STEARNS PLACESTEARNS PLACE
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Stearns Place
OWNER/AGENT: Robert Callahan
ADDRESS: 8 Stearns Place
CERT.# 137-99
FEE $25.00
DATE: 03/23/99
UNIT #: House
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8288
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 MORE INFORMATION CALL 978-741-1800.
^. OOARD/,H .
JOANNE SCOTT, M)?H,LZS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
CITY OF SALEM BOARD OF HEALTH
.. Salem, Massachusetts 01970-3928
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS NINE NORTH STREET
Tel: (978) 741-1800
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax. (978) 740-9705
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ,D�.9RAIS Y�4C Q UNIT #_,Z16cr52
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER R013ei—[(?g11,9 Ah/ MANAGER/AGENT e
No P.O. Box No P.O. Box
ADDRESS F- STHP%5 0 - e -ADDRESS S�9Ie
CITY S �9)_,pvy /^7)9 CITY
RESIDENCE PHONEBUSINESS PHONE (24 HRS.) -22L--2 /'7yb ! e,132
BUSINESS PHONE % 7 Fl -7-//-
TOTAL
7 -//-
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. e['i'vi 2. :v;-/ 7 3. K,7 4. -3t�
5._9 9 6. 64U 7
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALIEJA THIS FEE IS PAYnA�BLE' AT THE TIME OF INSPECTION.
APPLICANTS SIGNATURE (¢J DATE S /p13/Z
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 1 -35111 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:__?- g _DATE FEE PAID.- .3
TYPE OF UNIT: DWELLINGfOTHER_ CHECK #_'3%80 CHECK DATE J' a 3 -11
CODE ENFORCEMENT INSPECTOR
9/28/98