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POPE STREET B 100-699 POPE STREET 'vB" i � e �I • f` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4...FLUOR PI1b�CHC81th STREET, Prevent Promote Protect TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL lramd n salem.com LARRY R.AIDIN,RS/RE1 IS,CI 10,c;F—I S MAYOR He:.V a'FI AGI?N"I' CERTIFICATE OF FITNESS CERTIFICATE#82-14 DATE ISSUED: 3/24/2014 Property Located at: 12 Pope Street UNIT#B-101 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978444-0537 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 IIn 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 M LA MDIN y� J HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 13O:vtn or I-IE,\I;1'[I 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 IQMBLRLEY DRISCOLL F'Ati(978) 745-0343 MAYOR UZ)WllINnsN.rAr COM L,\RRY RANIDIN, RS/RFU IS,010,0'-PS 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: $55/0.000�0 PROPERTY LOCATED AT SQA �1�CJ UNIT#AJO/ IS THIS UNIT DISIIGNATED AS RIGH FT FRONT OR ACK,PLEASE CIRCLE ONE OWNER LESSER/ecSe,Y-�"' (srstD,MANAGER AGENTI ji_- / (// DI//2 u,S`Y NO P.O. BOX ADDRESS �D/)� ��'�yP 2f ADDRESS CITY, STATE, ZIP SJA&,W . /{'lfy 1911"70 'CITY, STATE, ZIP RESIDENCE PHONE G 7BUSINESS PHONE (241IRS) /� BUSINESS PHONE %q( - 17//Y'// � — D S3 / TOTAL NUMBER OF ROOMS: �/0 ROOM USE: 1. Ll/ tM 2. // / 7- 3. Z)S XN4. 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 T�IME OFA INSPECTION / / APPLICANT'S SIGNATURE 1j15 .C�lJI. �I[Jl/1C c.t U DATE �31") l y" I a / Insueetors use onlv Date on initial inspection: v��I / Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code' ford ent Inspector ' City of Salem, Massachusetts Jonta q Board of Health 9 120 Washington Street, 4th Floor, Salem, PnbliCHealth MA 01970 Pment.PrnmOte. 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-16.427 DATE ISSUED: 10/31/2016 Property Located at: 12 POPE STREET UNIT#6105 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSF.TTS F, its 130AIM OF 1 IF" UA 11 120WASHING,R)N-St'RUT'A',410 FL ,OW' TrIl'. (978)741-1800,; KIMBERLEY DRISCOLL F\x(978)745-0343 NMAYOR 1D10NN4(1—VSALEA1,COM Diommz, S1;N101Z5\NITAMAN 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 rl (Z - , A#— UFNIT# ISTRUNIT DISIGNATEDASORIGHT LEPf F�)NTORBACK PLIASE CIRCLE ONE OWNER/LESSER MANAGER AGENT NO P.O.BOX ADDRESS 101'yl\ ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRq)- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM US E: I C�� vi-kx 2. R-413— 9&6414el� 5. 6. 7. 8. 9. 10, THERE ISA FIFTY($50)DOLLAR FEE, YABLE BY CHB OR MONEY ORDER TO THE CITY OF SALEM PI BOARD OF HEALTH THIS FEE IS 133&P�ATTHE TI F INSPECTION APPLICANT'S SIGNATURE pct DATE InsDectors use only Date on initial inspection: 16 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Cod . - \ CITY OF SALEM, MASSACHUSETTS -- - - --- 1?0 W:\tiPIINGTON STRI G'r 4... 11U It 7R hBIBERLEY DRIS,OLL 1'EL. (978) 741-1800 MAYOR FAX (978) 745-0343 lramdinnsalem.cnm --- HIS,\I,rj f AC;ItN'I' CERTIFICATE OF FITNESS CERTIFICATE #401-11 DATE ISSUED: 10/20/2011 Property Located at: 12 Pope Street UNIT# B-108 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 /oA t.,,: CJ` LARRY HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS { a BOARD OF HEALTH 120 WASHINGTON STREET,e FLOOR V TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUIdn.SALEM.COM DAVID GRE ENBAUM, 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 f)af )d l iY)I C�V A C�) PCS UNIT# Q&& IS THIS UNIT DISIGM TED AS RIGHT LEFT FRONTO BAC PLEASE CIRCLE ONE� OWNER/LESSER � � �L� V-n �AQ\C�V \ MANAGER/AGENT L ono 1(` r(-)�S- r NO P.O.BOX ...t. ADDRESS \ ;�) Pr-Tp Sk— ADDRESS 1 c� CITY, STATE, ZIP �� l Y o I IQ 6Iq 7U CTTY, STATE,ZIP �(Y\` (hyO OAC)-X) RESIDENCE PHONl(q tR)) '7Y4 C)SY/13USINESS PHONE(24HILS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ''` A ROOMUSE: LrQ&-rYN 2.\C)D6CM 3.�1V 1✓Y�f v14.`�C'�`l9i/15. 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 THISFEE IIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUR, �- LIn /� Plo/Y)_/� DATE �1 Inspectors use only Date on initial inspection: Q II I Date of reinspection:, Date of issuance of certificate: IO 1 a a I 1 1 Date fee paid: 16140111 Type of unit: Dwelling ✓Other Check# Check date: /0 l/ed I 1 1 Notes: de nfo ement Inspector D City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHB81th MA 01970 Prevent.Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-16-508 DATE ISSUED: 12/29/2016 Property Located at: 12 POPE STREET UNIT#8109 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 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. ;IJAA#VI,4 1 ,4 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i r CITY OF SAl,.F,Ni, NfASSAC;HUSE; TS BOARD OF 111,,AlAlf - t"'ON NASHING i'ON Srmi i:,I' 4"FLo6n.-- Tv1, (978)741-1800 ` KIMBE.RLEY DRISCOLL F,\x(978)745-0343 NLAYO R coo J ANU T DIONNI S1;N1011 S.\Nr CARIAN ' Application for Certificate of Fitness 1N ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE:-$50.00 /} 9 PROPERTY LOCATED AT t /� S ��vG�/L i UNIT'# /3 / ISTRIS UNIT DISIG/NATEDIAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 9!/�&. billf 1" � MANAGER/AGENT � G� y GUvlj NO P.O.BOX C - ADDRESS I Z D, � J ADDRESS CITY,STATE,.ZIP. .. - 1� 'V CITY,STATE,ZIP 04 RESIDENCEPHONj�Q BUSINESS PHONE-(24HRS) BUSINESS PHONF 6/ '7 TOTAL NUMBER OF ROOM USE: ' 1. A * \ 2. 6. 7. 8. 4. ]0. THERE IS.' PA FIFTY($50)DOLLAR FEE, YABLE BY CHECK O ONEY ORDER TO THE CITY OF SALEM BOARD OF`,HEALTH THIS FEE ISP BLVT THE TIME OF SPECTION APPLICANT'S SIGNATURE DATE 12 ��7 lnsnectors use only Date on initial inspection: X71 {7 �! ��p n , �I Date of reinspection: Date of issuance of certificate: rI /1'. /J( J 1. W Date fee paid: Type of unit: Dwelling Other Check# / heCheck date: ry�t/n(� Notes: / E)op � pfm UT �f,v , Jl -t�,�7°tom JelEn ' rcemeni Inspedtdr CITY OF SALEM, MASSACHUSETTS "- BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR PIxb11C1•I8811:h Pnvem vromme.Pmo-c TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lxamdinnsalem.com LARIiI'RAnIU1N,RS/RU 715,CI f0,CP-FS MAYOR HI?A1:1'1-7 AGENT CERTIFICATE OF FITNESS CERTIFICATE#408-12 DATE ISSUED: 10/12/2012 Property Located at: 12 Pope Street UNIT# B-109 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 ARD HEALTH LARRY RAMDIN HEALTH AGENT IA CITY OF SALEM, MASSACHUSETTS BOARD Or HEAL m 120 WASHINGTON STREET,4°1 FLOOR TF-L. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANIDINOSAIJiNf CONI LARRY RANIDIN,RS/RI?f fS,CI10,CP-PS Fliim.Itf AGIT.NT Applicati®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 ATS )UX QzMK r O (--; J UNIT# D 9 /� IS THIS UNIT DIISIGNATED AS RIGH LEFT FRONT OR AK PLEASE CIRCLE ONE 0WNER/LESSERAtef-6C-il d,6 MANAGER AGENT( // /f7 IYVYL�L � NO P.O. BOX ADDRESS ADDRESS / CITY, STATE, ZIP c le-W- IY�A- 0/170 CITY, STATE,ZD) RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSMSSPHONE 4"79"- ?1/V- /1DS-37 TOTAL NUMBER OF ROOMS: 14 /� ROOM USE: 1. Z I/ ��/ 2. e/T 3. N6 .0))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 SIGNAT�I/ I �. 1<o A L/u l _ DATE—W—//a Inspectors use only Date on initial inspection: �� _ Date of reinspection: I Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# 17-_ Check date: 1 I Notes: Code Eeat Inspector CITY OF SALEM, MASSACHUSETTS r . BOARD OF H&ATl I 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 taNMERLEY DRISCOL L FAZ(978) 745-0343 MAYOR DUIPTNBAUMr7a sAL N1 CONI DAvm G(,FNBAUNI ACTING HuAi-aiI AGP, r CERTIFICATE OF FITNESS CERTIFICATE #259-09 DATE ISSUED: 6/8/2009 Property Located at: 12 Pope Street UNIT#B-110 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 DAVID GREENBAUM ACTING HEALTH AGENT COD ENF RCEMENT INSPECTOR 9 � yq Ic i • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNrnsAmm.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 1? z12 $A- _ UNIT#� IS THIS UNIT'DIS NATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER --jQA,0WN �_e �C�n�_ S _ MANAGER/AGENT NO P.O. BOX �p ADDRESS l rZ �[�` Sk ADDRESS CITY, STATE, ZIP q U vq-\ Y h 0\01'-10 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE Cl'1 V IL-1 q 1J ) TOTAL NUMBER OF ROOMS: ROOM USE: ICOM 2AQP0cv1 L�Ad•er\ 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CTI-Y OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE A�T THE /TIME OF INSPECTION APPLICANT'S SIGNATURE ( /Y 1` DATE Ins_uectors use onlv Date on initial inspection: UOp/o Date of reinspection: Date of issuance of certificate: I X�� Date fee paid: Type of unit: Dwelling Other Check# Check date: �� nGf �l'/l 1 I/UI-�-� UGC Notes:_ Gne n u/11+lvindGlN i _ I� W+ � Code Enforcernent Insp or HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Jun 18 2009 10:13am i,astFax D= n= T= Identification Duration &W &MU Jun 18 10:12am Sent 919787445616 0:25 1 OK Result: OK - black and white fax 0 DDND � x City of Salem, Massachusetts f i W Board of Health 120 Washington Street, 4th Floor, Salem, PlubliCHCa a 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-16-446 DATE ISSUED: 11/10/2016 Property Located at: 12 POPE STREET UNIT#8111 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. e--'t� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSFTTS BOARD OV I IRAL111 FLo' Trt,. (978)74't-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 ALAYOR DIONNI61)sm,riw Com JANU'IDIONNF S17NIOR SAN[VARIAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 405 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." PFEE: $50.00 PROPERTY LOCATED AT DS UNIT4 � t ISTHIS UNI IStGNATEDIS RIGHT LEFT FRONT OR BACK PLEASE( E OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP i1 aI&IrIL Pik CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONF, TOTAL NUMBER OF ROOMS: � e� "X ROOM USE: 1, IC, 2. � 3. 14, 6. 7. 8. 9. 10. THERE ISA' FIFTY ($50)DOLLAR FEE, PA �BLE BY CHECK OR MONEY OPER TO THE CITY OF SALEM I BOARD OF HEALTH THIS FEE IS PAY:A7 10 4---- APPLICANVS SIGNATURE SPEC' DATE Inspectors use only Date on initial inspectionjJM/2-019 Date of reinspection; Date of issuance of certificate: / C Date fee paid:*t7 Type of unit: Dwelling VOther Check# 6000 Check date:— '""� Notes: 0 orcemen Spector orcem f , CITY OF SALEM9 MASSACHUSETTS �! HEALTH AGENT 7J 120 WASHINGTON STREET, 4TH FLOOR sa 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 #567-07 DATE ISSUED: 11/15/2007 Property Located at: 12 Pope Street UNIT# B-112 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 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 �r qIA711'E SCOTT, MPH, RS, CHO l HEALTH AGENT CODE ENFORCEMENT INSPECTOR i Pion 13 O? 03. 10p Joanne Scott Salem BOH 978 745 0343 p, s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 2() WAGHIN(:T(7N STREET. 4TH FLOOR SALEM, MA 01970 TEL. 978-741-11400 nI& k"Ax 976-745-0343 JOANNC SCOTT. MPH, RS. CHO Kimberley Driscoll HEALTH AGCNT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF Ff YNES ' FOR HUMAN HABITATION". / PROPERTY LOCATED AT �� f � UNIT ff.. �! C IS THIS UNIT DESIGNmeo?z�� G EF FRONT BACK PLEASE IRCLE ONE OW H/t~L�ER. a-iMANAGER/AGENT No P.O. Box - ---_ADDRESS_._,No P.O.Box ' --- ADDRESS }_//_ per ADDRESS_ CITY---�� u RESIDENCE PHONE BUSINESS PHONE (24 1 IRS.)-. BUSINESS PHONE_/-- - l `� TOTAL NUMBER OF ROO/MS:_,,. ROOM USE: I.Wr>�-12.44c.. 3•_rie!��_'4 . sL i 5.-- THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT DEPARTMENT THIS FEE i5 PAYABLE AT THE I IME OF INSPECTION. �j APPLICANTS SIGNATURE DATE ---1 /h)0� JINS CTORS USE ONLY DATE OF INITIAL INSPFC ION.��--_ /S 61' DATE OF REINSPECTION_— DATE OF ISSUANCE OF CERTIFICATE./�- /1"'_o2_DAT'E FEE PAID:_.J/ - /,� e 7 TYPE OF UNIT; DWELLIN OTHER,,. .. CHECK +f /6 -7,.7.-CHECK DATE// NOT[& CODE ENFORCEMENT INSPECTOR 9/28/98 { `ONS"� ` City of Salem, Massachusetts lI�j . q Board of Health 120 Washington Street, 4th Floor, Salem, Pt1bIiCHealth MA 01970 Prcvcnt Prmm.te. 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-15-88 DATE ISSUED: 5/28/2015 Property Located at: 12 POPE STREET UNIT#B113 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,--A4� qz� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ("ITYOW' SAIAN, MASS,ACI-HJSI I TS 1,1:1- 7 11-1800 1;U, 1979)117 03,13 (I'M m I? S Application for Certificate of Fitness IN ACCORDANCE WITH STATL' SANi"rARY CODL, C FIAPTUR It, 105 CMR 410.000 "MINIMUM STANDARDS OF HTNEI'SS FOR HUMAN HABITATION." p FFIE: $50.00 PROPERTY LOCATED AT r - 4L / U N I'll I I Is-I I I Is,VkH DISICNATI"1) AS JOGIH ix1irr IqWNTOR& Ck,PITASE CIR6,F1 ON 11 OWNER/LEss,,- pLb j�� MANAGI'-�R/AGENT I L e NO P.O.BOX ADDRESS ADDRESS 0 1 Y, S-1 Al,F-, GIP CITY, STA'T'E, ZIP RESIDENCE PI IONS BUSINESS PHONE(241-116) -2-I? �7 BUSINUSS PHONI 'S D �r— '10TAL NUMBER ocr MS: Room USC: I- 6. 7. 8, 9. 10, THERF IS A FIFTY ($50) DOLLAR FEE, ,1-v �4YABLEBYCHECK Oil MONI�)' Ol�DL'R -1-0'1-1-11-: CII'YOI- SA1 130ARD OF HFALTI-H HIS I"RE IS PA131-E ATTI-IFI TINIL', fi INSPLCTION APP(JCAN I"S SIGNM UR12 aA a,�- DATE Insmctor, use 0111V Date on initial inspk:o;on:A--3,1 jh-e) Date of tcinspcclion: Dale 0F;SsLjF.1jCC 0!'Cej-tjlicjjC: Date Pec paid: 'type OfUnit: DW61ill" Othe:. Check A Check dal--: Notcs: 5- OCT " CITY OF SALEM, MASSACHUSETTS BOARD OF HE--LTH 120 WASHINGTON STREET 4T"FLOOR PI1b.PCHCflith > Prevent.Promote.Protect. - TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin(n),sa1em.com MAYOR LARRY R.\MDIN,RS/RE}iti,C1 10,CP-IS Hfi.U.TH AGENT CERTIFICATE OF FITNESS CERTIFICATE#25-14 DATE ISSUED: 1/17/2014 Property Located at: 12 Pope Street UNIT# B-114 Owner/Agent: Preservation 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 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*@kY RAMDIN HEALTH AGENT SAWN 06CO fpm CITY OF SALEM, MASSACHUSE'ITS 6 BOARD OF HE-1LTH 120 WASHINGTON Srltr[T,4...FLOOR , blicfIIeafla e„e He TEL. (978) 741-1800 FAx(978) 745-0343 KIMI FRLBY DRISCOLL L alndin0salem.com LARRY R,1�IIDIN,RS/1WI IS,CI IO,CP-FS MAYOR HI'.AI,n I A(;i,,N 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” FE/E://$50.00 PROPERTY LOCATED AT � 1-!e/Ql�l t S �_ /�S UNIT# ' // �J IS THIS UNIT DISIGNATED ASR�dS3 T LEFT FRONT dR BACKPLEASE CIRCLE ONE ��" OWNER/LESSER P�ec��i/Lli�f lJVC #t7, 3//' kNAGER/AGENT ��I�CS�((i�2 KL/ KA LSAC -. NO P.O. BOX �I / (f (� ADDRESS A� Q/& — (f 4/ -eO 7� y ADDRESS CITY, STATE, ZIP,�/:i /ei/Yl CITY, STATE, ZIP RESIDENCEPHONE / BUSINESS PHONE (24HRS) BUSINESS PHONE ?70�y �/-7 T Y' d S3 /r7 TOTAL NUMBER OF ROOMS: y ROOM USE: 1.L V "On 2. //- /7- 3. �1� �i' l 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 IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE d,�& DATEV/ / Ins_nectors use only Date on initial inspection: I /l Ze�( 'I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check i# il � Check date: Notes: PdoVent pector f r CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IDI0NNI?(@SN.ftN1.00M jANFa'DIONNV ACTING HI.iA1:1'l l A(;rN,r CERTIFICATE OF FITNESS CERTIFICATE#577-08 DATE ISSUED: 11/4/2008 Property Located at: 12 Pope Street UNIT#B-115 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOAR F HEALTH / n TING HEALTH AGENT ENFORCEMENT -ECTOR IN6V- 19 07 03i1Op Joanne Soott Salem BOH 978 745 0343 p. 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 12n WAGHfN<'TON STREET. 4TH FLooR SALEM, MA 01970 TEL. 978-741.1800 no- FAX 979.745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTYLOCATEDAT—t-t UNIT IS THIS UNIT DESIGNATED AS BjjGUj LEFT FRONT RACK PLEASE CIRCLE ONE OWNI=H/LL6SER Gpk~ -G ( .-MANAGEFVAGENT—:SN . k-S No P.O. Box No P.O.Box ADDRESS- 11+ ADDRESS_ CITY 514 (4PA CITY HESOEMCE PHONE _BUSINESS PHONE (24 1 IRS.)— BUSINESS PHONE—, TOTAL NUMBER OF ROOMS:- HOOM USE: I.-b 2. L 3, 4. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE I IME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPFQ110—N-J� _DATE OF RF-INSPGCTION ------ I DATE OF ISSUANCE OF CERTIFICATE. V'O'V '-'DATE FEE PAID:-.-.,- TYPE OF UNIT: DWELLING' OTHIPR CHECK 9 CHECKDATE NOTES- ... ODE EqNF RCEMINTS'PECTOii' CITY OF SALEM, MASSACHUSETTS M BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 HIMBERLEY DRISCOLL FAx (978) 745-0343 MAYORIM.AN(-INI lQSA1XK1.CON1 ]ANET MANCINI AC"LING HFALTi-1 AGI_.NT CERTIFICATE OF FITNESS CERTIFICATE# 127-09 DATE ISSUED: 3/10/2009 Property Located at: 12 Pope Street UNIT#B-201 Owner/Agent: Salem Heghts Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JANET MANCINI ACTING HEALTH AGENT 60DE EN OR EMEN PECTOR aCITY OF SALEM, iVL�SSACNtiSIT'I'S Bo\Ri)or l-1:AI;1H 120W.\SIIINe.fcrNS71(t'l"I',4"'FL(,uR"fl:I.. (978) 741-1500 KINIBERLEY DRISCOLL F,\\.'978;715-0343 -U\Y012 NoNur(t-VIAIJ Ni CCDM SFN M SINITARIAN Application for Certificate of Fitness IN ACCORDANCE; WITH STATE SANITARY CODE, C14APTER 11, 105 CMR 410.000 `=MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION.' FEE: $50.00 PROPERTY LOCATED AT2 `SC £ UNiT# :,20 IS THIS NIT DYYSICNA ED AS RICHT LEFT FRONT OR BACK,PLEASE\\CIRCLE ONE OWNER/LESSER AC" VNiS MANAGER/AGENT \ JPC�1 �f1P f;1�u71 ��, NO P.O.BOX ADDRESS Q- ADDRESS _ CITY,STATE,ZIP V0, O.1 Y\ fil-k e-)r41DC1TY,STATE,ZIP RESIDENCE PHONE YIN _ BUSINESS PHONE(24HRS) BUSINESS PHONE. 9-79 7Ucl M-3-7 TOTAL NUMBER OF ROOMS: //�� _3 � ROOM USE: I. dWn 2. frXf7tM0 3. J/'Y dt 04. 5. 6. 7. K. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CI'T'Y OF SALEM BOARD OF HEALTH THIS FEE•. IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURF.-;;/ DATE lc�10�, Insoectors use only Date on initial inspection: Vim' d 9 Date of reinspection: Date of issuance of certificate: 3- 1a.d 9 Date fee paid: 'Z,_ I?s rr 9 Type of unit: Dwelling ✓ Other Check# 11Check date: `k toy Notes: Code Enfo cement Inspe or CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRI?ISNBAUMa..SA1.EM.CUM DAVID GRf_.IiNRAUM AC19NG HEA];n-I AOi?N'r CERTIFICATE OF FITNESS CERTIFICATE#347-10 DATE ISSUED: 7/27/2010 Property Located at: 12 Pope Street UNIT#B-202 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 D,4 (� N AUM ACTING HEALTH AGENT CODE ENFO MENT INSPECTOR VW CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 K NfBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRr[3NBAUN1 ..S,v,i:ni.ro,M DAVID GREF.NBAUM ACTING Hi:AtxI-1 AGI?N'r CERTIFICATE OF FITNESS CERTIFICATE #347-10 DATE ISSUED: 7/27/2010 Property Located at: 12 Pope Street UNIT#B-200 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 Au DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFOf C/E4MENT INSPECTOR r 0 _ CITY OF SALEM, MASSACHUSETTS 3� 11U BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREFNBALTLQSALF.\i.COM DAVID GREENBAum, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 �� m�'�, PROPERTY LOCATED AT ,C,"v t731CA-IOSClw(n U #�02 IS THIS UNIT DIS GNAT D AS RIGHT LEFT FRONT OR BACK.PLEAS1E CIRCLE ONE OWNER/LESSERSCI j� t-� EA T j0q NAGER/AGENT ISA 1 1 MOAMCLP0 NO P.O.BOX (� ADDRESS �� ADDRESS 'f�v, —p/7_ r�S re Qe CITY, STATE, ZIP CITY, STATE, ZIP . 1RVmc) RESIDENCE PHONE BUSINESS PHONE(24HRS)q/ L 7Yg (1533T BUSINESS PHONE TOTAL NUMBER OF ROOMS: L- l ROOM USE: 1ki chia no 3 M.&d(W l 6. 7. 1 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE BATA THE �TIIMEE�OFF/INSPECTION /� (� � � � � -7 !, APPLICANT'S SIGNATURE IC,�.mj2AeAj.0 11 (lj (t,Ji fL,IA nj DATE4UW G. v Inspectors use onlv V Date on initial inspection: -7 1a�l i 19 Date of reinspection: r Date of issuance of certificate: 7 /6 Date fee paid: '7/=?71/ID Type of unit: Dwelling�6ther Check# U X !Nggi V)'Check date: -7A (eh O Notes: W Vl d Ok l Irl LIZ -ro b/1Q I l P �U 10 Ce- Code Enforcement Inspector a ( IMPORTANT` i , eTIME MESSAGE ) FOP A.M. =E " ��P.M. I, Kirn OF 7'A IFrn 444 fl 6c, —P NE U BER EXTENSION�Ax LJMOBII F o AREA CODE NUMBER TIMET LL TELEPHONEDPLEASENLL r CAME TO SEE YOU WILL CALL ADAIN f f� WANTS TO SEE YOU RUSH I RETURNED YOUR CALL f� WILL FAX 70 YOU MESSAGE �ro nn C 'n� _ I� s � UZ OCU T�� 7 cr�L4 U& A Un1 -tl SIGNED(�(�� 0 FORM 4009 MADE IN U.S.A. ' NOTES �I _ I i i .1 TRANSMISSION VERIFICATION REPORT TIME 08/17/2010 22:50 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 08/17 22:49 FAX NO./NAME 919787445616 DURATION 00: 00:14 PAGE(S) 01 RESULT OK MODE STANDARD ECM " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PfiblicHealth STREET, PINmt Pramolc.Praltt[ TEL. (978) 741-1800 F.Ax (978) 745-0343 KIMBERLEY DRISCOLL lram6i0salem.com - LARRY 1LAhIUIN,RS/RI?I IS,C1 10,CP-FS MAYOR HE:u,1'H AGIiN"I' CERTIFICATE OF FITNESS CERTIFICATE#85-14 DATE ISSUED: 3/14/2014 Property Located at: 12 Pope Street UNIT# B-203 Owner/Agent: Salem Heights 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 Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ^ FOR THE BOARD OF HEALTH LARRY RAMDIN �lr�/ >>�� \v HEALTH AGENT SANITARIAN „e 0 'li,{ *�T r I. 1 01” 120 WASJ 11 rt)N SrRc1:'r,4"'FI)OR PunblicHealth (978) 741-1800 1�AS (97,S) 745 0143 KINIl3IALF,,Y DRISCOLL Irclndia tt salcm.ama - 4'lAYOIt l., et' aIt,\NHAN,RS/Itwis,clto,cP-I's 111''kG: lI AGi.N I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MTNIMIIM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: S50.00 PROPERTY LOCATED AT_ if�' UNIT#tj IS THIS UNIT DISIGNATED AS RIGHT LE 'RON'I'OR BAC:t,PLEASI�,GiRCLE ONL OWNEtuLGSSERI 4/ ,OVL- n1IA� ERIAGINT_ ( L 2-- i2.LCfSj � NO P.O. BOX ADDRISS_ �� _,-- �-.— _ADDRESS CITY, STATE, Z.IP L&:�2 __0r9�CITY, STATE, ZIP RESIDENCE PHONE r � BUSINESS PHONE (24}IRS) BUSINESSPI-IONS q9� ' 7 7'V— cSJ9 TOTAL NUMBER OF ROOMS:—.Y— ROOM OOMS:_,YROOM USE: 1. 2. BA An 3, dh 1(91n 4. l` J j 5. 6. 7. S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALI3M BOARD OF HEALTI I THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICAtN`I 'S SIGNATURE G 1- DATE j C� Inspectors use o�Y Date on initial inspection: _b t "1� Date of reinspection: Date of issuance of certificate: �3 )VI' Date Fee paid: Type of unit: Dmelling� Oryther _Check#l S 8 < Check date: Notes: 'a4� Code Enforcement Inspector K k CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4p'FLOORPublicHP,a lei pl—.t prom.'. P1.1W TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(a),salem.com LA$It]'R\N[UIN,RS/RIA-IS,CFIO,CP-FS MAYOR HP:,v;rf i AC;GNP CERTIFICATE OF FITNESS CERTIFICATE#465-14 DATE ISSUED: 12/29/2014 Property Located at: 12 Pope Street UNIT#B-204 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5037 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 SANITARIAN C ,I'l'YOI� `Al ,, lN'l I�''�r\ ti,\(.;I-IUtill"I,.I,� �,p . )� •FT�tenxc��?`/ 1"_10 im t 1\Si'lo:r I... F:i.x`i; (7 7R)-1-11-18()0 VI'.:i;tl..I%V DI, SA_ (,tI'I. I�.\`. �97?sj71; 03'13 VwolI Aka ni (n ti u.(a)\I `',I'N 1('1It S\NII'\1t \\• Application for Certificate of Fitness IN ACCORDANCL WITH STATE SANITARY CODE, CHAP`I 'R 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." t l=l IE: $50.00 �n f�,� �} IZOI'GRl'Y COCA I ED A'I' t � ��. ///_/�tP�jNITil 6 2-0 IS - n�S Sunk f Dl •tcNATCI)ASS RIGIIT LV..VT FROAT oR BACK,11,FASP.(; 'i.+oNV OWNER/LESSER lu" MANAGER!AGENT /v�� NO P.O. 130X �_ DDRESS ( � ( J i. ADDRESS CITY, STATE, LIP � ACITY,STAT C, ZIP RESIDENCE PHONE BUSINESS PHONE(241-IRS) MJSINBS PI IONI'. 'I OTAL NUMBER OF ROOMS: 1 / / rj ROOM USE: 1. �sr i' 5, 6. 7 S. 9. 10. TI ICRP: IS A FIFTY ($50) DOLLAR P ' ', PAYABLE BY CH13CK OR MONI?,Y ORDER-I'D F IEC Cl fY Ol; SAL1wM BOARD OP HEAL TI 'I'I-IIS PEE IS /Y�41331_ _E AT THE TI/ OP INSPECTION APPLICANT'S SIGNA'T'URE ' ' " DATE II1si)cdorS use 0111y Date on initial inspcciion. Date of rcillspection: Date of Issuance of ccrtlIIcatc: \ Date Ccc pa;d: TYpeof unil: Dwclling__ _Other_.. Check?C t-YAN� Check date: Nolcs: {:o;.'c �n1 ccmc;It Ilspec,or City of Salem, Massachusetts /> d q Board of Health R ` 120 Washington Street, 4th Floor, Salem, PublicHealth y D Prevent. Promote Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-217 DATE ISSUED: 6/23/2016 Property Located at: 12 POPE STREET UNIT#8205 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN NO DATE RECEIVED FROM 7--LeA r lQp ,e AP t c, 4 �. DOLLARS Account Total x [ i Amount Paid 5 Balance Due Signature v� CrrY OF SALEM, NIS,\SSACRUSEI1'ls �a 1311\UASI uNcruN SrP.ILI.r 4"'Pl.txm T1;11,. (978) 74I-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 NLYOR D10NNIi(0')SALVNL C01\1 ANE r I)IONNIE, SkNIM SANITARIAN �.. Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMU/)M STANDARDS OF FITNESS FOR HUMAN HABITATION." l ro E. .O`f G cx — , J 6 (C UNIT# PROPERTY LOCATED AT ��J IS'm DISI C,�Nj EIl1AS 121GNT LEFT RI20NT OR BACK,PLEASE CI ON/ � ��' ' " `--�15' OWNER/LESSER �1 1 MANAGER AGENT ` NO P.O. 130X f r ADDRESS / rot,& < ADDRESSCITY, STATE, ZIP G"t A CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF RO MSII: /(a) ROOM USE: 1. �V 2. v \ V�3. �' 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY (S50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OFF SALEM BOARD OF HEALTH 1EE IS P ABLC TIG"ti_NSPECTION APPLICANT'S SIGNATURE DATE ��// Inspectors use onlv Date on initial inspection: �I to l I L9 Date of reinspectio//n�^:, NIA- Date of issuance of certificate: t[1. 17-8 11 � Date fee paid: lJ 12,411Lo Type Of unit: DwellinR)e—.Other Check 4 Check date: 4- Notes: 500 -Notes: 300m nn t I CI e E cement Ins or Irspectjon of Id / oc C) T)'— L9 2 v S Date �- l0 Time 3-!,5:0NM n Name 5�:c s e ,M` �S Address V d�,��a h � _ Owner P 6A 14 Tel. No. 4 -79-7 LI L-/ -O'S-3-4 Type of Inspection ` er /t^ C�J7" CP ' ri117�S Inspector 0---g l e Hp j/� ��(7 ( ' ) Remarks and Violations are listed below: 106- CM 42 -y/0, 00 UuPe4- rovers /-41 tOc Its 1�P�u,%rS ih froC, resS 11 cw/'inr.� fn SQPr��'1 . Correc,�--eel (n�llv� I t.o o v r;2) cl1osV dcors hof- l�yPe/)inG (2A r/ c{oslncP ea sl° OU M cu lG( ll j l c� y (a G��"��S , Rep cu i ,'n 01QV 49SS�`p CEJ J0-PC,�(' 6nc(j Sm vice �_ do �er��o✓ nn �t �'��Ci�p� rimp10r Im"ai;ymeo4 iS 1tyK-ifG � re-pc iT Gr rPf�facP -4q P r an�4 d oo(S. J Report Received 6/16/201$ Unofficial Property Record Card Unofficial Property Record Card - Salem, MA I Lo Le General Property Data Q a U 5 Vwi�- Parcel Io 15-0308-0 Account Number Prior Parcel ID — Property Owner SALEM HEIGHTS PRESERVATION ASS Property Location 12 POPE STREET PRESERVATION HOUSING Property Use CH 121A Il MANAGEMNT Mailing Address 3100 BROADWAY SUITE 1234 Most Recent Sale Date 7/21/2003 Legal Reference 21309.79 City KANSAS CITY Grantor SALEM HEIGHTS APARTMENT CO, Mailing State MO Zip 64111 Sale Price 26,675,000 ParcelZoning R3 Land Area 0.000 acres Current Property Assessment Card 1 Value Building Value 6,385,600 Xtra Features 189,400 Land Value 1,425,000 Total Value 8,000,000 Value TotalVal el Building Value 6,385,600 Xtra Features tures 189,400 Land Value 1,425,000 Total Value 6,000,000 Building Description Building Style Apt-Hi Rise Foundation Type Slab Flooring Type Carpet #of Living Units 140 Frame Type Steel Basement Floor NIA Year Built 1973 Roof Structure Flat Heating Type Forced H/W Building Grade Average(+) Roof Cover Tar+Gravel Heating Fuel Gas Building Condition Average Siding Brick Air Conditioning 0% Finished Area(SF)149332 Interior Walls Drywall #of Bsmt Garages 0 Number Rooms 510 #of Bedrooms 230 #of Full Baths 148 #of 314 Baths 0 #of 1/2 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 0.000 acres of land mainly classified as CH 121A with a(n)Apt-Hi Rise style building, built about 1973 ,having Brick exterior and Tar+Gravel roof cover,with 140 uniti 510 room(s),230 bedroom(s),148 bath(s),0 half bath(s). Property Images $ Disclaimer.This information is believed to be correct but is subject to change and is not waranteed. http.//salem.patriotproper0es.com/RecordCard.asp 1/1 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR 'FEL.(978),74L-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR )uxrrrlO-NA N1,CONI JOANNE SCOTT, HEALTH AGENT CERTIRCAFE GF FtTN€SS CERTIFICATE#346-08 DATE ISSUED-: 8/8 008 Property Located at: 12 Pope Street UNIT# B-206 OwnedAgenL-Salem.Heights Address: 12 Pope Street' CityJTown: Salem, MA Zip Code: 01970 24 Hour Phone: 878.744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter It", Minimum Standerdso€Fitness-WI-Iu ti�ion". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now,be-rentedand1m led. 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. FW THE BOARD OFIHEALTH JOANNE SCOTT, MPH; R5, CHO HEALTH AGENT 4CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS * s BOARD OF HEALTH 2(�' � 7I .iLQ[K/�,d(,, 120 WASHINGTON STREET,4"'FLOOR ! / TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISCOT O.SAIRM.COM JOANNE SCOTT, HEALTH AGENT ' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105-CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT vr.Z � � ( C15 IS THIS U DI GNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER tSGt'ln 140-1'q h.1t3 MANAGER/AGENT k0A1 ri.4j ,tk NO P.O. BOX v ADDRESS 1,a,09- cs- - ADDRESS _ CITY, STATE,ZIP 'oc�k n vIA M CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONEu, - /CZS TOTAL NUMBER OF ROOMS: ROOM USE: 1 (C' �nll 2 IN, Mm 3 4. — c�� 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 InsDectors use only Date on initial inspection: -�' _d(f Date of reinspection: Date of issuance of certificate: Date fee paid: C7 !' Type of unit: Dwellingv Other Check#�eCheck date: - a Notes: We IfnforcAeXt Inspector ,¢o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR 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#406-05 DATE ISSUED: 6/28/05 Property Located at: 12 Pope Street UNIT# B-207 Owner/Agent: CMJ Management Corp. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation" Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOMNE SCOTT, MPH, RS, CHO HEALTH AGENT C D ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS,, BOARD OF HEALTH ^• ' . 120 WASHINGTON STREET, 4TH FLOOR MR-0- (�� SALEM, MA UI`J/U� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°. PROPERTY LOCATED AT A f _:Qe�, Yh� G�4 UNIT#�� U � / IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASECIRCLE ONE . OWNERILESSER MANAGER/AGE{d:1` Ch+-A v✓L . r�Sa �4�' No P.O. Box No P.O. Box V ADDRESS ADDRESS >9 Pte, S� CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) O,) 3 BUSINESS PHONF TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. �& 11 trzwvn 4. r -Cl m 5. cl GMG. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE GY�i 3�f j INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �� S' -0'- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:4,A3-c 5' DATE FEE PAID: TYPE OF UNIT: DWELLING:OTHER_ CHECK#_ Z�_y CHECK DATE,� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 * CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR Publicm" ,Health TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin(@..salem.com - L.\RRY R•\TID1N,RS/REI IS,CFK7,CP-Fti MAYOR HuAi if AG FNT CERTIFICATE OF FITNESS CERTIFICATE#353-14 DATE ISSUED: 10/21/2014 Property Located at: 12 Pope Street UNIT#B-208 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 ord Ge -,.a-,p r 2 .Artinle IV Dlvision3, Secti n te 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 (/ HEALTH AGENT SANITARIAN eve CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STREET,4"FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAMuINnaSALEM.CONI LARRY RAMDIN,RS/RENS,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" 1 0 nFEE: $50.00 PROPERTY LOCATED AT / r OPS-- g v / � UNIT# /3we a IS THIS PO TDDISiGNATED AS RIGHT LEFT FRONT OR BACk�,PLEASE CIIRR LE ONE OWNER/LESSER PV Ah MANAGER/AGENT NO P.O.BOX I ADDRESS I z- o S J--� ADDRESS CITY, STATE,ZIP v i 0 `"�� CITY, STATE, ZIP RESIDENCE PHONE ( BUSINESS PHONE(24HRS) I BUSINESS PHONE �C��> / / O 1> TOTAL NUMBER OOnFROOMS: r � ROOM USE: 1. J�2. (� I/V/ -- 3. 640044. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE AYABLE BY CHECK OR MONEY ORDER TO.THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE AT,T14E TIME 0 INSPECTION APPLICANT'S SIGNATURE DATE 10, 2-[ & / / Inspectors use only Date on initial inspection: (b al(iq Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: � (' Code *orent Inspector 1� • 4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRFF'f 4°1 FLOOR PublicHealth f Prevent Promote Protect 'I'EL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinasalem.com L.\I2RY R.\MU[N,]2S/RI?I-IS,(,'110,CP-P5 MAYOR I u,\I;fI-i AG ENI CERTIFICATE OF FITNESS CERTIFICATE#351-14 DATE ISSUED: 10/14/2014 Property Located at: 12 Pope Street UNIT# B-209 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to tha reniliramantc of City of Salam nrriinance Chapter 2 Article Iv nivisinmi. Swctinn 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. ;Fxyz-f H LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINn.SAI.Em.COM LARRY RAMDIN,RS/RENS,CI 10,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" p �FEE: $50.00 Q, ��// �� PROPERTY LOCATED AT 7 � 7 �'�/fY UNIT# IS THIS llN/�iT�DISIGNED AS RIGHT LEFT FRON'I�OR BACK,PLEASE CI E ONE ---- / � OWNER/LESSER r10/t"l I MANAGER/AGENT ` ADDRESS l 2- Y -�P'e S� I ADDRESS CITY, STATE,ZIP I v �.(Y _. Gam' CITY, STATE,ZIP t IRESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE % 7-y/ 7-VY—O- 3� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 104 J4 . 3. �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 FEEP_ AYABLE AT THE TIW OF INSPECTION yy/�� APPLICANT'S SIGNATURE % — DATE la G///•// I Inspectors use only Date on initial inspection: ic)1 � 114 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes- 0 Code En ors entlnspector CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STRi:ETo 4...FLOOR ptib�CHCBit:h PrereN Vmmom Proleo 'TEL. (978) 7414800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Itamdin(@.salem.com - LiV2R)'R;1NfUlN,RS/Rf3.l I5,CI10,CP-FS MAYOR HP;,%j:n I AGENT CERTIFICATE OF FITNESS CERTIFICATE#319-13 DATE ISSUED: 9/11/2013 Property Located at: 12 Pope Street UNIT# B-210 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 LARRY RAMDIN HEALTH AGENT SANITARIAN r IX s a F 10ARD OI; 1-lle{V;1 f I "'�71PJii-iig{� [2.0 WA M-IiNC';PONSTI?.1;1_;1' �4... f'LO(Il( Ti-,I,. ()78)7=11-1800 1UM1st,lu,t;Y ]�Rtti(:C}J.,I. F', (978)745-0343 �f NIAYOIt, I.I AML) N(r1,Al,i,hf.QQM .:\It ICYRAM UIN,RS/Ii1(I 15'(,11(), Application ion fin, Cerfific ate of Fitness IN ACCORUANCC WITJ.I STATE, SANITAIZY CODE, CHAPTER 11, 105 CMR. 410,000 "MINIMUM STANDARDS OF FI-I"NLiSS FOR HUMAN HABITATION" 1'l-3` $50.00 WP RTYLOCAIE(i) UNI A`I'. ff/' nfn G �} _ _ _ t.5'9'tlU`i U74PC I)1Si(:NM UD AS MGM LR•I=T I�f{f!N'C 471C cACiC,1�t,1;A5➢S(".i!{Ctl.tlt,ONIS )I,()B 1, S'Lyt_ _MAN'AGE R/AGEN'1_ / L:._/ / 1 JJJ )J)K13SSf,7ttl)DRLSS----- --------__ ------ ---_ __ __ Ty' S 1'A 1'1.4, I11),_'>a--�G- � - ./ __U/ r�C1_— C:ITY, S`i'A1 ii' %LP S11)ENC)iI'IiON('• 0USINESSPI[ONL(2AlIR5)__, _ � - - _=SINCSS YJ AL NUM I'iER OF ROOMS )OrVI u51: 1_4l�'.1(�'412.:_146. 7. _7. rIA'U, IS A NIF I'Y ($50) DOLLAR FHU, PAYABIA; 13Y C'IIISCK OR N(ON),Y OI21)HR 1'0'1111,CI'J'Y OF SALVIC11 )ARI) OF I MAI:i'J I Tills J'!i!'; IS I'AYAI-31;1'A"I'`I1Ji:i'J'1M E OJ' INSPJ3C'CION I l J( AN 1 S SIGNA` UR. l -...1 luspc�'ctors_usc uatly_ Itcarn snits! inspccHo11: 9'/ ,I>cafuuit: I7welhng___-____Otllcr. Chcckfl Cht:cicdalu: ---- 1 }tes: )CIO I.dnlorcem . Inspeclol - " City of Salem, Massachusetts W Board of Health �,�Lu�� MA 01970 120 Washington Street, 4th Floor, Salem, prevent. Promo,eila�Pro��tcf. 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•16-476 DATE ISSUED: 12/1/2016 Property Located at: 12 POPE STREET UNIT#B211 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. e -�- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN m CF1Y OF SALEM, MASSACH.1USE,,T 'S I'itt.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-U343 KwOR »ttvv .lu ir,I nt.CC>1i JAN Fx D€ON NH, _ . - SI:N1 1t SAN1TAldl AN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." /FLEE:$50.00 PROPERTY LOCATED AT ��/I/ - C •� L 17�i I# /J� ! / IS THIS V1T D(['S[GNA(TED AS IGHT LEFT FRONT OR BACK,PLEASEt'1 E OWNER/LESSER f a t MANAGER/AGENT NO P,O.BOX ADDRESS Z_ t�N�� C J� ADDRESS tI CITY,STATE,ZIP . . CITY,STATE,ZIP 1 RESIDENCE PHONE BUSINESS PHONE(24HRS) V BUSINESS PI[ONE TOTAL NUMBER OFF ROOMS:- ROOM USE: " 1. tt�"-Gf t-2, t d U`y3 N /C4. 0✓� �/1'"k 6. 7. S. 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 LIV E THE TIMF.OF IN T10N f APPLICANT'S SIGNATURE DATE r /6 InSDectors use only Date on initial inspection: Dec , 1, ', 1. L�, I7 Date of reinspection: Date of issuance of certificate: x{". 1 i7-M Q Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement inspector ��J��', t•-� CITY OF SAI.EM, MASSACHUSETTS Y BOARD OI+HmLT1 i 120 WAS1-JlNGT0:V STREFC,4"'FI.00R TEL. (978)741-1800 KBOER.EY DRISCOLL FAX(978) 745-0343 MAYOR Lx.RI TNUAUNION ALF.XCOM DAVID CWULNBAUM,RS ACTING T-IRA ;mt AGENT CERTIFICATE OF FITNESS CERTIFICATE#518-10 DATE ISSUED: 11/1/2010 Property Located at: 12 Pope Street UNIT#B-211 Owner/Agent: Preservation Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants,must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only If there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH f D VID GREENB UM, RS ACTING HEALTH AGENT CODE N ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS t� BOARD OF HEALTH ll�i 120 WASHINGTON STREET,4"`FLOOR \J TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRFFNBAiryfnsAI.EM.COM DAVm GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.0(0 / Myr /�(� �\ PROPERTY LOCATED AT ( a f)f)SL\ l lX o 1(1C. QM 11 II-f 1 7 I� KNIT#-82-i i (��IS THIS�U/RITn gD-I�SIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE l �/ OWNER/LESSERNId� V (VI I I I AGER/AGENTLI'm l(�R� NO P.O.BOX n (fin n p�-��J1 ADDRESS t / 1 tel" Xyt 1�� 19Ml o n y�\ ADDRESS_( _ r /��_ S{1�A l✓o/�(� CITY, STATE, ZIP91t Q I Ia1 11)�- c Q IBJ CITY, STATE,ZIl'� l V '1 I !� l J i RESIDENCE PHONE 1�I�VI I b . BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 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 )t f DATE Inspectors use only Date on initial inspection: i /I /1`(] i Date of reinspection: Date of issuance of certificate: I I 1 //0 Date fee paid: I / //// 0 f Type of unit: Dwelling ✓Other Check#j 6aM)5 37 5 Check date: Notes: Code Enfor ent Inspector r, e CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 I{IMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUMOSAI.EM.COM DAVID GRELNBAUM AcHNG HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#590-09 DATE ISSUED: 11/18/2009 Property Located at: 12 Pope Street UNIT#B-212 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved i 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 DAVD�NBAUM ACTING HEALTH AGENT CODE ORCEMENT INSPECTOR r p 120 WAS foe •� • � CITY OF SALEM, MASSACHUSETTS �` i1n" BOARD OF HEALTH HINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR D(;R13r:NBAUM@SALGM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $\50.00 PROPERTY LOCATED AT i° ��} X'�IP_M M� �1Q—I� UNIT#�Z 12 IS THI U +DISIGNATED AS RIGHT LEFT FRONT OR BA PLWE CIRCLE ONE OWNER/LESSER �r� o in ��S MANAGER/AGENT 1P Q /�; n P F_ I�w L� NO P.O.BOX - ADDRESS T �r,�c R� ADDRESS CITY, STATE,ZIP �C'\ fl .vv� rV�b r 1�G 7() CTTY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 4_(l)5 R:7 TOTAL NUMBER OF ROOMS: H ROOM USE: I.Y(ftlnpVl 2. 1�v VWM 3. - I Y _rn_a4. �,a��1 A5. 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 SIGNATURES DATE �� 0 q Inspectors use only Date on initial inspection: ,/ /�B/� / Date of reinspection: Date of issuance of certificate: _ i / Date fee paid: Type of unit: Dwclling VL'-� Other 11Check# I\d(1 S S I Check date: I l I/A/0 R Notes: {'w4v6rlr� a h? (' lo a1w K Code Enforcement Inspector ` CITY OF SALEM, MASSACHUSETTS -;_ BOARD OF HEALTH 120 WASHINGTON SIBEET,41 'FLOOR TFL. (978) 741-1800 KIM13LItI_LY DRISCOLL FAX (978) 745-0343 MAYOR Iramclinaa.salenixom LARRI'RAMI)IN,RS/RISI IS,CHC),CP-I.S H I3AI;l'I I AG LSN'I' CERTIFICATE OF FITNESS CERTIFICATE#156-11 DATE ISSUED: 5/24/2011 Property Located at: 12 Pope Street UNIT# B-213 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 W' Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHNGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR nC;REENBAIIA-OSAr.EM.CO'M DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 NT "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." QFE)E::�$50.0(0� 1\��Q(��( l106R OCATED;AT K 1 JC o -pTO M I V 1 lJ II JI�.� MT# 3 IS THIS IST DII.S�IG ATED AS RIGHT LEFT FRONT OR BACK PLEASE CHICLE ONE OWNER/LENO P.O.BOYi tS�SERP1 �' V/(�� Ul}A I�1/0g, Ill A�\ 1,6' i031ANAGER/AGENT �jTf l l(i`l�llll�l/A� l�—M'l0' Lo ADDRESS I a 0- p -0 .C1 1/a1 -o �_ r' (ADDRESS 19 V{ q .R1 � d F CITY, STATE, zip`, j"1�1-QQ n / 'qof I'f—/f�QC1-0—CITY, STATE,ZIP 1M I Q n n cn q /n W� RESIDENCE PHONE-'1 Ir'J��—U lel (( � _l B[JSINESS PHONE(24HRS) BUSINESS PHONE�� ?� I �I 0061— TOTAL NUMBE IITC RO_F�ROOMS: ROOMUSE: LIQ/ _Il16 Y I(A 3-P' 5. 6. 7. 18. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE TI IS PAYABLE AT THE TIMEO�F�INNSP�E�CTIOONN APPLICANT'S SIGNATUR /1 ICU l ► 1� Jl 11J11 L�X I t DATE 5'C3)H snectors use only Date on initial inspection: S Ia�� i Date of reinspection: Date of issuance of certificate: hl L4 III Date fee paid: S I a q1 jJ Type of unit: Dwelling llOther Check# ,-3 IG Check date: 4 '-l11C111 I Notes: Code En rceme t Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth 0DI h MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-77 DATE ISSUED: 3/4/2016 Property Located at: 12 POPE STREET UNIT#B214 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, RENS, CHO HEALTH AGENT SANITARIAN i f CITY OF SAL M, wmSSt\CI-IUm,-,TTS 120\Y%. s1tlNc,ruN grrla 'r,-1...Fl.tx)u TI;'],. (978)741-1800 KINM RLEY DRISCOLI. 1',tX(978)745-0343 NLI YOR 1)10NNi. a�sAuw,CONI ANv I'DIONNE" SVN101Z SANI'VARIAN 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 PROP1?RTY LOCATED AT l2_ 0IJ' S� UNITtt / IS I'll ISSy UNIT DISIGNAT6)AS RICHT I,1;IT FRONT OR RACK,I'LEASE CIRCLE ONE OWNEILILESSER 11014-jl MANAGER/AGENT NO 11.0, l;ox ADDRESS ./�Op� 6� ADDRESS I CITY,STA'T'E, ZIP � /CXR � �R- CITY, STATE,ZIP 0 ( / RESIDENCE PHONE 13USINESS P1PfHONIi(241-IRS) BUSINESS PHONE I / / U +7 / 7 %%� 3 TOTAL NUMBER OF ROOMS: n rt ��! LGf{/ ROOM L'SL•"": t. �c d�tiL�2. � '�' �. �. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE,PAYAI3LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABI, T HE TIME OF iNSPEC N / APPLICANT'S SIGNATURE � �\ DATE � � •/ 6 ( f Inspectors use only Date on initial inspection: CJI t Date of reinspection: t Date of issuance of certificate: Date fee paid: Type of unit: Dwelling- _Other_ Check it Check date: Notes: �t f7C�X rP� 1 CPf I1�.�° 0 1�.4 t D� (,QAC?' ��jP- [3P�t_�iao.� I I��'-13(I'� —tMcx i✓t{'F��co �ro )C�,toCeI'1��"r!`��tu_.l CQdnfo mentinspecIor X16-�� 1. �oowur CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 9 120 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#293-08 DATE ISSUED: 6/26/2008 Property Located at: 12 Pope Street UNIT#B-215 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 /� JOANNE SCOTT, MPH, RS, CHO �. HEALTH AGENT 067E ENFORC M NT INSPECTOR r CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR isrOITOIS. LEM.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." FEE: $75.00 PROPERTY LACATED AT 1Z PoPt_ SIMV 7 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER S+,,-- 4 wus�s Jac--t-% MANAGER/AGENT P-Zv%�z-A,k3-' NO P.O. BOX ADDRESS �2 (bPL ADDRESS 17- 00PI- SM;�&7 CITY,STATE,ZIP �4rA vWA CITY,STATE,ZIP 'ZzA� IMa RESIDENCE PHONE BUSINESS PHONE(24HRS) 4)78 - ?4H-a6-3-7 BUSINESSPHONE q7t -1u`t-�S37 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 5, .I 2. l.,�w6 AAA 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE`y� DATE Ins_nectors use only Date on initial inspection: 6 'c76f/l7$ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: NotesDVLPt u9, OLA.. In lJcroam 40ee vri'1' nr,Op:�C,4R114 WiktQRX r WAV,Qd Ute u� be�t{eri cm)(-A -t cxrntcv)r rxa__ F, v sv n C nrm ei_ ode Enforcement Inspector CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR lsco'rr(tt),SALGM.COM JOANNE SCOTT, 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. 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. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealt I MA 01970 pm."M_ P""", 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-17-209 DATE ISSUED: 7/14/2017 Property Located at: 12 POPE STREET UNIT#B301 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 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. l� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SAI,EM, :Nt SSACHUSE I`TS BOARD ori Fli Aun i 120 WASHINGTON SrRr:I;T 4"'FWOR TFL. (978) 741-1800 f<T;vfBE.RLPY DRISCOLL FAX()78)745 0343 MAYOR at nu ly(asnta+,at.r.�nt LARRY RAiMIAN,RF f RHI18,CI 10,(T-Ps ' 1-1 F. 191 Acoixi, Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" iFFFE: $50.00 PROPERTY LOCATED AT l Z p 0 # 0 IS I N DISIGNATEI)AS RIG)iT LM:ET FRONT OR BA(:1,PI,EASE(' ON[, OWNER/LESSER MANAGER/AGENT NO P.O. BOX i jL /} ADDRESS l V jI'' .3 � �ADDRESS CITY, STATE,ZIPCITY, STA'T'E,ZIP RESIDENCE,PHONE � _ _BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. WAXV44`2. 4, 5, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE A ABLE BY CH).CK O ONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP A THE'fIM1i O SPEC'fION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspcction: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—----Other Chheecck�#_ _Check date: Notes: Code Enforcement Inspector I CT1Y OF SALEM, MASSACHUSETTS - BOARD OF HEALTH 120 WASHINGTON STREET 4n.FLOOR PIlb�1CHCA�iJl > Prev-1 11—nic r.00-m TEL. (978) 741-1800 FA.X(978)745-0343 KIMBERLEY DRISCOLL ltamdinaa salem.com - L:\Itlil'R,\A(D1N,RS/RI{I-IS,CI 10,(111-PS MAYOR FIFALfI I A(;ENT CERTIFICATE OF FITNESS CERTIFICATE # 140-12 DATE ISSUED: 4/5/2012 Property Located at: 12 Pope Street UNIT# B-301 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. F R THE BOARD OF H ALTH /j 4 i nd LARRY RAMDIN / HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 1 BOARD OFHE.AU11I 120 WASH1NG'FON SrRI;Sr,4"`F1,00R I'm— (978)741-1800 KINIBFIR1..F'.Y DRISCOLL FAX(178) 745-0343 MAYOR LjILM<)N Q` IAiM_,!QA LAMIN'RWINN, RS/RI':I IS,17111,(T-16 111(N;rIi AOI+.NI' Application for Certificate of Fitness IN ACCORDANCE WITH STA'T'E SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT ` pb(,� S �G +�. IMi� (S1G �L- NI'f#t , IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE(OHNE OWNER/LF,SSER �C\j\ 0(YZ �--1C� SYEAS _MANAGER/AGENT L( r(\ Pr-n.5ser NOP'0' OP.O. BOX rr�� ADDRESS-�� S4 ADDRFSS---6YLPC)�nnt "q. C+ CITY, STATE,Z1P1I1 _fY1t�J �l__LL _ crrY, STATE,zrP�` —y ,t4I�I 7(� RESIDENCE'PHONE"11C[S 6S-3-?BUSINESS PHONE (24HRS) V�^ � BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.114 .4 cW n 2.U llt r rn,sm3. vI rmm 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 SIGNATUR , l t. PAnA A DAI'E Inspectors,use only Date on initial inspection: q-6-tit Date of reinspection: Date of issuance of certificate: L)•S "11- Date fee paid: Type of unit: Dwelling ✓ .Other Check# Check date: Notes: Code Enforcement Inspector l�„o City of Salem, Massachusetts Y.,.. f n Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHe&lth MA 01970 Prererit.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-93 DATE ISSUED: 3/30/2017 Property Located at: 12 POPE STREET UNIT#6302 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 �✓✓V I — HEALTH AGENT SANITARIAN r CITY OF ,SALEM, KkSSACHUSE'ITS B()ARD O'r HF'e\L rl-I 120 WASHINGTON STRb;1rT,4"'FmM. Tm,. (978) 741-1800 KIMBERLEY DRISCOI I FAX(978)745-0343 MAYi:)R a.ann7lNns, Ia.v.cnn� LAMdY ILWI)IN,I1SIR11Iti,C1 tO, Hv,mxii A(,,i N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" t ? FEE: $50.00 PROPERTY LOCATED AT t r �� — UNIT#_ Z {3S THIS U T DISIGNAT'ED AS RIGHT LEFT FRONT OR BA4 K,PLEASE CIRCLE.ONE OWNER.ESSER l ry 4 S MANAGER/AGENT �. NO P.O. BOX }] �� ADDRESS QUO t 9//rr��( ADDRESS I CITY, STATE,ZIP C h r d� ��U CITY, STATE,ZIP RESIDENCE PIIONE BUSINESS PHONE(24IIRS) BUSINESS PHONE �� TOTAL NUMBER OF 1ROOMS: 7/ �fy��, p� ROOM USE: 1. Q (lam '2. l� ��i 3. /��jr A:74. /L S, 4- 6. 7. 8, 9. 10. THERE IS A FIFTY($50)DOLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS(7ABLF AT THE T s 1'INSPECTION APPLICANT'S SIGNATURE DATE 3 rrJJ i i I Inspectors,use onlv Date on initial inspection: I�� sl l� P '24 Date of reinspection: i Date of issuance of certificate: 'C>� 4 t Date fee paid: Type of unit: Dwelling_. OtherT Check# Check date: Notes: Code forcemen3lnspector "NDS" City of Salem, Massachusetts " Board of Health E 120 Washington Street, 4th Floor, Salem, th PPublicHeal vent. Promote. Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-85 DATE ISSUED: 5/28/2015 Property Located at: 12 POPE STREET UNIT#6302 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 i Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 10 11 ,1 m \sSA(,,1-1 (.1S1 "I'S x t9-",') 7-i.5 Wd 3 w( w \\,I I wl Application for Certificate of Fitness IN A('CO('\I)ANCf",, N/1'1-1-1Sl"A'1'1,-' SANt"l"ARYCODI?, Ci-[AP'(f-,fZ ! I 105 CMR 410.000 "N'll-NIMUNd STANDARDS 01- FITNI:SS FOR HUNIAN HABITATION." 0(, P,ZOITIRTY LOCATFID AT tJNI'1'11_b IS 11WSUNH VLEAaFCIRCLKONV OWNIR/I,I-,SsI-`R1 OAH MANAGI,Rf AGENT NO P.O. 13OX ADDRESS Po A'DDRESS CITY, STATE, ZI P CITY,STA!'l-, GIP RPS11.)FNC'IN lONj [- BUSiNRSS PHONIF (24FIRS) BUS IN 1-4SS I)I ION J--4' -(q 0 TOTAL. NUMBI'R OF ROONIS: ROOM USF: 1, Vill 3. At 460670�� 6h905� 6 7 8 9, 10. THRRF IS A 171PTy (%5()) DOLLAR 31;L, PAYABLE BY Cl IEC! OR MONCY ORDER TO HI: CI !-)' OFsAIJ--M BOARD OI' HLiALTIH SPI;CTION APPLICANT'S SIGNATURE on, a4,, DA ITI, 2 Us:;011"', Dale o;'reinspcclion. I CI-.eck cinte: Nolcs: D City of Salem, Massachusetts ri Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent.Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.284 DATE ISSUED: 8/5/2016 Property Located at: 12 POPE STREET UNIT#A303 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 410.004. 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. J e Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN pl?b CITY OF SALEM, MASSACHUSET'T'S B(l,\RD(IIS I-I IS.\I;PN l 120 WASHINGTON STRLtir 4'"FL(<)R rhl.. (97z3) 74I-lso� MAIBERLEY DRISCOLL F\X(978)745-0343 MAYOR 11)10NNil(aN,u,FFw.COM JANki'DION'NLI SHNI<)It SANITARIAN --. k . 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: 50.00PROPERTY LOCATED AT L Pop-e- UNIT# IS THIS IT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CI ONE OWNER/LESSER vo MANAGER/AGENT NO P.O.BOX ADDRESS << n ADDRESS CITY, STATE,ZIP_ V ` /&t-�_ CITY, STATE, ZIP RESIDENCE PHONE �' y BUSINESS PHONE(24HRS) U BUSINESS PHONE 7 / (I ./P0 / ✓� TOTAL NUMBER OF ROOMS: ,,��n//�' ROOM USE: L k, i'd(L41 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE AYABLE BY CHECK OR MO EY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS Pt�AB AT THE TIME OF INS ION e�IM APPLICANT'S SIGNATURE (`� DATE Inspectors use only Date on initial inspection: �, _ Date of reinspection: Date of issuance of certificate:8 2-01iC Date fee paid: Type of unit: Dwelling—Z—Other Check# 0000 Check date: �- Notes: IAL .� Co of rcement pector i' r. CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#471-06 DATE ISSUED: 9/21/2006 Property Located at: 12 Pope Street UNIT# B-304 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. FO THE BOARD OF HEALTH �f JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i - �� _�� CITY OF SALEM, MASSACHUSETi'S, ^T+7 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 TEL. 978-741-1800 lwc; FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT__Lj i, 6t l A_Le Z__ j UNIT#_ f IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE rC,�- Lc�s. it�.cc OWNER/LESSER MANAGERI*eEfidi''_�,_ No P.O. Box No P.O.Box �� ADDRESS ADDRESS (JDlG> �p y j CITY CITY�lfw+r Iv1 RESIDENCE PHONE BUSINESS PHONE (24 HRS.}_.9 7b- 7y !J a"3 `J BUSINESS PHONE TOTAL NUMBER OF ROOMS:-OMSJ- ROOM USE: 1.t 2^r�� 3.�j,7�iroc 4.�j on 5"c r6. 7. 8._. _ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. c APPLICANTS SIGNATURE__ 6L - y &'DATE -1 [i INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '� ,} ( ` & DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:i r3 1 "o b DATE FEE PAID: �_% D''Z TYPE OF UNIT: DWELLI G '_OTHER_ CHECK# C 7 S "I CHECK DATEi� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 EEND City of Salem, Massachusetts n 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, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-275 DATE ISSUED: 9/1/2017 Property Located at: 12 POPE STREET UNIT#13305 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. Cflf.r.r.< _ _ /l Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN f • CITY OF SALEM, ,Ul I SSACHUSE17S BOARD t)F HE.N I.;I'1 t 120 W.ISHINGTON STRFiE r,4f° FLOOR )R Tm— (978)741-1800 KIR BERLE.Y DRISCOLL F,1X{978)745-0343 MAY(')R 1,RAN1xNnsn1.r,m.com 1.,1Ri2Y Rfltifl)!N,12S/R I'.i Iti,t:!IC1,t:P-i'4 I IvArn i A(;RNT 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 OO v PROPERTY LOCATED AT � C%"1X,..�- IA a, " [JNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTOR RACKS PLEASE CIRCLE ONE r/ OWNER/LESSER MANAGER/AGENT '� �t RM NO P.O. BOX {{ (� t{ ADDRESS t 2 0�, l /ry : ADDRESS , CITY, STATE,ZIP N \ � /x, . v �� CITY, STATE,ZIP ( I j RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE r 0� TOTAL NUMBER OF RO ROOM USE: lt-�2/ . 7tj_1 V 11 3. W4+ p 6. 7. 8. 4. 10. THERE IS A FIFTY($50)DOLLAR FEE LE BY CHECK OONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS E�THEHME ECTION APPLICANT'S SIGNATURE DATE 0//! / Insoeetors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: DNvelling—._. Other Check# Check date: Notes: Code Enforcement Inspector CITY OF SALEM, MASS.ACTIUS.E'T rS BOARD of l I -AI.X11 120 W ASr INGFON STRc17I 4"'F]X) >R 'rr,'J,. (978) 741-I80Q h1MI31 RLt?Y I-)RTSCOLL RSA()78)745-0343 MAYOR lrundi i snletn.mm — LARRY RANIDIN,RS/R11 IS,CI R 1,I P-t�S I i;Ai a'i i A<7 ENT CERTIFICATI: OF FITNESS CERTIFICATE#354-11 DATE ISSUED: 9/26/2011 Property Located at: 12 Pope Street UNIT#B•305 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 ti" Minimum Standards of Fitness for Human Habi Cation". 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 Ivith 105 CMR 410,000. Certificate valid for one year from date of issua Ice or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there 15 a valid Certificate of Occupancy, FOR THE BOARD OF HEALTH a LA RY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR � V/ � CITY OF SALEM, MASSACHUSETTS • a BOARDOFHEALTH 120 WASHINGTON STREET',4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREFNEAUM rni SALEM.COM DAvm GREENBAUM, ACTING HE<iLTH 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\ �C�2 �cF SC� evn M A 0) o}�(� UNIT �OS IS THIS UNIT DISIG�I��ATED�AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER VC&IOn 1�C5�J`�NfY MANAGER/AGENT LX1(\[�_ NO P.O.BOX �J ADDRESS ADDRESS CITY, STATE,ZIP CL)G&\Q YYl C ') �YC Ok ( ) CTTY, STATE, ZIP .'05Gt\P m RESIDENCE PHONdq-)R\\. ) ')(4L4- C)SJ-)BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1.�1� P�2.�� 1�f�C\ 3(6�CCJJD14. 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 ATTHETIME OF INSPECTION APPLICANT'S SIGNA In , DATE -QD ' 1 U Inspectors use only Date on initial inspection: Ia�p I ( /r / Date of reinspection: Date of issuance of certificate: / �a t,/ ) Date ee paid: Ia(P /0 Type of unit: DwellingL Other Check W M J�0(77 eck date: Notes: 1�0" ment Inspector ` ,inn "amu -7yb - fw) ��J4 l 4 � ( IMPORTANT MESSAGE + FOR �1 DATE 0'%,2 lk, n TIME P., A M L,\.)�./d OF 57SL';C-� �� ,{1� 1 J PHONE '>5(FAX AREA CODE NUMBER EXTENSION rt OMOBIIF - ') k- -194 - ?H �ka AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TD SEE YOU \ WILL CALL AGAIN WANTS TO SEE YOU .. .. ..RUSH,..,.,....,, .. .., .. ... . .. RETURNED YOUR CALL WILL FAX TO YOU MESSAGE ��5 � It, li'vI W or il�was� Ta )A\� �I SIGNED 0, S 0 FORM 409 MADYYY FOR IN 100 /_ � ,/" 2" +. � ,., l \\ '' '- ', _�- " � _. ,- TRANSMISSION VERIFICATION REPOPT TIME 09/29/2011 23: 02 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATE DIME 09/29 23:01 FA;; NO./NAME 919787445616 DURATION 00: 00: 40 PAGE(S) 04 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS ' BOARD OF HF-ALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 IUNIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DCREENBAUMaSALEM.COA( D.4vID GREUNBAUM,RS ACTING Hl,'AL'n 1 AGRNI' CERTIFICATE OF FITNESS CERTIFICATE #452-10 DATE ISSUED: 9/16/2010 Property Located at: 12 Pope Street UNIT# B-306 Owner/Agent: Salem Heights Apartments Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH kGRI DALA , RS ACTING HEALTH AGENT CODE ENFC MENT INSPECTOR J CITY OF SALEM, MASS•USETTS q65 /" BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMnSI�T�1i.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 IZ Pbae Ste— t -Salam mn PROPERTY LOCATED AT C(I 10 n--) Hf inM Rffic (--)IQ-70 UNIT# IS THIS UNIT DISIGNATED AS RIGHd T EFT FRONT OR BACK,PLEASE CIRCLE ONE ` OWNER/LESSERSWO m (4e lq r)tK PgIMMANAGER/AGENT )Cf(n f?. CW M Q t7'.I of 1 NO P.O.BOX1 � (�(��,(� / ADDRESS-Icy-�V� D (Ztco of _7(A�DDRESS CITY, STATE, ZIP r(r'� Mq P- G[q I�J7i'Y, STATE, ZIP RESIDENCE PHONE _`-ty V: ( BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: n __ ,[U n�/ ROOMUSE: 1. 2.1'X{i(aM3.(IdnQ 4. _ �`7i-R_tFI-t 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 FEEIS PAYABLE ATIM .THE TIME OF INSPECTION / APPLICANT'S SIGNATURE Ko t doh t'A'01 a / DATE D Inspectors use onlv Date on initial inspection: �/��/ i Date of reinspection: Date of issuance of certificate: q Date fee paid: C/ b Type of unit: Dwelling[-,-,'Other Check# Check date: X111 r0% Notes: I GCIL on WI(id(%/ f �) Code of Lnt Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRF.FNBAUM0.SAI.F.M.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 P said inspection. /= l©ao� Tenan essee Owner/Lessor Address 1 Address 1�0 Address on unit to be inspected Ic Daie D City of Salem, Massachusetts Board of Health Uj 120 Washington Street, 4th Floor, Salem, PublicHealth 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-15-289 DATE ISSUED: 9/15/2015 Property Located at: 12 POPE STREET UNIT#B307 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 S ITARIAN A. (',I'1'Y C)F ;i,1l,Fs'M, MA5S(1(,>-1 US.C,;l I'S o f j i3(inl:nojr111=;\[ 111 t20 V7.\Sl um;1 U\ Sno:i.I' 4 '' I•Lttt�(? 'fibi . (1)78)74t-1800 hl,l!81 IZI.1.Y UItIS{ t)LL p\s(97 0,)745-0343 I\Lwolt ural w(i:>v 1.>I-!`CIAd ( \v,r Oit 1\\1 , SI'^IOR S\NIT,\Rl \N Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �} p FEE: $50.00 PROPERTY LOCATED AT ! /� 7 G� > � i yV�" " UNIT#__ t% 1 '11is UNIT DISIGNNTFI)AS RIGIIT LEFT FRONT OR BACK,PLEASE C G ONE OWNER/LESSER �� MANAGERIAGENTjL�L. NO P.O. Box ADDRESS lJ�t fie. ADDRESS CITY,STATE, Zip �,J CITY,STATE,ZIP RESIDENCE PHONE( BUSINESS PHONE(24HRS) A 13USINESS PI-ION(% W) T'OT'AL NUMBER O- ROOMS: ROOM USE: 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM 130ARD OF HEALTH ]'HIS FEE IS PABBLE AT TnHE�TIME OF SPECI'ION APPLICANT'S SIGNATURE. P DATE ! Inspectors use oniv Date on initial inspection: 0?11rl2blS Date ofreinspection: Date of issuance of certificate: Date fee paid:4;•t07/2b/2b1.S— Type of unit: Dwelling_ Other —Check 41215LCheck date: Olh-D12o.1S— Notes:�,t, q-mow w;» W �oG� ju,Jc 4,9 da ✓'e—o�J, 41d_ . n1' cement In ctor zr City of Salem, Massachusetts Board of Health 9 120 Washington Street, 4th Floor, Salem, F1H@alth 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-17-109 DATE ISSUED: 4/4/2017 Property Located at: 12 POPE STREET UNIT#6308 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN C r r CITY OF SALEM, MASSACHUSETTS b' BOARD OF HE U TH 120 W:1$HINGTON STREET,4"'FLOOR - KIMBERLFY DRISCOLL FAA(978) 745-0.343 MAYOR , JAZ AMD]N(@,SAI,l W,CONI I.MM'JUNWlN RS/11 N fS,01(),CI)-P\ ldl+„\1;1'11 iC<�ISN'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 � fi )P-< , UNIT#—&�p Is 711�D IGNATE AS RIGHT LEFT FRONT OR BACK PLEASE C CLE ONE OWNERILESSER MANAGER/AGENT NO P.O.BOX i cd- ADDRESS ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP I RESIDENCE PHONE 1 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 6. 7. 9. 9. 10. THERE IS A FIFTY($50)DOLLAR F AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAVABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE v DATE Inspectors use only Date on initial inspection: I q 1�+ Date of reinspection: Date of issuance of certificate: LA I L4 1 1-4— Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enfo*-CInspector ' JOS k rig CI1"I' OF SALEM MASSACHUSETTS yeti BOARD OF HE.1,LTH IV 120 WASHINGTON STREET 4...FLOOR PublicHeaI'th fF.L. (978) 741-1800 FAX(978) 745-0343 KIM13ERLEY DRISCOLL Itatndin tnisalem.cotn - L.\12121'R;WroIN,R�/Itl:i-is,c:i lo,c:r-ins MAYOR Hi. i:fi-I ACFNT CERTIFICATE OF FITNESS CERTIFICATE#208-12 DATE ISSUED: 5/21/2012 Property Located at: 12 Pope Street UNIT# B-308 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem 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 HEADILENT SANITARIAN C.:ITY OF SALEM, MASSACHUSETTS BOARD op HL'AI TI 12:0 W,ISHINGTON STRL,EI' 4'"llwoR T'AL. (978)741-28(X) KIMBERI,EY DRISCOI.,L FAx (978) 745-0343 IVLIYOR I,1(mta) en'LuT, opt LARRY RANMIN,IZS/KI'?I N,010,(T-16 1-I v,A):ri I AG I,,NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR IJ MAN HABITATION" tt FEE: $50.00 PROPERTY LOCATED AT 4 Pc - l \A fn t I l0 V) I-� til I1N1'I'# elffix IS THIS UNIT DIS16NNA,TED\ASS,RIGHT LEFT FRONT OR BACK,PLEASE CIRCLF.ONF. � �^ OWNER LESSER -� -�S YYI '�Y l ` l MANAGER/ACJENT ADDRESS k� �C i ADDRESS 1t � 1�1C9 (4 CITY, STATE,zw`: ofn �P O) `1-70 CITY, STATE,ZIPS O M OV OH70 RESIDF,NCE PHONF�+I//��i1 ')(44 OST) BUSINESS PHONE(24IIRS) -7'-K ")-4I A 0537 BUSINESSPHONE` " R I '4-A 0531 2 TOTAL NUMBER OF ROOMS: in r\ ROOMUSE: r}��Yv1 2. �C 3.Y 11If- - l � . b. 7. 8. 9. 10. THERE IS A FIF'T'Y($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER'T'O THE CITY Of SALEM BOARD OF HEALTH THIS FEET AYABLEATIHETIMEOFINSPECTION 1 APPLICANT'S SIGNATURL ll . v� j�Q`�'l DATE t ' � Inspectors use only Date on initial 'inspection: � "2-1 12 Date of reinspection: Date of issuance of certificate: Date fee paid: <^ 7,)- a Type of unit: Dwelling_\./ _Other Check# 3 6"L Check date: Notes: 1 ode Enforc tentInspecto-r CITY OF SALEM, MASSACHUSETTS ' • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IMANC IN10,SALES M.COM JANET MANCINI ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#67-09 DATE ISSUED:2/3/2009 Property Located at: 12 Pope Street UNIT#B-309 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 ANET MANCINI ACTING HEALTH AGENT ACODEN ORCEMENT I PECTOR I CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR miONNE(a)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." i FEE: $50.00 PROPERTY LOCATED AT 1 POII7e-17SF Jam'I p.M 11 C�IC(1(_1 UNIT4 IS THIS UNIT 131SIG1+IATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE WNER/LESSER _ `` O c �2 1'1�C` -�-� MANAGER/AGENT 1 NO P.O.BOX ADDRESS I Z �o�e S� ADDRESS CITY, STATE,ZIP � �e/1 MPc C'ACi-lC�CITY,STATE,•ZIP RESIDENCE PHONE BUSINESS PHONE.(24HRS) BUSINESS PHONE—q] '6- -1 LA lA--OV, �Z TOTAL NUMBER OF ROOMS: U ROOM USE: 1. �; tir 2. k_ AAWN- Rioc9 fbDM4. [' fO m 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT/THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ (" / �-'/� DATE Y Inspectors use onlv Date on initial inspection: 2-'3 o g Date of reinspection: Date of issuance of certificate: Z Z • a Date fee paid: Z 3 o g Type of unit: Dwelling Other Check# 1 S I g '1116 Check date: Z 0 9 Notes: tk (JoM Enforcement lnsp�b t r CITY OF SALEM, MASSACHUSETTS Boum OI:I I i-;\viii 13U ltiAsi nNc,r.�� SrRL e'1,4„�Ft.uc.�R Ti-,i- (978)741-1800 VdNIBERZE DRISC:CtLL FAX;9,8;743-0343 L\L11'OR uuIuNu(a"SAIHM COM IANc'rDIONNb:, SI;NIOR SANITARIAN 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. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of I lealth and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. C' O M S Tenant/Lessee OwnerlLessor , 10nA 6t � Address Address Cfi � f"-01 Cc C� Add ss unit to be inspected Date 1 Dom" d City of Salem, Massachusetts 1 # V Board of Health 120 Washington Street, 4th Floor, Salem, PuGHeAlth Prevent. Promote. PIOIfiL MA 01970 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-17-174 DATE ISSUED: 611612017 Property Located at: 12 POPE STREET UNIT#B310 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street CitytTown: 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 6 years of age. a Larry Ramdin, MPH, REHS, CHO SANITARIA HEALTH AGENT 1 CITY OF SALEM, KASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4.°FLOOR - KTNIBERI-,EY DRISCULI, FAX(978) 745-034.3 MAYOR wmlNla7s�l.i,4t.ront L,\ItRY lt,\NII)IN,1tS/RI{I IS,(;I I(),CI'-I+S J-11 mi xf I /\(;[;;N,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 PDO -e PROPERTY LOCATED AT S � UNIT# IS THIS U T DISIGNAT (1S RIGHT'LEFT FRONT'OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 0 & I MANAGER/AGENT ✓—"" ' `6� NO P.O.BOX ADDRESS / 2 � �7 ADDRESS I CITY, STATE,ZIP _ CITY, STATE,ZIP / lY✓ RESIDENCE PHONE i BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER--//OF ROOMS: ( "� 4hat�-4. ROOM USE: 1.04 2. i�eew3. �c�� 5, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, ABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA LE T THE TIME OF CTION 2 f y APPLICANT'S SIGNATURE DATE Inmectors use only Date on initial inspection: S730/2tl7 Date of reinspection: r Date of issuance of certificate:5l3n/2a7 Date fee paid:641 C/m 7 Type of unit: Dwelling 1/ Other Check# 000 Check date: Notes: w w 1 l7 W0.(�ih �ol/vtn DH Cod &ceA7sper/' r • CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH - 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR IuIi N13AUMONAla.af.c0at DAVID GRuF,,NBAUNf ACTING HuAisl l AGENT CERTIFICATE OF FITNESS CERTIFICATE#348-10 DATE ISSUED: 7/27/2010 Property Located at: 12 Pope Street UNIT#B-310 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 130,A�13D OF HEALTH AU'�:� \ 1 DAVID GREENBAUM �1. ACTING HEALTH AGENT CODE ENFOR 4&ZPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRFF.NRATIMnSALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE//: x$1150.00 q A 'k \�p� PROPERTY LOCATED AT \ Sl�! QQ f \ V ��l LLJ UNIT# O IS THIS UNIT D1SDIGNnTED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERNO P.O.BO ` ), 1� SANAGER/AGENTfJKV _f n\r OCk I Gi ADDRESS ADDRESSi )_ f)CV-JL St-rQ�,.( - (��]�^ CITY, STATE,ZIP �� CITY, STATE, ZIP 1 1 c�I "1 6 li RESIDENCE PHONE BUSINESS PHONE(24HRS) mg �- BUSINESS PHONE / TOTAL NUMBER O,�FIROOMS: / /X7s1 ROOM USE: I / ftm 2. / 3 1 UW X74 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 laM / InJl DATE l • /7 T'' vr, InsDectors use only Date on initial inspection: 7k-7/0, Date of reinspection: Date of issuance of certificate: -7/g--7//6 Date fee paid: 7la-�Il ig Type of unit: Dwelling Other Check# O)Checkdate: 7Ia LP)/0 Notes: (100(1 t2 an Shaun!' Auded- Code Enforcement Inspector CON ra City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PU Prevent. Prometh MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-388 DATE ISSUED: 10/7/2016 Property Located at: 12 POPE STREET UNIT#8311 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. -'8� YeYB jVW-:j* / Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CY1'Y Oi{ SAI.,EM, . ASSA(.,HUSt?'1"I"S � J h B(-)Allo Ol-I II?A1:11t S't'1i1±.1::14,.. FLO(IR--- \\\ rl;�,. (978) 741-lsoo KJAMERLLY DRISCOLL F,\\ (979)745-0343 i4IAY0R MONNe&)s U r,u.CO�t I AN c'r l)x�NNt_, 51(Nlf)R SANl'I'MOAN Application for Certificate of Fitness IN ACCORDANCE WITH STA'L'E SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.7,0/0,} PROPERTY LOCATED AT � ''ter ` UNIT# � 3/1 IS THI"UNIT D SIGN TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIR E ONE OWNER/L[ SSER l.r0ole_- MANAGERI AGENT NO P.O.BOX /ADDRESS ( fS, ADDRESS CITY,STATE,ZIPLv1�Y r +�' J CITY,STATE, ZIP t r RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TO'T'AL NUMBER OFROOMS: 1�/Q ROOM USE: 1. 6 fI� 2. 3. 4. h 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP AB;E�fAfT THE'AIME OF NSPECTION APPLICANT'S SIGNATURE. J t" � DATE t OV ,/'� Inspectors use only Date on initial inspection:-O (L� F +j1Fi Date of reinspection: Date of issuance of certificate:f) Date fee paid: -� Type of unit: Dwelling_Z70ther Check#0000 - Check date: Notes: *dfo ment Inspe or I CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#347-07 DATE ISSUED: 7/27/2007 Property Located at: 12 Pope Street UNIT#B-313 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of^Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARDOF HEALTH 120 WASHINGTON STREET, 4TH FLOOR (Q* SALEM, MA 01970 a>� TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIO '. PROPERTY LOCATED AT_ / �°�� f _UNIT k�/3 is11��r� V fi9�e/!1 p JFr IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT AC LEASE IIR'C A ONE OWNER/LESSER- �� L/�tc .�MANAGERfAGENT`` r� �� No P.O. Box U No P.O. Box ADDRESS f DP z5'-,�'-- ADDRESS CITY CITY �7�} RESIDENCE PHONE BUSINESS PHONE BUSINESS PHONE TOTAL NUMBER OF ROOMS:_- _ ROOM USE: 1 _"2 4j14;�}_4� 4 5 6. 7. 8, THERE IS A TWENTY-FIVE($25.00) D LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. —7 APPLICANTS SIGNATU E _- DATE SPECTORS USE ONLY DATE OF INITIAL INSPECTION '"/ 19ZATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE z 7 DATE FEE PAID: �� 7 TYPE OF UNIT: DWELLING _ OTHER_"—_ CHECK #_4;5 � b_ CHECK DATE —�;- 7--z) NOTES: --—_--- CODE ENFORCEMENT INSPECTOR 9/28/98 i CITY OF SALEM, MASSACHUSETTS BOARD OF HE-\I.TH 12()WASHINGTON STREET,4��1 FLOOR P!l�111C1�C8�th (YPVEnt,i`rnm4tR.P[4ISC1 'FEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdioasalem.com � In\Rit\ Rditi1U1N,RS REGIS,CI IU,CPI S MAYOR I-h i,\1:T11 t\GP,N'I' CERTIFICATE OF FITNESS CERTIFICATE#320-13 DATE ISSUED:9/11/2013 Property Located at: 12 Pope Street UNIT# B-314 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 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. iE HEALTH 4M-6(sk- HEALTH AGENT SANITARIAN 110ARD OV HU.Al;l'if 1210 (1°`FIX)OR Ta. ({ 78)741-1800 DIUSCOL), J--' x(978)745-0343 NIAVOlk L UANDIr1@1 AIRRYRANI MN,RS/RVII IS,(:11(), Application for Cca-lificate ofFititess IN ACCORDANCE WITH SJ'ATI' SANITARY CODE, CHAT TI31t 11, 105 CUR 410.000 "MiNIMUM STANDARDS OFUJTNII.iSS f OR HUMAN HATIITA'Clow FEF'�_,�jQ,QQ WPF,RTY LOCAJ 1',J) UNITH LEFT I'VONT EASM CIRCLE ONY MAN AGER/AGEN't il'o BOX 'SS ADDRE TY, STATC, ZI ll� k- TATE', ZIP, -'S I DENC 11 1'[1 ON I BlUaNUSS NIONE(241-IRS) JS!NESN )'I+Af,NUM 1,1UR OY KOOTvlS t — A).Jk-Z JURE' lSAFLIFTY ($50) W)I-L \R) F ISblit; IS PAYABLE ATTHETINEOF INSP1,CTION 'PUCANT'S SIGNkilitR. tllsjLcaors use unly l!c on willal I(c ofissollwe ol,'xrlij lcajc: T Date fec ,I)COrmid: Acs: ------------ Ac I-m --[nspcctor-C, SND City of Salem, Massachusetts10 lugBoard of Health th { • y �� 120 Washington Street, 4th Floor, Salem,MA 01970 Prevent, Promote. 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-16.477 DATE ISSUED: 12/1/2016 Property Located at: 12 POPE STREET UNIT#6315 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 s C,i'i'Y (7F SALEM, MASti11(.'HIJSl�i"i"S n _ p BOAIMOUIIRA1:1H 120 WASJ[ING FON tiTRLE 14"'F1,061t':'. '1'IU,. (978) 741-1800 K1iMBF:RLEY DRISCOLL F:\X()78)7'15-0.343 � f\LkYOR IDIONNI 6N it lrnt_CONI 4 SI.N1011 SANITARIAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER L 1, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $550.00 PROPER I'Y LOCATED AT t e �0�� ^� ltd ✓�` . SUNIT# IS THIS UNI I IGNATED At RIGHT LEFT FRONT OR BACK,PLEASE 9 ONE OWNER/LESSER MANAGERI AGENT NO P.O.BOX �, �� ADDRESS 0 S � ADDRESS CITY,STATE,ZIP �-^' � //' �"{- A CITY,S1 ATE, ZIP f RESIDENCE PHONE - BUSINESS PHONE(24HRS) / BUSINESS PHONE TOTAL NUMBER O?K ROOMS: / J ROOMUSE: 1. t/v \ 2. &WJ "�3. IC" J 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLARF AYABLE BY CHECK MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS AY BL T`CHE'fIME INSPECTION j APPLICANT'S SIGNATURE DATE 12 - L9j (� Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 4l l 5 , 1 Wlv Q Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: ,\V� (V mx-3� ( ,,)w)( (')1 A-) FpY R P 6"-, �Y -k , cA hUvQ. C --knA aj- rw in tfx_ Chi 1v--Rosh Code E forcement Inspector �I I CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4'r FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DG RE ENR AIJYIQSAT M.ConI DAVID GREI NBAUM ACTING HEALn-I AGI:,NT CERTIFICATE OF FITNESS CERTIFICATE#191-10 DATE ISSUED: 4/26/2010 Property Located at: 12 Pope Street UNIT#B-401 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/Roaming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE �'BOARD OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE F 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 DGRRF,NBAUMOSALFM.COM DAvID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: 1$50.00 1 PROPERTY LOCATED AT C� 1 �1� J I ; �? I-9fYn W),k ()ICI'-7( )r _UNTT##14 I IS THIS UNIT ISIG ATE AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER t I PYV\ MANAGER/AGENT t 'n'i O E? O&CO/C<, NO P.O.BOXJ � c-�,.��-,,, ADDRESS , ac v ADDRESS ell CITY, STATE, ZIP >1 (:)Vq-7C CITY, STATE, ZIP ��f 7 RESIDENCE PHONE BUSINESS PHONE(24HRS) 178 IUo ` as`l-7 BUSINESS PHONEI TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.V%\\ 2A V?lYlj0-1-QjAfi�0K 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 F. IS EEE IS PAYABLE AT TIME OF INSPECTION APPLICANT'S SIGNATURE �l�—�' . DATE_4ba/ ® IInspectors use only Date on initial inspection: /,I I C� (.P//6 Date of reinspection: Date of issuance of certificate: U'ai l-P b 0 Date fee paid: la 1 0 Type of unit: Dwelling her Check# F 0 Check date: L''�� Notes: lung dow,,l ho+ wa4-t/ 11-4CheP (AJO30W H) 10(:t- Code E rcement Inspector I . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR PI1bi1CC81 h TEL. (978) 741-1800 FAX(978) 745-0343 ICMBERLEY DRISCOLL Iramdinnsalem.com LARRY ILAbIlJIN,RS/RP,I IS,ChIO,CP-PS MAYOR HI'.AI,fH AGI SNT CERTIFICATE OF FITNESS CERTIFICATE#415-13 DATE ISSUED: 11/25/2013 Property Located at: 12 Pope Street UNIT#B-402 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 11"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAffiORAMDIN HEALTH AGENT SANITARIAN Cl'.I.'y OF SA-]-.I--I'.M, MASSACHUSE".1 BOARD OF HUM.N11' 120 WASHING 1 ON SPREE I',d... F1.0 1K TL.,L. (978) 741-1800 (978) 745-0343 MAYOR HIRAKIL)INC01�ALLNI QQS d 11 AGI-.N I Applicaflon for Certificate offittaess W ACCOIZI)ANC13WIT.1-1 S'rATf-` SANITARY CODE, CHAPTEER 11, 105 (WR 410 000 "MINIMUM STANDARDS OF FITNUSS 17OR I-JUMAN HABITATION" FFE: �'L50.00 ROPERTY LOCA H-.0 AT UN I CII_��Ocl T'�.�irTIGTWLAJ r FRONTOPtACK,PLEASE CIRCLE,ONE' I I is u N I 1'1)18 1� ) MANAGER/AGENT. Dlloil 0 BOX ITY, STATE,, ZIP Sek- l 44 I-ISIDENC11', PHONF PRONE 0 DFALNUJA1313R Oji DOM USI--": 1. Z 41 t('121 2, 3 ACAN PS 113 'PL D A:['I -Irlspcuors LISC 0111Y [[coil illilial inspeciJon Datc of Ile Check fl-cIKcb+--Chcck chtc:---- A:OVat do '110 lcjIl Tjlst)cG(.oI i CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH 120 WASHINGTON STREET,4'i FLOOR TEL. (978) 741-1800 ICMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR TDIONNE0SAr.FM.CONI JANET'DIONNE ACTING HEALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#467-08 DATE ISSUED: 9/23/2008 Property Located at: 12 Pope Street UNIT#B-403 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F4NDIONNE E BOAR OF HEALTH J I / ACTING HEALTH AGENT CODE ENFORCEMENT SPECTOR lip. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 17 ,Cf->°(DP_ z, UNIT#-6-LIG3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER �M �P/)r /A 'h*S MANAGERGENT\ ,A L61.)i Q,lQ No P.O. Bo No P.O. Box ADDRESS c_ q9-Q_ ADDRESS CITY l 01-V1 ✓ ->A CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 91 t V, TOTAL NUMBER OF ROOMS: LI ROOM USE: 1. y neAWm 5. —6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _I?� L1lif'LD 1 __DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION R-LN .a8 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 1-23.0& DATE FEE PAID: q,7_S�nZ S'_ TYPE OF UNIT DWELLING' OTHER__ CHECK #-I ( -CHECK DATE 7 -1Y!7+ NOTES: Ac ODE E ORCEM T INSPECTOR 9/28/98 +�a CITY OF SALEM MASSACHUSETTS BOARD OF HFALTI-I lu 120 WASHINGTON STREET,4.°FLOOR PnblicHeaith ,ruL. (978) 741-1800 FAR(978) 745-0343 KIMBERLEY DRISCOLL kamdina.salem.com - L,\RRl'R,\6IDIN,RS/RFI-IS,CI 10,C1145 MAYOR HIS,\uri i AG ISN'r CERTIFICATE OF FITNESS CERTIFICATE# 122-12 DATE ISSUED: 3/28/2012 Property Located at: 12 Pope Street UNIT# B-404 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 4AI -)„LAR Y RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS OF HEALTH � peO— BOARD 120 WASHINGTON STREET,4°1 FLOOR 'I7�L. (978) 741-1800 KITVIBERLEY DRISCOLL FAX(978)745-0343 1V mit I.1(AM1)rNnsA].F:w.00NI LARRY RAMI)IN, RF/RHI IS,CI 10,03-1'S ITI;:U;I'll AGIiNT cry 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 IQ P000 5� `a\P( 1 '"n Q C)19 7 UNIT# qc),4 IS THIS UNIT DISIGNATED�AS�RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERC.rA i vY\ 1 A P 1��iC"1 MANAGER/AGENT NOP.O. BOX i (� ADDRESS IA v IF-(DP C4 ADDRESS -)On \� CITY, STATE, ZIP-5aU l ��i _ � /7�y ITY, STATE,ZIP 4::�e.-An Incl fnQ C7 f::�7o RESIDENCE PHONE g7 5� -)'4y oS 3-� BUSINESS PHONE(24HRS) q O y L{ d S 3-7 BUSINESS PHONE S Cn TOTAL NUMBER OFROOMS: 1 _� ROOM USE: 1.Vj1`11 1A0.A 2.X00&0-013Ll WCIY A 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 SIGNATUR�t" � -0- (- /1 DATE Insoectora use onlv Date on initial inspection: 3 2 11 Date of reinspection: Date of issuance of certificate: 3 2d ' /`L Date fee paid: Type of unit: Dwelling ✓ Other Check# Check date: Notes: e Enforcement Inspector TRANSMISSION! VERIFICATION REPORT TIME 04104!2012 03: 41 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 04104 03:41 FAX NO./NAME 919767445616 DURATION 00: 00: 18 PAGE(S) 01 RESULT OK MODE STANDARD ECM City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHC81th 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-16138 DATE ISSUED: 5/3/2016 Property Located at: 12 POPE STREET UNIT#8405 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH O� 2vw Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, NUI sSACRILJRE"1"1"S � ?» Bo.wt)orHu,v:ru 130W.\stnucroNS'1'1a,:r:r 4"' 1'Loou '15.1.. (978)741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 I\'IAYCIR D10NNEOSALEM.COM JANi 1'DIONNk, ' t'9.. Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." l a FEE: $$5'j0.00 PROPERTY LOCATED AT POP10- i �IT# 6 HIS UJV1T�iSIGNATED A�I2IGIPI'LETT'FRONT OR BACK,PLEAS OWNER/LESSER MANAGER AGENT c/ NO P.O.BOX ADDRESS �1 v ADDRESS I CITY, STATE,ZIP CITY, STATE, ZIP I / RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 2 TOTAL NUMBER OF ROOMS: `s 11 M � JkL&l tew� ROOM USE: I d4"/d I 2. I ' " 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 1 AY BLE AT THE TIME OF IN SP TION ` I APPLICANT'S SIGNATURE `� DATE c– v lnsoectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate:tO'112144.16 Date fee paid: 1a l–�— Type of unit: Dwelling-A�—Other Check 47M Check date: 0712012t).%5– Notes: `/12-0/20.%5Notes: u o D orcem Inspector j1 \ ID P � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR PabliOHealth Prevent.Promote.Protert TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL tramdin(a),salem.com Le\RR\'RAMDIN,RS/RI.TIS,CI-10,CP-FS MAYOR HFAUrHAGINT CERTIFICATE OF FITNESS CERTIFICATE#471-12 DATE ISSUED: 12/26/2012 Property Located at: 12 Pope Street UNIT# B-406 Owner/Agent: Preservation Housing 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 LA MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS B()AItD()[�I-I13,\LTH �'��Mmuzao 120 WASHINGTON STREET,4""FLOOR ITEL. (978) 741-1800 /) 1 CSMBL1u.1 Y DRISCOLL FAX(978)745-0343 I MAYOR 1 AANn>fNnS v.hN1 come L,\RRY RANIDIN,RS/RHI IS,C1 10,CP-FS HF,;\i;n r AGr.N r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �x//�� FEE: $50.00 PROPERTY LOCATED AT vc e � �q4tO Q /J UNIT# `) yDS� /l IS THIS UNIT DISIGNATED AS RIGH EFT FRONT OR ACK,PLEASE CIRCLE ONE OWNER/LESSER M4� 5;^"a/ MANAGER/AGENT V x-00 c- NO P.O. BOX // � ADDRESS /�(J ADDRESS-/-2 Y1p cS�. ADDRESS CITY, STATE, ZIP lQ J l 970 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 9'7t�' 7y�``—//� �c�/ TOTAL NUMBER OF ROOMS: 7 ROOM USE: 1.L�/ K//In 2. 4 r 3. 6b RM 4. a M 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION /r APPLICANT'S SIGNATURI /JIYj- "J. fC� - DATE 1.2h6l/�- Inspectors use onlv Date on initial inspection: '/�( ��Ci Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#—Check date: Notes: Code E r�ement Inspector TR.AIISMISSION VERIFICATION REPORT TIME 01/03/2013 20: 15 NAME FW: 9787450343 TEL 9787411800 SER. 0 000BON341991 DATE,TIME 01103 20: 14 FAX NO./NAME 919787445616 DURATION 00: 00: 20 PAGE�Sk 01 RESULT 04; MOLE STANDARD ECM CITY OF SALEM, MASSACHUSETTS l f BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGItli]:NR,%UM([7SAI.ISNt.COM DAVID GREENBAUM ACTING HuAL.TH AGLNT CERTIFICATE OF FITNESS CERTIFICATE#423-09 DATE ISSUED: 8/27/2009 Property Located at: 12 Pope Street UNIT# B-407 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 DAVIID"G�REENBAUM ;G ACTING HEALTH AGENT C�OJ"� �NFORC T INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR nxONNrns mm.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." ` CFEE $50.00 PROPERTY LOCATED AT ,k ' �J(-\em . ` )A nm o UNIT# (57 IS THIS UNIT D SIC TED AS—RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER `1�i�(Y� -�f�In� \ MANAGER/AGENT -Aecnl �Akk)lC I` NO P.O.BOX \ 1 ADDRESS 1�J c��_�C" �T / ADDRESS CITY, STATE, ZIP �Zl._�P M MPC (��Ct -) CITY, STATE,ZIP RESIDENCE PHONE � `` �7BUSINESS PHONE(24HRS) / BUSINESS PHONE b, O IL4q "O�� 1 TOTAL NUMBER OF ROOMS: ROOM USE: 1_\\//! ��C\-C(12.L,v�mrm L_�dr rc�MS. 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'SSIGNA _ .,.,.,. _ DATE--27]l�,l . In use only Date on initial inspection: �'a� I� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: &'S(Ao. U11 Iji1 GA-a Qyt2 (642d-:h I Dc ilia f4-�v . Cod _ orcement Inspector BOND ,� City of Salem, Massachusetts 9 Board of Health " 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 PlEYI.t. Pr...M 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-15-213 DATE ISSUED: 8/5/2015 Property Located at: 12 POPE STREET UNIT#B408 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street Cit /Town: Salem MA Zi Code: 01970 24 Hour Phone:(978) 7440537 Y P 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,-A4LA,-, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANT RIAN CITY (')F S;- LF, sN-t, MASSACHLS.I-�'TTS tt _ fry �� 1211 l\' 1S{U v(;f<JV S'i'lilCli i' -41p E'Lt x)R 't'I(1. (978) 741-I800 hl\1131'.121.1'.1' l)KI�,(:(.)LL P\a 9Ni)74S-0343 SI'N(1R S\NI I':1RI.\iv Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FF.Ep: S50.0�0D PROPERTY LOCATED AT / Y 3- 5�- UNIT#__ IS ISS UNIT IN 'IG AT✓)AS RIGI IT LEFT FRONT OR(TACK,PLEASE 0E,ONE, OWNER/LESSER ✓ t MANAGER/AGENTNO 11.0.BOX �� ADDRESS pope-_ gds" e ADDRESS CITY,SPATE, ZIP ( ' . '- 'V CITY,STATE, ZIP RESIDENCE PHONE, BUSINESS PI-IONE(24FIRS) - C! 13USINESS PHONE -/ I Vf— Of TOTAL NUMBEROFpROO MS: L� (.)` i f V�2. Gl c.(i!t"o" /��d`Cl o�✓ ate_ Roots use: 6. T $. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLF. BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TFIIS FEE IS PAYAB AT THE TIME OF INSPECTION r.— APPLICANT'S SIGNATURE claflt L4% s DATE InSPCCtorS use only Date on initial inspection: o9loVIDI-s— Date of reinspection: Date of issuance of certiticate:/ovoq/�-Ois Date fee paid:D?7f0 12.01-5 Type of unit: Dwelling_v/—Other Check#_�M Check Notes: av ' Co� orc ent Inspe' ar k i ` CITY OF SAL.EItiI, MASSAC:HUSE'l-I'S 130 WASHINGTON STREm 4...1 I.O(IR KINBIEW,EY DRISCOLL TF--L. (978) 7411800 N.�Z (978) 745 0343 MAYOR t)R Iramcli n(a)salcin.com LIRRI'RANIDIN, RS/1z IS,(;I I(1,CP-PS - HEAL['II AGI;:\r CERTIFICATE OF FITNESS CERTIFICATE#460-11 DATE ISSUED: 1117/2011 Property Located at: 12 Pope Street UNIT#B-409 Owner/Agent: Salem Heights Address: 12 Pope Street CitytTown: 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 LAR RAMDIN HEALTH AGENT CODE EFtl ?)RCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �� Q BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMnSALEM.COM DAvtD GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT\;:) PnCo Sk- (Y' O7 q-70 UNIT# 4� t IS THIS UNIT DISIIG,NATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE(ONE OWNER/LESSER�OArt&Jnc�,n`1�Y5._1C_k� c1ZKMANAGER/AGENT U1J n( \ ri Hrct5S PF- NO P.O.BOX ADDRESS l a POI5 Ic ADDRESS \a P(-)QC S CITY, STATE, ZIP Sa\Q ren M R OR 70CTI'Y, STATE, ZIP M 0 C-)1 9-7z)RESIDENCE PHONE�� 78) -)L-t4 - 053 7 BUSINESS PHONE(24HRS) (�-7(25 `44 -C7 tS BUSINESS PHONdg1 P) 1 -l�4" -C) 771)-7'�-7 TOTAL NUMBER OF ROOMS: LA ROOM USE: 2. \QaV YV\ 3. K(-�rJ a„ 4. i i t i vice M 5. 6. 7. 8. 9. J 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA . PAXC 01\ DATE\\ C�ii Insnectors use only Date on initial inspection: 0-7/11 Date of reinspection: Date of issuance of certificate: i I h I 1 I Date fee paid: Type of unit: Dwelling L-<ther Check# Check date: yy Notes -4, . Ctcue- ( jn/ in in +1-i CAM _TwwjoW 1/1 lL q-0 IlIr" v Code E rcemen Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith 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-16-79 DATE ISSUED: 3/4/2016 Property Located at: 12 POPE STREET UNIT#B410 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 Ice CITY OF SALEM, M,ISSA( HLiSI TTS Sr i BOARDOViI1 •fill 120 W. I ING RJNS'TRF k 1',1°1 FIX)(N2 Tv1". (978)74I-1800 KE\il3'::UEY DRISCOLL I;Aa(978)745-0343 NIAY OR aIONN Enna SALEM.COM JAN TDIONNE, SISN101i S,WI'1',%MAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN IIABITATION„ ppp FEE: $50.00 PROPERTY LOCATED AT IS`r1IIS UNIT DISIGNA'1'ED AS 111MIT LEFT FRONT Olt BACK,PLEAA CIRCLE ONE OWNEWLE'SSER MANAGER(AGENT NO P.O.13OX ADDRESS ADDRESS CfFY,STA'L'E,ZIP CTTY,STATE, ZIP RESIDENCE PiIONE 13USINESS PHONE(241 IRS) BUSINESS PI-IONS � � ' / 0S TOTAL NUMBER OF ROOMS: ROOM USF: 1.06`/6"21 2. V 3. t/�f`14. ICA AY 6. 7. 8. 9. 10. TI IERE IS A FIFTY ($50) DOLLAR FEE,P YAHLE BY CI IECK OR MONEY ORDER TO'THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA L,JrA�i�THEQ,T,IME OF IN. CTION APPLICAN'T'S SIGNATURP ''v / DATE �7- / Inspectors use onlv Date on initial inspection: �J (�J�[� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling _Other Check It Check date: Notes: loi ofo c ment Inspector ��—�� CITY OF SALEM, MASSA('HUSE37S Bo,kRD OF HEAI:FH IPti�l1lCH�t$ 120 WASHINGTON.STREET,41"FLOOR r.e.rn, rrmmm .r.or« T` i.. (978)741-1800 F,�X(978)745-0343 KIMBERLEY DRISCOLL lraindin(a.salem.com LHRH'RANMIN,RSJRItNS,CI IO'clt-I\ MAYOR HI?A I XI i A(;FNT CERTIFICATE OF FITNESS CERTIFICATE1298-13__ .___—._--.. --..------- -_ DATE ISSUED: 8/27/2013 Property Located at: 12 Pope Street UNIT#B411 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 LAR MDIN HEALTH AGENT SANITARIA I �,I TY 01. SALT_A .[O�RASSAC H U SE TS - ' i3(LAttl)(Ir 1-1le;,\fa'ri 12UWASHINGTON STR-GP;f' 4011'I.00 lR TEL. (978) 741-1800 KINlllLitl,LY DRISCOI.L F,dx(978) 745-0343 MAYOR_ LRA I)IN I�;nl,irnt.(,Al i Q LARRY R,w DIN, RS/R10 IS,CI I(), H kA 1:1'1 I t\G 1\ i-.N \ N I' �1/�Qj Application for Certificate of F iau ess IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PEE: $50.00 PROI'lRTYLOCA-1EDATdo—L&UyC.__ { u_�/`( 15'I'IUSUNE'CD1SlONKI'13nAS➢21CTi _FTI[tONT04t ACIC,I'I,IASDf,CIRCLEiONE' WNLIZ/LGSSLiR/ %P 5 l/ �diet}-1 _ - -- WAGEN'1Y _1 v v01',0 DOX -MANAGE1DDRI3SL - - —ADDRESS -------- - --- l"CY, S'1'A1'E, IlP_L'_ - I" ZESIDENCE PIJONI? _ _ _BUSINESS PTIONE (2411RS)______-_____._ -OTALNUMBER OFROOM S:___ Q nyy� :OOM USE. 1_L 1/ (] 3 4/_9/ X14 1) P M 5. G. 7. ft. 9. 10. :HERE IS A FLFT'Y ($50) DOLLAR FEE, PAYABLP BY CHECK OR MONEY ORDER TOT] 111 CITY OF SALEM iOAI'U) OF IIE ULT I TI-11S 1+EE IS PAYABLE ATTIJETJJVIE OF INSPLCT.tON I (PPLICANI"S SIGNATU[L: DA'fE___ f/(�`� I lusuectors use only late on initial inspection:4113 Dale of reinspection'_--_ atc of issuance oI certif cafe: Datc fec paid:_ ype of unil: DwelhngOlhcfCheck !1 Check date:-- oLes: ode En c eut Inspector coNDITa�J City of Salem, Massachusetts n a 4� Board of Health 120 Washington Street, 4th Floor, Salem, Pub&Eleakh MA 01970 Prevent.P,....(e. P.nteet 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-17-240 DATE ISSUED: 8/10/2017 Property Located at: 12 POPE STREET UNIT#13412 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i , CITY CII'' SALEM, MASSACHUS.LETfS ' BOARD OF HFALI11 12:0 WASHINGTON:URI:EI 4... FLOOR TEL.. (°178)741-15300 KIMBIML.,EY DRISCOLL 1^,\t O78)745-0343 MAYOR I UIN I Nn,nt.i.,4t.c,c Nc L A1111Y 3WIDIN,RSf RIA IS,(:I 10,(;P-I's 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 PROPERTY LOCATED AT I A 1/)�" � r t �,;2/ UNIT# ISTU 41T�DIISIIGGNATED AS RIGHT LEVT FRONT OR BACK,PLEASE C LE�ONEI OWNER/LESSF3t r uT MANAGER/AGENT NO P.O. BOX �J� ADDRESS 12- 9l ADDRESS t CITY, STATE,IIP �S'c , - , 1� !v- CITY, STATE,ZIP_ ' `" C J RESIDENCE PITONE / , / �BUSINESS PHONE(24HRS) BUSINESS PHONE {"/ R`-�) ] - e / TOTAL NUMBER OF ROOMS: � 466 "` ROOM USE: L 2. 3, 4, PIJ6 5. 6. 7. 8. 4. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHE.Cy OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THLS FEE IS PSI E AT'CIIE TIM ' It INSPECTION J APPLICANT'S SIGNATURE (i�` 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 u u? CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR FP-1 c ealth TEL. (978) 741-1800 FAX(978) 745-0343 KTMB RI.HYDRISCOLL kanidinl7.salem.com 1,.V2121R,\NIl)IN,RS/RFI IS,CI10,Cl'-I'S MAYOR HF.V:ni AGi:N r CERTIFICATE OF FITNESS CERTIFICATE #300-12 DATE ISSUED: 7/19/2012 Property Located at: 12 Pope Street UNIT# B-412 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN f` i ' C.ITY C' VSALEM, MASSACHUSL I'TS BOARD or HEAL:11 I z�:O W ASHING'I'ON aTRF?E'r,4"'Fi.o t T EL. (978) 741-1800 KIMBE,R1.EY DRISCOLL FAX(978)745-0343 WOR nn INnsm.wvl.com L UIY RANIDIN,RS/R1419,CI 10,t:'4S 1 IP:A1.17) AGIiNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" pp /� /FEE::�$50.00/� PROPERTY LOCATED AT 1 Q I T V Irl D G 1� l X � ITNIT# C/ IS(T�HjI�S"�UNIT �DISIGNATED AS RIGIJT LERT FRONT R BACK,PLEASE CIRCLE ONE OWNER/LESSER , O A 1 l_ ANAGER/AtG�ENT _W ADDR Box y(} iiy, ADDRESS (� ��/'�LY.ju��L�}� ADDRESS_ l/l U TUU �)))� CITY, STATE,ZIP+�('��j�J/t t/ �/! !/ l{ 1 (��ITY, STA1'E>Za n� RESIDENCE PHONE,"!_ 1� �t-1�rC BUSINESS PHONE(24HRS) BUSINESS PHONE o: lam) TOTAL NUMBF,R OF ROOMS: ROOM USE: .ItJ( _ 7. & 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FaaS PA,YgqABLE AT TH T E OF INSPECTION) APPLICANT'S SIGNATURE�t�1 k _ � �� - DA"T -- oectors use only Date on initial inspection: -i - 1 Z Date of reinspection: Date of issuance of certificate: -1 -1 i N Date fee paid: Type of unit: Dwelling! Other_ Check# Check date: Notes: 41 Code Enforcement Inspector City of Salem, Massachusetts 4 a Board of Health 120 Washington Street, 4th Floor, Salem, Prevent.PubiCProm�HBte AIth MA 01970 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-17-15 DATE ISSUED: 1/19/2017 Property Located at: 12 POPE STREET UNIT#8413 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 CIFIX OF SALEM, MASSACHUSF'TTS Bomm()vI 11tm.xF[ 120WASHLINGTON*oTREE7,4:T KIMBE,RLEY DRISCOLL FAx(978)745-0343 MAYOR 11_)10NNV6JX'ALFNT.q6m JANET DTONINF., SI-NIORSANI['ARIAN Application for Certificate of Fitness:, IN ACCORDANCE WITH STATE SANITARY CODE,.ICHAVTR 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE- $50.00 -7 PROPERTY LOCATED AT UNIT# ISTHISUN ISIGNATEB AS RIGHT LEVr FR OR BACK,PLEASE C"ONE OWNERILESSER /z- MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP. Sol-" CITY;STATE,ZIP RESIDENCE PRONF BUSINESS PHONE(24HRS) BUSINESS PHONE 0 5�3 T TOTAL NUMBER OF ROOMS: 43 t4 ROOM USE., 1 2. 5, 2. 6. 7. S. 9. to. THERE 16 FIFTY($50)DOLLAR FEE;PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD QFHEALTH THIS FEE IS PAYABLErij� E TIME OF INS; ION APPLICW'VS SIGNATURF DATF /h Insivetors 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: 4jLh1&"9 40 144tio. a7 Tn &fs nat aper) n*2)m ode nto�r`cc7ment Inspe I c7o r CqW 1 45 / CITY OF SALEM, MASSACHUSET FS BOARD orF HF U..TH 120 WASHINGTON STRrrT,4"'FLOOR TEI-. (978) 741-1800 KTNIl;LIt1.L:I' llRISCOLI, FAX(978) 745-0343 NLAA OR lxamdin0salem.com LARRY RAMIAN,RS/lil?I IS,(:I 10,CP-ISS HI?,11:1'1 I AGISN"I' CERTIFICATE OF FITNESS CERTIFICATE #318-11 DATE ISSUED: 9/7/2011 Property Located at: 12 Pope Street UNIT# B-413 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM@SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 11 FEE: $50.00 Q�y PROPERTY LOCATED AT � +�/1�QP S l G�O (Yl m A O� I G #C 3 IS THIS UNIT DISIGNAjT_ED AS�RIGHT ��L(EFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERP(e�jaf O�_ 0Yl `I`�.JW�vMANAGER/AGENT l j (nn �� sse r NO P.O.BOX J ADDRESS \r� { �- t , `�_ - - ADDRESS kr-), ��aC SIY�OQ 5 t �1 CITY, STATE, ZIP .(( �l/��J Y17 PTO ��CTIY, STATE, ZIP � �yy i 00� ) -7O RESIDENCE PHONF��-78 �� _ �SJ� BUSINESS PHONE(24HRS) <�:;(-A VTq BUSINESS PHONE 7f)c,V-� TOTAL NUMBER OF ROOMS: ROOM USE: 1.&CMA VI fA 3. ml 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE(EE- L.�'Wl'� PAJ'9:D/-)-Q/-1 DATE y I ' V Inspectors use only Date on initial inspection: cl 111 Date of reinspection: Date of issuance of certificate: Date fee paid: 91-71(1 Type of r t: Dwelling _�Other Check#0e_ geV-765aah&Vdate: -Xl,�; Notes: '1��" whdow) IA III r n€o Code Ercemen Inspector rpNDIT,,� t City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01 970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-336 DATE ISSUED: 10/15/2015 c t . Property Located at: 12 POPE STREET UNIT#6414 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SA44iTARIAN CITY OF SALEM, MASSACHUMSTTS �$ I3r>.�Itucti Iii.:u.ni 120 WAST LING FUN STTI 3:T 4"' FLOO-E I'ia,. (978)7411800 IiIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IT AONNFO)SALEM.COM JANin,DIONNF., SvNI OR S.W I'I'ARIAN r= Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 'EE: $50.00 � _ J p PROPERTY LOCATED AT 1)� -, UNIIOLfl y IS"TrISS U,NIIT DII� @I�I1'SICNATEI)As RIGHT L fRON'r Olt RACK,PLEASE,CIRCLE ONE OWNER - -- - R 6 ! 7 1 MANAGER/AGENT NO P.O. BOX / ADDRESS ADDRESS r✓"� Q ADDRESS t1+t CITY, STA'L'E,ZIP O � �- � - f t � CITY,STA'T'E, ZIP RESIDENCE PHONE// �j 13USSINESS PHONE(241-IRS) BUSINE=SS PHONE I � J ' ! / t(�— u-S-3 7- TOTAL NUMBER O RI ROpOJMS: ROOM USE: I.O� V!' 3. G. 7. 8. 9. 10. TI IERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK O MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYBLE A"1/"�THE TIME O SPECTION /0` APPLICANT'S SIGNATURE �" " d� DA'L'E 1 f Inspectors use onlv Date on initial inspection:_T0/1-y/20t$- Date of reinspection: Date of issuance of certificate: Date fee paid:"-104" Type of unit: Dwelling—�Othcr Check It 7q U Check dke0122.n12AL57 Notes: b� s�nta� ncr� work lSa�rOorr ems. ¢s� kYSYan_Ia-._ _ l. W wt�), Ce , or menu In ector + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 MAYOR FAx(978) 745-0343 Lramdinna salcm.com LARRY RAIIDIN,RS/RIi1 IS,CI IO,CP-FS CERTIFICATE OF FITNESS CERTIFICATE#46-12 DATE ISSUED: 2/8/2012 Property Located at: 12 Pope Street UNIT# B-415 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN / HEALTH AGENT CO ENFORCE SPECTOR �n, S \ � �� U�- a5�`J CITY OF SALEM, MASSACHUSETTS , + R BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR LI iI ✓t / TEL. (978) 741-1800 Y KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRFFNBALJM0.SA1FM.COM DAvm GREENBAum, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT Kni9 UNIT# S-_ IS THIS UNIT DIS GNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER' ike4-n IIA60J S CLOS MANAGER/AGENTL,� inr-� P-OSSe.r NO P.O.BOX ADDRESS Ia �� )O_ \ S� ADDRESS CITY, STATE, ZIP Sr-A-Ve✓v -) fYlPO 0 C -(]CITY, STATE, ZIP�>cc CI n-1 f�14 nl 9 7C7 RESIDENCE PHONE -T-� U 5.3'?BUSINESS PHONE(24HRS) BUSINESS PHONE S� '``--- TOTAL NUMBER OF ROOMS: ROOMUSE: 3. UA-,cem 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 ISS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREJC l_�-v�..r. �/� /fin _ DATEgI2_a- V Inspectors use only Date on initial inspection: Q ho ll a Date of reinspection: , /. Date of issuance of certificate: Date fee paid: /�f!/ Type of unit��Dwttelling Other I Check#1'1-'l VIICVVICheck date: AVI Notes: 1'P1� o4SY(1 rclf2 1'1 x(71 J �0 hve 11.v.nl CICa4. Cment Inspector BOND City of Salem, Massachusetts 1P aw Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent Promote Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-259 DATE ISSUED: 8/28/2015 Property Located at: 12 POPE STREET UNIT#8501 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-� Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT / SANITARI CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL.(978) 741-1800 ICMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDIN((!)SALEM.COM LAR12Y RAMDIN,RS/REHS,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: $50.00 I n PROPERTY LOCATED AT IS TRIS U T DISI A D AS�ZI(GHT LEFT FR09T OR BACK,PLEASE CIRCLE ONCE OWNER/LESSER O MANAGER/AGENT NO P.O.BOX l ADDRESS r D 12,0- ADDRESS I CITY, STATE, ZIP SOt/&Ik /-� "/V CITY,STATE,ZIP I RESIDENCE PHONE �J �J''V� BUSINESS PHONE(24HRS) gi BUSINESS PHONE TOTAL NUMBER O ROOMS: ROOM USE: 1. (/� " 2. 3. 5. 6. ° 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,P YABLE BY C14ECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA BLE AT TITL TIME , INSPECTION APPLICANT'S SIGNATURE A DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate:©VZ7/2.o2�— Date fee paid: 0716 11;-D1 5' � r� -Type of unit: Dwelling �Othcr Check# '7� /2i Check date:0 M01-1201-5 Note- C/d nf�ei In ector CITY OF SALEM, MASSACHUSETTS o ; 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 #617-06 DATE ISSUED: 12/20/2006 Property Located at: 12 Pope Street UNIT# B-502 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 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 H ALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE'ERFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR :'SAL.EM, MAO 1970 TEL. 976-741-1800 FAX 978-745-0343 /,,,, JOANNE SCOTT, MPH, RS, CHO ICmberiey Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT_�� Pe,00e :5L` -QcLI N_- _UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFTR) ONT BACK PLEASE PIRCLE ONE nR/ Lr9 � f�ac2 OWNERILESSER MANAGER/AeEN•T'__��t_�,'-V7 No P.O. Box No P.O.Box ADDRESS ADDRESS 14 per CITY CITY_ -�( ,L,LI — cl ! �6 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / ROOM USE: 1.1 LLs�Pt,-2.j,,-i:,�-3 d.�lL-6 ..- 5. -C —7 8.-- THERE . _THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. c APPLICANTS SIGNAYURE 4o vV ±Q DATEJC O G& I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 19" 2a,,a6 DATE FFE PAID /� 'Le•Br TYPE OF UNIT: DWELLING k,--dTHER CHLCK N/9'/P _CHECK DATE NOTES: Ali czc�e�-- — ---- ---- --. --- - -- -- CODE ENFORCEMENT INSPECTOR 9/28198 ,C r CITY OF SALEM, MASSACHUSETTS ' J • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Df.4NC W I(�SALP;M.COM1f JANET MANCINI A("PING HI?AI,I'II AGI'.N'I' CERTIFICATE OF FITNESS CERTIFICATE#004-09 DATE ISSUED: 1/13/2009 Property Located at: 12 Pope Street UNIT#B-503 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD OF HEALTH /6�oy��t�t./r�L NET MANCINI ACTING HEALTH AGENT CODV ENFORCENFEfff INSPECTOR r NOM'.y,.13 07 ,113: 1.OP Joahh^e So'o.tt Sal erii .,DOW' 878-745 .0343 P. z I,, rv�MASSACHUSI-TTS C1OF T$ SAM: 7 BOARD OF HEALTH � ` 20 WnsN?;TAN SIRE ET.'4TH FLOOR "'+',9 �iiSALEM, MA 01970 " ,TEL.; 976-741-1800 '�:... FAk'978-745-0343 .' . JOANNE SCOTT.°MPH, RS..,CHO,y 1P'' Kimberley Driscoll keA�rr+ AGCNs_;. Mayan '',: APPLICATION FOR CERTIFICATE:OF FITNESS s; 1:, IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER ll, 105 CMR 410.000 'MINIMUM STANDARDS OFFTTNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATL __ . .- _UNIT ff.. -o IS THIS UNIT DESIGNATED AS RIG T EFT RO T 13ACK PLEASE CIRCLE ONE OWNEWLL-SSER.L�-`�- MANAGER/AgENT'� No P.O. Box No P.O.BOX ADDRESS a ADDRESS CITY—E - ..t - RESIDENCE PHONE-- , BUSINESS PHONE (24 1 IRS.)- BUSINESS PHONE_qTg�:�aWbS:3-7 TOTAL NUMBER OF ROOM$:I_'_ HOOM USE: 1. {Jff�?� THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE I IME OF INSPECTION. APPLICANTS SIGNATURE ..._DATE .-4/G 1- JjdSPFCTORS U$F ONLY DATE OF INITIAL INSPECTION _.a D'ATE OF:REINSPECTION-_- DATE OF ISSUANCE OF CERTIFICATE:__.-.__ ._DATE FEE PAID:__._ _.__.. TYPE OF UNIT: DWELLING OTHER.__ CHECK #.�p�j CRECK DATfE At �t�. NOTFS:PT€AAAcbvtfy _ tG iYi pmg, c� -� avrtt� In I b�(rt�orn COqCANFORGEMENT INSPECTOR 9/26/98 r ! , CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRFETo 411 FLQOR PublicHealth Prtvenr rrommPratrn TEL. (978) 741-1800 FAZ(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin Cni.salem.com MAYOR L.\RRl'R,\N4DIN,RS/KIST IS,CHO,CP-IS I-IF.,U;n I t1GIiN'1' CERTIFICATE OF FITNESS CERTIFICATE#268-14 DATE ISSUED: 8/11/2014 Property Located at: 12 Pope Street UNIT#B-504 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 B ARD O EALTH LARRY RAMDIN � `�� HEALTH AGENT SANITARIAN F / CITY OF SALEM, MASSACHUSETTS ? BOARll or I IliALTH 120 WASHINGTON STREET,47 FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDINnsALI-M.COM LARRY RA ME16/11E-HS,CO,CP-CS HEALAL TH AGENN T I � 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" PoPe-FE('E�$500.e001 c��pPROPERTY LOCATED AT / Z- U v xe / ✓ - " — — �� UNIT# � IS THP/�N DISIGNATEPI AS RIGHT LEFT FRONT OR BACK,PLEASE RCCLE/ONE OWNER/LESSER /_ K MANAGER/AGENT `��^ G2 _ ADDRESS ( 2— f� J d ge'4- ADDRESS 1 CITY, STATE,ZIPCITY,STATE,ZIP I RESIDENCE PHONE (/2 (J BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. �iv�4# 5. 6. 7. V 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ABLE AT THE TIME INSPECTION APPLICANT'S SIGNATURE � DATE 8 r Insnectors use only Date on initial inspection: �/II I I� Date of reinspection: Date of issuance of certificate: n \ Date fee paid: Type of unit: Dwelling Other Check# 1 �C C�Check date: Notes: Co n�mentlnspector TRANSMISSION VERIFICATION REPORT TIME ; .08!12(2014 19:39. .NAME FAX'" 9787450343' TEL 9787411800 SER.# 000BON341991 DATE>TItE 08,112 19:39 FAX NO. /NAME 919767445616 . DURATION 00:00:20 RESETS} 0101< MODE DUL7 STANDARD MOECM y` • P TRANSMISSION VERIFICATION REPORT TIME 08/20/2014 22:44 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATE.TIME 08/20 22:43 FAX ND. /NAME 919787445616 DURATION 00: 00:21 PAGE(S) 01 RESULT OK MODE STANDARD ECM qL-11 dAJ . CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HaNLTH 120 WASHINGTON STREET,41°FLOOR PublicHealth Prevent Permute Protect. TFL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinnu.salem.com MAYOR LARRY R.\�iUIN,RS/RI?I-IS,CI IU,(T-FS H i,,,u:1'I-I AG F,N'I' CERTIFICATE OF FITNESS CERTIFICATE#287-14 DATE ISSUED: 8/29/2014 Property Located at:, 12 Pope Street UNIT# B-505 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 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. 8OR THE BOA D OF H LTH LARRY RAMDIN /�U HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ��yyQ�rl ,) 4 '4mnx 120 WASHINGTON STREET,4°1 FLOOR V ` TEL.(978)741-1800 KIMBERLEY DRISCOLL FAR(978) 745-0343 MAYOR 1.RAMi)INOSAIRM.COM LARRY RANIDIN,RS/REl-IS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR QHUMAN �HABITATION" 2POP'( S FEv0c ` .00G7�X-G� c /PROPERTY LOCATED AT / � UNIT# '✓ IS T/(�S UNIT DDIISSII�G.NATED AS RIGHT LEFT FRONT OR BACK,PLEASE C7LONE OWNER/LESSER / �l�( ' MANAGER/AGENT _ !� �rz NO P.O.BOX L _ ,, Q ADDRESS / 2- P00e S ADDRESS 1 I CITY, STATE, ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE r/ � 7 ( � 0-S377 TOTAL NUMBER OF ROOMS:—� ROOM USE: I. P, 6 C "2. V?i) 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F, ,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISTIME ? NSPECTION YABLE AT THE g� ({ APPLICANT'S SIGNATURE a ,� DATE v f n Insnectors use only Date on initial inspection: ZQ'A Date of reinspection: Date of issuance of certificate: �,X' 2-9-t� Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: 1 Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' Si 120 WASHINGTON STREET, 4TH FLOOR r a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#408-05 DATE ISSUED: 6/28/05 Property Located at: 12 Pope Street UNIT#B-507 Owner/Agent: CMJ Management Corp. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of our vacant Dwelling/Rooming/Roomin Unit at the above address has been approved P Y 9 9 PP and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000 Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS,, ^A7 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR G SALEM, MA 01970 y�o -015 c dil 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATe Cl 90 UNIT# J�� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE 9IRCLE ONE a k, uJA L� La` OWNER/LESSER MANAGE^'^'", RZ-N; L'Jyt r_4 No P.O. Box No P.O. Box /1 `J ADDRESS ADDRESS Ir-9, e'-�v�7 S� CITY CITY 1'v1U G� c--- RESIDENCE RESIDENCE PHONE BUSINESS PHONE (24 HRS.Ii 9 -7y o0 3 BUSINESS PHONF TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. AvArwku4. e�rvo+� 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE O P O _ FATE 6; e INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4—,�-3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,/-g 3 A ;,-DATE FEE PAID: TYPE OF UNIT: DWELLING&OTHER_ CHECK#��CHECK DATE ��b NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 L CITY OF SALEM, MASSACHUSETTS • + BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR TSC0TraSA1.F.M.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#396-08 DATE ISSUED: 8/19/2008 Property Located at: 12 Pope Street UNIT#B-508 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMEN INSPECTOR t ' ` CITY OF SALEM, MASSACHUSETTS ! BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOUR TEL. (978)741-1800 K11%0ERLEY DRISCOLL FAX(978)745-0343 MAYOR 1scoTr(RsALEM.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR.410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT / i C� UNIT#A IS THIS IJNIT D IGN DtAS RIGHT LEFT'FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER NAI 4�f MANAGER/AGENT,--�e—a 17 I%1_Q 1�� r lL4b NO P.O.BOX ADDRESS ) 0WO ADDRESS CITY,STATE ZIP 1" Pf�1 ��Z CITY, STATE,ZIP RESIDENCE PHONE (y BUSINESS PHONE(24HRS) BUSINESS PHONE 7lC��537 . TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. f i i—OV2. 3.A,�c4-0& 4.X,61,-W r1)5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION p APPLICANT'S SIGNATURE t DATE Insnectors use only Date on initial inspection: 'iZ—i Gi -o$ Date of reinspection: Date of issuance of certificate: Sr-)Ot ,08' Date fee paid: I Type of unit: Dwelling 4/ Other Check# SC)2 Check date: 1 P-G Notes: e Enforcement pector i D City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PablfCHealth 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-16-285 DATE ISSUED: 8/5/2016 Property Located at: 12 POPE STREET UNIT#8509 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 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. &rBa Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT II CITY OF SAIX4 MASSACHUSE'rfs Boom OF 1111.\I:TFI �L 1211WASI11N6rONSrt.LLC 4...1:t.om . Tul.. (978)741-1800 KnIBL.RLEY DRISCOLL F\X(918)745-03,13 NtAYOR mr4 NNE.Ad)517.F.Sf CONI I�\NF I'DI,!NNIS - SI;NUIR S\N1'1'AIZIAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 7 �J FEE: $50.00 PROPERTY LOCATED AT Q j� UNPC# /L J ✓ I IS THIS UNIT DIIS}IGGNNAATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRC OWNER/LESSER / 1 ► / MANAGER/AGENT NO P.O.BOX Pop e_, S .� . ADDRESS ADDRESS p CITY,STATE,ZIP J LSV CITY;STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER {{O��FROOMS: ROOM USE: 1. / T� f 2.tY�!`✓( 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE�PAYABLE BY CHECK R MONEY ORDER TO THF;CITY OF SALEM BOARD OF HEALTH THIS FEE IS 70,0�� —! LE AT THE TIME NSPECTION j �! APPLICANT'S SIGNATURE. DATE /f � ( 6 Inspectors use only Date on initial inspection:4vavzac Date of reinspection: Date of issuance of certificate: /7 !) C Date fee paid: f Type of unit: Dwellin Other Check#Z/O&II _Check date: Notes: *Cr cemeni spec» t . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTFI _ 120 WASHINGTON STREET 4'°FLOOR PablicIiealth , Prevent,Promote.Protect TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL kamdinasalem.com LALARRYR,\DIllIN,RS/RI-;1-1s,C1 10,Cl' I,,S MAYOR HE,v:rl I AG I,N'r CERTIFICATE OF FITNESS CERTIFICATE# 164-14 DATE ISSUED: 5/28/2014 Property Located at: 12 Pope Street UNIT#B-511 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 A LARR19ikMDIN y HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS s BOARD OF H1SAlal l 120WASHINc.fON STREET 4"'FLOOR TF,i,. (978)741-1800 KIMBERLEY DRISCOLL R1,x(978)745-0343 MAYOR IDIONNHnSA1,EM.COM - 11 JANI:I'DIONNE, ` I,y J VVVJJJ 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 ` PROPERTY LOCATED AT /2— PL9 t2"< OL UNIT# r / /IS THISUNITDDIIS{IGNATEd AS RIGHT LEFT FRONT OR BACK,PLEASE�CLE ONE OWNER/LESSER 1 O1/ G I MANAGER/AGE �'' NO P.O.BOXI ,/n� ADDRESS � z- C7/'� S4' • ADDRESS � CITY, STATE,ZIP �/�� /Q )� V � CITY, STATE,ZIP ( RESIDENCE PHONE / / U / �—"B SI ES HONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 44406-1` 2. 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 ABLE AT�7THE /JTIME O;TION — --- APPLICANT'S SIGNATURE- 10,1t � nATE /y Insuectors use onlv Date on initial inspection: d-yl Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check I I Check date: Notes: f4� SA Code Enforcement inspector TRANSMISSION VERIFICATION REPORT TIME 06/02/2014 02:54 NAME FAX 9787450343 TEL 9787411800 SEP.. # 000BON341991 DATE.TIME 06/02 02: 54 FA;' NO./tIAME 919787445616 DUPATION 00: 00: 20 PAGE(S) 01 RESULT OK MODE STANDARD ECM j City of Salem, Massachusetts ! f Board of Health 120 Washington Street, 4th Floor, Salem, PublicH@81th MA 01970 Prevw.Promow Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHs,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-140 DATE ISSUED: 5/12/2017 Property Located at: 12 POPE STREET UNIT#13512 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(970)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 It"Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the.state lead law for occupants under 0 years of age. Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN 0 q CITY OF SALEM, MASSACHUSETTS f BOARD OF H=TH ��— �m 120 WA&HINGTON STRFFT,4f°FLOOR TEL. (978) 741=rsII0 -__- — - KT1vII3ERT_Y-,Y DRTSCOLL FAZ(978) 745-0343 MAYOR ]a AMI)iNns,u.rW.conf ', 1'.„\kitvR,�ntuiN,ris/rsiurs,c;irc>,O-rs ' Id.ls,\1;1'11 AGb;N'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 n PROPERTY LOCATED AT I � e— 5h�� S�C.�Gt., T# IS TPIS UNITD NA ED As dZIGHT LEFT FRONT OR RACK,PLEASE CII&t&E ONE OWNERILESSER �� MANAGER/AGENT ADDRESS IZ �fl�e p J J' ADDRESS (� CITY, STATE,ZIP CITY, STATE,ZIP 0 RESIDENCE PHONE ?BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF RO IVIS: ROOM USE: 1.d,' V I 2. 4k ll-j 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 Pr AT THE T INSPECTION 2 APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 5 114 lr7 Date of reinspection: Date of issuance of certificate: �) � � Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enf*Thspector CITY OF SALEM, MASSACHUSETTS t • BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRF.FNBAUMn.SALFM.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#506-09 DATE ISSUED: 10/6/2009 Property Located at: 12 Pope Street UNIT# B-512 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. FORTHE BOARD F HEALTH / / "A / DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ✓ '®� BOARD OF HEALTH 120 WASHINGTON STREET,4"i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMnCALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �FIEE: $50.00 PROPERTY LOCATED AT Z ' `�t- UNrr# -5 I Z, SIS-THIS UNIT DLSIG1 NA�AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE n` OWNER/LESSER ` x )`-PM �_1PMANAGER/AGENT �IE'f.nlnP 7 1�' NO P.O.BOX L ADDRESS 157- ADDRESS CITY, STATE,ZIP p M rq& C)GZCITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONEE� 7UL —f 0 TOTAL NUMBER OF ROOMS: ROOM USE: 1.L m VjQ nrM 2.CA0k,,A_f\ 3.�a \1 ra (�YAtYLS. 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 c _ /J�—IAC_./ DATE f II>snectors use only Date on initial inspection: 10 lo�G Date of reinspection: Date of issuance of certificate: /0/60/0 9 Date fee paid: /4 /& /6 q Type of unit: Dwelling Ldther Check# 7 d, Check date: 5 l cS Notes: (Im S A-U di ck 1 n L g W Ilid ow S Code Enfbtent InsP ector i CTIrY OF SALEM, MASSACHUSEM lu BOARD OF HEALTH 120 WASHINGTON S-I'REET 4'"FLOOR P11b1{CI�C81tJ1 , V:event.Aromme Protetl. TFL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISC,'OLL ka(ndinCa�salcm.com L;\RRl'RAMDIN,RS/RISI IS,CI-IO,CP-I'S MAYOR Hi:AI,:1 i AGrsN'i' CERTIFICATE OF FITNESS CERTIFICATE#260-13 DATE ISSUED: 7/3012013 Property Located at: 12 Pope Street UNIT#B-513 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 It"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RAMDIN 4ulf HEALTH AGENT SANITARIAN 1p CMASSAG JUSI% :p C DOWASHINGTON �'TRE I '1 (978)711-1800 F,vt (978) `745-0343 MAVOlk RIO,RA N1 DI N,w';A I(j I ( I lo, 1-11•,,W11I A(;i-N i APpUReagiori for Cc-ffivalc IN ACCOju)ANCI.; 'vVITI I STAT)", SAN FARY COf)l---,, CHAPTER 11, 105 CMIR '1] 0 000 "MINIMUM UOR NUIVIAN IfAm'I'ATION" $50�00 )PlRTY LOCA'l U) JS I IMS UNI I'DISICNATkPAS 10GI1I RON l'i ONE I C)X Y, STA'l 1-i, h'_p 4 CH Y, STAT);, ;II)ENCI: NIONI: III IONP� (211t-IRS) . .. ..... . 'I N U "SS PHONE. V- O's ! A[, NUNIHIJk 01, [(ODMS' Dmn� J. Z �1 " 2, ------ A1'1) 0I, IIkA;:1'II 1-ACAN I 'S SIGNA I UR I hgT GGI-QLS Ul s c o I ly G on Milled insl-jcchow Da ic of i c i ris I)cc;I i 0 11: c uf,issuajlcc ol ccrh flualc Datc fcc paid- —---- ------- )COhmil: 1)wo:1ing- --Owck Ic w " CITY OF SALEM, nNSSACHUSETTS BOARD OF HEALTH Pt1�3HCHC8�C11 120 WASHINGTON STRELT,4°'FLUOR Prevent Prpmpm.Prplect. TF-i- (978)741-1800 FAX(978)745-0343 KIMBERLEY DIUSCOLL 1ramduinnsalem.com L.1RR1'Rl"il)iN,ws/lzu'l IS,(-,I tO,{;1) I� MAYOR 10 t.U:ri I Ac FNT CERTIFICATE OF FITNESS CERTIFICATE#74-14 DATE ISSUED: 3/4/2014 Property Located at: 12 Pope Street UNIT#B-514 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 LAR MDIN HEALTH AGENT SANITARIAN .� w (A CITY OF SALEM MASSACHUSETT'S BO.\RD OF HEALTH 120 WASHINGTON SPREET,4°1 FLOOR Public Health vvrc,.ni rrzmm -rrmam TEL. (978) 741-1800 FAX(978) 745-0343 KIMBI RLEY DRISCOLL, Iramdina,salcm.com MAYOR HvAm'11 A(;im, 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 ,5 Q IPJjk jA� �S { }�) t 5 UNIT# �J r /� IS THIS UNIT DISIGN`ATED AS RIGHT LEFT FRONIT OR BACK,PLEASE CIR/CLLE ONE OWNER/LESSER 4e Se,vVa;?g0t2 Idi_h c f /nA MANAGER/AGENT NO P.O. BOX `� ADDRESS /b? �D�1L �77 f_f ADDRESS CITY, STATE, ZIP �a _ /J�l 19 (q?c') CITY, STATE, ZIP RESIDENCE PHONE b OBUSINESS PHONE (24HRS) BUSINESS PHONE /7 G - 9�F�— A5-37 TOTAL NUMBER OF ROOMS: v ROOM USE: I. A6b 91I2. 3. L IZ �J�74. / 7— 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 THISE IS PAYABLE 'AT/TIRE TIME OF®INSPECTION APPLICANT'S SIGNATUR , ._fi DATE / / Insnectors use only Date on initial inspection: 3 /4/o/o Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling-----Other-Check# Check date: Notes: Code Enf2�n� Spector City of Salem, Massachusetts ] Board of Health A 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-99 DATE ISSUED: 3/30/2016 Property Located at: 12 POPE STREET UNIT#8515 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 n � Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r CI'T'Y OF SALEM, NL,,sSACIAJSE'1"1S rIkml uln II1;:t1.r11 I 120 WAST ZING VON SviwXT 41.. FI om T'F,I,. (978)74I-1800 KEMBERLEY DRTSCOLI. PAR(97 8)745-0343 144AY0R DIONN¢(U)SALENf.COM IANV1'DIONNF,, SFN-IOR SANITARIAN .rte 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: 150.00 n PROPERTY LOCATED AT r �Y �L = UNIT#_ IST IIS I1NIT DDISSIGNA'I'rli AS RICtIT LEPT FRONT 012ISACR,PLEASI; LEONE OWNER/LESSER MAP r I MANAGER/AGENT C� NO P.0.BOX / �, p� ADDRESS 1 Z PQS��"��"'pp`�'' ADDRESS CITY,STATE,ZIP C� f! keh CITY, STATE,ZIP I RESIDENCE PHONE / BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.04 11l 2. l \ YJ` ` 4 5. (. 7. 8. 9. 10. TI[ERE IS,A FIFTY ($50) DOLLAR FEE, YABLE BY CHECK O MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY B EATTHEITIMEOF SPECTION ? r APPLICANT'S SIGNATURE �J2U�`"' ^ — DA'T'E 3- o , I jr Inspectors use only Date on initial inspection: �I (tt� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling__Other _Check it Check date: Notes: Code I; �orc cut Inspector �� 'V s'a ��OND1T,tY a F'- -< �� City of Salem, Massachusettslu On Board of Health a 120 Washington Street, 4th Floor, Salem, PtxbliCHeaIth MI R 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-15-366 DATE ISSUED: 11/5/2015 Property Located at: 12 POPE STREET UNIT#13601 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street Cityrrown: 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 Al, a Larry Ramdin, MPH, REHS, CHO � HEALTH AGENT SANITARIAN CYfY OF SALEM, MASSACII,V ]1P'iK"s �� Bonuu cif ilit:v:rrt 130WAs1 mG tc3NS'PRi•;r't' 4"'171,001z I't:t.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONN r ALVM. C( )ANFTDIONW, SENIOR SANr3'AMAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 E S' ry PROPERTY LOCATED AT to G'^— �e �� MAUNIT4 1=-'' IS'FIIIS tiNI7'DISSIICCNATP;D AS RICIIT I,CFT FR F 012 RAC ,PLEASE CIRIftE ONE OWNEWLESSER / o A + I MANAGER/AGENT NO P.O.BOX 1 t ,, ADDRESS / roO(f- S4�-A2 ��'", ADDRIiSS CITY, STATE, ZIP c� h ' `�/`✓f CITY, STATE, ZIP RESIDENCE PHONI: BUSINESS PHONE(2141 IRS) BUSINESS PHONE "'t 2(1 � 77 1 1 ''-os- S q - TOTAL NI UMBER OF R OMS: 7 ROOM USE: 1.61 VIM 2. �edfwl, /�t� 5. G. U 7. 8. 9. 10. THERE. IS A FIFTY($50) DOLLAR FET:,PAYABLE BY CHECK OR MONEY ORDER'1'0 THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LE AT THE)TIM�E/OF INSP TION APPLICANT'S SIGNATURE DATE 1 �' t i Inspectors use only Date on initial inspection:—Wc _ Date of reinspection: Date of issuance of certificate:�Ib-VM-LS- Date fee paid;'?h,�s12n,L5— Type of unit: Dwelling--/—Other---Check 11 7q q`� Check date:-7/20/20,t 5- �n Notes: (iso l 0^ v,Ajo v Wr+h 4)��—QftP Co rcemc nspector • 4 . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOUR p11�1�1CHP.81�1 PrevrnL Promote Pmlect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinnasalem.com - LARRY RAntlliN,Rs/ta;t IS,ca ro,CP-FS MAYOR HIS,U:I'Ii AG FNT CERTIFICATE OF FITNESS CERTIFICATE#466-14 DATE ISSUED: 12/29/2014 Property Located at: 12 Pope Street UNIT#B 602 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5037 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B RD OF EALTH / LARRY RAMDINJ HEALTH AGENT SANITARIAN Crr)" m,�ss',\cI-IuslrrIs 1 7.3 1 6,3 `+\I( m \v 1,wl Application for Certificate of Fitness IN ACCORDANCE WIT[I STATE SANITARY 01313,CHAPTER I 1 105 CMR 4{0.000 "MINIMUM STANDARDS OF FITNFSS FOR HUMAN FIABITATION." IFFF: $50.00 PROPERTY LOCATED AT 12- P010 J'j' �"-•k / UNIT'// /5 60 ISPIS H ISIG, AIFIASRIGII*l'l,i�F,f'l�IZON'I'OIZI!AtLh,I't.1�i\Sl,,(�l�, ONIhI OWNER/I: MANAGIIZ/AGENT NO P.O.BOX ADDRESS l Z,c a p ADDRESS CITY,STA IT_ZIP CITY, STATI.i, ZIP 01q ?_j RESIDENCE PHONE BUSINESS IIHONE(24FIRS) BUSINESS PHON]", 74) 7 l/c/— OS-3 7- 'I OTAL NUM131-11Z OF I 00mS. ROOM USE: 1. 6. 7. fi. 9. 10. `I HERI? IS A FIFTY ($50) DOLLAR PEE,;A'YABLE' BY CHECK OR MONEY ORDFR TOTHL Cl'I Y 01: SALI-l"m I'll ET]ME 0, CTI ON APPUCANTT 'S SIGNAURF RI' AT' �l DA 12 . 2 9 kmicctorS LISC oniv Datc on Initial inspection: Dale of reinspection: Dalc ol'issuance okcrtil-icalo: DaIc 1ec paid: I'VPCOkillit: OWCllillg _0111c'. Check 4rzv_eAA Check date: Notcs: co rc�l t�,�Zncnl lnspectoi +` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o gj 120 WASHINGTON STREET, 4TH FLOOR .�.. SALEM, MA O 1970 9eQM11B TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#335-05 DATE ISSUED: 5/27/05 Property Located at: 12 Pope Street UNIT#B-603 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. r FOR THE BOARD OF HEALTH 'f c x� � 4F /JjJ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUS=S,., ? � t/✓ ' -'�--y BOARD OF HEALTH , 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA U I V J U TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER it, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°. 4 1 PROPERTY LOCATED AT_��i_ ��. � Y�Y , UNIT#t ' IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE w4l4 - W 4,, 11c.c c OWNERILESSER MANAGER/AeENrLjC. �rr..e�t� No P.O. Box No P.O. Box ADDRESS ADDRESS / a, CITY CITY--'�^� im RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: i. ) 2. &3.A mg± 4.__&� 5. rdrec. 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. �J� �,�=x APPLICANTS SIGNATURE e.e� i 4.i4;, DATE INSPECTORS USE ONLY / DATE OF INITIAL INSPECTIONS'�- 3 --o-s DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE!,r} 3 a__�> DATE FEE PAID: 1- TYPE TYPE OF UNIT: DWELLING I/ CHECK# [_1� j__CHECK DATE ' fI NOTES: I - CODE ENFORCEMENT INSPECTOR 9/28198 /? CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH - 120 WASHINGTON STREET 4T FLOOR P11b11CHP8�>tlll Prevent,Promote.Protect TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinQsalem.COm LARRY RAMDIN,RS/KERS,CRO,CP-FS MAYOR HEALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE# 161-14 DATE ISSUED: 5/22/2014 Property Located at: 12 Pope Street UNIT# B-604 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 LAR RAMDIN HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSA04bSETTS l I BOARD o1-.HvIAL 'H 120 WASI IING fON SrReL r,4'"Ff.00lt Tu"L.(978)741-1800 KINIBERLEY DRISCOLL RAA(978)745-0343 MAYOR IDIONNEOSALEM.COM - iANLa'DIONNE, SI?N10IZ SANITARIAN 4 '- Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $`50.(0?0 PROPERTY LOCATED � �o I` �'�' S HIS UNIT DISIGNPTE�r� AS RIG iLEF'r FRONT OR BACK m�— UNIT# CIRCLE ONE OWNERILESSER n U VI �� MANAGER/AGENT ! 6rdn �4M born NO P.O.BOX ADDRESS ( 1 r 8 0 r f '�f-ADDRESS I� CITY, STATE,ZIP I ma— CITY, STATE, ZIP 1 RESIDENCE PHONE BUSINESS PHONE(24HRS)_ BUSINESS PHONE T7 �/I NY 0 5 3 7 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 6. I tl �. �rVrV1c 8.3. �4Io0m 4. 10. - THERE IS-A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO..THE CITY.OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE -TIME OF INSPECTION APPLICANT'S SIGNATURE ti 11/L �/A 1�!o DATE Inspectors use only Date on initial inspection: SI a'a.11, Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code norcent Inspector j� CITY OF SALEM, MASSACHUSETTS BOARD OF Hr-1LTH 120 WASHINGTON STREET, m 4...FLOOR FI1b11CHP.a1t11 rrr. m rmmmc TEL. (978) 741-1800 FAS(978) 745-0343 KIMBERLEY DRISCOLL liamdinnsalem.com - L,\tal),tZAntntN,lis/RliH5,C110,C11-1s MAYOR HFnt:rti AcF.Nr CERTIFICATE OF FITNESS CERTIFICATE# 112-12 DATE ISSUED: 3/21/2012 Property Located at: 12 Pope Street UNIT#B-605 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 n 111 RY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 1� BOARD OF HEALTH 120 WASHINGTON STREET,4' FLOOR TEL. (978) 741-1800 KIMBERL.EY DRISCOL.L FAX(978) 745-0343 MAYOR DGREENBALTIvI&ALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT la Pogo C+ c c ln., , ,ten io ('llC) 70 UNIT# cCtS IS THIS UNIT DISIGNATED AYRIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER5-;a(,QjM S�iQVVK MANAGER/AGENT r NO P.O.BOX ADDRESS Or-,r» C-4 - ADDRESS CITY, STATE, ZIP SG kft.wl mA 0)7)7 O CYfY, STATE,ZIP S^ RESIDENCE PHONE c'1-7R 144C�53`7 BUSINESS PHONE(24HRS) BUSINESS PHONE ^ 0-- TOTAL NUMBER OF ROOMS: ROOM USE: 1.1pa&opnn 2. W4clm - 3. [ Kf„wrm 4. 5. 6. 7. 88. d 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.,. ... ` � / n DATE Inspectors use onlv Date on initial inspection: 3 . 21 1'T Date of reinspection: Date of issuance of certificate: 3 '�`1- Date fee paid: A Type of unit: Dwelling � Other Check# y7� I Check date: Notes: n od n*entInspector I, 4 CITY OF SALEM, MASSACHUSETTS 10 BOARD OF I-IF-ILTH 120 WASHINGTON STREET,4°1 FLOOR Pllblil HeW' h 'I'EL. (978) 741-1800 FAX(978).745-0343 KIMBERLEY DRISCOL L Ixamdinawsalem.com L.\1281'R.\i`(DIN,RS/I21SI IS,(;I IU,CP-I+S MAYOR H L.U,n T AG F:NP CERTIFICATE OF FITNESS CERTIFICATE#219-14 DATE ISSUED: 7/8/2014 Property Located at: 12 Pope Street UNIT# B-606 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 LARRY RAMDIN HEALTH AGENT �tANITARIA j Y r CITY OF SALEM, MASSACHUSETTS J &l,\RD OF HEAL:rt-i 170 WASHINGTON STREET,4"'FLOOR Ti�i- (978) 741-1800 K1NfB]2-,RI'.EY DRiSCOLL FAX(978)745-0343 MAYOR 1.10Mn(N17.SA UALCOM LAIRY RAMI)IN,118/1WI IS,CI IO,C134S 11P:A1:n I A(11,,NT - 4 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 12- Po p-e– S 7,L, MR�G M� V/� UNIT# IS/THIS UNIT DISIGNATED AS RIGHT LEFT E4ON'TOR BACK, /PLEASE CIRCLE�ONEp OWNER/LESSER / MANAGER/AGENT �x�"` 4-e— NO P.O. BOX / / ADDRESS ( 2 /o Pie— eC/' , ADDRESS CITY, STATE,ZIP Q All ` 11 CITY, STATE,ZIP RESIDENCE PHONE �� Lf f�^ ��r E;�ONE(24HRS) BUSINESS PHONE 2 / C/ � TOTAL NUMBER OF ROOMS: f3 ROOM USE: 1. VI-4 3. 6 i 00h. 5. 6. 7. v 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 TABLE AT THE TIMI; INSPECTION 2 APPLICANT'S SIGNATURE 1 / �?/ /� DATE / Insnectors use only Date on initial inspection: tll I I LI Date of reinspection: Date of issuance of certificate: r 1 1 Date fee paid: Type of unit: Dwelling Other c Check# w A Check date: Notes: Code En'fefrc went Inspector CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 I 1MBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DcaEEM;AUMr7SnI.EM.COM DAVID GREENBAUM ACTING-HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#185-10 DATE ISSUED: 4/26/2010 Property Located at: 12 Pope Street UNIT# B-607 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOA OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE dERCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DQREENBAUht SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $550..00 PROPERTY LOCATED AT I � iso v O Ve M W A (714''70 UNIT# IISA,THIS UNIT DI GNED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �(a 1Pl1/) I1�5 . MANAGER/AGENT t1PC(ll✓1P �I�c)IC K NO P.O.BOX f( / ADDRESSi`Si' ADDRESS CITY, STATE \eM `MIk O) Q-X) CITY, STATE,ZIP / RESIDENCE PHONE(� / BUSINESS PHONE(24HRS) BUSINESSPHONE TOTAL NUMBER OF I^ROOMS: I ROOM USE: (l-V g 34W(COM 4. 6Xn�ffi 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insnectors use only Date on initial inspection: q1b(.P)/0 Date of reinspection: Date of issuance of certificate: Ulf (.D J/ 0 Date fee paid: LI/3 Type of unit: Dwelling Other Check# t(,3 O Check date: U1I a 0�/ D Notes: / f2 Wvldr>, -fo lacks -horn J(Iwo Hr� oya,-,4r Code ESment Ins ector P City of Salem, Massachusetts V�j m q Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHea Ith Prevent. Promote, Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-156 DATE ISSUED: 7/2/2015 Property Located at: 12 POPE STREET UNIT#B608 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT / SANITARI I IS r), 1 , 1 ,1 �,im, ssm I- I (97,A)71$-(1,3,13 Application for Certificate Of Fitness IN ACCORDANCF,' WITI-I STATE' SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNLSS FOR HUMAN HABITATION." PRIONYTY LOCATED A'1' /2 ro� - UNIT/I—J&�ll, [Ills UNI"I DISIGNA'Wrl),lS RIC.111- OR BACK, CIIZ(� NE 0WNI;R/I,I--SSkR\ 0 MAN AG!`WAG ENT ADDRI SS 0 vie CITY,STA-1-i1, ZI P &4A4,I, Ae4 CITY, STATE, ZIP RLSIDI"NCE PI I()Nl-,'/— BUSINFSS III ION17 (241-IRS) IMS1 WsS PI IONIC q 57 S) �W(/- 0 :5 3 1 OTAI, NUMBR I.� OI' I -00mS: Ll '41 5,7,,2,9 I t 0 0 M 11 s 1 01jf 3. kd'4P1' 5. 6 7 U R. 9. 10, I I 1r:RF IS A HI-TY (SSO) DO I,FV. IIOARI) ()I, 1-lFAI-,I,lH fills APPUCANT'S SIGNATMW DA'I'S h)SC=101'N Lse 0-11V S7 Date of icimpcclion: .)e.;c o') initial ol��pccliom AW2-r47at D:ft cl '.Ss,,Ircc (If zeai 1-wdic Dalcice paid:oy 212-01 I vre W unt] 2!0�! C! — —Cicck 11 PC.I C;)Cck cla*c: Notcti: iii iccmcrr�41110/�Zfmn—I - - CERT.# 396-97 3 FEE $25.00 DATE: 06/23/97 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 Pone Street UNIT #: B-609 OWNER/AGENT: CMJ Manaaement ADDRESS: 150 Mt. Vernon Street. Suite 520 CITY/TOWN: Boston. MA ZIP CODE: 02125 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 3 v8� W 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 J c-2 S� `�� i {}�/T UNIT OWNER/LESSER `'v4) MANAGE R°/rAG,ENT{l \_ C �fr--eC^hC( ADDRESS mT U� /Y�LCSY"\. �U.lc D ADDRESS CITY Zi 11 t . 1 1 V ��1 CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE(r, k� ) ti � - )3DC�) - TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4 . S. 5. 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 T72SE OF INSPECTION APPLICANTS SIGNATT DATE--�01 ----�. 4 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: > X 7_ DApE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:`-� / -I L7-'i DATE FEE PAID: 'p TYPE OF UNIT: DWELLINCV OTHER NOTES : CODE ENFORCEMENT INSPECTOR D " City of Salem, Massachusetts f • 3 q Board of Health 120 Washington Street, 4th Floor, Salem, P CH4fAith PreYSnt.PfglPnt4. PfMlCt. 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-17-175 DATE ISSUED: 6116/2017 Property Located at: 12 POPE STREET UNIT#13610 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, RENS, CHO ` SANITARIAN HEALTH AGENT o r X— CITY OF SALEM, MASSACHUSETTS BOARD OF HF�=H �o 120 WASHINGTON STREET,4°FLOOR P-r- 78 7 1= --- - - - I TMBFRLFYDRISCOLL FAX(978) 745-0343 MAYOR LRAMOINna ;AJE.M.i:Mf .L,11(RV R,\N1D1N,RS/R N IS,CI 10,nl-fN 1-b?,\l;i'll A(wN,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 Z Pot) e. .5-j— UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT F ONT OR BACK PLEASE CIRCL ONE XA OWNER/LESSER I O /�-v MANAGER/AGENT NO P.O. BOX ADDRESS 12 Po p e S k ADDRESS CITY, STATE,ZIP a4 CITY, STATE,ZIP I �� RESIDENCE PHONE /- l G BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: y ROOM USE: 1. / ill�l� 2. IfLF�/ 3 �WAIII P I 5. - 6. V 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE AT THE TIME SPECTION APPLICANT'S SIGNATURE &-� DATE 3-011?' Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate �/20117 Date fee paid: C/2 7 Type of unit: Dwelling Other Check# (�nnO Check date: Notes: L o Js , n r w o in e-IrdE fi v✓a;+,J Prn C e or ement In ector � k CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH IV 120 WASHINGTON STREET,41p FLOOR PublicHealth Prevem Prmmle Prntecr - TEL. (978) 741-1800 FAR (978) 745-0343 KIMBERLEY DRISCOLL Iramdin0salem.com LARRY RANIDIN,RS/RI?IIS,(11 10,CP-I+S MAYOR HI?,V:1'I-i AG LSN'I' CERTIFICATE OF FITNESS CERTIFICATE#318-14 DATE ISSUED: 9/16/2014 Property Located at: 12 Pope Street UNIT#B-610 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 LARPA%AMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH "S4yryx 120 WASHINGTON STREET,4"FLOOR TEL.(978) 741-1800 JJ KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINna W.RM.COM LARRY RAMDIN,RS/REHS,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" �1 FEE: $50.00 PROPERTY LOCATED AT / Z- Pope- S4 . , S'a. lUl /1-( A UNIT# 1 IS THIS UNIT DISIGNATED 4S RIGHT LEFT'FRONT OR BACK(PLEASE ClONE OWNER/LESSER P O 4 MANAGER/AGENT NO P.O.BOX ADDRESS 12- 70ow- Sk ADDRESS I /7 CITY, STATE,ZIP ��/ / " I CITY,STATE,ZIP RESIDENCE PHONE /// BUSINESS PHONE(24HRS) I BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. � Vj 3. 4. �" 5. a 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�kBLE AT THE TI�SPECTION APPLICANT'S SIGNATURE //� ag� DATE r / Inspectors use only Date on initial inspection: I �C�1 j Date of reinspection: I . Dale of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes- CodeNj1f&Q61ncntInspector " CITY OF SALEM, MASSACHUSETTS BOAR )OF I-IF-.ALTLf 120 WASHTNGCON S rRT2,uT,4".FLOOR IiIMI31 RI L;Y DIiTSCOLL IT']— (978) 741-1800 FAt(978) 745-0343 MAYOR lramdinOsalcm.com 1.A RRY RANIDIN, Rs/R19Is,CI IO,CP-I s FIHALLIi A(;]XY CERTIFICATE OF FITNESS CERTIFICATE #510-11 DATE ISSUED: 12/5/2011 Property Located at: 12 Pope Street UNIT#B-612 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 �p LARRY RAMDIN HEALTH AGENT COD NFORCEMENTINSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TSL. (978) 741-1800 KIMBERLEY DRISCOI.L FAX(978) 745-0343 MAYOR DGRFMNRA1jMna SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness s 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 PC "�-L S a. o IM '� 'M 11'0 D R7DUNI # (O IQ, IS THIS UNIT DIISIGN,,,. TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE W ONER/LESSERc�\O k-AP 1C:V%N-s:Z� MANAGER/AGENT m _SSP_C NO P.O.BOX c �� ADDRESS Ia �l� T 1 ADDRESS �� CITY, STATE, ZIP � Lk 2 w. `AA 10 0141 o CITY, STATE, ZIP `lam Wt v9 0)9 RESIDENCE PHONE(A-)V)7y4- O S 3 7 BUSINESS PHONE(24HRS) �� r BUSINESS PHONE �5 Ik TOTAL NUMBER OF ROOMS: I � ROOM USE: � _-LLriA 2. �CArM 3.0�G ,,\ 4. UVinCYw, 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'SSIGNATU� TT r^ PA OY'�/1QrZ _ DATE {o� / Inspectors use only Date on initial inspection: /� , ! /1 Date of reinspection: Date of issuance of certificate: {d kllj Date fee paid: Type of unit:`D'welling y� Others Check# Check date: Notes: !Yl kS4 Alm IAM G TU '�JG�- Code force nt Inspector CITY OF SALEM, MASSACHUSETTS 13mm OF H&-\LTH 1P 120 WASHINGTON STREET,4."FI-O )R PablicHeaIth TEL. (978) 741-1800 FAx (978) 745-0343 KIMBER1.EY DIUSC01.1. Ixamdin(a..salem.com -� L!\RRY R,\SIU IN,RS/RI,;1 IS,CJ 10,CP-ISS Wym FIF.AI:rn AGP;N r CERTIFICATE OF FITNESS CERTIFICATE#308-12 DATE ISSUED: 7/27/2012 Property Located at: 12 Pope Street UNIT#B-614 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. OR THE BOARD OF LARRY RAMDIN HEALTH AGENT SANITARIAN o i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR v V TEL. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 NIAYOR LRAMDINO( M.LiM.COM LARRY RAMDIN,RS/REFIS,Cf IO,CP-PS Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.0/0 �1 PROPERTY LOCATED AT J �P_vvl f��i` G h 5 UNIT# IS THIS UNITDIISIGNATED AS RIGHT FT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER SQ,leA4 4 f"Q1,+<' MANAGER/AGENT NO P.O. BOX i/ ADDRESSPD/.�2 s4ve e )L ADDRESS CITY, STATE,ZIP S CITY, STATE,ZIP In ' RESIDENCE PHONE 979- 711V-6-'337 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: l.Aedioarvr 2. Aedl-oDM. Lili'PL11 ID6M 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 SIGNATU DATE a7 �� Inti_ ectors use only Date on initial inspection: la7��a Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: forcemeat Inspector k < 3 mb 2s?s N CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH i R 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 586-05 DATE ISSUED: 9/20/05 Property Located at: 12 Pope Street UNIT# B-617 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH / JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS,. Sgt BOARD OF HEALTH ^+7 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA U 1!!/U TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, .1R. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /d Po/J �� \ jP.M nVl,"UNIT# .&l/7 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE re.l- we- tlG p OWNER/LESSER MANAGER/A6EN1'CAl m2n%Aje�'^��I'O' No P.O. Box No P.O.Box ADDRESS ADDRESS /4 Pc � St CITY CITY U c)) 9 7a RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 9 78" 7Yy a o 3 7 BUSINESS PHONF TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. 'sem 3. %h•A"o, 4. 5.2Sjef 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 cwc�r w 'DATE O A/ -7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �9-'I') DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-/'-l>r a DATE FEE PAID: TYPE OF UNIT: DWELLINlOTHER_ CHECK # CHECK DATE �d�~ NOTES: \\ CODE ENFORCEMENT INSPECTOR 9/28/98