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POPE STREET B 700- i i I i l i I i .nJ:;.( � X13, �-��• 1 i w 1 R 1 City of Salem, Massachusetts itsBoard of Health 10 120 Washington Street, 4th Floor, Salem, Pab1iCHth 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-16-367 DATE ISSUED: 10/7/2016 Property Located at: 12 POPE STREET UNIT#B701 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. Wr jxL0-0X( Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN C,UY OF SALEM, MASSACHUSETTS I BOAau<7t7It1 UATI 120\VASHINIG FON ! Iz{LL t ILI, Tri- (978)741 1800. ' KSibIBERLEiY DRISCOLL FAX(978)745-0343 MAYOR iDIONNe.�jSALEM.CONI tNPa I)3t)NPIEs, SI NtOR b CV I t'ARI;AN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." {� FEE: $50.00 } PROPERTY LOCATED AT � �Yc UNIT# X14` f IS UIIS}U--U NIT DIS NATER AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER V A� MANAGER/AGENT NO P.O.BOX '-. ADDRESSL P0 1Pe- - S ADDRESS rg CITY,STAT E„ZIP CITY;STATE,ZIP �+ RESIDENCE PHONE_ BUSINESS PHONE(24HRS) BUSINESSPHONE_ !u 0 J TOTAL NUMBER OF RO 'MS: r �J n,14. ROOM USE: L Xt L� 2, P 6. 7. 8. 9. 10, THERE IS FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP LE AT THE TIME OF INSP CTION APPLICANT'S SIGNATURE { �� f/l �� DATE Lectors use only Date on initial inspection: Date of reinspection: Date of issuance of certifi ` �c��,,a�te: 29 Date fee paid: ”— Type of unit: Dwelling V _. Other Check#17000 Check date: Notes: 44 E orcement Spector " CITY OF SALEM, MASSACHUSETTS BOAR13 cx-, HISA1.ri r 120 WASHINGTON STREET,4°1 FLOOR 14MBEIZLPY DRISCOLL CFL. (978)741-1800 FAX (978) 745-0343 MAYOR Iramdinga salem.com LARRY RAMDIN,RS/111:1 IS,CI 10,(T-I�S HI},Nati AGICNT CERTIFICATE OF FITNESS CERTIFICATE#509-11 DATE ISSUED: 12/5/2011 Property Located at: 12 Pope Street UNIT#B-701 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 Cade, 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 CO E ENFORCEMENT INSPECTOR ,- � �I � � , '1 `� � �� s �.� � / �� i . CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL'IY-.I 120 WASHINGTON STREET,4'FLOOR T'EL. (978) 741-1800 KR BERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGREFNBAUNI(a)SALFM.C01M 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 LOCATEDAT � o� 10C),OQ .S _Sr i e rn A 097-D UNIT 7�� IS THIS UNSIG ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER )C& M \ITADIQ-'A n k5--MANAGER/AGENTL� V) 'PVY7 V— NO P.O.BOX (� ADDRESS—� DDRESS CITY, STATE,ZIP S G^ -)'V4 � a (1� � VC f 11 0) 0 CITY, STATE,ZIP tc�� (YIV� d)`17O RESIDENCE PHONE \"I� C - t"0� 1 V J J-7BUSINESS PHONE(24HRS) BUSINESS PHONEC(:�)�-)�y ds 37 TOTAL NUMBER OF ROOMS:_ t( ROOM USE: 1 C� ONh 2 I�t�C � 3.05.4 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA'T'URE�� Don copoDATE LO S - 1 Inspectors use only Date on initial inspection: S 1( Date of reinspection: Date of issuance of certificate: l I Dae a Iaid: Type of unit: Dwelling Other J Check ate: 11 I 1 ✓I Notes: 06110A 06110 A l�-`FOdau^ Cod Enforc ent Inspector TRANSMISSION VERIFICATION REPORT TIME 12/11/2011 22: 50 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 12/11 22: 50 FAX NO. /NAME 919787445616 DURATION 00:00:33 PAGE(S) 03 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 - TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#777-05 DATE ISSUED: 12/22/05 Property Located at: 12 Pope Street UNIT# B-702 Owner/Agent: CMJ Management Company 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. FM THE BOARD OF WEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 00RC NT INSPECTOR CITY OF SALEM, MASSACHUSETtS,. ^T+T BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • IIt !I+ ` („/�•/ SALEM, MA UIV/V TEL. 97 -1800 FA% 978-745--745-034343 STANLEYUSOYICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 1c9 � :i je," M21--UNIT# TOC-; IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE / OWNER/LESSER MANAGER/AEENT" Cee x m_m ek� a"l No P.O. Box No P.O.Box ADDRESS ADDRESS. o�Or St _ CITY CITY RESIDENCE PHONE BUSINESS PHONE(24 HRS.) 4 7 -�_< 6 ��3 j BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.zi 5.�. 7. 8. n 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 TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION s- DATE OF ISSUANCE OF CERTIFICATE: I1 J` 4a DATE FEE PAID: /Q TYPE OF UNIT: DWELLING OTHER_ CHECK# t 7 t SCCHECK DATE/d �1 V i h!�,f 7lbTv1 NOTES: =antet� i2.- a C_ iereo mt mi m owk- Cmcr- inwccA) re. *-r .�„vro AP h� V 14, rOLIO G9� -(ub -}U be CecGtUf.tLe c( ENFORCEM 9128/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 97804 1'-1 800 FAX 9780450343 STANLEY LISOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter lil ; Code of Massachusetts Regulation 410.000 et. seq. ; State Sanitary Code Chapter lI 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 author- ized 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/our absence, i./we expressly authorize the same and for my/our successors and assigns hereby release and discharge. the City of Salem, Salem Board of Health and its authorized Ggeo,s -from any loss or injury sustained of whatever nature and description occasioned by my/our absence duripg said inspection. a iattNT/LESBEB r pv�,e _ &S OR. 4 LJ - -_ ----- r,Do .EArJ ADDRESS OF t1NiTTO BE 7 u.U. I +6, CITY OF SALEM, MASSACHUSETTS �! HEALTH AGENT $t 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 #378-07 DATE ISSUED: 8/14/2007 Property Located at: 12 Pope Street UNIT# B-703 Owner/Agent: PHM LLC/ Management Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5037 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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. FORTH(J� OF HEALTH JOANNE SCOTT, MPH, RS, CHO V HEALTH AGENT CODE ENFORCEMENT INSPEC R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH j� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT — Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 MINIMUM STANDARDS OF FITNESS OR HUMAN HABITATION". PROPERTY LOCATED AT _a ._-`_-UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCL ONE OWNER/LESSER--Je1Lt./,G----MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS_ ADDRESS CITY`____ _-_-.__.CITY`_` RESIDENCE PHONE`-------------BUSINESS PHONE (24 BUSINESS PHONE_= Gl TOTAL NUMBER OF ROOMS. ROOMUSE i.�.�°�CsH._.2ZII, ?Y _. '� !v __ � 5_------C .- --------8 .. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT T;;E TIME OF INSPECTION. APPLICANTS SIGNATURE ____..___.__-.--- .---------_-----__-_- NSPECTORS USE ONLY DATE OF INITIAL INSPECTION-_q.___-( Lf _170_"- -DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE .�_'l. � -L"7 DATE I=EE PAID TYPE OF UNIT DWELLINt-C_/ HER _ _ CHECK n-.J �j L1 _ CHECK DATE q- NOTES:___..., CODE ENFORCEMENT INSPECTOR �l2£19H °ND'T'`°• City of Salem, Massachusetts • f • 1 Board of Health 120 Washington Street, 4th Floor, Salem, Public Health Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-86 DATE ISSUED: 5/28/2015 Property Located at: 12 POPE STREET UNIT#8704 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN j( CITY 0 SA] I,,,N'i, M \S`ACI IIitiLJ,l' I ti ��xrvx'�`/ 1�i}\V;iSiiiAi3c 1\tiii.I h'I -�° [^I t7C1Ii (97$)7-11-1800 h141Ei1::IZl..i'1 t >RI3t::C'.)t.,I_ E tx (978)7.1.5(043 yca Si Nitric S:wrr\ri v" i l Application for Certificate of[Fitness IN ACCORDANCE. WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNI_,SS FOR HUMAN HABITATION." f �FE}f , 5 fOCO � /Jr �y Pi20('ERI'Y LOCATED AT / � � ✓� / —UNFIT—f3 A THIS L1N ST�/UI$l(c2k Ei AS91WIFFiE TFRONTOR BACK 'Ll, Sta:11T ' .•;UNP: O`�VNERILESSER � f ( _MANAGLIZI AGENT' ` NO P.O. BOX _� ADDRESS y ADDRESS CITY, STATE, Z1P_- �/ '!�_.CITY, STATE, ZlP RESIDENCE PHONE: BUSINESS PHONE(241-IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM US@: 1. k: ' �U/ 3. 096q- 9. 9. 10, THERE IS A FIFTY (So) DOLLAR FEE, PAYABLE BY CNE"-CK OR MONEY ORDER l`0'THF.;;CITY OF SALEM BOARD OF HEALTH THIS PEE IS PAY(j ►�j Ic AT TFIE TIMI;OP INSPECTION APBJCANT'S SIGNATURE DATE I t1S(3eGIOCy list; 411 ;IX Date on initial inspection: �� Date of reinspection: Dale of issuance o£certificate:, _ Date fee paid: Type of unit: Dwellnig—__Other .,_Check# Check elate: Notes: Code nF ., mens Inspector TV k - � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 138-07 DATE ISSUED: 3/28/2007 Property Located at: 12 Pope Street UNIT#B-706 Owner/Agent: Kori Wallace PHM Property Management Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH + 120 WASHINGTON STREET, 4TH FLOOR 'SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0943 i , �,„��,,,I //*�� JOANNE SCOTT, MPH, RS, CHp lCmbedey Driscoll HEALTH AGENT Mayor o 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) Pa,e t�� LVI UNIT# 6�L,C, IS THIS UNIT DESIGNATED AS RIGHT LEFTRF ONT BACK PLEASE IRCLE ONE ff�a Wp4� !�l�lice OWNERlLESSER MANAGERlA6ENT' P/liyl - ere PK4- +), No P.O. Box No P.O.Box J ADDRESS ADDRESS / Pa4e ` CITY �. _CITY_ o ' e T fia i l76 RESIDENCE PHONE BUSINESS PHONE (24 HRS '�rY'7y`f`l✓'�.1 / .} BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1,Z, cer, 2L,,,j�3. Y�rcr.h4. r�rcnw THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE Y DATE_! 5U`� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _S —off Y--D f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE _ 8 -D7 DATE FEE PAID:__5_ _&' TYPE OF UNIT: DWELLING/ OTHER_ CHECK#j, CHECK DATE E D� NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 L CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'FLOOR PablicHealtth Prevent.Pmmam.pmt em TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Irai-ndin@salem.com LARRY RANIDIN,RS/RF,,HS,CHO,CP-FS MAYOR CrI AGENT CERTIFICATE OF FITNESS CERTIFICATE#373-13 DATE ISSUED: 10/15/2013 Property Located at: 12 Pope Street UNIT#B-707 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. FOR THE BOARD OF HEALTH I LA RAMDIN HEALTH AGENT SANITARIAN * CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR PublicHealth e Prevent.Yromom.Nm", TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin&salem.com LARttY RAhIDIN,RS/RFsFIS,C1 10,C]'-FS 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" Jn FEE: $50.00 PROPERTY LOCATED AT 4 W 0L UNIT# IS THIS UNIT 61SI ATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 1 17, A44 MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP �/ -rr� Q�G/ 7O CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.� I V j?`112. TGI IYi 641719M. ftMW 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 AYAB�LE AT THVIMEMO,F INSPECTION G APPLICANT'S SIGNATURE- -L `' c==-Vy�Cc� DATE I �(� Inspectors use only Date on initial inspection: / �lUl /1 Date of reinspection: Date of issuance of certificate: / Date fee paid: Type of unit: Dwelling Other Check# b Check date: & Notes:__ Cc rcement Inspector r u CITY OF SALEM, MASSACHUSETTS BOARD OF HEdL"l'H 120 WASHINGTONSTREET 4:...FLOOR P, lei > rrcm,.rr"m"m.rrntgn. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iranidin@salem.com MAYOR l.rV2RY a,\Nunm,Rs/Rei-rs,ci 10,CP-FS HIL\l;CH AGENT CERTIFICATE OF FITNESS CERTIFICATE#265-14 DATE ISSUED: 7/29/2014 Property Located at: 12 Pope Street UNIT# B-708 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARDOF HEALTH LARR RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS,'^/// BOARD OF HEALTH p`, 120 WASHINGTON STREET,4'H FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDINAU,SALEM.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" / p FEE: $50.00 PROPERTY �J/f �j� PROPERTY LOCATED AT ` 2- A S" ' � w6� � A UNIT# � "9 IS I/S UUN,IQT DLSIGNA ED AS RIGHT LEFT FRONT OR BACK PLEASE C LE ONE OWNER/LESSER `� <'/ MANAGER/AGENT NO P.O.BOX ADDRESS 2e. JADDRESS CITY, STATE,ZIP d" CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 7 z-1V- O� TOTAL NUMBER OF ROOMS:_ ( Qpm ROOM USE: 1. t�'�j� Q. ✓; 3. 9eG( NyOG4 (kU `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 ftA/BLE AT THE TI OF INSPECTION APPLICANT'S SIGNATURE DATE 2 ?•C� //V / Inspectors use only Date on initial inspection: 7/aci I tq Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling-Other Check#__Check date: Notes: Code Enfo ement Inspector _may CITY OF SALEM? MASSACHUSETTS BOARD OF FIE.ALTH 120 WASHINGTON STREET,4."FLOOR PublicHealth TEL, (978) 741-1800&1S(978)745-0343 KIMBERLEYDRISCOLL lraLnn salem.com Lmuly I AMI)IN,RS/RL1iS,cI4R),cl'-1:S MAYOR HE,;SL."1'6i 11Gi_iN'T CERTIFICATE OF FITNESS CERTIFICATE#273-14 DATE ISSUED: 8/15/2014 Property Located at: 12 Pope Street UNIT#B-709 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3„Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll”Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD OF HEALTH LARR7- MDIN �+�•• HEALTH AGENT SANITARIAN r CITY Or SALEM MASSACHUSETTS J I BOARD OP HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL.(978) 741-1800 ICIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN0aSALEM.00M LARRY RAMDIN,RS/RENS,CI-IO,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" PEE: $150.00 PROPERTY LOCATED AT I �O UNIT# IS THIS UNIT DISIGNATE AS RIGHT LEFT/FRONT OR BACK,PLEASE CIRCLE O/� OWNER/LESSER 0 MANAGER/AGENT NO PO.BOX / ADDRESS ( � D e /�y�� Q ADDRESS CITY, STATE,ZIP / I ! /V CITY,STATE,ZIP RESIDENCE PHONE p ( / IBUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER 03F�R MS: ROOM USE: L /J`'� kl" 2. V�� 3. 4 -?�4. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE� AYABLE BY CHECK OR MONEY ORDER TO TF1E CITY OF SALEM BOARD OF HEALTH THIS FEE ISP ABLE AT THE TIME F INSPECTION APPLICANT'S SIGNATURE G�%�'l%/'` DATE Inspectors use only Date on initial inspection: %6Th 4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Y� Check date: Notes: C rcement Inspector CITY OF SALEM, MASSACHUSETTS a : BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR 'ISL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR uco,rl SALEu.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#394-08 DATE ISSUED: 8/19/2008 Property Located at: 12 Pope Street UNIT#B-711 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5037 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J NNE SCOTT, MPH, IRS, CHO HEALTH AGENT CODE ENFO EMEN INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IsconesALEM COM JOANNE SC61T, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 /J PROPERTY LOCATED AT 1 - s+ UNIT#. 11 I IS TRIS LNrr A IG ATED AS RIGRT LEFr FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER ��O M �4k jC -l� MANAGER/AGENT �; l i ✓� n �i,jStiJl� NO P.O.BOX ,r� ADDRESS 12- CS� ADDRESS CITY,STATE,ZIP ---c 4—j-� ji-7 1�5_ 7�.,CITY, STATE,ZIP RESIDENCE PHONE f f - BUSINESS PHONE(24HRS} BUSINESS PHONE. 1`7 3 1. TOTAL NUMBER/OF ROOMS: ROOM USE: I. / r`/d'4 0 2. t0If0 E1 3.6r2 /aWt4. Aon/dC-)V& 6. 7. 8. 9. 110. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I YABLE AT THE T OF SPECTION APPLICANT'S SIGNA DATEZ44/�, X�� Inspectors use only Date on initial inspection: F- )'7 -0y Date of reinspection: Date of issuance of certificate: F'i t`i -O ST Date fee paid: Type of unit: Dwelling 4/ Other Check# 5 Check date: Notes: Aodeforcement Inspector GOND 440 City of Salem, Massachusettslu ti . 4 Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHP,alth 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-15-157 DATE ISSUED: 7/2/2015 Property Located at: 12 POPE STREET UNIT#8712 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 1191 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITAR Srny .. . uiitN( )SIN titi.i i 1In: I i (u�a 1 i')718) I I NO) LIAIL'I RL.I N I )RIS( h \A (`)'R)7I5 (t;t3 ,NQ \v( sf. ni tX)M Sl'm(w I \lo \N\ Application for Certificate of Fitness IN ACCORDANCE WITH STATF SANITARY CODs, CI IAPTFIR 11, 105 CMR 410.000 "IMINIMUIM STANDARDS OF FITNESS FOR HUMAN HABITATION." PROPEiR"1'Y (.00ATED FC'l' l 0 _� UNIT11— b N iiNl'1'Dt, CNA'I� ,I7 AS RI(t(1 I I-__I�PLRONT OR BACK,PL EASC CIRC Nk yam" /� OWNUULIsSS1;I2 p� t / MANAGER/AGrN'1', _ NO P.O.WX ADDRESS ope _�� ADDRESS — CI`T`Y, STA'I E, Z-IP_.� � �CI1', STA'1 E, ZIP RI--SIDENCE PHONE �f y—?oLiSimSS PHON13(241-I12S)_ -- BUSINESS 11-IONF l "� I'O'i'AL, iNUN,lB ROI" RC OIMS:,__ �Q J ROOM USI3: I. `�+ '�(. L G, S. T-iRRE IS A FIFTY (%50) DOLLARFEE, PAYA13LE 3Y ClIECK OR MON13Y OitDi3R-1-0"-i-1F' CITY OI' SALFM BOARD OP i-IA _. 11 —SPECTION A 'U � � � , APPLICANT'S SIU II14pf:L't01'S use on1Y Date;on initial inspccCion_-.Q�j2 — � fe cP reinspection: _ DdtC 0'1 isSncnce aF cci LHICtllc: �— Datc lee I vpc oi'unit: Dwelling__V Othcl Chccl< F_ check ----- Nates: Cod o' 'lit 11 eoane yj ccwi CI"IY Ol' SAI,1_M, D/LASSACHUSETTS IV BOARD OFIIF�A IN11 120 WAS]IINc'T N S rRF,1171,4 FLOOR. ftbHCHean (978) 741-1800 VA\(978) 745-0343 KIMBEItI.EY DI.ISCOLL h amdin« iletn.cotn MAYOR1;\Iil2Y Ii;\NIDIN,Rti/RLI-I5,CI 10,CP-IAF HLm,'n i A(TN'I' CERTIFICATE OF FITNESS CERTIFICATE # 187-14 DATE ISS U ED:6/13/2014 Property Located at: 12 Pope Street UNIT#B-714 Owr er/Agent: Salem Heights Add'ess: 12 Pope Street City Town: Salem, MA Zip Code: 01970 24 Hcur Phone: 978-744-0537 Pur;.uant 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 vacatnt 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 Fitn ;ss for Human Habitation". The-efore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Hea th and the unit may now be rented and/or occupied. Y p Max imum Number of occupants, must comply with 105 CMR 410.000. Cerl ificate valid for one year from date of issuance or until the current tenant vacates, whichever is laser. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOF;THE BOARD OF HEALTH LARR04AMDIN HES LTH AGENT SANITARIA Wk" CFFY OF SALEM, MASSACHUSETTS BOARD OR HEALPI-I J 120 WASI-IINGrON STREET,4'"FLOOR I �� TIL.. (978)741-1800 v KINIBERLEY DRISCOLL FAX(978)745-0343 MAYOR AJIONNL'(d)BALEhf.COM JANE'I'DIONNE, SE.NIORSAM,rARIAN 3 w 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 //�� F(EE: $50.00 PROPERTY LOCATED AT / PO /✓ -e J j • UNIT# IS THIS UNIT DISI ATE AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 0 (� MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY, STATE,ZIP CITY,STATE,ZIP RESIDENCE PHONE —BUSINESS PHONE NE(24HRS) BUSINESSPHONE7 � � 3 TOTAL NUMBER O : ROOM USE: 1. 2. f 3. / 4. 5. 6. 7. 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 ISP ABLE AT THE TIMODF INSPECTION APPLICANT'S SIGNATURE `G — DATE Inspectors use only Date on initial inspection: �I`� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code fdrzdment Inspector Wk TRANSMISSION VERIFICATION REPORT TIME 06/18/2014 21: 38 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06/18 21:38 FAX NO./NAME 919787445616 DURATION 00:00: 23 PAGE(S) 01 RESULT OK MODE STANDARD ECM ' City of Salem, Massachusetts . Z o WK Board of Health 120 Washington Street, 4th Floor, Salem, BOND c<o,< , MA 01970 Prevent. 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-16-445 DATE ISSUED: 11/10/2016 Property Located at: 12 POPE STREET UNIT#B715 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. &1e 1 2 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS B��itntlFIII v Ilr 120WASHINGUONSzitu,r T1'''Fi_oon, Ful". (978)741-1806 KIMBERLEY DRISCOLL FAX(978)745-0343 ,NL9YOR IN )Nw_r_),Al I NI.COM All I.AN UT DION NIS, S I MOR S.AN ITARCAN Apptication 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." n FEE: $50.00 PROPERTY LOCATED AT I EJ -:. UNIT# IS TH � D G A ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ` MANAGER/AGENT NO P,O.BOX ADDRESS Z P,)Pt -ADDRESS CITY,STATE,ZIP r U&CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) uz BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 v �� ROOM USE: 1. ( � 2. �3. 4. 5. 6. 7. S. 9. 10. THERE IS A FIFTY($50)DOLLAR FE ABLE BY CHEC R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP BL AT THE TIM INSPECTION APPLICANTS SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: " Type of unit: Dwelling Oiher Check#__Check date:--- Notes: Im n' cementl ector CONDI�� Af f . City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, PubliCIieslth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-358 DATE ISSUED: 10/28/2015 Property Located at: 12 POPE STREET UNIT#6715 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH A Ur4WA Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITA N _Sr - CITY OF S.Al_,EM, MASSAC 1-ItTlq- I"1 S Bomm ov Ffi:m xt I - q��. 120 W,4S4IING7"QN$'1RI31i1' 4'u hJ..QOR 'I'F3I,. (978)741A800 . KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR jt)—ONr a s&LLj i.COM WA,DiONN131 St.':NtOR.SANI't'ARIAN �I t Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �j FEE: $50.00 Q �J� n q PROPERTY LOCATED A'1' Q f?� Stc' ( f _UNtF# tl IS T'IIIS UNIT DISIG ATED AS RIGHT LTI�T FRONT OR BACK,PLR S<'.CI11 LL�'B ONE OWNER/LESSER MANAGER/ T7 �� C� NO P.O. BOX ADDRESS �_ D n/J � /�/� ADDRESS CITY,STATE,ZIP s &uk4 m-6—CITY, STATE,ZIP RESIDENCE PHONE. —BUSINESS PHONE(24HRS) BUSINESS PHONE_ �_____ (J TOTAL NUMBER OF R�OpO�M,S: j p ROOM USE: I. 6_ 7. 8. 9. 0. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I ''�J(AYABLE AT THE T. E OF INSPECTION / APPLICANT'SSIGNATURE (`.,gl ��—�� DATE ff,\ Inspectors use only Date on initial inspection: l�4�� _ Date of reinspection: Date of issuance of certificate: Date fee paid:_ __ Type of unit: Dwelling _Other Check#--Check date:_ Notes: - Ca e; for entlnspector 19 CITY OF SALEM, MASSACHUSETTS BOARD OF HFAI.TH PliblicHealth 120 WASHINGTON .STREET,4`FLOOR v., cm.rramoa.vrmwi. TEL:(978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Ltamdin@saleiii.com LARRY RahIDIN,RS/REI-IS,CI-1O,CP-FS MAYOR HI:?A1.;1'I1 AGENT' CERTIFICATE OF FITNESS --------.—_ _ ------_CERT.IEI.CATE_#.308-1.3_ - DATE ISSUED: 8/30/2013 Property Located at: 12 Pope Street UNIT#B-802 Owner/Agent: Salem Heights Apartments 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 Y RAMDIN HEALTH AGENT SANITARIAN (,1':I."Y OI SA- EI M, MASS C H U SE" .-°:I:S I'o:\Iu)ov 1-1e \III t [20WASHINGTON S.CRLI,1,4`.. H,001( TP.L. (978) 741-1800 KIl\41sJ R1::C Y DRISCOIL 1',\x(978) 745-0343 . ,ARRY RANMIN,RS/RI:(.I Is,CI to,CP-I;} . II AGIiN I' Appine.a flo n for Certificate of FUMOSS IN ACCOR'DANCI; WIT11 S It\TG' SANITARY CODE, CHAPTER I'L, '105 CMIZ 410.000 "NIINIMUM. STANJ-)AIRDS 0F FJTN1,SS FOR 1JuMAN iIABTTA'.['ION" 11E;I _;ISO.C)O WP R.'TY LOCA-1 I) A I`_L�(Z��y12 _ C t� 2 /1[(�/I UNI'.I'V1-4ma'' 1S'D.'9II51JlYT'I'U7,S IGNA U:U AS RIGID LI?.1 l PRO N'C UR tACI ,PJ,I6ASC;CI8CI,1! UNfI; _ 1 �r '' c— II MANGER/AGL1VNLU; SS1R � _ r_ l �11t f1 l ))).0 i)OX 'r Y, STA I t I I I'-_.Sri e-po. M /� (�l �,C1__CITY, STA 1'1, %IP_ ;S1DI?NCP—IONI:!, BUSINESS, Pt[ONE(241-1RS)-.-------___—. -..------..-_--- JSI.NLSS PII:ON[s__1 _7� 1 )TAI-,NUMBER 01, ROOMS:-__ __. )OM UsI_;: 1_ G.�it(IM z- K._[-L.-_. �L) LryI4—• �l� o� —_ r_ --- --�--- - --�---- -----lo-- I101 1-;IS A U11; 1 Y5 0) 11)0 L L Al:I I.;I , 1)AYA13LI,"13Y C[-IIsC:K 01.2 MONF�Y 0R[)I.R TO 7111 CC'I`Y 01 SALEM 1 L C�N 1.11 S Sl I;'1'l l I I1S l�J'iI�A�A�LI a�llll T1NLE OF INSPECTION p' ), NYIIJIC A/vr/� 16 lns ecfors use uI11y_ Itc on initial ins)cctlou _ Date of )tc of issuance of cel Llllcate:_-- _-- .---___— Date.fee pai __--- - ---- 'pc of unil Dwellint;__. VISPcIto , ------- xlc Ln ' � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH t 120 WASHINGTON STREET, 4TH FLOOR i o SALEM, MA 01970 9egy TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#51-08 DATE ISSUED: 2/5/2008 Property Located at: 12 Pope Street UNIT# B-804 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 HE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET:4TH-FLOOR SALEM, MA 01970 � 1 TEL. 978-741-1800 I FAX 978-745-0343 ' JOANNE SCOTT, MPH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 `MINIMUM STANDARDS OF FITNESS FOR 1HUMAN HABITATION'. PROPERTY LOCATED AT_ Q_rs� s, cUNIT 4LL 0& IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ( MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS I T_ ADDRESS CITY 291 /11 I 0A OIOD CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE q'n 7Liq os37 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. _6._7__8._ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S aL HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATOR _DATE-�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -a 0 �' .DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,�2 -[( -�o SEDATE FEE PAID:_ Z -/ I -0-Y TYPE OF UNIT: DWELLING \ OTHER__- CHECK #'k0______CHECK DATE, _-1-(_ ' NOTES: / CODE ENFORCEMENT INSPECTOR 9/28/98 D City of Salem, Massachusetts r �" i Board of Health 120 Washington Street, 4th Floor, Salem, Prevent.PabliC�oH@Alth 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-17-71 DATE ISSUED: 3/9/2017 Property Located at: 12 POPE STREET UNIT#6805 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CTTY OF SALFNS, .MASSN("HUSF'I"I'S { Bc)ARD OFFIRAWH �x I2t)lUr�szztNc.zDNSrRu'r �,"'FLoc�ti-, Tv,i,.()78)74l 1804 `' KIMBERLEY DRISCOLL FAX(978)745-0313 -NII.AYOR mcc> NrCi AfEM.0 W (xAN F:r DIONNF, . So:NIO'R SAN16AR1AN Application for Certificate of Fitness_' IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 205 CMR 420.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEF $50.00 �} / PROPERTY LOCATED AT UNiT# l O 93 �18 THIS UNI �IGNATE�S RIGHT L qEA NT R BACK,PLEASE CIRCLE ONE OWNEWLESSER l//((�7 11ANAGERI AGENT NOP.O.BOX - ADDRESS ,( � ADDRESS CITY,STATE,ZIP��w. C" l U CITY,STATE, ZIP RESIDENCE PHONE (,f �`- BUSINESS PIdONE(24HRS) BUSINESS PHONE ! > TOTAL DUMBER OF R�tO �jj f �� ROOM USE I._ E Z['""""`2. CX 1. 3. 6-2 r�40 S. 6. 7. @,> 8. 9. 10, THERE IS.'A FIFTY($50)DOLLAR FEB;PkrXBLE BY CHECK OR M EY ORDER TO THE CITY OF SALEM BOARD 0 HEAI:.TH THIS FEE IS PA A$ E A HE TIME OF IN CTION APPLICANT'S SIGNATURED ATE _ 4� Inspectors use only ms Date on initial pectioni 16 _,,_ Date of reinspection; Date of issuance of c'e'rtificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Coda. orce e nspector / ✓'� "Q City of Salem, MassachusettsA . lug.. N mm Board of Health 120 Washington Street, 4th Floor, Salem, PlabliCHealth MA 01970 Preeent.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-16-444 DATE ISSUED: 11/10/2016 Property Located at: 12 POPE STREET UNIT#8806 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. &1ey I Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, NtNSiA(:HtJSET"I'5 BUARDOFIII V.11I r 120%VASI[INC,ION&Ukm�7 4'"FY.obw,.-, Trt,. (978)741-1800 _ KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIQNNcri?�sej�_s.(KQM J ANI:i'DIONNE, SENIOR SANITARIAN Application for Certificate of Fitness_ IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 145 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE:°$50.00 PROPERTY LOCATED AT GLI UNIT# IS THIS WT OISIGNATED AS RIGHT LM FRONT OR BACK,PLEASE CI E ONE OWNER/LESSER� MANAGER/AGENT NO P.O.BOX -e S k '< ADDRESS ADDRESS CITY,STATE,.ZIP l CIT STATE,ZIP RESIDENCE PHONE I N7- BUSINESS PHONE(24HRS) BUSINESS PHONE L1�J TOTAL NUMBER OF OMS: r7 I ROOM USE:'. L 2. '3. + 4. 6. 7. 8. 9. 10. THERE IS_A FIFTY($50)DOLLAR FEE,PAYABLE BY CRE OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT THE TI OF INSPECTION `j APPLICANT'S SIGNATURE DATE 'd l0!1 Inspectors use only Date on initial inspection: 0 Date of reinspection: Date of issuance of certficate r Date fee paid- it Type of unit: Dwelline ✓ Other Check#G��DO Check date:''` Notes: C d of ce nentlns ctor i� Tamara Remez From: Dispatcher <ma.dispatch@answernet.com> Sent: Tuesday, November 08, 2016 11:40 AM To: Tamara Remez; Sheila Ortiz Subject: 561: Salem Heights Message MessageID=561-2180016371 561 - Salem Heights Apartments Taken By: KD 11/08/2016 11:37 AM Deliv By: SYS! 11/08/2016 11:39 AM Delivered To: For: OFFICE ISSUE: X - ALL OTHERS RE: ALL ROUTINE CALLS From: JERMANIA GOMEZ Phone: (781)731-5657 or Bldg: B Apt: 806 Company: MESSAGE: SHE IS SUPPOSED TO GET AN INSPECTION TODAY AND IS NOT SURE IF SHE CAN MAKE IT. YOU CAN GO IN AND DO THE INSPECTION WITHOUT HER IF THE IS ALLOWED. PLEASE CALL ----------------------------------------------------------------- Dispatch History: SYS!: 11/08/2016 11:39 AM Auto Action Executed *MAIN OFC - EMAIL Q ----------------------------------------------------------------- Message Number: ,405612180016371KHP4198646 . 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET 4'"FLOOR PnblicHeatth Prevent.Promote.Proleet. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL h-amdin@salem.com LARRY RAbLU1N,RS/RRI-IS,CI-K),CV-FS MAYOR CERTIFICATE OF FITNESS CERTIFICATE#112-13 DATE ISSUED: 3/21/2013 Property Located at: 12 Pope Street UNIT# B-806 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 878-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwellingunit apartment or p tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH /f % Y RAMDIN L HEALTH AGENT SANITARIAN ��tc�� sr I�o1Ru<>t�III ,tI )w �" YII 1AlT dli ) 1 i.. 1:_OW,�S[ttNGItANS'C¢t.l 1, - L-)-,o(.)It `1'i--t,. (978)7,11-1800 IUB+I10.10,f;Y l luscol-l.. P'Ax(978) 745-4343. IATA\:'OR LIILA��LN((lL- n SSBI. ItRY IZ;AnIDIN,1W)w'I I$,{;11(1,co-I's ' 1-tIfA Cl11 A.GIiN I Ai La4as.,ad:dap� I'm- CerfificAte of t+itipess IN AC;C,ORDANC F WITI I `,'I"PA'I`I:: SANITARY CO'Uk:, CI-1'APTI'M 1'I, 145 C.,( I1Z d 0.000 "NIINIMUNCSTA NI)AIU S01"' 1;I'I`NI'-SST'ORIIUMANI[AI:3( PATJON" < `, r 1_I7.1;_�;L54.00 � ) ;)I')-"P'CY I,OCA't 1 I) A 1'_l -) (2 trfa/_VVt- _}-�-J,, t GLL.4 ✓1 _v..( ( }� UNl't'A 0_ lAI _ 7AkAS 1��I W> SI NA 11DIIAs at1U�+ �L',1�tt �tcot ) tn�Pt1A,S1 ClRCIA� uNP; / MANAG1 lU ACrI'';N I P O 10h - �- - t - 7.{Yc:'__-s: —._..__ 11.31 10-';.SS ....... 71h ,5r 1,1I4�._./hi,l ��/f r�' }- CJ'I y, STA tt ,Z1P_,._----- _ A1171 NC:U PHONF, tAr, NUN113IiIt oI� uoowrs,._.- 0MUS1 1 1_.0 .) 1 _---.--9W-_._._ 1'IZI i IS A Is`W 1 Y(,$30) DOI_,J AR F kit f, PA VAISL1, 1 Y Cl-I FcK OR MONEY O t tlliR J O TI 11" CI I%' OI' SA JAM ARU OltIll,AUVJIT]IIS 'l�J?1; ISPAY'rBU. AI'll IL;TIMF'01' INS PEC'TIO'N ? 'CdC;AN'i S S[GNATO lt 1 , !,c !?lc l .J��v-L'��L / ----_---..._ ._._ ___... DAT17.. J� � Iu_hc�fo�s Ilse u� ly_ Go]) milia) il)spccticAsl _-- < u[ i5sus11ct cri'c�Cid+c - Ic0Itwit: Dwc,1lulg OIlut Clcecicl( _ Cbcuktl<t[c:- � / i -.-- lcl,i;n(OrCe .n[ Inspcclul '�, Cit of Salem, Massachusetts e assac Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaa 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-16.394 DATE ISSUED: 10/17/2016 Property Located at: 12 POPE STREET UNIT#8807 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BC1 lMOFI11 Ai,u1 IU.1,. (978) 741-1806 KLNIBERLEY DRISCOLL FAX()78)745-0343 LAYOR 1D1QNN[,()SA1.VM.COM JANF"1'DiONNFI, $1NIOJZ S\NI'I'AMA1N Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE„GIIAP`TER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION.", FEE-.'$50.00 I PROPERTY LOCATED AT Z A �' SZ"/ NIT# IS TH15 ULYIT DIDISI�GNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRC NE OWNER/LESSER /ll}1 !`✓ Y 1 MANAGER/'AGENT NO P.O.BOX ADDRESS ADDRESS / CITY,STATE,ZIP _ -- CITY, (�_STATE,ZIP �t 7 I7 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE. TOTAL NUMBER OF{RO(/M�S: ROOM IJSE; l. r i ""1 r 2 3. t y . + 5. �ltN 6. 7. 8. 9. 10. THERE ISA FIFTY($50)DOLLAR FEE,P BLE BY CHECK O ONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY E T THE TIM OF PECTION APPLICANT'S SIGNATURE— DATE Inspectors use only Date on initial in 4 "1— Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code En�Wcen� t Inspector ® � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR PublicHC81Lh rr.cm.rrommc.rrmcc. 1'EL. (978) 741-1800 F,\x(978) 745-0343 KIMBEiRL.ESY DRISCOLL Ixamdinksalem.com L:\ MAYOR RRY ItAbIC)IN,RS/KV,I IS,C (:]'-];S[f0,(:]'-];S HLAi;ri r AGr:NT CERTIFICATE OF FITNESS CERTIFICATE#234-14 DATE ISSUED: 7/10/2014 Property Located at: 12 Pope Street UNIT# B-807 Owner/Agent: Salem Heights Apartments 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: OR THE BO D OF ALTH �4 LARRY RAMDIN HEALTH AGENT SANITARIAN 1 CITY OF SALEM, MASSACHUSETTS S CI BOARD OF HEALTH "8tay x 120 WASHINGTON STREET,4:'FLOOR TEL.(978)741-1800 KI1\4I3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN n SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS I FALT'HAGENT 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:: $500.0p0�� / PROPERTY LOCATED AT l Z Pope S v ic�w , Sz&&{1-14UNIT# IS THIS UNIT DDIISIfGJNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE /� OWNER/LESSER V GSI rI _MANAGER/AGE T G� !/l 411 e� NO P.O.BOX ��77 ADDRESS C� 0 2- Sj' ADDRESS � A-1W CITY, STATE,ZIP Q "A A CITY,STATE,ZIP RESIDENCE PHONE LBUSINESS PHONE(24HRS) Zr /(f BUSINESS PHONE ( 7-S % / / `f 0-3 TOTAL NUMBER OF ROOMS: 3 / ROOM USE: 1. 4 c�1," :L\ �I.( 3� gd4 t- 6. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I AAYABLLE�AT THE IME OF INSPECTION APPLICANT'S SIGNATURE M//A"'wO— DATE -7 /0 �y Inspectors use only Date on initial inspection: / I�� Date of reinspection: Date of issuance of certificate: J Date fee paid: Type of unit: Dwelling Other Check# Yo Check date: Notes: Cod of ement Inspector CI`I"Y 01" SALI=?,M, MASSACHUSE17fS 10 ' 13t2 AD OlAI EMXf f ... 120 WA'M-IIN( ON S'i'137 1+.T,4"'FL t,1gR � m , �. T7:i.. (978) 741-1800 Frt,X (978) 745-0343 KIMBERLEY DRISCOLL tramdinUa sah .com LARRY RnnIniN,RS/RF FIS,crx0,(A-Fs MAYOR MAYOR I-11'i,U.PI l Af=tiN'I' CERTIFICATE; OF FITNESS CERTIFICATE#392-12 DATE ISSUED: 9/27/2012 Property Located at: 12 Pope Street UNIT# B-308 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 il" 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 cccupied. 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 i, a valid Certificate of Occupancy. FOR THE BOARD OF UEALTH f LARRY RAMDIN — HEALTH AGENTRIAN;.., r ' CITY OF SALEM, MASSACHUSETTS BOARD OF, HEAD TIP, rmuan ` 120 WASHINGTON STREET,4 FLOOR !� \ TrL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 �(J� MAYOR I.RAMUN@S v.ICM.CONI LARRY RAMDIN RS/RFJIS,CI[0,c-P-PS HI?A],rrl ACI: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" FEE: $5/0.00 �y PROPERTY LOCATED AT ( M.1-- c r,M UNIT# 0 IS THIS UNIT DISIGNATED AS RIGHT L�T FRONT OR BA C,PLEASE CIRCLE ONE � OWNER/LESSER {re�vt/c.�6ti4— 11 S ANAGER/AGENT �L(GiIITGt I�VM U S/C� NO P.O. BOX ADDRESS4,2 AD -p— 674Yezif Gy ADDRESS CITY, STATE,ZIP-6 }LOJVI,/ � / M! M CITY, STATE, ZIP RESIDENCE PHONE `"/` /T �/ BUSINESS PHONE (24HRS) BUSINESS PHONE ?Ij- j'/ — dS,3 TOTAL NUMBER OF ROOMS: //��}}�� nn�� p n ROOM USE: 1 L V 2 KIT 3 6U Q/dl 4 k RO 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 DATE � a Inspectors use on y Date on initial inspection: q I c � Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Ay Co cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TELL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGRI I:N19AUM,I@SAI.I'.M.(HONI DAVID GR131i;NRAUM ACTING H EAI,n-I AG FNT CERTIFICATE OF FITNESS CERTIFICATE#129-10 DATE ISSUED: 3/25/2010 Property Located at: 12 Pope Street UNIT# B-810 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 �� _ AVID GREENBAUM ACTING HEALTH AGENT CODE E O CEMENT INSPECTOR i�� Cer-� to �akrn- -f-Konvs 8� • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREFT,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR oGRr:etNUAUMna SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT ' l �� UNIT# I V IS THIS UNIT DI GNA D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERkPvj ,( VASI, MANAGER/AGENT NOP.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP a 1 QI� VAOj'-Ori'Y, STATE,ZIP RESIDENCE PHONE / BUSINESS PHONE (24HRS) / BUSINESS PHONET � _ Q� TOTAL NUMBER OF ROOMS: ROOM USE: 1. %V�L71M 2.K( &b-613.ArIt7trYY�9. & . 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 nP �LE TE T OF INSPECTION APPLICANT'S SIGNATURE DATE, Inspectors use only Date on initial inspectiow Date of reinspection: Date of issuance of certificate: a Silo Date fee paid: 1A //0 Type of unit: Dwelling Other ` Check#_Check date: 31d J//0 Notes: / W1. "1 /8 J`l y UPI(O Code En rc ment Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ter' 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR uGRI i9.NI3AUM@SAr.l7M COM DAVID GRI:;ENRAUM ACTING Hi,Ala'hl AG ,,mi, CERTIFICATE OF FITNESS CERTIFICATE#665-09 DATE ISSUED: 12/29/2009 Property Located at: 12 Pope Street UNIT#B-811 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. FO Tlj B, RD OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT C ENFORCEWAT INSPECTOR CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNEnR 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." /J �^ FEE: $500wOO �/� PROPERTY LOCATED AT I /i IAC � _wolf^'� D Y\(1 1 Y` O\`( /l ).UNIT#-.& �IS,T�HI UNIT ISIG TED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE I� , v OWNER/LESSER JL: f MANAGER/AGENT �1-P(�1'11 (1C' f NO P.O. BOX ADDRESS- ADDRESS CITY, STATE, ZIP c �'�� { 4 I MA 01 q �vy,CITY, STATE,ZIP RESIDENCE PHONE c BUSINESS PHONE(24HRS) BUSINESS PHONE C�� L� -7UL4 O S S7 TOTAL NUMBER OF. W Y\pIgROOMS:t '1�/ ROOMUSE: 1 &W)3. Adi'LY" 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 PAYABLE7 THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use.only Date on initial inspection: I��aR(nq Date of reinspection: Date of issuance of certificate: � Date fee paid: Type of unit: Dwelling Other Check# l/�(] Check date: / Notes: e Enforcement Inspector I NatCITY OF SALEM, MASSACHUSETTS . BOARD OF FIEAaH 120 WASHINGTON STREET,4".FLOOR Pl1b�1CHCA1�1 r. e„r.r.amoce.r,m �. i TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Itarndin@salern.com LdRRY 10&IDIN,RS/REI IS,CI IO,CP-1,'S MAYOR Hrm ' irA(; ;,NT CERTIFICATE OF FITNESS CERTIFICATE#286-14 DATE ISSUED: 8/29/2014 Property Located at: 12 Pope Street UNIT#B-812 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 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. OR THE BOARD OF HEALTH LARRY RAMDIN 44") HEALTH AGENT SANITARIAN +1r< CITY OF SALEM, MASSACHUSETTS \ av -• ?C BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN a SALEM.COM LARRY RAMDIN,RS/RE-HS,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 $50.00 PROPERTY LOCATED AT l 0 OCs UNIT# IS THIS UNIT DISIG�N�A/ 'D AS RIGHT L Fr FRONT OR IIA K,PLEASp �RC`LEE ONE OWNER/LESSER P 04 I I MANAGER/AGENT ADDRESS—/ O J / ADDRESS CITY, STATE,ZIP It�`�Ul�/� CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE (v l 7 �— O�� ;— TOTAL NUMBER OF ROOMS: ROOM USE: 1. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: -2q Date of reinspection: Date of issuance of certificate: 2L,_I Date fee paid: Type of unit: Dwelling �Otller Check# Check date: Notes: Code Enforcement Inspector TRANSMISSION VERIFICATION REPORT TIME : 09/03/2014 22:01 NAME : FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 09/03 22:01 FAX NO./NAME 919787445616 DURATION 00:00:30 PAGE(S) 02 RESULT OK MODE STANDARD ECM jCity of Salem, Massachusetts Board of Health PU��y,� 120 Washington Street, 4th Floor, Salem,0 MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-57 DATE ISSUED: 3/2/2017 Property Located at: 12 POPE STREET UNIT#8813 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN (4 CITY OF SALEM, MASSACHUSETTS M BU ARI)(')F I-11 VI`I Ff � 120%V7,\SIIIN(. ION S III. LLl',4'."F'L0CSI2 TEy. (x)78)741-1806 KIMBERLEY DRISCOLL r,�X(978)745-03;43 MAYOR Iz}mNNFGNiNigNI.CUAt JANE'r D,10NN.F SL'NIOR SANITARIAN a,a, Application for Certificate of Fitnes 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 �p" UNIT#� IST S UNI�DIS/IGNATED AS RIGHT LEF'P FRONT OR BACK,PLEASE CIRCL� NE- ,Q OWNER/LESSERMANAGERtAGENT 77N; R NO PA.BOX ADDRESS _ADDRESS CITY,STATE ZIP_ ��fX CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(241HiR5) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE 1i111 2-' � sa i 4 5 6. 7 8 9 10 r, THERE 151 FIFTY($50)DOLLARFEE,P` E BY CHECK OR MDAY ORDER TO THE CITY OF SALEM BOARD OF HEAhTH THIS FEE IS PAY, L AT THE TIME OF]NSP CTION APPLICANT'S S10NATURE DATE -- Inspectors use only Date on initial inspection: ; d—O ; Date of reinspection: Date of issuance of certificate: Date fee paidr Type of unit: Dwelling., Other Check# Check date: Notes: CodaE or cementlnspector CITY OF SALEM, MASSACHUSETTS r + BOARD OF HEALTH - 120 WASHINGTON STREET,4"{FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRI+IiN13AUM(@SAI PMI CON1 DAVID GREENBAUM AC'l1NG Hi3Al.;f1-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#297-10 DATE ISSUED: 6/14/2010 Property Located at: 12 Pope Street UNIT# B-813 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 /qTHE BO RD OF HEALTH Y DAVID GREENBAUM ACTING HEALTH AGENT CODE nEMERTN—S—PECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KINIBERLEY 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." FEE: $50.00 PROPERTY LOCATED AT 1 # � a, ��P ec�NIT � 3 IS THIS UNIT DISI I/GN TTEjD-�AS'R�IGHHT LEFT FRONT OR BACK PLEASE CIRCLLE ONE (y i O of o ESSER ��O m I'tC A l I 1 l 1� MANAGER/AGENT ( ( IJP_ E�m�I l.,�l � ADDRESSIZ� G / - S5 [To Q� r\ADDRESS CITY, STATE,ZIP ��L(Q V 1 V 7 l — C) I` ( 1�y CITY, STATE,ZIP RESIDENCE PHONE(�� BUSINESS PHONE(24HRS) BUSINESS PHONE G l `'t"� — O� 6 r TOTAL NUMBER OF ROOMS: nn'' PW ROOM USE: � i I lJl n 2. IYl nu IU%.PW( (M.° t1 s 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 ,PPAYAAB�BL))E�� AT THE TIME OF INNS(P'E1CTTIIOnN� APPLICANT'S SIGNATURE Il� I�I DlJlu ,�,� l�.0 f I DATE Inspectors use only Date on initial inspection: y ) © Date of reinspection: Date of issuance of certificate: j lU Date fee paid: /() Type of unit: Dwelling Other Check# Check date: (Ph� /O Notes: If Uv-c brin(1 f eyto&A Code Enfo ent Inspector co CITY OF SALEM, MASSACHUSETTS .j A BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 9q TEL. 978-741-1800 p FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#476-05 DATE ISSUED: 8/3/05 Property Located at: 12 Pope Street UNIT# B-814 Owner/Agent: CMJ Management Corp. Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS,, BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 6ALEM, MAUI�/U TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /,!:P �cIje-m M4- NIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEAS IRCLE ONE OWNER4-ESSER MANAGER/AG-Et LC,41J-41 No P.O. Box No P.O. Box ADDRESS— — ADDRESS CITY CITY_, ivi RESIDENCE PHONE --BUSINESS PHONE (24 HRS.)__9_2 , VY-6OO BUSINESS PHONE--- TOTAL NUMBER OF ROOMS: c ROOM USE: 1 2.kga�3 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H%ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNAYURE ah&I DATE LNSPECTORS USE ONLY DATE OF NELAL INSPECTION i b 1r.__DATE OF REINSPECTION DATEOF ISSUANCE OF CERTIFICATE:_/ DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER CHECK#/_4,(� �ly CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS m BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#201-06 DATE ISSUED: 4/21/06 Property Located at: 12 Pope Street UNIT# B-815 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 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 s luF JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS; / BOARD OF HEALTH 11. 120 WASHINGTON STREET, 4TH FLOOR �i {LYl(iy`{j(�jjjj(Aj + SALEM, V I f V TEL. 978-7-7 41-1600 FAX 978-745-0343 STANLEY USOViCZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 41.0.000 `MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /� e- t Fmk_ U iiT k 0/J IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONTAC PLEASE IRCLE ONE wax Wa �t�.cc OWNER/LESSER MANAGER/A&EN9'_( rY No P.O. Box No P.O.Box //�� `I ADDRESS ADDRESS JQ P&,9, CITY_ CITY1'�/`Q/ RESIDENCE PHONE_—____ BUSINESS PHONE (24HRS.) _ `LY J `O J3 ,- BUSINESS PHONE w i TOTAL NUMBER OF ROOMS: ROOM USE: t 2.�3' 5 oow2 6. 7. 8- THERE IS A TWENTY-FIVE{$25.00}DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. J APPLICANTS SIGNATURE t: —DATE INSPECTORSUSE ONLY J7ATE OF INITIAL INSPECTION �-ati ' ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE__- d�/-ob DATE FEE PAID:_ 1 0 TYPE OF UNIT: DWELLINGOTHER_ CHECK# j 7 CHECK DATE ��{' NOTES: CODE ENFORCEMENT INSPECTOR 9128198 MOD City of Salem, Massachusetts { i Board of Health 0 120 Washington Street, 4th Floor, Salem, Pua MA 01970 Prerrnt. 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-16-373 DATE ISSUED: 9/30/2016 Property Located at: 12 POPE STREET UNIT#6901 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. of Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN GUY OF SAI M, B(_)VU)()FflFA1Xif Tux,. (978)74t-1800 K1NIBERLEY DRISCOLL FAX(979)745-0343 MAYOR m�10NNI 1),1A�INI.COM JANKI'DIONN1:1, Sl;.Nl(.)[Z SANI FAMAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." pFEE: $50.000( PROPERTY LOCATED AT ')e .3 4 1 , UNIT# IS THIS UNI P�SGNATED ARIGHT LEFT FRONT OR BACK,PLEASE CIK-ME ONE OWNER/LESSER MANAGER AGENT NO P.O.BOX ADDRESS 17, VOIIX Sj —ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP O r7 RESIDENCE PHONE BUSINESS PHONE(24HRS BUSINESS PHONE TOTAL NUMBER0ROOMS: ROOM USE: 2. kk 4. 5. — 6. T 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE; ABLE BY CHECK 0 MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISPBA AT THE TIME 0 SPEC71ON APPLICANT'S SIGNATURE DATE Lyt DATE q Inspectors use only Date on initial inspection:6q/?()/*20z Date of reinspection: Date of issuance of certificate: Date fee paid: Type of or Other Check#4 �, Check date: Notes: C nfo ement I ector CITY OF SALEM, NIASSACHUSETTS IV HOARD OF H&-mi-i 120 WASHINGTON STREET,4��`FLOOR P1311�CI�P81�1 Yrcvcm.Nromo,a.rroec. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lrarndin a salem.cam LARRY tLIZ`1DIN,RSjti3 HS,CHf,),CP-FS MAYOR A(',i N'r CERTIFICATE OF FITNESS CERTIFICATE#256-13 DATE ISSUED: 7/30/2013 Property Located at: 12 Pope Street UNIT#B-901 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/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 EAL LARRY RAMDIN HEALTH AGENT SANITARIAN ��11tS; BOARD ole f 6 w ft1 120WAStIINGCON ... Fk( R T)3L. (978) 7111-1800 KCR4asl.ltC Y 'r>IctSt:OCi:. 43X(978) '745-0343 19'1-AVCM LLmm� 1N(c� .1sn (�ot It R1'1L;1M1)1N,1iS21tf'.t iS,CI I(1,{,Y-I^; i , I,U(;\1:1'11 �\(;I•.N'I' F`}.�:f�:D�A�3§tia 8➢0.➢ 1(dDN� Q.;k-8`�;R,i<041i0�'C tD;'��i G�:RG4aF 1N ACCORD ANC13 W`I" if S 1'A'l.'1', SAND'A1tY COX`, CIIA:P"11,1( 11, I05 CMR 410.000 "MLNCMUM S`t'ANl> \1117 OI" F1`1'NrTSS 'FOR i-1U'MAN [IA1.3rrA'('[0N" )PER:I'Y LOCA-11,1.) IS 1"S IM11 lltSit NA[!'i_� AS FUU7l Lick i IltO N'1 Uti ,A!_IC,I I i nS[.(;82CI l,ONII NFh M 1U'I ' O BOX ANAC'l lt.l AGENT 1 4t_� � J Y, SIA11 , r,11\-_5,4 /41pjr ._/?�f:1�7 r�i_`('L.�) _.., aIY, S-IAI1„ ZIP_ _ .. ,1NICss 1'13C )NN�1'/�__7_��V LAI,,NOM I113,iZ OP I(OO:M,S,__._._ :RS IS A ;0I I ('K50) 1.)0 ;I At. Ii .,]-r, PAYAISI,1, 13Y CI-1J',CK OR i'v,I0N1TY 0126)1.0K FO'I I I CI'IN t)1? SA,[INJ I1(,) ONI ( IWr N,A�III IS UIC�1"1:'a 151 A Y A BL IA'I'TFI E I].M17 0F1Nbi'hC't`10N qc Losl�cctcxs_usc ol_ily_ e a(; mi4.ial iaspcotion 3sr`J Date of Icinspection:__ _----- coPisowmeoCcalilicatc: )c of unu: Dwelling Ottx.r t h<,ck 4G v . ._._._Chc k dnt : ----- Us: —„s; is I_{utolceinenf. luspectui + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �- 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 K NIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRB1;N11AUMna.SA7.13MTOM DAVID GR F ENBA.UM,RS ACTING HFALili AGN;N,I, CERTIFICATE OF FITNESS CERTIFICATE#87-11 DATE ISSUED: 3/23/2011 Property Located at: 12 Pope Street UNIT# B-902 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 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, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR Y CITY OF SALEM, MASSACHUSETTS m « 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 Hr-uTH 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 IS THIS UNIT DISIpGNNA EEDD AS GHT LEFT FRONT OR BACK PLEASE CIRCLE ON OWNER/LESSER��PP 4l OV I I�\bm MANAGER/AGENT � r q ADDRESS la Oa)D2 Lt[:CQt —ADDRESS-12Y CITY, STATE, ZIP PNO I ryy�I( �M0- COQ CITY, STATE,ZIP 2Q RESIDENCE PHONE �-I �I6!5 )B JSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / I� ROOM USE: 1 u1 2L / & 3 ( PI4 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE IS PAYABLE AT T/H/EE TTJIME OF INSPECTION/ APPLICANT'S SIGNATURE � ' / ( / DATE Inspectors use only Date on initial inspection: W �� Date of reinspection:—— -� Date of issuance of certificate: Date fee paid: Type of unit: Dwelling ther Check#Check date: Notes: Code Enfo ement spector 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-15-318 DATE ISSUED: 10/2/2015 Property Located at: 12 POPE STREET UNIT#6903 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 SANIT RIAN n( CIIA' O , AI T'll., MASSA 1-IUSFT'J'S tBBI,o(wIIl uIII \mom 120WASIH' < 10» S'II11 1. " l l not Ti 1, (978)741-1800 l.l,MBE R1FY L)RISCt>fL f<<;ta(978)745-0343 1Lwolz DIONNr.iia Isar.COM sr,mOI2 S,vm I'AIO 1N Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ( FEE: $50.00npI �J /�j /� PROPERTY LOCATED AT r Po 01 -to—S V' EOL -�L- ! '/fNIT# I �7 2 IS TIM UNIT 1)1SIGNA" a AS RIGHT LCI'f FRONTO 2 RAC K,I'LFASE 0112 NE OWNER/LESSER MANAGER/AGENT NO P.O.13OX (� i.... ADDRESS 0 ADDRESS CITY, STATE, ZIP 'Slk&a i /_ '✓' CITY,STATE,ZIP RESIDENCE PHONE _BUSINESS PHONE(24HRS) BUSINESS PHONL � ��-��3 TOTAL NUMBER OF ROOMS:_-(1tt�� ROOM USE: I. AV. 2 b. T 8. 9. 10, THERE IS A FIFTY ($50)DOLLAR FEE, 1 ABLE BY CHECK OR MONEY ORDER TO THE CITY OP SALEM BOARD OF HEALTH THIS FEE IS PA BLEAT T/H�S TIME OF INSI CTION— APPLICANT'S SIGNATURE °^ e5 `'--'�f DATE fit/r I Jr Inspectors use only Date on initial inspection:10,&.112-pas— � Date of reinspection: Date of issuance of certificate: �1j _ Date fee paid:d 712012o1S- Type of unit: Dwellin `Other Check#_j,��_Check date:_0 12-A2120 � Notes: Coe for mens In ector 3 CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#32-07 DATE ISSUED: 1/23/2007 Property Located at: 12 Pope Street UNIT# B-904 Owner/Agent: Kori Wallace PHM Property Management Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH X�Cd� J JOASCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH A i 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 /c) Pa pp 75t Yet A UNIT#� g� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE IRCLE ONE PLEASE &7 ,, 1/uce OWNER/LESSER MANAGER/ -F f, 4y 014 w�)rr No P.O. Box No P.O. Box ADDRESS ADDRESS /0 CITY CITY _�e.JP !.ij �yl RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.2�1�4ej, 2.A :v;q643. rtr, 4. rcow 5._6._7._8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE / �J INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /-a 3—v7 DATE FEE PAID: TYPE OF UNIT: DWELLIw;rOTHER_ CHECK#J" _CHECK DATE 3 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r CITY OF SALEM, MASSACHUSETTS BOARD OF HFAL'I'H -' 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 I4MBERLEY DRISCOLL FAx(978) 745-0343 MAYOR Dciu;rNnnUM@SALeaa.COM DAVID GRP UNBAUNI ACTING HUAI.1'Fl AGPNT CERTIFICATE OF FITNESS CERTIFICATE#260-09 DATE ISSUED: 6/8/2009 Property Located at: 12 Pope Street UNIT# B-905 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 DAVID GREE KBAUMS ACTING HEALTH AGENT CODE INFT CEMENT INSPECTOR r � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978),745-0343 MAYOR IDIONNE SIV.EM.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 ,� � �Q�� MFS 0\CC1 O UNIT#j IS\TH,I,S UNIT ISI NATED AS RIGHT LEFT FRONT OR BACKS PLEASE CIRCLE ONE OWNER/LESSER ! 4) } ,a \- MANAGER/AGENT ,,SQe N- NO P.O. BOX ADDRESS ADDRESS CITY, STATE, CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE C 1 TOTAL NUMBER OF ROOMS: ROOM USE: 1. f, GuI1 2.t�ec��Ww� 3. (rV j(VV11 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 SIGNATURES (/�' DATE p Inspectors use only Date on initial inspection: I 0 /G Date of reinspection: Date of issuance of certificate: � /� Date fee paid: Type of unit: DwellingI ,�' Other Check# Check date: Notes: �lp Vags &b( (aoy LT /YIISS09 rybOn IAJQCLO� bUfinGt0QWgl1 r t) Code Enforcement Ins cto `Q D " City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Iy,th MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-70 DATE ISSUED: 3/9/2017 Property Located at: 12 POPE STREET UNIT#B906 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street Ci /Town: Salem MA Zi Code: 01970 24 Hour Phone: 978 744-0537 tY 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MAsSAC2HUSKI"I'S _ BolmDOFFIRALTIr 120 WASRINGrON STLCC P,41.4', 'LOOK" Te±.L. ()78)74-1-180,yll KhMBERLEY DRISCOLL FAX(978)7,15-03143, MAYOR TFTu1 NF:Ca).K)1Tt;ht.C( .ia JANbx DIONNE SI2NIOR SANITART AN Application for Certificate off'Itness' IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEV150.00 i r" PROPERTY LOCATED AT /� 906 UNIT# 1S THIS T DISIGNATED AS RIGHT L LAM ORB K,PLEASE CIRCLE ONE O WNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS 'ADDRESS �I CITY,STATE,ZIP„"_. CITY,STATE, ZIP O�I RESIDENCE PHONE_ - BUSINESS PHONE(24HRS) BUSINESS:PHONE "` r TOTAL NUMBER OF RR MS: ROOM USE:. I. wa-'-2. 3. 6. 7. 8. 9. l0 THERE IS:A FIFTY($50)DOLLAR FEE YABLE BY CHECK OR MONEY ORDER TO THE CITY OF ALEM BOARD O;,EHEALTH THIS FEE IS P L T T14E TIME F INSPECTION APPLICANt'S SIGNATURE (\\\ ' DATE Inspectors use only Date on initial mspectioni Date of reinspection: `f Date of issuance of certificate: Date fee paid: Type of unit: Dwelling `Other Check# - Check date: Notes: Code Enforc ment Inspector �\�� • CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR - DCRHI-,NBAUM@SAI.EM.COM _ DAVID GREENBAUM - - ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#595-09' DATE ISSUED: 11/18/2009 Property Located at: 12 Pope Street UNIT#B-906 Owner/Agent: Kori Wallace PHM Property Management Address: U Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 An;inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO _THD OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT COD FORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Bomm or HEALTH 120 WASHINGTON'STREET,4°'FLOC7R TEL.(978)741-1800 K.IMERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRI1ENBAUMQ SALI-M.COM DAVID GREENBAUM, ACTING HEALTH AGENT' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ',MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT,_ Ihh`1P c &-t Q n m her d I(t, U IS THIS UNIT ISIGGN TATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER 2jj Q,D� V\-\—C MANAGER/AGENT NO P.O.BOX ADDRESS I '/ T?�=�42 S� ADDRESS t' CITY,STATE,ZIP ,--j2-C Jl M A C�\C�"Z C� CITY,STATE,zIP RESIDENCE PHONE ( BUSINESS PHONE(24IIRS) BUSINESS PHONE--q TOTAL NUMBER OF ROOMS:.__ ROOM USE: =t )� 2 Jt)l (QOM 3.&Qt .M 4 bM jWjg5-- 9. 1.0. 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 DATE Inslrectors use only Date on initial inspection: 1 Date of reinspection: _ Date of issuance of certificate: 4 0 1 Date fee paid: )� 1 5/0 J7 Type of unit: Dwelling 'i,//Other Check# �`S a�l S�I Check date: i[�l8/0 7 Notes: Code E orcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4 FLOOR PublicHCaith em.nn.Pmmno.Iraiem. TF1.. (978) 741-1800 FAx(978) 745-0343 KIMBPRLE,Y DRISCOL.L lramdin@salcin.com LARRY RAnaDiN,as/Rei is,Ci 10,cry-rs MAYOR flr;; I:rii.lca•:Nr CERTIFICATE OF FITNESS CERTIFICATE#404-14 DATE ISSUED: 11/13/2014 Property Located at: 12 Pope Street UNIT# B-907 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 OE,-HEALTH LARRY RAMDIN a `�< HEALTH AGENT SANITARIAN CITY OF SALE M, NIASSACRus I 120 WASI I(NG FON 1"4...FLOOR Tu.1'. (978)7411800 IUMBERLEY DRISCOLL FAX(978)745-0343 I\LAYOR LQMNwa�sAIU.CONAI JANv vDIONNF., SI;NIOIZ SANI I'j\IZU\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." f FEE:-ILO.Q0 UNITA bqp- PROPERTY LOCATED AT As V1 —�T��IG ITI)As li� UN5�91SIG � R1 ,HT t% NT 011 BACK,PLEASE CI�I�W,ONE OWNER------ FO/ t —MANAGER/AGENT NO P.O. 13OX ADDRESS 0 e- IA— ADDRESS CITY, STATE,ZIP CITY,STATE,ZIP-- RESIDENCE PHONE BUSINESS PHONE(24HRS)- -7 7 BUSINESS PFIONJrN&.�t��y TOTAL NUMBER OF ROOMS- ROOM USE: L 04d1P'rj2. 4 5. 6. 7 8 10. THERE IS A FIFTY ($50) DOLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OP HEALTH THIS FEE ISP4YABLE AT THE TlE OF,INSPECTION APPLICANT'S SIGNATURE U e;t,(-g/Lf— DATE—//-/13' a me dt 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 of VInspector .'� f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHea lth 120 WASHINGTON STREET,4"'FLOOR Prcvem.yr"Am<.Prmem. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramclin@salem.com LARRY 1VMUIN,]iS/REt-IS,CI 10,Cl 15 MAYOR - Hiim: I-IA(3FN'T CERTIFICATE OF FITNESS CERTIFICATE#467-14 DATE ISSUED: 12/29/2014 Property Located at: 12 Pope Street UNIT#B-908 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 LARRMAMDIN HEALTH AGENT SANITARIAN c4-v= B(�vI [)(wIll v1rIII 130��'ASt llw( I'UN SII I_ICI',4°t 1'Li)OR I'l 1'. (t)78}7,41-1800 KI MBE L',Y DR1'SC()LL I;vx (9"78) 745-0343 N'bmiC . n¢m�i n'n:vi ��.C(J�t. SI•:\1(W SAN1 I'ARI:\N a 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 Po � ' S� ' SQ& 7 /"614, UNIT,I+_&�08 IS HIS UN "f DLDL IG 2IGF T LE FT PI ONT OR MAC K,PLEASE CIRCLE NG OWNER/LESSER —MANAGER/AGENT NO P.O.BOX p ] ADDRESS_ Z Jd e. _ ' ADDRESS jj CITY, STATE, ZIP , / -6 CITY,STATE,ZIP I RESIDENCE PHON —,,7,--BUSINESS PHONE(24HRS} BUSINESS PHONE TOTAL NUMBER OF OOMS:_� ROOM USE: 1. ��' 7. 6. 7. 8� 9. 10. 'THERE IS A FIFTY ($50) DOLLAR PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I P Y LE ATTJTHHE TIME O INSPECTION APPLICANT'S SIGNATURE �._'�'" s`� DATE Inspectors use only Date on initial 'inspection: l Vaq/t t-1 Date of reinspection: —_ Date of issuance of certificate: Date fee paid:— Type aid:Type of unit: Dwelling Other —Check tZ,c L Check date: Notes: Co&, Eii cgei ent Inspector y t a CITY OF SALEM, MASSACHUSETTS BOARD OF HF'\I.TH 120 WASHINGTON STRLF..T 4.°FLOOR A1t1�1CHP.AIt$ > rrevrv.rmmm�.rromc. Tu- (978) 741-1800 FAX(978) 745-0343 K1MI3ERIJ3Y DRISCOI1, teauidin@salen.com T.,AI2121'R;AMI)1N,RS/KIq IS,Cl ip,CI'—RS MAYOR f-Irnl;n I AG1SNT CERTIFICATE OF FITNESS CERTIFICATE#299-12 DATE ISSUED: 7/19/2012 Property Located at: 12 Pope Street UNIT# B-909 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 AL i LA� ' dr,. HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS c)'l BOARD Op HEAL'ri-t 120 W,ISHTNGTON S'CRFE'P,401F7-.00R TEL. (978) 741-1800 KIMBF.RLE:Y DRISCOLL FAX(978) 745-0343 MAYOR r i(AmtxNCa�cnl I .(orol LAimyRAi I)IN,its/Wu I IS,CI IU,01-PS HFAINH A(,,vN`r Application. for Ccrtiticate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" @F/E'�EE.J5`0.0'0 PROPERTY LOCATED AT � .t i ./ r i 4J { IS THIS UNIT DISIGNATED AS RIGIILEFT FRONT OIC BACK,PLEASE CIRCLE ONE OWNERJLESSER M MANAGEW AGENT�� ADDRESS s ! ADDRESS SCITY, STATE, ZIP ,a CITY, STATE,Z.IP�. ! . RESIDENCE PHONE �� _ .^BUSINESS PHONE(24HRS) BUSINESS PHONE. TOTAL NUMBER OF ROOMS:_ � } ROOM USE: 1. f u I 2.6MPRIN;fIJ+I U { 6_ 7. _ $. 9_— 10. THERE IS A FIFTY($50)D6FIS FEE,PAYABLE Y HECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THISPAYABLE AT I E OF INSPECTION APPLICANT'S SIGNATUR _ C� 1 _ DATE Inspectors use only Date on initial inspection: Date of reinspection:____ Date of issuance of certificate:_ -7-1 S -ri' 6,--Cheek yDate fee paid: ,_,_ Type of unit: Dwellinf L. Other Check#L./ Check date: Notes: Code Enforcement Inspector wND�" City of Salem, Massachusetts Board of Health o 120 Washington Street, 4th Floor, Salem, Prevent.imiCHealth 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-16-396 DATE ISSUED: 10/17/2016 Property Located at: 12 POPE STREET UNIT#13910 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i CITY OF S.AI EM M NsSA(,H USE'T I'S BOARD OF III'AIA'11 120 WASFnN< n>N SI Iu E t, 'PFLOOR Tv1- (978)74l I800 -: flu. KIMBERLEY DRISCOLL FAX(978)745-03,43 NLNYOR jQ1QNNUf! "A!kLm.CONI ANE f l)IONNF., Sl-'MOR 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: $5500.00 PROPERTY LOCATED AT `a e �; x UNIT# I�910 IS I�S UNIT DISI GNATE AS RIGH LEFT FRONT OR BACK,PLEASE C LEONE OWNER/LESSER �V y ` MANAGER/AGENT �� NO P.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP � / -J+ CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF RO MS: 41 ROOM USE: I. 2. vm3. 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 PAY ErA�T T14E TIME OF INS CTION j/� Q APPLICANT'S SIGNATURE t DATE / �> Inspectors use only Date on initial inspection: 1 ��6 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code E rce n nt Inspector / �� City of Salem, Massachusetts lu Board of Health 120 Washington Street, 4th Floor, Salem, P11b1iCHCalth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-139 DATE ISSUED: 5/3/2016 Property Located at: 12 POPE STREET UNIT#6911 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 SANITARIAN CITY OF SALEM, 1VJ_L1SSA HUSI:i"'1S a BOARD01 IHi 1111-I 1��0��`rASi lltvG'CON ti111 1;1',1°11'7 UCIi - IFIi'.r.. (978)741-1800 KIMBERLEY DRISCOLL Fi%,x(978)745-0343 IN-L\YOR a1QNNa(r)gjm.j 1.COM J ANET I)3ONNr,, a_ SENIOR SANI"VARIAN I j� 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 ATr a&k "� SIJ v t7NIT# _ IS`I'IfIS ONl'0 A,ISIGNA'VS RIGHT LCIT FRpNT OR BACK,PLGASP, CLEONE OWNER/LESSER A✓ I „MANAGER/AGENT NO P.O.13OX ADDRESS �`��7 ' (� � ADDRESS_. CITY, STATE, ZIP_ c (1A. CITY,STATE, ZIP — RESIDENCE PHONE BUSINESS PHONE(241-IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ 4 Jc ' ROOM USE: L L! L//?jye'p S. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS f}ABLE AT THE TIM F INSPECTION APPLICANT'S SIGNATURE--� L:r'- —DAT'E Inspectors use nn! Date on initial iltspection:{� �) ) Date of reinspection: Date of issuance of certificate: Q : ( �)_'�� Date fee paid: 7r.._��_.,�_. 2 lli Type of unit: Dwelling__Other _Check 11. 9 Check date: fJ�ZOf2(PI Z __ Notes: it do n rcement I eeto€ f �M�oND1T,,Nd! City of Salem, Massachusetts a, 4 Board of Health A P`" 120 Washington Street, 4th Floor, Salem, Public Health t'yt RPD 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-15-42 DATE ISSUED: 4/22/2015 Property Located at: 12 POPE STREET UNIT#6912 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ( .I f`Y O SAJ 1;,N1, til \ ti \C.I VISI t'l"ti ".'�Hrrac�'� 13t)\Y>a.tiili�z �uNjritl-hr.4rI'�i.tx�� Ll,l(Sl:at)-11 171titit_Y,l_L 1 (97R)74i..0.113 �d Vl'(aR I)I jtmNi ds_iI ai f;0yl Application for Certificate of Fitness IN ACCORDANCE WITI-I STATE SANITARY CODE:", C1-1APTER 11, 105 CMR 410.400 "MINIMUM STANDARDS Or FITNESS FOR HUMAN HABITATION." {� }} PROPERTYFrr: x;70.00 LOCATED AT pop tip UNIT# IS''' [IS �ri ISICNATrI)AS wcnT t�l_�I uaoe,h ole I ,�clt,r n l cir r c�Ns. OW'N13R/LESS13R f u MANAGER/ AGENI'— NO P.O.1V)x ��// ADDRESS_ L.' �. ADDE2ESS �p —.—.— C]`fY,Sl'A'] F,%11' �� 1111 77 CITY,STATE, ZIP RESIDENCE PHONE �,Q _BU`SIINI-SS PHONE(24HRS)—___ BUSINESS PHONE �U DOTAL, NUM13L'R OF ROOMS: ROOM USG: I, ,� ✓� �3. (> a �lJ"� 6. 7. S. 9. 10.� `fH13ILE IS A fIl'1'Y ($50) DOLLAR FEE, YAl3LE QY CHECK OR MONEY ORDER TO"fl![;CI'!"Y OF SA1,EA4 BOARD 01" HEALTH I HIS PI:J3ISP i BLE ATTi--Ijli,.-nmi3 OI' f PECI'ION APPLICAN'T'S SIGNATURE_„ Inspectors use only �� Date on initial inspection:— ,w Date ofreinspeetion:...... ....� Date of issuance;of ccrtiticate:—_ Date Pee paid: TYpe ol`unit: Dwelling__._Other Check#_ Check date: —_ Notes: Code L rc cni Gtor �15�ta "y 4 CITY OF SALEM, MASSACHUSETTS BOARD OF Z-IEALTI-I 120�✓'ASHINGTON S"T"REET 4°.FLOOR PublioHealth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLI YDRI5C01.L Iramdinf}a,salem,com L,A2RY Rd MDIN,RS�ItF.NS,CII'O,CP-ISS MAYOR I Ic,lT:eti r1c;c;N'r CERTIFICATE OF FITNESS CERTIFICATE#274-14 DATE ISSUED: 8/15/2014 Property Located at: 12 Pape Street UNIT#B-914 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 Il"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. j 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 \1 CITY OF SALEM, MASSACHUSETTS m ) BOAR of HEALTH � x 120 WASHINGTON STREET,4"FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN0aSA1,EM.CDM 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" 12- p j FEE: $5,�0.00 PROPERTY LOCATED AT C 2- l (919-e S " Le-," UNIT# IS TH U ,T DIS/I.G/NA D AS RIGHT LEFT FRONT OR BACK,PLEASE�fCL�E ONE {� OWNEWLESSER ��`� ' I MANAGER/AGENT NO P.O.BOX .( ADDRESSZ / S� ADDRESS CITY, STATE,ZIP , G 4—CITY,STATE,ZIP RESIDENCE PHONE y _BUSINESS PHONE(241TRS) BUSINESS PHONE -?-fuF 7- I —0-5-3 TOTAL NUMBERMa{�OFFRROOOMS: � ROOM USE: 1. t4.P) x"2. f 3. 04. Wa� 6. 7. V 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE ,PAYABLE BY CHECK OR MONEY ORDER TO TI4E CITY OF SALEM BOARD OF HEALTH THIS FEE IS YABLE/A�T THE TIME F INSPECTION / APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection:__ (z(15 64 Date of reinspection: Date of issuance of certificate: ll Date fee paid: Type of unit: Dwelling Other Check#_ tom Check date: Notes: UIr aj1be ob)jn l/JIhc1n,,t) (oc�+ Code nfa" ement Inspector t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#55-08 DATE ISSUED: 2/7/2008 Property Located at: 12 Pope Street UNIT#B-915 Owner/Agent: PHM Property Management-Kori Wallacw 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 OFF HEALTH JJ AN�TT, MPH RS CHO HEALTH AGENT CODE ENFORCE ECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, ATH FLOOR SALEM, NFA 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 il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT \� 'o UNIT#meq,\S IS THIS UNIT DESIGNATED AS GH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_„-�LC,1:.J�3® MANAGER/AGENT-- No P.O. Box NO P.O.Bax ADDRESS„ �� _ADDRESS CITY 2rt b"A'cl —CITY M70 RESIDENCE PHONE _.,.BUSINESS PHONE {24 HRS.} BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 1.-- 5. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE j TIME OF INSPECTION. APPLICANTS SiGNATURI� ATE r& INSPECTORS USE ONLY DALE OF INITIAL INSPECTION _DATE OF REINSPECTION-- .C_ DATE OF ISSUANCE OF CERTIFICATE: '_. ` � DATE FEE PAID:�700/-�j TYPE OF UNIT: DWELLING K OTHER__. CHECK #� __CHECK DATE .,04 71 NOTES:------- CODE OTES: -----CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOt1RI>OF FIELTH 120 WASHINGTON STREET,4"'FLOOR pi1t111CI�68L�1 rrmr",rr"mme,r.mecr. TFL. (978)741-1800 F.Ax(978)745-0343 _ L lramd salem.c �m KIMBERLEY DRISCOI LrUt12Y R,-lMDtN,IYSjR[?(-t$,CI 10,CP-PS MAYOR Hi,'AI CIIAGLNr CERTIFICATE OF FITNESS CERTIFICATE #319-14 DATE ISSUED:9/16/2014 Property Located at: 12 Pope Street UNIT# B-1001 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 7HE ARD HEALTH LARRY RAMDIN fa'"11'i°e HEALTH AGENT SANITARIAN I 6` CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 Vi/ASHINGTON ST1tEET,4"'FLOOR 5 7 TEL.(978)741-1800 ICMBERL,fEY DRISCOLL FAX(978) 745-0343 MAYOR LRAME1N0a SALEM.00M LARIZY RAMDIN,RS/IU-,HS,CHO,CP-15 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" FEEL: $50.0 /� ` PROPERTY LOCATED AT 2 �� -e S O t t�(�GLt UNIT# 13(00/ IS IJIS UNIT'DISIGNA D AS RIGHT LEFT FRONT OR BACK,PLEASE C E ONE OWNER/LESSER fin/ �(V �J��/ MANAGER/AGENT �Q NO P.O.BOX / ADDRESS l2 e- /SU ADDRESS CITY, STATE,ZIP �L CITY,STATE,ZIP RESIDENCE PHONE p ( J CJ BUSINESS PHONE(24HRS) BUSINESS PHONE �0 / ( — TOTAL NUMBER �^OFyROOMS: 3 ROOMUSE: (1 "3. 6, ` ooK 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO TILE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P %Y�A�B�LE AT THE TIME OF INSPECTION_ /// / APPLICANT'S SIGNATURE �� DATE ( � Inspectors use only Date on initial inspection: 7'I' 6q Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code n cement Inspector CITY OF SALEM, MASSACHUSETTS •♦ o ; BOARD OF HEALTH a 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# 141-07 DATE ISSUED: 3/28/2007 Property Located at: 12 Pope Street UNIT#B-1002 Owner/Agent: Kori Wallace PHM Property Management Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0537 f your vacant Dwellin /Roomin Unit at the above address has been approved An inspection o yo g g pP 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 ;.f CITY OF SALEM, MASSACHUSETTS, BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 976-741-1600 FAX 976-745-0343 ��; {,, II�� JOANNE SCOTT, MPH, RS, CHO Kimberiey Driscoll HEALTH AGENT Mayor (� e APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". AA PROPERTY LOCATED AT ��v p lc , h 1 /t UNIT it_6100� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE PIRCLE ONE,/,,,t u° OWNEWLESSER MANAGERIARENT_,.,_P//n2_ P_re+ed-, ILt,; j, No P.Q. Box No P.O.Box �j U ADDRESS ADDRESS 14 Yr r CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER JOF ROOMS: ROOM USE: 1. 2.13. 5. cy .��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 4-L�Qa'�' _DATEG INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '� �-0?_._DATE OF REINSPECTION_ _ DATE OF ISSUANCE OF CERTIFICATE 7 DATE FEE PAID: ' TYPE OF UNIT: DWELUN(�OTHER._ CHECK CHECK DATE v� NOTES: CODE ENFORCEMENT INSPECTOR 9�28�96 > s . "` D'�" City of Salem, MassachusettsIV Board of Health 120 Washington Street, 4th Floor, Salem, Pub�cHe h 0 MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel, (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-286 DATE ISSUED: 9/15/2015 Property Located at: 12 POPE STREET UNIT#81003 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,--- -4� Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANT' RIAN it i (]I TY cn` S.AI,J�.'Nr, M ASSAc,> USI::�;TS i � r. q� 13<� vt�t�rlU.v;rn °�m�� 12i)iS;�stti�t i'cI� Sltt� lc�' 4` I:I.c>c�it i T w,. (978)7441-1800 KDIIBE.Itl:l y D'RISCOLL I IA (918)71, 0343 1\�-wm a ir��ni: y t:0i t hmrt 1?it,yNit. SI:N I(1R S:\NI Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.004 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 1f� FE�50.OtJ 5 10 PROPERTY LOCATED AT I ��/ IS ' IIIS�UNIT,DISSIIGJNATED AS RIGHT LEFT FRON-rok BACK,PLEASE CIR OWNER/LESSER I f _MANAGER/AGENT NO P.O.BOX / pp�� ,,�� ADDRESS / `� h"'`�I�ADDRESS__ CITY,STATE, ZIP.. CITY,STATE, ZIP_ RESIDENCE PHONE _BUSINESS PHONE(24HRS) BUSINESS PHONJ L TOTAL NUMBER OyF�ROOMS: ROOM USE: 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 FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors usa only Date on initial inspection: QCV j/2,*25 Date of reinspection:- Date ,_ - Date of issuance of certificate / f 2? Date fee paid:0 91261'3-OI S- 'Type of unit: Dwelling ✓ Other _Check 4IJ—U r Check date: 2Z0 aZt Notes: C ❑fo ement In ector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1P 120 WASHINGTON STREET 4'FLOOR PahlicHea ith Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@saletn.com LARRY RAbIDIN,RS/RI-',r-IS,CFK),CP-PS MAYOR HEN:rrI AGe;N r CERTIFICATE OF FITNESS CERTIFICATE#148-13 DATE ISSUED: 4/18/2013 Property Located at: 12 Pope Street UNIT# B-1003 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 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 4MDI HEH AGENT SANITARIAN n !� jk`a CI I' 01", �] I � IVJ .�V[/��Sf1 C'11l)S7-s'l°-1: [WmworI(I ,ulII' 1,,0 XL,\SHINC;1'{')N 5`['It!'1s'S,4'211.O(W T't - ('9"78)741-1800 K-1,Mt,I,RI I Y I)IIitiCO).l F,A:S(978) '145--034:3 NI A VOIt riniQLNr);,na,t_n1.t;;UM IMY RANWIN, Appli"afimii fwr Certificate of Maoess 1N ACC,OI DANC;k WITH SA.WI ' SARTTARY COC)L, CFIAPTU'R 11, ,205 CN4'R 410 000 "MINIMUM STANDAR-OS O IIT'NIISS FOR 1 01VIAN HABITATION" �rrl 'rY U)CATI I �w ounW unniul5icrrnii,.unS�ru,rn(�iz� rrc,�nrulk �nr'tc,inn5abriucaa oNr�: NI e t f' _M ANAL"ERE AGL;N 2.U_/ C .�11_ -1 6 r1. �k 1', STA 1 F 711' :5 k, G'Y( Cj]Y, S"I.A t}S, lII' >Il}E.NCIiI'(JO'N-E? l 7 BUSINU'S SPf10NE' (241-i�i.tS}_.,_ _ �._. I At,NUNIT]I A O1�.I(OUN4S _ aNI us} Al: IS A FIFTY ($50) DOLLAR ! iii;, PAYA.101,"I3ti CI-jJX1( ORMOREY Ul2I)I R TO '! UI. C IY OI �RJ) OI' 111 Al.l it l I IIS 1 IiI, IS I'AYAI LIk AT 7111 I`INICOF INSPI.3t TION )LJ(.:A:N'1 'S SIUN.,`I'U10 (nspcctrarsTssc Drily on ini(iill inspcclion . _ ( bate of issuance of ccrtrli al:e: Date fcc l,�zud,_ __-.__, -_--- co['uui(: 1)wc11111 ; dale!_..__. ____. cl3nto' ocmc specCor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PI1b.1CHC811�1 STREET, Prevent.rr"m"ro.Protect. ' TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin a salem.com MAYOR LARRY RA I�iDIN,RS/REHS,CFIO,CP-I'S I IEALTFI AGI'.N'r CERTIFICATE OF FITNESS CERTIFICATE#27-15 DATE ISSUED: 1/22/2015 Property Located at: 12 Pope Street UNIT#B-1004 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 SANITARIAN A C Il')` OF SA LJ �Afl, NIASSA(I'l-II-S I"IS z,ti o , a �� fij.. (978) 7d 1-1800 )IMI(llt SANI I Wl Application for Certificate of Fitness IN ACCORDANCE WITH STA'FESANI"FAItYCODE, CIIAI'-FER 11, 105CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABIT'ATION." FEF_ $50. Sa,� , / '6�_ PROPERTY LOCATED AT /Z— -4(! i JNFIT'ASF CIRCLEIS VIIIS IINH DISIGNAkl(;Il I I,VTT. —FRONTOR BACN,I'LE OWNER/LESSER MANAGER/AGENT NO V,O.13OX ADDRESSZ D S,� ADDRESS CITY,STA".VE, Z' 11, _CITY, STATE, ZiP RESIDENCE PHONE BUSINE,SS PHONE(241-IRS) BUSINESS PHONE v 0-S-3 'I0TAI_, NUMBER 0).f Rc�pms: ROOM USE: L &dpo 6. 7 9- 10. THER17 IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TF18 CITY 01: SALEM 130ARD OF FIFALTFI 'l HIS F-17E,, IS PX'�_APILE ATTFIETIME, OF INSPECTION APPLICANT'S SIGNATURIS V 0-At DATE IIISPCCtOl'S LISC only Date an initial inspecticill:JA;k fj Date of reinspection: Date Of iSSL;aIlCC Of CeftiliCilte: Date fee paid: Type cif LIllil: Dwclling Check datc:___ Notes:---- Cade dd.e F6 - ment Inspector City of Salem, Massachusetts Board of Health ` 120 Washington Street, 4th Floor, Salem, PublicElee th MA 01970 ""`e`.Fiamo«.ft°""` Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor -health@salem.com Health Agent CERTIFICATEF FITNESS ITNESS CERTIFICATE#: GHL-17-288 DATE ISSUED: 917/2017 Property Located at: 12 POPE STREET UNIT#61005 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7440537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, Mtj SSACI iUSE'l-fS BOARD OL HEAUT1 I2:0 W.ISHING7ON S"I'mEr,4"' V1_0OR TFL. (478)741-1800 KIIvIIIERI,FY DI2IfiCOt.L FAX,{978)745-0343 MAYOR r x WDIN a m1 eM.c:oj L.ARitY RAI'DIN,RSf RF,I IS,C1 K),(T-IS h[I+„V:19I AcItNI' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION” FEEA50.00 PROPERTY LOCATED AT_ UNIT# (\J! IS THIS U IS AS RIGHT-LEFT FRONT OR BACK,PLEASE CIR NE OWNEWLESSER— c!® l Z MANAGER/AGENT NO P.O, BOX ADDRESS ADDRESS. —_-. OM v CITY, STATE,ZIP V I % _CITY, STATE,ZIP RESIDENCE PHONELf BUSINESS PHONE(2411RS) BUSINESS PHONE 2 TOTAL NUMBER OF ROO S: —! ROOM USE I Su'4_2. ! y( 3._We0* s. 6. 7. 8. 9. 10. THERE IS A FIFTY($SO)DOLLAR FEEYABLE BY CHECK R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PO BLE AT THE TIME QFINSPECTION Q f 31 APPLICANT'S SIGNATURE 1`/' s_ 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 CITY OF SAI EM, MASSACHUSETTS « BOARD OF HEALTH 120 WASHINGTON STREET,4`.`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR JMAN(,-,1N)@a SALrNLeok ,JANE;I'MANC1Ni. ACTING Hf:ALT(-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE #006-09 DATE ISSUED: 1/13/2009 Property Located at: 12 Pope Street UNIT#B-1006 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 MANCI 1 CTING HEALTH AGENT COM ENFORCEMENT INSPECTOR NJ'^ 'F1r "� = nov 13 'OZ 03 lOp Joaiin'e Boost Salem HOH E, S79 745 0343 p. 2 - f _ yo- 0 r i • sw ci CITY OF SALEM; MASSACHIJSV-Trs 6 0 ARD OF N EAL - ' `}i 2n.V✓p<NtNgTON STREET.`4TH FLOOR SALEM, MA01970 ..` ; d;4.,1 ' T x.`978 7 .180 0 .. FAX 978-748-0343 JOANNC SCOTT.�MPH -RS?GHO,."�• _ HEALTH AGENT Kimberley.Driscoll Mayor s s, 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 LR_ t.____ . .- UNIT 6A 100 CQ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE:ONE ( OWNEWLE.BSER,-�k4b-k:!L—MANAGERfAgEN�¢��_��I�1S�1 C'K No P.O. Box No P.O.Box / CITY- SO RESIDENCE PHONE__.-, .- _BUSINESS—P7HONE (24 I _..-- BUSINESS PHONE—q-�� l OTAL NUMBER OF ROOMS:_.-�_yp/ '' ROOM USE: 1.V� u.(l G4 _2. "113. -&Lrllafy4•..L vim. THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE I IME OF INSPECTION. APPLICANTS SIGNATURE .--DATE__ / k ha W$2ECTORS USF ONLY DATE OF INITIAL INSPFQ ILN_.___-._... -- OATS OF REINSPECTION__-, ..--._ DATE OF ISSUANCE OFCERTIFICATE:-.._._ .__DATE FEE PAID:_.._. __... TYPE OF UNIT: DWELLING OTHER._ _: CHECK N_... p,5, 0_CHECK DATE NOTCS: - ENFORCEMENT INSPECTOR 9128/98 3 t 4 CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PabliCHea ith STREET, Prevent.Promote.Protect. TEL. (978)741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL Itamdin@satem.com ' MAYOR LARRY&AbIlDIN,RS/KERS,CRO,CP-FS HF.ALPI-i AGENT CERTIFICATE OF FITNESS CERTIFICATE#391-13 DATE ISSUED: 10/28/2013 Property Located at: 12 Pope Street UNIT#B-1007 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3;Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation''. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAROC41RAMIDIN HEALTH AGENT ANIT 39 (CfTY 01---` SAI l--,.M, MASSACHUSL'-1-TS BOARD OF I 120 WASHING ON S'Tt-Li'F'4... l LOOM TEL. (978) 741,1800 lcWl-llu-lL'Y DRISCOL] F,Ax(978)745-0343 M A YO R LILAMDRN @�-,A�LIA C—)NI LARRY RWDIN, RS/IU;I IS,(:[J(), 1-11;A1;1.'1 IA(;[-.N I Application for CertificMe of Fitness IN ACCORDANCE WITJJ STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN 14ABITAIJON" FEE: $50.00 P I WPI-HRTY LOCA I LU A T-&9– --6 v is I RIS UNIT DISIGNATEIAs RCIRCLE ONE' DWNERP,I ssFR ie�C R/AGENTk&dr� \10 Y.0. )30X —,:S _MANAGE k- l-)DRESS --YvY, STA FE, ZfP_s;.-t '7C,ry, STATE, ZIP ------ ZESIDENCE PRONE BUSINESS RHONE (241-116) 3 USINESS PJJON E- JJLJ-V-V 'OTAL NUMBER OF ROOMS:___-4-- 'OONT.USF--: l. Z (1 ,AC41-2,-,'1Lr-- IAL)-,LM A 7. 8. 10. 'l-JEREISAFIFTY (,$SC)) DOLL AI:1--f..-'],,, I)AYABLI'- BYCHll-'CICORMONJ.�,YORDER TO'1'111-," Cl,j,1rol,, SA.f,Eivf ;OAlU) OF lfl-ALJTJ Tl.-11S H13 IS PAYABLE ATTI]ETIMI:OF INSPECTION DATE ,11PLICANT'S SlGNjVl'(JR-Q-; J lnsv—ccatols—ust1y atc on initial Date of reinspectiola:—. -- ate of issuance of cert Date fee ypc of ullil: Dwelling- --O(lier------Chcck # _�Nl Check daLc:--.. oLes. ode P .*cemcjnsl)cctol: ` CITY OFSALEM, MASSACHUSETTS BOARD OF HEAUM 120 WASHINGTON STRSh'P,4".FLOOR 1,',IMBER7'.13YDRISCO11, TEI..(978) 741-1.800 MAYOR FAY (978) 745-0343 1� �t7a alein.cYm� 1ARRY RAMDIN,RS/REFIS,G 10,CP-P i HvAFrlrAct�av'r CERTIFICATE.OF FITNESS CERTIFICATE#524-11 DATE ISSUED: 12/14/2011 Property Located at: 12 Pope Street UNIT#B-9008 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 Wth 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 ,—ff, -/I— LARRY RAMDIN .� .a HEALTH AGENT WDE ENF NT AtPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 �LI KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREFNBAU1,19SALEM.COM DAVID GREENBAUM, �(�y 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 a I��rY/]P S-( C M UNIT# 6 ao —7 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CHICLE ONE OWNER/LESSERVY\ _MANAGER/AGENTT a �✓��Il CT_�Q/\� NO P.O.BOX (� ADDRESS �l r) (.>.e ADDRESS- -10 DDRESS ` �� (�P CITY, STATE, ZIP,��D (Y1 �p CSC ' CITY, STATE, ZIPS.�G� f`n YJ U\ ZQ RESIDENCE PHONE 9 D 9 14LI 6 5-�7 BUSINESS PHONE(24HRS) BUSINESS PHONE C1--) S' TOTAL NUMBER OF ROOMS:_ ROOM USE: l b2cA(o v, 2.b2drn)m 3.\'�� 4 � iy'� f\cAC0u , 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 SIGNATUREC--"L . �/l LY�A� DATE Ir) Inspectors use only Date on initial inspection: r(1/II Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_Check date: 10 41 Notes: Code EnfWef3int Inspector " CITY OF SALEM, MASSACHUSETTS - _-- BOARD OF HEALTH 120 WASHINGTON STREET,4�..FLOOR TEL. (978) 741-1800 I4IvIBERLEY DRISCOLL FAX (978) 745-0343 MAYOR lramdin@salem.com LARRY RAMDIN,16/1W11 IS,(1110, HF'.,\1;1'11 A(;I(NI' CERTIFICATE OF FITNESS CERTIFICATE#319-11 DATE ISSUED: 9/7/2011 Property Located at: 12 Pope Street UNIT#B-1009 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0537 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR 22 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCREENRAU1@SA1YM.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." � FLEE:: $1 n l5,,0.00 ' � PROPERTY LOCATED AT\ QQCV- �-� 'S�A AV'M y �'P 0'( -70 UNrr#2jWq IS THIS UNIT DIS GNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER `)�CVCAX()(O V\012 l✓(C�vIANAGER/AGENT N P� (,Un( St NO P.O.BOX JJ (� ADDRESS , pC4tQC /meq ADDRESS �a V C7J CITY, STATE,ZIP_ // � C6-Q fn , +�� a I )CTFY, STATE, ZIP �CAe V✓A �� C--N99 -70 RESIDENCE PHON0 )-)9`i ` � 3 -� BUSINESS PHONE(24HRS) an—\D BUSINESS PHONE---S c� r sQ TOTAL NUMBER OF ROOMS: 1–\ (�_ D n ROOMUSE: 1 �)0f.\ D(1 2 L\\)\flq 3 � 1 ffi 4 e)QdK-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 FEEIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �l liyc�vr� �( DATE /q Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificated 7 t I �Daatj fee paid: Type of unit: Dwelling Other Check O ��'Clieck date: Notes: Code E rceme t Inspector I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4""FLOOR - AIb11CHC81 > r.� N� Protea. TEL. (978) 741-1800 FAvx(978) 745-034.3 KIMBERLEY DRISCOLL lcamdin@salem.com _ LARRY RAMDIN,RS/1tEHS,Cl-[O,(1'-IS MAYOR HF AI:['H Ac EN'r CERTIFICATE OF FITNESS CERTIFICATE#491-12 DATE ISSUED: 12/18/2012 Property Located at: 12 Pope Street UNIT#B-1010 Owner/Agent: Salem Heights Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. /f ORTHE BO D OF �H L LARRY RAMDIN HEALTH AGENT V SANITAUtAN LOHI CI7`Y OF SALEM MASS.ACHUSET'I'S 10 BOARD OF HEALTH 120 WASxINGTON S�rm,T,4''''FLOOR &'rablacIi: t�tx Tr-u_ (978)741-1800 FAX (973) 745-0343 KIMBERLEY DRISCOLL Lamm dina sfllem.e0m I ARR1--'RrAN'[S)]N,RS/RL^;I-IS,CF'K),CP-I'S MAYOR Hit.ti;rri A(;J7,N e 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 ATV I _- I! y�L 1 T 1 C UNIT# IS THIS UNIT DISIG ATE AS RIGHT LEFT FRONT OR BACK;PLEASE CIRCLEONE OWNER/LESSER MANAGER/AGENT _ , r ` NO sox . ADDRESS ADDRESS_ _ �, II�� CITY, STALE,ZIP 6t, t i� CITY, STATE, ZIP rn RESIDENCE PHONE BUSINESS PHONE(24HRS)_ BUSINESS PHONE 4 b?�S 3 l TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. _ 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION C APPLICANT'S SIGNATURE_ �vv' " " DATE Inspectors use only Date on initial inspection; t-ai ?j—/-I_ Date of reinspection: Date of issuance of certificate: Date fee paid: Type o£unit: Dwelling—.—Other Check # Check date: Notes: LCodOtenemt Inspector I J J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#312-07 DATE ISSSUFQ: 7112/2007 Property Located at: 12 Pope Street UNIT# 1013 Owner/Agent: Preservation Housing Management Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5037 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH / JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR b.L 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 j 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 Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR H N HABITATION" f j� PROPERTY LOCATED AT �� UNIT #_/S/ IS THIS UNIT DESI777PNo FRONT BACK PLEA§E CIRCLE NE 5OWNERlLESSER ��v1ANAGER(AGENT No P.O. Box P.O, Box CC '' ADDRESS ADDRESS tJ7 C1TYv � CITY_ C,j� RESIDENCE PHONE__ ____BUSINESS PHONE (24 HRS.)q7S 7(��/—/ / r ✓ 3 7 BUSINESS PHONE _ TOTAL NUMBER OF ROOMS: /(� ROOM USE_ THERE IS A TWENTY—FIVE (S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA EM HEALTH. DEPA TMENT THIS FEE IS PAYABLE AT TI iE TIME OF INSPECTION. / APPLICANTS SIGNATURE � _ _ DATE 7// `J INSPECTORS USE ONLY 1 7 DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: rDATE FEE PAID _ TYPE OF UNIT pWELLiNGOTHER CHECKs, 1)-- 'e i CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/913 Dom" City of Salem, Massachusetts 10 q Board of Health 120 Washington Street, 4th Floor, Salem, PuhliCHealth 9 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-15-258 DATE ISSUED: 8/2812015 Property Located at: 12 POPE STREET UNIT#81014 Owner/Agent: Preservation of Affordable Housing 'l 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/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 0-�-7A� Larry Ramdin, MPH, RENS, CHO SANITAR HEALTH AGENT /// r iia � st (11'I'Y C)1" ,�1 1 \-f, ]%1Ssly usl:" 1,1*s \ srlr s 13(m I,,I)Iw I II \rrll �'�tan,,, 1 >U'VV;�snmc 111N SII I I r,4°" fl. m fi;J .(978)741-1800 hlNtBE1lU JY DRISCOZ 1;\\,(978)745-0.343 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STAND DS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 /� Q PROPERTY LOCATED AT J('_ _ _ S if _S'ad A �'"��/,Q UNIT# 9 IS TL S UNI-r ISICNATED A RIGII`T 1,1 tT FROM'OR BACK, ITEASI: RCL E ONE OWNER/LESSER OMANAGER/AGENT _ mot NO P.O.BOX ADDRESS / E—. d - ADDRESS_ CITY, STATE, ZIP___(. C R411TY,STATE,ZIP RESIDENCE PHONtBUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER F ROOMS: ROOM USE: I. 2. /7fyl ; 4. J�� 6. 0 7. $. 9. f0. THERE IS A FIFTY ($50) DOLLAR FEE,PAYABLE BY CHECK()&MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE 1 ABLE AT THE TIME OF PECTION APPLICANT'S SIGNATURE DATE p / Inspectors use only Date on initial 'inspection: ©D/� ��oL Date of reinspection: Date of issuance of certificate:03111-171-2-01-5- Date fee pard: a $- Type of unit: D,twelling ( l Other Check#� ��_Check date: D /r7.Z.-42-01S' _ Notes: l S P.R.�i�-�'aGye�.l .._...—..-_ ....—. „:- � v Co or Ment tnsp for Inspection ofd ar me'6 Date 01 Time Xt {� Name Address •12�7 �7P S re D Owner p Tel. No. -I /9L. Lig—ng-37 Type of Inspection C'Y'}��1Ca te. O �j-�•ne55 Inspector .)e-rfrey &eo, )e ( ' ) Remarks and Violations are listed below: II-VII' II ff-hh� I '• -nw 6 room W;eJoiz AS )oak 4 doe.Sn -� rnlr�nM iOYovxy� &A bdYonM W;YIdtx./ SCYePjdf 0./e_ vnrtS/na Floor S�e�Y W4.15 •h o �e Y IY ci�'II l-nVCr� S ate 2�1 5f�os 40y, beC S To have, LLIP1C�j kr4grC Vtok+1'0115 MyS4 p2 cny-rede "rte 4ekian; C cm rnn✓e IhTr�� o s nail I ae r-l' p, r r aY r Report Received by: �� 7 oOND1T,1 City of Salem, Massachusetts aw Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA 01970 Prevent. Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-32 DATE ISSUED: 4/22/2015 Property Located at: 12 POPE STREET UNIT#61015 Owner/Agent: Preservation of Affordable Housing Address: 12 Pope Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-0537 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, 4g,� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN l` ,� ., � i lit+ vinf�rl0 yr iii J_!}\\.vsiuN<,ivzNS'iNFl;.r,=k l�1.0tt01t 1,1:11- (078)-,11-18()0 11.1-181?.Rl..l•1 3 �!�(tif.E:)I;7, [ VA 7=I5-0313 ti l'NIf)R �:\NIT;\If 1.\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." FEE: `G50_0 PROPERTY LOCA` CD AT � � �}/�c— S/ ' JAI I A UNITI/_& l I-AI iS}UNI'C UI$tG A'iN Ll),aS IT IGI`PLEFT FRONTO RACE,ITKASF,CIRCLE ONNF OWNER/LFSSI-R_ ' _MANAGLR/ADEN` -_ W NO P.O.BOX ADDRCSSe �. _ADDRESS CITY, STATE,ZIP, �� _.—CITY, STATr, Z1P RISIDI--NCI3 PI-IONE BUSINESS PI IONL(241IRS) BUSINESS PI IONI:; u v 1{�— 00 7 'DOTAL NUMBER OF nO�OMS�:_ ROOM USE: - 6. 7. 3. 4. 10, THERE 1S A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF I II ALTI I "PHIS PEI: IS P ABLE AT'I'I-IE"flMl-,,OP INSPEC"['ION APPL,ICANT'S SIGNATURE- �,Ipa,7' �� DATE (- C/l �j (I)Spectors tlse 0111YDate on initial inspection: �— Date of reinspection:—— Date of issvlancc of 0e1-L1I`1C te:_ Date fee paid: I'-Ype of unit: Dwelling Other Check# Check cknte:_ _.- Notes: Code nf( -mentInspector City of Salem, Massachusetts { • i , n Board of Health 120 Washington Street, 4th Floor, Salem, Pal>t1iCHealth MA 01 970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-5 - DATE ISSUED: 1/5/2017 Property Located at: 12 POPE STREET UNIT#8213 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- limv Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CRY OF SALEM, MASSACHUSETTS t �� d'� Bt�t1tl�IlrI-iI tl,il[ . , 120 WASHH1NC ON S-1I L E'r,4�'Rob T'[;:L. (978)741-1800 IUMBERLEY DRISCOLL FAX (978)745-03,43 NLWOR IDIQNNVt a?.S1rt Nt COM JANET D1ONNE, . SI:•NIOR 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." FEF $50.00 PROPERTY LOCATED AT_t� UNIT# 9212 IS THIS UPW DtSIGNATE(D AS RIGH' 1,EFTFRONT OR BACK,PLEASE CIRNE J � - OWNER/LESSER. � MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP:... . O & t, CITY;STATE,ZIP RESIDENCE PHONE_ BUSINESS PHONE,(24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS: - ROOM USE: 1. �( 2. 4 3 ev, ' 4 5. 6. 7. 8. 9. t0. THERE ISA FIFTY($50)DOLLAR FEE,PAYABLE BY CHEC R MONEY ORDER TO THE CITY OF SALEM""}} BOARD OF HEALTH THIS FEE IS PALE AT THE TIME INSPECTION G M �� 12 APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection:_ �� ' _ Date of reinspection; Date of issuance of certificate: LOS11 l�� Date fee paid: Type of unit: Dwelling ` Other Check# Check date: y}� Notes: N _C 1 n ( U j l tiJ1 n is mjLoy5i n4 a e 7reeniient I s or • Arispecticin of _ Date C4 7 Time Name Address 12: Owner Tel. No. �n1 Type of Inspection Inspector ( � 1 Remarks and Violations are listed below: (AM dN P Ail a P LLM11- tkV:: (9GfMK / S ftun-T ' u at l m)° p H&( auty-- -��1 turrhys— )" inn ad lom I W 0 -� ' N�, i ' -mcf, m; h n v 1.cc -,o, r Report Received by: SND City of Salem, Massachusetts ar • i Board of Health 120 Washington Street, 4th Floor, Salem, P��PiubliC�aHith 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-17-4 DATE ISSUED: 1/5/2017 Property Located at: 12 POPE STREET UNIT#6303 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. ;oj/ljjj & 11�1411 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITAR AN CITY OF SALEM, MASSACCH USE T'TS BO ARI)cv I I7 U I Ii F 120WASIBNGTIDN SzRt.I'l', 1.`e1.FLe CIr I,V1I. ()78)741-1809 K MBERLEY DRISCOLL FAN (97S)745-0343 NL\Y()R 1D1QNNs, aLLM.COM J6'NF.t`DIt rNNF., SI NIOR SANITARIAN Application for Certificate of FItne9S IN ACCORDANCE. WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FECr$5f0.00 PROPERTY LOCATED AT f 2 PO -� J 7`.;. UNIT# � IS THIS UNIT DISIGNATF45 AS RIGHT LEFT.'FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Sa& MANAGER/AGENT NOP.O.BOX � �" S �_ _� ADDRESS f � ADDRESS CITY,STATE,,ZIR <S ot, CITY,STATE,ZIP 1 �Fu RESIDENCE PHONE BUSINESS PHONE,(24HRS) BUSINESS PHONE 1 4.t /jV_ TOTAL NUMBER OFF,R 'OMS: 7 ROOM USE '- 1. ! 1 ° 'I/li. 6. 7. 8. t�^"r 9. 10. THERE 19=A FIFTY(S50)DOLLAR FEE AYABLE BY CH CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP ABBLLE�ATT THE TI OF INSPECTION I / APPLICANVS SIGNATURE ✓ DATE 2 1 6 r, Inspectors use only �y Date on initial inspection: n c ' 1 Date of reinspectio `t Date of issuance of certlfi ate• e& �/�I Ol I t, Dae fee paid: 'Type of unit: Dwelling `Other Check# Check date: N7 Notes: Co a En orcement In for