The URL can be used to link to this page

PALMER STREET 61-100 PALMER STREET 61 '- 100 u r 1 k CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"i FLOOR TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin V,salem.com LARRY RAN@IN,RS(RE}15,CHO,CP-IS MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 128-14 DATE ISSUED: 4/30/2014 Property Located at: 64 Palmer Street UNIT#1 Owner/Agent: 64 Palmer Street Realty Trust Address: 104 Burlington Street City/Town: Woburn, MA Zip Code: 0180124 Hour Phone: 781-927-4415 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 LA RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM,,MASSACJIUSI_ TTS BOARD oP HEALTH 120 WASHINGTON S'PRFTN ... FLooR Pum'&dth v Prevenr.PrnmVlv.I MIN, Tu. (978)741-1800 FAX(97,'.1)745-0343 KIMBERLEY DRISCI_LL 1ral din a7sak tn.ca xr� MAYOR LARRY RARIDIN,RSJStC'.tlS,(JR),C:P-V� I42AIai-1 A(;F,N'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" ,, I •^,, FEE: s(1_00 PROPERTY LOCA"?D AT �� IIS T HIS UNIT DISIGNATED ASS�RI,—�LEF9,�;FfRONT OR BACK,PLEASE CIR7,1 (e4 LE,ONN f OWNER/LESSER P Il )L I I)� o! / C c MANAGER/AGENT ':505, V C s 1 (e 4 NO P.O. BOX //11 i ADDRESSV L! f � r To r'l ---�*'--ADDRESS ,. CITY, STATE,ZIP1 i© V Mkt L`"{ .- 1 ' i CITY, STATE ZIP RESIDENCE PHOT n i 7 } d 8 BUSINESS PHONE BUSINESS PHONL- — ---. 44 TOTAL NUMBER D F ROOMS: 3 ROOM USE: 1. C 2. 4,__..— 5. THERE IS A FIF"T" ;$50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF.HEAL TA THIS FEE IS PAS ABLE AT THE TUE OF INSPECTION APPLICANT'S SIGNATURE _DATE -I 3.0 �J In,Tectors use only Date on initial insp action: Date of reinspection:_—___—,— Date of issuance of cr rtificate: Date fee paid; _ Type of unit: Dwe 1i Ig_ Other _Check#-� V- _Check date:-- Notes:— --`j}= —` �-- fKd Code E ir='e t Ir spector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 4/11/06 Jupiter Three LLC 40 Appleton Street Cambridge, MA 02138 PROPERTY LOCATED AT 63 Palmer Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F rr th�of Heal h Reply to 11anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / 120 WASHINGTON STREET, 4TH FLOOR ,�Mna SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll v'WW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#357-07 DATE ISSUED: 8/1/2007 Property Located at: 64 Palmer Street UNIT#2 Owner/Agent: 64 Palmer Street Realty Trust Address: 104 Burlington Street CityfTown: Woburn, MA Zip Code: 01801 24 Hour Phone: 933-1181 An inspection of your vacant Dwelling/Roorning 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR rr� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 gBgrof� 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 FITNFSS FOR HUMAN HABITATION". PROPERTY LOCATED ATC1��/I_E/ '✓ _ UNIT#_c� IS THIS UNIT DESIGNATED S RIGH LEFT FRONT BACK PLEASE CIRCLE 0 E r 4 c— t(// OWNER/LESSER� I �I 7�. /` li^ �6OX- 1 S v� L I MANAGER/AGENT (,�t�X Pt1 I YH _ No P.O. Box No P.O. Box u cA, I; 5 / - _10 5 . ADDRESS) � YJ !n�� ADDRESS109� � y. Ii v1 h CITY ///& 5 V rn / SIG , CITYJ�ZObUr 7 - yNG_ RESIDENCE PHONE7$ I' $ 1 I S BUSINESS PHONE (24 HRS.) �� 4V1'/' y`w BUSINESS PHONE I `'9 9 LI - 85-10 L' TOTAL NUMBER OF ROOMS: ROOM USE: 1. 5. 6.-T-8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THECITY OF HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATU /us f�F_DATE � 3 - 07 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION7�3 _DATE OF REINSPECTION_ �� DATE OF ISSUANCE OF CERTIFICATE:Z- 07DATE FEE PAID: �� /_�7 TYPE OF UNIT: DWELLIN __OTHER-__ CHECK #j4 (:�L_CHECK DATE-7_,__�;1 --o 7 NOTE . 1 ---- - - - - CODE ENFORCEMENT INSPECTOR 9/28/98 r / OONDiT,t City of Salem, Massachusetts 1P I � Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-15-415 DATE ISSUED: 12/11/2015 Property Located at: 63 PALMER STREET UNIT#3 Owner/Agent: Michael Brassil &Siobhan Nally Address: 63 Palmer Street#3 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(781) 363-1790 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-� villn-01--Xx Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN To: Page 2 of 3 2015-11-30 21:35:38 GMT 16178126016 From: Siobhan (dally CITY OF SALEM, 1VIASSAUIUSETTS m 0:1RDOC HI ACThI 120 W1SI{Ir`':GI'(1\S1RGIsT 4T"I'I..00R (9 r s)741-1800 KI,MBF RLV: ' DRISCOLL F,os(978) 745-0343 MAYOR �r�omCn�su.r;mtr_i1,%r L:\RRv R9h9 ru e,RS/R F.HS,CFO,cu°-rS h;:;u:rri;1ca'n r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT UNIT# ,_3 IS THIS -NIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Mt 0.1Un1'l l)ci'1SSrt t `5i4u� �k(JANAGER/AGENT-______ NO P.O.BOX JJ ADDRESS Pdffl.e(' c>k 1-t '7 ADDRESS CITY, STATE,ZIP SG I Z vv) MA b i `I l U __CITY, STATE,ZIP__ RESIDENCE PHONE DP l iiU i .� BUSINESS PHONE(24HRS)____ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 n6 -�?ct 2 8Pclroo,n:), 3 F„il t;caa't'1 4 `(.I 66t4,j 5.t N1h�PJ 1 66- N1no-_ 7. K,�Ie rt 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 A1?(�' DATF, \\ Inspectors use only Date on initial inspection! I © Date of reinspection: Date of issuance of cerlificate: 2015- Date fee paid: Type of unit: Dwelling_�\/ Other Check# Zqb Check date: L" /2013 Notes: Co n rcement I .pector To: Page 3 of 3 2015-11-30 21:35:38 GMT 16178126016 From: Siobhan Nally On' OF SALEA4, NIASSACI IUSFTTS B()ARD oI HF...A rl i 120 WASl tlrvcrON St Rrr:.•;r,=1"'Ftnoir Tri_. (973) 741-1800 KINISER1,EY DRISCOLL Fax (978)745-0343 �4.-1Y'OR i3AMDiNGirsAHN:xta1 t.AIt7tY RANIDIN,16/10P.11S,010,CT-FS tl B.aral"t f�Gl_VT Release In accordance with Massachusetts General Laws Chapter 111;Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article Xlll of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor C"� y'�Izf S�-. t�-3 Snlev"' "OtG)-b Address Address U,3 i a\YrUy- S�, A 3 SakM Iyq� Ui4-)O Address on unit to be inspected Date Updated 5/23/11 town City of Salem, Massachusetts f f, Board of Health 'Q��.� 120 Washington Street, 4th Floor, Salem, MA 01970 Prevent.Promote.Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-347 DATE ISSUED: 10/16/2017 Property Located at: 63 PALMER STREET UNIT#4 Owner/Agent: Paula Donnely Address: 8 Bass Avenue Cityrrown: Gloucester, MA Zip Code: 01930 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH ' 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR LRAA4DIN@S.ALFM.00M LARRY RAmDIN,RS/REHS,CI-IO,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" FEE: $50.00 PROPERTY LOCATED AT J� �VwyUNIT#� Y LCJ� - 4THIS UNIT DISI�GGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS ( �/� ADDRESS vim\ (�1 /I CITY, STATE,ZIP I 6 I LITY, STATE, ZIP RESIDENCE PHONE b ll- 163 1 41 I BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. K�1( 5. � L 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 AY LE THE T E OF INSPECTION /y APPLICANT'S SIGNATURE DATE O Inspector e only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: Notes: Code Enforcement Inspector ` IOEI `OQy,�M - � �� pUND4� City of Salem, Massachusetts Board i Health 120 Washington Street, 4th Floor, Salem, Pt1bIiCHeAllth MA 01970 Kimberley [iriscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayon Iramdin@salem.com Health Agent CERTIFICATE: OF FITNESS CERTIFICATE. #: GHL-15-23 DATE ISSUED: 4/24/2015 Property Located i it: 63-U4 PALMER STREET UNIT#4 Owner/Agent: Christopher SeacherE Address: 8 Bass Avenue City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(617) 256-0078 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 Ce tificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or cccupied. Maximum Numbe'of occupants, must comply with 105 CMR 410.000. Certificate valid fcr 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, MFH, REHS, CHO HEALTH AGENT SANITARIAN ` i CITY OF SALEM, MASSACHUSETTS BOARD OFREETH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINraSALE\4.00h1 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" FEE: $50.00 PROPERTY LOCATED AT l.q &a S-\1 � UNIT# IS TINS IU/NIT DISI„GNATED AS RIGHT LEFT F�RONTT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER l ,f�V S I�(�V LP,V� X��Y 4F�� QAN GEI2/AGENT n 1 k NO P.O.BOX /�,, ADDRESS Y� fJ � A�,�, ( /� ADDRESS CITY, STATE, ZIP ��(�ll�C(A 1� LV 11 �� I30 CITY, STATE, ZIP RESIDENCE PHONE_ ` U BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. bl(i'161M 2. 3. V-ItC�li'--� 4. 6. ,Lott �' .r 7. Pxt(�i'D�i'rI 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 IQ TOA�pYA/LBLE AT THE ITI,(ME OF INSPECTION —j6APPLICANT'S SIGNATURE 1J�1� � `/�” DATE L pp Inspectors use only Date on initial inspection:_�(I� 5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# scs Check date: I Notes: Code YnfoVment Inspector 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#356-07 DATE ISSUED: 8/1/2007 Property Located at: 64 Palmer Street UNIT# 1 Owner/Agent: 64 Palmer Street Realty Trust Address: 104 Burlington Street City/Town: Woburn, MA Zip Code: 01801 24 Hour Phone: 933-1181 An inspection of your vacant.Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE BOARD OF � JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ✓� BOARD OF HEALTH ia 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FIjNE,SS FQ,� H}1MAN HABITATION". PROPERTY LOCATED AT �(i(/f �j�i III—&�'--CS I— UNIT# ` IS THIS UNI DESI NATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER14SIE ke, MANAGER/AGENT :5 1' 5,P v_Y No P.O. Box _JI NOP.O. Box ADDRESS_ r � �' 1 t 1 T-0 Iz GAUDRESS 5'I, !iy I p CITY ay ✓' h CITY_ i RESIDENCE PHONE� cy !1»�?.I BUSINESS PHONE (24 HRS.)_,___,_ BUSINESS PHONE ( ( D �J `I — TOTAL NUMBER OF ROOMS: ROOMUSE: Ii THERE IS A TWENTY-FIVE.(S25, O) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OFI§ALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 1 1 APPLICANTS SIGNATURE INSPECTORSUSE ONLY DATE OF INITIAL INSPECTION _ ) DATE OF OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE f, DATE FEE PAID:_-=7 . TYPE OF UNIT: DWEyOTHER____ CHECK #_ CHECK DATEC� 1 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. 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-15-104 DATE ISSUED: 6/3/2015 Property Located at: 64 PALMER STREET UNIT#3 Owner/Agent: 64 Palmer St. Realty Trust Address: 104 Burlington St City/Town: Woburn, MA Zip Code: 01801 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Gi Larry Ramdin, MPH, REHS, CHO ' HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • _ -• BOARD OF HF,ALTH _ 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR 1,RAMDIN@SAI.e:M.COM LARRY RANIDIN,RS/RIJ IS,CI 10,CP-FS HiAla?-[AG G:N'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 � L � Y G I�) �' r � � �r1 I e (/LI �iv 1G( UNIT# IS THIS�1NIT DISICG,NATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE 6 OWNEWLESSER aajI//JJ I) p / • P 7 y MANAGER/AGENT NO P.O. BOX u o h G i� h `7 rf- ADDRESS ADDRESS � f CITY, STATE,ZIP v J V ` Hl�� 0 1 l CITY, STATE,ZIP RESIDENCE PHONE 1 a 1 ( l 17 BUSINESS PHONE(24HRS) BUSINESS PHONE 7 1 ` 1 �0e.V 0110( @ yCzkoOJ C O-n& 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 F719-V AYABLE AT THE TIME OF INSPECTION j APPLICANT'S SIGNATURE DATE / 7 ( Inspectors use only n Date on initial inspection: b �I I I S Date of reinspects n: Date of issuance of certificate: Date fee paid: 5 Type of unit: Dwelling-----Other-Check# 49 heck date:>j Notes: CLAM fo ►s -i �f Code ment Inspector 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, AS, CHO HEALTH AGENT I CERTIFICATE OF FITNESS CERTIFICATE# 145-06 DATE ISSUED: 3123106 Property Located at: 64 Palmer Street UNIT#4 Owner/Agent: 64 Palmer St. Realty Trust Address: 104 Burlington Street City/Town: Woburn, MA Zip Code: 01801 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 EALTH J qOA N N O , MPH, RS, CHO _ HEALTH AGENT C C E OR �-�"�- 3 - �- � - o � I a �� e ata"'yl +' Cmr of SALEM, MASSACHUSETTS ` BOARD OF HEALTH ' • 120 WASHINGTON STREET,4TN FLOOR SALEM, MA 01974 TEL. 978-741-1800 FAX 976-745-0'345 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 FITNES FOR HUMAN HABITATION". L + �j L` PROPERTY LOCATED AT I 4 Ilih UNIT It__! IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER7LESSER �( �� MANAGERIAGENT C_ 4 t' No P.O. Box RAv u i 't No P.O.Box LLyv, ADDRESS_ i u;-t t 1. n; '7aa S __ADDRESS CITY/L/^ a > q , —CITY----- RESIDENCE ITY_. _—RESIDENCE PHONE7,91 -� 8 )- i �--BUSINESS PHONE (24 HRS)____ BUSINESS PHONE TOTAL NUMBER OF ROOMS: __` ROOM USE: __-- THERE IS A TWENTY-FIVE(S25,00OLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAI ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 3 � � Dk APPLICANTS SIGNATUUR DATE__.________ INSPECTORS_USE ONLY DATE OF INITIAL INSPECTION V _ D DATE OF ISSUANCE OF CERTiFIGA1 1-.725 �_ DATE OF RElNS('ECTION L"o ' o G DATE FEE PAID' TYPE OF UNIT DWELLINV OTHER CHECK MY rl CHFCK DATE 3 .o L NOTES. CODE ENFORCEMENT WS;PL=CTOR 2ttl`)t3 NIX t OT `P CERT.# 105-00 v FEE '$25.00 c o DATE: 02/14/2000 ��MINB ti CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 - CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 64 Palmer Street UNIT #: 5 OWNER/AGENT: 64 Palmer StreetRealtyTrust ADDRESS: 104 Burlington Street - CITY/TOWN: Woburn, MA ZIP CODE: 01801. 24 HOUR PHONE: 933-1181 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND, IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT .(%) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF ,H�EAAL,}T.H. JOANNE SCOTT MPH RS CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR (0 "GsL' NE CITY CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". � + tn� PROPERTY LOCATED AT r 5� UNITIf— IS THIS UNIT DESIGNATED] AS RIGHT LEFT//FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER I4rh16r �J"� Ketil' 7 .MANAGER/AGENT ose VUt� No P.O. Box 1 ' No P.O.Box ADDRESS `1 yr��Igqr 2y'/"� �p( ADDRESS f 6 CITY—41n)a }2 u r - J /'"I G1 0/8 � I CITY � 0 fl t t" "+8b, L � ( RESIDENCE PHONE 7$tBUSINESS PHONE (24 HRS.) 781 '133- 1181 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 11._2. 3. 4. 5. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA LTH DEPARTMENT THIS ErIS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE—)—I-/J—') INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _1 -( Lf "d & DATE OF REINSPECTION_. DATE OF ISSUANCE OF CERTIFICATE2�/�""D DATE FEE PAID: ( `"F - O TYPE OF UNIT: DWELLIN f .OTHER_ CHECK#[Q ? CHECK DATE NOTES: — — CODE ENFORCEMENT INSPECTOR 9/28/98 I •.t� 4 6 CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the 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. L•i 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 .whateverr,nature.,and description,.occasioned,?,, ' . by my/our absence during said inspection. TENANT/LESSEE OWNER/LESSOR F� ADDRESS -� ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE .... , CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 64 Palmer Street Realty Trust/Jose G. Vasquez Tr 141 South Street Jamaica Plain, MA 02130 PROPERTY LOCATED AT 64 Palmer Street Unit 6 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 a Board of Health Reply to Jo ne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH u .« 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 gBgAP� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 03/18/2002 64 Palmer Street Realty Trust 104 Burlington Street Woburn, MA 01801 PROPERTY LOCATED AT 64 Palmer Street UNIT # 6 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8 :00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential 'tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used I 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 F HEALTH REPLY TO Joanne Sc t, MPH,RS,CHO PABLO VALDEZ j Health Agent CODE ENFORCEMENT INSPECTOR 1 � coxwr CERT.# .104-00 6 FEE $25.00 DATE: 02114/2000 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: 64 Palmer Street UNIT #: 6 OWNER/AGENT: 64 Palmer Street Realty Trust ADDRESS: 104 Burlington Street CITY/TOWN: Woburn, MA ZIP CODE: 01801 24 HOUR PHONE: 933-1181 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 Y TT, MPH,RS,CHO HEALTH AGENT ODE ENFORCEMENT INSPECTOR 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 Tec(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 (" `/ G`G1 er // UNIT# k IS THIS UNIT V DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE)ONE OWNER/LESSERO 1"44014 /te414 AV3s�MANAGER/AGENT ':50)`e uf4d1 Z No P.O. Box No P.O. Box v ADDRESS / 0L/ 8u �, 2i rf�� 7�. ADDRESSZ04/ CITY_r/V()�Nfl/l , y��1 . $ 0 CITYZ'V06Urh, RESIDENCE PHONE ; - )- '1334181 18I BUSINESS PHONE (24 HRS.) B/' y 3 3• �� BUSINESS PHONE TOTAL NUMBER OF ROOMS: GI 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 SA HEALTH DEPARTMENT THI EE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION .b4 -75-Z> DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: D DATE FEE PAID: TYPE OF UNIT: DWELLINd/ OTHER_ CHECK#16 .2- 2- CHECK DATE /7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 .�o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �o SALEM, MA 01970 TEL. 978-741-1800 meq' FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 18, 2003 Jose Vasquez 104 Burlington Street Woburn, MA 01801 PROPERTY LOCATED 64 Palmer Street Unit#7 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. F r the Board of Hea th Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll wwW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 143-06 DATE ISSUED: 3/23/06 Property Located at: 64 Palmer Street UNIT#8 Owner/Agent: 64 Palmer Street Realty Trust Address: 104 Burlington Street City/Town: Woburn, MA Zip Code: 01801 24 Hour Phone: 781-844-8590 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 OFF HEALTH AN� �c TT, MPH, RS, CHO HEALTH AGENT CO E RCEMENT INSPECT R .,.�.ak-a Cft"Y OF'SALEM,MASSACHL)SE'iTS BOARD OF HEALTH r' • 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 I FAX 978-745-0343 —1--�U AA U /"LD STANLEY USOVICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT rz , �l 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 Ll fllq In, t f 5 UNIT k IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 641 OWNER/LESSER 1 __MANAGERIAGENT_� DSk No P.O. Box '/2� No P.O. Box ADDRESS / 0-) cT�ADDRESS_ CITY_ o J " r h 1 CITY RESIDENCE PHONE 7��' a I ' 1b 7/ BUSINESS PHONE (24 HRS.)"__ BUSINESS PHONE 7 ('I - 0 TOTAL NUMBER OF ROOMS: ROOM USE: l.- 5.-_ .5.__—6. 7 H. THERE IS A TWENTY-FIVE($25-QDOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 22 APPLICANTS SIGNATU . —�� — — DATE �� INSPECTORS U ONLY DATE OF IWTIAL INSPECTION_,_ „-4 4.DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 3— '.6 -3 DATE FEE PAID. TYPE OF UNIT. DWELLIN(;)(()THER CHECK P / r�� CHECK DATE -3 NOTES_ CODE ENFORCEMENI INSPECTOR A/2HL'ItS • m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR Publiciiea ith > Prevent Prommo.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin@sa1cm.com MAYOR LARRY IL•\MDIN,RS/RI?HS,CHO,CI'-CS HEAL'rTI AGENT CERTIFICATE OF FITNESS CERTIFICATE#453-14 DATE ISSUED: 12/4/2014 Property Located at: 65 Palmer Street UNIT#1 Owner/Agent: Kevin P Rogers Address: 3 Zames Road City/Town: Derry, NH Zip Code: 03038 24 Hour Phone: 914-850-4468 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 LARRY RAMDIN HEALTH AGENT SANITARIAN I _ , CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH 1, I 120 WASHINGTON STREET,4"'FLOOR 1 f TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMOIN&A ENLCOM LARRY RAMDIN,RS/RFFIS,CF10,CP-FS Hi;1M:nIAGLNT 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 fS 1 PROPERTY LOCATED AT V PPoww ST UNIT#-4_ IS THIS UNITDISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER ZWSS �eSc C , MANAGER/AGENT NO P.O. BOX nn I ADDRESS 3 2A, �e 5 IL c► ADDRESS S l - CITY, STATE,ZIP DO—ctti 63035 CITY, STATE, ZIP �+ RESIDENCE PHONE BUSINESS PHONE(24HRS) LN6g BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. �-I DeW 2. �:C4 3. 4. 0C&(-J 5.4tmvM 6. (,i,&,t 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 IAT TIME OF INSPECTION 7 APPLICANT'S SIGNATURE DATE I pectors use only Date on initial inspection: l g j(i I(� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling-_----Other-Check#_,)_/�Check date: Notes: Code MorWment Inspector is r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR pllbl�ClHCAlY�1 -_ SM-Er, rrevpnt. Promote.rromm. TFL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lcamdinn_ salem.com MAYORLrViRT 1tA1vIl�IN,RS/RI?f IS,CHO,CP-FS HFIALI'I-I AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. SCP SS �S NC C � I �Y.�+n Qo�LrS Tenant/Lessee Owner/Lessor 2 Ojrne S uL� �ecr�f N . Address Address Address on unil to be inspected Date Updated 5/23/11 I� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I `Z' 120 WASHINGTON STREET, 4TH FLOOR a o 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# 116-04 DATE ISSUED: 03/30/2004 Property Located at: 65 Palmer Street UNIT#4 Front Owner/Agent: Palmer Street LLC Address: 218 Humphrey Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-639-1001 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. F R THE BOARD JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i� CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH p .J^ I* • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 11}4 TEL. 978-741-1800 Jj/(YY MAR f'1 A Fax 978-745-0343 - i(AR 3 0 2004 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CITY OF SALEM BOARD OF HEALTH j(a APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR IIHUMAN HABITATION". PROPERTY LOCATED AT X0,5 ! Yl.r�erL�q/ UNIT# I IS THIS UNIT DESIGNATED AS RIGHT LEFTrEBONACK PLEASE CIRCLEONE OWNER/LESSER LL- MANAGER/AGENTyt� I� 1^ �C No P.O. Box No P.O. Box ADDRESS ZL$ uten �r�, ADDRESS CITY /kt e12�r1z d j/ 22 CITY. RESIDENCE PHONE ) 5910 JZ�USINESS PHONE (24 HRS.) BUSINESS PHONE _ TOTAL NUMBER OF ROOMS: ROOM USE: 1. g 2. 1 3./ 4. 1 eO d, I 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 D P RTMTHIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE, DATE INSPECTORS USE ONLY , PATE OF INITIAL INSPECTION 3 "30 v y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -3 0-0`f DATE FEE PAID:-3- TYPE AID: 3TYPE OF UNIT: DWELLING 'OTHER_ CHECK# Z CHECK DATE NOTES: — i CODE ENFORCEMENT INSPECTOR 9/28/98 I, l __ o CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH n 13 120 WASHINGTON STREET, 4TH FLOOR o. SALEM, MA 01970 cY TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#330-04 DATE ISSUED: 07/16/2004 Property Located at: 67 Palmer Street UNIT#3 Owner/Agent: Palmer Street Realty Corp. Address: P.O. Box 811 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-389-6327 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter If'Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD O HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 s s GITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY: CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT tel `S aI V1_9A, UNIT i 3 OWNER/LESSER _ �? . � MANAGER/AGENTShe�d _ lS(�/� ADDRESS ,I`J.C-�C I (• (� ADDRESS�,o CITY �c�.1�A� Cl� � :� 6� 14`,, CITY4f1p�Z�1ea � . Vb�`� S RESIDENCE PHONE �� I_ �� BUSINESS PHONE (24 _ BUSINESS PRONG -1 ` - (p ��1 - (CC) I — TOTAL NUMBER OF ROOMS: - ROOM USE: 1. ' t� ^ 2.`I 3. 5.�dW6 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEH' HEALTH DEPARTMENT THIS Kg -Y AYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE Q INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '7b%,Ao, DATE FEE PAID: '7�j`/pr/ TYPE OF UNIT: DWELLING_,IZOTHER C ES6PG #8L17 Tho/oy NOTES: C LtF MOLD e'-le Aj[ LAtl/YYGWS rKbi QY,-,4 6p p Xtew , r' CODE ENFORCEMENT INSPECTOR aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 06/18/2002 Palmer Street Realty 218 Humphrey Street Marblehead, MA 01945 PROPERTY LOCATED AT 67 Palmer Street UNIT # 4 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. THE BO� REPLY TO JOR oanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 360-00 FEE $25-.00 DATE: 06/05/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 67 Palmer Street UNIT #: 4 OWNER/AGENT: Palmer Street Realty ADDRESS: 218 Humphrey Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 639-1001 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER- II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR — v��CONDIT� oMnuso° 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 QFOR �HUMAN HABITATION". PROPERTY LOCATED AT & Z if"T� ' 1 �J T UNIT# 41 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER A/2 f a MANAGER/AGENT No P.O. Box p No P.O. Box ADDRESS IO ADDRESS CITY /�//��yo ��CITY / RESIDENCE PHONE BUSINESS PHONE (24 HRS.) /r/fl 4 3�100 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 'dc= 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE POS DATE 6 0� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION C,- S'-0 O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-I,'- r"a b DATE FEE PAID: G - S ,y J TYPE OF UNIT: DWELLIN�OTHER_ CHECK# 6 / CHECK DATE; UJ NOTES: /\ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS a. 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#357-06 DATE ISSUED: 7/20/2006 Property Located at: 68 Palmer Street UNIT# 1 Owner/Agent: Vito Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-977-3352 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F THE BOARD OF JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �C] BOARD OF HEALTH ' • • 120 WASHINGTON STREET, 4TH FLOOR J� SALEM, MA 01970 TEL. 978-741-1 800 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 R 1�n�;rn P,f S:r- UNIT#--L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT 13ACK PLEASE CIRCLE ONE OWNER/LESSER V V 1AAdi1 MANAGER/AGENT No P.O.Box No P.O.Box ADDRESS / � a(� �J Nle. ADDRESS CITY_ CITY- RESIDENCE INRESIDENCE PHONE- BUSINESS PHONE (24 HRS.) 9zp 977 335 a BUSINESS PHONEISS TOTAL NUMBER OF ROOMS: ROOM USE: 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 �� a DATE 7 0� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION) ,)✓ 0 _vDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEJ-:� DATE FEE PAID: 7 TYPE OF UNIT: DWELLINGOTHER_ CHECK# f= _CHECK DATE NOTES: �� CODE ENFORCEMENT INSPECTOR 9/28/98 , oxwr CERT.# 328-00 FEE '$25.00 DATE: 05/18/2000 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: 68 Palmer Street UNIT #: 1L OWNER/AGENT: Broad-Palm Realtv ADDRESS: 4 Moffatt Road ,CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1718 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 . FO THE BOARD 0/� V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 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 d //' (M e UNIT#r U IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER R-2i7 66 6/O MANAGER/AGENT C- f 4l(v'/'P No P.O. Box No P.O. Box ADDRESS %ACIFrl) ? /W ADDRESS CITY S4 e "7 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:.__ ^ ROOM USE: 1. R 2. 3. kli 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 SIGNATURES��- /�, DATE C INSPECTORS USE ONLY DATE OF INITIAL INSPECTION;%/X-U a DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:5: /tel °O DATE FEE PAID: TYPE OF UNIT: DWELLING/k_1'OTHER_ CHECK# 7/0 CHECK DATED NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 w 0A. CERT.# 336-00 FEE -$25.00 DATE: 05/18/2000 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: 68 Palmer Street UNIT #: 1R OWNER/AGENT: Broad-Palm Realty ADDRESS: 4 Moffatt Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1718 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 I FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fav(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 � 0 //0 ( f-)� PX UNIT#- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /91?-'91' 0"A(Ir) A-A61' MANAGER/AGENT C' ln46,)nP No P.O. Box No P.O. Box ADDRESS Y it¢/-'rh %I /10 ADDRESS CITY (/D(- eA-) CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE f11" TOTAL NUMBER OF ROOMS: ROOM USE: 1. L' R 2. k n. 3. kll l 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE-,-�- - ��" DATE f C'® INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-/f-o O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -7B`G a-7B`G a DATE FEE PAID: S--/ d J TYPE OF UNIT: DWELLING /OTHER_ CHECK#CHECK DATE ,5�-- /7 d o NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 d00NDIT,tyd City of Salem, Massachusetts 60 a Board of Health 120 Washington Street, 4th Floor, Salem, Puith MA 01970 Prevent. Promote. Protect. 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-15-388 DATE ISSUED: 11/25/2015 Property Located at: 70 PALMER STREET UNIT#1 Owner/Agent: Vito Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 255-3353 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, RENS, CHO HEALTH AGENT SANITARIAN wlfiv �VeNuTi • Com t , CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR L.RAMDIN9SALFSM.00M LARRY RANMIN,RS/RENS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT —70 Pq,\tAer sz V : I UNIT#_L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER \Z�� MANAGER/AGENT� ,a e NO P.O.BOX ADDRESS i-� h r IC"iNf ; ADDRESS S4 rp- CITY, STATE,ZIP T Pll d�/ J � CITY, STATE,ZIP S o,jLq. RESIDENCE PHONE q 78-2S 5 35 BUSINESS PHONE(24HRS) BUSINESS PHONE 972R-,a5S - 335a TOTAL NUMBER OF ROOMS: 5 ROOM USE: 2 U Vlnj Ra6M 3 �kbarN 4 L�P60yv 5 Lie S95s6r,. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �-!/ u, DATE �3 5 Inspectors use onI Date on initial inspection: �/2 � Date of reinspection: Date of issuance of certificate: 1111V��r Date fee paid:: 1=Y1201 : Type of unit: Dwelling--�,Other Check#2V V 3 Check date: Notes: O Cod jf7ementInS� for CITY OF SALEM, MASSACHUSETTS • �� BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 HINIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMD1N' sA1.I:M1 Co;M LARRY RANIDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. c Opp �,n/w'Ci Tenant/Less e Owner/Lessor I T6(,Ak Dr?ve -Q .6JY', Address Address 7� �aly,cr S-r- R?7t Address on unit to be inspected 11123 A5 Date Updated 5/23/11 r s ,.'Ft p•'�"j, '�5 t"� -'$^�3� �+"$ 3' .� i r .�yv:�s_:.a r� .r� art= 7 - n. • CERT.# 335-00 _ FEE "$25 .00 DATE: 05/18/2000 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: 70 Palmer Street UNIT #: 1L OWNER/AGENT: Broad-Palm Realty ADDRESS: 4 Moffatt Road CITY/TOWN: Salem, MA ZIP CODE:--01970 24 HOUR PHONE: 745-1718 - - 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. �9. 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 . R THE BOARD 0 HEALTH v JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 33' � 1" 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741.1800 APPLICATION FOR CERTIFICATE OF FITNESS Pan:(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�© - A'In f/ UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /,J/I0/3 PWA fiWifMANAGER/AGENT r,. /t4fol/I-0 ADDRESS y Mv?t2RiT / 0 ADDRESS CITY ,I/Iz CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7 YX- /?/ t TOTAL NUMBER OF ROOMS:_ n ROOM USE: 1"- 2. �//; 3.�� 5.& 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE,��--per—DATE S-11- 0 '9 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION=t 0VV - O O DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:-140 DA/TE FEE PAID: TYPE OF UNIT DWELLING OTHER__ C(CzZ NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 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# 142-06 DATE ISSUED: 3/23/06 Property Located at: 70 Palmer Street UNIT#2 Owner/Agent: Vito J. Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-977-3352 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 tl" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE BOARD OLTH ? JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR IMPO TANT MESSAGE f Fob ,, /kms-rD' DATE TIME OF PHONE AREA CODE NUMBER EXTENSION ❑ FAX ❑ MOBILE AREA CAGE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TD SEE YOU RUSH' RETURNED YOUR CALL WILL FAX TO YOU MESSAGE SIGNE FORM 4009 MARE IN U.S.A. NO-TF ----------------------------- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 /I FAX 978-745-0343 67\STANLEY USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ?1 1!,¢.r UNIT# IS THISUNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE V OWNER/LESSER 116 3 VeAl t MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS J T r�k J�11 ADDRESS CITY ?-�W to CITY RESIDENCE PHONE97P--3)4-Cj 7BUSINESS PHONE (24 HRS.). BUSINESS PHONE TOTAL NUMBER OF ROOMS:- ROOM OOMS:ROOM USE: 1 'vc 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 4 DATE '' n INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 0 G DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES a 1 _v 6 DATE FEE PAID: Z TYPE OF UNIT: DWELLING OTHER_ CHECK# 43 96 _CHECK DATE-T_y'g, 4 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 STANLEY J. USOVICZ, JR. Fax 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#676-05 DATE ISSUED: 11/2/05 Property Located at: 70 Palmer Street UNIT#3 Owner/Agent: Vito Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-977-3352 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 JOAAE 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 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT 77(> [](&i Q_p UNIT# �3 1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER f�jt, T VeftUt! MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS-....,/—j "L— j�;,w. ADDRESS CITY aa_ba�U CITY RESIDENCE PHONE 7.P-27USINESS PHONE (24 HRS.) 335;a BUSINESS PHONE TOTAL NUMBER-OF ROOMS: S ROOM USE: 1.K"rde 2. 3. 4. rdo 5. 6. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE f� !/Q�A/?� DATEQ�_ INSPECTORS USE ONLY DATE OF INITIAL OF INITIAL INSPECTIONN DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '6° DATE FEE PAID:�/� TYPE OF UNIT: DWELLINGXOTHER_ CHECK# _J _CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �� CITY OF SALEM, MASSACHUSETTS r� BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGa eNUAUM,t@SAI.NM.cOnI DAviD GRuXN13AUD4 AC'HNG I-IEALrH AGENT CERTIFICATE OF FITNESS CERTIFICATE#375-09 DATE ISSUED: 8/3/2009 Property Located at: 70 Palmer Street UNIT#4 Owner/Agent: Vito Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-977-3352 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 BO RQ OF HEALTH DAVID G EE BA ACTING HEALTH AGENT C IENFORCXMl2NT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTR 120 WASHINGTON STREET,4'"FLOOR TEL(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0345 MAYOR Com JOANNE SCOTT, HEALTH AGENT ,I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINRvfUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 722Ct I }M 2 r S�r'� `� UNIT# LS THIS IIDRT DISIGNATED ASIR HT LEFT'FRONT OR PLFASE CIRCLE ONE OWNERILESSER V f `DC7 V f,&/LCt j MANAGERI AGENT Me NO P.O.BOX ADDRESS1� :ra _J C-Ld ADDRESS Crq MP,-� I, CITY,STATE,ZIP �V ( t� CS_^ICTi Y, STATE ZIE= 12�R RES?DEMCE PRO -l ! �' / 1 33 c�. HUSINESS'PHONE(241IRS)- 2 7 7'"336PI BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: i.L wN ,2 �ijCI^ O 3 &ZrocW 4.p�+, P 5 I i7b 6. 7. 8. 9. 10. THERBIS AFIFTY($50)DOLLAR FEE,PAYABLE BY CHECK•OR MONEY ORDER TO THE CTTY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPWI ION APPLICANT'S DATE, Inspectors use only Date on initial inspection: �/ Date of reinspection: Date of issuance of certificate: .2, Date fee paid: Type of unit: Dwelling__Othex Check# y J Check date. gotes: WA tl)4a 1 J00-f "�T taC'Y� {�'i}. 41b CI}P.A..3`1 x I t T-4 ,2CF. . . i 'odetidorc meat Inspector CITY OF SALEM, MASSACHUSETTS o ® 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#573-06 DATE ISSUED: 11/15/2006 Property Located at: 70 Palmer Street UNIT#5 Owner/Agent: Vito J. Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-977-3352 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. R THE BOARD OF HEALTH FOR f J ANNESCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS -6 BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO. MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 70 Q UNIT#5 IS THIS UNIT DESIGNATED AS 'I/GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Vil-6 _7V• JqL)ti _MANAGER/AGENT No P.O. Box l No P.O. Box ADDRESS � yY cAy b6ye. _ADDRESS CITY ?e"--C) CITY RESIDENCE PHONE 7 7- 3��USINESS PHONE (24 HRS.) BUSINESS PHONE-.� �-__L7- 3 ^ TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1."2. ith�91 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 SIGNATUREVz - DATE��//.],/,� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �L_�S„-_L _DATE OF REINSPECTION___________ DATE OF ISSUANCE OF CERTIIF"ICATEP-Jt `_ DATE FEE PAID._�� TYPE OF UNIT: DWELUN OTHER CHECK # f _-_.CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 ti. CITY OF SALEM, MASSACHUSETTS + s BOARD OF HEALTH " 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNF o SAI.FM.COM JANET DIONNE AcPING HEAL I-1.AGENT CERTIFICATE OF FITNESS CERTIFICATE#451-08 DATE ISSUED: 9/11/2008 Property Located at: 70 Palmer Street UNIT#6 Owner/Agent: Vito J.Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978.977-3352 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 #ANTDIONNE � ACTING HEALTH AGENT CO NFORCEM INSPECTOR ` CITY OF SALEM, MASSACHUSETTS .BOARD OF HEALTH ^✓ I �O� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL._ 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 70 pa J fie.r S`i"ree.T UNIT#yJ IS THIS/UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ,/iTo�. VPA/Ut)i MANAGER/AGENT S� 1 ^^ No P.O. Box No P.O.Box - . ADDRESS / -TnMn . ADDRESS �GL✓'� CITY f!la,L� CITY S2 j±-e RESIDENCE PHONEN-77"7'3352BUSINESSPHONE (24HRS.) 8- 77-33,Sa BUSINESS PHONE 978' / 77`33Sa- TOTAL NUMBER OF ROOMS: 5 ROOMUSE: 1J;Vi 2. i-� 3. THERE IS A TWENTY+T# )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__2/// O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION G1 /QT/_D2 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: 11DWELLING_OTHERL_` CHECK#_CHECK DATE 1111L)' NOTES:',. V:1Q lei lJp XPi( �X l t�t1 COIltNFORCEMENT INSPECTOR 9/28/98 �,,t 4� �si� � rt HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Sep 22 2008 9:22am Last Fax Date Time Twe Identification Duration Pae s Result Sep 22 9:22am Sent 919787449614 0:25 1 OK Result: OK - black and white fax i F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH LJ 120 WASHINGTON STREET,4...FLOOR PublicHealth TEL, (978) 741-1800 FAx(978) 745-0343 LiIMBERLEY DRISCOL.L Imindinnsalem.com - LARRY RA NIDIN,ICS/RM IS,CI 10,CP-PS NLAYOR HI?AI:I'I-I A(i EN'r CERTIFICATE OF FITNESS CERTIFICATE#244-12 DATE ISSUED: 6/16/2012 Property Located at: 71 Palmer Street UNIT# 1 Owner/Agent: Dan Botwinik Address: 20 Washington Avenue#1 City/Town: Waltham, MA Zip Code: 02453 24 Hour Phone: 786-879-1097 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. Y P Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L RF IS 4AMDIN (/ HEALTH AGENT SANITARIAN N CITY OF SALEM, MASSACHUSETTS LI BOARD OF HEALTH 120 WASHINGTON STRELT,410 FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1 R[yMDINQaSALEN.COM LARRY RANIDIN,RS/RENIS,(110,CP-FS I IE;U:;1'I't AGE.N'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 r PROPERTY LOCATED AT � 1(�e5 \VV\" � �� UNIT# /�— 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER bAV\ �)aA'—J V\NY— MANAGER/AGENT NO P.O.BOX ADDRESSy� ��C^��V�=Q"1J�1 �� Z \ ADDRESS CITY, STATE,ZiPC �y�� WVt i MA O?14r' S CITY, STATE,ZIP RESIDENCE PHONE\\ l BUSINESS PHONE (24HRS) ' BUSINESS PHONEC'f� TOTAL NUMBER �OF- 'ROOMS: 3 ROOM USE: 1. /WV-001 . 3 4. I ion 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 PARABLE kT TIME OF INSPECTION APPLICANT'S SIGNA�= / DATE 612— Izo Inspectors use only Date on initial inspection: / Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check# Check date: / Notes: Code ement Inspector c , City of Salem, Massachusetts / • i Board of Health 120 Washington Street, 4th Floor, Salem, PtubliCHealth MA01970 Proven[. 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-15-16 DATE ISSUED: 4/6/2015 Property Located at: 71 PALMER STREET UNIT#2 Owner/Agent: Congress &Ward LLC Address: 102 Lafayette Street CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-8071 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 Auk Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF IIEAum 120WASHINGTON S1I2F.11,4"'FLOOR TNL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMI)INna :LIMCONc LARRY RANMIN,RS/RFI N,CI-IO,CP-PS 1 Ii;nl;fi I A6 H\,f Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 71 Palmer St., Salem,MA 01970 UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Congress& Ward LLC MANAGER/AGENT North Shore Property Mana erg s,Inc. NO P.O. BOX ADDRESS 102 Lafayette Street ADDRESS 102 Lafayette Street CITY, STATE,ZIP Salem, MA 01970 CITY, STATE,ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 5. Bedroom 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 IIAYABLE AT THE TIME OF INSPECTION t APPLICANT'S SIGNATURE ' DATE 4/1/15 (/ 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 date: Notes: Code Enforcement Inspector /0"(Y)4M `f/ro/15 CITY OF SALEM, MASSACHUSETTS B0:1RD or Ih L:fH 120 WASHINGTON S rREF;1',4."FLOOR TNI,. (978) 741-1800 KINIBERLEY DRISC01.1, FAx (978) 745-0:343 MAYOR LRANrteIN(a s,xu. .cmf LARR]'RAMDIN,RS/RF1IS,C1-Io,CRFS I iI lk a r1 I A( .N'I Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. I� Congress & Ward LLC. X Tenant/Lessee Owner/Lessor 102 Lafayette Street, Salem, MA 01970 71 Palmer St. 92, Salem, MA Address Address 71 Palmer St. #2 .Salem, MA Address on unit to be inspected 4/1/15 Date Updated 5/23/11 CITY OF SAL EMy KASSAGHUSETTS BOARD-OF HEALTH o $ 120 WASHINGTON STREET-4TH'FLOOR SALEW, MA 01970 TEL. 97&741=t800_ FAX 9-78-745-0343 STANLE`f J. t}SOYFCE, JR. JOFANNE SCOTT,-MPH, RS; CHO- MAYOR HEALTH.AGENT 4/19/05 Brito Realty LLC 50 Banks Terrace Swampscott, MA 01907 PROPERTY LOCATED-AT 71 Palmer Street- Lln�t 2R Dear Sir/Madam: It has come to our attention,thatyou-may be considering renting.a dweltingunitatthe above-address. in accordance-with.Chapter' 1t,Article_Xill 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 witlr105 CMR-440.000; State Sanitary Code, Chapter It: Minimum.Standards of Fitness for Human Habitation. Please notify us if you do not intend to rentthe�unit. Please-contact.this-depadmentwithia24 hoursofreceipt of this notice at 978-741-1800,to schedule-an- appointment for an inspection_ Our office-hours are Monday thru_Wedrfesday 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 resultin a-fine of Twenty($20:00)dollars-per day for every- daythat the dwelling unitis.occupied without a Certificate-offitness, X$25.00 check payable toL tha_City of Salem is required for each unit inspected at the time of Inspection. A-property owner is required-ta pay gas.andetectricity for residential tenants-if there isnot awritten letting- agreement stating the-tenantis responsible-.for thoseutili8es and k the meter(s) records electricity,and gas-use which is not usedexclusivelyhythattenant_The Department of Public Utilities has billed propertyowners for their tenanYsentire utility bills-retroactive-to-the-date of initial occupancy in cases in which cross-metering has been proven to exist. 2Fthe Board of Healt Reply to nne Scott MPt+, W CHO Pablo Valdez Health-Agent Code Enforcement CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET,4t"FLOOR PllblicHealth Prevent.Promote Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Itamdin@satem.com LARRY RAMIJlN,RS/REHS,CHO,CP-FS MAYOR HIi:ALI'I-I AGIf';NT CERTIFICATE OF FITNESS CERTIFICATE#394-13 DATE ISSUED: 11/1/2013 Property Located at: 71 Palmer Street UNIT#3 Owner/Agent: Dan Botwinik Address: 22 Beacon Street City/Town: Fitchburg, MA Zip Code: 01420 24 Hour Phone: 617-649-6948 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 LARR DIN HEALTH AGENT SANITARIA �- 4 ,, tCTTY OF SALFM, MASSACHUSETTS BmRD of,HEALM Ith 120 W-ASHINGTON STRT,,j=:t,41" F1LOOR TFC.. (978) 741-1800 FAx (978) 745-0343 KIAIBERLE5"DRISCOLL Lrambnoasalcin coin L„\mY MAYOR HEA1:F1 i A(;I,,NT 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 VX.AeV 3 5�_ -A- AOW - UNIT# PROPERTY LOCATED AT k\ ?G` MPS! a — IS THIS UNIT Dist NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS—.2-2- ADDRESS CITY, STATE, ZIP �Pr 0\4''OCITY, STATE, ZIP ll RESIDENCE PHONE BUSINESS PHONE(24HRS BUSINESS PHONEC6_1 A TOTAL NUMBER OF ROOMS: ROOM USE: 1. tle-� 2. 3. 44. D6- 5. Llv - -_10 —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 I Inspectors use onl Date on initial inspection: Y_LI' I � Date of reinspection:__ Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—.—,-Other Check# 1 —Check date:— Notes:— JCoden Abrccment Inspector 1 4 " CERT.# 85-02 n 'FEE $25.00 DATE: 02/20/2002 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970- JOANNE SCOTT, MPH, RS,CHO 120 Washington Street — 4h Floor HEALTH AGENT Tel # (978)-741-1800 Fax# (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 71 Palmer Street UNIT #: 4 OWNER/AGENT: Brito Realty ADDRESS: 17 Canal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 649-5304 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 I 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. 1 FOR THE BOARD OF HEALTH (U/JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT D fNF EMENT TgSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 4 TEL. 978-741-1800 - RRyti�► FAX 978-745-03433 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 15 2002 c.Fv r,OTF SALEM HLALTH DEPT. 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 71 A `�VeA- UNIT# 7 IS THIS UNIT DESIGNA E��DJ�nAS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE -� OWNER/LESSER Yom/ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 17 � tA'l ADDRESS CITY CITY A" RESIDENCE PHONE W-/��772 7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 1�7 8 " 74�1'7Z2 TOTAL NUMBE/R�OF ROOMS: ROOM USE: I� 6. 7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPA T THI FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE;;7 Ze� - DATE a Z INSPECTORS USE ONLY DATE OF INITIAL INSPECTION a,�a13 DATE OF REINSPECTION �1 DATE OF ISSUANCE OF CERTIFICATE: a ao sa DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER CHECK# �: / CHECK DATE NOTES: a• . I i CENFCFRC NT INSPE�fOR 9/28/98 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4°i FLOORP11l1licHea[th Prevent,Pra note.Pfaleet. TEL. (978)741-1800 FAX(978) 745-0343 IQMBERLEY DRISCOLL lramdin dsalem.com LARRY IL1bID1N,RS/RI�.PIS,0110,CP-I�;S MAYOR HEA1.;1TI AG I?NT CERTIFICATE OF FITNESS CERTIFICATE#158-13 DATE ISSUED: 5/13/2013 Property Located at: 71 Palmer Street UNIT#5 Owner/Agent: Dan Botwinik Address: 20 Washington Street#1 City/Town: Waltham, MA Zip Code: 02453 24 Hour Phone: 786-879-1097 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 OF HEALTH / ,Lj�eMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS lu GAS 3 BOARD OF HEALTH " 120 WASHINGTON STREET 4"t FLOOR PablicHealth STREET, Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinna,salem.com LARRY RA1vffDIN,RS/REI-I5,CIiO,CI'-FS MAYOR HrAI.rH 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 I i q\�nn e'er SL sPA- 'M M A o V1l'b UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE O1N\E OWNER/LESSER JA`^ 11 w"^`a MANAGER/AGENT J`�� ^ 461 -z` ADDRESS 316 L-owe-A S� l \ ADDRESS gf=> W G J s \ CITY, STATE,ZIP aW'�'CTTY, STATE,ZIP ��• 02� RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. �&G'"ot•„ 2. 3.lUeAioo 4. 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 IME OF INSPECTION APPLICANT'S SIGNATURE DATE SY 1� 113 Inspectors use only Date on initial inspection: 510113 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_Check date: Notes: S� ✓GJIPccn®�V��eCoN` Code Ndbr& ent Inspector f • CITY OF SALEM, MASSACHUSETTS y� BOARD OF HEAi-TH 120 WAHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DcaEENBAUMnsAU:M Coa4 DAVID GRF.F:NBAUM,RS ACTING HI:?AI:11-1.ACIENT CERTIFICATE OF FITNESS CERTIFICATE#454-10 DATE ISSUED: 9/3/2010 Property Located at: 71 Palmer Street UNIT#5 Owner/Agent: Jaime Brito Address: 17 Canal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAIV D G E�ENBAU !RS ACTING HEALTH AGENT CODE ENFOROZMYNT INSPECTOR • � CITY OF SALEM, MASSACHUSETTS IISY-16 BOARD OF HEALTH x 120 WASHINGTON SrREEr 4•••FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRar.NBAUaT(c AI.I.M.COM DAVID GREENBAUNI,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." —7 J n FEE: $50.00el /,,/► PROPERTY LOCATED AT C / �j/'t �L^y� V l UNIT# J IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER::k Ito- MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP Sn ' CITY, STATE,ZIP RESIDENCE PHONE?0 _J�63 -3 - 113-6 BUSINESS PHONE(24HRS) �� 7 ��4— 7 7 �2 7 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. �-� 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P LE A4YTHE TIME 0 INS CTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: / 0 Date of reinspection: Date of issuance of certificate: '713 /0 Date fee paid: Type of unit: D elling��0ther Check#Check date: Notes: w bon G Cf o c I /ter. �n k�kclw� SUIK QGkvr� I �Gr:YI 'cJc_�I�� al �t,�c Code En o ement Inspector J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4:"FLOOR PublicHealth - P,v.,. Nwo. TEL. (978) 741-1800 F.-\x(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RAMDIN,RS/REI IS,C1 10,Cl'-FS MAYOR HEAC.TI'i lAGENI' CERTIFICATE OF FITNESS CERTIFICATE#485-12 DATE ISSUED: 12/26/2012 Property Located at: 71 Palmer Street UNIT#6 Owner/Agent: Dan Botwinik Address: 20 Washington Avenue#1 City/Town: Waltham, MA Zip Code: 02453 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 Occup cy. FOR THE BOARD OF HEALTH LAR MDIN HEALTH AGENT ARIAN m CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR I U TEL. (978) 74171800 KIMBERLEY DRISCOLL FAX (978)745-0343 MAYOR NnxNCn�sn,IiNl.cona LARRY RANIDIN,RS/RVI IS,010,(T-1'S HIS)VILII AGI.'NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FETE: $50.00 PROPERTY LOCATED AT �� PQ1��✓ S t• SS r,4A A UNIT# -4�j�. IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER17 �+�. �_��--�� MANAGER/AGENT NO P.O. BOX ADDRESSZo 4.l¢. -4�s- � ADDREss r"'C CITY, STATE,ZIP (/J a��aw� 1 �Qr 0-+-1-1 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE �- TOTAL NUMBER OF ROOMS: S ROOM USE: 1. g e,� 2. 3. 99-1 4. 5 Uji IL 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE T TtIE TIME OF INSPECTION APPLICANT'S SIGNA DATE 2— Ins ectors •Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_)q_o— Check date: _ Notes: Colre ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH V- 120 WASHINGTON STREET 4`°FLOOR PIib11CHC81th STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL h-atndin@salein.com LARRY RANIDIN,RS/REHS,CHO,CP-FS MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #31-13 DATE ISSUED: 1/31/2013 Property Located at: 71 Palmer Street UNIT#7 Owner/Agent: Dan Botwinik Address: 20 Washington Avenue#1 City/Town: Waltham, MA Zip Code: 0245124 Hour Phone: 786-879-1097 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 Ile 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 L'ATihY RAMDIN , HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS �1 BOARD OF HEALTH 120 WASHINGTON STREET 4T"FLOOR NbliCHealtli f Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL lramdin ,salem.com MAYOR LARRY 12;\MllIN,RS/I2IiF1S,CFK),CP-FS HEAL;rFI AGBNT 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: $5.0.-00 PAI LOCATED AT a') t'Al 1MW S��X1� . Uom MN 01011QUNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE O,NE` OWNER/LESSER YAK Qo tK�{G MANAGER/AGENT %J AA t��/1��;-01 NO P.O. BOX 1 ADDRESS 2,,0 W41N%1 AJC .ark ADDRESS CITY, STATE,ZIP 40AA\0. y►, IAN 0 W) CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) k 66 6 4k 1 o 0i!a BUSINESS PHONET1$ TOTAL NUMBER OF ROOMS: S rr n n ROOM USE: 1. W'160w.2. 4. 11J �ti5. J�v�' �jsw 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY E AT TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insp ors use only Date on initial inspection: 1-31-11 Date of reinspection: Date of issuance of certificate: 1-31-11 Date fee paid: 1 31 l 3 Type of unit: Dwelling 1/ Other—Check# 1'LLa Check date: 1 31-1 Notes:—ftAWy*, SPa`ec- 13tJ4�tJ�Ov1 ti 'aC�`x" �$Ql\� 'Qty, w� u J �'0yrm %V4) !L C ide Enforcement Inspector CITY OF SALEM, IVIASSACHUSET I'S LNVh, BOARD OF HEALTH PI1b�1CI'ICBtt}1 120 WASHINGTON STREET 4�"FLOOR , vrcwm.Vromare-Protect, TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL h-amdin@salem.com LARRY RAbIDIN,Rti/I2Ef-IS,C1 10,CP-PS S MAYOR HP:AI.I'II AGI7,N'I' CERTIFICATE OF FITNESS CERTIFICATE#393-13 DATE ISSUED: 11/1/2013 Property Located at: 71 Palmer Street UNIT#8 Owner/Agent: Dan Botwinik Address: 22 Beacon Street City/Town:.Fitchburg, MA Zip Code: 01420 24 Hour Phone: 617-649-6948 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 T-�RD OF EALTH I LARRY RAMDIN HEALTH AGENT SANITARIAN CTTY OF SALEM, MASSACHUSETTS Bwm OF HEA1XI'l 1th 120 W,-�sl 1INGTONSTREET,-V" FLOOR TEL. (978) 741-1800 FAs (978) 745-0343 KI NIBE RLEY DRISCOLL LranibriCasalern coin LAR11Y IW,11)[N, C M \YOR HEA TN i MEN] Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" LEE ��. $50.00 M A PROPERTY LOCATED AT C-4— UNIT#— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT,OR BAC PLEASE CIRCLE ONE OWNER/LESSER_'�),n',A —MANAGER/AGENT NO P.O.BOX ADDRESS DDRESS CITY, STATE,ZIP M4 CITY, STATE, ZIP , RESIDENCE PHONE— _� BUSINESS PHONE(24HRS)��(�4�15� BUSINESS PHONE(G NA) G4-C Gel TOTAL NUMBER OF ROOMS: ROOM USE: 1, 2. 3. . 4. 6. 7. 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 j ( I_9 Inspmtors use only Date on initial inspection: Date of reinspection:_ Date of issuance of certificate: Date fee paid: .— Type of unit: Dwelling Other—Check# `J�c� b Check date:--- Notes:- Code Enforcement inspector r co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 65-03 FEE $25 . 00 �� TEL. 978-741-1800 DATE: 02/12/2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 72 Palmer Street UNIT #: 1 OWNER/AGENT: Steve Trainor ADDRESS: 831 Shirley Street CITY/TOWN: Winthrop, MA ZIP CODE: 02152 24 HOUR PHONE: 543-3429 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 i, JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH120 WASHINGTON STREET, 4TH FLOORSALEM, MA 019-TEL. 978-741-1800 ' g FAX 978-745-0343 FE8 2 4 ;`ZIn9, , STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT - RO,.AG OF H ALTH 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 17A patrh 4 V- UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER '0'�wtTrWlu07Z _ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 931 ADDRESS CITY ki,nof-kIru p Mak "216 TY RESIDENCE PHONE W-7 9 (2 `FSS BUSINESS PHONE (24 HRS.) 5a4Xe__ BUSINESS PHONE Q� l�l7 SV3 TOTAL NUMBER OF ROOMS: ,2 ROOM USE: 1 2. 32Q 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 SIGNATU� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION - J 1 n 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - I - DATE FE - PAID: z o TYPE OF UNIT: DWELLING_�OTHER_ CHECK# l l0 7 CHECK DATE-2 —/2 n_&P NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 T C�� w5 . v __� .: { " j ^ 4 Z - gni }R' CERT.# 329-00 FEE -$25.00 _ DATE: 05/18/2000 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: 72 Palmer Street UNIT #: 1R OWNER/AGENT: Broad Palm Realtv ADDRESS: 4 Moffatt Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1718 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 - �ffl' SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. rs- MAXIMUM NUMBER OF OCCUPANTS, BASED ON 10.5 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 LAMA FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS 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 2 104 L UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /3/1c^4- ,>r b-) tlaxrMANAGER/AGENT C• AIA(� aih ADDRESS V Mc,,(:e -,. 61) ADDRESS CITY :l LQ.m GCITY RESIDENCE PHOSP 2 �-7yr-Y�P 71 d .BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 14) 2. 1 n 3. 621 4.- 5. 6.-7.- 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE _DATE ,r–A–c" INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-- / (C—0 0 DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:6_-Lf-& D DATE FEE PAID: �:- / - 0 TYPE OF UNIT: DWELLING OTHER__ ClZ 7/ Lf ^ 5-1-7-0 NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 .• �OND11' . CERT.# 96-99 59 FEE $25.00 • DATE: 02/25/99 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: 72 Palmer Street UNIT #: 1R OWNER/AGENT: Broad Palm Realty Trust c/o George Maguire ADDRESS: 4 Moffatt Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-9106 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 MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH q0-0-w-XX�lexlv� JOANNE SCOTT, MPH,RS,CHO / HEALTH AGENT CODE ENFORCEMENT INSPECTOR v�s' collar L'71 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 7"L &j e7?A UNIT# ` IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1?/Ic4l4 q�L/jZ /17� MANAGER/AGENT MASUIRE No P.O. Box No P.O. Box 4 Moffatt Road ADDRESS ADDRESS 01970 CITY CITY RESIDENCE PHONE p p BUSINESS PHONE (24 HRS.) BUSINESS PHONE�I74 TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1t I 0 2.9 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2-y f-g 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:. 4 a If DATE FEE PAID::1 � 1 & -? p TYPE OF UNIT: DWELLING,�_OTHER_ CHECK#Mf CHECK DATE ;2 -A> NOTES: CODE ENFORCEMENT I S— f ENFORCEMENT 9/28/98 CITY OF SALEM, MASSACHUSETTS • f BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR IDIONNE $AI EM COM JANEPDIONNE ACTING HF.Al.ni AG FNT CERTIFICATE OF FITNESS CERTIFICATE #593-08 DATE ISSUED: 11/13/2008 Property Located at: 72 Palmer Street UNIT#2 Owner/Agent: Vito J Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-977-3352 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. FORE B R OF EALTHJAONNE ' ACTING HEALTH AGENT C ENFORCE AT INSPECTOR F � 05 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FILOOR TEL(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR tsc rFtu COM JOANNE SCOTT, HEALTH AGENT ' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11; 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT �4 kM g f_ IS THIS UNIT DISIGNATED ASTR GRT UFT FRONT OR DAM PLEASE CIRCLE ONE OWNER/LESSER ��t Th�T. /t�,l�If"f MANAGERI AGF.NTJ/t 7A�i I/ Jyt I7 NO P.O.BOX ADDRESS _ / —ro t In rl V P ADDRESS :Z ' � CITY,STATE,ZIP—Te.6. ,./y +J/'�T J CITY,STATE, R.EsmEtvCE PHONE�75 7 7- 33J P BUSINESS PHONE(24HRS} _- 2 77-33.5a BU51NEssPHONB_� �' _ - � TOTAL NUMBER OF ROOMS: ROOM USE7. Q io. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE L!��- DATE / Insroeckors use only Date on initial-inspection: �3 rU$ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# 0Check date: / S Notes: r wd A t)to yw+ :bu Si r)k dt UJe'A'er Y CIS, '9 J - vrn �m Fc� �tv�ek �m o t��f,�1kt c2- ems (��ry.ec6 vr� cz fit�rQ ' rrh c�e�t01. �r orcemen � __-______________ --__- - ' CERT.# 97-99 l FEE $25.00 DATE: 02/25/99 ��MIIrB W 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: 72 Palmer Street UNIT #: 2L OWNER/AGENT: Broad-Palm Realty Trust c/o George Maguire ADDRESS: 4 Moffatt Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-9106 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 MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OFHEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t 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 Tee (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 ATLe—�� ZZ&Z-*)P/) UNIT# � t IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 7I/loid®--.46k4Z � MANAGER/AGENT No P.O. Box No P.O. Box t tAGIIIItE4 Moffatt Road ADDRESS ADDRESS em, CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESSPHONE 971 .��"9/n/� TOTAL NUMBER OF ROOMS: Z' ROOM USE: 1 LA "7✓l/ 2. 3. 4. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE —DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION a —A:'4 f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 2,-A34 S DATE FEE PAID: 2. TYPE OF UNIT: DWELLING AOTHER_ CHECK# 13 a_CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 e CITY OF SALEM, MASSACHUSETTS a ® BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#63-07 DATE ISSUED: 2/15/2007 Property Located at: 75 Palmer Street UNIT# 1 Owner/Agent: Luis M Baez Address: 75 Palmer Street#3 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-335-0791 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 JONE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR y . CITY OF SALEM, MASSACHUSETTS n BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1.800 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 II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT fS Q"1kYY OY CY, S,1-W0,) t-A R UNIT#-A- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER L-Wc1 1_A bDel • MANAGER/AGENT No P.O. BoxN ADDRESS `� 9XVY` , �� 3 ADDRESS CITY_ Sau_m CITY RESIDENCE PHONEGltyRjo -ILW6 BUSINESS PHONE (24 HRS.) CA�-3� -01R( BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 1.erMi+12.�dzf-00 4. 1uhk 5.�t1 �f rC . 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 ? ��} INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 0 -t � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: :�- -C'S-D 7 DATE FEE PAID: :7- - ! 5 - o 7 TYPE OF UNIT: DWELL _OTHER_ CHECK# q 8 $ CHECK DATE,� NOTES: J� CODE ENFORCEMENT INSPECTOR 9/28/98 z CITY OF SALEM, MASSACHUSETTS ° « BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KimberleyDriscoll W W W.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #011-07 DATE ISSUED: 1/11/2007 Property Located at: 75 Palmer Street UNIT#2 Owner/Agent: Luis Baez Address: 75 Palmer Street#1 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Cade 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 JCM4NNE SCOTT, MPH, RS, CHO / R✓ " �`" C �" '`fR !' HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 ,pBQM� 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 ATZ �_ ,RQ/A�ZDy` S X— UNIT#-Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER� M AN AG E R/A G E N T No P.O. Box No P.O. Box ADDRESS 7 S ptt Y ihl p-�. ADDRESS CITY�Q�P�f SSS CITY RESIDENCE PHONE > X _ ,�',//JrU SINESS PHONE (24 HRS.) ( BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2.-3.-4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �P� �Sa�� ---DATE/— INSPECTORS ATE —INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Af d 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/ -fl -07 DATE FEE PAID: 1 7 TYPE OF UNIT: DWELLING�_OTHER__ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 f 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#393-07 DATE ISSUED: 8/21/2007 Property Located at: 76 Palmer Street UNIT# 1 Owner/Agent: Katiusca Pol Address: 36 Perkins 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • I\ BOARD OF HEALTH +i 120 WASHINGTON STREET, 4TH FLOOR 1 1-• 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 11, 105 CMR 470.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _ UNIT#j- IS IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERJLESSER,9!/Z_=-r,E�� 3MANAGER/AGENT`-_..._—._. I No P.O. Box ADDREy No P.O. Box' — SS_'�� - --ADDRESS CITY g-// 6,,e, ---- RESIDENCE PHONEL&A1 'bQaBUSINESS PHONE (24 HRS)---- BUSINESS RS).--- --_.._BUSINESS TOTAL NUMBER OF RO0%lS RCOMiiUSE 1,.-- 2. _ 3 .__ _ _.. 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 iNSPECT!ON. APPLICANTS SIGNATURE sl ��--------DATE__- - _-4,-_ INSPECTORS USE ONLY DATE OF INITIAL IN0. ' —0 -� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE � a 17 ._ DATE FEE PAID _-__S„ , TYPE OF UNITS DWELLIN�/,OTHER ._ CHECK.-' CHECK DATE NOTES: i I CODE ENFORCEMENT INSPECTOR Lai2g!gg i CITY OF SALEM, MASSACHUSETTS o m 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#245-06 DATE ISSUED: 5/19/06 Property Located at: 78 Palmer Street UNIT# 1 Owner/Agent: Ruben Baez Address: 78 Palmer Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-7513 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 1"i jz JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M 'Cl IY OF SAi aE�t; ICHUSE[IS 60AR0 OF HEALTH / 120 WASIHNG1 om$"Cur,4TH FLOOR SALEM.MA 01970 TEL. 070-741.1 /JJ FAX 978-74503" 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 CMA 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' PROPERTY LOCATED ATjJ'�� G IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSERk .eiV� MANAGERIAGENT�, �,-ge,t_-,i No P.O. Box No P.O.Box ADDRESS,W,!A�� __ADDRESS .��+ RESIDENCE PHONE ,�i�ST ?_ ,Z ESS PHONE (24 HRS)9 _ 9 BUSINESS PHONE TOTAL NUM3ER. OF RGOM&S 5 _ ROOM USE: S- 6 i. 8. THERE 1S 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 SiGNATUREA DATfi ItJSPE_C1C; j,I,JSE O_NL1' 5 - iq -ob DATE 01: INITIAL INSf'ECTI(JN _ C>ATk= Oi= IWiE`JSP7=C;i ION O;AT[_0I" ISSU,1NCf 0f C( Rllf"lia�ltf��p'� i)A}'. 1l i. I'li7i1 C� a l�� —d TC)F l YPE ltdii t)\"(! : ; iiV(1 UIV{Gil �'lIf7;K '� i:111 cI: flAll ;t ti tf I NI kit it i till 6l i HJ"1 1 i , )i