OSGOOD STREET OSGOOD STREET
G
' D
CITY OF SALEM, MASSACHUSETTS
BOARD OF FIEALT[-I
i
120 WASHINGTON STREET,4'° FLOOR
'Fuu- (978) 741-1800
KIM13ER1,EY DRISC;OLI. I7AX(978) 745-0343
MAYOR DGIMENIiAunar7SAi i+Ni COM
DAvu) Gtw'F'NBAu,v%RS
A(AING HIiAIX l A(;FN'1'
CERTIFICATE OF FITNESS
CERTIFICATE #530-10
DATE ISSUED: 11/10/2010
Property Located at: 13 Osgood Street UNIT# 1
Owner/Agent: Roger Martin
Address: 13 Osgood Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-239-5760
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
,/4w,
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE ENORCEMENT INSPECTOR
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J G" f Ih Aopes s
you h8a A rr ' ne ?
role - `na` `S
• CITY OF SALEM, MASSACHUSETTS ((ll
BOARD OF HEALTH 5,30 /V
120 WASHINGTON Si'REEP,4"'FLOOR
T j7L. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DCRErNBAuna(lI�sACEM.COM
DAVID GREENBAum,RS
ACTING HEALTH AGENT -
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT /3 O S 6 oo D -Sr UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Ror e,i igcve }i v. MANAGER/AGENT
NO P.O. BOX
ADDRESS SA-mC ADDRESS
CITY, STATE, ZIP Sc-le iM , M14 c)1,13 '70 CITY, STATE,ZIP
RESIDENCE PHONE ° 7-7-2 3q - 5-7to U BUSINESS PHONE(24HRS)
BUSINESS PHONE SRy1G
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. LVG Roo/n 2. R +`t,en 3. d!41gr 4. OFfP-c(_:_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 ATy- THE TIME OF INSPECTION
APPLICANT'S SIGNATURE 'C�rS�n / (v � DATE // $ 0
Inspectors use only
Date on initial inspection:1�/ O
I� Date of reinspection:
Date of issuance of certificate: lD Date fee paid:
Type of unit: Dwelling Other Check# Check date:
Notes: w -i -4✓YO) O 7 6, 12-
n/�6�10-Nein t l Corm -veli vidcd/Z5
6w`e bw eofrfvfed.
C nforcement Inspector
t CITY OF SALEM, MASSACHUSE'I"fS
» *« BOARD OF HEALTH
120 WASHINGTON S`rREET,4-°'FLOOR
TFL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR WNB UM( 5 Ar I:M.COM
DAVID GREENBAUM,RS
ACTING HF.ALTH A GENT
Release
In accordance with Massachusetts General Laws Chapter I11; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter H 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.
Tenant/Lessee Owner/Lessor
13 osG000 S V'1
Address Address
13 os6-c,uD 5r. vr, T I Sc IC1--,
Address on unit to be inspected
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Dat
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4`"FLOOR PI1bi1CHCA1� ..
STREET, Prevent.Promote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL ltamdint7ae,salem.com
L:V2RY RAb1DIN,RS/RI?HS,CIiO,CP-FS
MAYOR HEAi;rH AG FNr
CERTIFICATE OF FITNESS
CERTIFICATE#49-15
DATE ISSUED: 3/2/2015
Property Located at: 13 Osgood Street UNIT#2
Owner/Agent: Roger Martin
Address: 202 Jefferson Avenue#3
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-239-5760
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
RAMDIN �/
HEALTH AGENT SANITARIAN
�(T
t
Pr�� �l.
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: $50.00
PROPERTY LOCATED AT / 3 O$CrUo(J S T` Scje vh M4. UNIT# Z
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE /Vb
OWNER/LESSER RO G02 2RTI`J MANAGER/AGENT NA
NO P.O.BOX nn
ADDRESS — �C1Y'P. 3cie\ AV`eJ Wt] Un,+3ADDRESS
CITY, STATE, ZIP Sc Vevtk t f--t O 1 cl 1 O CITY, STATE,ZIP
RESIDENCE PHONE 60 BUSINESS PHONE(24HRS)
BUSINESS PHONE /U
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2 3. n Qou�n4.1311A 1004, 5, f. ev"W"
6.(3e0lvooM 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 AAT
THE TIME
E OF INSPECTION
APPLICANT'S SIGNATURE " L' �`^^ �' DATE 31Z 1S
Inspectors use only
Date on initial inspection: 3 2 -i j Date of reinspection:
Date of issuance of certificate: 1 Z' ),j Date fee paid: ]- ? IJ
Type of unit: Dwelling ✓ Other Check# ?q5 Check date: 20
Notes:
ode Enforcement Inspector
C ND
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, Prevent. Promoteth
MA 01970 . 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-16352
DATE ISSUED: 9/15/2016
Property Located at: 19 OSGOOD STREET UNIT#1
Owner/Agent: Richard Benoit
Address: 19 Osgood Street#3
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(917) 539-2646
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.
&effr
ZV�
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
Ili
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4° FLOOR
TEt" (976)741-1800
IUMBERLEY DRISCOLL FAX(978)745-0343
MAYOR Lxn1�tNCalnt coag
LARRY RAMDIN,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"
�j f� FEE: 0.00 j
PROPERTY LOCATED AT /__L _?5 `�P {Q:z UNIT# /
LS'P S UN,YC�_�I�jAT�;H?AS rucFrr LF It��' 6R BACK,PLEASE CIItCLE ONE
O P.0,BO
OWNER/LESSER. jYF//n�t/�t„ Y/ f! � a '�MANAGER/AGENT
NO P.O.BOX nn J1'
ADDRESS po ADDRESS K �
CITY, STATE,Z[P �1 _CITY,STATE,ZIP---O I y7 Z>
RESIDENCE PHONES Z�SINESS PHONE(24HRS)
BUSWESS 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 HECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYAB AT OF ECTION
N E ri DATE
APPLICANT'S SIG ATUR G/R" ; ---�=�--
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate �— Date fee paid: 2=21241
Type of unit: weBin Other Check# q -Check date: e)q.=20-t9
Notes: ( f tom.. ;4 " 26M i�C
*dnf ement In ector
r
City of Salem, Massachusetts
lu
{ a i
m Board of Health
9 `
120 Washington Street, 4th Floor, Salem, PubliCHP,aith
MA 01970 Prevent. Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-15-81
DATE ISSUED: 5/28/2015
Property Located at: 19 OSGOOD STREET UNIT#2
Owner/Agent: Richard Benoit
Address: 70 Bloomfield Street
City/Town: Dorchester, MA Zip Code: 02124 24 Hour Phone:(978) 745-6148
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
0,--A4�
Larry Ramdin, MPH, REHS, CHO
K��/
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
• - �/ BOARD OF HEALTH
120 WASHINGTON STREET,4"i FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR 1,RAMIJIN@SN.I M.COM
LARRY R,\ti1UIN,RSIRF1IS,CI 10,CP-FS
HFAL','I-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 I9 O.S (�C7 e( �S S'a I et�I lM 1A-UNIT# 2
IS TH1)S UNIT DjSIGNrA/1TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER ILhLCL`�c j C7e t1 o i l MANAGER/AGENT
NO P.O. BOX
ADDRESS U 0 wkIIk ADDRESS
_C
CITY, STATE,ZIP ` )D�/CYI CITY, STATE,ZIP 2i 2 y
RESIDENCE PHONE 7/ g 7 C(S &q 9 BUSINESS PHONE(24HRS) I /�
BUSINESS PHONEQ�ltlOq ���'-_V^
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 7. S. 9. �0.
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: (3 Date of reinspection:
Date of issuance of certificate: Date fee paid: 51)3
Type of unit: Dwelling Other Check# `J Check date: s 3
Notes:
Code NKrcdznt Inspector
�I
CITY OF SALEM, MASSACHUSETTS
„ BOARD OF HEALTH
120 WASHINGTON STREET,4”�FLOOR
TEL. (978)741-1800
KINiBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DL1L1l-NIIAUbI SAL1,11rcOh-t
I
DAA,ID GRP.I NBAUM
ACTING; FIE.A TH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #450-09
DATE ISSUED: 9/9/2009
Property Located at: 29 Osborne Street UNIT#1
Owner/Agent: John Kozlowski
Address: 213 Locust Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-8477
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 BOA7F HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT COD ENFO CEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS l��
. . BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR llGR Y?N[d AUM lvSALLiM.COM
DAVID GREENBAUM,
ACTING HEALa'H 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 ��� ST UNIT#___�_
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACKS PLEASE CIRCLE ONE
OWNER/LESSER -OHZJG?)Gt�S'��MANAGER/AGENT
NO P.Q.BOX
ADDRESS �3 AOCOS - S ` r ADDRESS
CITY, STATE,ZIP DP/V(/EP—J- kO`^�-0/ 523 CITY, STATE,ZIP
RESIDENCE PHONEBUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. & 4 ft%' 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
spectors use onl
Date on initial inspection:_ Date of reinspection:_
Date of issuance of certificate: , Date fee paid: _
� 3 49
Type of unit: Dwelling_},�_/Other_ Check#_,_Check date:
Notes: , S% RIA Lr _ 1, o t60m" kqle b�
C',VJ41w �\ 101
Code Enforcement Insptor U