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MT VERNON STREET MT. VERNON STREET k a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120WaSHINGTONSTkEET .4"'Fl,)()R- . ---. . PlibilCHC8Ith - f -. Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 IQMBERLEY DRISCOLL 1ramdin ,salem.com LARRY RAMDIN,RSAEf-IS,CHO,CP-FS MAYOR I-THAI:CI-T Ac:r',N'r' CERTIFICATE OF FITNESS CERTIFICATE#58-15 DATE ISSUED:2/26/2015 Property Located at: 2 Mt. Vernon Street UNIT# Right Owner/Agent: Bryan Vosseler Address: 15 Mt. Vernon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-2507 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. OR THE BOARD OF HEALTH - LARRMDIN ( / HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTI'I _ 120 WASHINGTON STREET,4"'FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ]RAMDIN(a S,\LEM.COM LARRY RAMDIN,RS/RE;RS,(J 10,CP-FS HEIA Uri-i AG FNT 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: $50.00 PROPERTY LOCATED AT Kt- Vr 5k- UNIT# IS THIS UNIT DISIGNATED A RIGHT EFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �A^j �SS&t.�y� MANAGER/AGENT NO P.O. BOX ADDRESS h; MT- VS 1yn9 SV ADDRESS CITY, STATE,ZIP SAL a`MO 1Q_-T-0 CITY, STATE,ZIP RESIDENCE PHONEY _+9 L a$—d�— BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1 LoV'!62 - YwaVAA 3 "44v, 4 �4I nA 5 br�tief 6. Q7. 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 FV—LSJ3,AYAIME A E TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: at-;�d 5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: " Notes: Cod of r ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF IEALTH 120 WASHINGTON STREET,4""FLOOR PublicHealth Prevent,Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Ixamdih@salem.com LARRY RaMDIN,RS/RF,HS,CHO,CP-ISS MAYOR HP.aal"I AG riN'I' CERTIFICATE OF FITNESS CERTIFICATE #411-14 DATE ISSUED: 11/10/2014 Property Located at: 3 Mt Vernon Street UNIT# 1 Owner/Agent: Mary H. Morrissey Address: 3 Mt Vernon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 LA HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4ffl FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRANWI &SALEM.COM LARRY RAAlDIN,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" FEE: $50.00 PROPERTY LOCATED AT 3 74 UNIT#� IS TIDS UNrF DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE MCLE ONE OWNER/LESSER // &ry Morr;ss�y MANAGER/AGENT ,c//{ NO P.O.BOX n ADDRESS 3 NlfI/.0 L/ ,P(� '�/V /� ADDRESS CITY, STATE,ZIPS/ Ai-eox I!1 0/7 ,V CTTY,STATE,ZIP RESIDENCE PHONE 9 7J0 - 2 q 5 - 971'0 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Is- ROOM 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 -A�T/THE TIME OF INSPECTION APPLICANT'S SIGNATURES /b 6'✓� p5 DATE �/ 7 Inspectors use only Date on initial inspection: I I(I o III Date of reinspection: Date of issuance of certificate: Date fee paid: T of unit: Dwellin Other Check# Type g D Check date: Notes: Coc E cemen Inspector A CITY OF SALEM, MASSACHUSETTS • � ` : BOARD OF HEALTH 120 WASHINGTON STREET,C F1,OOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR Lluj'w &At hm 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 7Vf V(170en �1 f Address Address fAddr,,3 bl UL r7 Sl- Address ess on unit to be inspected Date Updated 529/11 +tom ° CERT.# 183-01 FEE $25.00 DATE: 04/18/2001 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: 7 Mt. Vernon Street UNIT #: 1 Left OWNER/AGENT: Donna Talbot ' ADDRESS: 9 Mt. Vernon Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8846 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. �JI JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �AfAfY6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusefts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fw(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY PROPERTY LOCATED AT /'-H, Ve 1 ✓1 b"?') t UNIT# IS THIS UNIT DESIGNATED AS RIGH T`LEFV FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER[ On r1 d �1b6"L MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS J� 1`�f, /{r2 v�Fn c `- ADDRESS CITY Jc� � F'm-_ CITYd RESIDENCE PHONE ��/ �- � BUSINESS PHONE(24 NRS.) BUSINESS PHONE 'i ! rj TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1.� dvr,,2. j64,—)4—h3. 6, 1)"A, 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 1� �� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION q "-0 � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 1 8 "b I DATE FEE PAID: TYPE OF UNIT: DWELLINGZOTHER— CHECK#-S 3—5-0 CHECK DATE 4-1&-OJ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 s CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 401-02 SALEM, MA 01970 FEE $25 .00 TEL. 978-741-1800 DATE: 08/01/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 3 Mt. Vernon Stret UNIT #: 1 Right OWNER/AGENT: Mary Morrissey ADDRESS: 3 Mt. Vernon Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-9780 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 ,Ncoxnrr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 illy V,ye 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 l(lfQYA S+ UNIT# 1 IS THIS UNIT DESIGNATED A I T LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER v ` 0 �`f S 5 e'er MANAGERlAGENT No P.O. Box , 1 No P.O. Box ADDRESS 3 PA+ V LrrOn S h ADDRESS CITY 2>a�t,M `MI ''ll p p CITY RESIDENCE PHONE R71 �T� -1 fd d BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 11112. 5.U('D^ 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 SIGNATUREElU2�. �ZG � DATE / L INSPECTORS USE ONLY DATE OF INITIAL INSPECTION A - I - o -"� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:- I -o z DATE FEE PAID:'9 TYPE OF UNIT: DWELLINGkOTHER CHECK# I7 9 CHECK DATE 8 i NOTES: I I I I CODE ENFORCEMENT INSPECTOR 9/28/98 I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublicHealth p Prevent.Pra,nole,PmtteL TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin e Salem-coin LARRY R,ANNIN,RS/RN IS,CHO,CP-FS MAYOR - - H UAI:rli A<;F.NT CERTIFICATE OF FITNESS CERTIFICATE#403-14 DATE ISSUED: 11/3/2014 Property Located at: 7 Mt.Vernon Street UNIT#7 Owner/Agent: Donna Talbot Address: 9 Mt. Vernon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-8846 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 ista valid Certificate of Occupancy. FOR THE BOARD Qf HEALTH Y RAMDIN HEALTH AGENT SANITARIAN i CITY OF SALEM, MASSACHUSETTS Y . BOARD OF HEALTH 120 W ASHINGTQN STREET,4°1 FLOOR TEL. (978) 741-1800 [% KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN G@SN.EM.COM LARRY RAMDIN,RS/REI IS,(1110,CPAS' Hi-,,Aim[1 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 Y�I V P r i7 !Y7,L— UNIT#--T IS THIS UNIT DISIGNATEEDD AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE c OWNER/�G� � y m h '1 t� 1G /bQ NE pI�ENT U 1 ADDRESS / / / / V-erl)- " �"( ADDRESS CITY, STATE,ZIP5Ae Wl /�c� • ©/U�/�(��a CITY, STATE,ZIP RESIDENCE PHONE�J'O/� /,��f�U' 99q� BUSINESS PHONE(24HRS) BUSINESS PHONE NT l F TOTAL NUMBER OF ROOMS:— 5 ROOM USE: 1.IW610 2. AIrilny 3. be WL, 4. O rG64e�6; 5 yll, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F E,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE B ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE Ate^^-R/ DATE �� 3 Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#�J�Check date:--j-1 Notes: Yn(( CO r 'r CC) J�i( 2°' I dce Cry n " -C lz, Code��cement Inspector Inspector r 1 � t `✓ — e7 . V� _ ,...' �f l °OND " City of Salem, Massachusetts f " q Board of Health 120 Washington Street, 4th Floor, Salem, lth Prevent.PuW�CMHea MA 01970 ote. Protett. 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-16.478 DATE ISSUED: 12/1/2016 Property Located at: 7/9 7/UNIT#7 Owner/Agent: Donna Talbot Address: 9 Mount Vernon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 560-8444 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. e 6s - a Li Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 3 CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,4O.FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@SALEM COM LARRY RAMDIN,RS/RAH$,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" ^n FEE: $50.00 �' �y PROPERTY LOCATED AT 7/ '"` V hb >1 S� � UNIT# LS THIS UNIT DLSIGNATED AS RIGHT LEFT•FRONT OR BAC PLEASE CHICLE ONE OWNERILESSERnd Q N I/'a J Join MANAGER/AGENT ADDRESS_GADDRESS CITY, STATE,ZIPS y'l CITY,STATE,ZIP E7 RESIDENCE PHON /eg—5�U g4/T BUSINESS PHONE(24HRS) BUSINESSg PHONE /�/f/Q TOTAL NUMBER OF ROOMS: S ROOM USE: 1. l3iedVhJoYvt2. 3.L�VJ�y r 4 dlNl»yV 5. 6. f 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE PAYABLE AT THE TIME OF/�INSPECTION / APPLICANT'S SIGNATURE � ' �/ ' �CC�(iLiG� DATE Inspectors use only Date on initial inspection: , � i,�Q Date of reinspection: Date of issuance of certificate:1 CL , )7(J � Date fee paid: 1 Type of unit: Dwelling Other Check#_ JCheck date Notes: A�( Code nforcement Inspector CITY OF SALEM, MASSACHUSETTS .f Al BOARD OF HEALTH g; 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#409-04 DATE ISSUED: 09/07/2004 Property Located at: 10 Mount Vernon Street UNIT# 1 Owner/Agent: Audrey Gould Address: 10 Mount Vernon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-825-9033 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH q (z 14a-�JVIANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR _ 4:.'CY 1C?Fa5 -- ,• ,.::�� r., ,I 20,WASNI NGTON$TR EF:4Tr1 FLO. OR 'y . SALE14.SAA OI 870 TEL. 878-741-1800 `4 FAX 878-745-0343 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 .& k1hint !/a�r�t) 1 tr��f UNii' #� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNE SSER1�l jlr� _MANAGER/AGENT ADDRESS A 1 17• V Q f��UYI Sy. NAD RESS_—. CITY �-_ LL CITY E RESIDENCE PHONL�J!_W5BUSINESS PHONE (24 HRS-) ,_,_ BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ _ /I vl'rIq ROOM USE: 1. 1 2. ;3. I fC�iPYI 4. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE LTH DEPA ENT THI FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATU E `DATE !? INSPE TORS USE ONLY DATE OF INITIAL INSPECTION q.-7 w l DATE OF REINSPECTION__ DA1 E OF ISSUANCE OF CERTIFICATE-"7-V``. _DATE FEE PAID TYPE OF UNIT DWELLINC5( OTHER CHECK 31 / ?a 5 CHFCK DATE �-- 7 "oll NOTES {w +^�' 41- -.A. .l°o,�z CODE LNFORCEMFNT INSPECTOR 4)/2£3!9£3 h J "` D�" City of Salem, Massachusetts r y Board of Health j D 120 Washington Street, 4th Floor, Salem, pPubliCHeatth 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-15-248 DATE ISSUED: 8/28/2015 Property Located at: 10 MT VERNON STREET UNIT#1 Owner/Agent: Dallas Gould Address: 169 Central Street City/Town: Georgetown, MA Zip Code: 01833 24 Hour Phone:(978)769-5663 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 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 r Larry Ramdin, MPH, REHS, CHO S ITARiAN HEALTH AGENT / CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDINnSAJ1M.00M LARRY RAMDIN,RS/RIiHS,CHO,CP-1+S HFA LPHAGENT ' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" II , ,tFEE: $50.00 PROPERTY LOCATED AT I /'� O v V K"t e\tA 0 LA S� UNIT# 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER QGi.`t`C.5 GOL O MANAGER/AGENT NO P.O.BOX 11 ,�w ADDRESS 6�-` Ce�'C��� S�', p ADDRESS CITY, STATE,ZIP c'Ovc�e�0u2( AAA `U(�%ITY, STATE,ZIP RESIDENCE PHONE t 7� 2 6q �O b 63 BUSINESS PHONE(24HRS) BUSINESS PHONE L LI GL05 'eLS '>`t TOTAL NUMBER OF ROOMS: S ROOM USE: 1.Qe�✓002. v0 7U� 3. V iwjQa7b�. �iA nc1�oCI+ �. rcko 6 jO' 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 FE APAYABLE jAT THE TIME OF INSPECTION APPLICANT'S SIGNATURE f P OtA DATE Inspectors use only Date on initial inspection: 0WIV 201 S Date of reinspection: Date of issuance of certificate: 08124/)015 Date fee paid: Q&2,f/24,4S Type of unit: Dwelling zOther Check#_71A-Check date: d Z/2 412-dJ-ZS Notes:L v n ,/ ck , ReJn2ori as a r ear v +0 kickienw w '-} a, Ao% Screen, C rcement pector d`oND�, City of Salem, Massachusetts 10q Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA 01970 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-15-254 DATE ISSUED: 8/28/2015 Property Located at: 7 ORANGE STREET UNIT#1 R Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800 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 0, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITAPN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAMI)INnOSALL"M.COM LARRY RAMDIN,RS/R];1-IS,CHH,CP-PS HEAL,n I AGI:'.N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50..000 l PROPERTY LOCATED AT 7 0,44AKC �rrs�f/'tel{ �4 UNIT# IS THIS UNIT DISIGNAATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER---///C�I /&V/- / e--1 /�� MANAGER/AGENT ADDRESSf 3 LL/tyl/ I W111 A✓P ADDRESS CITY, STATE,ZIP Ad CITCITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 9do 7V YPC TOTAL NUMBER OF ROOMS: ROOM USE: 1. 4 d. AW 2. 3. 010 e4 4. A 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHVK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE OF INSPECTION APPLICANT'S SIGNATURE DATE ? / Inspectors use only Date on initial inspection:02127/2G1�- Date of reinspection: Date of issuance of certificate: Date fee paid:DV2��21)�S' Type of unit: Dwelling Other Cheek p# �79 Check date: b�2 2045- Notes:�r�,+ rj 6�rn¢t nn S' oye vleerYs 4o Le- icfy red Cod orc ent Inspe or CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR A1b�1CHC81t11 wc.r.".Prnmme.Proue. 'rEL. (978) 741-1800 FAX(978) 745-0343 KIMBERL.EY DRISCOLL lramdin(ksalem.com LARRY IIAmDrN,Rs/IuN Is,cno,(T-FS s MAYOR [[[:, A(,PINT CERTIFICATE OF FITNESS CERTIFICATE#366-14 DATE ISSUED: 10/20/2014 Property Located at: 10 Mount Vernon Street UNIT#2 Owner/Agent: Dallas Gould Address: 169 Central Street City/Town: Georgetown, MA Zip Code: 01833 24 Hour Phone: 978-769-5663 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 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. ry FOR THE BO RD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN 1 t CITY OF SALEM MASSACHUSETTS BoaRD OF HEALTH PablicHealth 120 WASHINGTON STREET,4"'FLOOR Prevent. Promote,Prmrcr. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Irarndin@sa1em.com salem.com MAYOR - L:\18tT R:\MUIN,RS/RI:{I-IS,CI 10,CP-FS HF,\I.TI{AGI:SN'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 V IInn /l/(- O U Ft V Q tr wy� 5� UNIT# IS THIS UNIT //D--ISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX ADDRESS I b0� Ce-'�t''IrJ S ADDRESS CITY, STATE, ZIPy a ) e ,�dwr Ak O (O�ITY, STATE,ZIP C RESIDENCE PHONE� 7 0 -76 Gl S_9 6 �> BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 6 Q 2. 6 V 3. 4. 5. 6. 1 7. 8. daln 9. In,jlmry 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE PAYABLE � dAQY�ABL,�E, AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREVA 1` '� . DATEJ() /D-0 ll�� Inspectors use only Date on initial inspection: (01 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Otherff Check# Check date:20l/ Notes: o - cuU w(VI o oc s kaAR sz('P2As I In -rk y. h'IC t1 iin fr 1 - od. 30 Code of ement Inspector 1 + � CI"I"Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOORPRbi1CH@8te. th TEL. (978) 741-1800 Fax (978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LARRY RAb1D IN,RS/RP:HS,CFfO,GP-FS I IEAj:rif A(;ENT CERTIFICATE OF FITNESS CERTIFICATE#001-15 DATE ISSUED: 1/8/2015 Property Located at: 12 Mount Vernon Street UNIT#1 Owner/Agent: Rolando Sanchez& Nury Espinal Address: 7 Witchcraft Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-3389 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 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. FORTHEBOA OF ..w.Cw Al LARRY RAMDIN HEALTH AGENT SANITARIAN 1 )s y ~ i • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOORpplib)I>1CHCe.81« TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com salem.com L ARIiY RAMDIN,RS/RIiHS,CHO,CP-FS MAYOR HEAL rH A(;FNP - ----------------- -------CERTIFICATE OF FITNESS-- ---- — - ------ - ------ CERTIFICATE #456-14 DATE ISSUED: 12/9/2014 Property Located at: 12 Mt.Vernon Street UNIT# 1 Owner/Agent: Rolando Sanchez Address: 7 Witchcraft Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-3389 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 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,TH}�E.BOARD OFktEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN I I �1 1, ?TU 4 CnA, r Rai CITY OF SALEM, MASSACHUSETTS BO,\RD OF HEALTH ��� L� 120 W,\SHINGTON SET TRE ,4"'FLOOR bth TEI-,(978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lrqmdin@salem.com salem.com Ltl liitY]triiNDIN,]2S f itt'.HS,C;HO,CI—FS MAYOR HvAm'H AGENT i Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �� � I QN SA�Mt M k UNIT# -i IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER 4A &;4 tQ nl et, Z MANAGER/AGENT NO P.O.BOX ADDRESS- ^ V ADDRESS CITY, STATE,ZIPAI Lam✓\ CITY, STATE,ZIP RESIDENCE PHONE ` 79 ��JcJp � —BUSINESS PHONE(24HRS) BUSINESS PHONE u A 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 AYAB�LE AT E TIME OF INSPECTION APPLICANT'S SIGNATURE :""` DATE Inspectors use only Date on initial inspection: ).2- q^ Date of reinspection: Date of issuance of certificate: 1 I -al^i Date fee paid: Type of unit: Dwelling ,. Other Check#_L131 331 Check date: Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH K. 3t 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 124-05 DATE ISSUED: 2/24/05 Property Located at: 12 Mount Vernon Street UNIT#2 Owner/Agent: Nury Espinal Address: 28 Buena Vista Avenue 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 HE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO ' 6z HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH t20 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 II I I 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". PROPERTY LOCATED AT /Z UNIT k Z i IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_ n g-�( MANAGER/AGENT ,__ No P.O. Box No P.O. Box ADDRESS 111 �jf�__�l<ADDRESS CITY 5� f> _CITY RESIDENCE PHONE­­----BUSINESS PHONE (24 HRS )—.,-- BUSINESS RS )_,,_BUSINESS TOTAL NUMBER OF ROOMS: ROOMUSE 1.L.ro0k�.2 K _ 6JI &J- 4. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ . . ' _DATE_.O/Z/U// `;�- tN ECTORS USE ONLY DATE OF INITIAL INSPECTION _� a 7- 0 )� DATE OF REINSPECTION DATE OF ISSUANCE OF CLIll'II ICATE= 2 a » DATE FEE PAID :Z 'TYPF OF UNIT-: DWEt-LING OTHER CHICK 0 D. I �/ bCHECK DATE 2 7 2- a N075S G01A LNI01WI tv4i.Ni IN`_Wi-G1OH 4l7ttl utt CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/24/05 Nury Espinal 12 Mt. Vernon Street Salem, MA 01970 PROPERTY LOCATED AT 12 Mt. Vernon 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 Jc66e cotes MPH, RS� Pablo Valdez Health Agent Code Enforcement Inspector oil 0 CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH ' 120 WASHINGTON STREET,4"'FLOOR . TEL. (978) 741-1800 ICNIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR I)GRBEaN6AUM(o-SAl.[sMcCOM DAVID GREENBAUM ACIING HF.ALTI-1 AGI-;NT CERTIFICATE OF FITNESS CERTIFICATE#648-09 DATE ISSUED: 12/22/2009 Property Located at: 13 Mt. Vernon Street UNIT#House Owner/Agent: Dominick&Kristin Pangallo Address: 703 Edgewood Place City/Town: North Brunswick, NJ Zip Code: 08902 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 BOAD OF HEALTH DAVID GREENBAUM v ACTING HEALTH AGENT CODEF RCEMENT INSPECTOR CITY OF SALEM, AiASSACHUSETTS BOARD or HEALTH 120 WA.ItINGTr-N STREET,4 FLOOR TEL. (978) 741-1800 KI,MBERLEY DRISCOLL. TAX (978) 740 0343 rte/ �® oc;xr i mt,�otii(a_ls v.emr.COM "`„ MAYOR. � DAVID GREENBAUM, DEC 8 2009 ACTING HEAU17H AGENT ,�hLrN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITA Y CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ,/ FEE: $,150.00 PROPERTY LOCATED AT 13 I �1 Uffm 31"yN•Q"1 UNIT# �1 IS THIS UNIT DISIGNATnED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER tArvy V44�ij\ TkAP 6 MANAGER/AGENT NOP'0' OP.O.BOX -7�y ADDRESS TvJ�'MR ADDRESS CITY, STATE,ZIPVAOU-ifipnl�(JiC. 1� u74 ��� CITY, STATE, ZIP RESIDENCE PHONE 1T9L"' y �(�' T�1�(L�G\ BUSINESS PHONE (24HRS) BUSINESSPHONE Vf- 7q- `I-I.E1 TOTAL NUMBER OF ROOMS:y� ROOM USE: 1. L' it 2. UIV�Q M, 3. I���t�frt 4. 1� �ii�tPMw 5. �� 6. . i 7. I�n� r,#'� 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 DATE Inspectors use only Date on initial inspection: 0 0 Date of reinspection: Date of issuance of certificate: �a I O 9 Date fee paid:]AARlo Type of unit: Dwelling Other Check# (00/ Check date: /oZ h—yk Notes: 611, Oct atil Vp her G1igG�i IN rws . Code EAX e entInspector CITY OF SALEM, MASSACHUSETTS BoARD Ort HEALTH 12)0 WASHING TON SiREH-r,4"'FLooa TEL. (978) 741-1800 KIMBERLEY DRISCOL.L FAX (978) 745-0343 NaYOR DGRN NBAUNlnSw.EM,COM DAVID GRELNBAUM, ACTING 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. I/we expressly authorized the same and for my/oar successors and assigns hereby release and discharg-•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 ?03 �� ��Ille, �;a. �Tv&4k wig �6a Address Address 13 Pt VM. c rW' , Address on unit to be inspected Date City of Salem, Massachusetts Board of Health lu 120 Washington Street, 4th Floor, Salem, PtibliaHealth Prevent. PrM.te. P,Wem 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-16-51 DATE ISSUED: 211812016 Property Located at: 14 MT VERNON STREET UNIT#1 I Owner/Agent: Steven Sass Address: 84 Grove Street Cityrrown: Auburndale, MA Zip Code: 02488 24 Hour Phone:(781)608-1951 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 l Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN a CITY OF SALEM, MASSACHUSETTS BOARD OF HL AI rI I 120 WASHINGCON S I REI„"I',4”"FLOOR TEL. (978) 741-1800 I IMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDINASALEM.COM LARRY RAMI,)1N,RS/RF-,HS,CHO,CPA S 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" S / FEE:`$,50.00 V' PROPERTY LOCATED AT / / f" `�s V hal �' UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE �n OWNER/LESSER jcy S MANAGER/AGENT NO P.O.BOX `;`` / t ` ADDRESS O l (} (� V l DD nn ADDRESS CITY, STATE,ZIPI/A�n C�tMA I' 1 (7 Z� b CITY, STATE,ZIP 7p RESIDENCE PHONE /O� , l� b�l ' 7�� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Q �� R0OMUSE: 1.hP�ro� 2. ����h� d'OM3, L �P 4.tlinrn6fa 5, �,Vj&ypM 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR F , PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS \ YAB AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 021111203 C Date of reinspection: 0214 712,-,)z( Date of issuance of certificate- 02, bz /2_LLI7 Date fee paid: /Z2/zf12G Type of unit: Dwelling \ Other Check# LI 1_to Check date: fO w 2016 Notes:! See / I/ V I0 h I�1C it Covvec4j ley�uent Inspec CITY OF SALEM, NIASSACHUSETTS . w f BOARD OF Hl. AI.rH 120 WASHINGTON STREET,REET,4."F7.00R TF"T.. (978) 741-1800 KIMBERLEY DRISCOLL FAX (97 8) 745-0343 MAY(-)R LRAMmN&ALENLCOM LARRY RAMDIN,RS/RENS,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. 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. t Ilec Tenant/Lessee O er/Lessor �y Address Address Address on unit to be inspected 201 Date Updated 5/23/11 Inspection of 6LM af, 4 Date Name `Time s Address U Mnr '} ✓C4l,timyl (` Owner - "jexl°g.Litc Tel. No. S Inspector Type of Inspection Civ^+r Orr r.�.Tr- rd+- E—/ Tkl3� =� ( ' ) Remarks and Violations are listed below: - �Irh�����, S — cI (o ( 1/ _ p cr 6h lri6NryYt £-d 7f)i"� AYf+� Sthdk.- d!jg ,5r- .f_Y�__,�rry,�YY1?�Yt h!`vP beet >:Q�"Ct tt ! Anr^f�rr2h Report Received by: _�..�. wNDT"� City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 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-16.228 DATE ISSUED: 7/6/2016 Property Located at: 14 MT VERNON STREET UNIT#2 Owner/Agent: Steven Sass Address: 84 Grove Street City/Town: Auburndale, MA Zip Code: 02466 24 Hour Phone:(781) 608-1951 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 LM-X— &MLMO�r Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS ' BOARD OT'HF.ArAH 120 WASIIING1'ON Sl REEr,4'"Fr,00R TEL. (978) 741-1800 Kl2v.fBTiRI.E.Y DRISCO1J, 17AX (978.) 745-0343 MAYOR LRMIDINQS UETN1.0 M LARRY RA,WIDIN,RS/RF.HS,(HO,CP-FS FICALTI-I AC;ENT 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 1 + .It 1/tcv0K S�. UNIT# 7, IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE ONER/LESSER �jSt Wt_00, �S_tS_ _p MANAGER/AGENT ADDRESS ¢� C--ogre S It C2. I ADDRESS CITY, STATE,ZIPllA( h�0. CITY, STATE,ZIP Y 1 G-Z 6 RESIDENCE PHONE O �p0� �L�� BUSINESS PHONE(24HRS) BUSINESS PHONE 617, 5-5-2-\ / 46-2-- TOTAL -S-Z, / 46ZTOTAL NUMBER OF ROOMS: % pp ROOM USE: 1. 2. L, P- 3. R 4. PR 5.4\ 6. ��= 7. Rk 8. V\ 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 ISPA BLE A THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 6130%OI(0 Inspectors use only Date on initial inspection: 000�9ZG. Date of reinspection: 07lDsr?�16 Date of issuance of certificate:0n r46 Date fee paid: ry-LO/24926 Type of unit: Dwelling--/ &her Check# 1-23 q Check date: 66/3017n Notes: C5e_e . }+.e-LeJ) Allvi Ani nrrrf C � foy ement Ind ctor IRspectioii of O-A aA Date W3012nf2G Time S,* 50a2,m Name r Address 1- Me/A1P VErnovi9 S1't�Zf� f Owner_ � v" Sa_rf Tel. No. _ut-ICY ,.Ills„c Type of Inspection ( P!' I1 c 1�i CA,�e, QC 1"t/1a CS Inspector ,yJi 8-rosy ( ' ) Remarks and Violations are listed below: AaJ 12 412r4 — Llvino /'or�m Sw�,<-cln ✓lea.— ¢n�y„ r, s �la�c, CD[g(/ c f Gr Lnt —L 0Ir S o / I _ -Lnn 4�XV1j CLI L14 ,(,0LMQ)cc e, e-&C16, for '�on V' lL,ne {'!� ba4rr-l��e r IytOLtronS mc.SY L !ar"I, J __LlP_— �hfYJ�11 er ejc, -rov Zw Report Received by: r "�