READ STREET READ STREET
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CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,411 FLOOR
TML. (978)741-1800
KIMERLEY DRISCOLL FAx(978)745-0343
MAYOR I)GRI?L'NL3AUMQSA1d3M.COM
DAVID GREENBAUM
ACTING HEALTH AGLNT
CERTIFICATE OF FITNESS
CERTIFICATE#550-09
DATE ISSUED: 10/26/?009
Property Located at 5 Read Street UNIT#1
Owner/Agent: James Collett
Address: P.O. Box 2098
City/Town: Haverhill MA Zip Code: 01830 24 Hour Phone: 978-373-3024
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
is later.
This Certificate of Fitness Is valid only if there is a valid Certificate of Occupancy.
FOR
�(THE
/BjOlA/RD�F HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
1EL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUMSALEM.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
>
7I-
PROPERTY LOCATED AT Zea i -Tt, UNIT#-_
IS THIS NIT DISIGNATED /
ASRIGHT
RIIrGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
,
OWNER/LESSERE3y►..¢� ���1y_g MANAGER/AGENT or- " _4 Gram_,-/p
ADDRESS RESS IL�
CITY, STATE,ZIP � VIAY_L-9 fYCgITY, STATE,ZIP it 04011 ` S
RESIDENCE PHONEA'[-2t• q3-3— 6Qq a BUSINESS PHONE(24HRS) 002(f
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: C 'I '' //
ROOM USE: 1. g 2. �, (L 3. 12 4. LL. L 5 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 FEE IS PAY TIME INSPECTION
APPLICANT'S SIGNATURE DATE ��' e2v•a
Inspectors use only
Date on initial inspection: 10 o /U Date of reinspection:
Date of issuance of certificate: �QL-alog—log /1 Date fee paid:
Type of unit: Dwelling Other Check# 167 7 J Check date:/lJ a (P/6 l
Notes: In G rl LIZ G - G -P / h9 bulb
tur_� hod-- Wc, Jp� m� rwt6n fiU r6"f all A s- ; —
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Code EnNrJernent�Insspeector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREHNI3AUM2SALEM,COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence. 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
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Oct 29 2009 2:34pm
Last Fax
D= Ii= I= Identification Duration PAM Result
Oct 29 2:33pm Sent 919784539150 0:36 2 OK
Result:
OK - black and white fax
CITY OF SALEM, MASSACHUSETTS
• • BOARD OF HEALTH
120 WASHINGTON STREET,4m FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUM@SAI.rM.COM
DAVID GRI3ENBAUM
ACTING HEALTH AGENT
Facsimile
Transmittal
To: Z 1 10-s - C,'
Fax # �
RE:
Date : /.e-D Z�C� /0 9
Page(s): including this cover#
Message:
aQ 5
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
'd5;fes oc�-eC .Icd�
Coastal Industries, Inc.
77 Newark Street, Haverhill, MA 01832
Telephone 800-351-1065 • Fax (978) 373-2239
Manufacturers of Quality Doors and Windows
ACKNOWLEDGEMENT,,
ESSEX NW ORM - 1483 CONFIRMRTION Ship To
ATTN. MMI PETERS OF
P.O. BOX 20% YOUR ORDER
TA No - 1972RI 373-.W4 pans
Customer order No, Production No. Computer Entry Bate Salesman
SRERBI I 20313 I act 26 2009 FRIBIIY
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1 SCRO TTT (EXT) NHTE 26.1/2 x 27.1/2 - None 3/ 6 18.15 18.15
1 SCFM M (EXT) 1MTE 27.1/4 x 24 None 17.16 17.16
1 SCFEEN TTT (EXT) ia1TE 27.1/2 x 20 None 6 15.84 15.84
3 WITH PINS (MICE/1511I11 3.00 9.00
ON HEIGHT: BOTH IN SW
SIDE
NOT RESPONSIBLE FOR PHONE ORDERS. CHECK SIZES CAREFULLY !
Sub Total 60.15
Tax No : Sales Tax 6,25% 3.76
Sizes are actual Nake Size Total _ _ 63.91
*" Please notify us at once of any errors *0
PLEASE CHECK ACKNOWLEDGEMENT.IMMEDIATELV: PAY THIS
Yow windows sndior doors wn be monurecwred to TERMS: NET 30 DAYS AMOUNT
the above specifications unless we ere nomed
within y�urary hours. n sume no liability for CUSTOMER COPY
inreunlesss rptieafyUon isr�elved.
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CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4" FLOOR
TEL. (978)741-1800
KLMBERLEY DRISCOL.L FAX(978)745-0343
MAYOR DGREF.NBAUM@SALEM.COM
DAVID GRHENBAUM
ACTING HEALn-I AGENT
Facsimile
Transmittal
To: 3(owl V ) Rs C.i
Fax # q7�' �) � 3 - Cjl $ o
RE: LovIL ) O'�/4 1`3
Page(s): including this cover# 2-
Message:Message:
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
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,e'FLOOR
TEL.(978)741-1800
K hMERLEY DRISCOLL rAX(978)745-0343
MAYOR DGRBL+NBAUMOSA1LM.COM
DAVID GREENBAUM
ACIYNG HEALTH A(;HN,r
' i
I
CERTIFICATE OF FITNESS
i
CERTIFICATE#550-09
DATE ISSUED: 40/26/?009
Property Located at: 5 Read Stmt UNIT# 1
Owner/Agent: James Collett
Address: P.O. Box 2098
City/Town: Haverhill MA Zip Code: 0183024 Hour Phone: 978-373-3024
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 416.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE /B/IOARD F HEALTH All.
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Oct 30 2009 11:41am
List Fax
D= n= I= Identification Duration R= EMU
Oct 30 11:40am Sent 919784539150 0:36 2 OK
Result:
OK - black and white fax
7: y 2 : Jm d Ky 0 . . .
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CITY OF SALEM, MASSACHUSETT'S
�P BoARD oH, HI U�"rl I
120 WASHINGTON STRITP,4... FLOUR
TIAL. (978) 741-1800
K1M13E1U-FY DRISC01 , FAx(978) 745-0343
MAYOR ncarrNls�u�I(�sni.r:hLcoM
DAvIU Gm,i:NBAUM,RS
AcIING HvmA rll AGI(N'P
CERTIFICATE OF FITNESS
CERTIFICATE#526-10
DATE ISSUED: 11/12/2010
Property Located at: 5 Read Street UNIT#2
Owner/Agent: 10 Meadow Street LLC
Address: 50 Washington Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-373-3024
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
DAAI
IX8A Mr RS
ACTING HEALTH AGENT CODE E O C MENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASIII:NGTON STREET,4°.FLOOR `r v
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR UGRG ENBAOM(1e17SALEM.COM
DAVID GRGENBAUM,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."
/� (7F/EE: $50.00
PROPERTY LOCATED AT tl ��eZ,n/ y 7`/��� UNIT# z
IS THIS UNIT DI//SS�IGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER/6&J � f LL e-7- MANAGER/AGENT L/k.JIX 5_ kT-
NO P.O. BOX
ADDRESS I ADDRESS san-IM
(t)
CITY, STATE, ZIP_ CITY, STATE,ZIP Same
RESIDENCE PHONE BUSINESS PHONE (24HRS) 4?7,F3733
BUSINESS PHONE SSG yr f±,26
Z-//Z
NUMBER OF/ROOMS: /a `/1p�
ROOM USE: 1. /Z 2. A-),04 3. /.� 4. 6K 5.
6. 7. 8. 9. 10.
THERE IS A FIF'T'Y($50)DOLLAR FEEjAfY
LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYE THE T E INSPECTION
APPLICANT'S SIGNATURE � DATE
Ins ors use only
Date on initial inspection: Jh6
I Date of reinspection:
Date of issuance of certificate: ///f� //D Date fee paid: I I I[d �l�
Type of unit: Dwelling �her __ Check# U 1 Check
Notes:
C e Enf rcement 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 NGnErNBAUM@SALEM.COM
DAVID GREENBAUM,RS
ACTING HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence. 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
1
Address on unit to be inspected
Date
I
i' ¢o CITY OF SALEM9 MASSACHUSETTS
.j BOARD OF HEALTH
n°
120 WASHINGTON STREET, 4TH FLOOR CERT.# 264-03
p' SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 06/03/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 9 Read Street UNIT #: 2
OWNER/AGENT: Therese Palm
ADDRESS: 3 Hilton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-9943
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
7 /011�":'R'�-'t
VJOANNE MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
V` • i 120 WASHINGTON STREET, 4TH FLOOR }� /
SALEM, ML
A 01970 �4 'J o
TEL. 978-741-18004gg
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO IIVIf qq qq
MAYOR HEALTH AGENT JUN 3 -' LOOJ
RRnn
Giplq'Y OF SALEM
APPLICATION FOR CERTIFICATE OF FIA20D OF HEALTH
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR
,HUMAN
/HABITATION".
PROPERTY LOCATED AT 9 �l CUT• UNIT#_�2
IS THIS UNIT DESI�GjN TED AS HT LEFT 'rONT ACK PLFASE CIRCLE ONE
OWNER/LESSER /� r (1 MANAGER/AGENT
No P.O. Box r' r No P.O. Box
ADDRESS
'�,�; ppADDRESS
CITY l�X�CSGs75� lkr-){9-01,� 0 CITY
RESIDENCE PHONE r 'U 7 4 -997SBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF RCO°:^S: -
ROOM USE: 1. 2.--3.-4.
5.__6._7._8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DFRARTMENT THIS FEE IS PAYABLE ATT E
TIME OF INSPECTION. ,
� U
h.' 0 d
APPLICANTS SIGNATURE F>L� � DATE ���
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION .5 '�'% --V ,7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:tf-3 -03 DATE FEE PAID: '") 3
TYPE OF UNIT: DWELLINGVOTHER_ CHECK#:5�6 7A CHECK DATE S 4 -03
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
n »
120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01970
TEL. 978-741-1800 Ili
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#416-05
DATE ISSUED: 6/30/05
Property Located at: 9 Read Street UNIT#2L
Owner/Agent: Theresa & Eric Palm
Address: 3 Hilton 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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1 800
• VVV
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOP,CERTIFICATE OF FITNESS
�R IN ACCORDANCE WITH STATE SANITARY CODE,CHAP)ER'I1;'105'CMR'410.000` S
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT l CS'/ UNIT# Va L
IS THIS UNIT DESIG ATED A RIGHT EFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER 1QS i 9DrQ MANAGER/AGENT
No P.O. Box �� ���// No P.O. Box
ADDRESS '7T�X a+ • ADDRESS
CITY Stb--r rrR 017
1 /7�/ CITY IJ
RESIDENCE PHONE ( 72 -'7F/�7.�BUSINESS PHONE (24 HRS.) yl A
BUSINESS PHONE d/)9
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH EPARTMENT THIS FEE IS PA ABL
AT HE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE a�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 7 ��DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: t > 7" DATE FEE PAID:_
TYPE OF UNIT: DWELLINOTHER_ CHECK#�3_L3___CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
_ - - FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
R.igulations 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 author-
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, !/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized apecnts
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE OWNER/LESSOR
ADDRESS ADDRESS
%_ �_ C J-ADDRESS OF UNIT TO BE INSPECTED
TWA E
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CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR CERT.# 257-03
1 SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 05/30/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 9 Read Street UNIT #: 2 Right
OWNER/AGENT: Therese Palm
ADDRESS: 3 Hilton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-9943
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 1
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I { CITY OF SALEM, MASSACHUSETTS 57-�
BOARD OF HEALTH
• i 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 9 7 " - UNIT# C q
IS THIS UNIT DESI N TED AS H LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER iYl MANAGER/AGENT
AD P.O. Box, a l /. 7 c, No P.O. Box
ADDRESS.;w� ��Jy7/ UT ADDRESS
CITY 52b4 -)C} /(� �/ CITY
RESIDENCE PHONE / !b 7! USINESS PHONE (24 HRS.)
BUSINESS PHONE s
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.
5._6._7._8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FE , PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HE TH DE A TMENT THIS FEE IS PAYABLE A THE
TIME OF INSPECTION. r
APPLICANTS SIGNATURE �� DATE J 3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION !"o —v,3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATES -30 -off DATE FEE PAID:
r
TYPE OF UNIT: DWELLING/�OTHER_ CHECK#.�6 7 5- CHECK DATE-5--d b v3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
" CITY OF SALEM, MASSACHUSETTS
BOARD OF Heat,Ti-i
120 WASHINGTON STREET,4'°FLOOR
To- (978) 741-1800
IQN113LRLLY llRISCOLL FAX (978) 745-0343
MAYOR Iramclin@saleinx
LARRY RAMDIN,RS/REI IS,(,110,
L-I I.AI:1'l l AC FNP
CERTIFICATE OF FITNESS
CERTIFICATE #286-11
DATE ISSUED: 8/16/2011
Property Located at: 11 Read Street UNIT# 1
Owner/Agent: Adam J Pringle
Address: 11 Read Street#1
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-607-0021
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
V
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f
C� I�AA
CITY OF SALEM, MASSACI IUSETrS �✓ vl
BOARD OF I-IF)ITF1
120 WA',I IINGTUN 51 Rr:eT,4"' FLOOR a �M
frL. (978) 741-1800
IiIMBERLP.Y DRISCOLL FAX (978) 745-0343
N4jAYOR a��aDiN 7sni_cna.cc�tii
LmRI(Y RAMDIN,RS/IU:I IS,CI 10,C11-PS
HFAI:I'I-I AG IiNI'
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 l kW Z(• UNIT#—]—
IS THIS UNIT DISIGNATED AS RIGHT EFT RO OR BACK,PLEASE CIRCLE ONE
c
OWNER/LESSER 4 MANAGER/AGENT
NO P.O. BOX ��,,�� U nl 1
ADDRESSg� �l 1 L
1 1 ADDRESS
CITY, STATE, ZIP— AA4 A.AA . (l ���1 o CITY, STATE, ZIP -MA Ljjq
C
RESIDENCE PHONE 1 I,Q–1 BUSINESS PHONE(24HRS) A O
BUSINESS PHO 17�13o� 1
TOTAL NUMBER OF ROOMS: (�73
ROOM USE: 1. 2. I M'O 3. 1 4. Q �,l 5• Zn�/�D,�
6. 7. 8. 9. 10. �l
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 0 �S
// Inspectors use only
Date on initial inspection: t Q/1 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling_�Other Check# Check date:
Notes:
Cod,,"nt Inspector
) a �
3
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
04/30/2001
Jeffrey Holloran
6 Desmond Terrace
Salem, MA 01970
PROPERTY LOCATED AT 11 Read Street UNIT # 1L
Dear Sir/Madam:
g
{
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation. '
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
't
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
! A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
T.HE .EOARD F H H REPLY TO
4OR
oanne Scott, MPH,RS,CHO PA13LO VALDEZ
s Health Agent CODE ENFORCEMENT INSPECTOR
t
i
I •
IMPORTANT MESSAGE
FOR 66&
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DATE ,"�7 �"-�' J TIME�_P.
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AREA CODE NUMBER XT
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❑ MOBILE
AREA CODE NUMB TIME TO CALL
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CAME TO SEE YOU WILL CALL AGAIN j
WANTS TO SEE YOU f RUSH
RETURNED YOUR CA WILL FAX TO YOU
MESSAGE
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
04/03/2001 Fax:(978)740-9705
Sarah MacBurnie
11 Read Street
Salem, MA 01970
PROPERTY LOCATED AT it Read Street UNIT. # 2L
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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m.- 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
R THE BOARD 0 HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 746-97
3 m FEE $25.00
DATE: 10/30/97
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: 11 Read Street UNIT #: 5
OWNER/AGENT: Sarwar I. Siddiui
ADDRESS: 11 Read Street #5
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-9288
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
qo-o
J
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
q p
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT NINE NORTH STREET
Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT.
, S UNIT r1 S
OWNER/LESSER
p_� T1��1/j � , i pj�i �1� ( MANAGER/AGENT-
ADDRESS I I �MF�cLa S 45 r� ADDRESS
CITY S" ��� /i/L Al 0 19 "T 'U. CITY _
RESIDENCE PHONE t(tj r 9 2,-: D BUSINESS PHONE (24 HRS.)
BUSINESS PHONE L( - 5t6(•-- 4� Z. 2.-- —
TOTAL NUMBER OF ROOMS:
ROOM USE: I. WVtOA2. 3. W�MA 4 . Uv)n
5. 0.4W� 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 FEGY LE AT THE TDII OF Z27S�CECT 2 ��
APPLICANTS SIGNATURE
:0
/INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE AO- 3-k "' >�-DATE FEE PAID: zo � f�
TYPE OF UNIT: DWELLING OTHER
NOTES :
CODE ENFORCEMENT INSPECTOR
a CITY OF SALEM, MASSACHUSETTS
t BOARD OF HEALTH
120 WASHINGTON STREET 41.1 FLOOR PublicHealth
p Prevent.Promote.Protect.
TEL. (978) 741-1800 FAx(978)745-0343
KIMBERLEY DRISCOLL ltamdin@salem.com
L.-\RRY R;AMI>IN,1ZS/Ii}3[-IS,C1 10,CF-FS
MAYOR I-II?m mii AG L?Nf
CERTIFICATE OF FITNESS
CERTIFICATE#439-14
DATE ISSUED: 12/4/2014
Property Located at: 11-13 Read Street UNIT#5
Owner/Agent: Eric Yellin
Address: 9 Belleau Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-504-9687
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.
�OR THE BOqD OF ALTH
d 'iCJ�
LARRY RAMDIN qA4
HEALTH AGENT SANITARIAN
�%Vl�'�JF�TA�1"'F !V►ESSAGE
FO . •—
I� c
DATE I o TIME ' P.M.
M
OF
PHONE/
CEi i ur
�FLEPHGSI�EP., � PLEf�SE SAIL s.••- «,n e.
OR0 0L�OAGf AQA1N
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MESSAGE LdnL4n &. /
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Gk--,W 07A 4-n- jy Pq
SIGNE
CITY OF SALEM, MASSACHUSETTS
i . BOARIYOF HEALTH �J 1
120 WASHINGTON STREET,4°'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDIN(4 M EM.COM
LARRY RAMDIN,RS/REI-IS,C.h10,CP-P'S
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 ///� �e��� S% UNIT#�_
IS THIS UNIT DISIG�NATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O. BOX J�
ADDRESS— 9 ,i> ADDRESS
CITY, STATE,ZIP 1Aj44r__CITY, STATE,ZIP c7/5 20
RESIDENCE PHONE BUSINESS PHONE(24HRS) ���
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: p
ROOM USE: 1. lm a 2. 3. ✓� 4. (� 5, 17v
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
11
APPLICANT'S SIGNATURE � - —DATE
7yjZ�X
Inspectors use only /
Date on initial inspection: 'aTb4 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date: 44L
Notes:
CodC nfoment Inspector Inspector
TRANSMISSION VERIFICATION REPORT
TIME : 12/0812014 21:00
NAME
FAX : 9787450343
TEL : 9787411800
SER.# : 000B0N341991
DATEJIME 12108 20:59
FAX NO. /NAME 919789770489
DURATION 0002:00:52
PAGE(SRESULT OK
MODE STANDARD
ECM
I
I
' CITY QF SAT EM, MASSACHUSETTS
S
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120�JiI,ASHINGTON STREET,4"`m,om
"1'1.aI;,.{)7&)749-1840
iIM13I3IZ1,Li,Y I'�R[SCOLI' F,I\(978)745-0343
MAYORkamdin salan.com
LARRYIiaOIAN,WS/iu.uN,of 'cap-ts
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Facsimile
Transinittal
To: CJIJrjqP&A -
Fax # j
Date : 8 z " 11
Page(s): including this cover#
Message:
j _.� V
Board of Health News ---_-_._- _dor 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
CERT.N 485-97
3` FEE $25.00
DATE: 0 07/24/7/24/
97
Iry�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11-13 Read Street UNIT 4: 6
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derby Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3778
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
Q V
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
` 97
r
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY' CODE, .CHAPTER II , 105 CMR 4 10.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT z �� � 3( ° T /
OWNER/LESSER MANAGER/AGENT
ADDRESS �� ADDRESS
CITY CITY
RESIDENCE PHONE �1 � BUSINESS PHONE (24 HRS.)_1' l T
BUSINESS PHONE -
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. _2- � -3. 4 . _
5. U�9/U 5. 7. 8,
THERE IS A TWENTY-FIVE {25.00) D0 LAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH DEP TH ,S FEE IS PAYABLE AT THE TIME OF INSPECTIONS Q/
APPLICANTS SIGNATURE �4 __DATH GX� t 9�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: '��C� fDATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING V OTHER
NOTES :
CODE ENFORCEMENT INSPECTOR
��cadoro
n
a
c,7y�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT Tel: (978)741-1800
05/31/2001 Fax:(978)740-9705
Sedgewick Properties LLC
515 Moody Street
Waltham, MA 02154
PROPERTY LOCATED AT 13 Read Street UNIT # 1R
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address. -
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7:00 p.m. and Friday 8 :00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25 .00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants, entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
THE BOARD OF EALTH REPLY TO
anne Scote MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
.CONUIT
vQ'
� s
n �
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
03/27/2001
Sedgewick Properties LLC
515 Moody Street
Waltham, MA 02154
PROPERTY LOCATED AT 13 Read Street UNIT # 2R
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
R THE RD O BOAHEALTH REPLY TO
q
anne SCOHD PABLO VALDEZ
�'� Health Agent CODE ENFORCEMENT INSPECTOR
�a�a1T
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO - NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
05/16/2001 Fax: (978)740-9705
Anita & Antoine Cote
16 Read Street
Salem, MA 01970
PROPERTY LOCATED AT 16 Read Street UNIT # 1 Left
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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
I ,
j
j
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a..m..- 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
FOR. THE BOARD OF HEALTH REPLY TO
JoanneSc tt�CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO - NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
05/16/2001 Fax:(978)740-9705
Antoine & Anita Cote
16 Read Street
Salem, MA 01970
PROPERTY LOCATED AT 16 Read 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
j in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation. - -
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week 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. —4:0,0..p.m. -Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 _
a.m.- 4:00 p.m.
A $25.00 check payable to the 'City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay'gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
ORTHE BOARD 0� REPLY TO -
9jo"an'ne�Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
„r
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
03/19/2001 Fax: (978)740-9705
Antoine & Anita Cote
16 Read Street
Salem, MA 01970
PROPERTY LOCATED AT 16 Read 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. . The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
FOR THE BOARD OF HEALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
3yv � CERT.# 751-97
«. FEE $25.00
3
DATE: 11/03/97
MrB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT - Tei:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 16 Read Street UNIT #: 2L
OWNER/AGENT: Antoine & Anita Cote
ADDRESS: 16 Read Street
CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-1656
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE; CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
CITY OF SALEM BOARD OF HEALTH
Salem,Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CMR 4 10.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT� �� c, T �SAGc 7/ UNZT 1 .
�/.1y
OWNER/LESSER niuE r�H v�rft C "OT`( MANAGER/AGENT
ADDRESS Jap ��i7j� ST ADDRESS
CITY SSC F M CITY
RESIDENCE PHONE JV� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE ?Z6L ��O
TOTAL NUMBER OF ROOMS: 3
ROOM USE: i. v�_2, t. Rp,y 3• f�j�tge,y 4.
5. 6. 7. g
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM B'EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE— DATE 11'1219`7 ,—
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: 10197 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: � Q DATE FEE PAID: �lf %g7
TYPE OF UNIT: DWELLING OTHER paj�_
NOTES:
CODE ENFORCEMENT INSPECTOR