ROSLYN STREET COURT ROSLYN STREET COURT
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 04/23/99 Tel:(978)741-1800
Fax:(978)740-9705
Scott Avigian
1 Roslyn Street
Salem, MA 01970
PROPERTY LOCATED AT 1 Roslyn Street Court UNIT # House
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
' 4fianne Scott, MP� PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CONDIT,(�_
CERT.# 560-00
3 f FEE $25.00
a DATE: 08/30/2000
��9B�7NINB��
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: 3 Roslyn Street Court UNIT #: 2
OWNER/AGENT: J.D. Realty Trust
ADDRESS: 6R Perkins Street
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-6747
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 .
q
THE BOARD OF HEALTH /
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION..
PROPERTY LOCATED AT-3 /4f 6 JA/A/ C 1 , Cr ��/� UNIT# �
-
IS THIS UNIT DESIGNATED AS RIGHT,/'LEFT FRONT BACK PLEASE CIRCLE ONE )
OWNER/LESSER J b Re-AMY /7�1)5f MANAGER/AGENT
No P.O. Box7 No P.O. Box
ADDRESS - R O-S l�j ./L/ .Sr G4 ADDRESS
CITY �A /-2 77'(: ! / �7 CITY /�'l Sj��
�)
RESIDENCE PHONE h 31 v7 //7 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: >6-
,l I2o�r�
ROOM USE: 1. y 2. L 3.��d 4. �J ' ih( )n
ya 5. �R056. 7. 8.
-THERE ISA TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE(. 4 C C DATE 1Y1J Y&a0
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 9'-14 O U DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:?-.-.30 DATE FEE PAID:
TYPE OF UNIT: DWELLING*OTHER_ CHECK# 3'6� CHECK DATE i3O
NOTE$ Flo o 1Z Q o Do-Ilk 15 Pa A-1- . '1 A v
CODE ENFORCEMENT INSPECTOR 9/28/98
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CERT.O 992-93
4^wna dR
DATE: 12/16/9
CITY OF, SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
508-741-ISW
CERTIFICATE OF FITNESS
PROPERTY'-LOCATED AT 3 Roslyn Street Court UNIT 1 2
OWNER/AGENT Emile C. Pelletier
ADDRESS - 9813 Genko Drive
CITY/TOWN-- -Pensacola, FL:�_ZIP CODE 32506 24 HOUR PHONE 904-453-3365
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 % 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
RDERT E. BLENKHORN, C.H.O.
HEALTH AGENT CODE ENFORCEMENT INSPECTOk
r
OFFICE USB ONLY
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
itoDEa�G.st�ENKtwlw ' - v Noon/ STREEI.
t1EAt.TH AGENT
508.741-1800 APPLICATION FOR CERTIFICATE OF Fr6inS
IN ACCORDANCE WITH STATE SANITARY-CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FORHUMANHABITpATION".
PROPERTY LOCATED AT Sl G,�i 11/// J� C� UNIT i
04ii lWiESSER rtANAGEIvAGENT kd v) U-�
ADDRESS / ��jl/?P'G�^6�1 /� U .�y J� ADDRESS
CITY ,/, n�
RESIDENCE PHONE 7 �"/ 6l j - 3 C G BUSINESS PHONE (24 HRS.) 711 ,2 9 67
BUSINESS PHONE'
TOTAL NUMBER OF ROOMS: -7
9
ROOM USE: 1. - 8L 2. 3. 6md 4. 13`4
5. L j 6. DI d4 7. 8.
THERE IS A TWENTY FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY -ORDER TO THE
CITY OF SALEM HHALTH DEPARTME�JjNT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.APPLICANTS SIGNATURE �,�y raj Q <�... DATE PI/
INSPECTORS USS ONLY
DATE OF. INITIAL INSPECTION: DATE .OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UUN�IT: DWELLING OTHER
NOTES: /per �e t�.tel jC�it�, �i /L t ��e V., uo G r w +
CODE ENFORCEMENT INSPECTOR
F 4
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
t{EALTH AGENT
508.741-1B0o
DATE: November 12, 1993
Emile C. Pelletier
c/o 198 Locust Street
Danvers, MA 01923
PROPERTY LOCATED AT 3 Roslyn Street Court UNIT 0 2
DEAR SIR/MADAM:
It has come to our attention, that you are about to allow rental of a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a Certificate of Fitness before any vacant dwelling unit is rented or
occupied.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter I11, Sections 127A and 127B,
of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II:
hap-
ter .II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the
Code Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of' this notice. (508) 741- 1800
Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY
Very" vi{ ly'yours,
FORTHEBOARgD, OFJ fHEALTH REPLY TO:
Robert E. Blenkhorn, C.H.O. PABLO VALDEZ
Health Agent Code Enforcement Inspector
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 5, 2003
Juan Collado
3 Roslyn Street Ct
Salem, MA 01970
PROPERTY LOCATED AT 5 Roslyn Street Ct
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 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m. —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 ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
4 Joanne Scotto MP Pablo Valdez
Health Agent Code Enforcement Inspector
vg�ppNOIT
CERT.# 117-01
91
FEE $25.00
DATE: 03/13/2001
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: 5 Roslvn Street Court UNIT #: 1
OWNER/AGENT: Juama Collado
ADDRESS: P.O. Box 8515
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2591
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
6
14dn-�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
a ,
M1
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
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C3 Certified Fee
Postmark
Return Receipt Fee Here
(Endorsement Required)
O
O Restricted Delivery Fee
p (Endorsement Required)
0 Total Postage&Fees $
Name(Please Print clearly)(to be completed by mailer)
Im
I p- •otreet.Mt.Na.;or PO Box No------------------------------------------------------------
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Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A signature upon delivery
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please compiete antl attach a Return
Receipt(PS Form 3811 to the article and add applicable postage to cover the
fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent Advise the clerk or mark the mailpiece with the j
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certifieq Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,July 1999(Reverse) 103595-99-M-22!87
/►
��,�ONOIT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT February 28, 2001 Tel (978) 741-1800
Fax (978)740-9705
Juama A. Collado
P.O. Box 8515
Salem, MA 01970
Dear Sir/Madam:
In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws,
105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 5 Roslyn Street Court#1
conducted by Jeffrey Vaughan, Senior Sanitarian of the Salem Board of Health, on February
26, 2001.
An inspection of the dwelling-unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code_ Chapter 11: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the
Salem Board of Health and the unit may not be rented or occupied until the noted violations have
been corrected and a reinspection has been made.
VIOLATIONS: SEE ENCLOSURE:
ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR
THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS.
Please note that some of the necessary repair may require permits for the Building, Plumbing,
Electrical, Fire or other City Departments. These must be obtained before the work is
commenced.
FOR THE BOARD OF HEALTH REPLY TO
oa�J nne Scott Jeffrey Vaughan
Health Agent Senior Sanitarian
Este as un documento legal importante. Puede que afecte sus derechos.
Enclosure
CERTIFIED MAIL 7099 3400 0009 4093 2751
JS/mfp
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' CITY OF SALEM HEALTH DEPARTMENT
Nine North Street
Salem,Massachusetts 01970
Page 1 of
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant : Phone: 2y,_
Address: S- /���� �. �,_ �/ Apt.# 7 Floor 7
Owner: ZUAA1 Co&ado Address: /- o. goy �sis-
O/y 70
Inspection Date: q Time:
Conducted By:_�r , //� ,H Accompanied By: aw„«
Anticipated Reinspection Date: / weea
Specified Time Reg.#410.. Violation(s)
ClR ri Li C.9Te � r/�rNe.� /ti�Qr.. rih.✓ L✓nr C�..a�f:2�M Or if I
.SaO �✓•9//.r ABOU.va� /L7�i CA6.'...N�1 if/G eI ./So FiiviY� I
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771q7;; u41 xv,
117—
t / G o7 — /lza2 �Lf2 ver L9 G., Aril
One or more of the above violations may endanger or materially impair the health
safety, and well being of the occupant(s)
Code Enforcement Inspector
Este es documento legal importante. Puede que afecte sus derechos.
Puede adquirir una traduccion de esta forma sies necesario Ilamar al telefono 741-1800
---..._
7,�Tc ;777777
410481'- Pnstino of Name of Owner
oyiner of a.dwellin '.which is:irnted:for residential use,.whodoes not reside thuein and
wh does trot employ a maiingu oc agrnt'fdr such dwelling who iesides therde> shall post and
maintain or cause to be posted and maintained'on Stich dwelling adjacent to the mailboxes for
•
such dwelling or.e}sewherehin�the interior oE.suct�:dwelling•ia a locatidn moble to the:residents -
_ a notice conmtiuod'or durable inazerial;`noi"less than 20 square inches in size, bearing his name,
•address and;telephone:numberyfthe.owner is a,realty;tnut.or partnership,the name, address
and telephone number of the managing trustee,or partner shall be posted. 1f the owner is a
corporation, the name, address add.telephone number ofthe..presidrnt of the corporation shall
be posted Where the owner employs a manager or agent who does not reside in such dwelling,
such manager or agent's:name, -address andtelephone-number shall also be included in the
notice. (See M G.L. c. 143*.-§ 3S.)
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Sll
G�AS2 Pc T iN>G 1 +� I/Ov G✓> �� /v�T u ( .L.:�f
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �l�l`� ,.0 S?- C 7 UNIT#d
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESS//--ER ,1218 �f� d/1q�IANAGER/AGENT
ADDRESS XdJ® /S®Y g� 7 No P.O. Box
� 1 ADDRESS
CITY �-416-XPV � dlg O CITY
RESIDENCE PHONE `7 41q 257W BUSINESS PHONE (24 HRS.)___3_/ /V/
BUSINESS PHONF-_ -
TOTAL NUMBER OF ROOMS: 2i
ROOM USE: 1. 2. 3 4.
5. 6. 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. J
APPLICANTS SIGNATURE DATE 2/ 26/W/
C/ INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION a ld6lc/ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 3-8— O 1 DATE FEE PAID: a�aG
TYPE OF UNIT: DWELLING ✓OTHER_ CHECK# Y3r; CHECK DATE a a
NOTES: A/Pn
COBE nFO EMENT INtPECTOR 9/28/98
Gnvc,�lH>tS Need ori Alt e�ez� 6.xe(
�r 20 .n' {�9)/ L i/�J1 f Ca,vai�- iS rw�fSl•%1
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4 Complete items 1, 2,and 3.Also complete A. Received by(Please Print Clearly) 13t f faIvery
item 4 If Restricted Delivery is desired. �/1/
• Print your name and address on the reverse C Signature
so that we can return the card to you. ��/pp� d Agent
• Attach this card to the back the mailpiece, g X�
or on the front if space permits.
Rs. _� ❑Addressee_
D.Is delivery address different from item 19 i7 Yes
i1 Article Addressed to: If YES,enter delivery address below: ❑ No
Juama A. Collado
P.O. Box 8515
Salem, MA 01970
3 S rvice Type
Certified Mail ❑ Express Mail
Registered - ❑ Return Receipt for Merchandise
(5 Roslyn Street Court # 1) ❑ Insured Mail 17 Co.D
j V 4 Restricted Delivery?(Extra Fee) ❑ Yes
Article Number(Copy from service label)
IC7099 3400 0009 4093 1111
y S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+q in this box
MAR 7 - 2001 S3:cm Health Uepark-li ii
9 North St
CITY OF SALEM Salem, Mass 01970-3 92 8
HEALTH DEPT.
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CERT.# 794-00
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a 4 FEE $25 .00
DATE: 12/18/2000
'�pj�UN6
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: 5 Roslvn Street Court UNIT #: 2
OWNER/AGENT: Juan A. Collado
ADDRESS: 5 Roslvn Street Court
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2591
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 Y '
HEALTH AGENT CA
ENFORCEMENT INSPECTOR
NOTE: Make back door lockable. Replace 2 spindles on front porch.
Finish kitchen painting. Make all lights work.
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P�
ole/� e
...- yryq� AUL C(CC/G (pG�L/JC
1"4Ac A// &j l T7 f
ALTERNATIVE FLU CLINICS
SALEM AND SURROUNDING AREAS
PLACE: ADDRESS/PHONE DATE/TIME FEE:
$12.00
m
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tet:(978)741-1800
Fax (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 4 ?L lGr �iY (�/ UNIT#Z-
r i
IS THIS UNIT DESIGNATED AS RIGHDIEFV FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERPd&&:, MAN AGER/AGENT
No P.O. Box No P.O. Box
ADDRESS /l 5/t/rs/ �t 6-1 ADDRESS /
CITY�/7L�n/Ys2 CITY e-220
RESIDENCE PHONE 1/4 -2 C/ V BUSINESS PHONE (24
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S^
ROOM USE: 1._, 2.__0_a__4.
6. 7. R
THERE IS A TWENTY-FIVE($25.04)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 /d DATE OF REINSPECTION ,114
DATE OF ISSUANCE OF CERTIFICATE: /a1 /sJ�o DATE FEE PAID: /1�//h-/w
TYPE OF UNIT: DWELLING OTHER__ CHECK# 69M CHECK DATE 1df1E4
NOTES:— dack
/Lc 1_X
-
OL�DE IfNF(90CEMENTINSPECTOR 9/28198
_ / • - 01 !
1f�l�t�
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH -
Salem, Massachusetts 01970
ROBERT E. BLENKHORN NOR H EEf
HEALTH AGENT
508-741-1800 VVIR r
DATE: March 16, 1993
Charlene D. Long
212 Buffum Street
Salem, MA 01970 \ p '
PROPERTY LOCATED AT 7 Roslyn Street Court UNIT # I ` \1
DEAR SIR/MADAM:
It
has come to our attention, that you are about to allow rental o a dwelling unit
at the above address.
It is incumbent upon you as owners) to contact the City o Sale ealth Department
to apply for a Certificate of-Fitness before any vacant dwel ing unit is rented or
occupied:
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111 , Sections 127A and 127B,
of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the
Code Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt' of' this notice. (50p) 741-1800
Monday thru Wednesday from 8a-m- - 4p.m. , Thursday 8a.m. - 7p.m: , or Friday Sa.m. to
noon ,to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CHR 410.354 METERING OF GAS 6 ELECTRICITY
Very tiuly� ydiffs,
FOR THE BOARD OF HEALTH REPLY TO:
0 er Pu,k kms.
Robert E. Blenkhorn, C.H.O. PABLO VALDEZ
Health Agent Code Enforcement Inspector
MAR b a 1993
CITY OP SALEM
-TALTH DEPT
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
508.741-1800
DATE: March 16, 1993
Charlene D.;Long
21� Buffum:?Street;>.
-
•tl �C' " `.ia ',� Ui .i{'a 'F^'moi 9A• i�'•i' a N-r,
Salem;;MQ'�0�`Q70' =.���
- - :•�^'�:' :3-."p}."it'F•M� '`"�`�:..A:s'-a,..ivas�rv�ti.�y'�:,v' - .G . _.,k• :.. - _ ;.� _
^z.4" - 5.,:{":v" :ice f.....,a. _ ;cvE^-�: , °ti� riy.-..
"'F'°` ;PROPERTY-ALOCATEDRATVZ—jj?;Kgs,1•yn ;Sitreet ,Court ' UNIT O.: : tj:" ":""'„`:`...,":''`'
yrs: ,
t.,,•,_4;.f>{:i , �,.: .k fi'xxy'ji' t^ { k, ;.r '-*' x i - •4"',a:-,va _ r, r.l t } t r_�3�. '
a��
DEAR'rSIR/140AM'
amu, ts�..z,,�_.: ._;..�,.•�_-::-„e-_., - '-"- - __""--== -- ---
' It has.come to.<pur;,;attention'; Chat you,arer=about to-allow.rental`of a'dwelling-unit
-at,the'' a `;3 address::'
eVi r
It is incumbent-upon'you as'.`:owner(s) to contact the City of Salem Health Department
to apply .for- ,a;Certificate ;ofr'Fitness"before any vacant dwelling unit is rented or
occupied. ._.,,...�_;., ....
Each dwelling,,umit must be_t;irispected and certified by the Salem Health Department
prior to ,alloFiing occapancy in accordance with Chapter ill, Sections 127A and 127B,
"of. the Massachusetts.,Generali""Laws;;' 105 CMR 400.000: State Sanitary Code;` Chapter I:
<' e..-s. Gener"•a1°Administrative Erocedures,'and A05.:CHR• 410.000: . ' State Sanitary.:;Code, Chap-
ter II: ' Minimum. Standards:of. Fitness for Human Habitation, and in accordance with "
Chapter II, Article XIII of 'the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.. '.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, will resulE in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the
Code Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt' of' this notice. (504) 741-1800
Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m„ or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLDSED SECTION105CMR 410.354 METERING OF GAS ✓k ELECTRICITY
Very=
FOR THE BOARD OF HEALTH REPLY TO:
Robert E. Blenkhorn, C.H.O. PABLO VALDEZ
Health Agent r;ri:;'.,. Code Enforcement Inspector.:
: v-
:y CERT.# 294-92
t
FEE: _$ 25.00 ..
DATE: 4/16/92
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN _ 9 NORTH STREET
HEALTH AGENT
508-741-1800 -
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 7 Roslyn Street Court UNIT 1 1
OWNER/AGENT. Charlene D. Long
ADDRESS 21� Buffum Street
CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE 744-6540
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.
F THE BOARD
ARD OF HEALTH
ROB RT�B�NKHO H.O.
HEALTH AGENT CODE ENFORCEMENT INSPEGTOR
OFFICE USE ONLY
CERA.%
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
-ROBERT EAMNKINORN - 9 NORTH STREEL
HEALTH AGENT
508.741-1800 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 J!�SYY : C ���"G" " UNIT
OWNER/LESSER MANAGER/AGENT
ADDRESS A �} ADDRESS
CITYU �y7(J CITY
'RESIDENCE PHONE &D f AW-6 "ftv BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 7�✓ N --
TOTAL NUMBER OF ROOMS: _
ROOM USE: 1.�2. 3.
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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE 1 ff - / /7 DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: `>%VATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 4 —/6
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
CERT.# 734
}
a ?
FEE: $ 25.00
2
DATE: 9/13/90
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN
9 NORTH STREET
HEALTH AGENT
508-741-1800
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 7 Roslyn Street Court UNIT I 1
OWNER/AGENT C. Dorilda Long
ADDRESS 21z Buffum Street
CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE 744-6540
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
ROBERT E. BLENKHORN, C.H.O.
HEALTH AG17NT CODE ENFORCEMENT INSPECZfOR
Y~
cwwr4 `
+ 4
4\ OFFICE USE ONLY
xx
'CRRT.' /3 �U
Z++e, DATE: %/jJf 9U
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
RORE.RT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
508.7411800 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 !�+ �� + UNIT /
(,,, g
OWNER/LESSERT_ be/�t��I� h �/ r�LS MANAGER/AGENT
ADDRESS 2.f 1z T1u7 7 w , 1 ADDRESS
CITY
RESIDENCE PHONE �� ' �p S`y c ' BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL .NUMBER OF ROOMS: / '
ROOM USE: I . r�l /Z,.l� Z 2. 0/6lG 3- t�L��Q4/11
5 . 6 . 7. 3.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH DEP TMENT UPON COMPLI N AND ISSUANCE OF CERTIFIgATE.
APPLICANTS SIGNATURE _- .--_-- ' ----- _ OATE_ ��G� .
INSPECTORS USE ONLY
�Cv . l'N .
DATE OF INITIAL INSPECTION: �� � DATE UH'- R6 Sk) (.E ,.II ON
DA'L'E OF ISSUANCE OF CERTIFICATE..<n / 3 ' �C1 DATE FEE PAID:
I TYPE OF UNIT: DWELLING ! 01.11t R- --- --
NOTES:
CODE, ENFORCEMENT INSPECTOR