NAPLES ROAD NAPLES ROAD
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE
�SCOTT,
gMPH,RS,CHO NINE NORTH STREET
Date:
0 6/15/9 8� Fax:((9 8))740-9705
Edith Hoar
4 1/2 Naples Road
Salem, MA 01970
PROPERTY LOCATED AT 4 Naples Road UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
a
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
March 31, 2003
Richard Newburg
7 Naples Road
Salem, MA 01970
PROPERTY LOCATED AT 5 Naples Road
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
qJoan'
ne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
i
CERT.# 200-98
3 FEE $25.00
DATE: 04/09/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(976)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 6 Naples Road UNIT # : 1
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derby 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 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
/ s
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� '• r a
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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 CHR 410.000 "MINIMUM
STANDARDS%.OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT s �l,e. UNIT /
OWNER/LESSER MANAGER/AGENT
ADDRESS 1 ADDRESS
CITY CITY 7
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHO�� ( '
TOTAL NUMBER OF R00
MS:
ROOM USE: 1. 2. 3.: 4 .
5._-� 6. 7. 8.
THERE IS A TWENTY—FIVE ("DOLLAR E BY CHECK OR MONEY ORDER TO TBE
CITY OF SATFHHEAL ELE AT THE TIME OF INSPECTION
APPLICANTS SIGNATUREDAT
INSPEE+CCORS SUSE ONLY
DATE OF INITIAL INSPECTION: '� ( O qq DAIT 01: REINSPECTION________
DATE OF ISSUANCE OF CERTIFICATE :: �( '�C � _ DATE FEE PAID: Z71, �
TYPE OF UNIT: DUELLING (i OTNER
NOTES : )�
CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
03/13/2000 Fax:(978)740-9705
Harbor Realty
111 Derby Street
Salem, MA 01970
PROPERTY LOCATED AT 6 Naples Road 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; 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_f the meter(s) records electricity and,.gas use which isnot used
-'.�, - -
exclusively�byMthat tenant- The DepartmentofPublic Utilities '_has billed- properly =.:
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy iri-cases in which cross-metering has been proven to exist.
OR THE BOARB HE TH REPLY TO
: Joanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
1 , n
CERT.# 199-98
FEE $25.00
3 gj
DATE: 04/09/98
MrB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fan:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 6 Naples Road UNIT #: 2
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derby 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 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.
FiDR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f ,
�.0,
•i
CITY OF SALEM WARD 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 WIT1 STATE SANITARY!CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS .OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT / TRIT I
OWNER/LESSER MANAGER/AGE
11t
ADDRESS ��� i ADDRESS
CITY CITY �� �
RESIDENCE PHONE_ _ BUSINESS PHONE (24 HRS.)
BUSINESS PEORE �//j' /[/ -,-21V y2 —
TOTAL NUMBER OF /ROOMS _ -
ROOM USE: 1 . DC 2. e� 3.�4 . /�
5 � 6. 7. 8.
THERE IS A TWENTY-FIVE (25.0 LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE
/INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION- -f - DATE OF REINSPECTION �J
DATE OF ISSUANCE OF CERTIFICATE. FEE PAID: 4
TYPE OF UNIT: DUELLING OTHER _
NOTES :
CODE ENFORCEMENT INSPECTOR
r
APR 08 '98 08: 37 AM SALEM HEALTH +5087409705 Page 2
r
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CMO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-180o
Fax:(508)740.9705
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health oY 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 _elcase
and discharge. the City of Salem, Salem Board of Health and its authorized agents
frog, any loss or injury sustained of whatever nature and description occasioned .
by my/our absence during said inspection.
------
T `/1. -SSEE F.rt/;.8. S
AD i1RE,SS
_ (o
ADDRES, OF ON Irl BE INSPECTED
DA'i'R
vi
,
CERT.# 116-97
" FEE $25.00
DATE: 02/26/97
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: 6 Naples Road UNIT #: 3
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derby 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 SOF 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
JOANNE SCOTT MPH RS CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
7 /
PITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970.3928
JOANINE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY'CODE, ,CHAPTER II, 105 CMR 4101.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT _ . tTNIT I
OWNER/LESSER MANAGER/AGENT
ADDRESS 11L ADDRESS
CITY CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)-1.L 2
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS:
ROOM USE: I. l� 2. 3. 4. .
I
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00Y DOLLAR FE�, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THIS-' ,,.IS-PAYABLE AT THE TIME OF INSPECTION
c—.-
APPLICANTS SIGNATURE-' ...,DATE Q?-
SPECTORS USE ONLY
DATE OF INITIAL INSPECTION:1--:�?-(, "1-7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 2- Cn (7 DATE FEE PAID: -z-
TYPE
z TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
A R
a +jlp
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: 09/14/95 Fax:(508)740-9705
Richard & Ronald Newbury
5-7 Naples Road
Salem, MA 01970
PROPERTY LOCATED AT 5 Naples Road UNIT # 3
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 l: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD,OF
HEALTH
REPLY TO
q,,"an,e
Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
oxwr CITY OF SALEM, MASSACHUSETTS
-�' -vQ' '� BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR CERT.# 600-02
SALEM, MA 01970
FEE $25 .00
,p�,r' TEL. 978-741-1800 DATE: 11/22/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 13 Naples Road UNIT 4: 1
OWNER/AGENT: Jennifer Ginley
ADDRESS: 7 Cedar Avenue
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5773
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
i�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
' CITY OF SALEM, MASSACHUSETTS
o
��� '� BOARD OF HEALTH
• • + 120 WASHINGTON STREET, 4TH FLOOR
1 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 I-'L) WCyV-S I�Ct• UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Jenm�c r G,Y1MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESSC� CedQT Jae_ ADDRESS
J
CITY c(k rYl CITY
RESIDENCE PHONE 17 S BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. tell, 2. I\AA 3. bOJAr(VrA. 63vvvr-y\
5w_co�6. Lehi 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 K)aV ' 2- � 1 20o Z
SPE TO S USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ATE FEE PAID:'
TYPE OF UNIT: DWELLING/OTHER— CHECK# /b CHECK DATE =_� o
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
o CITY OF SALEM, MASSACHUSETTS
yew BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
.� TEL. 978-741-1 800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#576-03
DATE ISSUED: 11/14/2003
Property Located at: 13 Naples Road UNIT#: 2
Owner/Agent: Jennifer Ginley
Address: 7 Cedar Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5773
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 BOARDOFHEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT C FORCEMENT INSPECTOR
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
+ r 120 WASHINGTON STREET, 4TH FLOOR
•K 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�_N I P� �� UNIT# Z
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERILESSER clriDp A fF• Ih L�EMANAGER/AGENT
No P.O. Box _,/No P.O. Box
ADDRESS :1 Cne, lac &,,f ADDRESS
CITY--- Is iaY1 CITY
RESIDENCE PHONE lig 74y 5773 BUSINESS PHONE (24 HRS) _
BUSINESS PHONE S n r x,0 1
TOTAL NUMBER OF ROOMS: i7u Yum ' '
ROOM USE: 1-K;,t kM 2.eii 81� 3. 1 i Yi rt 4. t ?
5. lxrum 6. ItY3 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 V• 3
CTO USE ONLY
DATE OF INITIAL INSPECT OI N �JQV. 2-r�vEDATE OF REINSPECTION`,,
BATE OF ISSUANCE OF 41IZee FEE PAID: it Z�y s
TYPE OF UNIT: DWELLING ZOTHER r CHECK#_L ..�?CHECK DATE /e
NOTES:
CO CEMENT IN ECTOR 9/28/98
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
,p„' TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
P.cgulations 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.
Li 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 age: .s
j -frora any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE NER ES O
ADMESS -- --- ADDRES-S
2
Js
_W_
ADI)RESS OF MET TO BE 1PECTED
DATE —
D.'+'i E
P
* a CITY OF SALEM, MASSACHUSETTS
�y BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1 800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
06/27/2002
Linda Linskey
16 Honeysuckle Road
S. Hamilton, MA 01936
PROPERTY LOCATED AT 15 Naples Road 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; 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.
EO> REPLY TO
l
qjoanneScott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
l
� t
UWIT
CERT.# 291-01
FEE $25 .00
DATE: 06/11/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel: (978)741-1800
Fax: (978) 740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Naples Road UNIT #: 3
OWNER/AGENT: Linda Linskey
ADDRESS: 16 Honeysuckle Road
CITY/TOWN: S. Hamilton, MA ZIP CODE: 01982 24 HOUR PHONE: 468-7538
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
1 FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO ._-
HEALTH AGENT CQD E CEMENT NSPECTOR
,d
n F
S <
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
120 WASHINGTON ST. 4TH FL
JOANNE SCOTT,MPH, RS, CHO - XRR9DH0MCRXXXRRKKX
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fav (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 15 MAPLES 'RoAb UNIT#3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I./A/D)4 LIWSKEY MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS)/ NDUEySUCgLE 7 20HD ADDRESS
CITY S7. NAHILToN MA 0099 CITY
RESIDENCE PHONOW- N68- 7539 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE q j?- 754- A7o0
TOTAL NUMBER OF ROOMS: 6
ROOM USE: 1.K/TLW61/2.$ilk 3. '8/k 4. STUD
5. L R 8. D k 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 6111141i DATE OF REINSPECTION___
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING -/OTHER— CHECK# C,/// CHECK DATE
NOTES:
CO OR MENT INSPECTOR 9/28/98
�oNU1T
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel:(978)741-1800
Fax: (978)740-9705
05/29/2001
Linda Linskey _
16 Honeysuckle Road
S. Hamilton, MA 01982
PROPERTY LOCATED AT 15 Naples Road 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, Section2-334,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
r ver da that the dwelling unit is occupied without a Certificate of
per day for every y g p
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 0,y HEALTH REPLY TO
oanne Sco MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR