Loading...
PHILLIPS STREET PHILLIPS STREET i m b -- - �pNDI City of Salem, Massachusetts 4a 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, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-185 DATE ISSUED: 5/27/2016 Property Located at: 48 PHILLIPS STREET UNIT#1 Owner/Agent: Wayne Weatherby Address: 4 Churchill Street City/Town: Nashua, NH Zip Code: 03062 24 Hour Phone:(617) 997-9495 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 ffr arosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS V . BOARD OF HFALTH 120 WASHINGTON STREET,4"�FLOOR TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL ]ramdln@salem.com LARRY RAMDIN,RS/RENS,CHO,CP-F' MAYOR HCAL771 AGENT Je4 e'er vo Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" '��`` FEE: $50.00 PROPERTY LOCATED AT J-Y�? p' 6-( �'Z �s Sr _UNIT# IS TATS UNIT DISIGNATED AS IG LEVr FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER ���I /S MANAGER/AGENT NO P.O. BOX ADDRESS CkiQAZC4t�rC,�- b- ADDRESS CITY, STATE,ZIPC� r9�CP� CTI Y, STATE,ZIP RESIDENCE PHONE (Q\ l '�i`P� T BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. QIV 2. 3. 4. �t�VV-� 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY T OF INSPECTION APPLICANT'S SIGNATURE DATE hVectors use only Date on initial inspection: 1 Date of reinspection: Date of issuance of certificate: Date fee paid:D�/15�2�1 h Type of unit: Dwelling V Otter Check# COQ) . Check date: OrVI Notes: v r C d ement eetor ` ND,�" City of Salem, Massachusetts > 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 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 M GHL-16-186 DATE ISSUED: 5/27/2016 Property Located at: 48 PHILLIPS STREET UNIT#2 Owner/Agent: Wayne Weatherby Address: 4 Churchill Street City/Town: Nashua, NH Zip Code: 03062 24 Hour Phone:(617) 997-9495 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 Affr arosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS V BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR mftRee TEL. (978) 741-1800 FAX(978)745-0343 KAMBERLEY DRISCOLL immdin@salem.com LARRY RAMllIN,RS/REBS,CHO,CP-f ' MAYOR HrAL771 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 uc� &q— UNIT# ,O IS THIS UNIT DISIGNATID AS RIGHT L f OR AA PLEASE CIRCLE ONE OWNERaMSERIN* Lex � ��_MANAGER/AGENT NO P.O BOX ADDRESS NUZCAZW– S lC— ADDRESS CITY, STATE,ZIP Lt , � 4 030(01 CITY, STATE,ZIP RESIDENCE PHONE C�� g�i�' �� BUSINESS PHONE(241IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. La-y 2, 3. 4.VZ�MVI�5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYAB CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE T TIME OF 11JOECTION APPLICANT'S SIGNATURE DATE S 1� Lectors use only Date on initial inspection: Q SY2 S'�2r u Date of reinspection: Date of issuance of certificate: 05_12S12P)1, Date fee paid:Qs'& Type of unit: Dwelling Other Check#6C Check date: 0VZ�/2 1 _ Notes: f C ement ctor CITY OF SALEM, MASSACHUSETTS o 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 10/18/05 Max Talkowsky 3 Devereaux Avenue Salem, MA 01970 PROPERTY LOCATED AT 16 Phillips 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 anne Scott MPH, RS, CHO Pablo Valdez Health Agent Cade Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 1, 2003 Talkowsky Realty Trust 3 Devereaux Ave Salem, MA 01970 PROPERTY LOCATED AT 16 Phillips StreetUnit# I It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code,Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. or the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector I + g�COMUPI' V CERT.# 589-00 FEE $25.00 a DATE: 09/14/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Phillips Street UNIT #: 1 OWNER/AGENT: Max Talkowskv ADDRESS: 3 Devereaux Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4144 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. /jFOR THE BOARD DOOF�HEALTH UU JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I Of 51K I_dD F.' CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tec(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F R HUMA HABITATION". // PROPERTY LOCATED AT w UNIT#L IS THIS UNIT D GNATED S RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LES � MANAGER/AGENT Nn P A-Bex NO P.O. Box ADDRESS -ADDRESS '� CITY CITY '// /(J� o RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE _ TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INS' ECTORS USE ONLY DATE OF INITIAL INSPECTION c ��`� 'oma DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,/ DATE FEE PAID: I o TYPE OF UNIT: DWELLING OTHER_ CHECK# `f 3 7 CHECK DATE D NOTES: _ CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 230-98 FEE $25.00 DATE: 04/21/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Phillips Street UNIT #: 2 OWNER/AGENT: Max Talkowskv ADDRESS: 3 Devereaux Avenue CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-4144 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 0 HEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r d° k Y� i= a"#c'4'.'a�''�'."' 55,j va ryG #`�,.. S• 1L " Y ".��3 '� f 4 Tri 2 ', y \ r:.., • 5 Pi 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 410.000 "MINIMUM STANDARDS OF FITNESS /FOR HUMAN HABITATION". PROPERTY LOCATED AT y � UNIT i OWNER/LESSER 44 X -r4 /fp w S F y MANAGER/AGENT ADDRESS 3 -,I)c Lie �z ge n (/5C oe - ADDRESS CITY Q- I0_ Lu 0 Q 6 l ci 7-Z). CITY RESIDENCE PHONE BUSINESS- PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: 3 - 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 TUE CITY OF SALEM* HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION : L �- � DATE OF RFINSPEC'FCON DATE OF ISSUANCE OF CERTIFICATE : /�- � "�( DATE FEE PAID: - pj�ya TYPE OF UNIT: DUELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR �� ��gONDIT CERT.# 82-99 f FEE $25.00 DATE: 02/23/99 ��g,MMgl 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: 24 Phillipa Street UNIT #: 1 OWNER/AGENT: Max Talkowsky ADDRESS: 3 Devereaux Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5029 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. qe-"-Xt� ,/FOR THE BOARD O,[/F� HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR / Cd � 9 A Ir i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEATH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tet:(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 AT1 �:� r?= .—UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT F O' BACK PLEASE CIRCLE ONE OWNER/LESSER S i l 715 jt-� _MANAGERJAGENT___ .. No P.O. Box No P.O. Box ADDRESS 3"D � e4&�G{}-VonuQ_ ADDRESS CITY r' 1 _ _CITY RESIDENCE PHONE h�� BUSINESS PHONE (24 HRS.)--,— BUSINESS PHONE r L � —_ TOTAL NUMBER OF ROOMS:_yD ROOM USE: 1. : 2. 00 3. 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. _` q APPLICANTS SIGNATURE --C --DATE_ a l INSP _CTOPS USE ONL_ DATE OF INITIAL INSPECTION. �,3�/� � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_,,'�_- DATE FEE PAID:_ -g 5 TYPE OF UNIT: DWELLVNGOTHER__ CHECK# ., ._CHECK DATE _2 3 NOTES: _ — CODE ENFORCEMENT INSPECTOR 9/28/98 ���oxntr CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 08/21/2001 Tel: (978)741-1800 Fax: (978)745-0343 Dianna & Stephen Jaskela 46 Phillips Street Salem, MA 01970 PROPERTY LOCATED AT 46 Phillips 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 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 B: 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 REPLY TO oa�tt, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR V i �v CERT.# 20-00 1� �P FEE DATE: 001/21/1/21/- I• 2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 48 Phillipe Street UNIT #: 1 OWNER/AGENT: Wayne Weatherbv ADDRESS: 4 Churchill Street CITY/TOWN: Nashua, NH ZIP CODE: 03062 24 HOUR PHONE: 888-4262 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 OANNNNE SSCOOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I> CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 .JOANNE SCOTT,MPH,RS,OHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fw(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 ' err L.CL&t,0 _S 1 UNIT#-I- IS IIS THIS UNIT DESIGN1ATTE'D,, AS IG T LEFT FRy�ONT BACK PLEASE CIRCLE ONE OWNER/LESSER__9 Vi_jiJ��tANAGER/AGENT No P.O. Box No P.O. Box ADDRESS �ALAZ4 ' LC1� ADDRESS__ CITY f CITY RESIDENCE PHONE f963 -W-`7 26Q* BUSINESS PHONE (24 HRS.) BUSINESS PHONE (Q\ -HLPT)A TOTAL NUMBER OF ROOMS: ROOM USE: 1.� U 2 j3"eA0._9(�¢&4.�- 5.. 1� THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA LT DEPARTMENT S FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE vU DATE4(9A (5 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFFI'ICATE:� _DATE FEE PAID: / j �. TYPE OF UNIT: DWELLING vOTHER_ CHECK 4 CHECK DATE,�_`al_-&' NOTES: Hof ioislier Must LeYcvnA Q c%mn ons dJo���, CODE ENFORCEMENT INSPECTOR 9/28/95 CITY OF SALEM, MASSACHUSETTS _ r BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 ' MAYOR IMANCINI&ALEM.COM JANE I'MANCINI ACTING HEALII'1 AGI?NT CERTIFICATE OF FITNESS CERTIFICATE#630-08 DATE ISSUED: 12/22/2008 Property Located at: 48 Phillips Street UNIT#2 Owner/Agent: Wayne Weatherby Address: 4 Churchill Street City/Town: Nashua, NH Zip Code: 03062 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 ,J T AN�kJ��� C( ACTING HEALTH AGENT C ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOUR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNE n SALEM.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 ( p I FL( ( '�S �( T# �— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT (SY� NO P.O. BOX ADDRESS � C4LkV wrLP ADDRESS CITY, STATE,ZIP IJASII �(��3D1'o l� CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 9�6'' 70s ' qgX 40 BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ /�o ROOM USE: 1 1 W--TeW 2 3 L;rVT1�c 4 &A 5 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY C K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB AT THE T OF INSPECTION APPLICANT'S SIGNATURE j DATE I1 —16 Inspectors use only Date on initial inspection: I a a. CSR Date of reinspection: Date of issuance of certificate: Date fee paid: ) � Type of unit: Dwelling Other �iCheck# Check date: Notes: b-dU),P, 1 I C-)-130 Co nforcement Inspector