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OAKLAND STREET OAKLAND STREET I r . a _ f - CITY OF SALEM, MASSACHUSETTS ® BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#98-06 DATE ISSUED: 3/6/06 Property Located at: 3 Oakland Street UNIT# 1 Owner/Agent: Jacqueline Picanso Address: 20 Collins Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-532-5035 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR crry OF SALEM;MASSACHUSETrS BOARO OF HEALTH 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 *MINIMUM STANDARDS OF FITNE UMAN*HABI ATIlON' Y LOCATED AT UNIT I PROPERTY IS THIS UNIT D NATEDAS RI T EFT _FRNT BACK PLEASE CIRCLE ONE OWNERILESSE J�EMANAGCRJAGENT No P.O. Box A11140 )r No P.O.Box ADDRESS,i ADDRE§S� CITY RESIDENCE PH E�29-6--�-�6��OdrsNESS PHONE (24 HRS.)--- I BUSINESS PHONE TOTAL NUMBER OF ROOMS:-- ROOM USE: 1.- 2.-- THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO T OF/"" M HEALTH DEPAR ENT THIS FEE IS PAYABLE AT THE "TY FM HE �'Ty HE Ty TIME OF INSPECTION: APPLICANTS SIGNATURE ECT 'at I ECTORS.t.�QE—ONLY I Sp C 'q Q,�,T[ OF INITIAL TION -9 (0-DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 3,'�',-P,-6,, DATE FLV- PAID TYPE OF UNIT. DWELLrOTHER CHECK 0 57,A- CHECK DATE NOTES, LCODE ENFORCEMENT IN'SPLCTOk --—---------— -- CITY OF SALEM, MASSACHUSETTS g m3L BOARD OF HEALTH 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 10/26/04 Mathew Sirois 4 Oakland Street Salem, MA 01970 PROPERTY LOCATED AT 4 Oakland 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. Fort oard of Health / Reply to Joanne =S, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM9 MASSACHUSETTS ~ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR q 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#504-04 DATE ISSUED: 11/9/04 Property Located at: 4 Oakland Street UNIT# 1 Owner/Agent: Heidi Porter Address: 4 Oakland Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-9059 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 JOAN�SC H, RS, CHtl-� HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 0BOARD OF HEALTH (/ l 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 II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT q 608 Si_._ 5��ft,>'YIA UNIT#—t*R'G IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_ [6 0 i f U412K MANAGER/AGENT No P.O. Box J No P.O. Box ADDRESS `P_ ADDRESS CITY `Q/YVI (AA CITY RESIDENCE PHONE 91_? P qOf BUSINESS PHONE (24 HRS.) BUSINESS PHONE 91&ki ;) S TOTAL NUMBER OF ROOMS: ROOM USE: 1.114 2.6r� 3. 4. b60" 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 SIGNATURP-Ad{ _ DATE 1 p INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �— I O T DATE OF REINSPECTION p DATE OF ISSUANCE OF CERTIFICATE:// A DATE/FFqEE PAID: // 9- �' ? TYPE OF UNIT: DWELLING, OTHER_ CHECK# 7 / CHECK DATEC/ � NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r 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 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 17be 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. Ln the event it is necessary that said inspection be done in my/our absence, i_/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspecti.cn. LAA TEIH, .T/L,'Er, I'S ESSOR --_-._-__--. ALOR_ S ADDRESS OF UNIT To Bfi INSPECTED CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR r c SALEM, MA O 1970 .�, TEL. 978-741-1800 FAX 978-745-0343 STANLEY,J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 503-04 DATE ISSUED: 11/9/04 Property Located at: 4 Oakland Street UNIT#2 Owner/Agent: Heidi Porter Address: 6 Oakland Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-314-4205 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 J JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �A a CITY OF SALEM, MASSACHUSETTS 1 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 'F V 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 FIT/NESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4 � 4V(6ivld&-2e(P/M MA UNIT #:✓JAL%-,r IS THIS UNIT DESIGN ATED�A/S' RIGHT -,I FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER I kl C6(-�( MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS__ (�1.L�4YICAS��y1 —ADDRESS CITY &e/ IJVI n 6r Q CITY RESIDENCE PHONE/94_N� BUSINESS PHONE (24 HRS.) BUSINESS PHONE '77* 39d6S TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.hL& 2. 4 5.A0- 6. bq4mm 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 J r� INSPECT RS USE ONLY DATE OF INITIAL INSPECTION Ff - �/ --ZV_-� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATED DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER__ CHECK 4-5- "tom J-c CHECK DATE _ .I_`�!' 'U F 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 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 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 from any loss or injury sustained of whatever nature and description occasioned by my/cur absence during said inspection. )4A ILSkit 0e_�'l_ CNATJ/TE�SE c�%'�� OWNER/,.EsseF. ADDRESS ADDRESS AD??RESS OF UNIT TO BF INSPECTS CITY OF SALEM, MASSACHUSETTS .j BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 255-03 r o SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/30/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 7 Oakland Street UNIT 4: 1 OWNER/AGENT: Nilza Goul+art ADDRESS: 7 Oakland Streeqt CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 977-9177 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OOF�HEALTH UJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF OF SALEM, MASSACHUSETTS J 1, 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 HUMA`N� HABITATION". PROPERTY LOCATED AT Ori (� UNIT# IS THIS UNIT DESIGNATED A RIGHT EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERr) AZfx �i� V. 6 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS `_7 Q CJQ IC n I ADDRESS CITY I e YYl rV l r , cITY RESIDENCE PHONE'7(41 BUSINESS PHONE (24 HRS.)�'q -7 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 SIGNATURV� &�_DATE �� a INSPECTORS USE ONLY DATE OF INITIAL INSPECTION SS'36 --V3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:;S-3 0'0 3 DATE FEE PAID: S - S D—e.9--'S TYPE OF UNIT: DWELLING/! OTHER_ CHECK #.Z-2- `7 CHECK DATES- NOTES,--- ATES NOTES: n CODE ENFORCEMENT INSPECTOR 9/28/98 i I 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 R.: gulations 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 tl:e aforementioned statutes, regulations and ordinances. L. the event it is necessary that said inspection be done in my/our absence, i_/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our- absence during said inspection. TE?SANT/LESSE"r, ilORNER/ SOR ADDRESS ADDRESS GY�.��CAh�cS� • �GI� ADDRESS OF UNIT TO E INSPECTED DATE 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 May 8, 2003 Jorge Goulart 7 Oakland Street Salem, MA 01970 PROPERTY LOCATED AT 7 Oakland 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 the Board of Health Reply to qJroanneMPH RS CHO Pablo Valdez a dez Health Agent Code Enforcement Inspector �. CONDITq CERT.# 436-00 • FEE $25.00 DATE: 07/06/2000 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: 15 Oakland Street UNIT #: 2 OWNER/AGENT: Sheila Jaworski ADDRESS: 5 St. Andrews Way CITY/TOWN: Chelmsford, MA ZIP CODE: 01835 24 HOUR PHONE: 736-0700 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 L Vplf_ Z� - JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I C70 _ 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 {J _ L �� �� UNIT#A— IS aIS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE t- L f? �_MANAGER/AGENT No P.O. Box 57 / No P.O. Box ADDRESS !t/ 'ADDRESS CITY s fFE4/IISFA�h, N- CITY ry RESIDENCE PHONE t�0'�S� �� BUSINESS PHONE (24 HRS.) 101 1/v-0706 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 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. 7 APPLICANTS SIGNATURE __ __DATE / � INSPECTOR SE ONLY DATE OF INITIAL INSPECTION2t - n 0 DATE OF REINSPECTION---- DATE EINSPECTION —__DATE OF ISSUANCE OF CERTIFICATE:? `0 a DATE FEE PAID2 - 0 TYPE OF UNIT: DWELLING(-OTHER— CHECK#-c2 3 a--CHECK DATE ?" & p NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 �guNo1T CERT.# 346-99 FEE $25.00 `3 52 DATE: 07/07/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Oakland Street UNIT #: 1 OWNER/AGENT: Gary Evan Lowe ADDRESS: 105 South Street CITY/TOWN: Portsmouth, NH ZIP CODE: 03801 24 HOUR PHONE: 431-7484 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • x .�,} S'.. v.YdV1�yF.'i� 3)y$ � c M ��•pf v c A T p 'i �y �.T'F �f° a;- �s{ � 4aj},, r�syue � a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 NINE NORTH STREET JOANNE SCOTT,MPH,RS,CHO Tei.(978)741-1800 HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"_ tt t / ( •e LCAL UNIT#_- PROPERTY LOCATED AT 1 (�' C titiC IS THIS UNIT DESIGNATED AS IGT EF F O T BACK PLEASE CIRCLE ONE OWNER/LEI ESSEf(';a-r (_O !J� —MANAGEFIAGENT S_ — No P.O. BO -��- -� ( Y No P.O.Sox ADDRESS_�_C.)_��? lT��(�( ADDRESS_ __-_ - G I� Gt1Al`.) 't t t^ -CITY `sl1L CITY Irt,_.____`'�----- _ RESIDENCE PHONE60- 4 SUSINESS PHONE(24 HRS.) BUSINESS PHONE__._= TOTAL NUMBER OF ROOMS:__ j _ "-VL IROOM USE: 1. J"l(6.__ 7•-____-_._._,__8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEPA ENT THIS FEE IS PAYABLE A7 THE TIME OF INSPECTION. DATE-7b APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-7-7.--7--�--- DATE OF REINSPECTION�. DATE OF ISSUANCE OF CERTIFICATE: L_, 7 - `�� DATE FEE PAID:?? '� 7 G R.__ CHECK#�� ----CHECK DATE TYPE OF UNIT: DWELLINOTHER_. '? r t /� I 9(28(98 COD EECOD NFORCEMENTINSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HE-ILTF[ 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ucal=.r_Nnnuml(as ,EM.coaa DAVID GREENBAUM,RS ACTING HI?AI;HI AGIiN,T CERTIFICATE OF FITNESS CERTIFICATE#426-10 DATE ISSUED: 9/1/2010 Property Located at: 19 Oaldand Street UNIT# 1 Owner/Agent: Robert Abraham Address: 45 Balcomb Street Citylrown: Salem, MA Zip Code: 01970 24 Hour Phone: 745-9455 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 ID GREENBAUM, RS ACTING HEALTH AGENT CODE NNJnCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRF,ENBAUM@SALBN CO\1 DAVID GRu'l-'NBAUM,RS AC'FINC, Hj;ALJ'I-I A(;rM, CERTIFICATE OF FITNESS CERTIFICATE#427-10 DATE ISSUED: 9/1/2010 Property Located at: 19 Oakland Street UNIT#2 Owner/Agent: RobertAbraham Address: 45 Balcomb Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-9455 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 2.1W �Id DAVID GR E/14// W, RS /? ACTING HEALTH AGENT CODE F EMENT INSPECTOR I � �1 • CITY OF SALEM, MASSACHUSETTS a 1 '. BOARD OF HEALTH � —I 1 120 WASHINGTON STREET,4"'FLOOR Tx'.1.. (978) 741-1800 KIMI3ERLEY DRISCOLL FAX (978) 745-0343 MAYOR COSI 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..000 PROPERTY LOCATED AT 19 2/f lC�l'��b P/ UNIT# IS THIS NIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER (109e 2T rrr/UQV- MANAGER/AGENT NO P.O. BOX ADDRESS 4E 19,4ca A.b S fi ' ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP 0 A7 7 6 RESIDENCE PHONE l-7 S -7 Y KSS BUSINESS PHONE (24HRS) BUSINESS PHONE f � TOTAL NUMBER OF ROOMS: Y V., ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT 7E TIME OF INSPECTION APPLICANT'S SIGNATURE � DATE Inspectors use only Date on initial inspection: �(l Date of reinspection: Date of issuance of certificate: �� /I^ Date fee paid: L/19 Type of unit: Dwelling VUther Check# W Check date: 9///(0 Notes: zyC/\__ -, C e E if cement Inspector i CITY OF SALEM, MASSACHUSETTS o}- BOARD OF HEALTH x >. 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 -" TEL. 978-74 1-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#611-07 DATE ISSUED: 12/12/2007 Property Located at: 19 Oakland Street UNIT#2 Owner/Agent: Robert Abraham Address: 45 Balcomb Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-9455 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH4 / J D 12.0 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 HUMAN HABITATION". PROPERTY LOCATED AT __UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER GOA h 00 (i"� —MANAGER/AGENT No P.O. Box n r No P.O.BOX ADDRESS ),tl OIMY S1---ADDRESS CITY S E to CITY. 1114 t-9- RESIDENCE PHONE ZL(b'�_L iUSINESS PHONE {24 HRS,)--,— BUSINESS RS.} —,_BUSINESS PHONE -. TOTAL NUMBER OF ROOMS:_ - J ROOM USE: 1- 5. --6- .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. // - 7 APPLICANTS SIGNATURE--'��� 9 __ DATE/ Z l QCi . INSPECTORS USE ONLY DAT OF INITIAL INSPECTION,/J-- i 4--v 2DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE f? -07 DATE FEE PAID: -.2 rtD 7 TYPE OF UNIT: DWELLIN9<_OTHER_ CHECK# �f / 7�_CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 770-99 eR FEE $25.00 DATE: 12/22/1999 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: 21 Oakland Street UNIT #: 1 OWNER/AGENT: Kevin O'Donnell & Joyce Faircloth ADDRESS: P.O. Box 8 CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 744-4537 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 �/;96zay V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR li I I, ' I i i C01ID1T . . 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 2l D �yzo UNIT#-Z IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWN SSE -D MANAGER/AGENT o P.O. Box / No P.O. Box ADDRESS ff--6 J��/ Y ADDRESS CITYr�D CITY RESIDENCE PHONE �Ll�S�,QSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 4 4/ 2.. 3. / 4. I� 5./2�ic, 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 C INSPECTORS USE ONLY DATE OF INITIAL OF INITIAL INSPECTIO��-� Z `S� Z`DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Z -T%DATE FEE PAID: J �) —.2- 7 9 TYPE OF UNIT: DWELLING( / OTHER CHECK#11 Q �f CHECK DATE l a —.D- Z . F7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r K v 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/27/99 Tel:(978)741-1800 Fax:(978)740-9705 Kevin O'Donnell & Joyce Faircloth 21 Oakland Street Salem, MA 01970 PROPERTY LOCATED AT 21 Oakland 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. I 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. /FOR THE BOARD OF HEALTH REPLY TO i oanne ScotMPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR City of Salem, Massachusetts10 Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01970 ercvenr. o <. pra,«t. 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-17-217 DATE ISSUED: 7/2012017 Property Located at: 25 OAKLAND STREET UNIT#2 Owner/Agent: Russell Rideout Address: 32 Bow Street City/Town: Beverly, MA Zip Code: 01915 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 It"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. Larry Ramdin, MPH, RENS, CHO SANITARIAN HEALTH AGENT i4 I �' 4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREhT,4"'FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAM7nVr' MLM.C,0M LARRY RAtmtN,RS/REHS,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" 50.00 PROPERTY LOCATED AT 4,4 ym UNIT#� LS THIS UNIT D G AS RIGHT FRoN1r oR BAC CIRCLE O �� )(&a/ f LAN r OWNER/LE3SER AGER/AGENT (/ ADDRESS 'e ADDRESS CITY,STATE,ZP p -T Z 2, 4/ CITY,STATE,ZIP RESIDENCE PHONE �0 BUSINESS PHONE(24HRS) BUSINESS PHONE -5 /*z TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. -al-4 . 1?do cwi4 /1"ts,1 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR E,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE AYAB T OF IN ECTiON APPLICANT'S SIGNATURE DATE ?'o�l/�dl� Inspectors use on Date on initial inspection: lon Date of reinspection: Date of issuance of certificate: Date fee paid: I Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IMANCINI@SAL6bI.COM IANFT MANCINI ACTING HFJ\LrH AGENT CERTIFICATE OF FITNESS CERTIFICATE#635-08 DATE ISSUED: 12/4/2008 Property Located at: 25 OaMand Street UNIT# 1 Owner/Agent: Russell Rideout Address: 32 Bow Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-273-2760 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 JANET MANCINI r ¢t ACTING HEALTH AGENT CO*-ENFORCE INSPECTOR . i Y . / n CITY OF SALEM, MASSACHUSETTS Bomm OF HEALTII 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1010NNE!&ALENt.COM JANF;t'DIONNE, - SIGNIOR SANITARIAN 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 4j/ PROPERTY LOCATED AT , k k 6I,d i� 5cg/001 / /W UNIT# / p�IS THIS ON T DISIGN�TEE ,A/S LIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER llUsst�t ldPgV, MANAGER/AGENT NO P.O.BOX 2 ADDRESS. 3s2 13-0gZ SY ADDRESS CITY, STATE,ZIP 1✓l ,,Itl // i5wIr CITY, STATE,ZIP RESIDENCE PH..—!77F Y ! BUSINESS PHONE(24HRS) / BUSINESS PHONE l a 271 27-t1, 67 TOTAL NUMBER OF ROOMS: Rjj //J 140 // /� 1 &14` 'r ROOM USE: 1. cdrdo4 2. l�tC4 !3. L�(1ir�L4. !11 Gyrh 5. &14 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLA EE, PAYABLE By CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE 1 AYABLE A TI OF IN PECTION I ,/ APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: is �L4 lo-2 Date of reinspection: Date of issuance of certificate: Date fee paid: .1 Type of unit: Dwelling Other Check# Check date: y/o��'`r�i le 2' N"^otes:Pb+ I � 5� �`5� + ,r n �ats V1 T ICR(i1 110-1 GX.7C)RQ S+OfWI W l K OLtJ e nforcementInspector I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTII 120 WASI IINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I DIONNE a S U.EM.COTS JANFi'DIONNVI SENIOR SANrIARIAN 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. / ) L& Tenant/Lessee Owner/Lessor is C�s OO-l � Address Address Ad Address on unit to be inspected Date a CI1"Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PabliCHealth Prevent.Promote,Protect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL ltatndin@satem.com LARRY RAMUIN,RS�RF.IiS,(,;I-IO,(:]'-];SMAYOR HFAM'I I Ac;ENT CERTIFICATE OF FITNESS CERTIFICATE #46-13 DATE ISSUED: 1/31/2013 Property Located at: 25 Oakland Street UNIT#2 Owner/Agent: Russell Rideout Address: 32 Bow Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 927-4391 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH R MDIN ���� . HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PublioHealth STREET, Prevent.Promote.Protect. TE1.. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR L[\fiLil'ILS\MllIN,RS/li1FIS,OLIO,CP-[+S HFAL:rH AGIN'P 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 UNIT# JA THIS UNFIT D G7TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �fjy�/ Cl Y� i/ MANAGER/AGENT NO P.O. BOX ADDRESS fi'o !V Sr ADDRESS q / CITY, STATE,ZIP Revel l CITY, STATE,ZIP RESIDENCE PHONE ?�.Z �?�139 / BUSINESS PHONE(24HRS) BUSINESS PHONE 0 e// 2( tT -271 TOTAL NUMBER OF ROOMSp _ - 1 / / ROOMUSE: 1. gO1Meh 2. 97 Alt,A( 3. Ilr"(cGF 4. 11k P/5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLL FEE,PAY LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE I PAYAB IME F INSPECTION c� APPLICANT'S SIGNATURE DATE Lectors use only Date on initial inspection: 31 -.13 Date of reinspection: Date of issuance of certificate: I -*31 A-2 Date fee paid: ) '•�)-J Type of unit: Dwelling �Other Check# 33 b 4 Check date: I-­ ­)*) 1 Notes: ode Enforcement Inspector CERT.# 771-97 3 FEE $25.00 DATE: 11/06/97 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: 29 Oakland Street UNIT #: 1 OWNER/AGENT: Ren Gillard ADDRESS: 29 Oakland Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7518 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,CHO50 " HEALTH AGENT <-ODE EN ORCEMENT INSPECTOR -27 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 lJ ���� � UNIT I OWNER/LESSER t DI L _ MANAGER/AGENT ADDRESS ADDRESS �T CITY CITY =RESIDENGE PHONE 'jam; 1 BUSINESS PHONE (24 HRS.) BUSINESS PHONE - TOTAL NUMBER OF ROOMS:_ _ ROOM USE: i _44 5. 5, 6. 7, 8, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEK HEALTH DEPARTMENT T/HIIS' FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE)�ZT J� r DATE I t_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION N� DATE OF ISSUANCE OF CERTIFICATE:___, //l DATE FEE PAID: TYPE OF UNIT: DWELLING_4e__OTHER NOTES : -COW ENFORCEMENT INS" OR +6, 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#429-07 DATE ISSUED: 8/29/2007 Property Located at: 33 Oakland Street UNIT#2 Owner/Agent: Robert Mullen Address: 35 Oakland 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 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 JOANNE 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 HUMAN HABITATION". PROPERTY LOCATED AT D ( C 4\ S UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER RAa91f_T jML4 .� 1 e&\ MANAGER/AGENT No P.O. Box tt 1 Alo P.O. Box ADDRESS 7)G e, IC lG! fl-� Si ADDRESS � CITY (C k1,7 CITY - RESIDENCE PHONEBUSINESS PHONE (24 HRS.1 0 �a O-) ZS BUSINESS PHONE TOTALNUMBER OF ROOMS: ROOM USE: 1. . Wan1 3. _4. (n)vi O 5. t h�r 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 SIGNATOR �� �l%L/� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '�-- a� � _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:R�a4 ���DATE FEE PAID:__ •� cJ� TYPE OF UNIT: DWELLING OTHERCHECK # 140 CHECK DATE ✓-_ _.� -�?� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 � < , oN:s�"fx � ,w14" �-3 � xia " +4t," F{'a •!�+s'+�i, +'�i,y�? �- "( IGyL""^3vf� "- " - vg�CONU -,� CERT.# 380-00 a _ FEE $25.00 DATE: 06/19/2000 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: 35 Oakland Street UNIT #: 3 OWNER/AGENT: Mabel Mullen ADDRESS: 35 Oakland Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2151 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. I j FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR - S CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 I 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 3 6� _ UNIT#.3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_TVI–a— MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS p3S' (J --j ADDRESS CITY CITY'-y -- RESIDENCE PHONE '7 .` 2 1 BUSINESS PHONE (24 HRS.)--- BUSINESS RS.) _BUSINESS PHONE �i ff TOTAL NUMBER OF ROOMS: l0 ROOM USE: 1. 12L 2. 5•. �8 THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TOTHECITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. (APPLICANTS SIGNATURE `Va` V( in-L-- DATE 1°-J ?- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 60 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE6_– V DATE FEE PAID:. t 9 TYPE OF UNIT: DWELLINt_OTHER_ CHECK#W 3 5 ti CHECK DATE NBTES: E ENFORCE NT INSPECTOR 912$198 CITY OF SALEM, MASSACHUSETTS Y n ; BOARD OF HEALTH t-. ( 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#46-06 DATE ISSUED: 2/9/06 Property Located at: 37 Oakland Street UNIT# 1 Owner/Agent: Dora Tsmounis Address: 37 Oakland Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-2694 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 H�r�D OF HEALTH JOANNE 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 _I IIIJJJ 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 FOJ3 HUMAN HABIT TION" PROPERTY LOCATED AT UNIT# IS THIS UNIT DESIGN ED AS_ gHT LEFT FRONT BACK PLEASE CIRCLE ONE �O� WNERI, ESSER Gl�� MANAGER/AGENT No Box No P.O. Box ADDRESS ADDRESS � I CITY �!. CCITY RESIDENCE PHONE USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. \� 5.�T; 6._7__& THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM AEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE---�f/-� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �"�/ ®[�DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _y'O G DATE FEE PAID: Z _"1�" TYPE OF UNIT: DWELLING THER_ CHECK# 3 9-7 CHECK DATE > NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 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 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 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, !/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/aur absence during said insoecti.on. / OWNER T= I/ L b.1,�,S,E.: i F .So _� ADD!.ESS --- ----- --- - ADDRESS------- ---- ADDRESS OF UNIT To Rff I PECT D UA'2E A CITY OF SALEM, MASSACHUSETTS ® BOARD OF HEALTH - s 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 1/31/06 Dora Tsmounis 37 Oakland Street Salem, MA 01970 PROPERTY LOCATED AT 37 Oakland 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 Board of HealtReply to J nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector