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PERKINS STREET PERKINS STREET a s al N I i i f Y IAA �r. CITY OF SALEM, MASSACHUSETTS $ BOARD OF HEALTH " 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 p TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#34-05 DATE ISSUED: 1/18/05 Property Located at: 20 Perkins Street UNIT# 1 R Back Owner/Agent: Hoag Development/Kevin Hoag & Meagham Barry Address: 84 New Salem Street City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 617-628-8260 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter If'Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH I � i JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Jan 11 05 03: 15p Joanne Scott Salem BOH 970 745 0343 p. 2 v r_ CITY OF SALEM. MASSACHUSETTS BOARD OF HEALTH `w • I20 WASHINGTON STREET, 4TH FLOOR AIL I Q J SALEM. MA 01970 _✓`_fl TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT. MPH. RS. CHO MAYUR HEALIH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 165 CMR 410.000- "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT- pL PerlCi n i_�.r e f__'_�UNIT,# 1 IS 1 HIS UNIT DESIGNATED AS RIGHT LEFT .3ON.T ACK LEASE CIRCLE ONE OWNER/LESSER Q iv nbmANAGEWAGENT v I n /VJeay�u�l No P.O.Box No P.O.Box J ADDHESS� ?F� ADDRESSSI� . PY11_ CITY I"ln I�_�i .5� CITY_,. T4-ld MOJs*., RESIDENCE PHONE. _BUSINESS PHONE(24 HRS.)/o 17" R.k-kab0 BUSINESS PHONE-_ 6 7 ' (D .Q,-PacO TOTAL NUMBEF Of ROOMS -- ROOM USE: 1.----- 2. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK on MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE! TIME OF INSPECTION, APPLICANTS SIGNATUIief iNSPECT',2N�U3E ONLY DATE OF INITIAL INSPECT ON -_/ 3_ .� DATE OF REINSPECTION .....__.. .._ DATE OF ISSUANCE Of CERTIFICATE t' .5 DATE FEE PAID' TYPE OF UNIT: DWCLLINC{� O7HEF}„;,--, CHEGK O/.`/„4, 7?O F CCK DATE 1 — / 3 /1\ AA D CODE ENFORCEMENT iNSPECTOR 912K)98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMIiERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGdrF.NB,WNIrniSAL N1.CO\t DAVID Gju;TN BA Ub4 Ac TING HeAi.rn AGr,N r CERTIFICATE OF FITNESS CERTIFICATE #256-09 DATE ISSUED: 5/22/2009 Property Located at: 20 Perkins Street UNIT# 1 Front Owner/Agent: Kevin M. Hoag Address: 84 New Salem Street City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THAAE BOAR HEALTH �G DAVID GREENBAUM ACTING HEALTH AGENT CODE E FORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HE_1L'1'H rtHB 120 WASHINGTON Sl'REI-T', 4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F-ix (978) 745-0343 IVIAYOR (I s,u L:,m. COM JANET 1NLI�NCINI, ACTING HFALTH 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 Nd(MS &-, UNIT# �-- �r qIS THIS UNIT DISIGNATED AS RIGHT LEFT RON OR BACK,PLEASE CIRCLE ONE OWNER/LESSER p }.MM "I 400 p L MANAGER/AGENT 09 ADDRESS r.gax) I>alp 1 \JAI I ADDRESS CITY, STATE, ZIP WArkto�l-RU MI- 6 G100 CITY, STATE, ZIP RESIDENCE PHONE I��- �I II I(- Gp1Vr� b BUSINESS PHONE(24HRS) BUSINESS PHONF U17- TOTAL NUMBER OF ROOMS: r`I ROOM USE: 1. LLA(�bt, 2. 3. 4. i�eQllfM✓1 5. lV 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 G APPLICANT'S SIGNATURE �� ! + DATE // Inspectors use onlv J1 Date on initial inspection: 's40-k 9 Date of reinspection: (DIS/Q Date of issuance of certificate: / ' Date fee paid: (D I SIO 9 Type of unit: Dwelling�Other Check# N9 tP Check date: (0/g k q Notes: lr u CodeEnforcements/4r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRFFT 4T"FLOOR TFL. (978) 741-1800 IQNIBERLEY DRTSCOL.L FAx(978) 745-0343 MAYOR a ANCTNIO)sNLEM. CW1 JANET NIANCINI, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111: Code of Massachusetts Regulations 410.000 et. Sea. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Te t/Lessee �Nld XM('' Owner/ essor r_ KeU�(1 Wi. rrua .1 films XD PPAIC d+ . :�Ojem, M 4� MPS.► s�l� �� . lk�&"Pr MR Address (Ct70 Address -rr 1'� ,.. 6h Address on unit to be inspected Dyi��.1. X0.4 h� T i CITY OF SALEM, MASSACHUSETTS m BOARD OF HEALTH z 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#300-06 DATE ISSUED: 6/12/2006 Property Located at: 25 Perkins Street UNIT#2 Owner/Agent: Jose Luciano Address: 25 Perkins Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4047 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH -- Z J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR /., ..m,t. CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR i SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER ll, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT a ) -5,-I-. UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERTr,5L- MANAGER/AGENT No P.O. Box No P.O. Box / ADDRESS o'LS ?i-¢rlo ne S} . ADDRESS CITYCITY RESIDENCE PHONES t ) NS_-yV7- BUSINESS PHONE (24 HRS.' BUSINESS PHONE C9 - q03,9� TOTAL NUMBER OF ROOMS ROOM USE: 1. G^L 2. )Zlceow', w 4.4'"w_ 7 7 5. 84nn11€� ` (� 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 a o� �-- DATE (0 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION�-'�,_ �__DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: =d DATE FEE PAID G TYPE OF UNIT' DWELLIN OTHER_ CHECK #� , _CHECK DATE__ NOTES S ox b d � .� - t - CODE ENFORCEMENT INSPECTOR 9/28/98 " CITY OF SALEM., MASSACHUSETTS BOARD OF 11HAMT] 1220 WASHINGTON 7h;S`t'RFs'F�I',4 f'F.(X)l2 TItiT.. (978)741-1800 IL1NII31:IZ13 Y"I7R7Si.;07,1. F\4 (978)745-0343 MAYOR Iranulinsatem.c xn L..iR12Y RA10?IN, t21f RI{t 1S,f;I If),CP-f5 . 14r.1i tIA(tINI' CERTIFICATE OF FITNESS CERTIFICATE#350-11 DATE ISSUED: 9/2312011 Property Located at: 25 Perkins Street UNIT# Owner/Agent: Jose Luciano Address: 25 Perkins Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-578-4032 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Malssachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR TRANSMISSION VERIFICATION REPORT TIME 09/29/2011 22: 19 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 09/29 22: 19 FAX N0. /NAME 919787449614 DURATION 00:00:18 PAGE(S) 01 RESULT OK MODE STANDARD ECM 22' • ` CITY OF SALEM, MASSACHUSETTS JSd� f BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIM13ERLEY DRISCOLL FAX (978) 745-0343 MAYOR I.RA,%1D1N17s 1A;1%1.Con1 LARRY IZ1NID1N,1ZS/RF1-IS,CI 10,CP-IS 'z HFA7:1'I I AGIwr 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: $50.00 PROPERTY LOCATED AT Z 3 ✓2 Y rl( N 5 5'1 UNIT# J� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �/O$C LA CMANAGER/AGENT NO P.O. BOX ,� ADDRESS 2 5/'¢V k N r K4- ADDRESS CTIT, STATE,ZIP S ! lev-*` CITY, STATE, ZIP MA, 0L9 '10 RESIDENCE PHONE 9 7 D 7 8 y5 '7/l o4� � BUSINESS PHONE (24HRS) �g S�g, K 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. QPc11'�0 0 r9. 66d eo n/. 3. 67 12 4. Li Ir�n w 5. () 12 6. bi 0,P?v?oo1q. 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 'A'T THE TIME OF INSPECTION APPLICANT'S SIGNATUR�- DATEql2j;14( 011 Inspectors use onlv / Date on initial inspection: 0/A3 I // Date of reinspection: Date of issuance of certificate: q/9,3 1 e� Date fee paid: Type of u ( unit: D w� l�ling Other Check# I� 1 I Check date: Notes: 4 �ee/1a�k f/I 4I1C/` On�Ci.�,� C de Enfo cement pector CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#477-06 DATE ISSUED: 9/27/2006 Property Located at: 28 Perkins Street UNIT# 1 Owner/Agent: Maria Sousa Address: 391 Eliott Street 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 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 r 4t� � JO NNMPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR _ CnT OF SALEM, MASsAC>HUSM-11"S 7? dop ` BOARD OF HEALTH 120 WASHINGTON STREET. 4TH FLOOR SALEM. MA 01970 TEL. 978-741-1800 FAX 978.745-0343 JOANNE SCOTT, MPH, RS. CHO Kimberley Driscoll HEAT-TH 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 _ -_ ��/"v S UNIT #1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERI ESSERLI Wal* P1Z_A1_tA5 MANAGER/AGENT No P.O.Box No P.O. Box ADDRESS 11 ADDRESS CITY iQc�e 7� _ � (j CITY. ------------------ RESIDENCE PHONE__-_ BUSINESS PHONE (24 HRS )_________ BUSINESS PHONE TOTAL NUMBER OF ROOMS,__(____ / �? ROOM USE 1 - 2 -- -- - c 4 `--- THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE t�-\_ � DATE INSPE<_TORS US- ONLY DATE OF INITIAL INSPE=CTION -0 - DATF OF REiNSPECIION DATE OF ISSUANCE OF CERTif IICATF f"17 v to DKI Er�FEE PAID ( J�� TYPE OF UNIT DWEI t IN�/OTIILP CHICK t� 0 o CHE"K DPO i= -7 --o67 NOTES ^��- CODE (7NF0f1C1_mi_1N1 IN',I t_C-10H R" rs CITY OF SALEM, MASSACHUSETTS ., BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#600-05 DATE ISSUED: 9/27/05 Property Located at: 28 Perkins Street UNIT#2 Owner/Agent: Maria Sousa Address: 28 Perkins Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-7357 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH y %I f`r f _ /� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 / IU/ TEL. 978-741-1800 U FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OFFITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 9 4 + 2 e r AIS UNIT#—,l t3 ��"' 2✓ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_4i9//� c_,nr)Soq ' MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS �q -P_A_k�-I / ADDRESS CITY R >G1 /C-u-, Ybzi 6 P7 70 CITY RESIDENCE PHONE%r 7,P ?5T-73 7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE �f TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. L 3 5. A 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 Of'k ��_ �` DATE —,) l INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONg,),c_ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEi� ____a_,�rDATE FEE PAID. TYPE OF UNIT DWELLIN _OTHER_ CHECK#1(_5__ a CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS wg} BOARD OF HEALTH f a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#001-06 DATE ISSUED: 1/3/06 Property Located at: 29 Perkins Street UNIT# 1 Owner/Agent: Ruben Baez Address: 78 Palmer 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 THE BOARD OF HEALTH q,41 `' JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CPPY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAx 978-745-0343 -y STANLEY USOVtCZ, JH -JOANNE SCOTT, MPH, RS, CHO 0 / MAYOR HEALTH AGENT !fl APPLICATION FOR CERTIF=ICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN I FABITATION" PROPERTY LOCATED AT _2i � e e) L/ 5 UNI1 v/ IS THIS UNIT DESIGNATED AS RIGHT _LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSLR ,PF ) a nJ R -P EZ-- MANAGER/AGENT x No P.O. Box _ No P.O. Box ADDRESS—- l CITY-fit �.+�_ ♦�� p/ j � I---CITY RESIDENCE PHONE _ BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_____ ROOM USE. 1 /=- - 2'- -- ' -. . °J 4 - r, THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE 13Y CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYARt E AT THE TIME OF INSPECTION, APPLICANTS SiGNA1 URF - I:�� LN DATE= NS)PE CI(.1R USL ONI Y DATF OF,INH At IN:' PFQTIO(V u ?PT!_ (-.)F- DA F REi1.13!'El;TiON OATliC1FIDl>( C)!= CE'ailiP3i,ATI �-'ry7 'bty t).k�1� 1-1 i'vwn V(PPOF- UFdI1 F;Vfl'1-I1Nh j11'1Lli ('IiFCh ;��c :IIf ( :I', 0/ TC 7 � f �y b� CERT.# 291-98 3 ^'. FEE $25.00 01 DATE: 05/11/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FTTNESS PROPERTY LOCATED AT: 29 Perkins Street UNIT #: 1 Rear OWNER/AGENT: Rafael Pena ADDRESS: 29 Perkins Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-6946 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH U za-,� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFPIqE USE OttL' _z;:_,'r,5 :sem f�c,-'r'h-•xT :.^ ;%e�r !� e. .x• .. DATE: . `•' -;,ty CtTY OF SALFlk [ffilLTH' O£PARTM£ttT ';.. BOARD HEALTH Stem, t Ussxchusctts 01470 -. 4 KORTH STREET it08C-ETi-�G�:E"7iKf{ORIt-.. . 11EAt TH AGW 5007tt-1800 ApppLimyO& FOR CERTIFICATE OF FITNESS Ift ACCORDANCE KITH STATE SANITARY CODE, r-HAPTER LI, 105 CHR 410.000 "HIN11M STANDARDS OF FITNESS FOR HUt" HABITATION". PBAPF.RTY LOCATED AT �� ' " � % fl� 7 � ' UHIT HAHAGER/ACE,NpT-sa �/ :![DDBFSS� �7 �G // l/ � ADDRESS 2 CITY /��,ei1iL �J/I � �J / CITY RESIDENCE PHONE BUSINESS PHONE 24 H&S-7 `IItJSILtBSS PHONE TOTAL NUMBER OF ROOMS: T ROOM USE: 1. /�_ 2. 3- 5. 6- 7. H. THERE IS A TZEM pM (25_00) DOLLAR FEE, PAYABLE BY CHECK OR MOM ORDER TO IUB CITY OF SALEti HEALTH DEP UPON (COHELTAHCB AHD LSSUANCB OF CERTIFICATE. APPLICANTS SIGNATURE DA--M- f � IttSPECTOfS ON ONLY DATE OF INITLAL INSPECTION. O I)ATE OF REiNSPE,CTION -- -� G, - ----- . .--JJ-J- -----. DATE OF ISSUANCE OF CERTIFICATE __ ! `��TF ::;E PAID l TYPE OF UNIT: DWELLINCX OTHFR----__--_-_ NOTES: ------------------------------------ CODE F.RFOKCEFLENT INS PtCTOtc CITY OF SALEM, MASSACHUSETTS • y/ BOARD OF HEALTH -� 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 101`g3ERLEY DRISCOLL F_�R(978) 745-0343 MAYOR ucalcr:NBnunr n�snla;nT.coal DAVID GREENBAUM ACTING HF.AI,'m AGIiN'P CERTIFICATE OF FITNESS CERTIFICATE #270-09 DATE ISSUED: 6/17/2009 Property Located at: 29 Perkins Street UNIT#2 Owner/Agent: Ruben Baez Address: 78 Palmer Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-7513 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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. FOOA,�ALTH h4q, DAVID GREENBAUM ACTING HEALTH AGENT CO EN RCEMENT INSPECTOR Wo CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH XO-01 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR mIANCwirrilsALPA.COM JANET M ANCINI, 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 O,gr rl ��C (� UNIT# { IS THISUNIT ,UN` �P� I,T�DISIGNATED AS RIGHT LEFT'FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER�6Awi00& MANAGER/AGENT NO P.O. BOX ADDRESS L8 ��nmfl �� ADDRESS CITY, STATE,ZIP—t)a \k Y� m� CITY, STATE,ZIP (1 y� 7 RESIDENCE PHONE {C U cS� BUSINESS PHONE(24HRS] "�-A�&jk:' /SI-R BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATr j? -j)-— /' Insnectors use only Date on initial inspection: ///(___7 Date of reinspection: (P Date of issuance of certificate: � /17/a 1 Date fee paid: (0/(7/6 Type of unit: Dwelling V Other Check# Check date: Notes: wVron ir) kifiCIVA A 2 t -IG bP !'CV16tM - kC460-e AC+ *r1vJr)A WJ. (�w)dbw in 1?ckc n / .P;d' 5(feefL' reooir, ct? /renlc,cTo( *fay cents�ctro�1 -G/�uc�s+er ri7�-a&a -sr�4o ode Enforcement ec CITY OF SALEM, MASSACHUSETTS .j BOARD OF HEALTH 4 + 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 7/25/05 Ruben Baez 29 Perkins Street#1 F Salem, MA 01970 PROPERTY LOCATED AT 29 Perkins Street Unit 2F 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 'k�Jt..c Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 772-00 FEE " $25 .00 DATE: 12/05/2000 9��MP1E 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: 29 Perkins Street UNIT #: 2F OWNER/AGENT: Rafael Pena ADDRESS: 29 Perkins Street #1F CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2953 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 LZOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ( .� � � - 6v 3 � �jMiNB i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR 1H1UMA_N HABITATION". PROPERTY LOCATED AT 2 q C,�1 S � UNIT# Z- IS THIS UNIT DESIGNATED S RIGHT EF FON BACK PLEASE CIRCLE ONE OWNER/LESSER� �� _19p Kl44- MANAGER/AGENT No P.Q. Box j} j No P.O.Box ADDRESS 2 R /'P i 57 ADDRESS CITY .A Q9un YV C. - C� f �Z 7 '" CITY RESIDENCE PHONE BUSINESS PHONE (24 NRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. & 4. 5__6,_ 8. THERE IS A TWENTY-FIVE($25.04)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 "03-Q )PO-Aln-j DATE S G� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I a G DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: !7 — DATE FEE PAID: �n r� TYPE OF UNIT: DWELLING HER CWECK'#A'() CHECK DATE_ ()!// SoI NOTES: CODE ENFORCEMENT INSPECTOR 9128198 I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/21/04 Raphael Pena 29 Perkins Street#1 Salem, MA 01970 PROPERTY LOCATED AT 29 Perkins Street Unit 2R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F the Board of Healt Reply to oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ti (r CERT.# 581-97 .�` FEE $25.00 DATE: 08/26/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 29 Perkins Street UNIT #: 2R OWNER/AGENT: Ranhael Pena ADDRESS: 29 Perkins Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6946 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFFlgz USE DULY 4 r.: CUT MENT ' EAtiTfi'.OEPART -CITY OF ALEM fi BOARD- OF 4itALTH AA szsachuzeiis 01470 v NORTH STREET JIMTH AGFNT SocT 7ti-1800 AppyICdTION FOR CE&TIncm OF FITNESS IN ACCORDANCE VITH STATE SANITARY:CODE, iCHAPTER II, 105 CMR 410.000 "MINIMUK STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT li x} 71, t ro[ % /L�_ �J UNIT E %7 O(inwLESSERr�f�/�7i ��-J ._ HANACERIcA�GEHT�_�•�� fiDDRESS ! �e / /J f ADDRESS CITY 7�Cs� �/l/�1 �' CITY -RESIDENCE PHONE . ��A"� 1p '�� BUSINESS PHONE (24 HRS.) '``BUSIIIESS PHONE TOTAL NM[BER OF ROOMS. zl/ i ROOM USE: 1. 2. 3. 4 . 5. 6. 7. 8. THERE IS A TIZEHTY--IMPS (25.00) DOLLAR M. FAURLE BY CHECK OR MOHEY ORDER TO THE CM OF SALEM UMTH DEF UPON ((COMPLIANCE AM ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE �ljDG��F DATE . INSPECTORS UN ONLY DATE OF INITIAL INSPECTION: � j_-i�- ., (IAIE ,OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 4� " — 6-::y PATE FEE PAID: �— �'� --f7 tJ- TYPE OF UNIT: DWELLING OTHER NOTES: CODE: ENFORCEHENT INSPECTOR •• v��oONDIT n � K�IMIryg CITY OF SALEM BOARD OF HEALTH Salem, Massachusg'tia;W(970- JOANNE SCOTT, MPH, RS,CHO 120 Washington Street—4`" Floor HEALTH AGENT Ropheale Pena Tel # (978)-741-1800 29 Perkins Street #1 Fax # (978)-745-0343 Salem, MA 01970 PROPERTY LOCATED AT 29 Perkins Street UNIT # 2RR 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. Ol�ARD HEALTH REPLY TO ll Joanne Scott, MPH,RS,CHO PA13LO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR l ` �OONUIT,(,I g CERT.# 3-99 t FEE $25.00 DATE: 01/05/99 ��IMINB 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: 29 Perkins Street UNIT #: 3 OWNER/AGENT: Rafael Pena ADDRESS: 29 Perkins Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-0177 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 . 000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH Lk'-- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • v��ONUIT� 3 rr CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT -2 % Aee""WS S� UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�Q,/�—_RuAgv___Z�?2�MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONF TOTAL NUMBER OF ROOMS: /p ROOM USE: 1. 2. 3. 4. 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 SIGNATURE49e�_tl� i`Y!///J DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I/-- `f — �/� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE./— S- � � DATE FEE PAID: Afb ede f TYPE OF UNIT: DWELLI _OTHER__ CHECK DATE L �4 NOTES. CODE ENFORCEMENT INSPECTOR 9/28/98 /�, i i� .� . i i� /�' /�, i� i� / ,i // // ,_ /�, ((/�/ {�\ t � ` i �� ,� � �� -. �. � ,� ..s' `� /' \ � � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 CERT.# 135-02FEE $25.00 TEL. 78-74 10343 DATE: 03/14/2002 FAx 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 29 Perkins Street UNIT #: 3 Back OWNER/AGENT: Ruben Baez ADDRESS: 78 Palmer Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2953 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" . I 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: . I NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. I FOR THE BOARD 6 14divy SCOTT MPH RS JOANNE CHO, Ili HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 yep TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATiON". PROPERTY LOCATED ATP_ �Or /7i S �I� UNIT#3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE ER OWNER/LESSERJ/_4 9., 8,Q=Qlo � MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ] 4�T/ %, p A ADDRESS CITY -S'� ,,mac. . 7v,0,4"C CITY RESIDENCE PHONE© Ye, USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: L/ ROOM USE: 1. 4 �l 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 L;,,0001 _115? 9Z_-> DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION - /Le—/) i DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3--/4,--P '— DATE FEE PAID: '/ 2 TYPE OF UNIT: DWELLIN/�AOTHER_ CHECK# 1 F CHECK DATENOTES- CODE ENFORCEMENT INSPECTOR 9/28/98 '- ND� City of Salem, Massachusetts Xq Board of Health 120 Washington Street, 4th Floor, Salem, PUPrevent. Promote eCACA�1th MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-205 DATE ISSUED: 7/12/2017 Property Located at: 30 PERKINS STREET UNIT#2 Owner/Agent: Julia Medina Address: 30 Perkins 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 II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. a';�� itiV It V_Y _ Larry Ramdin, MPH, REHS, CHO _ HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • s BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN(asALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 3 O 10� v if (' )i S S-I UNIT# o7- IS 2IS THIS UNIT DISIGNATED A GH LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �\— U It G- Vu 2 Plw MANAGER/AGENT NO P.O.BOX `J y. / _ ADDRESS �, c� /�P�C/C f VI 5 ADDRESS CITY,STATE,ZIP M Q © Irl 7 CITY,STATE,ZIP RESIDENCE PHONE-N- -7 /- 7S O S BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 7� 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 THE TIME OF INSPECTION 1-7 APPLICANT'S SIGNATURE - �~ DATE ` Inspectors use onlv r� Date on initial inspection: ` Q(,!4� Date of reinspection: I U l Date of issuance of certificate: \ �l l Date fee paid: Type of unit: Dwelling Other Check# Check dater Notes: d c U ril( VCM r h (' TQC `h �Cv Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH m 120 WASHINGTON STREET, 4TH FLOOR no SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#002-05 DATE ISSUED: 1/3/05 Property Located at: 30 Perkins Street UNIT#2 Owner/Agent: Isaias &Julia Madina Address: 30 Perkins Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-7505 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 OFJHE�ALT,H ? � - 7 �ff JOA NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR S. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 Oa 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 3 1 C /2 Amo f' 1I S 'E-7'— UNIT# 02 IS THIS UNIT DESIGNATED A RIGH ' LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER SQ .a c MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS r) 4e it��S 5/-ADDRESS CITY �/R/ . B /c/ 7�CITY RESIDENCE PHONEg7e%//- 7V r6& / BUSINESS PHONE (24 HRS.) BUSINESS PHONE '%7 g - 7 S/S- rjSSSx -3 TOTAL NUMBER OF ROOMS: v� 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. 'L APPLICANTS SIGNATUREC`_ >`ZL DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION //7A // GATE OF REINSPECTION /QysDATE OF ISSUANCE OF CERTIFICATE: I �6r DATE FEE PAID: '*15/j`�_ TYPE OF UNIT: DWELLING OTHERCHECK # 739U CHECK DATE A/�� NOTES: liulnt,4_"990�� CODE ENFORCEMENT INSPECTOR 9/28/98 `oNn� City of Salem, Massachusetts !) W q Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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-16-192 DATE ISSUED: 6/3/2016 Property Located at: 31 PERKINS STREET UNIT#1 Owner/Agent: 31 Perkins, LLC Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(781) 8440111 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 &J ZVarosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN %w CITY OF SALEM, .MASSACHUSETTS BOARD OFHFALTH 120 WASHINGTON S'I'RM,4m FLOOR TEL (978)741-1600 FAX(978)745-0343 KMMERLEYDRISCOLL ) ta')sal�.com ' MAYOR HEAL,\ \ LARRY RA RS/RENS CttO,CP-I 4 \ \ HEAL7aiAGEN7' Applieation 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 �t Y { _ ,� UNIT#—I— IS TMS UNIT DUMNATED AS RIGHT Lief FRONT OR PLEASE CIRCLE ONE OWNERfLESSER ')t 1-I. CLW�S L L C...- MANAGER/AGENT ADDRESS (o CLO `7*Lo . 1(L ADDRESS x CITY, STATE,ZIPCSS– St�` 5 �2 CITY,STATE,ZIP {1i{ (7` C11 cq� u RESIDENCE PHONES{ '` � l { 1 BUSINESS PHONE(24HRS) {t{C { BUSINESS PHONE TOTAL NUMBER OF ROOMS: 4N ROOM L)SE: 1. 1ta 2 LtV(UU- - 3. -DEf) 4. &M 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 PAYAB " THE TIME OF INSPECTION APPLICANT'S SIGNATURE ! . �- _ {C''�_ DATE S. haDectors use only Date on initial inspection:05'/?lr//2�11j1,.,� f Date of reinspection: Date of issuance of certificate' Date fee paid: (557 Type of unit: Dwelling Other Check# Cheek date: 05.1?1.12nl i� Notes: 0;�,,et Inspector To Whom It May Concern : Re Unit 1 , 31 Perkins St Salem May 27, 2016 James Whitmore has my permission to enter and show my Apartment to City of Salem Health Department staff. Signed : Angela Correa � Cow , Tenant coxes CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 '➢e TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#244-08 DATE ISSUED: 5/28/2008 Property Located at: 31 Perkins Street UNIT#2 Owner/Agent: Jim Whitmore Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 781-844-0111 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply With 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO�R,D�OFHE"A`LT—H JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFO C ENT INSPECTOR li CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ko 120 WASHINGTON STREET, 4TH FLOOR Imo/ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 " JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"- PROPERTY LOCATED AT " ( kjl(ctk\_S S 1 UNIT#-ga IS THIS UNIT DESIGNATED AS RIGHT LEFT FRCN BAGS PLEASE CIRCLE ONE OWNER/LESSER LAA-(, `'lGvLLMANAGER/AGENT No P.O. Box No P.O.Box ADDRESS G 021) YLCr1J� ADDRESS CITY G-7 C-'UC-z-S 12Jq__ CITY (Nl V�_ RESIDENCE PHONE BUSINESS PHONE (24 HRS.)] 1-�`�`� -� > BUSINESS PHONE TOTAL NUMBER OF ROOMS" ROOM USE: 1. KC t 9 3. 4. �n 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. -- APPLICANTSSIGNATUR� ` - DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 5hs/o� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER_- CHECK#L CHECK DAT6h* NOTES: - --- — - — -- DEENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` 120 WASHINGTON STREET,47'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR iu OTIOSAIX-NI.COM JOANNE SCOTT, HEALTH AGENT Release I accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; tate Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and ;nant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to Ispect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. i the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for Iy/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its uthorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence uring said inspection. 'enant/Lessee l O}v�essor .ddress Address �� n LA Si- a Address on unit to be inspected )ate v6�co rt,� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Z i - A 120 WASHINGTON STREET, 4TH FLOOR ^- SALEM, MA 01970 pgr TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT 6/11/08 Theresa &James Whitmore 6 Old Salem Road Gloucester, MA 01930 PROPERTY LOCATED AT 31 Perkins Street Unit 3rd floor 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. ann�F the Board of Heal Reply to PH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector k CITY OF SALEM, MASSACHUSETTS o BOARD OFHEALTH S 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#593-05 DATE ISSUED: 9/23/05 Property Located at: 31 Perkins Street UNIT#4 Owner/Agent: Theresa Whitmore Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 884-0111 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEA TH U/r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Sep 13 08 o2:20p Jcamne Scott Salem BOH 978 745 D343 } p.2 • CITY OF SALEM, MASSACHUS9TTS BOARD OF HE4L-F1 ST R: 41Y FlGCN 5ALEP, MN G 19TU ^J / I TEL. $7$-741-i SCO 17-� 978-745.0_W! SPA v, Fv U}4VICs, JH. Igq.4Nq SGOIT. MPH, RS CHO MA(Op HEALTI- AGENT APPLICATION FOR CCRTIFICAT6 0P FITNFSS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER A, 105 CMR 410 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT 3_L jS�jV_A. _y ,-_ �,( ,UNIT#LI 15 THIS UNIT DESIGNATED AS RIGHT,LEFT FRONJ BACK PL EASE CIRCLE ONE OWNER,LESSERO. 2!E !"t.LV�Pk-O—�1ANAGERIAGENT ._ 5 wf il(CK , No P.O. Box No P.O.Box ADDRESS-.(0 ff2 _.. -_AD ESS C C1L� 5�14ti (1.-Ill CITY5r�1r�CJL V RESIDENCE PHONE':J�7-ZL-V ik(_BJS;tIESS PHONE`t24 HRS I___ D)_ t'a BUSINESS PHONE. LL, _OA TOTAL NUMBER OF ROOMS ROOM USE. 1.'L E,_2 „_L �. ( _ 4. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE "� "amu^�WWJ�}*'�----DATE .j�� S INSPECTO " US OL�L`f p$lE INITIAL lA1SPE _ tC jt�L-..i { ''J" DA, E OF RFINSPECTION,_ - DATE OF ISSUANCE OF CERTIFICATE. 7 _DATE FEE PAID � r f � �y- TYPE OF UNIT DWELLINU OTHER__ CHECK�_� 3 CHECK DATC.q-[_� of NOTES:.. . CDDE ENFORCEMENT INSPECTOR gr2a:8 i CITY OF SALEM, MASSACHUSETTS 4 ; ` BOARD OF HFALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IMANCINIOSAIRNI.CON1 JANET MANCINI ACTING HLA11I1-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE#80-09 DATE ISSUED: 2/10/2009 Property Located at: 31 Perkins Street UNIT#5 Owner/Agent: James Whitmore Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 844-0111 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOUR' THE BOARD OF HEALTH ANET MANCINI � r ACTING HEALTH AGENT CODE E1JF0 CEME T INSPECTOR Feh 05 OS 10: 19a Joanne Scott Salem V0H 978 745 0343 P• 1 I y _ + f" CITY OF SALEM, AASSACHUSE-rrs BU.1RD OF HFALTH f� . 120 WASHINGTON STF.BL'I' 4"'rL0XlR VVV A IM2ERLEY DRISCOI.L VA.,i(47,8) 145.11943 NLA%"UR jiNQ t;ONI JANLr DIONNn, Acrir4G H> ll.nI AGLNT Application for Certificate of Fitness IN ACCORDANU WITH STATE SANITARY CODE,CHAPTER 11, 107 CMR 4111000 "M1NIMUN1 STANDARDS OF F1'1'NrSS FOR HUMAN HARIT.kllON." PROI'GRTY LOCATED Al' _� i P�Evl V\-c' 5� - _ UNITft J IS THIS t'N)T 013lCNATtiO AS EIGiT LLQ FRONT OR A.%CK,PLEASE CniCLE UNE (-)WNURILBSSER 7"E S W i h T R"LcA(L t(= MANAGER/AGENT ti0 P.O,BOx ADDRESS� 4U-?t-0 _ ADDRESS_ - -- -------- CITY,STATE,22P C- L a() C. S t-VL M 1`1 o �9G"ITY,STATE,Zff' 1RESIDE•NCU FHONI;_--1 _�1Y�6" �l ' CJ I l BUSMSS PHONE(2412,S) BUSIIQESS PHONE `(`Ci t TOTAL NINBIER OF ROOMS: ROOM USE: L. 2. 3.3. 4. S. (50 114F,RE tS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONE`t"ORDER TO T14E CITY OF SALEM BOARD OF HEALTH THIS F1L IS PAYABLE AT THE LIME OF INSPECTION APPLICANT'S SIGNATURE - - 1)ATE_� Date do initial inspection: G."_1 L1ate of rcirapation. Date of issuance ofot%-dfiwt: 2 - IG' ° Dalt fee paid: Z'1©-0 Type of unit: DwtAuig ✓ Notes: t2�?�tit %gcNzurs uictoaa. - �s� QA-moi tai ho U S� m � A Inde utorCe Int hispkx. r Feb 05 OS 10: 19a Joanne Scott Salem BOH 9'78 745 0343 P' 2 r . f C l..+ll lr (-)r,, J151.L, �i, 1f�111.J t1\..1}.V i?L:A tL 120 WAsi IiN(.TC1t STILum-',4"`Cl,c:a'rR TE3',. ()78)741-1800 YDIBIMLEY DRiSCOU. VAX(91M 745.0343 J AN)--T Dit1NNP„ Ac LING HEALT14AGEV17 Release fit accordance with Massachusc(ts Genet'al Laws Chapter 111:Code of Massachusetts Regulattoits 410 000 et.Seq. ; State Sanitary Code Chapter I( and Article:XIII ofthc City ofSalem Ordinance, undersigned owner/lessor and tenantfiessce of a unit of residential property, hereby authorize the Salem Board of licalth or its authorized agents to insect the residence identilied below in accordance with the aforementioned statutes.regulations aad ordinances. III the event it is accessary that said inspection be done in myiout absence. l/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 ofwhatever nature and description occasioned by my/out abseme during said inspoction, n i1 1 v X,c.c�.�... Y r��.G��.O.�L, `�, v✓L.CS W�'t`t"WIU� �Tcn tflxssee ) Ownerll.essoi Address Address Addres5 or unit to be inspected X00 Date c NN t CITY OF SALEM, MASSACHUSETTS • �v •"m, BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR i SALEM, MA 01970 9B�H1N61�"" TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #245-08 DATE ISSUED: 5/28/2008 Property Located at: 31 Perkins Street UNIT#6 Owner/Agent: Jim Whitmore Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 978-844-0111 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Vim- - JOANNE SCOTT, MPH, RS, CHO oz,10— HEALTH AGENT C E ENFORCEMENT INSPECTOR ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 • • 120 WASHINGTON STREET, 4TH FLOOR M -� SALEM, A 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT "'S'T UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONB.hC' PLEASE CIRCLE ONE OWNER/LESSER UNI-MCM LMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS OLY-) 'Z ktA A YZ&A'V3 ADDRESS CITY C5Z-UUC-�ZS (?-fl— CITY 11� RESIDENCE PHONE 9'T�' A' k-011 k BUSINESS PHONE (24 HRS.)�'`�� BUSINESS PHONE TOTAL NUMBER OF ROOMS: -1 ROOM USE: 1. Kl 2 'LQ_ 3. 4 f�1� 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. / i APPLICANTS SIGNATUii€ -�/ DATE ItfAZ4 idWt INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ,568/7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ TYPE OF UNIT: DWELLING _OTHER--- CHECK #/ CHECK DATE NOTES: v C ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FA1(978)745-0343 MAYOR ISCOTlYRSN.EM.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 XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Or/Lessor 7/ J1��2r4u-4 Si SRzc (I 02-4 S'm�kf) Address Address Address on unit to be inspected Date ' �ooND(TA -� City of Salem, Massachusetts 10 o � Board of Health 120 Washington Street, 4th Floor, Salem, PutblicHeaith MA01970 Prevent. Promote. Prot,et, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Mayor lramdin@salem.com Larry RameMPH, REHS,cHo Ma Ha y � Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-361 DATE ISSUED: 11/2/2015 Property Located at: 31 PERKINS STREET UNIT#7 Owner/Agent: James Whitmore Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(978) 281-0111 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 .�4 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITA IAN e �` • U CITY OF, SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"`FL.00R PabliCHeaith STREET, Prevent.Promote Prokd. TEL. (978)741-1800 FAQ(978)745-0343 KIMBERLEY DRISCOLL, lram&n(a)salem.com MAYOR L,uzRv R,�nmm,izsjactls,a Io,(T-F", I11C,11;rlI A(;LNT 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 �) �CJZ �� 5� UNIT#— IS THIS UNIT DISIGNATED AS RIGHT LEFTRF ONT OR BACK PLEASE CIRCLE ONE OWNF,R/LESSER J�V S MANAGER!AGENTNO P.0,BX ADDRESS (D G'LA Sk-CA ADDRESS CITY, STATE,ZIP l M-CRS(-'F-'1b Rte-- OA 00V CITY, STATE, ZIP t�� RESIDENCE PHONE 9 (' t Q 1 t t BUSINESS PHONE(24FIRS) BUSINESS PHONE (�E// TOTAL NUMBER OF ROOMS: (.P ROOM USE: 1. 'rSt'n 2. r An< 3. Of') 4. A") 5,4"C � 6.Lv tnV-7. Kii 8. 4. 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 E OF INSPECTION APPLICANT'S SIGNATURE �Y/ DATE y Inspectors use only Date on initial inspection: l C� r7 Date of reinspection: J Date of issuance of certificate: Date fee paid:_ jal 15 Type of unit: Dwelling Other Check# 59 4a. Check date: M t nt/'s, Notes: CodeCode nfo�ent Inspector — L — — — — — — — - City of Salem, Massachusetts Y �;' u 3 9 Board of Health 120 Washington Street, 4th Floor, Salem, Ham+ th MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-362 DATE ISSUED: 11/2/2015 Property Located at: 31 PERKINS STREET UNIT#8 Owner/Agent: James Whitmore Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(978) 281-0111 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 oneY ear 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 Lv Do�1f.�i' n Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY 01; SALEM, A/L-ksSACHUSL?TTS Cllr BOARD OF HEALTH 120 WASE uNc,ruN SSt'Rxr'r 4"FLuolz PublicHealth Pmv<n[.Prumum Pm,ecl TrL. (978) 741-1800 F.-\X (978) 745-0343 KIMBIERI EY DRISC:OId_ lramdin([_t�salem.com_ MiNYOR LARRY RAMI)IN,RS/REHS,CHO,CP-ES I IEAI;I'H AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT I V�vC tCe C ' UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER IflvwC` (J)k)71 tyttf.)ZQ MANAGER/AGENT NO P.O.BOX Q, '1 ADDRESS CD �� 5�'L `` A_�s ADDRESS / CITY, STATE, ZIP `/ 'Lt CITY, STATE,ZIP c RESIDENCE PHONE 1tt_�Z('6 1 < ( BUSINESS PHONE(24HRS) —0 L I BUSINESS PHONE _'�l I " - U < TOTAL NUMBER OF ROOMS: 11lz;�_ ROOM USE: 1. (3CN 2. 3. L 2 OctrlaAe. �►�`-�` 6. 7. 8. 9. I 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 PAYAB ME OF INSPECTION 1 APPLICANT'S SIGNATURR__ - DATE -- — - Inspectors use only Date on initial inspection: �O� a rj Date of reinspection:�r Date of issuance of certificate: 1 Date fee paid: 10 fill�5 Type of unit: Dwelling Other Check# 5cy _Check date:/ Notes: Cod fo•c ment Inspector ' ✓ - � " D City of Salem, MassachusettsIV Board of Health 120 Washington Street, 4th Floor, Salem, Pob1iCHPalt11 Prevent. Promote.Protect. MA 01970 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-16-118 DATE ISSUED: 4/8/2016 Property Located at: 31 PERKINS STREET UNIT#9 Owner/Agent: 31 Perkins, LLC Address: 6 Old Salem Road City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(781) 8440111 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 O�—7A� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HF-iI.TH 120 WASHINGTON STREET,4"FLOOR rrc. hCma,.� TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a).salem.com LARRY RA MllIN,RS/RL'IfS,CffO,CP-FS MAYOR HI!ALTH 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" c FEE: $50.00 PROPERTY LOCATED AT ) 1 CSL VC.t kA� S I UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEEP FRONT ORB PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX ADDRESS (o (,r) A CAI.tio"v 1LVVW ADDRESS (0 C:,_o SIN-L�fl Vl iI� CITY, STATE,ZIP C 1(10 Ter'\lrLA- CITY, STATE,ZIP G kC1 RESIDENCE PHONE `C(t 1 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: /�� ROOM USE: 1. L� 2. 4'-5-0 3. \L- r— 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 APPLICANT'S SIGNATURE !� � "- DATE Inspectors use only Date on initial inspection: q1to V/2n2 b, Date of reinspection: Date of issuance of certificat h_l b, Date fee paid: &Y10 VI)0.14' Type of unit: Dwelling Other Check# Check date: OMOV12014 Notes: Co n rcement rector To Whom It May Concern : Re Unit 9 April 4, 2016 James Whitmore has my permission to enter and show my Apartment to City of Salem Health Department staff. Signed : d-c� 21k-. Carlos Castillo, Tenant } �coNa City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PubliCIiealth MA01970 Prevent Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-64 DATE ISSUED: 5/5/2015 Property Located at: 32 PERKINS STREET UNIT#1 Owner/Agent: Congress &Ward LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-8071 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN a CITY OF SALEtiI, MASSACHUSETTS Bc Aiw cn IIL_ UM 120WVSHIN ,FON SiREEr,4 " F OIR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (97R) 745-034' MAYOR i.RAMI)IN(�S ]Ai,%LC()At LARRI 16/1z1;1 fs,(:I G), lluau:rlI (;FN 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 32 Perkins Street UNIT# 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Coneress& Ward LLC. MANAGER/AGENT North Shore Prooertv Manaaers.lnc. NO P.O.BOX ADDRESS 106 Lafavette 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: LLiv. Room 2.Kitchen 3. Bedroom 4.Bedroom 5. Bedroom 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE S PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 2� DATE 4/29/15 I-U r ✓Inspectors use onlv Date on initial inspection: I� 0I 1c; Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code ofement Inspector �> coxes CITY OF SALEM9 MASSACHUSETTS �v �w BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR fps SALEM, MA 01970 TEL. 978-741-1800 Mine FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#262-08 DATE ISSUED: 6/3/2008 Property Located at: 32 Perkins Street UNIT#2 Owner/Agent: Robert Visone Address: 23 Symphony Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 617-594-2265 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • � a • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIM 3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR ismrrno SAi.FiNf.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUUMM STANDAR1 SSOtF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT cJ' ��I t`� UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT O �P E CIRCLE ONEr7� OWNER/LESSER "r� V MANAGER/ ENT �OVK �Tfi�✓�% V" ADDRESS ,j3 -R/0&1DhanV 'Rb ADDRESS CITY,STATE,ZIP Vio 17((b "I� 6) 7(!(00 CITY,STATE,ZIP l l/tet Sal Com,rI`� QZ�J (� RESIDENCE PHONE Ul C l �-n lp 3o6 BUSINESS PHONE (241IRS) BUSINESSPHONE TOTAL NUMBER OryF�ROOMS: � / `I p. . ROOM USE: 1. I-� � 2. �� 3. v V� I 4. Q-` 5. 6. 7. 8. 9. 10. THERE IS A TW ENTY-FIVE($ ) OLLY.R FEE, PAYABLE BY CHECK OR MONEY ORDER TO T HE Cl Y OF SALEM BOARD OF HEALTH FEE IS PAYABLE AT THE TIME OF INSPECTION Vr APPLICANTS SIGNATURE ODATE I Inspectors use only Date on initial inspection: '3 'Ot Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling-----� _Other Check# Check date: Notes: SC,a)�v �. km4Z)17)v K)Tv)ia,3 S" 34lb tode Enforcement Insp for CITY OF SALEM, MASSACHUSETTS + + BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREIRNBAUMQSAI.rm.com DAVID GRL:I NBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#654-09 DATE ISSUED: 12/28/2009 Property Located at: 32 Perkins Street UNIT#2 Front Owner/Agent: Sushi Realty C/O Joe Melo Address: 40 Trinity Avenue City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone: 617-306-1616 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 14& I I DAVID ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRF_.ET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGUTNunun[(n�SAuau.COM DAVID GREENBAUM, 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: S50.00 PROPERTY LOCATED AT PeC k OS (S 11UNIT# a fro/?f ( IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER J Yu `lao Toe M e 16 MANAGERI AGENT NO P.O. BOX ,J7R6006 ADDRESS -/Ot N!`7 y flV-Q • ADDRESS CITY, STATE, ZIP `/NN CITY, STATE,ZIP ON05 RESIDENCE PHONE I _3O 6` 6 h BUSINESS PHONE(24HRS) 6 f7-306- 1616 BUSINESS PHONE 617- 3o6-1616 TOTAL NUMBER OF ROOMS: ROOM USE: 1. Z, P-- 2. 7 , R 3. R- 4. R 5. K+dX , 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY T THE TIME OF INSPECTION / I APPLICANT'S SIGNATURE � J DATE I IZ/Uq Inspectors use only Date on initial inspection: l Date of reinspection: Date of issuance of certificate: I a 1 a do I Date fee paid: I a, 13 fID 9 Type of unit: Dwelling-- LOther Check# x a d`� Check date:_ 1 a, gl9 Notes: -�y 'f6 �x fu(A06(- 0/I 41 a fPW RfUhS 61 ((d1r, Code Enforcbnebt Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRMNBAUM0..SN.IdM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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 �ie yo 'TK,Pjiq Ne . Allov,I[R. UIM- Address Address Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETI'S lu BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOORPublicHea Ith proven[.Yr"moM.PlOw TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lratndin(c salem.com - LAltltY RAAiIAN,RS/RI?FI5,CFIO,CP-PS MAYOR HI?r11:CI I AGENT CERTIFICATE OF FITNESS CERTIFICATE#340-13 DATE ISSUED: 9/26/2013 Property Located at: 32 Perkins Street UNIT#3 Owner/Agent: Dan Botwinik Address: P.O. Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 24 Hour Phone: 617-649-6948 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B ARD OF—HEALTH L BUY LARRY RAMDIN HEALTH AGENT SANITARIAN 10 CITY OF SALEM, MASSACHUSETTS 'SCJ H'I BOARD OF HEALTH 120 WASHINGTON STREET,4 "FLOOR PublicHealth PreyentTEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdinna.salem.com MAYOR LiUiltl"xAnmrIRI iN,xs/x ,i�s,c ,CI'-FS HEAL CII AGFN'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" n FEE: $50.00 PROPERTY LOCATED AT 2 C e N (—Wk,N St UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ON`E, _ OWNER/LESSER JG-,V� �� MANAGER/AGENT NO P.O. BOX n ADDRESS r 0 --�;dc")ZZPADDRESS CITY, STATE,ZIP L-0 3-L� 02-2-OS— CITY, STATE,ZIP ( \ f� RESIDENCE PHONEBUSINESS PHONE(24HRS) C6 � ) 6 4 v/,` roc4s s BUSINESS PHONE (\ TOTAL NUMBER OF ROOMS: S ROOM USE: 11. V k2. l` 8. 60-24 . 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 D ��% "^ 'G DATE q12-6113 InsDectors use only Date on initial inspection: c� 3 Date of reinspection: Date of issuance of certificate: CI'�-b'1 Date fee paid: i/dl�� Type of unit: Dwelling 1 Other Check#_Check date:� 1 J Notes: ode Enforce entInspector I CITY OF SALEM, MASSACHUSETTS • " BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 HINMERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREUNBAUNInaSALENLCO.M DAVID GRL•'GNBAUNI ACTING HI ALHI AGI.N'r CERTIFICATE OF FITNESS CERTIFICATE #381-10 DATE ISSUED: 8/11/2010 Property Located at: 32 Perkins Street UNIT#3 F Owner/Agent: Rosita Visone Address: 15 Huss Court City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone: 617-306-1616 • An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO D OF HEALTH DAVID GREENBAUM C4 �an�i.C�U ACTING HEALTH AGENT COAD /EErNFORC INSPECTOR • CITY OF SALEM, MASSACHUSETTS 3�1�1� BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TF--L. (978) 741-1800 KITNIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR D(1;1U!uNBAUN1n0SALVNt CONI DAVID GREENBAUM, 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." p �/'' FEE: $50.00 PROPERTY LOCATED AT -!K2V-�'I`�A5 St' * UNIT#—Z/' SIS THIIS�UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE �CIIRCLEEyONE \ OWNER/LESSER e-F06) 1 ` eJO� 903i7f} 1/1e b MANAGER/AGENT r10e Y t Q lU NO P.O. BOX ADDRESS /"? A15$ ADDRESS CITY, STATE,ZIP 1101VAJ / V009 . O/gas CITY, STATE,ZIPRESIDENCE //+ /6// // BUSINESS PHONE PHONE ~ / { BUSINESS PHONE(24HRS) COl�-306 hlb (rl/7_306 TOTAL NUMBER OF ROOMS: , ROOM USE: 1. 2. Bab 3. Kb 4. K(n/V— 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 G%%% DATE X11110 / / Inmectors use onlv Date on initial inspection: a/ I l I I f) Date of reinspection: O _ Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other { Check# -1) Check date: v Notes: kce,tl (W-J � 7 e/ n C Code 14afdrcement Inspector .3 e " CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR PublicHealth Pre.em,Promote Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdina.salem.com - LARRY IL\bIDIN,RS/RF HS,CHO,CP-PS MAYOR HF AI,fl-I AG ENT CERTIFICATE OF FITNESS CERTIFICATE#341-13 DATE ISSUED: 9/26/2013 Property Located at: 32 Perkins Street UNIT#5 Owner/Agent: Dan Botwinik Address: P.O. Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 24 Hour Phone: 617-649-6948 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwellin /Rcomin Unit at the above address has been approved and is in compliance with 9 9 PP P 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 I LA RAMDIN HEALTH AGENT SANITARIAN C11Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PublicHealth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOI.L lramdinO.salem.com MAYOR LnRRv RnnmiN,Rs/�u�:i(s,ci 10,cr �s -i HFAI rr-iAcF: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 V Z N v\ �:-L UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �-'1 10�`\ c - Ati A 1L MANAGER/AGENT �U�.✓� 1 r1� 1 �� NO P.O. BOX/� n ADDRESS •i 0 &,K SS Oat Z� ADDRESS —� CITY, STATE,ZIP CITY, STATE,ZIP rr �( RESIDENCE PHONE BUSINESS PHONE(24HRS) I� �� 64i 6� `g BUSINESSPHONECC7� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. L y 3. JQ 4. 5. 6. v 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 r APPLICANT'S SIGNATURE ��--- —� "^�� DATE 'I Q Inspectors use only Date on initial inspection: ) - Date of reinspection: Date of issuance of certificate: - �� I Date fee paid: (� )' 2-b' 1 Type of unit: Dwelling_�Other Check#Check date: -1 66// Notes: CadeEnfo cement Inspector CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOORPllblicHea Ith Prevent Promote.Protect TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnasatem.com LAItRI'&\t•[I)IN,RS/RI?I-iS,CI10,CP-PS MAYOR HIiALTF1 AGENT CERTIFICATE OF FITNESS CERTIFICATE#339-13 DATE ISSUED: 9/19/2013 Property Located at: 32 Perkins Street UNIT#6 Owner/Agent: Dan Botwinik Address: P.O. Box 5507#49220 City/Town: Bston, MA Zip Code: 02205 24 Hour Phone: 617-649-6948 Pursuant to the requirements of City of Salem ordinance Chapter 2 Art cle 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 IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH R DIN / HE AGENT N CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"°FLOOR � bCmo,�g p TEL.(978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdinQsalem.com MAYOR LAxlt1'1tAMllIN,RS/MHS,C.IiO,Cl'-fS HEAL m 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.'01i0 PROPERTY LOCATED AT 32- Off(L Lk3 �� s UNIT# IS TRIS UNIT\\DISIGNATED AS BIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNEWLESSER MANAGER/AGENT `14a-02W NO P.O.BOX ADDRESS �� \ dcQ2ZagDDRESS CITY, STATE,ZIP o'-?s�J- CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)l( BUSINESSPHONE '846i 1091 4- \ TOTAL NUMBER OF ROOMS: 4- ROOM -ROOM USE: 1. 2. II - 3. 5. 6. 7. 8. J 9. v 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 l f Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Cii-IS-"� Date fee paid: q-"2-16-/l Type of unit: Dwelling—L// Other Check# / S Check date: Notes: i I Code Enforcement hispector r r.nr- 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#519-06 DATE ISSUED: 1013112006 Property Located at: 34 Perkins Street UNIT# 1 Owner/Agent: Jesus Franco Address: 34 Perkins Street#3 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-2813 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards Of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUS s BOARD OF HEALTH 1 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745.0949 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATr�i UNIT a_1_ IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER -PAUS_ C —MANAGER/AGENT No P.O. Box 6} No P.O.Box ADDRESS !�� lL ,t ILS �` ADDRESS CITY � '3 Yl CITY --- RESIDENCE PHONE+-3f_ !aD-l t _BUSINESS PiiONE (24 HRS.)5l k'_ 1 .11 -a S'G I` BUSINESS PHONE p�- TOTAL NUMBER OF ROOMS J ROOM USE: 1._1 .._ 2 - - -3 - 4, -JS- - 5.,- -F'--- -7. f3. -- 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 - rr,rf r(4CJ Gtr.._ _ _DATI R9-2-PKCTOiRS USE ONLY /r0 b DATE OF PEINSPFCTION DATE OF INITIAL I SPECTION �� 3- _ - DA1'cOFiSSUAN(;EOS- t:ERTIFICATF/0 -Y-O.'4 DAISFi=i PND'./d- p� 4''% y TYPE OF UNIT DWFtt INGf OTHER - Ht t:Y i 3 CHECK I)AT= NOTFS GOD! 1 0" 00B,14i City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-262 DATE ISSUED: 7/22/2016 Property Located at: 35 PERKINS STREET UNIT#1 Owner/Agent: Malkit Signh Address: 21 Victoria Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 588-9009 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 e—--t� akLo/.�x Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN �\ y CITY OF SALE M, MASSACHUSETTS BOARD OF HGAJA 120 WASHINCrON STar_r•.r 4T'FI.OcR TLL (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LPLANDINnO SAI.EM.CoM LARRY RAMDIN,RS/RRHS,CHO,CP-FS HL•ALTI-1 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" n FEE: $50.00 PROPERTY LOCATED AT f�I� 1� N J UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �D1X�Z �) C JIJI/L'� MANAGER/AGENT ADDRESS �( V)"117 02-k �PdIPD -'3P2-FrtADDREss CITY, STATE,ZIP-5"p/ FO YVI ws`C�[070 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE (27/Y —� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5- 6. Li 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.014— DATE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 1014— DATE 2-1_��j/� Inspectors use only Date on initial inspection: o--)'71z..11Ln1 C, Date of reinspection: Date of issuance of certificate: ®7/21 n1.6 Date fee paid: 2�1 Type of unit: Dwelling Z— Other Check#—W Check date: ©�/2 01-9� Notes: RedIbOm npltrecl ronr ep, r"rt- r1wr Aids .,i'AJOw ,.."*A C rArkJ lass. C n rcement Iy pector 7> O-D" GLASS CO., INC. � do- i d '�3 FO YYLf`!STREET PEA OPY.MA 07900 3?E 3522 NO MEBCHANDPSE DEMERED WIT OUTTHIS CHECK.NOT RESPONSIBLE FOR GOODS LEFT OVER 30 DAYS NOR FOR LOSS BY FIRE OR TREK, CLAIM CHECK 1247 r 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 � } t } Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-231 DATE ISSUED: 7/6/2016 Property Located at: 35 PERKINS STREET UNIT#2 Owner/Agent: Malkit Signh Address: 21 Victoria Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 588-9009 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 Dvveiling/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 &e Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT k CITY OF SALEM, MASSACHUSETTS BOARD of HGALTH 120 WASHINGTON STREET,4"FLoc)R TEL. (978) 741-1800 KWBERI,EYDRTSC011, FAX ()78) 745-0343 MAYOR LRA1,IDIN(c,SA1->im.00M LARRY RAMDIN,RS/REHS,CHO,CP FS HEALTI-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 2C P FU SF S Pel/i- b )6 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Y)J YJ V f) jI �j )a MANAGER/AGENT \ NO P.O.BOX ADDRESS1 Il 1 GT��Y �l o��L" ADDRESS CITY, STATE,ZIP S}�/ li - // ' S�- G)rl 7b CITY,STATE,ZIP RESIDENCE PHONE 17G- 0' �i�G BUSINESS PHONE(24HRS) BUSINESS PHONE 0k??3 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 THE TIME OF INSPECTION APPLICANT'S SIGNATURE M�&, DATE lA�6f� Inspectors use only Date on initial inspection: 0 7�t7 S12 )t 6 Date of reinspection: Date of issuance of certificate:0'110§--12oU Date fee paid: 07165-12DIZ Type of unit: Dwelling-Other Check#_Check date: ()Z�2V2 LC Notes: #ef/oeZm"ent Insg�ctor CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 9I 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978.745.0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#536-07 DATE ISSUED: 10/30/2007 Property Located at: 34 Perkins Street UNIT#3 Owner/Agent: Jesus Franco Address: 34 Perkins Street#2 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. F THE OF EALT 64.E JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS isBOARD HEALTHS 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT Sf /'R�r-X t_,t/_' C% UNIT#,3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER TQc_50(- G MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Zc/ Aev-elt':jt ST ,Q-2 ADDRESS CITY Xc- CITY RESIDENCE PHONE dt'S3- 2l - 0,0BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS. ROOM USE: 1. 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 DEPk RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 1e ,E j"t �. c b DATE /0-30- Z NSPCTOR JSE ONLY DATE OF INITIAL INSPECTION /d- 3 C DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.A0, 3! —0/ DATE FEE PAID 7�.3� y TYPE OF UNIT, DWELLINb<OTHER CHECK # CHECK DATE/d -3 b NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 4 s _ 124 WASHINGTON STREET, 4TH FLOOR j SALEM, MA 01970 - TEL. 978.741-1800 FAx 978-745.0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#172-08 DATE ISSUED:4116/2008 Property Located at: 35 Perkins Street UNIT#2 Owner/Agent. Damaris Fernandez Address: 35 Perkins Street#1 CityTrown: Salem, MA Zip Code: 01970 24 Hour Phone: An Inspection of your vacant DweliingiRooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Cade, Chapter It" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate Is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied- Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F THE BOARD OFtE JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I�� • • 120 WASHINGTON STREET, 4TH FLOOR ' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE ScoTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3S P�t_C.i v\t 's UNIT#2 IS THIS UNIT D SIGN�ATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lp r' SMS 1i� � 2_ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS3� �41t ng S� AP'f' I ADDRESS CITY CITY RESIDENCE PHON2978-44q-4,3x5 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. C---3. 4 / 5.- 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 INSPECTION14 — I ' � DATE OF REINSPECTION[ DATE OF ISSUANCE OF CERTIFICATE#-�� -�eDATE FEE PAID: TYPE OF UNIT: DWELLING/ OTHER_ CHECK# 14 0 CHECK DATE _�� l.A014g7480) NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 OOND1gA // City of Salem, Massachusetts 9 Board of Health ��,� 120 Washington Street, 4th Floor, Salem, Puth b11Ceal MA 01970 PrHe 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 M GHL-15-357 DATE ISSUED: 10/27/2015 Property Located at: 36 PERKINS STREET UNIT#1 Owner/Agent: Ruben Baez Address: 50 Valley Street Cityffown: Salem, MA Zip Code: 01970 24 Hour Phone:(978)766.7513 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 Larry Ramdin, MPH, REHS, CHOP / HEALTH AGENT SANITARIAN 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET'e FLOOR TEL. (978)741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMT)FNnaSAI.F,M-COM LARRY RAMDEN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT (e P ER K t N S STRUT UNIT# 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER RUIN BAF,Z MANAGER/AGENT NO P.O.BOX ADDRESS SO VALLEY SIREF'T ADDRESS CITY,STATE, ZIP SALEM Mlk OIA7n CITY, STATE,ZIP RESIDENCE PHONE (q-7k) 76(g7513 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1.KIrcwEN 2.bINMCtgd3.UVING RM4.AAtAg0DM 5. l3EDROoH 6.6EbIzb1)M TREDR" 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION cc�� // // APPLICANT'S SIGNATURE r��c,_ ./)3 DATE 10—GC9 466 Inspectors use only Date on initial inspection:J-6126121)9.5- Date of reinspection: Date of issuance of certificate: loxg Date fee paid:1-812442W— Type of unit: Dwelhng__Other Check#21.YO Check date: In12-6/zo151- Notes: a r r 1 OF, L m �a s o.- w:ALw wr 0 s n rrr ry v wlnlw f .4 iSo w, kos M1331np SC re9A/ C rcement IXector k CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR Ptiblicmliealth TEL. (978)7414800 FAx(978) 745-0343 KIMBERLEY DRISCOLL IramdinOsalem.com LARRY RANIDIN,RS/RENS,CI 10,CRI"S MAYOR HF.A1 XH AG FNT CERTIFICATE OF FITNESS CERTIFICATE #193-13 DATE ISSUED: 5/24/2013 Property Located at: 36 Perkins Street UNIT#2A Owner/Agent: Edward Trainor Address: 41 Pine Street City/Town: Chelsea, MA Zip Code: 02150 24 Hour Phone: 617-592-3091 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN �$�65 i f , r CITY OF SALEM, MASSACHUSETTS 1 1 BOARD OF HEALTH 1` 120 WASHING'T'ON STREET,4t"FLOOR PabHcHealth Prevent Promore Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnn.salem.com MAYOR L,-�xlly xAnmlN,xs/xHi-Is,cl 10,(T-FS HHALTI-1 AGLINT Application for Certificate of Fitness' IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT i MLkter S sl- UNIT#- IS THIS UNIT DISIGNATED AS RIGHT LEF IRONT BACK.PLEASE CIRCLE ONE OWNER/LESSER Ea%✓Arta oa, rof MANAGER/AGENT NO P.O.BOX ADDRESS i%r: cf ADDRESS CITY, STATE,ZIP ll /,cw 1W da/)v CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S" ROOM USE: LJa-7aw,,L 2. &r,6rD1 3. 150 [ao.� 4. kkYdvt� 5. 6.4 L144,v/ 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 Y LEE AT TH TIME OF INSPECTION APPLICANT'S SIGNATUREC/7J2t DATE �j Inspectors use onlv Date on initial inspection: /V"[ I 1 Date of reinspection: Date of issuance of certificate: Date fee paid: , Type of unit: D Ili ng Other Check#_ "l Check date: _ Notes: t,)C& -) Code 7n pector F CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PI1blicHealth - TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL 1ramdin0,salem.com MAYOR LARRY RANIDIN,ILS/REI IS,CI10,(31-FS HI'.A1.I'1l AGIXT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. X4 / S'1�i✓C&f EJ1y')n.4 Tenant/Lessee Owner/Lessor 'wel 't e 5'i AV d C, /rr r sof als-0 Address � �/lf`�' Address (./� 36 PFRIG;ys 51 Address on unit to be inspected Date Updated 523/11 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ( 8 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#757-05 DATE ISSUED: 12/29/05 Property Located at: 36 Perkins Street UNIT#2AA Owner/Agent: Francisco Pena Address: P.O. Box 69 City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-317-1095 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 HEA oe - e JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR xr , 40 CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR ✓ SALEM, MA O1970 ^ �Dl� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 36PE k IA-1 N S C UNIT# � IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSEl(RR� 11 KA/U!F'1ICts 9 ,, MANAGER/AGENT ADDRESS oX tl D l�a Xf- - N ADDRESS M • S� CITY �P_ A G� CITY Pe A RESIDENCE PHONE 9751?//-/0 BUSINESS PHONE (24 HRS.) BUSINESS PHONE -�-�-� TOTAL NUMBER OF ROOMS: �• ROOM USE: 1.132� 2. Kb 3. >�P- 4. K 5. &F?� 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. p� _ APPLICANTS SIGNATURE Y- n 4� CA.Gt1 I e � , DATE P - t:�2 69 1 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I2.,2 Q •O) DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 12,Z9•o+, TYPE OF UNIT: DWELLING YA OTHER_ CHECK# 2-)3 CHECKDATE12-•Z� ,Qi NOTES: 13Z?'R11 0% 101111 41040K 1 CODE IkOO CEMENTTNSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#367-06 DATE ISSUED: 7/31/2006 Property Located at: 36 Perkins Street UNIT#213 Owner/Agent: Nalda M. Baez Address: 16 Witch Way City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-3762 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 / qvi.a,� : JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR Q SALEM, MA 01970 V w TEL. 978-741-1800 FAX 978-745-0943 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 _ l ''u S 5 _UNIT# IS THIS UNIT DESIGNATED )ASIR GHTLEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER A , AA G Z-MANAGERIAGENT No P.O. Box No P.O. Box CITY_� CITY RESIDENCE i RESIDENCE PHONE_7k,�7ty-_. OWSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS Cv ROOM USE: 1.- 2. .--_3._ 4. 7 & 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 INSPECTION. APPLICANTS SIGNATURE c�� k / ---DATES 'O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION y �'_t_ �_� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATF.773 , O (-_DATE FEE PAID TYPE OF UNIT DWELLING_ OTHERCHECK a_ 7Q5CHECK DATE CODE ENFORCEMENT INSPECT OR 9i28/98 r Hca CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,SALEM, MA 01 970TH FLOOR NBp I/(pt TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#405-04 DATE ISSUED: 09/01/2004 Property Located at: 36 Perkins Street UNIT#4 Owner/Agent: Adolfo A. Lopez Address: 39 Buffum Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7165 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 976-74 1-1800 FAX 978-745-0343 STANLEY LISOVICZ, 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 I AIUNIT#-!y IS THIS UNIT DESIGNATED AS RIGHTS IGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSERA.2)-O"F - tj0jqjZ_MANAGER/AGENT No P.O. Box No P,O. Box ADDRESS_L2_� &f-�,4 15 4 # 1 ADDRESS CITY-!S RESIDENCE PHONE 9 7,�-7 Y>:-7 'BUSINESS PHONE (24 NRS.) BUSINESS PHONF TOTAL NUMBER OF ROOMS: ROOM USE: 2. _3. -4 It- 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 Y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '4- 1 -0 DATE OF REINSPECTION L DATE OF ISSUANCE OF CERTIFICATE: 0 � DATE FEE PAID: Cl - TYPE OF UNIT: DWELLIN WOTHER CHECK#j_q_.I- _CHECK DATE-9 - NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SA 1,E.M, )4ASSACI-IUSl3'TTS I1O,\RD Or 1-IEA1,T1r 120 WASHINGTON STREI-Cl' 4...FLOOR NblicHealth rmv.m.r„mm� nrmna. (978) 741-1800 F,\x 0978) 745-0343 KIMBERLEY DRISCOLL lranulinn_sAcm.com T.;112R1'R,\611)IN,RS/RI:I IS,CI R 1,CP-I�� 1 IA YOIt ti r,\i:ru A(;i tN'r CERTIFICATE: OF FITNESS CERTIFICATE #010-13 DATE ISSUED: 1/10/2013 Property Located at: 36 Perkins Street UNIT#4-R Owner/Agent: Adolfo Lopez Address: 39 Buffum Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply wi ih 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 O" `° � HEALTH AGENT SANITARIAN . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WA6HINGTON SrRF.ET,4`'FLOOR TFL. (978) 741-1800 I TIVIBERLEY DRISCOLL FAX(978)745-034.3 MAYOR I,RAMD]N(tt1W HIM.C(Al L.AItIkY RU'il)IN,lift/R FJ IS,(:I IU,(T-ISS Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CIIAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED A'i'_, ' LAK/�l UNIT# IS'fl'fIIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERgMDOA9 �G (0N4,49-^ WAAGER/AGENT ADDRESS 3 Ju �u�J /° ADDRESS CITY,STATE,ZTP-a`A�/y Pfi' CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(241IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. 4. 5. b. 7. 8. 9. I0, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP ABLE AT THE E OF INSPECTION ��( / '^2/✓ -�� APPLICANT'S SIGNATURE �'�O DATE /3 Insuectors use only Date on initial inspection: Date of reinspection Date of issuance of certificate: --i d-) 3 Date fee paid: I~)'*,13 Type of unit: Dwelling ✓f Other Check# _.Check date: Wo-)3 Notes: `' �K l,. Code Enforcement Inspector CITY OF SALEM, MASSACHUSE'I"TS BOARD OF I IFA LTH 120 W.ISYIING1'ON SI'ItFE'1',4"'FLOOR PublicHeplalth '.CEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOI L Iramdin tt7�salem.coln i�'IAYOR 1,..\RRl'li:\1dDIN,RS/RISI tti,0I0,CP-I'S IIl•'.AM I f AGINT CERTIFICATE OF FITNESS CERTIFICATE#207-14 DATE ISSUED:6/17/2014 Property Located at: 38 Perkins Street UNIT# 1 Owner/Agent: Jose R Amarante Address: P.O. Bax 615 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-489-8873 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH i IAN �� ) HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Bo ARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR1�11�I�CHe�th Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin( .salem.com MAYOR LARRI'RAIVIDIN,RS/RF,IIS,C1 10,CP-I'S HEALTi i AGI:,NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 3X F' WCI rr1S Sl' UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT Zg?� h?- Aik�e d-u,r�f NO P.O.BOX ADDRESS ADDRESS 1?9 Lx:>y 691,S- CITY, ol,SCITY, STATE,ZIP CITY, STATE,ZIP S �(< I o(e{°ZD RESIDENCE PHONE BUSINESS PHONE(24HRS) C S�? -S18-1-7 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. drr 2. r 3. >3r" 4. LP 5. K0- 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 R DATE -Lq-�,@0/Cf Inspectors use only l Date on initial inspection: -2 Date of reinspection: Date of issuance of certificate: /n - 14' ) a Date fee paid: 6 , Type of unit: Dwelling-L-,-,'/ Other Check# S� Check date: �)`Iq Notes: r4iTam nLAeG�) VIotjz'lI ,P..)� L,)VNN G Code Enforc ent Inspector IPspection`of JY P&O.OWS (;T ZO Date (9h Time 9(J S Nam- -_ Address _ Owneti�' rt; #%^,b4Z,4fP1 Tel. No. Type of Inspection C-F1 Inspector ' h/ 1 }cam - ( ) Remarks and Violations are listed below: �Llvt.►IoJC,s OL-OPI�'(�11 VJI (]� CgQjt„+�,Gs � w ATSv S i Anal 1 v►J t�r� ��.ILA k�() - `IZk� L Lr--P%r. RirkO %-S%TfZ, T-T\")KC vktAk Arlo WAI1., 4��ar� �` � o�., �t�� LoaJ� Au�q i7Ac�t�l�eca I� rc� 6alR� Pct MIs �' T► ., a� k.�-�u wva z 1 ^` UZ Report Received by:��,�• C'~6,� nom_ v a Ijo pection of `'r- ST' Date tc17�I Time Q f J i Name Address r i Owner,�si,- Tel. No. � Type of Inspection G rl Inspector _ ( ' I Remarks and Violations are listed belowT'-161 PdL OtU1�-KA V')Q-L-p,f+I,gNS �2artTo SSvl t C-r- Ca-sliltIlir I�:,pI�(>c,4 lyra Z-n,�iltdtj fl,o c-Ee�S CW R&(`0-V4Drt\ 9n-)I-4R.>vNt, 4,ar-.) �n�� U�. 2 ��c�sarF� PCv) h'15S1 �'�1 Y Report Received by- �j lam!✓{ iz.�ni [/0 Y r v `oNDi" City of Salem, Massachusetts f ►. q Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 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-16-219 DATE ISSUED: 6/30/2016 Property Located at: 38 PERKINS STREET UNIT#2F Owner/Agent: William A. Sherman Address: 21 Pinehurst Drive City/Town: Boxford, MA Zip Code: 01921 24 Hour Phone:(978) 887-9558 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 L Jeffrey Barosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEAM'11 120 WASHINGTON SI Real,4T"R,OOR TtL. (97,S) 741-1800 KI1'vfBf.;R1, YDRISCOIJ. F:AX(978) 1145-0343 MAYOR LR.�alnrnnSALEM.Cc>M LARRY RAMDIN,RS/RF.HS,CHO,CP-FS Hti-1LTH 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: $50.00 PROPERTY LOCATED AT 38 AgKl/Ns 5'7d'1.22T UNIT#--dic IS THIS UNIT DISIGNATED AS RIGHT L$FT FRONT R BACK PLEASE CIRCLE ONE OWNER/LESSER i��l,�- PRMFh✓ MANAGER/AGENT -V4M9- NO P.O.BOX /j / ADDRESS ,21 l"6A/e lxsr- ,e, 80kA[e 01 ADDRESS S/J*e- CITY, STATE,ZIP 11 6 1,5 a-� CITY, STATE,ZIP d�qRESIDENCE PHONN)�7-9ssV BUSINESS PHONE(24HRS) °2X4/3 w-, P BUSINESSPHONH/T781 C/cF�-GD�s TOTAL NUMBER OF ROOMS: ROOM USE: 1. Lival�AP-2. 164 � a 3.DX1"YA 4L-r 5J eJA&-&A 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 AeT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �Y/�.�IGLr//l DATES 029_l(n Inspectors use only Date on initial inspection: 0612-912-016 Date of reinspection: Date of issuance of certificate/:D6�z nou Date fee paid:80--342=01L Type of unit: Dwelling V Other Check# �3 q(0 Check date:8 CM.1201 Notes: C 'rl cement pector �f �vv CERT.# 661-97 3 F. FEE $25.00 X11. IF DATE: 09/25/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FTTNESS PROPERTY LOCATED AT: 38 Perkins Street UNIT #: 2B OWNER/AGENT: William Sherman ADDRESS: 21 Pinehurst Drive CITY/TOWN: Boxford, MA ZIP CODE: 01921 24 HOUR PHONE: 596-1957 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE„CHAPTER II, 105 CMR 41.0.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". 2-AID RocA- 66tJT PROPERTY LOCATED AT Pf1j,QKt �yj}ilf AIS ST UNIT € ' (j OWNER/LESSER W J I.L AM d r-1Tr��lcMANAGER/AGENT ADDRESS ;Lj VwFhV2T. Dgl�$ %e- ADDRESS CITY TOXFDRD CITY RESIDENCE PHONE � , fZgr7-9458 BUSINESS PHONE (24 HRS.) f 3� BUSINESS PHONE_ y .�98-b3b3 — TOTAL NUMBER OF ROOMS: 15� ROOM USE: 1. 11( A19- 2. kjTda, 5. B)kM 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 SIGHATUREj p� DATE-,}`P 7j-,9'l' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �f C/J� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEF: PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I,r 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#29-06 DATE ISSUED: 1/25/06 Property Located at: 38 Perkins Street UNIT#313 Owner/Agent: Rosa Ovalles Address: 1000 Loring Avenue#A64 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-836-8958 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF H, EALTH r C4� ./ g6 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS / BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER If, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT&9 4641E 9S QST UNIT#J8 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ,,6,4 14WIle,-5 MANAGER/AGENT No P.O. Box / No P.O. Box 4 ADDRESS 107V 2/,2G ,A d ,V7,4-GyADDRESS CITY �a/u /77N CITY RESIDENCE PHONE 97f- d"90--/46.5 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER O/F ROOMS: ROOM USE: 1.�di//?dir.Y>in 2. ��3. _4. 11',1141- AW,1/ wy%16 5. Rvo�y -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 &d4 DATE O1- o2h- OG INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /-a > --O 6 DATE OF REINSPECTION DATE OF ISSUANCE OF CER((((TIFICATE:/-2-i o DATE FEE PAID: TYPE OF UNIT: DWELLING I OTHER_ CHECK #.19,5;2 CHECK DATE71_�� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 w11e `oND! " City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PiublicHealth 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-15-356 DATE ISSUED: 10/27/2015 Property Located at: 38 PERKINS STREET UNIT#46 Owner/Agent: Nalda Baez Address: 16 Witch Way City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 740-3762 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 O�--A4� 0*,/ /lf�4A�Gf' Larry Ramdin, MPH, REHS, CHO HEALTH AGENT 6ANITARIAN x CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET,4"`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRA.timnv(a).snr.m f.con[ LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT—,3B PER K t N 5 .STRE G'T UNIT#�� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CMCLE ONE OWNER/LESSER N{�LDA RAG-_ MANAGER/AGENT NO P.O.BOX ADDRESS Ila WITGHWAN ADDRESF CITY, STATE,ZIP___aA,I GNI _ M A DOM CITY, STATE,ZIP RESIDENCE PHONE (q-7 Q) 7 40-371oa BUSINESS PHONE(24HRS) BUSINESS PHONF TOTAL NUMBER OF ROOMS: `r ROOM USE: 1. VITCHEN 2.01RIN(T RM3.UVIhiCc P M4.8)'fHROoM 5. B97 IZOoM 6-BEDROOM 7. RFDRWAA 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 SP / APPLICANT'S SIGNATURE , DATE (/ Inspectors use only / Date on initial inspection: 10h 6/2i)15- Date of reinspection•__ Date of issuance of certificate: .mjs- Date fee paid: - 0` 19/9 atr Type of unit: Dwelling-/-Other Check# 171-0 Check date: 10fw2.D15 Notes: V n m ind irr bo Lye Flo tsr Co-rbm Mnnn xide dejea r rs 4 o 4�r 4rnm W✓'noIn 6 W wke,t�>rf Coe of cement rspector J t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t"FLOOR PublicHeaitth o Prevent Promote Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEYDRISCOLL Iramdin(c saleni.com - LAILIIY RAMDIN,RS/RGHS,CI 10,C11-FS MAYOR HR.ALTH AGM, CERTIFICATE OF FITNESS CERTIFICATE#122-13 DATE ISSUED: 3/26/2013 Property Located at: 38 Perkins Street UNIT#4B Rear Owner/Agent: Nalda Baez Address: 16 Witchway City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARM RAMDIN HEALTH AGENT SANITARIAN - a SaNLIW\has 1v'1 Irak CITY OF SALEM, MASSACHUSETTS J j BOARD ori HEALTFt 120 WASHINGTON STRE " �ZyW�i1�RR� Lti',�1 FLOOR PYawnt.PYOmote.Pmleel. TEL.(978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL hwndinLQsaiem.cani MAYOR LARRY aAMDIN,RS/1tEHS,CHO,CP-kS HEAj:m 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 �2>Ck\C1S -,-sfi- UNIT#_-..Z_._ ISI1THIS UNIT INSIGNATED AS RIGHT LEFT,1�V ORglig�PI EASE CIRCLE ONE OWNWLESSER �Ut�(� )a-e7 MANAGER/AGENT NO P.O.BOX ADDRESS i l rtCh OR ADDRESS CrrY,STATE,ZIP SCkUA(f\ ,Mj�)r ()J �-JC) CrrY, STATE,ZIP RESIDENCEPHONE 9�T "o a T a BUSINESS PHONE(24HRS) BUSINESS PHONE ��V TOTAL NUMBER OF ROOMS: ko. ROOM USE: 1. 2. 3. 4. 5. b. 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 Inspectors use only Sate on initial inspection: ALL46 113 Date of ceinspedion: late of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Cheek date: �� rotes: C i p ( VP ITT `i ",ode ent Inspector CITY 01, SAI_I M, MASSACHUSF'ITS BOARD OR HE.11.IYi 120 W,\SI[IN G rON STRCl f,4'°k'LOOIz •1`173.. (978) 74t-1800 KIMBERLE.Y DRISCOLL F.1R (978) 745-0343 MAYOR lramdin&).salem.com I.A WW RANIDIN,RS/REI IS,Cl f0,01-1", F11 i,U:1'i I AG I iN'1' Facsimile Transmittal To: �f S LCYy, 6,9-r f1 Q--s Fax # rl-') /Ll�H RE: � eK 7'0 A(AA<, 5 b l Date : Page(s): including this cover# Message: Board of Health News -----_____._-____.__-For Your Information OFFICE HOAR.: 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 TRANSMISSION VERIFICATION REPORT TIME 04/18/2013 00:21 NAME Fk" 9787450343 TEL 9787411800 SER.# 000BON341991 DATE.TIME 04/18 00: 20 FAX NO. /NAME 919787449614 DURATION 00:00:30 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR' _ SALEM, MA 01970 CERT.# 512-03 FEE $25.00 TEL. 978-741-1800 DATE: 10/01/03 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 11 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 45 PERKINS STREET UNIT #" 2 OWNER/AGENT: MARIO DUZZ ADDRESS: 45 PERKINS STREET CITY/TOWN: SALEM, MA ZIP CODE: 01970 24 HOUR PHONE: 978-740-0778 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH - JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I 'I t CITY OF SALEM, MASSACHUSETTS /I yib3 BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Z4 1-:5) P FIR kI'M s sT. UNIT# Pl, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER tM AAl O _D\A-7 ,7_ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS L- SOA--IF ADDRESS CITY CITY 1 RESIDENCE PHONE 9l&�P40077 VBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. k 2.L 3, T-2i 4. 5. 13 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� Y,? ✓U Z Z DATE 9/jffAe INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONG -( j� -0_5 -)ATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: !//,V 6 3 DATE FEE PAID: � G W `6 5 TYPE OF UNIT: DWELLING OTHER CHECK# I W? CHECK DATE'&I-L-d3 NOTES: nO r F s� CODE ENFORCEMENT INSPECTOR 9/28/98 ccm� CITY OF SAt.EN. MASSM]HUST;`i"I'S 120 WASrI1N(;t'c)N S'rtir.?r,1,4 FLOOR mH ()78)741-1800 l SAX (978)745-0343 KIMBERLEY DR ISCOLLLamdin�salena.com - L;\Rf2Y 1L\hn71 ti,t2ti f 1{Ai IS,is-rt>,f:Y-hS MAYOR I-1P,\I;rI-1 ACEN'1' CERTIFICATE OF FITNESS CERTIFICATE# 158-14 DATE ISSUED: 5/15/2014 Pro aerty Located at: 54 Perkins Street UNIT# 1 Ow ier/Agent: Carlos& Darien Huaman Adc Tress: 21 Southwick Street#2 Citi,ITown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-210-8189 Pw suant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 70: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vac ant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 10h CMR 410.000: Massachusetts State Sanitary Code, Chapter[I" Minimum Standards of Fitness for Human Habitation". Th>refore, 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 far one year from date of issuance or unfit the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FC+R THE BOARD OF BEALTH LF RRY RAMDIN Hf ALTH AGENT SANITARIAN O'n, ol; us]" I't's 120\V x SH IN(;'I( S I R 1:1:,1,4... Fl.00lt Public Health Pr"ent Promote Protect 11:].. (978) 741-1800 t:.\x (979) 745-0343 KINIBI!RIJ:,YDRISC'011 Itamdin(@.saletn.com MAYOR I. 11 wi I I \"I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 54 Perkins Street Salem MA 01970 UNIT# I IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Carlos Huaman MANAGER/AGENT Carlos Huaman NO P.O.BOX ADDRESS ADDRESS 5980 Saratoaa Ln CITY, STATE,ZIP CITY, STATE,ZIP Cooi)ersbur2 PA 18036 RESIDENCE PHONF, BUSINESS PHONE(24HRS) 978-210-8189 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. EIK 2. LVR 3. BRI 4. BR2 5. BR3 6. BthR 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 PAYAB ,J�QAT THE TIME OF INSPECTION APPLICANT'S SIGNATURE v DATE 5-94/ Inspectors use only Date on initial inspection: C:).(,I L-1. Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit; Dwelling Other Check# )31 Check date: Notes: Code Wokolnent Inspector _-. SND ' City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth NOW MA 01970 Prevent, Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-166 DATE ISSUED: 7/10/2015 Property Located at: 54 PERKINS STREET UNIT#2 Owner/Agent: Carlos Huaman Address: 4472 Calvert Place City/Town: Center Valley, PA Zip Code: 18034 24 Hour Phone:(484) 538-3967 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� 0 nil�f Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN f. C� 4 .. CITYOI i;U,l ;[\'l , MASS =VT] USIETTS 1211\\ \:IIim;I'( I II.( ( )R 'I'I.I (9 til i41-18() ) \1 \1 (m ),R.M4DJN,,i-S.UJ3M col.[ IIt to K \\11 I\. R�/It1 115 i I Ic 1.11 1 III \1 III \GI \ 1 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 c PROPERTY LOCATED AT ��I `��V1S S��eelei\IC`M UNTI'#�Z RIGHT I IS THIS UNIT DISIGNATED AS LEFT FRONT OR &PLEASE CIRCLE ONE OWNER/LESSER C A r \p S \V\\)C,MC M MANAGER/AGENT NO P.O.BOX i ADDRESS i-\4 IL„„ \V n`dr� �\CCP__ ADDRESS p, CITY, STATE, ZIP Cex\ke-�( VG\\2�\RA\%'A-CITY, STATE, ZIP RESIDENCE PHONEkkly” 5 3'9-3(i6l + BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: \, \S_\ ROOM USE: 11\�1n�rGuan . �F \ tl I�evt `� V*M 49: �YWX1 \ ^ `N\ 1. (W� 6 � g.\ THERE IS A FIFTY($50)DOLLAR FEE, PAYAB E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA E A HE TIME OF INSPECTION �p APPLICANT'S SIGNATURE DATE �\ (�� Inspectors use only Date on initial inspection: 07/021-2-n1S Date of reinspection: I'I Date of issuance of certificate:PJ7/0` 120 Date fee paid: 0710X/,200 5- Type of unit: Dwelling t/ Other Check#__Check date: Notes: (SetiA Co fo ement Ins ctor + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR D(aar:r:NR wMR(SM M.CON1 D,Nvu)GREENBAUM,RS Ac.'CMG HFdNI,I'hi A(;E.N'T CERTIFICATE OF FITNESS CERTIFICATE#77-11 DATE ISSUED: 3/22/2011 Property Located at: 54 Perkins Street UNIT# 3 Owner/Agent: Carlos Huaman Address: 21 Southwick Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 857-928-6025 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 AU -) DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I • � j e BOARD OF HEALTH 120 WASHINGTON STREET4... FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR COM DAVID GREENBAUM,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �j \ CFEE: $50.00 PROPERTY LOCATED AT "l \k�/\( 1� �`�`� J UNIT#3-- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE / OWNERILESSER l C,%T\b� )kvmv\ MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS c CITY, STATE, ZIP J6`�'1 1 1A {At 6 CITY, STATE,ZIP �p 4 RESIDENCE PHONE ( TO ��. \� -� � BUSINESS PHONE(24HRS) "Z\z� — 0� BUSINESS PHONE TOTAL NUMBER OF ROOMS: c c zz ROOM USE: 1.1 N n I U M 2.V i�-c�-U1 3.Vy,c\l(z,v� 4. \-)v�K ut4, 5. 6. 4,c � N 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 F AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �— DATE �3 - Lz-\1 7 ]� Inspectors use only Date on initial inspection: )IOIOf � Date of reinspection:. Date of issuance of certificate: Date fee paid: LJl 01 Type of unit: Dwelling l/Uther Check# //0 Check date: 3I ao lI I Notes: Code E orce ent Inspector CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASH]NGT'ON STREET,4°1 FLOOR 'I'F-L. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ucerENIMUMOSALFNI COM DAVID GREENBAU,?%I,RS ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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 LA Address on unit to be inspected Date r CITY OF SALEM, MASSACHUSETTS f BOARD OF HEALTH 1 120 WASHINGTON STREET, 4TH FLOOR CERT.# 214-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/19/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 58 Perkins Street UNIT #: 1 OWNER/AGENT: Gabriel Turcios ADDRESS: 58 Perkins Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 590-1430 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I , CITY OF SALEM, MASSACHUSETTS / 3 '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ; X Rykyr, ST UNIT#L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER e G (-r,r>S MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS 59 P_-rhP5 s/ ADDRESS CITY ;-ileYI ASIA �/9�I0 CITY RESIDENCE PHONE 97 00T7 BUSINESS PHONE (24 HRS.)/,&- 0-90 f/30 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. y 3v 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 e)f DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION C4 ,� 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,6-ll4 -0 3 DATE FEE PAID: i TYPE OF UNIT: DWELLING,Z/ OTHER CHECK# I CHECK DATE NOTE!�.'.v..4- c� 1 CODE ENFORCEMENT INSPECTOR 9/28/98 i CITY OF SALEM, MASSACHUSETTS 1.J Bo,mD of I IEM TH 120 W\SMNGTON STREET4"'FLOOR PublicIiea ith z7z.. (978) 741-1800 F,\x(978) 745-0343 KIMBLIU,,E'Y DRISC 01.1- leamdin@salem.conx L,:11tR1"(t.\PI13iK,itSf Rtt11S,CI K?,CP-}S MAYOR i CERTIFICATE OF FITNESS CERTIFICATE#398-14 DATE ISSUED: 11/4/2014 Property Located at: 58 Perkins Street UNIT#2 Owner/Agent: Aglaia Foustellis Address: 4 Campbell Avenue City/Town: Revere, MA Zip Code: 0215124 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH IQRRY MDIN HEALTH AGENT SANITARIAN w ��ia, , l CITY OF SALEM, MASSACHUSETTS, i e X18 BOARD OF HEALTH: 120 WASHINGTON STREET,4TH FLOOR, G f U TEL. (978) 741-1800 j KIMBERLEY DRISCOLL, FAx (978) 745-0343, MAYOR, LRAMDINCdSALt3.9.COM: tltf/' LARRY RAMDLN, RS/REHS CHO,CP-FS, HEALTH AGENT. J r i i Application for Certificate of Fitness, IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR410.000, k "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"« Pe FEE: ., $50,00 PROPERTY LOCATED AT,Q i'r°( k iL1 cal Pr11 M A 0I 910 UNIT#--cl—« Is THIS m&DISI mmii AS RICHT LEFT FRONT'OR BACK PRASE CIRCLE ONE, OWNER/LESSER l-^IAIni'O �L�sle //".s MANAGER/AGENT No P.O.sox« �1 ADDRESS �/t✓e. ADDRESS CITY,STATE,ZIP h Vei t 0.21,T1 CITY, STATE,ZIP RESIDENCEPHONE b/ A39.01,6:577- BUSINESS PHONE(24HRS) -M-L J BUSINESS PHONE 4 M Q TOTAL NUMBER OF ROOMS:/ _ ROOM USE: 1. bed(ma - 2- {')/LIfDOlt- 3. edfIVIL 4 �VA6 9I S 6. 64-Ch PA 7. 8. 9. 10. J 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 T E TIME OF INSPECTION) APPLICANT'S SIGNATURE w_� t1ATE CInspectors use only: Date on initial inspection: I I I I� Date of reinspection: 1 I ,Date of issuance of certificate: Date fee paid: Type of unit: Dwelling /Other Check# gCheck date: W Notes: �..Q Lr A. L ScyT-9,VI l SI�PJ tVI vna,6 YauYVt MYt1V t[� 1 ct,Cf��Ct Q S' �( O1Jr( y I /_ 4.0f &P C(lb-OK iNl ��l 1 (-"At k kr.'t`�"�nN i>'�i V0V(c1X. SW�'Cx- 1C.C�Jr' ih tMn ,v Con ement Inspector« J ' 1 i CITY OF SALEM, MASSACHUSETTS, a d BOARD OF HEALTH, 120 WASHINGTON STREET,4T1' FLOOR, N J TEL. (978) 741-1800 J KIMBERLEY DRISCOLL, FAX (978) 745-0343, ' MAYOR" LRAMD1NCaSALFM,C0Mn LARRY RAMDIN, RS/REHS, CHO, CP-FS, J ! HEALTH AGENT, 'r J R �, 'In accordance with Massachusetts General Laws Chapter It l; 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 i 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 j 9 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., 1 J ( Tenant/Lessee ( �,) Ow /Les��/ i , � J �I 5^sPec��,r�c `i4 ir .b2belll�✓e. �e✓2i� rrl�l, lSl I 'J 'Address Address " I Address on unit to be inspected I 'J 'Date r tJ l Updmed 5/21/11, Q J �r l ca CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 93 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 9q TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/26/05 Gabriel Turcios 58 Perkins Street Salem, MA 01970 PROPERTY LOCATED AT 58 Perkins Street Unit 3 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;P1 Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector e 71 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 01/26/2001 Fax:(978)740-9705 Scott Mitrano _ 58 Perkins Street Salem, MA 01970 PROPERTY LOCATED AT 58 Perkins Street UNIT # 3 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. i i Please notify us if you do not intend to rent the unit. I 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. I 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. FOR THE BOARD OF HEALTH REPLY TO qo"annet, MP< O PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i I �goNUtT CERT.# 225-99 FEE $25.00 DATE: 05/12/99 9 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: 58 Perkins Street UNIT #: 3 OWNER/AGENT: Paul Worth ADDRESS: 15 Roberts Road CITY/TOWN: Salisburv, MA ZIP CODE: 01952 24 HOUR PHONE: 581-3343 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 q4A-X� � JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ��0 11.� �F UNIT IS THIS UNIT DESIyG*TED/AS�RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_/(C'(/ G l/l/CY � MANAGER/AGENT / No P.O. Box / No P.O. Box ADDRESS_/ /�nh ADDRESS CITYr�r// 1 �{ CITY i / RESIDENCE PHONEl6 Y�7� L�7U BUSINESS PHONE (24 HRS.)70n/' 'b1-33`7 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. �_ 3._&d 4. 11 eq 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 �� I/f� DATE ), JGi� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4` - / O -`� F DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES'/�? 'r'F DATE FEE PAID: TYPE OF UNIT: DWELLING�/OTHER_ CHECK# 0 CHECK DATES _-/Z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 OQCn-Y OF SAJ .fw, 120 WASI11NGl'UN '4RFj.N't 41°Fi.00it Pub1iCI3C8llttl 1'v vm rnimin. Pmrn, (978) 741-1800 FA\ (978) 745-0343 KIMBE_RLEX DRISt:Oi,L lramdinnsa.em.cozn MAYOR .7..\ItR\'HAII\I171N, KS/IZI(1IS,(JR),(:P-i5 FW u xi i A(;viV i' CERTIFICATE: OF FITNESS CERTIFICATE #255-12 DATE ISSUED: 6/26/2012 Property Located at: 58 Perkins Street UNIT#2 Owner/Agent: Gabriel Turaos Address: 58 Perkins Street City/Town: Salem, MA Zip Code: 01970 24 Hcur 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 It" 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. eFOR T E B IRD OF EALTH i LARRY RAMDIN HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSEYIS BOARD oz=IIEALxEI 120 WASHINGTON STREM',4°1 FLOOR KIMBERLEY DRISCOLL FAX{978}745-0343 MAYOR JAZ AMD]N(@Y AIA W.0%1 LA uo,R,\mmN,Ittil R t 315,(:t 14.1?Al of A(;INT Application for Certificate of Fitness IN ACCORDANCE WITH S'T'ATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT yi f 2 C S 51 UNIT# Z / IS THIS UNIT IDISIGNATEID AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX V ADDRESS ADDRESS CITY,STATE,ZIP ��114_m N1 It . t� 1! �17Z? CITY, STATE,ZIP RESIDENCE PHONE 5. 0 1�3�2 _BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OE ROOMS: ROOM USE: 1. L12�j - 6. !U, ra<r 7. 8. 9. 10. U THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TIES FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE f/&�Z F Insroectors use only Date on initial inspection: 6 ' �'' 12 Date of reinspection: Date of issuance of certificate: Zoo " 1 L Date fee paid: Type of unit: Dwelling_L,:!� .,.,Other _Check# \�y 1 Check date: 12 Notes: to II ' J a Lode Enforcement Inspector Inspection of S� 1` G )tS S Date I� Time - Nama Address Owner Caa 1r's-\ 3� "(Q t-t-\o 1 Tel. No. -- -- — Type of Inspection lir Inspector ( ' Remarks and Violations are listed below: V"?vfjL1 v0 ry Dr- 16V&A � rC rA\G". rA Report Received by:�€:r/, I nspectipntat �CfLlG ttt� Date �" Time 1 30 Nam- Address Owner C' GC-Ai" 3L. '(7V q—C-lo Tel, No. - Type of Inspection Inspector -- ( ' Remarks and Violations are listed below: }� ZG 3� \tl fl try C a fY�Cl4JOk + 1C� L l ��Il�, UV k2,P PA 1 lam\ L I� ,t Report Received by:<--' -� Y' • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4' FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNEON'ALF.M.(OM JANL'T DIONNE ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#474-08 DATE ISSUED: 9/29/2008 Property Located at: 60 Perkins Street UNIT# 1 Owner/Agent: Brian Boches &Chris Sweeney Address: 19 Rezza Road City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-852-4967 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 JAN T DIO NE l^ ACTING HEALTH AGENT CO NFORC�MEIQT INSPECTOR CITY OF SALEM MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IDIONNE&N.EM.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 PROPERTY LOCATED AT �{�C �� S� UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER f •u, O C��PS/ CA(I S �C/1�Nf hP�I MANAGER/AGENT NO P.O.BOX n ADDRESS Iq RPZ2 m ADDRESS CITY, STATE,Zn&tt it'-/ I'M / CITY, STATE,ZIP RESIDENCE PHONEqc-h 9Z ( - /C 1 I BUSINESS PHONE(24HRS) BUSINESS PHONE 9 D (351 -19 C TOTAL NUMBER OF ROOMS: 7 ROOM USE: 1. 2. 6 !^1 3. �/F� (kM 4. QZ 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 , YIUA rvs DATE �z r1 10? Inspectors use only Date on initial inspection: G la dN Date of reinspection: c Date of issuance of certificate: ' Date fee paid: Type of unit: Dwelling Other Check#--L,-7 / Check date: I bbf Notes:ff itfi4 i cf (oaa uft nn -:j01 it- 6(L1 L Y (Irv;' T 1l 1 r1if C�xs �� t;�or+✓snq , y.�n,p iwy�i� ,c.�S 1.t1�ve V1�1' Cr(`r.P�Srhlr� c��o_'{'6 fin-p�1�Fc�ra J p, Tyr I I r f Q -�h75 PCifLt, - m(I UtVIC�IJ'r7S nr r oWe nforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 117-05 DATE ISSUED: 2/18/05 Property Located at: 62 Perkins Street UNIT# 1 Owner/Agent: Raymond A. Vaillancourt Address: 14 Fairfield Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8599 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 JOIXNNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 I I y� TEL. 976-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGEN1 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT u$- Q, oS 1" UNIT #A- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE V OWNER/LESSER 164 MANAGER/AGENT SCS 4 No P.O. Box d No P.O.Box ADDRESS IA -jc a"m ADDRESS �S^I CLv7• CITY CITY 1tvwL2. RESIDENCE PHONE \-Sf 8-11 Ai--`S4 y_BUSINESS PHONE (24 HRS.) BUSINESS PHONE %Ak_.._ TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. % 2. ? EE6 3. \.L'M 4. S. 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 INSPECTORS USE ONLY DATE OF INITIAL INSPFrTInN ' - E T -V .7---DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFFIICA10- / .e 1 DATE FFE PAID TYPE OF UNIT DWELLING�OTHER_._-- CHECK # 3] 1-7 _--CHECK DATC NOTES '�' CODE ENFORCEMENT INSPECTOR 9/28798 CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET,4"`FLOOR TEL (978) 741-1800 ICIMBERLEY DRISCOLL FAt(978) 745-0343 MAYOR INIANCINIOSAIEN1 CONI JANFFMANCINI AC'1'1NG HI?AI:I'1-1 ACi I'.N'I' CERTIFICATE OF FITNESS . . -- - u�rtYirw X43-ua DATE ISSUED: 5/27/2009 Property Located at: 62 Perkins Street UNIT#2 Owner/Agent: Eric Gonzalez Address: 100 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8599 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 ry C ode, 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 V �1,lS�C(,CC.. JANET MANCINI ACTING HEALTH AGENT CODEN ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEM TH v ' 120 WASHINGTON STREET,4°1 FI-,O( R 'TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR I6L NCINIONAL8M.COM JANET MANCINI, 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_ A PROPERTY LOCATED AT (02 Per0 kihS S�. .33leM,A A UNIT# 2— IS IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE - OWNER/LESSER IC -1antalez MANAGER/AGENT t& N �6&CiNO P.O. BOX I _ ADDRESS Nn l aV-f-e Or. _ ADDRESS �l 1 CITY, STATE, ZIP QIM M A 014 7 0 CITY, STATE,ZIP8w �S,KR I o01C115RESIDENCE PHONE—")77L77 BUSINESS PHONE (24HRS) ( 17CA a DSZ-41Q BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM USE: 1. 2. BteJ 3. ki 4. UV• 5. 8&tA 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 6 DATE 5127f ai /,G Inspectors use onlv Date on initial inspection: K/,)7 /�/ / Date of reinspection: Date of issuance of certificate: � /d-7 Date fee paid: Type of unit: Dwelling l�Other Check# Check date: Notes: NjOr hemp- a ItWe. r(dosed, -ro join d,2on a /-)/7 . Coes Enfor ement%p Code Enforcement pecto I .r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WW W .SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#724-05 DATE ISSUED: 12/5/05 Property Located at: 62 Perkins Street UNIT#3rd Floor Owner/Agent: Ray Vaillancourt Address: 14 Fairfield Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8599 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. FORTH E BOARD OF HEALTH . JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Tau 120 WASHINGTON STREET,4TH FLOOR 7d*6 SALEM, MA 01970 TEL. 970-741-1800 la FAX 976-745-0343 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 ATr-- t3 c' UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE � ly OWNER/LESSFE'R V[4q� LL 'R*'C-u "JV'��t MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY CITY RESIDENCE PHONE I BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS. ROOM USE 1. K�'l 2.L- i 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 THF TIME OF INSPECTION. APPLICANTS SIGNATURE �I� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DAT E OF RLINSPECTION DATE OF ISSUANCE OF CE RTIFtCAI E DA i E F F F I=A D TYPE OF UNIT DWELt ING OTHFR CHECK 9 CHECK DATE NOTES CUDI: F-NL0IICLfvlf-NI' IN';IlE(;i oll (1/:!w( 8