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..'CERT.# X577-99 -
a FEE $25.00
DATE: 09/29/99
CITY OF SALEWBOARD-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: 167 Ocean Avenue West UNIT #: 1
OWNER/AGENT: John & Ann Ouinlan
ADDRESS: 167 Ocean Avenue West -
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-3633
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 UNITZ -(X) AND 410.400 _(C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE:. .THIS APPROVAL HOES NOT CEk%IFY'COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AG*, -FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD.OF HEALTH -
a�o l�
,.JOANNE ;SCOTT, �MI 0
HEALTH AGENT CODE ENFORCEMENT INSPECTOR -
I
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)741-1$00
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". y
PROPERTY LOCATED AT //7 e,04 llUei U_P�S1—UNIT#-L
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
/
OWNER/LESSER ToX r)v Ann Own/on MANAGER/AGENT
No P.O. Box No P.O.Box
ADDRESS Z4,4 7 t*/? gee Af ADDRESS
CITY &u/e.m CITY
RESIDENCE PHONE T 2 go-7W-33 W BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 97�` 7vy o2�r8S
TOTAL NUMBER OF ROOMS: LS
ROOM USE: 1 J ��R6t3 CAM ue 45�
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_ 9,1
JjUSPEGTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: !�._�r(DATE FEE PAID:
TYPE OF UNIT: DWELLINGk/OTHER_ CHECK#123—CHECK DATE
NOTES:_ — -
CODE ENFORCEMENT INSPECTOR 9/28/98
4
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET
HEALTH AGENT - Tel:(508)741-1800
Fax:(508)740-9705
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; Skate 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.
L1 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. n /
TENA&T/LESSEF. NER/LESSOR
Al
ADDRESS ADDRESS
Z-h7_ Aeem ll Ale-
ADDRESS OF UNIT TO BE INSPECTED
DATE
CITY OF SALEM, MASSACHUSETTS
o e BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAx 978-745-0343
MAYOR W WW.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
8/11/05
John &Ann Quinlan
P.O. Box 4105
Peabody, MA 01960-4105
PROPERTY LOCATED AT 167 Ocean Avenue West 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 da for ever
PY P Y Y( ) P Y Y
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 Hea th Reply to
qe7alth
e Scott MPH, RS, CHO Pablo Valdez
Agent Code Enforcement Inspector
9 P
CITY OF SALEM, MASSACHUSETTS
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#562-05
DATE ISSUED: 9/6/05
Property Located at: 168 Ocean Avenue West UNIT# 1
Owner/Agent: Migueline A Vasquez
Address: 168 Ocean Avenue West
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
JOAN E 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
FAX 978-745-0343 -
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT'
VAS '30'--- Z
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410-000
"MINIMUM STANDARDS OF FATNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT_J_/? O Cf j��_�C�I(�j ^UNIT 4 J
IS THIS UNIT DESIGNATED AS RIGHT LEFT F�rRONT BACK PLEASE CIRCLE ONE
I! 72
OWNERtLESSERX� l/' , � dygvlANAGER/AGENT__
No P.O. Box No P.O. Box
ADDRESS-&f�- F}CF.-Y? 11t,&_({✓
ADDRESS--
CITY
DDRESS_._- _CITY
RESIDENCE PHONE--_--__ _.__BUSINESS PHONE (24 HRS)„____`_
BUSINESS PHONE
TOTAL NUMBER//OF ROOMS:' ,�_ _
ROOM USE 1._Xe 2 — - -- ----4
5.
_6
THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
I
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. �y f/ f
APPLICANTS SIGNATURE -------- _DATE f-( E�-1
INSPECTORS USE ONE
DATE OF INITIAL-INSPECTION 16 DAA E OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 9''�-�'� DATE FEE PAID: ` 'v�
TYPE OF UNIT DWEI.LIN4,- 6THER CHECK + / CHECK. DATE
NOTES
CODE LNi ORCEMl-NT INSPECT OR
CITY OF SALEM, MASSACHUSETTS
.j BOARD OF HEALTH
Q k
$ 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#604-07
DATE ISSUED: 12/10/2007
Property Located at: 168 Ocean Avenue West UNIT#2
Owner/Agent: Miguelina Bencosme
Address: 168 Ocean Avenue West
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
f�-.�-�
N� h C U r�
UJ�.�� s d �y
CITY OF SALEM, MASSACHUSETTS (/\J
BOARD OF HEALTH qf�-^'�
• i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, R5, 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 114 C7CFGV? ASST_ UNIT#Z
IS THIS UNIT DESIGNATED AS RIGHT LEFT F ONT BACK PLEASE CIRCLE ONE
OWNER/LESSER h9 i 6u vl ' A wee-e.S/KEMANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS &(9 d/r--Gai Hil IAI&Y'r ADDRESS
CITY
RESIDENCE PHONE 9T 7l{8=3,1(Orl BUSINESS PHONE (24,HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. yy�� 2._ 3.�4.
.�2
5 __ _6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. { f
APPLICANTS SIGNATURE ;�,.c�1.Q DATE L Zl/d/6�
NSI PECTORS USE ONLY
DATE OE INITIAL INSPECTION — E-09 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/d.,/a-�a 7,_DATE FEE PAID: I a-". _-_o 7
TYPE OF UNIT: DWELLINC�j/�OTHER— CHECK#-qg-3__CHECK DATE _1_A�1D— D?
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll www.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#38-06
DATE ISSUED: 1/31/06
Property Located at: 177 Ocean Avenue West UNIT# 1
Owner/Agent: Patricia Mitchell
Address: 178 Ocean Avenue West
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-9258
An inspection of our vacant Dwelling/Rooming/Rooming Unit at the above address has been approved
P Y 9
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
ANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
t$O BOARD OF HEALTH
WA5HINCiOH STREET•4TH FLOOR
i 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 FOR,HUMAN HABITATION".
PROPERTY LOCATED AT .(c Y) 0-1
I
IS THIS UNIT DESIGNATED AS RIGHT LEFT RON BACK PLEASE CIRCLE ONE
OWNER/LESSER� V`1GK1 ! I!1 h!l�MANAGER(AGENT _
No P.O. Box No P.O. Box 1�
ADDRESS�7 ,._ PtD� )PJP,C� ADDRESS--.--,-
CITY
DDRESS _.TCITY CITY
— t�
—
RESIDENCE PHONE9-7k �W-9J5�-.BUSINESS PHONE (24 HRS.)---
BUSINESS
RS.)r—BUSINESS PHONE
TOTAL NUMBER OF ROOMS: _ tt
ROOM USE ___1-_a2.�3._ l __ 4.__I:) _
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. /
APPLICANTSSIGNATURF � � \= DATE/ _371>
INfSPECTORS_USE ONLY
DATE OF INITIAL INSPECTION [ "r._�Q 4 .,DATE OF REINSPFCTION
DATE OF ISSUANCE OF CER7IFICAT F/-- DL-
AT �FEE PAIDAID
/ 31 _..6 G
TYPE OF UNIL DWELLING X0 F,CHECK 1! Gi d- ,� CHECK DATE /
NOI PC
CUDL icN{-UItC{-MEN1 INSPECTOil t��2tt/ 37t
a .�o 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
CERTIFICATE OF FITNESS
CERTIFICATE#545-05
DATE ISSUED: 8/25/05
Property Located at: 177 Ocean Avenue West UNIT#2
Owner/Agent: Patricia Mitchell
Address: 178 Ocean Avenue West
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-9258
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
qJANINF T, MPH, RS, CHO
if
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Y
f
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• s 120 WASHINGTON STREET, 4TH FLOOR _11
SALEM, MA 01970
TEL. 978-741-1900
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 FOR HUMAN HABITATION".
PROPERTY LOCATED AT / 7/ Y1j(JUZe LV(2-&� UNIT#
IS THIS UNIT IGet DESIGNATED AS RIGHT LEFT/IFRONT BACK PLEASE CIRCLE ONE
OWNERJL R YA ��f ��EMANAGER/AGENT
?� P.O. Box
ADDRESS ADDRESS_,__...
CITY_L�)le CITY p `
RESIDENCE PHONE_')77 -7y 7'- cos BUSINESS PHONE (24 HRS)
BUSINESS PHONE _ _
TOTAL NUMBER OF ROOMS: L�
ROOM USE: 1..._K_-2...
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. �D
APPLICANTS SIGNATUR � �?� ATE_// _V 05
INSPECTORS USE ONLY
Z- YJ Y i
DATE OF INITIAL INSPECTION �_ �'` . _ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ' 1rf y U
_ _ -_,DATE FEE PAID:__
TYPE OF UNIT DWELLI OTHER CHECK a CHECK DATE --,-X,— OS'
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28198
r . CITY OF SALEM, MASSACHUSETTS
- BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOOR PI1b11CHCA1Lh
Prevent.Promote.Pmlecr.
TEL. (978)741-1800 FAx(978) 745-0343
KIMBERI,I Y DRISCOLL Ixamdin(a salem.com
IARily aANIi)iN,Rs/er:Iis,(1110,Cr-rs
MAYOR HI?;u;rHAG[?N'r
CERTIFICATE OF FITNESS
CERTIFICATE#197-14
DATE ISSUED: 6/16/2014
Property Located at: 177 Ocean Avenue West UNIT#3
Owner/Agent: Patricia Mitchell
Address: 178 Ocean Avenue West
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-9258
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 THE BOARD O�TH
LARRY RAMDIN V� C
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,e'FLOOR A*IiCHean
Prevent.rromme.P,oket.
TEL.. (978)741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
MAYOR - LARRYRAPo[DIN,RS/RI3HS,CHO,CP-4S
HI Aixi i A(;ENT `
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 �P-6L .�� 4 UNIT03
IS THIS UNIT DISIGNATED AS RIGHT LEFT'FRONT OR BACX PLEASE CIRCLE ONE t
OWNER/LESSER ) ANAGER/AGENTA� I G 1 A
NO P.O. BOX .79
ADDRESS-
((� / ADDRESS
CITY, STATE,ZIP c�0/(��ACIP) `V\ CITY, STATE,ZIP O
RESIDENCE PHONE 1� 9,0 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 FEEIS
PAYABLE AT THE TIME OF INSPECTION J (�
APPLICANT'S SIGNATURE �'!t ' ` DATE
Inspectors use only
Date on initial inspectionf 616 f t 4 Date of reinspection: __..-
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling-Other-Check#Check date: � .
Notes:
CpC0
Code Enforcenle t Inspector
CERT.# 778-96 -
9
FEE $25.00
�1j1F DATE: 10/31/96
HII�R
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: 181 Ocean Avenue West UNIT #: 1.
OWNER/AGENT: Peter Muenzner
ADDRESS: 183 Ocean Avenue
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0652
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 O/�
V
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970=8928
JOANNE SCOTT,MPH,AS,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 LI, 105 CMR 410:000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT f �l o UNIT If '
OWNER/LESSERl� 2T'ei' / G ii z'hel� - MANAGER/AGENT
ADDRESS 6 0 Ce-"t ¢� ADDRESS
CITY Cd-ce1yi AIA 35 CITY _
RESIDENCE PHONE �� �� y BUSINESS PHONE 04 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. L it/tie L 2. 6f p 3. fle P 4.
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 � CTZ DOTH �� j ^fggp
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:�6= 1 ' �b DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTI(F�ICATE: /V DATE FEE PAID: Z6 - 3 I k,
TYPE OF UNIT: DWELLING Jc. OTHER
NOTES: 7" -_
CODE ENFORCEMENT INSPECTOR
,.
�- �.� � i
� ��
a i CERT.# 149-00
FEE -$25.00
DATE: 02/29/2000
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: 181 Ocean Avenue West UNIT #: 2
OWNER/AGENT: Peter Muenaner
ADDRESS: 183 Ocean Avenue West
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0652
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 7
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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". 1
PROPERTY LOCATED AT `� -/ ( C6e7 /Ge � UNIT#";?
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER?2'F� �Ic erzpO- MANAGER/AGENT'
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY S'ol�Czy-n CITY
RESIDENCE PHONE ^ fid' BUSINESS PHONE (24 HRS.)
BUSINESS PHONE She•
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR . DATE
INS 0 SU
LY
DATE OF INITIAL INSPECTION 2 5 D O DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:2 -a 9 .0 a DATE FEE PAID:2 -,'-1 -6? y
TYPE OF UNIT: DWELLIN OTHER_ CHECK# ( q9 CHECK DATE ;? - -6
NOTE :
CODE ENFORCEMENT INSPECTOR 9/28/98
City of Salem, Massachusetts
J
Board of Health
120 Washington Street, 4th Floor, Salem, PablicHealth
M Preveet. Yrom�m. Nmsect.
MA 01970
Kimberley Driscoll TeL (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE: OF FITNESS
CERTIFICATE:#: GHL-16.40
DATE ISSUED: 21912016
Property Located sit: 183 OCEAN AVENUE WEST UNIT#1
Owner/Agent: Peter Muenzner
Address: 183 Ocean Avenue
Cityrrown: E alem, MA Zip Code: 01970 24 Hour Phone:(978)376-4757
Pursuant to the re auirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling ur it, 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 fcir 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, Ml'H, RENS, CHO
HEALTH AGENT SANITARIAN
• CITY OF SALEM, MASSACHUSETTS
BOARD OF H&A.LTH
120 WASHINGTON STREET 4"�FLOOR PablicHealth
> Prevent.Promote.Proleel.
TEL. (978) 741-1800 FAX (978) 745-0343
KIMBERLEY DRISCOLL Iramdin e salem.com
L�ARR]'IOMllIN,1LS/Iiti1-IS,(1110,CP-ISS
MAYOR
HEm,'n I AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT ' 9 3 C l a n L- UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER ft7ek n') MANAGER/AGENT
NO P.O. BOX
ADDRESS O C-Ca ) L- ADDRESS
CITY, STATE, ZIP_ 5 caq Lem ? CITY, STATE, ZIP S 5
RESIDENCE PHONE ` 3 7 -y ?S BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
�j �vI�G—'eoaM
ROOM USE: 1. I4t�/ he'l 2. '"" eQ 3. Ree 4. / 5. Q010 C- '<dQ~7
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 THV TIME OF INSPECTION l
APPLICANT'S SIGNATURE �' ` i`s DATE
Inspectors use only
Date on initial inspection: 3�I� Date of reinspection:
Date of issuance of certificate: Date fee paid:�3N
Type of unit: Dwelling------Other—Check# IR56 Check date:
Notes:
(0 r #( - (V
Cod nforce n sl e or
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH PublicHeatth
120 WASHINGTON STREET,4"'FLOOR
P¢venr.Pr"mow.Protec,.
'PEL. (978)741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
I..:U2RY li.AMDIN,RS/ItEHS,C4fO,(T-FS
S
MAYOR H Hal];nj AG ENT
CERTIFICATE OF FITNESS
CERTIFICATE #463-14
DATE ISSUED: 12/19/2014
Property Located at: 183 Ocean Avenue West UNIT#2
Owner/Agent: Peter Muenzner
Address: 183 ocean Avenue W
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-376-4757
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/Roaming 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 tgALTH
LARRY RAMDIN '
HEALTH AGENT SANITARIAN
�I
•, a
IVe CITY OF SALEM, MASSACHUSF,TTS YON BOARD or HEALTH ( 7
120 WASHINGTON STREET 4"'FLOOR PablicHealth
Prevent.Promote.Protect.
TEL. (978)741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdin@salem.com
MAYOR LARRYRA�II�IN,ILS/IiL'HS,Cl IO,CT-VS
HEIAIA I I AGENT
t
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 1 I, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT Q LPCk /I a u/ UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER Z1? 194, MANAGER/AGENT
NO P.O.BOXV (N
ADDRESS ��3 D ADDRESS
CITY, STATE,ZIP
y J O CITY, STATE, ZIP p� 2
RESIDENCE PHONE / 7� 7 y5�_ 6S BUSINESSPHONE(24HRS) / 2Lp
BUSINESS PHONE
TOTAL NUMBER/ //��
O �
AF ROOMS:
ROOM USE: 1. /Jed 2. (, e
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 I AYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ' �405� DATE
Inspectors use only
Date on initial inspection: I 1')C! ^ Date of reinspection:
Date of issuance of certificate:12, Date fee paid: ) 2-6-1
Type of unit: Dwelling--r Other Check# g� Check date:
Notes:
ode EnforcementInspector
' ��ON9IT
� 3 fo
�AMIN6 W
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT 04/27/99 Tel:(978)741-1800
Fav(978)740-9705
Harvey Levesque, Jr.
184 Ocean Avenue West
Salem, MA 01970
PROPERTY LOCATED AT 184 Ocean Avenue West UNIT # 3 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.
F TF T/ ARD 0/� REPLY TO
lloanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR