SMITH STREETSMITH STREET
L
i CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
4' 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 218-05
DATE ISSUED: 4/1/05
Property Located at: 7 Smith Street UNIT # 1
Owner/Agent: Fineta Morillo
Address: 7 Smith Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-0564
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
CPTY 01,_SALEM9 MASSACHUSETTS k
'�t'BOARD OF•H EALTH
120 WASH I NGTON'STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY
FAX 978-745-0343
USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR
HEALTH AGENT
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 T j ,"-1 I T� UNIT #�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�N/01;'� 1-10124G6-0 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS -.25/14 /T (;7- - ADDRESS
CITY Srq Nl/ () (GI% () CITY
RESIDENCE PHONE BUSINESS PHONE (24 H
BUSINESS
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._�_ 2.
7
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE)< ��� _DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION l- 3 0_ -_e 5_l DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATES _3O__U33 DATE FEE PAID:_
TYPE OF UNIT: DWELLING OTHER . _- CHECK N-Iy 0 CHECK DATE ,3-?'Yo :j�
NOTES: o S- ti Z Yo 7 3 7 31.
CODE ENFORCEMENT INSPECTOR 9/28198
4nmc
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
3/21/05
Fineta Morillo
P.O. Box 1025
Salem, MA 01970
PROPERTY LOCATED AT 7 Smith Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross -metering has been proven to exist.
F the Board of Healtty
anne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
a CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
n
gj 120 WASHINGTON STREET, 4TH FLOOR CERT. # 285-03
Ai/�p a SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 06/19/2003
4 FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 7 Smith Street
OWNER/AGENT: Fineta Morillo
ADDRESS: 7 Smith Street, #2
CITY/TOWN: Salem, MA ZIP CODE: 01970
UNIT #: 1 Front
24 HOUR PHONE: 740-0564
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
9712E SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
i y
3 yl
��Q/pryg
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
aHUMAN HA.BBIITTATION".
PROPERTY LOCATED AT 15S " �"�'�, ` '�— UNIT # '
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERf1N7A /2!(Cw MANAGER/AGENT
No P.O. Box •��//�� No P.O. Box
ADDRESS__ `.i'Yv ADDRESS
CITY S 1 ���] CITY
RESIDENCE PHON[19?0YV-O BUSINESS PHONE (24 HRS.)
BUSINESS PHON
TOTAL NUMBER OF ROOMS: /)
ROOM USE: 1 2. �i 041 4U 4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE `j' ;y_ Wl &4�_DATE VJ f P/0 3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION G — ��/ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 6��� DATE FEE PAID:
TYPE OF UNIT: DWELLI _OTHER_ t CHECK DATE
hinTro. fli—D ,333 a d �
CODE ENFORCEMENT INSPECTOR
9/28/98
+y .
a $
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
RELEASF
In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts
Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residenCial 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.
L. the event it is necessary that said inspection be done in my/our absence, !/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized ahen:s
frora any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE
OWNER/LESSOR F
7 � '�qq/p�
7 5 '+2u.�'C rS I--Ic q O (�'( � - 5��
-- —
71
nDDriER ADDRESS
-7- 1 s�q o, 4
ADDRESS OF UNIT TO BE fNUECTED
STANLEY USOVICZ, JR.
MAYOR
John Corrao
6 Willow Street
Gloucester, MA 01930
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
03/27/2002
PROPERTY LOCATED AT 8 Smith Street UNIT # 2L
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 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.
R THE BOARD O,,y HEALTH
� oanne Sco MPH,RS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
04/02/2001
Robert & Sandra Budzinski
17 Sagamore Road
Ipswich, MA 01938
PROPERTY LOCATED AT 4 Smith 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 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.
,ItOR THE BOARDqF HEALTH
Joanne Scdlrt,HO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
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