The URL can be used to link to this page

POPE STREET A 600- i 1 - i i i _4 L dENDS City of Salem, Massachusetts a . . lu 3 Board of Health ` 120 Washington Street, 4th Floor, Salem, Pab1iCHP.alth 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-15-421 DATE ISSUED: 12/18/2015 Property Located at: 12 POPE STREET UNIT#A601 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 CITY OF SALEM, MASSACRUIRETTS B0AJZD 01;111 U:1'Ii 120W;\Sff[N(3l'ON5,i,Ri,li.:.t-,4...Fwoliz Tull'. (978)741-1800 ICTNIBEItLEY DRISCOLL FAX(978)745-0343 I\LIYOR DIONNUCO SALEM.COM JAM.n'DIONNIi:, S1;N10R SANI FARIAN 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 Op-e_ UNIT# IS IS UNIT DISIGNAAED AS RIGHT LEFT FRONT Oft BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX rn ADDRESS ADDRESS CITY, STATE, ZIP CITY, STATE,zip RESIDENCE PHONES PHONE(24HRS) PHONE BUSINESS NUMBER TOTAL NU �R Is I TE, ZIP ROOM USE: 1.0� 2 4��d5.4ae�_ 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 P ABLE AT THE TIME INSPECTION APPLICANT'S SIGNATURE —DATE Inspectors USe only Date on initial inspection: Date of reinspection:_ Date of issuance of certificate: Date fee paid:0 Type of unit: Dwcllin(l Other Check 47qq-Check date: U71201 Notes: jCd of r4emen 7spt —ectow CITY GF SA1.FAI, MASS_AcHUSi�t TS CCVNI�-K) 130ARD t F HE�L II 120 W ASHTN i ON S m r'P 4"' ft,QOR Pul�lieHeallh r 1'r�annr Vr"mnlc I'rnixm. -Fvu- (978)74-1 18001'AX(978) 745-0343 KIMBERLEY I)R ISCOI L liati~dal a—Wlem.con 1.,vitrtY ltt4 NI171N,S2S/1tLi[IS,C[{0,(T-FS S MAYOR I IEAt all AGENT CERTIFICATE OF FITNESS CERTIFICATE# 185-14 DATE ISSUED: 6!5!2014 Property Located at: 12 Pope Street UNIT#A-602 Owner/Agent: Salem Heights Address: 12 Pope Street CityfT own: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursu int to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: C ertificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacan i Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 C NR 410.000: Massachusetts State Sanitary Code, Chapter It"Minimum Standards of Fitnes I 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. Maximim Number of occupants, must comply with 105 CMR 410.000, Certific ate valid for one year from date of issuance or until the current tenant vacates, whichever is later This CI artificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR T iE BOARD OF HEALTH L y RAMDIN � HEALT-I AGENT SANITARIAN CITY OF SALEM, MASSACH-OF-TTS BOAM Or FIVA ;l'tt 120 WASHINGTON SrREc'I',4'"FLOOR Ti;],.(978)741-1800 l�J KIMBERLEY DRISCOLL RAx(978)745-0343 MAYOR IDIONNE a�SALEM.COM JAN vn,DIONN Ii, ! SENIOR 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: $5/0�.00 �� PROPERTY LOCATED AT a,. ��( UNITAKr! / L IS THIS UNIT DISIG]NAATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE �n. OWNER/LESSER I (QA � MANAGER/AGENTQ� � N�`, NO P.O.BOX Z ��'v S �_ ADDRESS ADDRESS //C•[ /7 CITY, STATE,ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 1D 4. 5. 6. 7. 8. 9. 10. THERE ISA FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE O "` ��Q /" 1 DATE ff 1�1 Inspectors use only Date on initial inspection: 6 ''� '�1 Date of reinspection: Date of issuance of certificate: "S Date fee paid: to - 9—L4 Type of unit: Dwelling \,'� Other Check# COT Check date: �' s Notes: Code Enforcement Inspector OOWCITY OF SALEM, MASSACHUSET"I'S BOARD OF HEALTH 120 WASHINGTON STREET'.,4"'FLOOR ��,arumx�lM TSL.(978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com salem.com TiAME) R,';/1U,,1 LARRY IN, S,CtIO,(Y-VS MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#32-13 DATE ISSUED: 1/28/2013 Property located at: 12 Pope Street UNIT#A-603 Owner/Agent: Salem Heights Address: 12 Pape Street CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA "�m HLYH AGENT SANITARIAN CITY OF SALEM, MASSAC;HUSE 1.-T'S 11 rrq BOARD OF 1 h I rtf �✓120� d$IIINGTON SIl?.);ET,4...I'L0C1TL TEL. (978) 7414800 IONME'RLEY DRISCOL,L FAX,(978) 745-0343 MAYOR I.RANNAN@( SN r;NI.CONt LMORY RANIIRN,RS/121 l iti,(11R),CP-PS HF; IJIfACP:Nt' AppRicati®n 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 A1'_2�z _UNIT# TS'PHIS U14I'P DISIGNATI;U AS RIGIi LtiFT FdtONT OR -ACK,P1.rASB;CIRCLE ONE 0WNER/L1 SSERA?-Ot t- f it MANAGElUAGEN"1" NO P.O. BOX n ADDRESS/ _/ ADDRESS _ CI'TY, STATE, ZIl5ck �f J9__O/ CITY, STATE, ZIP_— — RESIDENCE PIlONE__ BUSINESS PHONE(24HRS)__ BUSINESS P13:ONE_2r1�_��/" DS3'7 TOTAL NUMBER OF ROOMS:_. ROOMUSE: 3. Ab 91 4. ,M1A<1� I5.nM 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEF., PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OP SALEM BOARD OF HEALTL-[THIS FEE IS PAYABLE ATTHE TIME,OF INSPECTION , APPLICANT'S SIGNATUFt %J ( /-- Inspectors use only Date on initial inspection: Date of reinspection:— Date einspection:__ __Date of issuance of certificate: 1 '12 P I ] Date fee paid:_ F413 Type of unit: Dwelling_t/ Other Check# �;_y k —Check date:__ Votes: AA ,ode Enforcem nt Inspector 0@� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I MANCINI@SAJ,H%1.COM JANET MANCINI. ACI'IN(i HEAI.,PI-I AGI=.N,r CERTIFICATE OF FITNESS CERTIFICATE#218-09 DATE ISSUED: 5/7/2009 Property Located at: 12 Pope Street UNIT#A-604 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 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/ARD OF HEALTH J ET MANCINI ACTING HEALTH AGENT ODE E ORCEMEN INSPECTOR Y - at��-0° CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNEnsALEM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50:00 PROPERTY LOCATED?,T I l�l ( � UNIT#�� S THIS UNIT ISI ATEED-i S RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER�� C MANAGER/AGWP*-�--� � NO P.O.BOX �cc ADDRESS-42 l�� ADDRESS CITY, STATE,ZIP S-q YV I AO\C(�&ITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE OS ' TOTAL NUMBER OF ROOMS: n ROOM USE: 1. Ja V fia. 4. 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OFJNSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: .s- 7-e7° Date of reinspection: Date of issuance of certificate: S''!_a 9 Date fee paid: Type of unit: Dwelling ✓ Other Check# 7-L Check date: Notes: C I e Enforcement Inspector SND City of Salem, Massachusetts 9 f • i. Board of Health Da 120 Washington Street, 4th Floor, Salem, Pilb$CHealth 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-17-319 DATE ISSUED: 9/27/2017 Property.Located at: 12 POPE STREET UNIT#A605 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 occupant n 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSE"CTS BOARD Qv HEALITI 12:0 WASHINGTON S rmrriT,C°FLOOR T)-j,. (x)78) 741-1800 K1N[B11U,FY DRI,4COL.L FAX(978)745-0343 MAYOR LAAMD1N sA] P,M CQN1 LA IMY RAnat)IN 124 f R(?t l9,C!10,f;P-ISS I:I I:ALTH AG,kNr 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: SS0.00 � f {z PROPERTY LOCATED AT l e7 1 UNIT# IS THIS yo OIGNAA RIGRT LEFTFRONT OR BACKPLEASE CI E OWNERJLBSSER o MANAGER!AGENT NO P.O. BOX *• ADDRESS ADDRESS ,• �. CITY, STATE,ZIP-- CITY, STATE,ZIP RESIDENCE PHONE — BUSINESS PHONE(24HRS) __, BUSINESS PHONE , TOTAL NUMBER OF ROOMS: (�� JJ©� , ROOM USE: 1 /`�`tdL/`-2. ( �/ �"3�" /Jee /4 50 o` 5 6. 7. 8. 9. 10. "THERE IS A FIFTY($50)DOLLAR FEE,PA LE BY CHECK OR MONY- ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYA HE T1MIi OF 1N/SP ON �/ j APPLICANT'S SIGNATURE �? /' _ DATE , ,G l Inspectors use only 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 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pt1th MA 01970 Pr"eot.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-16-338 DATE ISSUED: 9/6/2016 Property Located at: 12 POPE STREET UNIT#A605 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. &Jeff sy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, -MASSACIFIL)SETIS BOARD OVI-IF'AUM 120WASI UNGFON',TaLE V,4'"F!LOOR-, Tul". (978) 741-1800 KLNIBERLEY DRISCOLL Fax(978)745-0343 1DtQNNFQ)SA11-W.COM NL-\YOR JANv't DiONNFII SUINIOR S!\N11'ARIAIN 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 0 UNIT# IS THIS UNIT DISIGNATED AS IGff LEFT FRONT OR BACK,PLEASE CIRCI OWNER/LESSER AS AGENT NO P.O.BOX PP I ADDRESS- ADDRESS CITY,STATE,ZIP— ^ CITY;.STAITE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)— BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Lvl-� 4. 5. 6. 7. 8. 9. to. THERE IS'A FIFTY($50)DOLLAR FEE,PA) LE BY CHECK ORNEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYA7 N=OF IECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 0�=112-&-X Date of reinspection: Date of issuance of certificate:q!?ZI!;g1�6 Date fee paid- Type of unit: Dwellina—Z—Other Check#jQDDO Check date: Notes: q� C:ITY OF SALEM, MASSACHUSETTS $ORAD of I-IEnLTx PublicIiealth 120 WASHINGTON STREET,4u'FLOOR wy„r.r."muu_rromw. TEL. (978) 741-1800 FAx(978)745-0343 KTMBERLEY DRISCOLL lratn&Ca?salem.com LAKitY li,APdDIN,RS/RFl,FIS,Cl(C7,CI'-PS MAYOR HEh l;i]i AG FNF CERTIFICATE OF FITNESS CERTIFICATE#277-14 DATE ISSUED: 8/18/2014 Property Located at: 12 Pope Street UNIT#A-606 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 li" 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 qA* LARRY D HEALTRAtENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREL:T,4"FLOOR TEL.(978) 741-1800 ICMBERLEY DRISCOLL FAR(978)745-0343 MAYOR I.RAMDINnSALEM.COM LARRY RAMDIN,RS/RgHS,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" FEE: 50.000 PROPERTY LOCATED AT I Z ' t S- � Jl�(�� Gam" � UNIT# � �� IS THIS UNIT DIIISIG ATED AS RIGL T LEFT FRONT OR BACK,PLEASE /CELE ONCE OWNER/LESSER to, V I I MANAGER 1 ,A P.O.BOX A r L v e- (,h � ADDRESS r �dp�L,�-- ADDRESS CITY, STATE, ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER ?7 OF JR,O/OMS: "4, �p ��ROOMUSE: Oyv�'2. � � 'V5� 6. 7. V8. 9. 10. THERE IS A FIFTY($50)DOLLAR E,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TIES FEE I AYABLE AT THE TI M F INSPECTION / APPLICANT'S SIGNATURE DATE `' V Inspectors use only 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 n ement Inspector 3 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t°FLOOR PublicHealth STREET, Prevent,Promote,Netter. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL tramdin salem.com LARRY RAMUNN,RS/RFHS,CHO,CP-FS MAYOR HuAL;ni A( ri.N'I' CERTIFICATE OF FITNESS CERTIFICATE#326-14 DATE ISSUED: 9/30/2014 Property Located at: 12 Pope Street UNIT#A-607 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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. F R THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS s . BOARD OP HEALTH 120 WASHINGTON STREET,4n'FLOOR f TEL. 978 741-1800 0 ( ) 1CIMI3T'1ZLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/RE HS,CHO,C11-F5 HE Ti i AG EN 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 UNIT# IS TI S U IT DISIIG{NATED S RIGHT LEFT FRONT OR►SACK,PLEASE CIRCLE ONE OWNER/LESSER 1 ' MANAGER/AGENT NO P.O.BOX �1 ADDRESS 111 ADDRESS CITY, STATE,ZIPJ�a,& 1'4 / 7V 0/0 y VCITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER IO-F'ROOMS: ' 3 ROOM USE: 1. r— 4�. 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 I'A�'ABLE AT THE TI E OF INSPECTION (� APPLICANT'S SIGNATURE_ /Vl /Wt6� DATE [ �� Inspectors use only Date on initial inspection: R I a)/I4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Nf6dement Inspector 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 #561-07 DATE ISSUED: 11/15/2007 Property Located at: 12 Pope Street UNIT#A-608 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 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 OFHEALTH . � tl 149no--, JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Nov 13 07 03: 10p Joanne Scots Salem BOH 978 745 0343 p, 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAGHINliTON STREET. 4TH FLOOR SALEM, MA 01970 TEL- 978-741-1800 a- RAX 478-745-0343 JOANNC SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGCNT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 MINIMUM STANDARDS OF FCI'NESS FOR HUMAN HABITATION". t/f/ PROPERTY LOCATED ATq �r�`` UNIT 0.F d IS THIS UNIT DESIGNATED AS RIGHT EFT FRONT BIRVAGeLIT K PE CI LEONE OWN6WLLSSER, �.� _MANAG � NoP.O. Box 0 P.O,Box ADDRESS_1� _T__„_-_ADDRESS_._,. __- CITY CITY RESIDENCE PHONE__. ,. BU/S�INESS PHONE(24 I BUSINESS PHONE �:.G!-_ TOTAL NUMBER OF ROOMS:_,_ + HOOM USE: 1 ( -.-„ 2.L .....3. /� ,4.-�� Z. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT)f DEPARTMENT THIS FEE IS PAYABLE AT THE I IME OF INSPECTION. / APPLICANTS SIGNATURE . . L —DATE (MS CT RS—SE ONL / DATE OF INITIAL INSPE4 'ION -_�,-5 v'._DATE OF REINSPECTION___ BATE OF ISSUANCE OF CERTIFICATE rj_- /S" -X7DATE FEE PAID:_//-/o TYPE OF UNIT: DWELL IN OTHER_ ... CHECK #,/6 7,;,� _CHECK DATE NOTCS:__ . CODE ENFORCEMENT INSPECTOR 9/28/98 Dom' City of Salem, Massachusetts { Board of Health 120 Washington Street, 4th Floor, Salem, PU PP,eaent, P,omUAh 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-17-19 DATE ISSUED: 1/23/2017 Property Located at: 12 POPE STREET UNIT#A611 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 crry OF SALEM, MASSACHUSET"I'S ' BOARD OF III7 VI."l FI , Fif 1201�:�;txtNc.2�pN Jt�zrL�. 4,",F"LOotr:;� , TF'..(978)741-1800 ICNIBERLEY DRISCOLL FAX(978)745-0343- MAYOR u»oNNQ)� Ar.VM.( tOM j,)m,,:r D.w)NN,F, SFN10R SANITARIAN 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 UNi'C#�// IS THIS UN DtS[GNATED AS 1414 FRC'NT OR BACK PLEASE CIR ONE OWNER/LESSER_ ,2- Il/J� t� �� : MANAGER/AGENT ~e P/bvt NO P.O.BOX ADDRESS n- ADDRESS CITY,STATE,ZIP_,.-6 btC CtTY,STATE,ZIP RESIDENCE PHONE '�� { - BUSINESS FHONE,(24HRS) SS,P -10 BUSINEHONE ';� l ' / ©�3 u TOTAL NUMBER OF ROOMS: ROOM USE: L 11 2. 4 5� ,6. T ?i, 8. 9. 10. THERE I§A FIFTY($50)DOLLAR FEE;PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OT HEALTH THIS FEE IS FAY E AT THE OF I PECTTON J APPLICANT'S SIGNATURE (^ , DATE ` Inspectors use only Date on initial inspection., ( Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Checck4+# Chec(k date: Notes: If r/l nn 01n W""fA k 1 ma-U C'ALID Code E forcement Inspector o - r?a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET 4" FLOOR NbiiCHealdi STREET, Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lxamdin e,salem.com LARRY RAMDIN,RS/KERS,CRO,CP-FS MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 145-14 DATE ISSUED: 5/8/2014 Property Located at: 12 Pope Street UNIT#A-611 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 LID LAKFA6 RAM DIN HEALTH AGENT SANITARIAN } �y v ,x811 Bcv v€ €a or 111 vI ru 120 W m[IN< 1 ON STT € 1 1,4°' F1.0t)It {� 1€ i (9'78)741-#800 a0� " 1 V 1�I1113f;]t11.Y D1tf5f,O.LI:, F vx (978)745-0343 MAYOR lm�h",i•.iii.\i„i_m,C(M t Si 'I()IzS,\\, ,I'€'.\€t€;\v Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION.” FEE: $50.00 PROPERTY LOCATED AT_ i � �p �� IS THIS UNDP DISIGN TED AS RIGHT LEFT FRONT OR RACK,PLEASE CIRCLE ONE OWNER/LESSER An nts —MANAGER/AGENT I NO P.O. 130X I-_ ---ADDRESS ADDRESS (} ADDRESS �IIL 4 . , r Ia�Y,STATE,ZIP CITY, STATE, ZIP L a RESIDENCE PHONEQjp ( � 0; X.-�3YJSINESS PHONE(24HRS) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS: (�� / n� �j�! f} �} ROOM USE: 1.(�iPf _ 2. 1 U11W4 )fJ(dffi 5. 1/111 Itl G_ 7. 8. 39. 10, THERE 1S A FIFTY ($50) DOLLAR FEL'-, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM 130ARD OF HEALTH THIS FEE IS/(PAYABLE AT`I"HE TIMJu E OF IN,SPECTION APPLICANT'S SIGNATURE Rct�TI) (k, , DATE _ - I Inspectors use only Date on initial inspection: _5 1 q Date of reinspection: Date of issuance of certificate: Date fee paid: _ Type of unit: Dwelling Other _Check#& Check date: ---.. Notes: Coda if" c n€entInspector ♦... Ml nw I CITY 01. SA 1st'[, M=ISS 1CIJU I"J"I'S 3ovz1>orlli \�Rc 130 WAS'u1N(T0N S juulvlt,4O1 Fi.aziz f r1'.(978)741-1844 (:1\I[Slc'.ltl L:Y DR,ISU'A-L FAx(978) 745-0343 .vLw(7R »u Nttrr«ri,ati.Co t 1.\Nr,I DIi)NNF, S1 NI(:)R`ANII'A1,LAN Release In accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. S=v 1400 O0 M baffi' c-10 UWCf of Tenant/Lessee I Owner/Lessor t Z P= 3xkm MR Address (r Address Address on unit to be inspected Date `aND.74 City of Salem, Massachusettslug " 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 health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-16.276 DATE ISSUED: 8/3/2016 Property yLocated at: 12 POPE STREET UNIT#A612 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. *Je Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEMMASSACHUSETTS Boma)of IWAH 120WA".1LT 1ILN(..'rON',�'ri�l-,I;.r,4...FLOOR a TUL (978) 74t-1800 KIMBERLEY DRISCOLL FAX(97S)745-0343 NL,\YOR IDIONNI,(0),-W Nt.COM JANF'T DIONNUI, SEMOR SANITARIAN Application for Certificate of Fitnew 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 0 0 i!!-,. � j . ��A ti, /V/� UNIT# 612- IS TtAS UN[IT DISIGNATED A9 RIGHT LEFT FR OR BACK,PLEASE CIRCLE ONE OWNER/LESSER H MANAGER/AGENT NO P.O.BOX Lo ADDRESSe-- ADDRESS CITY,STATE,ZIP vC Q /-M--CITY,,STATE, ZIP RESIDENCE PHONE BUSINESS PHONE NE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROO S: ROOM USE: 1. 3. "4- 6. 7. 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 OF INSPECTION :7 22 APPLICANT'S SIGNATURE- r DATE )F ROOTS Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 4 Check date: Notes: Code Enforcement Inspector e dND� City of Salem, Massachusetts a Board of Health 120 Washington Street, 4th Floor, Salem, tth MA 01970 Prevent.Promote, Prote Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin,MPH, REHS,CHO i Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-241 DATE ISSUED: 8/10/2017 Property Located at: 12 POPE STREET UNIT#A613 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Towm 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 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. 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 'r C.IIY C.IFj SALEM, N1-13ASSACHUS.C'F I'S BOARD oj-, H,rmL'rx l20 W;ISHINGI'ON S'CREET,41° FI )(m Ti SL. ()78) 741-1800 KIMI313RLEY DRISCOLL Fi1X()78)745-0343 MAYOR [AAMotNhSAt Trot Coni I-.[VAI l I i A(',KN'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITA`2Y CODE, CHAPTER 1 I, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT ` A - 7 l4 yu "'UNIT# _ lS THIS /T DISiGNAT D AS RIGHT-Lir'FRONT OR SACK,PLEAS CIRCL OWNER/LESSER �_ — MANAGER/AGENT _��" NO P.O. BOX ADDRESS ADDRESS _ CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)____ BUSINESS PHONE TOTAL NUMBER OFR N1S:�G <.. ROOM USE: 1. 2. 3. 4. 5. & 7. 8. _ 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLES BYY CF ,CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS A I,E AT- E OF INSPECTION APPLICANT'S SIGNATURE� (/, � ^DATE_ Inspectors use only, Date on initial inspection: Date of reinspection:__ Date of issuance of certificate: Date fee paid: Type of unit: Dwelling _Other Check# Check date: Notes: �— Code Enforcement Inspector poND City of Salem, Massachusetts f11 �. lu Board of Health 120 Washington Street, 4th Floor, Salem, PltiblicHeaa MA 01970 Prevent Promate. Prottct, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-87 DATE ISSUED: 5/28/2015 Property Located at: 12 POPE STREET UNIT#A613 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,—7A� b Larry Ramdin, MPH, REHS, CHO � HEALTH AGENT SANITARIAN J r)•Q� ri litvvI I)twIll AI III I) 1, (978)741-18()0 hi.41'131iR11?1' !'�Itl'tif_t�k1:L E yr (97$)i 6-0.313 M.-11'OIL }u«�Nui A��I a I)'m SI:N 1OR S:\NI I I:\N Application for Certificate of Fitness IN ACCORDANCI3 WITH STATE SANITARY CODE, CHAPTER 11, 145 CMR 414.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FF 550.00 PROPERTY LOCA TEDATLam. 4t1 UNIT1l__lALG1t� DISIGNA PEU AS IGICP LiL;,,f"f FktONI''Oi2 t3ACk,1'l.li.AS it 3 I'ONE oWNEIziL.EssrRMANAGER/AGENT tu��' � � NO P.O.IIUX r ADDRESS��, O �. ADDRESS-- CITY, SAIF, Z11, . CITY, STATE, 71 P RESIDENCE PHONEtIOMS {� ��{f[f BUSINESS PHONE(241-IRS) BUSINESS PI IONSO / / ' TOTAL NUMBER : S ROOM USE: I— C6, s. 6. 7, 3 9. THERE IS A FIFTY ($50) DOLLAR HE, PAYABLE BY CHECK OR MONEY ORDER TO THF C:PTY OF SALF_M 130ARD OI' HEIALTI TI-IIS VEE Ir((jm_u4aA,0_ ABLE AT TI-IB TIME ' INSPECTION APP'LICANT'S SIGNATURE- DATE_ i haspcctors useonly Date on initial inspection:A-1, .0 Date or reinspection:_ Date of issuance oPcertificate: ��11TTTT�� Date Fee paid: _ I"ype of unit: Dwelling___Other Check 1, Check date: Notes: Code foiV,-, Cot Inspector CITY OF SALEM, MASSACHUSETTS lu BOARD OF HF-LTH PRbCHC81L' l 120 WASHINGTON STREET,4"'FL(x)R rr eae.rrcmeeo.erme«. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL jramdin,,,salem.cam LARRY RAMDIN,RS/RI3FIS,(:HO,CP-FS MAYOR HFAIm-1 AceNT CERTIFICATE OF FITNESS CERTIFICATE# 103-13 DATE ISSUED: 3/14/2013 Property Located at: 12 Pope Street UNIT#A-814 OwnerlAgent: 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 LA RAMDIN � . HEALTH AGENT SANITARIAN °'Ili r GITY C)!" >` AL]H,M, MASSACHUSl 1_":1;4 IS OMW OF HPAL1,11� a � I20W�ASHINGTONS11t.LL'] , kn F1,OC It l`EL. (978)741-1800 1<IDat4LIU..E'Y L�1tl:S(;C)J:l I�,\x (978) 745-0M3 l.nnNlL)i�@�AI, hiss LI -Ui RI'RnN[L)1 N,Itti�IUP.I I5,C(10,(;P-Iti 1-1.1°.A 1;1'11 A.CI(N I' ��ola�a'ssdie�za �azz- Ce:� d�gacta4e at �ra6fla�s� 1N ACCOM)ANCli WIT11 S J.W.FF SANITAICY CODE-',, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS O:['1aI NFiSS VOR .T.-tUNAN 11ABTI`A11ON" C FTL(: $5 _00 .OPk,I2TY 7.,OCA41`I) A r_L ><� �1 Z/b 7� _ ✓-t�%1_ � UNa Cdll. 1sGGL t Js o rlw UNI r 1s1nzJCSLC' LIXT <�Lf t_ M 1NALr1`(tt iGNkTl.i c l/tzcz/i or l vVNI )tll 155]iR,_�1 _ )P 0. 'Hox tJ t11:)I)ILFSS`_ — -- —. ._...._.__.. TY, STATL",,I:i, GI!? Sele C[)Y, S !Arra, GIP._ :SI1)13NCE.PFIONI73USTNLSSI'1[ONE(24[llZ5)_.___. .____.__._ STNESs =�0(5 'T )TAL NUMBER OF ROC}:MS;___�`— f _ .)OM USF.": 7--.-I 'JL)_/ /✓L4. S IERE IS A I,zI,F IN ($50) 1:)OU AI. I�J:%1 , PAYADLT_ BY CHJ-;CK OR MONEY OK. T!R 1`0-11J13 CITY OV SA L'P:M )ARD C)1 1(1361;I`11'C!!IS 1;J,I IS PAY tik3L1:-? ri"! 'C31E`I'I:Cv1E301 INSPI"sC'('!ON 71 'i'[,ICAN'!'S STC N.�`!`tllZ? C �JtLu. I yLC!2 t — -- -_. -- 1)A I'1:I, _A3L lILS�Cc fors use ally- 11c ol) initial u1sl1cctlotl' �� .� Dalc oficimpectiorc� rlc of issuailec of cei ti(Jcaea t_ — Dtite fce PCof'till il 1.)w01111ig _ _Other_.._ _Cheeky -- ' ales: ttic Icu(01C, J1 ctor CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4:"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENRAUM([7�SAL EM COM DAVID GR13F3NHAUM ACTING HEAL:n-1 A(&'.NT CERTIFICATE OF FITNESS CERTIFICATE#616-09 DATE ISSUED: 12/4/2009 Property Located at: 12 Pope Street UNIT#A-615 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 O HEALTH DAVID GREENBAUM / ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL(978)741-1800 KIMBERLEY DRISCOLL FAX(978).745-0343 MAYOR IDIONNE&a,Enf.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT �DI LS � e f M t"(l oUNIT#�S IS THIS UNITIDISIGNATED AS RIGHT LEFT FRUNTOR BAC 'PLEASE CIRCLE ONE OWNER/LESSER AI 6 —MANAGER/AGENT nInP � NO F.V. BOX 1 ADDRESS 2P cS1 1^ ADDRESS Ile— CITY, STATE,ZIP L � r/� OMO CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 7 TOTAL NUMBER OF ROOMS: ROOM USE: I. '��i) 2. ( [ . Ii�f hQ{�}. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE n ____PATE–I Inspectors use.only Date on initial inspection:pec Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check it Check date: Notes: CodeEInspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TFL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAQM(&..SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee O /Lessor \2;Q 4-1-1 C)i vZAm � Address Address \3 -iA—LD Address on unit to be inspected 1714 l 71�C Date J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR Yt Pi1bIiCH@trww! Prevc .Yr"motc.PFWec�. TEL. (978)741-1800 FAx(978)745-0343 K1M$Fk.f.EY DRI3GOLL li amdinnsalem.com '1 LARRY Ri\MDIN,RSf RF IS,CIIO,CI-i'S MAYOR HEAL;I'l I A(;I':N'I' CERTIFICATE OF FITNESS CERTIFICATE#409-13 DATE ISSUED: 11/15/2013 Property Located at: 12 Pope Street UNIT#A-701 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 LA4. MDIN� j R � �'�✓� HEALTH AGENT SANITARIAN CITY 01" SA I ,M, .MASSAG1U1S13 I:".I"S ,tr WARD Or 1-11 v tri 120 WASHINGTON S R l 1;.J.' TisL. (978) 741-1800 IUMP,J31J :3Y DR].tiC,;01:.1 (978)745-034.3. MAYOR, i.&ML)IN&ALL-A.Q KI H Ii.;w(iI A.(;I•:N'I' IN ACC;ORDANC13 WII:11 STA'YE S/VNIT'AR.Y CODE, CF1'APTElK '1 1, 105 CMR 410.000 "'NI:fN;IMU'M: STANDARDS OF FITNESS SS U'OR I(UMAN HABITATION" FEE_tHO.QO 'ROP RTY LOCA11 I) AT_'S('z C>/ JS ➢EIIS 0141E lD�1SIL'NAIJ.;Ii)rAS RIGH�'LIl1 FRON I'01013ACK,PLEASE CIRCLE ON1I, oil 0 UOx O 0 'X iT I'I Y, S'I't\)1 I,II' :S�.Y �P Pll. _.-rJ/� / Q% / 7 C) _CITY, S7 AT', UP------- - ------ I-ISI:) NCGPHON _ -- ------T3USINfSSPIIONL(24FIIZ5) ____-- ------- _ .------._.___._-- USiNfiSS 1'1.fONI__ ' J"]AL,NUM.I313-K OJ? ROOMS:___C Dom Usl;: 1,_G _G_� z.__ s,-- 6...-- ------ -- ----- ----a. — 9' -- ---10. --- IFSItI JS A f LI;'I'Y (:♦;50)J)0 UA1.1 1:13, PAYABLE 13Y C RHICIC OR MO Y ORDER TO T1I:E CI'T'Y OJ! SA,L1 fvf )ARJ) OF 1 I I?Al;11l I'1 Tis 1'1"C f PAYYAI3LIs M. 111E TTN1 f3',0] INSPECTION 'PLICAN I"S SICNATUIZI _ use I17�c,cCors use. onl}/ Itc oil initial illspccticu. _ _ Datc oPrci,nspcclioa'I: . do of issuance Dalc fee pc of unit. Dwelling _ _Other _ Check' 16 Chcck date:_ _ __ _.— �Ces: do lI'll fo cuient Inspcclor • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PI1b.1CmHC81 TEL. (978)741-1800 Fax(978)745-0343 _ KIMBERLEY DRISCOLL lramdin@salem.com L;U2RY R;\MllIN,RS/Rlil-IS,CHO,CP-FS MAYOR HFAj,'7I AOSNC CERTIFICATE OF FITNESS CERTIFICATE#27-14 DATE ISSUED: 1/17/2014 Property Located at: 12 Pope Street UNIT#A-702 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 BOARD OF HEALTH LA RAMDIN sew HEALTH AGENT SAN ARIAN- LI a f?xa CITY OF SALEM, MASSACHUSE-1 I'S 'Ys fir' �Mwe� Bmm of HEALTH 120 W,ISIIINGTON STRFFT,4"°F'LOOR Public Health 1'rvonl.Prtimme,F'mittl. TFL. (978) 741-1800 F.�X(978) 745-0343 K1MI3E1?JJEY DRISCOLL hamdinnsalcin.com L\RRY ltr\nDIN,RS/REFIS,CHO,CI'-PS MAYORHFAL'i'I I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT-6Q 4 J / UNIT#�O""/ / Q Ts t? 7s IS THIS UNIT DISIGNATED AS RIG14T LEFT FRON Olt BACK,PLEASE CIR�C/LE/ OONE J�/� � OWNER/LESSER %P8 e✓r/L2�i UYL ��ANAGER/AGENT U t t.U(r iVL>6ntts NO P.O. BOX 0 ADDRESS /.2 �� / � e/�f /� ADDRESS CITY, STATE, ZIP c�GL.( / y ! 7� CITY, STATE, ZIP RESIDENCE PHONE / t� BUSINESS PHONE (24HRS) BUSINESS PHONE �7Op ry- / (-I - O 5337 TOTAL NUMBER OF ROOMS: fy- n� ROOM USE: 1 LV K/+"/ 2 A/17- � 1 3 �U /C/r 1 41 � 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Ins ectors use on Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: C o ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#382-06 DATE ISSUED: 8/4/2006 Property Located at: 12 Pope Street UNIT#A-703 Owner/Agent: Kori Wallace CMJ Management Co. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. E BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS, BOARD OF HEALTH • r,�y�7' _ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA UI'J- /V TEL. 978-741-1800 FAx 978-745-0343 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 4 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT /,-9 P019e- t.��$,t�A UNIT#_ 703 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE I OWNER/LESSER MANAGER/AeEtlr i Ami Y No P.O. Box No P.O. Box f ADDRESS ADDRESS Ac' ,Q, CITY _ CITY—;&�_h! RESIDENCE PHONE BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM USE: 1.4 ,-'4-2. �3.- r—ve �4. ca S B eJA4t7.� THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S=lq� ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE_0-4 G- INSPEC TORS USE ONLY DATE OF INITIAL INSPECTION `L DATE OF REINSPECTION!, DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:<;-- "•a � TYPE OF UNIT DWELLI/ JOTItERCHECK ii� 3 CHECK DATE j ?� r' NOTES: 1 _ CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, N ASSACHUS]-1TS 10 BOARD OF HEALTH 120 WASHING-fON STREET,4"FLOOR PublicHealth Prevent Pmmo,e.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramditl@salem.com LARRY RA MDIN,RS/REI-IS,CFLO,CP-1:5 MAYOR HEALn i AG ENT CERTIFICATE OF FITNESS CERTIFICATE #001-13 DATE ISSUED: 1/2/2013 Property Located at: 12 Pope Street UNIT#A-704 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 L Rf MDI 4AY4" HETtItH AGENT SANITARIAI CITY OF SALEM, MASSACHUSETTS !� BOARD OC HEAI;I'I- 1 V"1 Ery h�� 120 WASHINGTON STREET,4...FLOOR TEL. (978) 74171800 IQMBERLEY DRISCOLL FAX(978) 745-0.34.3 MAYOR lata nauw@SALL M.COM LARRY RAMDIN,RS/RFI IS,Cf to,CP-FS 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 Cpt <,C( ALL- UNIT# fi//Dc/ IS THIS UNIT DISIGNATED AS RI T LEFT FRONt OR BACK,PLEASE CIRCLE ONE OWNER/LESSER9.5�y�//( 7 0u sJ;\r MANAGER/AGENT it4 i NO P.O. BOX Q ADDRES S /Z 6�=2 (5�,-e-e 74- ADDRESS CITY, STATE, ZIP SQ.&,j . 7`:CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE-9 TOTAL NUMBER OF ROO��M��S: } ROOM USE: 1.L(/ /�/�/ 2. A/- T 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 SIGNATURL:LC . / _ u/- DATE / UInspectors use only Date on initial inspection:_ /a//.3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code n fcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH * a 120 WASHINGTON STREET, 4TH FLOOR . SALEM, MA 01970 70 TEL. 978.741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#127-08 DATE ISSUED:3/13/2008 Property Located at: 12 Pope Street UNIT#A-705 Owner/Agent: Salem Heights 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 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-eomply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r / offV • + CITY OF SALEM, MASSACHUSETTS , BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR )SCarrlaSA .,Ehl.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT \2, _UNIT# IS THIS UNIT DISIGNATED AS RIGHTt;EVF FRO OR BACK,PLEASE CIRCLE ONE OWNER/LESSER _ 2,11� s MANAGER/AGENT NO P.O. BOX (v\ ADDRESS -ADDRESS CITY,STATE,ZIP J0.��1�� C�� CITY,STATE,ZIP RESIDENCE PHONE f 1 G BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 3. 4. 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 HEALTIRHIS FEE IS PAYABLE THE TIME OF INSPECTION APPLICANTS SIGNATUR DATE 3 Inspectors use only Date on initial inspection: — 13 .y Date of reinspection: Date of issuance of certificate: 3 — 13 Date fee paid: 3 —L $ Type of unit: Dwelling Other Check# 14 0 Check date: Notes: Alt 0 Code Enforcement Inspector ED DI City of Salem, Massachusetts a< -,� s 11 Board of Health 9 120 Washington Street, 4th Floor, Salem, PublicHeaIth 9 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-15-154 DATE ISSUED: 7/1/2015 Property Located at: 12 POPE STREET UNIT#A706 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 �- 1419 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN l 1�1\Ja W R I.I W I MR I tit. ()LI, r (97£3)7=15-03,13 .''(-AY(?R_ nutu� r5.v i Vii.I:O(J Sl:Vl(W S:ANI I \1l1 \N Application for Certificate o{' Fitness IN ACCORDANCE; WITH S'TA`I'G SANITARY CODE, CHAPTER 11, 145 CMR 410.000 "MINIMUM STANDARDS OF FITNI3SS FOR HUMAN HABITATION." 1 E `h50.00 PRONERTY LOCATI-D AT LS �._ ' � UNI"I'dbI' C(I}�S IINGNA 1211) \S 1210 N I I_I 1 T F ROM'Utt l3lf K 19,IiASi' {:1RCI'I.oNv OWNLRn.,ESsI R P 4 _MANAG(iiRtAGENT_� NO P.O.BOX . ADDRI%SS� a ADDRESS CITY, STA"I'R, LIPS_ —CITY, STATE, LIP _ KL'-SIDLNCE PFIONI3 - BUSINESS PHONE(241-IRS) BUSINESS PI IONS © 3,7 TOTAL NUM1313R O ,ODMS: 46 ROOM USC:: L 2. 6. 7._ 8, 9. 10. 'I'I IEIZE IS A 1=IP"I'Y ($50) DOLLAR Fl3E,PAYABl-C 13Y CHECK OIZ MONI'Y ORDER 1"0RRDOF 'CFiB CC!'Y OF SALEM AIO'fLiICAN"II'!SYS'IGNA"1IURIf�I'LsIS /,JAF,3�LL' ATTI-IE"I"IMEOPI PCC"I"ION DATE f/ r fisI}ec¢o1's "c only Date on initial iaspection:,��fZo� Date oTreinspection: ,, �� OAC M ISSuaacC DFCUCIi IUIC Q > Date fee paid:40AL20l�_ 'Ivpeofunit DwclhngOther Check 11 ._ Check (,late: Notes: e I= orcen�cnt Spector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 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 # 159-07 DATE ISSUED: 3/29/2007 Property Located at: 12 Pope Street UNIT#A-707 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 OF HEALTH I w 120 WASHINGTON STREET, 4TH FLOOR -'SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Wimbertey Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS a IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER Ii, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. a PROPERTY LOCATED AT A) . Po Q e �) , h'1 A UNIT#1_N'76) / IS THIS UNIT DESIGNATED AS RIGHT LEFTRF ONT BACK PLEASE CIRCLE ONE PLEASE W ,, //// 4ce OWNERILESSER MANAGERIft&ENT- PhInd ei�red7 Wz �, No P.O. Box No P.O. Box ADDRESS ADDRESS l-) CITY. RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OOFJR/OOMS1 ROOM USE: I. 2.ei 3. f2 ra. d. uw 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=4LA ( � —DATED 1 �L INSPECTORS USE—ONLAY Y DATE OF INITIAL INSPECTION 'D`f -0 '7 —DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATCX_ , ' _DATE FEE PAID: TYPE OF UNIT: DWELLI OTHER_ CHECK # n (ltI CHECK DATE 3 o� CODE ENFORCEMENT INSPECTOR 9/28/99 r - `oND'z"tee City of Salem, Massachusetts ] . V q _ Board of Health " 120 Washington Street, 4th Floor, Salem, Public Health b � MA 01970 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-15-41 DATE ISSUED: 4/22/2015 Property Located at: 12 POPE STREET UNIT#A708 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 ("I'n" ol" SAjx,,N/r, .NA 1, 5SACHt-1,S] F\\ (978)715-03,13 M \v(w \Nl;l Dik \N1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODF,CHAPTER It, 105 CMR 410,000 "MINIMUM STANDARDS OU FITNESS FOR HUMAN HABITATION." HER $50.00 PROPERTY LOCATED AT d b �av&v) UNITP fis I-ills UNIT&SICNiM-5Ai�Ricirt,i,iv/r FRONTOR BACK,PI'I"'ASE, K fll ot,41", 4,2 OWNER/I,l__,'SSFR 0" MANAGER' AGENT NO P.O.BOX ADDRESS ADDRESS__,_L7( 1�1 f L<2#'7 - CITY, STATE, IIP CITY,STATE, ZIP RESIDENCE PHONE, __BUSINF,SS PHONE (24FIRS) 0 - /27- BtJSINFSSI)I-1 NL F?f7q� J�, "TOTAL NUMBER OF ROOMS:___ IV In, ROOM USE: L 2. Aca�W414. 5. 6. 4 i 7. 8 9. 10. THERE CRE IS A FI FTY (S50) DOLLAR FEE, PAYABLE; BY CHECK OR MOIN BY ORDER TOTHE CITY OF SALEM 130ARDOFI-Il-'AL'I'l-l 'I'l-IISI"—PrISPAYA --,'a'I"1'1-]E]'IM�EOFI -CTI ON APPLICANT'S SIGNATURETx � DATE—_ IIISLIeCtOI-S LISC only Ditc on initial inspcc6on:�1W(5_ Date of'reinspection:_ Date of issuancc o1'ccrGJica1e; Date fee paid:__-.—,— TYPCOFunit Dwelling _Other_—Check# _Check date:___ Notes: Co cnt Inspector SND City of Salem, Massachusetts { i Board of Health m 120 Washington Street 4th Floor, Salem PabliCHeatth INS MA 01970 Fllmt. Promote. PTO@CI. 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-17.225 DATE ISSUED: 7/27/2017 Property Located at: 12 POPE STREET UNIT#A709 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 CITY OF SALEM, MASSAC.HUSE'I"TS BOARD OF HFAUITI I'�:0 W.4�HINGTON STREET,4...FLOOR Tm_ (978)741-1800 KIMBERLE:Y DRISCOLL F\x(978)745-0343 MAYOR ��MnlNnsnl hM('(�hA LARRY RAIVIDIN,RSfRRI1.9,CHO,(T-F.S I IEAIXIi AGI{NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.400 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE-K0.00 PROPERTY LOCATED AT � f__ IT# is THIS UNI ISIGNAT D AS RIGHT.LEFT FROM i{OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX q — t� ' _ , ADDRESS_ _ ADDRESS CITY, STATE,ZIP ? TY, STATE,ZIP ' RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE ] 3. 4� 5. 6. 7. 8. —9. 10. THERE IS A FIFTY($50)DOLLAR F A ABLE BY CH . , OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS AY AT THE TI E F INSPECTION 7 APPLICANT'S SIGNATURE_ DATE__/&� Inspectors use only Date on initial inspection: Date of reinspection:_,_ _ Date of issuance of certificate: _ Date fee paid:i Type of unit: Dwellin Other Cheek# Check date:--.— Notes: ate: __Notes: Code Enforcement Inspector a o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#338-05 DATE ISSUED: 5/27/05 Property Located at: 12 Pope Street UNIT#A-709 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. d FOR THE BOARD OF HEALTH JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR T� T CITY OF SALEM, MASSACHUSETTS,.. 3J BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA U 1 y/U TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HAABITATION". PROPERTY LOCATED AT /d Pope �� l P. ' M f' 4-UNIT"s ' (M IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE OWNER/LESSER MANAGER/Af1EN'T" ' h moo+ C�+�e I'O' No P.O. Box No P.O. Box y/ `� ADDRESS ADDRESS CITY CITY , RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 9 7f1-7S�y 0 o j 7 BUSINESS PHONE TOTAL NUMBER OF ROOMS: � N ROOM USE: 1. y✓-/ 2. 4. 5. 1SrdrCAM 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 I '/ DATE �~ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ) S DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:3"-D DATE FEE PAID: 3 TYPE OF UNIT: DWELLINGOTHER_ CHECK# h"� _CHECK DATE 3=-23"'7s 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 DGRI3[?NRAUM@SAI.IEM.COM DAVID GREFNBAUM ACTING HEAI,,iH AGENT CERTIFICATE OF FITNESS CERTIFICATE#186-10 DATE ISSUED: 4/26/2010 Property Located at: 12 Pope Street UNIT#A-710 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 BOAR9 OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KLMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM@SALEM.COM DAVID GREENBAUM, ACTING HF-,,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: $50.00 PROPERTY LOCATED AT I i_�P iS� , ,e$A YY) A ()1Q-70 UNIT#.. A:�.Ijo IS iTHIS UNIT DI GNA ED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �1 yP Dn W1 h1 S. MANAGER/AGENT NO P.O.BOX / ADDRESS ADDRESS CITY, STATE, ZIP 2IY� CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE q Jy�S" / TOTAL NUMBER OF ROOMS: ROOM USE: 1 1\ 2 ''I V IL/I'A 3 (�&Un 4 1' rn!x-( 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 'cZ )/b Date of reinspection: Date of issuance of certificate: L41A (P /0 Date fee paid: L4 /U Type of unit: Dwelling Other Check y Check date: 7 a d /0 Notes: Torn JOEL hat w alv- Code E cement Inspector 0 OOND ITCity of Salem, Massachusetts IV Board of Health 120 Washington Street, 4th Floor, Salem, Public Health 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-15-89 DATE ISSUED: 5/28/2015 Property Located at: 12 POPE STREET UNIT#A712 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 F� l Larry Ramdin, MPH, REHS, CHO 6� HEALTH AGENT SANITARIAN �T CIT'Y' Ul, S, J I ; (, � \5S1C:! It SI;; ,fTS ��oL ��1l,r �� lin Vi ntli�Fli Ai ul 1.211WA, lIINt IuNtiu,ii \`! h1:411;1 'RLI 1 I)P,lSI i:)ILL F,\\ 0),78,)711-03'43 Application for Certificate of Fitness IN ACCORDANCE: WI-1-1-1 STATE SANITARY CODE, CIIAPT1 R 11, 105 CMR 41{) 00 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 14 r ".00 r -. Z- 1>ItOPr'.Iz�rY 1,0(,A AT— � - IS'I II IS I,INI'(DIS] NA,r )AS RI( 111 L I�1`P t I2no r of IDAf Y, PI.P;ASC C❑ CI 1' nNli OVJN ItILi SSI.R _ 0�� MANAC1sR/AC1---'N'I ��V NO P.O, BOX ADDRI:SSL' � _ADDRESS..—__ CITY,STATE, GIP_ CITY, SPATE, GiP RESIDENCE PHONE,/— BIJSINI SS 111-I0NE(241IRS)_qq . BUSINESS PI ION13 � _ �✓ � 'DOTAL NUMBFR Oi' UOMS:_-) _/._ Q f� ROOM USI;, t. Vi N 2. {/ gY,y /) �l� 5. 6_ 7 THERE RH 1S A F'11I'Y (S50) DOLLAR FLS, i?AYA13L1'' BY CI-11'3CIC OR MONI�Y ORf 1) 1, TO"I"I IG C:1l Y OI' SAL[iM BOARD 04 111.A1:1'l l I'IHIS I'EL_ISP(/AJy�n1f31 BA'I"fI IL TIME O�ON r-- ANPLICANI S SIGNATt}h!' DATE Intiuccl:ors use 0111\1 D<iteoiliniLia)lincl'GCi.ipn:_��—St C?ateofr insl>actiall:— D�IIC of issuance o['ccr6(icate Dale ('cc IaHid: Tyl)c of uni(: Dwcllinb _Other Cllccl;t/ __Checl: date: _—.— Code I: ore cot Irsp:.cCor OONDI7•�yd City of Salem, Massachusetts lu J J ` a Board of Health n 120 Washington Street, 4th Floor, Salem, PublicfIealth 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-15-190 DATE ISSUED: 7/28/2015 Property Located at: 12 POPE STREET UNIT#A713 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 CITY OF SAI >"N.t M XS.SA HIJSI=�',1 is 5 Jt�B B vlic rCli \i.rii Fl.ciou Fti,. (97,3)741-1800 IAMBI"]A LY fAUSCO LL 1 \,A (978) 745-034.3 NhmlO iDuOnnr:(u!,,v.unt,C:OM I;\NI CI'I�16VN1f, 51rNi{iEt ti,1M i'ARIr\N Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMIZ 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." F'E�E: p5p0.0�0 c�— PROPERTY LOCATED AT / P� S ° tNIT#E 14 —._ IS"PMIS ONIT DI 'ICNA rED AS 21Gt'I'LL•'I'"I'ff OR IIACK,PLEASE GIRC/L,'I?�OfN�E OWNER/LESSER MANAGER/AGENT NO P.O.Dox / �.. ro �. ADDRESS I I ADDRESS — _ CITY, STATE, ZIP_ RA_ CITY,STATE,ZII' _.—.. -T— RESIDENCE PHONE_ BUSINESS PHONE(24HRS)_ _, BUSINESS PHONE TOTAL NUMBER OF OOMS:__3 ROOM USE: 1. 3. � � 5. b. 7. V 8- 4. t0. THERE IS A FIFTY ($50) DOLLAR FEEPAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PATIE AT THE TIME OF IN PECTION APPLICANT'S SIGNATURE— a DATE q Inspectors use only Date on initial inspection: 0712-c/2-ol Date of reinspection:_ Date of issuance of certificate: Date fee paid:_ /7C>/1D25` Type of unit: Dwelling Other_, _Check#_71!r2,_Check date:0'1121 .L5 Notes': ( 5 190 Co F xc tent nspecto f CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET,4T"FLOORPublicHeatth - rm.mc.rmmmc.rwmc. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Itamdin(Dasalenz.com LARRY RA�MI)IN,RS/REf IS,CHO,CP-FS MAYOR HI AFrut AGENT CERTIFICATE OF FITNESS CERTIFICATE#330-13 DATE ISSUED: 9/18/2013 Property Located at: 12 Pope Street UNIT#A-714 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, Se.. )n 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of yo,.r vacant Dwelling/Rooming Unit at the above address has been approved ar is in compliance wlf'i 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter li" Minimus . Standards -)f Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board c' Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.00. Certificate valid for one year from date of issuance or until the current tenant vacat.�s, whit. ^ver is later. This Certificate of Fitness is valid only if there is a valid Certificate(i Occupancy. FOR THE BOARD OF Hj;ALTH io LARRY RAMDIN 4 y _ HEALTH AGENT SANITARIAN ter=• �. Gt> RD OF 1 II 1LTIi / $� ��iiru�nn i l20 WA,kHING I ON'41(ETT,4'° FLOOR 7�,*L. (1)78}74-1-1800 KJNI111.INI N I)12.15<';OC.1:, LUA O78)746-0343 �v� � 1V'�A�1'013, �EnEUiN(f,1eN rniGi?� ,+l ltRl'1Z;AAIUIN,Rti�Rl;fl Is,CI1O,C]'-I pq ' IU;rU:CIf IN I' Applicaljg)Re fog- Cert.1i%'Beate of Fitness IN ACCORD kNC13 WITH S'J'tVJT- SANITARY CODE, CHAPTER 11., 105 CUR 410.000 I "MINIMUM STANDARDS 0f'1rITN. iSS FOR HUMAN UAF3ITAHON" Ota IS'97I18 VNt'I'D ISK NA ED AS I(IGI LETT ITONTOR ACK PLEASE CIRCLE!;ONY,• VVNIi13 I I,SSI lZ.1—` N � ( ?X12.--jV 3LL.S'L1 tf MANAGER/AGENT 11,C). IRA it 7ll1(33SSf ADZ}KESS_—__ TY, STA 1 CS, •LIII Sr L /,f :SIDENCEPHONl - - -- ]3USTNLSSP(ION L(241-IRS)--____- ,aslNl =L) )TAI, NUMBUR OF 1(00MS: )OM USE: 1__ I F'RU 1S A VI F 11'Y ($50) DOI I,A1(1;l.1_;, PA.YAD U.' 13Y CH ECIC OR TVIONI3Y 011 D1..iR TO 7 I Ili+✓i"FY OU SAI T{pvI )ARD Ol 13};AZ.77 t t'H_IS 1qd;IS PAYABLE. A'1 111'L 'l'1:MI OI�lNS1'IUC"PSON J Q 'I'ISCANI"9 S1C•lNfCl`Ult:� � �. / f �c��f,-t� 17A L[s_�j lnsP—CLl:ors use only- Ile oil mitial inspcctiott' �f$�1 _ Datcohcinspcclion:_—.--- --,-__-- IIc of issuarscc oI'm I111catc: Date kc ,pc of rami: DwelGrl C)thet'.�.-----Ch ck#l._—_-_Clieck )Ccs: ?dc 1�.nforc enf. fnspccGx--- CITY OF SALEM, MASSACHUSETTS o t BOARD OF HEALTH '4 120 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# 144-07 DATE ISSUED:3128/2007 o Property Located at: 12 Pope Street UNIT#A-715 Owner/Agent: PHM Property Management-Kori Wallace 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. FO ,"HE BOARD OF H ALTH (7VyJvZrr t.. JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR y CITY OF SALEM, MASSACHUSETTS, +� BOARD OF 14EALTH + 120 WASHINGTON STREET, 4TH FLOOR :'SALEM, MA 01970 TEL. 978-741-1800 I I FAX 978-745-0343 {,, JOANNE SCOTT, MPH, RS, CHO Icmbedey Driscoll HEALTH AGENT Mayor a APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER Q, 105 CMA 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT /�to 1p 17'] 4_UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFTR�ONT BACK PLEASE PIRCLE ONE OWNERILESSER MANAGER1A6£N4t- ,0#Y1_—erged.7 h e No P.O. Box No P.O. Box U ADDRESS _ADDRESS /J i arc q CITY _.v CITY_ \c i P -�-1 L�— —o / 76 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE---,- TOTAL HONE _TOTAL NUMBER OFfROOMS::— � (� ROOM USE: 1. 7iG 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 SIGNATUREL� � DATE n� c b 07 NSj PECTORS USE ONi Y DATE OF INITIAL INSPECTION 5-j�j--Q DATE OF REINSPECTION--- DATE EINSPECTIONDATE OF ISSUANCE OF CER1lFICATE:,5 7:PP DATE FEE PAID: 3 ' o� a_7 TYPE OF UNIT: DWELLIN%/' OTHER_ CHECK i L 2 'CHECK DATE3---a� NOTES: -- CODE ENFORCEMENT INSPECTOR 9/28/98 J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4".FLOOR PablicAeaa STREET, Pre.cm.Promote.,Prorec,. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@saletn.com LARRY aAnnDrN,Rs/R[a IS,c:rr0,c:r-FS MAYOR Hv,\j;rl-I A(;VNT CERTIFICATE OF FITNESS CERTIFICATE#352-14 DATE ISSUED: 10/21/2014 Property Located at: 12 Pope Street UNIT#A-801 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 Sal 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 ALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR Q7rvn TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1,RAMDINn5ALFM.00M LARRY RAMDIN,RS/REI-IS,C1 JO,CP-PS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / FEE: $50.0,0 n PROPERTY LOCATED AT l 2-- Frope- s V /G� ; �` is U IT#-g j IS THIS UNIT DISIGNATED S RIGHT LEFT FRONT OR ACK PLEASECRCLEEONEOWNER/L77i2= MANAGER/AGENTNO P.O.BOXADDRESS �� ADDRESS CITY, STATE,ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF "OOMS: 3 ROOM USE: 1. J900'-2. 6 L� 3. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TI-IE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA BLE ATTT14E TIME O y INSPECTION �f APPLICANT'S SIGNATURE u(�N al " its DATE// Inspectors use only Date on initial inspection: Idai 4q Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code EtTKor ent Inspector GOND City of Salem, Massachusetts IV a Board of Health 120 Washington Street, 4th Floor, Salem, /� PublicHealth MA 01 970 Prevent. PTOMOte. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-76 DATE ISSUED: 3/4/2016 Property Located at: 12 POPE STREET UNIT#A803 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 r CITY OF SALEM MASSAC 4..U5`E'11'S �. Bwiii)otfli;,u;t'I( 120 WASHINGTON SI EET 41° CLuOu T '1,. (978)741-1800 IQMBERLEY DRISCOLL FAX(978)745-0343 %\YOR ID1ONrJensA1 P.nl.COM ANET I)IONNE, - S G;NIOR 5:\N 1'1'ARI;1N 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 // //�� Q PROPERTY LOCATED AT /l L Fbo—e S\-g e� �G UNIT# v i/ IST S UNIT /DISIGNA' ED AS RIGHT LEFT FRONT OR RACK,PLEASE URCLE ONE OWNER/LESSER ✓�/7 MANAGER/AGENT NO P.O.BOX ADDRESS ` O ADDRESS CITY, STATE, ZIP ��( ('�_(� �A- CITY, STATE, ZIP RESIDENCE PHON!F1712A�(� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER ROOM USC: I. v 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 PAY EAT THE CTION APPLICANT'S SIGNATURE DATE _ �b 22,, Inspectors use only Date on initial inspection:T3 't6 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelline Other Check# Check date: Notes: r Code for el ent Inspector � 16�� t� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4•••FLOOR NCm,,,,_,,,�, ,.. JE--L. (978) 741-1800 FAx(978) 745-0343 [UM131"?Rt,FiY D,RISCOI.L Iramdin@salcm.com - I,A It1tY RAbIDIN,ItS/RI':1PS,(:I 10,CP-RS MAYOR 1-WAI,nI A(;INT a CERTIFICATE OF FITNESS CERTIFICATE #366-12 DATE ISSUED: 9/17/2012 Property Located at: 12 Pope Street UNIT#A-804 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 All0,(AS41f 1-0911, RAMDIN HEALTH AGENT SANITAR CITY OF SALEM MASSACHUSETTS BOARD or HE,v TI7- �gRQy� 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1 RA nau1NgSALI N.COM LARRY RAMDIN,RS/R171IS,C110,(:P-FS HE'em.rlI AGSM' 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 <SGL1eAX. UNIT# QSG�I/�Z>L/Olt p�,�i-� LS IS THIS UNIT DISIGNA`TED AS RRWHT LEFT FRO OR B�PLEASE CIRCLE ONE�/ OWNER/LESSERT/eMANAGER/AGENT (Lt !t a NO P.O. BOX aQ ADDRESS /�0� — ADDRESS CITY, STATE, ZIP t�� 0 ' O/9CITY, STATE, ZIP RESIDENCE PHONE q9 " "7405 7 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— �1 ROOM USE: 1.L�L i�/ 2. 10-r 3 flit' QA4 5 6. 7. 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURlj, � y DATE__fQ/�o1 Inspectors use only � Date on initial inspection: 0 7t/A Date of reinspection: Date of issuance of certificate: Date fee paid: Type of��n�(t�Dwelling Ot&et/, (� Check# Check date: Notes: I ro ;JQ V -U.) Co cement Inspector City of Salem, Massachusetts1P Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protcct. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-155 DATE ISSUED: 7/1/2015 Property Located at: 12 POPE STREET UNIT#A805 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT ////SANITARIPe/ C ,I'C'Y OFSA I n(, ,M VSti ( l iITS 3s mat B( \I I)tll I II \I In 120 V 3VI h IAi;I(II,"V'r I:vI' 4` k'i t1Olt Il;i- (y/8); 1I.-I% O M A11111,AL.I-1 I)I.11 to)1.1. 1'-vA(97$)7d5-03,.1.3 ;il \I(lH \\VII`\HL\N Application for Certificate of Fitness IN ACCORDANCE WITH STATE-` SANI'FARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." PEIf:: 550.00 PROPI:.RTY LOCA"I"ED AT�° � �� s 1� JNI'I'tl IS"I'FIIS i NnCfnISI INA TCt}t�S IZK'H t,-[..1_I"'I'FRON 1"61Z BACK,PLI"ASI GoNL C)4vnrV ' t N1�R%t l3ssla2 �✓ MANAGER/AGENT NO P.01 JWX ADDRESS_ ADDRESS CI i'Y, STATE, 2.I P�- r4 � /�(71 CITY, STATE, %I P --� RESH)ENCI PI IONI: B US IN F,SS PHONE(241-IRS) BUSINESS PHONIL- 'TOTAL NUMBI ROF' ROOMS;__ ROOM Usl3 // : I. t V d e,d FY 5. 6. _ T x. 1a TI-IERF IS A FIFTY (S50) DOLLAR FEEFAYA131.E 13Y C11ECK OR MONEY ORDER TO"(t-itii CI fY 01 SALEM 1;30A111) OF J-1 EALTI-I 1 IIS F HE IS AB1 1-1 AA"1-11-IE 7"I/M/P, OF INS1)I CI'ION [/�� APPL,ICAN1 S SIGNATURE_ �� "�zi�'�� l�'`� '_ DATE—6?' 7 Ins�ectars use old Date On initial inspection; Date of reinspection: DateoFissvlanoeotccr[ificate: QJzC� Date Feepaid 2 317, _-- ypc Of artit',: Check!I Tc{ _CIIeok N(Am J Cod F or �mcnC Ins17� or CERT.# 299-97 a3' FEE $25.00 1). IAF DATE: 05/14/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Pope Street UNIT #: A-806 OWNER/AGENT: CMJ Manaaement 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 HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT ( ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR X . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY: CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT p O r, � l UNIT tK- OWNER/LESSER "a)T MANAGER/AGENT ADDRESS �p e, �}- ADDRESS CITY J 1�� 1 _{ �c�� CITY --RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE oSS rl .Aq--QnLz ") TOTAL NUMBER OF ROOMS:-' , ROOM USE: 1. 2. 3. 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ITH D T2SENT THIS FEE AYABLE AT THE TIRE OF INSPECTION APPLICANTS SIG -- DATE p �� i INSPECTORSGGUSS�E ONLY DATE OF INITIAL INSPECTION: { �� C DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: I`f 7 DATE FEE PAID:��)' TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR D City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PL1th MA 01970 Prevent. Promote. Protect. KimberleyTel. (978) 741-1800 Fax. 978 745-0343 Driscoll ( ) Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.374 DATE ISSUED: 9/30/2016 Property Located at: 12 POPE STREET UNIT#A807 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. ZS 4JIW,0� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SAIEM, MASSACHUSETTS Bcmm)m HV'AU111 T1.,[,. (978) 74t-18o6- KIMBERLEY DRISC(..)LL FAx (9 7S)745-0343 MAYOR 7QIQNNP�p)1 U I Nt C07NI JANiln,DIONNE, SIM01Z 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: $5WO P e I PROPERTY LOCATED AT 2- Po n fa,& go IS,THIS PIT DISGNATED 4S RIGHT LEFT FRONT ORRACYK,PLEASE CIRCLE— OWNER/LESSER MANAGER/AG T NO P.O.BOX ADDRESS 1 Z 0A R S CITY,STATE.ZIP f, CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)— BUSINESS PHONE TOTAL NUMBERZROOMS-. I ROOM USE: – 2. kW4. 5. 6. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE; P 'PeYABLE,BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE JS PAY ALE ATTRETIMEOF SPECTION 1 APPLICANT'S SIGNATURE0A 0 v P — —DATE-- Inspectors use only Date on initial inspection:Oq"2— 4ag Date of reinspection: Date of issuance of certificate- Date fee paid: Type of unit: Dwellin Other Check#_0Q0j0 Check date- Notes: Co of cement y CITY C)l �A�.1 M, 1�J1�1,�.-1CHUSF1TTS � BOARD of HEALTH 120 WANIT1NGTON S'rt Ev"I,4"FLOOR PubliaHealth r, .,•.m.rrvnnnm.ro-a ,•,. TEL.(978)741-1800 Kv- (978)745-0343 It1MBEW..,EY M ISCOLL tratndinct)Sa lCm.conz LARRY 10 VIDiN,RS/11F'I IS,(;110, MAYOR I Ilr m:I'l f A(;FNT CERTIFICATE:OF FITNESS CERTIFICA7rE#188-14 DATE ISSUED: 8/5/2014 Property Located at: 12 Pope Street UNIT#A-808 Owner/Agent: Salem Heights Address: 12 Pope Street CityfTawn: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 Pursu int to the requirements of City of Salem ordinance Chapter 2 Articie IV Division3, Section 705: C ertificate 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 C v1R 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitnes>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. Maxim im 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 RD OF EALTH LARRY RAMDIN ✓r t HEALT-1 AGENT SANITARIAN • CITY OF SALEM, MASSACFWSyETI'S BOARD OI I II?at:rtt 120 W."HING'rON STREET,4T"F1..00_It TIL.(978)741-1800 - KLMBERLEY DRISCOLL FAX(978)745-0343 NL•LYOR 1DIONN@ O SALEM.COM - JANvi'DIONNE, SENIOR 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 t�r�j �j� Q PROPERTY LOCATED AT �i1 "V UNIT#�O [/O IS THIS�/U�NIT DI�S.I/GNATED AS RICHT LEFT FRONT OR BACK,PLEASE�IRCL,�E'O P1014 NE OWNER/LESSER / V� 1 ( MANAGER/AGENT (/1 al VL NO P.O:BOX / ADDRESS Zc d ADDRESS CITY, STATE,ZIP v CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: J ROOM USE: 1. 2. f 44. 5. 6. 7. 8. 9. 10. _ THERE-THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS KYABLE AT THE TI OF INSPECTION APPLICANT'S SIGNATURE / DATE rr Inspectors use only Date on initial inspection: c , J— Date of reinspection: Date of issuance of certificate: S —�� r/ Date fee paid: Type of unit: Dwelling t Other Check# b Check date: l(0 1 1� Notes: Code Enforcement Inspector CITY OF SALEM; MASSACHUSETTS BOARD oF HEALTH - 120 WdSHINGTON STREET,4°i FLOOR TLL. (978) 741-1800 KIMBERLLY DRISCOLL FAX(978) 745-0343 MAYOR Iramdin@salem.com LARRY RAMDIN,RS/REIIS,CHO,CP-fS HVAI:11:1 AGF5N1' CERTIFICATE OF FITNESS CERTIFICATE#154-11 DATE ISSUED: 5/24/2011 Property Located at: 12 Pope Street UNIT#A-809 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 LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR i I MERLEYDRISCOLL TEL. 978) 45-03 3 17�' FAx(978) 745-0343 NIAYOR DGREUMAUM(!>7.SCOM 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." n FEE: $50.00 PROPERTY LOCATED AT 1 ?� � _"`1c l�LtlY I 1 (�O U�9y UNIT#020 IS THIS UNIT DISIGNAT 1)AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE W ONER/LESSERQJI- f e) ) ,t```A(-)l(� 1'o ISI aI MANAGER/AGENT I_�Aflf1 Y(C�SSe� NO P.O.BOX 1 ,�j 1 ADDRESS 1 �C �(YL /�./�S1lnrPC \ ADDRESS O GPp �/Y=� CITY, STATE, ZIP \P\�m 1 r t'f�i n��o CITY, STATE, ZIP( 'f 'a Y.P IM MA (a<9-JD RESIDENCE PHONEbL I�c-1 LI —(�`j�� BUSINESS PHONE(241IRS) -7�aCC\Q_ BUSINESS PHONE � Q TOTAL NUMBER OF ROOMS:_ ROOM USE: l.hl T-El n o 3 jycT 14 AM-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 SIGNA ivy D/4-'j2Q0DATE'-::; a - �l Inspectors use only Date on initial inspection: 1 Date of reinspection: Date of issuance of certificate: J a 1 Date fee paid: Say Type of unit: Dwelling ✓ Other Ch k# 39 /6 Check date: U �� 1 L Notes: _JV UA_ �( (Y�S � tly)d ow 1 U I UG)C Code Enfor ement spector CITY OF SALEM, MASSACHUSETTS BOARD OF Ha-,tLTH 120 WASHINGTON STREET,4...FLOOR th Prevent.Promote,Protect. TEL. (978) 741-1800 FAx(978) 745-0343 CERTIFICATE OF FITNESS CERTIFICATE# 178- 4 DATE ISSUED: 5/27Q014 Property Located at: l2Pope Street UNIT#Ar81U Owner/Agent: Salem Heights Address: 12Pope Street City/Town: Salem, MA Zip Code: 0107O24Hour Phone: 078^744'0537 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. AAinspection 0[your vacant Dwelling/Rooming Unit at the above address has been approved and iyincompliance with 105CMR 410.00U: Massachusetts State Sanitary Code, Chapter||" Minimum Standards of Fitness for Human Habitatinn". 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 nfoccupants, must comply with 1U5CIVIR4l0.O0U. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate ofFitness invalid only ifthere ionvalid Certificate of Occupancy. FOR THE BOARD OF HEALTH � "�""~ ' "� `` ) / ��, , ~ =,�vYRAMD|N HEALTH AGENT SANITARIAN CITY OF SALEM, MASSAC14UI ETTS BOARD 0IIIVAI:1,14 - '0 120 WAST M.'rON S'nuR L l',4'"F7_O0R TEL. (978)741-1800 KlNfBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1DHJNNEDaSAuBM.COM (ANUIT DIONNE, SENIOR 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." //J� �� FEE: $50.00(�i�/� /� Q PROPERTY LOCATED AT S�Z& k, P &'A" k ' UNIT# 14 U /o IQ(7/m`s UNIT 11MICNATEn AS RIGHT LEFF FRONT OR BACK,PLEASE CIRJGLE ONE n OWNER/LESSEi t" V I� d MANAGER/AGENT e NO P.O.BOX Q j,,,, ADDRESS 1 '2 / D -C— Ta p 4 ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP /,� ✓ / C/ RESIDENCE PHONE n f/ � BUSINESS PHONE(24HRS) BUSINESS PHONE ` � b 7`7 CI 0 S 3 1 TOTAL NUMBER OF ROOMS: ROOMUSE: Lwk 4t'� 2.)' ` idipl�( L�(M 4. 611(0 5, V' 6. T. 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 J Yk Gt k- 4�Rmv� DATE s a 7 1 Inspectors use only Date on initial inspection: S '�� ' yl Date of reinspection: Date of issuance of certificate: rJ 'z7)' I LY Date fee paid: Type of unit: Dwellinrg/Other Check#rYA V —Check date: Notes: — C6 e Enforcement Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Prevent.Promote. Prated. MA 01970 Tel. 978 741-1800 Fax. 978 745-0343 KItTIb2rICy DTtSC<7ll { } { } Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-197 DATE ISSUED:7/6/2017 Property Located at: 12 POPE STREET UNIT#A811 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street CitylTown: 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. I, 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. t Larry Ramdin, MPH, RENS, CHO SANITARIAN HEALTH AGENT a 1 n F CITY CtF SALEM, MASSACHUSE'T I'S BOARD t)F Hi-sAu H 120 WASHINGTON SURF-.HT,4 FL,OOJt TBL. (978) 741-1800 KIMBERLEY DRISCOLL FAt()78)745-0343 M 1Y{)R RAMLAN a sA1.PM.w LAikRY RA7vtDiN,IYSJItRH9,t,Rfa,C:1'-hS i Ilan:n j A(,iwv Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.040 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE. $ O J I ^/1, l UNIT# /J�r PROPERTY LOCATED AT—�^ P�°r �"` — �.-�— "'" IS IS U IT 1 IGNA ED AS RIGH LEFT FRON➢'OR BACK,PLCASE CIRCLE ONE OWNER/LESSER _ _ MANAGER/AGENT NO P.O. BOX i f - J) ADDRESS I Z � 4" -ADDRESS----- CITY, ADDRESS _— CITY, STATE,ZIP & k4 CITY, STATE,ZIP _ RESIDENCE PHONE BUSINESS PHONE(24HRS)—_i — BUSINESS PHONE_ v TOTAL NUMBER OF RRO�^O� ,,� /�p fJ f� ROOM USE: 1. t "'""2 �3. t" "� 4. fAA 35 _ 6. — 7. 8. 9_ 10. THERE IS A FIFTY($50)DOLLAR FE , AYABLE BY CHECK O MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP ABLE AT THE TIM'OFSPECTION APPLICANT'S SIGNATURE_ — -10AT A /� Inspectors,use only. Date on initial inspection:Au. Date of reinspection:_ Date of issuance of certificate:{t t Date fee paid:—_-- Type aid:__ _Type of unit: Dwelling__,_Other— Check# Check date: Code Enforcement Inspector 6 m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4T FLOOR PublicHea Ith e Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 _ KIMBERLEY DRISCOLL Iramdin e satemxom MAYOR � LARRY RAMDIN,RS/REFI-i IS,CO3 CP-FS HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 160-14 DATE ISSUED: 5/27/2014 Property Located at: 12 Pope Street UNIT#A-811 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 Ile 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 RRMDIN HEALTH AGENTSANITARIAN C Ll CITY OF SALEM, MASSAC'44-TTS Ips/ BOARD OI'HI{Am,ii - - - 120 WASHINGTON Srw6ux,4"'FLooR TFI,.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNL&SAILEM.COM JiWL;'I'DIONNF,, 4 SENIOR 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." FETE: $50.00 � n PROPERTY LOCATED AT L �^ 1 7 19A."v" �{ UNIT#A Q p J IS THIS /UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASErCIRCLE ONE �Q OWNER/LESSER v MANAGER/AGENT NO P.O.BOXO� QLF�, s X��-� ADDRESS �J ADDRESS CITY, STATE,ZIP LK -'L" CITY, STATE,ZIPy l V v RESIDENCE PHONE 2 /BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1. 2. ( 3 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE-CITY.-OF SALEM- ----- BOARD _____BOARD OF HEALTH THIS FEE I AYABLEnATT�HE TIME,9F INSPECTION APPLICANT'S SIGNATURE �"/�` DATE Inspectors use only, Date on initial inspection: 5 -Z7- 1 7 Date of reinspection: Date of issuance of certificate: J '2:7' N Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement Inspector °oNn>r City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pt1CRlth 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 I CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-94 DATE ISSUED: 3/30/2017 Property Located at: 12 POPE STREET UNIT#A813 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 CITY OF SALEM, MASSACHUSETTS f BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR -- KTMBERLEY DRISCOI,I, FAX(978) 745-0343 MAYOR AMUIN tiAl,l{M.CU 4 T.,,\RRS'R,\Nil)IN,RS/RP[IS,Cl IO,O'-FS Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" i� nS FEE: $50.00 PROPERTY LOCATED AT VlY ff 0 UNIT# ' S Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC%,PLEASE CIRCLE ONE OWNER/LESSER O ` / ' ' MANAGER!AGENT Cv�/�� rf ei NO P.O.BOX / ADDRESS /� ADDRESS CITY, STATE,ZIP G / �'� CITY, STATE,ZIP RESIDENCE PHONE 7BUSINESS PHONE(24HRS) BUSINESS PHONE 7(J 7 % %�J r TOTAL NUMBER OF LOOMS: / P� � ROOM USE: 1. ra2 r�% 3. � " �' 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR ONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P E AT THE TIME OF SPECTION qq APPLICANT'S SIGNATURE DATE U r�� I Inspectors use only Date on initial inspection: 2 Date of reinspection: Date of issuance of certificate:_ I zo -I Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enfor ement Inspector / Co DI 4 ` City of Salem, Massachusetts n Board of Health 120 Washington Street, g et, 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-16233 DATE ISSUED: 7/6/2016 Property Located at: 12 POPE STREET UNIT#A813 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 441 P CIIrL Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Crl'Y OF SAI,f�,m, MASSACHUSETTS BOARD OF H VALTH 110WASILI'NGTON&EBEET,4""FILboR-. Ti-.L, (978) 741-1800 IUMBERLEY DRISCOLL F:\x(978)745-0343 MAYOR 7DH)NNF as U LM.COM JANETDIONiNk, SFNI01Z 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 UNITM_jM�2 IS THIS UpqT DISIGNATED AS R14 0NTniLC.K PLEASE CIRCLE J*E OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP c b CITY;STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 02 7- TOTAL NUMBER OF R OMS: ROOM USE: 2, 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,P,�� , LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYATHETIME OF IN/ECTION APPLICANT'S SIGNATURE 7 DATE -,_16 Inspectors use onlv Date on initial inspection: tf)7/_0r/2�016 Date of reinspection: Date of issuance of certificate&7,/Qg_Z0U Date fee paid. Type of unit: Dwelling_ Other Check#P00-Check date: Notes: ACnfo Pernent I ector City of Salem, Massachusetts q Board of Health 0 ` 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, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15.173 DATE ISSUED: 7/14/2015 Property Located at: 12 POPE STREET UNIT#A-814 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 SANT ARIAN s CY(AL O1' SA �i, .M \S�'�CIillyJlTti a 5nwnt11�iIi Ilii 120 R,.AS I IIAc I t 4\ s I.LI-I, l"' � Iiu)It CL, 0.)78)T1I_1600 1'I aY<.}R, li iii ita,N��ri'��y a•_n�,t:Cl�d \,\iICIIIIc Application for Certificate of [Fitness IN ACCORDANCE WITH STATIC SANITARY CODI , CHAPTER 11, 105 CMR 44.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ( J -/} ,:fir.: $50 00 PROPERTY LOCAFED AT_ (-/ C— �> �T � UN1Tlb IS"-il1S11 ITIMIGNAI-P)ASL lrF IJ�i'9' BAC .N,PASI,CIRCLJs ONIS �j ANAGER/AGENT____�� L?WNI�RIL,i�SSSF�RM � I NO P.O.BOX ADDRISS_, Z- rJADDRESS _. /� . CITY,S I A Ila, 71 P--�= � �"'� rV _C1`f"v, SrAh ,, {1V'� - -- --- RESIDENCE PI IONL BU�SINGS'S) PHONE(241-IRS) BUSINESS PtIONE _��,,,_ TOTAL NUNIM."R OF ROOMS: ROOM USI:: I.'v' e4t'0"2 — U!' 4E"'" et� . 6, _ 7. S. 9. l0. THERE IS A FIFTY ($50) DOLLAR FEE', PAYABLEBY CIIECI(OR MONEY ORDER-I,O yI-Ili (M'Y 01' SAIJi M 130ARO OF HEALTH I'HIS PIiLISPAY f,EATTHETIMG INSPECTION AI'PLICANI S s1oNA 1 uRr —DATE ln5'1�4a101'S use 01�>y Datc on illiti rl illspccuon:Q l .. Da'c o9 �crospection:, _— Dt�lc of issuance ol''cuiCi'Ilca(e: Date Cc Typcofunil: Dwelling Other- Chec'kUJV2— Check d 1c_ C�uGLt� L.-- Nolcs ---- Ca 1= )Ice ciaC Inspucft - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR KIMJ3ERLEY DRISCOLL TFL. (978) 741-1800 MAYOR Fax (978) 745-0343 lramdinQsalem.com LARRY RAM'DIN,RS/RF1 IS,(1110,C114S HI:;AI:,17-I ACikNP CERTIFICATE OF FITNESS CERTIFICATE#155-11 DATE ISSUED: 5/24/2011 Property Located at: 12 Pope Street UNIT#A-815 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 RWDIN HEALTH AGENT CODE E RCEMENT INSPECTOR T CITY OF SALEM, MASSACHUSETTS IS BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR 1 1J TEL. (978) 741-1800 KU\,E3ERT_I✓Y DRISCOLL FAX(978)745-0343 MAYOR DGREENBAUN1@SAI2M.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ��M�� n "�VI�p`�� ANDARDS OF FITNESS FOR HLJMAN HABITATION." !/L P , �#� 5 CK.PLE E CIRCLE ONE O �C1OX 0n ADDRESS '—�/�oJ��,(/�s�y� ADDRESS (�' Lem m CITY, STATEIP��\-�1'1 /UrlJr Y I I 1 l I I-7C TY, STATE, ZIP`�Q Lem {(�I (&OLM C RESIDENCE PHONE BUSINESS PHONE (24HRS) SQ Y �- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 N I I � .� 2 C�Qn3.e p�M5 6. -7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TIES FEE IS PAYABLE A(T�THE TIME OF INSPECTION � �^� 1 APPLICANT'S SIGNATURE�7l X 1 Io�C�IXX� ��KA 1.� DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: a Date fee paid: Type of unit: Dwelling Other Check# 39/ Check date: I / Notes: Code Enfor emen Inspector CITY OF SAL.F?M, N[Assl�CHUsfin' �s Ce") BoARD 0131-1F,%rn-r 120 WASITING!IY)N SIRCI.T',4...FLOOR rlP4ltitiC$CB+L>7h lru- (978) 741-1800 17.tx (978)745-0343 KIMBERIYY 1)R SCOI..1. liamdin Asalcm,.! cmi I,A]MY ItANIDIN,RtifRi:FIs,i:;MP,CP-FS MAYOR Hi;;Avi iiA(ar N ' CERTIFICATE OF FITNESS CERTIFICATE#005-14 DATE ISSUED: 1/17/2014 Propl;rty Located at: 12 Pope Street UNIT#A-901 Own(r/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 0197024 Hour Phone: 978-744-0537 Purse ant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: 1lertificate 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 Sanitar/ Code, Chapter It" Minimum Standards of Fitne:;s for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Healt i and the unit may now be rented and/or occupied. Maxir Tum Number of occupants, must comply with 105 CMR 410.000. Certif cate valid for one year from date of issuance or until the current tenant vacates, whichever is late r. This Gertificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR rHE BOARD OF HEALTH LARFY RAMDIN HEALTH AGENT SANITARIAN <a CITY OF SALEM MASSACHUSF'I I'S BO.ARD OF HEALTH 120 WY\SHINGTON STRL;ET,411'FLOOR PubliCHudth 1`i[,['nl_Yrpmu«'.Cral Crl. TEI.. (978) 741-1800 F-,\.x(978) 745-0343 KIMBERLEY DRISCOLL lramdina,salem.com MAYOR - LARRY RAnIDIN,RS/RHhIS,cl lo,CP-FS HI AI. 1 i 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 ��(�/ IS THIS UNIT DISIG//NATED ASR T LEFT FRONT BACK,PL'EAtSE CIRCLE ONCE OWNER LESSER �OE e,d(/C�77 CJYL / AGER/AGENTyU�/ �L NO P.O. BOX / U ADDRESS 10 ADDRESS 1, CITY, STATE, ZIP Q,/eU�f_ /}�/-y d �� / CITY, STATE, ZIP RESIDENCE PHONE /��/ rBUSINESS PHONE(24HRS) BUSINESS PHONE % / 9— TOTAL NUMBER OF ROOMS:— �/ T _ y� ROOM USE: 1. GV An. h / 3. ,6b P14 5 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Ins ectors use only Date on initial inspection: I Date of reinspection: Date of issuance of certificate: 1 Date fee paid: Type of unit: Dwelling----Other—Check a V Check date: Notes: Co r ment Inspector TRANSMISSION VERIFICATION REPORT TIME 01/22/2014 23: 23 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 01/22 23: 23 FAX NO./NAME 919787445616 PAGE(S) DURATION 00 : 00: 20 RESULT OK MODE STANDARD ECM t. CITY OF SALEM, MASSACHUSETTS < BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR Iscarr —SALLM.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FI'T'NESS CERTIFICATE#398-08 DATE ISSUED: 8/19/2008 Property Located at: 12 Pope Street UNIT#A-902 Owner/Agent: Salem Heights 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 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. �i This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF T qz�� JOANNE SCOTT, MPH IRS, CHO HEALTH AGENTCODE ENFOR EMENT INSPECTOR i 4w :. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W MUNGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1SC0Z11 .SALrM COM JOANNE SCo'rr, 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 f Z w\7 — S 4 IS THIS UNIT D SIGN TED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE r (� OWNERILESSER,, `,�' VY) MANAGER/AGENTy� o i ll Il NO P.O.BOX c J` ADDRESS I P ` , } ~� ADDRESS CfTY, STATE,ZIP c -. & �71 CITY, STATE,ZIP - RESIDENCE PHONE—BUSINESS PHONE(24HRS} BUSINESS PHONE U � �t TOTAL NUMBER OF ROOMS: ROOM USE: 1. Lj'khea 2. JrY oUn?3. . d(ODYk 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 FE PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA DATE U�• Inspectors use only Date on initial inspection: "S�' ^GV Date of reinspection: Date of issuance of certificate: '9—1 'di Date fee paid: 1� Type of unit: Dwelling r� Other Check#_-3 1 Check date: Notes: At odeforcement Inspect CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - _ _1.20 WASHINGTON STREET,4"'FLOOR - Preven.Vr"mow,Pwlen. TEL. (978)741-1800 FAY(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com L:\RRY RAMDIN,RS/Rfil-IS,C[[O,c:])-PS MAYOR HI:,;\l:;CFI A(;FNT CERTIFICATE OF FITNESS CERTIFICATE#28-15 DATE ISSUED:2/5/2015 Property Located at: 12 Pope Street UNIT#A-903 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 LAR MDIN (j HEALTH AGENT SANITARIAN W� ��ymuM?'�f� 13[)11'.uii:�c t<2N Sl i,u i, Vin, l. �cx7�t ci.. (978)741-1800 (\I,�.LIilLIZ1..f 1JtilSt_t.3t.'J. j V� tl1f 713-03,13 �'I:AV'(?R }u«atiuo-aii� �i.i+�t1':Cii41 ISNr;11)11\Ni:. Application for Certificate of Fitness IN ACCOIZDANCI? WITH STATE SANITARY CODE, CHAPTER it, 105 CMR 410.000 "MINIMUM STANDARDS OF PITNI3SS POR HUMAN FIABITATION." PROPERTY LOCATED AT � {� . 11E �e � �tl2 P /` -k_UNITIb � r �� IS'I-PIIS uNIVl DISIC.NS RtY I G I I 1 1,V, T'12 N"f GH ICACIi,Plsl?ri. 1'.f„Fl CU ,PNV OWNER/LESSER P 0 4- K MANAGER/AGENT NO P.O. 12- o 'ALJ � _ ADDRESS _.�. CITY, STA"CE, ZIP—, _CITY, STATE, "LIP RHSIDENCE PHONE _BUSINESS PHONE(241-IRS)__.__ BUSINESS PI IONIE 7 V Y '1"0TAL NUMBER��//OP ROOMS: ROOM USE: t�P Ci �✓<.. Wr " ;>_S�_-_ _i 6. 7. 8. 9. 0. 'T I IERE IS A F II FY ($50) DOI LAR FE�',PAYABLIw BY CHECK 012 MONEY ORDER-1'0 THC„C[3 Y OF SAI,EM BOARD OF' III AL'I"I-I TI IIS FEE,, ISP A E AT'1'I IE TIME 01' I SPECFION 2, 0 APPLICANT'S SIGNATURE Inspectors use 0111 Date on initial inspecuon_� .. Date of reinspection:_ �. Date Of issuance of eelli l IGnte:_ Date fico paid: _ Type of unit. Dwelling Other_ Cheek 'I/:E C1ieck date: _ NotC5: t C Code Inspector `a CITY OF SALEM, MASSACHUSETTS .j BOARD OF HEALTH n:9 120 WASHINGTON STREET, 4TH FLOOR •� q' 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#37-08 DATE ISSUED: 1/29/2008 Property Located at: 12 Pope Street UNIT#A-904 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 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. THE BOARD OF EALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR F_ CITY OF SALEM, MASSACHUSETTS n BOARD OF HEALTH �`I • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT _\ UNIT# �0� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT 6 PLEASE CIRCLE ONE OWNER/LESSER MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS \a , �f7 ��`c ADDRESS CITY So C_ � CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE R-2LO6-1\,A\A- 3 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._ 2.-3. —4. 5. —6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /- a4- D d _PATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATEI: } () DATE FEE PAID: // 30J_- TYPE OF UNIT: DWELLIN OTHER___ CHECK #V0 CHECK DATE NOTES: -- --- ---- -- — --- - CODE ENFORCEMENT INSPECTOR 9/28/98 i CITY OF SALEM, M4SSAG1-IU5E7"TS BOARD OF HF.ALTFI 120 WASHINGTON STRFa,,,T,4"'FLOOR K1M731 ItI FY DRISC;OI I: n,L. (978)741-1800 FAx(978) 745-0343 MAYOR Iramdin salem,com L IM'R NIDIN,RS/IiFI1S,Cl R7,CP-FS fIHAI:fH Ao;N i CERTIFICATE OF FITNESS CERTIFICATE # 1312 DATE ISSUED: 1/10/2012 Property Located at: 12 Pope Street UNIT#A-905 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 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 Al } HEALTH AGENT CODE ENFORCEMENT INSPECTOR i, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET;4"`FLOOR TEL.. (978) 741-1800 KIIMBERL.EY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM@SALEM.COM DA-'ID 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 AT1a1 {�0�e <-s-E 5(-% UNIT# '�G CL IS THIS UNIT DIS GNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE 'RiOWNER/LESSER05QC�/a:k�c 1 N"\r)C MANAGER/AGENT `( 1 r1 2fY-)SSe r NO P.O.BOX ADDRESS 'Q? p si: ADDRESS0 e_ t CITY, STATE, ZIP�IrA e,m 'm Q U')70 C1TY, STATE, ZIPnn O 197 RESIDENCE PHONE Gn �.y y O537BUSINESS PHONE(24HRS)"17(R 7H LI O S 3-2 BUSINESS PHONE`' 7�3 L4 L4 - QS 3- TOTAL NUMBER 0\ 4cOFA "ROOMS: &O JJ M ROOM USE: hpq� I�h'� I�LRM 3. M 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 SIGNA a Q �S1J1 DATES - b - Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ) —),0— 1 -L Date fee paid: Type of unit: Dwelling—Other—Check# Check date: Notes: Code Enfoi em nt Inspector CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 IC INMERLEY DRISCOLL FAY(978) 745-0343 MAYOR 1D10NNF. SALE\1(7oM JANU I'DIONNIS AC;I'IN(i HI:AI.,II l AGI:?N'I' CERTIFICATE OF FITNESS CERTIFICATE#576-08 DATE ISSUED: 11/4/2008 Property Located at: 12 Pope Street UNIT#A-907 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 THSBO OF HEALTH #ACT HEALTH AGENT CODE E 0 CME INSPECTOR Nov,. 1� 07 03: 10p Joanne Scott Salem BOH S78 745 0343 p, 2 ° CITY OF SALEM, MASSACHUSETTS _, BOARD OF HEALTH I 20 WACHINrTON STREET. 4TH FLOOR SALEM, MA 01970 TOL. 978-741-1800 — - FAX 978-7a5-0343 Driscoll SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGCNT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF Ff]"NESS FOR HUMAN HABITATION". PROPERTY LOCATED AT_j G -4D C� _ j ----. . ... _UNIT#t-A-90'7 IS THIS UNIT DESIGNATED AS RIGHT ( EFT FRONT BACK PLEASE CIRCLE ONE OWNEH/LL-SSER_: AA ttM 4,t, S_MANAGER(AGENT ,5tAl¢—. No P.O. Box No P.O.Box ADDRESS__AZ.. P° e---, Sf _ ADDRESS_ _-- CITY -8," -. .. --- ___CITY - HESIDENCE PHONE_J_q_q7.V53-7 _BUSINESS PHONE (24 1IRS)__ __„ BUSINESS PHONE--- TOTAL NUMBER OF ROOMS: - �l t HOOM USE: 1._6l. R 2. .....3..-_1-1.2. _..4•_ t� - 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 I IME OF INSPECTION. APPLICANTS SIGNATURE 6 —_DATE INSP CT RS USE ONLY DATE OF INITIAL 1N3PEG 10 , (� , _O Y DATE OF REINSPECTION.._ J DATE OF ISSUANCE OF CERTIFICATE._1.1-`(_-6 V_.__DATE FEE PAID:__., 1' TYPE OF UNIT DWELLING ✓"BOTHER,., ... CHECK N_,_ e7 ! -_.CHECK DATE NOTCS C D NFORC MEN INSP 9/28198 C 10 N s CITY OF SALEM, MASSACHUSETTS Lf BOARD OF HEALTH - - - - - "- - --120"WASHINGTON STREET,4°1 FLOOR A1b�1CmHC81 h TEL. (978) 741-1800 FAx(978) 745-0343 I4MBERLEY DRISCOLL Iramdinna,salem.com LnlatY l2AbIDIN,RS/REI-IS,CHO,CP-FS MAYOR CERTIFICATE OF FITNESS CERTIFICATE#29-15 DATE ISSUED: 2/5/2015 Property Located at: 12 Pope Street UNIT#A-908 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 L RAMDIN HEALTH AGENT SANITARIAN I t()\I z I w I I I l I I I I I t9.78)744-03,13 ( w Application for Certificate of Fitness IN ACCORDANCE- WITH STATE SANfI-ARY COD13, CHAPTER 11, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION., F[�E: $50.00 PROPERTY LOCATED AT 14#UNI'F1l—fiqQS i's 1.11Aw OWNI-'1I,F' R/ ,,SSFR4Sj' S'0J'2- -MANAGFR/AGENT_ No 11.0. BOX --'Anmi ADDRESS— ADDRESS--- CITY, STATE, ZIP—� " CITY,STATE, ZIP___ RESIDENCE PHONE —BUSINFSS PHONE(24FIRS) BUSINESS PHONE 'IOTAL NUMBER OF ROOMS:_ 9 ").- ROOM USF: 1. 61cb,1111, 3. dp4� 6 T S. 9. 10. FH ER 13 IS A F I F TY ($50) DO 1,LAR FEE- Y A 11 L( BY C!IECK OR MONEY OR1)13R TOTH E,Ci I-Y OF SALEM 130ARI) 01,' I-ll-'AL,rj-i ,MIS li-;[ ISP ABI L ATTI-I ME OF IN 7ECTION APPUCANT'S SIGNATURE DATE (9 z h)Spe(10l'S US -9 ILI Y Date on initial inspcctiowak�k5 Date of rcinspection:— Datic,of issuance of cert!fica(c:—_— Date fee TYPC Of unit: Check date: Noics: Code Eli orcelUt Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Plablic`HE'alth MA 01970 Yrecent: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-17-377 DATE ISSUED: 11/2/2017 Property Located at: 12 POPE STREET UNIT#A909 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street Cityrrown: 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 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. Note: This approval does not certify compliance with the state lead law for occupants under 8 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD car Hz,<'.un-i 12:0 W,��xrntGTr)N STR}3:�?T' 4" Ft.00R I'IsL. (978) 741-9800 KIMBEAL,EY DRISCOIA, FAX()78)745-0343 MAYOR LL AM SIN@, i,s 1.C)M LARRY]3AMDIN.lkSf R!?t 19,r�!(t7,CFP-1:S IRAj:niAc.1;;NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITAIZY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: 550.00 PROPERTY LOCATED AT UNIT#_ � _( IS THIS UNI ISIGNATED A RIGHT LE Vr FRONT OR BACK,PLEASE CLE ONE j OWNER/LESSER e. MANAGER/AGENTG .ijLP.,. — NO P.O. BOX „ ADDRESS, —_ ADDRESS -- — — CITY, STATE,ZIP CITY, STATE,ZIP_ RESIDENCE PHONE � (�( _ BUSINESS PHONE(24HRS)_ _ BUSINESS PHONE` TOTAL NUMBER OFR OMS: _ ROOM USE: 1, ^Ao�l a� ok 4 "`4905 G� 6. 7. THERE IS A FIFTY($50)DOLLAR�AE,PAYABLE BY CHE:C R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE 7AYABLE AT THE TIME r INSPECTION / ! / APPLICANT'S SIGNATURE aAa/ ` ,-" --- DATE^`1( Z'- L InsMtors use only 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 a s CITY OF SALEM,'MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREFT,4'"FLOOR PtiblicHea ith Prevom.Promote,Prni<rt. TE1- (978) 741-1800 FAK(978) 745-0143 KIMBERLEY DRISCOLL Iramdin salem coin L/Vt12Y R,,-AMllIN,RS�RIi.I-(S,CHO,CV-FS MAYOR HF;v;ci-r Ac.IaN-r CERTIFICATE OF FITNESS CERTIFICATE#317-14 DATE ISSUED: 8/29/2014 Property Located at: 12 Pope Street UNIT#A-909 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 LA MDIN HEALTH AGENT SANITARIAN • � CITY OF SALEM, MASSACHUSETTS BOARD OP HEALTH 120 WASHINGTON STREET4"'FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN a SALI3M.COM LARRY RAMDIN,RS/RI---HS,CHO,CP-PS HFAI-,rH 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,EnE: $50.00 PROPERTY LOCATED AT 12- po p-e E W� ��&z IST IS UNIT DISI ATED AS RIGHT LEFT FRONT OR BACK,PLEASE RCLE ONE OWNER/LESSER 0/ MANAGER/AGENT \J NO P.O.BOX / ADDRESS n� � _Sdy/ ADDRESS CITY, STATE,ZIP <� �` �D CITY,STATE,ZIP RESIDENCE PHONE -BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: L M Ik""'-2. 11/'� /3. � 6�h4` 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TIS CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY BLLE6AT THE TIME O- INSPECTION APPLICANT'S SIGNATURE �- �- DATE? Inspectors use only Date on initial inspection: g 2g A Date of reinspection: Date of issuance of certificate: 6 ° Z� I�` Date fee paid: Type of unit: Dwelling c�Other Check# Check date: Notes: Code Enforcement Inspector 0 D City of Salem, Massachusetts Sm r �. Board of Health e 120 Washington Street, 4th Floor, Salem, PubliCHea Ith 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-16-428 DATE ISSUED: 10/31/2016 Property Located at: 12 POPE STREET UNIT#A911 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. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN F T CITY OF SALEM, MASSACHUSETTS BOARD OF I Iv u1 Tera- (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MiNYOR lou)NNI (VSn_EAI.COM t AN1 T D10NNe:, SI NIORSANITARIAN Application for Certificate of Fitness- IN itness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." PROPERLY LOCATED AT 12_ 2 po �EE. 0 IS THINIT DISIGN TE AS IR GH'P LEFT FRONT OACK,PLEASE CIRCLE ONE OWNERILESSER MANAGER/AGENT NO P.O.BOX ADDRESS L- 16 0 ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP___ . , RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESSPHONE � TOTAL NUMBER�OFF ROOMS:.S: ROOM USE: 1. { � "�-`-2. ^ , 3. 4. �490§" 6. 7. 8, 9. 10. THERE IS A FIFTY($50) DOLLAR FEE;PAYABLE BY CHECK 9FR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP AB E AT THE TIME INSPECTION ` r� APPLICANT'S SIGNATURE DATE Irectors use only Date on initial inspection: ] "1? Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling, Other Check# Check date: Notes: i Code Eni'o emn nspector � r? CI1Y OF SALEM, MASSACHUSETTS `-F BOARD OF F-IF-1LTH Ith 120 WASHINGTON STREET,4"`FLOOR � r. • n,,r.amn,�.r.mm. TEL. (978)741-1800 FaX(978)745-0343 KIMBERLEY DRISGOLL lramdin salem.com Lt\Rl{}•Rj hIDIN,RS/RVI TS,CHO,t1'-CS CERTIFICATE OF FITNESS CERTIFICATE#348-12 DATE ISSUED: 9/4/2012 Property Located at: 12 Pope Street UNIT#A-912 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 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 OE HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD 0L''HEALTI-I 120 WASHINGTON STREET,4°'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 ' MAYOR Nnx a sALrsnt.a) `^t t _ LARRY RANIDIN,R5/RLPIS,0710,CP-135 HEAL-11IAGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEEL: 50.00,/) n PROPERTY LOCATED AT c�� P� —9t`1 .. I7NIT# 7q 7 fol IS THIS UNIT DISIGNATED AS RIG LEFT PRONOR BACKS PLEASE CIRCLE ONE,` OWNERlLESSER�! 6E�r?1It . 1 MANAGER!AGENT l I tt O�[�—dt✓fr LLSK . NO P.O. BOX (/ ADDRESSI� ice _ADDRESS . _ CITY, STATE,ZIPs50, G1/ �7 CITY, STATE, ZIP _ RESIDENCE PHONE_�,_._ BUSINESS PHONE(24HRS) BUSINESS PHONE Q7F_ M " D51- TOTAL NUMBER jO�F/ROOMS:-- ROOM O/OMS: _ ROOM USE: �V K VI( 2. /t /T 3 & 4. Ar �n15. 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 SIGNAfi 1 DATE Inspectors use only Date on initial inspection: Cj- Date of reinspection: __ Date of issuance of certificate: CI'�� Date fee paid:_,..._. Type of unit: Dwelling %� Other Check# 5 r`1 Check date:--,h Notes: — ode Enforcement Inspector TRANSMISSION VERIFICATION REPORT TIME 09/04/2012 23:20 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 09/04 23: 20 FAX NO./NAME 919787445616 DURATION 00:00: 18 PAGE(S) 01 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"�FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F Ax(978) 745-0343 MAYOR DGResNBAUM@SAr aM COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#539-09 DATE ISSUED: 10/22/2009 Property Located at: 12 Pope Street UNIT#A-913 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 BOAV OF HEALTH AU -1 DAVID GREENBAUM ACTING HEALTH AGENT COFENFORCIEMEAT INSPECTOR J �50 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978).745-0343 MAYOR IDIONN(?,.SALEM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT S--� �ry mom. D 1 q 7 UNIT# a-G L?j �11S THIS UNIT D 'ICN 'ED AS RIGHT LEFP FR-OW"OR BACK PLEASE CIRCLE ONE I O O ESSER P.O. B NO P.O. BOX �e6`0 Wl � MANAGER/AGENT c,fli n P /,SIn\i P h ADDRESS `Pry-5�- ADDRESS CITY, STATE,ZIP f� . Q vY� V1�(Sr 0 ICAO CITY, STATE,ZIP J RESIDENCE PHONE wo!� BUSINESS PHONE(24HRS) BUSINESS PHONE-C,r( _7L[q� 05,2-/ TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 1b-6 v-\ 2.)i V &M 3 6 Vbt4 J&ed rry) 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE_-,�n 7-111 Lr) Inspectors use-only Date on initial inspection::aa�/Oct Date of reinspection: Date of issuance of certificate: Date fee paid: 10 Type of unit: Dwelling Other Check#_Check date: Notes: &41a/40 Coe nforcement Inspector * CITY OF SALEM, MASSACHUSETTS Zf BOARD OF HEALTH PubliCHeaIth 120 WASHINGTON STREET,4."FLOOR Pmvm,.vrammc.Pmrem. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salcm.com LARRY ILVNIlliN,RS/RIMS,CHO,CP-F$ MAYOR HuAl r(-tAGFNT CERTIFICATE OF FITNESS CERTIFICATE#217-14 DATE ISSUED:6/26/2014 Property Located at: 12 Pope Street UNIT#A-914 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0532 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 Al rkl LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STRHLT,4"'FL(.)OR T {978) ►� -�.. -- ---_- - ----_-_ . FL;- 741=T840___ �.-- --- -- -- KIIv1BERLEY DRISCOLL FAX(978) 745-0343 MnxOlt . ... - 1,1Lr L)IN SAI,N,4LCUM T.,;AItRS'RAhI1TIN,Iiti�R,lil(S,GI(O,�;I'-I+) 111;,\)X]IAGI; f 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: $50.00Q�� f PROPERTY LOCATED, ( � ' 0 — ) � _. UNIT#—Z#-9/ y ISE ITIS UINIT I33STO YArED AS RIGHT LEEN I'RON'S'OR B_ ck PLEASE CIRCLE ONE OWNERtLESSER t _ MANAGEW AGENT_ q� NO P.O.BOX ADDRESS ---LZ (�b Ic �dnl �y—ADDRESS---- CITY, DDRESS_ - _CITY, STATE,ZIP / `/V CITY, STATE,ZIP _ RESIDENCE PHONE _ BUSINESS PHONE(24HRS)_ — BUSINESS PHONE 3 p� TOTAL NUMBER OF ROOMS: ROOM USE: L 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 ABLE AT THE T E OF INSPECTION �} f APPLICANT'S SIGNATURE ��-^ Q G� DATE G / InsEeetors use only Date on initial inspection: �6-2.6-1 K Date of reinspection: Date of issuance of certificate:—L-L t--t N Date fee paid: Type of unit: Dwelling L-/ Other Check#—C L 1Y' Check date: Notes: — Code Enforcement Inspector i `(a City of Salem, Massachusetts f • i, Board of Health 120 Washington Street, 4th Floor; Salem, PubliCHeatth MA 01970 Pr"en .Proms«. 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-17-318 DATE ISSUED: 9/27/2017 Property Located at: 12 POPE STREET UNIT#A915 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 SANITAR CITY OF SALEM, MASSACHUSE1 I'S / BOARD OF HF'ALPFI a: 120 WASH)NGTON SIRFFT 4,n.FL OM TIT.. (978)741-1800 KIMI3I,RI,i Y DRISCOLL FAx(978) 745-0343 MAYORatmm�rNta sAL r=U c QM 1_.NtRX 13nnaDiN,RS�ItPiFi3,taiQ,C:P-d'S - , 11FAIA1I AGE-'NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITAP;2Y CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" i FEEL50,QO PROPERTY LOCATED AT—IL c ,' `L XIT# IS THISj UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER �l / MANAGER!AGENT^— NO P.O.BOX . _ L ADDRESS 2 - ADDRESS „i CITY, STATE,ZIP CITY, STATE,ZIP_: RESIDENCE PHONE _':' _BUSINESS PHONE (24HRS)_—__ BUSINESS PHONE TOTAL NUMBER OF ROOMS' ROOM USE: 1. 9. lU. THERE IS A FIFTY($50)DOLLAR FEE,P -, LE BY CHECK OR MOVE RDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY E A IE TIMI?OF INSP&C N /�/ APPLICANT'S SIGNATURE—77 G%�oC f o7 DATE Inspectors. use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: —_ Date fee paid: Type of unit: DwelIin Other Check#---Check date: Notes: I Code Enforcement Inspector