PEABODY STREET or)y
PEA's
room
City of Salem, Massachusetts
Board of Health lu
120 Washington Street, 4th Floor, Salem, P! Itb
MA01970Prevent. Promote. Prot"t.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO
Mayor lramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-15-340
DATE ISSUED: 10/19/2015
Property Located at: 8 PEABODY STREET UNIT#1
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018
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 Dwell ing/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT //37;"�SIAN 7ARIA"N
CITY OF SALEM, NLAsSACHUSETTS
BOARD OF HEALTH
I-10NX,"ASHINGTON S,rREEF,4...FLOOR
TEL. (9-18) 741-1800
KI-MBERLEY DRISCOIJ. Rxx�)78) 745-0343
MA)'OR 1AANJ1)1Nn0.SAJJ;'A.C.0N1
L�\iztn R,�%MIN,11S/1U;1 IS,CTIO,0'4S
HF.ALMA(o�..Nr
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 8 PEABODY ST.. SALEM MA 01970 UNIT# I
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O.BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE, ZIP SALEM. MA01970 CITY, STATE,ZIP SALEM. MA 01970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS: 3
ROOM USE: LLIV. ROM 2XITCHEN 3. BEDRM 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 TFUS FEE P"AYABLEATJHE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE—/Q*�
Instiectors use onlv
Date on initial inspection: 101L�124)15� Date of reinspection:
Date of issuance of certificate: Loli!v2-rii-r Date fee paid:1011-5-124)1,r
Type of unit: Dwelling—zother Check#2-�2� Checkdate: loll-31261,5--
, J �11 ;C", 0 *1, �1�4e-r 4e�pprA4trp- 4r &4�
Notes: L&OOM wind aA�e�rnni ��asA ts
�A- L4,nn� (��kv nJs 4o L Y-o-�s,4
4PE/2Zo�rcemen;A`spector
CITY OF SALEM, MASSACHUSETTS
BoAR13 oi� HFAi-ni
120 WASHINGTON STREET,4...FLOOR
TFi,. (978) 741-1800
1UNU3ERLEY DRJSCOLL FAX (978) 745-0343
MAYOR D(;1W1;NBAUN1 a( SALFNI.COM
DAvji) Giti��T,Njimj%i
Ac,r[Nc; H1:A1,11 i A(;i;NM,
-CERTIFICATE OF FITNESS
CERTIFICATE#347-09
DATE ISSUED: 7/23/2009
Property Located at: 8 Peabody Street UNIT# 1-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
An inspection of your vacant Dwell i ng/Roomi ng Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARQ OF HEALTH
4 D VID
GR NBA M
ACTING HEALTH AGEN CWENFORCEMJ�AT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4:m FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR iscoTrOSALEM dONI
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
STANDARD FI ESS FOR HUMA HABITATION.
FE )0
PROPERTY LACAT le UNIT#—
Is Isl HT�ZjiT 0 T s C LEO
GNA IG _FR N ORBAC E IRC NE
OwNER/LEssER Salem Point L.P. MANAGER/AGENT Salem ProDertv Manaaers
NO P.O.BOX
ADDRESS 102Lafavette Street ADDRESS102 Lafavette Street
CITY,STATE,ZIP Salem. MA 01970 CITY,STATEZIP-a���.
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978 745-4961
BUSINESS PHONE31a=-TL1--3-0-71
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.;6 V Am 2. 9#4rA An 3.OdOm 4—�
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FIVE($75)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
APPLICANTS SIGNATURE Y -�InsiZ�s use on1v DATE
Date on initial inspection: �� 1(6'/C)C) Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: DweUing------Qther Check# 1&oj Check date:
Notes:—rp4pc6p w(V' 0 "'�C-Pep'h ; 10 jAA -oy\ -*mAo K-)+ a tL-
-\ U-)D�'Zk
CCK'�k�(Lt 6e�ioLo its 6=m '-Acr boln .
�Qm V� -No )be
jaeptA'a�
Vo )�4af -16 t� dt)zt ftz�e-
12-.�,4 to �A* ke
-1.1--e &�'t m ir
Gode Etifokviient inspector
CM -a(I C'vMv*
CITY OF SALEM, MASSACHUSEM,
BOARD OF HEALTH
120 WASHINGTON STREET,47 FLOOR
TEL. (978)741-1800
KINIBERLEY DRISCOLL FAX(978)745-0343
MAYOR JSC0r,9@—SALFM COM
JOANNE SCOTT,
HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et. Seq.
State Sanitary Code Chapter 11 and Article)UII of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property, hereby authorize the Salem Board of He�lth or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances.
I
In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
CITY OF SALEM, MASSACHUSETTS IV
BOARD OF HEALTH Ith
120 WASHINGTON STREET,4�`FLOOR Prevent Promote Protect.
TFL. (978) 741-1800 FAx(978) 745-0343
KINiBERLEY DRISCOLL Itamclin(@,salem.com LARRYRANFINN,RVREHS,CI 10,CP-RS
MAYOR HF,A]:i'j i A(;vN'r
CERTIFICATE OF FITNESS
CERTIFICATE#245-13
DATE ISSUED: 7/31/2013
Property Located at: 10 Peabody Street UNIT# I
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LAR*'�RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHtT
JSETTS
Bo2�RD Of-, HE�LTH
120 WASHINGPON STREP-l',4'"FLOOR
TEL. (97S) 741-1800
KINNMERLUN DRTSCOIJ, F��x (978) 745-0343
MAYOR ]AAMDINna�ALLALCONJ
LARin,RANIDIN,RS/RF1[S,CHO,
Hl--uzi iAGEN'l
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 10 PEABODY STREET, SALEM MA 0 1970 UNIT#1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
NORTH SHORE COMM.
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O. BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE, ZIP SALEM. MA 01970 CITY, STATE, ZIP SALEM. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS:-5
ROOM USE: I.LIV. ROM 2XITCHEN 3.13EDROOM 4. BEDRM 5.BEDRM
6. BEDRM 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
InsDectors use oniv
Date on initial inspection:'I Date of reinspection:
Date Of iSSIJance of certificate: Datefeepaid:
Type of unit: Dwelling—Other—Checkli Check date:
Notes:
Code%HIT4�ment I-nspector
CFIN OF SALEM, MASSACHUSEITS
BOARD OF HF-u.TH
120 WASHINGTON STREET,4`1 FLOOR A Ith
Prevent.Prnmotv.P,et,e,.
TEL. (978) 741-1800 FAx(978) 745-0343
ICMBERLEY DRISCOLL lramdinna.salem.com LARRYELAMIAN,RS/REFIS,C1 10,034"s
MAYOR Hi"ALrii AGI..NT
CERTIFICATE OF FITNESS
CERTIFICATE#266-13
C -�� ---- --i- ik`13
IXTE I kED: 31
Property Located at: 10 Peabody Street UNIT#2
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 7454961
Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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 Wth
105CMR410.000: Massachusetts State Sanitary Code, Chapter 11"Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
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
CITY OF SALEM, MASSACHUSETTS
BOARD oF HE-NLTH
120 V,�ASHINGTON STRFET,4"FLOOR
Ti-Ij- (978) 741-1800
IU1\[13ERLEY DRISCOLL F--\x(978) 745-0343
M T ],RAN1D1N@SA1,EN1.00N1
AYOR
LARRY 10MIN,RS/RFITIS,C1 10,(1P-FS
HvALT]I A(;FNT
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 10 PEABODY STREET. SALEM MA 01970 UNIT# 2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT.OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM.
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O.BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE, ZIP SALEM. MA01970 CITY, STATE,ZIP SALEM. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS: 5
ROOM USE: I.LfV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM
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 SIGNATUREW Cj a Wd') DATE
Inst)ectors use onIv
Date on initial inspection: VT I Aw I Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of u Dwelling Other—Check# 92k Check date:—M/11;
Notes:�Nc h, �r-Aet�f 4;1'r- ca ('n CUL62A�- oov-m I V?IbAC Ctt,p W
I - - I - � 11 - I r
kir\jro
f-x C)\kk N� CT r (Ir-IA� in(-,k' nyl �crrk �c)p
ment Inspector
Code nfu��e
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHiNc,TON STREE'r,4"'FLOOR
TEL. (978) 741-1800
KTNfBERI,T-,'Y DRISCOLL EAx(978) 745-0343
MAYOR LRAMI)INna SALEM.COM
Lmuty RANIDIN,16/11E]IS,C110,CP-FS
HE.,�Li'HAGENT
Release
In accordance with Massachusetts General Laws Chapter I 11; 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.
YANNIRY CRISOSTOMO LAFAYETTE HOUSING. L.P.
Tenant/Lessee Owner/Lessor
10 PEABODY ST. # 2. SALEM 102 LAFAYETTE ST.. SALEM. MA
Address Address
10 PEABODY ST. # 2. SALEM
Address on unit to be inspected
13 hi
Date
Updated 5/23/11
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#203-05
DATE ISSUED: 3/23/05
Property Located at: 10 Peabody Street UNIT#3
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 0 1970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
SXC�OTT, M��F�HRS�CHO
HEALTH AGENT CODE ENFORCEMENT NSPECO'OR
CITY OF S
AIJZM ASSACHUSE"trS
�H EALTH
120 WASHINGTON SiREET 4TH FLOOR
SALEM, MA Ot97.0
TEL.-97a-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 It 105CMR410.000
MINIMUM STANDARDS OF FITNESS FOR HUMAN,HABIW60N'. �
PROPERTY LOCATED AT 10 '?,eo,60 J a I UNIT#3
ISTHM UNIT DESIGNATED AS RIGH LM FRONT A&Q-K PLEASE CIRCLE ONE
0WNER/LE$pER Wayette�,grAi-stri4 'MANAGER/AGENT0nj,= proparty Managers
No P.O. Box No�PiO.Box
ADDRESSjRz_LafAyztt,a_Zt: Aot.)RESSj Lafavette Street
CITY: Salem CITY
RESIDENCE PHONE BUSINESS PHONE(24 HRS.p78- 745-4961
BUSINESS PHONE 978 745-4961
TOTAL NUMBER OF ROOMS.,
ROOM USE: 1. t t'v�'.j 2. &Aro�vt, 31 -e-A-vv
THEREIS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDERITO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE_rjS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATP
INSPECTORS USEQNLY
DATE OF INITIAL INSPECTION 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 3 DATE FEE PAID: 0 5�
TYPE OF UNIT: DWELLING HER—� CHECK 0 o 7 CHECK DATE3
4110T
NOTES:
CODE ENFORCEMENT INSPECTOR 9128/98
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 WWW.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#681-05
DATE ISSUED: 11/3/05
Property Located at: 12 Peabody Street UNIT# 1
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 0 1970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JO� I '5��t - da
NE SCOTT, MPH, IRS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARO OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
a FAX 978-745-0343
STANLEY U I OVICZ, JR� JOANNE SCOTT, MPH, IRS, CHO
MA�OR 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 L UNIT#
IS THIS UNIT DESIGNATED A :RONT BACK PLEASE CIRCLE ONE
OWNEWLESSER Lafavef--f-o 4nil�1rq--MANAGEPJAGENT3A2gm--PxD4>erty Managers ,
No P.O.Box No P.O.Box
ADDRESSiog, c4- - ADDRESS102 Lafavette Street
CjTyj:� Salem
RESIDENCE PHONE BUSINESS PHONE (24HRS.p78- 745-4961
BUSINESS PHONE 978 745-4961
TOTAL NUMBER OF ROOMS:
Ro6mUSE: 1jI,0PAi,j 2.U,4�
THERE IS A TWENTY-FIVE($26.00)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 1:1 r.C ITR DATE il I/R
DATEOFiNiTiALINSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: -3
TYPE OF UNIT: DWELLING V OTHER_ CHECK# CHECK DATE2-/---3--j-��--
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28198
COND City of Salem, Massachusetts
Wilk64 Board of Health
120 Washington Street, 4th Floor, Salem, ith
0 MA01970 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-16-128
DATE ISSUED: 4120/2016
Property Located at: 12 PEABODY STREET UNIT#2
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018
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 Dwell ing/Room i ng Unit at the above address has
been approved and is in compliance with 105 CMR410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
0,-�k4� &4 �
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSFTTS
BOARD of',HL-AL;FH
120%V-�SHING FON S-tRF1-'--r,41"I'l.00R LM W,
TF,i- (978) 741-1800
KINIBERLEY DRISCOLL F�\ (978) 745-0341
MAYOR 1 IUNIDiNna SALFAU01if
1�s/w�i is,ci fo ,ci�-Fs
I IliAL I'l I AGFN V
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 12 Peabodv St.. Salem. MA 0 1970 UNIT# 2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER Lafavette Housiniz L.P.. MANAGER/AGENT North Shore ProDertv Manaizers.Inc.
NO P.O.BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE, ZIP Salem.MA 0 1970 CITY, STATE, ZIP Salem. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 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 FE BLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE 4/12/16
InSDectors use onlv
Date on initial inspection:r)1f1J-M2m±4 Date of reinspection:
Date of issuance of certificate:01000M Date fee paid:,O Vl�q12014
Type of unit: Dwelling--Z—Other Check# Check date: 091�VI201-4
Notes:
C0?0r tor
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 WWW.SALEM.COM
JOANNE SCOT-F, MPH, IRS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#745-05
DATE ISSUED: 12/9/05
Property Located at: 12 Peabody Street UNIT#3
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a Valid Certificate of Occupancy,
FOR THE BOARD OF HEALTH
le�v� IX5��
JOANNE SCOTT, MPH, IRS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-tSOO
FAX 978-745-0343
STANLEY U�Ovlcz, 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 HABITATIONO.
PROPERTY LOCATED AT 07 AwkkaQ� .4, '�>00-a-,,\ UNIT#__3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
' OWNERtLESSeR Lafayette Housing—MANAGERAGEN Salem Property Manaqe2
No P.O. Box No P.O.Box
ADDRESSJ-02-Lafay
ADDRESS102 Lafavette Street
CITy., Salem CITY qalpm
RESIDENCE PHONE BUSINESS PHONE (24HRS.978- 745-4961
BUSINESS PHONE 978 745-4961
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.2_v1j-al-A 2.091L�- &-t All- 4. 6�1 4-t�
5. ._7. 8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE,CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE nATE 12-44,5)
-ZECTIS USE ONLY
DATE OF INITIAL INSPECTION /d, DATE OF REINISPECTION
DATE OF ISSUANCE OF CERTIFICATE:/,) DATEFEEPAID: -1 .�7 -0 zr
TYPE OF UNIT: DWELLIN V_OTHER_ CHECK# 7�' CHECK DATE/,�____2_-0b--
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, Pt Ith
MA01970 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-11 5-27
DATE ISSUED: 4/17/2015
Property Located at: 12 PEABODY STREET UNIT#4
Owner/Agent: Lafayette Housing Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 825-4010
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 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates. whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM, NLAsSACHUSETTS
BOARD OF HEALTI I
1-20WASHINGfON STRLL�A%4...FLOOR
TEL. �)78) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRANIDINna s.U.ENIMM
L-uuzy Rk%IDIN,RS/IU�I IS,CI[0,Cp-t�S
HEAL'IfIA(;b'.N1�
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4 10.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 12 PEABODY ST.. SALEM MA 01970 UNIT# 4
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM.
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O.BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE,ZIP SALEM. MA01970 CITY, STATE,ZIP SALEM. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS:—4
ROOM USE: LLIV. ROM 2XITCHEN 3. BEDRM 4. BEDRM 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 jk)xjr—��.3 DAT
InSDectors use onIv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# W713� Check date:.-q/tq 1/'C)
7
Notes:
Co RC-00
eYoraent Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD ot-, Hr�-,\L-nj
1220 WASHINGTON STRF,,ET,4...FLOOR
K-TMBERI-1-�'A' DRISC01-1- TEL. (978) 741-1800
FAN (978) 745-0343
MAYOR Iminchn0salem.com
1ARRYIZVNIDIN,RS/RI;I IS,CI 10,(T-FS
H I;,\I;I I I A(i rN F
CERTIFICATE OF FITNESS
CERTIFICATE#300-11
DATE ISSUED: 8/29/2011
Property Located at: 12 Peabody Street UNIT#5
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply With 105 CIVIR 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 01 HEALTH
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF FIF-ALTH
120 WASHINGTON STI�FIFT,4"'FLOOR
TEJ.. (978) 741-1800
KIMBERLEY DRISCOLL F.�x(978) 145-0343
AWOR LRANIDIN 0 SALFV, COM
L,�RRY RANIDIN,RS/RFHS,(A 10,CP-FS
Hj�'Af.niAGENT
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 12 Peabodv St.. Salem.MA 01970 UNIT# 5
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASECIRCLEONE
OWNER/LESSER Lafavette Housing L.P. MANAGER/AGENT North Shore Prouertv Managers.1ne.
NO P.O.BOX
ADDRESS 102 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem.MA 0 1970 CITY, STATE,ZIP Salem.MA 0 1970
RESIDENCE PHONF__ -- BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: 1.Liv Rm 2.bedrm 3.bedrm 4.Kitchen 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 TH S OF INSPECTION
APPLICANT'S SIGNA DAT
use onlv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid: �-- 2-0)
Type of unit: Dwelling Vl�Other Check# I ko'S Check date: �-- 1-�;—
Notes:
!t
ode Enf cer�ient Inspector
CITY OF SALEM, MASSACHUSETTS
BOA RD OF HF—),j,n-i
120 WASHINGTON STREET,4"'FiOOR
TF,a,. (978) 74l-1800
KINIBEUEY DRISCOLL FAX (978) 745-0343
KWOR LRAMD1NaSA1FM.00N1
LAkRY RAMIAN,RS/RJ,'11S,CHO,CP-[,'S
HEAL'ri-t AGENT
Release
In accordance with Massachusetts General Laws Chapter I 11; 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.
Lafayette Housing L.P.
Tenant/Lessee Owner/Lessor
12 Peabody St. #5 102 Lafayette Street, Salem, MA 01970
Address Address
12 Peabodv Street#5. Salem. MA
Address on unit to be inspected
8/25/11
Date
Updated 5/23/11
CTTY 01, SALPAI. MASSACHUSEVI'S
BOARD0171-TEM-111
120WA�,'f-IINC,'I'ONS'I'R]41-�.'r,4...F1.00R
(978) 74t-1900 F,�x (97,S)745-0343
I<IMBF.RJ.I-,y]DRISCOLL 1ramdjji(a)m lem.corn I-MMYRAMI)IN,RS/Rkl IS,CI I(),(T-I'S
MAYOR AWNT
CERTIFICATE OF FITNESS
CERTIFICATE #466-12
DATE ISSUED: 12/13/2012
Property Located at: 12 Peabody Street UNIT It 6
Owner/Agent: Lafayette Housing
Address: 106 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must compiywith 105 CMR 410.000.
Certificate valid for one year from date of issuarce 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 4NI IRIAN
CITY OF SAJEM, MASSACHUSETTS
BoARD oi,HEALTI I
120NVASHINC;1 ON S�ERFFr,4"FLoOlt
TEL. (978) 741-1800
KRvlBERIJ--,.Y DRISCOLL FAX�)78)745-0343
MAYOR LRANU)INOSALEM.001M
I-Aim FAmOn,ws/REHS,C110,CP-F�
HE.,uxiiAc;EN- ,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 12 PEABODY STREET 4 6. SALEM MA 01970 UNIT# 6
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM.
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O.BOX
ADDRESS 106 LAFAYETTE ST. ADDRESS 106 LAFAYETTE ST.
CITY, STATE,ZIP SALEM.MA01970 CITY, STATE,ZIP SALEM.MA01970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010 or978-745-4961
TOTAL NUMBER OF ROOMS: 4
ROOMUSE: I.LfV.ROM 2.KITCHEN13. BEDRM4. BEDRM 5.
6. 7. 8. 9� 10,
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONNEY ORDER TO THE CITY OF SALEM
I
BOARD OF HEALTH T141S FEE IS PAYABLE AT THE TYE OF INSPECTION
APPLICANT'S SIGNATURE DATE Z
,,/V
Inmectors; use onlv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
i-40-1
Type of unit: Dwelling Other Check #—MA—Cheek date:
Notes: /��N f
or
Code En cc in pector
..dowwft�
City of Salem, Massachusetts
Board of Health VQ
120 Washington Street, 4th Floor, Salem, tth
MA01970 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-17-80
DATE ISSUED: 312412017
Property Located at: 18 PEABODY STREET UNIT#1
Owner/Agent: Jean Banks
Address: 18 Peabody Street
City/Town: Salem, MA Zip Code: 01970 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 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410�000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness Is valid only If there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age,
C
Larry Ramdin, MPH, REHS, CHO SANITARIAN
HEALTH AGENT
CM OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,V'FLOOR
TEL (978)741-1800
IGMBERLFY DRISCOLL FAX(978)745-0343
MAYOR LRAMDJN(a),SALFM.C.()M
LARRY RAMDIN,RS/RF.HS,CHO,CP-FS
HEALTHAGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MNIMUM STANDARDS OF FITNESS FOR HUMAN HAB]TATION"
FEE: $50.00
PROPERTY LOCATED AT Re h f->,cn rL4 <�� <�A �� UNrr#-L—
IS THIS UNIT DISIGNATED Aq 1UGET LEFT FRONT OR BA PLEASE CIRCLE ONE
OWNER/LESSER-�� MANAGER/AGENT
NO P.O.BOX
ADDRESS F0 A B cj nb--,� S 3 —ADDRESS
crry, sTATE,zip sabdo - 144a—/?JY70 cn-y,sTATE,ZIP 41'�
RESIDENCEPHONE/q78�) 730 - 9030 BUSINESS PHONE(24HRS)
BUSINESS PHONE
TDTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. t5)
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 SIGNAMRE DATE 3 J,0
InsDectors use on1v
+
Date on initial inspection: Date of rem' spectiog:
Date of issuance of certificate: �20 U I Date fee paid: S1 Z61 I T
Type of unit: DweHmg-____-Other Check# 0
Notes: Pytthu-7m 4AC-) b-) V�e-�
( Or ycv
r
17'od Inspector
Inspectio Date Time
,-"Nam- 190 Address
I 4X�
Owner Tel. No'
Type of Inspection thar"K Inspect r
Remarks and Violations are listed below:
IDUMA Wat�nS W&P
Oil) O-Vvov- in u3r+t-)
�Vy n
poi- i n Vr)-o b&4h nxrm
Report Received by:
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREFT,4"'FLOOR
TEL. �)78) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGREI�NBAUMOSALF.'\LCOM
DAN'ij)GRLi;NBAUM,RS
Ac'l'IN(,. Hi,'AL-n i A(;[;NT
CERTIFICATE OF FITNESS
CERTIFICATE# 19-11
DATE ISSUED: 1/13/2011
Property Located at: 18 Peabody Street UNIT# 1
Owner/Agent: Jean Banks
Address: 18 Peabody Street#3
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD.9F HEALTH
Aul'A ) A'---
DAVID GREENBAUM, IRS
ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSE'ITS
BOARD OF HEALTH
120 WASHINGTON STREE'T,4'" FLOOR
TEL. (978) 741-1800
ICNI13EIZLEY DRISCOLL FAx �)78) 745-0343
MAYOR D(;11F1:NBAUN1aSAJ.F,%1.CONI
DAVID GREENBAUM,RS
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT -/-'k Pe,,A-(?:�-Q)Ott/ ,C /- S�-A-09,L� h,1/3 4Y UNIT#
IS THIS UNIT DISIGNATED AS 1(11�Hf LEirr FRONT OR BACK.PUASE CUCLE ONE
OWNER/LESSER (RAv� RS MANAGER/AGENT
NO P.O. BOX
ADDRESS_L_?� rejn 8 (-3 Lf �F, A &,z��_�ADDRESS
CITY, STATE, ZIP CITY, STATE,ZIP 7
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESSPHONE� T' /'7 (n -- 9 0 3 (D
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT fHE TIME OF INSPECTION
APPLICANT'S SIGNATURE (3 DATE_Z-:��_��
Insnectors use onlv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: 1 )1,3/11 Date fee paid: h 3
Type of unit: Dwelling—��Other Check# -7 Check date: I h.3/it
Notes:
Code Enfoi4spector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HFALTH
120 WASHING rON s'rm�Er,4...FJ�OOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR D(;RLkNBALJM0S'ALV\1.CO'A1
DAVID GREENBAUM,RS
ACTINc, HFALi'i-i AGENT
Release
In accordance with Massachusetts General Laws Chapter I 11; 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 Salern, 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
Address Address
Address on unit to be inspected
Date
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREFT,4...FLOOR
TEL. (978) 741-1800
ICNMERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGRERNBAumnaSALENLCOM
DAVID GRLENBAUNI
ACTING Hi�ALTii AGFNT
CERTIFICATE OF FITNESS
CERTIFICATE#653-09
DATE ISSUED: 12/21/2009
Property Located at: 18 Peabody Street UNIT#2
Owner/Agent: Jean Banks
Address: 18 Peabody Street#3
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
1��A )
DAVID GREENBAUM
ACTING HEALTH AGENT CODE 4R!EMENT INSPECTOR
.40
CITY OF SAjEm. NLAsSACHUSETTS
Bo,\RD OF HEALTH
120 WASHINGTON STREET,4:...FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOL] FI\x(978) 745-0343
NL,%YOR D(,1U;1:N13A1 1N1QSA1.VNL COM
DAVR)GREENBAUM,
Ac,riN(; HEALTHAGEN-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: S50.00
PROPERTY LOCATED AT 0 P-0-A-0-12-i- t uNrr#-2,,—
IS THI§UNIT DISIGNATED A:S�RI11HT.KLF4vr FRONT OR BACK PLEASE-eIRCLE ONE
-:S'
OWNER/LESSER 0 P11 nL-Aj<�-k MANAGER/AGENT
NO P.O. BOX
ADDRESS Ik PeA r3(-�, " 9 -24J ADDRESS
CITY, STATE, ZIP �. A De,� A-4^ CITY, STATE, ZIP
RESIDENCE PHONE (9 7S) 9 3 D - (�0 2'0 BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 4. 5.
6. 7. 8. 9. 10,
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
X
APPLICANT'S SIGNATURE DATE
InsDectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: 1/01 Date fee paid: /0
Check# 11�
Type of unit: Dwclling__��Other 0 Checkdatc:
Notes:
yuv�drw n k4,+k )r,, 00 renNo
Code Enfbrei
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#43-06
DATE ISSUED: 2/7/06
Property Located at: 18 Peabody Street UNIT#3
Owner/Agent: Jean Banks
Address: P.O. Box 444
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
z
JOANNE SCOTT, MPH, IRS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
----------------
Crry OF SALEM. MASSACHUSETrS
BOARD OF HF-ALTH
120 WAsmit4cTot4 STREET.4TH FLOOR
SALEM, MA 0 1970
TEL. 970-74 t-1800
FAX 978-745-0343
STANLCY USOVICZ, JR- JOANNE SCOTT. MPH, RS, CHO
MAYOR HEALtH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STAIE SANITARY CODE, CHAPTER 11, 105 CMR 410000
'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
PROPERTY LOCATED Al 15? Po -A 0, r, dAj (Z n L��-UNIT 03
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTBACK PLEASECIRCLEONE
OWNEWLESSFR 7!�-oa,, aa,,)cA,—_MANAGER/AGENT
No P.O. Box L+4 4 No P.O.Box
ADDRESS—A/t vb —ADDRESS
CITY CITY,
RESIDENCE PHONE BUSINESS PHONE (2414RS.)--,--,—
BUSINESS PHONE
TOTAL NUMBER OP ROOMS:
ROOMUSEi
6 7.
THERE IS AIWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF �'ALFM HEALTH OEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
DATE OS'
INSPECTORS' USE ONLY
DATE OF IN[TlAt.V�SLECTION. DATE OF I I EINSP FCl ION
DATE OF ISSUANCE Or CLRI IFIC�,l t: -7 -z�-47- DA i'l- 1-1 E F-AID -7
TYPE Of- UNII f)WEI LING `I(01'IAI. n CHLC�K 11 (A IFCK DAJ F
N011 !;
MI-NI IN'Wt CH)H
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
August, 28 2003
Edward Crowley
13 Academy Street
Beacon, N.Y 12508
PROPERTY LOCATED 18 Peabody Street Unit# 1-03
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800,to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m.Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scot Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HF.ki.TH
120 WASHINGT ON STREFT,4...FLOOR
TEL. (978) 741-1800
1UNMERLEY DRISCOLL F,-\x(978) 745-0343
MAYOR IMANCINI RMSALENLCON1
JANETMANCINI
Ac 1'[Nc; W.Ai.:ni A(;i-�Xr
CERTIFICATE OF FITNESS
CERTIFICATE# 174-09
DATE ISSUED: 4/7/2009
Property Located at: 20 Peabody Street UNIT# 1-1
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwell i ng/Roomi ng Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
U
JAI`�!
ACTING HEALTH AGENT C� 9R15C-TOR
CITY OF SALEM, MASSACHUSETrS jqq-o�
BOARD OF HEALTH
120 WASHINGTON STREEr,4:m FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR iscoTrOsAtr.m.WNI
JOANNE ScoTr,
HEALTH AGENT
Apptication for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"M[NIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
FEE: $TaJO
PROPERTY LACATED AT c� (D PP'1bt'6' '-st - 1 C)6 �-ery-' rnc,..d UNIT#
IS TIM UNIT DISIGNATED kS RIGHT LEFT FRONT 6R—BACY,PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT Salem ProDertv Manaae-rs
NO P.O.BOX
ADDRESS 102Lafavette Street ADDRESS102 Lafavette Street
CITY,STATEZIP—SAlem. RA 01970 CITYSTATEZIP qA 1 ..Tn- mA o1q7n
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978 745-4961
BUSINESS PHONEA2B=-7A5-8L71
TOTAL NUMBER OF ROOMS:
ROOMUSE: 2. V��Az,.n 3.0d44� 4. Ue4yi 5.
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FrVE($75)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
APPLICANTS SIGNATURE 47 DATE
InsDectors use onIv
Date on initial inspection: Date of reinspection: q, --1-0
Date of issuance of certificai Date fee paid: - I o -0 '3
Type of unit: Dwellingjff�:�-_Other�-_Check# 9 1 �6 Check date: N -3 q
Notes: P O&V� 0,�Z, <C 1-a q�t4f.
ode 4EorceWment��por
CITY OF SALEM, MASSACHUSETTS
WARD oF HEALTH
120 WASHINGTON STREEr,4PFLooR
TEL.(978) 741-1800
KMERLEY DRISCOLL FAX(978)745-0343
MAYOR JSCM&ALEM COM
JOANNESCOTr,
HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter I 11;Code of Massachusetts Regulations 410.000 et. Seq.
State Sanitary Code Chapter Il and Article)UI1 of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
CITY OF SALEM, MASSACHUsm-rs
Bo -�RD OF Hj7'UXH
120 WASHINGTON STRF-F--r,4...FLOOR "Ith
'TEL. (978) 741-1800 F��x(978) 745-0343
KIMBERLEY DRISCOLL ItarndinOsaleni.com. LAR10'1�,VNIDIN,RS/R1-�1 IS,C1 10,
MAYOR HFAIXIf A(;I,,N'l
CERTIFICATE OF FITNESS
CERTIFICATE# 181-12
DATE ISSUED: 5/1/2012
Property Located at: 20 Peabody Street UNIT# 1-2
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
E
LARW2tPMDIN A�l
HEALTH AGENT SANITARIAN
CITY OF SALEM, NIASSACHUSEl-I'S 0—)CIL
BOARD OF HFAL'n T
120 WASHINGTON STREET,4'F1,OOR
TEL. (978) 74t-1800
KINMERLEYDRISCOIJ- FAX�)78) 745-0343
NLwOR
T 1.R,\Nff)JNna.SA1,F.N1.(-()M
LA11RYk\MD1N,RS/IUMS,C1 10,C11-FS
HEALTI i A(,,F,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 20 PEABODY STREET UNIT# 1-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
NORTHSHORE
OWNER/LESSER SALEM POINT L.P. MANAGER/AGENT PROPERTY MANAGERS. INC
NO P.O.BOX
ADDRESS 102 LAFAYETTE STREET ADDRESS 102 LAFAYETTE STREET
CITY, STATE,ZIP SALEM.MA01970 CITY, STATE, ZIP SALEM.MA 01970
RESIDENCE PHONE BUSINESS PHONE(241IRS) 978-7454961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: LLIVRM 2.KITCHEN 3.BEDRM 4.BEDRM 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 I YABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inst)ect
5 ors use on1v
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: <- Date fee paid:
Type of unit: Dwelling--��Other Checkd \0�6 Check date:
Notes:
Jode Enforcement Inspector
CERT.# 92-98
:9 FEE $25.00
DATE: 02/13/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel (976)741-1800
Fax (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 20 Peabodv Street UNIT # : 2-1
OWNER/AGENT: Salem Point Limited PartnerRhi-n.
ADDRESS: 102 Latavette Street
CITY/TOWN: Salem. ZIP CODE: 01970 24 HOUR PHONE: 745-4961
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, `MINTMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,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 Tel:(508)74 1.-1 80C
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY! CODE, CHAPTER 11, 105 CMR 4 10.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT_,�? UNIT 1 0?—
-Y 11,��,agers
OWNER/LESSER Salem Point Limit.P(9 PArtno Shf�NAGER/AGENT,
ADDRESS 102 Lafavette Strp�,t ADDRESS 109 Lafayette Street
CITY Salem, MA 01970 CITY 9
'RESIDENCE PHONE BUSINESS PHONE (24 HRS.)508- 745-496-'
BUSINESS PHONE 508- 745-8071
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 .�G eM 2. 6��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 DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: -3 -'�7)�DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DVELLINA�'
OTHER
NOTES :
CODE ENFORCEMENT INSPECTOR-
CITY OF SALEM9 MASSACHUSETTS
HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#499-07
DATE ISSUED: 10/12/2007
Property Located at: 20 Peabody Street UNIT#2-2
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
�� -v&4�
J ANNE SCOTT, MPH, IRS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM7 MASSACHUSETTS
BOARD OF HEALTH
120 WAS'i;NGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL, 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAIOR HEALTH AGEN-T
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410,000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOW.
PROPERTY LOCATED ATf->?6 4 '� ./ 'L� UNIT#,2-�2
IS THIS UNIT DESIGNATED AS RIGHT=— FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERSalem Point L.P. MANAGERAGENISalem Property Managers,
No P.O. Box No P.O. Box
ADDRESS jn2__L2if;tyPi-i-P gtrppt ADDRESSjL2_j_,afmyP'-i-P qi-�Pet
CITY Salem. MA 01970 CITYSalem. MA 01970
RESIDENCE PHONE BUSINESS PHONE (24HRS.) (978) 745-4961
BUSINESSPHONE (978) 745-8071
TOTAL NUMBER OF ROOMS: �/
ROOM USE 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 A/�/�/O/_/
NSP Y
DATE OF INITIAL INSPECTION /b - 1 1 DATE OF REINSPEC I ION
DATE OF ISSUANCE OF CERTI FICATE:/4�(_I� �_a)DATE FEE PAID- 1 0 -
TYPE OF UNIT: DWELLIN OTHER_ CHECK CHECK DATE _LP__L0 0
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
OND City of Salem, Massachusetts lu
Ow Board of Health
120 Washington Street, 4th Floor, Salem, PublicHealth
MA01970Prevent. Promote. PT0tCC1
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-15-359
DATE ISSUED: 10/30/2015
Property Located at: 20 PEABODY STREET UNIT#3-1
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018
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 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
&14T=A�ARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,C FLOOR
TEL. (978) 741-1800
KINMERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDINna SALF.M.C.OM
LARRY RANIDIN,RS/RLHS,CHO,CP-PS
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 20 Peabodv St.. Salem.MA 01970 UNIT# 3-1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER Salem Point H L.P. MANAGER/AGENT North Shore Pronertv Manatzers.Ine.
NO P.O.BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem.MA 0 1970 CITY,STATE,ZIP Salem.MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-7454961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv.Room 2.Kitchen 3.Bedroom 4.Bedroom 5.
6. 7. S. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE ISAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ?7/ � DATE
Insnectors use onlv
Date on initial inspection:ICLV-01�- Date of reinspection:
Date of issuance of certificate:10/2-q 12,015� Date fee paid:1012� 5,
Type of unit: Dwelling_�Other Check#12 7� Check date: 1012q1-)-nL 5—
Notes:
Co ement hAector
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, tb
MA01970 Prevent. Promote Protect
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Rarndin, MPH, REHS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-175
DATE ISSUED: 5/20/2016
Property Located at: 20 PEABODY STREET UNIT#3-2
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018
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 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REIHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAmnmna SALFALCMA
LARRY RANIDIN,RS/RFI-IS,0-10,CP-FS
HEALTHAGENT
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 20 Peabodv St.. Salem,MA 0 1970 UNIT# 3-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OV�NER/LESSER Salem Point II L.P. MANAGER/AGENT North Shore PrODertv Managers.Inc.
NO P.O.BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem.MA 0 1970 CITY, STATE,ZIP Salem.MA 01970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-7454961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv.Room 2.Kitchen 3. Bedroom 4.Bedroom 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 TME OF INSPECTION
APPLICANT'S SIGNAT`URE DATE-2-�t/&//(19
nsuectors use onIv
Date on initial inspection:nV191)016 Date of reinspection:
Z,
Date of issuance of certificate: OTIN12 01� Date fee paid:or�i-q/2M6
Type of unit: Dwelling_—\/—Other Check# J-V0 Check date: 0912.12ZLth4
Notes:
WementXector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4:...FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR T.RA\tDJNnaSAJ,FN1.C.0?0
LARRY RANIDIN,RS/1UA-IS,CHO,CP-FS
HF,v-THAGENT
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.
Salem Point 11 LP
'Terrynt/Lessee Owner/Lessor
102 Lafayette Street, Salem, MA 01970
20 Peabodv St. #3-2. Salem. MA
Address Address
20 Peabodv St. #3-2 Salem. MA
Address on unit to be inspected
5/16/16
Date
Updatod 5/23/11
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 115-08
DATE ISSUED: 3/13/2008
Property Located at: 20 Peabody Street UNIT#4-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwell ing/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
'9�� jr�
,ANN,SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MA SSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
- I
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT A bPehodv,,�l ) U NIT d-1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERSalem Point L.P. MANAGER/AGENISalem Property Managers, i
No P.O. Box No P.O. Box
ADDRESSjn2 T.Afayettp trppt. ADDRESS_Lo? T.;%fAyP+-i-P qi-rPet
CITY qalem. MA 01970 CITYSalem. MA 01970
RESIDENCE PHONE BUSINESS PHONE (24HRS.) (978) 745-4961
BUSINESSPHONE (978) 745-8071
TOTAL NUMBE OF ROOMS:
ROOM U & 2.1,21,1��p
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 SIGNATURI� DATE
PECT S US ONLY
DATE OF INITIAL INSPECTION 3 - 1 3 �O V DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 3 - ) 3-1)PDATE FEE PAID: -3 —
TYPE OF UNIT: DWELL��THER CHECK# r, CHECK DATE C7
NOTES.
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 248-01
FEE $25.00
DATE: 05/15/2001
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: 20 Peabodv Street UNIT #: 4-2
OWNER/AGENT: Salem Point Limited PartnershiD
ADDRESS: 102 Lafavette Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PH6NE: 745-4961
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
q�. SCOI&MIH,RS',f1HO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Ail
M"
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 11, 105 CMR 410.000
OMINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOW.
PROPERTY LOCATED AT t9O Pg&l� 4�-_ _S41 9�, UNIT# Linr�L
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Salem Point I.. P. MANAGER/AGENTSalpm Propert-y Managers , Inc
ADDRESS 102 T.AfAypi-t-p qtrppi- ADDRESS 102 Tafavette Street ,
CITY Salem, MA 0397n CITY
a Salem, MA 01970
RESIDENCE PHONP BUSINESS PHONE (24 HRS.) 97 8- 7 4 -4961
BUSINESS PHONE 97 8- 745-8071
TOTAL N,UMBER OF ROCMS:—
ROOM USE: 11'am-2.&Jt4h 3.eJfU, 4.kj
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 DATE-6 1Z I
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION'�_-/�_- ,O/ DATE OF REINSPECTION—_
DATE OF ISSUANCE OF CERTIFICATE:8�-/S'16/ DATEFEEPAID:
TYPE OF UNIT: DWELLING- _ OTHER_ ,f_-Zj�
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
QTY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4�FLOOR
TEL. (978) 741-1800
KINMERLEY DRISCOLL FAX(978) 745-0343
MAYOR DCRF,',F,�,NBAUM(@.SAI,EM.CONI
DAvii)GRI,',ENBAUM
ACTING HF�',�LTI-i AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#200-10
DATE ISSUED: 4/30/2010
Property Located at: 22 Peabody Street UNIT# 1-1
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply Wth 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.
FORTHE 0 HEALTH
;N7 1
DAVID GREENBAUM
ACTING HEALTH AGENT CODE Ed NSPECTOR
1 .0
-, @ Q
QTY OF SALEM, MASSACHUSETTS w-16
BoARD()F HEALTI 1
120 WASHINGTON STREET,4"F1,OOR
Tri- (978) 741-1800
ICNIBERLEY DRISCOLL FAx(978) 745-0343
MAYOR D(!R1,FN- BA1TNf(a)SA1 FM.COAI
DAVID GREENBAWd,
Ac'i'ING 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 22 Peabodv St. Salem. Ma UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT Salem Proncrtv Manaizers. Inc.
NO P.O.BOX
ADDRESS—102 Lafayette Street ADDRESS 102 Lafavette Street
CITY, STATE, ZIP Salem.Ma 01970 CITY, STATE,ZIP Salem. MA 01970
RESIDENCE PHONE BUSINESS PHONE(241TRS) 978-745-4961
BUSINESS PHONE 9787-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: 11 1 2. hhm 3. 213"A-�ft 4. 8F�44n 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 OF INSPECTION
APPLICANT'S SIGNATURE DATE Y1.9-7/b
Euse onIv
Date on initial inspection: Lq 0 Date of reinspection:
Date of issuance of certificate: q 13 0 //0 -7-7 Datefeepaid: 1-.1130110
Type of unit: Dwelling Ll`� Other Check# la Check date: 1-11Q to//o
Notes: k)64—h)44y rry JoWr�- rO- �n� Of- rspec-hlol-�
�MOJI:111111�& Ay Lq*f�lv) gy) L
Code Enforcement Inspector
CITY OF SALEM, NIASSACHUSETTS
Bo-�RD OF HFALTii
120 WASHINaTON STREET,4...FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FI�-X(978)745-0343
NLAXOR IDIONNEQ�'ALEM.COM
JANi'vi'DIONNF
ACTING H' I-',Aj,,ivj A(;i,,N*I'
CERTIFICATE OF FITNESS
CERTIFICATE#473-08
DATE ISSUED: 9/25/2008
Property Located at: 22 Peabody Street UNIT#2-1
Owner/Agent: Salem Point LP.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11'
Minimum Standards of Fitness for Human Habitation".
Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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.
FORTHEBOAR FHEALT
ANE DIONNE kzz-MA-I,(
CTING HEALTH AGENT 41C -E F 101 R T INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4P'FLOOR
TFL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IgCQ7T(@SU,EM-dom
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 HUMA HABITATION."
FEE: $75.00
PROPERTY LACATED AT 22 Peabodv St. , Salem, MA 01970 UNIT# 2-1
IS THIS UNIT DISIGNATED AS RIGHT LEVr FRONT OR BAC PLEASECHICLEONE
OVINER/LESSER Salem Point L.P. MANAGER/AGENT Salem Provertv Manaaers
NO P.O. BOX
ADDRESS 102Lafavette Street ADDRESS102 Lafavette Street
CITY,STATE,ZIP qalem. MA 01970 CITY,STATEZlPqalpm . mA nig7o
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978 745-4961
BUSINESS PHONEAla=_145-3_0 71
TOTAL NUMBER OF ROOMS: 4
ROOMUSE: I.Kitchen 2.LiV.Room 3.BedrOOm 4.Bedroom 5.
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TME OF INSPECTION
7
APPLICANTS SIGNATURE DATE
InsDectors use oniv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling-----Qther Check# Check date:—q ).)
Notes:-Atilw, -,� Iv\14id-1 6rzPFctor,, un� 03W, 6,2A,, trA9UfPd4v
CozkAITX�Vud GV-4\e- ;vj 16 kjjr,�u-A . �611 "z&' 1z)P- ISS1,Z24 ovit I o
1115?ecAqo IS Cr�vlrkyttd Q-AAq k\0
ob Stxkd, N��ji�D 15
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ftl rQ'i ropa- 4-t or 9/-a,6 -no ba-rnd V1, T I 03� 'I n
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CPVX�Ctar till � Vic)
CITY OF SALEM, MASSACHUSETTS
BOARD oF HEALTH
120 WASHINGTON STREET,4..FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
M.AYOR isco'rr(@SAT.r.m.COM
JOANNE SCOTT,
HEALTH AGENT
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.
0�k[ U r1ij
Te Owner/Lessor
-b")-4' J'—
Address Address
Address on unit to be inspected
Date
kl'el
j�te 6 :%.I)i)t 01-0,145446 EAU A Ncf-'�C;f)41978
Integrated Pest Management MD MD Weaver Corporation" P.O. Box 707, Natick, MA 01760 .
Providing Urban Pest Management Solutions Phone 1-888-743-7378,Fax(508)651-9567
SERvicELOG The Pest Reliever,, customercare@mdweavercom Page i of
Location: 20-212PeabodvSt- Salem MA gite#01-000497.7 Date:
Client: Salem Point Apartments (Peabody 20-22Wech(s)/Lic's: Rob D'.Ambra-PT%IP (�,Ji-j, Tixne: io
Service/Targets: Coaf 9-1 lam 9/10-2'. Peabody-Unit'-1 forroaLlies(requested by Jenny)
AREAS SERVICE DETAILS IPM COMMENTS AND RECOMMENDATIONS
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Material Use Summary MSDS & Labels: visit www.mdweaver.com. See Reverse Side for Material and Code Reference List Version 7
Product %a.i.,&16A Reg. #(see back of form) Applic. Amount Additional Service Notes and Comments:
Le
J Routine Notes.
RECOMMENDED NEXT STEP TO TODAY'S SERVICE: Re-[nspect, Different Service,More Are�K,Next Routin-e,As Needed,Other:
Technician: X Acce ted BY: X -
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Pag of
SERVICE LOG YD MDWeaver Corporation P.O. Box 707., Natick, MA 01760�-'
eaverc�,. GPEEN Pest Management at Home and Work Phone 1-888-743-7378,Fax(508) 651-9567 '
Multi Family Housing The Pest Reliever@ CustomerCare@mdweaver.com
Date: 9-1r�-0(1
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CITY OF SALEM, MASSACHUSETrs
BoARD oF HFALTH
120 WASHTNGTONSTREET,4...FLOOR
KIMBERLEY DRISCOLL 'fEL. (978) 741-1800
FA% (978) 745-0343
I�L\YOR IramcEnO.salemxom
LARRYRANTDIN,RS/RE1 IS,C1 10,(T-FS
Hj�m;rii Ac-,i;.NT
CERTIFICATE OF FITNESS
CERTIFICATE#214-11
DATE ISSUED: 6/30/2011
Property Located at: 22 Peabody Street UNIT#3-1
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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�tk�R
HEALTH AGENT CODdFAORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD of-,HEALTH
120 WASHINGIONSTRFET,4...FLOOR
TEL. �)78) 741-1800
I�MIBERLFY DRISCOLL FAX(978) 745-0343
MAYOR LRANIDINna�A].N%f.cnm
LA1111YRAMDIN,RS/10-ti[�',(If R),(T-Ps
I 1FALT1 I A(;FNT
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 22 PEABODY STREET UNIT# 3-1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTHSHORE
OWNER/LESSER SALEM POINT L.P. MANAGER/AGENT PROPERTY MANAGERS. INC
NO P.O. BOX
ADDRESS 102 LAFAYETTE STREET ADDRESS 102 LAFAYETTE STREET
CITY, STATE, ZIP SALEM. MA 0 1970 CITY, STATE, ZIP SALEM. MA 01970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: 1.LfVRM 2XITCHEN 3.BEDRM 4.BEDRM 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 YABLE OF INSPECTION
APPLICANT'S SIGNATUR DATE 01,�011f
use onlv
Date on initial inspection: '/j/30h/ Date of reinspection:
Date of issuance of certificate: (0 b6l It Date fee paid: (0/30//
Type Of unit: Dwelling L--/Other Check 9 "1 Check date: 1pbrl� I/
Notes: 4 -RA a4 tb prco I obL ha-
Code Ent�rceme t Inspector
CITY OF SALEM, MASSACHUSETTS
B(-)\RD (+ HEAU11-1
120 WASHING ION STREEI,4... 1-'I,()()R
KINIBERLEYDRISCOLL TEL. (978) 741-1800
F�x (978) 745-0343
NL\�,oR Lraincb nOsal cm.coin
IS,cl R,,cil-i-s
CERTIFICATE OF FITNESS
CERTIFICATE#33-12
DATE ISSUED: 1/24/2012
Property Located at: 22 Peabody Street UNIT#4-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been app roved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
E-14i�,
LARRf RAIVIDIN
HEALTH AGENT CQgrENFORCElV-15N-T/INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BoARD oF HE,�Lrij
120 W�SHINGTON STREET,4" FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISC01J. Fz�x�)78) 745-0343
NLkYOR 1.RA\1D1Nna..S\1J;M.(70M
I,Ajun,R-NMI)IN,RS/RIA IS,CHO,C11-FS
Hi,,Ajxii A(,ENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 22 Peabodv Street. Salem.MA 0 1970 UNIT# 4-1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASECIRCLEONE
Salem Point Limited Partnership
OWNER/LESSER MANAGER/AGENT North Shore ProDertv ManaLyers.Ine
NO P.O.BOX
ADDRESS 102 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem.MA 0 1970 CITY, STATE,ZIP Salem,MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv.Rm 2.Kitchen 3.Bedrm 4.Bcdrm 5.
6. 7. 8. 9. to.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEM PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DAT
Insoectors use onlv
Date on initial inspection: L Date of reinspedibiz.-
Date of issuance of certificate: Date fee paid: 1A d
Type of unit: Dwelling—��—Other Check# 1-763 Check date: Id
Notes: �)A It A(A- rva(b rk+ +ime o n 14�ak i/).capOlcv�
wir+.Nrl dy-+' P-Ifn- C 1�.
Cod,7-,ement Inspector
CITY OF SALEM, MASSACHUSETTS
BoAiti)of,, HEq:rH
120 W kSHINGTON STREET,4rH FLOOR
TEL. �)'/8) 741-1800
ICNfl3E1U-.EYDRISC01J. FAX(978) 745-0343
TNL�YOR LRANUMN6PS
LARRY R--\NfDJN,RS/RFI-N,CHO,C11-1;,"'
Hi--'ALTH A(,'FNT
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.
L'� "w-s , , L
fen�ant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
UP&ted 5/23/11
C1'1Y OF SALEM, MASSACHUSETTS
BOARD OF HEALTH ith
120 WASHINGTON STREET,4...F1,OOR
Ti-,j- (978) 741-1800 FAX(978) 745-0343
KIMBFRLEY DRISCOLL ltamdinnasaleiii.com L,\RRYR,\N1D1N,RS/R] I IS,C1 10,(111-16
MAYOR Hj;,%i n i A(liEN I'
CERTIFICATE OF FITNESS
CERTIFICATE# 192-12
DATE ISSUED: 5/15/2012
Property Located at: 24 Peabody Street UNIT# 1
Owner/Agent: Lafayette Housing Limmited Partnership/NSCDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is I ater.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
4E
LARR4� RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS )4a
Bo-�RD OF Fli-ALTH
120 WASMNGTON S'FRLEt',4"'Fj,00i�
TEI- (97,S) 741-1800
KIMBERLEY DRISCOLL I�AX (978) 745-0343
MAYOR LRAMDINna�ALEALCOM
1-muzy RAMAN,RS/Riq 1,,(11[0,C11-FS
HEALMA(�i-m
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4 10.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 24 PEABODY STREET. SALEM MA 01970 UNIT# I
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM.
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O.BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE, ZIP SALENLMA01970 CITY, STATE, ZIP SALEM. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS:—5
ROOM USE: I.LIV. ROM 2XITCHEN 3. BEDR-M 4. BEDRM 5.BEDRM
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 P B EAT��HME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Insoectors use onlv
Date on initial inspection: C;1LS11a Date of reinspection:
Date of issuance of certificate: Date fee paid:
A,)M
Type of unit: Dwelling Other Check# Check date:
Notes:
C spector
V
CITY OF SAILEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#563-05
DATE ISSUED: 9/14/05
Property Located at: 24 Peabody Street UNIT#2
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwell ing/Roorn ing Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
J� NNE SCOTT, MPH, IRS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT SEP 0 72005
C'Ty OFSALEM
E30ARD OF HEALTH
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNE� FOR HUMAN, ABITATION".
" ' ' v
PROPERTY LOCATED ATJ� 1&6 U NIT#-2-%
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Lafavette--HoiLsing--MANAGER/AGENTSalern Proparty Managers ,
No P.O. Box No P.O. Box
ADDRESS_LO9 T.AfAy�-F+-q_4+- ADDRESS102 Lafavette Street
I CITY,., Salem CITY q;41 pm
RESIDENCE PHONE BUSINESS PHONE (24 HRS.p78- 745-4961
BUSINESS PHONP 9-78745-4961
TOTAL NUMBER OF ROOMS: 4�
ROOM USE: &��2 0ek*,_,3._saa" e'at',
5. 8.
THE:RE 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 q- ?—0 J_ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:42- ?--z9_Tf' DATE FEE PAID: fl, 7
TYPE OF UNIT: DWELLINrTHER_ CHECK# 4�) !e CHECK DATEf— 7
NOTES
CODE ENFORCEMENT INSPECTOR 9/28/98
TTS
CYTY OF SALEM, W�SSACHUSE
BOARDof;HL'.\LrH
120 WASHINGTON STRP-E-r,4...FLOOR Ith
'FE11. (978) 741-1800 KkX(978) 745-0343
KIMBERLEY DRISCOU trarndinna.satetn.com
MAYOR
CERTIFICATE OF FITNESS
CERTIFICATE#210-12
DATE ISSUED: 5/22/2012
Property Located at: 24 Peabody Street UNIT#3
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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 DOARD QJi HEALTH
LARRY RAIVIDIN
HEALTH AGENT SANITARIAN
CITY OF SALEAT, MASSACHUSETTS 04-
Bo-�RD OF�-HE �LTH
120 WASHING-10N STME-1,4"T FLOOR
TEL. (978) 741-1800
I(I'N413FRLEY DRISCOLI, F�Ax (978) 745-0343
MAYOR LRAMI)IN 0 SU-1-N1.(0N[
L.,\iuzy RANMIN,RS/11F.i IS,CI to,CP-1:S
HEALAIIAGEN'l
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4 10.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 24 PEABODY STREET. SALEM MA 01970 UNIT4 3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O. BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE, ZIP SALENLMA01970 CITY, STATE, ZIP SALEM. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS:—5
ROOM USE: I.LIV. ROM 2KITCHEN 3. BEDRM 4. BEDRM 5.BEDRM
6. 7. 8. 9. 10.
THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY OR-DER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT E TIME OF INSPECTION
g6e — IV—I.;?
APPLICANT'S SIGNATURE DATE
Insvectors use only
Date on initial inspection: 'r,'/9a Date of reinspection:
Date of issuance of certificate Date fee paid:
Type of unit: Dwelling_Other Check# Check date:
Notes:
C 0�1 C�C-znt Inspector
CTT`Y OF SALEM, MASSACHUSETTS
110,\RD ov H17,AJ;rT-f
120 WA1+1 INGTON STRErrr,4... FLOOR I,1tb
Prevrnt 11-matc Prolect
1;
.,L. (978) 741-1800 FAX (978) 745-0343
KTMBERLEY DRISCOLL ltamdinnasalem.com LARIO'RANIDIN,WS/RF'I 1;,(1110,(T-FS
MAYOR Hi�,\i:ri i A(TN F
CERTIFICATE OF FITNESS
CERTIFICATE#289-12
DATE ISSUED: 7/12/2012
Property Located at: 24 Peabody Street UNIT#4
Owner/Agent: Lafayette Housing
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410,000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of ccupancy.
FOR THE BOARD OF HEALTH
E —0"�
LAR*PRAMDIN 4- �
I N
HEALTH AGENT ?7ARIAN
CITY OF SALEM, MASSACHUSETTS
B(D.��RD or-� HEALTH
120 WASHINGTON S'iRLEr,4"FLOOR
TEL. (978) 741-1800
10IJBT-RLEY DRISCOIJ, FAX(978) 745-0343
XIAYOR IRANIDIN a( S.ALEM.COM
L.�IZRY RAIMI)IN,WS/RF'11S,C110,(:1)-[;S
H&VIXIIAGEN'l
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 1 Q5 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 24 PEABODY STREET#4. SALEM MA 01970 WT# 4
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
NORTH SHORE COMM.
OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/ AGENT DEV. COALITION
NO P.O. BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE, ZIP SALEM. MA01970 CITY, STATE,ZIP SALEM. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4010
TOTAL NUMBER OF ROOMS:—5
ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5.BEDRM
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
Insnectors 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
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR th
PW��l
TEL. (978)741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Itamdinasalem.coin L,\RRY RAINIDIN,RS/111-A IS,(A fO,CP-F�
MAYOR ' N
F11.�AJAUA(;1; T
CERTIFICATE OF FITNESS
CERTIFICATE#72-15
DATE ISSUED: 3/19/2015
Property Located at: 38 Peabody Street UNIT# 1-2
Owner/Agent: Salem Point 11 L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
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%%6th
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11' Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one yearfrorn 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
Ale—
LARRIQNMDIN
HEALTH AGENT SANITARIAN
QTY OF SALEM, NlAsSACHUSETTS
Bo ��RD OF HE,-kum-"Ff�OOR
120 WA.',&IINGTON STREET,4
TFF. (978) 741-1800
KINMER-LEY DRISCOLL FAx(9-8) 745-0343
MAYOR LRANIDIN(&�ALEM.COM
Lmim,R,\m- DIN,RS/RF1 IS,(:110,
HF�\rrtt �Vxm,
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 38 Peabodv Street UNIT# 1-2
IS THIS UNIT DISIGNATEDAS RIGIff LEFT FRONT OR BAC PLEASECIRCLEONE
NORTH SHORE COMM.
OWN ER/LESSE SALEM POINT 11 LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION
NO P.O.BOX
ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST.
CITY, STATE,ZIP SALEM. MA01970 CITY, STATE, ZIP SALEM, MA 01970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-825-4003
TOTAL NUMBER OF ROOMS:—4
ROOM USE: I.LfV. ROM 2XITCHEN 3. BEDRM 4. BEDRM 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 4111411-;5�
4nsDectors use onIv
OV
Date on initial inspection: �)l Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling—Other—Check4 h8s� Check date:
Notes:
(j,
Coee tn* ent Inspector
k� ,
00 QTY OF SALEM. MASSACHUSHfTS
Box\RD OF I IF.�iTH
I'th
120 WASHINGTON SnEm',4..FLooR
TFL, (978) 741-1800 F,\X�)78) 745-0343
KIMBERLEY DRISCOLL IraradinQsalem.com LARIO'RANIDIN,RS/REHS,C1 10,(T-1;,S
MAYOR F1f---,A1 I-li i AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#195-13
DATE ISSUED: 5/28/2013
Property Located at 38 Peabody Street UNIT#2-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11'Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LA�RAMDIN
HEALTH AGENT SANITARIAN
_NWSACHUSETTS
CITY OF SALEM,
Bo-�P,D OF Hf-;,\rl'H
120 W,�SHING FON STRF,ET,4'"FI.Ooi�
I'm- (978) 741-1800
KINMERLEYDRISCOLL F--\x (978) 745-0343
MAYOR I RAMD[Nna SALEM.COM
1,\itm,R,\',11)1'N,RS/Rlif IS,C[10,(T4,",
Hvm"I'l IA(�FN 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 38 Peabodv St.. Salem. MA 01970 UNIT# 2-1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT North Shore ProDertv Manauers.Inc.
NO P.O.BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem. MA 0 1970 CITY, STATE,ZIP Salem,MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS:
ROOM USE: I.Liv Rm 2.bedrm 3.bedrm 4. Kitchen 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 E TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE 611,311;5
nectors use onlv
Date on initial inspection: 4Q�//7042-� Date of reinspection:
—I �/—v I —
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling—Other—Check# IdIO Check date:—,,��//-)//�2
Notes:
ode nspector
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, P11111
0 MA01970 Preveat.PrortLaw. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Rarndin� MPH, REHS,CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-17-122
DATE ISSUED: 4/24/2017
Property Located at: 38 PEABODY STREET UNIT#2-2
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City[Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018
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 vvith 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply Wth 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.
a—2r� �, "'."
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
OTY OF SALEM, UksSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4,"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRANIDINnO.SALEALCON1
LARRY RAMDIN,RS/RPHS,CHO,CP-FS,
HEALTHAc,i�xr
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 38 Peabodv St.. Salem.MA 01970 UNIT# 2-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER Salem Point H L.P. MANAGER/AGENT North Shore Provertv Mana2erslnc.
NO P.O.BOX
ADDRESS 106 Latavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem. MA 0 1970 CITY, STATE,ZIP Salem.MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: l.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 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 TFIIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE 4/13/17
InsDectors use on]v
Date on initial inspection: LA lg�LAI r+ Date of reinspectiop:
Date of issuance of certificate: Datefeepaid:
Type of unit: Dwelling Other Check# Check date:
Notes:
Code Enfo emem Inspector
CITY OF SALEM, MASSACHUSETTS, ,
Bo,ARD OF HEALTH
120 WASHINGTON STREFT,4..FLOOR
nL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR LRANMINOSAJAW.COM
LARRY RAmDIN,RS/RE I-IS,CHO,CP-FS
Hi,AuriiAGENT
kelease
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq.
State Sanitary Code Chapter 11 and Article X111 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.
Salem Point II LP
X
Tenant/Lessee Owner/Lessor
102 Lafayette Street, Salem, MA 01970
38 Peabodv St. 43-1. Salem. MA
Address Address
38 Peabodv St. #3-1 Salem. MA
Address on unit to be inspected
2/14/17
Date
Updated 5/23/11
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR P th
Preyrnt.Promot-Prw"
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Ltatndin(a).salem.coni LARRYRAW)IN,RS/RW-IS,CI 10,
MAYOR HEA1;n-iA(;FN'r
CERTIFICATE OF FITNESS
CERTIFICATE #265-13
DATE ISSUED: 7/31/2013
Property Located at: 38 Peabody Street UNIT#2-2
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
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 W 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
R4�MDIN
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF I lEALTH
120 WA.SHINGTON S IREFT,4 "Fi-ooR
Thi- (978) 741-1800
KTNfBERL,EY DRISCOLL F-�x (9-18) 745-0343
MAYOR LRANID INIOSAI�FNTA OM
I,Ailm,RANFI)JN,RS/RF1 IS,(1110,(T-FS
HFALT11 AGFNT
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 38 Peabodv St.. Salem. MA 0 1970 UNIT# 2-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT North Shore ProDertv Manaaers.Inc.
NO P.O.BOX
ADDRESS 106 Latavette Street ADDRESS 102 Lafavette 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:
ROOM USE: LLiv Rm 2.bedrm 3.bednn 4. Kitchen 5.
6. 7. 8. 9. 10.
T14ERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE ISYA�ABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Instiectors use onlv
Date on initial inspection: "7 ("�I)i 13 Date of reinspection:
I - I
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling—Other Check# ks�, Check date: �7 1'2y0h
Notes:
Code 6akr&Aent Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTii
120 WASHINGTONSTREF--T,4...FLOOR
TFL. (978) 741-1800 K�x(978) 745-0343
KIMBERLEY DRISCOLL 1rarndin(a-).saIein.com L,\RRYRANIDIN,RS/RN IS,C1 10,(Y-US
MAYOR HFAM'i I Ac"UNT
CERTIFICATE OF FITNESS
CERTIFICATE # 115-12
DATE ISSUED: 3/23/2012
Property Located at: 38 Peabody Street UNIT#3-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
61
LAORY RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, NIASSACHUSETTS —4,
BoARD ot; HEALTH
120�VASHINGTON STREET,4"'FLOOR
TEL. �)78) 741-1800
KIMBERLEYDRISC011. F-�x(978) 745-0343
NL-�YOR LR\MDTNna SAIENLCOM
LARln'R�vml)[N, is,C1 10,cil-1:S
HFAUJi-i Aci.;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
38 PEABODY STREET, SALEM, MA 01970 3-1
PROPERTY LOCATED AT UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASECIRCLEONE
SALEM POINT LIMITED PARTNERSHIP NORTH SHORE COMMUNITY DEV.
OWNER/LESSER MANAGER/AGENT COALITION
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 978-745-4961
TOTAL NUMBER OF ROOMS: 4
ROOM USE: LLIVRM 2XITCHEN 3.BEDRM 4.BEDRM 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 TIES FEE 1� ABLE AT T TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
InsDectors use onIv
Date on initial inspection: -3-La I -L Date of reinspection:
Date of issuance of certificate: -2>' )-3 Date fee paid: 17
Type of unit: Dwelling-!t,�Other Check# Check date:
Notes:
Code 4Enforcement Inspee
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PU
MA01970 Prevent. Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Rarndin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-39
DATE ISSUED: 2J16/2017
Property Located at: 38 PEABODY STREET UNIT#3-1
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018
1
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 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
e- ja,wnt ,u
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM. MASSACHUSETTS
BoAIM or HEALTH
120 Vr--�SHINGTON STRD�,,,i",4 T" Fi-()()R
T�,i- (97 8) 741-1800
Knj IBEIRLEY DRISCOLL Fv\ (978) 745-0343
1\FAYOR I.R;\MDIN(a!SAI.ENt.C()'M
LARRYRANIDIN,RS/REI IS,C.1 10,CP-FS
HEALTH \GENT
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 38 Peabodv St.. Salem.MA 01970 UNIT# 3-1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Salem Point 11 L.P, MANAGER/AGENT North Shore ProDertv Manaizers.inc.
NO P.O. BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE, ZIP Salem, MA 01970 CITY, STATE, ZIP Salem.MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 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 I C%,
�494, DATE 02/8/17
Inst)ectors use on1v
Date on initial inspection: Date of reinspection:
Date of issuance of certificate:;)- �kp Date fee paid: ;�I I U .11'4—
Type of unit: Dwelling____Other Check# Check date: ?, I 1(0,
Notes: L=L (0 &Aanm ae&L -P)
A 170
cern
Code Enfor 7 t spector
CITY OF SALEM, MASSACHUSETTS lu
BOARD OF HE,),LTH
120 WASHINGTON STREET,4"'FLOOR P Ith
Prevent,Promote Proteei
TEL. (978) 741-1800 F,),x(978) 745-0343
KIMBERLEY DRISCOLL lrarndinnasaleni.corn L,MRY RAMIAN,WREI-TS,CHO,CP-FS
MAYOR HumTi-i AGUNT
CERTIFICATE OF FITNESS
CERTIFICATE#439-13
DATE ISSUED: 12113/2013
Property Located at: 38 Peabody Street UNIT#3-2
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 7454961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
LAA4N RAM DIN
HEALTH AGENT SA
CITY OF SALEM, MASSACHUSETTS
Bo_�P,D()F HEALTH
120 WL�SIIING FON STREf-n',41"F']-()()R
Tf,'�j_ (978) 741-1800
KTNIBERLEYDRISCOLL ]_',��, (9718) 745-0343
MAYOR
LAIIIZYF��MDIN,1611(lif IS,(J-10,C-r-FS
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 3 8 Peabody St., Salem. MA 0 1970 UNIT# 3-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT North Shore ProDertv Manaizers.Inc.
NO P.O.BOX
ADDRESS 102 Lafayette Street ADDRESS 102 Lafayette Street
CITY, STATE, ZIP Salem. MA 0 1970 CITY, STATE,ZIP Salem. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv Rm 2.b kitchen 3.bedrm 4. bedrm 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*FEEPAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATUR DAT
InsDectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other-Check# Z49TI Check date: "D
Notes:
Cod orceinent Inspec tor
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#242-04
DATE ISSUED: 06/03/2004
Property Located at: 46 Peabody Street UNIT# 1-1
Owner/Agent: Salem Point L. P.
Address: 102 Lafayette Street
Cityrrown: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwell ing/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT RCEMENT
4��TOR
L
INS
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREE-T
HEALTH AGENT Tel (978) 741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax.(978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11. 105 CMR 410.000
uMINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED ATA 0 - 561 ItW-% UNIT # I—k
IS THIS UNIT DESIGNATED AS RIGHT LEH FRONT DA91 PLEASE CIRCLE ONE
OWNER/LESSERSaleM Poi t L.P. MANAGERIAGENT Sa 1 Pm Proper Managers , In,�,
ADDRESS-1-09 T.AfAy�fi-p qt-rp=i- ADDRESS_jD9 T.AfAy�4-i-p _&tZept ,
CITY Spiem, bjA 01970 CITY Salem, P4A 01970
RESIDENCE PHONE BUSINESS PHONE (2 4HRS.) 978- 745-4961
BUSINESS PHONE 97 8- 745-8071
TOTAL NUMBER OF ROOMS:--+--
ROOMUSE: 1jLAA 2. 1f� 3,&L94A 4. bgUA
5.-6. T- 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION
APPLICANTS SIGNATUR DATE
.1 CTORS USE ONLY
DATE OF INITIAL INSPECTION /ob/hi/ —DATE OF REINSPECTION__
DATE OF ISSUANCE OF CERTIFICA TE: DATE FEE PAID/& h1eY?1Z__
TYPE OF UNIT: DWELLING— OTHER—
NOTES-
CODE ENFORCEMENT INSPECTOR
5/19/98
City of Salem, Massachusetts
t Board of Health
120 Washington Street, 4th Floor, Salem,
MA01970 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-15-292
DATE ISSUED: 9/18/2015
Property Located at: 46 PEABODY STREET UNIT#1-2
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City[Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018
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 Dwell ing/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
0,—�� A J//,,�,
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITA41AN
CITY OF SALEM, --MASSACHUSETTS
Bo,�RD OF HEAL:fH
120 V1�SHINGTON STREL-i-,4`F1-oOR
TEL. (978) 741-1800
KINMERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMD]Nna�A]J;NLCOM
LAmn,RAMAN,RS/RF1 IS,(A fo ,(Y-VS
I IF,\i,n i A(;FN F
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MfNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 46 Peabodv St.. Salem. MA 0 1970 UNIT# 1-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASECIRCLEONE
OWNER/LESSER Salem Point 11 L.P. MANAGER/AGENT North Shore PrODertv Mana2ers.Inc.
NO P.O.BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem. MA 0 1970 CITY, STATE,ZIP Salem. MA 0 1970
RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961
BUSINESS PHONE 978-745-8071
TOTAL NUMBER OF ROOMS: 4
ROOM USE: I.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO T14E CITY OF SALEM
BOARD OF HEALTH THIS FE 7S,,PAYABLEAT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE V106
ectors use onIv
Date on initial inspection: 0q11 4 12 D15- Date of reinspection:
Date of issuance of certificate: OcyLy,12,01�r Date fee paid:Oql-1412-0-tr
Type of unit: Dwelling_—V/ Other Check# Check date: 0q11 V2-ol C—
Notes:
/Z//,I�
C�wf ent In�Pector
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PU ith
MA01970 Prevent.Promote. Prowl
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry RamdIn, MPH, REHS,CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-16-492
DATE ISSUED: 12/1912016
Property Located at: 46 PEABODY STREET UNIT#2-1
Owner/Agent: North Shore CDC
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018
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 Dwell i ng/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
r
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT ANITARIA
CITY OF SALEM, MASSACHUSETTS
BOARD oj:HEALT I I
120 WASI IINGTON STREET,4...Fi.00R
(978) 7411800
KIMBERLEY DRiSC(-)I,L Fxx �)78)745-0343
MAYOR ]RANIDIN(W.SALFALCON1 DEC 13201.3
1,,kRR):RAN11DIN,RS/RE1 S,(A 10,CP IS CITY OF SN EM
HEALTI-1 A(;ENT BOARD OF Hb�j H
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 46 Peabodv St.. Salem.MA 01970 UNIT# 2-1
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT ORBAC PLEASECIRCLEONE
OWNER/LESSER SalemPointIl L.P. MANAGER/AGENT North Shore Provertv Manapers,hic.
NO P.O.BOX
ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street
CITY, STATE,ZIP Salem.MA 01970 CITY, STATE,ZIP S alem.MA 01970
RESIDENCE PHONE BUSINESS PHONE(241IRS) 978-7454961
BUSINESS PHONE 978-745-8071 -
TOTAL NUMBER OF ROOMS: 5
ROOM USE: lLiv.Room 2,Kitchen 3. Bedroom 4,Bedroom 5..
6. 7. 8. 9. to.
THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE� AYABLE THE TIME OF INSPECTION
DATE 11/22/16
APPLICANT'S SIGNATURE
Insrectors uSe onlv
Date on initial inspection: t112ZT2-01-�A Date of reinspection:
Date of issuance of certificate:1112—ql�W6 Date fee paid: 12-LIW201L
Type of unit: Dwelling �/ Other Check# 162�X.. Checkdate:
Notes:
A//41/1/ax��
C69hbXme-nt lns��
CITY OF SALEM, MASSACHUSETTS
Bo.ARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR P ith
prevent.promote.Protect
TFL. (978) 741-1800 F,\x(978)745-0343
KIMBERLEY DRISCOLL lramdin2salcm.com L,\R1w11ANII)IN,RS/RFI IS,Cf fo ,(:I)-I;s
MAYOR Ht�,,\Li'i I A(;FNT
CERTIFICATE OF FITNESS
CERTIFICATE#336-14
DATE ISSUED: 10/15/2014
Property Located at: 46 Peabody Street UNIT#2-2
Owner/Agent: Salem Point 11 L.P.
Address: 106 Lafayette Street
City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
Pursuant to the requirements of City of S IeFR Fdina ee Chapter 2 Artiele IV-Div�ctiar.
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 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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.
FORTHEBOARDOF EAITH
'0
LARR eRAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
Bo-�RD OF HEALTH
1-20 WASHING I-ON 4"'F].oOR
Ti-,�i- (978) 741-1800
KIMBERLEY DRTSCOLL F-A\ (978) 745-0343)
MAYOR 1 RANTI)iNna�ALFALCONI
LARRYR,VNIDIN,R.S/Rkl IS,CHO,
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 46 Peabodv St.. Salem. MA 0 1970 UNIT# 2-2
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Salem Point 11 L.P. MANAGER/AGENT North Shore Pronertv Managers.Inc.
NO P.O. BOX
ADDRESS 106 Lafnette Street ADDRESS 102 Lafavette 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: 4(
ROOM USE: I.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 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 /d///f/r/A
1;�ectors use onlv
Date on initial inspection: (0'115'(114 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling-Other Check# Check date:
Notes:
9��4:04P
CodeYrif ement inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4:`FLOOR
TEL. (978) 741-1800
KIMBFRLEY DRISCOLL FAX(978) 745-0343
MAYOR 1MAN(-TN1(@.SA1,FN4.00M
JANI.:TMz\NCINJ
AcTING Hi:Aj;rii AGi;,N,r
CERTIFICATE OF FITNESS
CERTIFICATE#115-09
DATE ISSUED: 3/1012009
Property Located at: 46 Peabody Street UNIT#3-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
An inspection of your vacant Dwell ing/Roomi ng Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
)'""t W.
AET MANCINI
TING HEALTH AGEN PECTOR
CITY OF SALEM. MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,e FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR -iscow(&SAIPIA.dOM
JOANNE SCOTT,
HEALTHAGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MIMMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
FEE: $5*a-)O
PROPERTY LACATED AT UNITk--�-�
IS THIS UNIT DISIGNATED As RAHT LErr FRO OR BAC PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT Salem Prooerty Managers
NO PD.BOX
ADDRESS 102Lafayette Street ADDRESS102 Lafavette Street
CITY,STATE,ZIP Salem. MA Olq70 CITYSTATEZIP_Sajem,_X&_ A 147 A
RESIDENCE PHONE 13USINESS PHONE(24H�S) 978 745-4961
BUSINESS PHONE 978– 745-90
TOTAL NUN(BER OF ROOMS:
ROOMUSE: Ilh/lm 2. *44� 3. 6d4� 4. 6444 5.
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE,BY CHECK OR MONEY ORDER To THE CITY OF
SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT TIIE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE t�?ISAY
Insocctors use on1v
Date on initial inspection: 3 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling-2f�2_Other--Check# Check date: 1-C
Notes:
bAMIA
k6de Enforcement Inspector
CITY OF SALEm. MAssAmusms
BoARD OF HEALTH
120 WASFIINGTON STREET,4:m FLOOR
TEI.(978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR JXD=@SAtZM COM
JOANNESCOIT,
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)UlI 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 ordinan6es.
In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for,
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
6/1105
Salem Point Limited Partnership
102 Lafayette Street
Salem, MA 0 1970
PROPERTY LOCATED AT 46 Peabody Street Unit 3 Right
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article X111 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.
,�l
F of 41t,67(_ Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSEITS
BOARD OF HEALTH
120 WASHINGTON STREET,4..FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR IMANCINQ.SATEM.COM
JANETMANCINI
ACHNC; 1-1EAj:rj I A(;i,',N'r
CERTIFICATE OF FITNESS
CERTIFICATE#43-09
DATE ISSUED: 1127/2009
Property Located at: 38 Peabody Street UNIT#3-2
Owner/Agent: Salem Point Limited Partnership
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
In
T
//'JANE MANCINI
ACTI HEALTH AGENT CODE ENF400EME T INSPECTOR
. /�a.'J Q ���i1��� '�
� �
C��-36 B��'a
(P2-31 ����,,�.�V3`��
- �ti� �
CITY OF SALEM, MASSACHUSETTS q,&C9
BOARD OF HEALTH
120 WASHINGTON STREET,4'�FLOOR
IEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR v,;coTrQsAy.rq.dOM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
11NIINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
FEE: 550.00
PROPERTY LACATED AT J7 loe--&608� 5�-. �501Z'--X UNIT#-3
IS THIS UNIT DISIGNATTD AS RIGHT LEVr FRONT OR B PLEASE CIRCLE ONE
OVINER/LESSER Salem Point L.P. MANAGER/AGENT Salem Provertv Manaaers
NO P.O.BOX
ADDRESS 102Lafavette Street ADDRtSS102 Lafavette Street
ClTY,STATE,ZlP__,%dj2n,_X7� 01970 CrIYSTATFZIP-s���.
RESIDENCE PHONE BUSINESS PHONE(24HkS) 978 745-4961
BUSINESS PHONE333=-3A5-AL71
TOTAL NUMBER OF ROOMS:
ROOM USE: I.L%# a,,. 2. K46ka�- 3. BACm. 4. 5.
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH TT-HS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE (�4 DATE
d t InsDectorsuseon1v I Irl L 50
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: 2-1 -O'� Date fee paid: ) - 2v-rj�
Type of unit: Dwelling-!��—Other—Check# 3 G Check date: I- 1-� -01
Notes:
4e kEnforc=nt Inspector
CFIY OF SALEM, MASSACHUsms
BOARD OF HEALTH
i2owAsi-nNGToN STREEr,e FLOOR
TEL.(978) 741-1800
KRaERLEYDRISCOIL FAx(978)745-0343
MAYOR Iscon2mmm COM
JOANNE SCOTT,
HEALTH AGENT
Release
n accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et. Seq,
'State Sanitary Code Chapter II and Article)UII of the City of Salem Ordinance, undersigned owner/lessor and
enant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to
rispect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances.
n the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for
ny/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
tuthorized agents flom any lose or injury sustained of whatever nature and description occasioned by my/out absence
luring said inspection.
1.0.1tenee Owner/Lessor
kddress Address
dL
Address on unit tb be mispected
14 -7169
)ate
CITY OF SALEM, MASSACHUSEl-fS
BOARI)or,'HEAL-ni
120 WASHINGTON STRFEr,4"FLOOR
TEL. (978) 741-1800
KRABERLEY DRISCOLL FAX(978)745-0343
MAYOR I M ANCI N I O.S ALFALCO N1
JANET MANCINI
AcnNG I-IL\Li1i AGLNT
CERTIFICATE OF FITNESS
CERTIFICATE#70-09
DATE ISSUED:2/3/2009
Property Located at: 46 Peabody Street UNIT#3-1
Owner/Agent: Salem Point L.P.
Address: 102 Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with '105 CMR410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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
4E' AINITNI
T M
CTING H H CODE ENFk0RCEMT 11 SPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH 76-0
120 WASHINGTON STREET,4'�FLOOR
TEL.(978) 741-1800
KMERLEY DRISCOLL FAx(978)745-0343
MAYOR .1.9co7rralsALF.M.COM
JOANNE ScoTr,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410,000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
FEE: m3o
PROPERTY LACATED AT4 41�de/ dZ- , .5ale-t2l, 192A� C)lflh) UNITk--3—/
is THIS uNrr DISIGNATEb AS RiGifr LEFT FRONT OR PLEASE CIRCLE ONE
OWNER/LESSER Salem Point L.P. MANAGER/AGENT Salem ProDertv Manaaers
NO P.O.BOX
ADDRESS 102Lafavette Street ADDRESS102 Lafavette Street
CITY,STATE,ZIP Ralem. ?4A 01970 CnYSTATEZIP Sal P-mf MA 0197n
RESIDENCE PHONE BUSINESS PHONE(24HkS) 978 745-4961
BUSINESS PHONEaZ2=-jL5-
3071
TOTAL NUMBER OF ROOMS: Z/
ROOM USE: 1,40. 2. 3.jditm 4. 15407r,— 5.
6. 7. 8. 9. 10.
THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTU--ITHS FEE IS PAY�BLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE� DATE �14,010
InsDectors use on1v
Date on initial inspection: Pate of reinspection:
Date of issuance of certificate: Date fee paid: 2--3
Type of unit: Dwelling �' Other-Check# Check date: %-�3
Notes:
A A, , X�
Code Enforceml/eAt lnsp�Rtor
CITY OF S�LEM,, MASSACHUSEM
BOARD OF HEALTH
120 WASHINGTON STREET,4�FLOOR
TEL. (978) 741-1800
KBMERLEY DRISCOLL FAX(978) 745-0343
MAYOR JSCoJJQS&UM COM
JOANNE SCOTT,
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)aII 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. Vwe expressly authorized the same and for
my/our successors and assigns hereby release and discharge the City of SaIern, 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
Address Address
Address on unit to be inspected
Date
WD04
Q6 City of Salem, Massachusetts
lugBoard of Health
120 Washington Street, 4th Floor, Salem, PU th
MA01970 PreVtnt. PrOMOIC PrWeCl
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-17-29
DATE ISSUED: 2/1/2017
Property Located at: 52 PEABODY STREET UNIT#1 L
Owner/Agent: Rafael SanRoman
Address: 72 Superior Street
City/Town: Lynn, Me Zip Code: 01902 24 Hour Phone:(781) 962-5545
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 Dwell ing/Room ing Unit at the above address has
been approved and is in compliance with 105 CMIR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum
Standards of Fitness for Human Habitation". A
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.
0
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CM OF SALEM, MASSACHUSETrS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
I-FL (978)741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR IN&ALIN.CAW
LARRY RAMDIN,RS/RFJ-JS,040,CP-FS
HEALTHAGLm
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
-) dA4, <' " 41
PROPERTY LOCATED AT Pe&bL "M-� UNIT#--,��
IS TMS UNrr DISIGNATED AS RIGHT L i fFrFRONTORBAC PLEASECIRCLEONE
OV;NER/LE;SSER. to (p V4 Lpl/ :b�(jl±' MANAGER/AGENT.R.d 4Apj ��W' A
NOP.O.BOX pr t f7 (
ADDRESS V(ci.A) A-J ADDRESS r1l c�d 'g+
I f
CrrY,STATE,ZIP__Z.�t0-�gq (f4L '&U?-ql CITY,STATE.zip L L/ -to HA� olq6 ?
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSU40SPHONE
TOTAL NUMBER OF ROOMS: L v tookv , JZO '�c-�Ck ,
ROOM USE: 1. 2. 3. 5.
6. 7. 8.
THERE IS A FIFTY($50) DOLLAR FEE,PAYAB BY K OR MONEY ORDER TO THE CITY OF SALEM
Y
BOARD OF HEALTH THIS FEE IS PAY/V HE OF INSPECTION
APPLICANT'S SIGNATURE DATE
InsDectors use onIv
Date oninitial'inspection: Date of reinspectio
Date of issuance of certificatellt/ Date fee paid:
Type of unit: Dwelling Other Check# ]]it
D Check date:79
Notes:
Code Enf6rce:=nt 0
inspection of (',c,rmR-rn-jv (4- AtT) os��, Dat
Time
Nam- Address bo-h-
Owner Tel. No.
Type of Inspection Inspector
Remarks and Violations are I isted below:
7
ILI�Yv--\ HIN)Cglrl 0 (1 otp—c�, (I)r\0-r� 0(-)+ IQ qrjyy �h
� xre ur)rrrY ,nr (�kw5Y-P (In (R
Arl 0
h hPrl M TM
(26�:Pr\A- .V)r ORPO hrorr n
0)no,, 1�e
V-Par Y)P(1r1x)rn (9W L"&� On 0of 102Al-
b� 0 C
-)(vz�- Is, ot NYP r-,H\, 1 0+ 1 L1 1 "17 -Hit (,�Yd-eY- rY),t )R�- b-e
A)mOKA
0 D�f-yy- tn mrxi� A-�l I I 19 Y)9 h,/7Axgc,-74)
(1W,chu-0 I)+ -tn --�hq �V-C (A,-p X/t C�C� rky-I)Vz- yl�c+)------
D WFRIOC) SMCW-P Prlvvyx--� WM--f-)V-A0
DoDip rT -emril-tA cAq1-,rr.-h-cn tr) 4t-o
P ly- irA &P
.4C+
t D 0 it�J (%0
rkl-C)C,'�— V\O(\140 CY )A
vIr-n-hry) Wi- V�,e hiw3h4- in.
go�-) r(25�-Phqn)0k0 a rr-) nQS2eCh(Y) U)Iqh
/I tl A I A_
-nFyi+' .
Re—port Received by:
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#48-04
DATE ISSUED: 02/11/2004
Property Located at: 52 Peabody Street UNIT# 1 L
Owner/Agent: Vernon Realty Management
Address: P.O. Box 2201
City/Town: S. Hamilton, MA Zip Code: 01982 24 Hour Phone: 978-423-6394
An inspection of your vacant Dwell ing/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR410.000: 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.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASH I NGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
4D 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 5 2- PC a A-14 UNIT# L
I I
IS THIS UNIT DESIGNATED ASBIGHT LEFT FRONTBACK PLEASECIRCLEONE
OWNER/LESSER VCrl�UII TE Wio MANAGERAGENT
No P.O. Box ? 'B LLC( No P.O. Box
ADDRESS , (j>C ADDRESS
CITY :5 1 ffa�4 ( 1,-14J "A
RESIDENCE PHONE71 � 4'2-� �-39BUIINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. L-9- 3. rl\ 4. A
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 DEPART ENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE OATE
IN PFCTORS USE ONLY
DATE OF INITIAL INSPECTION t' - DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEA 11-04 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER CHECK# CHECK DATE
NOTES,
CODE ENFORCEMENT INSPECTOR 9/28/98
. ,
t�us�
CGlI/ ✓� ( (3w�'k(c��. ��
oti-� (t-�
(ac�-Se,�s
llac✓
� . . . .i a : • c.
1'. •
• . .� '_ . y.' :+. .
I
CERT.# 87-01
FEE $25.00
DATE: 02/21/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, PIS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax: (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 52 Peabodv Street UNIT #: 1R
OWNER/AGENT: Peabodv Vernon Realtv Trust
ADDRESS: P.O. Box 231
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 460-0049
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 I
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.
FQR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'7'o
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,IRS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT t�1, FC4L L 4 J_ UNIT#_Lk
IS THIS UNIT DESIGNATED AS RIGIUIT LEFT IF ONT1 BACK PLEASE CIRCLE ONE
- 11 ica f IQ�- - P60 _tE hao
OWNER/LESSER k&6 VaIjup TMAfN GER/AGENT
No P.O. Box No P.O.Box
ADDRESS T ADDRESS
CITY VcLp VcK, CITY
14 CA,4(i
RESIDENCE PHONE �Is BUANESS PHONE(24 HRS.)__w1T_qLj
BUSINESS PHONE 9-+c6 -I-JLJ
TOTAL NUMBER OF ROOMS: 4
ROOM USE: 1 2. 'DT-� 4.
5.______6- 7. &
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 INSPEC
T ON'
APPLICANTS SIGNATURE
*INSCTORS USE ONLY
DATE OF INITIAL INSPECTION -)- - )- I - 6 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:1 -�)- -0 ( DATE FEE PAID: ?� )- I - 0
TYPE OF UNIT: DWELLINf_____�OTHER_._ CHECK# CHECK DATE 2 -2- 0 1
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CUTY OF SALEXI-MASSA-CHUSETTS
E10ARD OF HEALTH
120 WASHINGTON STREET, 4TH-FLOOR
SALEm; f4A 0 1970
TEL. 978-7-41-1800
FAX 9-78-745-0343
STANLEY J- UsOLvtczJR- JOANNE ScoTT; MPH, RS, CHO
MAYOFR- HEALTH AGENT
CERTIFICATE OF FITNESS
CER-T[RCATE-#248-05
DATE ISSUED:4/26/05
Property Located at: 52 Peabody Street UNIT#2nd Right
Owner/Agent: lbr�ej T16-r--e-
Address: 40 Jefferson Avenue
City/Town: Wakefield, MA Zip Code� 0188&24 Hour Phone-. 781-9113-4986
An inspection of your vacant Dwelling/Room ing Unit at the above address has been-approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 4110.000.
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-
h"C" '4� '/'�2:2
(iiN
JO E SCO�, MPH, RS,,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH � f7 - 0 q
120 WASHINGTON STREE�, 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 e5� Fie" p y UNIT#d(0,
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
e_l-
OWNEWLESSER (?,e, MANAGER/AGENT r, e, ('e- gel?
No P.O. Box No P.O. Box
ADDRESS er_� Vo ADDRESS
CITY L4/q / J /v"q 6 CITY
ik / q Vqrk '7f
RESIDENCE PHONE �>BUSINESS PHONE (24 HRS.)
BUSINESS PHONF
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. 00 C-Zf 1�17- V - /
APPLICANTS SIGNATURE P_/�t , - DATE
j
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 7�_ DATE FEE PAID:
TYPE OF UNIT: DWELLING14THER CHECK # (,0 _�k- CHECK DATE'/_-7!�_y' -c)
NOTES
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 86-01
FEE $25.00
DATE: 02/21/2001
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: 52 Peabodv Street UNIT #: 3L
OWNER/AGENT: Peabodv Vernon Realtv Truse
ADDRESS: P.O. Box 231
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 460-0049
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 FIT-NESS 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 CIAR 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
'01
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusefts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT TlOn_60-1 2*- 1)NIT# 31(�
IS THIS UNIT DESIGNATED AS RIGHT LEFT
0 BACK PLEASE CIRCLE ONE
OWNER/LESSER \1CfA6P T-E MCA' CM0ANLA'G_E(_R/AGENT
No P.O. Box No P.O. Box
TO. 136,V 2,�31 ADDRESS '--;6 14A
ADDRESS 'Dit �JV HA- 6071Y
CITY
RESIDENCE PHONE i+� 4-f 110SINESS PHONE (24HRS.) Gil 0 (70LIq
BUSINESSPHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. LF, 2. 7)K 3. BR- 4.137,
5. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM ffALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE�
I S USE ONLY
DATE OF INITIAL INSPECTION 6 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLIN T�OTHER— CHECK# CHECKDATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#284-05
DATE ISSUED: 5/4/05
Property Located at: 52 Peabody Street UNIT#3R
Owner/Agent: L & D Realty
Address: P.O. Box 1814
City[Town: Wakefield, MA Zip Code: 0 1880 24 Hour Phone: 781-475-0293
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 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 0
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
130ARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
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 GMR 410000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT #-X,2
IS THIS UNIT DESIGNATED AS RIGHT LEFT ERONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Box vo 'r
ADDRESS 1,() 66 y f I ADDRESS
CITY LAJ 4 CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)_
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE� I_ 2. -3. 4. Oe7 /f
_—T 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEMPALTH 0 TMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. 17
APPLICANTS SIGNATURE / DATE
INSPECTORS USE ONLY
DATF OF INITIAL INSPECTION -f' DATE OP REINSPECTION
DATF OF ISSUANCE OF CERTIFI(',ATI.-.�'--3--!�-)"--DA�F FEE PAID-3-_- -�
TYPEOFUNIT DWIELLIN15< OFHFR..- , CIIECK 4 CHECK DATES-
NOTES
CODE ENFORCEMENT iNSPECI OR 9/28198
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTONSTREET,4:"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR NCOITO.SAir,'�%i.Com
JOANNE SCOTT,
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#386-08
DATE ISSUED: 8/13/2008
Property Located at: 56 Peabody Street UNIT# 1 E
Owner/Agent: James O'Brien
Address: 26 Ellsworth Road
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-531-1975
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
qANNE SCOTT, MPH, RS, CHO
INSPECTOR
HEALTH AGENT CODE Ll 14P C
v1 - I I
CTTY OF SALEM, MASSACHUSETTS SC6610`�6'
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR isco'rr(@1SA1J?Nf.CONI
JOANNE ScoTr,
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 /C�pe,- 5;;;�— UNIT#-/4f-
IS THIS UNIT DISIGNATED AS RIGHT LEVr FRONT OR BACK PLEASE CIRCLE ONE
OV*TNER/LESSER MANAGER/AGENT
NO P.O. BOX
ADDRESS c,?6 C-IL<e-,w�l� R(� ADDRESS
CITY, STATE,ZIP q 9W 0 196'�3 CITY, STATE,ZIP
RESIDENCE PHONE F6 531- 19 757 BUSINESS PHONE(24HRS)
BUSINESS PHONE 4�3 711-1
TOTAL NUMBER OF ROOMS: /7/
ROOM USE: LeC-D 2. R(-�� 3.4IM'05; 4.lr4�� 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 SIGNAT7,,�.���/--�' DATE
Insnectors use onIv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid: 1 S -
Type of unit: Dwelling-L,�Other Check# -) 2-9 Check date: 13 z3(r
Notes:
/,-) - -A
Code Enforvcem-ent Inspector
r
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLooFi
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE Sco-rr, MPH, PIS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#235-06
DATE ISSUED: 5/12/06
Property Located at: 56 Peabody Street UNIT# 1 E Left
Owner/Agent: James O'Brien
Address: 26 Ellsworth Road
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-531-1975
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000 Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CIVIR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
(MUSE1 IS
BOARD OF HrAUTH
120 WASHINCV04%Gpme",AITH FLOOR
SALUM. KA 01970
TEL. a7w7m-lsw
FAX 978��745-0343
STANLEY USO"CZ.JR. JOANNE SCOTT. MPH, RS. CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CIVIR 410.000
�MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'.
PROPERTY LOCATED AT UNIT 4
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT 13ACK PLEASE CIRCLE ONE
OWNEPJLESSERJA�c� Al bRelt-At� MANAGERtAGENT
No P.O. Box No P.O.Box
ADDRESS-3?4 iC-A,q&74,_2�:b-,-,-ADDRESS
CITY-JBE6-4-y-&A 0/516 r-> CITY
RESIDENCE PHONE 9' S BUSINESS PHONE (24 HRS)
- 7'
BUSINESS P14ONE
T�)TAL NUM3ER OF ROOMS 411
n 00 m U S Il 1 ;44 Z, 0��IQ
THERE IS A TWENTY-FIVE (S25.00) DOLLAR Ff E, PAYABLE BY CHECK OR MONF�'
ORDER TO THF CHY OF SALEM HEAI TH DFPARTMI-NT THIS FEf- IS PAYABLF Al THI
TiNIF OF INSPEC'FION
APPLICAN IS SIGNATURE F)AFl-
DAIEOrINIIIALINSPECI-10N
16
0I i INI i�VV 1 1 1 '1 1 :1, 1 1 1-5--
CERT.# 282-01
99 FEE $25-00
DATE: 06/06/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel (978)741-1800
Fax: (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 56 Peabody Street UNIT 4: 2E Left
OWNER/AGENT: Kenneth & Alice St. Pierre
ADDRESS: 20 Jacobs Avenue
CITY/TOWN: Danvers. MA ZIP CODE: 01923 24 HOUR PHONE: 774-1840
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLXANCE 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
6 14dne-,
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,IRS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-18M
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CIVIR 410.000
"MINIMUM STANDARDS OF FITNESSFPR HUMAN HABITATION'.
I,'-, hetd6t �*ecy-- UNIT kc;
PROPERTY LOCATED AT %0
IS THIS UNIT DESIGNATED AS RIGMI! LEd FRONT 13ACK PLEASE CIRCLE ONE
Q_---,7
OWNERILESSER MANAGERIAGENT
No P.O. Box No P.O. Box
ADDRESS A6 -kc. ADDRESS
CITY P-anfC4-5 CITY Of4 ,
RESIDENCE PH,ONEq7f/- 17,1- X�BUSINESS PHONE (24 HRS,11
BUSINESS PH6NF
TOTAL NUMBER OF ROOMS:
ROOM USE: :�� 2
THERE IS A TWENTY7FIVE($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
WPF(--TO RS USE ONLY
DATE OF INITIAL INSPECTION L �10 —0/ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEh DATE FEE PAID: C/o
TYPE OF UNIT: DWELLING�OTHER— CHECK#-/,01 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
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
05/16/2001
Kenneth & Alice St. Pierre
20 Jacobs Avenuet 1W
Danvers, MA 01923
PROPERTY LOCATED AT 56 Peabody Street UNIT # 2E
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 X111 of the City of Salem Code of
Ordinances, Section 2-334,titled nCertificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in adcordance 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.
OR THE BOARD
,;JF HEALTH REPLY TO
I . Zoo
Jo C, MPH'q'C
a e MPH,R CHO PABLO VALDEZ
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
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE ScoT-r, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 157-07
DATE ISSUED: 3/29/2007
Property Located at: 56 Peabody Street UNIT#3E
Owner/Agent: James O'Brien
Address: 26 Ellsworth Road
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 531-1975
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CIVIR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
fqRTHEBOARDO HEALT
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CtTY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0 1970
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 FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT -de, ' I — T 3;e
UNIT
IS THIS UNIT DESIGNATED AS RIGH LEFT FRON BACK PLEASE CIRCLE ONE
OWNER/LESSER 3��(26 K C&IGA-> MANAGER/AGENT
No P.O. Box No P.O.Box
ADDRESS <::?6GLL�5�bu_fk 0> ADDRESS
CITY MA- CWTCC� CITY
RESIDENCE PHONE 75- BUSINESS PHONE (24 HRS.)
BU$INESSPHONE./,0'3
TOTAL NUMBER OF ROOMS ,__5_
ROOM USE: 2 3 4,�S--I-:>
5._t3ejR _6 —7. 8
THERE IS A TWENTY-FIVE (S25.00) 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 SI GNATUR DATE
L
N�FECL
DATE OF INITIAL INSPECTION 7 -DATE OF REINSPFCTION
DATE OF ISSUANCE OF CCRTI1-ICATU 7 DATE FEE PAID
TYPEOFUNR DWCL1_INk,,-_._ OTHER CHECK ft CHECK DAT 1
NOTF
=S
CODFENFORC[7MENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BmRD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIM3ERLEY DRISCOLL F.�x(978) 745-0343
MAYOR DGIUENBAUMna SALEW.C.0'M
EiAvii)Giij-ENBAUM,RS
ACTING Hi�,AL'n-i A(;i�Ni'
CERTIFICATE OF FITNESS
CERTIFICATE# 18-11
DATE ISSUED: 1/13/2011
Property Located at: 56 Peabody Street UNIT#2W
Owner/Agent: Hung Le
Address: 160 Park Street#1
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:
An inspection of your vacant Dwell i ng/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
DAVID GREENBAUM, IRS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Qnr OF SALENI, NiASSACHUSETTS
BOARD OF HEAL:FH
1-10 WASI IINGT()N Sm�.Ef,4 .. Ft,()oR
TF-L. (978) -141-1800
KRNIMMI-EYDRISCOLL RAX(978) 7/45-0343
NLA COM
I -YOR
DAVID GRE,F.\mBAUM,RS
ACTING HF-kl-TH 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 56; pe6LC4 UNIT# C2,W/
IS THIS UNIT DISIGNATED AS"LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER 4106 U-:� MANAGER/AGENT
NO P.O.BOX
ADDRESS ( 6 0 19A (�-K ADDRESS
CITY, STATE, ZIP S=e;�;v '&Ue&rl/� CITY, STATE,ZIP Mq � COITN—
RESIDENCE PHONE -4-0 6, 3k 3 L/ BUSINESS PHONE(24HRS)(q72 )??? .-M
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. C5. ,)
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE PAYAX�L BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
"Y
E A
BOARD OF HEALTH THIS FEE IS 13AY �LE THE TIr OF INSPECTION
e,_
APPLICANT'S SIGNATURE -DATE—V*-,�L
/I/nsi)ectors use onlv
Date on initial inspection: I Date of reinspection:
Date of issuance of certificate: lb //y Date fee paid: . I
Type of unit: Dwelling—Other Check# Check date:
Notes:
Cod-eAnforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARi)OF HFALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KINMERLEY DRISCOLL FA�,(978) 745-0343
MAYOR DGRFRNBAUMnaSAJ,1;M.(-.0Nf
DA\rriD GREE'NBAum,RS
Ac'i'ING Hi�'.Ai.H-i A(3j-,N,r
CERTIFICATE OF FITNESS
CERTIFICATE # 17-11
DATE ISSUED: 1/11/2011
Property Located at: 56 Peabody Street UNIT#3 West
Owner/Agent: Hung Le
Address: 160 Park Street#1
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:
An inspection of your vacant Dwell i ng/Roomi ng Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
DAVID GREENBAUM, IRS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
40
CITY OF SALEINI, NIASSACHUSETTS
BOARD oi�HILM'H
STREl-',T,4... FLOOR
120 WASHINGTON ,
TE,,i- (978) 74l-1800
KIIN1BERI-FY DRISCO11, FAN (978) -145-0143
MAYOR COM
DAN71D GREFINBAUM,RS
ACTING HEAi-TH 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 -C;� PQ-4Lopl: UNIT#
IS THIS UNIT DISIGNATED AS R!][ (�TSL��FRQNT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER 4T40(A LC- MANAGER/AGENT
NO P.O.BOX
ADDRESS 1W e4e�(- Sj- ADDRESS
CITY, STATE,ZIP VjP-A CITY, STATE,ZIP PC
RESIDENCEPHONE R ;1.406 J�0 L/BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. r5
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE, PA ABLE BY CHE
,eCK OR MONEY ORDER TO THE CITY OF SALEM
E B ,E
BOARD OF HEALTH THIS FE ��t AT HE Trl OF INSPECTION
APPLICANT'S SIGNATURE 1411 DAT
I Sn ectors use onIv
Date on initial inspection: I / / Date of reinspection:
Date of issuance of certificate: Iff Date fee paid: //d/ /
Type of unit: Dwelling-- �-�thcr Check# Check date: I
Notes:
Code En�orcern tnt Inspector
CERT.# 504-99
FEE $25.00
DATE: 09/01/99
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: 56 Peabodv Street UNIT #: 4W
OWNER/AGENT: Michael Cormier
ADDRESS: 14 Laurel Street
CITY/TOWN: Salem, KA ZIP CODE: 01970 24 HOUR PHONE: 745-6608
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
TOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusefts 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 It, 105 CMR 410�000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIONO.
PROPERTY LOCATED AT U0�4/
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERILESSERkMIX-L" CC9eP,�' Ifl��' MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY A�l CITY
RESIDENCE PHONE 7 �'3BUSINESS PHONE (24 HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1, lk 2�
5. 1146�rl 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,�,��9�'!!IZK,*-X DATE
1 - �_ k_c�- k
DSPECTORS USE ONLY
q- -C
DATE OF INITIAL INSPECTION ( T � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:q - /- q � DATE FEE PAID: 5�- ( - q I
TYPE OF UNIT: DWELLINGCOTHEFL— CHECK# CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98