SHILLABER STREETEe
ICIMI.IP,R1,F'Y .DRISC01'.11
MAYOR
f.AIIItY RAM DIN, ItS/RFI IS, (:I HO, CI' -I ;ti
W'Ai;ilI A(:;VINT
CITY OF SALEM, MASSACHUSE'1"I'S
BOARD OI HI » TI -I
120 �sldtNGrON S'IxFt r, 4"' FLOOR
Ti-iL, 0)78) 741-1800
FAX 0978) 745-0343
Irsun(lina)salcm com
CERTIFICATE OF FITNESS
CERTIFICATE # 369-11
DATE ISSUED: 9/29/2011
Property Located at: 10 Shillaber Street UNIT # 1
Owner/Agent: Joan A Diogo
Address: 13 Sherwood Avenue
City/Town: Peabody, MA Zip Code: 01960 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
ti v'
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
IQMI3BRLLY DRISCOLL
MAYOR
LARRY RANIDIN, RS/RI;I IS, (,:IK), (:F -FS
HH,V : I'I I A(.; I',NT
To: ( 1* (L /l.
CITY OF SALEM, MASSACHUSEl-fS
BOARD OF HFAi,n-f
120W-vSI-IING'IoNSTRF T, 41°'L001Z
TILL. (978) 741-1800
FAX (978) 745-0343
LramdinQsalem.coin
Facsimile
Transmittal
Fax# R-78-7YY- AvIq__--
RE: 1U�fhrllLi.�?2('��r5(AAX/� `
Date:/1-7111
Page(s): including this cover #
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
KIMBERLEY DRISCOLL
MAYOR
LARRY RADIDIN, 11S/RF1 N, CI 10, CP -1'
-S
HF.AI I'FI AG I ;N'r
CITY OF SALEM, MASSACHUSETTS
BOARD OF HF. vurI-I
120 WASHINGTON STRFF'P, 4... FLOOR
TEL. (978) 741-1800
FAx (978) 745-0343
1,R,"fDJNt7GSA1, N1.0O3A1
for Certificate of Fitness
uv All l/ICIJl1NlL WI 1171 S1A1b SANIIAKY WOE, CHAP IBR 11, 1 U UMR410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
/ FEE: $50.00
PROPERTY LOCATED AT Q �!/ ���' l gyp// � 7t UNIT#
IS THIS UNIT DISIGNATED AS RIGHT L FT FRONT OR BACK, PLEASE CIRCLE ONE
OWNER/LESSER Ab!3,U MANAGER/ AGENT
NO P.O. BOX ��%%/ - -
ADDRESS �YWrrr�ood I� e ADDRESS
CITY, STATE, ZIP F 6i&) d y /i CITY, STATE, ZIP o�
RESIDENCE PHONE �S72122 BUSINESS PHONE (24HRS) 54,cli Q
BUSINESS PHONE_
TOTAL NUMBER OF ROOMS: J
ROOM USE: 1. 2. 3. 4.
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: V Date of 1
Date of issuance of certificate: Date fee
Type of unit: Dwelling—Lz—Other Check # S G' Check d
Notes
Cod Enforc ent Inspector
CITY OF SALEM, MASSACHUSETTS
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 # 233-07
DATE ISSUED: 5/17/2007
Property Located at: 10 Shillaber Street UNIT # 2
Owner/Agent: Maria Diogo
Address: 10 Shillaber Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEMt MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA o 1970
TEL. 978-741-1800
FAX 978-745-0343
Kimberle JOANNE SCOTT, MPH, RS, CHO
y 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 C�
-���.-L_�C•� 2 Y �� UNIT q�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
No P.O. LESSER �_ MANAGER/AGENT_
No P.O. Box o
ADDRESS 1,0 Q l=' /G b �, SV A No nno erne
CITY
CITY
RESIDENCE PHONE%0-0- %L/$ -(� Q�/BUSINESS PHONE (24
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1.__ 2
-- 3.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE -(�, DATE_
INSPECTORS USE ONLY
r;
X33'01
DATE OF INITIAL INSPECTION�% 1 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:r4Z_-& % DATE FEE PAID: ,37--/7
TYPE OF UNIT DWELLINfX OTHU? y CK . / 7-e 7
CHECK DATE S�-
IVOTES:
COD[ FNF0FiCEMFN-', IiJ I'L CTUIi
KIMBERLEY DRISCOLL
MAYOR
JANIs r DIONNE
ACTING HE,ALn-i AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
1DIONNF, aSALRM.COM
CERTIFICATE OF FITNESS
CERTIFICATE # 453-08
DATE ISSUED: 9/11/2008
Property Located at: 18 Shillaber Street UNIT # House
Owner/Agent: Warren Innis
Address: 8 Goodridge Street
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 531-0157
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy
FOR THE B�F�HtE�ALTH ,
lU
JAN T DIONNE
ACTING HEALTH AGENT CQPZENFORCEMLNt INSPECTOR
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
ISCarI&ALEM COM
q8;-ez
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT I d Gi fi
IS THIS UNIT DISIGNATED A
W 4u/ 12G/�1 r
NO P.O. BOX
ADDRESS 8 GDO D g l O G C S1-� ADDRESS
PLEASE CIRCLE ONE
AGENT
CITY, STATE, ZIP Pr-Pd1 94DY M,4 01W CITY, STATE, ZIP
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE �L /� 7 X37 O; Z -7
TOTAL NUMBER OF ROOMS:—
ZJ
ROOMUSE: L&rCAepi 3. PR[W2-4. 13C-1) 5.Age 0
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: / �' us, Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check #_F R o2_Ti Check date: q/ -x ZQ2
Notes: H,kI.atr-Cmy ctt (� —zpc V1r4.+3 i Nva �n'�1� %� 1C- (31 0
Co nforcement Inspector
T3`!r
KINMERLEY 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
jSC07'12SAI.f:M11. COINI
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
l
�
oll
wner/Lessor
Address
Address on unit to be inspected
92��r
Date
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4t" FLOOR
TEL. (978) 741-1800 FAx (978) 745-0343
Itaindin(@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 371-13
DATE ISSUED: 10/2/2013
Property Located at: 26 Shillaber Street UNIT # S1
Owner/Agent: Paul Goncalues
Address: 26 Shillaber Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
V
PublicHealth
Prevent, Promote, Protect,
LARRY IL\MDIN, RS/REI-IS, CFO, CP -FS
HIt.AI; n-1 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 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
LAR MDIN
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
lramdinna,salem.com
PablicHeal&
Prevent. Promote. Protect.
Li\RRY RAMDIN, RS/RL;I IS, CIIO, CI' -PS
H13ALTII 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 �� Sln G b e 12 Sk UNIT#_ S �
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER-I ASL C�oncc Ler- MANAGER/ AGENT
NO P.O. BOX
ADDRESS --.26 sh l& &y s-� s z ADDRESS
CITY, STATE, ZIP SAL-cM CITY, STATE, zip MA m7b
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. K iT 2. LC 3. RPV- 4. BDYL 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 INSMCTION
APPLICANT'S
Inspectors use only
Date on initial inspection: 1 O ^1�1) Date of reinspection:
Date of issuance of certificate: 1 Date fee paid:
Type of unit: Dwellingt Other Check # LT? Check date:
Inspector