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NORTH STREET 100-199 NORTH STREET 100 - 199 � � x *00 - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH j z 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#495-06 DATE ISSUED: 10/2/2006 Property Located at: 100 North Street UNIT# 1 Owner/Agent: Clart Realty Trust Address: 20 Belleview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-943-6920 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 If' 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 X��H/,/E/ALT,H, r� qv-tL,X�� Ul JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR -- CITY OF SALEM, MASSACHUSET11S BOARD OF HEALTH{ s 128 WASHINGTON STREET. 4TH FLOOR SALEM MAO$ 970 TEL. 978-741 1 880 Fax 978-745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICAI E OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTYLOCATED AT UNIT #_ _IMV -- ----- 1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT. BACK PLEASE CIRCLE ONE 'r1 OWNER/LESSER_ -� _ MANAGERIAGENT.=-- AaU) No P.O. Box NO P.O.Box ADDRESS_ _ _ ADDRESS__ CITY C—scNQN Y-) CITY.,-- ---G-�---- / (� RESIDENCE PHONE _%-)- TA0 ,04BUSINESS PHONE (24 HRS ).��$— " (9Q2t7 BUSINESS PHONE 00q TOTAL NUMBER OF ROOMS-_ __ ROOM USE' 1. - z -- 3 5. __6 ---- THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS EE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANI S SIGNATURE IN, f_C;TpI USE ON'LV DATE (EINITIAL I.NS17ECT (QN', � _� C) _w DAT;E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE &.-))a 0 DA1 E FEF PAID - 1 b— _ O !� r i TYPE Or-' UNIT DWEI ! IN! OTHEt? CHECK ;; ;LRs9 CHECK (lAil= NOTES GO[) : (.I1�CH+CIav LN' li";I'i=Cl O J r?P.^ Jt a ` CITY (SII SALEM, MASSACHUSETTS J BOARD OF HEMM4 120 WASHINGTON S'rRtr-rr,4°'FT.( oiz KTN1BLRJXY DRISCOLL TFI.. (978) 741-1800 E\x(978) 745-0343 MAYOR ImmCE11 'salenl.eom Lmuw RAMI)IN,RS/RFA IS,(11 R),(T-ISS CERTIFICATE OF FITNESS CERTIFICATE #422-11 DATE ISSUED: 10/20/2011 Property Located at: 112 North Street UNIT#2 Owner/Agent: Pauline Markos Address: 112 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-9730 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 LAJA MDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, NU SSAC H USFTTS BOARD nF Ht;AI_TI-I + 1311��.\sFIINCTc\N Srlti;r'r 4' ' I'LL. (978) 741-1800 I<1�C13I:,IZ1.Gl" DRISCOI..I. P:\x (978) 745-0343 M'wolZ IMAM INOLS�1.aal Q1.NI RK/IWI IS, I1V\1:111 A(;I:N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "ivIIivliviL ivi STANDARDS F FITNESS FvR ri`U ruv iIABI'fATION'° FEE: $50.00 PROPERTY LOCATED AT 1 Id Aloe-#) , N f k e L UNIT#__�,__ IS THIS UNIT 61SIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER // Ds MANAGER/AGENT NO P.O. BOX ADDRESS /1a' ADDRESS CITY, STATE, ZIP �_/�rlll{iN /7 CITY, STATE, ZIP RESIDENCE PHE ON //ir/ ' 7' BUSINESS PHONE(24HRS) 19 7730 BUSINESS PHONE TOTAL NUMBER OF ROOMS: / r ROOM USE: I. N 2b hl(%O. _ 3. W(v1 e[�41(- nG�t�f 5.9 g1r01a_ 6 POW 7. 8. v T 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BO,V,D O IJEA,T_,TLT'TTU E �r.c- a ..:.5 FEE iS i'niFwLE rNTgf�tli,T,u�vi',E,uF uvSl'nCTiVN APPLICANT'S SIGNATURE � !�(G�l/�`�— DATE/09"/// Insuectors use only Date on initial inspection: 060/1 Date of reinspection: Date of issuance of certificate: 101 (J/I I Date fee paid:. p�h_s-111 Type of unit: Dwelling ✓they Check# H07 � 7 Check Notes: add rav& � �4eAuwi" U C C e Enf cement Inspector Y J" OONUIT CERT.# 247-99 FEE $25.00 s, DATE: 05/19/99 �s 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: 114 North Street UNIT #: 1 OWNER/AGENT: S & H Realtv ADDRESS: 235 Lafavette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1017 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 � V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 ` ONU1T � 3 MING 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I I LI K-)OrgI 5"r UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERS T NV Rea 14-1.1 MANAGER/AGENT No P.O. Box I No P.O. Box ADDRESS035 _ cST_ ADDRESS CITY So l em 'mCi, 0 X970 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE97F;74U 1 011 TOTAL NUMBER OF� 3 ROOMS: ROOM USE: 1. R„ Z _ 2. L R 3.1\ � 4. 5. 6 7 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE alt DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4�'—6 F-'5-�Z' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE$ t `4? DATE FEE PAID _r-1 f f TYPE OF UNIT DWELLING�OTHER_ CHECK#IK"_CHECK DATE 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 111Code of Massachusetts P > Regulations 410.000 et. seq. ; State Sanitary Code Chapter IT 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, !/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. I`ENANT/LESSEE OWNER/LESSOR 14 Nelte.,_ ADDRESS ADDRESS Jt7 I ADDRESS OF UNIT TO BE INSPECTED DATE l� _d iMa ra► N� (� l (or 's ,rte CITY OF SALEM, MASSACHUSEI"TS 120 WAS INGTO N STREET,4'''l Ln(nt ICNfBEWXY DRISCOLL TI?I.. (978) 741-1800 M;11'c�R F.�� (978) 745-0343 lramdAnOsalenixom LARRI"RANIDN, RS/RI,.I IS,CI I(),(P-FS 1-IP.,\11'11 A(;I�X[ CERTIFICATE OF FITNESS CERTIFICATE #325-11 DATE ISSUED: 9/8/2011 Property Located at: 115 North Street UNIT#2 Owner/Agent: Barbara Zorzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 508-527-0044 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 HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH \ 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FCLS(978) 745-0343 NfAYOR T.R AamiNnsA1.P%T.c 0M LARRY ILAIDIN,RS/RFHS,CHO,C11-1;5 HEAD i-1 AC IZNT 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: 550.00 PROPERTY LOCATED AT l s (110,r IM Sf UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �Gv �0.rQIChr c GOr Y / MANAGER/AGENT NO P.O.BOX T ADDRESSko (—f y �tj (l C1/-C Le ADDRESS CITY, STATE,Zipa J 2 tri v M lq- 6 ( 19- CITY, STATE, ZIP c �1 RESIDENCE PHONE 17 9 - I(a q -'-I I O BUSINESS PHONE(24HRS) J-0 R"— s a --1 —60\4,-Y BUSINESS PHONE 91 9- r ?5-- 3 1 l I,o TOTAL NUMBER OF ROOMS: ROOM USE: L 3. L-u�I CL 4. b-cn 5.P,,�,I-drm �v 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 �y APPLICANT'SSIGNATURE �C>"lnDATE Q Inspectors use only Date on initial inspection: I/t� l 1 Date of reinspection: Date of issuance of certificate: �t�I I Date fee paid: g1j111 Type of unit: Dwelling Other Check# a( 0 Check date: .7/e Notes: de nfo cement Inspector CITY Or SALEM, MASSACHUSETTS 120 WASHINGTON STREI3T,41°FLOOR 1'FI.- (978) 741-1800 ]{IMI3GIZLLY llRiSCOLL FAX (978) 745-0343 MAVOR LARRI RANIUIN,RS/RIiI IS,(J 10,(J'-FS CERTIFICATE OF FITNESS CERTIFICATE#239-11 DATE ISSUED: 7/20/2011 Property Located at: 115 North Street UNIT#3 Owner/Agent: Barbara Zorzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 762-7110 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 LAR HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Y ; BOARD OF HFALTH 120 WASHINGTON STREL1',4'..FLOOR TEL. (978) 741-1800 �J 111 ICMBGRLtiY DRISCOLL FAX (978) 745-0343 MAYOR LRA1%1D1N0tiv.r.M.cxm( LARRY RAMDIN,RS/1 IF1 IS,(:110,(T-FS HFAL 111 AG F.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 i / 5 A/ortk <A-K-024- UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 9,av, loo.r-a "7rorZy MANAGER/AGENT NO P.O. BOX / ADDRESS i� Roc k� ( , )I C«c-Le- ADDRESS CITY, STATE, ZIP �Un.rt vk(�S 1 Md� t119.2-1 CITY, STATE,ZIP IV4►4 ' RESIDENCE PHONE 1 �F�' �I �¢ 7-- 110 BUSINESS PHONE(24HRS) ]fid�' 5-2-7 —0 04'I BUSINESS PHONE Q TCi- TOTAL NUMBER OF ROOMS: ROOM USE: 1. 4-1+fh 2. 3. ID! Q 4. 1) C 5. l l R 6. lRQkr- 7. 1 ' 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 SIGNATUREa c ,� DATE I 'a0-11 Ins_nectors use only Date on initial inspection: -7 la 0// 1 Date of reinspection: Date of issuance of certificate: 1 la o l l r Date fee paid: 7404// Type of unit: Dwelling l/Other Check# cP'4 Check date: -7/fid/l Notes: tOrA_ U19 � 0f WG-kr Y Cod nfor ent Inspector 1 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Prevent.Promote MA 01970 Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHC Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-431 DATE ISSUED: 11/4/2016 Property Located at: 117 NORTH STREET UNIT#2 Owner/Agent: Mardee Goldberg, LLC Address: 7 Rantoul Street Suite 100 B City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978) 922-0800 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e &Jeffrarony Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ' 1 � F CITY OF SALEM MASSACHUSETTS � BO:\RD or HEALTH 120 WASIIINCTON S'rRriE'r,4T"FLoOtt TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAQ(978) 745-0343 NLYOR LRAMMNrSALPMCCAT LARRY RA\mDIN,RS/RL'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" / /' FELE: $50..00 PROPERTY LOCATED AT /�� ✓lea'A ,ST/0d UNIT# - IS THIS UNIT DISI/GGNATE/D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE / OWNER/LESSER MANAGER/AGENT NO P.O.BOX �.I� � / ADDRESS -7,4a4ctV 3� O 51,40 1190—A ADDRESS CITY, STATE,ZIP I. WAS' k, 414 O/V 5' CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) Ce BUSINESS PHONE (� // TOTAL NUMBER OF,, ,,ROOMS: ( ROOM USE: 1. /L1Kh� 2. 6&A". GlUi�ti/a A. F3 5. 6. 7. 8. 9. l0. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYA AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE ii Insvectors use only Date on initial inspection: I l lP Date of reinspection: Date of issuance of certificate: Date fee paid: (010( I l lQ Type of unit: Dwelling4_ _Other Check# 3 9 J Check date: (.0 I C1 I Ito Notes: A)PPc(S i �ff Codd'Enforcement�pec�t� Inspectio%of. l:z !� Date lY�l I Le Time Address Name 0 ,,i ( i } (}� ,Q �/�2•� , Owner p Owl-u ee jt 0,,(n1 / , 1/�l / fj} _ Tel. No. l 0 '7 p JAL)-/) - Type of Inspection j tai t icct�P (7 T7'141 ? // �. t ,�q inspector "I- ( ' F) Remarks and Violations are listed below: O�T J '—� V• 0 7 �� • ��1' l f ✓�o� � �c"SYYtYt'IP h- G�.�'7��'` 1')c�'� �l-�' — G 1 c.�a l/�G Icg,r IDc-v- )z uON gDCJr-=t l�l,� IF -1 - qt s Report Received by: r m CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PllblicHeatth Prevent Promol<Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin(nsalem.com - L,\Alit'R:\,AIllIN,RS/RfSI-IS,C1 10,CP-FS MAYOR HFAI:IY1 Ac-,IiN'I' CERTIFICATE OF FITNESS CERTIFICATE#347-13 DATE ISSUED: 10/1/2013 Property Located at: 117 North Street UNIT#3 Owner/Agent: RBG Properties LLC Address: 7 Rantoul Street STE 100B City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-922-0800 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 EALTH LARRY RAMDIN A J HEALTH AGENT SANITARIAN • m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4""FLOOR Pub1iCH@91th f Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdinna_ salem.com MAYOR LARRY]L\b1ll1N,RS/KERS, ICI' CIO, -LS 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" 1 y FEE: $50.00 ! I PROPERTY LOCATED AT —I ✓W✓ -G, S'�- UNITO 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER /?6G P✓0Pa7'^cS Ll, MANAGER/AGENT 6&(Cl elt. , NO P.O.BOX ADDRESS ADDRESS CITY, STATE,ZIP 6e1uev 1 t.,, 4/4 Oloi(y CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 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 T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE I c" 1113 Inspectors use onlv Date on initial inspection: 1(.j -)- i`)o Date of reinspection: Date of issuance of certificate: I c�-1') :S Date fee paid: 10 -)_ 17 Type of unit: Dwelling ✓ Other Check#civ(Ai- Check date: 14 - J-)2 Notes: 1 Code Enforcement Inspector ' , I TRANSMISSION VEPIFICATION PEPOPT TIME 10/01/2013 02: 36 NAME FAX 9787450343 TEL 9787411800 SEP. # 000BON341991 DATEJIME 10101 02:35 FAX NO. /NAME 919789220833 PUPATION 00: 00: 24 PAGElS� 01 P.ESULT 04; MODE STANDAPD ECM "NDS" City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PPreHee.alth MA01970 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-15-343 DATE ISSUED: 10/19/2015 Property Located at: 117 NORTH STREET UNIT#4 Owner/Agent: RGB Properties, LLC Address: 7 Rantoul Street Suite 100 B City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978) 922-0800 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 ///X! ARI'AN -trF?N Larry Ramdin, MPH, RENS, CHO HEALTH AGENT il _ f - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR I.!AM1afNrlSA NM. OM F LARRY RAMDIN,RS/Rr31S,CHO,(T-1•S HrA1 niAGENT ' 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 III ✓Ua✓>� 7f 6a� UNIT# L_Z _ IS THIS UNIT DISIGNATE/D AS RIGHT LEFT I(x hT OR BACK.PLEASE CIRCLE ONE f OWNER/LESSER � G �uoP�iu/sBs Lt MANAGER/AGENT NO P.O.BOX ADDRESS ��h�o^� S�uea,�, CurlE /606 ADDRESS CITY, STATE,ZIP � /®�ref �� 01071 Sr CITY, STATE,ZIP q RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1y�e4V^ 2. G/Ln(,,, Acati-3.k3aA'-Oc`^ 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ` I/ / DATE 10AI1 r r/s i Inspectors use onlv Date on initial inspection: 1011l4/201�7 Date of reinspection: Date of issuance of certificate:In Ig 4114 5 Date fee paid: 101tY126 f,S- Type of unit: Dwelling—zOther Check#a07 r i. _Check date: 10/15-1201_S ' Notes: Wn4, 4emn4+'2t�4,re.. 1.�Q� r C0ccment spector CITY OF SALEM, MASSACHUSETTS i BOARD OF HEALTH 120 WASFIINGTON STREET,41°FLOOR TEL. (978) 741-1800 I IMBERLEY DRISCOLL PAS (978) 745-0343 MAYOR DGREF NBA[U&SAI a.M.(:OM DAvn>GRI?I1NIMUN7,RS ACTING 1-HFI:H-I AGFN'1' CERTIFICATE OF FITNESS CERTIFICATE#140-11 DATE ISSUED: 4/11/2011 Property Located at: 120 North Street UNIT# 1 Owner/Agent: Jim Moriarty Address: 16 Collins Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-828-2560 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAVI GREENBAUM, RS ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR 1 �-a • CITY OF SALEM, MASSACHUSETTS l BOARD OF HEAufH / V 120 WA$FIINGfON S'fREE1',4°.FLOOR TFL. (978) 741-1800 KTMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR CODs DAVID GREENBALIm,RS 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." �/ FEEE:: $50.00 PROPERTY LOCATED AT 0 ✓V 01 u/Y J/- (��/e ' ' / 19 UNIT# / IS THIS UNI,TDISIGNAT,E,DAS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER J (Y\ lY/��01Z(A lL y MANAGER/AGENT ADDRESS 16 C-0111 I-S ADDRESS CITY, STATE, ZIP 1p2-Ctk0d j m � 196o CITY, STATE,ZIP RESIDENCE PHONE // BUSINESS PHONE(24HRS) BUSINESS PHONE(g0 32� ��h TOTAL NUMBER OF ROOMS: n � / ROOM USE: 1. 1�2d OC 2. 6J nDM 3.�//r!/' 4. 1`/l 1(ckN 5&Ab©ry` 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE /A�T THETIMEOF INSPECTION APPLICANT'S SIGNATURE eV `VV��I�� DATE JV / Inspectors use onlv Date on initial inspection: 'I 111 tl 1 i Date of reinspection: Date of issuance of certificate: i `1 / Il 1/1 Date fee paid: Type of unit: Dwelling �Other Check#_ ) Check date: Notes: Code E ortntector Vh CERT.# 733-99 FEE $25.00 y: DATE: 12/07/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(976)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 120 North Street UNIT #: 2 OWNER/AGENT: Leonard Devch ADDRESS: 120 North Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5355 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 . OR THE BOARDi��TH - 6/ tl;96 4 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' J n � ��P111V6 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 Far(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUM ANTION" PROPERTY LOCATED AT /�/ ///� UNIT#_A IS THIS UNIT DESIGNATED AS RIPHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /4' MANAGER/AGENT No P.O. No P.O. Box ADD O �l ADDRESS CITY �7 / CITY RESIDENCE PHONE ��f��J BUSINESS PHONE (24 HRS.) AZ;11*2 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. ,nt�46 2. 3. �T�4. 41 5. /A. 6. k 7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE r I'K DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONA) -r?- 4 'f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/_2-7 - f 1 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK#.29 9G CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a a 3 1�� SIF 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 11/29/99 Russell & Mary Cobb 26 Cabot Road Danvers, MA 01923 PROPERTY LOCATED AT 120 North Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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. THBOARDF REPLY TO JR anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR +'r'7 •y y .tee°"° .nom""'"wo*';°a ' a+^„' ...,atit t M - -- c a. ER NMI n C T. 566-99 FEE $25.00 DATE: 09/27/99 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: 123 North Street UNIT #: 1 Left OWNER/AGENT: R. & P. Levesque, Jr. ADDRESS: 373 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2119 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 OANNE SCOTT, MPH,RS,CHO /DE HEALTH AGENT CNFOY2CEMENT INSPECTOR CONDIT,{� 4�N6 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 113 Yl o r�l S T. UNIT# , IS THIS UNIT DESIGNATED AS RIGHIF LEFT tRON BACK PLEASE CIRCLE ONE OWNER/LESSER R.t P UwJ Sa *-- 3�- MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3 3 ESS K S 7 ADDRESS CITY s"A `^^ CITY RESIDENCE PHONE 741 - LI 19 BUSINESS PHONE (24 HRS.) BUSINESS PHONE ')4`I --)19 4 TOTAL NUMBER OF ROOMS: S ROOM USE: 1. Q R 2. Q R 3 AR 4. L R 5. k i- 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. Q 1 APPLICANTS SIGNATURE R �J. c� �i DATE 910& 19 9 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 91' ,')9. DATE OF REINSPECTION r� DATE OF ISSUANCE OF CERTIFICATE: 9A-7�0 DATE FEE PAID: /w TYPE OF UNIT: DWELLING i/OTHER_ CHECK# -3/ // CHECK DATE 9,4 NOTES: D=CEMENTTNSPECTOR 9/28/98 J CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 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#480-07 DATE ISSUED: 9/25/2007 Property Located at: 125 North Street UNIT#2 Owner/Agent: Lou Bodoloto Address: 10 kittredge Street City/Town: Beverly, MA Zip Code: 01970 24 Hour Phone: 978-790-4095 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 J NNE SCOTT, MPH, RS, CHO HEALTH AGENT 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 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 jHUMAN HABITATION". PROPERTY LOCATED AT I/)�r7 N m Y 1 7I . UNIT#-2— IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER / .�VoI��6 MANAGER/AGENT ,4,, /r No P.O. BoxI No P.O. Box 12 ADDRESS !0 I�, �adJi �� ADDRESS CITY ►J�7✓&, /417,4 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._4.d_2. 4( ��/^f• 3. �- 4 Old l 5. 6d,� 6. y/al l7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE�� =0 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 } 6_-C,2 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.��9 DATE FEE PAID:_q,- ,Sa �7 TYPE OF UNIT: DWELUN,A,-�O'THER CHECK# Pf 3_Z CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 �ONUIT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO 120 Washington Street HEALTH AGENT 07/30/2001 Tel: (978)741-1800 Fax: (978)745-0343 Marie Godfrey_ 129 North Street Salem, MA 01970 PROPERTY LOCATED AT 129 North Street UNIT # 1 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. X-j2 THE BOARD OF HEALTH REPLY TO ds�x-X_C� Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR cuxu CITY OF SALEM, MASSACHUSETTS �6 BOARD OF HEALTH 4. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �gB�MI TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 03/21/2002 Daureen Peterson P.O. Box 153 Topsfield, MA 01983 PROPERTY LOCATED AT 131 1/2 North Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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 HEALTH REPLY TO i �— oanne ScottMPA,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CONUIT CERT.# 435-99 s a, FEE $25.00 DATE: 08/10/99 ��/ry1Ng 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: 133 North Street UNIT #: 2 Front Back OWNER/AGENT: Daureen Petersen ADDRESS: P.O. Box 153 CITY/TOWN: Tovsfield, NA ZIP CODE: 01983 24 HOUR PHONE: 745-3882 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 V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR .• +� gONDIT 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". PROPERTY LOCATED AT I 3 �WOQkkA <!21`_ UNIT#g IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BAC PLEASE CIRCLE ONE OWNER/LE33ER " I✓ t- MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY —t/)Vs CITY `I Yq nl C! 3 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 5"E7_ BUSINESS PHONE S14 V17 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.._LY-,) _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 Ud/��d/�Dp(/lJ �F/�/ /•r9��(� DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 9C�/bDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -W-11 DATE FEE PAID: TYPE OF UNIT: DWELLING .[OTHER_ CHECK# �� CHECK DATE �y NOTES: �\ CODE ENFORCEMENT INSPECTOR 9/28/98 t v CERT.# 617-99 n 1) IP FEE $25.00 DATE: 10/14/99 MRB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 133 1/2 North Street UNIT #: 1st Floor Richt OWNER/AGENT: Robin Bilizarian ADDRESS: 51 Horseshoe Drive CITY/TOWN: Mount Laurel, NJ ZIP CODE: 08054 24 HOUR PHONE: 231-9091 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 (8) 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 r CONUIT I �' " r 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". PROPERTY LOCATED AT ( �7 T\)rY(4v^ S1- UNIT#_t�v ik A.,;r %r y ,t IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_R,ihr biII2c,ri &vt MANAGER/AGENT-rrrA e(,�r 4)\'�IVAai+� No P.O. Box No P.O. Box ADDRESS cz I LA,),roe 'D�one ADDRESS AL le n QV CITY M L-aj el , Nrw 1rrSeCITY ()"CiZu RESIDENCE PHONE BUSINESS 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. APPLICANTS SIGNATURE e n. � CSP.Il P A DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION/�9-/40r-Y rl DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,/O-/x/'49 DATE FEE PAID: /0 -/�f -4 9 TYPE OF UNIT: DWELLING/ OTHER_ CHECK# / I R CHECK DATE 0-k? I't NOTES/0 oa:o_CC< ra,op: ..7 � CODE ENFORCEMENT INSPECTOR 9/28/98 .l , CQNaT n CITY OF SALEM BOARD OF HEALTH Salem, MaSSachusottsMWD- JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—4'" Floor HEALTH AGENT Tel # (978)-741-1800 Evelyn & Francisco Tejada Fax# (978)-745-0343 133 1/2 North Street Salem, MA 01970 PROPERTY LOCATED AT 133 1/2 North Street UNIT # 1st Floor Right 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 OP HEALTH REPLY TO c Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i 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 OS/21/2002 Francesco & Evelyn Tejada 133 1/2 North Street Salem, MA 01970 PROPERTY LOCATED AT 133 1/2 North Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. OHEALTH REPLY TO T ��_ Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 ` CITY OF SALEM, MASSACHUSETTS �� ,� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 165-02 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 03/25/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 134 North Street UNIT #: 1 OWNER/AGENT: Josevh Convola ADDRESS: 134 North Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0149 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 CITY OF SALEM, MASSACHUSETTS 6� a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 - STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 NIMUM STANDARDS PRIOPERTY LOCATED A OF/ 2 FITNESS FOR MAN/AB�IT-AT�ION". UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 175EVAI COFIFOZA MANAGER/AGENT No P.O. Box No P.O. Box \� ADDRESS SAM L ADDRESS CITY CITY RESIDENCE PHONE 7I-36G-9�UBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: b 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 h DATE -;2 5::0 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION O c)'- DATE OF REINSPECTION DATE OF ISSUANCE OF CLLERTIFICATE: 3 �7-O' -DATE FEE PAID: -6 Z- TYPE OF UNIT: DWELLINOTHER_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 I I I 1 v��coeorr CERT.# 795-98 FEE $25.00 DATE: 12/21/98 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: 135 North Street UNIT #: 1 OWNER/AGENT: Stephanie Pirrotta ADDRESS: 135 North Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3696 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 HO HEALTH AGENT CODE ENFORCEMENT INSPECTOR . Q 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 Tei:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ��iS NoY-wl -S UNIT#—I IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_5lc* :0 e1 PtYYVtNAGER/AGENT No P.O. Box No P.O. Box ADDRESS 13S hIC7`t-� ADDRESS CITY ,/) lepA CITY RESIDENCE PHONE 1,45 3(oa(19 BUSINESS PHONE (24 HRS.1 BUSINESS PHONE--!A VNL� TOTAL NUMBER OF ROOM&13 ROOM USE: 1.` C�i�V} 2. V1Y� _3.�e , Alt. 5. 6. J 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE . n,_4C I ¢ 4DATE 12 -7t ',98 RS USE ONLY DATE OF INITIAL INSPECTION /.7- - I -q�' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/�2- 1-42 DATE FEE PAID: 1.d " a_I - ?ry TYPE OF UNIT: DWELLING OTHER__,_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 54-00 FEE $25.00 DATE: 01/27/2000 Mlf� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 136 North Street UNIT #: lA OWNER/AGENT: Wavne Scott ADDRESS: 136 North Street #1B CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 413-1922 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 (K) 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 O/� / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". IP I� PROPERTY LOCATED AT ,� /`4 UNIT#/ <`1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER J c MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 13 6 . jQ ADDRESS CITY _/G ler— CITY RESIDENCE PHONE 6��_S�/3'�y BUSINESS 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 EE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DE RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 1 DATE INSPECTORS UNONLY DATE OF INITIAL INSPECTION /_�, � — D 6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /— -0.6 DATE FEE PAID: �� 7 TYPE OF UNIT: DWELLING OTHER_ CHECK# j ,,7 7 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, AS, CHO HEALTH AGENT 2(6(06 Wayne Scott 140 Humphrey Street Swampscott, MA 01907 PROPERTY LOCATED AT 136 North Street Unit 1B 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. or the Board of H/e�Ith Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Cade 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 J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 5/9/05 Alan Winstanley 305 Lowell Street Wakefield, MA 01880 PROPERTY LOCATED AT 136 North Street Unit 2A 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. Fo`7 Board of Health/yy Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ^3 CERT.# 610-99 FEE $25.00 DATE: 10/12/99 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: 136 North Street UNIT #: 2B OWNER/AGENT: Wavne Scott ADDRESS: 136 North Street 1B CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 286-0555 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 a 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 FOUR HUMAN HABITATION". PROPERTY LOCATED AT /3 G UNIT#01,G' IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER G✓Gl<.vo. f<a/7` MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /3F ADDRESS CITY/2�— CITY RESIDENCE PHONEr�/��6 0�� BUSINESS PHONE (24 HRS.) 6/'17 BUSINESS PHONE TOTAL NUMBER OF ROOMS: �3 ROOM USE: 1. It,Z 2. Lor�l_3. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25. ) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM LTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECT DATE OF INITIAL INSPECTION�D - ('2 - <l DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /b-12, -�7( DATE FEE PAID: 1"° TYPE OF UNIT: DWELLINGXOTHER_ CHECK# _CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 3 � CERT.# 55-00 !P $ FEE $25.00 DATE: 01/27/2000 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: 136 North Street UNIT #: 3A OWNER/AGENT: Wavne Scott ADDRESS: 136 North Street #1B CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 413-1922 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 e/;96 V 4aly JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f 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 ,GHAB'ITATION". PROPERTY LOCATED AT I3 / 6 / " ABf UNIT# >k IS THIS UNIT DESIGNATED AS RIGHT EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_ MANAGER/AGENT No P.O. Box t , g No P.O. Box ADDRESS /3 S // �/> ADDRESS CITY r,ITY RESIDENCE PHONE BUSINESS PHONE (24 HRS)0//� /� - BUSINESS PHONF _ TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. 3. �,1 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 // DATE 1 1OG y v INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /- Q_? —6o DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /-,)7 -6 dDATE FEE PAID: / - )` 7 d TYPE OF UNIT: DWELLING/'OTHER_ CHECK# f cJ 7 CHECK DATE D NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1DJ0NNE(&NA1.rw.COM ]ANF;I'DIONN}'', ACTING HEAIJI1-1 ACiI.,Xr CERTIFICATE OF FITNESS CERTIFICATE #497-08 »,DATE ISSUED:10/7/2008__ Property Located at: 137 North Street UNIT#3 Owner/Agent: Angela Mahon Address: 137 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO D OF HEALTH N E �� ACTING HEALTH AGENT ODE ENFORCEMENT I SPECTOR :v 4 • CITY OF SALEM, MASSACHUSETT —q I�6�, BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNEOSALEM.COM JANET DIONNE, 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 PROPERTY LOCATED AT 13-4- N o r f'h Su(P n^,/y?A- n 147ff-) UNIT# �IS�THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Avw�P� MAC)r) MANAGER/AGENT NIS NO P.O. BOX ADDRESS 13--1 Nbv-M S— ADDRESS CITY, STATE,ZIP M T b la-'O CITY, STATE,ZIP RESIDENCE PHONEBUSINESS PHONE(24HRS) NI4 BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: 1. b Yr�►�A 2. 11 u,r j 3. b/GI rOCM 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 T F INSPECTION APPLICANT'S SIGNATURE (' I�'' DATE tO 7 Inspectors use only Date on initial inspection: -7 c,8 Date of reinspection: Date of issuance of certificate: )o -7 Date fee paid: )d 1 08 Type of unit: Dwelling ✓ Other Check# '7 q l Check date: Notes: Sal Nome P»1� CviL �U — Q�PAa � I�•SSa�1r )krar�1�I� a � S��w �. &hndor Inspector �ONUIT CERT.# 461-00 s - _ FEE $25.00 DATE: 07/13/2000 9`�IMINB 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: 138 North Street UNIT #: 2 OWNER/AGENT: Nicole Pelletier ADDRESS: 138 North Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8630 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 L65'.., JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT "CODE ENFORCEMENT INSPECTOR POW 3 y'I ��rMIN&00� 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 F� SO/,Ry HUMAN HABITATION". PROPERTY LOCATED AT i3 AI6 T/ 1 6�i�0 UNIT#oZ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT SCK LEASE CIRCLE ONE OWNER/L _-�i�ESSERLP PAI,P' er MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS I'JX I�1c0��l1 cS�reP&, ADDRESS CITY ,lIA CITY RESIDENCE PHONE 7q, -_Rp O BUSINESS PHONE (24 HRS.);7 5/5- BUSINESS 5BUSINESS PHONE "I-) &hD TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 1 2. Ui 3. f�4. I�FDrt�N I 5.'Whti Z6. 7. 8. THERE IS A TWENTY-FIVE($25.00 LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALTH EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE /UYJ DATE 7-ILCO r INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7-/3 —0-0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7-/3 -00 DATE FEE PAID: 7- / 3 -o a TYPE OF UNIT: DWELLINGOTHER_ CHECK# /SB a- CHECK DATE 7--a-0_0 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 I 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 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; 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 Lhat 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. AJlcmle//6F-i71 l cc�t7Frc f/LESSEE OWNER/LES50R Lbie* tS*ree,6 4'71 51— ADDRESS ADDRESS 138 ktWh 64 34141, W 6/990 ADDRESS OF UNIT TO BE INSPECTED DATE CITY OF SALEM}MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM MA 01370 TEL. 378-741-1800 FAx 378-745.0-343- STANLEY J: USOYICZ, JR- JOANNE SCOTT, MPH, RSL CHC+ MAYOR- HEALTH AGENT 4119105 Thomas Pelletier t82 Loweif Street Peabody, MA 01960 PROPERTY LOCATED-AT 138-North Street Unit 3 Dear Sir/Madam: It has come to our attention,that you may be considering renting a dwelfirrgurritat the above addtess. In accordance with Chapter 11,Article Xdi 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 405 CMR4%.000,•State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Hurnart Habitation. Please notify us if you do not intend-to rent the'unit. Please contact this departmentwithin 24 hours of receipt of this notice at 978=7414800,to schedule art 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:O0a.nr..—t-2:00,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 payableto the City of Salem is required for each unit Inspected-at the-time-of inspection. A-property owner is required to pay gas andelectricityfor residential tenants if thereis-nota written ietting- agreementstating.the tenaniis responsible for those utilities and if the-meters)records electricity and gas-use whicthis notused exclusively-by thattenant_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. F e Board of H� Reply-to J anne Scott MPH, RS,CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH gi 120 WASHINGTON STREET, 4TH FLOOR a` SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 8, 2003 Keith Pelletier 138 North Street Salem, MA 01970 PROPERTY LOCATED AT 138 North Street Unit#3 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 + 3-,, AN ERT. RT # 112-97;' ' 't''4•�{;yy'.-k. , '� € � - .. w � )?�,Sh u. ° y e �n s•. r�,,-- ,w s. - FEE $25.00a_ 25 OUt ✓, k:` ns}4_ s z}\yti � 3r DATE: 02/25/97 ° _ ;�..�'r4;k:' t < e •. . �. � �t51F18� CITY.mFSALEM 0OARD.OF,:HEALTH °��°'''��' Salerti,f Massacnuseits 01570-328 ' JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT _ - Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE PY F!TNES, PROPERTY LOCATED AT: 138 North Street. UNIT #: 3 OWNER/AGENT: Donald Haefner ADDRESS: 138 North Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER 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/ORIOCCUPIED. 14AXIMUM 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 (%) AND 410.400 (C) 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 V qz,Lv�IX4� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ( ° n i —F7 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tek(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, _CHAPTER II, 105 CMR 4110.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3 �` fIJB/Jf S`T UNIT I OWNER/LESSER :114 4 _ MANAGER/AGENT ADDRESS / ./j ,c�pY--//, S J' ADDRESS CITY-s'/,f F"Z CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE -- TOTAL NUMBER OF ROOMS: 4 ROOM USE: I. } 2. 3, S 4 . r 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEH HEALTH DEP NT THIS S PAY LE AT THE TIME OF INSPECTIONAPPLICANTS SIGNATURE _ DATE a-.2y-9-7 ,�qq INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:r�t;,. � �{ —7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: p� "� - Z DATE FEE PAID: TYPE OF UNIT: DWELLIN OTHER ' NOTES: 1 CODE ENFORCEMENT INSPECTOR 1.. w _, .CONDIT • > •�, CERT.# 775-00 FEE $25.00 M. DATE: 12/05/2000 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: 139 North Street UNIT #: 1 Front OWNER/AGENT: Susan Moraenstern ADDRESS: 36 Appleton Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6464 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 L41-- �JOANNEMPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR n Lam( S: CITY OF SALEM BOARD OF HEALTH �o Salem, Massachusetts 01970-3928 1 r 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 41 .000 i �0 "MINIMUM STANDARDS OF FITNESSFORHI UMAANN HABITATION". 7 PROPERTY LOCATED AT 139 N Or' k S 11^P.PSI I)NIT#J IS THIS UNIT DESIGNATED AS RIGHT LEFT •RONT BACK PLEASE CIRCLE ONE OWNER/LESSERS. MbrIcwJe'h MANAGER/AGENT No P.O. Box J/ No P.O. Box ADDRESS .36 At)r I e �-o I'1 Stre 2� ADDRESS CITY Sal e_vv� r 't1r I ,ITY RESIDENCE PHONEI q I�171 Y �p�I(oY BUSINESS PHONE (24 HRS.)�i �N�F�C BUSINESS PHONE LID - I ) 7 -q TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. K +ChGF 2. IX1VIfDM 3. De,, 4. 1 4. �(✓ ngYpOm 5. 6. 7. 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 SIGNATUR L DATE INSPECTORS SE ONLY DATE OF INITIAL INSPECTION /�-S--o o DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/,,;7 DATE FEE PAID:/ a - S -o TYPE OF UNIT: DWELLINC��OTHER_ CHECK# 3-7 CHECK DATE r 3-- NOTES: -NOTES: /J\ CODE ENFORCEMENT INSPECTOR 9/28/98 i • "� CITY OF SALEM, MASSACHUSETTS fy. BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR r.a:NBAUNI KALA iN1.CUM DAVID GitVENBAum,RS ACTING HI1,LTI-i AGLNr CERTIFICATE OF FITNESS CERTIFICATE#107-11 DATE ISSUED:4/8/2011 Property Located at: 140 North Street UNIT# 1 Owner/Agent: Dinh Vi Phu Address: 156 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7686 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 4 kAVI I LEAUM, RS v ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR Cr.fir: = CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGREF.NBAUM(&'ALP.M.COM DAVID GREENBAUM,RS 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 / ) PROPERTY LOCATED AT 1 7 Du 11UP4 "S -r -,V b 1- UNTO#_I__, IS THIS U D IISI jGNA)TED AS RIGHT LMK ON R BAC PLEASE CIRCLE ONE OWNER/LESSEtt ,j _i'P1 V MANAGER/AGENT NO P.O.BOX , { ADDRESS d ci/tS LLC"'�'J S�� 5�,j�f f _ADDRESS /�7 CITY, STATE,ZIP, > WA- CIT + Y,STATE ZII' 6 I7 / O RESIDENCE PHONE (I 7 K Z4 r% BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S� f ROOM USE: 1. 2. 3. 4. ! 5 6. 7. 8. 9. `f4. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS�PAYAB E AT THE TIME OF INSPECTION W4e APPLICANT'S SIGNATURE � �7 �.� DATEd� Inspectors use oniv Date on initial inspection: !!A�! tr Date of reinspection:� ) Date of issuance of certificate: "!I� (! Date fee paid: / Type of unit: Dwelling L/'`Othcr Check# /�-?3 Check date: Notes: (�� to Lakle— rS�TPP� L KC !&VOM MA CUfC ()r for- i`.tkckfA- ,rnL -fauc& -,� �evko, bulb t In e wk t 1 (3'h4- jf x4urC' Code E t Inspector t City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PIIahIiCHeatth MA 01970 Prevent,Promote. Protect 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-16-377 DATE ISSUED: 10/4/2016 Property Located at: 141 NORTH STREET UNIT#1 Owner/Agent: Victoria Andrews Horrath Address: 4 Franklin Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 590-0123 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. i � Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT !/ NITARI CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4' FLOOR TEL. (978) 741-1800 lC MBERLEY DRLSCOI J_ FAX(978)745-0343 MAYOR tRAatuINa�Faj.toM LARRY RAMDIN,RS/REHS,C:HO,(-P-FS HEALTH AGENT 1 _ Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" //J J� fFjEE: $50.00/ ,` ' j / / PROPERTY LOCATED AT /-Q /V(� IL k- / 'PLI C11 A ON 10 UNIT# / /l{�-v IS THIS I DISIGN�A1TED AS LEFT OR BACK•PLEASE CIRCLE/ONE / OWNER/LESSER V rj-d'kdr-&� �t11YYG1 T!n MANAGER/AOENTJme/- 't7riL tit" r� NO P.O.BOX ` /( ADDRESS 7 rtlAtllelih ��i z°2 ADDRESS 640 V1&u A-/ t �1��3jf1�SSIP� CITY,STATE,ZIP � JWVPK M4- 01q23 CITY,STATE,ZIP P-W x/�A &A RESIDENCE PHONE S PS I 7 BUSINESS PHONE(24HRSxI1 J3� '" Q U1Z � 3 N)6— INE BUSSS PHONE q 9e 0 C 36/ TOTAL NUMBER OF ROOMS: r //� / ROOM USE: I.4V're,&W 2. X„/�' lFI7 3.44 DM 4.&r6faW 5. 6. 7. S. 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 I PAYAB AT TH OF INSPECTION APPLICANT'S SIGNATURE A DATE /0 ' 3-)4A, Insaectors use 0n1v Date on initial inspection.J 7/63f 2.f)l 6; Date of reinspection: Date of issuance of certificate:_ln/WZl� Date fee paid:,a,P73f7 nt1/ Type of unit: Dwelline V” Other Check p.50 t{q Cbeck date: 10107/ZD1-6 Notes: (—fv, 1pxirPe feC�nv S Kfy � 11h �n�Aw c l r r rh is ��eS r *dment� for I — - • Via" CI'T'Y OF SALEM, Mt1SSACHUSI-: TS 120 WASHINGTON STRGrs"1',4"' Fl,cxnt ' PublicHealth Prevrnl.Pmmnle Pmlml 'LriL. (978)741-1800 (978) 745-0343 KIMBE,RLEY DRISCOLL L:anadina,salcai.coui 1„\RRl'R.U(UIN,Rti/RI':I IS,(:I R),CP-FS MAYOR I-II.u,I'I I AcENT PINT CERTIFICATE OF FITNESS CERTIFICATE#236-14 DATE ISSUED: 7/9/2014 Property Located at: 141 North Street UNIT#A Owner/Agent: William A.Sherman, III Address: 21 Pinehurst Drive City/Town: Boxford, MA Zip Code: 01921 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR HE B ARD EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �bliCxeattn 120 WASHINGTON STREET,4"'FLOOR Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin0,,sAcm.com L, 1' \�I MAYOR U2RILDIN,RS/RE-1-IS,C[-K),CP-PS Hit:\1:Ii i A(;ENr 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, ,1 A" S��ee� UNIT# A IS THIS UNIT DISIGNATED AS RIGIIT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER/All II it el" 7/TMANAGER/AGENT Saiu-(e ADDRESS ? Ir �I n� urS Yl UeqADDRESS CITY, STATE,ZIP D)tr-aj ��l'Z CITY, STATE,ZIP I RESIDENCE PHONE �7� gg7' /S�S�' BUSINESS PHONE(24HRS) BUSINESS PHONE -;r 6U3iviG TOTAL NUMBER OF ROOMS: 11'' J ROOM USE: 1.1"V M4 97 2. �17clne h 3. 13e' r'ai. 4. SC, +^v- 5. 34' rovK 6. J 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYAB BY CH K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE A LE T OF INSPE/C�T�ION c� y APPLICANT'S SIGNATUR y DATE D% /f c� InsDectors use only Date on initial inspection: I I� '� Date of reinspection: Date of issuance of certificate: //// gD, tt fee paid: f Type of unit: Dwelling #K Other Check 4104;-Q317 Chec date: 714 Y Notes: Codrisff cent Inspector i i i i i MONEYGRAM PAYMENT SYSTEMS,INC.DRAWER P 0,BOX 9418 MINNEAPOLIS,MN 55480 vtrale ern.,alveyga4il^f10r www.maneY9ram.com/gmona+Yso�Wer DA"LIAMOUNT Is fl A k �_ N �� R°°� :wa 10624`3f7 07Y09I{2014 ioo v 109 NN 4. 0.00 =;r �.a m � 98Y10�tl'60,�00q 3 R 10 6 2 4 317 9 7 3n T45 Jl?Jl Y)°DOE114000 M 722274 VDRTACH HERE e PURGrASEP'S AWEEMEM, ya.ll—e(ru�2lieNy Oe falmmntlraloM W1=01 LLS Hcntlq Cn#r cY+Enp9mlM1e rronr Mt,r To ro-ma of mrau WnE youpwrrM:srw mm Purchaser's cm.P Proof ormr nem se Purchasers Proal 01 Purchase Its fhb IUf daw wlc ,CSU'Ulm,vo krilpof Resslu 'mdY:ec a, A,,a,Cues FE0,Paq n mba:ry wdac Calm Cau.M.n ygamay ae auric OTH hum mm th A 3';a,vtxrreygrnm cof awr wacber cr Irnm Poa:auhba wh,+•5 the mcnm'OrJv was par "I ma a�.tm re a.,q al It;t,.wp, Carus p'er=.Te rnur^krm!th mal d,¢a'a APY of mus I[r UIH aOd:eSS N:the is iim.,'t"! ' nor adna,�na:p�=e!:nrc,ps>w ed! .3C^.5n23i9G Para recur esfa mbuiacOn m eapzmol, po:lavor!lama,al 1^000-50.2.3590. I CERT.# 609-97 3 FEE $25.00 DATE: 09/03/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 141R North Street UNIT #: 1 OWNER/AGENT: Walter B. Herbert. Jr. ADDRESS: 706 Sacremento Street #129 CITY/TOWN: San Franciso. CA ZIP CODE: 94108 24 HOUR PHONE: 744-4360 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 v JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � CITY OF SALEM BOARD OF HEALTH Gcl� Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT NINE (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 FOR HUMAN HABITATION"- PROPERTY LOCATED AT I � � 7f�. UNIT I CJ 1 OWNER/LESSER X1. AZ3 e MANAGERIAGENIt�/ Y,1'C,,4 ADDRESS /D (a ��1�-ME A71C/ 7—�n 67- ADDRESS � CITY C , /L��n SCd l-r'} FW08CITY `sQ`jmac-7k i&x RESIDENCE PHONE �T�S�:�7`'�^'-�S� BUSINESS PHONE (24 HRS.) 1 BUSINESS PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: ] . 2. 3. 4 . 7. 8, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTRT THIS FEE IS P AB AT TIM OF INSPECTION APPLICANTS SIGNATURE ( f7 ATE 9- INSPECTORS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: Cf} 3 -'C / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -3 7 DATE FEE PAID: TYPE OF UNIT, DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR �w �, '�• CERT.# 608-97 FEE $25.00 DATE: 09/03/97 /MIfB� 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 141R North Street UNIT #: 2 OWNER/AGENT: Walter B. Herbert. Jr. ADDRESS: 706 Sacremento Street #129 CITY/TOWN: San Francisco. CA ZIP CODE: 94108 24 HOUR PHONE: 744-4360 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 , l JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".HABITATION". PROPERTY LOCATED AT f fCf (�- �("'�{ LJ�. UNIT I OWNER/LESSER (X/,9 75,-jgf//0� MANAGER/AGENT (y #/ p J `�� ADDRESS �D (O �(�C(�i/� f/�Z��O�f ADDRESS CITY Q�/7106 ITY /, tJts) RESIDENCE PHONE �j r5� f'— BUSINESS PHONE (24 HRS.)yJvg,--X36 a BUSINESS'PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: 1. �� 2. 2 3. /e- 4 . 5. �k/ 6. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP NT THIS FEE ZS PAYAB A THE TIME OF INSPECTION APPLICANTS SIGNATURE 4C(v/ DATE —9-2 t /,INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: Com/ /�j 1 7 DATE OF REINSPECTION �^ DATE OF ISSUANCE OF CERTIFICATE: U! -'3 ""'I 7 DATE FEE PAID: " TYPE OF UNIT: DWELLING OTHER (( NOTES: CODE ENFORCEMENT INSPECTOR I_ i , t re 3 '�trmr� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT .Tel.(508)741-1800 Date: 08/21/97 Fax.(508)740-9705 Walter Herbert 706 Sacremento Street #129 San Francisco, CA 94108 PROPERTY LOCATED AT 141R North Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. 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 F,NCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRTCITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 Jay Krauter 2420 Coronet Boulevard Belmont, MA 94002 PROPERTY LOCATED AT 143 North Street UNIT # 2L 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 is 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 O H�E!AAL-TTH REPLY TO oanne coRS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a d BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#69-07 DATE ISSUED: 2/16/2007 Property Located at: 143 North Street UNIT#3 Owner/Agent: Joseph L. Bates III Address: 225 Bartholomew Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH C JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCO1 r, MPH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT � rVCj f f� � '. i 1N1T a_:5 IS THIS UNIT DESIGNATED AS RIG T LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER,J&/?e,0� L645 MANAGER/AGENT No P.Q. Box / No P.O. Box ADDRESS �nq_+ ,0104APt��7�- ADDRESS CITY Pe,"tLX1l, 1" 4, 01'7Z6 CITY RESIDENCE PHONE7P/-72`7- 4'1,1 SRUSINESS PHONE (24 HRS ) BUSINESS PHONES 9 ;-77?- 45-) -S TOTAL NUMBER OF ROOMS: 4 ROOMUSE: 1 ( n _2. �tU1r S"3.�1'd�ldgn _4.jz �e ` 5. 6 7. $. THERE 1S A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNATURE. � / DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -2 -/t ,V 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE_2 off y_=t?_I DATE FE.E PAID:., ::?-_/4__ v7 TYPE OF UNIT, DWELLINOTHER___ CHECK 0 ___)- 5,3.CHECK DATE 2_ a` NOTES \ CODE ENFORCEMENT INSPECTOR 9/28/98 t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH y, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 146-04 DATE ISSUED: 04/21/2004 Property Located at: 144 North Street UNIT# 1 Owner/Agent: Aida A. Vargas Address: 69 Western Avenue City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone: 781-586-9502 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH / - Q U JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Cl'i"Y OF SALEM, MASSACHUSETTS } '� BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR - SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FPR HUMAN HABI ATION". / PROPERTY LOCATED AT_LT`L_��UNIT# / i IS THIS UNIT DESIGNAT D AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERiLESSER 1711 MANAGERIAGENT No P.O. Box �n/ /� /J_, No P.O. Box ADDRESS j yi" /TLA . ADDRESS CITY ��/N�' CITY j(� j 6 RESIDENCEf PHONE/9 34632- BUSINESS PHONE (24 HRS.) V /�/(� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. P14 -,/*x 2.�3. zmv_4.�2A� y 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 la DATE 1� INSPECTORS USE ONLY 1 DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:` `�DA/TE FEE.PAID: 1 J r TYPE OF UNIT: DWELLINGeOTHER_ CHECK# 6 41 CHECK DATE Y -1'14"" NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • + 120 WASHINGTON STREET, 4TH FLOOR 04 SALEM, MA Ot970 CERT.(( TEL. 978-741-1800 FEE $255..00 FAX 976-745-0343 DATE: 3/18/04 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS ED AT: UNIT . PROPERTY LOCATED 144 NORTH STREET � ' 2 OWNER/AGENT: AIDA VARGAS ADDRESS: 69 WESTERN AVENUE ciTY/TOWN: LYNN: ZIP CWE; 01904-213 HOUR PHONE: 978-979-8766 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- T E 41-1800.THE BOARD OF HEALTH - 1 JOANNE SCOTT, MPH,RS,CHU HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS +� BOARD OF HEALTH s i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO `,.IJL\ ilf MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 PRINIMUM STANDARDS OPERTY LOCATED A O FITNESS Fm HUt�IAG ITF�TI UNIT k `��JYrj TT))�`�� J,,�tJJ�ijj IS THIS UNIT DESIGNATED AS RIGHT LEFTRON BACK PLEASE CIRCLE ONE_ OWNER/LESSER W1> 'j ' v17C MANAGERIAGENT P.O. Box 1&9-"-(1k1 � ADDRESS N ADDRESS CITY 4Glc- CITY AW C RESIDENCE PHONE/0/_66- �2 BUSINESS PHONE (24 HRS,) 7 �' BUSINESS PHONE »� TOTAL NUMBER OF. i V ROOMS:: 4 ,pp a ROOM USE: 1tarn 2. ��"�q 3 � .,6eAom 4. /141111 5.rJfr 6. f1r 7.� 9/�8 r 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 SIGNATUR DATE 0 INSPECTORS USE ONLY 1 DATE OF INITIAL INSPECTION ?:-/0 _6 '14 DATE OF REINSPECTION � DATE OF ISSUANCE OF CERTIFICATE: _ Ot" DATE FEE PAID:-3 -10 - C TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE 3_'�p NOTES: CODE ENFORCEMENT INSPECTOR 9/28198 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH pa 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#38-04 DATE ISSUED: 01/30/2004 Property Located at: 144 North Street UNIT#: 3 Owner/Agent: Aida A. Vargas Address: 69 Western Avenue City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone: 781-386-9502 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. F THE BOARD OF EALTH r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR { CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH A + • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER it, 105 CMR 410.000 "MINIMUM STANDARDS OF JFIIT/ ! VNESS FFOFt HUMAN HABITATION'. 1 PROPERTY LOCATED AT /`7 y op 7/ / 0/ 59 /eki UNIT# IS THIS UNIT DESIGNATED AS RIGHT EF FRONT BACK PLEASE CIRCLE ONE OWNERILESSER AA) Yf• VW6 S MANAGERtAGENT No PA. Box// / _ No P.O. Box ADDRESS t,9 j A/9,S},99f�k/U ff L� ADDRESS CITY I`j�R) , AN eq` CITY RESIDENCE PHONEWI'66�_ A?Z BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Z 1 ROOM USE: 11tVtN 'gym 2. trta� 3.IJsUr 4. 1-de-hi-ti 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(` L' ! DATF INSPECTORS USE ONLY 1 DATE OF INITIAL INSPECTION I - 90 -04 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE—3V ^ 49 RATE FEE PAID: l '" 3 D — O TYPE OF UNIT: DWELLING�OTHER_ CHECK# s_CHECK DATE p2 -3 OJ"G NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 72-02 FEE $25.00 DATE: 02/14/2002 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street —4th Floor HEALTH AGENT Tel # (978)-741-1800 Fax # (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 145 North Street UNIT #: 1 OWNER/AGENT: Leo A. Philipedes ADDRESS: 245 North Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-9227 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 1./JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT E FORCEMEN'i' INS EC'I�BR'J o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 q7 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HU/MAN HABITATION". (/ PROPERTY LOCATED AT / E A,?4 .d.,e e / ' - UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER/,�,A .9 No No P.O. Box No P.O. Box ADDRES �/� >��/� �S�• ADDRESS CITY .40.A m CITY AAA. RESIDENCE PHONE ^v W- 4 Za7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1,611/h 4 2//d�44 3. J. .(bra 4. 'e 5. used,,'(.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. p APPLICANTS SIGNATURE �/� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -,VIIIA. 7- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:��/e2 TYPE OF UNIT: DWELLING_OTHER_ CHECK# %/// CHECK DATES� NOTES- CODE ENFORCEMENT INSPECTOR 9/28/98 r ca CITY OF SALEM, MASSACHUSETTS v BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR SALFM, MA 01970 CERT.# 284-02 TEL. 978.741-1800 FEE 5/300 0 FAX 978-745-0343 DATE: 05/30/2002 STANLEY USOVICL, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGPNT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 146 North Street UNIT #: 1 Right OWNER/AGENT: Christopher York ADDRESS: 13 Warren Avenue CITY/TOWN: Amesburv, MA ZIP CODE: 01913 24 HOUR PHONE: 956-5968 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 CITY OF SALEM, MASSACHUSETTS 014lawo BOARD OF HEALTH120 WASH,NGTON STREET, 4TH FLOOR SALEM, MA 01970TEL. 978-741 1800 FAX 978-745-0343 STANLEY USOVICY. JR. JOANNE SCOTT, MPH, RS, CHO MA,OR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /f/IZWZV:7,&1;7-_ !�,9/—V, rt0 JlflO UNIT#� IS THIS UNIT DESIGNATED A GH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS/,3 G)"Rarl/ &Wde- ADDRESS CITYErM�S3ueJ< . 1y13 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) y9(•S�SG �6�3 BUSINESS PHONE TOTAL NUMBER OF ROOMS:-3-t BttTAeea f ROOM USE: 1 Law 2.,?�aZoff[3. A///769ia 4. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH IDEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. SIGNATURE 1 �� APPLICANTS SIGNATURE ` � '. DATE 5 3c/rs Z. iNSPECTOIRS USE ONILY DATE OF INITIAL INSPECTION 5_ -750 -0 )- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S-30- 5-+ DATE FEE PAID: �_ '30 _a TYPE OF UNIT: DWELLING/rOTHER_ CHECK# /_3jCHECK DATE +� � NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 J o CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH • • 120 WASHINGTON STREET. 4TH FLOOR 3 c SALEM, MA 01970 TEL 978-741-1600 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter ill ; 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 , 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized apents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. J 1 43"IAINT/LESSEB 40W.1NE /i LESSOR----- --- -- ADD RESS .;DDR_SS c ADDRESS OF UNIT TO BE INSPECTED DATE o CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 266-02 TEL 978-74I-1800 FEE $25 .00 FAX 978-745-0343 DATE: 05/30/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 146A North Street UNIT #: 1 Left OWNER/AGENT: Christopher York ADDRESS: 13 Warren Avenue CITY/TOWN: Amesburv, MA ZIP CODE: 91813 24 HOUR PHONE: 956-5968 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 o CITY OF SALEM, MASSACHUSETTS g • �� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 gegMM6 TEL 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ. JR JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /i/0A/0"e7-,V SCwerr,5A16vrIAa776 UNIT# IS THIS UNIT DESIGNATED AS RIGHT EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER cr/R/SaP&I MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /3 L,JAeza✓ Avrw/ue- ADDRESS CITY�IMRt3/JR✓/ �jf1 D/9/.3 CITY RESIDENCE PHONE y74.3g`� 88oy BUSINESS PHONE (24 HRS.) 75s/•9S6•s968 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 bvlA(&Rwe 2. 2oaN3.kiT4I,-7J 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. //�i DATE APPLICANTS SIGNATURE i s� j 3a o z �y- iNSPECTORS USE O:LY DATE OF INITIAL INSPECTION Y'3a -Vz DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE'30 '02" DATE FEE PAID: 4--30 —D z TYPE OF UNIT: DWELLINGOTHER_ CHECK# /33 CHECK DATE�0 d z NOTES- CODE CODE ENFORCEMENT INSPECTOR 9/28/98 ;9785577300 # 6/ 6 5-29-02; 9: 16AM;Emer9e *4'90'39tld _IU101 ** CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SAI-Em. MA 01970 TE_. 978-741-1800 FAX 978-745-0343 ' STANLEY USO'/IC'$. JR JOANNE SCOTT, MPH, AS. CHO MAYOR HEALTH AGENT RELEASE is accordance with Massachusetts General Laos Chapter 111 ; Code of Massachusetts Rngulatiors 410.000 et. seq. ; Stace Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lesser and tenantilessee of a unit of residential property, hereby authorize the Salem Board of Health or ice author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. Li the uvent it is necessary that said inspection be done in my/our absence, 1/ve expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Healch and its authorized agent, .':cm any loss or injury sustained of wbatever nature and description occasioned by my/cut absence during said insoectice- ails\i�"1ESSE3 OwhKE.1�°SSOr��/'f=� lLral� N_��" 11Nfr� Gtrr Ji�70 /�L✓A.CeE.�/.,dr��;vu� �ry/ ADOC.ESS APDR!SS l iillitly 'S� /_1.�.T yam_ .�Tif 619—-*n ADDRESS OF UNIT TO BE INSPECTED DATE CIVA RRt•J.J,c:CWF,TR nl c,wniIH"vwni.tlm 1C'4Mi NJ 7R, F7 AHIJ MAY 29 '02 10:10 978557?300 PAGE.06 L r i Z c) t z— � Li6 - `K n a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 285-02 FEE $25.00 .pB�M1l� TEL. 978-741-1800 DATE: 05/30/2002 FAX 978-745-0343 STANLEY USOVtCZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 146A North Street UNIT #: 2 Left OWNER/AGENT: Christopher York ADDRESS: 13 Warren Avenue CITY/TOWN: Amesburv, MA ZIP CODE: 10913 24 HOUR PHONE: 956-5968 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. OARD OF H/.,�-EAL--TH 4=�A„, t 6 l4dne.- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR o CITY OF SALEM, MASSACHUSETTS i p fbBOARD OF HEALTH 7 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 �'rpB TEL 978-741 -1800 p FAx 978-745-0343 STANLEY USOVICZ, JR J04NNE SCOTT. MPH, RS. CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /&X Va-2*S7Xer� 1W.0J970 UNIT# z IS THIS UNIT DESIGNATED AS RIGHT EF FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERe//Rf5,�Gi+eW X),f e MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /3 &J*�e.teu A✓&VUE ADDRESS CITY a.e,v/ F, 7q /,141.3 CITY RESIDENCE PHONE 91V•399- MY BUSINESS PHONE (24 HRS.) 787 i5'Z-5%? BUSINESS PHONE TOTAL NUMBER OF ROOMS: S�/�9ThWdd / ROOM USE: 1. fFi« 2. ,14-2W4. A117_,-h t/ 5.A'WA01 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 /�/ DATE S 3o/z O� iNSPEC irORS USE CN LY DATE OF INITIAL. fNSPFCTION T-'30 - 0-e— DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES-30 c, ' DATE FEE PAID: TYPE OF UNIT: DWELLING/OTHER_ CHECK# 13 CHECK DATE 5 3z'a ' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASH.NGTON STREET, 4TH FLOOR SALEM, MA 01974 TEL. 978-741-1 800 °�M1MS FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS. CHO - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts R,igulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of rhe 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 , 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized aft.^ 5 from any loss or injury sustained of whatever nature an? description occasioned by my/our. absence ,luring said inspection. Ml� SE dNERLE SO'S P. ly�i�/�Q✓zj�ST 241/7-Z ADDRESS ADDRESS ADDRESS OF liNIT TO BE INSPECTED l ,\ CDND�i `■ s City of Salem, Massachusetts f > W. Board of Health " 120 Washington Street, 4th Floor, Salem, PublicHe8tlth 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-15-387 DATE ISSUED: 11/20/2015 Property Located at: 148 NORTH STREET UNIT#Rear Owner/Agent: Steve Harris Address: 148 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 741-4550 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TVL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LeAM ,�McoM LARRY RAMDIN,RVRIJ IS,CHO,0P 1S HrAI.TII AG1dNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �/ (� �J/ FEE: $50.00 PROPERTY LOCATED AT 111A!_1 /(l o ie'F �� I 1T# ��'E�`C IS THIS UNIT DISIGNA G ILzrr OR�PLEME CIRCLE ONE OWNS ILESSER C `,i/� �t l S MANAGER)AGENT NO PA BOX ADDRESS / �t1 A f) e 171 J + ADDRESS CITY, STATE,ZIP y \S" Cl / v k;4 CITY,STATE,ZIP i q 20 RESIDENCE PHONE q2A - 1 l S 6 BUSINESS PHONE(24MRS) BUSINESS PHONE ! 28 -?6 V- / )/ ) TOTAL NUMBER JJOF ROOMS: 2 ROOM USE: 1. LV f i� 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 ATTHE TIME OF SP,EECCTIION1 APPLICANT'S SIGNATURE '216 '' z)e> [ r. 7 /��—" - DATE /- Inspectors use only Date on initial inspection: 11/19/2015- Date of reinspection: Date of issuance of certificate: 11/14/9-0-L S- Date fee paid: Type of unit: Dwelling V/ Other f j Check#��._Check date: Notes: 6✓a vmy��✓c�� rP,Cmr GJI sin k5 alnve )300F' of ement pector CITY OF SALEM, MASSACHUSETTS 3- BOARD OF HEALTH R 120 WASHINGTON STREET, 4TH FLOOR l j SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/21/04 250 Washington Street Realty Trust 7 Rantoul Street Suite 100B Beverly 01915 PROPERTY LOCATED AT 146 North Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For e Board of HealthReply to Jo ne Scott MPH, RS, CHOP Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR f o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/20/05 Christopher York 13 Warren Avenue Amesbury, MA 10913 PROPERTY LOCATED AT 146A North Street Unit 2 Left 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. or the Board of He th Reply to Joanne Scott MPH, RS, C O Pablo Valdez Health Agent Code Enforcement Inspector I 1 CITY OF SALEM, MASSACHUSETTS -� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 .�, TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 157-05 DATE ISSUED: 3/8/05 Property Located at: 148 North Street UNIT# 1 Owner/Agent: Stephen & Danigayle Harris Address: 148 North Street, 2nd floor City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4550 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 B ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 • • FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN lHABITATION". PROPERTY LOCATED AT 114 S ND r"11J, ST V-eC_� UNIT#_t IS THIS UNIT DESIGNATED AS RIGHT IIL��EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJTe� i�� i ClrvIS MANAGER/AGENT nk;,,_ ADDRESS Box 1`t8 wr h SFVtet NADDRESSn CITY Sq6\ CITY MA RESIDENCE PHONf_979) 741-y 5S0 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 0G 10' r7yj-LU(.4cO TOTAL NUMBER OF ROOMS: I ROOM USE: t.Klch2v r 3a �� _ 1vo_ __ rf __4 �R m Cf"baf /r J 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 � � _—DATE p2/off 01s INSPRSU SE ONLY DATE OF INITIAL INSPECTION._3_.-3 -0 > DATE OF REINSPECTION. DATE OF ISSUANCE OF CERTIFICATES-j---Sl DATE FEE PAID _.3 _-3 - bS77 TYPE OF UNIT DWELLING )/OTHER CHECK u /J� �S� CHECK DATE NOTES _ CODE ENFORCEMENT INSPECTOR 9/26./98 CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH s n, ;R 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/22/05 Stephen & Danigayle Harris 148 North Street, 2nd floor Salem, MA 01970 PROPERTY LOCATED AT 148 North Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector r 1 , o CITY OF SALEM, MASSACHUSETTS • ¢ BOARD OF 1-EEL 14 120 WASHINGTON STRUT,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR Dcai z[;NRAUNIO..SAI a:Nl.coNI D,\vID GRI I?NRAUM,RS A(;1'ING HI m. TH AGINT CERTIFICATE OF FITNESS CERTIFICATE #443-10 DATE ISSUED: 9/15/2010 Property Located at: 151 North Street UNIT#2R Owner/Agent: C.J. McArdle Address: 151 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH AV�AI ) EENBAIM, RS ACTING HEALTH AGENT CODE ) ORCEMENT INSPECTOR I i' • CITY OF SALEM, MASSACHUSETTS Y3 BOARD OF HEALTH 120 AVAST-IINGTON STRF_ET,4T°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F.al(978) 745-0343 TNQI YOR DGI1:cNBAUN10SA EM.CO_tii 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 PROPERTY LOCATED AT 5-7--,5;4[.E-M. UNIT# IS THIS UNIT DISIGNATED A IGH9�'S.EFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER C c Air MANAGER/AGENT NO P.O.BOX ADDRESS 1.5/ AI&47W ✓�'� ADDRESS CITY, STATE,ZIP ,fyv"S o i 4 7o CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 9710" F/eg/ TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �/: 1 DATE InSDectors use only Date on initial inspection: /kbo Date of reinspection:. Date of issuance of certificate: F I q11\1/d Date fee paid: 9I //O Type of unit: Dwelling G--Other Check# 'I I Check date: V1,511O p Notes: _ C�Q�ll�l la)IndGly wK SUPP/1.5 (NIS *- ��GC (ondiw do noi" {'1/112. s(f o '. I Ua/ &n ha+ wci-k� . -w)4 to nave cwCh boa- .e1xr-+ -blootr) A _ lCodeforcement Inspector f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 q TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#371-05 DATE ISSUED: 6/2/05 Property Located at: 152 North Street UNIT#2 Owner/Agent: Robert Spychalski Address: 166 Ocean Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0254 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH P' i �/ % T JOAE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OWN it ' OF,$ALEMI MASSACHUSETTS 'BOARD OF HEALTH 120 WAst4 lf4GT6w STREET. 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1600 FAX 978-745-0343 _e7 1'„✓ n STANLEY USOVICZ, JR_ JOANNE SCOTT, MPH.'RS, CHO 3 MAYOR HEALTH AGENT APPLICATION FOR CERTIFICAl E OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410-000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT ;/of�. AIA/4 /I 1 UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_R4vhPrt . MANAGER/AGENT No P-0. Box I No P.O. Box ADDRESS_I6�_/9e-_-,04t#\ Je _—ADDRESS CITY— C_kt/VtA CITY RESIDENCE PHONE 7411BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS t)21�AMAA ROOM USF: 1 b 2�a- � "3 _&J_AA?A Aodww 5 7 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEHEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS 'SIGNATURE INSP[_CTORS USE ONLY DATE OF INITIAL INSPECTION 1SUAN(A_ 01 l L DAI 1: 01 _illf ICAl- 5, Ilk -1 Ypt- ()j7 !JLI[ ING tTIFiER Ct,,Ft_:K ;. /.;I- ii7f"K L;= 1-1 i i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41p FLOOR 'TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR uc;era:Nununlnn snl,isnl.cona DAVID GRI:FNImuM,RS ACTING I-IFAi:n I A(;vN , CERTIFICATE OF FITNESS CERTIFICATE# 164-11 DATE ISSUED: 5/20/2011 Property Located at: 162 North Street UNIT# 1 Owner/Agent: Mary-Ellen Manning Address: P.O. Box 4444 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-1090 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 i/, d�' DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR f CITY ()F SAT,i-:Ni, NLASSACHL)SF"1fiS BOARD( )i I ItsA 111 120�\,\SIII\Gll i:� ;i'1'RlilCl,4' ' 1'll)(rlt ��YYY Tt'tt.. (978) 741-1800 KIVIII'RLEY DRISC tl,l. I•:\N {978) 145-0343 MAYOR x.lepi Itu \rrcr:\Iru.t;0>I 1crt�c FIh,\t:rrr,ic;r.�'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." f FEE: $50.00 PROPERTY LOCATED AT 162- !#-1' VOR S 11 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BA K,PI,EASE CIRCLF,ONE OWNER/LESSER MftgV—CCLL•EN Irl q-,�A/(A�t,--:—_MANAGERIAGENT z5kAAC NO P.O.BOX ADDRESS IF, 0 . f�X 4UL-L4 ADDRESS CITY, STATE,ZIP S-ki Ful, 1 M Al c1TY, STATE, ZIP RESIDENCE PHONE (q 7$") — /0Q_BUSINESS PHONE(24HRS) BUSINESS PHONE 5itn tt� TOTAL NUMBER OF ROOMS: S ROOM USE: 1. BE,0 1 -BED 3. P5E40 4. k't-7.9005, t-t VkiU1i"K o okj 6. 7. 8. 9. 10. THERE ISA FIFTY($50)DO AR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH T}dIS F E ISPAYABLEAT THE TWE OF INSPECTION APPLICANT'S SIONATU E / va/1�1 �_ DATEzO I I I Insncctors use on1� Date on initial inspection: L'�/01010 Date of reinspection: // Date of issuance of certificate: IA411( Date fee paid: sI 1/I 11 Type of unit: Dwelling I''�Other .Check # � ,� � } Check date: Skohl Notes: t 1t .1_Us� } (mil r, 4-Tori+ '(4 f a6m imll dow not A"VI (in f, ril,V,.`_ 6CLAqx1 1 h�bulbs Cr^,4-tnenrrtnr l t CITY OF SALEM, MASSACHUSETTS • + BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DGREENFLAUMnO SALEM.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#502-09 DATE ISSUED: 10/5/2009 Property Located at: 162 1/2 North Street UNIT#A Owner/Agent: Marry Ellen Manning Address: P.O. Box 4444 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-1090 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 (/ I DA IENBAUIv� ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS i BOARD OF HEAun-i � 120�y✓ASHINGTON STREET,4` FLOOR TEL.(978)741-1800 KI_MBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBALINY(bSALERt.COM DAVID GRE E NBAUM, ACIING 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 I PROPERTY LOCATED AT� GYM Z YM ('T UNIT# A IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT SA r NO P.O. BOX ADDRESS O. -OX 44 ADDRESS 11 CITY, STATE, ZIP CITY, STATE, ZIP RESIDENCE PHONE 70— /0g O BUSINESS PHONE (24HRS) 197g��{6-/04d BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOMUSE: I. BCDe0Oti1 2. 8'ECI`06M 3. KITCI IFA) 4. L10w-RM 5.bINING-e60M 6. TA-ri4 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 FEEAPAYABLE AT THE TJME OF INSPECTION / APPLICANT'S SIGNATA,4,f)A IM DATE 707/(J 1 Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: (0 A,l� Date fee paid: 6[S/G 9 Type of unit: Dwelling V Other Check# 3 a a L4 Check date: Notes: Code Enforc ment Inspector r QTY OF SALEM MASSAC HUSEM ^ ,t BoAm)of FIF Aum 120 WASHINGTON STREE"T,4"'FLOOR TFI..(978)741-1800 KINMERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENTBAUN7(&SALE.Ni C',OM DAVID GREENBAUM, ACITNG FIEArn-i AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 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. i Tenant/Lessee Owner/L sso 6. �a Luys, Address Address / 2 //l 1 l--4 1T Address on unit to be inspected Date "Nn1z"� City of Salem, Massachusetts 'n > Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCH6a Ith 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-17-12 DATE ISSUED: 1/17/2017 Property Located at: 162-1/2 NORTH STREET UNIT#B Owner/Agent: Mary-Ellen Manning Address: P.O. Box 4444 City/Town: Salem, Me Zip Code: 01970 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 occup is nder 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN l CITY OF SALEM, MASSACHUSETTS * BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINna SALF..M.CnM LARRY RAMDIN,RS/RF,HS,CHO,CP-FS HEALTH AGENT mar d)eh mgtlnln��jj ® ('�11 Application for Certifielate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" J FEE: $50.00 PROPERTY LOCATED AT 1 &2 IL Z UDR-0 S71et H 7- UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER LAC—, K(=ftt,--f MANAGER/AGENT 111-RX� -CI_.LCIJ U'AAIMIJ6— NO P.O.BOX ADDRESS '�;D LO W�CLI. S t v�(IST *A ADDRESS d Lt)WEL L S'zE d -T A CITY, STATE,ZIP P e.A 6)D,! . k1i A 61 b o CITY, STATE,ZIP F I\ S n D l . tiq yl 01 9 A v RESIDENCE PHONF (q -79 ) d 4 8 -D b 5 fi BUSINESS PHONE(24HRS) �9 7$ l-7110' 10q q BUSINESS PHONE TOTAL NUMBER OF ROOMS: QfvC� tl� ROOMUSE: 1. �F>cna+vt2. c3Ct� 3. LIJiNb- 900/A4.D)Alkrdf-fimM5. kt-Tr(CA) 6. 3ttTH 7. RFS-) 8. AFi1) 9. Yl'r I3 10. }3 FD $ATr� Og0tzt=-CC on 6w Ficl; OK orncC THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE IS PAYABLE �ypAT/'THE TI77LL ECTION APPLICANT'S SIGNATUR}��lZ�/ ,i, C C.C.( . � 4 DATE iJ/iI 6 Insnectors use onlv J Date on initial inspection: Dq , P- 01 0t(-Q Date of reinspection:�0, Date of issuance of certificate: (Cl n • V 1 ^ Date fee paid: WAS b� O Type of unit: Dwelling Other Check# �9�0 Check date: X>C, U I itv V S Notes: k)(-) s %aj:t ah1-L r mer\s m "k UnrkkS V7)Pd�2�X� ne'E l- 4 R Q. �l.c a_ IbC� . ( WV I e\mdcna�c C rr D qts- v�, Picement Inspector = CITY OF SALEM, MASSACHUSETTS ? BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR. TF1. (978)741-1800 KIMBERLEY DRISCOLL FAx (978)745-0343 MAYOR LRA,4DINQ..SAJ-RN1.CO4 LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Itwe 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 Own s o Address AddressVAj 1 d /0 2- Address on unit to be inspected 12-111 Date Updated 5!23/21 Inspection of Date T)(-r l?t i?yilgTime 1OQ2��t✓l.1'�(� 'Name tao,fj1x!4_ Address (�o2 l`2-I- Owner �() n_1 Q� �'�'�� Tel. No. �`' ' 1 D) Type of Inspection. Y Sf"�' �'4'e l 1 , Inspector/ (('�) Remarks and Violations are listed below: 9 ��VJJ ® 1 YM-) nit wc( -, C fl\J�� Y'xve C7� LCA 1 Y1r V P �IT_C�P CY1C t 1'I P Q. A. rAx\p a nal Laws k -A . m C ( k1Y�� 1 OA lA)`n ASC CkNnk MC\Y-P Sk WZC 4 (10 m L nil fly ASC ny)-ok �TnVp Sk�r i�mn r1 0�wo ni A I t�--t�A(I DiYET 1k ' � � MIM � o_ry��l -fir) m (br>*ru�` D 5--M(-)LP ck�A-Tf-,,^ M-IN- Yr . � ,P C\ U-YW-U\r)(�z /D Yrs Report Received by- B and B Pest Control WORK ORDER#25284 271Western Ave.Lynn,MA 01904 Suite 203 ACCT#: 4956 P (781)599-4317 PO#' 1 jbozarjian@gmail.com,elena@bbpest com DATE. 08/23/2016 www.bbpeslcomPestControl START 10 30 am END: 12 00 pm BILLING ADDRESS SERVICE ADDRESS CONTACT Maryellen Manning Main Location 978-648-0658 162 1/2 North Street 162 1/2 North Street 978-648-0658 Salem, MA 01970 Salem, MA 01970 maryellenmanning@earthlink.net DESCRIPTION QTY PRICE LINE TOTAL Bed Bug Treatment 1.0 $52500 $52500 3 Month Warranty 10 $000 $0.00 Unit 1 00 $000 $0.00 Subtotal $525.00 Payment/Credit Applied(Check)(-) $525.00 Please Pay $0001 TECHNICIAN NOTES Treated all rooms saw no live activity tenant prepared very well MATERIAL EPA# QTY DIL MTHD DEVICE Suspend SC 432-763 2 0 gallons Suspend SC 111 oz 11 gal Spray Hand Sprayer B&G H2O Target Pests:Bed Bug Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Bathrooms,Bed frame,Chair(s),Closets,Couch,Dresser(s),Interior Baseboards,Kitchen Stryker 53883-308 1 98 gallons Stryker 1 oz/t Gal Spray Hand Sprayer B&G _Target Pests:Bed Bug Areas used:Apartment Units-Bathroom,Apartment Units-Bedrooms,Apartment Units-Living Room,Apartment Units-Kitchen,Bathrooms,Bed frame,Chair(s),Closets,Couch,Dresser(s),Interior Baseboards CUSTOMER SIGNATURE TECHNICIAN:Keith Magnarelli License#42177 B and B Pest Control WORK ORDER#25579 271 Western Ave.Suite 203 Lynn,MA 01904 1 ACCT#. 4956 1 P:(781)599-4317 PO#: jbozaryian@gmail.com,elena@bbpest.comDATE 09/06/2016 www.bbpest com PestControl S END: 10 000 am BILLING ADDRESS SERVICE ADDRESS CONTACT Maryellen Manning Main Location 978-648-0658 162 1/2 North Street 162 1/2 North Street 978-648-0658 Salem, MA 01970 Salem, MA 01970 maryellenmanning@earthlink.net DESCRIPTIONOTY PRICE LINE TOTAL Bed Bug Treatment 10 $0.00 $0.00 Subtotal $0001 Payment/Credit Applied(-) $0.00 Please Pay $0.001 TECHNICIAN NOTES Tenant says no activity in room mates room,activity in her room is very lite,I found no live activity,preparation was good MATERIAL EPA# QTY DIL MTHD DEVICE Suspend SC 432-763 2.0 gallons Suspend SC 1 fl oz/1 gal Spray Hand Sprayer B&G H2O Target Pests:Bed Bug. . 'Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Bed frame,Ceilings,Chair(s),Closets,Dresser(s),Interior Baseboards Stryker 53883-308 2.0 gallons Stryker 1 oz/1 Gal Spray Hand Sprayer B&G Target Pests:Bed Bug .. .. Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Apartment Uhits-Kitchen,Bed frame,Ceilings,Chair(s),Closets, Dresser(s),Kitchen,drains .. CUSTOMER SIGNATURE TECHNICIAN:Keith Magnarelli License#42177 B and B Pest Control WORK ORDER#27480 271 Western Ave.Suite 203 Lynn,MA 01904 ACCT#. 4956 P:(781)599-4317 PO#: ibozarjian@gmail.com,elena@bbpesl com DATE. 09/30/2016 www.bbpestcom PestControl o n r I i STEND: 111:0am ( 30 am BILLING ADDRESS SERVICE ADDRESS CONTACT Maryellen Manning Main Location 978-648-0658 162 1/2 North Street 162 1/2 North Street 978-648-0658 Salem,MA 01970 Salem, MA 01970 maryellenmanning@earthlink.net DESCRIPTION QTY PRICE LINE TOTAL Bed Bug Treatment Single Unit/Family 1.0 $750.00 $75000 3 Month Warranty 1.0 $0.00 $0.00 2nd and 3rd floor 1.0 $0.00 $0.00 Subtotal $750.00 Payment/Credit Applied(Card)(-) $750.00 Please Pay $0 ool TECHNICIAN NOTES Heavy activity in master bedroom,large portion of floor covered with eggs,couch in master bedroom should be thrown out heavy activity,also box spring should be thrown out girls room lite activity,second floor very lite activity on furniture shouldn't be a problem,third floor is the problem MATERIAL EPA# CITY OIL MTHD DEVICE Suspend SC 432-763 4.02 gallons Suspend SC 111 oz/1 gal Spray Hand Sprayer B&G H2O Target Pests:Bed Bug Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Bed frame,Closets,Furniture,Interior Baseboards .. Stryker 53883-308 3.99 gallons Stryker 1 oz/1 Gal Spray Hand Sprayer B&G Target Pests:Bed Bug Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Bed frame,Closets,Furniture, Interior Baseboards,curtains CUSTOMER SIGNATURE - TECHNICIAN:Keith Magnarelli,Jeff Perez License#42177, B and B Pest Control WORK ORDER#32481 Apr 'F 271 Western Ave.Suite 203 Lynn,MA 01904 ACCT# 4956 P:(781)599-4317 PO#: Ibozagian@gmail.com,elena@bbpest.com DATE. 12/16/2016 www.bbpestcom PestControl START END. BILLING ADDRESS SERVICE ADDRESS CONTACT Maryellen Manning Main Location 978-648-0658 162 1/2 North Street 162 1/2 North Street 978-648-0658 Salem, MA 01970 Salem, MA 01970 maryellenmanning@earthlink net TOTALDESCRIPTION QTY PRICE LINE Bed Bug Inspection 1.0 $75.00 $75001 Subtotal $7500 Payment/Credit Applied(-) $0.00 Please Pay $75.001 TECHNICIAN NOTES no signs of bed bugs in room at top of stairs had a bag with samples but were carpet beetles,larvae and a lady bug.room showed no signs of bed bugs,spotting or live. None useu CUSTOMER SIGNATURE TECHNICIAN:Pat McHale License#36548 B and B Pest Control Adak WORK ORDER 928398 271 Western Ave.Suite 203 Lynn,MA 01904 ACCT#. 4956 1 P:(781)599-4317 PO#' jbozadian@gmail.com,elena@bbpest.com DATE: 10/17/2016 www.bbpest comPest i START 11:45 am ControlEND 01.00 pm BILLING ADDRESS SERVICE ADDRESS CONTACT Maryellen Manning Main Location 978-648-0658 1621/2 North Street 162 1/2 North Street 978-648-0658 Salem,MA 01970 Salem, MA 01970 maryellenmanning@earthlink.net DESCRIPTION QTY PRICE LINE TOTAL 2nd Bed Bug Treatment 1 0 $0.00 $0 o0 Units 2 and 3 1.0 $0.00 $000 Subtotal $0.00 Payment/Credit Applied(-) $0.00 Please Pay $0.001 TECHNICIAN NOTES Found activity is third Floor master bedroom and were bed was moved to(room beside master)found activity on mattress and box spring,in original master found activity on and in couch(which needs to be thrown out,bugs deep in couch)found eggs on baseboard trim and ceiling, room full of clothes and clutter.Also found activity on couches in living room,dismantled one of them and treated and opened the other and treated moderate activity on both also treated perimeter of room and curtains one tenant says we stained her head board,upon inspection we did so,tried to clean with water no luck will need wood polish,no activity in that room.Found no other activity in apartment,treated all interior perimeters,frames,beds,furniture MATERIAL EPA# QTY DIL MTHD DEVICE Suspend SC 432-763 2.97 gallons Suspend SC 1 fl oz/1 gal Spray Hand Sprayer B&G H2O Target Pests:Bed Bug ; .. Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Base Board Heat,Bed frame,Closets,Furniture,Interior Baseboards, Storage Area,Wall/Ceiling perimeter,curtains,interior baseboards throughout ' " Stryker 53883-308 2.99 gallons Stryker 1 oz/1 Gal Spray Hand Sprayer B&G Target Pests:Bed Bug _ ^ Areas used:Apartment Units-Bedrooms,Apartment Units-Living Room,Base Board Heat,Bed frame,Ceilings,Closets,Dresser(s),Furniture, Interior Baseboards,Storage Area,Wall/Ceiling perimeter,all beds bedframes boxsprings baseboards closets dressers chairs and couchs,curtains CUSTOMER SIGNATURE -= TECHNICIAN:.Keith Magnarelli License#42177 t n CITY OF SALEM, MASSACHUSETTS - BOARD OF HF 21r:1'H 120 WASHINGTON STRL'HT,4"'FLOOR IQMBERLEY DRISCOLL TFL. (978) 741-1800 MAYOR FAx (978) 745-0343 lramdinna.salem.com LARRY RAMI)IN,RS/RP:I-IS,CHO,(T-FS HIiAl:ni AGI�,N'r CERTIFICATE OF FITNESS CERTIFICATE # 168-11 DATE ISSUED: 5/26/2011 Property Located at: 162 North Street UNIT# 3 Owner/Agent: Mary-Ellen Manning Address: P.O. Box 4444 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRYRRY A HEALTH AGENT CODE ENFORCEMENT INSPECTOR - -- - - - - - - - CITY OF SALEM, NIASSACHUSETTS I C/ 130 -1RL)or, Hi--xL:ni (9 (978) 741-1800 Kl%fBF.RJT*N* DR1SC(.)J,1. Fix (978) 743 0 143 MAYOR DGRI I Nil'", %1CO"d D.\vm GREENBAUM,RS .k(.'.TfNGHrUTFJAGENT 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 2 IJ 7rO f°Lr IX UNIT# IS TRIUNITDISIGNATED AS RIGHT Lr FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGERI AGENT NO P.O.BOX ADDRESS ADDRESS IFNX 4 . O. 4(4q CITY, STATE, ZIP 5ftt�W - - CITY, STATE, ZIP KESIDENCF PHONE 7`i\ 740— IOID BU-01�:ESS PHONE(214 HRS) BUSINESS PHONE SQA TOTAL NUMBER OF ROOMS: 14 ROOM USE: I. Ki-IrArt-) 2. L;U_ OOM 3. R_ CD -d- 4. `M1) 2— S. 6. 7. R. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE IS PAYABLE AT THE E OF INSPECTION APPLICANT'S SIGNATURT��Al -- IYALI DATE Sl / Il 3 Inspectors use only Date on initial inspection: (S-A I�/I t late ofreinspection: (0// Date of issuance of certificate: Date fee paid: Type of unit: Dwelling--\n�Other Check 9 Check date: <-Io2 Yl !I S--t—OX16 6 tv krA via rpA , vaidow in L--k' *o hav-e ci- �o C/<'- I ' CERT.# 165-98 FEE $25.00 1X /�,F' DATE: 03/27/98 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: 163 North Street UNIT #: 1F OWNER/AGENT: Robert & Carol Spinelli ADDRESS: 163 North Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-9101 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 OFHEALTH � p JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT A", '4 A10 �5?rreeT UNIT / 1 F OWNER/LESSER - are/ r��, ,,A'44-I` MANAGER/AGENT — ADDRESS /6 -g, /\/n j-r!/. ljT ADDRESS CITY - �_ /ahq CITY M)q .,RESIDENCE PHONE- C177Ya -9 fLy 1 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 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 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGN,4TL'?',E_- �.- DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: j `� ✓� DATE OF RkINSPECTION { DATE OF ISSUANCE OF CERTIFICATE: -Z ��-� -^Ej' X DATE FEE PAID: _ - TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR`— i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR "ro SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#229-05 DATE ISSUED: 4/7/05 Property Located at: 164 North Street UNIT# 1 Owner/Agent: Paul Kapnis Address: P.O. Box 57 City/Town: Ipswich, MA Zip Code: 01938 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' 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 ` 4 i JOA KINES COTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r 1 , CITY 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 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABIIT, , A(TION". PROPERTY LOCATED AT I� )I�Q� �G(lc UNIT#-t- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OW NER/LESSERMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ,,��,,//� ,,// Jr7 ADDRESSj4IO CITY laA410k CITY. 0. RESIDENCE PHONE BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS. ROOM USE: t __—__--- 23._-- ---_ 4 -- 5._ 6. 7 8. THERE IS A TWENTY-FIVE (525.00) 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 - _ �Cj % -- - ----------- -DATE INSPECTORS USF ONLY DATE OF INITIAL INSPECTION 'b DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE Lfi� DATE FEE PAID -d ,^ . TYPE OF UNIT DWELLIN / OTHER CHECK 7� 7 _ CHECK DATE ' S NOTES CODE ENFORCEMENT INSPECTOR 9/211/'+8 00, CITY 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 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 tenantjlessee of a unit or residential property, hereby authorize the Salem Board of Health or its author- ize3 agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat 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 ahe,ts f-om any loss or injury sustained of whatever nature ani description occasioned b•; my/our absence during said inspecticn . 014W il-- S-SOR Lf J1, s S� ,?44p w f.illll I{Ss OP li.C1"I' Tn ill' I1;Si'F:C'I'Ei) 0 0 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o R 120 WASHINGTON STREET, 4TH FLOOR �a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/13/05 Paul Kapnis 164 North Street Salem, MA 01970 PROPERTY LOCATED AT 164 North Street Unit 1 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. F the "Oar" of Heal Reply to oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#21-06 DATE ISSUED: 1/10/06 Property Located at: 164 North Street UNIT#2 Owner/Agent: Paul J. Kapnis Address: 16 Hillside Road City/Town: Ipswich, MA Zip Code: 01931 24 Hour Phone: 978-744-2270 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR HE BOARD OF HEALTH mac' JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ` CITY OF SALEM, MASSACHUSETTS s -� '� BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 0 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 99,41 /jLmy l(MArr"' UNIT# Z. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER IAS MANAGER/AGENT-PIP f No P.O. Box N/� }cpf No P.O. Box ADDRESS_*_�lff1'1'V' . ADDRESS_ / k/1` MOSTIP CITY _.rvu -f,4 CITY AU RESIDENCE PHONE g!TSGGF'g3Z/3fUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM OOMS ROOM USE: 1—We 2.-geO3.�.�L 5. 1507_ 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 �S DATE�.ZC. 910.05 INSPECTORS USE ONLY ' —0 6 DATE OF INITIAL INSPECTION to �&O�DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - 0� DATE FEE PAID: - )-0 r0 S TYPE OF UNIT: DWELLING VOTHER CHECK#_7LICH tt ECK DATE�1� NOTES:l_lw I�00 0 LT Tots >� t�CadiC�d_ &e 1_A �)oo AW�d� CODE ENFORCEMENT INSPECTOR Aon 600re , lAj41l M 9/28/98 P B CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 10/28/99 Tel: (978)9 8)740-97050 Matthew Colby 165 North Street #3 Salem, MA 01970 PROPERTY LOCATED AT 165 North Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of 'Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. IR�T�H/E�ByOARD O� REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT - CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 31, 2003 Warren Baughn 166 North Street Salem, MA 01970 PROPERTY LOCATED AT 166 North Street Rear 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. Fo/jr tth/ey Board of Health Reply to Y ✓ r""K-'�/ i Lit Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 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 #458-07 DATE ISSUED: 9/17/2007 Property Located at: 168 North Street UNIT# 1 Owner/Agent: Michael Zapantis Address: 184 Bridge Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r11103 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR S / CITY OF SALEM, MASSACHUSETTS / A .- BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR 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 ACCORDANCEWITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /�� /�D UNIT# / IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERmh� MANAGER/AGENT No P.O. No P.O. Box ADDRESS /% ADDRESS K , J CITY `C �CITY )6-P-1 � q RESIDENCE PHONE BUSINESS PHONE (24HRS.) BUSINESS PHO — TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. —6.-7. 9. THERE IS A TWENTY-FIVE(525.00) LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM LTH DEPARTME7 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �. ATE e7 Q INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6( — ) Z d 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE4, 17-O� DATE FEE PAID TYPE OF UNIT. DWELLINGXOTHER_ CHECK # 3 33_CHECK DATE=� 7 'v;7 NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 454-00 e FEE $25 .00 DATE: 07/17/2000 s 9B%MINB 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: 168 1/2 North Street UNIT #: 2 OWNER/AGENT: M. Zapantis ADDRESS: 184 Bridae Street CITY/TOWN: Beverlv, MA ZIP CODE: 01915 24 HOUR PHONE: 927-8367 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 1 / � ��CONUIT�I� ��, /i,i 3 � 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". PROPERTY LOCATED AT /c/oP/�Z- d`4477r �J lrL`91� UNIT# �^ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 1 OWNER/LESSER . ZA✓JAn/I s MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS{ I PK IJ n J�c S¢r ADDRESS CITY aw-SL-), M� CITY RESIDENCE PHONE Fg'7--t36 7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: .- ROOM USE: 11� e^r 2 L,v f:� '2 62 4. 0/ 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S LEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE k. '7j— DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7- / 7 -o 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7 -'/ 7 -0ODATE FEE PAID: 7 -1 7 'o 0 TYPE OF UNIT: DWELLINGI�OTHER_ CHECK# /.2 ;2 `-F CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 v��coriorrkP > CERT.# 453-00 n FEE $25.00 DATE: 07/17/2000 9��/Mriue 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: 168 1/2 North Street UNIT #: 3 OWNER/AGENT: M. Zanantis ADDRESS: 184 Bridge Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-8367 ANINSPECTIONOF 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 3 � s . ��/Mlryg 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 HHU ANHABITATION". PROPERTY LOCATED AT .14 of//), //6d0 / J IITt^e4 *Z- UNIT#3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FROM BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box p n No P.O. Box ADDRESS �Io'f lSft- � - ADDRESS CITY f -evw t-c M 4 . CITY 9.2?-8367 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Y ROOM USE: 1.�/`12. 4. 5.-6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA M HEALTH D ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _bATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 - / `7 - o J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:? -/ 7 - o()DATE FEE PAID: 7 _ / 7 -r/ 0 TYPE OF UNIT: DWELLING OTHER_ CHECK#/2 a�CHECK DATE- &f-0j NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 l ��toNnlT O n< e a � CITY OF SALEM BOARD OF HEALTH Salem, MassachusMaJMW& JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—4`" Floor HEALTH AGENT Tel # (978)-741-1800 Donald & Tina Tucker Fax # (978)-745-0343 169 North Street Salem, MA 01970 PROPERTY LOCATED AT 169 North Street UNIT # 1 Dear Sir/Madam: SII 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. I 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 I 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. I 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. F R THE BOARD yO`FF' HEALTH REPLY TO panne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 � TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 11, 2003 Joan Nunes 84 Tremont Street Peabody, MA 01960 PROPERTY LOCATED 170 North Street Unit# 1 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 of H� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 3 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#201-07 DATE ISSUED:4/30/2007 Property Located at: 170 North Street UNIT#2 Owner/Agent: At Nunes r Address: 84 Tremont Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' 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. FO T�D OF JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I: CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ♦ 120 WASHINGTON STREET, 4TH FLOOR 1 SALEM, MA 01 970 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_ ti�� G' /` _UNIT 002- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /'/ L /vl/.✓t MANAGER/AGENT No P.O. Box yy c�./ No P.O. Box ADDRESS�t/,?r".f 4 l/ ADDRESS f7el4hyllz. o Lf� Q CITY / CITY /, RESIDENCE PHONE 7 �. Z/` ASINESS PHONE (24 HRS )---- BUSINESS RS )BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE 1 -_ 2 -- --_-._ _3 5 -67 ------ THERE ---THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE. PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAADEPARTTHIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUREE _DATE INSPECTORS USF ONLY DATE OF INITIAL INSPECTION ly. -3 0 D � DATE OF REINSPECI ION DATE OF ISSUANCE OF CERTIFICATE 3 7 DATE FEE PAID TYPE OF UNIT D1YELLIN_I/ OTHER CH _ ;4, :: ( 1?0 HECK U', NOTES COOL= IJSPL(_IOI_ City of Salem, Massachusetts y m Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-16-23 DATE ISSUED: 1/26/2016 Property Located at: 170 NORTH STREET UNIT#3 Owner/Agent: Al Nunes Address: 24 Paine Avenue City/Town: Prides Crossing, MA Zip Code: 01965 24 Hour Phone:(976) 269-4477 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 n t F� All Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1P 120 WASHINGTON STREET 4°i FLOOR P111iCH�th STREET, Prevent Promote Proteo TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL tramdinnasalem.com MAYOR L tRY RANIDIN,WOW]IS,CI 10,(T-FS Hi;Avri I A(;FNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT / 71'2 ®/��r�` ( :7 /` UNIT#_j' /9 IS THIS UNIT DISIGNA,T,E/D AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT NO P.O. BOX ADDRESS Z Z,®"/s��T�� /J` ve ' ADDRESS / CITY, STATE, ZIP /�lf//�7 /L� �Gjl f✓��{ CITY, STATE,ZIP �v/l� ,� RESIDENCE PHONE / � %Z` ��BUSINESS PHONE (24HRS) % ,T/rte zG% ` L/ZJ� 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 PAYAB IME OF INSPECTION / APPLICANT'S SIGNATURE / /� DATE / Inspectors use only Date on initial inspection: I 2 1 1 Date of reinspection: Date of issuance of certificate: I'a Date fee paid: Type of unit: Dwelling ✓ Other Check# s'�d Check date: )'Z' ) �, Notes: Code Enforcement Inspector uNw CITY OF SALEM, MASSACHUSETTS �"� '� BOARD OF HEALTH '� 'm 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 06/13/2002 Janet Doucette & Dennis Vallee 336 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 171 North Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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. IR THE BOARD O HEALTH REPLY TO anne Scot MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 3 CITY Or SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IMONNEnG SALEM.CDNI JANET DIONNE SENIOR S-1NITARIAN CERTIFICATE OF FITNESS CERTIFICATE#426-08 DATE ISSUED: 8/28/2008 Property Located at: 177 North Street UNIT# 1 Owner/Agent: Ray Janisch Address: 177 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-388-1697 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//AOF HEALTH V61 *JANTONNE 4 SENIOR SANITARIAN /CODE iNARCEMENTECTOR CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR iSCOTJQsALENI.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." FPL+�1 - T L�Oo�Ov PROPERTY LOCATED AT 11 -7 / N O f � � UNIT# IS THIS UNIT DISIGNAITED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLEONE OWNER/LESSER R u 1 B• � t1 l SG Yl MANAGER/AGENT I ui �f6 ca w e-r NO P.O. BOX ADDRESS I '►I 7� nn ADDRESS S9, A I JIM h� tt 0 CITY,STATE,ZIP CITY,STATE,ZIP rl r /(7 A 02 (3� gg �/ p 4 RESIDENCE PHONE 111 l 1�.j 5 Z Z Z2 BUSINESS PHONE(24HRSl � 17 J O � 16 l 1 BUSINESS PHONE 2. 3 f TOTAL NUMBER OF ROOMS: ROOM USE: 1.WrL 2. )A u 1 utG 3.�bthv\11� 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)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 —7 APPLICANTS SIGNATURE -" )k, DATE / 12Z1/09 Q� Insnectors use only Date on initial inspection: `1 IZZ I O Date of reinspection: FRI - g Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# S-2-) Check date: Notes:Dit7 ,3fj- aPIS for uJlndN0->, iA ` Np )4s°P F - 1 10-134°F 1 SbnWeV ('6p 11of sltdul�,�>t> Ind" la (Vo vi- Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 6, 2003 Jane Baker 181 North Street Salem, MA 01970 PROPERTY LOCATED AT 181 North Street Unit# 109 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 oann�PH RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS r • BOARD OF HEALTH 120 WASHINGTON STREET,4.°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL, FAX(978) 745-0343 MAYOR INLACINI NALENLCONI JANET MANCI N I AC"PING HI,,ALPI-I AGI3N,i, CERTIFICATE OF FITNESS CERTIFICATE#224-09 DATE ISSUED: 5/15/2009 Property Located at: 181 North Street UNIT#202 Owner/Agent: Bridget Aroke Address: 12 Johnson Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD,` OF HEALTH JANET MANCINI ACTING HEALTH AGENT COD EN=ORCEMENT INSPECTOR CITY Or SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR INIANCINIaNALEM.COM JANC•�1'MANCINI ACTING HLALTI-I AGIiNT CERTIFICATE OF FITNESS CERTIFICATE #224-09 DATE ISSUED: 5/15/2009 Property Located at: 181 North Street UNIT#202 Owner/Agent: Bridget Aroke Address: 12 JohnsorStreet City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Xlu 1� JANET MANCINI ACTING HEALTH AGENT COD4-CEORCEMENT INSPECTOR , � '� � l �° l�- �C� L�fr. -- __._ � • CITY OF SALEM, MASSACHUSETTS BOARD OF H&\LTH 120 WASHINGTON STREET,4°1 FLOOR �J_ TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAZ(978) 745-0343 MAYOR 1,1'\NC1 NI17S:\I.U%1.COM JANET MANCINI, 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 PROPERTY LOCATED AT \ f\1 e-C 4% SY 50-49v\ vn Pr ON 9 �-O UNIT# '- 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX ADDRESS \2 -3AI\\s� S ADDRESS c+ CITY, STATE, ZIP o��v _A nn('�- 0)CN v CITY, STATE,ZIP RESIDENCE PHONE 1 S L,S "0-4 L) BUSINESS PHONE (24HRS) BUSINESS PHONE 61 q b 6 }�' TOTAL NUMBER OF ROOMS: H ROOM USE: 1. L: nn4 k. 2. V\�V&O n 3. P�,@- 4. 95 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 5 /1007 Inspectors use only Date on initial inspection: I�SI� Date of reinspection: / Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check# I Check date: l IBJ �G Notes: S(mt windows ozprl to l.e. v Weo.ie6( -f6 opm- look o5WdSh042-e . wl11 Lorre bJ to P/C, - ua czr4- W-ed uEd1b . Code Enforcement h4pectoe CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 �W'y�ryg FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT July 92003 Roger Coimbra 181 North Street#210 Salem, MA 01970 PROPERTY LOCATED 181 North Street Unit#210 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 XONDIT CERT.# 100-02 _ FEE $25.00 ,� ..�.,. DATE: 02/28/2002 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970- JOANNE SCOTT, MPH,RS,CHO 120 Washington Street —4'" Floor HEALTH AGENT Tel # (978)-741-1800 Fax# (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 181 North Street UNIT #: 211 OWNER/AGENT: Nora Mosor ADDRESS: 205 Richdale Avenue, Apt. A27 CITY/TOWN: Cambridae, MA ZIP CODE: 02140 24 HOUR PHONE: 491-4400 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 C&E ENFORCEMENT INSPECTOR NOTE: Bath vent fans do not operate. { % 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". PROPERTY LOCATED AT U/11,100-H &t. UNIT#Z� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT AC PLEASE CIRCLE ONE OWNEWLESSER_1 01M YID KYL MANAGER/AGENT No P.O. Box /}.11110 P.O. Box ADDRESS 2(2 ADDRESS CITY 014) Y1b11(�Cl , q91 CITY RESIDENCE PHONEILL ( ABUSINESS PHONE (24 HRS.) BUSINESS PHONE t1 I -)- (D ?,3- 22 a 5 TOTAL NUMBER OF ROOMS: "I ROOM USE: 1. 2.-&&L 3. 5. IVm 6. &J/)-7. NO) 8. ✓ANY` �. UKP+ ✓(�/�� THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE Z// 46" INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 0/8/1 a DATE OF REINSPECTION /L,�A DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID _ 3&>;'�� C,,,64 f4�j TYPE OF UNIT: DWELLING _OTHER_✓ CHECK # 3a 3 y CHECK DATE NOTES: Qory !re✓r firs A, Jnr ��os� CW!i F RCC tNT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS gc BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �Po SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#473-05 DATE ISSUED: 08/01/2005 Property Located at: 184 1/2 North Street UNIT# 1 Owner/Agent: Ted Eliopoulos Address: 109 Birch Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 508-509-6370 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. R THE BOARD O HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4^^ � [��'p' 3 �,�.-.."'.,K. ...7r T'tn'.Ty...�i.a.r.:v '-lrr,::-':.i�' ..J e. .. •. , i��:irl�• i CfTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 (/7 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, R5, CHO �f"' MAYOR HEALTH AGENT APPLICATION FOR CERTIHCATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Il, 105 CMF? 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" //� / PROPERTY LOCATED A7 gb„ UNIT ei d aP210 IS THIS UNIT DESIGNATED/AS BIGIll BEET FRONT BACK PLEASE CIRCLE ONE OWNERILESSE 'IlffC t'djl_ -MANAGER/AGENT Y No P.O. Box fNo P.O. Box ADDRESS--7 t��l i �k _ _ADDRESS CITY � Ll7 -1�1CITY RESIDENCE PHONE. � _-- q-�-BUSINESS PHONE (24 HRS-) BUSINESS PHONE TOTAL. NUMBER OF ROOMS ROOM USE: t.�tTtf/S-'._ '-.�'JLij 3 ., 5 mit f�f�f �cvv` --8 -- - THERE IS A TWENTY-FIVE (525.00) DOLLAR F=EE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DI-PARTMFN1 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �/� ^( APPLICANTSS(GNATURE`�/j J: ¢ /YV4D I:A.TI. I7ATF.OF tNil-IAilNSP'FCTK){J ` ^ Q7 DALE 01= R1:1t•7SI'LC t I h DATE Oi ISSUANCI OI' CG.Ii 1 II II',11 ! X - iw� D I L 1 1'I I'':',!I) q_ -- ,��+ TYPE OF UNIT' D.WELI IN1/ —(11H1_R �tTl F hiFi;f: ('TATE h-� O'; NOII `, j H. 1=N1 OIt1.l ISI NI IfJ51'I Cltll; n,r Y .�o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a o- 32 gj 120 WASHINGTON STREET, 4TH FLOOR 1� c SALEM, MA 01 970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 8/9/05 Teddy Eliopoulos 109 Birch Street Peabody, MA 01960 PROPERTY LOCATED AT 184 1/2 North Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which Is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Heal Reply to �4anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 209-02 FEE $25.00 'FEL 978-741-1840 DATE: 04/18/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 184 1/2 North Street UNIT #: 3 OWNER/AGENT: Teddv Eli000ulos ADDRESS: 109 Birch Street CITY/TOWN: Peabodv, MA ZIP CODE: 01960 24 HOUR PHONE: 509-6370 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 y0ANNE SCOTT MPH RS C HO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 �0 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Fy t�.d J14 6f• UNIT#__3 IS THIS UNIT DESIGNATED AS//RIGHT LEFT FRON BACK PLEASE CIRCLE ONE OWNER/LESSER.o GGieGa✓�fS MANAGER/AGENT No P.O. Box / // No P.O. Box ADDRESS //d//I O>i�i/f Sf' ADDRESS CITY CITY n RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONEC 3-d - Sd 01 - 63,�'d TOTAL NUMBER OF ROOMS: ROOM USE: 1._f3e A- 2. .0 0-`4 4. 5. 7'w 6. 7. R THERE IS A TWENTY-FIVE($25.0b) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAL DEPART NTT S FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSP CTORS USE ONLY DATE OF INITIAL INSPECTION q --1 B —O ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Y,1 B - -- DATE FEE PAID: `f TYPE OF UNIT: DWELLINGOTHER_ CHECK# 3 S CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 04/11/2002 Eli Realty Trust c/o Theodore Eliopoulos 109 Birch Street Peabody, MA 01960 PROPERTY LOCATED AT 184 1/2 North Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. R THE BOARD HEI LiT'H REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 123-98 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: 185 North Street UNIT #: 1 OWNER/AGENT: Mary Ahcunas ADDRESS: 185 North Street CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-8414 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 ,Sion w F _ 410 100Kitchen Facilities - such ? _ the s (A) Every dwelling unit, and every rooming house where common-cooking facilities are e provided, shall contain suitable space to store, prepare and serve foods in a sanitary manner The owner shall provide within this space- ding (1) A kitchen sink of sufficient size and capacity for washing dishes and Icitchen utensils, iv ty and i a stove and oven in good repair(see 105 CNN 410.351)except and to the extent the occupant is required to do so under a written letting agreement;and '4 ,�,�,y� ^i°ti.F:v= -w. ir;aA''r^v�sc"= :i?^s,•4,`--_ CITY OF SALEM HEALTH DEPARTMENT 1 ' Nine North Street —�" Salem,Massachusetts 01970 Enclosure : Mary Abcunas 185 North Street Apt . 1 410 . 100 : Kitchen Facilities (A) Every dwelling unit , and every rooming house where common cooking facilities are provided, shall contain suitable space to store, prepare and serve foods in a sanitary manner. The owner shall provide within this space : (1) A kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils, and (2 ) a stove and oven in good repair ( see 105 CMR 410 . 351 ) except and to the extent the occupant is required to do so under a written letting agreement ; and 2 w L CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 NINE NORTH STREET JOANNE SCOTT,MPH,RS,CHO Tel;(508)741-1800 HEALTH AGENTAPPLICATION FOR CERTIFICTE OF FITNESS Fax:(WS)740-9705 � 10*1000 "MINIMUMACCORDANCE VITH STATE SANITARY,CODE, CHAPTER 11, 105 CtIR IN STANDARDS OF FITNESS FOR HUNAN H"*'TATION"' UNIT PROPERTY LOCATED AT MANAGER/AGENT 0�gER/LESSER�/ ADDRESS CITY CITY BUSINESS PHONE (24 HRS -RESTDFNCE BUSINESS PHONE TOTAL NMFPI OF Rooms- ROOM USE: 7. 8. PAYABLE By THERE I CHECK OR WgRy ORDER TO TOE FEE, S A TWEXTY-FIVE (25.00) DOLLAR jKScTToN CITY OF SALEK HEAL TH DEPAXMNT THIS FEE IS PAYABLE AT THE TIM OF -- � APPLICANTS SIGNATURE_,oa�Z CANT INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: Lq DATE OF REINSPECTION 7 3 DATE OF ISSUANCE OF CERTIFICATF:- DATE FEE PAID: TYPE OF UNIT: DWELLINGff OTHER NOTES: tle 0 bu K/e �ENFORCEMENT INS TOR - CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR IMANCIN10SAI a:NUIO N1 JANFA'NIANCINI ACTING H I;A];1'II AGF,N'I, CERTIFICATE OF FITNESS CERTIFICATE#105-09 DATE ISSUED: 3/3/2009 Property Located at: 186 North Street UNIT# 1 Owner/Agent: Jo-De Realty Trust Address: 4 Sebena Terrace City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-317-4197 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH NET MANCINI ACTING HEALTH AGENT CODE EN C MENT 11 PECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAA(978) 745-0343 MAYOR IDIONM;nSALISNI.COM JANET DIONNE, 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." ARM FEE: $50.00 PROPERTY LOCATED AT 16(9 ( �/O R M SY UNIT#- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER — 0 be /4 )9L7, --rAV 3 T- MANAGER/AGENT NO P.O. BOX ADDRESS SSR&NA �2 ADDRESS vac CITY, STATE,ZIP r F 80 b y /U V I O/C/60 )CITY, STATE,ZIP RESIDENCEPHONE BUSINESS PHONE(24HRS) BUSINESS PHONE j TOTAL NUMBER OF ROOMS: (OBJ p ROOM USE: 1. L-X 2. /� 3. 1C 17r 4. 46R 5. Blo\ 6. 7. 8. 9. 10. /Qn THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS LE AT E T EOE PECTION APPLICANT'S SIGNATURE DATE 3)316'q Insnectors use o Date on initial inspection: 3 - 3 ' `P Date of reinspection: Date of issuance of certificate: 3- 3 o 9 Date fee paid: 3 3 -6 S Type of unit: Dwelling--FOther Check# 2-b b 3 Check date: 3' 3 -11 Notes: Code Enforc ent/p for s d CITY OF SALEM, MASSACHUSE171'S 1P BOARD OF HEALTH 120 WASHINGTON STREET 4.°FLOOR PI1bHCHP.A� h v.e.m r.mom r. mn TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(a salem.com LARRv RAnm1N,Rs/1tF,11s,crus,c;r-rs MAYOR HISA1:1'11 AGI N'1' CERTIFICATE OF FITNESS CERTIFICATE#222-13 DATE ISSUED: 5/22/2013 Property Located at: 186 North Street UNIT#2 Owner/Agent: Joanne Kelly Address: 4 Sebena Terrace City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F OR THE BOARD OF HEALTH LARRY RAMDIN a _ HEALTH AGENT R �' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH P��'_I1��alty 120 WASHINGTON STREET,4"t FLOOR reW/t.Promote.ProotYi TEL. (978)741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL Irawdin(a�salem.com MAYOR LARRY 1L\MIDIN,RS/RL;FIS,CI IO,CI'-PS I-IEM TFi 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" c FEE: $50.00 PROPERTY LOCATED AT 0 _,40tO)OW .5, UNIT# a IS THIS UNIT DDISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CLEONE OWNER/LESSER I�G1�L� MANAGER/AGENT of 655' NO P.O.BOX ADDRESS 1/ YcerA4- &-. P4ej ADDRESS /Jo P/Y/ Si CITY, STATE,ZIP�Icwb.,Af . S� ctq(�o CITY, STATE,ZIP RESIDENCE PHONE q'7?-6-31 -13-53 BUSINESS PHONE(24HRS) 4 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.94 Rv.-y 2. 3.3x6 AM 4.0 TeWV 5. L.ivtr9 Rm-4 (6. &Vte� gv lri 8. 9. 10. THERE IS A FIFTY($50)DOLL E,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THI=FEEP Y AT THE TIME OF INSPECTION APPLICANT'S SIGNAL DATE (o D Inspectors use only Date on initial inspection: Ig ) Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: y Co rcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET,4'FLOORmote UlH TEL. (978) 741-1800 FAX(978)745-0343 Prevent.Penprotect KIMBERLEY DRJSCOLL Iramdin0salem.com MAYOR LARRY RAbIU1N,RS/RF,LIS,CLIq(T-FS HI.-,ALT71 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. - `�1.�in�cl t�nw✓ O-AyI Me, Ke. L) Tenant/Lessee Owner/Lessor K 1 ;��a�eA �, MA . Do46D Address 7A�Q Qt q-7L Address 1,�J(°9IPl6% AN 5�rt�A,9 5&)e-yo .M4 Q t g 7 6 Address on unit to be inspected Date Updated 523/11 `o ' City of Salem, Massachusetts W 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-16-242 DATE ISSUED: 7/14/2016 Property Located at: 186 NORTH STREET UNIT#3 Owner/Agent: Jode Realty Trust Address: 4 Serena Terrace City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 531-1233 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 ffre KJOL,07� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALLM. MASSACHUSETTS a BOARD OF HEAJXH 120 WASI IINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KI1VIBF,RL1.?Y DRISCOIJ, FAX(978) 745-0343 MAYOR LRAMn7IN(@SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP FS HILALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" n/10 nn ff FEE: $50.00 17 PROPERTY LOCATED AT /V OP rf�- ST t E(V) UNrr#—'- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Jo �F I\C A L7�1/ TRU 5-r- MANAGER/AGENT ' J�ArIV Nc NO P.O.BOX / I I / ADDRESS ADDRESS CITY, STATE,ZIP Pe��y / V Vt �C/ CITY, STATE,ZIP RESIDENCE PHONE of 1 S -,5-3J-i-D3 3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: v ROOM USE: 1. 1-1 2. /A//NG 3. LS R 4. k)-I'CH6AI5. AR 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 FE I- PAYABL T THE OF INSPECTION APPLICANT'S SIGNATURE ` DATE 1/14 u Inspectors use only Date on initial inspection: 0711) Date of reinspection: Date of issuance of certificate:07/P)7l'161-JG Date fee paid: m71071201C Type of unit: Dwelling__Other Check# '�7a Check date: 07107l-)t1g� Notes: C d of •cement Ins ctor • CITY of SALEM, MASSACHUSETTS BOARD oP HrALTH 120 WASinNG'roN STREET,4"'FL()OR TEJ- (978)741-1800 KIMBERLEY DRISCOLI, FAX(978) 745-0343 MAYOR gciaTNin iNi g,sAWN1.CUM DAVID GREENBAUM, At-.t'iNG HF NLTH AGE1,r Release In accordance with Massachusetts General Laws Chapter 11 l; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 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. ZC &wr Tenant/Lesseeor /?D /V 6 r-f" 4 3 q SEFRC'Nk 7" Address Salem MA 01970 Address P0WaYt AAAr 019(00 /6'6 N'ottrH sr * 3 Address on unit to be inspected Ob/z3 � 16 )ate • CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DP ISCOLL FAX(978)745-0343 MAYOR DGRUNBAUMOSALF.M. OM DAVID GRI!F.NBAUM ACTING HI;.AL'Hj AGI�.N'I' CERTIFICATE OF FITNESS CERTIFICATE#235-10 DATE ISSUED: 5/26/2010 Property Located at: 193 North Street UNIT# 1 Owner/Agent: Richard Lemon Address: 193 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-8769 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-HEAL-TH I DA ID GREE A ACTING HEALTH AGENT COD EN' ORCEMENT INSPECTOR l P - a3S ) U CITY OF SALEM, MASSACHUSETTS Y • BOARD OF HEALTH 120 WASHINGTON S'T`REET,4"'FLOOR TEL (978)741-1800 KIM13ERLEY DRISCOLL Fax(978)745-0343 1YOR WRRENRAUM(a?SALEM.COAs DAVID&REENBAUM, ACTING'REIA .TH 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* _7 ROPERTY LOCATED AT f I V �j7 r� Y� L7NIT# f IS TpHIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE VNER/LESSER ,,/ � MANAGER/AG\ENNT0 P.O.BOX cS, ,fit DDRESS 193 2 ADDRESS O PTY, STATE,ZIP E: w. k14-,,, / 9:76CITY, STATE,ZIP ESIDENCE PHONE 9g` YsS BUSINESS PHONE(24HRS) USINESS PHONE DTAL NUMBER OF ROOMS: DOM USE: 1. �- - 2. 3. 4. 5. 6. 7. 8. 9. 10. KERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM DARD OF HEALTH THIS F PAYABLE AT TVE TIME OF INSPECTION �PLICANT'S SIGNATURE ` DATE J >... . Insnecto,_.rs_use only ite on initial inspection: S/) �+�`� Date of reinspection: ite of issuance of certificate: S t d lello Date fee paid: IL-7 G / pDwelling_of unit: DwellinOtho Check# �! Check date: t /d` ho ,tes: AJNCIf �- Wlq?—4 /YlfS.fIn p 1 And- !2p cCirn Curs rr� n�lnf � of�Wn tU PJru rPRi� 1 S -Y dtpl de Enfo cern t Inspector CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRrLNBAUM 'ALLM.COM DAVID GREENBALIM, ACTING HEALTH AGENT Release n accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; tate Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and enant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to aspect the residence identified below-in accordance with the aforementioned statutes, regulations and ordinances. w n the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for iy/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its uthorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence uring said inspection. enant/Lessee Owner/Lessor ddress Address Address on unit to be inspected ite Tenant Lead Law Notification What lead paint forms must owners of rental homes give to new tenants? Before renting a home built before 1978,the property owner and the new tenant must sign two copies of this Tenant Lead Law Notification and Tenant Certification Form,and the property owner must give the tenant one of the signed copies to keep.If any of the following forms exist for the unit,tenants must also be given a copy of them: lead inspection or risk,assessment,report; Letter of Compliance, or Letter of Interim Control. This form is for compliance with both,Massachusetts and federal lead notification requirements. What is lead poisoning and who is at risk of becoming lead poisoned? Lead poisoning is a serious environmental hazard.It is most dangerous for children under six years old.It can cause permanent harm to young children's brain,kidneys, nervous system and red blood cells. Even at low levels, lead in children's bodies can slow growth and cause learning and behavior problems. Young children are more easily and more seriously poisoned than others,but older children and adults can become lead poisoned too.Lead in the body of a pregnant woman can hurt her baby before birth and cause problems with the pregnancy. Adults who become lead poisoned can have problems having children,and can have high blood pressure,stomach problems,nerve problems, memory problems and muscle and joint pain. How do children and adults become lead poisoned? Lead is often found in paint on the inside and outside of homes built before 1978. The lead paint in these homes causes almost all lead poisoning in.young children. The main way children get lead poisoning is from swallowing lead paint dust and chips.Lead is so harmful that evenn small amount can poison a child.Lead paint under layers of nonleaded paint can still poison children,,,especially when it is disturbed, such as through normal wear and tear and home repair work. Lead paint dust and chips in the home most often come from peeling or chipping lead painted surfaces;lead paint on moving parts of windows or,on window parts that are rubbed by moving parts;lead paint on surfaces that get bumped or walked on, such as floors,porches, stairs, and woodwork; and lead paint on surfaces that stick out which a child may be able to mouth such as window sills. Most lead poisoning is caused by children's normal behavior of putting their hands or other things in their mouths. If their hands or these objects have touched lead dust,this may add lead to their bodies.A child can also get lead from other sources, such as soil and water,but these rarely cause lead poisoning by themselves. Lead can be found in soil near old,lead-painted homes.If children play in bare,leaded soil,or eat vegetables or fruits grown in such soil,or if leaded soil is tracked into the home from outside and gets on children's hands or toys,lead may enter their bodies. Most adult lead poisoning is caused by adults breathing in or swallowing lead dust at work, or, if they live in older homes with lead paint,through home repairs. How can you find out if someone is lead poisoned? - -most-pwplewha die ITaad poisdn&ddd not nave any special symptoms.The only way to find out if a child or adult is lead poisoned is to have his or her blood tested.Children in Massachusetts must be tested at least once a year from the time they are between nine months and one year old until they are four years old.Your doctor,other health care provider or Board of Health can do this.A lead poisoned child will need medical care.A home with lead paint must be deleaded for a lead poisoned child to get well. What Idnd of homes are more likely to have lead paint? In 1978, the United States government banned lead from house paint.Lead paint can be found in all types of homes built before 1978: single-family and multi-family; homes in cities, suburbs or the countryside; private housing or state or federal public housing. The older the home, the more likely it is to have lead paint.The older the paint,the higher its lead content is likely to be. Can regular home repairs cause lead poisoning? There is a danger of lead poisoning any time painted surfaces inside or outside the home are scraped for repainting, or woodwork is stripped or removed,or windows or walls are removed.This is because lead paint is found in almost all Massachusetts homes built before 1978,and so many of Massachusetts'homes are old.Special care must be taken whenever home repair work is done.No one should use power sanders, open flame torches,or heat guns to remove lead paint,since these methods create a lot of lead dust and fumes.Ask the owner of your home if a lead inspection has been done.The inspection report will tell you which surfaces have lead paint and need extra care in setting up for repair work, doing the repairs, and cleaning up afterwards. Temporarily move your family (especially children and pregnant women)out of the home while home repair work is being done and cleaned up. If this is not possible,tape up plastic sheets to completely seal off the area where the work is going on.No one should do repair work in older homes without learning about safe ways to do the work to reduce the danger of lead dust. Hundreds of cases of childhood and adult lead poisoning happen each year from home repair work. What can you do to prevent lead poisoning? ■ Talk to your child's doctor about lead ■ Have your child tested for lead at least once a year until he/she is four years old. ■ Ask the owner if your home has been deleaded or call the state Childhood Lead Poisoning Prevention Program (CLPPP)at 1-800-532-9571,or your local Board of Health. • Tell the owner if you have a new baby,or if a new child under six years old lives with you. ■ If your home was deleaded, but has peeling paint, tell and write the owner. If he/she does not respond, call CLPPP or your local Board of Health. ■ Make sure only safe methods are used to paint or make repairs to your home,and to clean up afterwards. ■ If your home has not been deleaded, you can do some things to temporarily reduce the chances of your child becoming lead poisoned.You can clean your home regularly with paper towels and any household detergent and warm water to wipe up dust and loose paint chips. Rub hard to.get rid of more lead.When you are done,put the dirty paper towels in a plastic bag and throw them out The areas to clean most often are window wells,sills,and floors. Wash your child's hands often(especially before eating or sleeping)and wash your child's toys, bottles and pacifiers often. Make sure your child eats foods with lots of calcium and iron, and avoid foods and snacks that are high in.fat.If you think your soil may have lead in it,have,it tested.Use a doormatto help prevent dirt from getting into your home. Cover bare leaded dirt by planting grass or bushes, and use mats, bark mulch or other ground covers under swings and slides. Plant gardens away from old homes, or in pots using new soil. Remember,the only way to permanently lower the risk of your child getting lead poisoned is to have your home deleaded if it contains lead paint. How do you find out where lead paint hazards may be in a home? The only way to know for sure is to have a lead inspection or risk assessment done. The lead inspector will test the surfaces of your home and give the landlord and you a written report that tells you where there is lead in amounts that are a hazard by state law. For interim control, a temporary way to have your home made safe from lead hazards, a risk assessor does a lead inspection plus a risk assessment During a risk assessment, the home is checked for the --.most serious-lead-hazards,-which-must-be-fixed-right away Th"sk-assessor-would-give-the landlord-and-you-a written report of the areas with too much lead and the serious lead hazards. Lead inspectors and risk assessors have been trained,licensed by the Department of Public Health,and have experience using the state-approved methods for testing for lead paint These methods are use of a sodium sulfide solution, a portable x-ray fluorescence machine or lab tests of paint samples.You can get alist of licensed lead inspectors and risk assessors from CLPPP. In Massachusetts, what must the owner of a home built before 1978 do if a child under six years old lives there? An owner of a home in Massachusetts built before 1978 must have the home inspected for lead if a child under six years old lives there. If lead hazards are found, the home must be deleaded or brought under interim control. Only a licensed deleader may do high-risk deleading work, such as removing lead paint or repairing chipping and peeling . 1 Tenant Certification Form Required Federal Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint,paint chips, and dust can pose health hazards if ,+ not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre- 1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. The Massachusetts tenant Lead Law Notification and Certification Form is for compliance with state and federal lead notification requirements. Owner's Disclosure (a)-Presence of lead-based paint and/or lead-based paint hazards(check(i)or(ii)below): (i) Known lead-based paint and/or lead-based paint hazards are present in the housing(explain). + (ii)_Owner/Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b)Records and reports available to the owner/lessor(Check(i)or(ir)below): (i) Owner/Lessor has provided the tenant with all available records and reports pertaining to lead—based paint and/or lead-based paint hazards in the housing(circle documents below). Lead Inspection Report; Risk Assessment Report; Letter of Interim Control; Letter of Compliance (i) Owner/Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Tenant's Acknowledgment(initial) (c) Tenant has received copies,of all documents circled above. (d) Tenant has received no documents listed above. (e) Tenant has received the Massachusetts Tenant Lead law Notification. Agent's Acknowledgment(initial) -(I) Agent.has informed the owner/lessor of the owner's/lessor's obligations under federal and state law for lead- based paint disclosure and notification and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify,to the best of their knowledge,that the information %they have provided is true and accurate. Owner/Lessor Date Owner/Lessor Date Tenant Date Tenant Date Agent Date Agent Date Owner/Managing Agent Information for Tenant(Please Print): Name Street Ant. City/Town Zip Telephone I(owner/managing agent) certify that I provided the Tenant Lead Law Notification/Tenant Certification Form and any existing Lead Law documents to the tenant,but the tenant refused to sign this certification. The tenant gave the following reason: The Massachusetts Lead Law prohibits rental discrimination,including refusing to rent to families with children or evicting families with children because of lead paint. Contact the Childhood Lead Poisoning Prevention Program for information on the availability of this form in other languages . Tenant and owner must each keep a completed and signed copy of this form. CLPPP9547 R".5104 lead paint.You can get a list of licensed deleaders from the state Department of Labor and Workforce Development. Deleaders are trained to use safe methods to prepare to work, do the deleading, and clean up. Either a deleader,the owner or someone who works for the owner who is not a licensed deleader can do certain other deleading and interim control work. Owners and workers must have special training to perform the deleading tasks they may do.After the work is done,the lead inspector or risk assessor checks the home.He or she may take dust samples to test for lead,to make sure the home has been properly cleaned up. If everything is fine, he or she gives the owner a Letter of Compliance or Letter of Interim Control.After getting one of these letter's,the owner must take care of the home and make sure there is no peeling paint. What is a Letter of Compliance? It is a legal letter under state law that says either that there are no lead paint hazards or that the home has been deleaded.The letter is signed and dated by a licensed lead inspector. What is a Letter of Interim Control? It is a legal letter under state law that says work necessary to make the home temporarily safe from serious lead hazards has been done. The letter is signed and dated by a licensed risk assessor.It is good for one year,but can be renewed-for another year. The owner must fully delead the home and get a Letter of Compliance before the end of the second year. Where can I learn more about lead poisoning? Massachusetts Department of Public Health Your local lead poisoning prevention program Childhood Lead Poisoning Prevention Program(CLPPP) or your local Board of Health (For more copies of this form,as well as a full range of information on lead poisoning prevention,tenants'rights U.S.Consumer Product Safety Commission and responsibilities under the MA Lead Law,how to (Information about lead in consumer products) clean lead dust and chips,healthy food's-to protect your 1-800-638-2772 children,financial help for owners,safe deleading and renovation work,and soil testing.) U.S. Environmental Protection Agency;Region I 1-800-532-9571 (Information about federal laws on lead) 617-918-1524 Massachusetts Department of Labor and Workforce Development National Lead Information Center (List of licensed deleaders) (General lead poisoning information) 617-969-7177, 1-800-425-0004 1-800424-5323 CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#363-06 DATE ISSUED: 7/27/2006 Property Located at: 195 North Street UNIT# 1st floor Owner/Agent: Antonio Almanzar Address: 195 North Sttreet#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-1485 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. O CARD OF HEALTH Q 1 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR Jw SALEM, MA 01970 TEL. 978-741-1800 00 FAX 976-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FO HUMAN HABIT TION". PROPERTY LOCATED AT_15S- ? UNIT# rglr�o IS THIS UNIT DENATED ASftLGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE MANAGEPJAGENT- No P.O. Box Ad- No P.O. Box ADDRESS ADDRESS CITYCITY RESIDENCE PHON BUSINESS PH NE (24 HRS.) BUSINESS PHON S-3 OT-b TOTAL NUMBEOF ODMS: ROOM USE: 1 2 6.fti;�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 S I GN ATU R E -DAT E INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ;L 7-0 & DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE ?e--1_o?--v.-6DATE FEE PAID_ TYPE OF UNIT DWELLI -OTHER - CHECK 10 CHECK DATE NOTES CODE ENFORCUMFNT INSPECTOR ()/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 e TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#282-07 DATE ISSUED: 6/21/2007 Property Located at: 195 North Street UNIT#2 Owner/Agent: Antonio Almanzar Address: 195 North Sttreet#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 917-653-3682 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 OANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � � ��,�' �� , ��F�� CITY ~~�.~~~° ,,.. ~_,~. -_ BOARD opHEALTH v - 12oWASHINGTON STREET. 4TH FLOOR SALEM, MA 01e70 TEL. 978-741-1800 FAX 978-745-0343 / corr � Juawws , , . SCOTT, MPH, ns c*o � HEALTH AGENT ��d� D�g(�ll � ----/ Mayor APPLICATION FOR CERTIFICATE 0FFITNESS |NACCORDANCE WITH STATE SANITARY CODE, CHAPTER ||' 105CMR 4|0.OVO "MINIMUM STANDARDS HABITATION'. PROPERTY LOCATED AT � �VN|T #_^ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE OWNERLESSER 0o �K� �� Box ADDRESS ADDRESS OITY CITY RES|DENCEPHON BUS|NES3PH0NE (24HR8]_ BUSINESS PHONE T0TALNUMBER 0FR0O0S:___ ROOM USE \ _ _ 23,_ 4 6_ ___7, THERE |SATWENTY-FIVE (S26.O0) DOLLAR FEE, PAYABLE BYCHECK 0RMONEY ORDER T0THE CITY OFSALEN1HEALTH DEPAR|@ENTTHIS FEE !SPAYABLE AT7,HE TIME 0FINSPECTION APPL|CAN7SS|CNATUR DATE ` ~ �° -^�'/ �7�r DA DF[V\]_E{��J�� 1lkLli4�P]EQ.l�K| �� ' , ^ ' DATE 0FISSUANCE ()FCER!|F|CATE </ / ~07 !)AT:-:7FE� pA|,) TYPE OFUNIT 0\@ OlHU\ SHEC�� '� �l /�) CHHCKD�TE �n � NOTES � C0DEENFOHCHFN| |NSPLCT')P ' CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR , o 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 #592-07 DATE ISSUED: 12/3/2007 Property Located at: 196 North Street UNIT# House Owner/Agent: Harold Nason Address: 5 Island Farm Road City/Town: South Carver, MA Zip Code: 02330 24 Hour Phone: 508-775-8867 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 J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I / CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • • SALEM, MA 01970 ✓ �� ``�� TEL. 978-741-1800 y"J 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I q67 AIO2TH 7/ UNIT# � IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER41/UiG� ��lR�rl MANAGER/AGENT e/% �YSGVl No P.O. Box PI P.O. Box (� ADDRESS `��i t L'1/Ic��/`�a.1- t6'ADDRESS CITY ( �� r V O V/ //'I 0.7-330 CITY �Q✓C r P�� Uq�� RESIDENCE PHONEU�5-g6L-h7JL{IBUSINESS PHONE (24 HRS.) C �3 _r77 c .9 l BUSINESS PHONE 4i-n( `)Y7S- R9iJ17 TOTAL NUMBER OF ROOMS: ROOM USE: 1�/J/ i✓1a 21 �1 .�P�rcrsyv Bed6oc)ki 5 `Y r A45&q 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. n APPLICANTS SIGNATU L'% L�y DATE4; � INSPECT RS USE O / - / DATE OF INITIAL INSPECTION �, - S V DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFIC TE:41)- =3 y DATE FEE PAID: 3 `' 7 TYPE OF UNIT: DWELLIN�OTHER_ CHECK# 3 �j` CHECK DATE =5 "� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS { BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR CERT.p 477-03SALEM, MA 01970 TEL. 978-741-1800 FEE $25.00 FAX 978-745.0343 DATE: 9/30/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT ff CERTIFICATE OF FITNESS - PROPERTY LOCATED AT: 197 NORTH STREET UNIT $: 1 OWNER/AGENT: JUAN VELEZ ADDRESS: 197 NORTH STREET CITY/TOWN: SALEM ZIP CODE: 01970 24 HOUR PHONE: 978-740-2710 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 G YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR J 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 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT / 9;7 S y • UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERf---t c_)!A MANAGER/AGENT _ No P.O. Box No P.O. Box ADDRESS 19`7 We)at 51-- ADDRESS / X1970 CITY RESIDENCE PHONE/7E 7 S/O a 7 /0BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: .S ROOM USE: 1. IZ_ 2. 3. i3 4. / 5.w6. 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. / n/- APPLICANTS SIGNATURE A APY /t," DATE(/91 �O 3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION q- q -0 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:F - 0 7 DATE FEE PAID: TYPE OF UNIT: DWELLIN( OTHER_ CHECK# CHECK DATE' NOTES- CODE OTES CODE ENFORCEMENT INSPECTOR 9/28/98