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PRINCE STREET �W ti PRINCE STREET h < C m r k' 1 4 l III Y �I 6 `°ND'T City of Salem, Massachusetts = q Board of Health 120 Washington Street, 4th Floor, Salem, Pab1iCHP.alth E 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-15-230 DATE ISSUED: 8/11/2015 Property Located at: 8 PRINCE STREET UNIT#1 Owner/Agent: Brenda V. Espindola Address: 8 Prince Street Unit 2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(781) 244-4605 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT S ITARAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KAMBERLEY DRISCOLL FAX(978)745-OM3 MAYOR LA.DIN@Uw .com LARRY RAmm,RS/Rwis,CHO,CP-I;S HEALTI I AGENT r nd.o a 0S Q esP ey o0®com Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT S P(WxCe S-�C' .'f�n,[e4 v � O' )ILD UNIT# IS THIS UMT DISIGNATIIIM AS JUGHT IMT FRONTOR KC PLEASE CMCLE ONE OWNER/LE„SSER�2(P."J& MANAGER/AGENT NO P.0.BOX ADDRESS c e tPe� i U� � ----.ADDRESS CITY, STATE,ZIP �.IDf. , AAA Olq� CITY,STATE,ZIP RESIDENCE PHONE �ycl—l(bbS BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.&Irw.- 4. 5. 6. 7. ` 9. 10. THERE IS A FWrY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF ALEM BOARD OF HEALTH THIS FEE IS PAYAABLdE AT THE TIME OF INSPECTION �y APPLICANT'S SIGNATURE 1_��t�,1G� 'U DATE d Inspectors use 0& Date on initial inspection: O� Date of reinspection: Date of issuance of certiScate:D31UMIS Date fee paid:c_Z�2:QjE Type of unit: Dwelling�Other Check#Check date: 021 102T I Notes:Lw-L4 onrnn� 4yr4nr vvic.e,(e� �gq0.&c ft ��vr ��re - kr+rL*n all ba��raom fj �kt n c �o ra I re_� //7, be Le+edge 4 -1-100 nn) 1300E-(r,,.J k3oFl -44 C o�nt lu� ector CITY OF SALEM9 MASSACHUSETTS HEALTH AGENT a 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 10/15/2007 William Tejada 8 Prince Street Salem, MA 01970 PROPERTY LOCATED AT 8 Prince Street Unit 2nd 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. /-5Tr the Board of He9ph Reply to oanne Scott MPHRRS, �C�H�fO.__ Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o *• 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#92-08 DATE ISSUED: 2/27/2008 Property Located at: 10 Prince Street UNIT# 1 Owner/Agent: Philip Mann Address: 23 Cedar Street City/Town: Marlbehead, MA Zip Code: 01945 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR HE BOARD OFF HEALTH _ r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Dtiiau.M • � • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �ilc—L(/,,CC.,-✓ :✓LiGt�J Gl�lc. TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 10 UNIT# O/(Zd IS THIS UNIT DESIGNATED AS RIGHT LEFT F ONT NAGACK PLEASE CIRCLE ONE OWNER/LESSER Y �Il�ilo MaQJ{ 1 ER/AGENT No P.O. BoxNo P.O. Box 2 3 G ADDRESS // )) .5-f ADDRESS CITYi MA CITY RESIDENCE PHONE 76163 J--9'3gyBUSINESS PHONE (24 HRS.) BUSINESS PHONE ;7Tr- V Z?" 2520 TOTAL NUMBER OF ROOMS: ROOM USE: 1 e�DaM 2.0 ✓�+ 3. /mom` 4. /--i4 /mac, 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 , /L DATE--=% /L�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z ^2?- oa' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-Or DATE FEE PAID: TYPE OF UNIT: DWELLING &---bTHER_ CHECK#2Z,4 CHECK DATE 2-27 ^a3' NOTES: 41. CODE ENFORCEMENT INSPECTOR 9/28/98 • t & CITY Or SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET 4r"FLOOR P'ablicHePrtb STREET, Prevent.Pmmea.Protect, TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin psalem.com LARRY RAirVIDIN,RS/RF.1-IS,CHO,CP-l'S MAYOR HFAun-tAGEi T CERTIFICATE OF FITNESS CERTIFICATE# 141-13 DATE ISSUED: 4/29/2013 Property Located at: 10 Prince Street UNIT#2 Owner/Agent: Sandra Cook Address: 18 Hull Street City/Town: Beverly, MA Zip Code: 01915 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 5LA MDI ` E/ H H AGENT SANITARIAN i b � V CITY OF SALEM, MASSACHUSE'T`TS BOARD OF HEALTH 120 WASHINGTON STREET 44"'FLOOR PubliCHealth e Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RAnIDIN,RS/KERS,CIiO,(:P-IS 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 /b PRI N C.j5 UNIT# 2 IS THIS USN"IT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CHICLE ONE OWNER/LESSER�/�(yID�/T G�aK MANAGER/AGENT NO P.O.BOX �) ADDRESS �� // ✓CC S�T. ADDRESS CITY, STATE,ZIP &V EkL f CITY,STATE,ZIP_W 9—u RESIDENCE PHONE 6/ l 61-13V I BUSINESS PHONE(241IRS) BUSINESS PHONE Sj06 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. LIU I AA - 2. 01/j/* 3. bO 4. kV 5. 6. 4rfdhqJ 7. 8. 9. 10. THERE IS A FIFTY($50)`DOLLAR FEE,P YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LE AT THE YME OF INSPECTION APPLICANT'S SIGNATURE DATE Z �3 Inspectors use only Date on initial inspection: �/_ acl 113 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# o Check date: y // Notes: 9 Cole�hqkrjemeni Inspector " CITY OF SALEM, MA.SSACHUSL-;T17,S BOARD ae HEAr:rl-I 120 WASHINGTON STREET,e'H,0011 ,0011 11a:. (978) 741-1800 KIMBSRLEY DRISCOLI. FAx(978) 745-0343 MAYOR lracndin aleln com LARRY RAMIAN,RS/RPU IS,CI RO,(T-rs If i w al I A(;KNI Facsimile Transmittal To: 1 ,�.e, Fax # '2); RE Date Page(s):including this cover# Message: - Board of Health News ------_________ _—_______��__�__For Your Information OFFICE HOURIS): 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 TRANSMISSION VERIFICATION REPORT TIME 04/29/2013 22:27 NAME FAX 9787450343 TEL 9787411800 SER. 0 000BON341991 DATEJIME 04/29 22: 26 FAX NO. /NAME 913398831325 DURATION 00:00:41 PAGE(S) 02 RESULT OK MODE STANDARD ECM TRANSMISSION VERIFICATION REPORT TIME 04/29/2013 22:21 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 04129 22:20 FAX NO. /NAME 913398831325 DURATION 00: 00: 17 PAGE(S) 00 RESULT NG MODE STANDARD NG: POOR LINE CONDITION TRANSMISSION VERIFICATION REPORT TIME : 04/29/2013 22: 18 NAME : FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 04129 22:17 FAX NO./NAME 913398831325 DURATION 00: 00: 41 PAGE(S) 01 RESULT NG MODE STANDARD ECM NG: POOR LINE CONDITION TRANSMISSION VERIFICATION REPORT TIME 04/29/2013 22:19 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 04/29 22: 19 FAX NO. /NAME 913398831325 DURATION 00:00:37 PAGE(S) 01 RESULT NG MODE STANDARD ECM NG: POOR LINE CONDITION CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 - FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/15/05 Scott Gelber 9 Belleair Drive Swampscott, MA 01907 PROPERTY LOCATED AT 10 Prince Street Unit 3 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. Fo the Board of Healt Reply to tt� anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector s CITY OF SALEM, MASSACHUSETTS • �. � BOARD OF HEALTH '� 120 WASHINGTON STREET, 4TH FLOOR `� SALEM, MA 01970 CERT.# 91-03 ��` TEL. 978-741-1800 s FEE $25.00 FAX 978-745-0343 DATE: 03/03/2003 STANLEY USOVICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Prince Street UNIT #: 3 OWNERIAGENT: Scott Galber ADDRESS: 9 Belleair Drive CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-4462 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT ( } MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, ?M�PH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ca T� � w ` CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ST UNIT#� IS THIS UNIT DESIGNATED AS RIGH Ty� LEFT FRONT BA9K PLEASE CIRCLE ONE OWNER/LESSER�OC �!t-pr MANAGER/AGENT _ No P.O. Box No P.O. Box ADDRESS - Lf 1I2i2n I VE ADDRESS CITY 5( �1 �C���CITY RESIDENCE PHON(,' �� S Z �t�G G BUSINESS PHONE (24 HRS.)_ _ BUSINESS PHONE I�l 1 L (: TOTAL NUMBER OF ROOMS: ��,� 5. ROOM USE: 1. LIJ 2. n —3. �� 4._141 V^ DEW THERE IS A TWENTY-FEV ($ 5.010) OLLAR F E, AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S L LTH DE MENT THIS EE IS PAYABLE AT THE TIME OF INSPECTION. 7 APPLICANTS SIGNATURE DATE 27 z3 INSPECT RS E ONLY DATE OF INITIALINSPECTION SPECTION 3 —3',_DATE OF REINSPECTION ..__,__ DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ J 7__- 3 --P' 3 TYPE OF UNIT: DWELLING OTHER_ CHECK # l Jh+?CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 • CITY OF SALEM; MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR �tt�111CHC81t11 Prwem.Promote.era,em. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salein.com LARRY 1LAMUIN,RS/KERS,CI 10,CY-1,S MAYOR HF.N;PH AGENT' CERTIFICATE OF FITNESS CERTIFICATE#430-13 DATE ISSUED: 12/23/2013 Property Located at: 12 Prince Street UNIT# 1 Owner/Agent: Marshall B. Strauss Address: 10 Chestnut 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 LARRY RAMDIN c HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4:n'FLOOR P1�C�„H e.pPth TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR Lt\RKy lii\1`IDIN,RS/KEPIS,CI 10,C]'-[S HrALTH 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 �a t1fA LQ fT 40P UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT'FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Marl^A I I C4,r0 v f f' MANAGER/AGENT NO P.O. BOX l ADDRESS /� C �f7+�`�� f ADDRESS CITY, STATE,ZIP _rA /Pori Mfg" Ol Q70 CITY, STATE,ZIP / RESIDENCE PHONE J A IM--e BUSINESS PHONE(24HRS) .-C/ y S 0 6 BUSINESS PHONE TOTAL NUMBER OF ROOMS: DD n ROOM USE: 1. L R 2. y2 3. ��K 4. PXa 5. X� 6. 'e 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE td a 3l� �f3 Inspectors use only Date on initial inspection: I a La3 h Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: Notes: Code c entInspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4n,FLOOR TEL,. (978)741-1800 ffiMBERLEY DRISCOLL FAY(978)745-0343 MAYOR isc0•1*• s.ar.eig.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#313-08 DATE ISSUED: 7/15/2008 Property Located at: 12 Prince Street UNIT#2 Owner/Agent: Marshall B. Strauss Address: 10 Chestnut Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate4s-issued by the Code Enforcement Division of the Salem Board of Health and the unit may new be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance 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 NE SCOTT, MPH, RS, CHO HEALTH AGENT CC&E 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 1scOTF&ALEM.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." Q FEE: $75.00 PROPERTY LACATED AT Z Tr UNIT# C� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER fi2df[411 r-tr/i V/ / MANAGER/AGENT NO P.O. BOX ADDRESS / OC/� r� /1 ADDRESS CITY,STATE,ZIP V '61PIfl U 1 !p-7V CITY,STATE,ZIP RESIDENCE PHONE ' /p�Q-59 y -!5-06 -7 OBUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. L P 2. 0 3. 4. Fko 5. 6. `, 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)DOL AR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS IS PAYABLE AT THE TIME OF INSPECTION rJ A APPLICANTS SIGNATURE - DATE Inspectors use only Date on initial inspection: �?�a/O$ Date of reinspection: /ry o Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Vn tSSih 1.jwC knT Do. *Vistoe -ydicu tori. c�rfecl�r/ -�lew�ll be-t�Nail�� iforcement Inspector 1'75 UaLK ' w • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1sco2-r e SAI.r;nl.COM JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date MARSHALL B. STRAUSS ELAINE D. GERDINE 53-179/113 _ DATE PAY /////� TO THE ORDER /OP V--P ®Ea ern Bank Umbo.MA U110 trueblue" .s .t b Oxom 3 806DSTERN. - FOR -111002907o■ - i:0L1301 ?981:- O4 02Ui5863u• coxa CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH - 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 o�Miry6 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#251-08 DATE ISSUED: 5/30/2008 Property Located at: 12 Prince Street UNIT#3 Owner/Agent: Marshall Strauss Address: 10 Chestnut Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of.your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance With 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFF HEALTH- JOANNE SCOTT, MPH, RS, CHO t c� HEALTH AGENT CME ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS 6 5/J07 BOARD OF HEALTH 120 WASHINGTON STREET,4-� FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR iscm-r-&ALEM.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF rFITNESS FOR HUMA HABITATION." PROPERTY LACATED AT A/w, ie 1 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ///��//ff arzf k6i j/ 'J�-a yr f MANAGER/AGENT NO P.O. BOX ADDRESS/ n/*,i ADDRESS CITY,STATE,ZIPCITY,STATE,ZIP Q RESIDENCE PHONE / _ r*7 Y �a 67 BUSINESS PHONE(24HRS) (f BUSINESS PHONE V f In TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 7P 2. 3. 1Z 4. L 5. A 6. 7. 8. 9. 10. THERE IS A TWENTY-FIVE($25)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F IS PAYABLE AT THE TIME OF INSPECTION p APPLICANTS SIGNATURE DATE Q Ga Inspectors use only Date on initial inspection: 5/Jo Log Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: Notes: �^ '"�L I: . 4r _ _/ . ^1hd 00� bDo j?_ Ce(1,A Y hn1S • ���� ���rP c�e.r,csirerl /ve.alaced _ �u�--a—. We Enforcement Inspector CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4°"FLOOR TEL. (978) 741-1800 KEvD3ERLEY DRISCOLL FAX(978)745-0343 MAYOR iSCOIT&ALEM.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. (J� cwt 1,- '� G4— TenakLessee Owner/Lessor 47— Address ® rAddress / Address on unit to be inspected 0 Date CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR P11�1�CHC81�1 Proven,.Promote-rrole<t. TSL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Ixamdina.salem.com LARRY R,\MDIN,RS/RF.HS,CFK),CP-FS MAYOR - Hl?,\I;rFI AGI;N'I' CERTIFICATE OF FITNESS CERTIFICATE#78-14 DATE ISSUED: 3/14/2014 Property Located at: 13 Prince Street Place UNIT#1 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745.4961 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 'I/L Y MD TH AGENT SANITARIAN i a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4�"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR Lx.A-N1QIN&snLEM.COM Lmuzy RANIDIN,RSJREHS,CHO,CP-FS H'P.Ar,I'H AcaEly 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: $50.00 PROPERTY LOCATED AT 13 PRINCE ST. PL. SALEM MA 01970 UNIT#:* __. IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O. BOX ADDRESS 106 LAFAYETTE ST. ADDRESS CITY, STATE,ZIP SALEM,MA 01970 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 6 ROOM USE: LLIV. ROM 2. KITCHEN 3 BEDRM. 4 BEDRM. 5. BEDRM. 6 BEDRM. 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 Irl DATE 3 / r Inspectors use only Date on initial inspection:3t Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#—a4-1-�5—Check dater Notes: Code E o ent Inspector CITY OF SALEM, MASSACHUSETTS o : BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.sALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#72-07 DATE ISSUED: 2/23/2007 Property Located at: 22 Prince Street UNIT# 1 Owner/Agent: Scott Galber Address: 203 Washington 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 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 VEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Crry OF SALEM, MASSACHusE-rTs BOARD OF HEALTH • 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 FOR HUMAN HABITATION", PROPERTY LOCATED AT 2- UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-2G-t-- —MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 2-9 � kl J ADDRESS CITY— RESIDENCE PHONE 9A-297 - �0 BUSINESS PHONE (24HRS.)-- BUSINESS PHONE TOTAL NUMBER OF ROOMS:----- ROOM USE'. I LSU 2. 11 3 THERE IS A TWENTY-FIV (S2 .00) DOLLAR FEE. PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF M HEALTH DEPARTMENT THI FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR DATE. IN-PE (ORS US LY I�4,Sp��C laATE_OFINLIALL _ Tlol�L �� 45 -'� 7 DATEOFREINSPLCIiOF� _ DATE OF ISSUANCE OF CERTIFICATF DATE FEF PAID: TYPE OF UNIT DWELLI!,�V, OTHER CHECK 461 �/ CHECKD" TE NOTES, (-OD[ FNF0HCEk11-N1 NSPLCTOi,- CITY OF SALEM, MASSACHUSETTS e' BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KEVIBERLEY DRISCOLL FAX(978)745-0343 MAYOR iSCOTI&ALEM.COM JOANNE SCOTT, . HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#325-08 DATE ISSUED: 7/25/2008 Property Located at: 22 Prince Street UNIT#2 Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT D FORCEMENTINSPECTOR T i - cj • + CITY OF SALEM, MASSACHUSETTS 0 BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISc0'1'1'@SAI.1-Ni.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNE1SS FOR HUMAA HABITATION." PROPERTY LACATED AT 04oZ IlewCC UNIT# IS THIS UNIT DISIGNA/TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER IH/C/j&L MANAGER/AGENT NO P.O. BOX ADDRESS J 3 ZlZr /Z,-/ lJ 11 /I 71/ {UP ADDRESS CITY,STATE,ZIP S4�17 7 CITY,STAT E,ZIP RESIDENCEPHONE 910 7`lS BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: //�� tI y ROOM USE: 1. t/u 2. /0 r 3. /sect 4. Ile 5. 6. 7. 8. 9. 10. THERE IS A TWENTY-FIVE($25)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY L ATTHT TIME OF INSPECTION APPLICANTS SIGNATURE DATE 7 oZ S o ry Inspectors use only Date on initial inspection: �25�� b Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# / Check date: Notes: R)yx i �l n �1)P�� Gx M�U. J11 rN 1 0, Co rcement Inspector s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4: FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR )scarf c.SALI.Al.COM JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date i . CITY OF SALEM, MASSACHUSETTS • e BOARD OF HFALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR14:F_NBAUMQSA1.EM.00M DAVID GRELNBAUM,RS ACTING HEALI7I AGENT CERTIFICATE OF FITNESS CERTIFICATE #507-10 DATE ISSUED: 10/29/2010 Property Located at: 22 Prince Street UNIT#3 Owner/Agent: Michael r. McLaughlin Address: 33 Liberty Hill Avenue 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 DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORC E T INSPECTOR CITY OF SALEM, MASSACHUSETTS ���-l BOARD OF HEALTH 120 WASHINGTON STREE'r,4`..FLOOR ,IF,I_ (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR COM DAVID GRF'.ENTBAUN1,RS 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 ' �AZ MAIC<-rl UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER i641A r'e d6ik MANAGER/AGENT NO P.O. BOX / / / ADDRESS .33 GCScL'!f���/ //,VP ADDRESS CITY, STATE,ZIP _Co � /x CITY, STATE, ZIP RESIDENCE PHONE 470p77C/J' �fIQ� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. \ . 3. ) 4. 5. 6. 7. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY,CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATT THE TIME DFJNSPECTION APPLICANT'S SIGNATURE `s%i%!'/:%%a% DATE Inspectors use only Date on initial inspection: Q I,3 I G� /0 Date of reinspection: Date of issuance of certificate: o a q /o Date fee paid: Type of unit: Dwelling_zother Check# S 6 Check date: ol. `1b0 Notes: n �t Ism h? V1 v 'r0 Cod Enfor ement Inspector `0ND04� City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHeStlth 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-15-129 DATE ISSUED: 6/18/2015 Property Located at: 24 PRINCE STREET UNIT#1 Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508)962-4800 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 SANITA N CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN@SAI.EM.COM LARRY RAhII)1N,RS/RVI IS,CL10,CP-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" FEE: $50.00 PROPERTY LOCATED AT c�! ®WG( sr UNIT#—Z— 1S THIS UNIT DISIIGNA/TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER ////�C6L �LO✓C4�✓� MANAGER/AGENT ADDRESS ?J ADDRESS CITY, STATE,ZIP Sib// 174 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE Sdd' YVA YAC TOTAL NUMBER OF ROOMS: / / ROOM USE: 1. 11L1, 1,q 2. /fr,D' 3. �e(1' 4. J�l r 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 TJME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: D A7I?-,o1.r Date of reinspection: Date of issuance of certificate: r 20 S Date fee paid:06/1-Z/2-04r Type of unit: Dwelling Other Check#Y99 Check date:0(./I-ill 0L S Notes: Ra-Thronrvm 111;1doll rcrezm ti4,d We, I o-r f7on monoxZ ok/e,c O0295i y neo-j .for bedr-onm JnSef 4b rea.reh'fr 4Ce. C44 =ent Insp ctor " CITY OF SALEM, MASSACHUSETTS BOARD or HE-1I..rH 120 WASHINGTON STREET,4`..FLOOR KIMBERLEY DRISCOLL TEL (978) 741-1800 FAx(978) 745-0343 MAYOR Iramdin@salem.com LARRY IUNMIN,RS/Rr?IIS,CI10,CP-I S HE;V:111 AGI:NT CERTIFICATE OF FITNESS CERTIFICATE#234-11 DATE ISSUED: 7/25/2011 Property Located at: 24 Prince Street UNIT#2 Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY MDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS J BOARD OF HF.Am,i4 �I 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 C_TI IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANIDIN&AI EN.CONI LARRv RM IDIN,ItS/RFI IS,CI-IO,CP-FS HIiAJXJi Aci Nxr 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 Q FEE: ,$550.00 PROPERTY LOCATED AT f� 1 1/PIA.J!�C Sr l' UNIT# u IS THIS UNIT DISIGNATEEDAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER hlCkeG /ICZ,4( 41i✓ MANAGER/AGENT NO P.O. BOX / / / ADDRESS 3 3 UdPf.Tr7l, �� 4dC ADDRESS CITY, STATE,ZIP SAkf 11 0/174 CITY, STATE, ZIP RESIDENCE PHONE / BUSINESS PHONE(24HRS) BUSINESS PHONEqqty_ //0 77`/r 1i3Of TOTAL NUMBER OF ROOMS:- ROOM USE: 1. 61 2. bt)• ,Q/4 3. �F� 4. d ' 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.TNE TJMEE OF INSPECTION APPLICANT'S SIGNATURE '/ i - DATE Inspectors use only Date on initial inspection: / Date of reinspection: Date of issuance of certificate: J / Date fee paid: S / Type of unit: Dwe ling L,-"� Other Check #Check date: -/r Notes: r/ ,5- ,U I n b rl a cE L Code nforce ent Inspector TRANSMISSION VERIFICATION REPORT TIME : 07/26/2011 21:09 NAME : FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 07/26 21:08 FAX NO. /NAME 919787451611 DURATION 00: 00: 23 PAGE(S) 01 RESULT OK MODE STANDARD �N City of Salem, Massachusetts f •U11- Board i of Health �,.1.!— 120 Washington Street, 4th Floor, Salem, th MA01970 Prevepl. 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-16-287 DATE ISSUED: 8/5/2016 Property Located at: 24 PRINCE STREET UNIT#3 Owner/Agent: Michael McLaughlin Address: 33 Liberty Hill Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 962-4800 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. YJeff�r�/ULW-��V Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN L CM70F OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON S"REE_r,4'"FLOOR T'EL. (978) 741-1800 KIMBF_RLEY DRISCOLI. FAX()78)745-0343 MAYOR LRAbmIN&ALEh1.COM LARRY RANfDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT OS 7 1/NC E S r UNIT# 3 ISS,yyTAii UNIT DISIIGNATED AS RIGHT LEFT FRONT OR B� n PLEASE CtCLE ONE OWNER/LESSER / CIG ez Al s9MANAGER/AGENT NO P.O.BOX ADDRESS .3.3 Ze4erl W111 Ar ADDRESS CITY, STATE,ZIP Rte/ //r(/ CITY, STATE,ZIP RESIDENCE PHONE pp /� BUSINESS PHONE(24HRS) BUSINESS PHONE S� 06 Od O TOTAL NUMBER OF ROOMS: 4// �/ 7 ) ROOM USE: 1. Al T 2. V 3. /Ind 4. &(Y 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE A �SPECTION APPLICANT'S SIGNATURE i'/` � DATE /l Inspectors use only Date on initial inspection: Oy;*ogl� Date of reinspection: Date of issuance of certificate: L6 Date fee paid: 090�/17� Type of unit: Dwellin Other Check#Check date: 0 a /1sJ+-tz Notes: l* AA orcemen nspector City of Salem, Massachusetts / W Board of Health y 9 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent, PrmmOte. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-4 DATE ISSUED: 1/6/2016 Property Located at: 32 PRINCE STREET UNIT#2 Owner/Agent: Bouchaib Boubakraouy Address: 19 Central Avenue City/Town: Everett, MA Zip Code: 02149 24 Hour Phone:(617) 6061275 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 /� SANJ� RIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON SnumT,4m FLooR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ova urGi LARRY RAMDIN,RS/R19dS,0I0,CP-H; HEALTH AGINT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS FI " OF FITNESS FOR HUMAN HABITATION' FEE: $50.00 PROPERTY LOCATED IS THIS-UNYr DWGNATED AS G �>�f RF fT OR ASC P CIR ONE OWNER/LESSER n�'J C-I1G i 6 &J�9 krgOLJ-.MANAGER/AGENT (PS ��0)5 NO P.O.BOX G� I ,, r p T ADDRESS I �P� (T �� ����/'I u i ADDRESS�0jnw CITY, STATE,ZIP_ U P(�/T, / – (r�y�cITY, STATE,ZIP i) 12 eP A i n�, RESIDENCE PHONE��� (�0612- --BUSINESS PHONE(24HRS) BUSINESS PHONE / C✓�G' I qD ,' TOTAL NUMBER OF ROOMS: y �e r�S� C 5i 0�)4 P ROOMUSE: 1. uia— 2. 3. AI (Zh? 4. 12Pd 5 c� 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S t NATURE v_ ID_ps edots use otil� Date on initial inspection: 119Z/7-6 J.f Date of reinspection: Date ofissuance of certificate-Plk2l20,1;1z Date fee paid a105-/7-nIt- Type of unit: Dwelling–�Otheff (Check#—L11—Check date:�AnS/»1� 1/ Notes:_ppg-440n� .nm W; wrlI1r Yec- cr rin g)(A , n�'r1A49 Vme, �erX/ sn IS h/17 v thr✓I 1-0 krr.-f' m,� a ('r�✓'bon vier ar 4e*mt ectm CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 i TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#627-07 DATE ISSUED: 12/31/2007 Property Located at: 34 Prince Street UNIT# 1 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 An inspection of your vacant 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 � �"eflo JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR aCITY OF SALEM, MASSACHUSETTS BOARD HEALTHS 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 , /arl„ 6L-e C . , vG! �B.r� UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafayette HousincrLPMANAGER/AGENT Salem Property Managers No P.O. Box No P.O. Box ADDRESS1n2 Lafayette Street ADDRESS102 Lafayette Stret CITY Salem, Ma 01970 CITY Salem. MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: ''"" � �""5 ROOM USE: 1�.o R-M 2. u3. 6�4 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 a49 NSPECTORS USE ONLY DATE OF INITIAL INSP )PECTION _ DATE OF ISSUANCE OF CERTIFICATE: JZ'3/ DATE FEE PAID: TYPE OF UNIT: DWELLING HER__ CHECK # G�S� CHECK DATE ��� NOTES:1Z�v?4a P �;dO�' � Sae`l � �aV _l Sj�7 o7"vo-� cs1�� 1T l \7-OYi-y"y dt� "voiN —� CODE ENFORCEMENT INSPECTOR 9/28/98 z ./ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c 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#82-05 DATE ISSUED: 2/3/05 Property Located at: 34 Prince Street UNIT#2 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 Note:Check all windows to ensure they open and close freely. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J�/�c� /V- jo Ldl-y J NE SC T, MPH, RS, CHO ALTT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS •° '� BOARD OF HEALTH t 120 WASHINGTON.STREET, 4TH FLOOR 'SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 ISD STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATal �"' InL-l- 4A \5aI&-rn UNIT#a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafa. a _jjQnc;;nT_MANAGER/AGENTSalem Property Managers No P.O. Box No P10.Box 9 f+ ADDRESStnTTfayaP at ADDRESS102 Lafayette Street CITy:, Salem CITY Sal am RESIDENCE PHONE BUSINESS PHONE (24 HRS.978- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1 kit)FAem 2.jq'�3-tW F Dnn 4. 64]Yr� 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 �� NS /a—, LO S U ONL DATE OF ii i T iAL INSPECTION / I �/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ') v DATE FEE PAID: ER CHECK# 3fy CHECK DATE r k Lok TYPE OF UNIT: DWELLING r _0TH _ lJdc�c'� NOTES: CP�is c e Grr�©�t,0+� Ptl �Ks � ozlet y �+zs/fg..p — r CODE ENFORCEMENT INSPECTOR 9/28/98 R CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4r"FLOOR P11bi1CHP.8Ith Prevent Pramow.Protect. TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salein.com LARRY iL\hLDIIv,RS/RE[iS,0-10,CP-F1 MAYOR HEAL:PFI AG ENP CERTIFICATE OF FITNESS CERTIFICATE#37-13 DATE ISSUED: 1/30/2013 Property Located at: 34 Prince Street UNIT#3 Owner/Agent: Lafayette Housing Limited Partnership Address: 106 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 LARAORAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120WASHINGFON S'rREE:r,,V'FLOOR TEL. (978) 741-1800 KIN1iT3FRLFY DRISCOLL FAx(978)745-0343 MAYOR 1AAM121NraSALL&1.CQN1 I-Aim RANNIDIN,WS/RE11S,CHO,CP-FS Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 34 PRINCE STREET, SALEM MA 01970 UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV.—COALITION NO P.O.BOX ADDRESS— 106 LAFAYETTE ST. ADDRESS CITY, STATE,ZIP SALEM.MA01970 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROM 2.KITCHEN 3.DINING ROM 4. BEDRM , 5BEDRM 6. BEDRM 7. 8. 9. m 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 us�nl Date on initial inspection: 1130b3 Date of reinspection: Date of issuance of certificate: Date fee paid:_— Type of unit: Dwelling_Other—Check# ;ZA)'4i Check date: Notes: —aqz�C?A Co re bnfw6ement Inspector R �? CITY OF St1LF,1�1, M11tiSACi IUS]�T"1'S BOARD of HGALTH 120 WASHINGTON S'FREST,41°FLOOR PliblicHe81tY1 rreven,.rmmmv.. rmm�,. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBIR1W Y DRISCOLI. ILamdin a salem.com LARRY RrAMD1N,Rti/RISI-IS,LHO,CY—ISS MAYOR Hi:m.:n-I A(;EN'I' CERTIFICATE OF FITNESS CERTIFICATE# 185-12 DATE ISSUED: 5/2/2012 Property Located at: 34 Prince Street UNIT#4 Owner/Agent: Lafayette Housing LP/North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 An inspection of your vacant 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 LAR06 RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM MASSACHUSETTS ',K ilt 5i 1 B011R1D OF HEALTH �ylygptR' 120 WASHINGTON SIR'E.E'I,4"' FLOOR TEL. (978) 741-1800 K,INIBERLF.X DRISCOLL FAX(978) 745-0343 MAYOR LRAMI)INCa SALENI.COM LARRY RAMI)IN,RS/RI:FIS,Clio,CP-I S HL., 11[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 34 PRINCE STREET, SALEM MA 01970 UNIT# 4 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O. BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM. MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1.LIV. ROM 2.KITCHEN 3.DINING ROM 4. BEDRM 5.BEDRM 6. BEDRM 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: S/a.h Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: Lll� 1.2, Notes: C�ceme inspector inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHING]ON S-1 REEL,T"FLOOR TEL. (978) 741-1800 KnIBER1,1HYDRISCOT-J, F.Ax (978) 745-0343 MAYOR J.RA-%u)1N(2aSA1-EM.00 LARRY RAMI)IN,R.S/11F1 IS,CI fo,(T-FS Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. TenanAesseeU .01-1�ssor Management Agent for Lafayette Housing L.P. 102 Lafayette Street Salem,MA 01970 Address Address /kt, 5 4� Address on unit to be inspected Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH Y B, 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#202-05 DATE ISSUED: 3/23/05 Property Located at: 34 Prince Street UNIT# 5 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 An inspection of your vacant 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 yHEALTH � JOA NE SCOTT, MPH, RS, CHO / t HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSET`T'S BOARD-OF HEALTH. Q + 120 WASHINGTON STREET, 4TH FLOORI (J )' SALEM, MA:01970. TEL. 978.741-1800 - -1 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; 145 CMR 410.000 'MINIMUM STANDARDS OF FITNESS.FOR HUMAN HABITATION'. PROPERTY LOCATED AT 1 n� ( ..Q • . SA I eyy, UNIT"#�5 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSF_RLafay+ F .H�:,ajjjcjQ.-MANAGER/AGENT Prnperty Managers No P.O. Box No 4P,O.Box;. ADDRESS 1o2 T.afayett,e St ADDRESS7t CITY= Salem CITY Sa 7 nm RESIDENCE PHONE BUSINESS PHONE (24HRS.978- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: - ROOM USE: 8. THERE IS A TWENTY-FIVE($25.08)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 3 'J -2- 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:3 z DATE FEE PAID:_ff _� b �� TYPE OF UNIT: DWELLING, OTHER_ CHECK#to/ro CHECK DATE �' Z os NOTES: ���� CODE ENFORCEMENT INSPECTOR 9128198 Y 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 #205-06 DATE ISSUED: 4/26/06 Property Located at: 34 Prince Street UNIT#6 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 An inspection of your vacant 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 CITY OF SALEM/ MASSACHUSETTS R� BOARD OF HEALTH + + 120 WASHINGTON STREET; 4TH FLOOR - SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 STANLEY U OVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 14, 109 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT< N #In CQ, , c ('l UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE s OWNER/LESSER-2.Lfgyet et � MANAGER/AGENT-glem PrQ ty Manage3 No P.O.Sax No P.O. Box ADDRESSIO2. T.afayetta St ADDRESS102 Lafayette Street F clTy-o Salem CITY Salam 4 } RESIDENCE PHONE BUSINESS PHONE (24 HRS.P78- 745-4961 BUSINESS PHONE 978 745-4961 t TOTAL NUMBER OF ROOMS: ROOM USE: 1.LlJ ,{ w 2. 3.—SJ-94-L 4. 6 i 51 6._7. 8. . THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. j APPLICANTS SIGNATURE DATE DATE OF INITIAL INSPECTION DATE OF REINSPECTfON _ r DATE OF ISSUANCE OF CERTIFICATE: — rZ4 DATE FEE PAID:(/�' -.�-5— ' e9 6 . TYPE OF UNIT: DWELLING OTHER_ CHECK#1 J CHECK DATa NOTES:__ _ CODE ENFORCEMENT INSPECTOR 9/28/98 r City of Salem, Massachusetts Board of Health r 4. " 120 Washington Street, 4th Floor, Salem, PublicHeBlth I 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-15-40 DATE ISSUED: 4/22/2015 Property Located at: 34 PRINCE STREET UNIT#7 Owner/Agent: Lafayette Housing Limited Partnership Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4010 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 G/ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SAI-EM, MASSACHUSETTS BOARD oi-HE-VLTH 120 WASHINGION STREL-r,4'" FLOOR 1'EL. (978) 741-1800 KT!%1B13RLEY DRISC,011, TAX (978) 745-0343 MAYOR RAMI)INC01b ALEN1.0-Al LAIZRY R!v\11AN,RS/N-'HS,(:1[0,(�11-1;�S APR 0 6 2015 By Hu.,%t:mA(;1-,'NF E I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 34 PRINCE ST., SALEM MA 01970 UNIT# 7 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. —ADDRESS- 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM, MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS:—5 ROOM USE: I.LfV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY OR-DER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IK) AT TIME OF INSPECTION APPLICANT'S SIGNATURE , DATE—)�l 90/ Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: 3.6 Type of unit: Dwelling Other Check Check trate: Notes: C�&54ZA CO&--f-nffo-rZement inspector LAFAYETTE HOUSING LIMITED PARTNERSHIP 8774 VENDOR NO: CIT070 NAME: City of Salem CHECK DATE: 3/26/2015 'REFERENCE" 'INVOICE DATE ,� : _ . GROSS AMOUNT?"'a =Uvw""-T)ISCOUN7TAKEN �?r- --4 M '~ z=NET AMOUNT PAID' 033115 3/31/2015 50.00 0.00 50.00 yAPRd D TOTAL > 50.00 0.00 50.00 ON A , - - i"ti TFI. R", 111 V r:1,17 �,C,P T j�q '"i �j" N. T H P, IS %")�N N4t ,10, _' U ;f'OPT�G% 1 T, j iS T,j� ,-r,H IYz t.C, j- C,7{7('. N E7'1 C'T"hi ii THI'� "ORrIf-M 7 Y'a`k NF GO T, A9 P C R lo N'CJ 12/23/13 REORDER[#53200] (800)600-6861 www.welispringsoftware.com 1 CITY OF SALEM, MASSACHUSE-I:TS BOARD OF HFA-TH 120 WASFIINGT0N STREET,4°1 FLOOR KIMBERLEY DRISCOLI TEL. {978) 741-1800 F<tx{)78) 745-0343 MAYOR lramd ngsalem.corn L,U2Rl'RA�1llIN,KS�RI?IIS,CI1C),CP-I'S 1-i AI;IHAGEN'I CERTIFICATE OF FITNESS CERTIFICATE#505-11 DATE ISSUED: 12/2/2011 Property Located at: 34 Prince Street UNIT#8 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street Citylrown: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 An inspection of your vacant 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 1 • � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGU:TNIIAUM@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." �JFEE: $50.00 PROPERTY LOCATED AT 3 r 1 n C e A 1P M, m ct, UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Lafayette Housing L.P. MANAGER/AGENT Salem Property Managers, INC NO P.O. BOX ADDRESS 102 Lafayette Street ADDRESS 102 Lafayette Street CITY, STATE,ZIP Salem, =MA 01970 CITY, STATE,ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: S ROOM USE: 1.4-Iv• 9-n 2. KjtJ.ati.- 3. &,d-Lrn 4. Ljjam 5. &-I/L)L- 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 YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: o I a)1 Date of reinspection: Date of issuance of certificate: a Date fee paid: o ! Type of unit: DwellingL,-` O1t-her Check# 'UGS3 Check date: Notes: 110I� T )Q UM 0/`l , Coab 11 ement Inspector i CD �v CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4�"FLOOR TEL. (978) 741-1800 KIIYIBLRLLY DRISCOLL FAQ (978) 745-0343 MAYOR LRaNIDIN(n�SALENLCON1 1-MItY R:An4DIN,RS/RT-,.HS,CHO,CP-FS 1-IVALTI 1 ACI?NT 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. Management Agent for Lafayette Mousing L.P. 102 Lafayette Street Salem,MA 01970 Tenant/Lessee r/Lessor 34 fri me- -S - 40`g 10ca L Cx,;e?J i54,,-&e- Address 4,'ceAddress Address 3d�rinc2S� SaIL Address on unit to be inspected Ica' 1 /� Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS ' ,3• BOARD OF HEALTH • r 9 120 WASHINGTON STREET, 4TH FLOOR �Ao 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#005-04 DATE ISSUED: 01/05/2004 Property Located at: 37 Prince Street UNIT#: 1 Owner/Agent: Jose Baez Address: 36 Perkins Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-825-0031 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT ENFORC MENT IN CTOR ci I CITY OF SALEM, MASSAGHUSETT'S BOARD OF HEALTH • • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 f TEL. 978-741-1800 FAX 978-745-0343 _!6 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO rA 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 7��/zt, 6 f S 2" UNIT#1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE S e6 MANAGER/AGENT No P.O. Box No P.O.Sox ADDRESS d�� k,A, ' dei.,,3 S 2 ADDRESS CITY �J// GeCITY_?2 RESIDENCE PHONE - fs'ZS_ USINESS PHONE (24 HRS.) BUSINESS PHONE /c7 99-3,0 TOTAL NUMBER OF ROOMS: t ROOM USE: 1 ��'Y2��Z� 3.4& 4. 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 TIME OF INSPECTION. APPLICANTS SIGNATURE DATE -.-5 O _ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ���� .._DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-._Z, S,O DATE FEE PAkD: 16�w4— TYPE OF UNIT: DWELLING OTHER__ CHECK#S__Z�CHECK DATE 7 NOTES: D ORCEMENT INSP 9128/98 .�o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 ' FAx 978-745-0343 STANLEY J. LISOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/26/05 Jorge A Guerrero 38 Prince Street Salem, MA 01970 PROPERTY LOCATED AT 38 Prince 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 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 he Board of Health, Reply to J nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector w - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 128-03 FEE $25.00 TEL. 978-741-1800 DATE: 03/24/2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 38 Prince Street UNIT #: 2 OWNER/AGENT: Mildred Espinal ADDRESS: 28 Leavitt Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-3339 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. OR THE BOARD O HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH la 3 i 120 WASHINGTON STREET, 4TH FLOOR a e 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 91N Ge , UNIT#a- IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE OWNER/LESSER IL G MANAGER/AGENT ADDRESS BoX�B �2 Ult S-7- N ADDRESS CITY JON CITY RESIDENCE PHON BUSINESS PHONE (24 HRS. r - .mom BUSINESS PHONE f TOTAL NUMBER OFIROOMS: /� r 1. CP- _ ROOM USE: )V 2.``/3 3. 4. Ike I2_M 5. tl16. f 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATUR DAT L OJT INSPECTORS USE ONLY DATE OF INITIAL INSPECTION <- >-q a 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 'a_-1 -13 DATE FEE PAID: 3- TYPE OF UNIT: DWELLING /OTHER_ CHECK# : r�_ _CHECK DATE NOTES: /K CODE ENFORCEMENT INSPECTOR 9/28/98 L \ CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TrL. (978) 741-1800 K NIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I%IANCINIQa SAI,BM.COM ]ANET MANCINI ACTING HrAL11-I AGENT CERTIFICATE OF FITNESS CERTIFICATE # 171-09 DATE ISSUED: 4/3/2009 Property Located at: 38 Prince Street UNIT# 1 Owner/Agent: Ramon Tajada Address: 20 Thorndike 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 J/C RdA C Nl I �ilr lllJ(JlYt r!LG/LY ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �-o 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800i "A KIMBERLEY DRISCOLL FAX(978)745-0343 1\4AYOR I¢IONNF GAI.FiM.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__a g r t n C e. IS THIS UNIT DISIGNATED fAS RIGHT LEFT'FRONT OR BACKS PLEASE CIRCLE ONE OWNER/LESSER �xt0» -M T3-a a �e� MANAGER/AGENT J NO P.O.BOX ADDRESS 20 -7�-,oynlv4e _.54. ADDRESS CITY,STATE,ZIPCITY, STATE,ZIP l IzwSMENCr rllDNZ �g7B)744-5x33 BUSE-FSS PHUNE(24HRS) _ // BUSINESS PHONE_ C4'78� `335-0742 TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1 L'V'129 f oK 2 K' .n 3. 6edvroa 4 &dywie 5 Be nos! 6 dai renN 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 PLYLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE » DATE 3ik In%Ndors use only J / Date on initial inspection: Date of reinspection: Date of issuance of certificate: _ Date fee paid: Type of unit: Dwelling Other heck# -�Che/ck date: t Notes: ck ka(l 1( u � 6t b; h=k t3e4 l�! t 1Clfi Lt C f crc �2cC W1Vid-auJ Cz iX acs tt e�c�tn�c wince in ( S�_ ()674, ...,.�.�T Flus � � rn �� � ', s�e,i � �c�✓ C e nforcemcutInspector Wk kLc tO d- i)�� � Ut scmq)ZS coI t�,�nd ours �oi %k'f�Vi ul of ce�iol�s corl`ec-l-Ed C`' nw rre-itix�}ec hah CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4." FLOOR TEL. (978) 741-1800 KIMBERLLY DRISCOLL FAt (978) 745-0343 MAYOR �nNCINI(a�ser.cM.con� JANET NL\NCINI. AC"PING HEAL:n-I AGIi:N"I' CERTIFICATE OF FITNESS CERTIFICATE#170-09 DATE ISSUED: 4/6/2009 Property Located at: 38 Prince Street UNIT#2 Owner/Agent: RamonTajada Address: 20 Thorndike Street Ci /Town: Salem, MA Zi Code: 01970 24 Hour Phone: City/Town: P An inspection of your vacant 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 JA T MANCINI ACTING HEALTH AGENT -6V11NFORCRMt=NT INSPECTOR 2� CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDI0NNE@aSA7.17h1.COSI JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCC)RDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: 50.00 PROPERTYLOCATEDAT fid' ITrinee S4 a/e,y tills D1`)70 UNIT# IS THIS UNIT DISIG HATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWISER/LF,SSF.R _Ia ANAGER/AGENT NO P.O. BOX ADDRESS 2D porn,(;Ke -s4 ADDRESS CITY, STATE,LL°_Sa�e�/ I-IA _CITY, STATE,ZIP (11970 Eli I iE__02X9 744- 51.33 BUSIKESS i?HONE(24HRS) .� BUSII\MS'3 PHONE TOTAL NUMBER OF ROOMS:--' io /Sedl2o°H, ROOM USE: ;. 2. 3. 4. 5. 6. , 7.. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHFCK OR M014EY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 7�/C�Gii/� DATE 12� Ins en etors use only 611 oft'a vAol a c6ff?l.�Pt� �i Date on initial inspect:ion:_Qcr '6 g _ Date of reinspection: 4 3C9r er NtS�P a„. 16� Tate of issuance of certificate: Date fee paid: Type m unit: Dwelling_ Other_ Check#� Check date: i2 a 6 — -' 17,6 so re t Note;: Grp �TIOLIM i >iomt3 rw-p iYl rx (:sp: (x1n (l�-((5y7_ ' j`L_�IC2!'1t� W1 Zym V, c�ncl, etit5�1`2� l.i�n� �°GF �lre; 6Vct SIYI k. �f�5; (`e �n lacp e nforcement Inspector ' � 'n I p ¢ on 15 t p$w �C �n tvI 11 J1Y3r& V/ 1 �Pi�e C itctkJAD 'in bcxSevAwtn - h re Iicznse� Plum �tf � rl r Y � 4 �a CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 41O FLOOR PQb11CHP.a itIh PI[rf,lt.YMTo,f.M[,rlcl. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCO1,1. ltamdin@saleiii.com LrV2RS'RA N4DIN,ILti/1W11 IS,CI f0,(11-PS MAYOR Ii}iA rriAcaN'r CERTIFICATE OF FITNESS CERTIFICATE #351-12 DATE ISSUED: 9/5/2012 Property Located at: 39 Prince Street UNIT# 1 Owner/Agent: Homeward Bound LLC Address: 59 Lexington Street City/Town: Woburn, MA Zip Code: 0180124 Hour Phone: 781-258-6845 An inspection of your vacant 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 Y MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, TNLASSAC1-TUS1_`,T_rS B(-MRI)OF I i FAFM 120 WZISHINGTONSTREETF,4�'FLOOR TEL. (978) 741-1800 KINIBETLEV DIUSCOLL FAN (979) 745-0343 I M _AYOR LRA%4D INCa_)SALE M,CQNt LARRY P.AIMDTNI RS/RENS,C110,CT-PS HEAM I AGENT. I-al Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.0 PROPERTY LOCATED AT UNIT# IS TILS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER(LESSER 1komrWA" MwJD LLL MANAGERI AGENT VcO&V MOOR E- NO P.O.BOX ADDRES — MX(00�d V 9-1r.. .0 9(6QV —ADDRESS 6--rov Sg � CITY, STATE,ZfP01C , 0 Ife) I —CITY, STATE,ZIP 1A10&L4R 1J. wt- , 0 1 Fee) RESIDENCE PHONE �Rt Q-58 IZYLV{ —BUSINESS PHONE(24HRS) BUSINESS PHONE JA D�, .. TOTAL NUMBER OF ROOMS:— ROOM USE: 1. S P, 2. 3. B F- 4. B P- 5. bivitill 6. iewr&kri,417. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Ll Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: �1 _ Date fee paid: i Type of unit: Dwelling_L�Other Check# 119 y Check date: Notes: C&lc E'nforeeAnt linepector 'A J CITY OF S.AJ,Ei%l, ,'\/IAcSA(-.Ufusrillirs BOARD OF I IT A, 120 WASHINGTON STRUE:.T, V°' Fi-f,)OR TEL. (978) 741-1800 Kl,\IBERI,]-.,Iy DRI SCOLI.. K(978) 745-0343 MAYOR L-utRv RS/P.EHS,CHO,CP-FS IJEALTij AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. W-14 k9MEUOP-� Tenant/Lessee Owner/Lessor LExtycrdAl Ste, LdWlx F.Al r Mf Address Address A 106E 7- &'a;t-r Address on unit to be inspected J16-1 Date Updated 5/23/11 TRANSMISSION VERIFICATION REPORT TIME 09/06/2012 02: 08 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 09106 02: 08 FAX NO. /NAME 917819325344 DURATION 00: 00: 19 PAGE(S) 01 RESULT OK MODE STANDARD ECM -At0Ai City of Salem, Massachusetts Board of Health Lan 120 Washington Street, 4th Floor, Salem, Pa lbiiclieaitbb MA 01970 Prevent. Promote. Prote Ct Tel. 97$ 741-1800 Fax. 978 745-0343 Kimberley Driscoll � 7 � � Larry Ramdin, MPH,REHs,crlo Mayor Iramdin@saiem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.33 DATE ISSUED: 2/2/2016 �I Property Located at: 39 PRINCE STREET UNIT#2 Owner/Agent: Homeward Bound, LLC Address: 59 Lexington Street City/Town: Woburn, MA Zip Code: 01801 24 Hour Phone:(781) 258-6845 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705 Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented aridlor occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH o, Larry Ramdin, MPH, RENS, CHO SANITARIAN HEALTH AGENT w`! _v CITY OF SALEM, MASSACHUSETTS 53, .•�. fi i�^%� BOARD OF FIEALTH 120 WASHINGTON STREET,4"1 FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAbtDJNnSALFM.COM LARRY RAMDIN,RS/RENS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �J`� pC ih c¢. '�4 SaCkAl P\ A UNIT# --a-- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER t"L C- MANAGER/AGENT N A-N " M 0 rj '^* NO P.O.BOX ADDRESS 59 LeX hRt® hSI ADDRESS SprrAa CITY,STATE,ZIP "0�v r^ i M A 0CITY, STATE,ZIP '5A-M>C RESIDENCE PHONE N/A BUSINESS PHONE(24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: L PK-,A 2. be-A 3. be,, 4. 0>�A 5. K r��rEN 6. 1 t'l�noavooM7.d i vw!�4 V-- 8. IoM IA 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 � ''"L DATE Inspectors use only Date on initial inspection: Q7-= 'Z&,S Date of reinspection: Date of issuance of certificate: 02-10 1209 Date fee paid: 0),4 f2� Type of unit: Dwelling V O[her Check#-1130)—Check date: 2L2r//281.� Notes: C d of cement 0g ector ` NDS City of Salem, Massachusetts W Board of Health 120 Washington Street, 4th Floor, Salem, P�_Pll>Ib1iC�oHtealth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-356 DATE ISSUED: 9/15/2016 Property Located at: 39 PRINCE STREET UNIT#3 Owner/Agent: Homeward Bound, LLC Address: 59 Lexington Street City/Town: Woburn, MA Zip Code: 01801 24 Hour Phone:(781) 258-6845 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN h4� l 1c �C->05cd ck- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"�FLOOR .% 'TEL. (978)741-1800 KIMBERTL EY DRISCOLL FAX(978)745-0343 MAYOR LRAT DINna SALEM.COM LARRY RAMDIN,RS/REBS,CHO,(P-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 3 PROPERTY LOCATED AT t 'PC' St UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER OW1C W0.r� v bt lKcll 1--LL MANAGER/AGENTS A -N)Cwr NO P.O.BOX ADDRESS S. Le kantN4ev%,5 ADDRESS_ g/ -vf-ve CITY, STATE,ZIP 1001Vy-y--n (,AA, Old I CITY,STATE,ZIP RESIDENCE PHONE '/ o,"°I�jal•,Sq BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. P-ea 2. P>CA A 3. 6�4 3 4. rj CA y' 5. V—tTC1&+2An 6.1wu-v� 7. CL(v%trva 8. boch-\ 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 9 - IS- IG Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ���Sf20�6 Date fee paid: 09I-t-/1�.,C Type of unit: Dwelling V Other Check# -�JZ Check date:_ ILII Q-OJX Notes: C e In ement!,n;p ctor CITY OF SALEM, MASSACHUSETTS a BOARD OFHEALTH S iZO WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#330-06 DATE ISSUED: 6/27/2006 Property Located at: 40 Prince Street UNIT# 1 Owner/Agent: Clart Realty Address: 20 Belleview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-943-6920 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE BOARD OF EFj ALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3j • • 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 FOR HUMAN HABITATION". ! PROPERTY LOCATED AT �l2Qj�'3_& ._ UNIT#�j IS THIS UNIT DESIGNATED AS} IG LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER- .� t MANAGER/AGENT No P.O. Box ��\\ No P.O.Sox ADDRESS � �1 l���DDRESS CITY ��� CITY_- RESIDENCE PHONE�7 �Gi f USiNESS PHONE (24 BUSINESSPHONEQ?b `LD TOTAL NUMBER OF ROOMS:_��.____ ROOMUSE: 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 USc ONLY DATE OF INITIAL INSPECTION G ,��=.6 _DATE OF REINSPECTION_______ DATE OF ISSUANCE OF CERTIFICATE:��L `� ATE FEE PAID: TYPE OF UNIT: DWELLING ._OTHER__ CHECK # Y_ _.CHECK DATE _ ..' G {` CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRFF'f,4."FLOOR PablicHeelth Prevrm,rrnmrm.Pmrrer. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin a salem.com L;AR12Y RrAbIDIN,RS/RBL-IS,CI 10,CP-FS S MAYOR Hum,n AcFNI* CERTIFICATE OF FITNESS CERTIFICATE#294-14 DATE ISSUED: 9/2/2014 Property Located at: 40 Prince Street UNIT#2 Owner/Agent: Chalifar Family LP Address: 20 Belleview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-943-6920 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 ,IOF�HEALTH LA RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PublicIfealP„th TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RAMAN,RS/R1.-.Hs CHo,CP-Is MAYOR HEA1LPFt 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: $50.00 r� PROPERTY LOCATED AT ��� P 7l�CQ UNIT#y ` IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR RACY,PLEASE/CIRCLE ONE OWNER/LESSER c hCG\S - _'R:ACY`t<1 MANAGER/AGENT NO P.O.BOX ADDRESS Q,b bAt\J \4 ' i ADDRESS 5CVV✓l9L-- CITY, STATE,ZIP SC��orY)n MA- 00CITY, STATE,ZIP RESIDENCE PHONE Q7$ Gq�j'(oCl BUSINESS PHONE(24HRS) SLwV�- BUSINESS PHONE 5C/1/ t/J - TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. C A)" 2. ,��\ 3. bcC. 4. �Jl[�. 5. e 6. )X 7. Vl Q0 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 ISAY E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE �� Inspectors use only Date on initial inspection: oZ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Check# ��Ga Check date: � /� ZZ, Notes: Code of ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH '� g( 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/8/05 Clart Realty Trust, Claire Chalifour, Trustee 96 North Street Salem, MA 01970 PROPERTY LOCATED AT 40 Prince Street Unit 3 Dear Sir/Madam: It has come to our attention that you may be considering renting a dwelling unit at the above address. Y Y 9 9 9 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 Hea Reply to (yoanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector q CITY OF SALEM, MASSACHUSE"ITS VU SOA RD OF HEALTH 120 WASHINGTON STREET,4."FLOOR PublfCHealtth Pavent.Pmmma Prv4cet- TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramclin@asalem.com LARRY IL\MllIN,RS/REI-1'S,CHC"),CP-ISS MAYOR 1-ILAI;IN AGI3N'P CERTIFICATE OF FITNESS CERTIFICATE#402-14 DATE ISSUED: 11/3/2014 Property Located at: 42 Prince Street UNIT#1 Owner/Agent: Alberto Ganzalez Address: 42 Prince Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-601-6070 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 BO RD OF EALTH LARRY RAMDIN HEALTH AGENT SANITARIA _,r F 4 1 � , C � ��� ���� �� �� � �`` ��� �� ��� �� CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASFIINGTON STREET,4"' FLOOR 1"FL. (978) 741-7 800 �6k h1D4BERLEY DRISCOLL FAX(978)745-0343 KwOR LRAmmiN(a AITALCon� LAIiRY RVAIDIN,its/ItEl IS,C 10,Cr-FS • Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT UNIT#�_ IS THIS UNIT DISIGNATED AS RIGHT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Albe r�n ILoMANAGER/AGENT NO P.O. BOX , 1 n c� ADDRESS_ (q rj1DUQ✓c6de- AL) . ADDRESS 41 V'rtY'Ple CITY, STATE,ZIP_'5al.(e tin J &4 A () I 9.--M CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE -60(-60- -O TOTAL NUMBER OF ROOMS:__ ROOM USE: 13. 4. 5. 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 A I(/j Ill? � 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 a CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4oi FLOOR TEL. (978) 741-1800 ICNIBERLEY DRISCOLL F_-\x()78) 745-0343 1\/L.-\YOR IBnNHANna ALE.NLCoNI LARRY RAdIDIN,RS/IUfHS,010,CP-FS HEALTH AacN'I 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. Teifant/Lessee Owner/Lessor qz- aiA)C'P <�� Address (OLle M gr f} 619 �Lo Address yT�r�ee ,gid 1 soiek,u A4 d 19,o Address on unit to be inspected ICS-mss Iq Date Updated 523/11 ca DCity of Salem, Massachusetts ] n m 9 Board of Health A 120 Washington Street, 4th Floor, Salem, PubHcHealth. I 'Prevent. Promote. Protect. 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-17-390 DATE ISSUED: 11/20/2017 Property Located at: 42 PRINCE STREET UNIT#2 Owner/Agent: Alberto Gonzalez Address: 19 Cloverdale Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 n .~ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL �( FAX(978) 745-0343 MAYOR LRAMDINCqIa SALEM.Cow LARRY RAMDIN,RS/RENS,CHO,CP-FS 9 7t_./y..76 fG� HEALTH AGENT 47 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 ryry PROPERTY LOCATED AT 2 G�j Nc-Qt � UNIT# c S IS THIS NIT DISIGNATED AS RIGHT LEFT FR NT OR BACK PLEASE CIRCLE ONE OWNER/LESSER I ZA4_-Yr_�P (2,PO/k/2-4431ANAGER/AGENT ��IPW NO P.O.BOX ADDRESS gG' �ir/Gizd�L2 / ADDRESS CITY, STATE,ZIP �/I 1 CITY, STATE,ZIP 11 g7 RESIDENCE PHONE V J?'_0 O I r 60,07e BUSINESS PHONE(24HRS) BUSINESS PHONE ////A TOTAL NUMBER OF ROOMS: s ROOM USE: 1. 2. 3. 4. C Sl 6. T S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLES AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREA_ DATE Inspectors use only Date on initial inspection:-,0 Date of reinspection: Date of issuance of certificate: Date fee paid: t Type of unit: Dwelling Other Check#_7l)l 0 Check date: Notes: Code Enforcement Inspector Cr'rY OF SALEM, MASSACHUSETTS lu Bo-ARD of HEALTH 120 WASHINGTON STRLLT,4...FLOOR R1bhCHeaIth Yrevcm.Promote.Protea. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lxamdingsalem.com LARRY RAbD1N,Rti/R6HS,CHO,CP-TS MAYOR Hr.:AI XI I AG rN'f Facsimile Transmittal To: From: 11 nn Fax # RE: Date: �(��1�X`(]1'j�X i 1� Page(s): including this cover# Message: P I I Board of Health News ----------------------------------------------------------------For Your 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 r .� r( .2 _ CI'T'Y OF S11L.1_ M, 1�ZnSSi\CHUSI�:I"I'S f • w &>ARD OF:HF+,A1.."riI 120 WASHINGTON S"IRF?E1' 4°i FLOOR PtIW�CHCAII))1 > nr.•m.rrnmnn.rmii. 'nu. (978)741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdin a salem.cotn MAYOR 1..�\Rlil'ItAMUIN,ItS/RICI IS,CMO,CII-VS CERTIFICATE OF FITNESS CERTIFICATE #61-12 DATE ISSUED: 2/16/2012 Property Located at: 43 Prince Street UNIT# 1 Owner/Agent: Juan Toribio Address: 43 Prince Street#1 B City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-429-6099 An inspection of your vacant 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 Habitalion". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance 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 RN 1 HEALTH AGENT CODE ENFORCEMENT INSPECTOR r � CITY OF SALEM, MASSACHUSET"I'S BOARD OF HFMi:PFI 120 WASHINGTON STREE"1',4"'1^LOOR - TF:L. (978) 741-1800 KIMBERLEY DRISCOLL IRAN (978) 745-0343 MAYOR AMIAN&ALIr y.CONI LAIWN RAmmIN, IS,CI 10, i-1 F,\I Iii /1(i r:N I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT_ 7 �J �r i/I P P � o `� UNIT# . - IS THIS UNIT ISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER_(V�L(n VI < l n` r i'�—MANAGER/AGENT NO P.O. BOX p ADDRESS qJ J �i(���l.Coff I - 7y� � . ' C� ADDRESS CITY,STATE,ZIP r( )a( Q� NL 01 � CITY, STATE,ZIP RESIDENCE PHONE l-/ �S k&q- 6")�'/ q BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: $- ROOM USE: 1.80C11M »g� 3. Lj w 4.hpd�1n 5.1 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 7 - DATE-2, 12012 Inspectors use only Date on initial inspection: Z -1 - 1 Date of reinspection: Date of issuance of certificate: -��p \ L Date fee paid: T- )b' 1'L Type of unit: Dwelling ✓ Other Check# ) ) Mp Check date: -2 - 1 Notes: Code Enforceme Inspec • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4T"FLOOR Pab11CIIC81th - , Prevent.Promote.Protect. TEL. (978) 741-1800 FAZ(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salcm.com MAYOR L:\RRY R:IMDIN,RS/Rr.?I-IS,C[-IO,CP-FS S HE,1I;LH AGENT CERTIFICATE OF FITNESS CERTIFICATE#432-14 DATE ISSUED: 11/17/2014 Property Located at: 43 Prince Street UNIT#2 Owner/Agent: Alberto Gonzalez Address: 42 Prince Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-604-6070 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Ile Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF ijEALTH 714 LARRY RAMDIN ✓ C HEALTH AGENT SANITARIAN q L ` CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH ' 120 WASHINGTON STREET,4`FLOOR IL/ �'•!`� TEL. (978) 741-1800 V KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RAMDIN@SALEM.COM LARRY R mDIN,RS/REI-IS,CHO,CP-FS HEALTH AGIzNf Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 2 NCe2vn ( UNIT# Z IS THIS'UNIT DISIGNATED AS GH LEFT ON R BACK,PLEASE CIRCLE ONE OWNER/LESSER P)bP4D l'1C11'I)r0Ae7_. MANAGER/AGENT NO P.O.BOX ADDRESS t{priruCe 44 --ftj ADDRESS CITY, STATE, ZIP (& ero ,tO/9 9/q76 CITY, STATE,ZIP RESIDENCE PHONE `9 2,?— 1 — -?-n BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE A" 600 . DATE Inspectors use only Date on initial inspection: ���1 7fiq Date of reinspection: Date of issuance of certificate: Date fee paid: / Type of unit: Dwelling Other Check# Check date: / L Notes: 1 O j I� f O( V Code fare ment Inspector °0 D`T City of Salem, Massachusettslu ! +. 9 Board of Health 120 Washington Street, 4th Floor, Salem, PlublicHealth 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-16-10 DATE ISSUED: 1/14/2016 Property Located at: 45 PRINCE STREET UNIT#1 Owner/Agent: Francisco Guerrero Address: 1129 SE 16th Terrace City/Town: Cape Coral, FL Zip Code: 33990 24 Hour Phone:(239) 247-9418 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 , CITY OF SALEM, MASSACHUSETTS BOARD OP HEALTH 120 WASHINGTON STREET,4'FLOOR TEl. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1 RAmAlia(a LARRYRAMDIN,RS/R171S,0310,CP-1S HEA1.77i AGINT 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 "t S �Z� �'- UTIIT# IS THIS UXlT DWlGNATED AS i LIrT FRONT OR6A >GC PL�E�AM CMCLE ONE OWNER/LESSER�A()C i SCS �1e vYLID MANAGER/AGENT ► l' L�` Goyit n NO P.O.BOX ADDRESS 1 taC1((��5�� �. 10� ��=1�1" ADDRESS CITY, STATE ZIP �-�Y--� oe, L CITY,STATE,zw RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 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 HEALTHIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1 t Insnectots use only Date on initial inspection:_01/11/2915— Date ofreinspection: Date of issuance of certificate: /n� Date fee paid: "ZU 12046 Type of unit: DA�w�eLllin II Other Week#2 Z2A�644,5-Check date:O 1-11-L z®16 .Notes: �See/{{'1�eol� V�o�a>`'�BnS Gmrre-r-� �X e of ent actor rnspection of 3Z a rT1.vlp g- Date 24,U Time 2--:0 �*i Name LL /' Address 4.��j^ MC4 Owner lDPae) rra.nUsco 6-ticry,c-rn Tel. No. 239—ZI'//'- %-0 Type of Inspection_C-P,4,f,f/Cgj-e o� F; +neSS Inspector _ jes" �c V Remarks and Violations are listed below: — ff11 Aree IIv,Ha room w dnL+/SAA/e -fork Q-449e1?S, + a IrAzin lackf, �( oocn L�Ses� S io— ki4ell&n L5 a , lvimlW M/ ic- wirSfvrI� Hof f wojer 44-w✓)I_w,,,4ur e- ff [ e.6-�fG� a4 153OI je r '�'e iyt bL/'a�L/{. }p P {�.O '� w,x+er- IYl V i7Q, L W+aPI'� 110 o r n n�OF _ l /W YL.Q.V pr M92,4nPy rn u5+ C_OA+QLT S0.l elrl ( in� N �>� O. �CY GN/ „ JL / �L1nra.` lnm. Are- corrP-r-+a 4oS !I cl (rye.—IYl ne *'rom nRKY1 Meki /yi�jr re--i n ; r� C I��iCnTP� pf i c cmc, �Iscu , r Report Received by: .�o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH - r 120 WASHINGTON STREET, 4TH FLOOR CERT.# 334-03 o SALEM, MA 01970 FEE $25 .00 9q = TEL: 978-741-1800 DATE: 07/14/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 45 Prince Street UNIT #: 2 Front OWNER/AGENT: Francisco Guerrero ADDRESS: 45 Prince Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 594-5122 AN INSPECTION OF YOUR VACANT 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 QCu HEALTH AGENT C E IfNfORCEMENTSPECTOR CITY OF SALEM, MASSACHUSETTS ,� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 4FAX 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 ��� f'I J eP S UNIT#,'I IS THIS UNIT DESIGNATED AS RIGHT LEFT KIRONIT BACK PLEASE CIRCLE ONE OWNER/LESSERT7MnQJC-6 C-UCM(Z) MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS SIS ?r)n c_e ADDRESS CITY %lko m CITY RESIDENCE PHONE 7I O'BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Q ROOM USE: 1.�2. �JQ, & g C�.q'' 4, b#4 5.�EojInn,e97.g,IdLe/78. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM I LTH DEPAR MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE 7/1W14e INSPECTORS USE ONLY DATE OF INITIAL INSPECTION M/ / fD T DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: v3 DATE FEE PAID: of TYPE OF UNIT: DWELLING OTHER_ CHECK# Yd F CHECK DATE--Z//_/ NOTES: / ! Qe//�iroo L elnw ye Z z5z�l- ! 7c/lt EX,oa.fc� COD CEMENT INS ECTOR 9/28/98 oxn CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �' • 120 WASHINGTON STREET, 4TH FLOOR =' S) CERT.# 405-02 SALEM, MA 01970 FEE $25.00 �M TEL. 978-741-1800 DATE: 08/02/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 46 Prince Street UNIT #: 1 OWNER/AGENT: Connell Family Trust C/o Rose Connell, Trustee ADDRESS: 97 Jackson Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2560 �I AN INSPECTION OF YOUR VACANT 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 V qrt_x�"-� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR d'Y )F SALEM, MASSACHUSETTS �J�j7� g.co `r BOARD OF HEALTH '" • s 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 F R HUMAN HABITATION". PROPERTY LOCATED AT UNIT#� IS THIS UNIT DESIGNATED AS RIGH LEFT RONNT�T BACK PLEAS CIRCLE ONE OWNER/LESSE fi WAGER/AGEr)r ¢tL NoPO ADDRE'SSo 7 O ] I o P.O. Box �J�(,�rjt^� :31- • ADDRESS (,/a CITY U ZJ CITY RESIDENCE PHONE S- D BUSINESS PHONE (24 HRS.) BUSINESS PHONE r TOTAL NUMBER OF ROOMS: �7 ROOM USE: LQr_ / . 3.,6R e0d 4.6 >"N Agdr_�_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 SIGNATUREf&�� DATE INSPECTORS USE ONLY DATE OF INITIAL OF INITIAL INSPECTION?)—d 2- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_'y Z DATE FEE PAID:- TYPE OF UNIT: DWELLING�OTHER_ CHECK# Y3-5 CHECK DATE?-- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 262-03 d SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 06/02/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 46 Prince Street UNIT #: 2 OWNER/AGENT: Connell Family Trust ADDRESS: 95 Jackson Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2560 - AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 9.78-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH (J • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F R HUMAN HABITATION". PROPERTY LOCATED AT " UNIT#g IS THIS UNIT DESIGNATED AS RIGHT LEF FRONT ACK PLEASE CIRCLE ONE OWNER/LESSERrr,,, ((L�4� � � C MANAGER/AGENT; �(jyl" -L No RE Box cl o P.O. Box T ADDRESS / J ,1 ADDRESS l � CITY �Yl —r,( az t)) 52_CITY au�L , � /,�q71) RESIDENCEPHONE�d 7YS"��InD BUSINESSPHONE (24HRS.) �iGLv✓l�, _ BUSINESS PHONE nnQ1 � TOTAL NUMBER OF ROOMS: ROOM USE: 1 2. J3.&jKbn 4.6 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. v� APPPLIICCAANNTS�SIGN:R i . DATE D h/ I SISI PEGS USE ONLY DATE OF INITIAL INSPECTION . _�' - C 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 4 D 3 DATE FEE PAID: (0 f - 03 TYPE OF UNIT OTHER-- CH CHECK DATE e- / -- . DWELLING; G� NOTES:__ CODE ENFORCEMENT INSPECTOR 9/28/98 I 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 #245-07 DATE ISSUED: 5/22/2007 Property Located at: 48 Prince Street UNIT# 1 Owner/Agent: Peter Capra Address: P.O. Box 8515 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 P✓ d �E?>✓a vt y`'y�� J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SAILEK MASSACHUSETTS BOARD OF HEALTH p� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 SEL. 97B-741-1600 FAx 976-745-0343 } JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION', y PROPERTY LOCATED AT /, UNIT # - IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTBACK PLEASE CIRCLE ONE OWNERILESSER!G41-Cs'6JrG1 MANAGER/AGENT. No P.O. Box /� �? No P.O.Box ADDRESS^^ _. ADDRESS_ CITY_y �.�r, '_ri/T_-� —CITY--- RESIDENCE CITY —RESIDENCE PHONPII7FF EY_ o`7 _BUSINESS PHONE (24 HRS,) _--_ BUSINESS TOTAL NUMBER OF ROOMS:__ ROOM USE: 1.. �_ 2, _3. v .___4 THERE 1S 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 TIME OF INSPECTION. APPLICANTS SIGNATURE _ �¢ ` INSPECTORS USE ONLY /' DATE OF INITIAL INSPECTIONS �'2_e 7. .. DAl E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE J aZ � DATE jFEE PAID 6 TYPE OF UNIT: DWELLING OTHER_ CHECK V (�9 L 5' CHECK DATE NOTES., CODE ENFORCE MEM' INSPECTOR 972t?l9 3 CITY OF SALEM, MASSACHUSETTS BOARD OF I-1EALTFI 120 WASHINGTON SFREF.;T,4"'FLOOR Publihealth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Irarridiniir salem.com MAYOR - LARRY RA bIDIN,I2S/RHHr IS,C1 HEW.I i-i Aca-_aaT CERTIFICATE OF FITNESS CERTIFICATE# 169-14 DATE ISSUED:5/15/2014 Property Located at: 48-50 Prince Street UNIT# 1 Owner/Agent: Peter Capra t Ken Dalamora Address: 13 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-884-5907 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 LAN HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETTS - I BOARD OF HEALTH 120 WASHINGTON STREEI',4"t FLOOR PublicHealth Prevem.Promme.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com MAYOR LARRY Rnnu)w,iiti/Rests,c,Iio,ci>-rs HFA]. i-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT SO / ' ce S /P UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B CK PLEASE CIRCLE ONE \ OWNER/LESSER Z&/G ,oma MANAGER/AGENT Sc, rvP t' x NO P.O. BOX /� Sb),- Gam/ ADDRESS %.? Essc r .S ev-�� a�G,�A Aid ADDRESS 1:20 .60Y CITY, STATE,ZIP SG./P /✓(i} CITY, STATE, ZIP dem, /Y( i¢ O/C,-? t RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. 2. 4 3. eA4. v 5. l 6. �in 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 a /ty Inspectors use only / ---- ----- - - — - -- —Date on inifiaT inspecfionC -"S��L4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Cheek# Check date: Notes: "eyA Code Enf&e ment Inspector .' ; .�. 1, r CITY Or SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET,4f°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAIv1D1N&ALeM.C(1NI LAi n'RANIDIN,RS/RI;.I Is,C61o,CP-Ps H H;V:1'N A(;I;N'1' 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. Oanyiamlt,V '0 Tenant/Lessee O ner/Lessor Address Address o7-) Address t to be inspected Date Updated 523/11 CITY OF SALEM, MASSACHUSETTS • / ` BOARD OF HEAL TI-I - ' 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREIiNRAUM@SALFM.COAI DAVID GRELNBAUM ACTING HI".ALTI'I AGI'.N'r CERTIFICATE OF FITNESS CERTIFICATE#388-09 DATE ISSUED: 8/17/2009 Property Located at: 48-50 Prince Street UNIT#2 Owner/Agent: Peter Capra Address: P.O. Box 8515 City/Town: Salem, MA Zip Code: 0197124 Hour Phone: 978-884-5907 An inspection of your vacant 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 f VID GREENB%AUM ACTING HEALTH AGENT CODE E FORCt,EMENT INSPECTOR • + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W.15HING'1"ON STREET,4." FLOOR TEL (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1)(3MI.NBAUM&SALP;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." O FEE: $50.00 PROPERTY LOCATED AT � —�L(D UNIT#�_ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE ��� OWNER/LESSER 14�z _;zq MANAGER/AGENT .5td/yt e— NO P.O. BOX ADDRESS_/'� c1 j�7_,s/� ADDRESS CITY, STATE,ZIP SC lei CITY, STATE,ZIP RESIDENCE PHONE_q�S8Y��BUSINESS PHONE(24HRS) BUSINESS PHONE 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 APPLICANT'S SIGNATURE DATE d:-/2r0 5 Inspectors use only Date on initial inspection: A 7/6 q Date of reinspection: Date of issuance of certificate: 6/17/M Date fee paid: Type of unit: Dwelling V Other Check 430--check date: /7 Notes: Yl� GU Code Enforcement Inst a for CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4t"FLOOR PI1bI1CHC8ItI1 _ Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL lramdln esalem.com MAYOR - - LARRY RAMDS IN,RS�REHS,CHO,CP-FS' Hl?.ALrH AG ENT CERTIFICATE OF FITNESS CERTIFICATE#385-13 DATE ISSUED: 10/17/2013 Property Located at: 48-50 Prince Street UNIT#3 Owner/Agent: Peter Capra Address: P.O. Box 8515 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 L LARRY MDIN HEALTH AGENT SANITARIAN+ • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - ' 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&ALEM.CONf LARRY RAMDIN,RS/111.1-IS,CI IO,CP-I'S i HFAI:XI-I AGI?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 L��/�O 0�/%� CP _�f/�e'Y— UNIT# J IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER te, f�4// i, �o/G� MANAGER/AGENT NO P.O. BOX ADDRESS oe�0. �j i �ar �� M/� J/j7/ADDRESS /3 Fssc CITY, STATE,ZIP /Ps✓� 1 4J ,4-f,4- CITY, STATE,ZIP RESIDENCE PHONE�o0,72BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. _ <�ti 5. /fiCLta� 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 Vii- z2 DATE�7�fa/a*%�7Q7Jj3 n4 r� Cf�� Inspecttors use only Date on initial inspection: 1 O L-1 7 lam. Date of reinspection: Date of issuance of certificate: Date fee paid: -71 Type of unit: Dwelling Other Check# UU I Check date: in Notes: Code r nt Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH &. 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#220-05 DATE ISSUED: 4/1/05 Property Located at: 48-50 Prince Street UNIT#3R Owner/Agent: Peter Capra Address: P O Box 8515 / City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FORTH E BOARD OF HEALTH l JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS - g BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 /�Yl 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 LO-_a0 61/1' ce- J7-ec / UNIT# 3 IS THIS UNIT DESIGNATED A RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT Sc v e- No P.O. Boxf* as-/,r No P.O. Box ADDRESS Stil2.ti. M ¢ Oitil ADDRESS T CITY CITY RESIDENCE PHONE(Y705i�`1 907 BUSINESS PHONE (24 HRS.) BUSINESS PHONE Sc—� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 'Pekes 2. de.� 3. 9,.eW /e. 5.�11�_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 .3 �� JJ !� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -3 DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: 3 . 3 / r2 DATE FEE PAID: 3__ 3 TYPE OF UNIT: DWELLING _1VOTHER_ CHECK# D CHECK DATE 3'37 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 f Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX-978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#316-05 DATE ISSUED: 5/16/05 Property Located at: 48 Prince Street UNIT#7 Owner/Agent: Pgter Capra Address: P.O. Box 8515 Cityrrown: 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 If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH /l.v • r 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 d7��'1cL Sf+22 7� UNIT IS THIS UNIT DESIGNATED RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER L � MANAGER/AGENT, No P.O. Boxes` No P.O. Box ADDRESS e . c7. DY F.$ 1 ADDRESS CITY �� �,e T_ CITY— RESIDENCE ITYRESIDENCE PHONE? ��. �� BUSINESS PHONE (24 HRS) SG- BUSINESS PHONE Sc, - TOTAL NUMBER OF ROOMS: ROOM USE: 5. �+ rC1e✓ifi. 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 1r�� t_ '� DATE-4;4bJ,_10_- y/ INSPECTORS USE ONLY DATE OF INIT1ALINSPECTION ' 1 2- _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:57 DATE FEE PAID _ ° '- i a T ' TYPE OF UNIT: DWELLING"OTHERCHECK #_Ig'y CHECK DATE �} }? °3 NOTES: -- ---- - _ ---- __ - ----- ---. ------- - - - CODE ENFORCEMENT INSPECTOR 9128798 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUM(2SA1,EM.00NI DAnID GREENBAUM ACTING Hi.,,Au i AGENT 9/8/09 Scott Hyde 19 1/2 Hazel Street Salem, MA 01970 PROPERTY LOCATED AT 51 Prince Street Unit 1 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$50.00 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 qor Health Reply to David Greenbaum Jennifer Keough Acting Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETT"S BOARD OF HEALTH 120 WASHING-ro N STREET,4"'FLOOR TEL. (978)741-1800 KIM.BERLEY DRISCOLL F:tt(978)745-0343 MAYOR M MET NHA I8J&ALL'M COMS DAVID GRErNHAUNI Ac-UNG HnAr:7H A(;vN'r CERTIFICATE OF FITNESS CERTIFICATE#462-09 DATE ISSUED: 9114!2009 Property Located at: 51 Prince Street UNIT#2 Owner/Agent: Scott Hyde Address: 191/2 Hazel 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 TH BAR F HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS • Y BOARD OF HEALTH I 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM&ALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT i Pr k n(I J+ UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASSE CIRCLE ONE OWNER/LESSER SC( -L_rtK to&e MANAGER/AGENT / NO P.O.BOX c� ADDRESS CAVI- �kfiZEL_ 'r+ 41 ADDRESS 9 CITY, STATE, ZIP SLeNk �AA Ola"1O CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) .—N I -](PO-ZL{G S BUSINESS PHONE TOTAL NUMBER OF ROOMS:�� ROOM USE: 1.5Eb J- 2. 2>0h 2 3. KltLNEn 4. Atrltn(A 5 b V111 K nt n 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP YABLE AT THE TIME OF INSPECTION q APPLICANT'S SIGNATURE DATE (l / Inspectors use only Date on initial inspection: q Date of reinspection: Date of issuance of certificate: (y Q I Date fee paid: 4 TIv U Type of unit: Dwelling ✓Other Check#Check date: o I/N U I Notes: `1D(Jd rlVb011 fill r6y-fl LG +- L / 6616 S mird �O ruk it0 ' �Pa Code Enforcement Ins ctor °ND's City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCfles[tb 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-16-22 DATE ISSUED: 1/22/2016 Property Located at: 51 PRINCE STREET UNIT#3 Owner/Agent: Hyde Beneficial Trust Address: P. O. Box 285 City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone:(978) 468-7454 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,'A-a� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PubliCHealth 120 WASHINGTON STREET,4°1 FLOOR Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com L.VtRY Ra MUiN,RS/RLHS,CFK),CP-FS MAYOR /( I f@p0.iHj;,NIxji AGENT FF�'[ �^9gq�eccgta,/ n l o-x t o �Y e 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 PROPERTY LOCATED AT � ' �� V1� �l UNIT# IS THIS UNIT DISIGN�ATED AS RIGHT�L.-ELFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER V 0-1/C(j(_( ��v_i MANAGER/AGENT Jia t L NO P.O. BOX ,� /n� {��J _� ADDRESL I/ • Ao)S - g S ADDRESS A CITY, STATE,ZIP��I f/ r` CITY, STATE,ZIP I"�A O (/10 -p RESIDENCE PHONE 7�' `I�15� '?7Si BUSINESS PHONE(24HRS) /d �— 76d viza BUSINESS PHONE TOTAL NUMBER/1OF1nROOMS:- ROOM USE: 1 ij 2 0 1 h lhC 6. 7. 18. 9. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE G Inspectors use only Date on initial inspection:0 IZ2DaQl� Date of reinspection: Q.1 zzg�=,2 Date of issuance of certificate: Date fee paid:012414- Type of unit: Dwelling--V—/—Other Check#Check date: m9 z2� Notes: & + 411 vola ids Cnrro�.ed Coe nf9 cement Inc ector Inspection ofDate ®�-��9,� U Time 2LL��dpy� Name Address r TS .34E� 1 Owner POLIqla _/� '1'Ii/ /- LIGr c�✓LeAL'� Tel. Noll ,'P, , Type of Inspection C r ^�"'�nt Y,f '!n e_✓SP Inspector ij.- ( ' Remarks and Violations are listed below: CdA ✓-a,ulCo nm{ <.v"!gc{ LS Imt'mde)w L''h t r S re �tr �✓'Olj�'�OBr i-n v- �j't�Y7xs�.G� MUS y^¢���. _ �o�Th rm9lY! \Arjj&J4 LOCV$ 0S.r l((L-Arunjvt sin m,s f Lye- LaiF rdCe`tanR rafark^ - rQuon Menge, fykjc, 'tnh nO SouYGeS - 2k.,mq tLonoq L.S +I.re t,/tA mrT6J;q I, �I�T �,✓aS.r ^^-�oa�n o,y'a'1'vre, 1-n it I�'CLtCYI S rn 4.X'[ /�I l2irL' .J--' C�• ML�L'�' lJe� r Un" f0 0 l�e-r, ��re e-+we,h 1 L/�� a ©� l Ali � I Y1 KW;Yla/rewmny¢0. ^(Alej CoVers Mf ,;44e. AJ I I V2,0r r at �v r o OW r1J1�4a r ' 1L. SM e 2 QLL of- peo-A >Z n e a V�- insder_� �Dh . f r Report Received by:,.