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POPE STREET A 100-599 /00 -j e POPE STREET "A" {V/7 0 q o a 0 r. .�o CITY OF SALEM, MASSACHUSETTS .j" BOARD OF HEALTH R 120 WASHINGTON STREET, 4TH FLOOR \` SALEM, MA 01970 Aqp TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#349-04 ; DATE ISSUED: 07/27/2004 Property Located at: 12 Pope Street UNIT#A-101 Owner/Agent: Kori Wallace CMJ Management Co. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliancewith 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter IP Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD QF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • •� b + CITY OF SALEM, MASSACHUSETTS,. /,GJ BOARD OF HEALTH y' 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA UI'J/U TEL. 978-741-1804 FAX 978-745-0343 STANLEY USOVIC2, 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 :N R HUMAN HABITATION". / PROPERTY LOCATED AT)� , / ,. 6t A j M7 nl4_,UNIT#_4/0I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE �,C,� Lc9o. El�ce OWNERILESSER MANAGER/AeENr C...4 4tste �a No P.O. Box No P.O. Box gq `� ADDRESS ADDRESS- 4) CITY RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER OF ROOMS: _23 y ROOM USE: 1.�. 3._4 _4. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE D �� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION? - 7 ? -V V DATE OF REINSPECTION f DATE OF ISSUANCE OF CERTIFICATE: 7 r ,'o DATE FEE PAID: 7 -y`I TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE 7' _�7 a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 - x CITY Or SALEM, MASSACHUSETTS BOARD Or HF ALTH 120 WASI-nNGTON SrRrr'r 4°'F1,001z Ii.IMBI_.R-FY DRISCOLL {' ',L. (978) 741-1800 MAYOR I"AN (978) 745-0343 ira m,l+nncalnm rnm AIMY RANIDIN,R1,'/1W'I IS,Cl I0,(T-PS CERTIFICATE OF FITNESS CERTIFICATE#244-11 DATE ISSUED: 8/1/2011 Property Located at: 12 Pope Street UNIT#A-102 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 /oA LARRY AMDINV HEALTH AGENT CODE ENFORCEMENT INSPECTOR F r., CITY OF SALEM, MASSACHUSETTS * e BOARD OF HE.iLTH 11 120 WASHINGTON STREET,4"'FLOOR �� TEL. (978) 741-1800 KIMBERLEY DRISCOLL RAX(978) 745-0343 MAYOR DGREENBAUM&ALEM.COM DAvID GREENBAUM, ACTING HE=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 ATI c� PC-)CV \l �CA1Q VYl Cf�6 0)) -�C) UNIT#A�Oa IS THIS UNIT DI GNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERt MANAGER/AGENT U1\nC--x P�C�Sher NO P.O.BOX /— ^ ADDRESS I a PC��ae c�Z ADDRESS I� pn� �5-L CITY, STATE, ZIP ��O UYl IM �I �� CITY, STATE, ZII'�G,�Pm M� 01c) 0 RESIDENCE PHONIC9-8) `7(4q 053 --7 BUSINESS PHONE(24HRS)_�G�✓1'LQ_ BUSINESS PHONE --,a✓ -\o TOTAL NUMBER OF ROOMS: 'LA ROOM USE: 1 y1ik n to 2. U O✓1G, 3hr-1rUYV1 4, 9J rlOM 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(ISS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE-jl t-V fv-, /� DATE \1 Inspectors use only Date on initial inspection: � '/ // / Date of reinspection: Date of issuance of certificate: 7 Date fee paid: 0111 / Type of unit: Dwelling Other Check 1-1,C,16-55137aWec k date: -7/3 /// l Notes: Code E orcem nt Inspector TRANSMISSION VERIFICATION REPORT TIME 08/01/2011 03: 15 NAME FAX 9787450343 TEL 9787411800 SER.# 00080N341991 DATEJIME 08/01 03: 15 FAX N0./NAME 919787445616 DURATION PAGE(S) 61:0©:18 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BO ARD oiN HEALTH 120 WASHINGTON STRb'ET,4`"FLOOR TEL. (978) 741 1800 KIMBERI,EY LDRISCOLL I,A%(978) 745-0343 MAYOR DGR lir-NTIAL7M(a75AI.RM-COM DAVID GREENNAUM,RS Ac7'ING HEmai-i AGH.NT CERTIFICATE OF FITNESS CERTIFICATE#515-10 DATE ISSUED: 11/1/2010 Property Located at: 12 Pope Street UNIT#A-103 Owner/Agent: Presevation Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter It" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid orgy if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH f � DAVI`DGR LIM) , RS ACTING HEALTH AGENT CD� NFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ♦ N BOARD OF HEALTH 120 WASHINGTON STREET,4n`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR nC,RF.FNRATJMnSALFM.COAL DAVID GR.EENBAUM, ACTING HLALTH 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." t(t� �/� FEE: $50.00/�mn nn(� �7 PROPERTY LOCATED AT 1 O� Ll_'�� '/�/� Q�(l_)Y { 111 I A_Cfl(/1 I�UNIT#� IS�TyHI,S-UNIT DISIGr N�AT(EDAS R(IyGHT LEFT FRONT OR BACK PLEASE CHICLE ONE 0WNER/LESSER[�U �� i �l l p 1 l il�tSl MANAGER/AGE ff=mm NO P.O.BOX a (�/J f� �-�^, 7 ADDRESS �t I� lelV(� �(�(� ADDRESS I ` rn(\`I�y1 pX O CITY, STATE,ZIP ((((GG��`� ) 'l I V 1"1�CITY, STATE,ZIPgA o_A 1 I I I 1 I_�-"j RESIDENCE PHO �W, /C I ( �JUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: /�M!�m p �y�, ROOM USE: 1 21v1'l.U[I IUIU I3 fillf 4 t W 5. 6. 7. 8. 19. 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 Insnectors use onlv Il ._ Date on initial inspection: i /l/0 Date of reinspection: Date"of issuance of certificate: I'Jh ho lD,,ate fee paid: I I ft/to Typeofunit: Dwelling _�/Other Check# a(idMSS7SCheckdate: iolf7I/0 Notes: Code En rc ent Inspector CITY Or SALEM, MASSACHUSETTS x BOARD OF H1:ALTl I 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KINIBERLE.Y DRISCOLL FAx(978) 745-0343 MAYOR 1N1ANC1N1na A1.1!M.CON1 jANLT M-\NC1N1 ACTING HEAL 01 AGVNT CERTIFICATE OF FITNESS CERTIFICATE 4191-09 DATE ISSUED: 4/28/2009 Property Located at: 12 Pope Street UNIT#A-104 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 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 JANET MANCINI � ACTING HEALTH AGENT 411�kFORCETINSPECTOR f CITY OF SALEM, MASSACNUSFT'I'S \�� 1�0\l'.1SI-SI N'C�1'UN J'I'RLP'i' 4°i Fl.(aUR li,t.. O78)711 t$0) lJMBERLEY DR'ISCOLL F 1X tWS)745-0343 N'LYYOR ui0N1,114 Sni F-l.('OM I.1NI:.1'D1()NNV, SFNI()R S.1Nl'I ARI.AN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITAT'ION," { FEE: $50.00 �} E PROPERTY LOCATED AT-1 9 -Y)O } J4 SSL �P CYIA L�tiC 0 UN)T# 17"I�I1 IS THIS UNIT 61SIGN!kTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER .��P M �Q �r.V\+S MANAGER/AGENT c1 i 1 . NO P.O.BOX ADDRESS <, t ADDRESS CITY,STATE,ZIP �,P'n, Wvv� CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PI IONF. TO'T'AL NUMBER OF ROOMS: 3 ROOM USE: 1_�iy'�mn2. 5. 6. 7. $. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEES IS PAYABLE AT THE TIME OF INSPECTION p APPLICANT'S SIGNATURE DATE L 2 0 t 1 Inspectors use only Date on initial inspection: A-)- 2$ Date of reinspection: Date of issuance of certificate: j+LS`<T q Date fee paid: 14- Type of unit: Dwelling /i� Other Check#1e$'Zz;' b1,Check date: Notes: ) Code Enforcement Inspe r 1 SOM CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#521-07 DATE ISSUED: 10/26/2007 Property Located at: 12 Pope Street UNIT#A-105 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0538 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 � V J ANN�T, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �� -��`o�� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR V✓-7.l/' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT `6- �r`Q _J� st&e�V\sl� UNIT#_`QS, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENNT a _k� , No P.O. Box No P.O. Box ADDRESS \r�_ �t��2 ADDRESS CITY '')AQ K.� . CITY C'_)\Li—L0 RESIDENCE PHONE n' c, BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 2. 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 Cin, ? DATE �O Chi INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /D - ---ol DATE OF REINSPECTION_ r DATE OF ISSUANCE OF CERTIFICATE/D DATE FEE PAID:_ /D TYPE OF UNIT: DWELLIKOTHER CHECK # Zb CHECK DATE /b - --�� NOTES. --- - ---- ----- — -- --- CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM,- MASSACHUSETTS,. • BOARD OF HEALTH 120 WASHINGTON-STREET,4"'FLOOR TEL. (978) 74.1--1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISCOVIOSALFNI.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#347-08 DATE ISSUED:8/819008 Property Located at: 12 Pope Street UNIT#A-106 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA_ZipCode- 0-1970-24H=Phone: 978.744-Q537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105_CMR41Q_000_ Massachusetta-State Sanitary Cade,Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate-is-issued tka_Code Enfersemeat-Division of the Salem Boa�d of Health and the unit may now be rented and/or occupied. Maximum Number of ostpants mustciamply with 1-05.CMft4. 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 aAtyifthare "valid Certifieate of ncy. FOR THE BOARD OF HEALTH. . AA \ OANNE SCOTT, MPH, RS, CHO - HEALTH AGENT GODE-EMF(JACI IT INSPECTOR f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR tSCOTr(a.SArrnt.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 HUMAN HABITATIQN." FEE: $50.00 PROPERTY LOCATED ATuNnD G , I_S Tn1S L5I NATER ASRJ1"T LEFT FRONT OR BACK PL iE_CIRCLE ONE c OWNER/LESSER C 'J� ,�O IL 4 r� T C MANAGER/AGENT-,5 r �n� l�C'v i ` NO P.O.BOX ADDRESS ADDRESS CITY, STATE,ZIP "�A l D Wl a k o lm_ rr.y,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONEE � �L' `ti�J 7 TOTAL NUMBER OF ROOMS: ROOM USE: /i 2. li I'/�CYJiY3rX r0�rw5ti 6. 7. 8. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CrfY 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: (S ' o Date of reinspection: Date of issuance of certificate: Cr '9' d Date fee paid: S�' -)--<:)�t }} Type of unit: DwellinP � Other Check#5tra`1 i)�4-7b Check date: .� 1's � e - Frb X,p Notes: CoddEc ent Inspector City of Salem, Massachusetts `° Board of Health m 120 Washington Street, 4th Floor, Salem, PablfCHe;Altl>< MA01970 Prevent. Promote Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-72 DATE ISSUED: 3/9/2017 Property Located at: 12 POPE STREET UNIT#A107 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. GU1,f.P,P,� Larry Ramdin, MPH, REHS, CHO ✓" HEALTH AGENT SANITARIAN i C r1Y OF SALEM, MASSACsHUSI l°1 S BOARD ohIIl?:ILII[ �� I2t)�IASiItNC:TONSI'li[it'I' =I'n.I'LF)OR'!.. I't±.t..(978)741-1800 K MBERLEY DRISCOLL FAX(978)745-03.43' tNLkY OR nx0N1Nr01Ar QJV.COtt SRNIOR SANITARIAN Application for Certificate of Fitness: IN ACCORDANCE WITH STATE SANITARY CODE, HAPTER I1, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." _ FEE: 50.0 PROPERTY LOCATED AT P S-- /,- 4* UNIT# / /O IS THI UNITDiSIGNATED AS RIGH LE"FRONT OR BACK,P$.EASE C OWNER/L] SSER MANAGER/AGENTP— NO P.O.BOX ADDRESS i OP t' e" S ADDRESS CITY,STATE,ZIP, i 1/��t<''' CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHO_NE,(24HRS) I ' BUSINESS PHONE ' TOTAL W MBER OF RO MS: Wt-. ROOM USE. 1. 2. 3, 4, 5. 6. 7. 8. 9. THERE ISA FIFTY($50)DOLLAR FEE;PAL BY CHECK OR MO Y ORDER TO THE CITY OF SALEM BOARD OI'_HEALTH THIS FEE IS PAYA E T TIME OF INSP ' TION / APPLICANT'S SIGNATURE DATE 3# / Inspectors use only Date on initial inspection: 14r! Date of reinspection: Date of issuance of certificate: ��"sl Date fee paid` Type of unit: Dwelling Other Check# Check date: Notes: / n Code Enforcunent Insp ctor � � t .• DDNDiT,4�O City of Salem, Massachusetts i U map 6 _ 3 Board of Health W 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01 970 Prevent Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-31 DATE ISSUED: 4/22/2015 Property Located at: 12 POPE STREET UNIT#A107 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN I J I � r c;\ nn q ss ( I i\1,' IiU \�TWYnx `i% ISO W.I\'I:\t:'?)\S11:1(i I, tu: !'Itr,;I2 I'lu . (t)/4)741-1801) ';5WH3 Application for Certificate of Fitness IN ACCORDANC13 WITH STA'L'E SANITARY CODC,CHAPTER It. 105 CMR 410"000 "MINIMUM STANDARDS OF FITNI_SS FOR HUMAN HABITATION." PROPERTY LOCATED AT `' 120 ' 'LE: J d' r 9ANIOR +� UNI'1'Ir_ f U/ IS 1 I UN1'I' DIDIISIIGNWED AS RIGIdT 11FT I'FRUACK' PLEASE (A C).1�:t NK OWNCR/I,GSSFR__ _rD/"1 1"( MANAGER/AGEN`e �� NO P.O.IIO\ L 1 ADDRESS 117- f11,21 {� �a / }� ADDRESS CI Tti`, S"!A1i' ZIPl& � ' - �A CITY,STATE, ZI P RESIDENCE PI IONI.; _ _ BUSINESS PHONE(241-IRS) BUSINESS PI IONf: �pp G / — O(_3 7- TOTAL NUMhFR{O'!r-moNIS: // } ROOM USE: 1, f"fjcu"/ "" i 5. 6. 7. R. 9. 10. 'fl ICRE IS A FIFTY ($50) DOLLAR FIDE, PAYABLC BY CHECK OR MONEY ORDER-1-0 ITIE Cl t Y OF SALEM BOARD OF I H Al I -I THIS FEEE, IS PAY 1,E AT'I)"I-IE�'I`IME OP I P 1CI'ION APPLICANT'S SIGNATURE V DATE Insaectois use oniv Daic oil initial inspection: (is Daic of reinspection: Date of issuance ofce tilicatet Date lee paid: Tvpe of unit: Dwelling _OtherC;hec # Check date: Notes: Cad (i f'c r ,lent lnspee;tor — 3 • CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STREET,4"'FLOORpPubliCHealth TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL IramdinOsalem.com - L,\aaY a.\hmrN,as/RJ!I IS,cr ro,(a>-i s MAYOR I-II?,U;Il-I AG i;NT CERTIFICATE OF FITNESS CERTIFICATE#384-14 DATE ISSUED: 10/30/2014 Property Located at: 12 Pope Street UNIT#A-108 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARR DIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 3 1 �, rt BOARD or HEALTH " 'gynx 120 WASHINGTON STREET,4"FLOOR TEi-(978)741-1800 1QMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDINGSALFM.Conr LARRY RAMDIN,tis/1113HS,CI-10,CP-Fs HEAL''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" FELE': $50.00 /� �� PROPERTY LOCATED AT I2 �� ae S<�l �`�/�-r-to; /4# UNIT# AQ IS IIIS ONIT DDIISIGNAITED AS RIGHT LEFT FRONT OR RACK,PLEASE CIRCLE ONE OWNER/LESSER �0 L I �,� ® MANAGER/AGENT ADDRESS f0I1 e SV I n^r 0^ ADDRESS CITY, STATE, ZIP G6 & CITY, STATE,ZIP / RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 7 �/ -7 V 7 0S J TOTAL NUMBER {{.OF. LOOMS:/ ROOM USE: 1. 'v' �v'�' 2. �� 3. � �4. �4001 . 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 ABLE AT TI4L TI OF INSPECTION / APPLICANT'S SIGNATURE r�.... DATE r0 3D / U Inspectors use only Date on initial inspection: 10f 3 i a li1 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Clieck# Check date: Notes: Code&666rnent Inspector f �1 ` Nn' City of Salem, Massachusetts R W Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHeaIth Y. MA01970 Prevent PRomote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-7 DATE ISSUED: 312512015 Property Located at: 12 POPE STREET UNIT#A109 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN s 1 t 1I ,1 ',N'I, M,\hS:\(,I-I USII I S .\„�s r.�....-�./F"/ ltc�,\I:I)t u� I II•:\I'I I I ,7"/S)?-1 1-1800 F\', �9iS)15 03.13 II)I(INN I�6rt'A\1 r.m t't)M S1 \I( m S'\VI I'ul \N Application for Certificate of Fitness IN ACCORDANCI'-. WITI-I STATE SAN1'TAlLY CODI'�, CI-lAPT6R 11, 105 CMR 410.400 "IMINIMUM STANDARDS OF FITNESS FOR HUMAN HA FRE: S50.00 PROPERTYLOCATEDAT /Z_ ("Op-c S� ' .S�t,&14 IV' UNI'I'll__ I O� IS'I'hl1S UNf!'UIS!(:NKfI/,D AS RIGHT IAI`rx I'HWNT(fR ltACA,ri.Gasi;Cill: .E'ONE OWNER/I,ESSI R 4 O/� ! I MANAGER/AGENT NO i'.O.13(YY I �� / ADDRESS ( ADDRESS f I CITY, STATE, ZIP j 7 �RESIDENCE PHONE BUslwss PI-TONE(241-IRs) BUSINESS PI ION 13 'I OTA LNUMIIERUfR OMC: J ,fa1J ROOM USE. l.' ?q 6. T R. 9. 0. 'I'i-IF[ C IS A f'IP'rY ($50) DOLLAR PEE '4YABI-F BY CI tftCK OR MONY ORDER"I'O'FFII- CI i'Y OI' SAI-ESM BOARD f.)h I11iAL'I'i I 'f(-IIS PILI; IS All GE AMB OPTION APPUCANT'S SIGNATUR13OIAADATE IIiSUCit6l'S USC CHIN Date an initial inspectiow Date of reinspection: Date of issuance of cerci I irate: Date ('ec paid- I'ypc of uniC DwellingOther Check!a Check date: Notes: Code Enforccntcntlnspector 4 CITY OF SALEM, MASSACHUSETTS I\_U'/' BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PI1bI�CAC81TJ1 Prevent.Promo¢.Pwtcct. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdinnsalem.com LARIil'RAnaniN,its/Ria IS,c;i 10,CP-FS, y MAYOR Hr.Al a,i i A(;INT CERTIFICATE OF FITNESS CERTIFICATE#405-12 DATE ISSUED: 10/12/2012 Property Located at: 12 Pope Street UNIT#A-111 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 4SA LARRY DIN HEALTH AGENT IAN CITY OF SALEM, MASSACHUSETTS pO�� BOARD OF HEALTII ' ' okj 120 WAKJINGTON STREET,41 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMofNcO LF M.CObI LARRY'RAMDIN,RS/RI41IS,CHH,CP-FS Hi^"A .nIAGP:N'I' Application f®r 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 S kG��// h17rJ UNIT# IS THIS UNIT DISIGN//A/TED AS RIGHT FT FRONT OR 1§�PLEASE CIR1C��LE ONE/ OWNER/LES SER A&SN.t/ a A'mn. 14t57A_6 i 0 MANAGER/AGENT NO P.O. BOX /� n,, J ADDRESS /,0 7'd&- ADDRESS CITY, STATE,ZIP 5 CO in r, IMA o P? CITY, STATE,ZIP RESIDENCE PHONE ' BUSINESS PHONE(24HRS) BUSINESS PHONE ! `%0p- 7 q7(/_ D 5 c3 TOTAL NUMBER OF ROOMS: // �] �C..�f ROOM USE: 1. &V hn 2. K/ T 6 3. 6d ll M. &5- 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNAT 1/ 1J� - DATE d � 2— y�Insroectors use only Date on initial inspection: II �'(� Date of reinspection: Date of issuance of certificate: rnJ�ny� Date fee paid: Type of unit: Dwellini Other Check# U 11 ) Check date: Ll 11 �'CJ Notes: Code 4ent Inspector ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL'T'H 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 I4�tBERLEY DRISCOLL FAX (978) 745-0343 MAYOR lramdin(a)salemxom LARRY RAMDIN,RS/RF:I-IS,0-10,CP-I5 HF.AI.I'I-I AGISN'l' CERTIFICATE OF FITNESS CERTIFICATE # 185-11 DATE ISSUED: 6/21/2011 Property Located at: 12 Pope Street UNIT#A-112 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH (r �'- - LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR f CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH \\ 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIDIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DG RRFMBAUMna..SALF.M.COM DAviD GREENBAUM, ACTING HE.�LTH 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: $550.00 PROPERTY LOCATED AT Q PhI C0(4 m W Cv::) -�n UNIT#nitQ. IS THIS UNIT DIS NATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER�"(�2—,0CI,�,k')y\ V �) Z�AG MANAGER/AGENTL_U(lC� Vim( C7S�P_ �_ NO P.O.BOX i J ADDRESS o),kfD_ cf::Z- IJDI� &-Y)�ADDRESS CITY, STATE, zip ��g m MA 0\c�( - 1 CTTY, STATE, ZIP RESIDENCE PHONEO'a8 )1�}�I 'drJ 3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.1-mvlcy 2.�Vrlraym 3.hrYi,mern 4.\dVkAAOA 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 SIGNATUREQ- t 4- . Qn DATE v Inspectors use only Date on initial inspection: (O la,I I/1 Date of reinspection: Date of issuance of certificate: (y b I I I I \ Date fee paid: Type of unit: Dwelling V--'Other Check# (`�f dam° Check date: Notes: Wvk kt- Code Enformen Inspector CITY OF SALEM, MASSACHUSETTS e BOARD OF HF LTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DGIZVENBAUMOSN.1[Md'OM DAVID GREENHAUM,RS ACTING Hr'ALTI-I AC P,NT CERTIFICATE OF FITNESS CERTIFICATE#448-10 DATE ISSUED: 9/16/2010 Property Located at: 12 Pope Street UNIT#A-113 Owner/Agent: Salem Heights Apartments Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO OF HEALTH I I D VID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFOITCEMENT INSPECTOR Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET',4"'FLOOR - TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREEURATTM(q)CA1RN1.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 Ci ' Q (n Yr+ V mo N # R I (S IS THIS IUNIT /DISIGNyA�T{E�D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER��i A�Q11 1 ' \ l ��1 I I.\ MANAGER/AGENT NO P.O.BO -l II� _ ADDRESS ADDRESS CITY, STATE,ZPSAOnM CMnCITY, STA TE, ZIP RESIDENCEPHONECI �) WQ OMT BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: _7-1 rypryy� ROOM USE: 1. j 2. V1 r) 3IdI1t111 14. 5. 6. 7. 1 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 onlv Date on initial inspection: q lgp/l o i Date of reinspection:' Date of issuance of certificate: t4I I(P I r 0 Date fee paid: 0///w D Type of unit: Dwelling_�Other Check# Check date: Notes: Code E o ement Inspector y CITY OF SALEM, MASSACHUSETTS �..,, BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEI.,. (978) 741-1800 IQMI3ERL1_.]'llItISCOLL FAX(978) 745-0343 MAYOR lramdin(a�snlem com LAI'R)'RANLI)IN,IiSj iiFl IS,CFR), H I?iV,I'I I AG I SN'r CERTIFICATE OF FITNESS CERTIFICATE#151-11 DATE ISSUED: 5/24/2011 Property Located at: 12 Pope Street UNIT#A-201 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 /Qw LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOIJ. FAX(978) 745-0343 MAYOR DGRFENRATIMna SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT �mwI � Application for Certificate of Fitness 1 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 I O q n� "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." `(J "l n �JS FEE: $50.00 PR PERTY LOCATED AT UNIT#89D IS TINS UNI/T�1D-{I-SSI(NNAATED AS 1RI(f lT LEFT FRONT OR ACK PLEASE CIRCLE ONE OWNER/LES(S��ERP(PQ T-VICA--Iylyl)�1(l� -}K— A 1,\_ 1n - AGER/AGENT (r��-yr�� j �G ADDRESS ( Il 1 �C �1\ I SC i( l DRESS [2 "1 "� \ I I �CSX�.( CITY, STATE, ZIP t { _JIIJL I l i o 1 C1 lul C Y, STATE,ZIP, Y L I t I �l l� t /O RESIDENCE PHONIfflR � �j �-trUr t_ _�\I��USINESS PHONE(24HRS) BUSINESS PHONE''j I I TOTAL NUMBER OF ROOMS: ROOM USE: Ewt o jo-7m3i32o 4. 8enA 5. 6. f 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 FETE IS PAYABLE( A�T THE (IIM'/� TIME j APPLICANT'S SIGNATURE l �_1 Q I I /�' lO A V A �I rCU-0_ DATE lectors use onlv Date on initial inspection: I a "I / Date of reinspection: / Date of issuance of certificate: s bLl1ll Date fee paid: .S d qI/// Type of unit: Dwelling Other Check# � W Check date: y�/9/// Notes: Al X f 1 C (P-e/ I n t o rd- - Ab Code Enf rceme t Inspector TRANSMISSION VERIFICATION REPORT I TIME 05/25/2011 03:35 NAME FAX 97e7450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 05/25 03:34 FAX NO. /NAME 919787445616 DURATION 00:01:03 PAGE(S) 07 K MODERESULT STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF IEALTH 120 WASHINGTON STREET,4°1 FLOOR Prevent ubPromote cHealth TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdinnasalem.com - L:\Rlil'R,\TIDiN,12S/RI;1-IS,CMU,CP-I+S MAYOR HI?,U;Il i AGUN'1' CERTIFICATE OF FITNESS CERTIFICATE#349-14 DATE ISSUED: 10/14/2014 Property Located at: 12 Pope Street UNIT#A-202 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-7440537 0-2,,,-,2nd in tha mirli dro of City of S21em rdindnce Chapter 2 Article IV Division3, Secti ^ 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 LAIIWAIVIDIN `�� HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"{FLOOR TEL.(978) 741-1800 ICMBERLEY DRISCOLL FAQ:(978)745-0343 MAYOR LRAMD1Nn.SA1,17M.COM LARRY RAMDIN,RS/RENS,CHO,CP-FS HEALTIi AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANIITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $$50..00 /� �� / PROPERTY LOCATED AT / ��e S �� ` 'G `� UNIT# � 2 IS TI UNI DISSIIGNATED AS RIGHT LEFT FRONT OR BACK,PLEAS TRCLEONE OWNER/LESSERD MANAGER/AGENT 4tf NO P.O.BOX ADDRESS I�- I! D //L ��/cit-FT�ADDRESS I CITY, STATE, ZIP cpm / �V CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) I BUSINESS PHONE % 'U % (7 �S 3 ; ' TOTAL NUMBER OF ROOMS: �� ROOM USE: 1. �Q^2. �l 3. � �I Pe��oo c- 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TI-IIS FEE ISP BLE AT,TIE TIME 0:7N r U APPLICANT'S SIGNATURE �ak a L" DATE D � ' Inspectors use only Date on initial inspection: 164/10_ Date of reinspection: Date of issuance of certificate: 1 Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: eeAT1/ Code nfokt silent inspector CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAS(978) 745-0343 MAYOR DciaticNnnunt(a..SAI.I;M.cona DAVID GREENBAUM ACTING HRALn-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#296-10 DATE ISSUED: 6/14/2010 Property Located at: 12 Pope Street UNIT#A-203 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH A�I REEN UM — ACTING HEALTH AGENT CODE EN`O EMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS M BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KTMBERLEY DRISCOI.L FAX(978) 745-0343 MAYOR DGRFENBAUMna SM R 11.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: -${5-0.00 �Y1 /� PROPERTY LOCATED AT mw ,��Q.1 scit(�m 1 1 1 n Gan Q n UNIT#-A2-03 IS THIS UNIT DISIG ATED AS RIIG�HT LEFT FRONT OR BACK PLEASE CIRCLE ONE � (� {�/� OWNER/LESSER�C\[ 0- m ��agn_K AffimANAGER/AGENT�Im1 I�' viNj Ivl (ir(', and NO P.O.BOX �1 ' - ADDRESS I L `C��P ` �QQt ( C�� R� q ADDREss CITY, STATE, ZIP l7'�N'A- IC r �"(l�`-1) r�G/-7 l/ ) _CITY, STATE,ZIP RESIDENCE PHONEq u 1 -053� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / n (� �,,, ROOMUSE: I if MW 2.LN1odffb ISI I(1J7Yn4. 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 FEES ISI PAYABLE ,A/T�THE{TIIMEE gOF INSPECTION (� � APPLICANT'S SIGNATUREJ1 A_fn Y IQgK4 I V f�Jl�fl 1� 111 D DATE Inspectors use onlv Date on initial inspection: N 1i0 Date of reinspection: Date of issuance of certificate: (p If L Flo Date fee paid: (P lI UI1 G Type of unit: Dwelling n-Other Check# Check date: (P//q11 o Notes: Code fo ement Inspector . ,� ��• CITY OF SALEM, MASSACHUSE l I'S BOARD OF HFALTH 120 WASHINGTON STREET,41°FLOOR RibI1CmHP8Ith TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL kamdinaQsalem.com - LARRY RANIUIN,RS/REl-IS,CI-10,CP-VS MAYOR HI.AI:rl-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#002-13 DATE ISSUED: 1/2/2013 Property Located at: 12 Pope Street UNIT#A-204 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 LAR AMDI� HEALTH AGENT SANITARIAN �y CITY OF SALEM, MASSACHUSETTS 6a�13 d� BOaRll OF HE.\I;r[I ��wmueoP` 120 WASIIINGTON STBEET,41°FLOOR TEL. (978) 741-1800 ICINMEM-EY DRISCOLL Fax(978) 745-0343 MAYOR nautN(ilsnl.isntcom[ L\RRA'RANIDIN,RS/RPA IS,(:11(),CP-I'S HI m:ii f A(;FN'I- Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: /$50.00 PROPERTY LOCATED AT Q �2ani1 /� { UNIT#_Jq-p?O IS THIS UNIT DESIGNATED AS RIG LEFT FRONT O BACK PLEASE CIRCLE ONE OWNER/LESSER�/,5'F. t,/OL % MANAGER/AGENT NO P.O. BOX n^ a ADDRESS L J �D QP 5 �vv ADDRESS CITY, STATE, ZIP 6�4 6444/9 0 /QW CITY, STATE, ZIP RESIDENCE PHONE // BUSINESS PHONE (24HRS) BUSINESS PHONE 4qf- VV" 0 51-3 7 TOTAL NUMBER OF ROOMS: �3 ROOM USE: 1.1-11441n 2. Kir 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�IA/� . !t p�i2ZL DATE /c3 Inmectors use only Date on initial inspection: kl f a/v 3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code hrrfoi Zment Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF Hr-\LTH �- 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGRFENBAUM(a�SN.eNI. ON1 DAvIl>GRFI'.NBAUM,RS ACTING HEAI;I'1-I AGI-LN'1' CERTIFICATE OF FITNESS CERTIFICATE #84-11 DATE ISSUED: 3/23/2011 Property Located at: 12 Pope Street UNIT#A-205 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 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 W' 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 Th ' HEALTH ` FJ� DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR ts I t� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KRvfBERI_EY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBALM[ni.51LE1i.COIM 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 ATJ)W SV i U nfi a&L#f LD5 //IS THIS UNIT DISPDATED AS RIG LF FRONT OR BALM PLEASE C/IR/C�LE ONE OWNER/LE/SSERnl4irifir ` MANAGER/AGENT 11 lIYfII��V ADDRESS/ � _ j�ADDRESS — CITY, STATE,ZIP /1 11 I � /� lV _CITY, STATE,ZIP(��.1'i1 />� f/ RESIDENCE PHONE 7 1 C /�/qU 05Y/BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: jjPJffi 2. %c�P G'/!//4, _ 5, 6. 7. f 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 INSPECTIION MAW }y p A�j y� APPLICANT'S SIGNATURE & ( � DATE C� l�ln �/ Inspectors use only Date on initial inspection: Date of reinspection.- Date einspection:Date of issuance of certificate: -3,63/1/ Date fee paid: Type of unit: Dwellinthey Check#_Check date: Notes: Srn - � P,%J,1� �0 t"6 rt Code Enforcement Inspector TRANSMISSION VERIFICATION REPORT TIME : 03/30/2011 03:34 NAME : FAX : 9787450343 TEL : 9787411800 SER. H : 000BON341991 DATEJIME 03/30 03:33 FAX N0./NAME 919787445616 PAGE(S) DURATION 000: 00: 48 5 00: 48 RESULT OK MODE STANDARD ECM r I c Nn TAW City of Salem, Massachusetts Board of Health n 120 Washington Street, 4th Floor, Salem, Public Health Cr Y c MA 01970 Yre.e.nt Piamme. P'otect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-8 DATE ISSUED: 3/25/2015 Property Located at: 12 POPE STREET UNIT#A206 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Bomm(w I It; \1 I I I I i:1 (978) I'l I-Iwo I x X07$)7 15 013,13 )1( 1\N1 I NIS IZ S\N I I \N I Application for Certificate of Fitness IN ACCORDANCE, WITI-ISTA'f"l--' SANITARY COD17.,, CI-IAI"FER 11, 105CMR 410m(l "MINIMUM STANDARDS OF FITNESS FOR HUMAN FIABITATIOM" FEE: $50.00 PROPERTY LOCATF-DAT UN If IJ I't S UNTIA)ISICNATIA)&S 1�1GI.I'l 1.9_,7'1'FRONT UK BACK,PLEASE(.IF ONE OWNER/LESSER po MANAGkR!AGLN I NO PA 130X ADDRI--,SS r) P s j 0 ADDRESS CITY,STATF, ZIP CITY,STA-171", ZIP RESIDENCE PHONE BUSINESS PHONE (241IRS) q - 7V BUSINESS PHONE' '�s ) u TOTAI, NUN`1I3I--'ROFR/) ''MS: 1 �-'"I- ROOM USG: I. 6 . '1. �4,5' — 9t�' 4 6 v T S. 9 M THERIF IS A FIFTY ($50) DOLLAR FFG, PAYABLU, BY CHECK OR MONEY ORDER TO TI-IL Ci I'Y Of' SALEM BOARD OF HHALTI] '] I IIS) FEE ISP1A-YABI-E AT T]-IETI m ION APPI,ICANT'S SIGNA'I URF U DATE IIISDeCtOl-S LISC 0111V Daic on initial inspection: Date of reinspection: Date of issuance orccitilicale: Date fee paid: TYPe 01'LloiL Dwelling_ 0111cl —Check 9 Check (late: Notes. Code GnCorccmcnl Inspector i t R CI'TY OF SALEM, MASSACHLSE'I"1'S BOARD OF HE.\LfH PubliCHealt]1 120 WASHINGTON STREET,4°t FLOOR prevent.Promote Protect TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinasalcm,com LARRY R,\MDIN,RS(RL:HS,CI-fO,CP-FS MAYOR He„�L l'I i AGENT CERTIFICATE OF FITNESS CERTIFICATE#75-14 DATE ISSUED: 3/4/2014 Property Located at: 12 Pope Street UNIT#A-207 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978.744-5037 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 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 LARK MD N HEALT GENT SANITARIAN CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET,4"'FI,OOR PablicHealth TI?L. (978) 741-1300 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnn_salcm.com MAYOR LARRI'RAMI)IN,RS/RI;I-IS,(710,CP-ISS HFAIA'H AGI?N'P 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:: $510.00 �1 / n PROPERTY LOCATED AT( 436 P,9A ,L Ak t X 4`i A-p-1 -,S /�UNIT# �I ay / //�� IS THIS UNIT DISIGN/ATED AS R G T LEFT FRONT OI(BACK PLEASE CIRICL�E/ONE OWNER/LESSER Ct'e,4 e4/&a-6 UVL 14n-t t..51 r1� MANAGER/AGENT ��1 .Y I� l�lti�s k�, NO P.O. BOX / J ADDRES�� ADDRESS CITY, STATE,ZIP SGL/e-tvt- /1/�" OM76 76 CITY, STATE,ZIP RESIDENCE PHONEt BUSINESS PHONE(24HRS) BUSINESS PHONE /p 7a - 2 7 (� - 7 TOTAL NUMBER OF ROOMS: �L / I /� ROOM USE: LOb K� 2. /3.6 d0n3. l K� h 4. 17' 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 SIGNAT 7 (/ G� / DATE i I J Inspectors use only Date on initial inspection: 3/L I/�q Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: k6LG�-k- Code EnforcWent 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 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR -JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #218-08 DATE ISSUED: 5/15/2008 Property Located at: 12 Pope Street UNIT#A-208 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFH�� TEAL,�H,� Jam// " JO NNE SCOTT, MPH, RS, CHOzS HEALTH AGENT C ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISCO'TONALEN1.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 FORtHU�MA HABITATION." PROPERTY LACATED AT \F P �(��l UNIT# o T LEF IS THIS UNIT DISIGNATED AS RIGHT FRO R BACK,P EASE CIRCLE ON OWNER/LESSER �p�� ,q� MANAGER/AGEVF' v?— . NO P.O. BOX ADDRESS V1 �co�P 'J� ADDRESS CITY,STATE,ZIP \P1 ��\� lR .( G`al1 CITY,STATE,ZIP RESIDENCE PHONE (1BUSINESS PHONE(24HRS) BUSINESS PHONE Ck7Sc— TOTAL NUMBER OF ROOMS: �`� ROOM USE: 1. 2. 3. ( 4.J 5. 6. 7. 8. 9. 10. THERE IS A TWENTY-FIVE($25)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 APPLICANTS SIGNATURE DATE J Insuectors use onlv Date on initial inspection: S/I S/m Date of reinspection: Date of issuance of certificate: Date fee paid: Type of iiu��nit: Dwelling Other Check# Yt6 Check date: Notes: T10+ l>JWI P.f (1XT z W-9-crwvTd Cut I/-I3° -V4 mu=,A- Yx, 4 eare,'eA i 3OgF and wI be hD (9-ss -�un I100-F W cica S+Vd-d it wife (xf +)r ud &L4 , C e Enforcement Inspector t CITY OF SALEM, MASSACHUSETTS BOARD(-)rp�HEALTH 120 WASHINGTON Snr,,I3T,41°FLOOR TEHL. ()78) 741-9800 K1NfBFR-] Y DRISCOLL FAX(978)745-0343 MAYOR DGRHr:NHAUNI I1S,51,I;M.COM DAVID GREENBAUM ACTING HFAI:I'1-I A(;ENT CERTIFICATE OF FITNESS CERTIFICATE#349-09 DATE ISSUED: 7/30/2009 Property Located at: 12 Pope Street UNIT#A-209 Owner/Agent: Salem Heights Address: 12 Pope 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 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FjH O RD OF HEALTHAVIDE BA ACTING HEALTH AGENT C D ENFORCtMehWINSPECTOR r CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR TDIONNE( 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." rr�� FEE: $50.00 PROPERTY LOCATED AT I L ,e}- UNIT# � 21)` IS THIS UNITbISI NATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE - -"� OWNER/LESSER rvj in (r�-�-C MANAGER/AGENT c PGf) UJI C.P<, NO P.O. BOX l ADDRESS �� _ �C ( ADDRESS CITY, STATE,ZIP � Q4 0 YV\ `C )k 17�g10 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE—q—L& Q � TOTAL NUMBER OF ROOMS: ROOM USE: 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 SIGNATUR r /) DATE 7 Insn_ ectors use only Date on initial inspection: '/o//cq Date of reinspection: Date of issuance of certificate, Date fee paid: Type of unit: Dwelling Other Check#-O_Check date 61 Notes: I ��Y [oL Caorcement Inspector r CITY OF SALEM, MASSACHUSETTS a s 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#204-06 DATE ISSUED: 4/26/06 Property Located at: 12 Pope Street UNIT#A-210 Owner/Agent: Kori Wallace-CMJ Management Co. Address: 12 Pope Street City/TownSalem, MA Zip Code' 01970 24 Hour Phone: 978-744-0537 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 /-If R �ar :1 i.� .�.,.... . JO JSNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS, r 7 BOARD OF HEALTH t 120 WASHINGTON STREET, 4TH FLOOR SAI-LM, MA UI`. /U r�e TEL. 978-74 1-1800 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 CMH 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ,��._(��._ .� t 7_rY t71 UNIT#'&))6 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE PIRCLE ONE a�C� 6c.)G- �t°•cc ,... OWNER/LESSER MANAGERIA6E-N`r�X Unit C�+ e. yC 1 No P.O. Box No P.O.Box ADDRESS ADDRESS /r po,Q' SJ p U /) CITY CITY /� CSI 17 RESIDENCE PHONE BUSINESS PHONE (24 HRS) 9 7rY- 7VY-6 o D BUSINESS PHONE TOTAL NUMBER OF ROOMS:// ROOM USE: 1. 2./� '�� 5. w, 6. T 8. _ THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE —DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING x6THER_ CHECK u 17`}1� CHECK DATE _°I NOTES: _- -- CODE ENFORCEMI:NT INSPECTOR 9/28/48 i CITY OF SALEM, MASSAC'HUSETFS BOARD OF HEAL„CH ` lth PublicHea 12{)I�;TAtiHiAGFOlti STREE.[. 4°.FLOOR 'na... (978) 741-1800 FAX ()78) 745-0343 KIMBERLEY DIUSCOLI. ItatndinrJsaletn.com 1..11ilil'R,\N9D(N,]LS/R}?}Iti,(:1 It),CI'-I3 MAYOR HftAL'n i AG iGN,r CERTIFICATE OF FITNESS CERTIFICATE#207-12 DATE ISSUED: 5/2112012 Property Located at: 12 Pope Street UNIT#A-211 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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�OARD HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSE'M B(MI(D Ole HP.ALTt I 120 WASHINGTON STREET 4'° F1,001t T}3L. (978)741-1800 KTM14 RLFj,Y DRISCOI,L I"AZ.(978) 745 0343 MAYOR litn nu>INnsnl a+,mccnna LARRY RAMI)IN,ItS/It 11 Is,CI 10,01-RS I IVAI,IYI AchNP 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 %Q dope Sa Colo r, , mv\fi CW::, 70 UNIT#ti les\\ IS THIS UNIT DIStGNATED AS RIGHT LEFT FRONT OR B, ACK PLEASE CIRCLE ONE OWNER.'LESSER <,(-AC' r1 \-6 MANAGER/AG--E��NT^t�VZC1 p4�t1.S.CE' ADDRESS cam. 1 (60 ADDRESS CITY, STATE,?,1P,SU,q ,- MA bA9.70 CITY, STA'IT,ZIP�G\ e(n m n ()A`)-1 O RESIDENCE PHONE9-A -714(4 OJ3-) BUSINESS PHONE(24HRS) G--71F!5 -7qH OS3� BUSINESSPHONE 97&' OS-Z TOTAL NUMBER OF ROOMS: U p� ROOMUSE: 1.6d6tM 2.Q.OARYA 3.Vilk..,�044. `n.iV�AJM. 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 SIGNATUR [ On.A�s DATE S"Q 1 -1c _tt11 Insnectors use onlv Date on initial inspection: .';-7 )- 11- Date of reinspection: Date of issuance of certificate: S-2➢- 11- Date fee paid: Type of unit Dwelling--1 Other__ Check# L Check date: Notes: Code Enforcement Inspec • CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL-1,1-1 120 WASHINGTON STREET,4"' FLOOR TEL. (978) 741-1800 ICIMI3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1\IANCWI((�Sni,VN1.00a1 JANET NIANCINI ACTING HFALPH AU N'I' CERTIFICATE OF FITNESS CERTIFICATE # 176-09 DATE ISSUED: 3/31/2009 Property Located at: 12 Pope Street UNIT#A-212 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 J?acNET MANCII nG./rte ACTING HEALTH AGENT CO2VENIFORC &4T INSPECTOR it ti �?( 1< CITY OF SAI,.EM. TvLksSAC:HUSIi.` TS ,I. 1` x BoARI)01• IiF'A1,11-1 120WASHINGI'ON SI'ItulI,f 41O FLUOR Tiit.. (978)741-1800 ISI\Il3ERLEY DRISCO LL F.\\{973)745-0343 NL-,YOR n(1)N.\ :(dNAJ F.M.COM IANw:rDIONNU- SENR)R SANT I'ARIAN 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 n PROPERTY LOCATED AT-Az i?� C 91 .YV� �f t UNIT,? Z IS THIS KNIT DI'IGN`AIiPEU_AS RICHT LEFT FRONT OR HACK,PLEAS CIRCLE ONE 0WNER/LESSER- c ' N_ PPC . L,�MANAGER/A_Q-ENT NO P,O.BOX ADDRESS 7 �� [' �y'y�� ADDRESS CITY,STATE,ZIP t .�P tM, I t A= ��y�CITY,STATE,ZIP RESIDENCE PHONE 7 '�`'� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / '- ROOM USE: vn2. y( IC 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, 4 L.--� �4 V1 DATE SI-2j, l� r ry Inspectors use only J Date on initial inspection: ! �, t o"! Date of reinspection: Date of issuance of certificate: Date Tee paid: 'type of unit: Dwelling--Other Check# Check date: Notcs:*�C�tJCI7 61A�eA '0T _�.VYri7Ve v 6nflorcem:e�nt Inspector t CONDIq�d City of Salem, Massachusetts {Y Board of Health x�o ` 120 Washington Street, 4th Floor, Salem, PublicHeaIth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-9 DATE ISSUED: 3/25/2015 Property Located at: 12 POPE STREET UNIT#A213 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH - "✓� - � . 4 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i Cr r) of S, 1 ,1 ;,im AS!I!Nf(I't>v C' 'i:: 1',=Ep1 I^: tv P; 0R!tif-( A I 1: (97S)715 i13,;3 �1 \V( tR Ani o!u tLlai (:(i.\I Sl \1( )It j,\NI I'\HI 0, Application for Certificate of Fitness IN ACCORDANCE WITH SPATE SANITARY C'ODI:, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FF'C: $ {50.00 PROPERTY Y LOCATED AT l� r) v'p- J .,1, S UNI'I'!1_/ IS !'Ills INN II'DDIISSIIGG/NNA/'!'ED 4S RIGIIT LEFT tj20!4"i'QH IG+,Cii,t'1.P:�iti1?C:IIK:11!1 /.v OWNER/I.13SSE2 y\T f ! MANAGHRIAGENT �f 4 NO [CO ROX t� / ADDRESS l �� rJ� ADDRESS f1/ CITY,SPATE, ZIP � �liL �' CITY, STATE, ZIP / 12ES1DENCEI1I-(ONE /...�_- J ( �f3JU,(S'I"NGSSPIIONE(241-IRS) I"MSINESS PIIONF: / C/ v� 4�{ / % (/ J TOTAL NUMBER O//f ROOMS: 'S /� ROOM USI.: !.,/ VT 2. ), ° ul 4&-1 �1 S. G 7. 8, 9. 10. 'I"I-117RIF IS A FIFTY ($i0) DOLLAR FFI3, PAYA13LI., }3Y CHECK OR MONEY ORDER TO TI-IIs Ci'I'Y Ol' SAI.(I,M BOARD OF HEALTH THIS PEE IS PA A 3LE AT TI IE 'T'IMI:OF INSPEC'T'ION gy�� -z y nPPI,ICAN'r'S SICiNA'I"IJRP'. � JG. DATE Inspectors use onh' Date on initial inspection: Dale o'reinspection: Date of issuance of eet G licale: Date fee paid: Type ol'unit: Dwcllin _ _Other_ t;!cclt 9 Check .Mita Notcs: Code Enlorccmcn, Inspcc.or fA IJJJ City of Salem, Massachusetts n � Board of Health M 120 Washington Street, 4th Floor, Salem, Pub1iCH@Alth MA 01970 Pr"ent.Promnle. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-92 DATE ISSUED: 3/30/2017 Property Located at: 12 POPE STREET UNIT#A214 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN I EI t e » C:ITY OF SA1.EM, LNSSACHLSEJ`TS licimw m,HEAUH r I20 WASHINGCUN S'1RFF'C 4°t F1,0()R 1r1.. (978)741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR I,Ii Nln N a ,AIEN1-COM 1..A RRY RAMpIN,Rg/21:Ilti,i;l lii,(;PPS J lF,AJ 1H A(Ai'NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITAI4Y CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 / PROPERTY LOCATED AT Ed)" UNIT#-?/ IS THIS MITT DISIGNA FD AS RIGHT LEFT FRONT OR BACK,PLEASE CIR�ONF OWNER/LESSER V V t� MANAGER/AGENT ADDRESSI p£? o e ADDRESS CITY, STATE,ZIP CR� CITY, STATE,ZIP RESIDENCE PHONE �BUSINESS PHONE(24HRS)__.,__ _ BUSINESS PHONE TOTAL NUMBER OF RO.,(/O, l�"MS:: �� ROOM USE: 1. \�V'w 2. (!�/ 3. i I 4L p I4�_ 6. 7. 8. 4. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS LE AT 7 HE' 1i OF INSPECTION APPLICANT'S SIGNATURE DATE /"� /0 lpspcctm 2tr��/ -1 .used Date on initial inspection: I)!"10h "fr Date of reinspection: Date of issuance of certificate:�!�-+ Date fee paid: Type of unit: Dwelling---Other^. Check# Check date: Notes: A Code forcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR PublicHea ith TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinnsalem.com L.\RRY R.\;VfDIN,RS/RIS1iS,Ci K),C11-FS MAYOR HP;.\I:IT-I AG FNr CERTIFICATE OF FITNESS CERTIFICATE#350-14 DATE ISSUED: 10/14/2014 Property Located at: 12 Pope Street UNIT#A-214 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 .D,-,.��N-ant to the requirements of Ci�y of Salem ordinance Chapter 2 Article IV DivisiOP3, Secti r! 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 ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate,of Occupancy. FOR THE BO D OF ALTH LARRY RAMDIN HEALTH AGENT SANITARIAN +• CITY or SALEM, MASSACHUSETTS BOAIM or HEALTH "84.R,1X 120 WASHINGTON STREET,4"FLOOR TEL.(978) 741-1800 KIMBERLrY DRISCOLL FAX(978)745-0343 MAYOR i.RAhmiNnW FM mnr LARRY RAMDIN,RS/I217I-IS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" n FEE:j$50.00�1 (� PROPERTY LOCATED AT /' I ` UNIT# 14 2�/ I IS THIS UNIT DtSIISIGNATED AS RIGHT LOT FRONT OR BACK,PLEASE CIRCLE ONE OWA—V PO V MANAGER/AGENT NO P.O.BOX ' ADDRESS (/ Z -ore ADDRESS I CITY, STATE,ZIP �0A `t ��y CITY,STATE,ZIP RESIDENCE PHONE ��j II BUS �NESS PHONE(24HRS) f BUSINESS PHONE [ 7J) 7- C�l t l�— d— TOTAL NUMBEROFROOMS: I� ROOM USE: 1.�1 �� 2. IG �f 4. 5. 6. 7. 8, 9. 10. THERE IS A FIFTY($50)DOLLAR FEE ABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PVBB E AT T14E TIME F INSPECTION APPLICANTS SIGNATURE l�l� A )— DATE lO Inspectors use only Date on initial inspection:( �ICf/1 W Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code EYforkdment Inspector CITY OF SALEM, MASSAC;HUSF,T'T'S BOARL)OF I IEALTH PnblicHeaith 120 WASHINGTON SI'REF.T,4...FLOOR TEL. (978) 741-1800 F'As(978) 745-0343 KIMBERLEY DRISCOLL IramdiriOsalem.corn � l.AR121'R,\bIll1N,R8 RG;1IS,(1110,I10,C]) I S MAYOR H( Al:i'11 AGENT CERTIFICATE OF FITNESS CERTIFICATE#92-14 DATE ISSUED: 3/24/2014 Property Located at: 12 Pope Street UNIT#A-301 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit,apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAIN HEALTH AGENT SANITARIAN F .,f CITY OF SALEM, KNSSACHUSETTS BOARO OF HEALTH k °7 r.yfy I ... ; 7 '�'bm�muoo� 2.0 W.<ItiHINGT()N STIZEI�,T,4 I7,(>()It TEL. {978)741-1800 14IMBERLEY DRISCO.LL FA: (978) 745-0343 MAYOR i RANIUIN(CZAJ.l:NI.CGn-t r.,;II(I(� R NInIN,I(s/ai.r.s,cm),eP I.s 1It?;tl:xbd.rl(�isN"1' , i Application for Certificate of Fitness IN ACCORDANCE WITH STA'T'E SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" /J /_ FEE: $50.00 PROPERTY LOCATED AT c /� X r?Ji Y� Y - - —d & tJNITi# v I IS THIS UNIT DISIGNAI AS RIGk LEC T FRONTO BACK PLEASE CIRCLE ONE �- J OWNF,RILL;SSER lnc��I/�', MANA{iER1 AGENT �L(-LG4L NOP.O. BOX L ADDRL.SS ADDRESS CITY, STATE, ZII . CI'T'Y, STATE, ZIP RESIDENCE PHONE T' BUSINESS PHONE(24HRS) BUSINESS PHONE-. �-'T_7 3 TOTAL NUMBER OF yy}ROOMS: t`�� ROOM USE: 1.1V �/�'/ 2. /7- 3. U� ��' 14. 5. b. 7. 8. 9. 10, THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TRE CITY OF SALEM BOARD OF HEALTI.-I THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE du' -6�f/ - DATE-`.* t InsD Ctors use.onI Date on initial inspection:_ IAVL� Date of reinspection: Date of issuance of certificate: ii Date fee paid: Type of unit: Dwelling_. _Other_._.^Check#l. f_A l� Check date: Notes: Code or e ent Inspector is CITY OF SALEM, MASSACHUSETTS mac.. BOARD OF HEArm 120 WASHING'rON STREF,r,4p.FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAX (978) 745-0343 MAYOR lramchn0salem.com LARRY RAMI)1N,RS/RI;I-IS,(:I 10,CP-FS HI?;\1;1'11 AG RNT CERTIFICATE OF FITNESS CERTIFICATE#317-11 DATE ISSUED: 9/7/2011 Property Located at: 12 Pope Street UNIT#A-302 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 ORD OF HEALTH (� — LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM rn,�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\Q �(O-C Q 54 , (S(-A2 l 'mR )\C1__j UNIT# IS THIS uNry DNIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE O p OWNER/LESSER((��0':;0r\ IA00 �C�) S\ rl ANAGER/AGENT_� rC�S�\ NO P.O.BOX (� c �1 ADDRESS \� \cl`� J C ADDRESS CITY, STATE, ZIP , �CAkC\I M r�1(� 0191()CrrY, STATE, ZIP .'�-cMe WI ti l 09- 7 RESIDENCE PHONE ) q A -W 37 BUSINESS PHONE(24HRS) SaV \�_ BUSINESSPHONE�9�g �,�� " OS TOTAL NUMBER OF ROOMS: 4 ROOM USE: b.�c�0 7.L J\ A � 8. iWeM 4. CALM 5. 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 SIGNATUR)s v t ➢ 1 DATE )- - - J -QO k 1 �1m Inspectors use only Date on initial inspection: qll ll I Date of reinspection: Date of issuance of certificate:' q h /it 1D e fee paid: Type of unit: Dwelling ✓ Other Check �"1 k date: Notes: Code Enforc�ment Illspector n _ 00CITY Off' SALEM, MASSACHUSETTS BOARD OF ]JEW TH 120 WASHINGTON S'fREIiT,4...FLOOR TLL. (978) 741-1800 KINIBERLI Y DRISCOLI. FAX(978) 745-0343 MAYOR. lrajndin(a'�salem.rnm Lailil'R.1 11UIN,RS�S2 P.FIS,CI-I{),CP-1'S HI:Ai;r11 A(;1;NP CERTIFICATE OF FITNESS CERTIFICATE#153-11 DATE ISSUED: 5/24/2011 Property Located at: 12 Pope Street UNIT#A-303 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH /; L-, � L U�','-- LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS o » BOARD OF HEALTH _ 1 120 WASHINGTON STREET,4m FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMQa SALFM.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." y�F/E�E�$50.0I0/�fr��1 rn (� no /� 2 PRP T OAT AT t 11 1 Il 1/ l ,�1�/1 �I I I l I A l_I Il..f'�l J UNa#��J IS(THyIS�U�NI/T�DIISIGNATED AASpRIGHT LEFT FRONT OR BAC K PLEASE CIRCLE ONE ^ I WOO�r OWNER/LESSER��K�I Jn�Il �_ .\ GER/AGENTCI I �_/X�l �d U�IW(lOO ADDRESS i � 0 ADtSS �T CITY, STgATE, ZIP . - �I Q- 1 I 1 V l2I I l_f W�Y, STATE, ZIP �_��nIUG�1/f� I�I I I R(3q7 O RESIDENCE��ONE (��-�1�I��O(��`�� BUSINESS PHONE (24HRS) ` `I l II U lX- BUSINESS PHONE S� A 1 V (L� TOTAL NUMBER OF ROOMS:: l ��, ROOM USE: l I(Q ,l((n(Ly",[�,�( I m I 4Pol rfn 5. 6. 7. 18. - 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, {SAT THE TIMEOF INSPECTION APPLICANT'S SIGNATURE yPE(T Rff 4ATE Insrs use only Date on initial inspection: ria u III Date of reinspection: Date of issuance of certificate: S Ic2 UI l 1 Date fee paid: Type of unit: Dwelling ✓Other Check# Check date: LIA111/ Notes: Code Enf cemen Inspector CITY OF SALEM, MASSACHUSE'I"TS * BOARD OF HEALTH 120 WASHINGTON S'rREET,4"FLOOR TEL. (978)741-1800 KIIvMERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRRrfNAAUMOWSALIM.COM DAVID GREENBAUM AcrLNG HI:.ALT}I A(,LN7' CERTIFICATE OF FITNESS CERTIFICATE#505-09 DATE ISSUED: 10/8/2009 Property Located at: 12 Pope Street UNIT#A-304 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 BOA✓Rq,OF HEALTH DAVID RE MM ACTING HEALTH AGENT C ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS BOARD OF HIiALTH 120 NVASHINGTO S STRFh-F,e'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL I'AX(978)745-0343 MAYOR LCREENBAUMQSLALLM COXI DAVID GRELwmum, 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 12— C 4 UNIT# �/ IS THIS UNIT DIAGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER c` i\4 � cY� �an � MANAGER/AGENT NO F.O.BOX ADDRESS 12- 1Q�Et' LSA ADDRESS CITY, STATE,ZIP t c_ 3l P t ,Q�_CITY, STATE,ZIP RESIDENCE PHONEn BUSINESS PHONE (24HRS) BUSINESS PHONE 1t � TOTAL NUMBER OF ROOMS: LA ROOMUSE: 1 y, i)��Qyi { u W 3.20r 3)0 4 YajfMM5. 6. 1. 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 DA _LL Inspectors use only Date on initial inspection: �o hp /G 9 Date of reinspection: / / Date of issuance of certificate: / G 410 9 Date fee paid: /0 l CP t G 9 Type of unit: Dwelling Other Check# 7 c 3 Check date: $1O 7 Notes: Code Enforcement Inspector CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH s m, � 124 WASHINGTON STREET, 4TH FLOOR - SALEM, MA 47970 sY TEL. 978-741-1800 IhIN6 FAX 978-745-4343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#402-05 DATE ISSUED: 6128105 Property Located at: 12 Pope Street UNIT#A-305 Owner/Agent: CMJ Management Corp. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 JOE SCOTT, MPH, RS, CHO HE TH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS,. BOARD OF HEALTH 120 WASHINGTON STREE'T. 4TH FLOOR pq bALLM, MAUI y/L) TEL. 978-741-1800 Y60 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 UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASEIRCLE ONE e OWNERA-ESSER MANAGERIAI&ENML No P.O. Box No P.O. Box ADDRESS ADDRESS CITY C(TY—_;&a leej kv? 76 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.42. &Ame�_4. _?,n& 1�-, 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE k)f�� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z -d ? —o 3' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE rDj -5, DAl E FEE PAID:. A' - TYPE Of: UNIT: DWELLING'P OTHER CHECK#,/Z,_r,5k CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9128/98 f SND tCity of Salem, Massachusetts J 6 IV g " Board of Health ` 120 Washington Street, 4th Floor, Salem, PubliCHeaIth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-395 DATE ISSUED: 10/17/2016 Property Located at: 12 POPE STREET UNIT#A307 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Bo\izr)r*,I lr,un r frt',. (978) 741-1800 10,MBERLEY DRISCOLL FAX(978)745-0343 1\1-\YOR a xi)NNI:.fiAsnt.0 ms.COAs JANFTI)IONW, SFNIt)IZ SANI J'AMAN 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 r DEa& UNIT# I-X IS THIS UNDISIGNATEI)AS WIGHT LEFT FRONT OR BACK,PLEASE CI OWNER/LESSER 0 MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS I CITY,STATE,.ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROO S: ROOM USE: 1. P*rk�., 3. lydl5a2l 4L 5. 6. 7. 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE^YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P7W INSPECTION APPLICANT'S SIGNATURE DATE /a Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other Check# Check date: Notes: *6 Co6_EnMcemVt Inspector - City of Salem, Massachusetts 3 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-290 DATE ISSUED: 9/18/2015 Property Located at: 12 POPE STREET UNIT#A308 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAN ARIAN 4��wvw 120\C,�snlmm)NSrl<rlCl' 4'° Fl.00iu 1'i,l.. i9?tij 74 t-1 t30e) k_MIl3f:JU,13Y DR[SC:(A L I- \x (9?8)715-03,13 \YQR p�rz,tiNr,(rib u r el.0 W JANICI'Dk ),NNIf, 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 PROPER'T'Y LOCATED AT ` �V!' C� � UNIT# A /_4 IS TIII NIT D IGNATEh AS RIGHT LEFT FRONT OR II&K,ITEASE CIRCLE O�(NE' OWNER/LESSER NO BOX ADDRESS ESS / D1/ � 6 e 0 MANAGER/AGENT-" ADDRESS CITY, STATE, ZIP kCITY,STATE,ZIP / RESIDENCE PHONE } BUSINNESS PHONE(24HRS) 13USINESS PHONE 7 tl l —1111 ,Or3 / TOTAL NUMBER O ROOMS: ROOM US2. M 1� r" �f �"" . 6. T 8. 9. to. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHFCK R MONEY ORDER-1-0 THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP BEE AT THE TI MPCINSPECTION APPLICANT'S SIGNATURE /" Y—' DATE " �l r l y h InSDectorS use only Date on initial inspection: ' �S� Date of reinspection: Date of issuance of certificate: Cg11V Z21`2-3� Date tree paid: 07111120.7s Type of unit: Dwelling,Z0lher _Check 9�22 Check, date:- n jio15'__ Notes: C n[ cement In ector " a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR RiblicHea Ith > Prevent.Promote.Protect TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL Iramdinna.salem.com — LAxxY RA6IO1N,lis/Alar Ls,CI10,c;r-rs MAYOR Hi -L AGENT CERTIFICATE OF FITNESS CERTIFICATE#374-13 DATE ISSUED: 10/15/2013 Property Located at: 12 Pope Street UNIT#A-309 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 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 MDIN 141UA-) HEALTH AGENT SANITARIAN 4 � ,p J �,I'!'�' C3!' SAJ.J---, 19) ::Y&ASS C,} 1(„S!_'.�l.`[ 120\k)nsrllNG MN s'11u:,1:;l',4l't.tx lu i7_•(, (978)741 1800 UNU;IsItJ.I.YDI{ISCC71 .1: ; , (978) 716.03/1) Ni A\'Olt gnn)titrg(n);,nl.l:ni S:S1nl WRY lt,\nI DIN, RVI{I•.1I;,,t,1IO,cp-I•:, I Iii.\I:Iii At:h.Nl AP30c;alha^a Ivor rUea"Ea?ic ate tof 11C.ess IN AC:C,YMDANC,U. JVnj1 S'f'A'ry SANUARY CODE, CHAPTUR 11, 105 CMR, 1110.000 NIMUM ,5T \AMAKD8 01, FITNUSS FOR IMMAN ICA 1,311 A'( ION" OWERTY IDCA-Ii-D A'( , (._ _ _ L"t�;!"1"!i_ IS'tl'tl I1S I1 PI I'f hIS IC IV A'I'ba) Ay 1{IC%II 1A�:1'f 1 4t'C1 N'1 12 )M K,1'7,1:A$OI:CI1{CF,EC QNI�: )NISR/I,IiSSLkA I ` 1LTj{-jf!'tr_�.}} MANA(rllli(ACi!_IN'l (( Dltl'S.S )/) ,} i'A`f E;, %iI' i�(t:..�F !Ul, _- /7j�) (�/ r�l) COY, STATE, / - / - SII)I;NC:LI''fICYNI{ -BUS INLSSPIIONI;(21l-I S')__,___ SINLiSSPF10NI'; f'Al, NIi,191iisit O;' KO()M, uNl uslc' I_;RH IS A MIA! CM) DOI,LAIt I kls , PAYAMJL 13Y cf1G,CK OR N(+:)NHY ORUIGL`i"OTIiL1CAA V OI• SAIRM Ak!) OF 1 fJ'iA1-A l I IIS FIT IS PA-YAIiLCt ATT I U 11M V OF INSPR(W)b ',I:JC;AN'I"S tiiG+tiA'!(Ilii ,}n"I , s lu;,hccli>rs_usc uliy c.I>n tniLrll iusllcrllolr ' /�- 13 Ualc of rcinspcclxm:_ c ul lsslll c;c{1I'ccrllf1calc. !(�-)S�' )7 lhllc A paid: _._._._-------- -- ac 10 I'';u101(cl))(ml fllspcclul--- CITY OF SALEM, MASSACHUSE'I"TS BOARD OF FIEALTH PIlI1�lCH@8Ith 120 WASHINGTON STREET,41°FLOOR prevent.Promote.Protect. *1`EL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLf, tramdinasalcm.com LARRY IL1b1DIN,RS/ffii[-i5,CIAO,CY-i+S MAYOR H:ALrii AC:3sN'r CERTIFICATE OF FITNESS CERTIFICATE#33-13 DATE ISSUED: 1/28/2013 Property Located at: 12 Pope Street UNIT#A-310 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Satem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit,apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 ��1 d✓1 U 5PIRY RAMDIN HEALTH AGENT SANITARIAN rte'. �0gq4�.Tjj J 3' CITY OF SALEM, MASSACHUSET"T'S tr 130,jRD 01, IIEt,\T'I'[-I t20 WASHINGTON STREET',4 N.,OOR TEL. (978)741-1800 IQMi3LitLEY DRISCOI.L FAX(978) 745-0343 MAYOR i.itnnRAN@J Ai UI(:oral L;vlu} R,\nu)iN,rtti/Ri;i rs, CHO, H r.;\r ri r Ac IN t Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABfTATTON" / FEE: $50.00 Q PROPL1tTYLOCATLr) ATt's ,XO/V, -, k ;/1 1'fun ) UNIT# IS')HIS UNIT DISIGNATP;U AS RdGFf�'LEFT FRONT OR ACK,PLEASE CIRCLE ONE ' OWNER/LESSEIRZt,f 6�/r/a ', _��y�� ;i ( MANAGER/AGENT NO P 0. BOX ��11 '� , ADDRESS��_jq( 0- —s �lY ADDRESS CITY, STATE, ZIP Sck 1f'bIA /M 0/ 17CI'T'Y, STATE, LII' RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PH ONE__ � 7�y'"/UJ3 TOTAL NUMBER OF ROOMS 7 ROOM USE: 1. L l/ 1e4l 2. / 7– 3. 41� 91V4. ,&) k1n5. 6. 7. 8. 9. 10. THERE IS A FIFTY (S50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL EM BOARD OF HEALTH THIS FFE�E IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURL�111 (,/1�/( �, / DATE_- Inspectors use only Date on mitral inspection: Date of reinspection: Date of issuance of certificate:: 12tij 1 Date fee paid: Type of unit: Dwetling_✓ Other Check# `1 Check date: ) "/iF t-) Notes: n i -)4e Enforcc�nei Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o a 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@a SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#19-08 DATE ISSUED: 1/22/2008 Property Located at: 12 Pope Street UNIT#A-311 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE OF HEALTH f JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i /. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR I !' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATUNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER��2 �et MANAGER/AGENT No P.Q.Box `� NO P.O.Box ADDRESS ADDRESS o� 'Cf)�P S� ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE {24 NRS.} BUSINESS PHONE_ A—,_ ��3, TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 3. 4.- - 5.____6.__T .5. 8. 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 � � G-{ "7 DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /, Z..Z-- DATE OF REINSPECTION t DATE OF ISSUANCE OF CERTIFICATE:r- }-x 9 $ DATE FEE PAID: /, ?- Z 'P 'y TYPE OF UNIT: DWELLIWTHER_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts { 1 :. Board of Health Da 120 Washington Street, 4th Floor, Salem, PU blicHealthh MA 01970 Prevent_ Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-172 DATE ISSUED: 6/15/2017 Property Located at: 12 POPE STREET UNIT#A312 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. 40— jaww Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN . • CITY 01:A SALEM, MASSACHUSETFS a BOLLIiD OF I'IEi17,'I'H 120\ SFT NGTON STREET,4r(l FLOOR TFT,-(978) 74l-f8.00___'______. --- - -- — KttiLBERT F.Y DRISCOLL FAX(978)745-0343 MAYOR IAA aot nsniA.NL ONt .L„\Rift"RAhtt)IN,ittifizi',I(ti,CIiC),CY-i; JdIiA!:1'll ACIISN't' Application for Certificate of Fitness IN ACCORDANCE WITH S'T'ATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 19( 50.00 PROPERTY LOCATED AT t t 0 P (': $S h -U • S ez&I-, �� ( L YS S U}N1T 1S1GNATEHD AS tt: j LEFT FRQ d OR FAC PLEASE C IRCLE ON - OWNER/LESSER ✓ t 1 MANAGER/AGENT NO P.O.BOX (� ADDRESS Z . ! O ADDRESS ��nni CITY, STATE,ZIT' �Ot�K , ) � CITY, STATE„ZIP f J RESIDENCE PHONE..-/- Q Vt._--_BUSINESS PHONE(24HRS) .BUSINESS PHONE v ) 3 T TOTAL NUMBER OF ROOMS: y-�! �� ROOM USE: I 2. ! �. 4. 3 5. 6. 7. 8. 10. THERE IS A FIFTY($50)DOLLAR FEE, YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P .E AT THE T 'OF INSPECTION ./ 7 APPLICANT'S SIGNATURE l� DATE �J 11 31 1- rr Insroectors use only Date on initial inspection: ( 0 it V l o Date of reinspection- Date of issuance of certificate: 0 !ICO A- Date fee paid: � Q.I l)l n — Type of unit: Dwelling Other _Check# Check date: Notes: Code Enfo ement Inspector 0 100POWA%. CITY OF SALEM, MASSACHLISE'i"TS IV BOARIJ Or FIEAUM P�iblicHE81t11 120 WASHINGTON SI'Rrm,4 FLOOR N".e " rwwl. TEL.(978)741-1800 FAx(978)745-0343 KIMBERLFY DRISCOLL liamdin(@.salem.com LARRY RAhnxN,Rsjizr,E rs,0-10,cn-rs MAYOR HEAMtj CERTIFICATE OF FITNESS CERTIFICATE#257-13 DATE ISSUED: 7/30/2013 Property Located at: 12 Pope Street UNIT#A-312 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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. jQR THE BOAW OF HEALTH +(L LARRY RAMDIN /� � ' HEALTH AGENT " ZA!NITARIAN y / | *~ � �^i`l`\/ �� (` A [ l7K� ��A ��SA/`\�Q]Q�,l,|.<8(V\KD,8' 4kOC/\(' |Z0VK6�U|N��i0N ��Kb|�!� 4mli{)/4< . TCL (978)_M1 1880 � KJ�ti>WV tY |)|US/)]i� � ^ � FAM (Y78) 745'V3u) N|kY(}k H|a|ll/ Au�vr ApikenthmxOr ClOwkwic0f Mumm |N /\CC()1<])/\N[k \Y[[}! S?/\1`[ SANITARY C(}|)}.,.` CH/\P7[kI ), |0j ( K4x4| A000 °K8|N|K4UK4JF/\N1)/\|0VS ()|-� |l1-NH8SFOR \ |UM6N | 6*lA[l0N" � \JN! \�0_ /x�aoGonn�woGw^It«' AS ��ONIO k!�K��t' Co�C/�(oMx // -- -``--- ~�-^-'^``~^~�-�i' �v--^~~--''-- - )K)��X� / � (~/ 6]/DK8X�`___________'---'--- --- - �-�-' � US[NESS P||AN|T/20M\____-------_ � -- - - �|NL,SJUKlN[_ | A[ N!�4|V�K [U� x()i)��l` _ ]rv' �IRS ISA )l|qN ($5O) U0|.LkK , |`/\YA8},[ 13YCH]_,',C'KUkKVI0NET0KDUKlT) l}W (7 } Y0|/ \A|.ON Ai(0NU� It! |'A`//\Vl,CATllHE1lk4K[U�" lNX9F�CllON ' `1_3CAk[|"SX|CNAl\U( DKT|��-/�) ' " dy con iUMi|m;moo|/ ��_��j"� Da|co[minxpoc(ion:oo[/"iaumo*ofc*1 � ^^, � � '-'- - --- ----- .----�----__-'- --_� ----�-- -_ xs:�_-� ---'---- -�'----�'---- - - ------------�----~---- ------�-_� --'-- --- -' � � ' __-- ------- '------_-__-_.-------�-'____�_--�_-._-'_-----� ' --' _ � � |^ |!nk``xtmnoiu*ytciv/ �� x � �rT�� [\4C�\��l� ��' � � `,^ ��/��zv/ �vxz\ou^ �`.' ^ ^.�^� ^ ^`, � � _l\(t1Dllor--Ell�,JJ]j ' _-- — ��--- — � l20YV\SH[��Cl\`M��I3�]� 4mFi/ v* ` T0.. 07074i'1WN> � >�|�8}l�KlJ�/ I)KlS<J]\1, � � P�I�� 7 - �3 � tratndinasAlenixom ].AKxYkAM8)|w,K;/NoIS,/]|o`'A`'|;S 14v\|]l| 6(;Cxl' CERTIFICATE OF FITNESS CERTIFICATE#4U3-11 DATE ISSUED: 1O/28/20l1 Property Located at: 12Pope Street UNIT#A-313 Salem Heights Address: 12Pope Street Cibo7omm: Salem, K4AZip Code: 01Q7024Hour Phone: 744`0537 Aninspection cfyour vacant Dwelling/Rooming Unit ut the above address has been approved and isincompliance with 1U5CMR 41V.0O0: Massachusetts State Sanitary Code. Chapter ||" Minimum Standards ofFitness for Human HabitaUun" Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now berented and/or occupied. Maximum Number n[occupants, must comply with 1O5CMR 41O.O8O. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This CartifioatecfFitness isvalid only Jthere iSovalid Certificate cfOccupancy. FOR THE BOARD UFHEALTH LARRYR8MD|m HEALTH AGENT CJNRJRCEYNENTINSPECTOR �� R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRFFNBAtiMQ.SALFM.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 V4) CCI Ot(Yl v lWK Q� TC�1 UNIT# A-313 IS THIS UNIT NATED AS RIGHT LEFT FRONT OR BACPLEASE CIRCLE ONE OWNER/LESSEI��OVT1 l \q\� MANAGER/AGENT h_yV ) Pros.SPG— NO P.O.BOX ADDRESSPr-,00 <-k - ADDRESS n P )� �,—� 0- CITY, STATE, ZIP<_/_ .l�aV (n'� d19 7c b CITY, STATE,ZIP . Cj,(o Wl ' v 1 A 7� RESIDENCE PHONLLq V18 17144' 0537 BUSINESS PHONE(24HRS) '-,Gt ty✓-k _ BUSINESS PHONE �C, "\,Q TOTAL NUMBER OF ROOMS: l1 ROOMUSE: L�CACM 2.-\\1,✓1"it-M3. 1/ 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(ATT THE TIME OF INSPECTION APPLICANT'S SIGNATURE v w n \`J(11 J�n !-, DATE Insnectors use only 11� .�— Date on initial inspection: I olaa Date of reinspection: Date of issuance of certificate: /D �� / Date fee paid: &0 Type of unit: Dwelling) Other Check# Check date: /0 AR 1I 1 Notes: (' l ,, Co e Enfor.ement Inspector f CITY OF SALEM, NLNSSACHUSE'ITS • / B0,A RD OT HL::ILTI I 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR nc2easN1;AUNI(&Sw,itM.(:OM DAVID GRUA."NBAUM ACTING H EAI;TH AGENT CERTIFICATE OF FITNESS CERTIFICATE#662-09 DATE ISSUED: 12/29/2009 Property Located at: 12 Pope Street UNIT#A-314 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � DAVID GRE ENBAUM ACTING HEALTH AGENT CODE ENFORGEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL. FAX(978) 745-0343 MAYOR r)cRFFNRATT n.0 SAI.F.M.CONI DAvID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 1 t PROPERTY LOCATED AT �f I v �� 1 1 V1 I 1 # C// IS TrHIS UNIT DISI ATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER l 0 vv� �P A,, I�TCs MANAGER/AGENT NO P.O.BOX L ADDRESS Z ESE ADDRESS CITY, STATE,ZIP E\ CA-Y1 '1' N- (�J( - ().CITY, STATE, ZIP RESIDENCE PHONE 7 —7BUSINESS PHONE(24HRS)__ BUSINESS PHONE 7JUU �J l . rI I TOTAL NUMBER OF ROOMS: Li 1/ ROOM USE: 1. d i��'t_�P1 2. 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 PAYABLES AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE < y _DATE Lit InsDectors use only Date on initial inspection: Date Ir1 CI /� 1 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: 'ment Inspector M CONDiTt� City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PablicHealth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-174 DATE ISSUED: 7/14/2015 Property Located at: 12 POPE STREET UNIT#A-315 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH O� ///4 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANT TARIAN (,i'1'Y (")1' SrU ,kl�l, M ,"iSSAt ;i lt.i�f :l"i'ti � \�?�'r+ktAt.'+n��" I�_'t11� .1C1;1\'.:;ft t\<:'Gl�i�.;' j°• I�',A;UiI - I GI, l07�3}7 I I 181111 k9"?8)7 15 03$13 5: Application far Certificate of Fitness IN ACCORDANCE WITH STATE SAN IVARY CODE, CI"IAPTLR 11, 1 05CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN NAUVATION." f O l"F,,I: `n 5 0.00ryj) PROPERTY LOCATI_.D AT � � � I "� ✓ (fX�. �`l �" " UNrrll—L."_� IISS�A ITIS UNI! a1S1GNAIM)AS RIC 1 wr hROKT OR BACK,t't IZASl;fiU2Cl,.k:t)I\h: p� owNlRil.essl.l; / loN MANAGLR/ AGENT NO P.O.IlOX ADDI SS 1 OP e pp� d ADDRESS CII Y, STATE., ZIP v�� lil �— v` �'v�/V CITY, STATE, ZIP ROSUMCI PIiONL'i— Bt,,1S1'NLESS11HONi-(741-IRS) 3t;S!NESS PI iONI - � y1"__S/J P 'I Ft NUMI3I:R Ft .roor 3 f 6. 7, R. 9. 10 'II ME !S A FIFTY (SM) DOLLAR PE!:, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S.ALUM BOARD OF HEALTH I!-IIS FEE IS PAYAjeE A"I'I';ICH MME OF I;z RE!'1'IC)N (/ / APPLICANT'S L!G\N r'S SIGNATURE 0 DATE Inspectors ,Ise only Doc on initiz inspecliol : C)17/1 Vxnl Dale or mai mon: 7 I.},Ite of I SUM-,,CC n:certiii dtc_ f., � LT Dale tee Paid: - ZL t -- 'I'1'pt0I iloil: DNvcllin, 011tc;_---Chu!: ;, .�L1.�.—_Chczk .!td Notes. C*,If( nelll InB ctol'— _ City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-239 DATE ISSUED: 7/14/2016 Property Located at: 12 POPE STREET UNIT#A401 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street Cityrrown: Salem, MA Zip Code: 01970 24 Hour Phone:(976) 7440537 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 // reyT_. Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT SANITARIA CITY (ala SALEM, MASSACHUSF,'.i"I'S 3 B(�,uti)ot.HvlmIvtl .;- \\ems Tui- (978) 741-1800 I IIBERLE1 DRISC:OLL F\\ ('}7R)7 5-0343 NL, 1YOR 1)10NNF61'N u.t;Nt COM I1N1;1'Dtt1NNL'., SVNI('W S,%NI I'ARIAN Application for Certificate of Fitness" IN ACCORDANCE WITH STATE SANITARY CODE;, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEF,:$50.00 C� PROPERTY LOCATED AT S UNIT# . + / IS THIS UNIT �,�^SIGNATED AS RIGHT LEFT FRONTO ACK,PLEASE CI E NF OWNEWLESSER ( �t/ S MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP >i f� l "f CITY,STATE,ZIP t RESIDENCE PHONE �i'� BUSINESS PHONE(24HRS) hk BUSINESSPIIONE "/ TOTAL NUMBER O{^F_R�OpO, /S,:, ROOMUSE: 1. 6. 7. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE ABLE BY CHECK OR Y ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P A L T THE TIME OF I CTION APPLICANT'S SIGNATURE DATE " Inspectors use only Date on initial 'inspection:()7/DS7 }16 Date of reinspection: 0714Z')JL Date of issuance of certificate' Date fee paid:^^ 'type of unit: Dwelling Other ft Check#p 0600 ( Check date: ( r Notes: yen noir ph C tnv� �P lfJl nr� � C le�fe � �( PI✓) oe {�� v' *dn/frlemenAt11pector dam_ w r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 mxe 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#23-06 DATE ISSUED: 1/11/06 Property Located at: 12 Pope Street UNIT#A-403 Owner/Agent: CMJ Management Co. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 - JOA NE`�MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Crry OF SALEM, MASSACHUSETTSh ^T+7' BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MAUI tl N TEL. 41-1800 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 It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'- PROPERTY LOCATED AT_,-J A'a��_ ��._ T.g�, ±IA-UNIT#fes/ " IS THIS UNIT DESIGNATED AStR GHT LEFT FRONT BACK PLEASE PIRCLE ONE KC-7- we lle.cc OWNER/LESSER MANAGER/AerENT C��eS+Lell--6 No P.O.Box No P.O.Bax ADDRESS ADDRESS / Po,Qr Sf' CITY CITY (2f 76 RESIDENCE PHONE BUSINESS PHONE(24 HRS.)��_---�Yy BUSINESS PHONE TOTAL NUMBER OF ROOMS: 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 ,Q DATE 45511/� 4 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /-// `"0 (v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/-// -V b DATE FEE PAID: / l/ v TYPE OF UNIT: DWELLING�OTHER_ CHECK# / 7 / 9 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 DRISCOLL Fax(978) 745-0343 MAYOR DGRE EN BAUM(a)SA1.F,N1.00M DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#593-09 DATE ISSUED: 11/18/2009 Property Located at: 12 Pope Street UNIT#A-404 Owner/Agent: Salem Heights Address: 12 Pope Street City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 HE BO D OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ID10NNE(a_SALrM.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." f FEE: $50.00 PROPERTY LOCATED AT I Z 'e ( 4 , S(; �Q vv� M blCt-]OUNIT#A-t1bLI IS THIS UNIT D SIGN TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER_-'—'t� MANAGER/AGENT )Pr, I Cic NO P.O. BOX L / ADDRESS ` �L S� ADDRESS CITY, STATE,ZIP Q�-O ry-N V k— 0JCCITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) / BUSINESS PHONE � TOTAL NUMBER OF ROOMS: ROOM USE: 1. 6 koPq 2.I j V CMY02 3. Q eiz(QTY14. 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 AYABLEE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ DATE UInspectors use onlv Date on initial inspection: { II A kq Date of reinspection: Date of issuance of certificate: 1/ 11 fi 011 Date fee paid: /I // SIO 9 Type of unit: Dwelling (/ Other Check# J a�J I Check date: 1 Il 8 /a 9 Notes: Code E or �en�pector achusetts City of Salem, Mass Board of Health 120 Washington Street, 4th Floor, Salem, It$ MA Pmvent. Prome2e. PrnmcE. 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-15-214 DATE ISSUED: 8/5/2015 Property Located at: 12 POPE STREET UNIT#A405 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City[Town: Salem, MA Zip Code: 01970 24 Hour Phone:(970)7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement.An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410,000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied, Maximum Number of occupants, must comply with 105 CMR 410.000, Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO j SAWfARIAN HEALTH AGENT J C�I'1'Y' ()I ;i.<11 ,1 'm MASSA(: U 1.,I I'S �._ ti_ ti ti ',�,„YY,�,/� 13c�•u;I,c�r l Ut.u,u l '�b ' 12(i\C%,\51 I l;vc,I(�'�'• ti I'lt l�I•:1',=1"' I'LU(Hi f i,t . (97S)741-1800 M,\I 3ERLE'N URI`0)LL E\X (973)745-03,13 ,%Lwolz iDif)NNY f11,1\)i'M C(MI SttNit W S 1M I Alit iN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 c vA PROPERTY LOCATED ATJ2-- fib / -e- J Vli � / ) UNIT4_. I/O IS ns U11-1)I CNrATE0 AS RIGHT LEFT FRONT 6R BACK,PLF,ASC CI 'ONE, OWNER/LESSER MANAGER/AGEN. NO P.O. BOX / � � ,�} ADDRESS (>/ Pd�� ADDRESS ! pp � J �� J CITY, STATE, ZIP W� CITY, STATE, ZIP 1 RESIDENCE PHONE / BUSINESS PHONE(24HRS) BUSINESS PIIONE r -1 f 0 3 TOTAL NUMBER OF Rd S: ROOM USE: 1. 7`t �! /�, 6v� 5. 6. T 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 PA /�LE AT THE TIME OF INSPECTION f APPLICANT'S SIGNATURE 1 0,ADATE Inspectors use only Date on initial inspection: Wo 412-nv5- Date of reinspection: Date of issuance of certificate: ?f1� Date fee pard: P'7)bj-/2—& Type of unit: Dwelling_- Check# 7�.72�— _Check date: 0710-1-12zis- Notes: Coe fur eme�ns ctor _ I Jt' Dt City of Salem, Massachusetts a W Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741"1800 Fax. (978) 745-0343 Larry Ramdin,MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.220 DATE ISSUED: 6/30/2016 Property Located at: 12 POPE STREET UNIT#6406 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:{976}7440537 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 &J4aWros� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CT1Y OF S LFNI, Mt1 r�Ci:ttl5l "1"i'S BO U)OrFII:AMII � � 'LO\V.�stuNGl'l�N ti'i tail('t' 4' 'F'] ix)It I'ttl-. (978)741-1800 I;INIBERLEY DRISCOLL F.,�a(978)745-0343 MAYOR n inn F-�ti sstnt.CC)AI AWA DIONNk, SIiNIOR SANITARIAN ..; Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." f /� /� FEE: $50.00 �y f� f PROPERTY LOCATCiDA'I' / 8�/ �(� � � UN1Tlt/U J/� IS TR�ISffTJNrr DiSIGNATrD AS IYICtiT CaEFT i•'RO "P Olt RACK,PLEASE ClLE ONEf� / CJ OWNER/LESSER 1✓ 4 (4 MANAGER/AGENT oow� NO P.O.ROX ADDRESS I j C ADDRESS I CI'T'Y, STATE, ZIP ��—�1� / �V CITY, STA'L'E, ZIP r RESIDENCE PHONE _ y BUSINESS PHONE(241 IRS) BUSINESS PHONE (q� ) LC t 0 TOTAL NUMBER OF ROOMS: ROOM USE: I. P4�CF�2. C41v-/ {{�3. '-' 4 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONS ORDER f0 THE CITY OF SALEM BOARD OF' HEALTH THIS FEE IS PAYA IEC T THE TIME OF INSPEC N �� APPLICAN f'S SIGNATURE / "' j DATE 1`�I ' Inspectors use onIV Date on initial inspection:.oVD2=r� Date of reinspection: Date of issuance of certificate: 0_ �6 Date fee paid: 0(9 D/2 0� a Type of unit: Dwellin Other. __Check# Check date:-04/?0/3 61,-_ Notes: C e o eluent In cctor + OONDIT,t City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHeelth MA 01970 Prc W. Prarnnte Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-108 DATE ISSUED: 6/5/2015 Property Located at: 12 POPE STREET UNIT#A407 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH %4 Larry Ramdin, MPH, REHS, CHO v( J HEALTH AGENT SANITARIAN CVTY (,)!� SAIYAM, Ill!'\I iil';,IJ:Y I W'st, i )I.i, 1, �x ('97R)! 5-03,1' Application for Certificate oll' Mlliess IN ACCORDANCE WITH STATL SAN['t'ARYCODE, Cl-[Ai)'t'l-:R 11, 1450\111t414.0()() "MINIMUM STANDARDS OF F'I'TNESS FOR HUMAN HABITATION." X(50.00 PROITIRTYLOCATIFIDAT LJNIT,'i_' 7f ["1 11 IS,UNCII DISICNA I r1l) ,\IS 121.1 11' 1.rFTA;I WNT OR BA0,,t'l,It'lS 1 0 1 ZCLE.ONI` OWN[:-;R/I,l po NO l'O.WX MANAGI;WAGENT ;S-S s ADDRiA,),)R,3SS CIT) , SA___ CITY, S_IATF, zw 113, ZIP W_lSlD17NlCL PHONC Bf,,SjNESS j>HONF (24HRS) BUSINESS pIONL 'I OTAI, NUMM:R 01: ROOMS ROOM USI-': I 6 7 UX 9 10. 11-1 GIIZ f: IS A f:I]*TY ($5(1) DOLLAR FEL, PAYABLE: I I Y Cl I ECK 01, ,"ION!3Y OR DF."1, M,VH VY 01, SA L I"IV, BOARD OFH! ALTH I PIS FFT, IS ?AY,.,�y�, A,rn-IL OF IN-l'GC'1lON AMILICANT'S SiGNA'f URE DATE] 9A// use k)nly Dalt: on Da(C of reinspection: DMC of Issull;-,cc of ccl-J licale. Date FCC pIlid: I'VPC 'IIunit: Check cliitc: Noocs: C c I III InspcCtor C o ci, r 0(ce 11q,I CITY OF SALEM; SSACHUSE'I'I'S BOARD OF HF a TH 120 WASHINGTON SCRELT,*"FIAX aR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR uuaN vti{1a s.vasan.c;ra JANE;P DIONN E A(,11Nc;Hilu:tuAo, N't CERTIFICATE-OE RTILESS CERTIFICATE#435-08 DATE ISSUEER-91919008 Property Located at: 12 Pope Street UNIT#A408 Owner/Agent: Salem-geights Address: 12 Pope Street City/Town: Salem,MA Zip Code: 0197024 Hour Phone: 744-0537 An inspection of your vacant D llinglRooming.Unit at the above address has been approved and is in compliance with Wb CMR 4t0M0IL. Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fkness.fm HumaaHabita0on". Therefore, this Certificate-is issuedh t}p,Code Enforcement Division of the Salem Board of Health and the unit may-now.bereated_andlor oWupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for ona 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 T DI NNE ACTING HEALTH AGENfi *C=.'OrM)FFENEOk-MENT ItRSP-ECTOR • CITY OF SALEM, MASSACHUSETTS b BOARD OF HFALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCO1-L FAX(978)745-0343 MAYOR iSc y a—,SALW.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 HUMAN HABITATION." C FEE: $50.00 \ PROPERTY LOCATED AT f C_ i�I SV e m al ;A--61�-76 UNIT#_P`�O IS THIS VNTT--f1ISttI NATSJED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER l.@ P✓! C.i L, '�-.S MANAGER/AGENT,- J106/1 %%.d NO P.O.BOX �7 C ADDRESS 17- t) ADDRESS � CITY,STATE,ZIP X� �_ a tit � CITY, STATE,zip hl Li—JD- RESIDENCE T 0L RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONEE�L I Q ti TOTAL NUMBER OF ROOMS: ROOM USE: 1. I yl 2. j ) 3 M 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OMONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F S PAYABLE AT THE TIME OF INSPECTION APPLICANT'SSIGNA. .P/AD _JIC' DATE Insnectors use only Date on initial inspection'._-c) - q-b k - Date of reinspection: Date of issuance of certificate: ') • � -d g Date fee paid: a Type of unit: Dwelling ✓"� Other Check"-S i242Z9tCheck date: 9 Notes: \r Ulu +VA S Tb`r�D CobAfollT Inspector CITY OF SALEM, MASSACHUSETTS Bodin)or-RFALTH 12GWASHINGTt7N 51fREF-r,4"'FLWR TrL. (978)741-1800, KIMBERLEY L)RISCOIJ, FAx(978)745-0343 MAYOR 11)10NN1z0.gA1J;d.(X)M JANETDIONNI Ac4rING HHAj:n-r AGrN'r EERTIF LATE OF FLTNr-SS 11 CERTIFICATE#434-08 DATE ISSUED:919/2008 Property Located at: 12 Pope Street UNIT#A-409 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant DwetlingtRooming Unit at the above address has been approved and is in compliance with W5-CMR-41.01100: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness foLHuman.Habitation". Therefore, this Certificate is issued-by the Code Enforcement Division of the Salem Board of Health and the unit may now-bereated.andlor occupied. Maximum Number.of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO=ALTH J ET DIONNE ACTING HEALTH AGENT CODE ENFORCEMENT INS CTOR I'� CITY OF SALEM MASSACHUSETTS `C "f BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR TSCarr r0-SALRM.CONI 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 HUMAN HABITATION." FEE: $50.00 ` J PROPERTY LOCATED AT T �f_i�T f e 11 eyY1 �'11 IS THIS UNIT \D_I IGNATED AS RIGHT LEFT FRONT OR BACK,PLhASE CIRCLE ONE OWNER/LESSER, -n t-t- 1 1 a C: h, MANAGER/AGENT 10( NO P.O. BOX - ADDRESS I C� P ,_�I� p ADDRESS CITY, STATE, ZIPS Q v l�A - CITY, STATE, ZIP RESIDENCE PHONE`/ BUSINESS PHONE (241IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ,, � 1 ROOM USE: 1.Jnn ��4Ci)f1'1 2. .1�_ dfda'yl �9yr 4. /V ,ESD/)M 5. Z. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE S,,PAYABLkAT THE TI . OF INSPECTION APPLICANT'S SIGNATURE `,0/I n- P .n A C . -DATE-Q��&' Insnectors use only Date on initial inspection: 9 -O G Date of reinspection: Date of issuance of certificate: CI - l 0 Date fee paid: Type of unit: Dwelling �: Other Check 1I18'12.q2L9 T Chock date: v Notes: 2� n� m (� �b1 ),-0�1� �1,\ W\J,9 `-j OI'nspector eEnfor CITY OF SALEM, MASSACHUSETTS BOARI>OF HE$LTH 120 WASHINGTON STRFu.T,4 r FLOOR TEL. {978)741-1800 KIMBERLL?Y DRISCOLL FAA,(978)745-0343 MAYOR PGIa'HNBAUMn(I.SAL ENLC IM DAVID GREENBAUM AC'PING HF,ALfL-I AGIdN1' CERTIFICATE OF FITNESS CERTIFICATE#169-10 DATE ISSUED: 4/26/2010 Property Located at: 12 Pope Street UNIT#A-411 Owner/Agent: PHM Property Management Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DA I�EMBAt7ir1' ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR r" V CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRv.ET,4:"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRFTNBAUM O SAU M.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: $50.0`0 PROPERTY LOCATED AT I 7C� ~ iS4 L� Ie vl YY) A ()kC 70 UNIT# � IS THIS UNIT DIJIGNA'�-D AS RIGHT LEFT ERONT OR BACK PLEASE CIRCLE ONE OWNERILESSER-s �P MI�� MANAGER/AGENT NO P,O.BOX r ADDRESS , c 5� ADDRESS CITY, STATE,ZIP'�� rAem f"Y\4c M70 CITY, STATE,zip / RESIDENCE PHONE r` BUSINESS PHONE(24HRS)_q2Sc "7 qq 05t3 BUSINESS PHONE Z1_ 7�Y 0,'S S7 TOTAL NUMBER i' OF,ROOMS: i L"1 n ROOM USE: �i 1( X1.0 \ 2. 1.1 V v,r ft 3 ((Uf7 4. 6rJJ22�Y)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 Inspectors use onlv Date on initial inspection: Lla �l o Date of reinspection: /'` (- Date of issuance of certificate: !�, (P)/0 p Date fee paid: `aI(f h U Type of unit: Dwelling V 6her 1` Check# b J� 0 Check date: �1� Notes: +UrP L10U1r1 hoi U aA(' Code EnfoS�ent Inspector `oNn� City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, PublicHeattb MA 01970 Prevent Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-330 DATE ISSUED: 10/9/2015 Property Located at: 12 POPE STREET UNIT#A412 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976) 7440537 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 V-� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT /// SANITARIA f CUY OF SALEM, BOARD M 1-11;::\clu 120 RN,\SII7N(;'I'UN ti"I'laafC 4"'FLUUK I U.1,.{978)741-1800 IUMBERLEY DRISCOLL Pr\X (978)745-0343 MAYOR 1010NNVO)SA3.11ni.0070 1'ANk IDIONNI''„ ` SFNIOR SANI I'AW LN : Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN IIABITATION" J FEE: $50.00 /�Q� J PROPERTY LOCATED AT ! Po "� 1 ) - "`'"" UNIT4 �( IS'1»LjiS UNI"I;lliS(CNA9�t�B IyS RItAt�t:RON"i-012 RACK,PLEASI?CIRCLC OWNER/LL;SSEtZ (\?� tom///CfJ- V/tel/ MANAGER{AGENT '` NO P.O.13OX Sid _ ADDRESS 0r/j�� re J d ADDRESS CITY, STATE, ZIP � l ^ , /` 9`T CITY,STATE, ZIP ��^^ N/ R1SIDENCE PHONG/I Q ) `� BUSINESS PHONE(24HRS) BUSINESS PHON C? --7It I `"T - 7(/�/f — O S� TOTAL NUMBER 0)O�OMS: ROOM USE: 1. ( (" 134. � 6. 7. 8. 9. 10. THERE IS A FIFTY (S50)DOLLAR FEF.,PAYABLE BY CiIECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P A�LEE AAT THE TIME )�� IN'SSPPE.CTION APPLICANT'S SIGNATURE �d�` c.� DATE Inspectors USe Oil IY Date on initial inspection: /Dy,�2t-)1 -- Date of reinspection: Dale of issuance of certificate l© Z!1� Date fee paid:7/1c7/2o1Sµ Type of unit: Dwellin Other -_Check 111,2156 Check date: +`J1?n12o15- Notes:. r..� tSnr `�� Pa ✓4n.CC bms AI( SSSh�i..w '—tmr�i 1� �G IOr ffiC ,lorceman ispeclor I CITY OF SALL,M, MASSACHUSE`ITS BOARD OF 1ILMx 120 WASHINGTON STREET 4"'FLOOR P11b1icHealt i TEL. (978)741-1800 FAY (978)745-0343 KIhIBERLLLY DRISCOLL iramdin tlsalem.com L\tztzr RAnuDtN,tzs/tzitrts,za rO,ct>-rs MAYOR I' CERTIFICATE OF FITNESS CERTIFICATE#325-14 DATE ISSUED:9130/2014 Property Located at: 12 Pope Street UNIT#A-413 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAKR30 RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS \ , I? BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR .� l TEI_.(978)741-1800 KIMIMERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINQSALEM.COM LARRY RAMDIN,RS/RENS,CHO,CP-F5 Hr.ALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" p PEE: $50.�0.�0, �p PROPERTY LOCATED AT s-V o I �/ UNIT# �J IS TH UNIT D IGGNNATED AS kM LEFT FRONT OR hACK,PLEA -CIRCLE ONE OWNER/LESSER O ! I MANAGER/AGENT Ya" A re" e� NO P.O.BOX L ADDRESS >/ 2- ��pp�//)� S `J �ADDRESS / CITY, STATE,ZIP ��.�, x64 CITY, STATE,ZIP (9 ( � RESIDENCE PHONE BUSINESS PHONE(24HRS) I BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Pq Q�'12. O� i1 3.1111&9 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR P ,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS AYnAB�lL,E AT THE TIME INSPECTION -n / APPLICANT'S SIGNATURE �� "" DATE q / / , I Inspectors use onlv Date on initial inspection: CII 30 1 114 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other Check# Check date: Notes: Code Eror(dmcnt Inspector ��DONDIT�� City of Salem, Massachusetts { Board of Health a 120 Washington Street, 4th Floor, Salem, PublicHea a MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-423 DATE ISSUED: 12/18/2015 Property Located at: 12 POPE STREET UNIT#A414 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Larry Ramdin, MPH, REHS, CHO � HEALTH AGENT SANITARIAN $� C � ,L CITY OF S_�l_,11I�2, .tvli4,5S(\(:l-#t3�>1�"i°i'`s Boma)or HI:,m. l 730WAs1 IlNc,ruN`;rar;l:r 4", Fl.oxiR TI,i,.(978)741-1800 MXIBERLEY DRIS(,OLL FAX(978)745-0343 MAYOR JDIONNF(a% ALF.NI,CONN JANV'I'DIONNk, SENIOR SAN!I'AICAN 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: $50.100 PROPERTY LOCATED AT I PO lY f-" �7 7 1 r6z� UNIT11—A (j Y IS/�I UN'! DISICNATED AS RIGHTLEFT i'RO T Oil BACK,PLEASE.CIRCLE ONE OWNERILESSER / MANAGER/AGENT NO P.O.BOX ADDRESS tJ PDI � ` ADDRESS CITY, STATE,ZIP - CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(241IRS) BUSINESS PI-TONE "t(� 7�) yC .�r OS 3 t TOTAL NUMBER OF ROOMS: YJ {V1 ROOM USE: 1, 2. 3 4. G. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE PAYAQLE QY CHEC RNSMONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS YAQLE A'f THE TIM IPF,CTION APPLICANT'S SIGNATURE DATE q r�/ Inspectors use only Date on initial inspection: .,1-L,/17/q DI S– Date of reinspecti+o7n „� Date of issuance of certificate:rl H„6�/ 0 q Date fee paid:0 6jbl Type of unit: Dwelling— / Other __Check it ?qqd Check date:_ . Notes: #7nAtrcemcnIns ctor P � w A � pOND�i City of Salem, Massachusetts w.; ! + q Board of Health 120 Washington Street, 4th Floor, Salem, P«.PubliCmaH@alth MA 01970 te. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 MaMayor health@salem.com Larry Ramdin, MPH, REHS, CHO Y @ Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-429 DATE ISSUED: 11/3/2016 Property Located at: 12 POPE STREET UNIT#A415 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. re sy Larry Ramdin, MPH, REHS, CHO JJ HEALTH AGENT i f 9� SANIT IAN , CI'T'Y OF SALL;M, .MASSAC.HUS1E, "L'S BOARD OF I IHAI,I'H �� 1'O lYAs€t tNc;t 11N Srt.tit r 4"'Fi..<>riti.; TvIl. (978) 741-180.0 K12NIBERLEY DRISCOLL R x(978)745-0343 iNLt YOR II?IONNE(t)SAF.I M CONI AN'FT DR)NIN14, _ :IMOR SA1N1'I'ARIAN - Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 1FEE: $50.00 / PROPERTY LOCATED AT L Z POP e— S j- n UNIT# AWA /�}W A IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE E DA HOWNER/LESSER l' T MANAGER/AG£ IT r NO P.O.BOX ,..�� ADDRESS l t ` ADDRESS i CITY,STATE,ZIP G� CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) � BUSINESS PHONE V/ C� TOTAL NUMBER OF R jOp�M�S: ROOM USE: 1. " 2. �"�/ "3 U"1 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 ISP BLE AT THE TI OF INSPECTION APPLICANT'S SIGNATURE /f A DATF Insueetors use only Date on initial inspection:—L .�v/�-€�f.� Date of reinspection: Date of issuance of certificate: Il il1r 16 Date fee paid: Type of unit: Dwelling Other Check#_QC)oCheck date: Notes: *Cofort Insp o� f ^ �OOND1Tgy City of Salem, Massachusetts A an Board of Health 120 Washington Street, 4th Floor, Salem, Public Health P MA01970 Prevent. Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-30 DATE ISSUED: 4/22/2015 Property Located at: 12 POPE STREET UNIT#A501 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 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 Dwell in9/Roomin9 Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH i Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN sn" or Nhss \cI-1 u s I.,"I I s 12(l\\ ,\tii I 1;;,t io.z t (078)7,11-1800 K41TAU: N WWII& 1 7-I5 03,13 NI mm N'�l i Dit Si NI( w S\\,I I \1i I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODI,, CHAPTER 11, 105 CMR 434.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOW' F2: $50.00 PROPERTY LOCATED AT 0011 :1tp 01- UN IT/ IS V! AS UNIT MSICNATMA41,01101IT LEFT VRdN1 M BACI INIVASE CIRME 0MV, OWNEWLFSSER /W NO V.0 BOX __j MANAGF.'R/AGENT cl/t,vl,/Ioev ADDRESS L S ADDRESS CITY. SMI.-, LI P CITY, STATE, ZIP RESIDENCE PHONE BOSINkSS PHONE(241-IRS) BUSINESS 131-IONI- 'ICITAL NUMBER OF RCOMS:_ ROOM USE: 1. 6. 7. 8 —9. IT WERE IS A Wry ($50) DOLLAR PEE, PAYABLEBY CHECK OR N40NEY ORDER TO MW(ATYOF SALEM BOARDOF HEALTI-I IIHS FLE IS APBACANTS SIGNATURF,' DATF co �! IJlSVCCt0o,'; use Only Dalc oil witlai inspection: 11-5 Dole ofrein}ccli oil: We or issuance ofec"Wim: Date fee paid: TypCOI'Llilit: Dwelling-_01her —Check 4 Clock do-: Notes: G �NO, clit 11,11specl7or F CITY OF SALEM, MASSACHUSE'T`TS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TuL. (978) 741-1800 K.IMBERLEY DRISC.:OLJ., FAX(978)745-0343 MAYOR tX;RrirNSA .Nt(a)sA7,M.M.(:()M DAVID GREENBAUM ACSING Ht tm w AGF;N't CERTIFICATE OF FITNESS CERTIFICATE#592-09 DATE ISSUED: 11/18/2009 , Property Located at: 12 Pope Street UNIT#A-502 Owner/Agent: _Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-7440537 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 DAVID GREENBAUM ACTING HEALTH AGENT CODE ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 5W1 • • BOARD or HEALTH 120 WASHINGTON STREET,4"1 FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNP XAMM.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: $5,04.0.0 PROPERTY LOCATED AT \ 7 P-)Pe l�V Y' lP ro M Pr 01Q -1() ISI THIS UNIT dismfqATED AS RIGtIT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNERILESSER h J "4-S MANAGER/AGENT e4 et I-r7 2 G"/Sr I-)I'✓f NO P.O. BOX ADDRESS 17 Z". p S4 ADDRESS /f CITY, STATE,ZIP ,�a i +� v,,14- C lc-7 U CITY, STATE,ZIP / RESIDENCE PHONE / BUSINESS PHONE(241IRS) / BUSINESS PHONE 0 jk-:jW—053-7 TOTAL NUMBER OF ROOMS: U ROOM USE: 1. 1(i 46.1 2. l i V 146M 3. 6P/1629M 4.&r)rC O 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 v JJ�—'r�a DATE—"J&q— Inspectors use.only Date on initial inspection: 11 g/d q Date of reinspection: J Date of issuance of certificate: ll5 Date fee paid: II i t l( 1r) `) Type of ani: Dwelling Other Check# 1 ,GA OW Check date: (f Notes:T�) � Siom 6�4 -,fC ooh C4clroon Code Enforc ent Inspector 'Own , bid City of Salem, Massachusetts Board of Health °a 120 Washington Street, 4th Floor, Salem, PnblicHealth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-422 DATE ISSUED: 1 2/1 812 01 5 Property Located at: 12 POPE STREET UNIT#A505 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,—�� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN n .� CITY OF SAI.,LM, .lV11sSACC1.L)SI3'1"I'S BOARD oi�H1\ L'1)�V°,�SIIINc;'II,N�'+„CIIICr,4... rl.oOl( Tvl-_(978)741-1800 KINIBERLEY DRISCOLI: FAN (978)745-1343 MAYOR n 10NN1 1-(G-;:WAW.CO'NI ANI;1'I)10NNI(, SFNIOR SANT 1•APIAN Application for Certificate of Fitness IN ACCORDANCE WITII STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM JSTANDARDS/OF FITNESS FOR HUMAN HABITA"T"ION.” y� PROPERTY LOCATED AT l PO -`""`-moo !� 'e— $59 Q /J —t �C G1•_UNITt# t5 T" IS UNIT ISICNATED AN RIGHT LEFT FRONT Olt RACK,PLEASE CIRCLE ONE OWNEWLESSER 014�}H MANAGER/AGENT NO P.OBOX ADDRESS I� � l n� 11 a v v JJ" � ADDRESS CI'T'Y, STATE, ZIP `� V MG CITY, STA'T'E,ZIP r RESIDENCE PHON111 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL.NUMBER OF ROOMS: p f,� �p��y� � ROOM USE: Ldd 1-1� 2. leo 3. t7 °",� �d �` 5. 6. 7. 8. 9. W. THERE IS A FIFTY($50) DOLLAR FE= AYABLE BY CH EC OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEIS YA LE AT TILE TIM' INSPECTION APPLICANT'S SIGNATURE — _ DATE �q ry/�,,� inspectors use only Date on initial inspection:=�.��{$,rref-.rr//� , 5 ��rr Date of reinspection: Date of issuance of certificate:.K/.�11�J Date fee paid:07��._ Type of unit: Dwelling_ —11� Other _Check#!_ _._Check date:- }� Notes: i #,7nrc:ei ent In ector CITY OF SALEM, MASSACHUSETTS BO,\RD OF I IFALTH 120 WASHINGTON STREET,4P FLOOR - p� Prome,H��,.,' - TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdinnsalcm.com L.iRItYltaA3DIN,itSfitF.HS,{:FK?,CP-FS , MAYOR I AGENT CERTIFICATE OF FITNESS CERTIFICATE#56-15 DATE ISSUED: 2/25/2015 Property Located at: 12 Pope Street UNIT#A-506 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salm 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 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA MDIN HEALTH AGENT SANITARIAN !� ( I'l'1' C )l i;U.,I ,(�-(, N11\;itiACFIUSI:':1"I'S ;� t4. M, ,r �u lin,\k:ncaFlllty 'u1 J-"� 11 I,. 1,978)4.11-Is()0 tQ?k) ,'dS 031?, Si NI( (It S,\VI I'\IfI \\ Application for Certificate of Fitness IN ACCORDANCE WI-1-1-1 STAFF SANITARY CODE, CI I.APTER 11, 145 CMR 410.000 "MINIMUM S'I ANDARDS OF FITNESS FOR HUMAN I IABITATION." J S1,50.00 PROPERTY LOCATLDAT I � �� V r �✓� P, P4 UNI'I`!1_.�_vvlj� Iti j!'hllti 11N1'1'Ul[ti,!/{;[r,YF'F.11:1S RIGII*I LR_tj'FllON"f OR W h,i'LI ASA;CIi :LEONE OWNEICLLSSER 10 O/ l l MANAGER,AGEN"1'_ L NO I1.0 BOX ADr)RLsS / 2 PQ P �j ADDRESS CITY, STATE, LII' �+9� , PA CITY, STATE,, "/_IP +� J RLSIDLNCFI'I-IONtP-1, BUSINI',SSPI-IONF(241-IRS) �V RUSINFIss PI ION13 / �W � qc/ I'O"I'AI, NUMBER OF ROOMS: /Y� 06 ,, // ROOM USE: I. rLrM-aeI2 V,!�Nf3. 6. 7. R, 9. 10. THERL IS A FIFTY (`F50) DOLLAR FILL- PAYABLE. BY CHECK OR MONI`Y ORDER TO T!IIi CITY OF SAIJ-M BOARD OF HEAL] FI T lIS PLL IS PAYA Lf� " oAT'I'I II7L'I`IMF. OP I "PLCI'ION APPLICANT'S SIGNATURE u of DATE 2 , 2C /3' r Ittit?e001'S use only Da;c on (1!:1411 inspection: Date of rcinspection: !?:ate of issuance OI'cer:ilka'ec Dais Ccc paid: Type Of a(nit: Dwcllins___Other_. Check A);/Mw Check dale: Notes: Code L(t ia( ar��;c!o1 m a LJ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PablicHeaa STREET, Pree nt.Promote.Prn«et TEL. (978) 741-1800 F.Ax(978) 745-0343 KIMBERLEY DRISCOLL Ixamdinnnsalem.com - LARRY RA1ID1N,RS/RI±Hti,CI IO,CP-ISS MAYOR HI'.AI:fFl Ac,I SNI' CERTIFICATE OF FITNESS CERTIFICATE #489-12 DATE ISSUED: 12/18/2012 Property Located at: 12 Pope Street UNIT#A-507 Owner/Agent: Salem Heights Address: 12 Pope 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 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 LA RAMDIN ( i HEALTH AGENT SANITARIAN tl?_ CITY OF SALEM, MA5Sr1CHL'SF`,T'I'S N� Bo.\RI)of HE.-\],TH 120 WASHINGTON Sl'RE u,4`1 FI,o0R �IEblicIiealtta TEt... (978) 741-1800 FAZ(978) 745-0343 K1N,lBF'RJ_F,Y DIUSCOLL tramdititsalem.com _ I,:\12121'It,\11f71N,Iiti/]W�I-Iti,(110,CP-Vti �. MAYOR HI{ALrfiA(;]SN"I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN- HABITATION" FEE: $50.00 !,, ' ' /l'fin PROPERTY LOCATED AT 0 o t, S+ "`` �A ' { UNITI# Q IS THIS UNIT DIS GNA Ell AS RIGIIT LE T FRONT ORBAC_ h,PLEASE CIRlCLE ONE OWNER/LESSER MANAGER/AGI3NT I'CI` !CLIY NO P.O. BOX 1,„ ADDRESS I � !) �} C S7 ADDRESS CITY, STATE, ZIP IJ � � �� CITY, STATE, ZIP / ►I��i RESIDENCE PHONE (� ( / BUSINESS PHONE (24HRS) ` BUSINESS PHONE � � 0 � 7 `7 �( r TOTAL NUMBER OF ROOMS: t � ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY f$50)DOLLAR FEE,PAYABLE, BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISPAYA13LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ','�)64A— <xt / ` DATEZ- Inspectors use only Date on initial inspection- 1 ($ Date of reinspection: Date of issuance of certificate: /1 Date Cee paid: Type of unit: Dwelling Other_ _Check tt_ 1YL] Check date: Notes: --.dee� Code n ement Inspector 1 { . i City of Salem, Massachusetts Board of Health �,� y,� 120 Washington Street, 4th Floor, Salem, Pre�c t Promote. ProteeL MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-56 DATE ISSUED: 3/2/2017 Property Located at: 12 POPE STREET UNIT#A508 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN C:rtY OF SALEM, MASSACHUSHITS BOARD OF IIt:.mF( � R . 1 � '�'i'`.'`°54...F.Lodw x = fri..0)78)741-1800 KITNIBERLEY DRISCOLL Fnx(978)745-03.43 MAYOR IDIONNrG4),At.IN,COM - JANF,'I DIONNI+,, - S2NIOR S.ANR'ARIAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR FNMAN HABITATION." J �} <FEE: $50.00:: <' PROPERTY LOCATED AT G �LIl e- � UNITS IS TIAs UUN}ITD IGNATED AS RIGIIT hEFT FRONT OR BAC PLEASE C ONE p OWNERILESSER � MANAGER/AGENT NO P.O.BOX ADDRESSn :1 ADDRESS +2 CITY,STATE,;ZIP_.. _-��tY�X X iF"1 . ' '" t/? TY,STATE,ZIP rI f RESIDENCE PHONEBUSINESS PHONE__(24HRS) \! BUSINESSPHONE f ': ��f VVV TOTAL NUMBER OF ROOMS: l py ROOM USE:` I. 2.tl P93L " 5. 6. 7. 8. - 9. I0, THERE IS-A FIFTY($50)DOLLAR FEE',PAYABLE BY CHECK OFyMONEY ORDER TO THE CITY OF SALEM BOARD OFHEALTH THIS FEE IS PAY., AlTHE TIME OF P4SPECTION j APPLICAN`£'S SIGNATURE DATE Inspectors use only x,. Date on initial inspection: r1 '9 (�hl�f Date of reinspection: Date of issuance of Certificate: 4 je;r Date fee paid: Type of unit: Dwelling 'OtherCheck# Check date: Notes: 4CodEn*orcmentector Jw co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n «" 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978.741-1800 ��tinre�' FAX 978-745-0343 lSTANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#519-05 DATE ISSUED: 8116105 Property Located at: 12 Pope Street UNIT#A,508 Owner/Agent: CMJ Management Corp. Address: 12 Pope Street City/Town: Salem, MA Zip Code. 01970 24 Hour Phone: 978-744-0537 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 HE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS, BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �•1 / ✓) SALEM, MAO I00 TEL. 978-74 i-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 41.0.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT--Lie r_ �� w 1�rn UNIT#, ��0 IS THIS UNIT DESIGNATED ASInt GHT LEFT FRONT BACK PLEASE IRCLE ONE 'e.x Lcye. ��5cc OWNERILESSER MANAGER/Ae&t " CAAj rna+LarC�•+�✓�� No P.O. Box No P.O. Box ADDRESS ADDRESS CITY CITY ems, h, RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: I.�2.�3._EtTcH, 4.nnrrc,� 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 fig mac` I�1! DATE Of b' f: INSPECTORS USF ONLY DATE OF INITIAL INSPECTION 9 - I �-" °--a DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE'( �7- v 3 DATE FEE PAID. (;'- 1 i o -zs TYPE OF UNIT: DWELLIqk7OTHER,._ CHECK# 7 CHECK DATE.Z g-D NOTES: CODE ENFORCFMENT INSPECTOR 9/28/98 `oND City of Salem, Massachusetts g Board of Health 120 Washington r 4 Health I gto Street, 4th Floor, Salem, PubhC MA 01970 Prevent. Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-224 DATE ISSUED: 7/2712017 Property Located at: 12 POPE STREET UNIT#A509 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN a CrrY (IF SALEM, NL4xSSAC.HLJSETrs BOARD t)r� HE AL;F(I 120 WASHINGTON SrR>F-,r 4'" F1,0()R rj-,-1- (978)741-1800 hINME'RLEY DRISCOI,I, f,\X,(978)745-0343 MAYpR :,jtAMDTN(a.;A1.tM.(OM L,\It RY RAMOIN,RS/RI�1I IS,(:11(1,CP-I's I IP:Al:17I A(.,.u,N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 7FEE: $50.00 /� h PROPERTY LOCATED AT Po e-- ki- UNTF# IS THIS IT SICNATE AIRIGHT.LEFTFRONTORBAGK,PLEAASEC ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX (} Q� ADDRESS I r { ` t3 d ' ADDRESS I CITY, STATE,71P k-f- �}G CITY, STATE,ZIP I I t RESIDENCE PHONE BUSINESS PHONE(24ILRS) BUSINESSPIIONE "TOTAL NUMBER �OF�ROOMS: 7 ROOM USE: 1.r 2. - ` 3. � 4. �� + 6. 7. 8. 9. 14. THERE IS A FIFTY($50)DOLLAR FEE ABLE BY CHKKqRMONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP I E T THE TIMI INSPECTION APPLICANT'S SIGNATURE DATE �— Insnectors use onlv Date on initial 'inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement Inspector lu• CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4°1 FLOOR PablicHealth Prevent.Promote Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a),salem.com LARRY RAMDIN,RS/11E1iS,CI 10,CP-PS MAYOR HEAL1'1'1 AGF,N'I' CERTIFICATE OF FITNESS CERTIFICATE#28-14 DATE ISSUED: 1/31/2014 Property Located at: 12 Pope Street UNIT#A-509 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B ARD HEALTH /�I V✓,"r LARRY RAMDIN I�U'"-- � ) HEALTH AGENT SANITARIAN m CITY OF SALEM, MASSACHUSETTS �s sme� BOARD OF HEALTH 120 WASHINGTON S't'REEr,4..I FLOOR PnblicHealth Yrcvpnl I'rnmmc-Prolrrf TEL. (978) 741-1800 FAX(978) 745-0343 KIMBI RLEYDRISCOLL lramdinnsalem.com MAYOR LuuRy R,\n[D]N,Rs/IZN IS,C1 R),c;P-rs Hr'.:v:rr i AGl•:Nr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" C / FEE: $50/.0/0 �/ PROPERTY LOCATED AT (SO,1/ ",/V?. �l(��%C�i�l�/ -/s �l U/ S UNIT#�� DIS THIS UNIT-D17SSIGNATED/AAS,RIGHT�`=-FRONT OR BACK/PLEASE CIRCLE ONE OWNER/LESSER 1 �G�r5 e✓I�/liT/(J1 l . // //7�S/ ANAGER/AGENT�� NO P.O. BOX ADDRESS l� �(1MM�Ci� p ADDRESS CITY, STATE,ZIP6/} I/YI d)tq / U CITY, STATE, ZIP RESIDENCE PHONE BUSINESS � /�/ /BUSINESS PHONE (24HRS) BUSINESS PHONE "/ O" / 77 7 TOTAL NUMBER OF ROOMS: ROOM USE: LL U J /Yl 2. K17- 1T 3. _ n Kn/ 4. 16J) KOW 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 4 ' Inspectors use only Date on initial inspection: Date of reinspection: ` Date of issuance of certificate: �' 3)- )� Date fee paid: )' 3), N `7 Type of unit: Dwelling 1✓ Other Check#14-7)3A294) Check date: /- )z,-)\i Notes: A 4Ercement Inspector • CTl'Y or' SALEM, -MASSACHUSF'T"1'S Boom Or HY;'UJH 120 WAS1tINGTON STRL;.1-'T'4". FLOOR Pub1iCHealth Tlit.. (978) 741-1800 F,\X (978) 745-0343 KIMBERI.SY DRISC01,1, Iramdinnsalen.com L.\Rlil'R,\MILAN,liti/12P:I I5,(.I I0,(:P-I+` Tv1AY012 I11i,\1:1'11 i\(ASN'I' CERTIFICATE OF FITNESS CERTIFICATE #250-12 DATE ISSUED:6/18/2012 Property Located at: 12 Pope Street UNIT#A-610 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I LA RAMDIN /� �� ✓ HEALTH AGENT SANITARIAN i . CITY OF SALEM, MASSACHUSE'rTS BOARD OF HEAUFH 120 WASHINGTON STRF_ET,4...FLOOR TEL. (978) 741-1800 KIMBERI.E:Y DRISCOLL FAX (978)745-0343 MAYOR 1AAN11)fNn0.SA1.P.NI.(:nNi LARRY R,AMI)IN,RS/RHI IS,(,I to,(T-PS I-TRAL 171 A(7ENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" /n� CFEE: $50.00 PROPERTY LOCATED AT Z I'��j)Q 54. I)�A if m , MA O i -10 UNIT# A �P 10 1S THIS UNIT DISI NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER SCII M HNCYfts Pme(va-hon MANAGER/AGENT AI-N1 c, Paf,C,om NO P.O. BOX ✓✓ ADDRESS Pnpe R-L ADDRESS 1 -2 POPP S CITY, STATE,ZIP RIPM , MR Ol(1-10 CITY, STATE,ZIP SGS QM , MA n[QIO RESIDENCE PHONE q-lk'1uKl-0531 BUSINESS PHONE(24HRS) q-l�- -IUu - 053-1 BUSINESS PHONE Ql it- -I LAI - 6S371 TOTAL NUMBER OF ROOMS: LI ROOM USE: LbE&WM 2. )(-Ad(k M 3. 111+0110 4.11q1Y) 1. M)m 5. 6. 7. 8. 9. G 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. Q I(l()1 W) DATE Inspectors, use onlv Date on initial inspection: L / 5' 1 -L Date of reinspection: Date of issuance of certificate: U l k-/2 Date fee paid:—S--) Type of unit: Dwelling ✓ Other Check#C ,CGN Check date: Notes: Code Enforcement Inspector �� U��-e � � 5�U�I ,c �'v�� fiU � ��1�_.A.�J`�n I CITY OF SALEM, MASSACHUSE'I"I'S 1P BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOORPublicHeaIth P-11.1 PIWO TEL. (978) 741-1800 FAX(978) 745-0343 hIMBERLEY DRISCOLL lramdinasalem.coln LmMY RANIDIN,RS/RI a IS,ca u ,ca'-rs MAYOR HICAI;rn AG i SNT CERTIFICATE OF FITNESS CERTIFICATE #226-12 DATE ISSUED: 5/17/2012 Property Located at: 12 Pope Street UNIT#A-511 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 B I ARD Qf�N�EA�LTH LARRY RAMDIN / HEALTH AGENT #, ANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD(A�HF,'m.'nI 120 WASHINGTON STRAE'f,4°t Fj,o )it '1ja_ (973)74t 1500 KINIBEIRLE:Y DRISCOLL FAX(975)745-034:3 MAYOR IXAMIA vfa7,;AI.F;Nl.00N1 LAIMY RANIDIN,16/1WI IN,(:I I(),(;I'+Pi IJI1 AJXH A<-,"NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"' FEE: $50.00 PROPERTY LOCATED AT � Q ll C> Q �'� � 1 V 1� �� J C� t1NIT# -a!\ IS THIS UNIT DiSICNA �EyD_AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILF.SSER��OVY \3kkc)AC 1-t QCF'wait I. A`NAGER/AOENTUC `(10 WC)5-5 -'- C NO P.O. BOX (� �C�e- 5_.L ADDRESS�G� y�`'{`�� ,^ADDRESS c� ��lt r-� CITY, STATE, ZIP SC-A0 0 M C)19 )t_-cITY, STATE,ZIP �C I�P ir^n 1 ' 10 0�)7 0 RESIDENCE PHONE � �� BUSINESS PHONE(24HRS)�_ BUsINESS PHONE P � (1 ``1 ��qq CS -57 TOTAL NUMBER OF ROOMS: "1 ROOM USE: 1\f_ Q VIA 2.YYA COorn 3. k`�n 4. 11 i (C N ), 5. 6. 7. 8. 9. j 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHE TI E OF INSPECTION APPLICANT'S SIGNATUR$._ � M'i \ irU!�� DATE(el InsDectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: I Type of unit: Dwelling------Other Check# _Check date:-- Notes: Code E ent lnspector u !? CITY OF SALEM, MASSACHUSETTS BOARD OF HF\LTI--I 120 WAHINGTON STREET 41°FLOORPublicHealth (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Ixamdin cO_i saleui.com LI\RRl'R,\,\IDIN,Rti/RI?I-IS,CriO,(;P-Fti MAYOR Hr„\I:n i Ac r+,Nf CERTIFICATE OF FITNESS CERTIFICATE #225-12 DATE ISSUED: 5/17/2012 Property Located at: 12 Pope Street UNIT#A-413 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 HEALTH AGENT ANITARIAN MASSACHUSLI`TS b✓ CITY <1F SALEM, ,' BOARD OF HEA1:111 120 WASAINGI'()N S'IRF.Ef,4"`FLOOR Tr-_L.(978)742-1800 IUNIBERI'.EY DRISCOLL 1^, ex(978) 745-0343 MAYOR acnMUIN 7.;nl.r.�tcont LARRY RAMI)IN,RS/RI+.114,CM),2P-PJ 111',.1I:II t AL iwr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ^� FEE: $50.00 /� PROPERTY LOCATED AT c� F C))t�}}-�e S-� �,C7i IPM Cn YJ (�71��C�UNI T#1".t�{1 J IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERc )C AOM \�qv PC22'M0-1 ANAGER/AGENTLU.Y-1 fl 1`"rosse—f NO P.O.BOX ADDRESS ,r \"`�OCL ADDRESS { I� t\ �� CITY, STATE,ZIP `Xal P n-) IQ a`� Q CITY, STATE,ZIP S_Q„,\ e M 1 I ty40 0930 RESIDENCE PHONE�7� ��II f - �J` 3 BUSINESS PHONE(24HRS)�� _�� FG 3 72 BUSINESS PHONE q _)t� _)LIQ AS, t TOTAL NUMBER OF ROOMS: 13 ROOM USE: 3. �d tnr r6d'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 I( ( S PAYABLE ATT'�HE TIME OF INSPECTION APPLICANT'S SIGNATURI yl bS PI--, 0'" R .C) DATE U Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate:__ _ Date foe paid: �f' _ I Type of unit: Dwelling__ Other Check#_� Check date --S /%/ Notes: 1 I � r Code R. CITY OF SALEM, MASSACHUSETTS ` Bo,\RD OF HEALTH 120 WASIIINGTON STREET,4°11'I.,00R PliblicHe 11th Tel,. (978) 741-1800 F.\N (978) 745-0343 KIMBERLEY DRISCOLL liamdinO..salcm.com - L;\RRl'RAIIDIN,RS/RI?h15,CI I0,C1'-I;5 MAYOR Hj:AJ:ru AGI+NT CERTIFICATE OF FITNESS CERTIFICATE#232-12 DATE ISSUED: 6/4/2012 Property Located at: 7 Intervale Road UNIT# 1 Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-6571 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT IIX*ITARIAN f♦ a a CITY OF SALEM, MASSACHUSETTS BOARD OF HE,�Lm � 120 Ws\tiHINGT()N STREET,4"'FLC)()R TEL. (978) 741-1800 KllMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANIDINnSAL iNLCOM LARRY RANIDIN,IZS/RFI-IS,CI IO,CP-FS HI.AI,FII A(ii'.NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT % 1 U L �� UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER GACA v-' \r C F MANAGER/AGENT NO P.O. BOX ADDRESS Q\ O f4�V v\ Lvi WE ADDRESS CITY, STATE, ZIP S A 1.e— M O\Rn o CITY, STATE,ZIP tll P RESIDENCE PHONE �'l 8 '144 6JI ( BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.tSE b 2.161✓b 3.bV1140 4. k 1�"4J 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 CQF INSPECTION APPLICANT'S SIGNATURE �Nu��lsue�� DATE / l Inspectors use onlv Date on initial inspection: l 0/ A � Date of reinspection: L Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# ��% O Check date: (O hV) g: Notes: v Code e ent Inspector a CITY OF SALEM, MASSACHUSEVI'S BOARD OF HE:\LTH 120 WASHINGTON STREET,4...FLOOR PablicIiealth T1;,L.. (978) 741-1800 FAX (978) 745-0343 KIMBURL,I_.Y DRISCOL.L tranidinnsaletn.com L,\RRl"RA�ff)IN,ItS�KISI IS,CI IO,CP-FS MAYOR HI:Writ AGI:N'I' CERTIFICATE OF FITNESS CERTIFICATE #227-12 DATE ISSUED: 6/8/2012 Property Located at: 10 Herbert Street UNIT#2 Owner/Agent: Robin Lang Address: 3 Lee 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 B ARD OA HEALTH LARRY RAMDIN HEALTH AGENT jITARIAN W CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINOSN,rM.COM LARRY RAMDIN,RS/RliI IS,CI RI,C11-1,5 HF✓V.fII AGjS,m, 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 //d FSP F :yF'i *ps% UNIT# '-2-- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER J7R J.a� 1. n/�>— MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP`>et1 z-f=—it// &f3 z�?/17 7&—CITY, STATE,ZIP RESIDENCE PHONE `f,/v/ BUSINESS PHONE(24HRS)-77e a5-y -77.6.p— BUSINESS 762BUSINESS PHONE__7 TOTAL NUMBER OF ROOMS: J� ROOM USE: 1. 2. &4 3. LUQ, 4. 5. COP, 6. A R 7. A2,R 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 ATUIE T E OF INSPECTION APPLICANT'S SIGNATURE DATE__j(o� Ins_nec'fors use only Date on initial inspection: D / 71 r/ Date of reinspection: Date of issuance of certificate: ' V Date fee paid: Type of uni ' Dwelling Other Check# Check date: CRNh Notes: i(� 4Crcem'ent Inspector J t;DNDATq��` City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith Prevent. Promote Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-84 DATE ISSUED: 5/28/2015 Property Located at: 12 POPE STREET UNIT#A512 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN I (IP8)%-15 03,13 Application for Certificate offitness IN ACCORDANCR WITH STATESKNITAR.Y CODH', CHAPTER 11, Io5CmR 410m0o "MINIMUM STANDARDS OF I-,ITNFSS FOR HUMAN HABITATION." $50.00 PROPERTY LOCA FEID AT po UNIT// IS'I Ir UNI I DISICNA ITOAS IJIGIn. o1z BACA',PLEASE clizo.,1%om., 0WNI:R/U-,SSP1K OA H MANAGI:.R/AGEN'r NO P.O. BOX ADDRESS Po p e Shzt.-OLADDRESS CITY, STA] Zw I 1��\ 4A- CITY, STA'i r, 7 11, RrSIL)GNC;L PI ION13�- BUSiNFSS III IONE(241-IRS) NV qS ?- I BUSINILSS PHONIF 0 3 '0TA1- NUMBFIR 01ROOMS: ROOM USIA: 1, \ oq G. 7 130AIRI) 01; HiALTIHTIIS AL E,1 IS P BLE ATTHIETIMP, OF INSPECTION APIP1,1CANT'S SICNATURP, 044al,.4-- -/ -1j, DA 111s�)ec:crs use olliv inspection: sk,\ 1 is Date ofircinspcction. let 01 1sSWIXC C,!'CCI't:hUJC 111tc ICQ paid: I'Ypc Q! Lli)i!. Dwelhil" 011lc;- Chtock it' Chock date: Notc,,: 0Z +/ r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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#95-07 DATE ISSUED: 3/8/2007 Property Located at: 12 Pope Street UNIT#A-513 Owner/Agent: Kori Wallace PHM Property Management Address. 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 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 ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD HEALTH S � ��.�LJ • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOAN14E SCOTT, MPH, RS, CHO /� Kimberley Driscoll HEALTH AGENT Mayor 4 o APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER it, 105 CMR 410.000 'MINIMUM STANDARDS OF 0 4 FITNESS FOR HUMAN HABITATION'. n 2 PROPERTY LOCATED AT /� Pe, 4t ��1Pm YVI UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE j,?/ Lc? lace OWNERILESSER MANAGERIA&EN-T- P_ m - Pr q e,47 !mac •� No P.O. Box No P.O.Box ADDRESS ADDRESS 10 I,,Te �f CITY - CITY__ ce. w�f/_y - g�6 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 0 _ Jy�-C✓ J BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.A2.j,, 3. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE_ _ wz E--DATE OO t��CJ47 INSPECTORS USE ONLY � f DATE OF INITIAL INSPECTION 3-- K-0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-3 DATE FETE PAID: c) 7 TYPE OF UNIT: DWELLIN OTHER-- CHECK ##j 3 J CHECK DATE.j " 7 NOTES: CODE ENFORCEMENT INSPI_CTOR 9128198 CITY OF SALEM, MASSACHUSETTS L BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR 517-03 SALEM, MA 01970 CERT.# FEE $25.00.00 TEL. 978-741-1800 DATE: FAX 978-745-0343 10/16/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT f CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 POPE STREET UNIT #: A-514 OWNER/AGENT: POAH, INC. ADDRESS: 12 POPE STREET CITY/TOWN: S4EX ZIP CODE: 01970 24 HOUR PHONE: 978-744-0537 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �.7L BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR w 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 pHABITA�TI"ON"_ ( PROPERTY LOCATED AT 9 Y d Ce- c�tAA�? G/S�[�/� NH� • UNIT#-&Pf IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEAS CIRCLE ONE OWNER/LESSEF}Td) c,�nC- _ MANAGER/AGEN-T �I/� No P.O.Bax n o P.O.Box - I-c� ADDRESS 1� f e ��. � ADDRESS /c � CITY / CITY RESIDENCE PHONFBUSINESS PHONE (24 NRS) BUSINESS PHONE //,, TOTAL NUMBER OF ROOMS- (>264bCo MS ROOM USE: 1. 2. 3, 4. S. 6. 7. 8 THERE IS A TWENTY-FIVE($28.00)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_ INFPFCTION,Q -/-0 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATV/) - /- 7 DATE FEE PAID: /0 /- 1 TYPE OF UNIT: DWELLING_OTHER �CHECK# It G 3 CHECK DATE�_:' 3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28198 I CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRL:1?NBAUMO( ALVNLCOM DAVID GREENBAUNI ACTING HiiM.TI-I AG Ii,NT CERTIFICATE OF FITNESS CERTIFICATE #661-09 DATE ISSUED: 12/29/2009 Property Located at: 12 Pope Street UNIT#A-515 Owner/Agent: Salem Heights 1 9 Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5037 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 AVID GREENBAUM ACTING HEALTH AGENT CO NFORC [�v NT INSPECTOR CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 W.9SHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNe(0)SAM -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: $50.001 PROPERTY LOCATED AT._�I L�� r�� (�l o y) PA (��q_Z) IS THIS UNIT ISIIG1N, TED AS RIGHT LENT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSERt l O I�l l(� �l�S. MANAGER/AGENT �S P(n>L I e �t NO P.O. BOX ADDRESS I ,� ��P_ •C� ADDRESS CITY, STATE,ZIP J Y)l CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 0-79 -7aLf OS 3-7 TOTAL NUMBER OF ROOMS: ROOMUSE: Lurxm2.� r� flwn3. � 'r\I�Cd�Yv 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 IME OF IPTSPECTION C�� APPLICANT'S SIGNATURE � DATE-14k: �� U InsDectors use onlv Date on initial inspection: U a aTc t loc) Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# 1 l Check date: �r� I i- n I/ , Notes: Wl C CL D `> e Enforcement Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Prevent.PabiCPromHealth MA 01970 otect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-17 DATE ISSUED: 1/19/2017 Property Located at: 12 POPE STREET UNIT#A210 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Crl'Y OF SALEM, MASSACHUSET-I'S Bo.,wD0F1-lFALT[I 120WASHINGTON S'IRCU'.T,4...FILOOIU� Tl;.14)79)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR )DIONNI',N)SAIRM.COM jANb,,,rD10NNV., ,S1---,Nf0R,S,AN1TARIAN Application for Certificate of Fitnoss IN ACCORDANCE WITH STATE SANITARY CODE,,CHAPT,1Ek 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." I FEE: $50.00 1-1 PROPERTY LOCATED AT UNIT#-- IS THIS,U`}"ISIGNATED AS RIGHT LEFT FRONT OR BACK PLYASF CIRCLE ONE OWNERJLESSER IL rop .MANAGER1 AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATEJIP., 141 rITY,,STATE,ZIP RESIDEN(CEPHONE F 4USINESS PHO NE(24HRS) BUSINES- TOTAL N;P-MBEROF OOMS: r ROOM 1.71i�A 2. 3. 5. 6. 7. 8. 9. to. THERE ISA FIFTY($50)DOLLAR FEE;? YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE AT THE TIME INSPECTION APPLICANT'S SIGNkTIJRF DATE Insoectors use only 711 Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid:, Type of unit: Dwelling_�_�Other_Check g Check date: Notes: C o d at n to r c e-m eK e Inspector City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, Prevent. �O1 Pu 0Promote.01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-14 DATE ISSUED: 1/19/2017 Property Located at: 12 POPE STREET UNIT#A309 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN V/ CITY Ole SALLM, MASSA( USE1"1'S F 'I B0,wDO17I"IHA1,TF[ A 120 ASMN(;r0N SC12litn, 4"',FL(..)b'w' ,: 'I'I(t- (978)74't-1806 K1NIBERLEY DRISCOLL 17e\X(978)745-03;43" NLkYOR nm>NNFAIPW 11M.CO\f JANETI)IONNE,, SiNIO[k SANITARIAN - - 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� Ca'� UNIT# IS THIS U IT DISIGNATED AS RIGHT,LEFT FR NT OR BACK,PLEASE LE ONE OWNER/LESSER Z 00-e- `S (T d MANAGER/AGENT NO R0.BOX ' — ADDRESS Q� ADDRESS CITY,STATE,.ZIP.• -.0 _ CITY;STATE,ZIP RESIDENCE PHONE _ RUSIIN7ESS PHONE,(24HRS) W' BUSINESS PHONr TOTAL NUMBER OF ROOMS: ROOM USE:. 1. 2, t 1 Q 144, 5_ 6. 7. 8. 9. 10. THERE ISA FIFTY($50)DOLLAR FIDE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYArTHE TIME dF SPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial ins'ectioni / . Date of reinspection. P . Pe Date of issuance of certificate: l Date fee paid: Type of unit: Dwelling Other Check# Check date: ryh Notes: Ql01 4 j � 1t�1 Q f .C1 Code E orcement Inspector qt- .6r _. ` D City of Salem, Massachusetts w Board of Health 120 Washington Street, 4th Floor, Salem, PoIth MA 01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-16 DATE ISSUED: 1/19/2017 Property Located at: 12 POPE STREET UNIT#A609 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Crl'Y OF SALEM, MASSACH USE l"I'S BomMoFifil.mmi 120WASHIN(rroN 41"VL6()w';' Tm.(978)74t-1800 KIMBERLEY DRISCOLL 17nx(978)745-03-43- MAYOR JANF,TDiONNF�, -'NIOR SANITAMAN Application for Certificate of Fitncssi IN ACCORDANCE WITH STATE SANITARY CODE,jCI LAPTEi R 11, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE::$50.00. PROPERTY LOCATED AT 0 pe- UNIT4-40q IST IS UNIT DISIGNATEIYAS RUIGIM LEFT FRONT OR RACK,PLEASE CIRCLE ONE OWNER/L] MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATE ZIP. Cs OLek G^ A crr`- Y,STATE,ZIP RESIDENCE PHONEBUSINESS PfIONE,(24HRS) BUSINESSPHONEC (F 1-37 - TOTAL NUMBER Of.,ROOMS: ROOM USE:,", I. (A' r'll 2.V 6. 7, 8. 9. 10. THERE IS:A FIFTY($50)DOLLAR FEE', ABLE BY CHECK O�MONEY ORDER TO THE CITY OF SALEM HEAL THIS FEE Is PA BOARD C_T- TLE AT THE TIME OF SPECTION APPLICAWS SIGN,kTURF DATE Inspectors use onlv Date of reinspection: Date on initial uisp��cction` lee Date of issuance of ce-rtificatejjjq'Z Date fee paid: Type of unit: Dwelling----LOther Check# Check date: Notes: Code i�7 weldwect-dy ��'� AV