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SALEM STREET 1-34SALEM STREET , 1-34 'f Kimberley D •iscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE', OF FITNESS CERTIFICATE M GHL-16-95 DATE ISSUED: 3/24/2016 Property Located a.: 38 SALEM STREET UNIT #10 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: S;dem, MA Zip Code: 01970 luPubHcHealth Prevent. Pmmnln. Protcet- Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 Pursuant to the rec uirements 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 an( is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitne!;s 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 oi:cupied. Maximum Number of occupants, must comply with 105 CMR 4.10.000. Certificate valid foi one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of =itness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANT ARIAN vw cv+ avav cv. c+ ICMMERLEYDRISCULL 1W'kOR DAtr[D GRE>341MW ACnNG HEALTH AGENT I y .J Crry OF SATE MASSt1.CHUSEm BOARD OF HEALTH 120 wAsHiNGrm STREET, 47"FLOOR TEL (978) 741-1800 R•Ax (978) 745-0343 COX AppHestion for CertifieaW of ]R tm IN ACCORDANCE WH STATE SANITARY CODE, CHAPTER 11,105 CMR 414.000 "MINIMUM STANI2ARDS OF FITNESS FOR HUMAN HABITATION" FF.E: MOD .kOPFRTYLOCATED ATd— /G WNMULESSHK Na /«•4 G�/r / eA MAHA(ifiR/ALiEh1I 7pataox a y�Yz 7DR&S4 e-, ADDRESS 'I Y, STATE, ZIP <.K_P , Ay d-IF70 CITY, STATE, Zee 3SMENCE PHONE BUSINESS PHONE a,aq& ? w ��7 Z AMSPHONE )TALNUW9M OF ROOMS )OM USE: 0 6. Z S. % 10. Pwil 69 1 •• :r: •4:I.N; s • r • it .1 to V.I. *I • :+i TLIGANT'S I I _ li , .te on iaitial to of Wm pE ofmk _Z/ -e/; 1 ((PID 2070.06.272721 9767450349 Pagel Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-413 DATE ISSUED: 10/25/2016 5 SALEM STREET UNIT #2 Deb Douglass 21 Somerset Drive City/Town: Andover, MA Zip Code: 01810 PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 569-6028 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT ,/Jeff y ll� SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4p' FLOOR TF,L (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAMDIN a@SALEM.COM LARRY RAMDIN, RS/RF.HS, CIAO, CP -FS HEALTH AGENT ((�� Crn� ire L2I � 00LJ' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT J �G� n nn UNIT# cT IS THIS UNr1r DISIGNATED AS RIGHT LEFr FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER JC%�Jd ��^ �U Jq �ct5 S MANAGER/ AGENT NO P.O. BOX ADDRESSJ4 ADDRESS CITY, STATE, ZIP !'C PDt_,,-k-_r CITY, STATE, ZIP ( VC RESIDENCE PHONE `� _5(-9 6202-� BUSINESS PHONE (24HRS) BUSINESS TOTAL NUMBER OF ROOMS: k' ROOM USE: THERE IS A FIFTY ($50) DOLLLL. R'FE , PA BOARD OF HEALTH THIS FIEF IS PAVAB1 APPLICANT'S SIGNA 11: CHECK OR MONEY Inspectors use only TO THE CITY OF SALEM D zq-, 2-0 (4 Dale on initial inspection: 4 012 V/� Date of reinspection: Date of issuance of certificate: 10/2 WLO fi,6 Date fee paid: Type of unit: DweUing_A/—Other Check # 3�Check date: 11a nt In F/Im"g. /;; Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-414 DATE ISSUED: 10/25/2016 5 SALEM STREET UNIT #1 Deb Douglass 21 Somerset Drive City/Town: Andover, MA Zip Code: 01810 PuWicxealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 569-6028 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT Weff SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON S1RL Lin,, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN@SALEM.COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED UNIT DISIGNATED AS NO P.O. BOX v ADDRESS 1 L ADDRESS UNIT# �k PLEASE CIRCLE ONE CPI'Y, STATE, ZIP AvjDa� CITY, STATE, ZIP C) RESIDENCE PHONE CM_5cl — (p0 2,� BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE BOARD OF HEALTH THIS FEE IS-9AY APPLICANT'S SIGNA YABLE BY CHECK OR I A-VTHE TIME OF IN; Inspectors use only TO THE CITY OF SALEM Date on initial inspection: 6 Date of reinspection: Date of issuance of certificate: AY 2&6 Date fee paid:&w2m j' Type of unit: Dwelling Other Check #_3Q32, Check date:l01�2_ V./2jpl4 2,i )w! L Ipspection Name— Type of Inspection ( * ) Remarks and Violations are listed below: Date I Address _ Tel. No. Inspector Sfi �N rr Report Received by: vf,.Ilxrc,,64�� n -��j / Report Received by: Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-403 DATE ISSUED: 10/20/2016 5 SALEM STREET UNIT #3 Deb Douglass 21 Somerset Drive City/Town: Andover, MA Zip Code: 01810 th Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 569-6028 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..2r-rz✓t- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT KIMBERLEY DRiSCOI:Sr MAYOR LARRY RAMDIN, RS/RRHS, CHO, CP -FS HEALTH AGSM' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASUJINGTON STREKF, 4°� FLOOR nL (978) 741-1800 FAX (978) 745-0343 LRAMINN&ALPM.COM Application for Certificate of Finless IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT � J✓JPIA .Sf- Ortt 3 iIN1T# � IS THIS UNIT DISIGN,ATED AS RIGHT LEFT FRONT OR BACK PLEASES CIRCLE'(ONNE OWNER/LESSER �-,-" -DO L)!J\` .SS MANAGER/AGENT OP.O.BOX MiccD OATc-I �- A\Z_ 4h )T,M.LTn U� �J�L1C� 1QSS wcc CITY, STATE, ZB' %�--e. , 8 C CITY, STATE, ZIP 0 lk 1 D RESIDENCE PHONE C-7I��9 ^ (d ( Z p BUSINESS PHONE (24HRS) '�Jt -? �- - SZ° 4 -4? D Z FS BUSINESS TOTAL NUMBER OF IRO11OMS: S ROOM USE: 1. V4 r � 2. Ltom 3. Q>ed, 4. 5. 63J THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH APPLICANT'S SIGNA Inspectors use only Date on initial inspection: ? D/ I !/�% Date of reinspection: Date r/ Date of issuance of certificate: : _ Date fee paid: �c/� G�2i Type of unit: Code Enforcement Inspector rZ Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-391 DATE ISSUED: 10/14/2016 Property Located at: 31 SALEM STREET UNIT #2 Owner/Agent: NBMD LLC Address: 24 Merrymount Road City/Town: Quincy, MA PubucAeatth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent Zip Code: 02189-2224 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e�- EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°' FLOOR TEL. (978) 741-1800 FAR (978) 745-0343 Iramdin@salein.com 1..1 IPIIb11CC1iC811th Prevent. Promote. Protect. LARRY RAMDIN, RS/REBS, CHO, CP -FS HEAI,TI-I AGLNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT L_ Sj- to M S 161 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLEONNE f OWNERILESSER N F> M O L D MANAGER/ AGENT P; I o 4 NO P.O. BOR J �� n CITY, STATE, ZIP ITY, STATE, ZIP RESIDENCE PHONE G 17 - 7a - LIgU Z BUSINESS PHONE (24HRSL-2 - 90 - BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. G vi!��C�3�rcw�n 4. P -J vow. 5 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 TIl V QF INSPECTION APPLICANT'S SIGNA Inspectors use only use only TE 1OA1(6 Date on initial inspection: I[) Date of reinspection: Date of issuance of certificate: Date fee paid: 110)w ki Type of unit: Dwelling Other Check # i0 53 Check date:lo)110)1 / h? aAAQA�V1w" �a✓1dWlr�(�SivYl-c©v4t Code E"c4gknt Inspector KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4". FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 lxamdin@a,salem.com Release 1P PublicHealth Prevent. Promote. Protect. LARRY RWDIN, 11S/1U,1 S, C110, CP -FS HL AL'I'H AGENT 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 Address Date Updated 5/13/11 Owner/Lessor Address Address on unit to be inspected 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 J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 98-04 DATE ISSUED: 03/10/2004 Property Located at: 1 Salem Street UNIT # 1 Owner/Agen6 Rosa Matias Address: 26 Dow Street CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4549 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4 CODE ENFORCEMENT INSPECTOR STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS y/ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F".9 HUMAN HABITAT;'/)N". PROPERTY LOCATED AT `� 5�c I�' J` ' `S(�v1 i , UN T #—L IS THIS UNIT DESIGNATED AS RIGHT LEFT FROrvT BACK PLEASE CIRCLE ONE OWNER/LESSER G{ ,O rQ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS :�& ADDRESS CITY _'J1,; OVIZI51 CITY //fj/2/9T q RESIDENCE PHON BUSINESS PHONE (24 HR�h �6 /7J CF/ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 B r 20 � r` 3°��0",ff 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '3' 10 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -3 /0 -V i DATE FEE PAID: l - C TYPE OF UNIT: DWELLING "k /OTHER_ CHECK # �9 CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 Iramdin e,salem.coin CERTIFICATE OF FITNESS CERTIFICATE # 59-13 DATE ISSUED: 2/4/2013 Property Located at: 1-3 Salem Street UNIT # 1 Owner/Agent: Carlos Raynoso Address: 1 Salem Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: lu PublicHeaI'th Prevent. Promote. Protect. I. ARRY R AMI)IN, RS/REHS, CHO, CP -FS Hj;A rhl AGENT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3 Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Ile Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 11*Y RAMDIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRF_FT, 4." FLOOR _ TFL. (978) 741-1800 FAX (978) 745-0343 I.raindin@salem.com salem.com %blicHealth P'o"m. rmmom. pw'«'. LARRY RANNIDIN, RSAIJ11is, a lo, cP-FS H1-;, AL;TI f AG BNP Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT—L—z IS THIS UNIT D GNATED NO P.O. BOX ADDRESS 1e,M ADDRES CITY, STATE, ZIP !�o 14—.1n c'M l: 4M CITY, STATE, ZIP RESIDENCE PHONE R-�- I D �- BUSINESS PHONE (24HR BUSINESS TOTAL NUMBER II OF ROOMS:tt��,' }}rpp _ ROOM USE: 1. 11' Ut 2. �f —1 3. - 4. bc? Q 5. CIRCLE ONE THERE IS A FIFTY ($50) DOLLAR FEE, PAY LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAW AT THE TJME, & PEC N APPLICANT'S �dd r Inspectors use only Date on initial inspection: :l11 1 13 Date of reinspection: Date of issuance of Type of Notes: date: KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4!" FLOOR TEL. (976) 741-1800 FAX (978) 745-0343 Itamdin@salei-n.com salem.com CERTIFICATE OF FITNESS CERTIFICATE # 180-12 DATE ISSUED: 4/26/2012 Property Located at: 5 Salem Street UNIT # 1 Owner/Agent: Richard Clement Address: 5 Salem Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-8261 LAR1tY RAMI>IN, lis/REHS, CI 10, CP -FS HIaAI: rf l AO IW1 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT ._► aC :► I4iA BI:' R I:Y DR,ISCOI.I. NL\YOR Lnl.in, R.vmL)r\. is/iai a rs. ci m_ c:h-rs (''111 Y OF 511 ENI, UNSSACHUSE-ITS Bo.mmOI Hr wni 120 V ' v S I FN GTO v 5 r Ia _I--1, 4"' .FLOOR T L. (978) 741-1800 F:,x (978) 745-0343 1,6A MUIN40,SA LENI.COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 5 Salem JnXl e '7 UNIT# /_ IS THIS UNIT DIIS+I�GNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER lelV/RJ(Y lVle&-elll// MANAGER/ AGENT "010— ADDRESS 5 AI w �/ c�a&K ADDRESS v«Ire CITY STATE, ZIP & lkvl( A Ot?70 CITY, STATE, ZIP. scx%;�oe- RESIDENCE PHONE 979- 7yY-2 -7y/ BUSINESS PHONE (24HRS) M- 2-10 lvss3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1.6edeav,vA 2. 13�ia ,� 3.6 rc^m 4. 5. liyip4 AvAt THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE 1S PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA Inspectors use only Date on initial inspection: 5 `) - I'L Date of reinspection: TE Date of issuance of certificate: S' I - I`1- Date fee paid: Type of unit: Dwelling* ✓ Other Check # 2-iIIA Check date: k4' 2A-11 Notes: cl��Vx- NAk% , Enforcement Inspector ' CITY OF SALEM, MASSACHUSETTS vg '� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 5 Salem Street OWNER/AGENT: R. Clement ADDRESS: 5 Salem Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 3 CERT.# 131-03 FEE $25.00 DATE: 03/24/2003 24 HOUR PHONE: 745-8261 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. OR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 JI -SO le-tn 4(ee_4 UNIT # 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER R. `_ Iei1n erl MANAGER/AGENT No P.O. Box No P.O. Box r-) ADDRESS �� r IP m Si r PC I ADDRESS CITY �>Q len/-� CITY m RESIDENCE PHONE %14,5- $a(� I BUSINESS PHONE (24 H BUSINESS PHONE j TOTAL NUMBER OF ROOMS: -1 G ROOM USE: 1_9 4C 2. (1 u. Ym 3. be4r.%n Sm 11 �W n 1 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 INSPECTORS USE ONLY IR DATE OF INITIAL INSPECTION � '> Y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - D> DATE FEE PAID:__ 2 �40 j TYPE OF UNIT: DWELLING /OTHER_ CHECK #3CHECK DATE 3�� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 11/29/99 Rama Joshi 170 Central Street Somerville, MA 02143 PROPERTY LOCATED AT 9 Salem Street UNIT # 2 Dear Sir/Madam: NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating thetenant 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 BOARD HE TH Joanne Scot,4MPH,RS,CHO Health Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 209-98 FEE $25.00 DATE: 04/13/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 11 Salem Street OWNER/AGENT: Point View Realty Trust ADDRESS: 47 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 24 HOUR PHONE: 745-4721 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 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 44 IILX-r k, � L4, JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel: (508) 741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT u l�(Y1 J \ 1UNIT # �� OWNER/LESSER�e� tib J \2�.� �QQ Y __)Z\gANAGER/AGENT ��4 C ' J dS -9, ADDRESADDRESS CITY St I a \M CITY — .-RESIDENCE PRONE�_�� - S{ Til BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS:_5 ROOM USE: I.I 2• 2� 3•_ `�3L�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 DEPAR HT IS XEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE M-atf -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:G�� `�� p DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:G �t �� DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES : 2 Amt O -11 Vo �;L -fL�' % ZLA' f5m, 2)ome ,da -L- V " Vp,,_ s , v is .Lvl- CODE ENFORCEMENT INSPECTOR STANLEY J. UISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 276-05 DATE ISSUED: 4/28/05 Property Located at: 11 Salem Street UNIT # 2 Owner/Agent: Pete A. Shold, Trustee Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 337-3489 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. 1`0�;THE BOARD OF H ALTH 1&* r C, Q (/fel ,5"'. JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OF SALEM, MASSACHUSETTS c BOARO OF HEALTH .120 WASH I NGTON' STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343RS STANLEY USOVICZ, JR. -- 'Yn JOANNE SCOTT,,MPH, R5, CHO - OJ 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 I/ S.4L<n S/- UNIT #�2 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER e,`hf S vIX MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS L/% ADDRESS CITY_ S/I1-E4-7 CITY RESIDENCE PHONE q BUSINESS PHONE (24 BUSINESS PHON TOTAL NUMBER OF ROOMS:__ ROOM USE: 1._ig_ 2. 17 3. /% 4. 7%w/ 5 L /Z F 7 A THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE e�J _DATE_�G Off_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION � 6 z N _ _DATE OF REINSPECTION DATE= OF ISSUANCE OF CERTIFICATE �_ d_&_ 0 )DATE FEE PAID: TYPE OF UNITDWELLIN'�THER CHECK P 3/3L7 CHECK DATE NOTES: CODE FNPC RCEMFNT INSPECTOR Q/28198 C[TY OF SALEY49 KASSACRUSETTS BOARfl OF HEALTH 120 WASHINGTON STREET, 4TH -FLOOR. SALEM; MA -O -M70 TEL. 978-741-1800 FAX 978.745.0343 JOANNE SCOTT, MPH,. RS-, CHO- HEALTH AGENT 4/19/05 Pete A. Shold, Trustee 47 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 11 Salem. Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering rentingadwelling-unitat 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: Nttnimunt Standards -of -Fitness forlinmarrHabRation. 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-9-78=741-1800; to schedu+e an appointment for an inspection- Our office hours are Monday thm-W ednesday-from-8:00 a.m. - 4.00 p t}1 Thursday 8:00 a.m. to 7:00 p.m. anddFddayM arm - t2 -.W p.m. Failure to comply with this -procedure may result in a fine of Twenty-($20.WXi)_dol1ars per day -for every- day that the dwelling unit is occupied-withouta-Certificate-of fitness. A $25.00 check payable-tothe_Cityof Salem is required for each unitinspected atthe-time-of Inspection. A property owner is- required_to- pay gas -and _ electricity for residentiattenants if thereis-not a-writtenletting agreementstahng-the_tenantis_responsiblefor those utilities and if the meter(s) records electricity and gas usewhich is not used_exclusivefyby thattenanL- The Department of Public Utilities has billed property owners for their tenanEs_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 J ,neScottMPH, RSC Health Agent Reply to Pablo Valdez Code Enforcement Inspector STANLEY J. UISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 196-05 DATE ISSUED: 3/24/05 Property Located at: 15 Salem Street UNIT # 1 Owner/Agent: Juan Figueroa Address: 15 Salem 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 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT z/ C D ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 I TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 _��'%L 57 --UNIT # % IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. ADDRE: -_MANAGER/AGENT No P.O. Box CITY L6ri4 CITY RESIDENCE PHONEY I e to - BUSINESS PHONE (24 H BUSINESS PHONE TOTAL NUMBER OF ROOMS: J y� ROOM USE: 1. - 2. L 3. 4. 16 5. 6 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. APPLICANTS SIGNA -5- DATE DATE OF INITIAL INSPECTION Lrr 3-U) DATE OF REINSPECTION_ _ DATE OF ISSUANCE OF CERTIFICATE -'(3 20 DATE FEE PAID: 3 — 1' 2'. °-) TYPE OF UNIT: DWELLING / OTHER._ CHECK # / 0 % b CHECK DATE 3 CODE ENFORCEMENT INSPECTOR 9/28/98 STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 1/25/05 Joan Figueroa & Miriam Gomez 15 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 15 Salem Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. For the Board of Health r9 /ii[ Jo e Scott Mk, RS, CHO He th Agent Reply to Pablo Valdez Code Enforcement Inspector CITY OF SALEM9 MASSACHUSETTS $v BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR .I a' SALEM, MA 01970 9p�gt TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 182-04 DATE ISSUED: 05/03/2004 Property Located at: 22 Salem Street UNIT # 1 Owner/Agent: Jean & John Martin Address: 24 Leavitt Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-2202 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH �) JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. MAYOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS I $;A% IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT C�� iyl/I cS� UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. No P.O. Box CITY_ '� CITY RESIDENCE PHONE %yla�Oa BUSINESS PHONE (24 HRS.) BUSINESS PHONE_ 62/1 (/'7-y0o79' TOTAL NUMBER OF ROOMS:_,_ ROOM USE: 1. 4. 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 _D_ATE OF INITIAL INSPECTION '�_ � __0' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S_,3 " ( DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK # 7 /_5 CHECK DATE'S' -410 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 00- 120 WASHINGTON STREET, 4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DORI213NBeU1M SAI.L;NI.COM DAVID GRG.ISNBAUM ACTING HI.ALTF-I AGP.NT CERTIFICATE OF FITNESS CERTIFICATE # 389-09 DATE ISSUED: 8/17/2009 Property Located at: 26 Salem Street UNIT # 1 Owner/Agent: Puma Partners / Dan Botwinik Address: 20 Washington Avenue City/Town: Waltham, MA Zip Code: 02453 24 Hour Phone: 703-980-7518 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 B�O�AR�,�,/�, F HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CO"CEMENT ENF RCEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR DAVID G'REENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGREENBAUM&ALI?M. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 2-6 Sg1,o,V 5+ I INIT# 4- py?W �o.r��-S IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE1 OWNER/LESSER { MANAGER/ AGENT D� n ��A � I NO P.O. BOX ADDRESS 2.0 WaS(n /I ADDRESS CITY, STATE, ZIP Wlk N� CITY, STATE, ZIP m z_ -j:S3 RESIDENCE PHONE BUSINESS PHONE (24HRS) -7o $o ! 5 I BUSINESS PHONE TOTAL NUMBER OF ROOMS: % ROOM USE: 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 TE_0?? O'T Inspectors use only �— Date on initial inspection:8�11-70 Date of reinspection: Date of issuance of certificate::� g 17 0 1 Date fee paid: l 19 G 9 Type of unit: Dwelling/ L,, they Check # / b i Check date: -F// `'5/6 NT-#-.. c4 -1W? Aymci n..Mfi,.4 _in LLQ/C 0 11 — Cn- 1n I, k-14-- ,AI nL._ i Cod E orcement Inspector V W Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-58 DATE ISSUED: 4/30/2015 Property Located at: 26.28 SALEM STREET UNIT #2 Owner/Agent: Dan Botwinik Address: 316 Lowell Street City/Town: Wilmington, MA Zip Code: 01887 D PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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 (i r SANITARIAN KI i\113I:RI EY DRISCOL L i`t.\i-OR CTTY OF SALE -M, NIASS_ CHUSEI I'S BOARD OF 1-117ALTI1 120 WASH lrc'roti Srw;rzr, 4Fux>x TEL,. (978) 741-1800 F��x (978) 745-0343 trlmdmiiisalenixo n. Uq Public Health LARRY H.AbIDtN, RS%R1i11J, CI -10, CP-I�ti HtiAl:l'll ACi'v't' 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 Z6/;-8 '--k UNIT# 2 - IS THIS UNIT \DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER DOltn MANAGER/ AGENT NO P.O. BOX ADDRESS MC* Cc"ea � ADDRESS CITY, STATE, ZIP W \\�wtwt��n MA O 1534CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HR BUSINESS PHONE L6i�A- "a 6C\43 TOTAL NUMBER OF ROOMS: ROOM USE: l . Nwt 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE --� Date on initial i Date of issuance of certificate: Type of unit: Dwelling 1", Other. Code Enforcement Inspector Inspectors use only Date of reinspection: Date fee paid: Z)-7-1; Check # )!5q 7 Check date: -4144 cg rS Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-222 DATE ISSUED: 7/1/2016 Property Located at: 26-28 SALEM STREET UNIT #3 Owner/Agent: Sean McEvoy Address: 330 Hillside Avenue City/Town: Haverhill, Ma Zip Code: 01832 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 879-2887 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 / Je SANITARIAN 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 010 54lerl 5f W3 "Salmi ION 6I77U UNIT# 3 IS THIS UNIT DISIGNATED AS R1GH'1' KKqFRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER 5S&A M c, °% MANAGER/ AGENT NO P.O. BOX ADDRESS 33o gil/d4tz AkVe ADDRESS CITY, STATE, ZIP q6✓1"" " MA o (V3a- , STATE, ZIP AAA RESIDENCE PHONE 0 1 7%" 0`�0 BUSINESS PHONE (24HRS) PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEAPAYABLE AT THE TIME OF INSPECTION APPLICANT'S RC TE UInspectors use only Date on initial inspection: 00Q/ (� Date of reinspection:� /i,tl� Fl tC� Date fee paid: n�ll3t7%1� Date of issuance of certificate: OKZ?/20 6 Type of unit: Dwellijn Other Check # IL Check date: Nnte. � 15. X�fW.hj. Code Enforcement Inspector Inspection of �,}�,f Pad -4 in Date jW3,04 I T'iim"eeIAPA Name Address :115a-12gw��75p req. 0{ tlga—t Owner a 1'lppG V ri Tel. No. _ ! —2 ! I -�- 2 Type of Inspection Cl --f, lrLz7 , E ,",44 Inspector (') Remarks and Violations are listed below: •fir_ rte, ».� . . i... ! i ��,r � i + � L r— r a e i I' VPfr.i r I I Report Received by: IQMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°1 FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 lramdingsalem.com CERTIFICATE OF FITNESS CERTIFICATE # 452-12 DATE ISSUED: 12/4/2012 Property Located at: 27 Salem Street UNIT # 1L Owner/Agent: 27 Salem Street Realty Trust Address: 19 Rezza Road City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-921-2288 LARRY RAMDIN, RS/REI'-IS, (':HO, CP -FS Hri? \t:PII A ENP An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT =112*11 IN SANITARIAN KIMBERLEY DRISCOLI, MAYOR CITY OF SALEM, MASSACHUSETTS BO.1RD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 iramdin@salem.com Public Health Yrcrenl, Promnle. Vrolcct. L ARRY RANfDJN, RS/RI:I IS, CI10, C11 -FS HI1.m.-nt A(31 -;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" PROPERTY LOCATED FEE: $50.00 :5" m - -+ UNIT# IS THIS UNIT D11SIGNATED AS RIGHTLEFTFRONT OR BACK, PLEASE CIRCLE ONE l OWNER/LESSER �7 S cw, leS� R/ QCc �� frU51 MANAGER/ AGENT f 1 CA V1 SO C ^e S NO P.O. BOX Q n ADDRESS I 1 ke(�zzli IZl�' ADDRESS /� p CITY, STATE, ZIP CITY, STATE, ZIP RESIDENCE PHONE p �� 1 ZH61 I BUSINESS PHONE (24HRS) BUSINESSPHONE �� SZ �{�7 4&k 975 9'�1 aan TOTAL NUMBER OF ROOMS: 9 ROOMUSE: 1.&—Av`^ 2. &'/A(Vn 3. f-1�Cl 0)4. LIviv)o 5_ THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE L&PAYABLE AT THE TIME OFF InNS,PECTION APPLICANT'S SIGNATURE ^ & �+ �� DATF. \2� y, Z / 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 #. j� Check date: /ate& �— Notes: Cnfo c tInspector L TRANSMISSION VERIFICATION REPORT TIME : 12/11/2012 23:14 NAME : 919789212288 FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 12111 23:13 FAX NO.INAME 919789212288 DURATION 00:00:18 PAGE(S) 01 RESULT OK MODE STANDARD ECM I IMBERLEY DRISCOLL MAYOR CI1Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4111 FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 liamdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 271-12 DATE ISSUED: 7/3/2012 Property Located at: 27 Salem Street UNIT # 1 Right Owner/Agent: 27 Salem Street Realty Trust Address: 19 Rezza Road City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-852-4967 IJ PublicYiealffi P 1. VrnmVlc. PrOlec,. L r\RRY RAMDIN, RS/REFIS, (:HO, CP-I;S HEAI, IIA(;ENT 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 LA RAMDIN HEALTH AGENT IONII3ERLEY DRISCOLL MAYOR LARRY RAMI)IN, RS/RIi:I:IS, C110, CP-I,S Hl.?ALAI I AGE:N'I, CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON STREET, 4... FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 R,\MDINna SN.Ew.COna 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 Sah ✓ FI " NO P.O. BOX ADDRESS nI-) �__ 41 IS THIS pU"NIT DISIGNATED ASL.IRIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE �rt�Q� 4 QOkii 1 f MANAGER/ AGENT �62 1 a, -v, 0 CITY, STATE, ZIP � ��"1� P CITY, STATE, ZIP RESIDENCE PHONE "i l� ' b�� BUSINESS PHONE (24HRS) OTA BUSINESS PHONE TOTAL NUMBER OF ROOMS: l n� ROOM USE: 1. K��r>, 2. 3. V� V" 4.Mf V\,-\ 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 I L APPLICANT'S Inspectors use only Date on initial inspection: 71, I Ick, Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # i � 1 i Check date: Notes: rAk KINIBERLEY DRISCOLL MAYOR ]ANIUDIONNI:; ACTING Hr m;I'I I AGF;NT CITY.OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 IDIONNE SN.EM COM CERTIFICATE OF FITNESS CERTIFICATE # 541-08 DATE ISSUED: 10/23/2008 Property Located at: 27 Salem Street UNIT # 2 Left Owner/Agent: 27 Salem Street Realty Trust Address: P.O. Box 149 City/Town: Princeton Crossing, MA Zip Code: 01915 24 Hour Phone: 781-858-8967 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 THE BO&,R� OF HEALTH HEALTH AGENT Q1T� •- •- KIMBERLEY DRISCOLL MAYOR JANET DIONNE, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 IDIONNF:([l�SALEM. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 0121 �,46,glt/( S`% Sal, , 1 - UNIT'# aL IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASSEECIRCLE ONE OWNER/LESSERC-2 `JV ��" / ST%Z�! & % /JrMANAGER/ AGENT 644 /-f JwL-2`7� NO P.O. BOX ADDRESS ( A61- / � �.�11 %C�i !% ADDRESS CITY, STATE, ZIP / Z ,� - CITY, STATE, ZIP U� glI RESIDENCE PHONE QI% ��z- �� % BUSINESS PHONE (24HRS) %CFS-- 0c l - d'16 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 2. #fk-1, 3. &--D 4 P e' 5 THERE IS A FIFTY ($50) DOLLAR FEE, PAY. BOARD OF HEALTH THIS FEE IS PAYABLE APPLICANT'S CHECK OR MONEY ORDER TO THE CITY OF SALEM LIME OF INSPECTION Inspectors use only Date on initial inspection: k 0 1-.3k:,<8 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # Check date: FA `• � [IdC��I[�a ��>i►t•1i111�.rg►2i•�16I�u►Tai�:72�'i'r�� • � • • • . R KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSE ITS BOARD OF HEALTH 120 WASHINGTON STREET, 41° FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 lramdin e salem.com CERTIFICATE OF FITNESS CERTIFICATE # 107-13 DATE ISSUED: 4/5/2013 Property Located at: 27 Salem Street UNIT # 2 R Owner/Agent: 27 Salem Street Realty Trust/Brian Boches Address: 19 Rezza Road City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-852-4967 LAR1t)'RAMD,N, RS/RENS, CHO, CP -FS H1:..A7:rt t AG1?N 1' 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 BOARDPF HEALTH AA LARRY RAMDIN HEALTH AGENT .✓ TRANSMISSION VERIFICATION REPORT TIME 04/15/2013 23:00 NAME 919789212288 FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 04115 23:00 FAX NO./NAME 919789212288 DURATION 00:00:19 PAGE(S) 01 RESULT OK MODE STANDARD ECM TRANSMISSION VERIFICATION REPORT TIME 04/15/2013 23:06 NAME 919785311012 FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 04/15 23:06 FAX NO./NAME 919785311012 DURATION 00:00:29 PAGE(S) 02 RESULT OK MODE STANDARD ECM Y � 1 KIMBERUiN DRISCOLL MAYOR I n1 un, RAMI AN, RS/RI(I IS, CI R 1, C:P-I S 1111 AI I A(;V.N"I To: CITY OF S.ALrM, MASSACHUSL:'I"IS B(L\RDOFHk 1L:ItI 120 9VASIIINGTON STREET, 4'" F7,OOK '1 a.. (978) 741-1800 F,1): (978) 745-0343 Iramdin udm com Facsimile Transmittal Fax # 11 � �5 S)- 10I FSE: �7r1) (') 0� Date Page(s): including this ever # Board of Health News --- ------- Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR IMANCIN1@a SA1 Ai1M.00M JANF..T MANCINI ACTING HEA1.11i AGF,NT CERTIFICATE OF FITNESS CERTIFICATE # 90-09 DATE ISSUED: 3/3/2009 Property Located at: 27 Salem Street UNIT # 3 Left Owner/Agent: Brian Boches Address: P.O. Box 149 City/Town: Prides Crossing, MA Zip Code: 01965 24 Hour Phone: 978-852-4967 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH J NET MANCINI CTING HEALTH AGENT G� +0 I c� rtk, � �p KIMBERLEY DRISCOLL MAYOR JANET DIONNE, .ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4:" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 IDIONM; SALEM. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." � on _ , FEE: $50.00 PROPERTY LOCATED AT—22 `J\`&V I � UNIT# 3 L IS THIS U;NIT�DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSERQ�C NI kC ti11 ►-� �S MANAGER/ AGENT ADDRESS �Q UO� m ?u&& (rosy 1(�A I 34DDRESS CITY, STATE, ZIP p -1a p CITY, STATE, ZIP RESIDENCE PHONE 1 1 o IZ.I -I6� I BUSINESS PHONE (24HRS) BUSINESS PHONE 5 �- TOTAL NUMBER OF ROOMS: ROOM USE: 1 gd'cVV_� 2. ,'` �C"� 3. ,\ 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 % VV�N�IJ�ZZ DATE. Inspectors use only Date on initial inspection: 3[3/09 Date of reinspection: Date of issuance of certificate: Date fee Type of unit: Dwelling Other Check # Check d, c0, _ OQd Enforcement Inspector KI MBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4'" FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 IramdinQaad salem.com CERTIFICATE OF FITNESS CERTIFICATE # 86-12 DATE ISSUED: 3/14/2012 Property Located at: 27 Salem Street UNIT # 3 Right - Owner/Agent: 27 Salem St. Realty Trust Address: P.O. Box 1499 PublicHeaith LARRY R MIAN, RS/RFIFIS, CI 10, (T -1,S HFAIXI I AG PANT City/Town: Prides Crossing, MA Zip Code: 01965 24 Hour Phone: 978-852-4967 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH LARR RAMDIN HEALTH AGENT �. •-LTi: •- IQMBERLGY DRISCOLL. MAYOR LARRY RANIDIN, RS/RH IS, (J10, C11 -PS HHAI:.rI'I A(;[�,N'r CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL'T'H 120 WASHINGTON STREF"C, 4"' FLOOR TFL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN@SAI.d•;M.COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESSFOR HUMAN HABITATION" FEE`. $50.00 PROPERTY LOCATED AT L s%��Y! S% UNIT# 3J� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT ORB CI{ PLEASE CIRCLE ONE OWNERILESSER Z% S0(4,27 Sr9P7y- % 7PVJ7-MANAGERIAGENT (3 c%t✓£ L% NO P.O. BOX ADDRESS led ADDRESS CITY, STATE; ZIP CITY, STATE, ZIP RESIDENCE PHONE e:W 9'2/-U4' BUSINESS PHONE (24HRS) 917t- OD - y I G l BUS INESS TOTAL.NUMBER OF ROOMS: 3 ROOM USE: 1. L1y/N� 2. Q 3. 64171f • 4. 5. 6. 7. 8. 9. to THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLEW CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA= TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection:) I L{ L a Date of reinspection: Date of issuance of certificate: Date fee paid: 1 11,4 Type of unit: Dwelling r. Other Check # 147:5 3 Check datre: Nnte e f -kr l rr+.;l --'n � -4 vin or l 17 V1 a )6 0 b, r6�.fTc' V,n ,o '61 Code Enforcement Inspector Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-248 DATE ISSUED: 7/18/2016 Property Located at: 28 SALEM STREET UNIT #2 Owner/Agent: Sean McEvoy Address: 330 Hillside Avenue City/Town: Haverhill, Ma Zip Code: 01832 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 879-2887 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 / SANIT ar Application for Ctrt fieste of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER. 11, 105 CMR 410.000 "MINLMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT_ �!41 tM 5 tSTWS U.NW DISICXATED OWNFRII FSSF,R &A /y ` �•i NO P.O. BOX , I.. , , , I . _ 1AA 01770 AGENT , STATE, ZIP Ct liv'e`r 1 m j{ U t Q 3 CITY, S`IATF„ ZIP PHONE !-r -?7f- BUsiNES&PIi01^U(24IRS) PHONE USE: THERE IS A FIFTY (S50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE '"'"' { ° DATE 7 1 /L Date on Wtial _ , acttstr Type of unit: Date of reimpeatiow Date fee psid: Qk.=Q Check date: D�l�r?�la Inspection of h A—Q&r+MrAn4 Date' Z�p(�� I T�i"m"e Name Address 26 �a un 51rxe(L tZajJ–.-*? Owner gcy-^ Mp E—,v/OI�{V Ir Tel. No. _M -279 -IM Type of Inspection �-er-i[STP, Rt" -,,!j' Inspector ( ' ) Remarks and Violations are listed below: r I r r f F I __i t rIt \ \ r 9 Report Received by: Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-387 DATE ISSUED: 11/14/2017 Property Located at: 28 SALEM STREET UNIT#3 Owner/Agent: Sean McEvoy Address: 330 Hillside Avenue City/Town: Haverhill; Ma Zip Code: 01832 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 879-2887 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT KIMBERLEY DRISCOLL MAYOR LARRY RAbIDIN, RS/RENS, 010, CP -FS HEALTH AGENT AfiT m pr6 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASI-HNGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN@SALEM.COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 1FEE: $50.00 PROPERTY LOCATED AT-ESC1 S+• SG I CMI Mq O -711 UNIT# 3 IS TIHS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER 'SeAfN M r EVC'y MANAGER/ AGENT ADDRESS 3.30 1-blIdale Ave ADDRESS CITY, STATE, ZIP F6V4kI 11t MAr V Wa' CITY, STATE, ZIP RESIDENCE PHONE 1 91-2 7 t a$ H7 BUSINESS PHONE (24HR BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IUAYABLE AT THE TIME OF INSPECTION APPLICANT'S Date on initial Inspectors use only Date of reinspection: Date of issuance of certificate: Date fee Type of unit: Dwelling—Other—Check #__Check & Code Enforcement Inspector TE Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-113 DATE ISSUED: 6/10/2015 31 SALEM STREET UNIT #1 Tom Connors PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 D PublicHealth Prevent. Promote. Prnmct. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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 '/ L �.l _, �%�.► _��r�, From: Jainny P. Fax: (6'17) 649-694- To: 80H Salem Fa:: +1 (972) 745-0343 Crry ol" S_u'L"' 1, M_ vSS:vrF1uSl✓rrS KINIBERI:.F:Y DRISCOLL i\LAYOR B(I imoF'Hv 120 V' %MIING ['(LN S' RLCIZT, 4"! FLOOR TER.. (978) 741-1800 F ae (978) 745-0343 lramdulCa salem.com Page '' of 3 0512712015 5:13 PM lu )Plth LARRY x:\:NIDMK RS/RBIs, CHO. CP -I:5 FiRAmu 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" PROPERTY LOCATED AT 2 ` � UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER �o�"^ ^ ^�f� MANAGER/AGENT 30 a n u" No P.O. sox (So Sr0 4 27-0 ADDRESS Qa dox 5'V-941 * 4- °I V"o —ADDRESS?.* ,\ CITY, STATE, ZIP f,. L, t A A o 2 Z' o) CITY, STATE, ZIP d� •� M R 0 1 2 `�S RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 61� 644�6°\A-8 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1.DU_. 2. �P� 3_�1� 4. �t 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 TIES FEE IS PAXABLk AT TjiE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Check # Check eW\Knj6rcntlnspector "t J _�A� TE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 59 120 WASHINGTON STREET, 4TH FLOOR rSo SALEM, MA 01970 --P' TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 616-07 DATE ISSUED: 12/15/2007 Property Located at: 31 Salem Street UNIT # 1 L Owner/Agent: Brown Properties Address: 11 Clayton Avenue City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 781-233-3999 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 VOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 51 1C P1 `T UNIT # IL IS L- IS THIS UNIT DESIGNATED AS RIGHT LEFT - FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER }}No P.O. Bo11 ® 4NSAANAGER/AGENT ADDRESS X 1 LAy TS!!) Ad NAD DRESS coli -(1) CITY6A CITY RESIDENCE PHONE �NESS PHONE (24 HRS.)6t7 901 BUSINESS PHONE TOTAL ROOM USE: 1. OAF 1ROOMS: �_ 3. 6e ` 4 BOA 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 INSPECTORS USE ONLY - /1 - DATE OF INITIAL INSPECTION 04 4®I2DATE OF REINSPECTION 1 DATE OF ISSUANCE OF CERTIFICATE:)41 V/6_DATE FEE PAID: I a' TYPE OF UNIT: DWELLING _OTHER_ CHECK # CHECK DATE/ CODE ENFORCEMENT INSPECTOR 9/28/98 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x 120 WASHINGTON STREET, 4"` FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGRI3IdNBAU%I@SAI,l3M.COM DAVID GRUENBAUM ACTING HII,Atxij AGENT CERTIFICATE OF FITNESS CERTIFICATE # 343-09 DATE ISSUED: 7/20/2009 Property Located at: 31 Salem Street UNIT # 1 R Owner/Agent: Brown Properties Address: 29 Winter Street City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAVID GREE AU A�6— ACTING HEALTH AG T CODE E O CEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGiEENBAUM&ALEM. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT s IS THIS UNIT DISI Q'i AS RIGHT m S aq CITY, STATE, ZIP1� 1 Q� CITY,kTATE.ZIP RESIDENCE PHONE f Q� yBUSINESS PHO BUSINESS PHONE � � I O lJ-I'1 TOTAL NUMBER OFROOfIMS: Q ROOM USE: 1. k Il(t1 2. CNV"IND\ 3. S)�� I 4. �� 5. CHICLE ONE pnc,�(' .R D- 6)1,9 - 6)110 ("q 9 Y3-oq 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 Aol p' �j Inspectors use only Date on initial inspection: v I Date of reinspectiotV Date of issuance of certificate: -7/X)/j Date fee paid: 42 6 Type of unit: Dwell^ling Other Check #Check date: U k q Nntcc: � Gni }�i/(1 I�PMS VilYi Uh � � %� jinni w kavnb Code Enforcement Enforcement Ins for l' v Y Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-126 DATE ISSUED: 6/18/2015 Property Located at: 31 SALEM STREET UNIT #2 Owner/Agent: Tom Connors Address: PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 LIP'l Public Health Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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 SAN ARIAN dERlLESSER nr.Ors MANAGER/AGENT �l�Clr a. BOX C� f X s5 S ��' Lt�Y�QU7C7C3d ' AUQiCiiaADDttESS__—,— - r rn ti n 4.4 t, rTTV cTATF 7IF,13o�a or KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSE'T'TS BOARD OF HEALTH 120 WASHINGTON STREET, 41" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 h-amdin@salein.com CERTIFICATE OF FITNESS CERTIFICATE # 413-13 DATE ISSUED: 12/2/2013 Property Located at: 31 Salem Street UNIT # 2L Front Owner/Agent: 31 Salem St LLC Address: 19 Tophet Road City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone: 781-608-5195 lu PublicHea Ith LARRY RAMDIN, RS/RE1IS, CFR), ORFS HEAL'Ili AG1dNT 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. �OR THE BOA D OF LTH ( L LARRY RAMDIN HEALTH AGENT SANITARIAN V KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4T FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDINgSALF.M.COM L,113, -i5 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 Y ) v I IS THIS UNIT DISIGNATED AS RIGHT RCFtI1RONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER t PIV n �� . (_�(�_ —MANAGER/ AGENT. NO P.O. BOX 1 /i; �-1 _ 1 _ ,n 1 i n e CITY, STATE, ZIP , STATE, ZIP 9 yy��U/ `Jk/�"VL, ! It RESIDENCE PHONE �1 � � - � 0� - SI'ISINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS: ROOM USE: 1. l I ✓i THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OFf INSPECTION APPLICANT'S SIGNA Inspectors use only Date on initial inspection: I -Z `Z -Y3 Date of reinspection: Date of issuance of certificate:_J Date fee paid: 12-2 )� Type of unit: Dwelling t/ Other Check #-) ) I -1 Check date: )'2--2,7 ') Code Enforcement Inspector 1� ir5g� DIOL v TRANSMISSION VERIFICATION REPORT TIME 12/02%2013 20:37 NAME 917815870166 FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 12/02 20:37 FAX NO./NAME 917815870166 06.00.23 PAGE(S)DURATIO 0N RESULT OK MODE STANDARD ECM CERTIFICATE OF FITNESS CERTIFICATE # 298-07 DATE ISSUED: 7/3/2007 Property Located at: 31 Salem Street UNIT # 2L Owner/Agent: Brown Properties Address: 11 Clayton Avenue City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 781-233-3999 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS A m BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 a TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 298-07 DATE ISSUED: 7/3/2007 Property Located at: 31 Salem Street UNIT # 2L Owner/Agent: Brown Properties Address: 11 Clayton Avenue City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 781-233-3999 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 - JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT 31_ SA lem-_ (T UNIT #-�_L gaR-D1 IS THIS UNIT DESIGNATED AS RIGHT/LEFt FRONT BACK PLEASE CIRCLE ONE OWNER/LES,SERR)QAj_ a _1e�_MANAGER/AGENTI IOOPI10 �,rJ No P.O: Box � No P.O. Box II11 ADDRESS�Lh U ON t�VQ ADDRESS ry, I CITY _CITY /� _7 - 4 RESIDENCE PHONE_____3�BUSINESS PHONE (24 HRS.) 7P 31 "3 (�9 BUSINESS PH TOTAL NUMBER OF ROOMS: aaW ROOM USE: ---- 2 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 THE TIME OF INSPECTION. q7 APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -_ ') 6/ - DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID W : TYPE OF UNIT DWELLING OTHER // ,1 CHECK 1' ? % �DCHECK DATE 213A NOTESyB;' r 0M- recavAt / AA4)6 • Ceuck od4h) h4# ✓�1 CODE ENFORCEMENT INSPECTOR 9/28/98 Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE M GHL-15-146 DATE ISSUED: 7/1/2015 Property Located at: 31 SALEM STREET UNIT #3 Owner/Agent: Tom Connors Address: PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 D Public Health Prevent. Promote. protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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-�--An s_ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT //////SANITARIA From: Jainnj Fax: (617) 649-6948 To: Fax: +1 (978) 741-0696 Page 4 of 4 06r2912015 9:36 AM CITY QN u. --m, l'l\-ss- "Mt:S1:'I`rs 'ITi. '41. -45-0343 KIMER1E7 DRLSM,L kam� 4aek� coea t:tHH1'Ht.Ni)Ity Nb�RliClC�K7l<F I^S MWOR KRA1.1H ul.wr Application for Certificate of Fitness 1N ACCORDANCE W111I STATE SANITARY CODF, CHAM.R. 11. 105 CMR 411L000 "MDMAUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED E OWNER&ESSER T_MANAGEWAGENT 1)'AkAri✓BS-k xo P.O. am ADDRESS &Gox * 4-°i ZZ0 ADDRES46i�o� Sfozl +A4tZL0 CITY. STATE.27P &1 - "AA 2240T CfrY, STATE. ZIP t7c}�w MAo 2Zvs RES1pENCEPFONE :— BUSOVESSPHONE (24HRS) 61 G4`t6'14$ BUSINESSPHONE b1-64-564�A-9 _ TOTALNUMBEROFROOMS: t ROOMUsF. 1, U.A 2. '3 �. U'j:!j 4. ')i 5. 6. 7. s. 91._ to THERE IS A FWTY (S50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARDOF HEALTH THIS FEE IS PAXABLr AT 1')IETIME OF INSPECTION Inamlors Use oTJI� Delc os tal" inpeaiao: 0622-0 Deta of 1 0sar of iw s afwb0ntt�2 ?- 0 j5r Date fee Type efunit: D n 4L JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 C9JS71JMl.7MC4'4_��lit;tl4NU�EX.� PROPERTY LOCATED AT: 31 Salem Street UNIT #:.3L OWNER/AGENT: Tim Klotz ADDRESS: P.O. Box 1341 CERT.# 352-98 FEE $25.00 DATE: 06/10/98 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 593-0091 NINE NORTH STREET Tel: (976) 741 -1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND ISINCOMPLIANCE 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 OOF, �HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel: (978) 741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT .? l S 4` 5 UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Y/ 4 � MANAGER/AGENT. r"O ./ToK 2 3vZ CITY RESIDENCE PHONE 7f -el 6.7 3`o cj9/ BUSINESS PHONE (24 HRS.) BUSINESS PHON TOTAL NUMBER OF ROOMS: ROOM USE: 1. ell 2. 1 d 3. � 4. (� 0 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 _ s APPLICANTS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 641AY DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: G to9 DATE FEE PAID: allol?8 TYPE OF UNIT: DWELLING /1Ti OTHER NOTES: Sn / a [ ss OF vl''k KA, e Flo.,CAc /`' Kfgi2 rel (o C"m Scvc� L, i rn CL I �e Fec s r- C015E ENFORCEMENT INSPECTOR 5/19/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 31 Salem Street OWNER/AGENT: Tim Klotz ADDRESS: P.O. Box 1341 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 UNIT u: 3L CERT.# 352-98 FEE $25.00 DATE: 06/10/98 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 24 HOUR PHONE: 593-0091 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: PLASSACHUSETTS 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 LAI'," FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT / ' e: CODE ENFORCEMENT INSPECTOR • s KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT HEALTH AGENT CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JSCOTT@SALEM.COM CERTIFICATE OF FITNESS CERTIFICATE # 481-07 DATE ISSUED: 9/26/2007 Property Located at: 31 Salem Street UNIT # 3R Owner/Agent: Brown Properties Address: 11 Clayton Avenue City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 617-710-8441 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 N�T, MPPH,, ReJS,,'CC'HO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS R Y?1'6 7 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _ S UNIT #- R IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER V�Qa�� Fh0 ANAGER/AGENT tOR QQ�rI ADDRESS X II CIAVIO_AjoeADDRESS CITY J • CITY ''� RESIDENCE PHONE7(; i"INESS PHONE (24 HRS.)"7��o gygl BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._&� 2. _3. IW 5. 6. 7 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 7APPLICANTS SIGNATURE-DATEISo INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _ a 6 G ATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �!_ G --o7 DATE FEE PAID: 4?- .1G TYPE OF UNIT: DWELLING -V OTHER_ CHECK 4 / & Y'� CHECK DATE _�� .-�- G 'ate CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-145 DATE ISSUED: 7/1/2015 Property Located at: 31 SALEM STREET UNIT #4 Owner/Agent: Tom Connors Address: PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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 SANITARI From: JajAy A '` Fax: (617) 6496948 To: Fax: +1 (978) 741-0696 Page 3 of 4 061292015 9:36 AM ,alb 1313 til Sl II`CT'1 1ICU., Tri.1.Y7W 7..1i-iiAPI1- !-1i 4 KIABERILYDRISCOLI.itL> i'^!n-"�t`'n–c'''' f _1JinY" Rh..\tl)Efh, tLCJEFfCi.C7R/. GIN`J 11tAYOR EL;.x:nr.r Application for Certificate of Fitness IN ACCORDANCL'%TTII ST:t'f1; S.3NITAR F CODE, CHAPI'ER 11,105 CMR 414.400 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABrfA71ON" Fr�F: •5nsx; PROPERTY LOCATED AT3' _ cry L IS THIS UNIT DIStf!'UTED AS RIGHT I,EFS FRQNT OR PI.F.ASE CIRCLE ONE t OWNERIESSgEn co — IANAGEWAGENT JJ Gu H2i✓ NOPA,lIOII c o eQo �4ti--S"v �1A�►?.zo ADDRESS Q tSo'�< �'ia� I 4� `ti'�1 Ts'` ..J_ADDAF,_S CITY, STATE,2tP UI oL-� t` A G�L O) _CITY, STAN, T.IP RESIDENCE PHONE_ " _.BUSINESS PHONE (24HRS)_ 6 6 tA 6148 BUSINESS PHONE 6 tqt 64k6,�x a49- TOTAL NUMBER OF ROOMS: 'k — ROGMUSER 1. S47 -A 2�e4 -- 3.-- 6. 7< THM tS A FDTY ($50) DOLLAR FF.E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARDOF HEALTH THIS FEE IS PAMARLATT E TIME OF INSPECTION APPLICANTS SIGNATURE 1n9acetoro Dse only Dees on imwel im� /M/gcjr Date of reirspeakm: D&D of Sodom ofcc"Wmte:O 2 20V_ _ Date fee paid:0412 O can Typeatmt Dwelling Idler.. Checkdata:Q64V2o1f k ,I vp V5 I/ J i // • w KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT HEALTH AGENT CITY OF SALEM9 MASSACHUSETTS HEALTH AGENT 120 WAS14INGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978.745-0343 JSCOTT@SALEM.COM CERTIFICATE OF FITNESS CERTIFICATE # 483-07 DATE ISSUED: 9/26/2007 Property Located at: 31 Salem Street UNIT # 4L Owner/Agent: Brown Properties Address: 11 Clayton Avenue City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 617-710-8441 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 06X J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR - ( CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". celrTT�%' ' L PROPERTY LOCATED AT 2/ J 17 Irl UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERB 1m4GER/AGENT No P.O. Boxm e Al� _ T _ - SAE o PA. Box CITYys , Mfl CITY_ RESIDENCE PHONE 233 _1INESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. d _.2j.*t_3, L� V 4.—w—efieni 5. —6.-7 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION c/ - c)= L., -t�DDA,,T�E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 5� 6 -=AATE FEE PAID:_ � _� �' TYPE OF UNIT: DWELLING�/OTHER CHECK CHECK DATE _q, '_ CODE ENFORCEMENT INSPECTOR 9/28/98 0#7 +6, CITY OF SALEM9 MASSACHUSETTS �! HEALTH AGENT s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745.0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 482-07 DATE ISSUED: 9/26/2007 Property Located at: 31 Salem Street UNIT # 4R Owner/Agent: Brown Properties Address: 11 Clayton Avenue City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 617-710-8441 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 q�`' - JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Q 40�- CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 3 I S alem Sf - I' -v UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER OfVjt AGERAGENTAVOINIf No P.O. Bp�1� /� No P.O. Box ADDRESY/ [ IOC -f&j A%# ADDRESS I'; Agg-cf) CITY :&Je w i CITY RESIDENCE PHONE233 SINESS PHONE (24 HRS.)�n, _7j_# gN yr BUSINESS PHONE TOTAL NUMBER OF ROOMS: / _ ROOM USE: t_� 2. _3. L�1� 4._kJ7 5. 6. 7 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. t_ APPLICANTS SIGNATURE -DATEJ� IN�S%PEC7TORS USE ONLY DATE OF INITIAL INSPECTION / - <- (D Of DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /G- - o� DATE FEE PAID: TYPE OF UNIT: DWELLING -OTHER_ CHECK # V CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-144 DATE ISSUED: 7/1/2015 31 SALEM STREET UNIT #5 Tom Connors PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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 O"Xklk4� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANT IAN From: JamnyN►— i,' Fax: (617) 649-6948 To: Fax: +1 (978, 741-0696 Page 2 of 4 0612912015 9:36 AM cry), of., wrrs, IV $t r � Pal Jh FIP_1U i i 12Q until i1\GT.f C; +I itCEi', 4� °Pia A 1R pwftHean Tlt1_ nY,'iC, , d1.1glM1 r 1S "1?fli 745.0343 KIhmpid.EYDRISCOLI. R.n in({Z•sslce".eom R1L�iUR 1..\RAY R•t\lllQ�, ac/aRti5,C7R/, CILI'a 11EAL1171 AGF.\ f Application for Certificate of Fitness IN ACCORDANCE: VITTH STATE SANITARY CODE, CHAPTER 11,105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT �� F IS TIM UNIT OISIGNATEo A OWNEWMSMUT`MANAGEW AGENT -1J 131 -n 1 Slrtj� NO NO. BOX ADDRESS YO Qo k Sro 1 !� 401 lya ADDRESS rbor< r0 �� h�1ZZ0 CITY, STATE ZuP o�- fS GILD CITY, STATE, 7.IP SoA01" M A o2ZoT RESIDENCE PHONE— � __BUS1NF.SSPHONE(24HRS)_6 a G"GpAm BUSINESS PHONE 64a (a' ,61N48 TOTAL NUMBER OF ROOMS: AC RomusE ted 1 _). Uw".A 4. - ti. 7. 8. - 9.. X10` - THERE IS A FIFTY (SM) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA ABL ATT E TIME OF INSPECTION APPLICANT -S SIGNATURE DATA _ J_"C 2ij tz:�' t S IMyi IOn YX only Date an initial 06 3 p/2_ 5 _ Hare of m[i pectim: Dam aftftum ofccamcadwoc O'ys Date i6cp6d:0 12V_2gQLt 7YpeofankDwdlieg ! Otlier.. Check#2,2Aa3jnjj_Checkdato:OG%2J&Q�,E Nobs Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-288 DATE ISSUED: 9/15/2015 Property Located at: 31 SALEM STREET UNIT #6 Owner/Agent: Tom Connors Address: PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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 /SANITARIArIqZ KTNfRARi a-iY DIUSCOIJ. 1\'L9YOR 1 „ARRv R,vXIDIN, RS/RIA IS, 010,(T -p1( 14H:\I:I'1I A<;FN'I' CITY OF' A) t Nt, til NSSAC ] USETI'S lik) wl) ov Fir11.71I 120 WASI IINGI ON STRIFF F, 4 " FLOOR Tfu_ (978) 741-1800 F:t�\ (978', -45-0343 LRS\,SIIHN 1,II_I!_,I,iil,%l Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEF,: $50.00 / PROPERTY LOCATED AT iCy� hN `J� 1,n11(� UNIT#_L? IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACk, PLEASE CIRCLE ONE DWNER/LESSER-TOY-r7 riUr S __-_.__-MANAGER/ AGET NO P.O. BOX 11 ADDRESS A -1.5L -q rO v0OCxiO VC Q80(- ADDRESS._. _.._...--- CITY, STATE,ZIPI�voOj j!._1'l.l MA (9ZOLCITY, STATE, ZIP RESIDENCE PHONE__ '8 J t� 633_ BUSINESS PHONE (24HR BUSINESS PHONE C �nq)4 q (:)94(v' _..-. TOTAL NUMBER OF ROOMS:_ ,. ROOM USE: I. (Au1c�-IoL,n3. I'x vam_4. 13cd x r _5,---`- c 4 0 In 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 TI IE TIME OF INSPECTION APPLICANT'S 5iGNATURE �i7sv-_��nC��S DATE_ ��' ___t is Inspectors, use only Date on initial inspection:_ov—i 0/i CZ,? Date of reinspection: _,_ Date of issuance of certificate (�/2(��S ....., Date fee paid:,Q9(14/10LS Type of unit: Dwelling Other Check 923),1710tl f< heck date Q!1,(_tq/Zpa *Aceme�ruspector KIMBFRi.FY DRISCOIA N LWOR I.1G It RAMI)IN. R:;IltI l IS, (:If( 1 Hrlwnl A(;I..\'r CITY OF SALEM, N11ASSACH.LTSFTTS lit PARD OF Hr- ALT) I 120 \V Asi IINGTON STRer:T, 4`1 Fr oo iR TE.L. ()78) 741-1 80ff I"AN (978 -1,45-0343 Release In accordance with, Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter I1 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. l/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 Address 1 orrl C-,) no 5 __ Owner/Lessor 4S-Ond3080rc Address 31 Sa\-e.rrm S, :�- C, So1em, t�1A Address on unit to be inspected F�/« Date Updated 5/23111 Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-111 DATE ISSUED: 6/10/2015 Property Located at: 31 SALEM STREET UNIT #7 Owner/Agent: Tom Connors Address: PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 D PublicHealth Prevent. Promote. Prmert. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented 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 i072 y -mss ", ng r KINIBERIT-Y DRTSCOLI. I1LAY()K CITY OF S.1 LI 1I, �LLtiS.1(: FIUSl ; I`I'I 130 :Rl) of FIE_.1:111 120 WASI FIN(;3(tN `t ItE1_!, 4': l:rI)iiR T).t_,�)"x;"•11-IStT!1I..:.'1)7 450343 Irate � salern cont T...RRv s.; �tn[.ti, rtslRr�ts,crltr, c,r-r; 1 il_:u:rtr AC;It�T Application for Certificate of Fitness IN ACCORDANCE. w'ITJ-I STATE SANITARY CODE. CHAPTER 11, JOS CMR 410.000 "MINlMUNI STANDARDS OF FITNESS FOR FIUMAN HABITATION" ` l FEE: $50.00 PROPERTY LOCATED AT IS THIS UPiITDISIGNATED AS RIGHT LEFT FFRONT OR B,iC^IG pi EASE CatCi E p NE UNt I# OWNER/LESSER Tou.� C� �,. , r j MANAGER/ AGEYT J �n F i moi✓ NO P_©, Box ADDRESS Vo Q Sra 41 4-,9� u -o ADDRESS?�* tSoK 510 1:0 * Aei4L-p CITY, STATE, ZIP So1-0-% Nl f} G2 L'0CITY, STATE, ZIP P o 2."5- ReSLDENCE PHONE_'"— _BUSINESS PHONE (24HRS), G BUSINESS PHONE 64 6"6c\4E? TOTAL NUMBER OF ROOMS: y ROOM USE- 1. � 2, ` qQt 3. t. v 4 6. 7.. R_ ii. 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 ABL ATT E TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Zfi, P. --o 1 r Ins tors ;;e only Date on initial inspection:—Sja6 5 _ Date of issuance of cWifwate: Date of reinspection: Date fee Type ofunit: Dwelling Other__ Check #- Check date.• �r__. ITi rm. 415 -(Il Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-112 DATE ISSUED: 6/10/2015 Property Located at: 31 SALEM STREET UNIT #8 Owner/Agent: Tom Connors Address: PO Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 649-6948 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-�-A4LL�, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KTMBERLEY DRISCOLL MAYOR Q,Fy ()I' `.11.L•:Zi, ALL :ss_1{:I 120\Y';•rii:it,- ,y _uF. r.4 1:1-..t: IPnb}1ciE�h £KfK_ }Y.Mi. hNKi I.\RRYHi\il)Il., Its RERS. CIIC3, CP•V'S Hrumf Acv. Application for Certificate of Fitness IN ACCORDANCE VOTII STATE SANITARY CODE, CHAPTER 11 r 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT 3 1 UNIT# k:rl IS THIS UNIT DISIGNATED AS RIGHT LEFT FR 57 OR BACT� PLEASE CIRCLE ONE J CRVNERR.ESSER Tr�� ^ = ... f s MANAGER' AGENT�.1 X0 P.O. BOX ADDRESS Po 30,R T a I q Ej ZZ a ADDRESS ca -* CITY, STATE, ZIP &wrL-'% MA UZ L o y CITY, STATE, ZIP ti� }�h MA o 2 -40V - RESIDENCE PHONE BUSINESS PHONE(2-iFIRS) 6 -tel 6-148 BUSINESS PHONE TOTAL NUMBER OF ROOMS - ROOM USE: L _SaA 2. .-.avA 6. 7. 8. 9. 10. THERE IS A FIF'T'Y (S50) DOLLAR FEE, PAYABLE BY CHECK CDR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA -ABL AT T iF TRIF OF INSPECTION APPLICANT'S SIGNATURE DATE -rA,^i 6, Z-3 I %� Ins tors use nl� Hate on initial inspection: 6 1 `� Date of reins) tion Date of issuance of certificate: y — Date fee Paid: Type of unit: Dwelling Other Check d Check fie; 6 N a STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/29/05 Timothy Klotz P.O. Box 1341 Marblehead, MA 01945 PROPERTY LOCATED AT 31-33 Salem Street Unit 1L 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 isnot 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 �lx� nne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/29/05 Timothy Klotz P.O. Box 1341 Marblehead, MA 01945 PROPERTY LOCATED AT 31-33 Salem Street Unit 4 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 (t7X (_� J nne Scott MPH, IRS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector c a s STANLEY J. USOVICZ, JR. MAYOR Timothy Klotz P.O. Box 1341 Marblehead, MA 01945 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 - JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT PROPERTY LOCATED AT 31-33 Salem Street Unit 6 Dear Sir/Madam: 4/29/05 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 tenants entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. ,,Fqr the Board of He h Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS 130,1RD OF HEALTH - 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 ICNIBERLEY DRISCOLL Fax (978) 745-0343 MAYOR DGRI3ENBAUM(n�SALIiM.CO.b( DAVID GRI',I3NBAum ACTING Hr'.AL11-1 A(;uNT CERTIFICATE OF FITNESS CERTIFICATE # 40-10 DATE ISSUED: 1/29/2010 Property Located at: 32 Salem Street UNIT # 2 Owner/Agent: Francisco Castillo Address: 32 Salem 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 I (� AVE &B ACTING HEALTH AGENT CODEF RCEMENT INSPECTOR U�-2-9- iu KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 _ DGRE,ENBAUM@SALEM. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 32- S cc t o H -r 5 J: 4Ct l - e k -f f�fA . UNIT# Z IS THIS UNIT DISIGNATEEiD AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Trl- h C 0 MANAGER/ AGENT NO P.O. BOX ADDRESS SCS L F cL9 - ADDRESS CTfY, STATE, ZIP S4- ZQ-iXl /qg' 0/1 �-'U CITY, STATE, Zip RESIDENCE PHONE '4R- "Y.S� cf _Z S 5rBUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 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 InSDectors use only a// 21/w Date on initial inspection: Date of reinspection: Date of issuance of certificate: 1P `� /0 Date fee paid: ja `iko Type of unit: Dwelling Other Check # C Check date: h L A) J J�v Code E c e (fnnttt Inspector ��, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 °NB TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 621-05 DATE ISSUED: 10/6/05 Property Located at: 32 Salem Street UNIT # 3 Owner/Agent: Francisco Castillo Address: 24 Palmer Street City/Toww Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-1917(Victor Rodriguez 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT mwa CODE ENFORCEMENT INSPECTOR STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 S� 'e i#JNIT # ✓ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER AkVr/SG 6eW140 MANAGER/AGENT �ed1z11� No P.O. Box No P.O. Box ADDRESS '��/ lOiIVA4 it SNOO 1 �'"ADDRESS ZtKoO,aGr e_o_ CITY lld4�IVL 21 Q + CITY n� 8 RESIDENCE PHONE 7 'ry6p /p USINESS PHONE (24 HRS.) BUSINESS PHONE 9?c- TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 2.-3.--4.— THERE .3.4. 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. -I' iL�`�r _DATE / //7/-r UJ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 1U. 4-6G G DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/Q.- Y'� - a5_ DATE FEE PAID: ,/ O - _0 TYPE OF UNIT: DWELLING , OTHERCHECK #� 5 CHECK DATE 46 - o NOTESyn! J- �-+��'-- 47c .t__7 l r4.t.4.. , i...y�c F,YT _ Giro-•-• _ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts R,igulations. 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, 1/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 lcss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. NNER/: ESSOR. ADDRESS Irl A 50//9 ,� 0EI ESS -- 32 S,gCe'O?' S . '+/- 3 S;'-� ADDRESS OF UNIT TT) df ZSPFCTED CITY OF SALEM, MASSACHUSETTS a 6 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, HIS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 58-07 DATE ISSUED: 2/12/2007 Property Located at: 32-34 Salem Street UNIT # 1 Owner/Agent: Francisco Castillo Address: 24 Palmer Street #1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-869-9074 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH 7r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor 3'c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �o SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO - 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 3Z -3V S1eA4 S�KPff UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER'1"1TAO qG CO (549/1 IiMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS YlJ/ gCN(P(QSfQ .� ADDRESS CITY S�.AA IU14 Q I(Q CITY RESIDENCE PHONE USINESS PHONE (24 HRS.)(?LV S BUSINESS PHONE (Y�t 335-3Sys TOTAL NUMBER OF ROOMS: 0 ROOM USE: 1. 2. 1 4. / S. 6. 7. 8. L 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 lc_�A40 _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 1- 17 '—D ?DATE OF REINSPECTION_ -j-�)-_-6 � DATE OF ISSUANCE OF CERTIFICATE_2 -1 � v 7_DATE FEE PAID:_ =_L_Z_-a % _ TYPE OF UNIT: DWELLI _OTHER__ CHECK 9_3,50-f 0 _CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 i STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 471-04 DATE ISSUED: 10/13/2004 Property Located at: 32-34 Salem Street UNIT # 2 Owner/Agent: Francisco Castillo Address: 24 Palmer Street #1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-869-9074 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR410.000: 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. OR THE BOARD PF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSP CTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 JOANNE ScoTT, MPH, RS. CHO 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 ZG - 3'Y S4leM SZ�Ul UNIT # 2 IS THIS UNIT DESIGNATED AS RIGHT LE/FT FRONT BACK PLEASE CIRCLE ONE / OWNER/LESSER 2�Cl5GO�1a2!iiCDMANAGER/AGENT ADDRESS2v)p4//%feA___ NADDRESS �4'" TWe44 5'1 sem/ CITY RESIDENCE PHONE /?-r-/-07,9%BUSINESS PHONE (24 HRS.(?�O _ BUSINESS PHONES TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5.______6. �/ 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 / i_D DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I fJ 13 ` DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: / 6 'I 3 `� DATE FEE PAID: TYPE OF UNIT: DWELLINGkIlTHER_ CHECK #,� I%'.6 CHECK DATE CODE ENFORCEMENT INSPECTOR �urw CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH •� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL, 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 32-34 Sales Street OWNER/AGENT: Carlos M. EsUinal ADDRESS: 34 Salem Street 2nd CITY/TOWN: Salem, MA ZIP CODE: 01970 CERT.# 133-02 FEE $25.00 DATE: 03/13/2002 UNIT #: 3 24 HOUR PHONE: 744-8509 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD /OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i STANLEY LISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741 -1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 3 S 5_42,:' „!J S%- UNIT #j IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. MANAGER/AGENT No P.O. Box CITY EA4;_L % CITY RESIDENCE PHONE(E 7�/7_� 9!! VV f BUSINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS: S 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 INSPECTORS USE ONLY 6 0'2 DATE OF INITIAL INSPECTION .5 -/ 3 -0 2 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3- 3 �2DATE FEE PAID:T% -U L TYPE OF UNIT: DWELLING�THER_ CHECK # Y 8 I CHECK DATES�- CODE ENFORCEMENT INSPECTOR •: JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 33 Salem Street UNIT #:,l OWNER/AGENT: Timothy Klotz ADDRESS: P.O. Box 1341 CERT.# 353-98 FEE $25.00 DATE: 06/10/98 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 593-0091 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 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 LAN] FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 APPLICATION FOR CERTIFICATE OF FITNESS NINE NORTH STREET 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 j? 3 S"'r-LO-A, UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Y�'z U"W MANAGER/AGENT CITY (-,-- ��G/ CITY RESIDENCE PHONE a�/ �F3 —OCA BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBERO,,FQROOMS: -L ROOM USE: 1.d �` 2.'1/43. 141 _4. do(/ 5. 6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4/24/98 DATE OF REINSPECTION -T' DATE OF ISSUANCE OF CERTIFICATE: G//a DATE FEE PAID: C /ay& TYPE OF UNIT: DWELLING_4o � OTHER CODE ENFORCEMENT INSPECTOR 5/19/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 262-01 FEE $25.00 DATE: 05/22/2001 CITY OF SALEM BOARD OF HEALTH Salem. Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 34 Salem Street OWNER/AGENT: Carlos Espinal ADDRESS: 32 Salem Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 24 HOUR PHONE: 744-8509 Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: (978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 34 0H�1 .M S -y • UNIT #j IS THIS UNIT DESIGNATED � AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE OWNER/LESSER 6j&2JS rI 4,41. MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS , �A%M APT,; ADDRESS,r fA CITY �i,, / CITY l , RESIDENCE PHONE frj% - f%iasoEl�S�q BUSINESS PHONE (24 H BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. !V2%UG>- 32i /, l094. 6WW Cis n� ...�•,� • THERE IS A TWENTY7FIVE_($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 DATE OF INITIAL INSPECTION b DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 5-' )'%- )DATE FEE PAID: -0 TYPE OF UNIT: DWELLIN� OTHER_ CHECK # 3 (o CHECK DATE D- ZL _ d CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 04/10/2001 Carlos Espinal 32 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 34 Salem Street UNIT # 1 Dear Sir/Madam: NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven eo exist. R THE /BOARD 0 HEALTH \\ Joanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR