SKERRY STREET COURTJOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 4 Skerry Street Court
OWNER/AGENT: Mike O'Brien
CERT.# 192-98
FEE $25.00
DATE: 04/07/98
UNIT #:`1
ADDRESS: 64 Bridge Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3778
NINE NORTH STREET
Tel: (976) 741-1800
Fax: (978) 740-9705
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND 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 TH�� OARD/'iH *1�
qv� P
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEWBOARD.OF HEALTH
Salem, Massachusetts 0197073928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
NINE NORTH STREET
Tel: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY: CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS'FOR HUMAN HABITATION".
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ROOM USE: I.
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TRERE IS A TWENTY-FIVE (25.
CITY OF SALEM* BEALTU_DEPART
APPLICANTS SIGNA
7. 8.
OL-LUAR FEE, PAYABLE BY CRECR OR MONEY ORDER TO THB
THIS I YABLE AT THE TIME OF INS)?ECT N
DATE_--
LNSPECFOGRS nUSE ONLY
DATE OF INITIAL INSPECTION: - 7 / d DAME OF REINSPECTION
DATE OF ISSUANCE OF CERTIFLLC-ATE:�7-=� _ DATE FEE PAID: (J
TYPE OF UNIT: DWELLING /\ OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
PROPERTY LOCATED AT: 4 Skerry Street Court
OWNER/AGENT: Mike O'Brien
ADDRESS: 64 Bridge Street
CERT.# 191-98
FEE $25.00
DATE: 04/07/98
UNIT #:'2
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3778
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 5 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEMBOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO - NINE NORTH STREET
HEALTH AGENT - Tel: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY: CODE, CHAPTER II, 105 CMR 410.000 "HI NIMUM
STANDARDS OF FITNESS `FOR HUMAN HABITATION".
PROPERTY
OWNER/LESSE�J / j MANAGER/AGEN�� Q/(�
ADDRESS 1% ADDRE'SS/V/l//JJJ
CITY CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)1%�
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS
ROOM USE: 1. �� 2./Ili/ 3._ l_ 4.
5. 6. 7. 8.
THERE IS A TWENTY—FIVE C2-. DOLLAR FE_, PAYABLE BY CHECK OR MONEY ORDER TO TEE
�&
CITY OF SALEM BFA�EE NT THIS FEY I$ AYABLE AT THE TIME OF INSPECTION
1-21 APPLICANTS SIGHAT IE DATE" —
INSPECFORS USE ONLY '
DATE OF INITIAL INSPECTION: �� " q &UAFE% OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: = ? " % C DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR