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PORTER STREET PORTER STREET D City of Salem, Massachusetts n Board of Health9 120 Washin ton Street 4th Floor Salem PubUcHea t0h 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 CERTIFICATEF FITNESS ITNESS CERTIFICATE #: GHL-16-404 DATE ISSUED: 10/20/2016 Property Located at: 10 PORTER STREET UNIT#2 Owner/Agent: Jasper Realty Trust Address: P.O. Box1014 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 590-1479 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 ofour vacant Dwelling/Rooming/Roomin Unit at the above address has Y 9 9 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/oru i occ ped. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance 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. fe Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSVITS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR 'I'F. (978)741-1800 KIMBARLF.Y DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN(WSALEM.COM LARRY RAMO N,RS/REHS,CHO,CP-FS 1 HFArrH AGENT ^ _ I ku J Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINEVIUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT zd E0a 22 'ST UNIT# IS TTHISgUNIT DISSIIGJNATED—AASS,RI�GIrr LEFT'FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER J�7S/�/� ! G I/ /�"" MANAGER/AGENT NO P.O.BOX ADDRESS 16/ _n ADDRESS CITY, STATE,ZIP / ,ter 01q� CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER//OF ROOMS: 6 ROOM USE: 1.Lt IV/ 2. 14 3. '� �O / 4. l�P�2 5. )J; 6 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY C R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT T O INSPECTION APPLICANT'S SIGNATURE DATE,6 Inspectors use only Date on initial inspection:V0 Date of reinspection: Date of issuance of certificate: �o11qzos� Date fee aid: �ozZ /2OV4 Type of unit: Dwelling_-Z—Other Check# Check date: J 0,Z � V2ox Notes: C n£ `cement Inc ector City of Salem, Massachusetts r� 9' Board of Health 120 Washington Street, 4th Floor, Salem, PablicHea Ith 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 M GHL-1576 DATE ISSUED: 5/21/2015 Property Located at: 8 PORTER STREET COURT UNIT#3 Owner/Agent: Mike Kantorisinski Address: 407 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 868-8190 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,,- Larry Ramdin, MPH, REHS, CHO61 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH . 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN gSALEM.COM LARRY RAMDIN,RS/RFI IS,CI IO,(:P-I,S HI:'.Al;ftt AGl?N'I Application for Certificate of Fitness s IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �� S� GT• UNIT#_,3_ IS�� wTHIS UNIT DI IIG� leu NA.T,nED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER PJNOS a1�� gv/N—,wmANAGER/AGENT ADDRESS—1 c07 Q66eoc C IY C ADDRESS CITY, STATE,ZIP S ANL,, CITY, STATE,ZIP O/(lZ 0 RESIDENCE PHONE/ BUSINESS PHONE(24HRS) BUSINESS PHONE I q ) S1?0 TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. 2. 3. Wyet j 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 F EIS PAYABLE AT THE TIME OF INSPECTION / APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: del S Date of reinspection: Date of issuance of certificate: Date fee paid: 5'd a 1/ 1S Type of unit: Dwelling Other Check# 53aB Check date:/�;1�/c Notes: Code f ement Inspector #I 5 -`?6 CITY OF SALEM, MASSACHUSEI TS BOARD OF HEALTH 120 WASHINGTON STREET}4."FLOOR PublicHeatth Yceaent Yramma Pra(cc<. TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iranadinasalem.com MAYOR LARRY IUMMN,RS/REI-IS,CHO,CP-ISS HEAI.Z'FI ACiF3NT CERTIFICATE OF FITNESS CERTIFICATE#165-13 DATE ISSUED: 5/7/2013 I Property Located at: 5 Porter Street Court UNIT#3R Owner/Agent: A. B. &B. Realty Trust Address: 118 Lafayette Street City(fown: Salem, MA Zip Code: 01970 24 Hour Phone: 744-2552 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 LARF143SAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS �f BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PI1b11CHCalt11 f Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LARRY IL\MI�IN,RS/REITs,CI-IO,Cl'-PS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" I FEE: $50.00 PROPERTY LOCATED AT S %Ae - S"T- e.mA UNIT# ear q IS THIS UNI�T�DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER A•�• 3. Ree,IAcj ( ruA- MANAGER/AGENT W i II10,N f—ATi"VAOM i SC NO P.O.BOX / 11 tt ADDRESS_ 1('i La(o_!jP 1 : ADDRESS CITY, STATE,ZIP__ Sttlp.n �I IA'• .71 f 70 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) aI'ISr ' 7y7 ZSS� BUSINESSPHONE 99�-�91( 2SSZ TOTAL NUMBER OF ROOMS: .3 ROOM USE: 1._10VN6 MN,2. V i'C�� 3.64xb *N 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/'ISI PAYABLE AT THE TIME F INSPECTION APPLICANT'S SIGNATURE W DATE S rI I3 Inspe ors use only Date on initial inspection:__5 �'b3 Date of reinspection: Date of issuance of certificate: /C Date fee paid: r� Type of unit: Dwelling Other Check#�� Check date: r) r)))J Notes: i Code orb entInspector c a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR Pab&Healdi STREET, P"v'M.P'"."W Protea. T'EL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR LARRY RAMDIN,RS/R}?I-IS,CFIO,CP-I'S HI7,,V:;rl-I AGENT CERTIFICATE OF FITNESS CERTIFICATE# 149-14 DATE ISSUED: 5/7/2014 Property Located at: 5 Porter Street Court UNIT#4F Owner/Agent: A.B. &B. Realty Trust Address: 255 Washington Street City/Town: Salem, MA Zip Code: 01970-24 Hour Phone: 7442552 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. eR THETHE..�O LARRY RAMDIN HEALTH AGENT SANITARIAN • i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAS1-IINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 NjAYOR DGREENBAUM[mei 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 C'.ovc* UNIT# H F IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE, OWNER/LESSERA.Z. Re sk MANAGER/AGENT NO P.O.BOX ADDRESS IADDRESS CITY, STATE,ZIP Sc, !I'114- plq o CITY, STATE,ZIP R.FSIDF,NCF,PHONE BUSINESS PHONE(24HRS) yY' Z SSL BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1 Kckt Q , 2 Liv v4yoah 3.�.�.coor\ 4. 5. G. 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 S I pectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: l Date fee paid: Type of unit: Dwelling Other Check# . �/ Check date: I Notes: Jin< ,r2 Ci(( SU{ WC_ CAM , went Inspector Code o spector • " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR Plitli�CHCAlth Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Ixamdinnsalem.com LARRY RAMDIN,RS/REHS,CHO,CP-FS MAYOR HE.\LTI'I AGENT' ' CERTIFICATE OF FITNESS CERTIFICATE#118-14 DATE ISSUED: 4/9/2014 Property Located at: 5 Porter Street Court UNIT#4 Rear Owner/Agent: A.B. &B. Realty Trust Address: 118 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-2552 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 f 440* LARA;RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR I I l TEL. (978) 741-1800 KIIVIBERLEY DRISCOLL FAX(978)745-0343 MAYOR DQRE-L'N13AUM@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 b � r �_ 'Lam UNIT# nn '�IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE ONg OWNER/LESSERA-• > . � \rvYC MANAGER/AGENT W'AA , NO P.O. BOX ADDRESS �1Sr ��ar�e I-�� SC ADDRESS CITY, STATE,ZIP 0I17D CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) grl�' �y�/-ZSSy BUSINESS PHONE TOTAL NUMBERS�0�F�ROOMS:_ ROOM USE: IndiV1lmmr ^ 3.\V1y-0oy- 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 ,ISIPAYABLE AT THE T81E OF INSPECTION APPLICANT'S SIGNATURE IBJ�C(� I — h DATE �iY 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 lin-for6einent Inspector r X11(4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET,4'"FLOOR [QYi13) RL1 YDRISCOLL TEL. (978) 741-1800 FAx(978) 745-0343 MAYOR PRrnr +Auna{a?snJ cant cry D l V tD GR1,'r'NBj%tTjr,Rs AG't'ING I-113;U.;11T AGt;N'1' RELEASE In accordance with the State Sanitary Code Chapter II; Chapter 2-705 of the City of Salem Ordinance; Mass General Lavrs, Chapter 140, Section 25; Mass General Laws, Chapter 148; Section 4; and CMR 780.115.6 the undersigned ownerllessor and it of residential property, hereby authorize the Salem Board of tenant/lessee of a up Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and other City departments or their authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and their authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. �e.SSlC�ber� A•13.F�• �2u.1�'� 1lvS� N1it�ra� " wtf�cu�e<. Ten nt/Lessee Owner/Lessor 7 --- Address Address - 0-�• yrs Address of unit to be inspected Dat uxn CITY OF SALEM, MASSACHUSETTS "g BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 564-02 FEE $25.00 TEL. 978-741-1800 DATE: 11/04/11/04/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Porter Street Court UNIT #: 1 OWNER/AGENT: Aquarian Investments ADDRESS: 125 Pine Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-1899 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR :, 1y....�,a1:.a.:',._.r e�`� CITY OF SALEM; MASSACHUSETTS �v BOARD OF HEALTH p 170 WASHINGTON STREET, 4TH FLOOR SALEM,MA 01970 �-- DTEL. 978-741-1800 ! !� FAX 978-745-0343 STANLEY USOVICT, JR. ,JOANNE_' SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMANNH,AB�IT/ATIOW, PROPERTY LOCATED AT�Or cJ`I 0( _UNIT#1_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ONO AA ,WV606 /YF IANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS 1 p/ �� CITY�}E4f ,,. TL(L CITY _ RESIDENCE PHONE M'ZI% 18W BUSINESS PHONE (24 HRS.) BUSINESS PHONE-12 HCl TOTAL NUMBER OF �fR((O"-OMS:=% �`. ROOM USE: 1. { 2.-�~�., 4. R2d 5, i THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY I ORDER TO THE CITY OF SALEM HEALTH DEPA_RTMENT<THIS FEE'IS PAYABLE AT THE C TIME OF INSPECTION. APPLICANTS SIGNATURE DATE OZI I INSpEC70RS USEONLY DATE OF INITIAL INSPECTIONJQ �// _DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: 1 I_.- 2- DATE FEE PAID: 1,4 � 2 � IJ TYPE OF UNIT: DWELLING,/ OTHER— CHECK#_.) }_ CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 ; I � �F CITY OF SALEM, MASSACHUSETTS o ® BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 2/16/06 Ilidio Valente Jr. 4 Princeton Street Peabody, MA 01970 PROPERTY LOCATED AT 10 Porter Street Unit 1 F Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. or the Board of H Itg¢ h Reply to X� I Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/15/05 Ilidio Valente 33 Chement Avenue Peabody, MA 01960 PROPERTY LOCATED AT 10 Porter Street Unit 2 Front Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of Reply to Heal t)e- anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 01a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR - v SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 03/18/2002 Ilidio Valente II' 7 Water Street Peabody, MA 01960 PROPERTY LOCATED AT 10 Porter Street UNIT # 2nd floor front Dear Sir/Madam: II It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. . Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those I utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD HE TH REPLY TO oanne Sco t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS IL`_u'IJI BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR PublicHea Ith TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY R;\NIDIN,I2S/RISIIS,CI10,CF-ISS MAYOR I-II SA1.;I'rt AG VNT CERTIFICATE OF FITNESS CERTIFICATE#308-14 DATE ISSUED: 9/15/2014 Property Located at: 18 Porter Street UNIT#3 Owner/Agent: Ed Hendricks Address: 18 Butman Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 617-543-0167 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L RAMDIN HEALTH AGENT SANITARIA r CITY OF SALEM, MASSACHUSETTS n}�ypp.)q BOARD OF HEALTH J 120 WASHINGTON STREET,,V"FLOOR Pub cHelh TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com - LARRY RMIDIN,RS/RL•'HS,CHO,CP-tls - MAYOR HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:$50.00 PROPERTY LOCATED AT IB �O UNIT43 IS THIIS�UpNrr DISIGNATED AS RIGHT LErr FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER `� ` """ ' j MANAGER/AGENT S� NO P.O.BOX ADDRESS ( 8 .gu-FNnnnu-�+ S � ADDRESS CITY, CITY, STATE,ZIP /1��2 i/ A I �� CITY, STATE,ZIP f < RESIDENCE PHONE 00 BUSINESS PHONE(24HRS) BUSINESS PHONE b/ _ 5 �3—0'b TOTAL NUMBER OF ROOMS: QC L I (Cf n ROOM USE: Lw 2. J�^ 3. 4. vv 5 41 6 c VON. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S BOARD OF HEALTH THIS FEE IS PAYABLE AT T ME-OF INSPECTION APPLICANT'S SIGNATURE�A DATE I Inspectors use only Date on initial inspection: /IS 1 I4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 11 j�7 5 Check date: Notes: f Cod-etnf6dernent Inspector CITY OF SALEM, MASSACHUSETTS �L BOARD OF HEALTH m 93 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01 970 .� TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/3/05 Salem Point Rental 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 10 Porter Street Unit 3R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For ttthh�je Board of HealtthL// Reply to Jo r�ie Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS \LJ/J BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PubliCI3CAlth Premnt.Promore.Pralect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salein.com LARRY RAtvIlJIN,RS/REHS,CI 10,CP-PS MAYOR HJ!.A1.TI-I Ac-,ENT CERTIFICATE OF FITNESS CERTIFICATE#56-13 DATE ISSUED: 2/12/2013 Property Located at: 10 Porter Street UNIT#4 Owner/Agent: Ibrahim Rihane Address: 20 Curtis Street City/Town: Revere, MA Zip Code: 02151 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until.the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RAMDIN HEALTH AGENT SANITARIAN 4 CYIN OF SALEM, MASSAC IUSf.ZTS 1 ► ��f�� 120 WarrnNGTON S ftl-,x'r,4"'F1,0011c Heakh I'Y\ITt.Pfomnlr_ITntrnl. T t.. (978)749-1800 T,.vx(9 78) 745-0343 KIMBERLEY DRISCOI I, hamdin c�a salem.com � LARRY RANWIN,RS/Iwl is,(:I lo,(:P-1fi MAYOR I`IkAla'I-I AGI;.N'1' 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: If 0.00 PROPERTY LOCATED AT IV po're r ST✓V e_j —UNIT# IS THIS UNIT DISIIGGNATED AS RIGHT LEFT FRONT ORB, ACK,PLEASE CIRCLE ONE OWNER/LESSERNk� NO P.O. BOX MANAGER/AGENT ADDRESS_ Dcc -7i5oa_6 _ ADDRESS__ CITY, STATE,7.,IP� V 2t1� _ CITY, STATE,ZIP 131 2- 1 S RESIDENCE PHONE -2$3 BUSINESS PHONE(24HRS) _ _ BUSINESS PHONE_ TOTAL NUMBER OF ROOMS:_ I ROOM USE: 1. _ 2. 3. _ #. _ 5, 6. 7. 8. ! 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 tf DATE `Z Ins ectors use only Date on initial inspection:_, I _ _ Date of reinspection: Date of issuance of certificate:_ Date fee paid:J Type of unit: Dwelliinng_ __.Other___Check / Check date: """� Notes:���,,�4�1CI_ ('±D- ��p=4 d fo _D11d. (� P � ode n r ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 ICNIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUM@SAI l=.M COM DAVID Gm;F,NBAUM ACTING HFIA1.17-I AGENT CERTIFICATE OF FITNESS CERTIFICATE # 179-10 DATE ISSUED: 4/16/2010 Property Located at: 10 Porter Street UNIT#6 Owner/Agent: Salem Point Rental Properties Inc. Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH +DAVDREENBAUM ACTING HEALTH AGENT CODE�7EM=INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KINMERLBY DRISCOIS. FAX(978)745-0343 MAYOR ]scorr@a sv.EM.COM JOANNE Scow, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." FEE: $' .00 PROPERTY LACATED AT V PQC e r f�Q 12n1 P44 UNIT#—j(1�2-- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT 09 BACK PLEASE CIRCLE.ONE OWNER/LESSER Salem Point Rental MANAGER/AGENT Salem Property Managers NO P.O. BOX ADDRESS 102 Lafayette Street ADDRESS 102La£ayette Street CITY,STATE,ZIP Raiem MA 01970 CnY,STATE,ZII' Salem MA 61970 RESIDENCEPHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 97R-745-A071 TOTAL NUMBER OF ROOMS: ROOM USE: 1.1! J- 2. k e 3,-6eA Lm 4. �,i iM e^.5. 6. 7. 8, 9. 10. THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALT#4NS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE—�Za Inspectors use only Date on initial inspection: qb u b U _i Date of reinspection: Date of issuance of certificate: LP Date fee paid: Type of unit: Dwelling her. Check#--X _Check date:_ /a q116 Notes: Code E rce entInspector CITY OF SALEM, MASSACHUSETTS + a ' BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAIL(978)745-0343 MAYOR 1SC01T@SA1'rM.COM JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111;Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. i I Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date r .:. 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#470-06 DATE ISSUED: 9/21/2006 Property Located at: 10 Porter Street UNIT#6 Back Owner/Agent: Salem Point Rental Properties Inc. Address: 102 Lafayette 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. FORT E BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Crry OF SALEM, MASSACHUSETTS .�, BOARo ERN S U l20 WASHINGTON TREE','. 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 is FAx 978-745-0343 ry JOANNE SCOTT, MPH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT_- /�� —_UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ACK PLEASE CIRCLE ONE OWNERlLESSER S..tL C�I117_�+5�_tAJ-MANAGER/AGENT_ No P.O, Box f fapg J-a,sI 41 C- No P.O. Box ADDRESS_ jot. L.4�e4�+ ADDRESS CITY /� S��QiV17 CITY.._�14 _ �i 7Q RESIDENCE PHONE--,-------BUSINESS PHONE (24 HRS-)--. _ BUSINESS PHONEA3j� TOTAL NUMBER OF ROOMS: _ ROOM USE: 1 (�!Y!0 -,,-,I_ 3. --.4._-__--__ THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUf._Z_l._(Q& INSPECTORS USE ONLY DATE OF INITIAL IIIvSPFCTION_ � '/ DATE OF REINSPECTION DATE DATE OF ISSUANCE OF CERTIFICATE / ?� DATE FFF PAID. � �F� '��6 TYPE OF UNIT DWE_U IN, OTHER CHECK ?! 1 oi. �- (oCHECK DAT F NOTES: L , CODE. 7N f'ClGiOH 008!(18 • u CT1'Y OF SALEM, 1b NSSACHUSE"iTS BOARD OF I-If,ALfH 120 WASHINGTON STREET,4°1 FLOOR - PlibllC Health TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOI.L kamdin 7salem.com 1.A RRl R;AAIDIN,RS/RId IS,CI 10,(:P-I'S MAYOR HI3m:1'hl AGI(N'I' CERTIFICATE OF FITNESS CERTIFICATE#67-12 DATE ISSUED: 2/28/2012 Property Located at: 12 Porter Street UNIT# 1 Owner/Agent: Wilmir Dasilva Address: 30 Circle Hill Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-825-0761 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter W' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F R T ED OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENVOMtNT INSPECTOR i/ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 IUM13ERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAaunNQSAlA W.c ON) LARRY'R;)MDIN,RS/RP;H ti,CIIQ,CP-PS HFAJXH AGL?NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT IJ PORTER 5F UNIT# ©1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER WALMIR L. _ZAOL- A MANAGER/AGENT BOX ADDRESS 93 GRG-E� HALL cc�� NIA ADDRESS CITY, STATE,ZIP 5iSLEM - - 01770 CITY, STATE,ZIP RESIDENCE PHONE q7a ea50�;61 BUSINESS PHONE(24HRS) BUSINESS PHONE q7_8 a6847A46 TOTAL NUMBER OF ROOMS: 4 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 I P YABLE AT THE TIME OF INSPECTION / APPLICANT'S SIGNATURE ! DATE a/a8/ O, J 1 Inspectors use only Date on initial inspection:: l a: Ila Date of reinspection: _ Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#r Check date: I Notes: 42 d Code d• ment Inspector o CITY OF SALEM, MASSACHUSETTS „fes BOARD OF HEALTH " 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#277-04 DATE ISSUED: 06/25/2004 Property Located at: 12 Porter Street UNIT#2 Owner/Agent: Walmir L. DaSilva Address: 30 Circle Hill Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-825-0761 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IY' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance 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 OAN�TT MPH RS CHO HEALTH AGENT 9€ NFORCEMENT INSP R CITY OF SALEM, MASSACHUSETTS 9r BOARD OF HEALTH J, • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. _JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Ir,17 &47IF4�1S/'� UNIT# -2 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER 11/ / 1/h Z b4) 5/414 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3® CI&C4F 1,1/1G 2/J ADDRESS CITY �/)Grf'�'( CITY /�'✓� S RESIDENCE PHONE 976 e.,�Y_V W/ BUSINESS PHONE (24 HRS.) SSM BUSINESS PHONE —� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1� 2. 3. 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 ry� _ /�(� DATE G O/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION t /6 5;� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ en TYPE OF UNIT: DWELLING _OTHER_ CHECK#_W1 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 o CITY OF SALEM9 MASSACHUSETTS �v BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE M 449-03 DATE ISSUED: 8/27/2003 Property Located at:: 14 Porter Street UNIT#: 1F Owner/Agent: Nestor Grullon Address: 14 Porter Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-771-2700 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. This approval does not certify compliance with the State Lead Law for occupants under 6 years of age. For more information call 978-741-1800. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOALTH r Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR { CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF}FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT r I 1 Q al-� S� r UNIT# h IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Ales(b2 Cl2j 1"ANAGER/AGENT No P.O. Bo No P.O. Box ADDRESS �o21�f r� g( ADDRESS n CITY '34-cA f-*_r CITY V ) RESIDENCE PHONE` ?�� a BUSINESS PHONE (24 HRS.)fR 1 7 P-2-7 ov BUSINESS PHONE TOTAL NUMBER OF ROOMS: _ ROOM USE: 1. 3.�. L1J 3. W OOP, 4. f3 V-P Oz /-L J"PUNsOhG. T-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. � 1 & APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 'a 7 � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: k /-,) ? `6 '5 DATE FEE PAID: 2 ',)' 6 --v 5 TYPE OF UNIT: DWELLING / OTHER CHECK#CHECK DATE" a v $3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS ' Y BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBHRLEY DRISCOLL FAX(978) 745-0343 MAYOR IUONNQ,& std cost JANEN'DIONNE AC'T'ING FI BAl m T AC;F,NP CERTIFICATE OF FITNESS CERTIFICATE#511-08 DATE ISSUED: 10/21/2008 Property Located at: 14 Porter Street UNIT#2F Owner/Agent: Property Quest LLC Address: 21 Savory Street City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone: 781-632-2514 An inspection of your vacant 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. THE O D F HEALTH ANET DIONNE ACTING HEALTH AGENT CODE ENOICEMENTrINSPECTOR 1 CITY OF SALEM, MASSACHUSETTS �� BOARD OF HEALTH 120 WASHINGTON STREET,4"{FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNF SN.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 I G I �� �� S UNIT#LE IS THIS t T bSIGNATED AS RIGHT LEFT FRONT ORD PLEASE CIRCLE ONE 1� . OWNERILESSER ��J,P r -�1 U L� G . MANAGER/ iJ�UI Ay��y�� ADDRESS � rYADDRESS CITY, STATE,ZIP L V A/A/ /4* l 5l L CITY, STATE,ZIP h / RESIDENCE PHONE / - S�`��/ �3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. l 7'-64c, 2. 3. n' �� 4. 6 "ti 5. 6. 13611 R� 7. P>W f?n 8. npc., Are 1,9. 10. 3rd Ft, . THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THEE TIME OF INSPECTION f/� APPLICANT'S SIGNATURE/ DATE /4 -JL-/J Inspectors use only Date on initial inspection. 1 u 2.1 Date of reiuspectiow. Date of issuance of certificate: to I.1 -0V Date fee paid: 10-7,1 0$' Type of unit: Dwelling t::!!� Other Check# 1 c7 S ? Check date: A�-2,> --)P Notes: Code Enforcement Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 0 SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Facsimile Transmittal To: let A C ! } A (i est f Fax# RE: _ell _ . Dat ��a/ � b� Page(s): including this cover# Message: Board of Health News ----------------------------------------------------------------For our Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Oct 212008 2:31pm Last Fax Date Time Twe Identification Duration Pages Result Oct 21 2:31pm Sent 919784539150 0:41 2 OK Result: OK - black and white fax gONDIT 0 CERT.# 385-01 cFEE $25.00 �s�. ,..... DATE: 08/10/2001 C/,ytNE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT B Tel: (978)741-1800 Fax:(978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 14 Porter Street UNIT #: 2nd floor rear OWNER/AGENT: Nestor Grullon ADDRESS: 14 Porter Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8004 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE_UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTSUNDER6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARDO F HEALTH 0E SCO TT, MPHRSCHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1Boo Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". rr PROPERTY LOCATED AT 1 `1 Ft ((Ll� S7 UNIT# 2r'j F'-0k (-CAI`L IS THIS UNIT DESIGNATED ASnn RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER N5- - (1(LJ It,4 MANAGER/AGENT No P-O. Box No P.O.Box ADDRESS NJ(�� Sr(— ADDRESS CITY__: A"( we �tiCITY RESIDENCE PHONE` 2$ b `-(—a a USINESS PHONE (24 NRS.) 9th' 3 7�G"S O j (G, BUSINESS PHONE_ TOTAL NUMBER OF ROOMS:_„ ROOM USE: 1kiTC/ '2.1 iJ,`e! yto�M�PDM�Y4. �� 7>KooPt 5. 6. THERE IS A TWENTY-FIVE($25.00}DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE G�. �4c DATE ' ISI Q I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 9.. / b " a( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: j 6-Of _DATE FEE PAID: 10 0 1 _ TYPE OF UNIT: DWELLINOTHER_ CHECK#jj6,yl CHECK DATE f O NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 •� CONUIT a CERT.# 347-01 FEE $25.00 a _ DATE: 07/26/2001 ���/MIIIB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Porter Street UNIT #: 1 OWNER/AGENT: Mirabito ADDRESS: P.O. Box 3031 CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 232-0055 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH L&Y JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR The people ffi ' you want around AUTO HOME LIFE just in case. C14--/ D-t�Q-J-or- (�d 5S o✓L 4o i✓l5�te: For Information Call i-8o'o-27mita� �-¢oeD17 s a MING W CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 WASHINGTON ST. 4TH f JOANNE SCOTT, MPH, RS,CHO . XNRA2h10MMXXREKKX HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HU N HABITATION". PROPERTY LOCATED AT UNIT it IS THIS UNIT DE SIGNATED Aj 1HTLEFT�FRON B CK PLEASE CIRCLE ONE OWNER/LESSER M WWW 4 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS T' 6 , c��( 363 1 ADDRESS CITY �o j Q (d CITY A' RESIDENCE PHONE921 11 0 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5._ � 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT HE TIME OF INSPECTION. I APPLICANTS SIGNATURE DATE C// 1NSPEC ORS USE ONLY DATE OF INITIAL INSPECTION ;) ,J� 6 - Z) " DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICAT V ) DATE FEE PAID: TYPE OF UNIT: DWELLINGfOTHER_ CHECK# / 7--3 /CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � 3 ® 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 08/16/2002 Linda Mirabito P.O. Box 3031 Beverly, MA 01915 PROPERTY LOCATED AT 16 Porter Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8 :00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. FOR THE BO OF H REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR , :pyx - �--�- .dib>y''� pr }7'; - J vQd ' CERT.# 341-00 FEE $25.00 DATE: 05/26/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Porter Street UNIT #: 2 OWNER/AGENT: Abe Schroer ADDRESS: 93 Seaview Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 857-9879 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . .,,'•* THEREFORE, THIS, CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF- THE ,. SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD �OF�;.HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO -NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax:(978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN (HABITATION". PROPERTY LOCATED AT I Q "r STn��_qL UNIT# 2- IS IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_ S rVe te' MANAGER/AGENT No P.O. Box / No P.O. Box ADDRESS r12J S� ��e pi Aire ADDRESS CITY M /� CITY RESIDENCE PHONEI'$S(9 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:J— ROOM USE: 1. 8 im,2. 3. 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 Z 6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:."-;�-G -OD DATE FEE PAID: S__�_d'6 D TYPE OF UNIT: DWELLING_OTHER CHECK# ( CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ry CITY OF SALEM, MASSACHUSETTS �3! BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#499-04 DATE ISSUED: 11/4/04 Property Located at: 16 Porter Street UNIT#2R Owner/Agent: Anthony Mirabito Address: 2 Enon Street 2nd FI City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-335-4298 David Donnellan An inspection of your vacant 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 JOAN SCOTT, MP H, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR -- qq CITY OF SALEM, MASSACHUSET'T'S /nl ✓ �y HOARD OF HEALTH (l _} • • 120 WASHINGTON STREET,4TH FLOOR I SALEM, MA 01970 TEL. 978-741.1800 FAX 978-745-0343 - STANLEY USOVtCZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER U, 1.05 CMR 410-000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT b ��C'r . _UNIT# Ran2 1S THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWN ERA-ESS ER-j9?tjha?8: MANAGER/AGEN��h�Ltj)� + 7tj No P.O. Box hd No P.O. Box ADDRESSiy �^�� ADDRESS CI �l e(11� CfTY 7 Y1 O RESIDENCE PHdN+--I . 1 BUSINESS PHONE (24 HR S BUSINESS PHONE--___ TOTAL NUMBER OF ROOMS:__ ROOM USE: i. -n/ _ 2.�3. 5-8f 4. V THERE IS A TWENTY-FIVE(525.40) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT T14E TIME OF INSPECTION, APPLICANTS SIGNATURE -- [ - - INSPECT/ORS USEONLY DATE OF INITIAL"INS,( EC lON - -t 6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE r " t 0 DA i E T=EE PAID 1 ' Le 'D TYPE OF UNIT DWELLING f OI'HFR CH CK if 3 q3 CHECK DATi. NOTE`. t;c>Oi- 1 (�I UI iCIM[.N 3 INtii'VC i Ot? ')l,'f;li'r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01 970 'TEL. 978-741-1800 -- FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/14/05 Linda Mirabito 8 Nichols Lane Middleton, MA 01949 PROPERTY LOCATED AT 16 Porter Street Unit 3rd Floor Front Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Jd�nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector .......... 0 CERT.# 567-99 FEE $25.00 DATE: 09/24/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Porter Street UNIT #: 3rd Floor Front OWNER/AGENT: Lewis Livermore ADDRESS: 10 Lorraine Terrace CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-2026 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS .BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR .. 00CUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 _ e to z 5/, -3 t r • .C4 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fu:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". 7UNIT# /� • PROPERTY LOCATED AT 53 IS THIS UNIT DESIGNATED AS RIGHT LEFT @* A K PLEASE CIRCLE ONE Ij OWNER/LESSER_! ' aCW •�}"�f�MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS ADDRESS CITY k -- � � CITY RESIDENCE PHONE 74 L 6 J/'?6 1"BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: !f ROOM USE: 1. kf,,T� 2.��'3• �. 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__ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION � —i 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-) � "'rZy DATE FEE PAID: `z' TYPE OF UNIT: DWELLING k,OTHER_ CHECK#_a2 9/—CHECK DATE y NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS J.. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR . o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#327-04 DATE ISSUED: 07/14/2004 Property Located at: 18 Porter Street UNIT#2 Owner/Agent: Edward Henrick Address: 16 Porter Street#1 F City/Town: Salem, MA Zip Code: 0197024 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 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. FORTHEBOARD F HEALTH e 1' JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ���---'�------��� BOARD OF HEALTH • M 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-f800 800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT-/ �cS..3�'Y'�. UNIT#C;!- IS THIS UNIT DESIGNATED AS' P' r jRIIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ak NPn1__MANAGER/AGENTY7todCa-&Sa,)610 No P.O. Box No P.Q. Box ADDRESSL.(_ _ADDRESSJ�c� CITY _ CITYn1yy� Cf nlGi7f\ RESIDENCE PHONE.... BUSINESS PHONE (24 HRS.)_ BUSINESS PHONE TOTAL NUMBER OF ROOMS:-_ S ROOM USE: ice_2. 3. hft4. 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 s _DATE �� r INSPECTORSUSE ONLY 64, DATE OF INITIALALINSPECT(ON� DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE:?,-/ DATE FEE PAID: 7 i._76 U TYPE OF UNIT: DWELLING _(OTHER__ CHECK #i7 / _CHECK DATE �L 6 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 MwND�'� City of Salem, Massachusetts ] l..l Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promet<. 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-15-331 DATE ISSUED: 10/9/2015 Property Located at: 18 PORTER STREET UNIT#1 Owner/Agent: Ed Henrichs Address: 18 Butman Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(617) 543-0167 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 SANITARb N I .Z CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W13HINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOI-L FAX(97€1)745-0343 MAYOR I.xaM1JIN(R�SALEM.COM R LARRY RAMDIN,RS/RUTS,CHO,CP-Jti �)j//JJJ�(/✓�yJjJ t t r / F"/1� � HEAVIV AGENT ''�' 1 lr'/ I �/ C' I S C v/ V G/ l.. V l 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 f PROPERTY LOCATED AT UNIT# ` IS THIS UNTODLSIGNA AS RIGHT LEFT'PhONf OR BACK,PLEASE COWLE ONE OWNERILESSER MANAGERIAGENT NO P.O.BOX ADDRESS n ADDRESS CITY, STATE,ZIP /� L CITY, STATE,ZIP SJI 9� ( / RESIDENCEPHONE h 7 ` -V2`0 BUSINESSPHONE(24HRS) �1' `J if�v�/ BUSINESS PHONE TOTAL NUMBER OF ROOMS: JJ ROOM USE: 1 k d o"" 2 PAn Y r 3. PCP 4.&el 5. .D j�ffg 64/iw,. taoon7 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 PAYABLEATTHEETIME OF INSPECTION / APPLICANT'SSIGNATURE � 1�/ ./ DATEf� � !Wectors use only Date on initial inspection: ., f, Date of reinspection: Date of issuance of certificate: JL./m'f at> Date fee paid: t Type of unit: Dwelling_�Oth(er, II Check# 36,3 / p Check date:. 0/0 V4W-1S- Notes: (�ln/ ryw 1hy rye)m �ag +orim SCre.ex w redo e» 1, :na r6am »PArg'jj Cro. ' kQoy^ a oY G W C of 'Cement SpeCt07 e � " CITY OF SALEM, IVIASSACHUSE'I'TS BOARD of 1-1FIVurH 120WASHINGTON SrRrj:x 4"'FLOOR nl.. (978) 741-1800 I�MBI3RL.t3Y,D,RISC'.f�Lt" FAX (978) 745-0343 MAYOR Irafnclin @sa(em.coin LARRY RA VDIN,RS/10;fIS,C110,CP-Vs 1-1FAa: JIAi";IN1' CERTIFICATE OF FITNESS CERTIFICATE#349-11 DATE ISSUED: 9/22/2011 Property Located at: 18 Porter Street UNIT#2 Owner/Agent: Edward Henrick Address: 18 Butman Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 617-543-0167 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I RRY RAMDIN HEALTH AGENT CODE EN ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS L BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL F.�X(978)745-0343 MAYOR LR4MDIN&SALEM.COM LARRY RAMDIN,R.S/REI-IS,CHO,CP-FS HI.AL PH 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: $50.010 PROPERTY LOCATED AT� PO r '&t d UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER �^LL NO P.O.BOXqq 'S MANAGER/AGENT SCx/^ � ADDRESS �jv� 1t1et��'JD 0 OTf Or ) ADDRESS CITY,STATE,ZIP L 1(�U r//�M 1"A CITY,STATE,ZIP C� IT RESIDENCE PHONE _U j BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1 �ttc�6� 2 Llyl`'y �01^3 ae��OGt 4.g��rJu� 5.� ^� � foG'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 PAY LE AT THE TIMY OF INSPECTION q APPLICANT'S SIGNATURE fel ZDATE 1(2U Inspectors use only p Date on initial inspection: C1 21- I j Date of reinspection: Date of issuance of certificate: 9- Zb ' 11 Date fee paid: Type of unit: Dwelling t/ Other Check# 1 f'A Check date: Notes: SSE /'ll1, V l01�� �N "2QL—k3i- EE) 1/4d Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAM NN&ALEM.COM LARRY RANIDIN,RS/REFTS,CHO,CP-FS HFAL71-I AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. t 7� ✓ sc— Tenant/Lessee Owner/Lessor essor le (' a r on����r /lam Address Address (T �ol S SA/Vv- Address on unit to be inspected Lo Zo [ i Date 'UpdaW-523/11 nspection of13 I�g-1:;w, >% Date q, 2-2-% Time Name r� n ` Address Owner_til/ ��i�-1v� Tel. No. d type of Inspection Inspector ( ' ) Remarks and Violations are listed below: Report Received by: (ate taA,n p I nspection of 6 f �I�-I L,1�,' SJ Date _t- Z2, ( / Time Name Address Owner V% � � Tel. No. Type of Inspection Inspector 'l ' ��-�:.�►.� �Q �('� - ( ' ) Remarks and Violations are listed below: m lii,a4 6 L1 6 141 Pal I Ccs / I 1,1c1f 1T 1(: ATE 6 suvuAt, a�- ✓L��� o��,`a-�c�. Aim �2�Pc��t�-= 2.�Cn�� A�+� 1tC'i ��car i7�� Report Received by: CoDa Construction l'(Opo�al page 1 of 1 "Ertenorsneciahsts, that always have you covered" 3 oak Street No.#91811 Salem,MA 01970 978.335.7065 Date: 18 September,2011 Proposal Submitted to: MA Constx Wou Supervisor License#100562 HIC4150617 Name Ed Hendrichs Job Porter Street Address P.O.Box 408 Address 18 Porter Street City/St/Zip Beverly,MA City/St/ZipCity/St/Zip Salem,MA T: 617.543.0167 T: We huts submit specifications andestimates fvr- TT M DESCRIMON 1 Remove exi vaUcy slates,(two dormers,right and left side) and exisMW copper. 2 Install Ice & Water barrier and new copper valleys(4). 3 Re-install slates(using existin slates and replacements as needed to match). 4 Remove existing aluminum ridge flashing(two dormers,right and left side) replace with copper cap. CoDa Construction to remove and dispose of all debris in compliance with current legal standards- We hereby propose to furnish labor and materials-complete in accordance with the ab ve specdicati for a sumo $1,550.00 With payments to be made as follows: $1,200 deposit,$350 upon completion. , r All material is guaranteed to be as specified. All work to be completed in orflbon Aike m ' acco - a s Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. This proposal subject to acceptance within 30(thirty)days and is void thereafter at the option ofthe undersigned. Customer accepts responsibility for payme*s) of all legal fees,costs,expenses and interest(at the rate of 1%6%per month, 10%per year)associated with the collection of overdue balances ninety(90)days or more after imo' for s ces and material rendered by CoDa Construction, Authorized Signattrre GQr' ACCEPTANCE OF PROPOSAL 'The above prices,specifications and conditions are hereby accepted. You are authorized to do the work as specified, payments will be made as outlined above. ACCEPTED: Siq Date: Signature TH42VK YI3J� YOUR COl',SIDERATI!)M Customer Copy Office Copy 0 Other 0 ZOOR00d WcOl-lt IIOZ EZ daS 0099t9L19'Xe3 63S3 G,. e ECJGRU)v\- p V3 a00400a Wtio�!u Goa ea eGS dS3s3 IMPORTANT MESSAGE FOR G A.M. DATE TIME ' S' MnC-,j rlChI OF 1'�I��. � ,I PHONE AREA CODE NUMBER EMENEIpN ❑FAX ❑MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE. CAME TO SEE YOU WILL CALL AGAIN 'CALL AGAIN WANTS TO SEEWANTS TO SEE<YOU�RUSH. . RETURNED YOUR CALL WILL FAX TO YOU MESSAGE Q2 GhC �UGhC �U w �U � q����M SIGNED ttnNERSAL. 48005 MAot w v.,S.A. �-��1 S � �� � I� NSG�(� �� l�- �3 ► ,v"?5 -� IMPORTANT MESSAGE FOR v' A.M. DATE TIME P.M. M_t n OF tF a-, PHONE 617 'S43-0167 AREA CODE NUMBER EXTENSION U FAX U MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE LK OCAAa QA,y\ - 14 O SIIG-NED ONNERS'AL_ 48005 MADE IN U.S.A. NOTES _ _ _ TRANSMISSION VERIFICATION REPORT TIME 09/29/2011 23: 04 NAME FAX 9787450343 TEL 9787411800 SER.H 000BON341991 DATEJIME 09/29 23:04 FAX NO./NAME 919785310757 DURATION 00:00:31 PAGE(S) 01 RESULT OK MODE STANDARD �. CITY OF SALEM, IYMASSACHUSEI-FI'S ��.�� BOARD(N' Hl��I'Tf f 120 WASHINGTON STREET 4.° 11( )(m 'I'E.1,. (978) 741-1800 Ia�413E:RL1Y DRLSCOI.I_. FAX (978) 745-0343 MAYOR Irim(bn@saletii.com I,.ARRY KANfDIN, KS/RI J IS,(:I I(),(.I'-PS III'::vI:n I AGISNI' CERTIFICATE OF FITNESS CERTIFICATE#359-11 DATE ISSUED: 9/22/2011 Property Located at: 18 Porter Street UNIT#3 Owner/Agent: Ed Hendricks Address: P.O. Box 408 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 617-543-0167 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH �OA G� LAR HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 _ _• W --KIMB RLEYDRISCOLL -- FAX(978)•745-0343 -:: MAYOR LRAKDINna SALL.M.COM �- -LARRY RAN DIN;RS/REHS,CHO,CP-FS - AGENT Application for Certificate of Fitness 1N.ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 _ "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:$50.00- 7 PROPERTY LOCATED AT (`D /"�l( �� UNIT# J - _- IS��THIS UNI -DISIGNATED AS RIGHT LEFT-FRONT-OR BAC K.-PLEASE CIRCLE ONE `OWNER/L SSER-i�C7 (`l`al� MANA R/AGENT-,) Q NO P.O.BOX ADDRESS' C—� ,-P:O.-IyC1 DRECITY, STATE, ' CITY, STA E,ZIPS1 Vy 1 0 ` Jv RESIDENC- PHONE1�1 [ BUSINESS PHONE(24HRS) —BUSINESS. HONE-(11 `I-3--0 t- � • TOTAL --ER OF ROOMS. ROOMUS : 1 t;Z'9rn`"`2. THERE IS i L FIFTY($50)DOLLAR FEE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF-SALEM —BOARD Of HEALTH THIS EMS PA E AT-THE-TIME-OF INSPECTION -- - - - zi 201: - APPLICAN 'S SIGNATURE DATE-9- ` Inspectors use only — Date on init al inspection: 'Z1 11 Date of reinspection: —Date of issu nice of certificate: �l -Z2 1) Date fee paid: Type of uni : Dwelling ✓ Other Check# 1/ (S1 Check date: Notes: —" Co e Enfor ement Inspector — ,� .- , 1 e N 1 /' � - __ a _V\ _ � � __.__��_____ �. .y r r ��. 1 �� ' ,t � � � .1� t � .. T h .. �. it 1 1 • X ! ^' ( I �. _ s _ f � , s � � _