OBER STREET OBER STREET
it
I
I
I
i
li
I
P
D City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PU
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-16.372
DATE ISSUED: 9/30/2016
Property Located at: 5 OBER STREET UNIT#2
OwneriAgent: Lori Silva
Address: 1 Purchase Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 335-9035
I
I
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.
L&ffre
21X
Larry Ramdin, MPH, REHS, CHO SANITARIAN
HEALTH AGENT
= CIT"Y OF SALEM, MASSACHUSETTS
BOARDOFHEALTH
120 WASHINGroN S'muu,4T FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOL7, FAX(978)745-0343
MAYOR a RAAmna(a7s i.cOna
LARRY RAMDIN,RSIREHS,CHO,CP-FS
HEAL77i 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 ATd f v St S� UN1Ta
IS THE UNIT DISIGNATED ASIR IIT LEFT FR Nf OR RACK.PLEASE CIRCLE ONE
OWNE AESSER__4a_-'1___ t I L/4MANAGERt AGENT
NO P.O.BOX
ADDRESS I PUv'C-kA .e 5-t-, ADDRESS
CITY, STATE,ZIP S 4 (.t nitt 6
CITY,STATE,ZIP /✓l r9--
RESIDENCE PHONE ?L�- -33 5-_- 9035`- BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:___
ROOM USE: 1. 2. 3. 4 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 IS P ABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE_ A 2DATE--fZZq /
Inspectors use:only
Dace on initial inspection: 9 fJQI IWjb' Date of reinspection:
Date of issuance of certificate: 0 2aC — Date fee paid:QVZ JI20
Type of unit: Dwelhn Other Check ff_U2� —Cheok date: 0`�2.-gl2f?,��z
Notes:
Cod o ment Insp or
BOND
- City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, Pt1b11CHe81th
MA 01970 Prerent.Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343
Mayor health@salem.com Larry RameMPH, REHS,cHo
Ma Ha
Y @ Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-371
DATE ISSUED: 9/30/2016
Property Located at: 5 OBER STREET UNIT#1
Owner/Agent: Lori Silva
Address: 1 Purchase Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)335-9035
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.
&re n0
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
QF) BOARD OF HEALTH
120 WASHINGTON STREET,4T FLOOR
?$1.(978)741-1800
KIMBERLEY DRISCOLL, FAX(978)745-0343
MAYOR AAAti]rt(Q�$ iFAi.fOM
LARRY RAMDIN,RS/RENS,CHO,4P-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT r S'f• 47 a( ,A 1,1A UNIT# )
IS THIS IINIT DISIGNATED AS RIGHT LEFT O OR BACK.PLEASE CIRCLE ONE
OWNERILESSER I 1L1A MANAGER/AGENT
NO P.O.BOX
ADDRESS I LPvV' �c S St- S�to ADDRESS
CITY,STATE,ZII' ��,4� CITY,STATE,ZIP D 1 ff d
RESIDENCE PHONE 92 33 5__ l�.- S BUSWFSS PHONE(24HRS)
t,
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 ISP0�ABLEE�AT THE T&M OF INSPECTION
APPLICANT'S SIGNATURE DATEZ Q �
Inspectors use only
Date on initial inspection:OMZP-11. Date of reinspection:
Date of issuance of certificate: 2.9 2 6 _ Date fee paid: 0gQ=91�0
Type of unit: Dwelling_V O�} ther Check#3 37 Check date: O 9Z2 q�`2o.2-
Notes: mr rmm�n iJJ4 e e pjr, neejs _YL
� Zc,
Co of cement ector
y-•
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
CERTIFICATE OF FITNESS
CERTIFICATE# 243-07
DATE ISSUED: 5/21/2007
Property Located at: 5 Ober Street UNIT# 1
Owner/Agent: Lori Silva
Address: 5 Ober 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
JO NN�, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CTTY OF SALEM, MASSACHUSETTS 'f ,
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 If, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER1LESSER 4DFL_s57l� MANAGER/AGENT-----
No
ANAGERIAGENT _-__NO P.O. BoxNo P.O. Box
ADDRESS—,6-
DDRESS ,6- C16(54 _ADDRESS_—. `—_-_
CIiY_.__�R�_�
RESIDENCE PHONEZ`G(_ �2V-( __BUSINESS PHONE (24
BUSINESS PHONE=7 _ O _ �/v_:L
TOTAL NUMBER OF ROOMS 3____
ROOM USE: 1.,.f� h._ 4. - --
5.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM H LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. �,�
APPLICANTS SIGNATURE ----_-.. _.� [_-.--�7 — - DATE
IN
® 7
IN Tori usE Ot`_LY
{ oT
DATE OF ISSUANCE OEGS DATE: OF REIi�SPFCI ION
_A�pF INITIAL IRSPEi ION
CER11FICATE.'S 'o ~D DATE EEE PND OL I
i —T77
TYPE OF UNIT: DWEI_LINk"'� OTHER CHECK3 }r CHECK DAI 1- 013
NODES
COC)G ENFUriGhtvlFNl If��til'Ll'TVIt [!•'2l1'Pt3
~ ' CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4."FLOOR PlibltC$C81th -
Prevent.Promuvc.Pmtccl.
TEL. (978) 741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL Iramdin e,salem.com
MAYOR - LARRYRAb(DiN,RS/RfCI-IS,CFIO,CP-FS
H13,AM' T AGFNT
CERTIFICATE OF FITNESS
CERTIFICATE#457-14
DATE ISSUED: 12/2/2014
Property Located at: 5 Ober Street UNIT#2
Owner/Agent: Lori Silva
Address: 1 Purchase Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-335-9035
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 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
LAR MDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
+ * BOARD OF HEALTH
120 WASHINGTQN STREET,4"FLOOR /
TEL.(978) 741-1800
ItIMBERLEY DRISCOLL FAX(978) 745-0343 T
MAYOR MRAMQI SA M.CQM
LARRY RAMDIN,RS/ItGIIS,CI IO,CP-[s
HEAL1I I AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 0_1>eV S-f 5Gt Le M, O /q7Q UNIT# a
IS THIS UNIT DISIGNATED AS RIGHT LM FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER L.a i -i A MANAGER/AGENT
NO P.O.BOX
ADDRESS P �tt-nom ADDRESS
e�,
�/
CITY, STATE,ZIP CITY,p �fl CITY, STATE,ZIP M 1 f () f7
RESIDENCE PHONE q 2k.j'i S-'!O 'C_— BUSINESS PHONE(24HRS)
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 ABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE��W t d. DATE 12--,2- 1Y
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling__ Other Check#� Check dater
Notes:
Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
+ BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL Fax(978) 745-0343
MAYOR INIANCINI(Ct)S 11 EM COM
JANU I'MANCINI.
ACTING Hl?AJ�iii AGPi.N,r
CERTIFICATE OF FITNESS
CERTIFICATE #636-08
DATE ISSUED: 12/4/2008
Property Located at: 12 Ober Street UNIT#2
Owner/Agent: Donald & Nancy King
Address: 12 Ober Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-9586
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 Sajem 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 COff ENFORCEMLeNT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• M BOARD OF HEALTI I
120 WASHINGTON STREET,4ni FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR IDIONNr a sAJEM 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."
�^9FEE: $_50..00
PROPERTY LOCATED AT 44 � heg L`4,A<&0' 4e I1NI`I'# _
IS THIS UNIT DISIGNATED ASII2 GHT L Fr FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER �E � d2MANAGER/AGENT
O P OX
ADDRESS /j ADDRESS
CTTY, STATE,ZIP (� jW-mss 111 �J�CITY, STATE,ZIP pp II
RESIDENCE PHONE�i /IIA
BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 Llys r 2 416!� 3 ca(-`amAf 4 gtpZ�5
G 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE*�
Inspectors use only
Date on initial inspection: �C7/ /b,(;' Date of reinspection:
Date of issuance of certificate: Date fee paid: /-.7-
Type of unit: Dwelling Other Check# a jO27 Check date: / a A 2 j--
Notes:
Code nforeement Inspector
.co CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
k�l1 20 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#404-04
DATE ISSUED: 09/02/2004
Property Located at: 12 Ober Street UNIT#2 Front
Owner/Agent: Donald King
Address: 12 Ober Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-9586
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i/l F �. �4/.i�'K�-+`fR".,�Xi,� �1�■ i���j(��{��'n��Sl A^y. .
'�}}..e��y �
..�: c taY1.rY �1,Ji- �l'WL4[l•!,Y"h«.ar•'4��VS_- C — l�F
' + 120,WASHINGTON$TFLOOR
SALEM,SMA 01970 �G � -
TEL. 978-741-1800
FAX 978-745-0343 777
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT
IS THIS UNIT DESIGNATED AS RIGHT LEFTFRO T BACK PLEASE CIRCLE ONE
OWN ER/LESS ER._2ZMANAGER/AGENT
No P.O. Box No P.O.Bax
ADDRESS %d 96e ( /oa� ADDRESS_
RESIDENCE PHONE _a f�BUSINESS PHONE (24 HRS.}_..
BUSINESS PHONE '77d�--
TOTAL NUMBER OF ROOMS:..`_
ROOM USE: i. y2. r�34.
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 ,DATE- 3-
INSPECTORS SE ONLY
DAl`E OF WfTIAL INSPECTION,..,..-_d-_O _ DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE , _U (? 'DATE EEE PAtD _
TYPE OF UNIT DWELLINY OTHER C FCK 11 CHECK DATE `T ' G'
NOTES
CODE ENFORCEMENT INSPECTOR 9128198
I
" CITY OF SALEM, MASSACHUSETTS
r BOARD OF FIF.-\.I:n-i
120 WASHINGTON STREET,4".1^1,0OR
1i MI3ERLEY DRISCOLL 7"EL. (978) 741-1800
FAX(978) 745-0343
MAYOR ram ;v salem.com
LARRY RINIDIN,RS/Rld IS,CHO,C.P-FS
H1.:AL'tY1 tAGVN'1'
CERTIIfICATE OF FITNESS
CERTIFICATE#504-11
DATE ISSUED: 1211/2011
Property Located at: 12 Ober Street UNIT#3
Owner/Agent: Donald King
Address: 12 Ober 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 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
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• k I CITY OF SALEM, MASS DCII U SL-1-I'S
BOARD OF HEA1. 111
120 W.v,�F1ING"ION STREET,4''
-11,i_ (978) 741-1800
KINIBERLEY DRISCOLL FSR (978) 745-0343
MAYOR R,v%IDIN9SAI_ M.0O3M
L.Aim,R.A:AIDIN,KS/ICICI Is,(:I IU,(T-1;S
1IIt\I:I'II (�(iliN'I'
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# 3
IS THIS/UNIT DIS�IGJNATED AS RIGHT LEFT FRONT qA BACKPLEASE CIRCLE ONE
(OWNE10LESSER 6//�h�tl� f ���MANAGER/AGENT
OX
ADDRESS ADDRESS
CITY, STATE, ZIP � CITY, STATE,ZIP
RESIDENCE PHONE q 7 BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1./l r 1611e,i 2. bLe,'I 3. IWJ'1 / X"14. Ar /'/c^5.
7. 8. v9. 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 4 yi�G�T I, DATE 4
Inspectors use only
Date on initial inspection: I /1 I Date of reinspection:
Date of issuance of certificate: oZ I I Date fee paid: a // I
Type of unit: Dwelling ✓Other Check#Check date: 36
Notes:
Cod nforc ent Inspector