PLYMOUTH STREET '-L'PLYMOUTH STREET
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOOR Pub1lCHealth
Prtvenl.Promote.Prolccl '
TFL. (978) 741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL Iramdin ,salem.com
LARRY 12,AIvIDIN,RS/REHS,CI70,CP-PS
MAYOR HEALTH AGENT -
CERTIFICATE OF FITNESS
CERTIFICATE#46-14
DATE ISSUED:2/21/2014
Property Located at: 4 Plymouth Street UNIT#Basement
Owner/Agent: Paul Gillissen
Address: 4 Plymouth Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-1367
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.
!R THE BOA OF H LTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH \
120 WASHINGTON STREET,47 FLOOR �J I
TEL. (978) 741-1800
IIIIJJJJ
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR LRAMDTN@SALFiM.00NI
LARRY RA1bIDIN,RS/RI;FIS,CIIQ CP-FS
HI%AuIT-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 '� fI/rvr� _ �� UNIT#
IS THIS U/NIT�DISIIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER �iSL// ;/ �9t��-SSco.r/ MANAGER/AGENT
NO P.O.BOX
ADDRESS ADDRESS
CITY, STATE, ZIP D1?qe!9 CITY, STATE, ZIP
RESIDENCE PHONE �/ — �Jh'�-/3�'7 BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:.
ROOM USE: L ,,V,'l krt,1 2. 3.90-4ro0'--t 4. 5.
--6. 7. v 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE B CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PA E TH?rj
INSPECTION
APPLICANT'S SIGNATURE DATE o2 /
Inspectors use only
Date on initial inspection: �I I�-'' Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date: rgral
Notes:
Code Enl'orc ent Inspector
CITY OF SALEM, MASSACHUSETTS
a BOARD OFHEALTH
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#51-06
DATE ISSUED: 2/9/06
Property Located at: 7 Plymouth Street UNIT#7
Owner/Agent: Bill Hudgkins
Address: 10 Mechanic Street
City/Town: Bridgeton, ME Zip Code: 04009 24 Hour Phone: 978-204-3784
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
1
JONE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'; . .. .. .-.1.;
ar CITY OF SALEM, MASSACHUSETTS j
BOARD OF HEALTH
• i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT _ 1�/o L S t_---UNIT N 7
IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE
OWNERILESSERr LL Ny_MANAGER/AGENT,!�?-6X' 7"/----5
No P.O. Box No P.O. Box
ADDRESS ,41"J'I"5fw« 7— ADDRESS
/
RESIDENCE PHONE��7 Cu 7o2f (BUSINESS PHONE (24 HRS.)_92k^�o_'Y' 3 7f�CI
BUSINESS PHONE '
TOTAL NUMBER OF ROOMS:. �1
ROOM USE: l j_�_�d2. jD_n�Q�[�(3.
5.�J� / _L� 11. 17. V01–$ –_
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMEN HIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE L ^—� . 4�)
ATE_t�
INSPECTORS USE.ONLY
DATE OF INITIAL INSPECTIONN =` __ _ ' DATE OF REINSPECTION______.__
DATE OF ISSUANCE OF CERTIFICATEJ-j'1_:?Y ___DATE FEE PAID_
TYPE OF UNIT: DWELLINOTHER . . CHECK N -- Ivi G CHECK DATE ^.
NOTES: 4.1_1313
CODE ENFORCEMENT INSPECTOR 9/28/98
o CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
- R 120 WASHINGTON STREET, 4TH FLOOR
�so 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#: 430-03
DATE ISSUED: 8/19/2003
Property Located at:: 9 Plymouth Street UNIT#: 1 Right
Owner/Agent: Robert Lake
Address: 7 Plymouth Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0325
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.
F7ORT
�HEE�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. 978-741-1800
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 II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 7 `` M O I-1 L V1 i I�I`7 UNIT#
IS THIS UNIT DESIGNATED A RI LEFT FRONT BACK PLEASE CIRCLE ONE k
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Boxn� � u S]_ /l
ADDRESS �' /� ADDRESS Y� `! i 1 !7 , O 1 n7 7V
CITY G� c� CITY
RESIDENCE PHONE /r25-�qy-3a 3USINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:(
ROOM USE: 1.,nb�.
� INS
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 INSPECTION 53&i A7 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: '1 DATE FEE PAID: �3
TYPE OF UNIT: DWELLING OTHER_ CHECK#� CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
i
CITY OF SALEM MASSACHUSETTS
4�s BOARD OF HEALTH
4' 120 WASHINGTON STREET, 4TH FLOOR
r c SALEM, MA 01970
TEL, 978-741-1800
Mme FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#275-05
DATE ISSUED:4128105
Property Located at: 9 Plymouth Street UNIT#9
Owner/Agent: Robert Lake
Address: 10 Meadow Street
Citytlbwn: Bridgton, ME Zip Code: 04009 24 Hour Phone: 978-204-3784
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
t7lT d'
JOANNE SCOTT, MPH, RS, CHQ -
HEALTH AGENT C E ENFORCEMENT INSPECTOR
i ., "• ,nw,w +�P� _..'.:..' Jnr ' '_ "amu-,r� ^,"" t-M � r.^a...wwy.#e,...„...... - ..
r CITY O SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHSALE ET, 4TH FLOOR
SALEM,, MA MA 01970
TEL. 978-741-1800
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 1t, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
PROPERTY LOCATED AT = _�fwc42k UNIT #
IS THIS UNIT DESIGNATED. SRIGHT EFT FRONT BACK PLEASE CIRCLE ONE r
OWNER/LESSEFr, � C MANAGER/AGENT SfiIIACT(0,lVS
No P.O. Bax //; No F.O.Box
ADDRESS d eC".4AOJ (C S Y _ADDRESS_
CITY tLX "41Y� _CITY__ --
RESIDENCE PHON (��6V7�/S_MUSINESSS/P'HONE (24 FIRS.)A
BUSINESS PHONE '7 7k'',,?aq" Z O
TOTAL NUMBER OF ROOMS:___ �/� [ ! -y-
ROOM USE: 1 � N 2. ( 3.", �_'._`4._C!�J—
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 INSPECTION. <K^'Z
APPLICANTS
ANTS SIGNATURE +�- DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECT ION_ _,LGc__?5., __DATE OF REINSPECTIC7N_
DATE OF ISSUANCE OF CERTIFICATE. ". 6. _---f DATE FEE PAID_"_- ,
TYPE OF UNIT: DWELLING OTHERCHECK N 5 O 7 CHECK DATE
j _ , ,_ - _
NOTES:.
CODE ENFORCEMENT INSPECTOR 9/2£3198