including this cover# Message: GW <� C_ ` AAC1 ,-e--- aj Board of Health News For Your Information OFFICE HOURS: Monday, Tuesday,_Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON • TRANSMISSION VERIFICATION REPORT TIME 04/05/2012 21: 55 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 04105 21:55 FAY. NO. /NAME 919784539150 DURATION 00:00:26 PAGE(S) 02 RESULT 04: MODE STANDARD ECM e � CH Y OF SALEM, MASSACHUSLE'ITS 13O,1RD OF I-fEA1:11 I ttb 120WlSHINGT2>N,k'rRI,.1:+.T,4"'t'1.,0012 TBt.. (978) 741-1900 v^\h (978) 745-0343 KIMBERLEY DRISCOI L lramdin(a%salem.a}m Lhlili)'R,l Nll)]N,125/Rlil-Iti,('I I<l,t;P-P;i :MAYOR HFALI'l-I A(;IiN'P CERTIFICATE OF FITNESS CERTIFICP,TE# 125-12 DATE ISSUED: 4/3/2012 Property Located at: 30 Mason Street UNIT#2 Owner/Agent: Yaleena Shrestha Address: 11 Good Hope Lane City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-2049 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 fl" 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 LA Y RAMDIN HEALTH AGENT "SANI CITY OF SALFM. MASSACI IUSE'l-I'S . ! 130 Biu)oi, Ht�m.n-I 120 WASHINGTON STRGFr,4"' FLOOR I•n.. {978)741-18(I{} K1M1iERLLiY DIUSCULL FA\ (978)745-0343 NIAYOR IramdinOsalcln.com (.n lLRl'R.l�IDIN,KS/I(I?I IS,CI lo.cl'-i'S HEAVIII MiVNT Facsimile Transmittal Fax # 11 RE: V $✓1 Date : —114 ! /� Page(s): including this oover# Message: Board of Health News For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON i TRANSMISSION VERIFICATION REPORT TIME 0410512012 22:20 NAME FAX 9787450343 TEL 9787411800 SER.# 000S0N341991 DATEJIME 04105 22: 19 FAX NO. /NAME 915085590430 DURATION 00: 00: 26 PAGE(S) 02 RESULT OK MODE STANDARD ECM rr S4-*-2- /-v -a-N Tr9gc� l • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,40'FLOOR TEL. (978) 741-1800 10MBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1.R AaD1N0.SAJa:w.00N1 LARRY RANIDIN,its/RF.HS,CHO,CP-ins HFAm,H AG CN r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 /n� ^ � . PROPERTY LOCATED AT 3 0 YVI G .0(!?� �-�- ��l M P O 19�QtJNIT# IS THIS UNIT DISIGNATEID-AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �Gf' ke-elja t 1 YPs t )A MANAGER/AGENT NO P.O. BOX ADDRESS CI O-Orj ��,7. ) aq,4-j2— ADDRESS SCXL 4-4i t r� �� CITY, STATE, ZIP VVI }k U' (, a( 'TL� CITY, STATE,ZIP RESIDENCE PHONE CL �' -7 d f'/- 7f' 2 7tsUSINESSPHONE (24HRS) 76 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. ( 4. ! 5. 6. 7. 8. 10. THERE IS A FIFTY($50)DOLLAR FE AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P LE AT T T E OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: q l Type of unit: Dwelling Other Check# Q t-�/� \ Check date: Notes C1S�MP (l I raa Ae I VI;T(,j Ue an4 ('6YJ Z ar4e, o (111rc.z tc- ,-, Eorcement Inspector n� CERT.# 99-01 - FEE $25.00 DATE: 02/27/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel. (978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Mason Street UNIT #: B OWNER/AGENT: Barbara Proulx ADDRESS: 30A Mason Street, A CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7443 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 e/a z4al".- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR coxar 0 ) 4�aD 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 30 MA%&,) S� UNIT# PJ IS THIS UNIT DESIGNATED ASIRIpGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS S t— A ADDRESS CITY CITY RESIDENCE PHONE 7k "14S- '7ygy BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. (� APPLICANTS SIGNATURE DATE Z Z 7 -Ol INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �- -?-_? -0 � DATE OF REINSPECTION -k-Z;-7-01 DATE OF ISSUANCE OF CERTIFICATE:-) -d--7 -o ( DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# S'3 3 CHECK DATE a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 698-99 R FEE $25.00 DATE: 11/18/99 �,y7NB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Mason Street UNIT #: B Left OWNER/AGENT: Barbara Proulx ADDRESS: 30A Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7443 I� AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO /`L� HEALTH AGENT D$ ENFO C MENT INSPECTOR �A' 1A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT#-r IS THIS UNIT DESIGNATED AS RIGHT( 0 FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER I bV1,?,3AZ(:N kCMLX MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS ST ADDRESS CITY ':-i>Acc17w CITY AAA, RESIDENCE PHONEb&)7Y5-7q'/3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE (6111 Fn 1-OSI TOTAL NUMBER OF ROOMS: ROOM USE: lAv�,-�\TP3 2.Live wN 5.-b&ib6.-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 0C JNSPECTORS USE ONLY DATE OF INITIAL INSPECTION 1111-vAl DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: A11-?IPV TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE NOTES: 'CODIANKCIA NT INSPECTOR 9/28/98 �? CITY 0F SALFIN1, Wr SSACHUSFsJTS nom' RoARD or W',A ;ri-i 120 WASHINGTON SrRLr' 4"'FI,OOR PublicHealth Vrnrnl 1'mmmc.I'rnlca' TFL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdin(a�,salem.com T vzRviUniulN,Itti/iti,iIS,cilo,cT-rs MAYOR FII;AMI I A(;kN r CERTIFICATE OF FITNESS CERTIFICATE#357-12 DATE ISSUED: 9/5/2012 Property Located at: 32A Mason Street UNIT#A Owner/Agent: Michael Kelly Address: 6 Sherry Lee Lane City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-548-6000 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR HE ARD EALTH I LARRY RAMDIN A�✓�J" \ I HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PublicHealth TEL. (978) 741-1800 FAX(978) 745-0343 Prevent.Promote,Protect. KIM 3EIU EY DRISCOLL Iramdin casalem.com MAYOR LARRY RAMDIN,RS/REI-IS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" M n FEE: $50.00 I'� h PROPERTY LOCATED AT 3 Z A Q/�(sl� UNIT# f� xxA, IS THIS UNIT DISIGNATED AS RIGHT EFT�FRONT OR BACK PLEASE CIRCLE ONE OWNERLESS//ER 1'1``1C h(\P ( Ke I ly MANAGER/AGENT ADDRESS I— --.— ISLE t p ADDRESS CITY, STATE,ZIP 'IQl: I-L\ �\G U �� 6� CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBEROFROOMS: 1� ROOM USE: 1. l � 2. U. tybv 3. 4. 5. 6. 7. 8. 9. 21111 10. THERE IS A FIFTY($50)DOL LFEEPAY E BYCHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE YAB E T HE TIMEOF INSPECTION APPLICANT'S SIGNATUREV DATE gl�� (-f1 L Inspectors use only Date on initial inspection: �7 �—1 Date of reinspection: Date of issuance of certificate: 12 Date fee paid: Type of unit: Dwelling 1/ Other Check# 0))1 Check date: Notes: V\�JUUV Code Enforcement Inspector s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH " q 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 CERTIFICATE OF FITNESS CERTIFICATE#485-04 DATE ISSUED: 10/27/2004 Property Located at: 32A Mason Street UNIT#32A Left Owner/Agent: Michael Kelly Address: 6 Sherry Lee Lane City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 781-389-8935 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 /1 SALEM, MA 01970 !1 � TEL. 978-74 1-1800 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 CODF, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERLY LOCATED AT Jmv �C !/- kyr / UNIT 11 1 14 IS THIS UNIT DESIGNATED AS RIG_ HT _EFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER� � MANAGER/AGENT No P.O. Bo /�// // � � No P-0.Box ADDRESS ,�C4I?7 L�� bw ADDRESS CITY 'C-AR 09 4 / �00dCITY RESIDENCE PHONES �3)=jCJI &BUSINESS PHONE (24 HRS )_7 – f BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM ROOM USE 1.�1lf"QL 4_ !/c01t3.1t"1�4 j3.1; 5._ ^_6.— ___7 £t. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAt TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. f �/ APPLICANTS SIGNATURE DAI F INSPECT OR:; USE ONLY DATE O( INIT IAL INSPECI-ION jQ - F)ATL OF REINSPhCTION DATE O(- ISSUANCE OF CFRI IPICATI-- DAT L FEF PATI) / Q ' J 7 ti TYPI- OL UNIT OWEI LING;(/ OTIlFR CI+I:CK �IIFCK DAI I= NOl I S COI )L I'M UHt.f MLN I IN"WiUI ( )lt • CITY OF SALEM, MASSACHUSETTS BOARD OF H&1LTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISC0 "r(lr SALE*N1.COM JOANNE SCOTT,, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#405-08 DATE ISSUED: 8/13/2008 Property Located at: 32 Mason Street UNIT#Right Owner/Agent: Michael Kelly Address: 6 Sherry Lee Lane City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 532-3096 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 JANN�TT, MPH, RS, CHO HEALTH AGENT C�O E' NFORCEM INSPEC ORS CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4n,FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR iscoTrOSALEM.COM JOANNE SCOTT, RECEIVED HEALTH AGENT AUG 2 62008 "SEM Application for Cerffi66 4 Fifi4s"s IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NIMMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 3 S J , UNIT# IS THIS UNIT DISIGNATED/AAS IGHT EFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER 11411MANAGER/AGENT NO P.O.BOX / / p ADDRESS (o Sll\ &C— �/��(,� ADDRESS CITY, STATE,ZIP PA 0 (Yf0 CITY, STATE,ZIP RESIDENCEPHONE__92f" ) —/36?C, BUSINESS PHONE(24HRS) BUSINESS PHONE - - 70r— J (/j b OC�O TOTAL NUMBER OF ROOMS: A r /C(l 5' ROOM USE: 1. (lea 2. V%f �,3. Raf,''^ 4 �l��G� X 5 6. 1 7 8. - 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TIES FEE IS P LE AT THE E OF INSPECTION APPLICANT'S SIGNATURE � � O O� DATE ( Inspectors use onlv Date on initial inspection: 1Z' -7 I os _ Date of reinspection- -._ Date of issuance of certificate: Date fee paid: 2 /� Type of unit: Dwelling Otther Check#Check date:/��`!�3/ v� ``Notes:��_'OLA� urflzii11 bw 11'c- V 0" CO doi�vtoO iw S JO(',4�PAaPc rPXJ� CIC o �� i7Y10 'Q,I'� 'ft'ie�al i1i11{� f I�� I �{r�cir� �� f�(I��.knC✓• . p�{' viS WSSiS"YI vJ� OLJl2P�1' —` W�� cA�C�", ode nforcement Inspector ! CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 741.0800 RECEIVED FAx 978-78-745.0349 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM , MAYOR AUG 1 S�?OM JOANNE SCOTT AUG HEALTH AGENT RELEASE In accordance with the State Sanitary Code Chapter Il; Chapter 2-705 of the City of Salem Ordinance; Mass General Laws, Chapter 140, Section 25;Mass General Laws, Chapter 148, Section 4; and CMR 780.115.6 the undersigned owner/lessor and tenantilessee of a unit of residential property, hereby authorize the Salem Board of Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and other City departments or their 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/our absence. [/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and their authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. A,, Tenant/Lesse Owner/Lessor V op Address Address ✓� � '-� Address of unit to be inspected Date/ f r CITY Off' SALEM, MASSACHUSETTS M • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR nGR13rNBAUM rni SAIA?na.COM DAVID GREI.NBAUDI,RS ACTING HEMLTI-i AGENT CERTIFICATE OF FITNESS CERTIFICATE#66-11 DATE ISSUED: 2/25/2011 Property Located at: 32 Mason Street UNIT#B Owner/Agent: Michael & Pamela Kelly Address: 6 Sherry Lee Lane City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 781-389-8935 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 I D IE , RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASI-IING'I'ON S'1'1tEL'I',4... FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 i\7AYOR D(;1UTNB U%1(aSni,FM.COM DAVID GREF,NBAUPI,RS 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." t�� , FEE: S50.00 PROPERTY LOCATED AT `,�' "� �` + UNIT#T3 4 , IS THIS UNIT DDIISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESS ER +�� l`(e ,� MANAGER/AGENT ADDRESS b SIS ""� ADDRESS CITY, STATE, ZIP lQ�e� CITY, STATE,ZIP ✓L d�Cj(oJ RESIDENCE PHONE I � BUSINESS PHONE(24HRS)-1 BUSINESS PHONE L TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)D LARFEE,P ABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F IS�A AT THE TIME OF INSPECTION a� APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: y Date of reinspection: , Date of issuance of certificate: dt� dSi 11 Date fee paid: a Ia s I n Type of unit: DwellingOther Check#_�iCheek date: h SI) Notes: "Trr /lfp a�Arm rn(F�j h B P.r j add l o hA019j, for Code fore ment Inspector City of Salem, Massachusetts f3 Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHtealth Prevent. Promntn Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.2 DATE ISSUED: 1/5/2016 Property Located at: 35 MASON STREET UNIT#2 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976) 745-5692 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH �JJ'� / Larry Ramdin, MPH, RENS, CHO SAN RIAN HEALTH AGENT / VVI GYf GVLV LV.LT Jf VfTWJYJ CrrY OF SAT FM MASSACHUSETTS BOAPM OF HEALTH I20 lS7�sF�iGTaN S71tEST,4"'kLOc>R 1-0-(978)741-1800 fUMBIItLEY DRISCOLL F-AX(978)745-0343 MANOR t Coil DAYDD GR AUK ACTING HEALTHAGfiM-IT Application for Cert>iicate of Fihiew IN ACOORDANCB WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MiIN3itJM STANDARDS OF PITNBSS FORHUMAN HABITATION." FEE:$SO.00 IOPEWTY LOCATED AT /yt 14 S 6 tiJ S UNTf# Z ISTM81UMTA7UM4&MMAS WLM OItM=pI.8AMCM=ONE wmm/Imm L L- 4s MANAOW AGENT )P.Q.BOX P 7DRES3 U - 0 Z ADDRESS XY,STATE,ZIP /?'yid �19�o CUT,STATE,23P SIDENCE PHONE BUSINESS PHONE(2GOM 78� 9 JSINESS PHONE ITALNUMBER OF ROOMS: 6" MUSE: 1. 2. Q-e,� 3. � 4, 5. (. 7. P.-vJ.Ls S. /.Clfe.G,- 9. 10. 19-4xe URE IS AFWff($5D)DOLLARFEB,PAYABLE BY CHEM OR MONEY ORDER TO T13BCIIY OF SALEM )ARD OF HEALTH THIS FEE IS PAYABLE ATT TBE TIME OF INSP/E�CTION 'PLIGANT'S SIGNATURE �`�` C DATE r Insoeam Use only teoninitialinspection 12/3�/2nZ� Date ofniffipedion: -1s of issaaace of cmtEacm l-Z130/2 01..5' _ Date f08 paid: Peoflmmt= Dwet3&— ,,// oam Check# TY - che*date: 12/17/2425 3c Ins�tort 201Q• 872121 97874MM Paget • CERT.# 563-00 2 FEE $25.00 DATE: 08/30/2000 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: 37 Mason Street UNIT #: 2 OWNER/AGENT: Scott Galber ADDRESS: 9 Belleair Drive CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-4462 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 a zzalee JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' CONOIT '��O/rnrlscA�� 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 FIT/NESS FOR HUMAN HABITATION". IT PROPERTY LOCATED AT 3 / /YlA �z / 5�, UNIT#2– IS IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJCC' � 67AI-4R, MANAGER/AGENT (AM_,� No P.O. Box L� \ No P.O. Box ADDRESS 9 E ADDRESS CITY .S l//j 1�S� 1 1 `V14 L^ 01 07 CITY RESIDENCE PHONES g z �// t))6 Z BUSINESS PHONE (24 HRS.) BUSINESS PHONE r) I b b TOTAL NUMBER OF ROOMS: b ROOM USE: 1. by 2. 3. 4. 5.6_6.&_7. 8. THERE IS A TWENTY-FIVE "CHEAL E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SARTMEN THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. y�JAPPLICANTS SIGNATURE DATE f/ / P INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �'3 0 —c ` DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S(-- 0 –o 6 DATE FEE PAID: ::i('3 TYPE OF UNIT: DWELLING OTHER_ CHECK#.? q1 CHECK DATE -.3 0 NOTFG- CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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#386-04 DATE ISSUED: 08/17/2004 Property Located at: 37 Mason Street UNIT#3 Owner/Agent: Joseph & Silvana White Address: 37 Mason Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-8896 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR410.000: 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. F R THE BOARD OF /�y y//pry///� Lk"- JOANNE SCOTT, MPH, RS, CHO (�(/ W HEALTH AGENT CODE ENFORCEMENT INSPECTOR ,.;t ,'y�r!Uri,1h="ht°S?.'.)S, `'K�.„M.viii;�,p;5%''. zW�!:5,�.r�"-�`.�/'Ly:i`r�f•,y�5y'++y"wx�e.'i C`:"....^R'�`s�,.,, cYa. [�J�' 'jiu�.i 'r"'`',,�".lN,'S,i�.,i >�...:py'�v<yr¢:;{ . Y Y:.. }tel�RI1♦,x i:i':yTl>.•"�.�i,. �•'��+(/i�Ylr `V�.a� ��Z 4�� - G i ax �.at ��_' 't .y� L.t �'.��s .. .'48.OA,RDt.),O 1EAyIT r. ..-•a.: ..'v' :'ai` _.;'.": i3'._.". ',u,' 120 WASHINGTON T E- i 4T,m GOOR - .�:r•.. '??;; TEL_. 978-74J1-1800 , ',•'w 1Y" FAX 978-745-09438% 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 HABITATION". PROPERTY LOCATED AT .1.1 MAs ,O. ST UNIT N� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSrCED 4 -1 YIA/&QN MANAGER/AGENT No P.O.Box moi}=1 E No P.O. Box ADDRESS J7ADDRESS 1 ow -t7 .1. CITY 'A QSK\ CITY 'm(-N - RESIDENCE PHONEBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: (0 ROOM USE: 2, aQ(CL�( _Y,N,,__�3 'aJn 4. V-t �C-N41 b.bxYneur�6 1 t t`�iv7nh. H. 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 C �rr> DAT'E K INSPECTORS USE QN)Y DATE OF iMTIAt INSPFCTION q'"-F? D `` DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -1 7 '0 DATE FEE PAID. q - f 7 - 01' TYPE OF UNIT DWELL INC YOTHER-- _ CHECK >! 7 S ____CHECK DATE D NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 ` BOND MA 01970 City of Salem, Massachusetts Board of Health �� {,h 120 Washington Street, 4th Floor, Salem, Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-488 DATE ISSUED: 12/15/2016 Property Located at: 39 MASON STREET UNIT#1 Owner/Agent: Arthur L. Parent Address: 2 Haskell Place City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 531-3838 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. P --X� )" i j (� I Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH " 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KIM 3ERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAMMNnO SAI.RM.CYIM LARRY RAAtDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" p FEE: $50.00 / PROPERTY LOCATED AT 31 � d N X77- UNIT# 1 IS TILS UNIT DISIGNATTEEDDAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Ae_T/%`-/`U°(�. 7— vT MANAGER/AGENT NO P.O.BOX I • • \ ' ADDRESS ADDRESS CITY, STATE,ZIP l � 1� ��V, 12114- ©2960 CITY, STATE,ZIP RESIDENCE PHONF q �Y ,S3/—38'3 8 BUSINESS PHONE(24HRS) BUSINESS PHONE S®9- 36�-- Z9/ 9 TOTAL NUMBER OF RIOOMS:/K 1 J j ROOM USE: 1_/�d 2. /.se-J 3. 14 4. 5. �t 6. 7. 8. 9. tiL/ 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE-BY CHE R MONEY ORDS TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA ABL "AT THE :OF T$PECTION APPLICANT'S SIGNATURE � , ! 0A A4 DATE C7 c h Q gnu use only Date on initial inspection: 1 7C_(— ��I ga Date of reinspection: Date of issuance of certificate:D(--C- F), Date fee paid: Vcr A 7 Type of unit: Dwelling Other Check# l 1 , T q Check date: Notes: �Ic A- i l: l*v r os edq' t-) +I Sm o of dC wl� ' Q omU r'"( ' CJeltnfffnnemenAnspector 14d I / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET,4T"FLOOR ' TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ' T-RAMDIN(a.SALEM.C:DM LARRY RAIDIDIN,RS/REHS,CHO,CP-FS HEALTH AGENT . Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned,statutes, regulations and ordinances. In the event it is necessary that said inspection be'done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address I Address on unit to be inspected • I Date Updated sr2311I 1 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#89-06 DATE ISSUED: 3/3/06 Property Located at: 39 Mason Street UNIT#2 Owner/Agent: Arthur Parent Address: 2 Haskell Place City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 531-3868 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 Ir' 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 2A"NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Crry OF SALEM: MA'S* SACHUSE BOARD OF HEALTH 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 01970 n, TEL. 978-741-1800 a 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 FOR HUMAN HABITATION". PROPERTY LOCATED AT OVA UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER.,4-4T# --PA&6 _n ANAGER/AGENT No P.O. Box No P.O.Box ADDRESS ,'- /—/)o C t'�e c(_ p` ADDRESS CFFY_p�P /e,,jw CITY 449v 0/940 RESIDENCE PHONE�-_QV-S BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE: 5. 6 7 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTM NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 U y DATE OF RI-INSPEC TION_ DATE OF ISSUANCE OFCERTIFICATEr).-.-_�-9___0_' -DATE F17E PAID TYPE OF UNIT DWELLIWIZ OTHER CHECK k-,_3 CHECK DATE NOTES CODE ENFORCEMENT iNSPE C FOR 9/28/98 9 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PiublfCHealth MA 01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-16.489 DATE ISSUED: 12/15/2016 Property Located at: 39 MASON STREET UNIT#3 Owner/Agent: Arthur L. Parent Address: 2 Haskell Place City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 531-3838 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAN TTARI N ti e • = CITY OF SALEM, MASSACHUSETTS' BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LR"Q1N@SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANPI'ARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 ' PROPERTY LOCATED AT 39 N 45 o NS t�'EE( ' UNIT# 3' r IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC&PLEASE CIRCLE ONE OWNER/LESSER f, • MANAGER/AGENT NO P.O.BOX 1 � ADDRESS ADDRESS CITY, STATE,ZIP--f4-Boo q, HA 0)9(, o CrrY, STATE,ZIP RESIDENCE PHONE t T2-S 3 l-3 9 3 8 BUSINESS PHONE(24HRS) BUSINESSPHONE 508'-3(01 agl9 � TOTAL NUMBER OF ROOMS: ROOMUSE: 2. (3 DX04A 3.e,?c-lzd 4.0--) � 5'?¢ RoaAl 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY C K Y ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE SPECTIO APPLICANT'S SIGNATURE DATE )21/6-11 G Inspectors use only Date on initial inspection: PrC Date of reinspection: Date of issuance of certificate: r�rC, DC7 j W1 LP Date fee paid: Dt C V 5 i ZD�w Type of�unc it: Dwelling Other Check# ( Check date: DrC. �5 i Notes: AA(+ u crk:�v r \1 or) (T ) C CodArnforceriVnt p r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - A 120 WASHINGTON STREET,4TM FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR T n*m1N .sAi EM.COM LARRY RAmDiN,RS/REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its . authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address „ t i , Address on unit to be inspected Date Updated 5/23/11 F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUMa( SALENL(ON-1 D,\vn) GRi A;.N$AUNI AC'I*1N(i HP. :ni A(;icN,r CERTIFICATE OF FITNESS CERTIFICATE#299-09 DATE ISSUED:6/24/2009 Property Located at: 39 1/2 Mason Street UNIT# Owner/Agent: Steve Haley/HES Address: 131 Rantoul Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in 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 HEALTH L DAVID GREE BA // ACTING HEALTH AGENT CODE 710EMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Q� 3 120 WASHINGTON STREET,4O.FLOOR TEL. (978) 741-1800 I4MBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGIZE:LNBAUNIOSALIAL COM DAVID GREENBAUM, ACTING HE-1LTH 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." G� FEE: $50.00 AU /JC PROPERTY LOCATED AT [ 'Z !/ �✓�J Gw S — UNIT# IS ITHIS .UNIT DJI�SIGNATED AS,/RIGHT LEFT FRONT OR BACK,P ASE_CIIR/CL�JE'O'N OWNER/LESSER �� e t c_if Ikra MANAGER/A NT �/ I—L"�CQ�/ ADDRESS 3fl /31 ADDRESS CITY, CITY, STATE, ZIP 2J� _ [ /�I—CITY, STA E,ZIP RESIDENCE PHONE / l ��Sz�-7�� BUSINESS PHONE 4HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 6. 7. 8. 9. 10. Jlt" loq _ Ud 2 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 A TIME OF INSPECTION APPLICANT'S SIGNATURE DATE ectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: -�QI Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 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 2/16/06 Kevin Carr 42 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 42 Mason 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 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. q od of He I�th Reply to Joanne Scott MPH, RS,CC,H"O' Pablo Valdez Health Agent Code Enforcement Inspector 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 10/20/99 Tel:(978)741-1800 Fax:(978)740-9705 Mark Houston 42 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 42 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. F�QR THE BOARD OF HEALTH REPLY TO Joanne /Scott,x`[MP—,H','R`SCHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH @ 120 WASHINGTON STREET, 4TH FLOOR 1 SALEM, MA 01970 CERT.# 375-02 FEE $25.00 ggpMM6 TEL. 978-741-1 800 DATE: 07/23/2002 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 42 Mason Street UNIT #: 2 OWNER/AGENT: Kevin Carr ADDRESS: 42 Mason Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 430-9898 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 / / Q z JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ^L BOARD OF HEALTH / O 4 • + 120 WASHINGTON STREET, 4TH FLOOR a 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 yl S-�- UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS yl _ lna5on UN f ADDRESS CITY 't,� 1-h 61 CITY RESIDENCE PHONE M' `y3ri-gBFFIBUSINESS PHONE (24 HRS.) BUSINESS PHONE FTC__ �yS' �? 0f/l_ TOTAL NUMBER OF ROOMS: oo""[pp Q ROOM USE: 1. � 2. ,�3. 14 4. U1 LITS i� 5. e -"6. L7. 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. /1 APPLICANTS SIGNATURE /C L DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7-> 7, —0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATF 9 -,' 3 z-- DATE FEE PAID: 7 — ) -S v L TYPE OF UNIT: DWELLING/OTHERCHECK# CHECK DATE-_23'y Z-- NOTES:NOTES: n 6i,no✓ ,o tet_,-le rx/o-n CODE ENFORCEMENT INSPECTOR 9/28/98 eco CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • a 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 gBpAlf� TEL, 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 07/18/2002 Kevin Carr 42 Mason Street #1 Salem, MA 01970 PROPERTY LOCATED AT 42 Mason 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 the State Sanitary Code, Chapter II : Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. R THE BOARD O HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41 'FLOOR P11blicIiP.alfih 'TEL. (978) 741-1800 FAX(978) 745-0343 ICNIBERLEY DRISCOLL ITalndin0saleln.com - L.\RRl'R,\11U1N,Rti/RGI IS,CI-10,(;l'-I-S MAYOR Hit;\1:n1 1c IsN r CERTIFICATE OF FITNESS CERTIFICATE#279-12 DATE ISSUED: 7/11/2012 Property Located at: 50 Mason Street UNIT# Owner/Agent: Aida Trinidad Address: 48 Mason 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 vear 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 RRAAMDIN1 HEALTH AGENT T RIA Co » CITY OF SALEM, MASSACHUSETTS • j BOARD OF HEAL TH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 N AYOR 1.RAi n [N CnlSALEIvLCorof LARRY RANfDIN,RS/REf IS,0110,(,P-1,'5 HI?A1;17rAG1'.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 / a4,erri -:5-n UNIT# rr11 1S THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER 16t&) /A� MANAGER/AGENT NO P.O. BOX ADDRESS 7 g �-kO-a o� J- ADDRESS CITY, STATE,ZIP Vta , o /9 7Z CITY, STATE,ZIP RESIDENCE PHONE M- 79((_ a 3 d �n BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: r p ROOM USE: 1. 2. l i 3. _ � y�4. I" . 5. W 6. L)i . 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 �� i IS PAYABLE AT THE TIME OF INSPECTION l9 APPLICANT'S SIGNATURE - Ct^) cO_cj DATE 7 / I�n/J Inmectors use only Date on initial inspection: �) /I L/ Date of reinspection: f Date of issuance of certificate: ( Date fee paid: n Type of unit: Dwelling Other Check` +-Y .Check date:'/ _ Notes: CoOe'ment Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH m ;A 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#77-08 DATE ISSUED: 2/11/2008 Property Located at: 50 Mason Street UNIT# 1 Left Owner/Agent: Aida Trinidad Address: 48-50 Mason 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 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. FOFO T(�RDOF�HEALTH . JOANNE SCOTT, MPH, IRS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r ' CITY OF SALEM, MASSACHUSETTS � g BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT M ASC? Al S UNIT# I L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERA IdA _iA) 04 A MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS s D M ,45o>, 57 • ADDRESS CITY S 4k, Y\-C, 6,-(q"7 b CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.__.)�_2. 3._,j3 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 *R, - l- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 -I i i-) 9' DATE OF REINSPECTION__ _ DATE OF ISSUANCE OF CERTIFICATE. -// DATE FEE PAID:__ TYPE OF UNIT DWELLINrrOTHER_ CHECK # "1_Xj_�_CHECK DATES NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 120 Washington Street Tel: (978) 741-1800 08/01/2001 Fax: (978) 745-0343 Charlotte Shea 5 Brentwood Avenue Salem, MA 01970 PROPERTY LOCATED AT 54 Mason Street UNIT # 1L 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. OR THE BOARD REPLY TO oanne Sco MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR City of Salem, Massachusetts Board of Health y�m9 "9 120 Washington Street, 4th Floor, Salem, Public Health CIM NF.t,0� MA 01970 Prevent Promo[e Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-29 DATE ISSUED: 4/21/2015 Property Located at. 56 MASON STREET UNIT#2 Owner/Agent: Steven Haley Address: 45 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 750-0911 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ram`din, MPH, REHS, CHO HEALTH AGENT SA ITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOL.L FAX(978) 745-0343 MAYOR I.RAMDIN O(@SAU?M.COM LARRY RANIDIN,RS/REI-IS,CHO,CP-FS HFALTI-I 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 �� IC C/IiYJNT �T� ��IA iWR— UNIT# IS THIS UNIT DIIS(I^G/NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �TI� /Tf t� v MANAGER/AGENT NO P.O. BOX � AASON S✓ ADDRESS �+ ,� .�I c I. ADDRESS CITY, STATE,ZIP c/�}AL�r�lcA /1 A (T`7 /V CITY, STATE,ZIP np T�,L�L /yam RESIDENCE PHONE %'/Tk, ? Z -DQIO'�j7� BUSINESS PHONE(24HRS) 9/O" /'7"(-V-1 j j BUSINESS PHONE AA /O�' %- ,2g ..5 rlclvlllh&UownQb5.con1 sitjfv-l(E cuowoCA5.co&k, TOTAL NUMBER OF ROOMS: 5 / , 77�� ROOM USE: 1.IL rM91IV 2.�VNll�i .G-/1///Z PAM. 70MO/0 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE_�c � C/U---!� DATE qd // I tors use only `T Date on initial inspection: b�( Date of reinspection: Date of issuance of certificate: Date fee paid: `-f/,)a Type of 't: Dwellin Other Check# 77v� Check date: Lk Z 1 I YP B J� I � ( Notes: CQce, M " &edp-y��iacoyl P t3 SCf�! -f r Ot/I uulhclote) Code EnfWcelo6rit Inspector ( 5 -ac, CERT.# 21-01 FEE $25.00 DATE: 01/29/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 56 1/2 Mason Street UNIT #: 1 OWNER/AGENT: Heather Avacrianos ADDRESS: 56 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5424 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 ,J / Q V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax. (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT YVNa g-dn S UNIT# P IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 118 l4 z- 4,)� MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY S (z w1 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONF- TOTAL NUMBER OF ROOMS: ROOM USE: J 5."Di n, iw6. 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 Oi/a9119/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION tl--",, K DATE OF REINSPECTION DATE OF ISSUANCE OF CER/TIIFICATE:> DATE FEE PAID: TYPE OF UNIT: DWELLING J�OTHER_ CHECK#CHECK DATE NOTES: //(\ CODE ENFORCEMENT INSPECTOR 9/28/98 CIS OF SST-ALA A C HT TCF.1'j S I30Am of HEALTH 120 WASHINGTON STREET,IfT FROOR TEL. (978)_741-1800 KRABERLEY DRISCOLL FAX(978)745-0343 MAYOR IMANCINIIZUSAU MCOM JANEYM NNCINI ACTING HEALTH AGENT I CERTIFICATE#168-09 DATE ISSHEf}k 4F29 �009 Property Located at: 561/2 Mason Street UNIT#left front OwnedAgent SMD 95 Address: 56 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 7445424 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-A"- Minimum Standardsof-FAnessfoaiuman-Habi(ation". I Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Heatttl and-"uait-may aow be rented and/n -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 ig later. Ms Certitica*4 Fitness is valid oaly-itthere is a valid Certificate of Occu)ancy. FOR THE BOARD OF HEALTH JANET MANCINI ACTING HEALTH AGENT CODE €NFORC HdBPECLOR } CITY OF SALEM, MASSACHUSETTS Q� r BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR [DIONNI A)MIX.M.COIbI JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �^ FEE: $50.00 PROPERTY LOCATED AT J S UNIT# I/IS THIS UNIT DISIGNATED AS RIGH LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER" 1 �� Q� MANAGER/AGENT NO P.O. BOX ADDRESS SG )VW0A1 ST- SAIF? ADDRESS CITY, STATE,ZIP 1 qZ&'1 4M . CJI`/ 7d CITY, STATE,ZIP RESIDENCE PHONE Jh to Z BUSINESS PHONE(24HRS) -/,,/,2—, j12S-- 7G�. v BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE/+T THE TIME OF INSPECTION APPLICANT'S SIGNATURE � ! �/i ✓ DATE //0,/o Inspectors use only Date on initial inspection: 9 ' g Date of reinspection: Date of issuance of certificate: - 1, n1 Date fee paid: 4- Type -1-Type of unit: Dwelling ✓ Other Check# 1 b 113�Qo Y/Wheck date: Z" Notes: Enforcement Inspec CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH m F 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 -- TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #615-07 DATE ISSUED: 12/14/2007 Property Located at: 60 Mason Street UNIT# 1 Owner/Agent: Monique Montas Address: 60 Mason 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 ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 9 , r 10ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT��.fj IA A/ SUNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER f1t, MANAGER/AGENT No P.O. Box// No P.O. Box ADDRESS fKb -971,,Awry / ADDRESS CITY.A, il(� y 651�;P/0 CITY Jam' RESIDENCE PHONE O/gPO 3 BUSINESS PHONE (24 HRS.) f= BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. ? _ 3. �� 4. 5.G_6. 7. R. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. (L APPLICANTS SIGNATUREIr j9R 7 (A �&wi�D( ATE La - P 7 -67 INSPECTORS USE ONLY DATE OF INITIAL INSPFCTION/) -/�' 0 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: c� a 7 DATE FEE PAID: TYPE OF UNIT: DWELLIN OTHER_ CHECK CHECK DATELL)- 07� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 i r WIT y 2 m CERT.# 103-02 FEE $25.00 .�.,.. DATE: 02/27/2002 c� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970• JOANNE SCOTT, MPH,RS,CHO 120 Washington Street — 4'h Floor HEALTH AGENT Tel # (978)-741-1800 Fax # (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 61 Mason Street UNIT #: 2 OWNER/AGENT: Richard Brennan ADDRESS: 105 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 265-2847 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 i SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT 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 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH % 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, 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 LCCATEDAT - A6I HAS0A 'Sy UNI. #� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER R)Of 6REN4I Ate/ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /O S MAsoAl ST ADDRESS CITY SA"4t7l-1 CITY � RESIDENCE PHONE 97& 7 n f�9BUSINESS PHONE (24 HRS.) �7e Z6.- Z8V7 BUSINESS PHONE '779 7W '172,) TOTAL NUMBER OF ROOMS: , B— ROOM USE: 1. IT(NE7✓2. X 3. h400/1 4. &V RoONJ 5.f100_ 6. 7. R, THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE -i. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 '�?� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: --OLDATE�jFEE PAID: -.?- '0\" 7 a �' TYPE OF UNIT: DWELLINGOTHER_ CHECK# /a/ CHECK DATE Z NOTES:/� n /i-�c��/ — Tpw•J9 - M—n ", .v 7H Ke o rF P se� 41'-, CODE ENFORCEMENT INSPECTOR 9/28/98 V CONDIT A CITY OF SALEM BOARD OF HEALTH Salem, MassachusElftai WO JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—4`" Floor HEALTH AGENT Tel # (978)-741-1800 Ledge Hill Realty Trust c/o Richard Brennan Fax# (978)-745-0343 105 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 61 Mason 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 the State Sanitary Code, Chapter II : Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 'll 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants ' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. I OR THE/ ARD HEALTH REPLY TO l Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR. I i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 52+ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/8/05 Alan & Erin Baltistelli 57 Philips Street Rockport, MA 01966 PROPERTY LOCATED AT 62 Mason Street Unit 2L 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 :ganne 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 O 1970 TEL. 978-741-1800 FAX 978-745-0343 - STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 Alan & Erin Battistelli 57 Philips Avenue Rockport, MA 01966 PROPERTY LOCATED AT 62 Mason Street Unit 2 Right Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. ,PPr the Board of Heh Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector e u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 n 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 03/27/2002 Harbor Realty 111 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 65 Mason Street UNIT # 1F 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. BOARD O HEAL REPLY TO � � oanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR , v�gON01T t CERT.# 742-00 FEE $25 .00 DATE: 11/20/2000 '�O/MINE 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: 65 Mason Street UNIT #: 1F OWNER/AGENT: Harbor Realtv ADDRESS: 111 Derbv Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3778 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 /O,F�f HEALTH Lgly JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN kiABIT-QATTIIOM". PROPERTY LOCATED AT �Y11LY 1 F UNIT#_ 'F IS THIS UNIT DESIGNATED AS RIGHT LM FRONTBACK PLEASE CIRCLE ONE OWNER/LESSEFrra w- LrA-D r' MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS 11', I,_ tri�� ADDRESS CITY : 7 :kAri_1n^ CITY RESIDENCE PHONE I' BUSINESS PHONE (24 HRS.) U BUSINESS PHONE ' 1+4- 1--)-) Y__ TOTAL NUMBER OF ROOMS: ROOM USE: 5. _6. 7. 8 THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE r TH DEPARTME T THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. y `,n APPLICANTS SIGNATUR 1S.E i DATE tG 421 INSPECTORS UONLY R DATE OF INITIAL INSPECTION 1140-P 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE,/J')�P"b-D DATE FEE PAID: TYPE OF UNIT: DWELLINGtOTHER__ CHECK# 6 Y S O CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 F .( CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. 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. In the event it is necessary that said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agency from any loss or injury sustained of whatever nature and description occasioned by and/our absence during said inspection. 4 ENANT'JL>, SEE HNEI i f SOR AA DC _SS ADDRESS OF UNIT TO BE INSPECTED DATE 4 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 11/23/99 Fax:(978)740.9705 Sixty Five Mason Street Realty Trust 17 Forrester Street Salem, MA 01970 PROPERTY LOCATED AT 65 Mason Street UNIT # 1F 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. O THE BOARD HEALTH REPLY TO oanne o PH,R ,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ' CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH - 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .pB4 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#398-05 DATE ISSUED: 6/28/05 Property Located at: 65 Mason Street UNIT#2F Owner/Agent: W.H.I.C.H. Properties LLC Address: 7 Reylen Avenue 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. FO THE BOARD OF ALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR u CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH • s 120 WASHINGTON STREET, 4TH FLOOR � � SALEM, MA 01970 ��C,i �O✓ TEL. 978-741-1800 ✓ FAX 978-745-0343 JJJ777 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". C� �� PROPERTY LOCATED AT S / 'C 4 f-0,1 )T UNLIT-#Z/-- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE � CIRCLE ONE OWNER/LESSER tvilIC h io0elf i /A t f LLC MANAGERGENT Pcl i L ^rTI c No P.O. Box . �/� i No P.O. Box ADDRESS 'I Kr.41e , Q y �" ADDRESS v CITY CITY /yr Olf�v RESIDENCE PHONES(-5_75_-_7/NLBUSINESS PHONE (24 HRS.) BUSINESS PHONE / / TOTAL NUMBER OF ROOMS: `7 ROOM USE: 1._ �� 2. fll°/h 3. 4 Z I Pae v� 5. 6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE DE RT FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE � DATE v - � INSPECTORS USE ONLY DATE OF INITIAL INSPECTION JC - A 1 `0 �_ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 4_-YI v " ATE FEE PAID:4 a) --z9 6'_ TYPE OF UNIT DWELLIt� HER_ CHECK# CIO CHECK DATE NOTES. CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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 6/15/05 W.H.I.C.H. Properties LLC 7 Reylen Avenue Peabody, MA 01960 PROPERTY LOCATED AT 65 Mason Street Unit 2F 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 uJoanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR �Pa SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/15/05 W.H.I.C.H. Properties 7 Reylen Avenue Peabody, MA 01960 PROPERTY LOCATED AT 65 Mason Street Unit 3F Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7-00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit Is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of Hea h _ Reply to Mi1C,f.i anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 117-00 FEE -$25.00 31j1P% DATE: 02/15/2000 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: 65 Mason Street UNIT #: 3F OWNER/AGENT: Harbor Rental ADDRESS: 111 Derbv Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3778 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 (8) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH L g-�� , 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 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 OFFITNESS �FOR HUMAN HABITATION". // PROPERTY LOCATED AT IOJI UNIT#S�Q= IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER rlas-_ �_ MANAGER/AGENT No P.O. Box ( � No P.O. Box ADDRESS Il( ADDRESS CITY 1 iOA. CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.L&. 2._VA 3. -Rh4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE- G� INSPECT RS USE ONLY DATE OF INITIAL INSPECTION -I5 D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,,;L-)(C OV DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# -r,7 CHECK DATE ;Z 0 0 NOTES- CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts ' � f • 1 Board of Health a 120 Washington Street, 4th Floor, Salem, PablicHealth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-5 DATE ISSUED: 1/8/2016 Property Located at: 65 MASON STREET UNIT#3R Owner/Agent: NSBR MA LP Address: 160 High Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(781) 354-1254 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 2 3 CITY OF SALEM, MASSACHUSETTS BOARD OF I IL.v:n-t 1?0W'IS[IINtT7(liQS1RFi ,i,4 Flsx)a KI:\IBP.ItLG:Y DRI; (.01.1- P \\ (J 8) 7:1i-U343 L;\I2R1 R:1:\IDIN,RS�RF,I Iti,CI-b),( P-PS 1-1[ W!"Ii AGI-NI 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 SOS MASOn St 3 -h UNIT# 3 R IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR R�A_C[C,PLEASE CIRCLE ONE OWNER/LESSER N S I3 Rt V^A L MANAGER/ AGENT 19062(4- C 61 1+dYI NO P.O. BOX ADDRESS IDU 1A tGh St, ADDRESS J CITY, STATE,ZIP bA Ove/5 CITY, STATE, ZIP ' Vn P� 0 10\ 23 RESIDENCE PHONE "78tp BUSINESS PHONE(24HRS) BUSINESS PHONEq/S - 70(5 -00S-0 TOTAL NUMBER OF ROOMS: 3 ROOMUSE: 1.bC'1�6Z,1^1 2. LiVl"J 3. RJ 4. 5. 6. 7, / 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAPA , AT THE TIME OF INSPECTION / APPLICANT'S SIONATURE,�%- �s DATE f/S/I t0 Insueetors use only Date on initial inspection: O-L ULs1.Lt 71.4 Date of reinspection: Date of Issuance of certificate: ,)1106/201Date fee paid:©1/©6/4014 Type of unit: IrDwelhng_v'�Other _Check#0030?-Check date:—Ql/ Notes: Ki}cher , wrn )n%✓ SeAgteA cL4. C 4rcemen nspeetor OTY 01 SALEM, MASSACHUSETTS �d 13U-\RD OF H I1 AL'I'I I 'nNer 120 W,\s111N(M N STNRI•.r 4.° FLJ-x ill fF1.. (Q-8) 741-t800 KI1\1131"RI-F..Y DRISCOLL 1 \'� (9'8) 745-0343 "uilty R \am1�,as/rz 115,c 1 u,,c h-Fs I IF..v:rr1 Aui3.�.i. Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenanUlessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tela_ see Owner/Lessor Address Address �o) WIgJ-0n 2 Address on unit to be inspected - s- I (D Date Updated 5/23/11 I� C.,I`I'Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978)741-1800 KIMBERLEY 13RISCOLL NAR(978)745-0343 AkYOR IMANCINIOSAr.e.n MNI JANVTh \*C1\I ACTING HEALTri AGf„N,i, CERTIFICATE OF FITNESS CERTIFICATE#629-08 DATE ISSUED: 12/16/2008 Property Located at: 67 Mason Street UNIT# 1F Owner/Agent: RLB Realty Trust Address: 69-71 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-919-5938 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. Rpr �l�`�t,/I� . ACTING HEALTH AGENT CODE ENFORCEMENT SPECTOR L � CITY OF SALEM, MASSACHUSETTS • : BOARD OF HEALTH 120 W.ISHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ❑ IONNFna ;A F-111.COIL JANET DIONNE, ACTING HE uu-I 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: $50.00 PROPERTY LOCATED AT �O q 11n.n UNIT# c� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERLESS.Ke�>.J 1CJr� �l��` tNAUER/AGENT NO P.O. BOX n ADDRESS Chl'� ( ) YY�4 ADDRESS CITY, STA'T'E,ZIPGaQ10A tt f{� C71r-r 7 U CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24IIRS)99tS- `)5`5;;T 3a BUSINESS PHONE q)$-7 4 TOTAL NUMBER OF ROOMS: ROOM USE: L v*-1L1 2.�., 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS rrFEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREr1�lk DATE t2,1(C�0tJ Inspectors use only Date on initial inspection: 12 ' b 'CA Date of reinspection: Date of issuance of certificate: 11-1\6 - OT Date fee paid: 11.-1 b-o t r,,md#50,O0 Type of unit: Dwelling ✓ Other Check# `-1 y 1 Check date: t X-lir 10& Notes: 4 Code Enfor emen specter r HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Dec 17 2008 4:18pm Last Fax Date Time Twe Identification Duration Pa= Result Dec 17 4:18pm Sent 919787409289 0:24 1 OK Result: OK - black and white fax CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 12.0 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#69-08 DATE ISSUED: 2/13/2008 Property Located at: 67 Mason Street UNIT# 1 Rear Owner/Agent: Richard Bonfanti Address: 69-71 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-3700 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r J ANNE SCOTT, M`PH, S, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 IMPORTANT MESSAGE ) FOR DATE l f l i(-O0f TIMEn�7 3S AR,PA- M Q I OF v PHONE AREA CODE NUMBER EXTENSION CA FAX O MOBIL G g �o' �q('^42.P� AREA CODE NUMBER TIME TO CALL TELEPHONED V 'PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE �ul C• `' /J� [� SIGNED FORM 4009 MACE IN U.S.A. ��. 1r � 1 r Feb 07 00 10: 45a Joanne Scott Salem BOH 978 745 0343 P. 2 .. CITY OF SALEM, MASSACHU5ETf5 BOARD OF HEALTH ♦ ♦ 1210 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TGL. 978-741-1BOO FAX 978-74"343 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 I IADITATION". PROPERTY LOCATED AT (Q? 1�k .,, UNIT# 13 IS THIS UNIT DESIGNATED /ASS RIGHT LEFT FRON B LEASE CIRCLE ONE dWN[R/LESSERh wA� �J(!4 ,_—MANAGER/AGENT No P.O. Box \ No P.O.Box ADDRESS ADDRESS CITY SdzMw\ CITY RESIDENCE PHONE_'j2%_5`15"593 BUSINESS PHONE (34 HRS.)?YO -3'fDta BUSINESS PHONE, TOTAL NUMBER OF ROOMS- 3 ROOM USE: 11tA �2.P�+ 31 _.__A.�Jo�OVKIh THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _I 0_� DATF INSPECTORS USF Qom` PATE OF INITIAL INSPECTION') -j _ _.._.r)ATF OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:�,1..J_-��Y DATE FEE PAID: TYPE OF UNIT•. DWELLINf/CITHER - CHECK N�, -�, - CHECK DAT[ 2 �� NOTES: CODE ENFORCEMENT INSPECTOR 9l281.y8 Feb 07 08 10: 45a Joanne Scott Salem BOH 978 745 0343 p. 3 BOARD OF HEALTH 180 Vy^s"I NdTON 6TRGIIT, ATH FLOUR SALEM, MA 01970 TCL. 976.741-i a00 FAx 978-748.094$ JOANNM SCOTT, MPH, RS. CHO Kimberley plisGoll HEALTH AC£NT Mayor RELFASE In accordance With Massachusetts General Laws Chapter I11 ; Code of Massachusetts ItrgulatiOns 410.000 et. seq. ; State Sanitary Code Chapter 11 and Article xttl p) rhe city of Salem Ordinance, undersigned Owner/Lessor and tenant/lessee of a unit Of reS idetttini property, hereby authorize the Salem Board of health or its author- ited agents to inspect Elie residence identified below in accordance with the afarementioned statutes, regulations and ordinances. In tttc event it is necessary that said inspection be done in my/our ausence, i/we expressly authorize the same and for illy/aur successors and assigns herlehy relcasr and discharge! the City of Salem, Salem Board of health and its authorized f:'om any 'OSS Or i.tyjury s scsitted of wbarever nature Ona dr.-scriptian OCr38tonc<t by mylour absence during said inspection. srr. ,sli �_..\ :-a-.1�4� �' s�'`�l�.e.ltix�...,f`.�" ��.-� 1 ' r r�-�.�.tY\ �""w":."'� VY�-�• 01:'Wq i'j. p 02/07/08 21:32 FAX 00000 POl _ a�s�ffi1;xs>«g�a:sa:��a�x�as��>s�xrs: CITY OF SALEM, MASSACHUSETTS �0 T BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR a, SALEM, MA 01970 CERT.# 341-02 FEE $25.00 TEL. 978-741-1800 DATE: 07/05/07/05/2002 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 67 Mason Street UNIT #: 3 OWNER/AGENT: RLB Realtv Trust c/o Richard Bonfant ADDRESS: 69-71 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-3700 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 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 3 j`1-0120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O1970 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 �_t ' Y 1 n q nn a7� UNIT#3 IS THIS UNIT DESIGN ED S RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE �LzA�� OWNER/LESSER 4 all � MANAGER/AGENT No P.O. Box No P.O. Box (� p ADDRESS Gcc —`1 ADDRESS /Vw In V; -6 i CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE: 1._� 2. t 5- 6, 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR�EE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DFPARTMENT THIS FEE IS PAYABLE AT THE TIME-OF-INSPECTION. (� , APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION L DATE OF REINSPECTION 1 - DATE OF ISSUANCE OF CERTIFICATE:7` �'�2 DATE FEE PAID: U 2 TYPE OF UNIT: DWELLINt OTHER_ CHECK# 7 CHECK DATE-7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 L •j i , i 3 i P • as A .� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 02/21/2001 Fax:(978)740-9705 John & Astero Deligiannides 73 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 73 Mason Street UNIT # Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. 4FR ARD OF HEALTH REPLY TO nne Scott, MPO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ° CERT.# 109-01 FEE $25.00 DATE: 03/01/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 73 1/2 Mason Street UNIT #: RR OWNER/AGENT: Asterone Deliaianidis ADDRESS: 73 Mason Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3699 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 1� JOANNE SCOTT, MPH,RS,CHO j HEALTH AGENT CODE ENFORCEMENT INSPECTOR t 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 WI1k5(-)(-\ �' F UNIT# 0 IS THIS UNIT DESIGNATED A LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�sil.(DW, ©all AIQnIClI�4AANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 7,�S AQ-'Y( t) SI ADDRESS CITY ciL(.i ! 1 CITY RESIDENCE PHONEg73 . 7'15-300 BUSINESS PHONE (24 HRS.)_ BUSINESS PHONF_ TOTAL NUMBER OF ROOMS: Z ROOM USE: 11.4deho 2. , d raw 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 DATF- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION i. (I DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES I DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# I8 CHECK DATE.3 NOTES: ll y ' Y� 7.�....--CI � l�r.-,..�� •�.:t'..1.�'"� � V?N ( (S N'/ � �itlJ-Z 1/l..'i I l CODE ENFORCEMENT INSPECTOR 9/28/98 r� • 4 CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR PubliCHealth Prevent.Promote Pm!<c) TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin(asalem.com L/\RIt\'Rr\MllIN)Rti/RfSI15)CI 10,CT l5 MAYOR Hl?Ala'I I AG I SN'P CERTIFICATE OF FITNESS CERTIFICATE#326-13 DATE ISSUED: 9/11/2013 Property Located at: 97 Mason Street UNIT# 1 Owner/Agent: Chris Sweeney Address: P.O. Box 149 City/Town: Prides Crossing, MA Zip Code: 01965 24 Hour Phone: 781-858-8967 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 Y RAMDIN 4161MI-6 HEALTH AGENT _ SANITARIAa- i m � a CITY OF SALEM, MASSACHUSETTS i BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubbCHeatth rrc.rm Promme.Proiece TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL Iramdinna salern.com LARRY MMAN,RS/R[;[IS,CHO,Ch-1•S MAYOR FIEM Ij 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" �yFEE: $50.00 PROPERTY LOCATED AT 7 /414SdN 5r- UNIT# l p IS TINS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE p OWNER/LESSER V -It A,4-0d Sr ,�?�f/Jy MANAGER/AGENT C�"I-R,15 We�17—Aj NO P.O. BOX ADDRESS P® SOX /Y4 Mdeftrdff hC ADDRESS Ma . " CITY, STATE,ZIP 61a 0 l�l�!S CITY, STATE,ZIP RESIDENCEPHONE Q17�' �y5�7 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Y ROOM USE: 1. hil l , 2. 47W 3. 4,-a 4. %kI iS 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY QHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P7InsDectors IME OF INSPECTION APPLICANT'S SIGNATURE DATE / use only Date on initial inspection: �I�� 1�J Date of reinspection: Date of issuance of certificate: ' Date fee paid: Type of unit: DwellingIf Other//� // Check#_Check date: Notes: G1 kJ(JlP/ V11L 1` l� rX Qee.1l4H o X10 w4py G44- 140 Co o cement Inspector CERT.# 109-98 3 FEE $25.00 93 DATE: 02/25/98 MINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax,(978)740-9705 CERTIFICATE. OF FITNESS PROPERTY LOCATED AT: 97 Mason Street UNIT #: 2nd floor OWNER/AGENT: Henry T- Gaanon Realtv ADDRESS: 16 Lockwood Lane CITY/TOWN: Toosfield. MA ZIP CODE: 01983 24 HOUR PHONE: 887-8406 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 I1, "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 14d� q=,A� / 6az TTMPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR FEB 2: S 1998 CITY OF SALEM BOARD OF HEALTH CITY'OF SALEM Salem, Massachusetts 01970-3928 HEALTH DEPT. JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1B00 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 l,,HABITATIO�N,"-- y I PROPERTY LOCATED AT q 1 �Y&at, rn 4 u Yii UNIT f YtV T l r OWNER/LESSER Nef) y +, Yi.Im Pon #hl MANAGER/AGENT l f}YlQ1 ADDRESS O/ LOf K� t7O D , (A n4 /� ADDRESS GxxYp m 019 CITY RESIDENCE PHONE y`7 g- gg !y A `Io (,7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 5 --- TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3, 4. 5. 6. 7, g, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DEPARTMENT THIS FEE AYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:'- S �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: J `T DATE FEE PAID: '�CY TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR L R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 02/09/98 Fax:(978)740-9705 Henry Gagnon & Emile Lariviere 16 Lockwood Lane d Topsfield, MA 01983 PROPERTY LOCATED AT 97 Mason 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 OOFF,HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 - TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #38-08 DATE ISSUED: 1/28/2008 Property Located at: 99 Mason Street UNIT# 1st floor Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOAM OF HEALTH fiP°pmnn,_' 120 WASHINGTON$"1'REFI1',4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR iscortOsni.rnl.COM RECEIVE® JOANNE SCOTT, HEAT;PH AG"NT 'JAN 2 5 2008 CITY OF SALEM BOARD OF HEALTH Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT �9 Mw�aiJ `i�;7 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER jAJ_a_2-2_'_; C lrtaonl MANAGER/AGENT NO P.O.BOX ADDRESS\-) ADDRESS CITY,STATE,ZIPT09Sf2&J..'t7 ThA ptg8"r, CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) I BUSINESS PHONE I TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 2.'T-2,cu-.) 3.0Rjiv�o 4. Dom, 5. I=KCs 6. 7. 8. 9. 10. THERE IS A TWENTY-FIVE($25) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE - DATE 0 a31 D8 Inspectors use only Date on initial inspection: Z Date of reinspection: Date of issuance of certificate: — 3- 7f Date fee paid: 2i Z a Type of unit: Dwelling�Other Check# TJ Check date: Notes: Code Enforcement Inspector — MDDND1T,,y City of Salem, Massachusetts 5 W Board of Health a 9 120 Washington Street, 4th Floor, Salem, PllibliCHealth NR Prevent Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-367 DATE ISSUED: 11/5/2015 Property Located at: 99 MASON STREET UNIT#2 Owner/Agent: Brian Boches Address: 19 Rezza Road City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978)921-1671 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH O�--A� �&ilk47V Larry Ramdin, MPH, REHS, CHOHEALTH AGENT SANITARIA y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(97$)745-0343 MAYOR LRAMDIN SALEM.COM LARRY RAMDIN,RS/RENS,(:HO,CP-PS HTiA1.711 AGENT 2rnc,,1 br,aY,�ocl�ps q�i1Cjt63M Application for Certificate of Fitness .•JJ 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 9 J IG Sim S� fQ4 UNIT# IS TRIS UNIT;DIISIGN1ATID AS I LEFT FRONT OR PLEASE CIRCLE ONE OWNER&ESSER ' ,F,F MANAGER/AGENT NO P.O.BOX .� ADDRESS ?(3 �po`�1\y �j ADDRESS\A CITY, STATE,ZIP 0196S CITY, STATE,ZIP RESIDENCE PHONE 91z� 9 ZI — BUSINESS PHONE(24HRS) BUSINESS PHONE 9 �% g Sa y9 0 TOTAL NUMBER OF5 ROOMS: II, ROOMUSE: 1 Sr� C2 2. 1�14c Vh 3. MI(r`-� 4. 1,GV e-n 5.UIU'r, K`-vN 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 A THE OF INSPECTION APPLICANT'S SIGNATURE �NLIN� CL q DATE I I I y I 1 5 � I Inspectors use only Date on initial inspection: 111012015- Date ofreinspe1ction: Date of issuance of certificate: IV012A1.5- Date fee paid:-1�Q g Type of unit: Dwelling_V' 'Other Check# 1�1?7 Check date: 11-10Y12eAY Notes: a C61 fAlfi ement IF pector r ^ " CATY OF SALEM, MASSACHUSE"T"TS BOARD OF I-II ALTI I 120 W; SHiNG1'l1N S'tRI3II:1' 4.° 11001z Cr.l.. (978) 741-1800 ttTMIIT{Rl,l.bl' l)1Z1SCO1,1' F,�\ (978) 745-0343 MAYOR Imindinasalemxom 1ARRY RANIDIN,RS/RI(I IS,CI 10,(T-FS I-II{, ixii A(;ENI' CERTIFICATE OF FITNESS CERTIFICATE#447-11 DATE ISSUED: 11/1/2011 Property Located at: 101 Mason Street UNIT# 1 Owner/Agent: David W. Byors Address: 3 Commercal Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 wil.h 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOTHE�F HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR yi v Y • CITE' OF SALEM, MASSACHUSET"I'S qqjh 13(LAxp OF HG_-1f:fFt °z.. I20 W,\SHINGTUN STREET,4... I Lnc flt `11,j- (978) 741-1800 KINVERLEY DRISCOLL FAX (978) 745-0343 MAYOR R:ANtD1NG/SA1 \I(:(nil I ARRY R'\,NIDIN, RS/Rltl IF,(:I!(),CP-!;S I IHr ixii A(;1 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" ,1 A n FEE: $50.00 V PROPERTY LOCATED AT I I M��l 1 ST UNIT#_ — Is THI;71T DISIG,�NjA,T/ED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER A-V' tV• dJY() MANAGER/AGENT NO P.O. BOX � C L ADDRESS `, CG w,wi e g-�( ,>l ADDRESS CITY, STATE, ZIP r1AAr� �QM(-) t0 TY, STATE,ZIP RESIDENCEPHONE �1 (03'?— ?01BUSINESS PHONE (24HRS) BUSINESS PHONE 7 - 5-9&- 93 5�5- / TOTAL NUMBER OF ROOMS: N ROOM USE: 1. L,V 2. &, 3. 4. 5. 6. LJ( 7. Axl 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 FEEIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE OV r9.(l / `w �.s r(/� DATE-P 2_ / InsD ctr tors use only Date on initial inspection: /I A/1( Date of reinspection: Date of issuance of certificate: I f /1 /)I Date fee paid: ItUil Type of unit: Dwelling ✓Other Check# (S-7-� Check date: I I Notes: C e Enfo em Inspector Iy �� CITY OF SALEM, MASSACHUSETTS BOARD OF F-IE:\LTH 120 WASHINGTON STREET,4°1 FLOOR PllblicHealth err..m rvrnm, TET,. (978) 741-1800 F.NS(978) 745-0343 KIMBFRLP,Y DIUSC)1.1, kamdinnsalem.com Lnaxv tt,\nmlN,Rs/R1u 1s,c1 10,cr-rs M,\YOR HI;,\1:1'11 A(;INT CERTIFICATE OF FITNESS CERTIFICATE#378-12 DATE ISSUED: 9/27/2012 Property Located at: 101 Mason Street UNIT#2 Owner/Agent: David W. Byors Address: 3 Commercial Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-596-9355 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1Y MDIN HE TH AGENT SANITARIA o CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubliCHealth Plevent.YrOmnProlf cl, TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinQsalem.com MAYOR LARRY R:\M1IDIN,RS/Tums,cl lo,CI'-FS I-II3AI;t't[AGIi,NT 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 c PROPERTY LOCATED AT fG✓� G4- UNIT# z- //�� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER D �Ji O�AG✓ b y"-J MANAGER/AGENT �� P NO P.O. BOX f �r�, ADDRESS CF/Y� V"(�,�e rL�G I J I ADDRESS �+s� P CITY, STATE,ZIP M/r�'�/�� '� ad M�,0 54�f ITY, STATE,ZIP J e RESIDENCE PHONE 9r5 / —(037-?6'1? BUSINESS PHONE (24HRS) BUSINESS PHONE Q& I-5,6- /,3S-5' TOTAL NUMBER OFROOMS: f f ROOM USE: 1. 6erle (�2. Vc7-ot 3. ��` 4. �CtTS 5. &Ev 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT/THE TIME OF INSPECTION APPLICANT'S SIGNATURE k ' v' �� DATE L ��jj ] + Inspectors use only Date on initial inspection: `-'I 1�`7 I o). Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling pp Other Check# Check date: 7/J �� 2 Notes: epc�(ve, mt, NI YW 1A-V IS)n 0pile , �I . f Co r ement Inspector CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 02/15/2000 NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 William Drier Fax:(978)740-9705 109 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 109 Mason Street UNIT # 1L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. F R THE BOARD O� REPLY TO ?oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR .CowlTkQ' �9 e�r11N& CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 08/31/2000 Tel (978)741-1800 Fax.(978) 740-9705 Maurice Bastarache 109 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 109 Mason 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit . Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. F R THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH tl A 53 720 WASHINGTON4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 108-05 DATE ISSUED: 2/15/05 Property Located at: 115 Mason Street UNIT#2 Owner/Agent: Mariano Carroca Address: 11 s 5 Mason Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 531-2499 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever Is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J&NNE SCOTT, MPH, RS, CHO �l/I(x HEALTH AGENT CODE ENFO CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 IOq� 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" 1 PROPERTY LOCATED AT I r� YY�� `t) r1 STi SEAQ UNIT# x IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERPDLaI/I ter) CfAYt �YOW MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS k\5 V -u-i Vw, 5,4. ADDRESS CITY Sia \R M hX \ Sc, - D \CV-7 O CITY RESIDENCE PHONd_(AW'l -I I- 0LA4 BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: LL ROOM USE: 1. j1}Sp 2 i�irlOYWir�3.y�P�ro�irl_4._� _ 5.btd( om 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. n (j��l APPLICANTS SIGNATURE _I�/ �'E 'p� -Cp<C`= 7—DATE_ gt S — INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 41LOF / -DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE -__eer( DATE FEE PAID _2111e TYPE OF UNIT DWELLINGZ,,!�6THER CHECK a _ CHECK DATE z/z � NOTES .40fAfY� ?DEfN FO CEMENT INSPECTOR 9128!98 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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 1/24/05 Ana Carroca 115 Mason Street Salem, MA 01970 PROPERTY LOCATED AT 115 Mason 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 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 properly 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 ne Scott MPH, RSAC� O C Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR -� � SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 107-05 DATE ISSUED: 2/15/05 Property Located at: 115 Mason Street UNIT#3 Owner/Agent: Mariano Carroca Address: 115 Mason 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 JOANNE SCOTT, MPH, RS, CHO DL - HEALTH AGENT CODE ENFORCEMENT INSPECTOR 00. CITY OFAL M MASSACHUSETTS S E BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 I TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 1�5 Y 05,-(-)h 1--4. S0.�k�UNIT#-a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER—"nn CaCr-Ora,—MANAGER/AGENT No P.O. Box No P.O. Box ADDRESSl15 ADDRESS CITY !SCi!-$ 0�:)TYXYaSS l)kq 10 CITY RESIDENCE PHONE(5r)$n flq k BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. (len 2. (0b(Y\ 3. I hVOU04. (OOM 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. �// / Q APPLICANTS SIGNATURE_ ll IY 61 �h DATE ate_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION N/4'l r DATE OF REINSPECTION/ DATE OF ISSUANCE OF CERTIFICATE: L(�5//� DATE FEE PAID: Z/�'Ylf TYPE OF UNIT: DWELLING OTHER_ CHECK# C '3 CHECK DATE NOT ES: /�/gve, A,~,3 AJ As�ealw ioo dNI7J5[w crc. Pa rfwy f,/9r EENFORCEMENT INSPECTOR 9/28/98 I_� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET',4'"FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR WRFUNSAiLN&ALEM.COM DAVID GREENBAUM ACTING HEAI.II l AGFN'I, CERTIFICATE OF FITNESS CERTIFICATE#605.09 DATE ISSUED: 11/25/2009 Property Located at: 119 Mason Street UNIT#1 Owner/Agent: Emilia Jankowski Address: 119 Mason Street Cityrrown: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant DvWling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is Issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented andlor occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DA IV D GREENBAUM ACTIN HEALTH TH AGENT CODE!dRCEMENTINSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIAMERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREE.NBAUMOSALEM,COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �f FEE: $550.00 PROPERTY LOCATED AT //,? S ' ' _UNIT# IS THIS UNIT DI IGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSE)5% �Z" MANAGER/AGENT ADDRESS 11q /W/L— A S�1" /� ADDRESS CITY, STATE,ZIP. ASI 91 /q 7z) CITY, STATE,ZIP RESIDENCE PHONE / / BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD-OF HEALTH THIS FEE IS AYABLE AT THE TIME OF SPECTION — - -----q APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: I I 1�.5/� 5 Date of reinspection: Date of issuance of certificate: I I �oZJ�G G Date fee paid: /I��.5/(jI Type of unit: Dwelling ✓Other Check# ��"0� Check date: 1/ /d�S7/0 9 Notes: CQ261'k GIGSS in �IAdow 1124 { /-G//n U(1111ei .,to Code Enforc ent Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pi1b1PC8�11'h MA 01970 n`.Pre,o,10. p."ftt. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin,MPH,RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-353 DATE ISSUED: 10/18/2017 Property Located at: 119 MASON STREET UNIT#2 Owner/Agent: Margaret Santerre Address: 4 Arnold Avenue City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978)979-1196 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only If there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. B Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIA CITY OF SALEM, MASSACHUSEI'TS 10 BmRD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR Pl1bhCHC8Lth TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdina.salem.com MAYOR L,\RR1'li.\AIDIN,RS/REI IS,CI 10,(:I)-FS HL.:\7.171 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 11q/G� � S / S UNIT# Z_ IS THISIUNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER /�1 11 �� MANAGER/AGENT ADDRESS l l v-� ADDRESS CITY, STATE,ZIP ^J ` 4CITY, STATE, ZIP D7 l ` RESIDENCE PHON9/ a �92)9_1lq� BUSINESS PHONE (24HRS) BUSINESS PHONE ? TOTAL NUMBER OF/ROOMS: _ 3 ROOM USE: Le; T 2.�1i1/Lt�l 3.1" """ 4. 5. 6. 7. u 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABL TIME OF INSPECTION APPLICANT'S SIGNATUR DATE 7 Inspectors use only Date on initial inspection: q 12J-1)01- Date of reinspection: Date of issuance of certificate:, 104Y2DJ"7 Date fee paid: I oxU/2-A Type of unit: Dwelling Other Check#_2M 2 Check date: Notes: C rcement ector CITY OF SALEM, MASSACHUSETTS O Bo, RD OF FIE.-ILTH 120 WASHINGTON STREET,4"'FLOOR pRb11CHC81 b Prcvm[ Promow.Protect TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdm cc salem.com MAYOR LARRY RAti1DIN,RS/RE1-IS,CHO,CP-FS HISAL nj AGF..N'1' Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our 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 loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11