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PRINCE STREET PLACE PRINCE STREET PLACE ill o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR www.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#716-05 DATE ISSUED: 11/28/05 Property Located at: 1 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 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �t— TEL. 978-741-1800 FAX 978-745-0343 STANLEY i1 SOY;CZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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". PROPERTY LOCATED AT Ak�i rt�C� LC4d`!(> _UNIT#— IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafayette—Haus' ng —MANAGER/AGENT Salem Property Managers , No P.O. Box No P.O.Box ADDRESS1n2 T.afayette St ADDREM 02 Lafavette Street CITY' Salem CITY Salam _ RESIDENCE PHONE BUSINESS PHONE (24 HR&pj8- 745-4961 BUSINESS PHONE 978 745-4961 s TOTAL NUMBER OF ROOMS: ROOM USE: 1.L% (2w_2.14ACb 3. 5.► +_L..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 I TIME OF INSPECTION. t APPLICANTS SIGNATURE DATE -4// F IN�WEC i 7 SUE ONLY i. GATE OF iNiTiAL INSPECTION L%- U Jr DATE OF REINSPECTION s DATE OF ISSUANCE OF CERTIFICATE:Z4-.)-K'✓��DATE FEE PAID: TYPE OF UNtT: DWELLIN OTHER` CHECK#_--6 __ DATE�d T NOTES: t i 1 I CODE ENFORCEMENT INSPECTOR 9(28/98 . f 5 f it i f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR wW W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#714-05 DATE ISSUED: 11/28/05 Property Located at: 2 Prince Street Place UNIT#2 Owner/Agent: Lafayette Housing Address: 1021-afayette 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH f � t 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 41970 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". i E PROPERTY LOCATED AT A . 1916,�G. UNIT# sr IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSF_.R. hafavUsin_uMANAGER/AGEN7Salem Property Managers , No P.O. Box No P.O. Box 4, ADDRESS 02 Lafayette ct, ADDRESS102 Lafayette Street I I CITY_' Salem CITY Sa 1 em J RESIDENCE PHONE BUSINESS PHONE (24 HRS.p78- 745-4961 s BUSINESS PHONE 978 745-4961 { TOTAL NUMBER OF ROOMS: s ROOM USE: 1.L;vQm 2.-L3. de jgxy-_4.�9iQx�,,, r I 1 THERE IS A TWENTY-FIVE($25:40)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE 3 TIME OF INSPECTION. APPLICANTS SIGNATURE / DATE JI 4 S t I ECO S USE ONLY r € DATE OF iNiTiAL INSPECTION 11'd Y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: ) y`i TYPE OF UNIT: DWELL N�OTHER_ CHECK#-46J—CHECK DATE,%�-�-uJ NOTES: i i s CODE ENFORCEMENT INSPECTOR 9128/98 i i e N 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �0$ TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTr, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#715-05 DATE ISSUED: 11/28/05 Property Located at: 2 Prince Street Place UNIT#4 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 JO NE�MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR l CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 1,20 WASHINGTON STREET, ATH FLOOR 3 SALEM, MA 01970 TEL. 978-741.1800 FAX 978-745.0343 STANLEY IF SOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i r APPLICATION FOR CERTIFICATE OF FITNESS S 1N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". 1I I I PROPERTY LOCATED AT d Pr I nke,��1, �6ti UNIT#A d IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERLaf ette_ Hau ing- MANAGER/AGENTSalem Property Managers , No P.O. Box No P.O.Box ADDRESS1ng. T,afA)7e{,le_ st ADDREM02 Lafayette Street CITY r' Salem CITY qa 1 tem } RESIDENCE PHONE BUSINESS PHONE {24 HRS.p?8- 7454961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1.Lw11^ 2. 8.Pat4 Kra 4. &IVm_ i 3 t THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. f APPLICANTS SIGNATURE / DATE �32ECTURSU L DATE OF iNi T iAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIRCATEa/-,(z DATE FEE PAID:��.7 3 v4r r TYPE OF UNIT: DWELLING0THER_ CHECK#___��^CHECK DATE NOTES: t s CODE ENFORCEMENT INSPECTOR 9/28/98 f j f Y • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET,4°i FLOOR Ptllll)i1CHC81 h Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY IiAMDIN,RS/REHS,CHO,CP-IBJ MAYOR Hue1CIH AGI?N'I' CERTIFICATE OF FITNESS CERTIFICATE#24-13 DATE ISSUED: 1/28/2013 Property Located at: 2 Prince Street Place UNIT#6 Owner/Agent: Lafayette Housing Limited Partnership 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 E I LA MDIN , J HEALTH AGENT SANITARIAN I( � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH "mar 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMIBERLEY DRISCO1.1. FAX(978) 745-0343 MAYOR LRAMDIN@SAI.6M.COM LARRY RAR31)IN,ILS/RF1-IS,Cf10,CP-FS HE9LTH 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 2 PRINCE ST. PL., SALEM MA 01970 UNIT# 6 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: 2 ROOM USE: LLIV. 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 ORDER TO THE CITY OF SALEM BOARD OF 14EALTH THIS FEE IS PAYABLE AT T14E TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ) '2 3' 13 Date fee paid: Type of unit: Dwelling_ Other Check# Check date: 7 13 Notes: . Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DGRceNl3AUM@SAM.m.M.COM DAVID GRE t'MmUM ACTING HEALTH AGENT' CERTIFICATE OF FITNESS CERTIFICATE#75-10 DATE ISSUED: 2/19/2010 Property Located at: 2 Prince Street Place UNIT#8 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 O1 F HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFbRtEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR =nyals .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." FF• O.OD PROPERTY LACATED AT i n1 1'-A fle-c-b c�4i A UNIT# IS TMS UNrf DISIGNATED AS Rlr-Wr LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Lafavette Housing L.P. MANAGER/AGENT Salem Property Managers NO P.O.BOX ADDRESS 102 Lafayette Street ADDRESS102 Lafayette Street CTTY,STATF,ZIPSalam M�y__j}la7n CTTY,STATEZIP Salem, MA 01970 . RESIDENCE PHONE BUSMSPHONE(24HRS) (978) 745-4961 BUSMSPHONE 1978) 745-8071 TOTAL NUMBER OF ROOMS: ROOM USE: 1.� 2. t --3. Koww 4. -614-aft, 5. &4A&bu, b 7. 9. 10. THERE IS A SEVENTY FINU$75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TW FEE 19 PAYAB AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE bmptors use only //"1/ / / Date on initial inspection t 1 C1 11 JU Date of reinspoction:a 1/"1//O Date of issum=of certificate: a 1 G 1ly Date fee paid:_ 0/w/U Type of unit: Dwelling�Other Check# C�_Check date:- Notes'. Lr- ate:Notes: r dtz � t1it2 44(1Vf��N. Code E"ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,C FLOOR TEL(978)741-1800 IOMBERI EI'DR1SCOLL FAX Mg)745-0343 MAYOR UQM3QAT COM JOANNE SCOTT, HEALTH AGENT I Relowase- 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 tenautllessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence.Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETTS os BOARD OF HEALTH z 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#743-05 DATE ISSUED: 12/9/05 Property Located at: 3 Prince Street Place UNIT#Town House 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 1��o L& y JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS " BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 0.1970 (�f TEL. 978-741-1800 1 � FAX 978-745-0343 STANLEY LISOVICz, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT , APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". ASC. PROPERTY LOCATED AT,'� prl p Le✓ (aLP���o�� L�- UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE t OWNERILESSER_Lafayettegn-nStinig MANAGER/AGENTSalem Property Managei No P.O.Box No PJO.Box ADDRESS102 r,afayLttte-t. ADDRESS102 Lafayette Street CITY:-' Salem CITY Sa1em RESIDENCE PHONE BUSINESS PHONE{24 HRS.$78- 745-4961 BUSINESS PHONE 978 745-4961 s TOTAL NUMBER OF ROOMS: ROOM USE: 1 tpU 2w_, ��r _3. I 5A _S, T. 8. THERE I5 A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY 4 ORDER TO THE.CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. , ^ APPLICANTS SIGNATURE DATE /* ECTO F LATE OF INITIAL INSPECTION -' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,,4Z--(�=O DATE FEE PAID:-/-c TYPE OF UNIT: pWELL1N �OTHER� CHECK#CHECK DATE/.2 - a� NOTES: a CODE ENFORCEMENT INSPECTOR 9128198 i f. ya CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOORCERT.# 62-03 SALEM, MA 01970FEE $25.00 TEL. 978-741-1800 DATE: 02/24/2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 3 Prince Street Place UNIT #: 1 OWNER/AGENT: Salem Point Rental 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, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH •JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Y �3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET Tel:(978)7411800 HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS 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 J Ef—I nL2 5�_ PI Ca -, &,J r UNIT # IS THIS UNIT DESIGNATED AS RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSalpm Point Rental MANAGER/AGENTgalem Property- Managers , Zn( ADDRESS 102 Tafayette Street ADDRESS102 Tafavette Street CITY Salem, MA 01970 CITY S—lem,MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONEg7 R-745-so71 TOTAL NUMBER OF ROOMS: ROOM USE: 1P1'IAM 2.�jdq�!_3. 4. (5041tw 5. Pow & &e)A� 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 r APPLICANTS SIGNATURE / DATE L 2 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 -)- LP-o 3 DATE OF REINSPECTION ' DATE OF ISSUANCE OF CERTIFICATE:7:` 3DATE �FnPAID: 7 - 0 Id s 6&Ff-- TYPE OF UNIT: DWELLING OTHER__ 3 - a3 NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 CITY OF SALEM,,MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR PublicmIotealth TI%L. (978) 741-1800 FAX(978) 745-0343 ICNIBE11LEY DRISCOLL tramdin@salem.com LARRY IL\MllIN,RtiAF.HS,CIIO,CP-FS MAYOR HI3,\LTH A(; N'P CERTIFICATE OF FITNESS CERTIFICATE# 156-13 DATE ISSUED: 5/10/2013 Property Located at: 3 Prince Street Place UNIT#3 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 T E B RD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASI-[INGPON SI'RFF`P,4°' FLoolt TEL. (978) 741-1800 KI1\[BERLEY DRISCOLL FAX (978) 745-0343 MAYOR LR\ lolNnsal.r\Lcrnl LARRY RAVNFDIN, RS/RFiIS,(J 10,CP-FS 1-11 AL;PI IACENT 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 3 PRINCE STREET PLACE, 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 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: l.LIV. 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 DATE Inspectors use only Date on initial inspection: s/ ID 13 Date of reinspection: Date of issuance of certificate: Date fee paid: 5)) Type of unit: Dwelling Other Check# 0 /0 Check date: Notes: Code N �ehwnt Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR . o SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#439-05 DATE ISSUED: 7/11/05 Property Located at: 4 Prince Street Place UNIT# 10 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. FO ,RTHE BOARD OF ALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS v '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 970 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�H A112C-e 5 / /Q G� UNIT# ICS IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafa et _ Eaux ng _MANAGER/AGENTSalem Property Manager No P.O. Box T No P.O. Box ADDRESS1n2 rafayette St ADDRESS102 Lafayette Street CITY Salem CITY Salem RESIDENCE PHONE BUSINESS PHONE (24 HRS.g78- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: --LL�'' ROOM USE: 1.�1()•/� 2. 46% . �^' 5.&�,/ill 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 INSPECTORS USE ONLY DATE OF iNiTiAL INSPECTION-7 I - D ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7 - I - �^ DATE FEE PAID: 7 i TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 .co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 3 120 WASHINGTON STREET, 4TH FLOOR t I� 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#438-05 DATE ISSUED: 7/11/05 Property Located at: 4 Prince Street Place UNIT# 12 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-4961 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 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 JO MPICHO 1EA TH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970TEL. 978-741-1800FAX 978-745-0343 STANLEY USOVIC2, 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".'7 PROPERTY LOCATED AT *11� L S[1 F11"e- SC^- UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafa a _Honc' nT_MANAGER/AGENTSalem Property Manager No P.O. Box No P.O. Box ADDRESS1n2 TafA)jpi-+a ct ADDRESS102 Lafayette Street CITY. Salem CITY Sal Pm RESIDENCE PHONE BUSINESS PHONE (24 HRS.p78- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1.Z 2. 3. 4. ^' 5. ! 6 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY J DATE OF iNiTiAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: ` '- TYPE OF UNIT: DWELLINGOTHER_ CHECK# / 0 Y CHECK DATE Z/=� NOTES: \ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS llll BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR PRb.1CFIeAltll Prevent.Promote,Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lxamdin@salem.com LARRY RAMlllN,RS/RII-1S,CPlO,CP-FS MAYOR HF AI:ni AG FNT CERTIFICATE OF FITNESS CERTIFICATE#270-13 DATE ISSUED: 7/26/2013 Property Located at: 4 Prince Street Place UNIT#14 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 WALTH LARRY RAMDIN HEALTH AGENT SANITAR CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH �. 120 V(1ASFDNG'1"ON S'I7tEE+'L',4TO 1�L.00R TEL. (978) 741-1800 JUTABERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN0a_SALF,%a c0m1 LARRY RANiDIN,RS/RFI IS,CF1O,CP-FS HVAL.T1 I AG ENT 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 4 PRINCE STREET PLACE, SALEM MA 01970 UNIT# 14 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.KITC14EN 3. BEDRM 4. BEDRM 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling-Other-Check#_ _ D Check date: �I 3 Notes: Code Nakr&AentInspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH K 9, 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 CERTIFICATE OF FITNESS CERTIFICATE#210-05 DATE ISSUED: 3/23/05 Property Located at: 4 Prince Street Place UNIT# 16 Owner/Agent: LafayetteHousing 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 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 JOgp7NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, Mi4SSACHUSETTS . BOARD OF-HEALTH 120 WASHNGTON STREET,4TH FLOOR SALEM,-MA 01970 a TEL:978-741-1.800 /�J Fax 978-745-0343 � ✓✓ STANLEY USOVICZ, JR. - JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN /HABITATION". PROPERTY LOCATED AT � (!)L{�i S C ••T I GC�C . S C/laM UNIT#_1�J IS THIS UNIT DESIGNATED AS RIGHT LEFTFRONT BACK PLEASE CIRCLE ONE bWNER/LESSER Fayette ILaus'Lng MANAGER/AGENT3a1, E.roper_ty Managers No P.O. Box No P.O.Box . ADDRESS162 r.a{ayptte St. ADDRESS102 I;afayette Street CITY= Salem CITY G&7 em RESIDENCE PHONE BUSINESS PHONE (24 HRS,978- 74,5-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1,61/ m Z 3jtx�4.�c 5.!3e6.-7,—$. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ,� -Z S! DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:�r,7 7- DATE FEE PAID:, 3 -,,;z 2�- TYPE OF UNIT: DWELLING ,&'ATHER_ CHECK#f 1 CHECK DATE,3— NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • _ BOARD of HEALTH 120 WASHINGTON STREL'f,4:�'FLOOR TEL. (97 9)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR hfANIN 'A 'W. ` h JAN F;P NIANCINI lT ACTING Hiv untAGi,.N'P CERTIFICATE OF FITNESS CERTIFICATE#24?-09 DATE ISSUED: 5/1/2009 Property Located aL 5 Prince Street Place UNIT#Town House Owner/Agent: Lafayette Housing Address: 102 Lafayette 7eet City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 An inspection of your vacant DwelIing/Roomtng.Unit atthe above address has-been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards-of Fitnessfor Human. ion". Therefore, this Certificate is issued by the C�forcement Division of the 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,eneyear.fro date- issuanceocuntiltheaurrentten2ntvacatesrwhhever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH \1 JANET MANCtNI . ACTING HEALTH AGENT ENFORCEMEfW WSP€CTM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR COM JOANNE SCOTT, HEALTH AGENP Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR FNMA HABITATION." PROPERTY LACATED AT �fJrtt� Ji ,Y'�A.G2 V � UNIT# IS THLS UNIT DISIGNATED ASgIR GHT L FC FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER-Lafayette Housing L.P. MANAGER/AGENT Salem Property Managers NO P.O.BOX ADDRESS 102 Lafayette Street ADDRESS102 Lafayette Street C17Y,STATE,ZIP__Salemt �970. CFFY,STATE,ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) (978) 745-4951 BUSINESSPHONE (978) 745-8071 TOTAL NUMBER//OF ROOMS: // ROOM USE: 1.�t--v 2. kr i'"G�iK•J3. ?4t4*(-- 4 &eje*"— S mac_ 8. 9 10 THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CTFY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION ! APPLICANTS SIGNATURE_ DATE 1-4-010? J Inspectors use only Date on initial inspection:_ S!I,CPf Date of reinspection: I Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check# Check date: Notes: � S is PC'f 4-um ac� 45 P tee onh (![Y X30 Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS Pal • BOARD of HEALTH 120 WaSffiNGTON STREEr,e FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR i rotes .ut .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 H and Article MH of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the 'residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection t,Aertagameet Agent for Lafayette Housing L.P. 102 Lafayette Street Salem,MA 01970 Tenant/Lessee Owner/Lessor o- -516"in . Address Address Address on unit,to be inspected Hf3o� v� Date r 0 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, SPU [tb MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramd+n, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-339 DATE ISSUED: 10/19/2015 Property Located at: 7 PRINCE STREET PLACE UNIT# Owner/Agent: North Shore CDC Address: 102 Lafayette Street Clty/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018 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 N "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the 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 19 Larry Ramdin, MPH, RENS, CHO HEALTH AGENT S ITARIAN CITY OF S:�kI,EM, MASSACHUSETTS � BOARD UP HE=\I,TH .120 WASHINGTON STREE"I' 401 FLUOR TEL. (978) 741-1800 ]UNIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.R�LA1DtNQsALEM.COM LARR1 R.AMI)IN,RS/RLIIS,CI-10, HEADLII A.GENI' 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 PRINCE STREET PLACE 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 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 2XITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA)ABLR T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 0/LS/2PtlE Date of reinspection: Date of issuance of certificate: 10/JAS/`7o1r Date fee paid:1 V1512-0-1,5-- Type 15/2n11rType of unit: Dwelling—z Other Check#2A x 7 _Check date: .-D/L�}�ZDljr ` / II r Notes: Wear n� hwf�l rymm and- k fc hen s in II ee.s y' wt a- l W F C n rcement Inyctor CITY OF SALEM, MASSACHUSETTS ` J BOARD OF HEALTI I 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KBOERLEY DRISCOLL FAZ(978)745-0343 MAYOR JSCOTr-SSAI.L'M.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#314-08 DATE ISSUED: 7/9/2008 Property Located at: 7 Prince Street Place UNIT#7 Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4967 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF /HEALTH J ANNE SCOTT, MPH, RS, CHfl 44 M �c HEALTH AGENT C ENFO E NT INSPECTOR CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR s' 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 t r _ UNIT#n IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Lafayette Hous ingLPMANAGER/AGENT Salem Property Managers No P.O. Box No P.O. Box ADDRESS102 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-$071 TOTAL NUMBER OF ROOMS: I/����' ROOM USE: 1-40 41-2."^� � -4. ✓ 5._AV49*",-67. 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 SPEC RS USE ONLY DATE OF INITIAL INSPECTION / A/OS—DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING —OTHER CHECK # CHECK DATE NOTES*WAU hlr( l C.I Ck aimde Pcoy—y 0c_ _ hroami-sio -- - -- C NFORCEMENT 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 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W WW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#717-05 DATE ISSUED: 11/28/05 Property Located at: 9 Prince Street Place UNIT# 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 JOANNE SCOTT, MPH, RS, CHO /✓J HEALTH AGENT 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 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MA�OR HEALTH AGENT s' APPLICATION FOR CERTIFICATE OF FITNESS 3 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER ii, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". (� 4 PROPERTY LOCATED AT I `I�I 1 V�J.3-L LS C� UNIT#_ IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE j OWNER/LESSER„Lafayette HQuaing_MANAGER/AGENTSa3em P W-p rty Managers, No P.O. Box No P.O.Box ADDRESS102 T,afayatte St ADDRESS!02 Lafayette Street 1 CITY':- Salem CITY Ral pm 3 RESIDENCE PHONEBUSINESS PHONE (24 HRS.p7$— 745-4961 BUSINESS PHONE 978 745-4961 I TOTAL NUMBER OF ROOMS: .5 ROOM USE: 1 LiV' 4M 2. 3. _4._ 4 q 5.Q;;E LMI9 0. 7. $. _ A 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. f APPLICANTS SIGNATURE l DATES EAR'S USE l L DATE OF INITIAL INSPECTION {/' )jV”'3 DATE OF REINSPECTION i I DATE OF ISSUANCE OF CERTIFICATE;[/-,J`,Y— -Y�DATE FEE PAID: TYPE OF UNIT: DWELLING—OTHER` CHECK# CHECK DATE NOTES: I s �A, { N, CODE ENFORCEMENT INSPECTOR 9/28/98 i E CITE' OF SALEM, NIASSACHUSLTTS BOARD OF FIEALTH 120 WASHINGTON STREET,4"FLOOR PubHCHea ith Prevent.Promote.Protect. TFL. (978) 741-1800 FAx(978) 745-0343 KI'NIBERLEY DRISCOLL lramdin ,salem.com LARRY R 1,bIDIN,RS/REHS,CI IO,CP-C'S NIAYOR HN.,17,.TI-I A(G ENT CERTIFICATE OF FITNESS CERTIFICATE# 163-14 DATE ISSUED: 5/30/2014 Property Located at: 11 Prince Street Place UNIT# 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 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 L Y RAMDIN HEALTH AGENT SANITARIAN r ' fl °. CITY OF SALEM, MASSACHUSETTS �� ly BOARD OF HEALTH I 120 WASHINGTON STREET,4"'.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1,RAMDINnSALEM.COM LARRY RANIDIN,RS/RITIS,CHO,C11-1;S HEAL'111 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 11 PRINCE ST. PL., SALEM MA 01970 UNIT# 1S 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 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 4 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#682-05 DATE ISSUED: 11/3/05 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 An inspection of your vacant 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 r JOA NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR YI �J{�/•�"_ t,/� 3 � SALEM, MA 0197 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 4 t i APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN�HABITATION". i PROPERTY LOCATED AT P-21 Prl19L .0 ISI UNIT# I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER Lafay MANAGER/AGENTSalem Property Managers, No P.O. Box No P.O.Box ADDRESS102 rafa),etle_ st ADDREM02 Lafayette Street CIT` -1 Salem CITY Salem z RESIDENCE PHONE BUSINESS PHONE {24 HRS.P78- 745-4961 e BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1L_I0 90A 2..k 3 j 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. / IIJ j APPLICANTS SIGNATURE DATE N O SU E L DATE OF INITIAL INSPECTION //- -v J� DATE OF REINSPECTION f DATE OF ISSUANCE OF CERTIFICATE& - DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK#_._CHECK DATE ~a i NOTES: s CODE ENFORCEMENT INSPECTOR 9/28/98 i i 1 �ONDIT kP eO' CERT.# 176-99 FEE $25.00 �. DATE: 04/13/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 13 Prince Street Place UNIT #: 15 OWNER/AGENT: Salem Point Rental Prop. 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 HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: _ NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH 'JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT T01:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS 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 13 lor)nCe SWOCe, &LEA, UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER $a 1 am Pni nt Ranta 1 MANAGER/AGENT Ra 1 em Property Managers , Inc ADDRESS ln2 TafavPtte StrPPt ADDRESS.-Ing Tafavrp_i-+-a Rtraat CITYc_oa.=T o n, Mn 01970 0 CITY Salam,, MA ()1-97o _ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE 97a-745-Rn71 TOTAL NUMBER OF ROOMS: ROOM USE: 1 3ALLm, 4._y44L/ n? 5.Vu ,6. y7. 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 a6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-V -;(, _f DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE-/3 j;f DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER__ (J L7 b a 2 3 7 NOTES, CODE ENFORCEMENT INSPECTOR 5/19/98 ' CIN OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 °Ne TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#745-05 DATE ISSUED: 12/9/05 Property Located at: 15 Prince Street Place UNIT#Town House 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.- r FOVHE BOARD OF/HALT�H' JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR d I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH M • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �) f TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i i s` s APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER il, 105 CMR 410,000 } "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". _ PROPERTYLOCATEDATfS J`Ir/Y1CZc5� 1o�+r1? —UNIT#�� k IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 1 OWNER/LESSFR-L-a-fAyett-eEmisinq MANAGERIAGENT lem Property Manage? No P.O. Box No PO.Box ADDRESS102 LalfaYprp c+ ADDRESS102 Lafayette Street CITY= Salem CITY galem RESIDENCE PHONE BUSINESS PHONE (24 HRS.978 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 11--1✓re4-4 2. F 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 a ]IVV4,P t S USE ONLY DATE OF iNiTiAL INSPECTION /a —�—p S� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:I.2 DATE FEE PAID:— 7 `O'er TYPE OF UNIT: DWELLINt HER CHECK#CHECK DATE L � i NOTES. i CODE ENFORCEMENT INSPECTOR 9/28/98 r 4 t CITY OF SALEM, MASSACHUSETTS $ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR M^M SALEM, MA 01970 9qq TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 196-04 DATE ISSUED: 05/11/2004 Property Located at: 15 Prince Street Place UNIT# 15 Owner/Agent: Salem Point Rental 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. R-THE BOARD�H JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 A, i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 i ANNE SCOTT.t IPH,RSI CHO NINE NORTH STREET HEALTH AGENT Tel:(976)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 IV Nilf 4UM STANDARDS OF FITNESS FOR HUMAN HABITATION". ( � PROPERTY LOCATED AT ? YC 1 Y1( P C4�dCQ&. ,. ,Sd 'TSI 4 UNIT# I IS TH UNIT DESIGNATED AS RIGH- LEFT FRONT BACK PLEASE CIRCLE ONE OWN RILESER rta.]-E1tLpni n+ RPn+a 1 MANAGERJAGENT-,�,,a 1 Pm PrnnPr+v Managers , Inc ADDRESS Jing rADDRESS 7n2. Tafn%7P}-I'P R+YPP4 j CITY CITY Salem, M_A__ 01970 F I RESI ENCEIPHONE BUSINESS PHONE (24 HRS.) 978-745-4961 BUSINESS PHONE 47R-74s-an71 TOTAL NUMBER OF49OOMS: � ( � � ROO USE:I f, yU�2.4id,, 3.Qwcam 4.�12T-i i 5.�6. 7. B.- i THE FE IS ATWENTY-FIVE($25,00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORD R TO THE CITY OF SALEM HEALTH DEPART ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION i APP CANTS SIGNATURE DATE O IN, CTORS USE ONLY DAT OF INITIAL INSPECTION "5 f '�� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 'I l-��DATE FEE PAID _` TYP ( OF UNIT: DWELLING OTHER_ #- j-t/`� �j{ NOT S: I i I I CODE ENFORCEMENT INSPECTOR , 1 5/119/98