NORMAN STREET NORMAN STREET
1
a
P
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4`FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR ccalarNnnunrt�a snLrM.cc),ti
DAVID GREENBAUM
ACTING HEAI,.TI I AE;FNT
CERTIFICATE OF FITNESS
CERTIFICATE#322-10
DATE ISSUED: 7/7/2010
Property Located at: 10 Norman Street UNIT# 102
Owner/Agent: William Rossiter
Address: 11 Washington Street
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 508-326-5571
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
DAVID GREENB M
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL (978)741-1800
K.I IBERLEY DRISCOLL FAX(978)745-0343
MAYOR II) REFNBAUM ALEM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
ZOPERTY LOCATED AT 1O N d(wI AN &r- S'A1 Ppj.,j UNIT# /o
IS THIS UNIT DI,SSIIGNATED AS RIGH. LEFT FRONT OR BACK PLEASE CIRCLE ONE
WNER/LESSER w 111+r- � p l O S S i-reo-- MANAGER!AGENT
)P.O. BOX
3DRESS 11 tn_Jstsb;T G7 ADDRESS
TY, STATE,ZIP ?Ong''- CITY, STATE,ZIP 04A '�1 /
''SIDENCEPHONE C ?j �7— 9`�6�f BUSINESSPHONE(24HRS) S4c�1 ao —,SS 7 /
ISINESS PHONE , r
)TAL NUMBER OF ROOMS: T
)OM USE: 1. lS7�r 0.3 2 IS Brs-i 3. ,4,7'4 4. 6,611 5. 4j.v)'
6. ; 7. 8. 9. 10.
[ERE IS A FEW($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
)ARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
PLICANT'S SIG NA I I m F�+' / -x�e�GrIC DATE_27//
Inspectors use only
e on initial inspection: = 1 ._ Date of reinspection: i
e of issuance of certificate: lU Date fee paid:_,,_ lU
)e of unit: Dwelling__--1 'Other Check# Q Check date: D
A OSWVZOAlt
e E 'or ement Inspector
CITY OF SALEM9 MASSACHUSETTS
HEALTH AGENT
s
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#574-07
DATE ISSUED: 11/29/2007
Property Located at: 10 Norman Street UNIT#202
Owner/Agent: C.K.R. Hanton
Address: 20 Federal Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4304
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
Cry¢x � ! ,r 0 s
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
! s 120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
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 10, 4677 Nl N e, _,7
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
C � �• -c0 0tC
OWNER/LESSER MANAGER/AGENT 0 JA
No P.O. Box No P.O. Box
ADDRESS 2D FEDFAI_ 5f Z ADDRESS
CITY Gb1 E M CITY MA O1970
RESIDENCE PHONE a7f-74S-4%4 BUSINESS PHONE (24 HRS.) SX64E
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.0 /S 2. 1T 3. 'F;.R 4. 16R
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 C�lC,a 4�A#Vl_ _DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION i/–, —d 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATF,/L -D/DATE FEE PAID: y 7
TYPE OF UNIT: DWELLINI OTHER_ CHECK# CHECK DATE
NOTES: (:9
-4-6
CO EENFORCEMENT INVECTOR 9/28/98
aCITY OF SALEM, MASSACHUSETTS
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
03/13/2002
Patricia & Peter Moore
10 Norman Street #204
Salem, MA 01970
PROPERTY LOCATED AT 10 Norman Street UNIT # 204
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 the 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 One Week 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.
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 eo exist.
R THE BOARD REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�vg�eONUiT
�00 �/MINB t
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
07/30/2001 Fax: (978)745-0343
Z & A Trust c/o Fay Grungold, Trustee
1 Loring Avenue 4300
Swampscott, MA 01907
PROPERTY LOCATED AT 10 Norman Street UNIT # 305
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.
R THE BOARDHE TH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4"FLOOR Pab1iCRC811:h
STREET, Prevent,Promote.Protect.
TEL. (978) 741-1800 FAx(978)745-0343
KIMBERLEY DRISCOLL lxamdin a salem.com
LARRY 1L\b1DIN,RS/REIIS,CI-10,CP-iS
MAYOR HEALTH AGFNT
CERTIFICATE OF FITNESS
CERTIFICATE#417-13
DATE ISSUED: 11/25/2013
Property Located at: 10 Norman Street UNIT#307
Owner/Agent: Janice Kostopoulos
Address: 7/12 Church Street
City/Town: Sale, MA Zip Code: 01970 24 Hour Phone: 617-365-6316
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
LAAiIIRAMIDIN
HEALTH AGENT SANITARIAN
C1ITY OF SALEM, MASSACHUSETTS
a Bo_1RD or. HEALTH
y 120 WASHINGTON STREET,4"'FLOOR , n
TEL. (978) 741-1800 LI+/
KIMBERLEY DRISCOLT- PAX(978) 745-0343
MAYORAmt TN a SAt- h t.Com
LARRY RAMDIN,RS/RE1TS,,CHC),CP-GS
MEAT.:CI-t AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"M.INIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.40 77/n
PROPERTY LOCATED AT C���/ UNIT#JV 1
IS THIS UNIT IS NATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE NE
OWNER/LESSER _MANAGER/AGENT
NO P.O. BOX
ADDRESS ADDRESS �f
CITY, STATE, 'LIP p �� CITY, STATE,ZIP (/ !!k 0/qI &
RESIDENCE PHONEJ� ;_ 0 3 6 BUSINESS PHONE(24HRS) (21714f-
BUSINESS
21714f -BUSINESS PHONE
TOTAL NUMBER OF ROOMS: plus CJI) t�yf Sys �j
ROOMUSE: 1.ip"Ifinl'412. hi'tGhin 3.�Q ht 04. 8]( 5. l'laf T
6. Ful/ 7. 8. 9. 10
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLEBY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS F IS PAY E TIME OF IN PECTION
APPLICANT'S SIGNAT DATE Lg.! 'X
Insp ctors use only
Date on initial inspection: ���j Date of reinspection:
Date of issuance of certificate: Date fee paid: /
Type of unit: welling Other Check#_� Check date: /� 16
Notes: f 9
7
i
Codefo�en�r
1 L
cj : ( I
CITY OF SALEM, MASSAC �USETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 CERT.# 206-02
FEE $25.00
TEL. 978-741-1800
FAX DATE: 04/19f2002
AX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
I
I
� CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Norman Street UNIT #: 308
OWNER/AGENT: Peter Battisto
ADDRESS: 16 Grosvenor Park
CITY/TOWN: Lynn, MA ZIP CODE: 01902 24 HOUR PHONE: 593-2248
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE -
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
CITY OF SALEM, 'MASSACHUSETTS
I 3y BOARD OF HEALTH
1 • 120 WASHINGTON STREET, 4TH FLOOR
e SALEM, MA 01970 V/
TEL. 978-74 1-1 800
I FAX 978-745-0343
i
I STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
4
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OFtnnFITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 1 O 1 W(zfr Ak) S-ME UNIT# 30'9
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
qui- bATTISTZ)
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS I (o G2oSQ�-�QLPA-(? K _ADDRESS
CITY �—`(N� OI�I�� qq CITY
RESIDENCE PHONE (��� "rJ�13'�' t�CBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2, 3.--4,-
5— 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO,THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. /.,. ' f
APPLICANTS SIGNATURE�JiSr DATE
INSPECTORS U ONLY
jDATE OF INITIAL INSPECTION y - I et-V DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE lf ff o DATE FEE PAID: f� '
TYPE OF UNIT: DWELLING / OTHER_ CHECK 4.119 75 S7CHECK DATE
NOTES:
i
l
CODE ENFORCEMENT INSPECTOR 9/28/98
f ^ ��COND1T,IyOe
y City of Salem, Massachusettslu
{ i
Board of Health
120 Washington Street, 4th Floor, Salem, Public Health
MI E o- MA 01970 Prevent. Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor lramdln@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-15-92
DATE ISSUED: 5/28/2015
Property Located at: 10-U405 NORMAN STREET UNIT#405
Owner/Agent: William Rossiter
Address: 11 Washington Street
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(508) 326.5571
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
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx (978) 745-0343
MAYOR L.RAMDIN@SAI.HM.COM
LARRY RANIDIN,RS/RVI-IS,CI 10,CP-FS
HI:'aALTII 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 S?- :54/-M 1944' UNIT# 6'�0,5"
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER WIl11'AAx1 9OSS/7°(- MANAGER/AGENT
NO P.O. BOX /
ADDRESS // W ASy,y4TUy 5—/ - ADDRESS
CITY, STATE,ZIP 7UfSFitO/D� A4,k d! S 87-� CITY, STATE, ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSH ESS PHONE ,So
TOTAL NUMBER OF ROOMS: /
ROOM USE: 1./j e pima u oi 24,vh% demo 3. 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 IIISS PAYABLE AT THE
TIME OF INNSPECTION
APPLICANT'S SIGNATURE G" '/ L!! O DATE �a7�jS
Inspectors use only
Date on initial inspection: 9�a7 I l5 Date of reinspection:
Date of issuance of certificate: Date fee paid:5 0l 1S
Type of unit: Dwelling Other Check#�7Lfq Check date: 51
Notes:
Code ment Inspector 15 -Cf a
i
o CITY OF SALEM9 MASSACHUSETTS
3 BOARD OF HEALTH
q 720 WASHINGTON STREET, 4TH FLOOR
o' SALEM, MA 01970
.) TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/25/05
Robert Rozumek
12 Red Jacket Lane U128C
Salem, MA 01970
PROPERTY LOCATED AT 10 Norman Street Unit 502
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
F9
Fthe Board of Healt Reply to
t!�
anne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
vv' t 1n CERT.# 124-98
3 FEE $25.00
DATE: 03/05/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Norman Street UNIT #: 502
OWNER/AGENT: Robert Rozumek
ADDRESS: 12 Red Jacket Lane U128C
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5678
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
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
GITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO
HEALTH AGENT NINE NORTH STREET
Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER ZI, 105 CHR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 1/yY�y� UNIT .4AIR R 5,0
OWNER/LESSER MANAGER/AGENT-
ADDRESS p� ADDRESS
CITY GtXv/v>n2 CITY
'RESIDENCE PHONE t. �{ .�j �� 0 BUSINESS PHONE (24 HRS.)
BUSINESS PHONEj.-. � 7�
TOTAL NUMBER OF ROOMS _
ROOM USE: I;Ittd/ p
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE ,.,per , j,, ? DATE_a—�_��_
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE 4F REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: — j --DATE FEE
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
3 gj
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEA i AGE$T Tel:(978)741-1800
Date: 02 9/9 Fax:(978)740-9705
Robert & Barbara Rozumek
12 Red Jacket Lane U128C
Salem, MA 01970
PROPERTY LOCATED AT 10 Norman Street UNIT # 502
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
It7t-x�f_i
��/JJJoanne Scott, MPH, RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�t"co
� a
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax:(978)740-9705
04/03/2001
Margaret Bishop & Jean Hamburg
14 Pine Island Road
Newbury, MA 01951
PROPERTY LOCATED AT 24 Norman Street UNIT # 4
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.
R THE BOARD 4 HEALTH REPLY TO
oanne Sco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
n a
120 WASHINGTON STREET, 4TH FLOOR CERT.# 209-03
2 SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 05/13/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
l
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 104
OWNER/AGENT: Jeremy Bookman
ADDRESS: 18 Dickson Road
CITY/TOWN: Brighton, MA ZIP CODE: 02135 24 HOUR PHONE: 254-9408
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 NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH b �'
• • 120 WASHINGTON STREET, 4TH FLOOR 111
t 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'�1FIYT�NE�SSS FOR
gHUMAN HABITATION".
PROPERTY LOCATED AT N`� +`t_fAAA 5+_ UN{T#'
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�)�F,16� ANAGER/AGENT
No P.O. Box No P.O.Box
ADDRESS L )as ) R0 ADDRESS
CITY ----CITY—
RESIDENCE PHONE Vta5q USINESS PHONE{24 HRS.) C 1
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: [}
ROOM USE-/_111V/
THERE IS A TWENTY-FIVE{$25.00}DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM LTH D ARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE— _ DATE4400 -
C
PO SUS ONLY
DATE OF INITIAL INSPECTION - -/3 -'D „_DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:��"1� -e.S DATE FEE PAID:S"
TYPE OF UNIT: DWELLING'/ OTHER_ CHECK It l 3 CHECK DATES !e)
NOTES: - —
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 299-01
FEE $25.00
DATE: 06/13/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
120 Washington Street 4th floor
Tel: (978)741-1800
Fax: (978)745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 106.
OWNER/AGENT: Kathleen Packard
ADDRESS: 82 N Ouinsicamond Avenue
CITY/TOWN: Shrewsbury, MA ZIP CODE: 01545 24 HOUR PHONE: 752-4667
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT 60E-tNFCFI�CEMENT t9 PECTOR
I
C
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(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 cry f e a do S :� UNIT#_M6
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT, BACK PLEASE CIRCLE ONE
OWNER/LESSERKaA le6j PolbAl MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 8a.. �v�17��A{/y�29�P ADDRESS
CITY S eP ;5 )ry O TS CITY
RESIDENCE PHONE ! - 2 o2-V"USINESS PHONE (24 HRS.)
BUSINESS PHONE e�
TOTAL NUMBER OF ROOMS: J I Vd 0 I-IZ,,07-
ROOM USE: 1. 2.-3.-4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE C4�.��t 466ted DATE I3"�
INSPECTORSUSE ONLY
DATE OF INITIAL INSPECTION 4. /3 /101 DATE OF REINSPECTION iy/1
DATE OF ISSUANCE OF CERTIFICATE: 611,3141 DATE FEE PAID: G1,131/
TYPE OF UNIT: DWELLING _OTHER v CHECK# CHECK DATE
NOTES: O•�.
CODFL*r0ACEM5NT INSP OR 9/28/98
COIJO(T
9 ' R
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT Tel: (978)741-1800
06/06/2001 Fax: (978)740-9705
Kathleen Packard
82 N Quinsigamond Avenue
Shrewsbury, MA 01545
PROPERTY LOCATED AT 24 Norman Street UNIT # 106
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 .
OR THE BOARD CItl HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
vg�e0NU1T
m
6
-"LIYK
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT 08/21/2001 Tel: (978)741-1800
Fax: (978)745-0343
Timothy Rantz
24 Norman Street #201
Salem, MA 01970
PROPERTY LOCATED AT 24 Norman Street UNIT # 107
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 the 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 One Week 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.
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 eo exist.
OVJoan
ARD/A Off' HEALTH REPLY TO
ne Scott�MJPPH,R�S,,C'HO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
it
r 0 ..
CERT.# 305-98
3
FEE $25.00
DATE: 05/18/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 107
OWNER/AGENT: Timothy Rantz
ADDRESS: 24 Norman Street #201
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4934
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
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I�
F
q �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fan:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN
HpABBIIT�AT-�IONN'".
PROPERTY LOCATED AT ) 7 V{ 1 t 11 N1 ( S� gplT �
OWNER/LESSER 1 MANAGER/AGENT l
ADDRESS 2 pi�(YY11q�Y� S I ADDRESS
CITY W lJ y n C� CITY :_ ---
'RESIDENCE PHONE ` 43 BUSINESS PHONE (24 NRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS*
ROOM USE: 1. 2.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS P YABLE AT THE TIME OF INSP}E�C(TIOO{N
APPLICANTS SIGNATUREr/ A DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �c OOnl'E OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE'(c7 DATE FEE PAID:
TYPE OF UNIT: DWELLING 'y" OTHER _,
NOTES :
7�
CODE ENFORCEMENT INSPECTOR
Y 6
mea
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:1508)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 or 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, is/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 agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
T__INAN'V
ESSEE OWNER/i.ESSOR
2� X10 S�,(1oil) -- )N,�)O mm) 5
��. S S S&n)I ma DDR SS— 1� •
2� �1oC'IYb.(1 SA. -
I 'cr !) INSPECTED
ADCRh.,S OF UNI. l _ BE
�uuet ,�" y h
i^` `RyXa,t ro 3 ` r• � 5'' '' K �}`m '4<{t
R'a rwz f 6 E ' f a ,} x4teS i 'Tss11.�.
s
C rr " ' '� 6
CERT.# 579-9 1 9
s e
FEE $25.00
DATE: 09/29/99
CITY OF SALEM BOARD OF HEALTH
Salem,-Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT To[:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS -
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 108 -
OWNER/AGENT: Joanne Twomey
ADDRESS: 10 Naples Road -
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0389
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MAS$ACHUSETTS _STATE
SANITARY CODE, CHAPTER II, "MINIMUM. STANDARDS OF FITNESS FOR HUMAN HABITATION" .
a - SECTION 410.400 (B) : DWELLING UNIT '(%) 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
OANNE SCOTT, MPH,RS,CHO -
HEALTHAGENT *ENFORCEMENT INSPECTOR
m
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN V HABITATION".
PROPERTY LOCATED AT CW 221�� J . UNIT#�U O
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSE _ MANAGER/AGEN
No P.O. Box No P.O. Box
ADDRESS /0 J ADDRESS
CITY -yal� CITY
c
RESIDENCE PHONE 91-f-7(*4 CqO BUSINESS PHONE (24 HRS.) f?P^ 7(11 03 9,9'
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. KICL 2. 3. 4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. r�tt, cy
APPLICANTS SIGNATURE u�l DATES
NSP C O S S ,'
DATE OF INITIAL INSPECTION T-2'q f DATE OF REINSPECTION
DATE OF ISSUANCE OF CERRTIIFICATEI—2 DATE FEE PAID:
TYPE OF UNIT: DWELLIN� THER_ CHECK# 6S 7 CHECK DATE? — )A lq
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
c
���
h �,�`
�L
��-
,,
� ���
� r
r --
fi�- 7'/f teY�✓ 7J e S Nl A � �► r,S - ---
�_�
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
" 120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
6/21/05
Stephen Newburg
29 Nonantum Road
Marblehead, MA 01945
PROPERTY LOCATED AT 24 Norman Street Unit 109
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
/For
9the
�(Board of Health Reply to
�banne Scotf MPH, R Pablo Valdez
'Health Agent Code Enforcement Inspector
• ' myb CERT.# 368-98
a ' FEE $25.00
�1�1 SIF DATE: 06/17/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #? 110
OWNER/AGENT: Timothy J. Rantz
ADDRESS: 24 Norman Street U201
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4934
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
6 L4&y
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
4 `
3 �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax:(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 1 1 N l 1 )�� f� J JAB � UNIT# I 1 O
IS THIS UNIT DESIGNATED AS IGH LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER `mr� MANAGER/AGENT
ADDRESS
GZt�v) c ( (�0 ADDRESS
CITY
\(�IV' 111oJ� �Oj yV CITY
RESIDENCE PHONE 1 l� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: I
ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE $25.00 DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION r.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION d IM DATE OF REINSPECTION O
DATE OF ISSUANCE OF CERTIFICATE: 11'l ATE FEE PAID: - Z- LSI
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
t
s
ate_
�ta'rt�
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
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 or 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 Chat said inspection be done in my/our absence, !/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 agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
:Etq*TT'/LESSE- OWNER/LESSOR
MCX
ASL2C _yy��s
l.DORESS ADDRESS
OnA
ADDRESS OF UNIT TO BE INSPECTED
DATE
y �Owil-
H CERT.# 388-99
N FEE $25.00
DATE: 07/26/99
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 205
OWNER/AGENT': Timothy C. Simcox
ADDRESS: 18 Appawosa Lane
CITY/TOWN: Hamilton, MA ZIP CODE: 01982 24 HOUR PHONE: 468-2917
AN INSPECTION OF',YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
{ '
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
4 0
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR
/HUMAN HABITATION". f
PROPERTY LOCATED AT . /y�� �/J/� UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLE IRCLE NE
OWNER/LESSER /t`"/�Y�1 ✓/i7 C.CK MAN AGER/AGENTA�pi� ' 2
No P.O. Box No P.O. Box
ADDRESS ��o/}�v QSI ADDRESS G
CITY Al 4 CITY �/� 0//q w-
2
RESIDENCE PHONE / `� — � BUSINESS PHONE (24 HRS.) 97F-76 ?-7917
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABL4ATHE
TIME OF INSPECTION. / � D
APPLICANTS SIGNATURE v� DATE / 9
INSPECTOR SE ONLY
DATE OF INITIAL INSPECTION 7 '�)4 <% DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 7i�G q DATE FEE PAID:
TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE
? �7,f .
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
R
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
TEL. 978-74 1-1600
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
March 14, 2003
Timothy Rantz
24 Norman Street#211
Salem, MA 01970
PROPERTY LOCATED AT 24 Norman Sreet Unit#211
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
rix e /,J,t7
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
l r j �v�� CERT.# 24-97
13
FEE $25.00
R
DATE: 01/21/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 0197)-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH SI FEET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 211
OWNER/AGENT: JMJ Realty Trust
ADDRESS: 19 Briar Lane
CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 593-7190
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 /
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
n .
a
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE 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, !OS CHR 4 !0.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOVAT (j UNIT #OWNER/LESSEMANAGER/AGEtiT , U fW-
ADDRESS } 1 � ADDRESS
CITY_ + b � I CITY 4}
RESIDENCE PHONEBUSINESS PHONE (24 HRS.)'
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE:
5. 5. 7. B.
THERE IS A TWENTY—FIVE (25.00) LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPAR NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: J l�"�f5� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFIC7A—TE:. ✓ l -17 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
I
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
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
William Harold
24 Norman Street Unit 302
Salem, MA 01970
PROPERTY LOCATED AT 24 Norman Street Unit#302
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
(/Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
., v��oosurr
cq
9��lMMB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
r
JOANNE SCOTT, MPH, FS,CHO 120 Washington Street 4`n floor
HEALTH AGENT Tel:(978)741-1800
08/21/2001 Fax: (978)745 0343
Rosemary Diskin
18 Appaloosa Lane
Hamilton, MA 01982
PROPERTY LOCATED AT 24 Norman Street UNIT # 304
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.
OR THE BOARD HE TH REPLY TO
Lr - Sco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
�v CERT.# 622-99I�,
3 5t FEE "$25.00
DATE: 10/19/99
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)7414800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 304
OWNER/AGENT: Rosemary Diskin
ADDRESS: 18 Appaloosa Lane
CITY/TOWN: Hamilton, MA ZIP CODE: 01982 24 HOUR PHONE: 468-2917
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" .
i 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
! J` NE OTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
• 1
L
,: .eoxwr
INK
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800
Fax: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS
/FOHUMAN HABITATION"
PROPERTY LOCATED AT �7 16112 'Oet'-]'12� UNIT#
IS THIS UNIT DESIOATED AS RIGHT LEFT FRONT PLEASE Cl LE ONE
OWNER/LESSER 1 " .7� (Sff/MANA AGENT
No P.O. BoxNo P.O. Box
ADDRESS I� og-cvaSA" G/�'lieADD ESS
�CITY ( � '� /`� CITY
RESIDENCE PHONE BUSINESSES PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S'
ROOM USE: 1. 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH-D ARTMENT THIS FEE IS PAYABLE AT T E
TIME OF INSPECTION. �
APPLICANTS SIGNATURE�I` "r` , DATE O l 7 /
INSPEC ORS/USE ONLY
DATE OF INITIAL INSPECTION /,)-(I ,!! f DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:)6 -1 rf 41 DATE FEE PAID:/6 -1 q- —P7
TYPE OF UNIT: DWELLINGOTHER_ CHECK#D r Q I CHECK DATE /b g
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
3 _
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
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 or its author-
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
LZ the event it is necessary that said inspection be done in my/our absence, I/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 agents
from any loss or injury sustained of whatever nature and description occasioned ...
by my/our absence during said inspection.
TENANT/LESSEE OWNER/LESSOR
/u7DREII ADDRESS r ,
ADDRESS OF UNIT TO BE INSPECTED
I
ttt
DATE
CERT.# 172-98
FEE $25.00
DATE: 03/31/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
W
PROPERTY LOCATED AT: 24 Norman Street UNIT #: 306
OWNER/AGENT: Blayne Alexander
ADDRESS: 8 Rand Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-4588
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
qv1lc-x-k� ti't
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
u o
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970.3928
JOANNE 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 4 10.000 "MINIMUM
STANDARDS OF FITNESS FORHUMANHABITATION".
PROPERTY LOCATED AT l ?YLAA UNIT # L5 6
OWNER/LESSERa )cx4dm�q MANAGER/AGENT
ADDRESS J� L ADDRESS
CITY �C1�Zvh i (�e� �' CITY _
'RESIDENCE PHONE } �/��� 0' BUSINESS PHONE (24 HRS.)
BUSINESS PHONE (pI ) ' y �{ LZ, — -
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 . 2. !Vt 3.`&v tnW�N 4 .
5. 5. 7. 8,
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THISFEEIS PAYABLE AT THE TIM OF INSPECTION
APPLICANTS SIGNATUREG�D/y _ DATE - i
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: /'^ �DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE: .3 ',�j/ ' ,,r DATE FEE PAID: 3 f Fp
! TYPE OF UNIT: DWELLING OTHER J
NOTES' �..�.-7�'
C0DE ENFORCE NT"IN CTOR
v��CONUI7,��'
C 5
� r
9e��MINE��
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
06/29/2000 Fax:(978)740-9705
Charles S. Bougas
8 Landers Drive
Beverly, MA 01915
PROPERTY LOCATED AT 24 Norman Street UNIT # 307
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.
qoR THE BOARD O HEALTH REPLY TO
anne Scot
, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
g�,gONDtT
m
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
01/29/2001
William Jedrey
4 Dyer Road
Beverly, MA 01915
PROPERTY LOCATED AT 24 Norman Street UNIT # 311
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.
THE BOARH REPLY TO
4OR
oanne Sc MPHR ,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR