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SALEM STREET 35-70SALEM STREET 35-70 c 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-253 DATE ISSUED: 7/21/2016 Property Located at: 35 SALEM STREET UNIT #1 Owner/Agent: Frank Quellette Address: 25 Donovan Way City/Town: Middleton, MA Zip Code: 01949 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 777-4405 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 Jeffrey Barosy U-17tii1:71_1r KIMBERLEY DRISCOLL MAYOR LARRY RAN-IDIN, RS/liEHS, C1 10, CP -FS HFAL"IFt AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAStitNGTON SrREV. r, 47" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDINJ2SALFNI.00M Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seg. ; 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 5/23/11 017Z(' L 00 e Owner/Lessor 1 a`S 00/'1U VZ Address fq'0 C) t ? (/ 3'�-.�a/e evi.- S! Address on unit to be inspected KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREF:1', 4" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDiN (@SALFM.COnI Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" c' / FEE: $50.000 c PROPERTY LOCATED AT . � �� lG / Q AL1 �S / I 5, IP �!� UNTI #� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRON�EASE CIRCLE ONE AGENT NO P.O. BOX CITY, STATE, ZIP tit Jp IQ / � L�CITY, STATE, ZIPC2� j RESIDENCE PHONE S 7 i UV USINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. r 2. , 3. 4. A' d t 5.�- 6. a.. 1 THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY C OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA LE AT T O INSP TION n APPLICANT'S SIGNATURE _ �rw Q F �ES9 1X/ DATE / 11fi Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee Type of unit: Dwelling Other Check # Check d. Code Enforcement Inspector KIMBERLEY DRI; COLI, INIAYOR CITY Ol' SnLT:M, MASSACHUSETTS BOARD OF 1-I [;ALTI-1 120 WASHING HON Srr:eri'r, 4"' FLOOR 1'EL. (978) 741.-18001'i\x (978) 745-0343 Itatrtdin asalem.COm CERTIFICATE OF FITNESS CERTIFICATE # 190-14 DATE ISSUED: 6/5/2014 Property Located at: 35 Salem Street UNIT # 2 Owne•/Agent: Frank Ouellette Address: 25 Donovans Way City/Town: Middleton, Ma Zip Code: 01949 24 Hour Phone: 10 PublicIiealth r.rw.ni. rrnn,mn. rm,"ci. LARRY RANIDIN, RS/RN IS,(AR), CP-I+S 1111,"m 'el I AGENT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Gertificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacar t Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 C MR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitner;s for Human Habitation". There fore, this Certificate is issued by the Code Einforcement Division of the Salem Board of Healtt and the unit may now be rented and/or occupied. Maxir num Number of occupants, must comply with 105 CMR 410.000. Certit icate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This 1 "ertificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARF;Y R _ HEALTH AGENT SANITARIAN \�a•�RsdF' KI\Hi131U,}�.Y DRISCG1d. NL.YOR 1. vRRl' RAmi)iv, kS/itvi is, ni(1_CP-3ti 11FAISH AGP.N'I CITE' OF SALEM, MASSACHUSETTS P.a_vzu I w Ilr v.TII .11 120 V1 ASI ONGTON SIRE F -i', 4 1 FLUOR I'e1_ (973) 1,41-1300 F -\x (9%3) 745.034; I_r.:�au�xrzs:�l,ralrci�- Application for Certificate of Fitness I qv -1 q 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 s `) D UNITfi IS THIS UNIT DISIGNATED AS RICHT LEFT RONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSBR I' /� /P /t r ; 2 ��F ' MANAGER/ AGENT NO P.O. BOX _ ADDRESS S L2c,,7D V2 -i3 r, ADDRESS CITY, STATE, ZIP 7-o-1 CITY, STATE, ZIP A RESIDENCE PHONE) rl E% 7 7 -Y Oj BUSINESS PHONE (24HRS) LSA n BUSINESS PHONE San F TOTAL NUMBER OF ROOMS: to ROOM USE: 1 ! -,TkC1 2. LP- i 6 e -d 4 Q3Cr4 5 ! {i 6.S7'nra r: 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 TIME OF INSPECTION' APPLICANT'S SIGNATURE DATE a V Inspectors use only Date on initial inspection: s, LapN Date of reinspection: S Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check # Check dater pN'otes: I 12112.�p' ' 10 bre ' I O m0 m C/0-&-tFvyS liltPj 5 -)Woke }i� � Itice�tar.fi hcd VOL,SP P�Ukl � kirlSi tk Code o entInspector UYh elM, j Y`aQN 5pe d,'Co Urc�CRfi*.5 cote Z'd ZL90-170£-£L6 MS017'allajjenoauueiQ KINE131?UEY DRTSC01 L MAYOR L:1111�1' R,11vfUl V, ILSl IiP;l rs, CI3U, CP -I's CITY OF SALEM, NWSACHUSEI I"S BOARD 11 1N, u:ri1 120 W �stltd]Ci ,ioN SIFT -M, 4'' lila )DR 71-1,. (91-13) 741-1800 F;1N (9-8,. 45-0343 I,k t, vnnvON� i.i :�a.rr lal Release In accordance with Massachusetts General Laws Chapter 1.11; 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. h%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. Ac 6 TenantlL.essee "J Owner/Lessor 3SSP�R/Y( r df4 /`/� Address Address Address on unit to be inspedied Date Updaled 5,23i11 £'d ZL90-b0£-8M MS0JJ'alle11en0auueia TP,ANSMISSION VERIFICATION REPORT TIME 06/23/2014 02:19 NAME 919787449614 FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06/23 02:19 FAX NO./NAME 919787449614 DURATION 00:00:18 PAGE(S) 01 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 9gAt TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 165-05 DATE ISSUED: 3/9/05 Property Located at: 35 Salem Street UNIT # 3 Owner/Agent: Francis G. & Dianne M. Ouellette Address: 25 Donovans Way City/Town: Middleton, Ma Zip Code: 01949 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT r CODE ENFORCEMENT INSPECTOR • i � 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 FORHUMANHUMAN HlABITATION". PROPERTY LOCATED AT��,/S/ UNIT #_3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �/a7iC wf/�a/�� . MANAGER/AGENT No P.O. Box No P.O. Boz ADDRESS a �_2 // ((mooyzn c UL�L_ADDRESS CITY l7 i od d �2.�h i76 619 y ..CITY 1v RESIDENCE PHONE 229 777 yVo�_ BUSINESS PHONE (24H BUSINESS PHONE `J79 Y6 TOTAL NUMBER OF ROOMS: _ / ROOM USE: 1.�/T�g2. L e4 4. 16 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ,�TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURESDATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEY3 -!E� *» DATE FEE PAID: "3-- TYPE OF UNIT: DWELLING(/ OTHER_ CHECK #T1 6�6y CHECK DATE Z �� CODE ENFORCEMENT INSPECTOR �uL• 'R i 2005 CITY OF SALEM BOARD OF HEALTH P.O. 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 RE i. F.ASF In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article VITT 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. Ln the event it is necessary that said inspection be done in my/our absence, Wwe 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 aher..s from any loss or injury sustained of whatever nature and description occasioned by my/our, absence during said inspection. TENANT/LESSEE. ADDaES --- ----- --- OH' SOR ADDRES x 3S Sri _ ST-- 13 _ ADTIRESS OF UNIT TO BE I\ PECTED --- im 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 3/1/05 Francis G. & Dianne M. Ouellette 25 Donovans Way Middleton, Ma 01949 PROPERTY LOCATED AT 35 Salem Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. F rF r t� of Health Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector 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-15-317 DATE ISSUED: 10/2/2015 38 SALEM STREET UNIT #1 Eric Easley P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 D PablicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 SANITARIA9 VVI GV/GVLV LV. LR JIVI�JVJ�J ICDOERLEY DRISCOI Le, MAYOR�� DA«D GREENBAu: gip 3 0 2©15 N ACTING HEALTH 11G -P F go o OF N �Z CITY OF SALEM, MASSACHUSEM �ry BOARD OF HEALTH 120 WASHINGTON STR5Ef, 4"FLOOR TEL. (978) 741-1800 F -,►x (978) 745-0343 RSiliL•'PT91L �n� '+�. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 CMR 410.000 14NIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 ZOPERTY LOCATED AT S A Ue- S d IS THIS UNIT DISIGNATED AS RTGRT L X ( o. -&A ) P.O. Box n :)DRESS O- R J X `r 5 9 Z— ADDRESS AGENT .LTX, STATE, ZIP S " 1.4 A—, v--\ A— C1TY, STATE, ZIP. ?SMENCE PHONE BUSINESS PRONE (24HRS)C 7 7 S) 71 JSLNESS PHONE )TAL NUMBER OF ROOMS: )OM USE: 1l, IERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM )ARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION 'PLICANT'S SIGNATURE O''� / DATE / c i r F-V7,TWon 19 ' ' _Y to of issmoe of pe of unit: tes: Inspectors use 4?lY Date of reinspecdoou Date fee paid: 91 �'O I Check We: 9/�o 1 15 2010.06.272t21 9787450343 - Paget 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-16-265 DATE ISSUED: 7/26/2016 Property Located at: 38 SALEM STREET UNIT #2 Owner/Agent: Eric Easley. Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 &rBafrosy SANITARIAN VVI f.VI GViV LV. G, e�t moi( *4iTia r • �VIFIIVOX DAVW GREMAUK AcnNG HEALTHAGm-iT JIVIIJVV7J CTI'y OF SALEM, NWSACHUSEM BoAm of HEILTS 120 R7,15-nmmNSmEur, 4"'Ftom TEL (978) 741-1500 Fax (978) 745-0343 �g8�cr.Nn. mt(elsntdnt COfii ' Application for Cert`rfiicate of Intnew IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 cmR 414.000 "MWWUM STANDARDS OF FITNESS FOR HUMAN HABITATION." x$50.00 tOPER-TYLOCATEDAT /�zSTRIS V nr DIUMUM AS MW =EW9A0ACX P1441 sCazc0 ONE aVI�RJLESS� /t/�/t✓� �if= �- aw 4� MANAGSR/AGBNT P.a.sox —'7 .TY, STATE, ZIP ., STAT Z �3IDENCfi PHONE BUS4VI�SS PHONE P4ERS) -& isms PHONE )TALNUNMER OF ROOba /� mus., _ � I. P" LJi/ f 3. �`. 4 • r • :r.• a�; 7• s • a: r,r • • r y• • •� 'PLMANT'3 r . .:n : . . , .-u- .� � � ren- . -t • � Ii . , nw r ..• i iux . � � r 2010.0&272121 9787450343 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 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-208 DATE ISSUED: 7/31/2015 38 SALEM STREET UNIT #3 Eric Easley P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 O PlublicHealth Prevent Promote, Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 IAN V VI GVI GVIV LV.C1 JIV so KIMBERLEY DRISCOLL MAYOR DAirn GRFENBAUM ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRFJk:I', 4e'FLOOR. TEL. (978) 741-1800 Fax (978) 745-0343 POISE-1-NBAUM&AIANt. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAP'T'ER 11,105 CMR 410.000 "MINIMUM STANDARDS O - MAN HABITATION." FEE• 0.00 WPERTY LOCATED AT 39-:5A /PJ•, -6J-- UNIT# . S'IS THIS UNIT DISIGNATED ASRIGHT UUg$QNT OR BACK. PLEASE CMCLE ONE WNER/LESSER i(/�1� Z•allvv MANAGEWAGENT ) P.O. BOX 7DRESS Ifs- Q�n/�j y�yz ADDRESS .TY, STATE, ZIP A-7,+ a < 376 CITY, STATE, ZIP ?SIDENCE PHONE BUSINESS PHONE (24HRS) Q17� 7SINESS PHONE( ?��-6'8 2 )TAL NUMBER OF ROOMS: )OM USE: 1./3 2. '- 1 3. �Ja 4. 4-` . 5. L.vl�✓g- 6_//: _ 7. S. 9. 10. f IERE IS A FIFTY ($50) DOLLAR FSE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM )ARA OF HEALTH -THIS FEE ISP T TIME OF SPECTION 'PLICANT'S SIGNATURE DATE 112 2/� Inspectors use on1X •te on initial inspection: C)n C.120 T Date of reinspection: to of issuance of certificate: b2Z412Qjr Date fee paid: 07/3 0Z2 015 - pe of unit: Dwelling Other Check # � Check date: O 742.9.42 oL5- ,/� l_J , om...I�. wn 2010-06-2721.21 9787450343 Pagel KIMBERLEY DRISCOLL MAYOR JANI rMANCINI ACTING HEA]AH AGBN,r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 IMANCINI&ALE'M.COMNI&ALE' .COM CERTIFICATE OF FITNESS CERTIFICATE # 639-08 DATE ISSUED: 12/9/2008 Property Located at: 38 Salem Street UNIT # 4 Owner/Agent: North East Realty Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD OF HEALTH )ACTING NET MANCINI HEALTH AGENT CODE ENFORCEMEN PECTOR APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 41 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IS THIS UNIT No P.O. Box ASIG PLEFT FRONT BACK PLEASE CIRCL�Ea ONE l � . , MANAGER/AGENT G S P{ o P.O. Box J _ADDRESS CITY 5 G I E rn , PO, D I'M CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) C( $ 7 5-'Sgq 2- BUSINESSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.C� 2._3._4.32 5.. c I, 6. Livi,Pt. _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 I'2 -9 `aP _ DATE OF REINSPECTION_____.-_ DATE OF ISSUANCE OF CERTIFICATE: /Z -9 -0 e DATE FEE PAID: TYPE OF UNIT: DWELLING ✓OTHERCHECK # y1-0\. _CHECktATE /Z'g_,o� CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741 -1 800 FAX 9787745-0343 ' 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 41 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IS THIS UNIT No P.O. Box ASIG PLEFT FRONT BACK PLEASE CIRCL�Ea ONE l � . , MANAGER/AGENT G S P{ o P.O. Box J _ADDRESS CITY 5 G I E rn , PO, D I'M CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) C( $ 7 5-'Sgq 2- BUSINESSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.C� 2._3._4.32 5.. c I, 6. Livi,Pt. _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 I'2 -9 `aP _ DATE OF REINSPECTION_____.-_ DATE OF ISSUANCE OF CERTIFICATE: /Z -9 -0 e DATE FEE PAID: TYPE OF UNIT: DWELLING ✓OTHERCHECK # y1-0\. _CHECktATE /Z'g_,o� CODE ENFORCEMENT INSPECTOR 9128/98 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-235 DATE ISSUED: 7/6/2016 Property Located at: 38 SALEM STREET UNIT #5 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 /kreyfaro4sly� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN w. aw avav sv. a+ C�s��rr,%•W. IMM RRLEY DRISC.OLL MAYOR DAiED GROMMUM, ACrWG HEALTH AGMJT CrY OF SAIMV4 MASSACHUSETTS BOARD OF HEALTH IM WA54INGPM STREW, 4mFLOOR TEL (978) 741-1800 Fax (978) 745-0343 UORIZENSAXMI&AIM COAs Application for Cerdficate of Mum IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 1I, 105 CMR 410.000 ".EvmVIMiJ STANDARDS OF FITNESS FOR HUMAN HA.BMATICK FEE: 850.OQ tOPEKTYLOCATED AT ISTUNIM WMRtLBSSSR Ne2-h ) P.O. BOX n 7nRhCQ �©. 1S o x g S/d t6A- TIMME Z TY, STATE, 22 ;� POI, m'+ o "1 SrATJ? W d, 3S> EME PHONE BUSDMS PEONE (2aE a C 9 � %'L.ff--�- 2 )TALNUMBBit OF ROOMS MUM I. � 2 °i� 3. 4. !d?eC 5. ti_ 77-1< 7_ A A 7n 'P•LMAA IS 111 IWI 1,1 pe of unit r/i4/1 Date ofreiwpectiou: Data &epaid: 07105-/2� Check date: D 7 j�Z/- _ 2010-06-272t21 975748 M Paget i CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 4 120 WASHINGTON'STREET, 4TH FLOOR d SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 445-07 DATE ISSUED: 9/7/2007 Property Located at: 38 Salem Street UNIT # 6 Owner/Agent: North East Realty Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5892 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 INE JJ ANT, MPH, RS, CHO HEALTH AGENT i CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHU5ETT5 +� 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°. PROPERTY LOCATED AT 3� sd(R 4 S� - f UNIT # b IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. Box No P.O. Box ADDRESS L&o VSYZ ADDRESS CITY 5�,, �"'� 6 �� CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS. BUSINESS PHONE 78L7V-<0' TOTAL NUMBER OF ROOMS: ROOM USE: 1. Qe� 2. -JAR- e S. /'mac"` 4. 5. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPART NT THIS FEE IS PAYABLE AT THE., TIME OF INSPECTION. t!E�7 g/w,/o 7 APPLICANTS SIGNATURE,014 ( � � DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION q '/ --o % DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:: 3�a DATE FEE PAID:_C2_ TYPE OF UNIT: DWELLI G _OTHER_ CHECK # a ; OSCHECK DATE(_: 07 CODE ENFORCEMENT INSPECTOR 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-16-67 DATE ISSUED: 3/3/2016 38 SALEM STREET UNIT #7 Eric Easley P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 IVPubicHealth Prevent.. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 vv. avr rvav <v. c+ ICtTvffifi m DRISCOLL !MAYOR DAVE D GR UK ACTMG HEALTH AGENT CrrY OF SALEM, MASSACHUSETTS BOAR) OF HEALTH IM WASMNGrON SMEEY,47'FLOOP, TEL (978) 741-1800 R4.X (978) 745-0343 WHIMMAINSSALML COM Application for Cerdfwate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, GRAFTER 11,105 CMR 410.000 "tUNBIU R STANDARDS OF PTTNBSS FOR HUMAN HABITATION." = Mm ZOPENTYLOCATED l 2. `c -'e.4 /AX - Ml1NA.0WAGM4T ) P.Q BOX 3DRWS PCS_ /-?-,%, ysY Z ADDRESS XY, STATE, VP <—a -go, _ /1'14' D l i%a QTY, STATE, ZIP 3SMENCE PHONE BUSWM PHONE aQRS) 2Lk Z 6 sem- Ys / 7 7S1rTESS PHONE ,- 7 a) % Ys' --s8 5 2 )TALNUMBER.OF ROOMS: 3 )oM USE-. I. �� Z Qzx 3. 4, �� 3. Z IPLICANrS 207046-27wl 9787450343 Paget WA 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-17-298 DATE ISSUED: 9/13/2017 Property Located at: 38 SALEM STREET UNIT #8 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 9 PublticHeatth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 J rey sy SANITA AN KIMBERLEY DRISCOLL MAYOR JANET DIONNE, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°i FLOOR TEL. (978)741-1800 FAX (978) 745-0343 1D10NN 4N.EM. 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 3 J--- 1-5� UNIT -0 IS THIS UNIT DISIGNATED AS RIGHT LEEP FRONT OR BACK PLEASE CIRCLE ONE AGENT NO P.O. BOX ADDRESS �- (.�i C/SLID* ADDRESS CITY, STATE, ZIP V41,0,j," /vby— �/i�v CITY, STATE, ZIP RESIDENCE PHONEA)-2 NS- S&%- BUSINESS PHONE (24HRS) BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: 1. /3 e c -t 2. 3. 4. 15eo-L 5. Lil g 6. 7. 8. 9. 10. O 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 Date on initial Date of issuance of Type of unit: Inspectors use only Date of reinspection: Date fee paid:�� Check date: UIIZ2aL�L 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-16-201 DATE ISSUED: 6/13/2016 Property Located at: 38 SALEM STREET UNIT #8 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 O PublicHeali Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN vm svr svav cv. c+ IQMERLEY DRt4COLL MANOR DANW GRERM UK ACTING HEALTH AGENT I. v.+.rva..r C= OF SAT FM MASSACHUS= BoAlm OFHBALTH im Wil. itmrm SRRS6r, 4'° mom T12L (978) 741_1800 F -AX (978) 745-0345 COri Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 CNBC 410.000 "MINSItJM STANDARDS OFFI'iwm FOR HUMAN HABITATION." FEE: $50.00 Z0P5XY-L0CATBD AT Z�f S�— S d— LVUT# � IS7nTISmcrrA MasTOGHTLMM Olt rx.BAa CIRCLIONE 7DItESS � - �v � / 7 AADR'ESS T Y, STAT$ ZIP S (E"�. f�� O 270 CUV STATF ZI]P to i x :• 11 )TALNUNMM OF ROOMS: /A )OM USB: 1. iff e Z 3. 40--C 4. 5. ` IPLMANT'S .- , .:•� :. . �.<I, Vii. �_ � •-�• I,, i_ i 3c tln9p f toil 27z121 9787450343 6/ �' �A/l 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-16-95 DATE ISSUED: 3/24/2016 lu PublicHealt 1 Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 38 SALEM STREET UNIT #10 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 745-5892 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,-A4Lk--, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT =104PA101 W-INFIFFTNT MW .,.Y 1. ,a KIMBERLEY DRISCOLL MAYOR CI1Y OF SALEM, MASSACHUSEI"I'S BOARD OF HEALTH 120 WASHINGTON STREET, 410. FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 tranadin c@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 171-12 DATE ISSUED: 4/30/2012 Property Located at: 38 Salem Street UNIT # 10 Owner/Agent: North East Realty Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 Publiciiealth L\RRY 1L\MDIN, RS/REI IS, (110, HVAI:nI AGI N'I' 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 HEALTH AGENT SANITARIAN KIMIWERL.EY DRISCOLL. K\yoR LARRY RANIDIN, RS/ R Hl Is, (:I ICS, C:1' -I5 H VIAIXI[AGI SNT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4... FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDINnSALI-�I!'UM 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 DISIGNATED AS R PLEASE CIRCLE ONE AGENT ADDRESS V �• Y>'`�-2 / ADDRESS CITY, STATE, ZIP 074 0112- CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE64 y = s��s Z TOTAL NUMBER OF ROOMS: ROOM USE: k� THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABL�T jTHE TIM PECTION APPLICANT'S SIGNATURE L/ f" DATE Inspectors use only Date on initial inspection: I i - d- 0- Date of reinspection: Date of issuance of certificate: tA- Date fee paid: V- acs -1'I- Type of unit: Dwelling ✓ Other Check # / S j Check date: 'J Notes: Enforcement Inspector JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 259-99 FEE $25.00 DATE: 05/20/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 38 Salem Street OWNER/AGENT: North East Realty ADDRESS: P.O. Box 4542 CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 11 24 HOUR PHONE: 745-5892 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 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 q0_Xw_Xt1 '00�� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 a�9�99 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fav (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 7F'SAleoc- S� UNIT O IS THIS UNIT DESIGNATED ,ASS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /�/oas� L"Ass-/CeQ/S�y MANAGER/AGENT Gi•-� e;�� No P.O. Box F?o, (36x No P.O. Box ADDRESS Y6 YZ- ADDRESS ��// CITY .64le'+ CITY Ar"I RESIDENCE PHONE// BUSINESS PHONE (24 HRS.)(g78 Z %`I'� ��5 BUSINESS PHONE(2%8) _Z - TOTAL TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. B-a� 2. A (` '3. Jde,"A. 5.Lti- j_ _6. �IN47.�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. - i) APPLICANTS SIGNATUF DATE OF INITIAL INSPECTIONjtfJ-a - Y `P DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:.S`�jy DATE FEE PAID: S��O TYPE OF UNIT: DWELLINGAOTHER_ CHECK #//, _CHECK DATE 'Z 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 #: GHL-15-398 DATE ISSUED: 12/4!2015 Property Located at: 38 SALEM STREET UNIT #12 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 D PublicHealt 1 Prevent, Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-5892 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 Y�r2vwv/ SANITARIAN C= OF SALE1vT MASSACHUSETM sown of HEALTH 120 WAgMGTON SMEEr, 4"' FLOOR TEL (978) 741-1800 Fax (978) 745-0343 Cox Application for Certificate of Fitnew IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 CMR 414.000 ° VMMAUM STANDARDS OF FITNESS FOR HUMAN HABITATION FEE: 850.00 S�,-ds;- ONS iZ ) P.Q BOX / � =—Z C7. lg� Yf'y — AADRESS TY, STATE, ZIP S 6� y 7� C1TY, STATE, ZIP 39MENCS PHONH BUSIIVHsS PHONE t ) � � �8 f Z )OX M. 1. • /S �4e�q� Zc �j• C li,J �. )ARD.OF HEALTH THIS FM 35 PAYABLE AT TBET30 OF [t .v. 111 1 1 .1111 � ' 1 ' • IIIA 1�� CC 2010.05.272121 9787450343 Paget KIDtBERLEY DRISCOLL ALWOR DAVID GREENBAUM, RS .ACTING HE. -LTH AGENT 9785613112 CITY OF SALEM, MASSACHUSETTS BOARD OF HE.it.TH 120 WASHINGTON STREET, 4"' FLOOR Ter.. (978) 741-1800 Fix (978) 745-0343 uc;RN-',NB.w\[(n.Sn.S UN1 C01i Release P.1 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 fol 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 durmg said inspectio 'k, I l f 1 1 / Tenant/Lessee Owner/Lessor / (3AK x Address Address Address on unit to be inspected O:v Date KIMBERLEY DRISCOLL MAYOR DAVID GRFaNIIAUM ACTING HEAI:II'I AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"i FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 DGRFi[iNBAUM@a SALFM.COM CERTIFICATE OF FITNESS CERTIFICATE # 549-09 DATE ISSUED: 10/28/2009 Property Located at: 38 Salem Street UNIT # 13 Owner/Agent: North East Realty Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 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 THEEBBOARQ OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFdRtEMENT INSPECTOR nc� 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 DG1W,LNBAOMQSA1.ftM. COM :5r'(59 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 iT � sf -V-1 IS THIS UNIT DISIGNATED_ AS 106A:i fa MCI 1A LEFT FRONT OR BACK, PLEASE CIRCLE ONE _MANAGER/ AGENT 54p* CITY, STATE, ZIP__ 5 /1.7.4 6 7?u CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRSX 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 PAYABLEE,TPkE OF INSPECTION APPLICANT'S SIGNATURE DATE Id/ZEA/95' J Inspectors use only Date on initial inspection: P6 Date of reinspection: Date of issuance of certificate: aZ� Date fee paid: U 4/O 0 l Type of unit: Dwelling I Other Check # Sd Check date: G o Code E or ement 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 DGRrr,NBAUM&ALEM. COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Address Date Owner/Lessor Address Address on unit to be inspected am KIMBERLEY DRISCOLL MAYOR JANU F MANCINI AC'T'ING FIVAI,PI-I AG FN'I' CITY OF SALEM, MASSACHUSETTS BOARD OF HF,LTH 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 IMANCINIQSALPM.COM CERTIFICATE OF FITNESS CERTIFICATE # 162-09 DATE ISSUED: 4/7/2009 Property Located at: 38 Salem Street UNIT # 14 Owner/Agent: North East Realty Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 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 If J ET MANCINI /�4 ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 1DI0NNF SALEM. COM l(goj 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 3-F 04- 4,0.1- -1*/Y THIS UNIT NO P.O. BOX ADDRESS - O . Qb SG 7 y2 - BACK PLEASES CIRCLE ONE AGENT �ie CSS /f CITY, STATE, ZIP - `O ef" CITY, STATE, ZIP / RESIDENCE PHONE BUSINESS PHONE (24HRS)Cq%,) �Y� " S/r Z BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE -AT E OF INSPECTIO APPLICANT'S SIGNATUREDATE Inspectors use only Date on initial inspection: L-) ` Dated reinspection: Date of issuance of certificate: 1 Cy S Date fee paid: I-) • Z - a Type of unit: Dwelling t� Other Check #__13 0 o Check date: `1 ^ 3 • G !� _i Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-216 DATE ISSUED: 7/20/2017 09 PublicHealth Prevent. PtomMe, Protttl, Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 38 SALEM STREET UNIT #15 Owner/Agent: Eric Easley Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 745-5892 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT Jul 20 1709:34a North East Realty W. iYi y{/1V iY. G7 J(y(�YVyTt IQM$fiItLEY DAISOOLL IvkYOP. DAVIDGFXIMA , ELCTDIG HEOTHAGEC C= OF SALMVMASSACHUSETTS ROAM of HMTR lad WASMG7WSIT6Er,4"'FLGM nZL (978) 741-18M Fax (978) 745-0345 COI i Applicadm for Cerffica>te of Ifflag s IN ACCORDANCE WTH STATE SANITARY CODE, CHAPM 11,105 CMR410.000 14MMAUM STANDARDS OFk'AINWS FOR HUMANHANTATION." EMS= WNBMMSi�tit/d2✓( �rF� �- �C MAM&OWAGENT P.U. BOY. �AMM TY, STATX ZIPS 2£��. �� 019z, CrJ7, -MIDENCfi 'HONE BUSINESS PHONE (2MS1 7SDTJ?SSP$i4�lB8-�7 '�- )TALNUMSFR OF ROOMS: )OMUSE: 'PLmkgT'3 L 4-1-f 2 P.1 2010-m7=1 97874W343 Paget ISIMBERLP.Y DRISCOLL MAYOR CI'T'Y OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON STREET, 4... FLOOR •TEL. (978) 741-1800 FAX (978) 745-0343 llamdin(asalem.com CERTIFICATE OF FITNESS CERTIFICATE # 298-12 DATE ISSUED: 7/19/2012 Property Located at: 38 Salem Street UNIT # 15 Owner/Agent: North East Realty Address: P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 lu PublicHealth LARRYlUNWIN, RS R@:FIS,(1110, CP -15 Hi;/\1:n i AGI;.N'f 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 SANITARIAN 20:24 9787450343 PAGE 01/01 I<IM FRLEY DRISCOLL MAYOR DAv1D GRETNBAuM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' 17 OOR TEL. (978) 741-1800 FAx ()78) 745-0343 4M•Li LN8A IM AI k1M. 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 'ROPERTY LOCATED AT 21 54 l -f. 5-94— IS THIS UNIT DISIGNATED AS RIGTIT LM / D � /7 1 AGENT 10 P.O. BOX /�!] WDRESS JP r� i JTY, STATE, ZIP D/ %%a—MY, STATE, ZIP ;ESIDENCE PHONE BUSINESS PHONE (24HRS) IUSINESS PHONE 78 %yS'- Sof f Z 'OTAL NUMBER OF ROOMS: LOOM USE: 0S e 0 —Uwo �c� ONE HERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM :OARD OF HEALTH •TICS FEE IS PAIABLE 4T �TjkIE TIME'.O�F'�ON APPLICANT'S SIGNATURE '' !C� DATR lTqrj-wL-Tr4r41TM late on initial inspection: " tDate of reinspection: late of issuance of certificate: �1-1 1 1- Date fee paid: ype of unit: Dwelling_\,e�_Other Check #L��Check date:�— otes: nn Enforcement Inspector 2010-06-2721:21 9787450343 Pagel, t CERTIFICATE OF FITNESS CERTIFICATE # 592-06 DATE ISSUED: 12/11/2006 Property Located at: 39 Salem Street UNIT # 1 Owner/Agent: Gerald Gagnon Address: 12 Cedarcrest Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8510 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 Jy-A-NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM9 MASSACHUSETTS a o 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, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 592-06 DATE ISSUED: 12/11/2006 Property Located at: 39 Salem Street UNIT # 1 Owner/Agent: Gerald Gagnon Address: 12 Cedarcrest Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8510 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 Jy-A-NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 7 ng�q I e ,., S%r UNIT #_j IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-6- er6-04 wJ(,_. Ll MANAGER/AGENT No P.O. Box p No P.O. Box ADDRESS_ /9 Car -Ai Cruet ADDRESS CITY - Q L,61 CITY RESIDENCE PHONE TZk 7�fq irYff%BUSINESS PHONE (24 HRS.)ZJEZ IYY S S 13 BUSINESS PHON TOTAL NUMBER OF ROOMS:_ I� ROOM USE: 1. i 2. U,4 3.LG4L 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. D / APPLICANTS SIGNATURE `='Sg�4— _DATE1 i. INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /Y✓/ ` <�C' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: iy'//'e%DATE FEE PAID: TYPE OF UNIT: DWELLING i/OTHER_ CHECK # le�04 CHECK DATE 4e --"_d NOTES.,' °A A c/�.yE,D e4r-4rV0n t� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a 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 3 7 ng�q I e ,., S%r UNIT #_j IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-6- er6-04 wJ(,_. Ll MANAGER/AGENT No P.O. Box p No P.O. Box ADDRESS_ /9 Car -Ai Cruet ADDRESS CITY - Q L,61 CITY RESIDENCE PHONE TZk 7�fq irYff%BUSINESS PHONE (24 HRS.)ZJEZ IYY S S 13 BUSINESS PHON TOTAL NUMBER OF ROOMS:_ I� ROOM USE: 1. i 2. U,4 3.LG4L 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. D / APPLICANTS SIGNATURE `='Sg�4— _DATE1 i. INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /Y✓/ ` <�C' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: iy'//'e%DATE FEE PAID: TYPE OF UNIT: DWELLING i/OTHER_ CHECK # le�04 CHECK DATE 4e --"_d NOTES.,' °A A c/�.yE,D e4r-4rV0n t� CODE ENFORCEMENT INSPECTOR 9/28/98 r CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 593-06 DATE ISSUED: 12/11/2006 Property Located at: 39 Salem Street UNIT # 2 Owner/Agent: Gerald Gagnon Address: 12 Cedarcrest Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8510 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 10 ✓�, CODE ENFORCEMENT INSPECTOR f Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1 -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 y UNIT #_,;L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 61PrOI MANAGER/AGENT No P.O. Box 1 No P.O. Box ADDRESS �P tv PIT >� ADDRESS CITY_ JG' �p —CITY— 44/k r.. 653.0 RESIDENCE PHONE %i--- 7yy-AL%%BUSINESS PHONE (24 HRS-) W1 SS/ 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ /, ROOM USE: 1. %� e t _ 2.�3.�.7-4F �-4.�IAc. C� 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 12-11'-4 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /Z '/i tV.DATE FEE PAID:_ TYPE OF UNIT: DWELLINGIZOTHER_ CHECK # /dd-0 _CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 f y r KINIBERLEY DRISCOLL MAYOR . DAVID GREENBAUM - AcrING HEAL'a-1 AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 _ DGRF,ENBAUM(Cr)dSALP.M.COM CERTIFICATE OF FITNESS CERTIFICATE # 597-09 DATE ISSUED: 11/23/2009 Property Located at: 39 Salem Street UNIT # 3 Owner/Agent: Eddie Telemaco Address: 34 Loring Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: '978-457-5600 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. FORT OOF HEALTH. DAVID.GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR IQMBERLEY 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 DGRI?ENBAUM@SAL1'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 -15 T . 7 / S4 /E 7T 3 UNIT# 3 IS /THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Gdd;e Te- MANAGER/ AGENT 5,q NO P.O. BOX AveADDRESS_ .37/� (�r1`NS A 54 le._ ADDRESS CITY, STATE, ZIP 54 /ems PA O (R 7 0 CITY, STATE, ZIP RESIDENCE PHONE USINESS PHONE (24HRS) '92? -Y52-500 BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS: 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 SIGNATURE L� DATE Inspectors use only Date on initial inspection: l% l 1 / Date of reinspection: 3 /� Date of issuance of certificate: Date fee paid: `7 Type of unit: Dwelling � Other Check #Check date:_ !//11ZJ % 4 -1 � r eal4Ced � n h� �Vu�rn -Noor �A W40- COOr-i . Code E1kforVement Inspector 09 10:07a EB Window and Sidings 7815929746 B. Window and Siding ` ��/ y fJ� Invoice 756 Westem Ave. Lynn, MA 01905 Date Invoice # 11/23/2009 46978 P.1 Bill TO Eddie'relemaco 39 Salem St Salem MA 978457.5600 Fax 978-531-7419 P.O. No. Terms Project eddie Item Description Est Amt Prior Amt Prior % oty Rate Curr % Total % Amount rw Geneva 32 x 46 Replacement 159.00 159-00T Window. Window to have Low E, Argon Gas, Clim4mb Gla with a.30 U value eligible for Tax Credit Rebate. ES U NDOW C-0..,._....... 756 WESTERN AVE LYNN MA 819 IER,KRAL 1 ifs iffRCBARI R 11/23 89 8:28 AM P94STERVARD WIN_NnIc:Inlok:ioU�cy:t5918 SALE BATCH: 888283 INUS000244 AUTHr 159951 TOTAL 4168.94 CIBLBIBR CM Subtotal Sales Tax Total Payments/Credits Ba{ance Due S159.00 $9.94.. $168.94 $-168.94 $0.00 •,�z7 a�Ne PHONE 11 AREA CODE NUMBER ERTEN N ❑ FAX ❑ MOBILE AREA CODE NUMBER IME TO CALL TELEPHONED PL E L CAME TO SEE YOU WILCAI L AGAIN WANTS TO SEE'.YOU RUSH RETURNED YOUR CALL. WILL FAX TO YOU MOD IN400A NOTES x 93 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 Novemberl0, 2003 Demetrius Macarthur 40 Salem Street Salem, MA 01970 0:) 0A PROPERTY LOCATED 40 Salem Street ///' It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. — 7:00 p.m. and Friday 8:00 a.m. — 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. For the Board of Health Reply to VJ�oanW�Scott MPH, RS, CHO Health Agent Pablo Valdez Code Enforcement Inspector f,/� - ti� s 74 " XI I� a�Ua ,S�L -/ '�- o cake-ti,-�� ur ell d c4& J,eW /em u s ��ay Cl%a 7r/ qa,� 2 � a h we, z�adGce �fle- ar �e � ��5'i 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 CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 01/12/2000 Richard Gagnon�(j 12 Cedarcrest Avenue Apt. 2" Salem, Ma 01970 PROPERTY LOCATED AT 40 Salem Street UNIT # 1 Front 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 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. iealtR THE BOARD H TH h anne scot co MPH,RS,CHO A ent g REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR 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-17-163 DATE ISSUED: 6/7/2017 41 SALEM STREET UNIT #1 John Reardon 3 Gerald Road City/Town: Marblehead, MA Zip Code: 01945 i Publicxeaith Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 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�- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT Linn nq Als-mRilTth�-Skew SYdr�'�-�� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4` FLOOR TEL (978) 741-1800 FAX (978) 745-0343 LRAMDIN&ALEMMM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT `7' 5;a,1 P_ ,-n Sf UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER D -S J. C Pro.Xj -q MANAGER/ AGENT 701-)r1 RP_g.1-8 0 n NO P.O. BOX ADDRESS 3 &eX-b 1 d Ag" ADDRESS 34 CITY, STATE, ZIP Mc- r6be h P_o-cls m c- c i q NS CTTY, STATE, ZIP , nom, C/ 9 ys- RESIDENCE PHONE 7 Ff� `031 1a O rc BUSINESS PHONE (24HRS) i Fri 603 9 S 3 6 BUSINESS PHONE -*>5) TOTAL NUMBER OF ROOMS: - ROOM USE: 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 /�� C� Inspectors use only Date on initial inspection: `(? a Vl I T_ Date of reinspection: Date of issuance of certificate: Date fee paid: O) Type of unit: Dwelling----Other-Check # Check date: 5 //;4 t5 U Code Enforcement Inspector LJ —1 7 KIM 3ERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF. HEAL; t'i-i 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN&SALEM.COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 5/23/11 B & B Pest Control 271 Western Avenue, Suite 203 Lynn, MA 01904 781-599-4317 Fax: 339-883-3049 The Termite Boys • Johnny B's Pest Control . Sachem Pest Control . EB Pest Control Pest Control Contract • Service • Renewal No. 22283 ❑ Fire Ants SERVICE INFORMATION ❑ Spiders BILLING INFORMATION Date:` j 2 (�� Time In CApm Contract F-1Renewal[:]Service Exp. Date: ❑ Pill Bugs ❑ Bed Bugs Time Out 10 - 3 alto) m ❑ Earwigs ❑ Sowbugs Customer Name: ❑ House Ants Name: ❑ Crickets- Service Address: S \ ❑ Silverfish Billing Address: ❑ Root Rats ❑ Wasps C� sr, �PM ❑ Scorpions ❑ Brown Banded Roaches ❑ Norway Rats City: St. , \ v City: St. Zip l AAA, Home Ph: Home Ph: ��t53 Work Ph: Work Ph: TYPE OF SERVICE WARRANTY TYPE Service Fee _22 ❑ Commercial ❑ New Termite Job ❑ Cust. Req. Insp. ❑ 3 Months ❑ Residential ❑ Odd -Job Termite ❑ Initial Service ❑ 6 Months Sales Tax ❑ Pest Renewal ❑ Termite Renewal ❑ Regular Service ❑ 1 Year ❑ Odd -job Pest ❑ Termite Transfer ❑ Flea Treatment ❑ 5 Years ❑ Six -Month Follow-up ❑ Termite Retreat ❑ Ant Treatment ❑ Total Amount Z. ❑ / _Z �y; ❑ Pest Control []Sub Termite Renewal ❑ Bed Bugs []Yard Control ❑ Rodent Control ❑ Payment Re \ \cl L MATERIALS USED % NAME/EPA# AMOUNT % NAME/EPA# AMOUNT % NAME/EPA# AMOUNT % NAME/ EPA # AMOUNT COMTRACBLOX EPA 1245549 EXCITER EPA655'798 TERMIDOR EPA 1969-210 TIM BOR EPA 64405.8 CONTRAC PLACE PACKS EPA 1245579 ZENPFOX EPA 2724E04 MAXFORCE MAGNUM BAIT GEL EPA432T460 FIRST STRIKE EPA 1173Q58 DnRAC TRACKING POWDER EPA 1245556 GENTROL EPA 2724351 MAXFORCE IMPACT BAIT GEL EPA 432-1531 BEDLAM PLUS EPA 1021-2569 FINALBLOX EPA 1245589 CB80VENDETTA EPA 9444175 PLUS BAIT /i -11 GEL EPA 102125M TEMPO DUST EPA432-1373 ZP TRACKING POWDER EPA 12455-16 TALSTAR P EPA 2793206 PPVOGIDE 100 EPA 10211424 gRILON EPA352 776 SUSPEND SC EPA 432 763 STRYKER EPA 53983308 CIMEXA . EPA 73079-12 CROSSFIRE EPA 1021-2776 Place a check mark by each target pest: ❑ Fire Ants ❑ Brown Recluse Spiders ❑ Spiders ❑ Fleas ❑ Ticks ❑ Carpenter Ants ❑ Black Widow Spiders ❑ Carpet Beetles ❑ Pill Bugs ❑ Bed Bugs ❑ Pharaoh Ants American Roaches ❑ Earwigs ❑ Sowbugs ❑ Other ❑ House Ants Oriental Roaches ❑ Crickets- ❑ Subterranean Termites ❑ Other ❑ Silverfish ❑ German Roaches ❑ Root Rats ❑ Wasps ❑ Other ❑ Scorpions ❑ Brown Banded Roaches ❑ Norway Rats ❑ Yellow Jackets ❑ Other ❑ Firebrats ❑ Smokey Brown Roaches ❑ House Mice ❑ Bees ❑ Other TREATMENT AREAS * APPLICATION METHOD I TREATMENT AREAS * APPLICATION METHOD ❑ Kitchen/Dining Rm ❑ Attic ❑ Living Room W- -Arr rT ❑ Closets ❑ Bedrooms (c W c L if � ❑ Wall Voids ❑Bathrooms 1,e 1>. lt-�L_vf'r- C, ❑Exterior ❑Garage/Storage t'fICP\� c �- k 1st_ ❑ Yard ❑Basement/Crawl Spaces �ot/�' ❑ Offices ❑ Other ❑ Other COMMENTS:LA 1 Serviced by Lic. # Date Customer Sinnglum Date o wpyrgm. cnowmm�n 40 Wisteria St. Salem MA 01970 Bill To: DJJC Property Management PO Box 842 Salem, MA 01970 Project 41 Salem St. Balance Due $238.65 Description Quantity Rate Amount Snake kitchen sink drain Unit #1 Repair leaking toilet (tank blots) Unit #2 Labor 2.5 90.00 225.00 Tank to Bowl Bolts 1 4.10 4.10 Toilet Tank To Bowl Gasket 1 4.98 4.98 Expendables 2 2.00 4.00 Tax 6.25% 0.57 KINfBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iramdin@salein.com CERTIFICATE OF FITNESS CERTIFICATE # 29-14 DATE ISSUED: 1/24/2014 Property Located at: 41 Salem Street UNIT # 1 Owner/Agent: Vito Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-255-3352 lu PI1b1iCHC81th Prevent. Promote. Pmlem. LARRY RAMDIN, RS/REBS, CHO, CP -FS HEAI:rH 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 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 DIN HEALTH AGENT . RIAN KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 lsc 7THni cM. COM 1 jjj )1� IN ACCORD Application for Certificate of Fitness ANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 _ "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." EE -E: $50.00 PROPERTY LOCATED AT l '� is Txls tfe e7— P.O. BO NIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONET#� O ESSER_ �� I -�C� �� r NO P.O. BOX � I ADDRESS MANAGER/AGENT Cah o ADDRESS CITY, STATE, Zip —L-C�ai�nc�0/ i"1� i1 1 - -� 1 LD—CITY, ZIP PSTATE, WSMENCEPHOiVE c 9 7 1 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: THERE` IS A FIFTY($1 U. BOARD OF HEALTH THIS FEE. THIS DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATITP V ) / , /'/ / y Inspectors use only Date on initial inspection: Date of issuance of certificate: Date of reinspection: -----__ Type of unit: Dwelling Other__Check # Date fee paid: � � 2��/ Notes: _ Check date: i � � C� �) c� ;ode Enforcement Inspector CITY OF SALEM, MASSACHUSETTS a ; BOARD OF HEALTH s 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, RS, CHO Mayor HEALTH AGENT 9/14/2006 Rosita Visone c/o Croom Property Service P.O. Box 505626 Chelsea, MA 02150 PROPERTY LOCATED AT 41 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 oanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez 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-15-324 DATE ISSUED: 10/5/2015 Property Located at: 41 SALEM STREET UNIT #3 Owner/Agent: Vito Venuti Address: 1 Tomah Drive City/Town: Peabody, MA Zip Code: 01960 [e� PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 255-3353 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 zjov SANT RIAN KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, l HEALTH AGENT r ak I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Vito @ t/eN lk-r"Co"KMI@ML fW com 972-47-7- 3353 tness IN ACCORDANCE WITH Application TATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: PROPERTY LOCATED AT IS THIS UNIT DISIGNATED AS GHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE OWNER/LESSER � UNIT'#—' NO P.O. BOX ��'O (�" AGENT-_ CITY, STATE, ZIP--�L��Ja V Md �)) q O ,CITY, STATE, ZIP_" cZ RESIDEI;CEPHONE _Q7D_�� BUSINESS PHONE (24HRS) 9 i� SSS S� BUSINE,, pHONE 9 � g 255 TOTAL NUMBER OF ROOMS:_ ROOMUSE: 1.1tvf__a .. ,,.. . _ 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 SIGNATrmv / / // / Insuecto____rs us�l� � Date on initial inspection( )%p,��15 Date of issuance of certificate: Q/p S�� S Date of reinspection:___ Type Of unit: Dwelling_�Other Date fee paid:( joz" )n1 r Votes: n Check #_Check date: ¢wY K iaA-1 �� ivr of Sj� ��nSli O1 S IPIVP. ✓Ind 1.'_l.1I 2.121MAR11- KIMBERLEY DRISCOLL MAYOR LARRY RAbIDIN, 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 LRAMDINP-SALEu CONI Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee OwneVLessor Address dd WSQl e6n, tr,A-±-t3 Address on unit to be inspected 10�21 Date Updated 5/23/11 STANLEY J. USOVICZ, JR. MAYOR Rosa Visone 643 Broadway #261 Saugus, MA 01906 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 3/11105 PROPERTY LOCATED AT 41 Salem Street Unit 3 Left Front 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 H7alth Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 41° FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 1ramdin e salem.com CERTIFICATE OF FITNESS CERTIFICATE # 249-14 DATE ISSUED: 7/17/2014 Property Located at: 51 Salem Street UNIT # 2 Owner/Agent: Franeisco Lora Address: 7 Lemon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-578-0270 u PublicHea Ith PrwmL Promote. PIM111, LARRY RAMDIN, RS/REI-IS, C1 [0, CV -FS HI:S;\ 1;1'1-1 A(; FNP 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. ^FORTHEBO#IRDOF ALTH LARRY RAMDIN~k�C HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET, 4` FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 lramdin@a,salem.com 10 PublicHealth Prevent. Prnmote. Proleol. L,\RRY RAMDIN, RS/RLI-IS, 010, CI' -FS HF,,mx (AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT S( ` oLm '3UNIT#(:9_ 4*4411S UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE AGENT 0 CITY, STATE, ZIP 92 1?t W 14 _ CITY, STATE, ZIP 0 (9l 7y RESIDENCE PHONE? Sn/BUSINESS PHONE (24HRS) BUSINESSPHONE'rg SQ�f-867Z TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEg PAYABLE BY CHECK Q9 MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAtfABLE AT THE TIME QF SPECTION APPLICANT'S Inspectors use only Date on initial inspection: `7 II % �i a Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check #Check date: Code'E6fdEc&nent Inspector / iz /Ac/ CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET, 4' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAY (978) 745-0343 MAYOR DcxeFN13AUn2r7a snu M conn DAVID GREENBAUM ACTING HEAI-'II"I AGENT CERTIFICATE OF FITNESS CERTIFICATE # 239-10 DATE ISSUED: 5/18/2010 Property Located at: 51 Salem Street UNIT # 3 Owner/Agent: Arvinder Bahal Address: 12 Pickman Road City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 508-454-2784 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 DAV AU ACTING HEALTH AGENT CODE ENO CEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR J TEL. (978) 741-1800 (Jl FAX (978) 745-0343 DGREENBAUM&AI:EM. 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 V IS THIS UNIT DIISSIGNNATED AS RIGHT LEFT FRONT OR BACK PLEASE CHICLE ONES OWNER/LESS MANAGER/ AGENT A q1'A• NO P.O. BOX ADDRESS ADDRESS CITY, STATE, ZIPS ' L CITY, STATE, ZIP RESIDENCE PHONE USINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. % tL- 3. �� 4 +3 5 6. \4 y 7. WPA. 8 9 10 THERE IS A I= ($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 TATA Inspectors use only Ll on initial inspection: II Z d / Date of reinspection: / D Date of issuance of certificate: & //0 Date fee paid: K131 Type of unit: Dwelling� O Check # a S Ll Check date: �/ o Notes: 401I0 'Serat m 3jt1 - ICRP, vvikdcw naids Icc,N bog oCVA -h&I"'s �a -hrli an (10 s �+ '—ode 05 •SWI 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 UGRIiliNBAUM@SAJ,LM. COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its ,authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor .Address Address Address on unit to be inspected S- 'Date Tenant Lead Law Notification What lead paint forms must owners of rental homes give to new tenants? Before renting a home built before 1978, the property owner and the new tenant must sign two copies of this Tenant Lead Law Notification and Tenant Certification Form; and the property owner must give the tenant one of the signed copies to keep. If any of the following forms exist for the unit, tenants must also be given a copy of them: lead inspection or risk• assessment report; Letter of Compliance, or Letter of Interim Control. This form is for compliance with both Massachusetts and federal lead notification requirements. What is lead poisoning and who is at risk of becoming lead poisoned? Lead poisoning is a serious environmental hazard. It is most dangerous for children under six years old. It can cause permanent harm to young children's brain, kidneys, nervous system and red blood cells. Even at low levels, lead in children's bodies can slow growth and cause learning and behavior problems. Young children are more easily and more seriously poisoned than others, but older children and adults can become lead poisoned too. Lead in the body of a pregnant woman can hurt her baby before birth and cause problems with the pregnancy. Adults who become lead poisoned can have problems having children, and can have high blood pressure, stomach problems, nerve problems, memory problems and muscle and joint pain. How do children and adults become lead poisoned? Lead is often found in paint on the inside and outside of homes built before 1978. The lead paint in these homes causes almost all lead poisoning in young children. The main way children get lead poisoning is from swallowing lead paint dust and chips. Lead is so harmful that even a small amount can poison a child. Lead paint under layers of nonleaded paint can still poison is, especially when it is disturbed, such as through normal wear and tear and home repair work. Lead paint dust and chips in the home most often come from peeling or chipping lead painted surfaces; lead paint on moving parts of windows or on window parts that are rubbed by moving parts; lead paint on surfaces that get bumped or walked on, such as floors, porches, stairs, and woodwork; and lead paint on surfaces that stick out which a child may be able to mouth such as window sills. Most lead poisoning is caused by children's normal behavior of putting their hands or other things in their mouths. If their hands or these objects have touched lead dust, this may add lead to their bodies. A child can also get lead from other sources, such as soil and water, but these rarely cause lead poisoning by themselves. Lead can be found in soil near old, lead -painted homes. If children play in bare, leaded soil, or eat vegetables or fruits grown in such soil, or if leaded soil is tracked into the home from outside and gets on children's hands or toys, lead may enter their bodies. Most adult lead poisoning is caused by adults breathing in or swallowing lead dust at work, or, if they live in older homes with lead paint, through home repairs. How can you find out if someone is lead poisoned? Most people who are lead poisoned do not have any special symptoms. The only way to find out if a child or adult is lead poisoned is to have his or her blood tested. Children in Massachusetts must be tested at least once a year from the time they are between nine months and one year old until they are four years old. Your doctor, other health care provider or Board of Health can do this. A lead poisoned child will need medical care. A home with lead paint must be deleaded for a lead poisoned child to get well. What kind of homes are more likely to have lead paint? In 1978, the United States government banned lead from house paint. Lead paint can be found in all types of homes built before 1978: single-family and multi -family; homes in cities, suburbs or the countryside; private housing or state or federal public housing. The older the home, the more likely it is to have lead paint. The older the paint, the higher its lead content is likely to be. Can regular home repairs cause lead poisoning? There is a danger of lead poisoning any time painted surfaces inside or outside the home are scraped for repainting, or woodwork is stripped or removed, or windows or walls are removed. This is because lead paint is found in almost all Massachusetts homes built before 1978, and so many of Massachusetts' homes are old. Special care must be taken whenever home repair work is done. No one should use power sanders, open flame torches, or heat guns to remove lead paint, since these methods creatc a lot of lead dust and fumes. Ask the owner of your home if a lead inspection has been done. The inspection report will tell you which surfaces have lead paint and need extra care in setting up for repair work, doing the repairs, and cleaning up afterwards. Temporarily move your family (especially children and pregnant women) out of the home while home repair work is being done and cleaned up. If this is not possible, tape up plastic sheets to completely seal off the area where the work is going on. No one should do repair work in older homes without learning about safe ways to do the work to reduce the danger of lead dust. Hundreds of cases of childhood and adult lead poisoning happen each year from home repair work. What can you do to prevent lead poisoning? ■ Talk to your child's doctor about lead. ■ Have your child tested for lead at least once a year until he/she is four years old. Ask the owner if your home has been deleaded or call the state Childhood Lead Poisoning Prevention Program (CLPPP) at 1-800-532-9571, or your local Board of Health. ■ Tell the owner if you have a new baby, or if a new child under six years old lives with you. ■ If your home was.deleaded, but has peeling paint, tell and write the owner. If he/she does not respond, call CLPPP or your local Board of Health. ■ Make sure only safe methods are used to paint or make repairs to your home, and to clean up afterwards. ■ If your home has not been deleaded, you can do some things to temporarily reduce the chances of your child becoming lead poisoned. You can clean your home regularly with paper towels and any household detergent and warm water to wipe up dust and loose paint chips. Rub hard to. get rid of more lead. When you are done, put the dirty paper towels in a plastic bag and throw them out. The areas to clean most often are window wells, sills, and floors. Wash your child's hands often (especially before eating or sleeping) and wash your child's toys, bottles and.pacifiers often. Make sure your child eats foods with lots of calcium and iron, and avoid foods and snacks that are high in. fat. If you think your soil may have lead in it, have: it tested. Use a doormatto help prevent dirt from getting into your home. Cover bare leaded dirt by planting grass or bushes, and use mats, bark mulch or other ground covers under swings and slides. Plant gardens away from old homes, or in pots using new soil. Remember, the only way to permanently lower the risk of your child getting lead poisoned is to have your home deleaded if it contains lead paint. How do you find out where lead paint hazards may be in a home? The only way to know for sure is to have a lead inspection or risk assessment done. The lead inspector will test the surfaces of your home and give the landlord and you a written report that tells you where there is lead in amounts that are a hazard by state law. For interim control, a temporary way to have your home made safe from lead hazards, a risk assessor does a lead inspection plus a risk assessment. During a risk assessment, the home is checked for the most serious lead hazards, which must be fixed right away. The risk assessor would give the landlord and you a written report of the areas with toomuch lead and the serious lead hazards. Lead inspectors and risk assessors have been trained, licensed by the Department of Public Health, and have experience using the state -approved methods for testing for lead paint. These methods are use of a sodium sulfide solution, a portable x-ray fluorescence machine or lab tests of paint samples. You can get a'list of licensed lead inspectors and risk assessors from CLPPP. In Massachusetts, what must the owner of a home built before 1978 do if a child under six years old lives there? An owner of a home in Massachusetts built before 1978 must have the home inspected for lead if a child under six years old lives there. If lead hazards are found, the home must be deleaded or brought under interim control. Only a licensed deleader may do high-risk deleading work, such as removing lead paint or repairing chipping and peeling , Tenant Certification Form Required Federal Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre - 1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. The Massachusetts Tenant Lead Law Notification and Certification Form is for compliance with state and federal lead notification requirements. Owner's Disclosure (a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below): (i) _Known lead-based paint and/or lead-based paint hazards are present in the housing (explain). (ii) Owner/Lessor has no knowledge of lead-based paint and/or —lead -b- ased paint hazards in the housing. (b) Records and reports available to the owner/lessor (Check (i) or (ii) below): (i) Owner/ Lessor has provided the tenant with all available records and reports pertaining to lead –based paint and/or lead-based paint hazards in the housing (circle documents below). Lead Inspection Report; Risk Assessment Report; Letter of Interim Control; Letter of Compliance (i) Owner/Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Tenant's Acknowledgment (initial) (c) Tenant has received copies of all documents circled above. (d) Tenant has received no documents listed above. (e) Tenant has received the Massachusetts Tenant Lead Law Notification. Agent's Acknowledgment (initial) (f)Agent has informed the owner/lessor of the owner's/lessor's obligations under federal and state law for lead- based paint disclosure and notification and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. e Owner/Lessor Date -b� Tenant Date Agent Date Owner/Lessor Date fenant Agent Date Date Owner/Managing Agent Information for Tenant (Please Print): Name Street Apt. City/Town Zip I (owner/managing agent) certify that I provided the Tenant Lead Law Notification/ Tenant Certification Form and any existing Lead Law documents to the tenant, but the tenant refused to sign this certification. The tenant, gave the following reason: The Massachusetts Lead Law prohibits rental discrimination, including refusing to rent to families with children or evicting families with children because of lead paint. Contact, the Childhood Lead Poisoning Prevention Program for information on the availability of this form in other languages. Tenant and owner must each keep a completed and signed copy of this form. CLPPP95d r RmSAM lead paint.You can get a list of licensed deleaders from the state Department of Labor and Workforce Development. Deleaders are trained to use safe methods to prepare to work, do the deleading, and clean up. Either a deleader, the owner or someone who works for the owner who is not a licensed deleader can do certain other deleading and interim control work Owners and workers must have special training to perform the deleading tasks they may do. After the work is done, the lead inspector or risk assessor checks the home. He or she may take dust samples to test for lead, to make sure the home has been properly cleaned up. If everything is fine, he or she gives the owner a Letter of Compliance or Letter of Interim Control. After getting one of these letters, the owner must take care of the home and make sure there is no peeling paint. What is a Letter of Compliance? It is a legal letter understate law that says either that there are no lead paint hazards or that the home has been deleaded. The letter is signed and dated by a licensed lead inspector. What is a Letter of Interim Control? It is a legal letter under state law that says work oecessary.to makethehome temporarily -safe from serious lead k " hazards has been done. The letter is signed and dated by a licensed risk`nssessor. It good for one year; but can be renewed for another year. The owner must fully delead the home and get a Letter of Compliance before the end of the second year. ya• Where can I learn more about lead poisoning? Massachusetts Department of Public Health Childhood Lead Poisoning, Prevention Program (CLPPP) (For more copies of this form, as well as a full range of information on lead poisoning prevention, tenants' rights and responsibilities under the MA Lead Law, how to " clean lead dust and chips, healthy foods to protect your children, financial help for owners, safe deleading and renovation work, and soil testing.) 71-800-532-9571 Massachusetts Department of Labor and Workforce Development, (List of licensed deleaders) 617-969-7177,1-800-425-0004 Your local lead poisoning prevention program or your local Board of Health U.S. Consumer Product Safety Commission (Information about lead in consumer products) 1-800-638-2772 U.S. Environmental Protection Agency, Region I (Information about federal laws on lead) 617-918-1524 National Lead Information Center (General lead poisoning information) 1-800-424-5323 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 5 j 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 n"g TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 73-06 DATE ISSUED: 2/27/06 Property Located at: 56 Salem Street UNIT # 1 Owner/Agent: Raymond L. St. Pierre Address: 56 Salem Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5076 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 C JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �"nc1 Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR n SALEM, MA 01970 /�(, yPi/�•7� TEL. 978-741-1800 FAX 978-745-0343 - Y JOANNE SCOTT, MPH, R5, 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 G ��,o�C UNIT #� IS THIS UNIT DESIGNATED AS I(i GHj LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER I r((.,YJ,,, ,,V MANAGER/AGENT No P.O. Box o �A No P.O. Box ADDRESS ��_Sa P� r7L ADDRESS RESIDENCE PHONEGI,�i�, -� 7h BUSINESS PHONE (24 HRS.)a2F-332- GO o S/ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1,Ak. 2. _3. 4. 5.6.-7.-8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OFEM HEALTH DEPARTMET THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. A AT APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION --fi -27 - D 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:- -X? '13 DATE FEE PAID:- TYPE OF UNIT: DWELLING OTHER_ CHECK it. _CHECK DATE ` a 1 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 2/10/05 Raymond St. Pierre 56 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 56 Salem Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. For the Board of Health Ubanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector JOANNE SCOTT, MPH, R$, CHO HEALTH AGENT Lois Delp 58 Salem Street Salem, MA 01970 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 05/12/2000 PROPERTY LOCATED AT 58 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. IF.ARD OF HEALTH oanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR Sh rte" STANLEY J. USOVICZ, JR. MAYOR Lois A. Delp 58 Salem Street Salem, MA 01970 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 PROPERTY LOCATED AT 58 Salem Street Unit 2 Dear Sir/Madam: 4/27/05 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 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 He taJ h f�y'et n.0 /l�Et��b(— oanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector 3 a �hINB 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 10/21/04 Lois A. Delp 58 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 58 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 t e Board of Health/f Jo ne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector 07/02/2002 Lois A. Delp 58 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 58 Salem Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting2a 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 so exist. R THE BOARD OF HEALTH Joanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS caxo�r BOARD OF HEALTH 3 * ' 120 WASHINGTON STREET, 4TH FLOOR 4 SALEM, MA 01 970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 07/02/2002 Lois A. Delp 58 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 58 Salem Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting2a 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 so exist. R THE BOARD OF HEALTH Joanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR co STANLEY J. 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 7/28/05 Lois A. Delp 58 Salem Street Salem, MA 01970 PROPERTY LOCATED AT 58 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 panne Scott MPH, RS, CHO 'Health Agent Reply to Pablo Valdez Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET, 4` FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGRI3ENBAUM(@SALP.M.(:OM DAVID GRLiLsNBAUM ACLING HFALII I AGIWr CERTIFICATE OF FITNESS CERTIFICATE # 155-10 DATE ISSUED: 3/29/2010 Property Located at: 60 Salem Street UNIT # 1 Owner/Agent: Denci Gonzalez Address: 19 Cleveland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-5950 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 AU. ) DAVID GREENBAUM ACTING HEALTH AGENT CODE CEMENT INSPECTOR KBOERLEY DRISCOLL MAYOR DAVID GRL'.I::NI3AUM ACTING HEAL'n-1. AGUNT To: Fax RE: Date : CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 DC,RIE8N13AUMna SAI..L',M.COM Facsimile Transmittal Page(s): including this cover # —Q. - Board of Health News-------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Plain Paper Fax/Copier Last Fax Date Time Twe Apr 12 1:O1pm Sent Result: OK - black and white fax Fax History Report for Joanne Scott Salem,BOH 978 745 0343 , Apr 12 2010 I:Olpm. Identification Duration - Pages Result 919787449614 0:35 2 OK KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREE'r, 4." FLOOR TEL. (978) 741-1800 FAZ (978) 745-0343 DGREENLBAUbI&ALL-W 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 THIS UNIT DISIGNATED RIJ610WIF1193.4 UNIT# OR BACK. PLEASE CIRCLE ONE GENT CITY, STATE, ZIP l klU rr M jq 97U CITY, STATE, ZIP RESIDENCE PHONE—_I] ] / b Cn-iJ l JU BUSINESS PHONE (24HR BUSINESS PHONE TOTAL NUMBER OF ROOMS: k� 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 Inspectors use only Date on initial inspection:c0 / G Date of issuance of certificate: 31,4 /0 Type of unit: Dwelling ✓Other Check # /3. i_ Date of reinspection: Date fee paid: -4101//O Check date: 3 of 1110 . 4t - Code or ment Inspector r i CITY OF SALEM, MASSACHUSETTS BOARD OF HF�UJH 120 WASHINGTON STREET, 4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR IMANCINIQSALENLCOM JANV I' MANCINI ACTING HFA):,rr'i A(;vN'r CERTIFICATE OF FITNESS CERTIFICATE # 173-09 DATE ISSUED: 4/15/2009 Property Located at: 60 Salem Street UNIT # 2 Owner/Agent: Denci Gonzalez Address: 19 Cloverdale Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-3718 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 iAkJA MANCINI ACTING HEALTH AGENT CODE ENFORCEMENT I PECTOR 17S-C� �wX SIg 14q�4�� j1e10v&1(& 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 0 .Sa/tet IS THIS UNIT DISIGNATED AS 17" NO P.O. BOX FE/E�: $50.00 FRONT OR RACK, PLEASE CIRCLE ONE AGENT v' ADDRESS /11 l _C/6yw(iAle / ye- ADDRESS CITY, STATE, ZIP f 54ele ,7 Qd��9 %U CITY, STATE, ZIP RESIDENCE PHONE 9< g� 7/ S.J / 1U BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: A6 ROOM USE: v THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY -ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 0 //� /� DATE y �� Inspectors use only Date on initial inspection: y- `� o �' Date of reinspection: Date of issuance of certificate: Date fee paid: L4 - 14 `0 S Type of unit: Dwelling Other Check # ) 3135 Check date: y-13 - o5 Code Enforcement Inspec JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 60 Salem Street UNIT #: 3 OWNER/AGENT: Denci Gonzalez ADDRESS: 60 Salem Street CERT.# 643-99 FEE $25.00 DATE: 10/25/99 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3718 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 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 ZI, "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 JO NNNNEL SCOTT, MPH,RS,CHO HEALTH AGENT CODE INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 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". NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 PROPERTY LOCATED AT �i .5�/ /��% UNIT # 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE OWNER/LESSEI`k G Z MANAGER/AGENT No P.O. Box nD�� No P.O. Box ADDRESS /" // � ADDRESS CITY ��%' C�/%� CITY RESIDENCE BUSINESS TOTAL NUMBER OF ROOMS: 0 //*elw/ PHONE (24 HRS.)�Xw' 7r11-13 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 GDATE?� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION/r_ 21 -q W DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/O-,4 °I�i DATE FEE PAID: TYPE OF UNIT: DWELLINGOTHER_ CHECK # /_7 CHECK DATE` S `i CODE ENFORCEMENT INSPECTOR 9/28/98 r o n moi. �a STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 282-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 06/16/2003 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 61 Salem Street OWNER/AGENT: Robert Cabrera ADDRESS: 61 Salem Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 Front 24 HOUR PHONE: 423-9252 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD� HH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT i CODE ENFORCEMENT INSPECTOR 1 L4 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 ll, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". ii PROPERTY LOCATED AT 6 f SA Imo_ 51- UNIT # 9' - IS IS THIS UNIT DESIGNATED AS RIGHT LEFT RO BACK PLEASE CIRCLE ONE OWNER/LESSER I 0_i3)e l (ikR)kEeA MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS (n I 6A )&nv1 ST ADDRESS CITY S P\ Q&,\'1 CITY Tv\,0- 0 I g 7 D RESIDENCE PHONE(973) 7q(^c;1,.353 BUSINESS PHONE (24 HRS.)tug `iL 9a 7 - BUSINESS PHONE TOTAL NUMBER OF ROOMS: LJ� ROOM USE: 1. 2. ✓d /4r A edeoL+x1.� 5q 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 /ICA�I rPolu� DATE 0(,//& La -3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �-- / 6 -D 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE;.C_-% 6 -- G 3 DATE FEE PAID: K. -/I, v "� TYPE OF UNIT: DWELLINGVOTHER_ CHECK # .2 7 G 3 CHECK DATE e-16 -) NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 274-98 FEE $25.00 DATE: 05/11/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 61 Salem Street OWNER/AGENT: Robert Creesy ADDRESS: 17 Middlebury Lane CITY/TOWN: Beverly. MA ZIP CODE: 01915 UNIT #: 3 24 HOUR PHONE: 927-4359 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 ,JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT PITY OF SALEM.BOARD.OF HEALTH Salem, Massachusetts 0197073928 APPLICATION FOR CERTIFICTE OF FITNESS MAY 1 1:1998 CITY OF SALEM HEALTH DEPT. t��I 9g NINE NORTH STREET I� Tel 741-1800 -Fax: (508) 740-9705 IN ACCORDANCE NIT41 STATE SANITARY: CODE, CHAPTER II, 105 CHR 4 10. 000 "MINIMUM STANDARDS:OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT OWNER/LESSER��.��j ADDRESSZ? OITY � �1/r�►^ l� . ,rL�� . 8�9�� RESIDENCE PHONE. 9 2_72 - y. BUSINESS PHONE f 7-'7Z— UNIT I MANAGER/AGENT ADDRESS CITY BUSINESS PHONE (24 HRS.) TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. S. 6. 7. 8. THERE IS A TNENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IIIS�PAYABLE AT THE TIME OF INSPE TION APPLICANTS SIGNATURE ��<<� v!i DATE INSPEC'ORS USE ONLY DATE OF INITIAL INSPECTION:7 — (G DnPE OF RtCLnSPECIION__ DATE OF ISSUANCE OF CERTIFICATE _�—��-'_DATE FEE PAID�_� TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR t JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 63 Salem Street OWNER/AGENT: Cesar Pena ADDRESS: 108 Congress Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 24 HOUR PHONE: CERT.# 15-01 FEE $25.00 DATE: 01/23/2001 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 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. OR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT -� ar V a L-d� CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 10 '� S�Z 1 UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERa 542 QQ a//� MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS �� a N f 1?,e 5-5 ADDRESS CITY_S��-4 - d L 4 7 ° CITY RESIDENCE PHONE BUSINESS PHONE (24 H BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._�_ 2. �_ 3. I� 4. Y 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 9� 1 APPLICANTS SIGNATURE Pd, _e, DATE 0 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /- -i3 - C ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE L2 _a DATE FEE PAID: I 3' TYPE OF UNIT: DWELLING OTHER_ CHECK # CHECK DATE Z-)- -Df Al 0,o I I/ a -- 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 #: GHL-15-391 DATE ISSUED: 11/25/2015 Property Located at: 63 SALEM STREET UNIT #2 Owner/Agent: Rafael Duran Address: 63 Salem Street # 1 City/Town: Salem, MA Zip Code: 01970 O PublicHealth Prevent. Pr.m.m. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 7444687 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 SANITARIAI • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdinna,salem.com MAYOR PublicHealth Prt—W. Promote. Protea, LARRY RAMUIN, RS/REFIS, CHO, CP -F'S HHALTI-I AGI3,NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 63 61q1-c'1q �,5 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER f�/-9i 4 Z .DU,Q4N MANAGER/ AGENT UNIT# 9 NO P.O. BOX C� ADDRESS �J� sf1Z/4%%�'c % ADDRESS CITY, STATE, ZIPS Ml/ 0/970 CITY, STATE, ZIP RESIDENCE PHONE C 70- 79y 7 BUSINESS PHONE (24HR BUSINESS PHONE C %7e) -" 23 ;?' 16 2 TOTAL NUMBER OF ROOMS: & &,jWWd, `l 2j' Ki /tffui/ /.✓c ROOM USE: 1. 2. 3. 4. 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 TIME OF INSPECTION APPLICANT'S Inspectors use only TE f/10 L5 Date on initial inspection: 1 1/13 2 01-5- Date of reinspection: Date of issuance of certificate: 1-4Date fee paid: a-. ?1.2tq Type of unit: Dwelling Other r, Check # 16 y Check date: �1�23f%FJ Z� Notes: Urnomgaarr,s% ho.cKp�ranC�aS wrn . u�i�� oor�r�n� 7 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 393-00 FEE $25.00 DATE- 06/12/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 64 Salem Street OWNER/AGENT: Barbara Trainor ADDRESS: 64 Salem Street 2nd floor CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 24 HOUR PHONE: 745-2850 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 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 I NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF ` c FITNESS �FOR HUMAN HABITATION". PROPPATY I OrATFT) AT to. 1 V l 1.V V-Vn 4 ree+ I IMIT A I IS THIS UNIT DESIGNATED AS RIGHT LEFT ONT BACK PLEASE CIRCLE ONE OWNER/LESSER�C�bpc 2 C� k v, o c MANAGER/AGENT Noll: -� P ho{ (I No P.O. Box ADDRESS UI4 Sc tm Sf a i ADDRESS CITY &J� e w) CITY A*T'� RESIDENCE PHONE2-4 S a 8 SO BUSINESS PHONE (24 HRS.) BUSINESS PHONE 2f1r"-0- TOTAL NUMBER OF ROOMS: 5 - ROOM USE: 1. Gv-OC 2{�n;�3.\Ge f M 4. dfClgYiKl i 5K ti �2 vS. 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 M6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6 ^ ( 0' o DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: e'� a '0 'DATE FEE PAID: � D t7 TYPE OF UNIT: DWELLIN_OTHER_ CHECK #CHECK DATE./, UD NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEAT:n-1 120 WASHINGTON STREET', 4... FLOOR 'TEL. (978) 741-1800 Fax (978) 745-0343 lmmdin a,salem.com CERTIFICATE OF FITNESS CERTIFICATE # 143-12 DATE ISSUED: 4/11/2012 Property Located at: 67 Salem Street UNIT # 1 Owner/Agent: Joanne E. & Frederick W. Moir Address: 8 Mace Place City/Town: Lynn, MA Zip Code. 01902 24 Hour Phone: 598-0747 Publiciiealth LARRY RANIDIN, RS/REI IS, CFIO, CP -FS Hi;AI,PI1 AGuXt 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 i SANITARIAN KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, .ACTING HEALTH AGENT CITY OF SALFM, MASSACHUSETTS BOARD OF I IEALFH 120 WAST [INCION S1 RN E T, 4"' FI,Ook Tea.. (978) 741-1800 E:AX (978) 745-0343 D(;RGLNUAUM&,U,Y'm[. COIN 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 / �` �M 2� T UNIT# IS THIS UNIT DDISSII'GNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE YI 52l»P /5 tit /P&ki c% blA/D/QMANAGER/ AGEkT NO P.O. BOX CITY, STATE, ZIP Z-- y /✓AI MA CITY, STATE, ZIP RESIDENCE PHONE (gI'S9� 77 BUSINESS PHONE (Z46R BUSINESS PHONE f) RI' 46-� b TOTAL NUMBER OF ROOMS: {� ROOM USE: lkkAPA 2.A;9/;4 34111, 6. 7. v - 8. U 9. 10. am THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F,EE IS,PAYABLE ,PAT THE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: Y Iy I (a Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 47y ---/Check edate: _ , � Ode,V, i�rcemcnt TE—t') -09-iz 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 # 130-04 DATE ISSUED: 04/08/2004 Property Located at: 67 Salem Street UNIT # 1 Right Back Owner/Agent: Joanne & Fred Moir Address: 8 Mace Place City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone: 781-598-0747 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 0 �y n s ��mNB 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 (o� �aal�m r�PZ�i UNIT # �— IS THIS UNIT DESIGNATED A RIGHT fn� ,,LEFT FRON BACK LEASE CIRCLE ONE OWNER�Qhn� FYI MaI12 MANAG 6AGENT No P.O. Box No P.O. Box ADDRESS S Mace- PIQe-e.- ADDRESS CITY km -v) h A: 0 19 VL- CITY RESIDENCE PHONE 599-071 BIJSINESS PHONE (24 H BUSINESS PHONE q q 6' q45-- TOTAL N's-TOTAL NUMBER OF ROOMS: Jr ROOM USE: 1. lith 2.�hlvb 3. Vn 4.d✓c7DYy1 5. O&w 6.-7.-8. I. 3610 � 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` n. o a14jmt�) DATE_ 6_O V' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Y - �' - 0 `' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: � - _ 0 `f DATE FEE PAID: y S -'d _I TYPE OF UNIT: DWELLING _OTHER_ CHECK #_CHECK DATE ms -s 1 NOTES: 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-104 DATE ISSUED: 4/3/2017 Property Located at: 67 SALEM STREET UNIT #2 Owner/Agent: Joanne & Frederick Moir Address: 8 Mace Place City/Town: Lynn, MA Zip Code: 01902 PublicHeath Prevent. ProROle. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 598-0747 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 RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4`" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN(a)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" S,/FE_E: $50.00 PROPERTY LOCATED AT G 7 S a lamm d / Y2- "r UNIT# L r / ut' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE .70 anmc 4 - NO P.O. BOX F NLACE 0 CITY, STATE, ZIPLJ N A- O I q O CITY, STATE, ZIP RESIDENCE PHONE rI S L - C 9 %' O 7? BUSINESS PHONE (2,WR BUSINESS PHONE 1qI - '5 1 Z' 0-)4? TOTAL NUMBER OF ROOMS: � ROOM USE: KI 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 Date on initial inspection: Date of reinspection: Date of issuance of certificate: 10 Date fee paid: Type of unit: Dwelling------Other—Check # a Check date: 1A Code 7 CITY OF SALEM, MASSACHUSETTS • . BOARD OF HEALTH 120 WASHINGTON STREET, 4"" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGRL>ENBAUM@a SALEM.COM DAVID GIBE.,NBAUM, RS ACTING HFALTI I AGG.N'C. CERTIFICATE OF FITNESS CERTIFICATE # 143-11 DATE ISSUED: 5/9/2011 Property Located at: 67 Salem Street UNIT # 2 Owner/Agent: Joanne E. & Frederick W. Moir Address: 8 Mace Place City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone: 598-0747 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 THHE� OAU OF HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR F[' ZM KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF fIEAI.rH 120 WASE IINGTON S'rREEr, 4T" FLOOR Tr:I.. (978) 741-1800 FAX (978) 745-0343 D(;RLLNBAUM9S,U,FM. COM m;, 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 (09 cd e�m S -k • UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE AGENT NO P.O. BOX ADDRESS CITY, STATE, ZIP Tn/ tj) M 4 0 19 o 2 CITY, STATE, ZIP_ RESIDENCE PHONE �5 L - G C`1%� - 0 `f 2 BUSINESS PHONE (24HRS BUSINESS PHONE '1 � I - 5el �` OD `f-7 TOTAL NUMBER OF ROOMS: ROOM USE: L►I 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 SIGNA TED -1x3 �// Date on initial inspection: Date of reinspection: r Date fee aid: Date of issuance of certificate: u '^ P _ Type of unit: Dwelling �ther Check # , b & Check date: JEll Co En orc ment Inspector 7! t JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 68 Salem Street OWNER/AGENT: James Linehan CERT.# 364-01 FEE $25.00 DATE: 07/31/2001 120 Washington Street Tel: (978) 741-1800 Fax: (978) 745-0343 UNIT #: 1 ADDRESS: 50 Ledgewood Drive CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-6234 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 i� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 3� L/ -o/ 120 WASHINGTON ST. 4TH JOANNE SCOTT, MPH, RS, CHO - XIAMOSHOMMEXREEKX HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS ��F9R HUMAN HABITATION". PROPERTY LOCATED AT I, i ,Y7 / '5.0 5 t UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 3f1nC5 F Ly/y,'�/IA MANAGERIAGENT No P.O. Box / _ / I n No P.O. Box CITY I)Alily,-4 S CITY RESIDENCE PHONE J7 Ga 3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7 TOTAL NUMBER OF ROOMS: 6 c� ROOM USE: 1. k 1 c L 2. L/3. 4. 414Grrq 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. a� 7 APPLICANTS SIGNATUR& �" � "` DATE 7 -31 -v/ —3C 'O/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 2 ' 3 ( ti" DATE FEE PAID:-? — 3 ) TYPE OF UNIT: DWELLIN�OTHER_ CHECK # CHECK DATE 7 31 —o/ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 .. -'4w3— JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 70 Salem Street UNIT #: 1 OWNER/AGENT: James Linehan s ADDRESS: 50 Ledgewood Drive CERT.#352-00 FEE $25.00 DATE: 06/05/2000 CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-6234 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 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 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 �A S� UNIT #� IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER' b/_)-- LIff,04 N MANAGER/AGENT. No P.O. Box t / , rn No P.O. Box CITY &l nzV,151 CITY RESIDENCE PHONE ? ) % T BUSINESS PHONE (24 HRS.) BUSINESS PHONE -2 TOTAL NUMBER OF ROOMS: / ROOM USE: 1 2. Ll. a 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. /3 APPLICANTS SIGNATURE DATE OF INITIAL INSPECTION � � � id DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE- _0() DATE FEE PAID: TYPE OF UNIT: DWELLINGe0T HER_ CHECK # S^� CHECK DATE ninTPQ- CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 220-98 FEE $25.00 DATE: 04/15/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 70 Salem Street OWNER/AGENT: James Linehan ADDRESS: 50 Ledaewood Drive CITY/TOWN: Danvers, MA ZIP CODE: 01923 UNIT #: 2 24 HOUR PHONE: 777-6234 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 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r' JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 220-98 FEE $25.00 DATE: 04/15/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 70 Salem Street OWNER/AGENT: James Linehan ADDRESS: 50 Ledaewood Drive CITY/TOWN: Danvers, MA ZIP CODE: 01923 UNIT #: 2 24 HOUR PHONE: 777-6234 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 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 dx�` g JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel: (508) 741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 4 10. 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT OWNER/LESSER ✓/)/d9F S != LJii4nr r�/�N_ ADDRESS CITY RESIDENCE PHONE_ )7----6 BUSINESS PHONE7 S �1/z UNIT # . MANAGER/AGENT ADDRESS CITY BUSINESS PHONE (24 HRS.) TOTAL NUMBER OF ROOMS: ROOM USE: 1. fi fC go_ ,,4.-- � 5 • Sr�t-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 E IS PAYABLE AT THE TIME OF INSPECTIONN/SPE1CT,ION URE APPLICANTS SIGNAT//NFDATE-- INSPECTORS ATE_- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:Cf � (S ' DATE OF REINSPECTION--- DATE EINSPECTION_DATE OF ISSUANCE OF CERTIFICATE: :_�,i�� DATE FEE PAID: '7(�— TYPE OF UNIT: DWELLING < OTHER NOTES: CODE ENFORCEMENT INSPECTOR