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PEARL STREET PEARL STREET Y 1 CITY OF SALEM, MASSACHUSETTS ® BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#502-06 DATE ISSUED: 10/12/2006 Property Located at: 3 Pearl Street UNIT# 1 Owner/Agent: Patricia Ayers Address: 3 Pearl Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR HE BOARD OF HEALTH 1 7 U JOANNE SCOTT MPH RS CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CfTY OF SALEM, MASSACHUSETTS BOARD HEALTH S 120 WASH/NQTON STREET, ATH FLOOR J SALEM, MA 0!970 TEL. 978-74 1-1 BOO FAX 976.745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNEE�S,S, FORHUMANHABITATION". / PROPERTY LOCATED AT _}L .. —) _S }_� UNIT#I L � IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-L�tMANAGERIAGENT_ No PA. Box Na P.O.Box ADDRESS ADDRESS ` CITY ci ---CITY-- RESIDENCE ITY_RESIDENCE PHONE q?P' )�'` 7fUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:___S ROOM USE: 1., 2. 6. L_---_4 -.-- -- THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ C° -LL_ - — DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION z/(?_- i z DA]F OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:fb- /2 '0 �1' DATE FEE PAID._,f_0_---/ 2 n TYPE OF UNIT. DWE_LvOTHER _. CHECK I! {J CHECK DATE ,/()-/ _ d2 � NOTES. CODE ENFORCEMENT INSPECTOR 9/212'9 City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, PabliCHeaa MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-50 DATE ISSUED: 4/22/2015 Property Located at: 5 PEARL STREET UNIT#1 Owner/Agent: Norman LeBlanc Address: 5 Pearl Street#2 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 II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,--A4� l Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r ; 5 • CITY OF S4LEM, MASS4CHUSETTS • BOARD OF HEALTH 120 WAs-I I NGTON STREET,4T"FLOOR TEL.(978)741-1800 K I MBERLEY DRI SCOLL FAX (978)745-0343 MAYOR LRAfNDIN(CMALEM COM LARRY RAMDIN,RJ REHS,CHO,CP-FS HEALTH AGENT Application for Certificated Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT .X5 loe—art Sf reel— _ _ UNIT#._- ISTHISUNITDI1ISIGNATEDASRIGHTLEFT RON RBACK;PLEASE CIRCLE ONE OWNER/LESSER —M /Vo , L blanc MANAGER/AGENT David Gui'emne- NOP.O.BOX _ .S 0-&CI St' UA -f- #� ADDRESS y� /� ic�cl�e16EAr� Lane CITY,STATE,ZIP .5. I cen M A. 0191 CITY, STATE,ZIP eve r l o M f� C111115 RESIDENCE PHONE BUS NESS PHONE(24HRS)_C91$) Sa ' 713 BUSINESSPHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.Lf vena lZD�ninaL gni 3. Kitc6c^ 4 Basra m 5 Deatroora I B.Bodroe--'!127: 8. 9 10 THERE ISA FIFTY ($50) DOLL R FEE, P YA LE BY CHECK OR MONEY ORDER TOTHE CITY OF SALEM BOARD OF HEALTH THIS E SPAY E THETIME OF INSPECTION APPLICANT'SSIGNATUR DATE 20 dol$ I I nsoectors use onl y Dateon initial inspection: j raT�5 Date of reinspection: Dateof issuanceof certificate Date fee pad: 3 Typeofunit: Dwelling Other Check# 2,t7 Checkdate: 9� Notes ilha h CCS "> ac' kyl owrd a1^LeaA04Fif s orI � c2 n r(I ccs fl v Cod o Inspector 15-56 ^ ` � �� CITY `'. "'^.~~^�^~, ��~^~.~^---- - --_ - N�fA' Bo-ARD OFBEALT14 120 WASHINGTON STREET,4mFLOOR TEL, (978)741^180m }CINME<I'EYl]8ISC(}lJ. l'6x(Y78)745-0343 MAYOR \6NkTI)V}00E /\C[lN(; HE812l{/\(DUNT CERTIFICATE OF FITNESS CERTIFICATE#503-O& DATE ISSUED: 11/0/200D Property Located at 6FeadStreet UNIT#2 Owner/Agent: Anthony Murphy Address: 4VViUiomixeDrive City/Town: Salem, MA Zip Code: 01Q7024Hour Phone: 078-375'3311 /\ninspection Vfyour vacant Dwelling/Rooming Vnit atthe above address has been approved and isincompliance with 105CMR 41O.000: Massachusetts State Sanitary Code, Chapter A1" Minimum Standards nfFitness for Human Habitadun''. Therefore,this Certificate is issued by the Code Enforcement Division of,the Salem Board of Health and the unit may now berented and/or occupied. Maximum Number ofoccupants, must comply with 105CyVIR41O.UO0. Certificate valid for one year from date ufissuance Oruntil the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F HE BOA HEAITH AE ONNE 4a&&Se�,� ACTING HEALTH AGENT CQOVENFVxCENtN| |mSrE4/um CITY OF SALEM, MASSACHUSETTS s BOARD OF HEALTH Yy r13 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 ICIMBERLEY DRISCOLL FAX(978)745-0343 MAYORu� IONNE , .LM COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." -�_ FEE: $50.00 P PROPERTY LOCATED S UNIT# 0 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERfi/1 /r'OnY /4 wAsi Y/ MANAGER/AGENT NO P.O. BOX ADDRESS q (A)j j^j j'tW l;R �rt of ADDRESS CITY,STATE,ZIP lwjt N� M 0/q7 0 C1`CY,STATE,ZIP RESIDENCE PHONE "3$a /l b`� BUSINESS PHONE(241IRS) L77 P 3 7,57".3 1j BUSINESS PHONE TOTAL NUMBER OF ROOMS: r D ROOM USE: 1 Q!d/w 2.�[Ir^t 3. �3c�� , 6 fh7 /<&cku% 8.Fyrkty ;c?. 9-hwt`/f� 10. 4g1" 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 SIGNATURI34a�--- DATE/—/—I;-()P Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ! Date fee paid: Type.of unit: Dwelling Other Check#�`, _Check date: 1440 Notes: <1 Lr �L rCQP Uc' Mk k vy lmsln p, u3yjA 3411 etf /;✓eiv�tn� a"d pc�r bcx�hroom 5u�t� t3 r+��f owner -Y� rP olct v -fro .� utl � �I dIns— CWeEnforcement Inspector cones CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 r r �p11N6 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Facsimile Transmittal To: Fax # C—M< ) X53 -�11�0 RE: 6L —7&I CSS v� rJ�C2Y1C� Date Page(s): including this cover#C Message: Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON Y' HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Nov 13 2008 7:16pm Last Fax Date Time Twe Identification Duration Paces Result Nov 13 7:16pm Sent 919784539150 0:36 2 OK Result: OK - black and white fax TO CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 2 Y9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 -" TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Facsimile Transmittal To: 'CQ �.1 Fax # Q ��l n RE: f eo r l �J�a l 's1 and Date : z( z Page(s): including this cover# Message:fl�pz-bc r P F7 P Q ,- (o f nc�l !S6 4:P�2 Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Nov 13 2008 5:38pm Last Fax Date TimeTwe Identification Duration Paces Result Nov 13 5:37pm Sent 919784539150 0:41 2 OK Result: OK - black and white fax �ONDIT n n q CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970- JOANNE SCOTT, MPH, RS,CHO 02/21/2002 120 Washington Street — 4`" Floor HEALTH AGENT Tel # (978)-741-1800 Fax # (978)-745-0343 Daniel Vitale 9 Pearl Street #1 Salem, MA 01970 PROPERTY LOCATED AT 9 Pearl Street UNIT # Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check .payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist . THE BOARD O� REPLY TO qR aScot t, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT - CODE ENFORCEMENT INSPECTOR CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH M.`� 9! 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 _ FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/24/05 Mark Sardione 9 Pearl Street Salem, MA 01970 PROPERTY LOCATED AT 9 Pearl Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per 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. For the Board of Health _ Reply to J nne Scott MPH, t;FiYS` Pablo Valdez Health Agent Code Enforcement Inspector W CITY OF SALEM9 MASSACHUSETTS A. BOARD OF HEALTH " 120 WASHINGTON STREET, 4TH FLOOR �So SALEM, MA 01970 •P�.Q �` TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 06/17/2004 Mike Shea 30 Echo Avenue Beverly, MA 01915 PROPERTY LOCATED AT 10 Pearl Street Unit House Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. Joa�or the Board of H Ith Reply to MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector