SOUTH PINE STREETISOUTH PINE STREET
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-17-152
DATE ISSUED: 5/23/2017
Property Located at: 9 SOUTH PINE STREET UNIT #2
Owner/Agent: Barbara Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA
Zip Code: 01970
PuhvicHeal:h
Prevent. Promote. Protect,
Larry Ramdin, MPH, REHS, CHO
Health Agent
24 Hour Phone: (978) 7444273
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
I<JMBERLEY DRISCOLL
MAYOR
LARRY RAMDLN, RS/REHS, CHO, CP -FS
HEALTH AGENT
CITY OF SALEM, MASS.ACHUSET°TS
BOARD OF HEALTH.
120 WASHINGTON STREET, 47 FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
LRAMDIN&I 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"
u
PROPERTY LOCATED AT
IS THIN,UNIT DISIGNA
NO P.O. BOX
CITY, STATE, ZIP
RESIDENCE
BUSINESS
TOTAL NUMBER OF ROOMS:
OR BACK PLEASE CIRCLE ONE
AGER/AGENT
CITY, STATE, ZIP
PHONE (24HRS)
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT M�,O�z/
OF INS CTION
APPLICANT'S SIGNATUR DATE
Inspectors use only
Date on initial inspection: !V—q-�J' Date of reinspection:,
Date of issuance of certificate: 02-242-017 Date fee paid: V 17
Type of unit: Dwelling--3/—Other Check #_C56 Check date: �7
Co nfg cement pector
l420�
Kimberley Driscoll
Maycr
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem,
MA 01970
Tel. (978) 741-1801) Fax. (978) 745-0343
IramdinClsalem.com
CERTIFICATE OF FITNESS
CERTIFICATE: #: GHL-15-240
DATE ISSUED: 8/20/2015
Property Located, it: 9 SOUTH PINE STREET UNIT #2F
Owner/Agent: Barbara Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA
Zip Code: 01970
O
PuWcHedt i
Prevent. Prmm�rr.. Protect.
Larry Ramdin, MPH, REHS, CHO
Health Agent
24 Hour Phone: (978) 7444273
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling un t, 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 Cei tificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or o;cupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid foi one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of =itness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
0,-A�-JL
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
SANITA AN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4` FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx (978) 745-0343
MAYOR LRAMDIN9SALEM ('OM
LARRY RAMDIN, RS/RI;I IS, CI IO, CP-I;S
H13A1:PH AGI -?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
UNIT#
FRONT OR BACK PLEASE CIRCLE ONE
AGENT
CITY, STATE, ZIP . %u�p_CITY, STATE, ZIP
RESIDENCE PHONE_ l �Sj ��L�--BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 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 SIGNATURE i Z�E g" 41 DATE
Inspectors use only
Date on initial inspection: �� I8 �IS Date of reinspection:
Date of issuance of certificate: Date fee paid:__
Type of unit: Dwelling Other Check # 6naL' Check date: 'RII $I tJ
CO&C NOrceifient Inspector
t0 0
•. 4 R'
2
KIMBERLEY DRISCOI J,
MAYOR
CITY OF SAI .,M, MASSACHUSr.TTS
BOARD Ob'HEALTH
120 WASHINGTON STREET, 4111 FLOOR
TFL. (978) 741-1800 FAx (978) 745-0343
lramdinnsalem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 377-12
DATE ISSUED: 9/24/2012
Property Located at: 9 South Pine Street UNIT # 3rd Floor
Owner/Agent: Barbara Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4273
PublicHealth
R, V -r ,,,I
LARRY RAiMI)IN, RS/RFI IS, CI10, CV -IGS
HfiIAIAIIACI';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
1�1 ,.
LARYRAMDIN CC��-��////��
HEALTH AGENT SANITARIAN
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
Bo ARD Or HEALTH
120 WASHINGTON STREET, 4"" FLOOR
TEL. (978) 741-1800 FAx (973) 745-0343
tramdin@salem.com
salem.com
Application for Certificate of Fitness
Public Health
1'rwcn�. i'rvmnta F'rolec�.
LMM)' I ,AMDIN, RS/R}3f-IS, CI 10, CP -FS
HI'dVa•I'I AC;ENT
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 F UNIT#
IS THIS yNIT DISI�D AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
,, _ _ /_
CITY, STATE, ZIP(5A' A 15i�y g�/4_CITY, STATE, ZIP
RESIDENCE PHONEY/'^)�/BUSINESS PHONE (2411R
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE:
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIM OF INSPECTI
�A ` G
APPLICANT'S SIGNATURE��� 6� ,O DATE
Inspectors use only /
Date on initial inspection: Qia_4 (,;a
Date of issuance of certificate:
Type of unit:
/A✓ &4&
Co�f ement Inspector
Date of reinspection:
Date fee
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH -
x
q 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.pBpt TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 434-05
DATE ISSUED: 7/11/05
Property Located at: 9 South Pine Street UNIT # 1 -3rd floor
Owner/Agent: Barbara Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4273
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If'
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy
FOR THE BOARD OF HEALTH
JOA SNE SCOTT, MPH, RS, CHO
HEALTH AGENT
U
CODE ENFORCEMENTINSP CTOR
STANLEY USOVICZ, JR.
MAYOR
CITY OF SALEM, MAS'S'ACHUSETTS
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 fl. 105 CMR 410 000
"MINIMUM STANDARDS OF FITNESS HUMAN HABITATION
PROPERTY LOCATED ATo�—
A UNIT H_[
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
LESSE �ANAGER/AGENT
No P.O.
O P.O. Box
ADDRESS 0 P.O. Box
ADDRES�S�,�
CITY_CITY
RESIDENCE RESIDENCE
PHONE (24 HRS.)__
BUSINESS PHONE
TOTAL NUMBER OF ROOMS
ROOM USE: 1-_�-�'S ✓+�Y ----3 --- ---4 -
5 -----6 — -7 — 8 -
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEF IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
DATE /�/
v Chi%���
,!SPEC _TOS USI _ONLY �(�
hATF Of_I_NITIAI-_INSPF-
-
CTfON - _--,9'5-
- -- - --- -_------- � �
DATE 01=
REINSPECT
ION
DATE OF
ISSUANCI= OF CI- RTIFiCOE7—t-
- OJ
DAT I_
F1:
TYPE OF UNHDWELLINT / CANER
M 2
NO
t ODI. LNI olid mil N I INSPI
CHr_CK !; 3,�' 7 `f CIIFCK DATF 7 — / — o
+6, CITY OF SALEM, MASSACHUSETTS
�! HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
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 # 428-07
DATE ISSUED: 8/29/2007
Property Located at: 9 South Pine Street UNIT # 2 Rear
Owner/Agent: Joe & Barbara Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4273
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
/ CITY OF SALEM, MASSACHUSETTS
c
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" q e, A
PROPERTY LOCATED AT% A`"� dJJ �n ii/1,t�e (� UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
No P.O.
• :.
CITY CIT
yj�
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
RESIDENCE PHONE�
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:-6b,4,/J�
ROOM USE: 1. 2
5. 6._7
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SiGNATUR DATE -�iKW(J
��IIJAOI� 440
DATE OF INITIAL INSPECTION,$-%- � l f -DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATFp �/ 'y' DATE FEE PAID:--g-
TYPE
AID:_TYPE OF UNIT: DWELLITHER_ , CHECK #__3 '117CHECK DATE
CODE ENFORCEMENT INSPECTOR
t o CITY OF SALEM, MASSACHUSETTS
�- BOARD OF HEALTH
n
� 120 WASHINGTON STREET, 4TH FLOOR
a o SALEM, MA O 1970
.) TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 221-04
DATE ISSUED: 05/18/2004
Property Located at: 9 South Pine Street UNIT # 3
Owner/Agent: Barbara Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4273
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.
R'Ti IBq O HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT ODE ENFORCEMENT SP CTOR
. f.
c
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 FITN FOR HUMAN HABITATION".
PROPERTY LOCATED AT ��UA'T c��UNIT # 3
IS THIS UNIT DESIGNATED AS RIGHT
No P.O. Box
ADDRESS ADDRES
i ,�� CC
CITY111 6 °
CIRCLE ONE
RESIDENCE PHONE ` BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 1
ROOM USE: 1._ 2. 3. _4. (m
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 SIGNATU I ATE �7
INSPECTORS USE ONLY
DATE OF INITIAL OF INITIAL INSPECTION���DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:.S G
TYPE OF UNIT: DWELLING _OTHER_ CHECK # Y� lel
-r CHECK DATE V4�
9/28/98
KIMBERLEY DRISCOLL
MAYOR
DAVID GRITNBAUM, RS
Ac,rING HvA1:AU AGIa.N,i,
CITY OF SALEM, MASSACHUSETTS
BOARD Of HEALTH
120 WASHINGTON STREET. 4"" FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
DGRHENBAUM&ALI M.COM
CERTIFICATE OF FITNESS
CERTIFICATE # 563-10
DATE ISSUED: 12/2/2010
Property Located at: 9 South Pine Street UNIT # 9-2 Front
Owner/Agent: Joseph Tarnowski
Address: 7 South Pine Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4273
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
An 11A')
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
KIMBERLEY DRISCOLL
MAYOR
DAVID GREENBAUM, RS
ACTING HE -i LPL-[ AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4°1 FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
D(;RI!FNBAU�,%1@SAJEM 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 UNIT#
IS THIS IT DISIGN ED AS RIGHT LEFT FRONT OR BACK, PL ASE 61RECL ONE Q
OWNER/LESSER /i �Y� h l� � )&7�'J MANAGER/ AGENT '
NO P.O. BOX � / Y z1;-- ` ._ �` 1 %7
CITY, STATE, ZII' ( NI�% ��� CITY, STATE, ZIP
RESIDENCE PHONED%BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE:
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
0990Ctl101II%
Date on initial i
Date of issuance of
Type of unit: Dwelling '.-/
z
Cod6IZ7
ement Inspector
Inspectors use only
Date of
Date fee