MILK STREET MILK STREET
a
l
CITY OF SALEM, MASSACHUSETTS lu
BOARD OF HEALTH
120 WASHINGTON STREET 4t"FLOOR PabflCH@a Ith
STREET, Prevent.Promote.Protect.
TEL. (978)741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL lramdinna,salem.com
MAYOR LARRY R�\bIDIN,RS/RF?l I5,CI-IO,CP-1�5
HEALTI I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#123-14
DATE ISSUED: 4/14/2014
Property Located at: 1 Milk Street UNIT#2
Owner/Agent: Kevin Croom
Address: 12 Washington Street
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-8695
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 Ile 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.
/,FORT B D O ALTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASS.ekC_'T IUSF-,TTS VQ a3—)
BOARD OF HEALT[[ 1 C$@81t11
120 WA.SHINGCON STREET 4`"PI OC)R
, Prcronr.Prcmme,thnRGt,
TEL.(978)741-1800 FAX(4781)745-0343
KIMBERLEY DRiSCf=LL lq
LARRY RAMDIN,RVRF,AS,CI 10,Cl 46
MAYOR Fdr•Aixi-I AGENT
Application for Certificate of Fitness
IN AC{;ORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
to i/ ( FEE. IMOO
PROPERTY LOCA73D AT L r 4; N ,_T__ UNIT#_ 02
IS THIS UNIT'DISIGNATED AS RIGHT kE l:FRONT OR BAM PLEASE CIRCLE ONE
OWNER/LESSER.
rc�Vk (v1ANAGER/AGENT ` �qv _ �`c _`M
NO P.O. BOX
ADDRESSCQ r --ADDRESS
CITY, STATE,Zll'_ _ Vtcz CITY, STATE,ZIP c> l
RESIDENCE PHOT O's j-���r-�C-a�P BUSM,:3S PHONE(24HRS)
BUSINESS PHONIC xo_( ")Fsf--�g FAY` j_ g
TOTAL NUMBER OF ROOMS: "`,TTTj
ROOM USE: �eL _ 2. �y - 3. f it 4.h.l_. �*5
6. 7. S. S1. 10.
THERE IS A FWr r '$50)DOLLAR.FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEAL T 4 THIS FEE IS PAYABLE AT THE TIM'.E OF INSPECTION
APPLICANT'S SIGNATURE DATE q
Itis ectors'useonl
Date on initial insp x:ion:4-N- I q _ Date of reinspection:
Date of issuance of cf xtiflcate: ') 1N Date fee paid:
Type-of-unit:--Dwe-li-ig—CV
==;,,Other____ Check# f 1 _____Check date:
Notes:
I
Code Enforcement Ir spector
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax:(978)740-9705
04/03/2001
C. Morin & M. Curtin
5 Carlton Road
Marblehead, MA 01945
PROPERTY LOCATED AT 7 Milk Street UNIT # 2 Rear
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspectionwillbe conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
R THE BOARD 9f HEALTH REPLY TO
oanne Sco t,tPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
a
` e Kimberley Driscoll
Mayor
COMMONWEATLH OF MASSACHUSETTS
CITY OF SALEM
EXTERIOR PAINT REMOVAL PERMIT
Property located at: 8 Milk Street
Owners name: Roger Hedstrom& Teresa Martineau
Address of owner: 8 Milk Street
Contractor's name: Chuck Markee
Business name: Merkee Painting
Address of contractor: l I 1 Washington Street
Date paint removal will occur: 10/15/07 -10/25/07
Hours paint removal will occur: 8am -5pm
This license is granted in conformity with the statutes and ordinances relating to exterior
paint removal.
Permit#: 43-07
Application date: 10/15/2007
Permit Expires: 10/25/2007 unless suspended or revoked
NO ELECTRIC SANDING
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
.. ;, BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
�b TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
APPLICATION FOR PERMIT TO ENGAGE IN EXTERIOR PAINT REMOVAL/
Date: ld 5 a U, Prope Located at: 'T m /k S 1 sa l en,� rel
Owners Name P/t eSet �s c
Address of Owner (if different from above)
Telephone Number I 7 -7 91; Y15-6 SS- �
Contractor/Name of person/agen y that will perform pai removal:
c l/LC�lii a
Address of Contractor elephone Number
Dates and h99rs whep paint remova will occu . i'
Type of Exterior Removal to beS Performed-Please Describe: I
,J 9 -�—
Clean-Up Procedures- Please Descri : c
as C(/6 7e Clic Cc.c
1 have read the Board of Health " Regulation 23 Rules and Regulations". I have had the
opportunity to ask questions regarding those Rules and Regulations. I understand them,
agree to abide by them and understand that failure to do so may result in fines andlor in
revocation of my Exterior Paint Removal Permit.
Persuant to MGL,C62c,S49A, I certify under the penalties of perjury that I, to my best
knowledge and belief ave filed all State tax returns and paid all State taxes required under
law.
Signature
Social Secruity br Fe eral IDW 0 y 3y/3 &/3
For Board of Health Use Only
Approved by:
Date Permit Issued l��
Permit # 3�0