MEDOW STREET MEADOW STREET
7 II
W
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#68-07
DATE ISSUED: 2/16/2007
Property Located at: 3 Meadow Street UNIT#3
Owner/Agent: Jane Hackney
Address: 3 Meadow Street#1
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-6913
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.
FTHEBOARD OF
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTSf\/
BOARD OF HEALTH ��^`"
• s 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".
PROPER TY LOCATED AT_ R&C4X/l �I�/ _UNIT#_3
IS THIS UNIT DESIGNATED AS RIG T LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I //JaAj6y __MANAGER/AGENT__
No P.O. Box 1 No P.O. Box
ADDRESS S /14A5"RA15,/,{1 f'. ADDRESS
GITY .�ALL' iJ _.. CITY__
RESIDENCE PHONEBUSINESS 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. J _
APPLICANTS SIGNATURE =ECTORS� --DATE, 1& -7 USE ONL "
DATE OF INITIAL INSPECTION -:2 —/g_�_1 DATE OF REINSPECTION__
DATE OF ISSUANCE OF CERTIFICATE:,i2_4' ,�_DATE FEE PAID:_-) f _ 7_
TYPE OF UNIT: DWELLING 'OTHER_ - CHECK # S CHECK DATE _ ,2,_ /46 7
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
gi 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#28-04
DATE ISSUED: 01/22/2004
Property Located at: 7 Meadow Street UNIT#: Left
Owner/Agent: Charlene Mercier
Address: 7 Meadow Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-2833
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation'.
Therefore,.this Certificate if issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CRM 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT DE FORCEMENT INSPE T
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• w 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 04
c/
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 -7 RC"�� �7 _ UNIT
IS THIS UNIT DESIGNATED AS RIGHY LE FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER C—arkC^c 'kt rcA'ty'MANAGER/AGENT_
No P.O. Boxi +' 1— No P.O.Box
ADDRESS ► ,g4c +w S ADDRESS
CITY OJAAC*A CITY
RESIDENCE PHONE Q7.S 7�4:6ft3BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.
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 - Ir L*'A kAt 'k-- ._DATE._
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION /�Z --DATE OF REINSPECTION_._
DATE OF ISSUANCE OF CERTIFICATE: j/j/ TE EEE PAID:_ AY,/AZ _
TYPE OF UNIT: DWELLING _OTHER— CHECK#15ZQ CHECK DATE
NOTES:----
Z
OTES: -
SD S e.- /, P/,�Z
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
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 169-06
DATE ISSUED: 4/5/06
Property Located at: 9 Meadow Street UNIT# 1
Owner/Agent: Jose R. Moreno
Address: 9 1/2 Meadow 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 CODE ENFORCEMENT INSPECTOR
Lt
.. . 4;+61Yr+ f3Ari"�
Soo
x =CcrY OF SAtaEM;.Massnc HusEl"I
t , • BOARD OF HEALTH
120 WASHINGTON STREET.4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 '
STANLEY USOYICZ. JR. JOANNE SCOTT. MPH. RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410000
'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION""..
PROPERTY LOCATED AT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERtLESSER �S E'. /,�oafjW1ANAGER/AGENT�. _
No P,O. Box �/ No P.O.Box
ADDRESS �7yffi9,.�_i/�[9 aJ l' _ADDRESS _
CITY_ 4_44
/2-c . _ f L� l 9.�;�CITY_T__
RESIDENCE PHON�2Z7r)2y ,_ fry Z-BUSINESS PHONE (24 HRS)_"_
BUSINESS PHONE _
TOTAL NUMBER OF ROOMS:
ROOM USE:
5. ✓ 6.
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
INSPECTOR USE ONLY
DATE OF INITIAL INSPECTION -_�' 0 " . _-DATE OF REINSPECTION
`-
DATE. OF ISSUANCE OF CERTIFICATE: 1-1/y 6 DATE FEE PAID S —
TYPE OF UNIT DWELLING��OTHFR CHECK 11 - �1 �/� CI IECK DATE q L' f �'
N01 FS.
(,0Dt_ ENf 0IWI-.tAFNI IN,,-,Pi Cl'OH
x
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
/ s 120 WASHINGTON STREET, 4TH FLOOR
�Aame SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAx 978-745-0343
MAYOR W W W.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#602-05
DATE ISSUED: 9/30/05
Property Located at: 9 1/2 Meadow Street UNIT#2
Owner/Agent: Jose R. Moreno
Address: 9 1/2 Meadow Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 598-6292
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 SALEM9 MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMANHABITATION".
PROPERTY LOCATED AT�. ��P.{J�Olil z,_/ S 1,C_ 4,,V Iz ✓Z?g- UNIT#,�2_
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERi)tkSC. R. rI/2eXcf&0/ MANAGER/AGENT
No P.O. Box / No P.O. Box
ADD RESSq JfW 70w s / _ADDRESS
CITY "5Piv�. ?/��. /J />70 CITY
RESIDENCE PHONE 97 BUSINESS PHONE (24 HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: \,
ROOM USE: 1._ 2. �" 3, _4
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _ tiC� a _DATE J///GtS�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION -_a_1_ ' _ -_DATE OF REINSPECTION______
DATE OF ISSUANCE OF CERTIFICATE ��7_ °_ _DATE FEE PAID -7 'a
TYPE OF UNIT DWELLINGY-_.OTHER___. CHECK #__a 2 g-q CHECK DATE y a. 7 �J
NOTES:--.--
CODE
OTES:.._CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
( s 120 WASHINGTON STREET, 4TH FLOOR
�Qhme 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#244-07
DATE ISSUED: 5/23/2007
Property Located at: 10 Meadow Street UNIT# 1
Owner/Agent: Luc G. Francois
Address: P.O. Box 743
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-204-1623
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
CnY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH �y yAf lii�
12o WASHINGTON STREET. 4TH FLOOR
SALEM, MA 01970
TEL, 978-741-1800
t - FAX 978-745-0843
1 .JOANNE SCOTT, MPH, R5, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 10S CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT � �.1s21`rvv2__UNIT #j
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSELOP, �1S_MANAGER/AGENT __--_
No P.O. Bax �J No P.O. Box
ADDRESS nt _ ADDRESS _
CITY _ pv__ryry_—.-_CITY.___
RESIDENCE PHONE gosrW 67 �BUSINESS PHONE (24 HRS.)u______
BUSINESS PHONE______._..- _
TOTAL NUMBER OF ROOMS:._ _:-
ROOM USE:
II
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HE LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
� 1
APPLICANTS SIGNATURE .___ ?/"4r,
/ JJ
i
W SPECTORS_US-E_ONILY
DATE OF fNITIAL IN�SPECTIONJ -� � � 7 . DAME OF RCiNSPFCTION _
DATE OF ISSUANCE OF CERTIFICATES a DATE FEE- PAID - _ s-- J 3
TYPE OF UNIT. DWELLINa/'Ol'lim CHECK CHECK DA1 F `�' 3
NOT ES,
(,'Ot)E ENFORCLNILNl !NlSIPEklOil
i
` CITY OF SALEM, MASSACHUSETTS
HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741.1800
FAX 978-745.0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#487-07
DATE ISSUED: 9/28/2007
Property Located at: 10 Meadow Street UNIT#2
Owner/Agent: Luc Francois
Address: P.O. Box 743
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If'
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS h
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
t e SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, R5, CHO -
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
/
PROPERTY LOCATED AT ' C /AL_2 S7,• UNIT Q,
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER 0(S MANAGER/AGENT
No P.O. Boxes /�( � ' No P.O. Box
ADDRESS 7 qO /'J0 ADDRESS
CITY/P.444 CITY
RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE:
5-4-0 7._ 8.
THERE IS A TWENTY-FIVE($25.00) DOLLA FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALT EPARTME THIS F E IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR DATE 22
INSPE ORS US ONLY
DATE OF INITIAL INSPECTION j�a S�-'�'�__DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE:�y��,, DATE FEE PAID:_f� ;_-f 'd _
TYPE OF UNIT: DWELLIIS'`@THE CHECK H4 SSJ CHECK DATE r— �
NOTES.
CODE ENFORCEMENT INSPECTOR 9/28/98
t
" CITY OF SALEM, MASSACHUSETTS
yJ BOARD OF HEALTH
120 WASHINGTON STREET,4p1 FLOOR
KINfBERLEY DRISCOLL TEL. (978) 741-1800
MAYORtramcEn@salem.com(97^8) 745-0343
lramcEn@salem.com
LARRY RMNIDIN,RS/R7 1IS,0110,CP-FS
HF,,\I;1'I I AG I r;N'1'
CERTIFICATE OF FITNESS
CERTIFICATE#273-11
DATE ISSUED: 8/9/2011
Property Located at: 10 Meadow Street UNIT#3
Owner/Agent: 10 Meadow Street LLC
Address: 50 Washington Street
City/Town: Haverhill, MA Zip Code: 01830 24 Hour Phone: 978-373-3024
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LAR Y RAMDIN y
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
s BOARD OF HF.IT.TFI
120 WASFIINGTON STREET,4...FLOOR
'riu. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR i.RANIMN&ALLACON1
LARRY R,%%MIN,RS/RF1IS,CMO,CP-FS
H V AIXI I A(iFN•r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
/ _ / FEE: $50.00
PROPERTY LOCATED AT / ,c)&W S7/-,,:5C74 UNIT#--?
IS� ��
THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE
iiCIRCLE ONE
OWNER/LESSER �C MANAGER/AGENT l5AS�8I` 4
NO P.O. BOX .e - ,+ L�
ADDRESS_ _'�J U (�(/ ,;46/ ''Z� ADDRESS
CITY, STATE,ZIP �l�C/'GLC I/! CITY, STATE, ZIP
RESIDENCE PHONE AC�L l BUSINESS PHONE(24HRS)
BUSINESS PHONE 7K
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 4& 2. /v� 3. A�4 4. Ag�e 5. f3R
6. -
7. 8. 9. 10.
r
THERE IS A FIFTY($50)DOLLAR F AYABLE BY C CK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS AY LE AT E OF INSPECTION
APPLICANT'S SIGNATURE51�— DATE
Inspectors use only
Date on initial inspection: 1 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: DwellingOther Check#--Nb--Cheek date:
Notes:
Co Enfor ement Inspector
�� ' fu 4f
hCA
A( USS NU�1� -
J-v'-
` CITY 01? SALEM, MASSACHUSI 'ITS
12CJ WASHINGTON STREFX,4'°FLOOR
'1'I-"j- (978)741-1800
i4IML313RLL!Y C;U1 L Tire O79)745-0343
MAYOO RTSR Ir mdin G�salem.g
LARRY RANIDIN,RS/REI IS,CI 10,01-FS
F11Z;11;1'I�AG ISN'C
CERTIFICATE OF FITNESS
CERTIFICATE#273-11
DATE ISSUED:August 15, 2011
Property Located at: 10 Meadow Street
Owner/Agent: 10 Meadow Street LLC
Address: 50 Washington Street
City/Town: Haverhill, MA 01830 24 Hour Phone: 978-373-3024
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 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.
FO THEBOARD F HEALTH
LARRY RAMDIN _
HEALTH AGENT COD"E FORCEMENT INSPECTOR
I
TRANSMISSION VERIFICATION REPORT
TIME : 08/15/2011 02:20
NAME :
FAX : 9787450343
TEL : 9787411800
SER.# : 000BON341991
DATEJIME 08/15 02: 19
FAX NO./NAME 919785215520
DURATION 00:00:18
PAGE(S) 01
RESULT OK
MODE STANDARD
ECM
A
Ry
Real Estate Management E
AEssex Management Group
SO Washington Street t
1 Haverhill,M 01830 t' i
Ph 898 x17
3 ax 978 5213520
j James B.Collett,CPM E-maiP.pMcVesseunanagementgroup.com
1 Managing Partner Website.w .essexlnana9ementgroup.com
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
c n
q 120 WASHINGTON STREET, 4TH FLOOR
mm SALEM, MA 01970
qq4 TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
12/23/04
Gabriel & Gloria Gutierrez
15 Meadow Street
Salem, MA 01970
PROPERTY LOCATED AT 15 Meadow Street Unit 1 R
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
iealth
nne Scott m H, S �FT(� Pablo Valdez
Agent Code Enforcement Inspector