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ROSYLN STREET ROSLYN STREET I I a o iu H {1 1 4 `oND1274 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-181 DATE ISSUED: 5/24/2016 Property Located at: 4 ROSLYN STREET UNIT#2 Owner/Agent: Doug Desrocher Address: 6 Greenleaf Drive City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 304-1195 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS V BOARD OF HFALTx 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL kamdint@salem.com LARRY RAMllIN,Rs/REIi.S,cxq CP-r' MAYOR HcAL771 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 �J PROPERTY LOCATEDAT '//�A(�/05/uti S�2/e2u // CJ (' 1970 UNIT# 2 (SIS TIM UNIT DISIGNATM AS RIGHT�FRONT OR�C PLEASE CMCLE ONE OWNER/LESSER 00udv OeS/OCW MANAGER/AGENT NO P.O BOX / ADDRESS �nn/ E n Pie /` ADDRESS CITY, STATE,ZIP ,Uah vers 0H,23 CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF�ROOMS: / �/ / �/ ROOM USE: 1. /�K 2.- ZR 3. !/)C 4. /X17 5. I 6. K 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: 0Sl2-3/20 LC Date ofreinspection: Date of issuance of certificate: OS'/23/2.0-U Date fee paid: 0s12-V'201K Type of unit: Dwelling/ —Other Check# 6 6�– Check date: /3 S/Z /-2 g Notes: iron S j a;r� A u A `> i c-a- S• C /I n�ent eCt� o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Q. 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 --7'lQ/�G S/7/{/f�/� 4/27/05 �s os6y.� Fiv0 &sIynrStreet-R,galiwTrust 0 7 PROPERTY LOCATED AT 5 Roslyn Street Unit 1 �L/ircJ� lavw� nr0w � Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector t axwr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH q w 120 WASHINGTON STREET, 4TH FLOOR x E SALEM, MA 01970 CERT.# 02 FEE $25.00 TEL 978-741-1800 DATE: 06/05/2002 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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. FR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTSi o J' •� � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /V, . S UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERT,�' .\ 1 A rJ /4.Zs /) o MANAGER/AGENT No P.O. BoJ� No P.O. Box / ADDRESS ADDRESS CITY ( 41)0,a4 /9 �:7 / CITY RESIDENCE PHONE7 v v a - 9 / BUSINESS PHO (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: {� ROOM USE: 1. IZ- 2. G 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. In APPLICANTS SIGNATURE ' DATE _ O Z INSPECTORS USE ONLY DATE OF INITIAL INSPECTION C9"�` Z' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:(O DATE FEE PAID: TYPE OF UNIT: DWELLINGACTHER_ CHECK# J 3 D CHECK DATE �� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 aCITY 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 05/01/2002 Juan A. Collado 5 Roslyn Street Court Salem, MA 01970 PROPERTY LOCATED AT 5 Roslyn Street Court UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. qOROARD F HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ I HEALTH AGENT CODE ENFORCEMENT INSPECTOR �CONDt�yd City of Salem, Massachusetts n Board of Health 120 Washington Street, 4th Floor, Salem, PlubliCHeaitb MA 01 970 Prevent. Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-218 DATE ISSUED: 7/20/2017 Property Located at: 6 ROSLYN STREET UNIT#1 Owner/Agent: Mike Kantorosinski Address: 407 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 868-8190 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO L HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL(978)741-1800 KIN BERLF.Y DRISCOLL FAX(978)745-0343 MAYOR LRAMDINCZQ SALH LCDM LARRY RAMDIN,RS/RF.HS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / I FEE: $50.00 PROPERTY LOCATED AT Kl YZO ri d� S � UNIT# IS TM UNIT DISIGNIITED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER 1"5L&J fi(1 — MANAGER/AGENT NO P.O.BOX ADDRESS lfO� i� _C, L ADDRESS CITY,STATE,ZIP (OP-To S&tt*1 LI —,, CITY,STATE,zip RESIDENCE PHONE C/C„jf Q/QO BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA(X,A/IB//LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �1 Jl /Vi _ DATE?/JJ lX Insoectors use onlv r Date on initial inspection: �"Ir I I I�v Date of reinspection: Date of issuance of certificate: �� Date fee paid: Type of unit: Dwelling Other , Check# 'r Jlgi-2—Check date: i Notes: Code Enforcement Inspector { coNDz" City of Salem, Massachusetts ] r � U W Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA01970 Prevent. Prom.tc. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-71 DATE ISSUED: 3/4/2016 Property Located at: 6 ROSLYN STREET UNIT#1 Owner/Agent: Mike Kantorosinski Address: 407 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)868-8190 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR „H TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOI.L lramdiaQsalem.com MAYOR L.iRRYR.1MllIN,RS/REHS,Cf10,CN-I-S HEAI;rtiAGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" rr / FEE: $50.00 PROPERTY LOCATED AT 6 �V� 1 P UNIT#_j ,_ {, IS THIS UNIT DISI HATED AS RIGHT I✓� Rif OR BACK PLEASE CIRCLE ONE OWNER/LESSERt td' LML,I* ��0�173�J�1 MANAGER/AGENT NO P.OBOXADDRESS 401 9Imp.4 0- ADDRESS CITY, STATE,ZIP J all, CITY, STATE,ZIP Of 9 TO RESIDENCE PHON ��BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: f ROOM USE: 1. 2. ✓ 3. 4. 5._ S. 7. S. 9. 10. - THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB E i imb ur iNSPECTION APPLICANT'S SIGNATURE J . DATE lnsnectors use only Date on initial inspection: n )J2.1/2ALC> Date of reinspection: Date of issuance of certificate: (OZ/29/2aY, Date fee paid: 0 7 /20/.2016 Type of emit: Dwelling ✓/ Other Check#00 S5-2-3 Check date: 02/29/2OL9 Notes: C ement pector D City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, Pab&HeWth o pttvtot-Promwi Prmect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin,MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL•17-179 DATE ISSUED: 6122/2017 Property Located at: 6 ROSLYN STREET UNIT#2 Owner/Agent: Mike Kantorosinski Address: 407 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)868-8190 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. 10 J�" W Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CM OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL(978)741-1800 KIMBERLFY DRISCOLL FAX(978)745-0343 MAYOR LRahron ra1%UEn+.Com LARRY RAMDIN,RS/RF.HS,CHO,CP-PS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 '%ENIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED ATS d- UNIT# 14 THISIGNATED AS RIGHT LEFT FRONT OR BACS PLEASE CIRCLE ONE OWNEWLESSER i6it ��ra Y /A'SlC� MANAGER/AGENT NO P.O.BOX ADDRESS 7 e MO r�KA ITK D ADDRESS CITY,STATE,ZIP Fc-h - k' 0141 ZOO CITY,STATE,ZIP RESIDENCE PHONE-( �� yl Q BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S� ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIM($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 k .'� `� DATE � InSDectOTS use only Date on initial inspection: 19I��I. -� Date of reinspection:_ Date of issuance of certificate: I O I�Y�I r Date fee paid: 101 rd �� Type of unit: Dwelling Other Check# i J Check date: Notes: Code Enforced pector 1 , CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR th Prevent.Promote,Protect. 'fEL. (978) 741-1800 FAx(978) 745-0343 MAYOR HEAL`H I AGENT ' CERTIFICATE OF FITNESS CERTIFICATE#134-l4 DATE ISSUED: 4/24/2014 Pnupedy,Lnootedat URoslyn Street UNIT#2 []wmenAmeni: Mike Kantor0Sin8ki Address: 4O7Essex Street City/Town: Salem, MA Zip Code: O187024Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105CMR410.000: Massachusetts State Sanitary Code, Chapter ||" Minimum Standards nf Fitness for Human HabitoiiVn". Therefore, this CedUfinateisissued bvthe Code Enforcement Division 0fthe Salem Board of Health and the unit may now berented and/or occupied. Maximum Number cfoccupants, must comply with 105CMR 410.OU0. Certificate valid for one year from date ofissuance oruntil the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ORT 0 PUA � LARRYRAMD|N /j ) � HEALTH AGENT " SANITARIAN � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PablicHealth nevem Yramom.Pwlerl. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnu_salem.com ;7 J_F MAYOR LARRY R ANDIN,RS/RI31 IS,C1 10,CI'-FS 1-IG;N;17-f AGIiN'P 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 (; k,2Sti, S � S e.C"- q-10 UNIT# IS THIS UNIT DISIGG*ATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER W 03LA-1 K WT'Q )QO.9/AzW1 MANAGER/AGENT NO P.O. BOX ADDRESS �f�7I C4,3 ^ x S ADDRESS CITY, STATE,ZIP S/(q ^ -) °^- (9 Y 10 CITY, STATE, ZIP RESIDENCE PHONE / l-I 9/ �I G d� �l Q BUSINESS PHONE(24HRS) L BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F E IS PAYABL AT THE TIME OF INSPECTION APPLICANT': DATE_V4 y 9' \ Inspectors use onlv Date on initial inspection: 1"Z�]' 1 Date of reinspection: Date of issuance of certificate: Z) Date fee paid: "A 1\-i Type of unit: Dwelling LZ Other Check# SoS'S Check date: \-I- Notes: Code Enforcement Inspector CITY OF SALEM, MASSAC HUSETI'S I oARn cup W,Nixt f 1?0 W+SHIN(GTOIN STRP.ET,4 1TO()t KI ABER1.EY DRISCOI„L TEL, (9 18) 741-1800 ;�'IAYOR FAX(978) 7450343 Iramdinna.salem.com L\RHY RANtDIN,Wiwi is,(.I iO,(;P b'S I I E.0:!I I AG!SN r CERTIFICATE OF FITNESS CERTIFICATE#463-11 DATE ISSUED: 11/412011 Property Located at: 6 1/2 Roslyn Street UNIT# 1 Owner/Agent: Mike Kantorosinski Address: 407 Essex 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 f + LA RY RA DIN HE LTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD ()I- HEAT TH h �, LO ,\SHIAC;Cc)\ S1RI "C,4... nI� " l � -.tI L R TEL (978) 741A801) K1N1l11i1U,1_:)' DRISCOL.L FAN (978) 745-0343 NW"OR 1AAMIAN01s:U.I.U.COM I..;\RR ,R'\NIUIN,1iF/Iw'I Is,CI Ic 1,c'],-IN I':N"I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" � ,/� FEE: $50.00 PROPERTY LOCATED AT 6 Iz 1 �05 44,, �4 ' UNIT# IS THIS�UNIT DISIGNA&ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Wikk) K4�ni�� MANAGER/AGENT NO P.O. BOX ADDRESS 1-IO? Pe.44,k,1F S ADDRESS CITY, STATE, ZIP 7 0 ^' CITY, STATE,ZIP Off �e O RESIDENCE PHONE �, ��(Q — X��9U BUSINESS PHONE(24HRS)_ BUSINESS PHONE q79 -7L11-31Y'77 TOTAL NUMBER OF ROOMS: L/ ROOM USE: 1. 2. &o" 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F E IS PAYABL E TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 1 1�1 l I Date of reinspection: , Date of issuance of certificate- I�I N I I I ' J Date fee paid: 1113111 Type of unit: Dwelli/ng `� Other Check# H B �-7 Check date: )/ /,3/// Notes: / In V I . t1\a-� I)dul'e OYIG}_P In IX Cfl w c, GvGr Moue IG/( +�r. cul- CF 4-(onf Ch CjEnfo ment Inspector AMW + CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR PublicHealth TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin0salem.com MAYOR L.\tltty R.\nn>tN,tis/ttla IS,Cato,cr-Fs I-Ii?,\j:n[A(iUN'I' CERTIFICATE OF FITNESS CERTIFICATE#213-14 DATE ISSUED: 7/1/2014 Property Located at: 6 1/2 Roslyn Street UNIT#2 Owner/Agent: Mike Kantorosinski Address: 407 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAFW RAMDIN k� HEALTH AGENT SANITARIA V a o-1 (4 ® CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET 4°'FLOOR P11b1iCHCAIt}1 > Pte Vent.Promote Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdinna.sale.m.com L,\ R,� MAYOR RRY nmm,ns/REIrs,cHO,CP-FS HF., xi i AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / FEE: $50.00 PROPERTY LOCATED AT �� QD SS Y UNIT# .L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER14r SLAW O 45/NS' MANAGER/AGENT NO P.O. BOX / ADDRESS---YO 7 q-*I iG 9 ADDRESS CITY, STATE,Zip C atetM. L0/9TA CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE R TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY.($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABI AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREDATE_ Inspectors use only Date on initial inspection: 7 ��/� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Cod&Ufodernent Inspector l CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 �g TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/13/05 Dean M. Machado 7 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 7 Roslyn Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 am.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. A the Board ofHe h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector --------------- ----- fD City of Salem, Massachusetts { . F Board of Health Street 4th Floor Salem PiabliC�e8lth 120 Washington MA 01970 Pwtnt.Prom lt.Prol"t, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-95 DATE ISSUED: 3/30/2017 Property Located at: 10 ROSLYN STREET UNIT#1 Owner/Agent: Andrea Schiavone Address: 29 Warren Avenue City/Town: Wakefield, MA Zip Code: 01380 24 Hour Phone:(339) 234-2342 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ii "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. P—~� LHEALTH AGENT arry Ramdin, MPH, REHS, CHO SANITARIAN T r CITY OF S.LLENI, MASSACHUSETTS ,mow BoAX:)'}F F IF:ALT',: •.uixr• r1 ILt3«t�Ei:�{ E':Ft "''ItI:F•'.Z',�` Flom 1_. t(1wR' %mo1 , Lts(:trnis,r:. Application for Certificate of Fitness IN ACCORDANCE Wmi STATE SANITARY CODE. CHAT'T'ER 11, FO"; CNIR.41f1OW "MINIMU, STAN OF FITNESS FOR HUNIAN IF. BI'FAT'ION" PROPERTY LOCATED AT 10 Roslyn St L'i Salem,MA 01970 UNIT# 1 I IS'i"11L'i L\I"C DL'31(i.` t1T:D.^lS 1114;1(3'].I•:.1"C F'1Xt9k"I'(}lt B:ti:K.P1.t-otSt:('IStCLY:4]!F: OWNERrLF:SSE.R Andrea Scniavme __..._-. ..._. . . .MA'vTAGEWAGENT Sara rLMylesLennox so 1°-(1 BOX Cadwe!i Banker 7112 Chur& St. ADDRESS 29 Waaan Ave ADDRESS CITY, S'I'AT-L-, ZIP 4'ak0eic, hIA,tt1g6© CIF`Y. STATE.ZIP Salern, MRA01970 RESIDE. CE PTIONE 339-234-2342 BUSINESS PH0NE(241IRS) BL;SI,\TESS PIIO:NE_ _ `TOTAL NUMBER OF ROOMS: 5 Bedroom Bath wow, ROOM L'SE: 1. Kitc3aen 2- Liuine Ro{kEFL Bedraom4. 5. 6. i- & 9. 10. THERE IS:A FIFTY lS=P,) DOLLAR FEE, PAYABLE BY CHECK OR htONE'Y ORDER TO TIIL CITY OF SALEM BOARD OF HEALTH TFILS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 5ek 'e DATE 2127117 Inswtors use 0111F DzLe on in=.tia►irnpmlion: / t b !)b' l a'ar of iss.uUnce u+f zati iczte: � t?— �] Date Err paid: T)W,of unit_ Dwelling other Check k iC'f uk dare: News: Cade Enfum--went InsprLtur �3`_ '"" � l?I:�1`4'::M°t3ati€a?'t.1\ '.}?'ltlit�-n=' F3.'•..7f,Jll IA-taf•xA:41)rN,V6,fRt:l IS,�rCj,4 n-.,., H ii-mi T A(;,..\'r Release In acoordance with Massachusetts General Laws Chapter I i l;Code of,Massachusetu Regulations 410-000 et. Seq- ; State Sanitary Corte Chapter lI and:Article Xlll of the City of Salem Ordinance. undersigned ownerAessor and tenantllessee 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 exprtemly authorized the same and for mylour successors and assigns hereby release and discharge the City of Salem,Salem Board of Health and its authorized agents front,any lose or injury sustained of whatever natuw and description occasioned by rnylout absence during said inspection. . :=arta 5rkarZ;^�e T'enantli.essee OwnerA-essor 29'Narron Ave, Wakef ad MA 01880 Address 'Wdress 1O Roslyn St, Unit 1 Sn'ent, MA Qlflfltl Address on unlit to be inspected 2127117 Date l Inspection of y�� Date �Time Names J��r��' Y�� Address Owner Tel. No. t Type of Inspection �( -� Rffio(1S Inspector - ( ' Remarks and Violations are listed below: � ��rm�� i � c� - 12- _Rim a7K �►g1Rna&z— U SLL"max w t''aa 6a u 1 c u^ SAL Report Received by: 1 v CERT.# 48-99 `-' �9 FEE $25.00 DATE: 01/29/99 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: 10 Roslvn Street UNIT #: 2 OWNER/AGENT: Thomas Brinoola ADDRESS: 191 Middle Road CITY/TOWN: Newburv, MA ZIP CODE: 01950 24 HOUR PHONE: 463-3022 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 . awn -64 n � 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 10. C n S \x 1 in UNIT#I- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1 G �� ER/AGENT No P.O. �— No P.O. Box (- ADDRESSlciI ADDRESS CITY Nf'WIlIll)ur_ k \ tl 1lAqq�� CITY RESIDENCE PHONE M q - 4�,2i�_AAIUSINESS PHONE (24 HRS.) BUSINESS PHONE �11 - $ 7 (�-- t_i L-}67 TOTAL NUMBER OF ROOMS: ` Q ROOM USE: 1. " c�Z 2. 1 3 �oON^ 4 111-0oV\,^ 5. 6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA EM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. Q O� APPLICANTS SIGNATURE kUS NLDATE I 1 1`� INSPE T RS Y DATE OF INITIAL INSPECTION /_-?' C -11 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEI':1*'�'4 _'4� ' DATE FEE PAID: l -') 'i _� ; TYPE OF UNIT. DWELLINCy�_OTHER_ CHECK CHECK DATE d"f NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 , r " CITY OF SALEM, MASSACHUSETTS � BOARD OF HE. LTH IV 120 WASHINGTON STREET,4"'FLOORPublic Health Tru.. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinaa salem.com MAYORL.U2R]'R.\,�IllIN,RS/lil?[IS,CI IU,CP-I�S Hr,v:ri I Ac kN't' CERTIFICATE OF FITNESS CERTIFICATE#296-14 DATE ISSUED: 9/2/2014 Property Located at: 11 Roslyn Street UNIT# 1 Owner/Agent: Voula Karedi Address: 345 Locust Street City/Town: Danvers, MA Zip Code: 01945 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 f�hRY'RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS IV �9Lm BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR P01ic ieaM TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinO.salem.com LARRY RAMUIN,RS/RGHS,CHO,(:P-tS MAYOR HI?Arni AGI-;NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 / PROPERTY LOCATED AT IZn C/ :1 k ) UNIT# ` , IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER V,_ L)LA ICA TZSED I l MANAGER/AGENT NO P.O.BOX ADDRESS �L/� /1��, 9C S� ADDRESS CITY, STATE,ZIP V i)AkA E12-5 'AR otq4ryl STATE,ZIP RESIDENCE PHONE 1 1-75 17)Z-•G 13 Q BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. cl-.11 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 IIP YAB-LAE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �( �f� DATE, / Inspectors use only Date on initial inspection: �/a I I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# k ?� � Check date: �I ah t4 Notes: Code fo c pent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRI3iIN 13AUMnSAI.rM.COM DAVB)GREENBAUM " A(;I'(NG HIi,ALn-f AGI?NT CERTIFICATE OF FITNESS CERTIFICATE#258-10 DATE ISSUED: 4/22/2010 Property Located at: 11 Roslyn Street UNIT#2 Owner/Agent: Voula Karedis Address: 345 Locust Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-375-4902 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I DAVID ENBA G/ ACTING HEALTH AGENT CODE Ed INSPECTOR /hAi�� rn C{ eco • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DC_3Rr.LNRAUMn0 WEN,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." t FEE: $50.00 PROPERTY LOCATED AT I R-n'C( 4 0 UNIT#_2— IS THIS UNIT DIS�IG�N"ATED M RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER��O Vel C�SaC—>V-_A�C MANAGER/AGENT NO P.O. BOX 99 ADDRESS ( 1 L /�(��C� C'I ADDRESS CITY, STATE,ZIP T�) fW0\P—2N_ 40 CITY, STATE, ZIP V� I_I{Z n I (q 23 RESIDENCE PHONE BUSINESS PHONE(24HRS) I C1 '1<6^ 73, (A BUSINESS PHONE 6? 7T— 70 U— t? TOTAL NUMBER OF ROOMS: l n ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME O INSPECTION APPLICANT'S SIGNATURE /l/(Q�/�io � I \ DATEE� Insnectors use onlv Date on initial inspection: L4Ida l o Date of reinspection: Date of issuance of certificate: LII0)a I/ Date fee paid: Type of unit: Dwelling V Other Check# Check date: Notes: I1 11u_-toBroom YJy�- ( n .P. C`f(I C /4 l2 p L —TL/[/) tp tvvr -fc;( still)-e- fr ld� Code Enfoe Lent Inspector + CITY OF SALEM, MASSACHUSETTS BOARD OF HLUTH 120 WASHINGTON STREET,4'..FLOOR PublicHealth Proven, Pr"m"m Pr"tvc, TEL. (978) 741-1800 FAx (978)745-0343 KIMBERLEY DRISCOLL lramdinnn.salem.coin - L;U2R1'RA P4DIN,RS/RI3FIS,CHO,CP-I+$ MAYOR HE,\L f Fl AG HNT CERTIFICATE OF FITNESS CERTIFICATE #329-14 DATE ISSUED: 9/29/2014 Property Located at: 11 Roslyn Street UNIT#3 Owner/Agent: Voula Kareolis Address: 345 Locust Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-580-9139 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 LARAXRAMDIN HEALTH AGENT SANITARIAN ..71 IJ CITY OF SALEM, MASSACHUSETTS B().-1RD OF H&1LTH 120 WASHINGTON S RFx:T,4"'FwOR PublicHealth ikevent.Pronate.k'rrtrct TEL. (978) 741-1800 FAx(978)745-0343 KIMBE.RLEY DRISCOLL Iramdin(a?salem.com MAYOR L mIN'10NIDIN,RS/RI(I-IS,CI 10,CP-FS HI?mxf I A(iIdNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT } I I � 0 C' - UNIT#-_ \ J IS THIS UNIT DISIGNATED AS RI,{GHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER V t(M1 0— ,t_,* V'eT)J y MANAGER/AGENT NO P.O. BOX ADDRESS � � �' A4 S- ADDRESS CITY, STATE,ZIP V-)A 4 )\-I CITY, STATE,ZIP RESIDENCE PHONI(Q1' ) SSC)-q l,�CI BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE: 1. tc�- 2. Omihc, 3. (-.� 4. 6. 7. J 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 AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE � GCPf/sZY� 1 J DATE ��yy J l Inspectors use only Date on initial inspection: "1!�c(l N Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit- Dwelling Other Check# _� Check date: 9)9j)/ Notes: 'Alt 2 ccw I�)yyQnOA,*Jp b �p4or un-Q/ }"f'fot . Oak t t � IA1( iot , U Code EnfiSrEement Inspector 1 �caxolr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH * 120 WASHINGTON STREET, 4TH FLOOR S! CERT.# 351-02 s� �e SALEM, MAO]970 ,ye0iryM8 TEL 978-741-1800 FEE $25.00D FAx 978-745-0343 ATE: 07/10/2002 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Roslyn Street UNIT #: 1 OWNER/AGENT: Thomas Brinqola ADDRESS: 93 Belmont Street CITY/TOWN: Readinq, MA ZIP CODE: 01867 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 HUMPH 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 tJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT C ORCEMENT iNSPECTOf a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 ® 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO / MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS F,O�R HUMAN HABITATION". PROPERTY LOCATED AT� /SSUNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER a-Ma Qtwto/A MANAGER/AGENT No P.O. Box T' No P.O. Box ADDRESS q3 )?&IAAo.A Sy • ADDRESS Ci';Y 1✓I A O /Ir V7 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO 'i HE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. /�,, p APPLICANTS SIGNATURE��° DATE INSPECTORS USE ONLY DATE OF INITIAL INSPFCTION7i/ D ' 6 L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:'/6 'O L DATE FEE PAID: 7— 9 - O 2— TYPE OF UNIT: DWELLIN)°_OTHER_ CHECK#_�3_/__CHECK DATE 7 F� — 6 Z NOTFR- //�J(\ CODE ENFORCEMENT INSPECTOR 9/28/98 • 4 yJ CERT.# 185-98 3 FEE $25.00 DATE: 04/03/98 mr� 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: 12 Roslvn Street UNIT #: 2 OWNER/AGENT: Thomas Brinaola ADDRESS: 3 Walnut Street CITY/TOWN: Wakefield- MA ZIP CODE: 01880 24 HOUR PHONE: 224-9825 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 LA'17 FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARDOi�i ' -HEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR '`C•.i �. ejN'p Vy,.. U. Y y`•.. kI i 3 — in.Aks Yi GITY 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, :CRAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HAABITATION". PROPERTY LOCATED AT la R[751416? S UNIT # ._.... OWNER/LESSER—T-�M/MoS Y,0fiell), MANAGER/AGENT ADDRESS 3' G) In/uY/� 6 � ^n q p ADDRESS CIT7[�Jr. CITY RESIDENCE PHONE 7sl- :� ay- 9`d2.s BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: 1. L t1is. y 2. Rj 3. Poj 4 • Is l,. 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 SIGtiATURE_ ,t,r ! DATE n INSPECTORS USE ONLY DATE OF INITIAL INSPECTION. T�' �� ALO DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: C,G' �� ' DATE FEE PAID TYPE OF UNIT: DI:ELLINGOTHER NOTES : CODE ENFORCEMENT INSPEC'T'OR -.tw*aeks,d y.,.eu..:.y.y ,"w..N _ .«•+x.-r. .0 u .. v..... m -- ....., --,. t ._ ............._..._ ,. .... _ . .., ORA CERT.# 105-97 ,} FEE $25.00 • ` �.7DATE- ,02/18/97 . M1fB 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 CURTTFICATE OF FITNESS PROPERTY LOCATED AT: 13 Roslvn Street UNIT #: 1 OWNER/AGEN'P: Armand Martel c/o Carol St. Pierre ADDRESS: 208 Derbv Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 585-3638 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 A 1.1 rnNa FEB. 2 1 1997 C!TY OF S�LEM CITY OF SALEM BOARD OF HEALTH HCALT H EP Salem, Massachusetts 01970-3928 k 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�HABITTAA�TION" . PROPERTY LOCATED AT / j % �" o �J�G, UN_ITI OWNER/LESSERS i'y� MANAGER/AGENTG�a f ' Z2iG ADDRESS ADDRESS CITY Ci RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE TOTAL: NUMBER OF ROOMS: ROOM USE: 1. 't 2. 3. /^'�6)?-/ 4. 5. 5. 7. B THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH/DE TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SICNATURE._� �/� p DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 2 — f D -�7 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATQ_---� p DATE FEE PAID: ( — 17 TYPE OF UNIT: DWELLING OTHER ' � L NOTES: CODE ENFORCEMENT INSPEC'COR I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/09/99 Fax:(978)740-9705 Armand & Rachel Martel 28 Gardner Street Salem, MA 01970 PROPERTY LOCATED AT 13 Roslyn Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of i Fitness for Human Habitation. i I 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. 1 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 aIwritten 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. OR THE BO HE TH REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 548-00 3 � FEE $25 .00 DATE: 08/22/2000 sg 2pjM�NE 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 Roslvn Street UNIT #: 3 OWNER/AGENT: Armand Martel c/o Asset Management ADDRESS: 208 Derbv Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3377 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 O� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I'r F Pv��CONU1T�i 1�1a,I��L`,s9 iA�lf` V 3 AUG 9 A 211" � 3 - �'s CITY OF SALEM HEALTH DEPT. CITY OF SALEM BOARD OF HEALTH �, /� 6b Salem, Massachusetts 01970-3928 Y 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 /.? �O-gZyA) ''T- UNIT#--'? IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWN ER/LESS ER'��'�°� �alel�L MANAGER/AGENT�--1��t—� -5- No P.O. Box No P.O. Box 14-C ADDRESS ADDRESS. OF CITY Sof t, //vI/� CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) ��— BUSINESS PHONE ��JJ TOTAL NUMBER OF ROOMS: 7 ROOM USE: 1./1611h 21!rl 4. LS lZ 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 SIGNATURir��G� /Lt ! GATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 81,2a Jno DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: WI/W DATE FEE PAID: 9/.aZIm TYPE OF UNIT: DWELLING OTHER_ CHECK# I5i CHECK DATE R-,) =o WN NOTES: Awe�Iljlfl CODE ENFORCEMENT INSPECTOR 9/28/98 n 3 gj CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/04/99 Fax:(978)740-9705 Karen Kuehn & Alfred Vautour 7 Sunset Road Salem, MA 01970 PROPERTY LOCATED AT 15 Roslyn 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 %III 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 i 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 BOARD O HEALTH REPLY TO anne Scot , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR v Al CERT.# 706-99 i FEE $25.00 DATE: 11/30/99 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: 15 Roslvn Street UNIT #: 2 OWNER/AGENT: Alfred Vautour ADDRESS: 7 Sunset Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 387-7445 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 (K) 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 qj=0x_SCC_0TT, MPH,RS,CHO �_ e I P HEALTH AGENT DE FORCEMENT OR f ' �vg�CONDIT,��i�m &—W / 3 y, � 3 d 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 15 /CO` 1M n 7_ST• UNIT# U IS THIS UNIT DESIGNATED AS IGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Al��e%� ©LI MANAGER/AGENT No P.O. Box No P.O. Box �Qnl CDu� lS ADDRESS oS/�,j ��• ADDRESS CITY _�� IdlyA CITY RESIDENCE PHONE Y�I�" � Z3 z BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 2 3. !i� ��i 4. ` v 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. �J0* Q/ APPLICANTS SIGNATURE 0*1 � � " 1 DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �/�D/99 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: //1aI9 TYPE OF UNIT: DWELLING _OTHER_ CHECK# 3396 CHECK DATE //-3,4-W NOTES: 1GLSe_ / .U/ae - CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR f o SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/4/05 Stephen J. Daglio P.O. Box 97 Danvers, MA 01923 PROPERTY LOCATED AT 16 Roslyn Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For e Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH ¢ 120 WASHINGTON STREET, 4TH FLOOR CERT.# 240-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/28/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Roslvn Street UNIT #: 2 OWNER/AGENT: Stephen Daalio ADDRESS: P.O. Box 97 CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 741-7298 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 4wXt_f_l"-04� �60ANNE MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS ••�,,,, BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR rr 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 A !/C� �T UNIT# 02 S THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/BESSE� _ MANAGER/AGENT No P.O. Box D, 97 No P.O. Box ADDRESS�n_.lr.el. o ADDRESS {" 1" CITY c CITY 0�N RESIDENCE PHONE 7n-71'd 7-;-*BUSINESS PHONE (24 HRS.) BUSINESS PHONFe- TOTAL NUMBER OF ROOMS- ROOM USE: 1.A 2. 4. 5. S9 7. R THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE /�/ /03 INSPEC RS USE ONLY DATE OF INITIAL INSPECTION ') 9 ti 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S-J b(-1�75 DATE FEE PAID: 5- )4-o -3 TYPE OF UNIT: DWELLING OTHER_ CHECK# j `f/ 1f CHECK DATE_!r-J§' -0-3 NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 ooxo CITY OF SALEM, MASSACHUSETTS • '� �"`� BOARD OF HEALTH m 120 WASHINGTON STREET, 4TH FLOOR ` SALEM, MA 01970 TEL 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts R, !gulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; 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. I'n the event it is necessary Lhat said inspection be done in my/our absence, i_/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 agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT/LESSEE AIN TEEan ADDRESS ��/Oi✓ ADDRESS OF llI' T 1'0 BE INSPECTED +Iy, CITY OF SALEM, MASSACHUSETTS y BOARD OF HEALTH r m � 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 3/11/05 Stephen Daglio P.O. Box 970 Danvers, MA 01923 PROPERTY LOCATED AT 16 Roslyn Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us If you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8 00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. ,.;For the Board of Health Reply to % I Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 241-03 .�� SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/28/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Roslvn Street UNIT #: 3 OWNER/AGENT: Stephen Daalio ADDRESS: P.O. Box 970 CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 710-7298 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. / FOR THE BOARD OF HEALTH ( JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR z , CITY OF SALEM; MASSACHUSETTS ;) `yy'a` �• BOARD OF HEALTH .� / �� 120 WASHINGTON STREET, 4TH FLOOR //,L_ n � SALEM, MA 01970 ,...... TEL 978-741-1800 ��MRae FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO p'-10R HEALTH ACINT 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#Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER<5 'Z) MANAGER/AGENT No P.O. Box 0- T7 No P.O. Box ADDRESS -I-) 1M,4 Df9a-3 ADDRESS CITY (0 ��is. o >Ylfl a,2 ).5( CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) - BUSINESS PHONE o L TOTAL NUMBER OF ROOMS: //�� / p� ROOM USE: 1._ 2.x(/__3. )6d 4. ll 5. - 6. T 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. `^ /9 APPLICANTS SIGNATURE UATE � � 6-3CT0 gE' LY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:<- ,) b'yI DATE FEE PAID: TYPE OF UNIT: DWELLI OTHER_ CHECK# 1 4' I `f CHECK DATE NOTES: 9/28/98 CODE ENFORCEMENT INSPECTOR i ' u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 + 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 qhl� 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 Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; Of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential p=operty, i;ereby 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 evert it is necessary that said inspection be done in my/our absence, i_/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 agents ' I from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT'/LBSSEr. OWNE LESSOR ADDRESS p ADDR°SS ADDRESS Ct# UNIT TO BE INSPECTED DATE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR „ SALEM, MA 01 970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 8, 2003 Daglio Phelan 16 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 16 Roslyn Street Unit#3 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 B�o�ardof He� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubifCHea Ith MA 01970 Prevent. Pf mele PrWeCt Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-278 DATE ISSUED: 8/3/2016 Property Located at: 17 ROSLYN STREET UNIT#1 Owner/Agent: Arlene Craig Address: 5 Wadden Court City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-6451 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e— &Jey Xarosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN •v CITY OF SALEM, MASSACHUSET 'S b_ BOARD OF HEALTH 120 WASHINGTON STREET,4"' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.aA,Mt->.I Nns vLEM.W N1 LARRY RAMDIN,RS/R1.,1-IS,CI-IO,CP-FS HEAJA H AcrNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" � / FEE: $50.00 PROPERTY LOCATED AT I � �cos ( y`V// 57' UNIT# 1 IS THIS UNIT DISIGNA'tED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER IO1 �I Na l�RIL&PO, MANAGER/AGENT NO P.O. BOX ,i ADDRESS �KJ ( r ADDRESS CITY, STATE, ZIPA � OLI L�CITY, STATE, ZIP p RESIDENCE PHONE /� ?8� '-6 31-6 of—1 BUSINESS PHONE(24HRS) 7 k-1 Q BUSINESS PHONE 7k-/ — TOTAL NUMBER 6 rOF ROOMS: ROOM USE: 1.a[ 2. �u/ �inl3.�� 4. 5. 6. A X 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION l APPLICANT'S SIGNATURE � 6 _ DATE F Inspectors use only Date on initial inspection: m Iraji2 .1t Date of reinspection: Date of issuance of certificate:0 1V Date fee paid:OyIo.Zlz01 Type of unit: Dwelling ✓ Other Check# 32-57 Check date: 0$(04�2njj� Notes: Cc Ib ement Ins ctor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PliblicAC8lth f Prevent Promote Protect TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinasalem.corn - L.\RI2]'R.\bIDIN,RS/RFHS,Cf IO,(:Y-FS - MAYOR HEAL:n r AG P.N'r CERTIFICATE OF FITNESS CERTIFICATE#346-14 DATE ISSUED: 10/1/2014 Property Located at: 17 Roslyn Street UNIT#2 Owner/Agent: Arlene &Randell Craig Address: 5 Wadden Court City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-9460 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 BOARD OF HEALTH w4 LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS wtn BOARD OF HEALTH 120 WASHINGTON STREET,4 FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR I.RANDINnSALFM.COM LARRY RAMDIN,R.S/REFIS,CHO,CP-FS HEAL'm 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: $50.0`0' y� PROPERTY LOCATED AT 7 t9'0R05 ( v/ S , A4 !/�Z �D UNIT# 7— ISnnTIDS UNIT�DISIGNATItD AS RIGHT LEFT FRONT OR BACK PLEASE CHICLE ONE OWnn NER/LESSER (.(/Wl , NO P.O.BOX ADDRESS 5 N/ � (A ADDRESS CITY,STATE,ZIP CITY, STATE,ZIP RESIDENCEPHONE ( _G 3�— `f`� BUSINESS PHONE(24HRS) BUSINESS PHoNE C�, 751 a g^Lf 6 e.2- TOTAL NUMBER OF ROOMS: ROOM USE: 1. t 2. ,V, 3. 1 Q 4. L()R 5. DR 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 FEES SIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ( 1/isa� C_, C DATE ry / LH 1 Inspectors use only I Date on initial inspection: o I I ( Date of reinspection: Date of issuance of certificate: Date fee paid: / Type of u 't: Dwellin Other Check# Check date: �� 7 J/ , Notes: l) t Code nfkg6ment Inspector f ,T CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR JAMMI)INna SAIRM.C.OM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALT1-I 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 XIII of the City of Salem Ordinance, undersigned owner/lessor and tenantllessee 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. 11- J �l - - Tenant/Lessee Owner/Lessor `✓ ) 96 1 1 1 j1 5 Address Address Address on unit to°be inspected q LA Date Date Updated 5/23/11 �f I ND :. City of Salem, Massachusetts l W Board of Health 120 Washington Street, 4th Floor, Salem, PnblicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-163 DATE ISSUED: 5/13/2016 Property Located at: 17 ROSLYN STREET UNIT#3 Owner/Agent: Arlene Craig Address: 5 Wadden Court City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-6451 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH &rey lBarosy Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN 4 .v CITY OF SALEM, MASSACHUSETTS J? BOARD OF HEALTH , �. 120 WASHINGTON STREET,4... FLUOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRANIUIN 0 sA],[;.M.CONI LARRY R\MAN,RS/REVIS,Clic),CP-FS HP.AI.I'tI 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 /7 I/Z b J . # -3 �� L S7 , d / 9 70 UNIT# 3 IS THIS UNIT DISI(*ATED AS RIGHT DEFT FRONT'OR BACK,PLEASE CIRCLE ONE OWNER/LESSDR I A XN//� Ul �11 ftt f. MANAGER/AErENT NO P.O.BOX ,y ADDRESS �. v ADDRESS CITY, STATE, ZIPCITY, STATE, ZIP l 7 `636-4q'6v RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 71F(-63(- '?'&V TOTAL NUMBER OF ROOMS: C, ROOM USE: I.Yz Aa"'2g- 3. L—Ge- 4. a't 5. 60 6.&' 7. ( 0F-&i2, 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 SIGNATUREL,�o. DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate:11V1?/o aL Date fee paid: n717 12at,6 Type of unit: Dwelling_�,ZOther Check# Check date: (n Notes: C /of cement Ins ector L CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 .> TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Dennis Dyer 6 Thorton Road Waltham, MA 02452 PROPERTY LOCATED AT 18 Roslyn Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist 2Fo the Board of Health Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu -- - - - 120 WASHINGTON STREET 4.O FLOOR PublicHeaith f Prevent Promote Protect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinnn.salem.com - I,.-\RR]'1LUQUIN,RS/R1:1-IS,CrI0,CP-PS MAYOR Hld.\7.;1'I-I AGISN'1' I CERTIFICATE OF FITNESS CERTIFICATE#30-15 DATE ISSUED: 2/4/2015 Property Located at: 19 Roslyn Street UNIT# 1 Owner/Agent: Jessica DaCosta Address: 191/2 Roslyn Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-749-8887 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. a FOR THE BO RD OF ALTH !�LARRY RAMDIN I� HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �(_�� ' 120 WASHINGTON STREET,4"'FLOOR ' `J Tm- (978) 741-1800 +�� KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAM-MNnp_SALEM.CnM LARRY RAMDIN,Rs/RF-Hs,CHO,CP-FS (�` HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 p PROPERTY LOCATED AT IA R<)S .\f) SJ AM 019 )so _UNIT# 1, e �IS THIS UNIT DISIGNATLV AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER , )P_SS1& - GA ...60ACMANAGER/AGENT )J)JI NO P.O.BOX ADDRESS W )a 1�gNn p�� ADDRESS CITY, STATE,ZIP Yl N 1N ©HCl `I CITY, STATE,ZIP I�'/.✓-1 RESIDENCE PHONE L - T BUSINESS PHONE(24HRS) BUSINESS PHONE (� TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1.4,6,opm 2. k Vf V.(-, 3.Vv cram 4.i ,vrN 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 n a)o3/is Inspectors use onlv Date on initial inspection: Z -LR IS Date of reinspection: Date of issuance of certificate: 2- ' >S Date fee paid: 2-4-)s Type of unit: Dwelling Other Check# )d 7 Check date: 2-\ .)s Notes: I 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 LRAMDINna_SALEM.COM LARRY RAMDIN,RS/REHS,CHO,Cp-FS 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. 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 Ow e 4 '7 rn �4 01 q ' Address ALS Jq-\ ��,l�n �k �z1i24 ,2NO Address on unit to be inspected n'Dkn t 1\ Date Updated 5/13/11 TRANSMISSION VERIFICATION! REPORT TIME 02/18/2015 00: 20 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 02/18 00: 20 FAX N0. /NAME 916173008657 DURATION 00:00:24 PAGE(S) 01 RESULT OK MODE STANDARD C1'1'Y OP SALEM, NLkSSACHUSET"1'S �V/ '- BOARD OF I-IF?AINI-1 120 WASHINGTON S'1'RRET 4°'F1,00R PublicHealth (978) 74t-18001;\� ()78) 745-0343 KIMBERLI3Y DRISCOLL h'amdin(alsalcm.com 1.,\Blit'lt,\AIDIN,RS/RI{I-IS,CI V),CI'-I'S 1VIAYOIt I I v m:ri I AOI I fN'I' CERTIFICATE:OF FITNESS CERTIFICATE #76-12 DATE ISSUED: 3/9/2012 Property Located at: 19 Roslyn Street UNIT#2 Owner/Agent: Roberto Miller Address: 19 Roslyn Street City/Town: Salem, MA Zip Code: 01970 24 Haar Phone: 978-745-8583 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 issuan;e or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I L RRY RAMDIN � ENFORCEMENT HEALTH AGENT CODE I PECTOR CITY OF SALEM, MASSACHUSET'T'S a Y BOARD OF HrAt.n-I 1:20WASHINGTON iINGTON S'PRl z'P,4"' FLOOR w /� TL'.L. (978)741-1800 KIMBERI,FY DRfSCOL1. Fnx (978)745-0343 MAYOR LRANIDiN(a)NAL M.Ccm1 LAIMY RAWAN,IiS/RF1 IS,0I0,CI'-FS 1-11"AMI i A(HtNP Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" p / ,, FEE: $50.00 PROPERTY LOCATED A'r l ' ""J"`/I dL/ S7-- UNIT# Z ,{SIS THIS UNIT DISIGNATMi)AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE t�a OWNER/LESSER 6etiIV 'ryW6-11 MANAGER/AGENT NO P.O. BOX ADDRESS 19 IIOS 6.AJ 5r - ADDRESS CITY, STATE, ZIP CITY, STATE,ZIP O 1g 70 RESIDENCE PHONE fig" 75` 3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1)962-'�WNt 2.L�v x ltav,>z 3. �� 4. 5. b. 7. $. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AIZU9.ZIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: -3 ^ 1% Date of reinspection: Date of issuance of certificate: 3 - I S 1Z Date fee paid: 3- 1-1 L Type of unit: Dwelling+ Other_._-__Check#_ 1 "T___Cheek date: �- Notes: Code Enforcement Inspector w a. ? CI1"Y OF SALEM, IVLASSACHUSE ITS BO.\RD OF HEALPI-I 120 W.\SHINGTt tN SI'REF-If,4...FLOORPre PublicHealth 'TfSL. (978) 741-1800 F.\S(978) 745-0343 KIMBERLEI DRISCOLL lxamdin cni salem.com Lr\RRl'It,\nroiN,Its/ItF,i Is,CI 10,cr-rs MAYOR Hv,V:I'Ii A(:I.N'I' CERTIFICATE OF FITNESS CERTIFICATE #242-12 DATE ISSUED: 6/20/2012 Property Located at: 19 1/2 Roslyn Street UNIT# Owner/Agent: Roberto Miller Address: 53 Williamine Drive City/Town: Newton, NH Zip Code: 03858 24 Hour Phone: 978-335-8583 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 LA RAMDIN HEALTH AGENT SANITARIAN �1 CITY OF SALEM, MASSACHUSETTS Bo,, RD()F HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMI N(C SM EM.COM LARRY RAMDIN,RS/RH IS,CI IO,CP-ES - HI?,AI; 1r ACENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" p ��F""E��E: $50.00 PROPERTY LOCATED AT / / /L l)S "'7N -Sj' S��'I �� UNIT# IS THIS UNIT DISIGNATED AS RIU'HT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 12&5-,-47Z) 4 LOZ Mi/16A MANAGER/AGENT NO P.O.BOX ADDRESS S3 Wi//iA�7i uQ �/UUe ADDRESS CITY, STATE,ZIP N eW 7V k,/ iV CITY, STATE,ZIP O 3 8 J RESIDENCE PHONE �I7K" 33 ' 8 F 9 3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.�i&Oam 2. /39d"OA 3. 8L-c1Aa0A, 4.4iYsc, hock 5. 1C-rdkO. 6.b,"7 Porn. 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 E OF INSPECTION APPLICANT'S SIGNATURE DATE 61131-z-4 'z- 1 f Insvectors use only ~/ Date on initial inspection:—� / {� Date of reinspection: 610n 1 6Q/n1 117 , Date of issuance of certificate: //__ Date fee paid: / Type of unit: Dwelling Other Check# bl�7 Check date: 611U I�I Not s: i l ,�l rcement Inspector UNDP City of Salem, Massachusettlu s i q Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protmt, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-141 DATE ISSUED: 6/25/2015 Property Located at: 22 ROSLYN STREET UNIT#1 Owner/Agent: Susan Quinn Address: 65 Atkins Avenue City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone:(781) 592-7593 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This.Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARI7e r CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN(g1SALE M.COM LARRY RAmDIN,RS/RI?I is,(-110,cP-I?S HrALT11 AGl?NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT ZZ �b SZ_U,-) UNrr#_ — IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSERSULSO-. D MANAGER/AGENT NO P.O. BOX ADDRESS �`J 1� E,rP, A lIP_• ADDRESS CITY, STATE,ZIP t�gWr,. CITY, STATE,ZIP RESIDENCE PHONE (S/ ��Q_�``� �BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: ,. LJ'. AI /.4. 2T��5. �Y&Ny-) 7. 8. 9. 10. THERE IS A FIFTY($50) LLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ! �[� DATE Inspectors use only Date on initial inspection: O�12 5-/20 LS Date of reinspection: Date of issuance of certificate: 6/252©1 S Date fee paid:n4/2 S/26Z� Type of unit: Dwelling�Oth/er pp Check# V O Check date: W25-/2o.ZS- Notes:Smnt:D Jc'� c4n✓' oop-r] x, io hnke ,.4. C nfy cement ector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUNI SALF.M.COM DAVID GREENBAum,RS AC'T'ING HFAL'ivi AGENT CERTIFICATE OF FITNESS CERTIFICATE#453-10 DATE ISSUED: 9/15/2010 Property Located at: 24 Roslyn Street UNIT# 1 Owner/Agent: Ignacio R. Mirabal Address: 24 Roslyn 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 D VI�I iENBA , RS �Qti ACTING HEALTH AGENT CODE Et'yFOf�CEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR u(;ia 1,NI+AUM(a)SAi.FM.COM DAVID GREENBAUM,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." �j FEE: $50.100 PROPERTY LOCATED AT UNIT#i— IS THIS UNIT DISIGNATED AS ®HT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER-ECAV4CtO mir4 a MANAGER/AGENT NO R 0 BOX ADDRESS 19y 2S 'YrKw S� iW Or-- ADDRESS CITY, STATE,ZIP o j ZV&i AIA- 0197-0 CITY, STATE, ZIP RESIDENCE PHONEY) 5 </--50W -- BUSINESS PHONE(24HRS) BUSINESS PHONE?4,V) TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION Q / APPLICANT'S SIGNATURE )e � JI DATE gl/3/s0 Inspectors use onlv Date on initial inspection: I I S/�b Date of reinspection: 9110116 Date of issuance of certificate: q//(0 11c) Date fee paid: 9ll,� //6) Type of unit: Dwelling-)Other Check# 13 7 Check date: 9I/ //0 Notes: IAJgdo�u In ��hnk I°i�2 TO � .S rGlil_ U > �GJbUn M do I p CW bpsi Y3��4i �ellPS . U t 1 W(,v,l GLU )-)Cu Ir, STe*A I'\ e yC L r) Code Ent c ent Inspector bci f 4/ Los In Smo i, ,I�CYOC-s k��` a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#442-04 DATE ISSUED: 09/28/2004 Property Located at: 24 Roslyn Street UNIT#2nd Floor Owner/Agent: Ignacio R. Mirabal Address: 24 Roslyn Street CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-594-5042 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, CHOLA✓ ' HEALTH AGENT CODE ENFORCEMENT INSPECTOR :,'Sl�'>'�� 'y�.,: 14{C:i'g-'� �f�/.�o.�le�./�Je;.��1+\,��+-r�..�..,�,ir(o�iu(}sem . �s�'r..!�Y."1""" �.}� �}' , ....,.� ..,�,•y�j�.��Wp�, " J t• n•i✓ • A QVC- �l1�VGilTI �,•1�',•,ia��,. A�i,�V�GI � ,,�,�`- r�.t"'^'4`@rn,„".lHt 4B0/�R LFlaHEAS �+ ,120,WASI�INGTOMPTR EF;4Tt4 iFLOOR y �` SALEM,PA 01970 � /J TEL. 978-741-1800 �. (/ lf,p FAX 978-745-0343 y/ JJ STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS ,=OR HUMAN HABITATION". PROPERTY LOCATED AT� &'/SVA, S ?� /S��G P4R5$ UNIT#_ _ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �%A,xVCio � 1tL> I MANAGER/AGENT No P.O. BoxNo P.O.BOX ADDRESS 9(f pX ZYA. S-� fit_ r ADDRESS CITY ` !A Ii" CITY RESIDENCE PHONE?5" JA' q-C_04/.X BUSINESS PHONE (24 HRS.) BUSINESS PHONEoA) S'�)-4/ TOO I'voPk TOTAL NUMBER OF ROOMS:,—,--.,— ROOM OOMS:___ _ROOM USE: 1. __ 2. _ _3 4. 5. 5- 6. 7. 8. THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT T HE TIME OF INSPECTION. ' Z; APPLICANTS SIGNATUREl y///r( �%Gg!� DATE_,_{ INSPECTORS USE EEiONLY DAL E OF INITIAI INSPFCTION -/ _ )- © r . C1ATE OF REINSPFCTI/ON_. DATE OF IS;iUANCE OF C;ERTIIFICATE �_ 'V DATE FEf- PAID TYPE OF UNIT DWELLING // Ol't Ef. CHECK t+ (� 1��G I+ECK DATF NO1F_5. �t CODE t-NFORCEMENT 1NSPl-Cl OR 11/28/48 o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 65-02 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 02/07/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 25 Roslyn Street UNIT #: 3 Front OWNER/AGENT: Maria E. Serrano ADDRESS: 42 Brownville Avenue CITY/TOWN: Lynn, MA ZIP CODE: 01902 24 HOUR PHONE: 581-5126 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 JJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FqR HUMAN HHABITA IOM". PROPERTY LOCATED AT�� /Ul11 C)M// UNIT# IS THIS UNIT DESIGNA ED AS RIGHTEL FT <RO _BACK PLEASE CIRCLE ONE OWNER/LESSER /� C .�l�/� V114LMANAGER/AGENT No P.O. Box / No P.O. Box ADDRESS �/�1�'/��% ADDRESS CITY A(l V/(l' 16, AIRO CITY RESIDENCEPHONE(0//`f/?/_J/ 6 BUSINESS PHONE (24 HRS.) BUSINESS PHONE797'�O`�O(_i �� - TOTAL NUMBER OF ROOMS: J ROOMUSE: /.0 ,�f///. 2. //'1, 3. A01 , 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. 0 APPLICANTS SIGNA T URE 4U aTc nU✓/� JNSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z _� —U v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:� - 7 DATE FEE PAID: _3 i TYPE OF UNIT: DWELLINGOTHER_ CHECK# CHECK DATE -�- Z- -- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a. CITY OF SALEM, MASSACHUSETTS r BOARD OF HF ALTH 120 WASHINGTON STREET 4 'FLOOR Pub11CH�I't11 f Pr<vrm.Promote.Pana, TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL llarndinasalem.com L:\RRl'RA\IDIN,ILS/RI?I-IS,CI IO,CP-I+S MAYOR HI:.,\I:PH AG ENT CERTIFICATE OF FITNESS CERTIFICATE#461-12 DATE ISSUED: 12/12/2012 Property Located at: 25 Roslyn Street UNIT#4 Owner/Agent: Dirk Hillyer Address: 17 Sewall Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 978-542-6459 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 LARR23RAMDIN HEALTH AGENT *AMNN CITY OF SALEM, MASSACHUSETTS BOARD OF H EALTH {.., �l 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LILANffxN Cnl SALIMCOM LARRY RANIDIN RS/REVS,CI10,CR-FS HJ:A) iiA(;i'.N1v 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 o`Zg-/Cprs��w7 7 4 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK' PLEASE CIRCLE ONE ED' LESSER biAK I�i/��/i�c-' MANAGER/AGENT 0. BOX ADDRESS ADDRESS CTTY, STATE,ZIP A "We � oz4 CITY, STATE,ZIP RESIDENCE PHONE 31-3 57.K' BUSINESS PHONE(2-4BRS) Y-z!!g—�1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Pq�- 2. 13—A�-- 3. 4. K g •5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I ABLE AT E/T OF INSPECTION APPLICANT'S SIGNATURC DATE Ins_roectors use only del Date on initial inspection: �/ C. Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#- -Check date: *brccm6t/Inspector T' gONDIT s s� C/MINE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 120 Washington Street 4ih floor 08/21/2001 Tel: (978)741-1800 Stephanie Widmyer & Timothy Young Fax: (978)745 0343 P.O. Box 140321 Orlando, FL 32814 PROPERTY LOCATED AT 25 Roslyn Street UNIT # 5 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 6:00 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. loWanne AR/ REPLY TO Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS v g BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 'ti^B TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #294-07 DATE ISSUED: 6/28/2007 Property Located at: 26 Roslyn Street UNIT# 1 Owner/Agent: Roland LeBlanc Address: 166 Maple Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-0711 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, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � CITY OF �� SALEM, BOARD OF Hs«cr* 9~/Y � ' `anWASHINGTON STREET, 4TH FLOOR v ' / `' ' SALEM, MAn,e7o TEL, 978-741-1800 FAX 978-745-0343 Jnxwm� scvrr' MPH, IRS, c*u xs°�r�� x�s�r Kimberley Driscoll Mayor APPLICATION FOR CERTIFICATE 0FFITNESS |NACCORDANCE WITH STATE SANITARY CODE, CHAPTER ||. \O5CMR 41V0O0 "MINIMUM STANDARDS OFFITNESS FOR HUMAN HA8(TAT|0N" / �9 � � PROPERTY LOCATED AT '�') � ��sJ//7 te 7_/� , UN|T#__v 1STHIS UNIT DESIGNATED ASRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE & OVVNER/LESSER �� sl= KAANAGFR/AGENT No P.O. Ban No P.O.Box ADDRESS 16/ //Y144"t'- ADDRESS CITY DIRmk6,�_) CITY RESIDENCE PHONE BUSINESS PHONE /24HRS.> BUS|NESSPHONF��_�� TOTAL NUMBER 0FROOMS: ROOM USE 1� __ 2___ _3 -_ 5_ �^^ 0_ _ -7. THERE iSATWENTY-FIVE(S25.00) DOLLAR FEE, PAYABLE 8YCHECK 0AMONEY ORDER TDTHE CITY 0FSALEM HEALTH DEPARTMENT THIS FEE |SPAYABLE /\TTHE TIME 0FINSPECTION ' APPLICANTS SIGNATURE DAlE_ �_.��'��_ INSPECTORS USE ONLY DATE OFINITIAL }NSPEC\ION k SI-6 DATE0FAE|NSPECTION __ _ � � �� 0 ,7 DATE 0FiSSUAN(�EUPCERT\F|\�ATE6''a_�� __/_ �DATEFEEPA|D _ 'x � �� d �� TYPE UFUNIT DVVEL UT|�ER CHECK � /y7 � ^Y CHECK DATE ^� " � -- -/v �� / 4/ | NOTES. � �- - - CODE ENFORCEMENT INSPECTOR 9/28/98 ' CITY OF SALEM, MASSACHUSETTS BOARD OF HFAI,'ni 120 WASHINGTON STREET,4"'FLOOR KIMBERL EY DRISCOLL TTL.. (978) 741-1800 MAYOR Fax(978) 745-0343 lramdin(a)sal=.com LARRY R AMIN,RS/R]-:l IS,CI 10, - HEAI:1'H AGP.N"I' CERTIFICATE OF FITNESS CERTIFICATE#38-12 DATE ISSUED: 1/27/2012 Property Located at: 26 Roslyn Street UNIT#2 Owner/Agent: Luanne LeBlanc Address: 166 Maple Street Cityrrown: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-0711 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 LARRYRAMDIN / v HEALTH AGENT CODE ENFORCEMENT INSPECTOR I 1. CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH �. 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KINMERLF_Y DRISCOLL FAX(978) 745-0343 MAYOR DGREE:NRAUMnaSALEM.COM DAVID GREENBAUM, ACTING H EALTH 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 D �() S /.n �� UNIT#_6 IS THIS UNIT DISIGNATED AS IGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER -�I n_ v,n o. � 0 Q, h C MANAGER/AGENT NO P.O. BOX ADDRESS ( 66 rn o lo_ I� ADDRESS CITY, STATE,ZIP= Q nJlr e✓ M a--0Icj'oZ 3CITY, STATE, ZIP RESIDENCE PHONE q 7 :C 77q - 0`71 (BUSINESS PHONE(24HRS) BUSINESS PHONE 4.7 R Y36 - � 4 7 :5 TOTAL NUMBER OF ROOMS: S � � C� ROOMUSE: 1J_ ��in �O 2. 3. KL�c�en 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 fIEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ __ DATE—j Inspectors use onlv Date on initial inspection:)- 2"2- I Z Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling 1/ Other Check# )cjO Check date: ) •27 1 Z Notes: *0deEnforacement Inspe r CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR DGRF F.N BAUM(@SAIT,'M.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 O i/Lessor V� 16G Md4210- 51' � Ue , s , rn Address Address Q 9-3 Q6 It osly „ S Address on unit to be inspected Date e CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 550 FEE $25.000 TEL. 978-741-1600 DATE FAX 978-745-0343 10�27�2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Roslyn Street UNIT #: 1 OWNER/AGENT: Estela Gutierrez ADDRESS: 28 Roslyn Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 978-741-3340 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CITY OF SALEM, MASSACHUSETTS ' � 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 1N ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABIT TION'. PROPERTY LOCATED AT ll UNIT 1 is�ydl IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OV`.WNERILESSE , MANAGERIAGENT NoPO Bo - o P.O.Box ADDRESS ADDRESS CITY CITY RESIDENCE PHON USINESS PHONE{24 HRS.) BUSINESS PHONE Q TOTAL NUMBER OF ROOMS- ROOM USE: 1.___2. 4. 5._ Z//7. . THERE IS A TWENTY-FIVE(525.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPAFffMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. f APPLICANTS SIGNATURE , } � DATA INSPECTOR USE ONLY V DATE OF INITIAI INSPFC`I-ION /0DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/. A 2? DATE FEE PAID: /d TYPE OF UNIT: DWELLING _/�THERs CHECK #l/, CHECK DATED ? NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .ptp TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#385-05 DATE ISSUED: 6/16/05 Property Located at: 30 Roslyn Street UNIT# 1 R Owner/Agent: Estela Gutierrez Address: 28 Roslyn Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-3340 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 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 29-,T) UNIT If� IS THIS UNIT DESIGNATED AS�S IGHT EFT FRONT BACK PLEASE CIRCLE ONE OWNER!!ESSER E e�U t 7 Mlr� MANAGER/AGENT s No P.O. Box 2 KLys} No P.Q. Box ADDRESS K NVl 5� • ADDRESS CITY �u� 1,�i CITY RESIDENCE PHONE �I0 BUSINESS PHONE (24 HRS.)_____ BUSINESS PHONE' = -_ ____-_ TOTAL NUMBER OF ROOMS p -7, ROOM USE: 1(j�if21 JJInt_37l1iLrxfl 4. 711/ 5 do"'G.;(f 5P9!�7 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE_, PAYME E BY CHECK OR MONEY ORDER TO THE CITY OF S HEALTH DEPA ME THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR - _ _DATE- INSPECTOR USE ONLY / DATE OF INITIAL INSPECTION -�=.[ { �_ _OATF OF RE;N SPECTION_ _r C>AT OF ISSUANCE OF CUR �_!..`� U __DALE' FEE PAIL ( -� TYPO OF UNII DWELLING ). FHER CHECK It �_ � Lli _Z `CHECK DATE �-J ij` O S NOTI:S //� CODE ENFOHGEMENT IN'SPEC T Oil J/ZFl/`.I t3 CITY OF SALEM, MASSACHUSETTS BOARD<Ir HEALrH 120 WASHINGTON STREET,401 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ocaia:Nnnuni�s- 1a:nr.rorol DAVID GRu,LNBA1JN1 ACTING Hj'',Ai 17-I ACI?Nl' CERTIFICATE OF FITNESS CERTIFICATE#310-09 DATE ISSUED: 7/10/2009 Property Located at: 31 Roslyn Street UNIT# 1 Owner/Agent: Robert Rick Address: 5 Allen Avenue City/Town: Rockport, MA Zip Code: 01966 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance Wth 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 B D OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CO EN RCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR17FNBAUN1(0),S,%LE a.CONI DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." � / FEE: $50.00 PROPERTY LOCATED AT .ir/ /1—vJZ ��/ ��G't5T UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRC_L_E ONE OWNER/LESSER VAmd3 �Ar/o '9 /�o8�i/1�xCM4�1,�GEIt�A�E3�T"r A4 I NO P.O. BOX kfnorQ-- ADDRESS t>'I ,106LYd �• Z4 ADDRESS CITY, STATE, ZIP rLsfi, . /�� /f/!gi '70 CITY, ST/ATE, ZIP /FOS rbR1'1 17I9161, RESIDENCE PHONE �7P S�'�a/� �b/!f BUSINESS PHOL(24HRS) BUSINESS PHONE \ TOTAL NUMBER OF ROOMS: C 27 ROOM USE: 1. Alrv,911( 2. 3. Alnoye"j 4. /�bFnent 1 5. ?6'e" 6. A4VY 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 /"—/0 /, Ins_oectors use onlv Date on initial inspection: 7//0 /V q Date of reinspection: Date of issuance of certificate: '] ��Q�� I Date fee paid: Type of unit: Dwelling V Other Check# 3 Check date: -7 ro � 9 Notes: 41214U I L-firh , c/-e l holt,5 i,. Lie - >Qdct rAAIP011 AOAr J Mdf60MJ. WG 1104 ' n0�- fUWd ont IAwl -40ail N do . _ v wAQw � Code Enforcement pto City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-269 DATE ISSUED: 7/27/2016 Property Located at: 31 ROSLYN STREET UNIT#2 Owner/Agent: James Mahoney&Bob Rick Address: 5 Allen Avenue City/Town: Rockport, MA Zip Code: 01966 24 Hour Phone:(978) 546.1618 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Jeff y Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS V -✓ BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 FAx(978)745-0343 KMBERLEYDRISCOLL h2mdini@S21em.COm LARRY RAMllIN,Rs/REB CHO,cP-F MAYOR HL-AL77I 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 /, oSLYAJ c�- UNIT# ' IS TRIS UNIT DISIGNATED ASGRI fHI Et7' OR BACK PLEASE CHtCLE ONE OWNER/LESSER c�tC3 / iA//pN$7 1 fav /� MANAGER/AGENT NO P.O. BOX ADDRESS Sr Al-46AJ A�6_ ADDRESS CPTY, STATE,ZIP /?o cx/°-cr1 a4 e?' CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 3. AS7_C116-j4. i-I 4/ 5,WQ '4 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 PAYABLEi/ AT%TH�F INSPECTION APPLICANT'S SIGNATURE DATE S �� Inspectors use only Date on initial inspection: ©5"/26/'2-616 Date ofreinspection:Lff, 2_0 Date of issuance of certificate: Date fee paid:O 5^124'12-0-Z vi Type of unit: Dwelling Other Check#2Dq q Check date: Q,5_12-612_014 Notes: &e,A+ S'a r-5 ✓e,4 L J rA.,I ctj Ld c,�. C cement Spector r i rf 1re CITY OF SALEM, MASSACHUSE77S • • BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#217-06 DATE ISSUED:4128106 Property Located at: 31 Roslyn Street UNIT#3 Owner/Agent: James Mahoney Address: 31 Roslyn Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-283-8631 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. F,QR THE BOARD OF HEALTH L -A;� f 9 � f it fes+ JOANNE SCOTT, MPH, RS, CHO a l HEALTH AGEN i CODE ENFORCEMENT INSPECTOR - - l !Cr"i dc" S/'V+M�p �LHUS M _ .. .... �. BOARD OF HEALTH 120 WASHINGTON STREET,4TH FLOOR SALEM.MA 01970 TEL.978-741-11800 / FAX 978-745.0343 STANLEY USOVICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 `MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT -�' I 2 as UNIT a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNE ESSERJ /)/"F5 ,{"" N o w C,e MANAGER/AGENT Box3 1 � aSC No P.O.Box ADDRESS y w S T !h{}+ t ADDRESS CITY S la L%r` CITY Y l 4 RESIDENCE PHONE 9'9 -�LLPJ BUSINESS PHONE (24 HRS.)_ BUSINESS PHONE TOTAL NUMBER OF ROOMS. Lj ROOM USE, 1.�C-DAM 2 1, 111rr_q�3 S7L _ 4 _I t Jar/ tZvo• 5. 6 7 8 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK Oil MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARI HENT THIS FEE IS PAYASt E AT THE TIME OF INSPECTION. t APPLICANTS SIGNATURE �_ __. DATL NSPECTORS.USF. ONLY DATE OF INITIAL,_ INSPECTION ��a `~d b DATE OF REINSPECTION DATE OF ISSUANCE OF CC RTIFICATG ! DAl I' I'E1= I+AID TYPE OF UNIT DWFI_LING(/" OI"PIER CHECK i+ NOTf_S (;0I)1 I NI OHCf M[ N I IN':Pi (, 101+ ,� ��" ��, \ � in � ��"' �� 1 g, , _ ,,' gONUfT CERT.# 180-00 f _ FEE $25.00 DATE: 03/09/2000 �9@Q�M111� 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: 33 Roslvn Street UNIT #: 1 OWNER/AGENT: Florence Morris ADDRESS: 33 Roslvn Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0781 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 . .•_,�� . ter. -'.---� :s._ •� ---- — — -- = — '-�„"--•- JOANNE SCOTT, MPH,4S,CHO HEALTH AGENT =vT �-' CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 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 Z ®�_ n C I J�ov S' UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER—/-/D /I p,d ( � PdfM/LN2ER/AGENT No P.O. Box iiNo P.O. Box ADDRESS � �U S I �w S� ADDRESS CITY 'z�'.a-!e Jail • C1 -4 ( UI 70CITY RESIDENCE PHONE :�Z 7 f I BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. /Z- 2. 3. ✓S 4. d3 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 ATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ._ -GI�� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3��_M DATE FEE PAID: .3—I-67� TYPE OF UNIT: DWELLING_OTHER_ CHECK# �� CHECK DATE , 3� -OV NOTES: /sz e. .r.✓? �3�i V S 7 o U P At�v w o, T _ CODE ENFORCEMENT INSPECTOR 9/28/98 r�.✓aaa Svply 671 LIP A%QRRM¢w7 bz71✓.a eve ow�en -1rt'e ..a4 u i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 01/26/2000 Tel:(978)741-1800 Fax:(978)740.9705 Florence Morris 33 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 33 Roslyn Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 OREPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I f' CITY OF SALEM, MASSACHUSETTS BOARi)OF HEALTH 120 WASHINGTON STREUT,4"'FLOUR Ti-,L. (978) 741-1800 K1M F,RLE.Y DRISCOI.I. FAX(978)745-0343 MAYOR nrxr:LF; v r�<-v.rnt.cc>n! DAVR)GRE1-',NBj\UN1,RS ACTING HL',',MTT AGENT CERTIFICATE OF FITNESS CERTIFICATE#71-11 DATE ISSUED:3/17/2011 Property Located at: 37 Roslyn Street UNIT# 1 Owner/Agent: Berquis Negron Address: 37 Roslyn Street 92 CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-210-6730 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 IP' 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 ( DID GREENBADM, RS ACTING HEALTH AGENT COqY ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BO.1RD OF HEALTH I1 120 WASHINGfUN SERE ',4"FLOUR TEL. (978) 741-1800 KINHIERLEY DRISCOL7., FAN(978) 745-0343 MAYOR ncaF71,NBA1;nr01 .\1 F.M.CONI DAVID GREENBAUM,RS - ACTING HHALTH 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 3 OS/yh �5-/ • UMI - T#- THIS UNIT DISIGNAT�D AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER' UCYCUr S k/e r� MANAGER/AGENT NO P.O.BOX I ADDRESS �i(�5�4 /N v '` " ri ADDRESS CITY, STATE,ZII' )�><� ifl CITY, STATE,ZIP 0 t / 0 RESIDENCE PHONE CI 7� 4) ,9 BUSINESS PHONE(24HRS) WS 'a/o-!0 7 3 p BUSINESS PHONE TOTAL NUMBER OF ROOMS: �7 // ROOM USE: 1./l&AY'00m 2/l�dn%n4 vwn 3.A,4den 4.1Weebh5 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 FEEIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREc��f �n' [fin DATE 3 7 f �i / Inspectors use only / Date on initial inspection: JI / (� Date of reinspection: I • Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# /Check date: Notes: (L C c1. (�"�J� C9LQ 014 �� :.t l�>f P tvl rb-6 P1004 ll C/ ode nforcement Inspector CITY OF SALEM, MASSACHUSETTS • ` BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 I4MBERLEY DRISCOLL FAY(978) 745-0343 MAYOR tx;Rr: ;NBAUMGSA1a.M.COnt DAVID G i-;ENBAUM ACTIN(;HI',A ICI I AGENT CERTIFICATE OF FITNESS CERTIFICATE #132-10 DATE ISSUED: 3/26/2010 Property Located at: 39 Roslyn Street UNIT#2 Owner/Agent: Michael Finnegan Address: 83 Baldplate Road City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: 352-2946 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I DAVID EG AUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS l BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMOSALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT IV Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." (�FEE: $50.0?0' J�� Q(= PROPERTY LOCATED AT 3° c U��7''" J" ` � ` —4-� UNIT# IS THIS UNIT DISIGNA3'ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �Q '�L_ �^J MANAGER/AGENT NO P.O.BOX ADDRESS UJ �Q, ADDRESS 1 /f - CITY, STATE,ZIP �Ja �/1 d/ CITY, STATE,ZIPS RESIDENCE PHONE q�7 8 _ 3 SA, 1;�-C� �( (, BUSINESS PHONE(24HRS) 9 7 8 0 3 80 BUSINESS PHONE ll TOTAL NUMBER OF ROOMS: p� KOb ROOM USE: 1� I��7.61"�tt 8.0c)C>hA 9�ckk� 1 PjleC �— THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE S PAYABLE nAT THE TIME OF INSPECTION J / APPLICANT'S SIGNATURE DATE Inspectors use onlv Date on initial inspection: Ud (0O . Date of reins ectiow Date of issuance of certificate: ✓ 33;v�/0 Date fee paid: �Y b(D/d) Type of unit: Dwelling Other ,Check#`� 90 -I Check date: /d (v Notes: Code Enforcement Inspector City of Salem, Massachusetts ri Board of Health 120 Washington Street, 4th Floor, Salem, th P.eoPubliCPromote Heal MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.270 DATE ISSUED: 7/29/2016 Property Located at: 40 ROSLYN STREET UNIT#1st Floor Owner/Agent: Fabien Campbell Address: 31 Starbird Street City/Town: Malden, MA Zip Code: 02148 24 Hour Phone:(781)810-9846 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. &Jeffyaros Y Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN R CITY OF SALEM, MASSACHUSETTS BOARD OF HEAUM 120\WASHING'T'ON S'IREL''I' 4"FI,t70R TtL. (976) 741-1800 KIMBERLEY DRISCOIJ, FAX(978)745-0343 MAYOR LRA Nrouann s U_F_M.CUM LARRY RAMDIN,RS f RENS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" t� FEE: $50..00 ��J �}�yf� PROPERTY LOCATED AT �'YL �t.1 klf �xi /rIn P t1l d I /t✓ UNIT# IS THIS UNIT DISIGNATED AS RIGHT�FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER r t/ MANAGER/AGENT NO P.O.BOX / p ADDRESS�g 1 I G/! .) ADDRESS CITY,STATE,ZIP / Ad f`I�l CITY,STATE,ZIP RESIDENCE PHONE_ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER /OF ROOMS: / ROOM USE: 1. Ae C/ 2. !_>n� 3. Ll 4. f,l>) G 5. 6. A+$lar" 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 ES TIME OF INSPECTION APPLICANT'S SIGNATURE DATE_4jf�/ :� /,� e / Inspectors use only Date on initial inspection:. Date of reinspection: Cl Y2 2.O.0 Date of issuance of certificate: Date fee paid: n1712 rt)D 16 Type of unit Dwellin Other Check# 2—,r)q3 Check date:�7�_ /2.0j=4-� Notes: Cod o ment In ector CITY OF SALEM, MASSACHUSETTS BOARD OF FIFALTH 120 WASHINGTON STREFT,4O.FLOORPublicm"Health TFL. (978) 741-1800 Fax (978) 745-0343 KIMBERLEY DRISCOLL lramdin2salem.com L,\RRl'R.\t`IDIN,RS/RIs}IS,CI IU,CP—I'S MAYOR I—IIS,\l;CI I AC:ISN'I' CERTIFICATE OF FITNESS CERTIFICATE#256-14 DATE ISSUED: 7/24/2014 Property Located at: 40-42 Roslyn Street UNIT# 1 Owner/Agent: Fabin Campbell Address: 31 Starbird Street City/Town: Malden, MA Zip Code: 02148 24 Hour Phone: 781-870-9846 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 LAK44 RAMDIN v HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I PublicHealth 120 WASHINGTON STREET,4°1 FLOOR Prevent.promote,Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin0salem.com L.UaRN'xAromIN,RS/itr:Hs,ct 10,(:r-Es MAYOR HP:,V:nI 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: $550.00 (1 PROPERTY LOCATED AT ° " jZ 9a�f /7i-f { ) , c 3C1J0W UI`IIT#� IS THIS UNIT DIIS��IGNAT D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE U,I OWNER/LESSER ��%Pr/ MVV C l 1 MANAGER/AGENT NO P.O. BOX p ADDRESS . �I , ��(ro1 Sf ADDRESS CITY, STATE,ZIP T( , we"",/ D CITY, STATE,ZIP RESIDENCE PHONE /( /-J / / 22 7 BUSINESS PHONE(24HRS) /J� F� 9 BUSINESS PHONE TOTAL NUMBER OF ROOMS: h ROOM USE: 1. 2. 3. 5. 0,/;-/, 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 PAYf WL TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 7 LI LInspectors use only Date on initial inspection: 7/,qu f14 Date of reinspection: Date of issuance of certificate: // Date fee paid: Type of�unit: Dwelling O�tlher Check# cb �� Check date: �/�.�/�/�Y Notes: 'r' I—Y�� r?IH!rY�ll C P ( �(C -Ca e)(h �e—: [ (40r .a�C : -1 Code cement Inspector TRANSMISSION VERIFICATION REPORT TIME 0712812014 20: 29 NAME FAX 9787450343' : TEL 9787411800 SEP. # 000BON341991 DATEJIME 07/28 20: 29 FA;' NO. /NAME 919787449614 DURATION 00:00:19 PAGE(S) 01 RESULT OK MODE STANDARD ECM s u � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -- -" -- - " "-" - " -- --"- P11t111CHP 120'WASHINGTON STREET,4°FLOOR 1 - �- .81t11 -- - , r11-1 rromo,e.r.mai. TEL. (978) 741-1800 Fax(978) 745-0343 IiIMBERLEY DRISCOLL lramdinnsalem.coin L.\RRY RAMDIN,RS/RGI IS,CIiO,Cl I S MAYOR HPi,\I;rl-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#42-15 DATE ISSUED: 2/4/2015 Property Located at: 42 Roslyn Street UNIT#2 Owner/Agent: Fabien Campbell Address: 31 Starbird Street City/Town: Malden, MA Zip Code: 02148 24 Hour Phone: 781-820-9846 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 W' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants; must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFHEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSET I'S BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR 'ISL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMD1N(0)SN.EM.COM LARRY RAMDIN,RS/RUTS,CFH),CP-FS HEAj.xH 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 G�� y1 �S .s� j ,n . ©1�/7O UNIT# IS THIS UNIT DISIGNAXED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LES�S7ER/ r I ( J �/ MANAGER/AGENT ADDRESS �7/ cJTI,N6 .�/��)T. _ ADDRESS CITY, STATE,ZIP ��/��- . G�Y�CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: L 2. 3. 4. 5. V 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 E TIME OF INSPECTION APPLICANT'S SIGNATURE ',SATE ' Inspectors use onlv Date on initial inspection: Z `� Date of reinspection: Date of issuance of certificate: 2-L? Date fee paid: Type of unit: Dwelling Other Check# I7096152)-)Check date: Notes: A4f/x,,,- Code Enf�icement Inspector �r ¢ CITI"Y OF SALEM, MASSACHUSETTS BOARD OF H&\LTH --. -- _. 120 WASHINGTON STR-fiFXI 4p1 FLOOR P1tl)licHealth Prevent Pmmom Protect. TEi,. (978)741-1800 FAX (978)745-0343 KIMBERLEY DRISCOLL Ixamdin t(t7salem.com L,\RRY RAMDIN,RS/REI IS,0110,CIRFS MAYOR CERTIFICATE OF FITNESS CERTIFICATE#53-15 DATE ISSUED: 3/9/2015 Property Located at: 40-42 Roslyn Street UNIT#3 Owner/Agent: Fabin Campbell Address: 31 Starbird Street City/Town: Malden, MA Zip Code: 02148 24 Hour Phone: 781-820-9846 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 LARDIN HEALTH AGENT SANITARIAN N^ar. 10, 2015 11 : 10AM Mass. No, 0327 P, 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 11'LAYOR L �ncnua(�sALrnccont `v\ L.IRRYRAmDiw,RS/REAS,CHO,CP-FS HEALTAAGEN'r f) o', 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 40-42 Roslvn Street. Salem MA 01970 UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Fabien G. Campbell MANAGER/AGENT NO P.O.BOX ADDRESS 31 Starbird Street ADDRESS CITY, STATE,ZIP Malden.MA 02148 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 781-820-9846 TOTAL NUMBER OF ROOMS: 6 ROOM USE: Llivine 2.bedroom 3.bedroom 4.bedroom 5.bedroom 6.kitchen Tbathroom 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: ;L)/q 1/15 Date of reinspection: Date of issuance of certificate: ✓� Date fee paid' Type of unit: Dwelling Other Check#O Check date:v Notes: Mar, 10. 2015 11 : 10AM Mass, No, 0521 1'', CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON Sa*REET,41`FLOOR TEL. (978)741-1800 KItvIBFRLEY DRISCOLL FAX(978) 745-0343 MAYOR T UAIQIUI DSALEu.co�r LARRYRA\IDIN,RS/RENS,cuo,cp-rs HLALTII AGENT Code Enforcement Inspector Release In accordance with Massachusetts Oeneral Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. $e . ; g 9 State SanitaryCode Chapter II p and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owne /Lessor Address n Address p �I Address on unit to be inspected Date Mal. 10, 2011 11 , 1QAM Mass. No. 1)821 P, 1 ` CItY OF SALEM, MASSAC.HUSL-:T-V-S BOARD()F H i1aw 120 WASHINGTON STREET,4'"h7.00H KIMIWRLEY DRISCOLL 31u_(978)741-1800' MAYOR l.tx{978)745-0343 lramdin(rDsalc n•com LARRY RA KHAN,1(5/tW1IS,it((1,(;0.D$ HP., 1111 AUI(NT Facsimile Transmittal To: A le_xAltc ra Yom'_E " Fax # �.{t 77 q(4 (oI L/ . 6$E: _ _6 Date Page(s): including this cover# Message: Board of Health News — Your Information OFFICE HOURfl: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 03/11/2015 22: 29 NAME FAX 9787450343 TEL 9787411800 SER. 0 000BON341991 DATE.TIME 03/11 22: 28 FAX N0. /NAME 919787449614 DURATION 00: 00: 28 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978.741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 8, 2003 Roxanne Morrison 41 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 41 Roslyn Street Unit# 1 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 (/ Pablo Valdez Joanne Scott MPH, RS, CHO Health Agent Code Enforcement Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR r o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/21/05 Telly Cordova 41 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 41 Roslyn Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. Fr the Board of Heal Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 01/07/2000 Tel:(978)741-1800 Fax:(978)740-9705 Jeanette & Laurier Soucy 44 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 44 Roslyn Street UNIT # 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. JR THE BOARD O� REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I ND�" City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth MA01970 Prevent. Prometa Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-52 DATE ISSUED: 2/19/2016 Property Located at: 47 ROSLYN STREET UNIT#1 Owner/Agent: Asset Recovery Management Services Address: 145 Munroe Street City/Town: Lynn, MA Zip Code: 01901 24 Hour Phone:(978) 239-3307 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ' 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRA1vfDIN(@.SAL.EM.00M LARRY RAMDIN,RS/RHI-IS,CI-10,CP-FS HEALPI-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 47 ROSLYN STREET JNIT#�L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ASSET RECOVERY MANAGEMENT SVCS., MANAGER/AGENT NO P.O.BOX ADDRESS 145 MUNROE ST., LYNN, MA01901 ADDRESS 145 MUNROE ST., LYNN, MA 01901 CITY, STATE,ZIP MAIL: PO BOX 627, BEVERLY, MA 01915 CITY, STATE, ZIP RESIDENCE PHONE 976-239-3307 BUSINESS PHONE(24HRS) 976-922-2202 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. KITCHEN 2.BEDROOM 3,BEDROOM 4.BEDROOM „LIVING RM 7 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE B HECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT T E OF INSPECTION ` APPLICANT'S SIGNATURE DATE/7 Tsi)ectors use onlv / J Date on initial inspection: 0212 J/-n l G Date of reinspection: Date of issuance of certificate: 0 )—/12/7/11 Date fee paid: CASVmi 6 Type of unit: Dwellinsr �Other Check# Check date: 2{11.6 Notes: Cod/FhforXment Ind ctor City of Salem, Massachusetts n Board of Health a 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16.53 DATE ISSUED: 2/19/2016 Property Located at: 47 ROSLYN STREET UNIT#2 Owner/Agent: Asset Recovery Management Services Address: 145 Munroe Street City/Town: Lynn, MA Zip Code: 01901 24 Hour Phone:(978) 239-3307 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINn.SA1,FM.COM LARRY RAMDIN,RS/RENS,CHO,CP-FS HEALTFI 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 47 ROSLYN STREET UNIT# Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ASSET RECOVERY MANAGEMENT SVCS., MANAGER/AGENT NO P.O.BOX ADDRESS 145 MUNROE ST., LYNN, MA 01901 ADDRESS 145 MUNROE ST., LYNN, MA 01901 CITY, STATE,ZIP MAIL: PO BOX 627, BEVERLY, MA 01915 CITY, STATE, ZIP RESIDENCE PHONE 976-239-3307 BUSINESS PHONE(24HRS)976-922-2202 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. KITCHEN 2.BEDROOM 3.BEDROOM 4, BEDROOM 8 -LIVING RM 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE B_Yeb1ECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABL OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use onlv Date on initial inspection: C 2./12/2n24 Date of reinspection: Date of issuance of certificate: M1112/2nl t- Date fee paid: 02ZJ—,� 2n1K Type of unit: Dwelling_—\/ Other Check#SCheck date: 02./-2/2Q.2A Notes: C of cement In ctor 11 .�, 3r . 0 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 02/29/2000 Tel:(978)741-1800 Fax:(978)740-9705 Raymond P. Powers 46 Roslyn Street Salem, MA 01970 PROPERTY LOCATED AT 48 Roslyn Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified ptior 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 so exist. � R THE BOARD OF HEALTH -REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR .� CITY OF SALEM,, MASSACHUSETTS BOARD Of HEALTH _ 61IRM 120 WASHINGTON STREET, 4Ttt FLOOR SALEM, MA 09-570 TEL. 978.741-1800- FAX 978-745-0343 STANLEY J. USOVtCZ, JR. JOANNE SCOTT,-MPH, RS, C+4a MAYOR HEALTFt AGENT CERTWICATEOFFiTNESS CERTIFICATE#249-05 DATE ISSUED:4/20/05 Property Located at: 50 Roslyn Street UNIT# 1 Owner/Agent: Donald Johnson Address: P.O. Box 2502 City/Town: Lynn, MA Zip Code: 0190324 Hour Phone- 78t-598-Q472 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with t05 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-419.000. 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 Ce,tificate-oPOccupancy. FOR THE BOARD OF HEALTH JONE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r /�l �`� � /�/� --- 7 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 fip Ysa31 UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE J' r" ",OWNER/LESSER MANAGER/AGENT L/Lr7 No P.O. Box No P.O. Box ADDRESS l�G /Inion �� ADDRESS 9p 3� CITY r)n /nA CITY RESIDENCE PHONE_B/-� -?3V--2V-Vi BUSINESS PHONE (24 HRS.) X79/ BUSINESS PHONE �,?/-, D v'w TOTAL NUMBER OF ROOMS: L�L[dy ROOM USE: 1. en 2.� n : 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 V111214-7, INSPECTORS USE ONLY DATE OF INITIAL INSPECTION j 5� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: °7` -/2 v DATE FEE PAID: TYPE OF UNIT: DWELLING ,OTHER— CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 I CITY OF SALEM, MASSACHUSETTS BOARD OF I FALTH 120 WASHINGTON STREET,4"'FLOOR PublicmHealth TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdm(a).salem.com - L.\RRl'ItAnnnN,Rs/ru;I Is,cr-ro,cr>-rs MAYOR HEM;I'FI AG FN I' CERTIFICATE OF FITNESS CERTIFICATE #333-14 DATE ISSUED: 9/24/2014 Property Located at: 50 Roslyn Street UNIT#2 Owner/Agent: Donald Johnson Address: P.O. Box 2502 City/Town: Lynn, MA Zip Code: 01903 24 Hour Phone: 781-598-0472 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 IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO RD OH LARRY RAMDIN �G ~k HEALTH AGENT SANITARIAN 3.44 19 06 08: 55a -- �' Joanne Scott Salem BOH 978 745 0343 P. 1 T: " CITY OF SALEM, MASSACHUSETTS /J BOARD OF HEALTH -2 t/' 1$0 WASHWGTON STREET, 4TH FLOOR SALEM, MA 01970 T gt. 97A-74 1-1 800 FAX 978-749.0349 JOANNE SCO' , MPH, RS, CHO ICALIN 4rE Nl KimbetleY Driscoll I Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CUD .CHAPTER It, 106 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORHUMAN HABITATION', PROPERTY LOCATED AT J10 I s1 1 �1 UNIT 0 15 THIS UNIT DESIGNATED AS RIGHT �I FRONT PACK PLEASE CIRCLE ONE OWNER/LESSE (W4_ —MANAGERIAGENT —.-_._ No P.O.Box ,,..'' No P.O.Box ADDRESS � 't`_.�a2r-�— --ADDRESS CITY_ t4 �lq . I?.L201 __CITY_ RESIDENCE/PHCNE ��4Q USINESS PHONE{24 HRS.}, BUSINESS PHONE= -S-y£�--O-Itlg- TOTAL NUMBER OF RCOMS:,� ROOM USE 1, t1fp9Z.�tL/tr1G(rY!_3C�ttYJt(1gLY1T 4 THERE IS A TWENTY-FIVE-()DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABI,F AT THE TIME OF INSPECTION. j APPLICANTS SIGNATURE _ DATE_ J INSPE/ TOB,S L13LO� DTE Q ''7i ! SAL IN,S .LaN_ -L, aI (I ( DATE OF REINSPECT'ION." DATE O'-ISSUANCE OF CERTIFICATE: _DATE FEE PAID___- TYPE OF UNIT: DWELLING _OTHER _ CHECK 4_ `6W3.CHECK DATE - �1 1 y NOTES:—_ CODs , O CCMENT INSPECTOR 9'2W1 8 L CITY OF SALEM, MASSACHUSETTS �1! BOARD OF HEALTH a s " 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 6/15/05 Johnson Realty Management Inc. P.O. Box 2502 Lynn, MA 01903 PROPERTY LOCATED AT 50 Roslyn 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 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to �anne Scott MPH, RS, CHO Pablo Valdez ealth Agent Code Enforcement Inspector A S CITY OF SALEM, MASSACHUSETTS ,;• BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR � o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#577-05 DATE ISSUED: 9/19/05 Property Located at: 52 Roslyn Street UNIT# 1 Owner/Agent: Donald Johnson Address: P.O. Box 2502 City/Town: Lynn, MA Zip Code: 01903 24 Hour Phone: 598-0472 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 )� �`�" JO , NE SCOTT, MPH, RS, CI-f0 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 APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN cHABITATION". PROPERTY LOCATED AT 3 5�Q f2 S)V O UNIT#—Z III IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER a tdMh+OStZ�MANAGERtAGENT No P.O. Box No P.O. Box ADDRESS is 7, 9- ADDRESS } CITY / ifkq I-) )YJl Q/yQ CITY RESIDENCE PHONE_ -QY7a BUSINESS PHONE (24 HRS.) BUSINESS PHONE O1 TOTAL NUMBER OF ROOMS: S� / G ROOMUSE: 1 /!2�?'/ 2/ 23. Yc�i�n4. .��✓»�q /�"� xl THERE 16 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 r7 -/ DATE OF REINSPECTION 1 - �- DATE OF ISSUANCE OF CERTIFICATE: �'�{''�° DATE FEE PAID: TYPE OF UNIT: DWELLINC�OTHER_ CHECK# tL CHECK DATE NOTES: ''`` 11; !f (a CODE ENFORCEMENT INSPECTOR 9/28198 r Li i G� �? CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON S'rREFT,4°1 FLOOR PablicHealth TEL. (978) 741-1800 FAX (978) 745-0343 IQMBERLEY DRISCOLL lxanadin(a snlem-coin L.\RRY 12,\i`IDIN,RS/R1:1-1S,,CFiO,C11-FSS MAYOR I-IIS,\I:1'I i AG I SN"I' CERTIFICATE OF FITNESS CERTIFICATE#396-14 DATE ISSUED: 10/29/2014 Property Located at: 52 Roslyn Street UNIT#2 Owner/Agent: Donald Johnson Address: P.O. Box 2502 City/Town: Lynn, MA Zip Code: 01903 24 Hour Phone: 781-598-0472 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 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 BOARD OF HEALTH LAWMIRAIVIDIN HEALTH AGENT SANITARIAN Jun 19 06 08: 55a Joanne Scott Salem BOH - - � � 978 745 0343 P• 1 : CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J • t 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL- 978-741-1840 FAX 978-745.0343 JOANNE SCOTT, MPH, RS, CHO - Kimberley lDrlsC011 HCALTk AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 145 CMR 410X010 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED A7 �Z., v_S� IS THIS UNIT DESIGNATED AStR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER ANAGER/AGENT_,_,_____,_ _ No P.O.Box No P.O.Box ADDRESS_j?o l(�L4;�-4 a-Sd�,_ _ADDRESS CITY—L_t� /l YYl ( �_ _CITY._ RESIDENCE rPHONE_TL p/_a BUSINESS PHONE(24 HRS) ._ �. BUSINESS PHONE— TOTAL NUMBER OF ROOMS:-, J� - ROOMUSE: I.&&wM2k,4 _3.�,�t,,y � 4,JtV LM THERE IS A TWENTY-FIVE($25ZOI DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABI.,F AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE_ s DATE_ f0 IN3P -CTQR_,S U� .N�y A E-Q IN 71 LAL INfisPEC,710V IQAvjq--, DATE OF REINSPECTION., ._... DATE fl`-I5.`.;l1APJ0[OF CERTIFICATE: _.. —DATE FEE PAID•___, _ _ TYPE OF UNIT: DWELLINGS: !!!_OTHER CHECK 4_5,yf .c,HECK DATE/2711# ATE/Q ire �y NO TE COOt N CEMENT INSPECTOR y,,LBtyb City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PttbllCFiEalth MA 01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-424 DATE ISSUED: 10/28/2016 Property Located at: 11 ROSLYN STREET UNIT#3 Owner/Agent: John Karedis Address: P.O. Box 2018 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 580-9139 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. a '/ &JeW441a( Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSE,17S BOARD OF HEALTH 120 WASHINGTON STREET,4 "FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINnSALGM.COM LARRY RAMDIN,RS/REI-IS,CI-10,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" t FEE: $50.00 PROPERTY LOCATED AT r, Y 0 5-f' UNIT#-3_ \ IS THIS UNIT DISIGNATED AS IIIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER _IO,�\! �L�RC n\� MANAGER/AGENT NO P.O.BOX ADDRESS n f�c)X Zfl ADDRESS CITY, STATE, ZIP N\AC- 1(2 '1 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE (9� T? C 3� TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 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 FE//E IS PAYABLE AT THE TIME OF `SPECTION 12 APPLICANT'S SIGNATURE( / r P 0d - -7Co\ Y \ DATE )0 '—Z6)— jC vi Inspectors use only Date on initial inspection: I012G 12-19 C Date of reinspection: Date of issuance of certificate: In/2 r,12019 Date fee paid: d-�� 20 Type of unit: Dwellin V— Other Check# 22 17 Check date: 1612-UW16 16 /- Notes: llQrboi�MortOX'I P, �ke.�etfa✓ rHiL<rs,a, n.+ war�'e✓ �'r.vne� �¢-d� forcemen spector