PHELPS STREET PHELPS STREET
u
v
CITY OF SALEM, MASSACHUSETTS 1P
130ARll OF HEALTH
120 WASHINGTON STREET,4."FLOOR PublicHCAlth
PreveN.l'rMnota Pml¢I.
TEL. (978) 741-1800 Fax (978) 745-0343
KIMBERLEY DRISCOLI, lramdin@salem.com
LARRY R\MDIN,RS/REHS,CI 10,CP-FS
MAYOR HI?Al.:rl-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#201-14
DATE ISSUED:6/9/2014
Property Located at: 2 Phelps Street UNIT#2
Owner/Agent: Debra Ingemi
Address: 4 Ancient Rubbly Way
City/Town: Beverly, MA Zip Code: 01915 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.
^
;FB ARD EALTH
LARRY RAMDIN
HEALTH AGENT
SANITARIAN
7
CITY OF SALEM, MASSACHUSETTS �1LJ/J d0H
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR PabHcHealth
Prevent.Promam.Pra,eel.
TEI_. (978)741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
MAYOR - - LARRY RANIDIN,RS/REHS,CHO,CP-I-IS
HEALTI-I AGbNT
Application for Certificate of Fitness
IN ACCORDANCE
WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
/ FEE: $50.00
PROPERTY LOCATED AT ,2 PhelvS UNIT#_A
IS /THIS UNIT DISIGNAT AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE
OWNER/LES
,S
/ER �,��t-,0L""�� �"c-ye h I' MANAGER/AGENT
ADDRESS N U rt l// YPAV wUu/ ADDRESS
CITY, STATE,ZIP �Qtgf ly l Q� \� CITY, STATE,ZIP
RESIDENCE PHONE 9�_�� 9j(a 14 BUSINESS PHONE(24HRS)
BUSINESS PHONE ft 2�� 7 0
TOTAL NUMBER OF ROOMS:_ / /�
ROOM USE: 1 ! 2. .JIB f 3 enti l� 4 pfd S bd
6. 7. 8. 9 10
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION p
APPLICANT'S SIGNATURE ` JOZ DATE 0 I
Inspectors use only
Date oh initial inspection:_ -1 _ ./.._ _.. Date of reinspection:
Date of issuance of certificate: Date fee paid-
Type of unit: Dwelling Other Check# Check date:
Notes:
0
Code gneokdmeni Inspector
CITY OF SALEM, MASSACHUSETTS
P BOARD OF HEALTH
IIF$ 120 WASHINGTON STREET, 4TH FLOOR
isq SALEM, MA 01970
-" F TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
.JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#201-08
DATE ISSUED: 5/1/2008
Property Located at: 5 Phelps Street UNIT# 1
Owner/Agent: Maureen Cavanaugh
Address: 5 Phelps Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-3352
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OFJ�
4"N-Xlf -
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CqS8 ENFORCE ENT INSPECTOR
�t
CITY OF SALEM, MASSACHUSETTS
• • BOARD OF HEALTH
120 WASHINGTON STREET,e FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978)745-0343
MAYOR 1SCOTF&A[IN COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
PROPERTY LACATED AT Tle_zS Jy . .S� UNIT# � ��✓
�
IS THIS UNIT DIISS�IGNATED A RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE
WJ
O
NER/LESSER / /�¢i"r.,r/ MANAGER/AGENT
NO P.O. BOX
ADDRESS J'Ae_,e., St ADDRESS
CITY,STATE,ZIP /'/ CITY,STATE,ZIP /i9 O/i 7 d
RESIDENCE PHONEBUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2m.Ib�m 2. 3. 4. 411e,7_5. A JciM
6. 7. e,n8. 9. 10.
THERE IS A TWENTY-FfVE($25)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH TH
IS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE � nDATES 2, 17
Inspectors use only
Date on initial inspection: �f� /Q� Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#��/ Check date: I 6
Notes: Y Cmi -�o bQstnst t cmR�(�� @� Wlnjow_ In 4*io 2) C1m dS
hc7{ Cie 9CW4 Timmer i ntl dp , arrJ Qhs ncl'IOYI bc- Y In YLtS _rK tT+ k Sed I COP.YV
Owner hcS been asked+o Cct.11 Sa,al Gf�emrlt
uJnen abave lens aTe codec ecl
ode nforcement Inspector
s. 8
i�
Z4
CITY OF SALEM, MASSACHUSETTS
q BOARD OF HEALTH -
_ 120 WASHINGTON STREET, 4TH FLOOR
ryn SALEM, MA 01970
Aq4 TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
3/28/05
Thomas Barry Chafe
69 Kelley Street
Haverhill, MA 01830
PROPERTY LOCATED AT 6 Phelps Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Heal Reply to
oanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
.�o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
:9 120 WASHINGTON STREET, ATH FLOOR
f a- SALEM, MA 01 970
" TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 465-03
DATE ISSUED: 9/2/2003
Property Located at:: 7 Phelps Street UNIT#: 3
Owner/Agent: William Szikney
Address: 7 Phelps Street# 1
City/Town: Salem MA Zip Code: 01970 24 Hour Phone: 978-740-6925
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.
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.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH 9 /
el
Joanne Scott, MPH, RS, CHO
Health Agent CODE ENFORCEMENT INSPECTOR
I
CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 /Y/^
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 7 hHFLPS ST- UNIT# 3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERdILL.iAm P S2lK&.CV MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 7 PHELPS Srt/ ADDRESS
CITY SAt.-EM h CITY
RESIDENCE PHONE YJ9-7yD -6 92-r BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4.
5. _6._______T_8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE ? t o DATE S/ ZO
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION -2 'd 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEq- a 3 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER_ CHECK# /2-G CHECK DATE1 .3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 + 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
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author-
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
L. the event it is necessary that said inspection be done in my/our absence, i./we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agen s
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
T.uNAN'! %LESSEE OWNER/iESSOR
nD�Ss�
ADDRESS l
7
ADDRESS OF UNIT TO F. INSPECTED
D^+TE
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3'
-� 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# 193-05
DATE ISSUED: 3/21/05
Property Located at: 16 Phelps Street UNIT# 1
Owner/Agent: Phelps Realty Trust
Address: 17 Mill Brook Lane
City/Town: Topsfield, MA Zip Code: 01983 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
JOANNE SCOTT, MPH, RS, CHO '
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
FRDM, :ESCONDIDORVRESORT FAX NO. :7507405982 Mar. 15 2005 10:13AM P2
II
cm OF SAL.FMI,MASSACHUSCM
60ARD OF HEALt"
120 WASHINGTON SC1S(.4TH FLOOR
GAtEM,MAC
TCL 078.741.1800
FAX 9784415-0543 —
3TANL4T W"ViC2,Jit. JOANNG scorn MPH, H5.GHO -
MATOM 618ALTH AdeNT
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 (9 ehf I QS-5 ' UNR 41
IS THIS UNIT DESI NATED A' R T LEFT F,,��R{O..NT g� PLEASE CIRCLE ONE-
OWNMESSEq /ur �inNAGERrAC�ENT Nej . ��C)().
AADVR �` ANo o a sp! p1iP:l(
c -Y A
R/�Q j l�j $ CITY- c iw m ICI
RESID�BNCE-PHO-1 RE-g 2&--)7{-511?� BUSNEn PHONE(24 HaS,) ;14--()(D
6USINGSS PHONE'T 2$"`7) t S/414-
TOTAL NUMBER OF ROOMS.._,
ROOM USE: 1,4I:�y1;M
THERE IS A TWENTY-FIVE(525.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE LS PAYABLE AT THE
TIME OF INSPECTION-
APPLICANTS SIGN/;TURE —±`akL<!��� _,.....OATE
INSPECTQBS 15_ FONLY
RATE OF INITIAL INSPFCTION,,.._?—/ ?-? -�, .DATE OF REINSPECTION. ,,,_
DATE OF ISSUANCE OF CERTIFICATE:.?._-�7 'z'�DATE FEE PAID: ,j •- / 7 "8.0
TYPE OF UNIT: DWELL .OTHERCHECK n 3q S4 „CHECK DATE
' NdYES:
CODE ENFORCEMENT INSPECTOR s,z8t98
i�
FR04 :ESCONDIDORl1RESORT FOX NO. :7607405982 Mar. 15 2005 10:14RM P3
_y... ..fir.. .
t Crry of,SALE^MASSACHWK M
90AR8 OR HrAi_Trr
I10 WASMMIrr"al"r,"..arM'.F%.*"
SALAW. MA 014110
TEt. 678-74 4.180o�Qp
• FAY 676-74"$43 -
STANLAY USOYIcr.JR.
JoANNe SCOTT, MPH. RS. CM0
MAYOR HEALTH AGGNT
I
RELEASE
In uouxdance vith.tsassachueacts Ceneral Laws Chapter 1I1; Code of it3aaachusoCts
Pegulations 410.000 at. ael, ; State Sanitary Coda Chapter It and Article Y.ill of
the City of Salem Otdinance.- undersigned ownerl Ieasor and tenant/leesec of a unit
of residential property, hereby alltherixe the Satan Entrd of Health or its auehor-
iaod agent-& to iflapatt the residence identifiedbelow in accordance with Isle
aia'rementioned statutes, regulatioas and ordinanees. -
Li the event, it is necessary that Said inspection be done in my/our aUstnce, itwe
Txprelssly sutharl;c.the same and for my/our succestots and asci;ns hereby releaso
and dischasgo the £3:ty of Salem, Sale% board of Health and its authorired a;,enr,
Crow a6y loss or injury sustained of umarevar natureanddescriprion octaeioned
by R,y/nur ahcao.ce duties said inapeeri-an.
'[�•\OhTf".iS`ES T� �i O't1:E
RI")fl_
SSS
A14RiiS4 C•P I't i'rr tt!; 5„srf.C,SEIt
FROIn. :ESCONDIDORURESORT FAX NO. :7607405982 Mar. 15 2005 10:13RM P1 'i
I ,.1
PHELPS REALTY TRUST
17 MILL BROOK LANE
TOPSFIELD MA 01983
( 978 )771 -5113 (978 ) 771 - 5122
FACSIMILE TRANSMITTAL SHEET
TO: JOANNE SCOTT FROM: DAVID JOHANSON
COMPANY: CITY OF SALEM DATE: MARCH 14. 2005
BOARD OF HEALTH
fAX S: 878.745-0343 TOTAL S OF PAGES: 3
RE: APARTMENT INSPECTION
FOLLOWING IS AN 'APPLICATION FOR CERTIFICATE OF FITNESS'
FOR AN APARTMENT WE'RE ADVERTISING FOR RENT AT-
16 PHELPS ST- FIRST FLOOR
SALEM
PLEASE CONTACT-
NELLJOHANSON
18 PHELPS ST- FIRST FLOOR
SALEM
978-314-0621
FOR ENTRY TO THE APARTMENT AT 16 PHELPS ST AND ANY OTHER
QUESTIONS YOU MIGHT HAVE REGARDING THIS APARTMENT. NELL
WILL HAVE THE $25 FEE REQUIRED FOR THIS INSPECTION.
SINCE NO ONE HAS MOVED INTO THIS APARTMENT THE 'RELEASE'
HAS NOT BEEN SIGNED BY A TENANT/LESSEE.
ANY REPORTS TO BE ISSUED AS A RESULT OF THIS INSPECTION
SHOULD BE FORWARDED TO NELL JOHANSON AS SHE WILL BE
SHOWING & RENTING THIS APARTMENT FORME AND AS A RESULT
WILL HAVE COPIES OF THESE FORMS MADE TO GIVE TO THE NEW
TENANT.
15�'
i' �
,`
,,._.
�-
i
C���l
���
ti�r� � 1
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5 �
i
,\
c 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. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
2/15/05
Phelps Realty Trust
17 Mill Brook Lane
Topsfield, MA 01983
PROPERTY LOCATED AT 16 Phelps Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Jaenne Scott MPH, RS Pablo Valdez
Health Agent Code Enforcement Inspector
y
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#238-06
DATE ISSUED: 5/12/06
Property Located at: 17 Phelps Street UNIT# 1
Owner/Agent: Joseph Callahan
Address: 21 Glendale Road
City/Town: Marblehead, MA Zip Cade: 01945 24 Hour Phone:
An inspection of our vacant Dwelling/Rooming/Roomin Unit at the above address has been approved
P Y 9 9 Pp
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.
THE BOARD OF EALTH "+
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Er.
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT .4 ) A4(e_1qS --51, UNIT # /
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNEWLESSER�S&d L�214,4d4AI MANAGER/AGENT
o P. Box No P.O. Box
ADDRESS dl 6f461✓7i AC4 AZ ADDRESS
CITY,/2WO64)✓ A� CITY
RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.)
BUSINESS PHONE9 3(e o 8-70-}-
TOTAL NUMBER OF ROOMS: h
ROOMUSE: lt07#AA/_ 2'Diwl&-3.._1.11/ry1=._4.fS _--
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 SIGNATUi9_
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S- I I —e ',- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE. 5—�1- '� �' DATE FEE PAID:
OTHER CHECK a `9 q CHECK DATE
TYPE OF UNIT: DWELLIt�I� O ER C E K �I
NOTES. /�
CODE ENFORCEMENT INSPECTOR 9128"M
CITY OFA
$ LEM MASSACHUSETTS
d 6
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 #239-06
DATE ISSUED: 5/12/06
Property Located at: 17 Phelps Street UNIT#3
Owner/Agent: Joseph Callahan
Address: 21 Glendale Road
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOA NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
s :•
J r., • ' ..
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA O1970
TEL. 978-741-1800 _ Q 6
FAX 978-745-0343 4
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 %-� pdb�/!S S 'T UNIT# 3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER,/,.5/r/F/ i �44/1Al MANAGERIAGENT
No P.O. Box No P.O. Box
ADDRESS& D//C/t 10 ADDRESS
CITY MW C t /-/F/&D CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESSPHONE�.,L&760 970?-
TOTAL NUMBER OF ROOMS:
ROOM USE:
5.A)f P _6._ --
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. F^,/
APPLICANTS SIGNATUR / -� �J_jDATE_
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S--// �' DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE ° (-DATE FEE PAID: r�/ 1 -_
TYPE OF UNIT DWELLINk,,-_`bTHER CHECKft ?? - 9 CHECK DATE
NOTES
CODE ENFORCEMENT INSPECTOR ?2ti/98
c CERT.# 399-01
FEE $25.00
DATE: 08/16/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
Fax: (978) 745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 20 Phelps Street UNIT #: 1
OWNER/AGENT: Teodoro & Maria Ortega
ADDRESS: 20 Phelps Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 977-3000
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH 7
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
n 2
� 1
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO - 120 Washington Street
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax: (978)-745-0343
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS/FOR HUMAN HABITATION". /
! PROPERTY LOCATED AT ` UNIT#1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I/ DR12566 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 16_ g-S T ADDRESS
CITY CITY-_o!Q"
RESIDENCE PHONEg�8)7y$:SaS� BUSINESS PHONE (24 HRS.)�77 3080 X3 S13y
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: ��/5
ROOM USE: 1.AdrM 2"NX 3. E7 /DO 4. 6 Ulla 9.00(10
5. l 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.
0
APPLICANTS SIGNATURE &44 DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION b'�f '�'V// DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: / -� DATE FEE PAID: b 6I
TYPE OF UNIT`. DWELLING V OTHER_ CHECK#,-,2170 CHECK DATE tY-j 6 7J J
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 823-97
d� FEE $25.00
DATE: 12/09/97
o'
��M1rB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO, NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 20 Phelps Street UNIT #: 2
OWNER/AGENT: Maria & Teodoro Orteaa
ADDRESS: 20 Phelps Street, Apt. 1
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5050
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
µ y
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 4 10.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED ATSIF
OWNER/LESSER e04/D e, �rJ�G `l e_ MANAGER/AGENT
ADDRESS��.S. �7 _G�..._ ADDP.ESS
CITY
RESIDENCE PHONE6/71J 7 .S6 BUSINESS PHONE (24 HRS.)
BUSINESS.PHONE 9713000 cx7 S�a04 —
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4 .
5.--6.-7. 8.
THERE IS A TWENTY-FIVE (25,00) DOLLAR FEE, PAYABLE CHECK OR MONEY ORDER TO THE
CITY OF SALEM' HEALTH DEPARTRTTMMEENN�T—THI'ySS FEE IS PAYAB THE TIME OF INSPECTION
APPLICANTS SIG NATTR2Fuf 7riDo2u� 2 ��DATE fpZJ —�
i
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: - / - �-7 DA'Z'E OF REINSPECTION
DATE OF ISSUANCE OF CERTiFICATE:Z_�L 7- f 7 DATE FEE PAID:
TYPE OF
UNIT: DWELLING(�OTHE�R
NOTE
CODE ENFORCEMENT INSPECTOR
• - "M
CITY OF SALEM, MASSACHUSETTS
a ; BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#524-06
DATE ISSUED: 10/26/2006
Property Located at: 22 Phelps Street UNIT# 1
Owner/Agent: Edith Boisvert
Address: 22 Phelps Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-0904
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 THE BOARD OF EALTH
. ate- '� -- Zan,,
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS ,
^� BOARD OF HEALTH �V
120 WASHINGTON STREET, 4TH FLOOR
a 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 9 Qn �� /J4r UNIT# C
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER AA ,' .ki &avu,-e MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS a P n Phi. Sa-{- ADDRESS
CITY a..Q g_w 60- CITY
RESIDENCE PHONE 64 � BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3_1 4. .
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE 4 D
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION W- &•(5%j DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: IQ-L6•T51y DATE FEE PAID: )a- zv%L
TYPE OF UNIT: DWELLING--4 OTHER_ CHECK# NSCHECK DATE /IS LV e4 6
NOTES: S 7 2 I GP A\L i1 49-sw*n 43Qi �M �1aZA��y�
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
' BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Kimberley Driscoll
Mayor
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
tiie City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby rel<asc
and discharge the City of Salem, Salem Board of Health and its authorized a.gcnta
from any loss or injury sustained of whatever nature ani description occasioned
by my/out absence during said inspection.
TEdA,NTT/LESSEE OWNER/iFSSOP.
Ai)➢HESS ADDRESS
A.DDkESS OF UNIT 1'0 11? iNSPECTIEU
Ca��T
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
120 Washington Street
JOANNE SCOTT, MPH, RS,CHO Tel: (978)741-1800
HEALTH AGENT 08/06/2001 Fax: (978)745-0343
Pied Family Trust c/o Roger & Martha Pied
23 Phelps Street
Salem, MA 01970
PROPERTY LOCATED AT 23 Phelps Street UNIT # 2
Dear Sir/Madam:
.It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 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. '
FOR THE BOARD OF HEALTH REPLY TO
Joanne Sc tt, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CFFY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH lu
120 WASHINGTON STREET 4 "FLOOR PI1t111C�P.81th -
STREET, rre.em.Ymmow:Proec[.
TEL. (978) 741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL liamdin(7a=,salem.com
LARRY 1LAb113IN,RS/RU ITS,CHO,CRFS
MAYOR Hr.AI:rH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#462-12
DATE ISSUED: 11/29/2012
Property Located at: 23 1/2 Rear Phelps Street UNIT# Rear
Owner/Agent: Estate of Linda Grimes
Address: 17 Cressy 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 Occ ncy.
FOR THE BOARD OF HEALTH
LAR MDIN
HEALTH AGENT NITARIAN
CITY OF SALEM, MASSACHUSETTSASSACHUSETTS ��1-
BOARD OF H&-1LTH 10
120 WASHINGTON STREET,4141 FLOOR Public Health
IYc.enf.Pmmnte.Prol¢f.
TEL. (978) 741-1800 FAX(978) 745-0343
I IMBERLEY DRISCOLL Iraiiidin@salem.com
MAYOR L/\RI25'Rr\1`'Il)1N,RS/REFIS,CI 10,(T-FS
Hv,\j;f[i AGI.'N'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
PROPERTY LOCATED AT 01✓/� ^ ' 5 19� cam" UNIT#
IS THIS UNIT DISIGNATE//D��AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER tr��;1S� 6r l:4 A, ( j�i�`�p MANAGER/AGENT - Gl ��p C�S
ADDRESS ADDRESS
CITY, STATE,ZIPCITY, STATE, ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
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 � DATE
Inspectors use only ` ✓/
Date on initial inspection: Date of reinspection: t v
Date of issuance of certificate: Date fee paid: ¶¶ II nn
Type of unit: Dwelling Other Check#_JUL—Check date:
Notes:
Code or t Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll www.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 18-06
DATE ISSUED: 1/11/06
Property Located at: 26 Phelps Street UNIT# 1
Owner/Agent: Peter LaBonte
Address: 31 St. Anns Avenue
City/Town: Peabody, MA Zip Code: 01960 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 `'
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET. 4TH FLOOR
SALEM, MA 0I970
TEL, 978-741-1600
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO H
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 -UNIT
IS THIS UNIT DESIGNATED AS RIGHT !.EFT FRONT BACK_ PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT—,—,—_
No P.O. Box No P.O. Box
ADDRESS--,76✓��-Z��,---ADDRESS-
CITY xlraoli-e,4611
RESIDENCE PHONEf%'8097--�d� }SINESS PHONE (24 HRS )--
BUSINESS PHONE
TOTAL NUMBER OF ROOMS i—,4110"
ROOM USE:
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE 1111�11drc
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION/-"/(-0 , _DATE OFRFINSPECTION., ) / ."!-/ 6�
DATE OF ISSUANCE OF CERTIFICATE:F: 1j)q6(o DAZE FEE PAID
TYPE OFUNIT: DWELLI�KOHAFR C]FiFCK V CHECK DATE 6
NOFS FS
DL CLMLNI IN`rl-CIOH Qi, 8i'M
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
6,
92
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
CERTIFICATE OF FITNESS
CERTIFICATE#457-04
DATE ISSUED: 10/06/2004
Property Located at: 29 Phelps Street UNIT# 1
Owner/Agent: Edith Boisvert
Address: 22 Phelps Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-0904
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 R THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
1
CITY OF SALEM, MASSACHUSETTS �A`�
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, 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 o2 S UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT'LEFT
ONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box,,
o p No P.O. Box
ADDRESS ��I �� ADDRESS
CITY CITY v�151-
RESIDENCE PHONE j 7$ I y�" 090� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. L 2. t� 3. 4. R •P-
5._8. 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 g d(�� Ubu o G ( DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION /O '6 y l DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-DATE FEE PAID: 16 '(i a `�
TYPE OF UNIT: DWELLINrOTHER_ CHECK# 13�"�CHECK DATE /O - /� y
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98