NAUMKEAG STREET NAUMLEAG STREET
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CITY OF SALEM, MASSACHUSETTS
+a 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#22-06
DATE ISSUED: 1/19/06
Property Located at: 36 Naumkeag Street UNIT# 1
Owner/Agent: Wanda Santana
Address: 36 Naumkeag Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH /
J ANNESCOTT MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
7.
CITY OF SALEM, MASSACHUSETTS
J& 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 11, 105 CMR 410,000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT #_j
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER(,�' ,�{ P� MANAGER/AGENT
No P.O. Bo No P.O. Box
ADDRESS_ G? _ADDRESS
CITY__ _CITY
RESIDENCE PHON q BUSINESS PHONE (24 HRS)_._.___
BUSINESS PHONE _��� 33555 ._._..___
TOTAL NUMBER OF ROOMS:
p 11n� ��
ROOM USE: 1.�-tut✓1s._���Iq. a—_
`r
5.—t3GQYp)_6. 7. C�Y7 $
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPAR EE IS PAYABLE AT THE
TIME OF INSPECTION,
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION / `� —0' DATE OF REINSPECTION
1` I I
DATE OF ISSUANCE OF CERTIFICATE: DA1L- PEE PMD_ �_
c3 E'
TYPE OF UNIT' DWELLING OTHILR CHECK T� CHE(CK DATE
NOTFS,
(:ODE FNFOHCEMEN L INSPECTOR i2f1198
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
c
120 WASHINGTON STREET, 4TH FLOOR
r SALEM, MA 01970 -
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 195-04
DATE ISSUED: 05/11/2004
Property Located at: 38 Naumkeag Street UNIT#4
Owner/Agent: Salem Point Rental
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
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.
4ORTHE BOARD HEA TH
JOANNE SCOTT, MPH, RS, CHO
V
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
1
ANNE SCOTT,I irm,RSI CHO - NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
I APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740.9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINI UM S�ANDARDS OF FITNESS1,�rF'O'R HUMAN HABITATION",
PROPERTY LOCATED AT����1ak' �- i • SQkfrn UNIT#
i
IS THIS UNIT DESIGNATED AS HIGH] LEER FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERgalpm Pnin+ Rpntal MANAGER/AGENTSaIpm Property Managers , Inc
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ADD I'ESS tine T.Afa +tp gtreai ADDRESS 1 n___ T a F?rpr+p a}YpP+
CITY CITYS�1® Me7
r.�n. Al01
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REST ENCE;PHONE BUSINESS PHONE (24 HRS.) 978-745-4961
BUST ESS 14HONE07R-745-8071_
TOTAL NUMBER OF-ROOMS:
ROOM USE1i:0-t 2.11&3. 8d& 4. &,P4�
i I
5 A\ 6. 7. 8.
E
THERE IS Al TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF S LEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION //
APPLICANTS SIGNATURE DATE
ECTORS USE ONLY
DATE OF INITIAL INSPECTION J t �N DATE OF REINSPECTION
DAT OF ISSUANCE OF CERTIFICATES--f / DATE FEE PAID:_ '?
TYPE OF UNIT: DWELLING OTHER* /
NOT S:
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CODEENFORCEMENTINSPECTOR
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