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NEW DERBY STREET i II I 1 r V G KIP 1 `oNns�, City of Salem, Massachusetts r� Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 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-16-250 DATE ISSUED: 712 912 01 6 Property Located at: 26 NEW DERBY STREET UNIT#304 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617)625-8315 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 Larry Ramdin, MPH, RENS, CHO S I{ pI �k0 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HFvTH 120 WlxsHINGTON SI-REEr,47'FLOOR 'I'LL. (978) 741-1800 KTNfBE',RJ,EA'DRISCQLL 1-72 x (978) 745-0343 MAYOR I A Df WA is f : ) RS.iF�-11S,Cl 10, Hi!,Al,'Tf t A(;;N'v Appliealion for Cerdfic-4te of Fitness U14 ACCORT)ANCI.EWn"ii 'TAft-, ,SAN'n'ARY (CODE, MAKER 11, 105, CMR4101000 "MINIMUM STANDARW Of FrMESS FOR HUMAN HABITATION" f �00 PROPEKY LOCA'I'ET) AJ'J�Ptw 09 ,WKNATE, SALQ#Tf2j)NU�h ­'KQR ,f!JJ`,A$EClRCLF0 E LF Fjv , OVVNER/LF'S$ER—,— TANA GER/ArjEN T-_—LG--LL-C NO P0.BOX ADDRESS CITY, STATE, ZIP—_ CITY, STATE, ZIPS RESIDENCE PHONE-.--- BU.'INgSSP*fiONB' (24HRS) 1017- a5- 515 BUSINESS PHONE,—.,—_ 'TOTAL NUMBER OF ROOMS:------- ROOM USE: BY CHFCK OR MONEY ORDER TO THE CITY OF SALEM THERE IS A FIFTY ($50)DOLLAR FIZE,PAYABLE 1, OF IN SPECTION kPKJQANT?S $IGNATURLUle Date on initial inspection;_,kLq Date of rein1spectin-, Poo? if iz�watice of cellificate; Date fee paid; 0( Ito T�49t-, pf q9W DwellinLX—Odlei�—Check# Qlbeck date: Q Ent cc.mant Inspector' Clrrix OF SALEM, MASSACIIJUSF-TrS 130z11t1)OF f-,!I�,ALTFT '120 WA6FJTNGTONSin-L,,-r,4r`FLOOlt 11,I I-,j- ' 78)74l-l800 � �9( KTNMI)-,ALFYT.)Rj,9COI,L FAN (97h) N0343 Nf AYQR LARM!JZMvJTTN(7 1"s/11 I;I Is, I-TI ,,NLTT I Av4 IrNl'r In ago-grdwice with M146sachmsotts Gene,r a),Laws Chpter 111; Code of Massachu setts Regulations 410,000 et. Seq. State Sanitary Code., Chapter 11 and.Article XIA of tho City of Salent Ordinance, undersigned owner/lessor and tonatit/le,ssee of a unit of residential property, hereby iitithorize the Saleni 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 N done in ray/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, ena t/Lessee Owner/Lessor 36 LlTa 0 Address Address Address on"un�ito�he-in:spected 1jitte City Of Salem. Massachusetts a Board of Health 120 Washington Street,0 Floor Salem,MA 01970 Tel.978-741-1800 Fax 978-745-0434 STATE SANITARY CODE CHAPTER II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 105 CMR 410.000 HOUSING INSPECTION REPORT ADDRESS : 70 N eL,) OCCUPANT: /4 DESCRIPTIO OF PROPERTY: 102en OCCUPANT PHONE: /J OWNER OWNER ADDRESS -] I'V6,100 5 t Q co DATE OF INSPECTIONI TIME: - INSPECTED BY t TITLE G V1 t rt Regulation#105CMR 410. Pass/Fail Regulation#105CMR 410. Pass/Fail .100 Kitchen Facilities 5 5 .401 Ceiling Height S .150 Washbasins �h S 5 .402 Grade Level .151 Shared Facilities r c,5 .430,.431 Temporary Housing,Exceptions .I52 Privies and Chemical Toilets c� s 5 450-451 Means of Egress,Obstructions. .180 Potable Water C,5 S .452 Safe Condition .190 Hot Water G .480 Locks .200 Heating Facilities Required 5 .481 Posting S .201 Temperature Requirements ,Pke .482 Smoke Detectors .202 Venting Y�55 .483 Auxiliary Lighting .250 Habitable Rooms(other than kitchen) Y .484 Building Iden .251 -.255 Lighting&Amperage .500 Owner's Responsibility Maintain Structural Element .256 Temporary Wiring pr Or .501 Weathertight Elements .257 Light Obstructions .502 Lead Paint .258 Exemption Electrical Service .503Protective Railings and Walls pcs .280-.281 Ventilation .504 Non-absorbent Surfaces 300.350 Sanitary Drainage&Plumbing rp�5 S .505 Occupant's Responsibility Maintain Structural Elements .351 Owner's Responsibilities .550 Extermination .352 Occupant's Responsibilities N .551-.553 Screens .353 Asbestos Material tT .600-.601 Garbage and Rubbish .354 Metering .602 Maintenance of Areas 'QS SS .400 Minimum Square Footag 620-960.960 Enforcement and Compliance COMMENTS: bi h Ctbove, un r in k-1' M) C200--k WA4 1w6f- Occ, u c s ),L, 5' 9r ./rte t° dPP ce V t) C v tJ�li f re- Referral: Electric Plumbing Building Fire Other This housing inspection has/has not revealed conditions which may endanger or materially impair the health or safety,and well being of any person(s)occupying the premises. This inspection report is signed and certified under the ins annddd penalties of perjury. Signed � r-�� Code E(nnf rc ment Inspector/Board of health Sccu¢ant/-_ Date `y Time G - �,) o ���7 {'t'l4h air This report is a preliminary report of the violations found during the housing inspection of your apartment conducted on r( A final report outlining all violations observed will be issued. Page I of 1 Inspectionof IT�o Nem O"b!;4 54-ree L DateZD b Time /0' ?0"9-u Name n /i Address / QE Owner /C C C,,--?aC � 1 /� ,fes � n� Tel. No. to �,/�� ' b ZQne3yl.�U Type of Inspection S'�C{�YI"t��l CIUM) s lcJ`- 0-ePCL llnspector s�I/C ha/70 1jD[1 nkz ( ' )Remarks and Violations are listed below: _ [`P�� >aC.CLI^C/ (9T �✓y'1 —/!eCf ' T- •r rarba ci-o fd i �/er on G'rnc�nc/ ocround the ceps areG_- PQ :rec- kop C}F' 4&v, � 64-,do ovkkceras �e L�AcovPy'2Q0 u)as-le reca- ,-oumPs1y-r a.r ea - QernD uP oo owred toa s4e veo° pkc 8r POD Ver/P (bye-'S *)Qf- dre Ccs 10—AgA f 0.nd ' denrnr FC d u m rosL– 1,e4 Open I() nC` yPl e� • fx-)2u e 000005k-( 15 COY -ed Report Received by: CITY OF SALEM, NLASSACHUSET'T'S BOARD R `E r,4 124�U 1SIIIVG'fUN S[REEr, ".FLOOR '1).T- (97,-) 741-1800 HIMI3ERLEY DRISCOL.L FAX (978) 745-0343 MAYOR emnm n;�Lc:at.coM LARRY RAMI)IN,16/10>I1S,/:No,(Y-FS 1-113,31:Ill AGIfNI. Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 4 10.000 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. ( 6A M -LLC Tenant/Lessee V Owner/Lessor Zb N ttok) SfiV �# U lllvam Wo SIOU Sbnuruii(k Mm 02115 Address VAddress 1 New Roll WW 413x'1 Address on umt to be inspected r7 [2 V. Date Updated 5/23/11 SON City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PlublfcHealth MA 01970 Prevent. Promote. Protect, 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-16324 DATE ISSUED: 8/26/2016 Property Located at: 26 NEW DERBY STREET UNIT#407 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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. �SJ&effarosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, NL-�SSACHUSETTS 2 '� BOARD of HI ALL EI 129WAsiiitic'rclrvS[itia;t,-+-"FLOoR '17:L. (978) 741-1800 KIMBERLEY DRISCOLL R: x (978) 745-0343 IMAYOR ainnror Ga :r.iai.con LARRS'RAAiDIN,16/1U7HS,CHO,CP-PS 1IF:\7:m AGFNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �/ I-p� h p n,' FEE: $50.00 l�/ft� PROPERTY LOCATED AT LW Nein 9901 St�O UNIT# I V� IS THIS UNIT DISIGNAtrED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER//AGENT ADDRESS ADDRESS 111404 �hVaA 5166 CITY, STATE,ZIP CITY, STATE,ZIP SA&VOLL MA OZ113 RESIDENCE PHONE BUSINESS PHONE(24HRS) WT 05 - 8515 BUSINESS PHONE TOTAL NUMBER OF ROOMS �:A I/ ROOM USE: 1 bPAVA 2.�/u 00YA 3.b1CDOYYI 4.1104 V�01 5. Y ;ithln 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 AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE (ADATE 5,12/N Inspectors use only Date on initial inspection: �2g120 Date of reinspection: Date of issuance of certificate-OVZ5f=4 Date fee paid: Type of unit: Dwelling Other Check#10-09--Ch xk date: 0 2ZfJ Notes: \14„t nwS fn 1✓vnA MnM b ha�ileoSr_ t7�, �r;11rcement Spector F City of Salem, Massachusetts lu Board of Health 120 Washington Street, 4th Floor, Salem, PablicHealth M 9 MA 01970 Prevent. Promote. Protect. 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-17-250 DATE ISSUED: 8/17/2017 Property Located at: 26 NEW DERBY STREET UNIT#408 Owner/Agent: RCG LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone: 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. a jj,061444 'i- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON ST hhT,4"'FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDJN@SALEM.COM LARRY RAMDIN,RS/RF.HS,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: $50.0+0 L/ PROPERTY LOCATED AT �U ' )e'w D el b `1'('�� UNIT# /L IS THIS UNIT I)MGNATED AS RIGHT LWr_FRONT 0" nCIRCLE ONE OWNER/LESSER_ V� ^ LI C, MANAGER/AGINT PGt�-L � Croy Vr NO P.O.BOX ^�� f �— ADDRESS Ito ld kk S1� a- SU,ke a03 ADDRESS CITY,STATE,ZIP SCS. I 'm' � ( Vq:4Q CITY,STATE,Z1P (f Z RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE / ' TOTAL NUMBER OF ROOMS: Ll ROOM USE: 1. 2, 3. 18Q 4. 5. 6. 7. 8. 9. m 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 PAY T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE CPQ /J 1/17— Inspectors use only T , Date on initial inspection: Date of reinspection Date of issuance of certificate: i Date fee paid Type of unit: Dwelling_Othe, Check# Check date: Notes: Code Enforcement Inspector �• �. CITY OF SALEM, MASSACHUSETTS Bomm of HFATA I I 120WMINGTON S I RITIT,4"'F1.,00R 11L. (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR. Anm1 (as��l:r�a./ nI LARRY RA\IDIN,RS/REfN,C1-10,(T)-T?S HLAT:1I i 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. Tenant/Lessee O r/Lessor Nc„.� Ou6 S)r La41z�'� sco ,, VA Address Address -*qo Address on unit to be inspected ° Date Updated 5/23/11 City of Salem, Massachusetts Sim9 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, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-15-224 DATE ISSUED: 8/7/2015 Property Located at: 26 NEW DERBY STREET UNIT#204 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 O� Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANT RIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978)741-1800 K1MBERLEY DRISCOLL FAX(978)745-0343 " MAYORu�*+— 4QSAIXM.00M LARRY RAMDIN,RS/RHJ IS,CHO,CP-IS HEALTI I 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 Z6 e, J y(f rt UN1To IS THIS UNIT DISIGNATED AS RIGHT 1ZFt_FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Wk•n±,kv'k A- ' c"( C MANAGER/AGENT P NO P.O.BOX 1 ADDRESS t�- `Sc�a\oo �1i� ADDRESS 21 wa5�• X10 �� c L005� "� CITY, STATE,ZIP S o lv.�`c Mp CrrY, STATE,ZIP ,��A- 6 i 170 RESIDENCE PHONE , BUSINESS PHONE(24HRS) I 77LtU oe) BUSINESS PHONE_6 I;,- 4 D� J^� TOTAL NUMBER OF /ROOMS:__ n l ROOM USE: 1. �-`�I 1<<�'2. ZAAA 3. `V2 0° "` 4. i&.11f0i1A 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY ORM ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS E AT F IN ON APPLICANT'S SIGNATURE DATE ors use onl Date on initial inspection: Date of reinspection: Date of issuance of ceaki5cate: Date fee paid: Type of unit: Dwelling Othef Check# �Check date:r Notes: C a ent Inspect `oND�"� City of Salem, Massachusetts 10 Board of Health 120 Washington Street, 4th Floor, Salem, Pt1b1iCHP.alth 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-15-327 DATE ISSUED: 10/9/2015 Property Located at: 26 NEW DERBY STREET UNIT#205 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIA CITY OF SAIIA, MASSACHUSETTS BoAd,W)OF i-IFAI: 11 120\VASItIN(-r(.)N smf fil, 411;11-1.0OR T12ii-(978)741-]800 KIN1l3ERfJW DRISC:OLL F:Ax(978)745-0343 MAYOR LXA U)IN�dSAi�cCx� LA[in1'R,1;N{Df\;RS,�1tLiHS,CI-IO,CP-tS HUAI:11-1 AC IIi,Nf Application for Certificate of Fitness IN ACCORDANCE WrFH STATE SANTTARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �1FyE,,E,,:`$50.00 PROPERTY LOCATED AT �� IUPW llQr� 1 JiIC�1I UNPC# OfUJ IS THIS UNIT DISIGNATEA RIGHT LEFT FRONT OR BACK,PLEASECIRCLEONE e5 OWNIR/LESSER MANAGER/AGENT -LL C NO P.O.BOX qq ADDRESS _,,ADDRESS d L�r CITY,STATE,ZIP --------CITY,STATE,Zw—dw r^ud �11I bt 1'1�� RESIDENCE PHONE —.BUSINLSS PHONE(Z4HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: I.K' Yum a lluiQ rQDW IbA1001b 4 W(66M 5. e TOOM b. 7. 8. 9, 10. THERE.IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR NIONLY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION p APPLICANT'S SIGNATURE,!C� �L f DATE Inspectors use only Date on initial inspection: a-042EZ10f Sr Date of reizlspectiow Date of issuance of certificate: � S Date fee paidW� Type of unit: Dwells Other Check#3457Check date: Notes: 41 Co e nfop ment Insp for CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAn7D1N@SALEM.COM 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 H 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. Ten ssee Owner/Lessor y. cv � %0 fos aAMWSTE lmZo 4Salem MR Address Address a� dew [ rbc�w )to)05 Address on unit to be inspected e Updated 5/23/11 co n City of Salem, Massachusetts a n Board of Health 120 Washington Street, 4th Floor, Salem, Pub]icHealth 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-16.115 DATE ISSUED: 4/8/2016 Property Located at: 26 NEW DERBY STREET UNIT#207 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 oneear from date of issuance or until the current tenant vacates whichever Y 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 SANITARIAN CITY OF SALEM, MASSACHUSETTS : . BOARD of HEALTH 120 WASHINGTON STREET.4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR t u.gnrnIN&ACeM.COM LARRY RANITNN,RS/RENS,C1 10,CP-PS HEAL.TN 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" II__ ^I ((�� p FEE: $50.00 PROPERTY LOCATED AT W New dl 04 S�1'P Z UNIT# A7 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT RCG LLC NO P.O.BOX ADDRESS ADDRESS 11 IVa100 WN MO CITY, STATE,ZIP CITY, STATE,ZIP Soy1�t (Ole MM N 1 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1.0ckun 2.MCI 3.M1WYn 4.WdVOM 5AW601 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 AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 1661 � (0k_� — DATE / Inspectors use only Date on initial inspection: (� 1�6 /� Date of reinspection:: Date of issuance of certificate: �1 Date fee paid: Z 026 Type of unit: Dwelling--Z—Other Check#-3E70—check date: 03/?0 2016 Notes: C d orcement I pector "NDS" City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 MaMayor lramdin@salem.com Larry Ram ea MPH, REHS,CHO y @ Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-36 DATE ISSUED: 2/5/2016 Property Located at: 26 NEW DERBY STREET UNIT#301 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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,— &2vwl/ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 4 r! I:fit; v2'i Applielltioll for of Fitness W ACCORDANCE WITH STATESANtTARY CODE,CHAPTER 11, 105 CIVIR 4100ki 1UNIMMI STANDARDS (IF FITNESS VOR HUMAN HABITATION" JAI, y L)-W) PROPI,-"',R'I*Y LOCATED 6t -UNIT#-3E)J- IS THIS UNITI)ISICNATED AS'ai OR LCAf:K,PLEASP,(ARCLE ONY WIER A0ENT No Ro,BOX )DRE' V /00 CITY,STATF,IIP__._.._. __ .C.°13 Y,STATE, &K-3apne4vi/14 M4 0?4Y3 RL'SIDLNC17 PIMP (141IRS)-_41.7-9 . ..... BUS TOTAI NUMBEROFRO01M, ROOM USE 1.ldaewAt --.7, A ---JU-- -*Ltst BOARD OF HEALTH THIS FEF iS AY. BLE jVI-I'llb 111%411 Of INSPIXTION APPIXANI-S SIGNATURE...... Date,oil illi6al Daleofiswance4ceilifiaitc Dow fiu-, paid: Type of unit: Dwelling_ Notes:-k h46 e-worl orm, 11 40 V,-;nJj'v `oNDlr" City of Salem, Massachusetts { i' 9. Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA 01970 Prevent, Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-148 DATE ISSUED: 7/1/2015 Property Located at: 26 NEW DERBY STREET UNIT#304 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 SANIT AN l CITY OF SALEM, MASSACHUSETTS Bt Api-)oFHFll.'IH t20 W,. St-IIN(',roe; SM.Ei-,,t,4"'F'i.(.)oR TEL. (478) 741-1800 I INIBERLEY DRISCOIJ- FAY {97 8) 745-0343 MAYOR 1.x,��ri�iN sai isnt.�:c nt L.��utti°RA�tD�N,3is/air i ts,<:1 tC�,cP-[.e I Ii:;;�r:n i Aciati i Application for Certificate of Fitness IN ACCORDANCE WITII STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" f FEE: $50.00 PROPERTY LOCATED AT UNIT#, IS THIS UNIT DISIGNATED AS RI HT LEFT FRONT OR BACK PLEAtSSE CIRCLE ONE OWNERILESSERin ^ °_ F. ✓�r LI MANAGER/AGENT It C CY NO P.O. BOX �# ADDRESS 3x v`�r, � ADDRESS 7 l�k s '. z F :1 SI H f OJ CITY, STATE,ZIP_ c'�, c C: �''1�j CITY, STATE,ZIP (' Jtl vl M 019-70RESIDENCE PHONE BUSINESS PHONE(24HRS) T 71 -740 2096 BUSINESS PHONE b//''i`7 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1 < K, d e.v+ 2 3 Qe wO— 4, 5. 6. 7, S. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OJR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS E A' TIME 0 SPECTION APPLICANT'S SIGNATUd ATE nspectors use only Date on initial inspection: OE12 of OLS Date of reinspection: Date of issuance of certificate: C)41L912 Date fee paid:bd Type of unit: Dwelling V Other Check —Check date: Notes: 4Co or ment Inspe or n a City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 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-16-251 DATE ISSUED: 7/24/2016 Property Located at: 26 NEW DERBY STREET UNIT#306 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617)625-8315 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 14 i Larry Ramdin, MPH, REHS, CHO �5 1}DUVTb( ANITARIAN HEALTH AGENT } :I".IN OF SA..LETVIiWSSACH- .7S1 ITS �, 1:�0;���s2r3iwtai'"tan SrttF,>✓1,�'"rx.c�c>x 11L (9 8) 741.1800 taM13E- fJ3)'DItiK-011 F �h (975) 745,0343 MAYORunat�i ral�ai,11 - "W 2,:r1'llliY 1��iL1I11h,PS/k1°;Illi,C:11O,t:F�i"5 IN A;1,YjiAc:jtyi Application for Ctrdficate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHATTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS ICOR HUMAN HABITATION" �^ p ; ro Q.QO PROPERTY LOCATED AT db New Vt�b J . VNIr# OWNL,R/LES$T R. --,- MANAGER/AGENT U "l TNO P.O.BOX ADDRESS � .,ADIDRESSflj[���4t �lQ _ _ �. . �(�� . CITY, STATE, ZIP CITY, STATE, Zip amu''��S���aiI RESIDENCE PHarr1EBUSINESS PI-TONIy (24HRS) BUSINESS PRONE, �_ ,_ -_ TO FAL NUMBER OF RKIGMS. ROOM USE: w-•. 1 lel. 3.W Offia,4 V rbOM THERE IS A FIFTY ($30)DOLLAR CHEF;,PAYABLE EY CHECK OR MONEY ORDER TO THE CITY OF SALEM HOARD OF HEAL'T'H THIS FTE TS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S $TGNATURI~A -� I DATE- !¢�_ Inspectors use only ���fff Date on initial inspection: l0 _ Date of reinspection.-I-1ado � Date of issuance of c,:ertificate;_w�2 _ � Date Pee paid; (_4 i0�I I`ype of tan is Dwelling,, ,Other_�„„ Check��:Check date: ( UL b©rD zororcemem, Ipep� ter City Of Salem, Massachusetts Board of Health 120 Washington Street,0 Floor Salem,MA 01970 Tel.978-741.1800 Fax 978.745-0434 STATE SANITARY CODE CHAPTER II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 105 CMR 410.000 Pie - (JCLIJ�'t/1� HOUSING INSPECTION REPORT ADDRESS :2(p A.PLO Vb ?O eo OCCUPANT: [t) /� - E lUf I DESCRIPTION OF PROPERTY: C I oL - O✓n OCCUPANT PHONE: N OWNER - L OWNER ADDRESSI-11(1(1.( UCSF. 1OD DATE OF INSPECTION g l0 TIME: 2 ' S' Pn > INSPECTED BY ( (�(L TITLE r[ q n Regulation#105CMR 410. Pass/Fail Regulation#105CMR 410. Pass/Fail .100 Kitchen Facilities .401 Ceiling Height 5 5. .150 Washbasins P4!5 5 .402 Grade Level .151 Shared Facilities P 4s5 430_431 Temporary Housing,Exceptions .152 Privies and Chemical Toilets P4;-6 S-5 450_451 Means of Egress,Obstructions. N .180 Potable Water PCS- S .452 Safe Condition .190 Hot Water . a5;6 .480 Locks Sg .200 Heating Facilities Required n�S5 .481 Posting l r � - .201 Temperature Requirements .482 Smoke Detectors P ass ti s .202 Venting C4S-6 .483 Auxillary Lighting .250 Habitable Rooms(other than kitchen) 015 .484 Building Iden 5 1 .251 -.255 Lighting&Amperage #0C$ c .500 Owner's Responsibility Maintain Structural Element .256 Temporary Wiring 7 .501 Weathertight Elements � A .257 Light Obstructions (1 grj .502 Lead Paint .258 Exemption Electrical Service1 /„n .503Protective Railings and Walls .280-.281 Ventilation Pei .504 Nan-absorbent Surfaces L 300_350 Sanitary Drainage&Plumbing (gym�S .505 Occupant's Responsibility Maintain Structural Elements .351 Owner's Responsibilities [NW .550 Extermination P4,49 .352 Occupant's Responsibilities ` '/�r, .551-.553 Screens .353 Asbestos Material n .600-.601 Garbage and Rubbish .354 Metering .602 Maintenance of Meas GI .400 Minimum Square Footag 9 .620-.960 Enforcement and Compliance CO ENTS: J; © E/t 72 aE� VA i a ih an S - n F' I' /S G Referral: Electric Plumbing Building Fire Other This housing inspection has/has not revealed conditions which may endanger or materially impair the health or safety, and well being of any person(s)occupying the premises. This inspecf ( 7orts signed and certified under the pais nd penalties of perjury. Z� \ Code EmforcetKent Inspector/Boar of Health 9eenpant Date U43 Time '25 - �/ ��p� An 4t e-a This report is a preliminary report of the violations found during the housing inspection of your apartment conducted on lf( A final report outlining all violations observed will be issued. tI Page 1 of 1 ND'T City of Salem, Massachusetts ] ! ' 11 9 q Board of Health 120 Washington Street, 4th Floor, Salem, PablicHea ith F Prevent. Promote. Protect. 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-15-147 DATE ISSUED: 7/1/2015 Property Located at: 26 NEW DERBY STREET UNIT#308 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITA N CITY OF SALEM, MASSACHUSETTS BOARD OF HEaL m a 120 WASHINGTON S1REEt,4`1 FLOOR 'I'LL. (978) 741-1800 ICNBERLF-,Y DRISCOLL FAX (978) 745-0343 MAYOR LRAMDINC[),SAHe M.CONI LARRY RAMIN,RS/RF,HS,CHO,CP-FS IHAI: fI AGe;N'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" 7 �" FEE: $50.00 �/ PROPERTY LOCATED AT Lb P �J'�y S � UNIT# 34 f I IS THIS UNIT DISIGNATED AS giGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER A4 MANAGER/AGENT NO P.O.BOX ADDRESS I–q 5j ADDRESS is�i• w S� c70 CITY, STATE, ZIP So �-.,�4 M4 CITY, STATE,ZIP M4 0I1� RESIDENCE PHONE / c C BUSINESS PHONE(24HRS1 -740 00 0 6 BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. w/K t t✓ 2. Pkv.vow 3. 4. rao 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 E A TIME O SPECTION / APPLICANT'S SIGNATU DATE nsnectors use only Date on initial inspection: t"I612112-oy5' Date of reinspection: Date of issuance of certificate: 2 Date fee paid:Or Type of unit: Dwellin Other Check# .337 Check date: b Notes: Cod oyot ent Insp for City of Salem, Massachusettslu a. m Board of Health q 120 Washington Street, 4th Floor, Salem, PubliCHeBlth MA01970 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-15-149 DATE ISSUED: 7/1/2015 Property Located at: 26 NEW DERBY STREET UNIT#406 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 SANI IAN CITY OF SALEM, MASSACHUSETTS • 40L �� BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978)745-0343 MAYOR LRAMDIN@SA1,8M.COM LARRY RAIVID1N,RS/RGI IS,0710,CP-F'S HEALTH AG1'.N, 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 L� Pw) UNIT# t6 __ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT ORB_AC PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT 2CC� LLC NO P.O. BOX ADDRESS ADDRESS Z91 Gl�4.1 lilt {i{ �OdR CITY, STATE,ZIP �jp„wcr�:�t f} OZ( `t S CITY, STATE,ZIP '54L1 A4.4 0197-0 RESIDENCE PHONE BUSINESS PHONE(24HRS)17?4 ?f0 0006 BUSINESS PHONE,j/7- �'Z-q 17715 TOTAL NUMBER OF ROOMS: 4 ROOMUSE: 1 LR/Kk)c" 2 P.,J+o•1N 3. 14 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 AT E OF PECTION APPLICANT'S SIGNATUR DATE IS Inspectors use only Date on initial inspection: QV�Z J/y,1s Date of reinspection: Date of issuance of certificate:�f 2�/��� Date fee paid: 06ILALDU Type of unit: Dwelling ✓/ Other Check# f Check date: 09 t Ce ; 2015 Notes. 3 7 Cod orc, ent Inspect' r r CT'Y OF SALEM, MASSACHusu, rT'S BOARD OF FIE.ALTH IMO WASHINGTON STRFEr,4°`FLOOR th EI- (978) ?41-1801) FAX(978) 745-0143 KIRIBE W EY DRISCOLL LLatndni cr sale.rn.carn NL1YOR )"win,It 11wm"RiS/Il Is,cl1c),CP-I°S 1-IG:A1:171 r1Gl{N'I i Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter I1 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. f. /Les Owner/Lessor Address Address Address on unit t be inspected Date Updated 523/11 i i CpND12,,�� f City of Salem, Massachusetts1P Board of Health 120 Washington Street, 4th Floor, Salem, PubliCIiPalth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-102 DATE ISSUED: 6/3/2015 Property Located at: 26 NEW DERBY STREET UNIT#208 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH . 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIM13ERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RAMDIN=SAI.L:M.COM LARRY RAMDIN,RS/R13HS,cI-10,CP-PS HEAL;n I 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 - v 6t/Q-j 3k�� 151 UNIT#Z0 IS THIS UNIT DISIGNATED AS RIGiIT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT IAC U- C NO P.O. BOX ADDRESS1�7 S/,zJ 9y G ADDRESS 70) k,)a") Mfln 4 A4 Wb CITY, STATE,ZIP CITY, STATE,ZIP 5t6A A V" 0 J q -�fD RESIDENCE PHONE 2 BUSINESS PHONE(24HRS) �(� T 0 00 BUSINESS PHONE b l-� ZrJ l `7 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. LRNr Wri 2. &e ,foow 3. QWfbuw 4. K 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY E AT THE SPECTI e APPLICANT'S SIGNATUR DATE I/ f /' �!; Ins ector seonlDate on initial inspection: o Date of reinspection:Date of issuance of certificate: Date fee paid: 6- / �.� _ Type of unit: Dwelling Other Check# Check date: S 5 Notes: s Code nfor6 went Inspector 5"��a �ONDIT,t� City of Salem, Massachusetts lu 6 m Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-15-101 DATE ISSUED: 6/3/2015 Property Located at: 26 NEW DERBY STREET UNIT#303 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAM [!SALEM.IX)M LARRY RAMUIN,RS/RIiHS,CHO,CP-FS _ HGAm'H 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 Z6 06) 1� <5 4 UNIT#36 IS THIS UNIT DISIGNAg �TEEDNT AS RIG T LEFRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Wq7�jyj i ii -Lk bG 6Y L-( MANAGER/AGENT 64 Q,CG NO P.O. BOX �- ADDRESS I 5 ADDRESS-WXl���i I S� 100 CITY, STATE,ZIP 7av+a�V.��c AA 0 2) 4 7 CITY, STATE, ZIP e i A �f/� RESIDENCE PHONE BUSINESS PHONE (24HRS) 0040 BUSINESS PHONE 6kZ h2ci 16315 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1 LR *jtWg 2 1"JG\oow 3 WC. 4. +w O(>m 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 AT THE E OF INSPE ION APPLICANT'S SIGNATURE DATE 7 5 InsnectInsnect rs use onlyuse only Date on initial inspection: 6 I J I II S Date of reinspection: Date of issuance of certificate: Date fez paid: 6 Type of unit: Dwelling Other Check 4-3N C16—Check date. Notes: Code Er rc nt Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-15-103 DATE ISSUED: 6/3/2015 Property Located at: 26 NEW DERBY STREET UNIT#408 Owner/Agent: RCG Mill Hill LLC Address: 171valoo Street City(rown: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS + - BOARD OF HEALTH --- 120 WASHINGTON STREET,4"'FLOOR TSI.. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDIN&ALF.M.COM LARRY RAMDIN,RS/RI?IIS,CI 10,CP-1'S FIF'AI.PFI AG 13;NC 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 7 b Akd �-f- a UNIT# ti O s IS THIS UNIT DISIGNATED AS R GHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER WmA na-4R .ej p", LGC MANAGER/AGENT �Clg LCL NO P.O. BOX ADDRESS 17 -Ev .too ADDRESS_ Wti' �1.�+ 54 ='j oO CITY, STATE, ZIP S0 f,'A c 144 07-145 CITY, STATE, ZIP O(7 VZO RESIDENCE PHONE BUSINESS PHONE(24HRS) `lam (7 00156 BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1.LIZ/kiJ," 2. we. lbowx 3. PW aowi 4. W.Qltrbo'M 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 AT THETIME OF INSP ' ON APPLICANT'S SIGNATURE DATE�r Ins rs use only Date on initial inspection:T� 1 Date of reinspection: Date of issuance of certificate: Date fee paid: 611 L5 Type of unit: Dwelling Other Check# J-� �Check date: Notes: Coe MbrMnent Inspector #'�- 1U3 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR PllblicHealth TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL IramdinQsalem.com L,rA IiRY RAMIDIN,IiS/R} I-IS,CFIO,CP-1;S MAYOR I-IeAI;n I Ac:,sNT CERTIFICATE OF FITNESS CERTIFICATE#339-14 DATE ISSUED: 10/1/2014 Property Located at: 26 New Derby Street UNIT#205 Owner/Agent: RCG, LLC Address: 201 Washington Street Ste 1008 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-0006 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 O EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN 0 CITY OF SALEM, NPS sSAC:HUSE T T S V nl/` I BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOUR PublicHealth Prev ort.Promote.Protect. TEL. ()78) 741-1800 FAX(978) 745-0343 KIMBERIAEYDRISCOLL lramdin salem.com e L;\RRYR;1\1D1N,123/Kka It',,CI-IO,CP-FS bIAYOR Hi.:A1;PH A(;LN'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: $50.00 PROPERTY LOCATED AT )(a N e J 9e r-14 S1- UNIT# 2 OS IS THIS UNIT DISIGNATED AS RIGHT EFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER R L �� LLL MANAGER/AGENT R L Cr NO P.O.BOX � ADDRESS 11 rV 10o S1-. Svi-,t 100 ADDRESS 10l I.WRSkio� S<" i:klobe CITY, STATE, ZIP <�ow%A --Vi «R. U ft : 0-143 3 CITY, STATE, ZIP S4_� I4 O l 4l0 RESIDENCE PHONE BUSINESS PHONE(24HRS) 91$--7y0-000(, BUSINESS PHONE 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 PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1136by Inspectors use Only Date on initial inspection: /c) Date of reinspection: Date of issuance of certificate: Date fee paid: 117-Pi Type of unit: Dwelling ✓Other Check#2 1I o I Check date: 07-6'-1 Notes: -k Code Enforcement Inspector i - :�; 0 BOND , City of Salem, Massachusetts N. i Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaith 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-15-65 DATE ISSUED: 5/5/2015 Property Located at: 26 NEW DERBY STREET UNIT#207 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 Larry Ramdin, MPH, REHS, CHO 6� HEALTH AGENT SANITARIAN .ry CITY OF SALEM, MASSACHUSETTS _ - - BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TELL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMIX O SALEM.COM LARRY RAMDIN,RS/R'GFIS,(:FIO,CP-PS H EAI::PFI A(iIiNT 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 -Z-Z p6i T)V!n� UNIT#--2-07 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Tke6j LLC. MANAGER/AGENT AGENT-RC— L-L e NO P.O. BOX ADDRESS 1 —� Slgfco 5�r<e4 ADDRESS Zol 5.,.k Loo 6 CITY, STATE, ZIP �iowcry �l� /11/i CITY, STATE,ZIP 51,6 ' RESIDENCE PHONE L t l ,6 Z� 5 C�BUSINESS PHONE(24HRS) V`a �-`f o U n 0 6 BUSINESS PHONE 6 /� b Z�j S��7f TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. Px lrv-� 2. 3. fl^r°6 ^ 4. LRi/K I�kh 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 AT THE TIME INSPECTION APPLICANT'S SIGNATURE DATE 14//5 nspectors use only Date on initial inspection: 4� Date of reinspection: Date of issuance of certificate: Date fee paid: 1 b l S Type of unit: Dwelling Other Check# 3a78C� Check date:��II Notes: Code n cement Inspector �I x,_65 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'..FLOOR PublicHea Ith STREET, neve"t.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 K NIBERLEY DRISCOLL 1ramdin e salem.com LARRY R_AVIDIN,RS/REFIS,CHO,CP-FS MAYOR HEAL rtI A(;ENI' CERTIFICATE OF FITNESS CERTIFICATE#342-14 DATE ISSUED: 10/1/2014 Property Located at: 26 New Derby Street UNIT#208 Owner/Agent: RCG, LLC Address: 201 Washington Street Ste 1006 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-0006 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 O�TH LARRY RAMDIN i HEALTH AGENT SANITARIAN CI'T'Y OF SAI F.M, N/L�SSACHUSFYIS 2 BOARD or HEALT11 120 WASHINGTON STREET,4."FLOOR PublicHealth Prevent,Promote.Promo. TIL. (978) 741-1800 FAX(978) 745-0343 KINIBERL,EY DRISCOLL Iramdin salem.com MAYOR e L_Af2FtY RAbt L)1N,RS�RI,I3S,CHO,CP-FS HuAl.1 ni AGL Nf 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(e N tv NrLj SI UNIT# t o g IS THIS UNIT DISIGNATED AS TAGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER R L tsl LLC MANAGER/AGENT C U NO P.O.BOX ADDRESS V1 .4Ualoo SI-( §4ij& 100 ADDRESS ).o L Wa`tti �e fp SE Y V 14- 104? CITY, STATE,ZIP Sewu Iy Aie ►tit 14 0114 3 CITY, STATE, ZIP Sa A t t�, d 6 U 1 q l 0 RESIDENCE PHONE BUSINESS PHONE(2414RS) 0 -7 y l)- 00o (o BUSINESS PHONE 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 PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE q 3 d 1 v Inspectors use only Date on initial inspection: -1 - Date of reinspection: Date of issuance of certificate: d —?' 1 Date fee paid: Type of unit: Dwelling ✓Other Check# 2,90Pd Check date: ^�9-1 Notes: Code Enforcement Inspector City of Salem, Massachusetts ll�j a W Board of Health A 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protect. 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-15.225 DATE ISSUED: 8/7/2015 Property Located at: 26 NEW DERBY STREET UNIT#401 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315 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 SANIT AN CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978)741-1800 KIMEERLE?Y DRISCOLL FAX(978)745-0343 MAYOR LRAMOINOSALEWCOM LARRY RAMDIN,R,S/REAS,(:110,CP-];S HEALTI I 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" / flfl � (FFEE: $50.00 PROPERTY LOCATED AT 'L6 W f�J `)d�VU IS THIS UNIT DISIGNATFA AS RIGHT LE&FROM r OR PLEASE CIRC E ONE OWNER/LESSER 43" 01(' MANAGER/AGENT NO P.O.BOX 1 7 �I l�5 ADDRESS � �cya\oa L1�� ADDRESS + �t� !� I W�.��to.... CITY,STATE,ZIP S o v--"� c MA CITY,STATE,ZIP 0 k t 7o RESIDENCE PHONE BUSINESS PHONE(24HRS) I -7 'tO Loe)06 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 3 V`n XICO ` 4 %c.,JOVA 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY OR M ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS E AT F IN ON /I 5 APPLICANT'S SIGNATURE DATE ors use only Date on initial inspection: L)Z�03Z) 0� Date of reinspection: Date of issuance of certificate: O ,�=i;L — Date fee paid:So?103L=r — Type of unit: Dwellin Othea Check % Check date: Notes: (> Ce, fo ent Insp or a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR PublicHeaIth Present.Promote,Pm«o. TFL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL kamdin e salem.com L;\RRY R;\bII)IN,RS/RI?HS,C1 10,CP-FS MAYOR HEm.,fi-t AGENT CERTIFICATE OF FITNESS CERTIFICATE#340-14 DATE ISSUED: 10/1/2014 Property Located at: 26 New Derby Street UNIT#401 Owner/Agent: RCG, LLC Address: 201 Washington Street Ste 100B City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-0006 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH „�,e �,V LARRY RAMDIN HEALTH AGENT SANITARIAN.-: CTI`Y OF SALE,iVI, A/L•�SSACHUSE'1"I'S I3OARD OF HEALTH V �#� 120 WASHINGTON STREET,4"'FLOOR Public Health Prevent.Promote.Protect. 'I'LL. ()78) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOL,L Iramdin@salem.com salem.com lYIt1YOR LrvRRY RAi1fDIN,R$/121 HS,CI-Iq,CP-I^$ HEAT xi i 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 oZle N Q VJ P T r by S� UNIT# �0 IS THIS UNIT DISIGNATED AS RIG14T LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER R <- lr I LLC MANAGER/AGENTZ C, L NO P.O.BOX ADDRESS 1-1 TV yloo S� . S,,,Z kIJ0 ADDRESS tot lt/0.s kiA, fyo S Sv k l�S CITY, STATE, ZIP S 0 OA e e v i l(A 03.111 CITY, STATE,ZIP S a U w, dA ll 01116 RESIDENCE PHONE BUSINESS PHONE(24HRS) q-78-1y0 - 000(,P BUSINESS PHONE 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 PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE IZ— DATE 9 3 a 11 Y Inspectors use only Date on initial inspection: I&- I Date of reinspection: Date of issuance of certificate: jr-2 Date fee paid: - Type of unit: Dwelling !/ Other Check# 29Rr7'r`' Check date: Notes: l Code En rcement Inspector ya Nn " City of Salem, Massachusetts 9 t, Board of Health 120 Washington Street, 4th Floor Salem, PubliCHeaIth D Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-200 DATE ISSUED: 6/13/2016 Property Located at: 26 NEW DERBY STREET UNIT#403 Owner/Agent: RCG Mill Hill LLC Address: 17 Ivaloo Street City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617)625-8315 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 Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS 13crARD OF HEALTH 1201'G'ASYltNCUON $TKEFT 4...FLOOR "a, (4973) 741-1800 KItvtB RLEY DIUSCC?U. #A.K(978) 745-0343 MTAYO Z I,n1 t2Y!j,A�WPJNil a*,r;i Gl 0j Q,C.P.V6 1114x11,1 r� t1( I N-�+ Application for Certificate of Fitness €I14.:?CCOR,I)AINCi W!TI1 T T 1 ANJI'AR,Y COY)ECII AVVER 11, 10$ CM-R410,000 tiNUNINIUM1STA#NDARDS OF FITNESS Poli HUMAN HABITATION" PROPL9TY LOQATW AT a� New Derb�Sfir2 ex � �� ; � � � .L� �U t;# c(�3� r sy'1 Iii P1�I.a y '3a't t!4"�,.§A +� - 0=YNr 1 L r 1 R MANAGER/AGENT O PIC),Iox AVDRESS,—.m_ ..: �tw c r� l # ,F0 CITY STATE, 73Pt'.1tY m.TAJi' zu St��/�.�rvivL 6 Oa-03. �.=ate--•-t..+, ,,•.��,� nor-.;rr:,. h�x�....Z:�`aaaaa.{{cM•*�pw� y,..j qq�� [ 3: jj `$k�a+l�v.//�ff�,!i!. _.. ».-. _...- . .. 4€�9Na V -N Z(6'4010)0— .✓ ' 8 5.� hT+^'>s.•y'Ttn'."`n4'TS-.i.�'-5<';^.r..@'`S'�A...ev+e -, � .. .. ._. .. .. BUSINESS PHONIM TOTAL NUMBER OF ROOM* 10t1r1;, , q �t ��roum `/' x.51 Yu•C"vs `d'Th— �' -'mwaA'> �'. �i.T.'•� e,.'^s .:�1u�s,.�r...e:J-4'£ '.. .�ryY:F b!r-��^"$ye mix-^[4:tiDa`fi'lr+$'}zeivati2r THERE 15 A FWTY ($50)DOLLAkt K,%, _PAYAOLF,Itly V't-#1X_•h 0,9'MON-J Y ORDER TO HE, CITY or SALEM 50ARP OP 1 Ar 1 Y;T`I`tii e i� L/�,A�T"I`rdt "x � K2P Its»i�Ld 'CI I A'PPLIC;t1NT'$ STIGNATuR13 4'` t'dtt� m iflWaI !14#o0en� �.� Daw of rolrrapebtlnrt; of Wullper of c�'�'C#f'#Gatt'� .�,. ..�.,�.�..�..�.,�... I)atc Np Type of unit, I +�elliri .L tH r, . � ii u#t C tteel, 01,x0;' Nt,• �t__5--- City Of Salem, Massachusetts - Board of Health 120 Washington Street,4"Floor Salem,MA 01970 Tel.978-741-1800 Fax 978-745-0434 STATE SANITARY CODE CHAPTER II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 105 CMR 410.000 Pre- OCCv nc HOUSING INSPECTION REPORT ADDRESS : c9to MeW 4-.41) ' OCCUPANT: f OCeLlrDled DESCRIPTION OF PROPERTY: 2Nt Urti OCCUPANT PHONE: &) OWNER L OWNER ADDRESS /VQ�UO I- S d DATE OF INSPECTION (!1 (LL? TIME: 2 : /0/'-�YYI - - INSPECTED BY Li n1'e tMJjvJJZ0 TITLE 6art�Yl Regulation N 105CMR 410. Pass/Fail Regulation 4 105CMR 410. Pass/Fail .100 Kitchen Facilities #0a5 S .401 Ceiling Heigh[ & s .150 Washbasins o6Z 3 S .402 Grade Level ASa s .151 Shared Facilities `1 .430,.431 Temporary Housing,Exceptions AJ/+ .152 Privies and Chemical Toilets N .450,.451 Means of Egress,Obstructions. .180 Potable Water .452 Safe Condition .190 Hot Water S J .480 Locks 152 /J J .200 Heating Facilities Required S .481 Posting , S .201 Temperature Requirements .482 Smoke Detectors SS 45 .202 Venting �75 .483 Auxiliary Lighting .250 Habitable Rooms(other than kitchen) I .484 Building Iden .251 -.255 Lighting&Amperage 0 .500 Owner's Responsibility Maintain Structural Element .256 Temporary Wiring ^ t .501 Weathertight Elements la .257 Light Obstructions rJ .502 Lead Paint Cis /, .258 Exemption Electrical Service .503Protective Railings and Walls s .280-.281 Ventilation .504 Non-absorbent Surfaces PQss N,55 300,.350 Sanitary Drainage&Plumbing S .505 Occupant's Responsibility Maintain Structural Elements il"114- .351 Owner's Responsibilities .550 Extermination .352 Occupant's Responsibilities N 1+ .551-.553 Screens S S .353 Asbestos Material N .600-.601 Garbage and Rubbish .354 Metering .602 Maintenance of Areas .400 Minimum Square Footag f!' .620 620-960 Enforcement and Compliance COMMENTS: NIS 1 Ci O s R Referral: Electric Plumbing Building Fire Other This housing inspection has/has not revealed conditions which may endanger or materially impair the health or safety,and well being of any person(s)occupying the premises. This inspection report is signed and certified under the pains and penalties of perjury. Signed ` v CodeEnrrfo ent pector/Bo d Health Arra Date v (( Time lw _2L�_ This report is a preliminary report of the violations found during the housing inspection of your apartment conducted on (� . A final report outlining all violations observed will be issued. Page 1 of 1