PICKMAN STREET PICKMAN STREET
a
b
CITY OF SALEM, MASSACHUSETTS
BOARD OFHEALTH
S
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#442-06
DATE ISSUED: 9/1/2006
Property Located at: 13 Pickman Street UNIT# 1
Owner/Agent: Mike McManus
Address: 3 Hugh Hill Lane
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 927-9309
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 EALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Cmt aF SALEM, MASsACHUSErM
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR / ✓J/
SALEM, MA 0t 970
TEL. 978-741-1800
FAx 978445-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
,I 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� _ �_k
IS THIS UNIT DESIGNATED AS RIGHT LFFT FRONT BACK PLEASE CIRCLE ONE
OWNERJLESSERA etp ' gI AGER{AGENT
No P.O. Box o P.O.Box
ADDRESS' �t y_ADDRESS
CITY� P fl P J _ CITY_ IST
RESIDENCE PHONES 7_—gZ2g3o% BUSINESS PHONE (24 HRS.)_
BUSINESS PHONE Lf 67 - �� 2
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1.K1� 2. 0� 3._� t .__4._
THERE 1S A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM Hf ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE CwC .DATE___1q G -
INISPECTORS USECLNIt Y
DATE OF INITIAL INSPECTION_ J_-_O �. DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE4r/_- O 6 DATE FEE PAID Jif
TYPE OF UN!? plM{-L{-I ' Ol HER CHECK ii �a. 7 CHECK DATE ( 6
NOTES'.
CODU CNFORC'cMEN' 1NSYPL 1011 0/281(18
CITY OF SALEM, MASSACHUSETTS
o e 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#545-06
DATE ISSUED: 11/13/2006
Property Located at: 13 Pickman Street UNIT#3
Owner/Agent: Michael McManus
Address: 3 Hugh Hill Lane
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 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
J NNE SCOTT, MPH, RS, CHO
H LT
AGENT CODE ENFORCEMENT INSPECTOR
CfTY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH j,,./, q'/
120 WASHINGTON STREET, ATH FLOOR 7
SALEM, MA 01970 ✓V'
TEL. 978-741-1800
FAX 978-745.0343
JOANNE ScoTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
W ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABII'T�ATION",
PROPERTY LOCATED AT �L_uv�_� S _UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER S(___ffl,0qa_0jaMANAGER/AGENT__
No P.O. Box No P.O.Box
ADDRESS LL
CITY— v14_4_4&A__CITY
RESIDENCE PHONE_qD �2-t_g3o4c BUSINESS PHONE (24 HRS.)_,_, _
BUSINESS PHONE Zg—4 0-? — gg�2 L(
TOTAL NUMBER OF ROOMS:}} __ 1
ROOM USE: 1.__}}, 2..—_52i�_3.__J<L_1 -4 -- - --
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUREe �r� -C�j�4' -r�' ��'�"` .. DATE-r Il ✓�! —
15PECTORS US_E0 LY
DATE 4FINITIAL INSECTIUN �J r1 � 0 _ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID._,_
TYPE OF UNIT DWELLINZ\ OTHER _ CHECK tt 07.3 G 7 CHLCK DATE//v l �" fJ Ia►
NOTES..._.
,I
C ENFOR E. NT IN PECTOR 912k3'98
CITY OF SALEM, M1ISSACHUSETTS
.. BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR AiblicHealth
v.v.m.rromnre-rrma.
TEL. (978)741-1800 FAx(978) 745-0343
hIMBERLEY DRISCOLL h-amdin@salei-n.com
LARRY Rr1MD1N,R$/REHS,CHQ,CP-FS
MAYOR HE;v:ri 1 Ac r..NT
CERTIFICATE OF FITNESS
CERTIFICATE #475-12
DATE ISSUED: 12/17/2012
Property Located at: 17 Pickman Street UNIT#1
Owner/Agent: Audette Family Living Trust
Address: PO Box 1480
City/Town: Newburyport, MA Zip Code: 01950 24 Hour Phone: 978-270-4834
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
LARRY RAMDIN r�
HEALTH AGENT SANITAR
u
r ' CITY OF SALEM, MASSACHUSFITS
BOARD OF HEALTH
120 WASHINGTON SIREET,4...FLOOR Pablicfkalth
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com salem.com
MAYOR _ LA R12Y Rr\T\t1�IN,RS/IiEFI$,CHO,G'-FS
HI'.AL 171 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_ P I IC IMA rQ 5 Nz e- '7 UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSERA u 0 FA m i �-f L v. G I\`?,—MANAGER/AGENT MAY—IL A u IDs e-
NO P.O. BOX
ADDRESS�'70, - ADDRESS
CITY, STATE,ZIP Ar----V-) CITY, STATE,ZIP O I 9 50
RESIDENCE PHONE BUSINESS PHONE(24HRS) 9 2?0 ?--?LY
BUSINESS PHONE -f4, --o CTI ,
Soni u, cow a�
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. L Q_ 2. Q 3. K I 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE 1 z— A 12'
Inspectors use only
Date on initial inspection:T� Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#Check date: O
Notes_�_Nn V\0i WU+0,f (-hutvnpd doh c&± ue
in�nec.�oh1
cement Inspector
r
Dlpq^�, City of Salem, Massachusetts 0
a q Board of Health
120 Washington Street, 4th Floor, Salem, PublicHealth
PrxvnnL Prnmote. Pmmrt.
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE. OF FITNESS
CERTIFICATE#: GHL-16-49
DATE ISSUED: 2/16/2016
Property Located ai: 17 PICKMAN STREET UNIT#2
Owner/Agent: Mark Audette
Address: PO Box 1480
City/Town: N(!wburyport, MA Zip Code: 01950 24 Hour Phone:(978) 465-0307
Pursuant to the req jirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitnees for Human Habitation".
Therefore, this Cerl ificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number 3f occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD DF HEALTH
r 4 Ac
Larry Ramdin, MPI-1, REHS, CHO
HEALTH AGENT SANITARIAN
K
m CITY OF SALEM, MASSACHUSETTS
Bv1AM)01 f1 AraFu
12I)WASHING TC)N SlhEl':T 4°'FS,OOR
Te:L. (978) 741-1800
I IMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR L\MDIN�$ALIM.COM
LARRY RAMDIN,16/Md IS,CHO,CP-FS
IIIdJ.a'F1 Ac;BMT
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 17 t0 1 C 1y-m Pr rJS i 1 S A i X01 , "A UNIT# 2-
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Au aake.,FUyr;� I. V k 21 TC L-.+ MANAGER/AGENT M Lts K- A J
NO P.O.BOX N�r�t IrIqq
ADDRESSllo Pk(-S+ Strut ADDI�'JS PO box \42;2)
CITY,STATE,ZIP .Saki nOgyng 1 tAA OII152- CITY, STATE,ZIP or- OA Oli 5p
RESIDENCE PHONE BUSINESS PHONE(24HRS) x-19- 270- '4&3Lk
BUSINESS PHONE 00 9- H(05 -030-7
TOTAL NUMBER OF ROOMS:—
ROOM
OOMS:ROOM USE: 1. 1,-12, 2. K�4 4ten 3. 13, 4. QbaA/t 5.
6. 7. 8. 9. 10.
TIJERE 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 IME OF INSPECTION
APPLICANT'S SIGNATURE_ DATE ZZ'- 14 111 Ly
Inspectorsuse only
Date on initial inspection: *a/966 Date of reinspection:
Date of issuance of certificate: Date fee paid:a/CrI h
Type of unit:
'Dwelling Other Check /7 I Chhe�ck date:
Notes--VD,61 3,11 alw9f by I�yDuNfl 1'o IYkk. C�x'IV+1Gl�
Co e fore ent Inspector 19/-6-
I6_ WR V
f6-4g
y�
CITY OF SALEM9 MASSACHUSETTS
o e BOARD OF HEALTH
R 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#645-05
DATE ISSUED: 10/24/05
Property Located at: 17 Pickman Street UNIT#2R
Owner/Agent: Audette Family Realty Trust c/o Mark Audette
Address: P.O. Box 1480
City/Town: Newburyport, MA Zip Code: 01950 24 Hour Phone: 603-303-0797
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.
FOS THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
n.
I1
CITY OF SALEM} MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR 1
SALEM, MA 01970 ✓
TEL. 978-741-1800 �} f lj✓)
FAX 978-745-0343 °J
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 FORHUMANHUMAN HABITATION". /
PROPERTY LOCATED AT '� i /'G'lW001 _(/' d UNI # oG
IS THIS UNIT DESIGNATED A IGH LEFT T ACK PLEASE C/IRCLE ONE 1
r�inO�lbjf /G'I/H:/ Livi'h/ 7✓o-t��/
OWNERlLESSERCtr Apt f P T MANAGER/AGENT J
No P.O. Box No P.O. Box
ADDRESS D_ 141( 0 eo ADDRESS
, � 0/94-0
CITY��y�o / CITY—,-- p
RESIDENCE PHONEBUSINESS PHONE (24 HRS.) 6aj- Joi-OM 40)
BUSINESS PHONE 7
TOTAL NUMBER OF /ROOMS:_) _
ROOM USE: 1.�!t� 2.V.t4 &"-_3_4d04041 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 �G ^G��. _DATE
INSPECTORS U>ECNLY
DATE OF INITIAL iNSPECTION /t� 1 °� DATE OF REINSPECTION_/0
DATE OF ISSUANCE OF CERTIFICATE/0> 4-07'�_'_DATE FEE PAID:__U- ( Y_0
TYPE OF UNIT: DWELLINOTHER_._-. CHECK #-L3 .._-_.CHECK DATE ..-
NOTES:_._._----
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4"{FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOL.L FAx(978) 745-0343
MAYOR DGRF I"NBAUM@SALI?M COM
DAVID GRF,ENBAUM
ACTING I1EAl.IH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#64-10
DATE ISSUED: 2/8/2010
Property Located at: 17 Pickman Street UNIT#4
Owner/Agent: Audette Family Living TR
Address: P.O. Box 1480
City/Town: Newburyport, MA Zip Code: 01950 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 Ti E�'I OF HEALTH
DAVID GREENBAUM (p
ACTING HEALTH AGENT CO ORCEMENT INSPECTOR
Cowtruction E7,✓ jet //(wwyemant
J`ntu.1987 ,
RING'S
MARK AUDE`iTf, crM
ISLAND PO Box 1480
LLC Newburyport,MA 01950
(978)465.0307 }
ringsisland@t:omc�st.net i
CITY OF SALEM, MASSACHUSETTS C-/6
i > BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRLIIa.N13AUM@,,SALEM.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: $50.00
PROPERTY LOCATED AT VhA vt1 5 l\ e' --' UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSERX04 G F'i�v�+�c7 Liviry 1�-MANAGER/AGENT & 494 A IAyD-e•7FZ� 1tiTft
ADDRESS ?-0- 69X IM JVOW9 u�/ Porgy ADDRESS
CITY, STATE, ZIP "' v PC 01 9 S 0 CITY, STATE,ZIP
RESIDENCE PHONE pBUSINESS PHONE(24HRS)
BUSINESS PHONE -1 L-/(P S-07 0 7
TOTAL NUMBER OF ROOMS: 3 tL
ROOM USE: 1. 1- IZ 2. IC 17- 3. 1✓ R 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BYCHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE / OF INSPECTION
APPLICANT'S SIGNATURE l�� DATE
Inspectors use only
Date on initial inspection: a I i d Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#- Check date:
Notes: i OAC aYYI a c
ivy 1(`-Asq-, "wk"wk- cc WGA.aber,
JJ
nforcement Inspector
CERT.# 24-99
FEE $25.00
DATE: 01/21/99
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax: (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 17 Pickman Street UNIT #: 5
OWNER/AGENT: Audette Family Realty Trust c/o Richard Audette
ADDRESS: 101 Main Street
CITY/TOWN: Rowley, MA ZIP CODE: 01969 24 HOUR PHONE: 499-9219
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 OARD 0F 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 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 ,� P( C (C{�Lt �-Ov S J UNIT#_�C_
IS THIS UNIT DESIGNATED AS RIGHLEFT RONT BACK PLEASE CIRCLE ONE
OWNER/LESSER&t FA'm«` n �V' MANA6NAGER/AGENT S 7
No P.O. Box No P.O. Box
ADDRESSg H I C�K i�79 ADDRESS
CITY CITY,V'
,
RESIDENCE PHONE `Ip9 a l �! BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:,,QQ �
ROOM USE: 1. d-a— 2. 3. tT4.
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 l a I
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION /'igL_j� � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE/FEE PAID: A_YI
TYPE OF UNIT: DWELLING XOTHER_ CHECK# J` 4—CHECK DATE
NOTES:
ax
C005 ENPOC T INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
,j 120 WASHINGTON STREET, 4TH FLOOR CERT.# 198-03
c SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 05/13/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 20 Piclmian Street UNIT #: 1 Front
OWNER/AGENT: Sean Lane
ADDRESS: 20 Pic)man Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-5263
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH _
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
- •� BOARD OF HEALTH }1•t/
• • 120 WASHINGTON STREET, 4TH FLOOR U
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS. CHO -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"..
PROPERTY LOCATED AT OY) 1� l CIS.- �GGn <S - UNIT# f
IS THIS UNIT DESIGNATED AS RIGHT LMFO BACK PLEASE CIRCLE ONE
OWNER/LESSER alkCl(1 L �° -MANAGER/AGENT
No P.O.Boxp No P.O. Box
ADDRESS � 0 .P C ICn la i T ADDRESS
CITY 3 CITY
RESIDENCE PHONE 941Sa U_:SBUSINESS PHONE{24 HRS.}
BUSINESS PHONE
TOTAL NUMBER OF ROOM$: Il-'D �
ROOM USE: 1.
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 ��� �` DATE T
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 3 //3 -a -3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE�'/ 3 — 3._DATE FEE PAID: o�-
TYPE OF UNIT: DWELLING OTHER_ CHECK#'.S.�_CHECK DATES`J 3 _aA
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
aCITY OF SALEM, MASSACHUSETTS
eOARD OF HEA T L H
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVIC2_ JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
05/23/2002
Sean & Michelle Lane
20 Pickman Street
Salem, MA 01970
PROPERTY LOCATED AT 20 Pickman 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 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.
Ff�B_THE. BOARD..OF�HEALTH REPLY TO
'Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
o ; BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
g 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#23-07
DATE ISSUED: 1/18/2007
Property Located at: 26 Pickman Street UNIT# 1
Owner/Agent: Scott Lesser
Address: 26 Pickman 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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r ^ .
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
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
IS THIS UNIT DESIGNCATEEDy AS IGT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNEWLESSER 2coit �c5 C�_MANAGER/AGENT —
No P.O. Box p l No P.O. Box
ADDRESS _._ADDRESS
CITY CITY_
RESIDENCE PHONEKL 4 4O1�_BUSINESS PHONE {24 HRS.}.
BUSINESS PHONE k
TOTAL NUMBER OF ROOMS: U
ROOM USE:
THERE IS IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEfiLjTHDEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION —/
_,.DATE OF REINSPECT lON_�_______
DATE OF ISSUANCE OF CERTIFICATE:-t S 9-0/'DATE FEE PAID—/ —_r
TYPE OF UNIT: DWELL IN ,OTHER_ CHECK .1 t _ _CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
" CITY OF SALEM, MIASSACH USEI TS
�. � BOARD OF HF.Aia'I-1
120 WASHINGTON S'rRull 4".FLOOR
KINIBERI-li';Y DRISCOLL TEL. (978)741-1800
FAX (978)745-0343
MAYOR Ir-amd tI s lem.com
LARRY IL\RIUIN,RS/RItI IS,CI10,CP-FS
I-IIEA3:17 i AClEitil'
CERTIFICATE OF FITNESS
CERTIFICATE #16-12
DATE ISSUED: 1(12/2012
Property Located at: 27 Pickman Street UNIT# 1
Owner/Agent: Joseph T. Donoghue
Address: 27 Pickman Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-2327
An inspection of your vacant Dweiling(Roorning 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
HEALTH AGENT CeW ENFORO€WtWt INSPECTOR
•
CITY OF SAI �M, NLASS 10E-ICISF-11fS �.
120 WASHINGTON STREET,4"' Hj x>>z
TEL,. (978) 741-1800
K1N4B "Rl_Fi.Y DRTSC;Old. F.v\ (978) 745-0341
i�1AYC}R i"�t•�tit�>i�C��ni.r:aa.ro�i-
L mm,R,\-Nwm, 16/ctrl ls,ci
Ilt:v,r I A(;VIN't
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 27 Al kA, aJ -S—r, _UNIT#,
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACI{.PLEASE CIRCLE ONE
OWNER/LESSER- is MANAGER/AGENT
NO P.O. BOX �1
ADDRESS 27 ,Y IGKR?da✓ - Z ADDRESS
i
CITY, STATE,ZIPS` L " /I �/E f� > d��7D CITY, STATE,ZIP
RESIDENCE PHONE{ r BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3 �A
ROOMUSE: 1. 2.Wi (r' 3. S.
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 ISTAYA.BLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspect ' use onlv
Date on initial inspection: '( b a Date of reinspection:—
iDate of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_ Check date:—
Notes:
Z'j&-i�-ff4cemcnt inspector
ate:—Notes:
Inspector