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SUMMIT AVENUEua CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 04/23/2001 Robert Meehan 4 Summit Avenue Salem, MA 01970 PROPERTY LOCATED AT 4 Summit Avenue UNIT # 1L 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 the 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 One Week 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. 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 eo exist. F.RRD 0 REPLY TO A Toanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT- I . - CODE ENFORCEMENT INSPECTOR 1 City of Salem moo. a ,. Board of Health yPL,'k_= 1 9 North Street _ (APR24 Salem, MA_ 01970-3928fU3� - 0 .5 5 PO �M A Ps Merry U.S. STA( 4 8415454 p VED - LEFT NO ADDRESS ATTEMPTED -NOT KNOWN MAY 1 4 2001 sm O UNCLAIMED 11:1 REFUSED 0 VACANT ANO MAILBOX MS CITY OF SALEM Syr ❑ DECEASED POSTAL ERA . 1 HEALTH DEPT. °s O INSUFFICIENT ADDRESS { _ �'o O FORWARDING ORDER EXPIRED -'�� 3 / LN 17- O1F/:17/U.t Pq ONO SUCH STREET ONUMBER TO SENDER (PEELOFF- UPDATE CUSTOMER LIST) )ORDER ON FSLE '--UivA UM TO FORWARD RETURN TO SENDER O i •_ -%> ? i 9 i ilII,,,11,,,,,IL,Ii„1i,,,li,,,l!„JI,,,,,,111l,„11,,,11„.I s w 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 4 Summit Avenue OWNER/AGENT: James Collett ADDRESS: P.O. Box 2058 CITY/TOWN: Haverhill, MA ZIP CODE: 01831 UNIT #: 2R CERT.# 397-02 FEE $25.00 DATE: 07/31/2002 24 HOUR PHONE: 373-3024 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. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f o v • e 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 4 Summit Avenue OWNER/AGENT: James Collett ADDRESS: 40-41 Hazel Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2R CERT.# 397-02 FEE $25.00 DATE: 07/31/2002 24 HOUR PHONE: 373-3024 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. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �z�szr 6sz6 o T CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 �� •-�� 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNES(S� FOR HUMAN HABITATION". PROPERTY LOCATED AT 6) L!/2�JZtL�f� UNIT #Z -/Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER✓�5 (_ /ll� y MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY (/ /12L 4VI, iC a 3 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 9z� 3�3,-3d2S� BUSINESS PHONE TOTAL NUMBER OF ROOMS:. ROOM USE: 1. L 2.3._� 4. /�� " • § 5.36' ' 8. e THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF$ALE ALTH'DEPARTMENT TH15cFEE,IS'PAYABLE-AT THE= ." TIMEOFINSPECTION` 'r f; ' APPLICANTS SIGNATUR . < DATE d INSP , TORS'USE ONLY " DATE OF NITIA I P CTION — 3d ip z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -?`3l 'o ' DATE FEE PAID: 7'- 31— c z TYPE OF UNIT: DWELLING OTHER_ CHECK # �R CHECK DATE% 3� B NOTES: . CODE ENFORCEMENT INSPECTOR 9/28/98, t T,€�. C PYA fYf4� Ilk KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 401 FLOOR TFL. (978) 741-1800 FAZ (978) 745-0343 Itatndin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 110-12 DATE ISSUED: 3/16/2012 Property Located at: 5 Summit Avenue UNIT # 1 Owner/Agent: Arleeen Comeau Address: 5 Summit Avenu City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: LARRY RA%IDIN, RS/RIi'.I IS, CHH, C111-F, Hi;AJXIIA ISN'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 LARR HEALTH AGENT CODE ENFORCEMENT INSPECTOR K NMERLEY DRISCOLL- MAYOR LARRY RAMDIN, RS/RF1 IS, CMU, CP -F5 H AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET, 4"' F1,00R TEL. (978) 741-1800 FAX (978) 745-0343 I.RAMD1N@SA1EJ%1.00M 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 J PROPERTY LOCATED AT IJM M / j-- ` / ye n u ee UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE NO P.O. BOX CITY, STATE, ZIP. STATE, ZIP RESIDENCE PHONE —�L� b - l 110 -I `1 BUSINESS PHONE 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 I APPLICANT'S Inspectors use only Date on initial inspection: 1.Z Date of reinspection: Date of issuance of certificate: 3 ` 1 ,1.� Date fee paid: Type of unit: Dwelling ✓ Other—Check kZ, l Qi Check date: Notes: /Z I co 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 6 Summit Avenue OWNER/AGENT: Angela Cecelski ADDRESS: 6 Summit Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 CERT.# 288-02 FEE $25.00 DATE: 05/30/2002 24 HOUR PHONE: 745-6964 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. FOR MORE INFORMATION CALL 978-741-1800. FOR THE �BOARD OF H�E,A�LTHH. JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR v6�Ca 3 � . ry" STANLEY LISOVICZ, 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 i 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 % AMMT_ AVE_MUE� UNIT # ) IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ANG6LIO Q_6_ EL9k1 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS_ % S()P M(r- A -VE' ADDRESS CITY :3 41 7%_m CITY RESIDENCE PHONE (-q�� 4S BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. LIy W & 2. T)H'N63. le IM146A14 _5EDC00m iw1'�� 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION .i DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:: -30 '0' DATE FEE PAID: Y - so �0 L TYPE OF UNIT: DWELLING—OTHER— CHECK # ly�0094 CHECK DATES b C\Ma - CODE ENFORCEMENT INSPECTOR 4 KINOERLEY DRISCOLL MAYOR DAVID G2HESNBAum, RS ACTING HvAl;PFI A(;FNC CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 461 FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 1)GItISF.Nl1AU\4(@SAI,I;M.COM CERTIFICATE OF FITNESS CERTIFICATE # 116-11 DATE ISSUED: 4/19/2011 Property Located at: 11 Summit Avenue UNIT # Owner/Agent: Harbor Rental Realty/Mark Polizzotti Address: 111 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-852-0650 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. FORTHE /BO/j{2D OF HEALTH ��h`� ✓�ul�Y/[1(� t DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS l / (. b EY DRISCOLL AYOR iRFENBAUM, EALTH 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 KIMBERL M DAVID C ACTING H BOARD OF HEALTH I I 120 WASHINGTON STREET, 4"� FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGRGENaAUM(G�SAI;F.M. COM PROPERTY LOCATED AT ,MM -D 1910 ��jj IS THIS UNIT DISIIGINATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LasERA/24 V611ZZ6l?I MANAGER/ AGENT U{�I t110A �IlA�� NO P.O. BOX 11 ADDRESS_ ADDRESS (N ) CITY, STATE, ZIP CITY, STATE, ZIP (54m. JVl � 01 `1 � ) RESIDENCE PHONE BUSINESS PHONE (241 -IRS) _VgM,2-(2 0O BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: �1 (/�>7a 2. 1/rY1t��Q 3. 1`�I��i�4.1/{�UJii�S. t/!"a✓�1Ni 6. yO 7. L 8. 9. 10, THERE IS A l 1FTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD. QF.I[EAL.TH.:THIS FEE IS li'AVhBLE.AT-THE1D4&9F INSPECTION I APPLICANT'S SIGN / / Inspectors use only (� _---- Date on initial inspection: Dale of reinspection: Date of issuance of certificate: j Date fee paid: L / / Type of unit: ]Dwelling�ZOther y/ Check # 290 Check date: Notes: I Pk-' �n/IAhw in 11— % C+(,(M W.P/1 . Co In ement Inspector -w_ �� co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Summit Avenue OWNER/AGENT: Tom & Rita Hunter ADDRESS: 24 Churchill Road CITY/TOWN: Marblehead, MA ZIP CODE: 01945 UNIT #: 1 CERT.# 121-02 FEE $25.00 DATE: 03/06/2002 24 HOUR PHONE: 639-2004 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 HEALTH JOANNE YEARS OF AGE. FOR MORE INFORMATION CALL 97/8-741-1800. OR THE BOARD O E JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 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 FITNj=_S F,(O�R HUMAN HABITAT)O/N". p PROPERTY LOCATED AT (�// " �� r' �Lf UNIT #_ IS THIS UNIT DESIGNATED AS f No P.O. Box BACK PLEASE CIRCLE ONE ANAGER/AGENT P.O. Box CITY IWW I/IC4u/vvvlW" I NVr/v, Cl RESIDENCE PHONE I� `7' 01BUSINE BUSINESS PHONE TOTAL NUMBER OF ROOMS: PHONE (24 HRS.) ROOM USE: 1._ V 2.--V- ._V/ 3. ✓ 4. ✓ 5._6._)7. 8. /,Aied- 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 SIGNATUREyut,�/(_DATE�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3 - (- 'd L_- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ??- - �y 'DATE FEE PAID: 3 - 6 ti -z TYPE OF UNIT: DWELLIN _OTHER_ CHECK # oZ 7 •3 CHECK DATE 3 NOTES: CODE ENFORCEMENT INSPECTOR STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 BOO FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 7/26/05 Tom & Rita Hunter 24 Churchill Road Marblehead, MA 01945 PROPERTY LOCATED AT 12 Summit Avenue 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. or the Board of H Ith Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector 0 9 o' STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM9 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 2/22/05 Thomas Hunter 24 Churchill Road Marblehead, MA 01945 PROPERTY LOCATED AT 12 Summit Avenue 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 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. For the Board of Heplth Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector e a STANLEY J. USOVICZ, JR. MAYOR Tom Hunter 24 Churchill Road Marblehead, MA 01945 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 2/10/05 PROPERTY LOCATED AT 12 Summit Avenue Unit 2 Right 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. For the�lBooaarrd of Health �,� (yoae ScofiMPHA5,"C`Yib Health Agent Reply to Pablo Valdez Code Enforcement Inspector a C 5 STANLEY J. UISOVICZ, 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 5/9/05 Tom Hunter 24 Churchill Road Marblehead, MA 01945 PROPERTY LOCATED AT 12 Summit Avenue Unit 3 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. For the Board of Health J4 ,� � eScott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector -,' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR 618(403 SALEM, MA 01970 CERT.# FEE $25.00 TEL. 978-74 1 -1 800 DATE: FAX 978-745-0343 12/12/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 SUMMIT AVENUE OWNER/AGENT: TOM HUNTER ADDRESS: 24 CHURCHILL ROAD CITY/TOWN: MARBLEHEAD ZIP CODE: 01945 UNIT #: 3 24 HOUR PHONE: 1-617-290-1171 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 T� OF HEALTH JOANNE SCOTT,MPH,RS,CHO HEALTH AGENT PABLO VALDEZ CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ji�e��t• � BOARD OF HEALTH I" ^ CP.�y i -•''la 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 D`G 1 -2003 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO . CITY OF SALEM HEALTH AGENT BOARD OF HEALTH APPLICATION FOR CERTIFICATE OF FITNESS 6 i ?"03 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /_ PROPERTY LOCATED AT I SV a".,. � A".v 0-c UNIT #3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER'y49e, I %pMANAGER/AGENT No P.O. Box r\ , No P.O. Box CITYl`�. m`a1 11�r r . o _N%\% CITY. RESIDENCE PHONE I , �S_ O�!7 cBUS1INESS PHONE (24 HRS.) • ?9� 1 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ \ ROOM USE: i.12>j _ 2. �)Q.� 3. 5._f6. 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / : 'I -p -5 DATE OF REINSPECTION D3 DATE OF ISSUANCE OF CERTIFICATE: / )- —/-03 DATE FEE PAID:_ / OL — / —0 _:> TYPE OF UNIT: DWELLINOTHER_ CHECK # 1 S_'CHECK DATE /2 NOTES- CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 189-97 FEE $25.00 DATE: 03/31/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT PROPERTY LOCATED AT: 20 Summit Avenue OWNER/AGENT: James Kelly. ADDRESS: 17 Paul Avenue CITY/TOWT1: Peabody, MA ZIP CODE: 01960 UNIT #: 1 24 HOUR PHONE: 535-3522 NINE NORTH STREET Tel: (508)741-.1800 Fax: (508)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 THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD 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 4 10: 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT f 20 SlY41�(/� l7 /T( L /UNIT A --- # OWNER/LESS.E-R7%/�J v�� C_CLL / MANAGER/ /AGENT-�ji�`A%' e"` �CLf' ADDRESS Fyr�uL 4l/C ADDRESS /( )Kt'L C� CITY �u 3�V �% �?2rA CITY i'�-�S �) / _ 'RESIDENCE PHONE�Jt7`S 73 >?S�� BUSINESS PHONE (24 HRS.)/ `5)f-.3rP, BUSINESS PHONE SC)S 5 S J S oZ TOTAL NUMBER OF ROOMS: ROOM USE: I. 1C/! 2.b1V 5. (3 /2 6- 31g 7 . A THERE IS A TWENTY-FIVE 25.00) DOLLAR FEE, PAYABLE BY C13ECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH EP TMENT THIS� FEE IS PAYABLE AT THE TIME OF INS>PECTCIjO--N7 APPLICANTS SIGNATURE ��/1 -DATE---- INSPECTORS ATE__ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION::_ /7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _� I 'J'7 DATE FEE PAID: 7 TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 302-05 DATE ISSUED: 5/10/05 Property Located at: 21 Summit Avenue UNIT # 2 Owner/Agent: Sara Fiore Address: 21 Summit Avenue 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 Maa403 05 02:54p Joanne Scott Salem BOH 978 745 0343 CITY OF SALEM, MASSACHUSETTS BOARO OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MAO 1970 TEL. 978-741 -1800 FAX 976-745.0943 JOANNE SCOTT, MPH, IRS. CHO HEALTH AGENT APPLICATION FOR CEH I IFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNE35 FOR HUMAN HABITATION", PROPERTY LOCATED AT � t (/?!f{ hey&rn( _UNIT # IS THIS UNIT DESIGNATED AS RIGHT LES FRONT BACK PLEASE CIRCLE ONE OWNER/L9SSER Com" . yL i MANAGERIAGENT— _ NoPO Box No P.O. Box ADDRESS lG!{ lteY-Ae ADDRESS- CITY -CITY__, . RESIDENCE PHONED!—LS,DUSINESS PHONE (24 HRS.)-..— BUSINESS RS.)_.,BUSINESS PHONE�Q, �� Q#'? 143 TOTAL NUMBER OF ROOMS: ROOM USE: 5,.--- .-8.__. —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 FEE IS PAYABLE AT THE TIMP OF INSPECTION. APPLICANTS SIGNATURE - �� . V `_._._., . -DATE. .-y _. INSP C{{T��ORS USE ONLY DATE OF 1NITIAI INSPECTION 5� _ J+ � ; - DATE OF nEINSPECTION,.,_-.,_-., ,- P.2 3oa,� DATE OF ISSUANCE OF CERTIFICATES _8j , DATE FEE PAID:_',., 5._, ''_J TYPE OF UNIT: —. DWELLINT-H._E._R__-.._. CHECK�..-CHECK DATE S NOTES: ` � - __._.... - CODE ENFORCEMENT INSPECTOR 9/28/98 May 03 05 02:54p Joanne Scott Salem HCH 978 745 0343 gy�,pp,, CITY OF SALEM, MASSACHUSETTS —i6 BOARD OF HEALTH I* • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741 • I Boo FAX 978.745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGCNT RELEASE In securdance with Massachusetts General laws Chapter II1; 'Code of Massachusetts prgulatior,! 410.000 or, acq.; State SduiLafy Code Chapter II and Article X111 of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residentiall property, hereby authorize the Salem Boord of Health or its author— ized agents to inspect the e"idente identified below In accordance with the aforementioned statutes, regulations and ordinances, Ln the cvant it is necels6d1v LhaL said inspection be done in my/aur absence, l/we expressly authorize the same and for my/our successors and assigns hereby relca., and discharge the City of Salem, Salem Board of Health and its authorized a -encs from any 106.5 Or iujuiy sustained Of %ehatever nature and description oceasielled by my/our. absence :luring said inspection. p.3 {;: ?�Nhlt'1`/i•L�sEE OWNER/i F. SOP. nnnl.Ess Aj p 1970 ruuKs ss Am1RIiS•S OF UNIT TO BE LNSPECTEO b.mrv. ---.. -. JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 644-99 FEE '$25.00 DATE: 10/27/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 21 Summit Avenue OWNER/AGENT: Sara Fiore ADDRESS: 21 Summit Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 3 24 HOUR PHONE: 741-0785 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OFHEALTH 4$-A�eex,7� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 rb p q JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee (978) 741-1800 Fu: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. Box � (` No P.O. Box ADDRESS o/?il/GADDRESS CITY ck_- � ` /� CITY RESIDENCE PHON/!7� e)7i� USIN�E/S�S�P/H'ONE (24 HRS.) BUSINESS PHO E 7 — D Oc ,c/�j ->,-Jf TOTAL NUMBER OF ROOMS: ROOM USE: 1./_ 2. 19A 3. 4 5. 6. 7 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM TH DEPART NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR _DATE CTO S USE DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/) -d7-1 k DATE FEE PAID: /) a '7 -' f TYPE OF UNIT: DWELLING/OTHER_ CHECK # S 3 6 CHECK DATE i1J 7—�/�/ r KIM3ERLEY DRISCO]_1. MAYOR LARRY RA Nil)] N, It S/ R PAIS, C.110, CP -FS FIFIA 111 rAGF.NI' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRF:E'P, 4` Ih ooil T'F:r_. (978) 741-1800 FAX (978) 745-0343 1ramdinQa salem mm CERTIFICATE OF FITNESS CERTIFICP,TE # 336-11 DATE ISSUED: 9/15/2011 Property Located at: 22 Summit Avenue UNIT;13 Owner/Agent: Mimi Lejan Address: 235 Flagg Road City/Town: Loudon, NH Zip Code: 03307 24 Hour Phone: 603-545-9311 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply %Afth 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH zz- LARR4 RAMDINu HEALTH AGENT ENFOF(CEMENT INSPECTOR Sep 15 X011 4:20PM HP LASERJET FAXPETERSTROU 19787179044 page 1 KIMBERLEY DRISCOIT. ?vfAYOR DAVID GREENBAUM, RS ACIING HE kmi AGENT 6 CITY OF SALEM, MASSACHUSETTS Bof1R0 oF+H$AL7i1 120 WASHINGTON SIRBET, 4` FLUOR TEL. (978) 741-1800 FAX (978) 145-0343 M;M Q1jA tt UZJ(j . t, i �, . CONI 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�2 a A-V ts' � TIS � p� � UNIT# 3 IS HUNIT DISIGNATED AS RIGRT LEIS[' FRONT OR BAGS, PLEASE C@CLE O OWNER/LESSER . NO P.O. BOX (` MANAGER/ AGENTn CITY, STATE, ZIP u cQcr� 1U 1� n a O�CITY, STATE, ZIP RESIDENCE PHONES o s y q 3 i .I BUSINESS PHONE (24HRS) q-7 k q 7 9 9 2 (� . BUSINESS PHONE--qak 4 TOTAL NUMBER OF ROOMS: 9 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 THg TIME OF INSPECTTnN APPLICANT'S Inm ctors use only Date on initial inspection: � Date of reinspection: V/s/it / Date of issuance of certificate: Date fee paid: Type of unit. Dwelling-Otherg_Other Check # Check date:_ YJrst�h(oft W l(no, I i CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR IDIONNF-,@SAI.FM.COM JAN I;,P D IONN E AC:'I'INC; HI3AI;1'll AC;kNP CERTIFICATE OF FITNESS CERTIFICATE # 586-08 DATE ISSUED: 11/18/2008 Property Located at: 28 Summit Avenue UNIT # 1 Owner/Agent: HTG Realty Address: P.O. Box 431 City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 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 fitness is valid only if there is a valid Certificate of Occupancy. �F� D F HE LTH I Iii Iu ` 1 JANET DIONNE ACTING HEALTH AGENT RCEMtNf INSPECTOR KIMBERLEY DRISCOLL MAYOR JANET DIONNE, ACTING HEALTH AGENT 47�- Y-&7 7� F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAQ (978) 745-0343343 �( NIONNE SALEM. COM l� 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 �Z F S' 1.( m m (i- / 5 f Ft, 5,4 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE NO P.O. BOX AGENT I2 f i P GR CITY, STATE, ZIP GL CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. E -e C4 2. Be d. 3., -ed 4. V R01 PO 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 THET E OF INSPECTION APPLICANT'S SIGNATURE DATE IZ - / k —0 F Inspectors use only Date on initial inspection: 1Date of reinspection: Date of issuance of certificate: ) Date fee paid: 1 1 (Sr 'oar Type of unit: Dwelling ✓ Other Check # /O'j g Check date: Notes: KIMBERLEY DRISCOLL MAYOR JANET DIONNE, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 JDIONNE SALEM. COM 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 Owner/Lessor Address o� a SQ'Vi"c H h. I A10 e ! E Address on unit to be inspected /7-1 �--(98' Date I HP Fax Series 900 Plain Paper Fax/Copier Last Fax Date Time Twe Nov 20 1:21pm Sent Result: OK - black and white fax Identification 919788877692 Fax History Report for Joanne Scott Salem BOH 978 745 0343 Nov 20 2008 1:21pm Duration Pages Result 0:24 1 OK 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-17-204 DATE ISSUED: 7/12/2017 Property Located at: 28 SUMMIT AVENUE UNIT #2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 10 Publiaxealth prevent- Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 884-8856 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 1 Y jl KIMBERLEY DRISCOLL MAYOR LARRY R.\MDIN, 1ZS/1iE'.1IS, CHO, C11 -17S IIEAL 1i AGENT CITY OF SALEM, MASSACHUSETTS BOARD or HE.\1.rtl 120 WASHINGTON ST111=,F.r, 4"' FLOOR Tf.u_ (978) 741-1800 FAX (978) 745-0343 1.1i.nmlolNCn)SAI Rkr con[ RECEIVED JUL 122017 CITY OF SALEM BOARD OF HEALTH 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 UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Marie Gagnon MANAGER/ AGENT NO P.O. BOX ADDRESS 8 Cleary Lane ADDRESS CITY, STATE, ZIP Tepsfield, Ma 01983 CITY, STATE, ZIP RESIDENCE PHONE 978-887-8856 BUSINESS PHONE (24HRS) BUSINESS PHONE 978-887-8856 TOTAL NUMBER OF ROOMS: ROOM USE: 1. K= T� "4� 2 '7�'� 3. 4 'S 1-�D 5 Z� 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 TIIE TIME OF INSPECTION APPLICANT'S SIGNA Date on initial Date of issuance of certificate: Inspectors use only Date of reinspection: Date fee paid: —1lv�'\--I Type of unit: Dwelling Other Check #Check date: 7.m—/;z �6 nth Code Enforcement Inspector GAGNON FAMILY TRUST P.O. BOX 431 TOPSFIELD, MA 01983 **" FIFTY AND 00/100 DOLLARS PAY TOTHE ORDER OF ` RECEIVED ORDER CITY OF SALEM JUL 12 2017 BOARD OF HEALTH 120 WASHINGTON ST 4TH FL� (_ SALEM. MA 1970 CITY OF SALEM BOARD OF HEALTH 28 Summit Ave - - �- -- People ted kL---`Bank 51-7218/2211 0 DATE AMOUNT 07/10/2017 $50.00, N VOID AFTER 120 DAYS II Lrl u•0 1 20 3 I'll 1: 2 2 1 17 2 18 61: 28000 3 9 6 3 9 i GC IQf AM1�yY T139§T Account: Gagnon Family Trust Operating 12031 Pay to: CITY OF SALEM Property - unit ! Reference Description Amount 28 -28-30 SUMMIT AVENUE SALEM MA 01970 Office Expense 50.00 50.00 RECEIVED JUL 122017 CITY OF SALT AA BOARD OF HEALTH CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 632-03 r FEE $25.00 TEL. 978-741-1800 DATE: FAX 978-745-0343 12/30/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 28 SUMMIT AVENUE OWNER/AGENT: MARIE GAGNON UNIT #: 2 ADDRESS: 16 LOCKWOOD LANE CITY/TOWN: TOPSFIELD ZIP CODE: 01983 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, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION,- SECTION ABITATION"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. FO HE TD OF �/AH�,E'A.L�T,H� JOANNE SCOTT, MPH,RS,CHO"4- HEALTH AGENT JEFfRE11W. VAUG CODE ENFORCEMENT INSPECTOR STANLEY�USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS I U 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 6J J03 CIT"( t:'F SALLNt BOXND uF HEALTH 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 ATo�c� SJt4y ^ -T A,,sr_ UNIT #a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER'ikAIiLTc CcAcrualS MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS \b ADDRESS CITY �bPSTT@LD CITY_ -a.(. �3 RESIDENCE PHONE BUSINESS PHONE (24 H BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: 1.,<rrc4 t. 2. ZVD 3. 13 1 4. jvr3 5-,Dmo3(r 6.LsQmx, 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 , ,_1' % Z INSPECTORS US ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION ✓/9 DATE OF ISSUANCE OF CERTIFICATE: /J o c DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK # V3?7 CHECK DATE NOTES: -I-!<_ HaS CODE EN o C MENT INSPECTOR ti : o:. JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 1411111 iiaTlY_�lDa1 131Y LSC-'�9 PROPERTY LOCATED AT: 30 Summit Avenue OWNER/AGENT: Henry T. Gaanon Realtv ADDRESS: 16 Lockwood Lane CITY/TOWN: Toosfield, MA ZIP CODE: 01983 CERT.# 569-97 FEE $25.00 DATE: 08/21/97 NINE NORTH STREET Tel: (508) 741-1800 Fax: (508) 740-9705 UNIT #: 1st floor 24 HOUR PHONE: 887-8406 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 THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 IF%t,tlr 2 � 1997 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel: (508) 741-1500 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". PROPERTY LOCATED AT UNIT # ' �5� �� OWNER/LESSER Q no /1 k I� MANAGER/AGENT /V10 Jj / ADDRESS ��_L ncc1tY (�� Y,r LLUm-, ADDRESS CITY - CITY I n p -- 'RESIDENCE PHONE �0� RR ! (a �D6 _ _ BUSINESS PHONE (24 HRS.) BUSINESS PHONE Viµ+ Mx. TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 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 FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE DATE OF INITIAL INSPECTION: 7 DATE OF REINSPECTION.- DATE EINSPECTION_DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING sJ OTHER NOTES: CODE FNFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 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 # 124-08 DATE ISSUED: 3/11/2008 Property Located at: 31 Summit Avenue UNIT # 1 Owner/Agent: Florence Greto Address: 31 Summit Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8615 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 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. FO TJ�RD OF,�-IEALTH J JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ,k C Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALT14 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 HUMAN HABITATION". PROPERTY LOCATED AT -31 S� ✓1%/L1l�j�L UNIT # IS THIS UNIT DESIG/NATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 1 - E ENT X / N ADDRESS �lJ/UNI (T ADDRESS��/ CITY '7A/vl CITY_ RESIDENCE PHONE �1�',� /a/J� BUSINESS PHONE (24 HRS.) BUSINESS PHON TOTAL NUMBER OF ROOMS: ROOM USE: 1.._ 2._3_4. 1_ 5 Z_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 FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUREnATF /1/In ASA M /� �1 F76g INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Y-11 O__DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES-// 'C'P _DATE FEE PAID:__3 TYPE OF UNIT: DWELLING�OTHER_ NOTES: CHECK 4!_tt,5_Y CHECK DATE 3_-.1.1__-v CODE ENFORCEMENT INSPECTOR 9/28/98 y�:_n�i fitT ,ylryg KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 JSCOTT@SALEM.COM 3/5/08 Florence Greto 31 Summit Avenue Salem, MA 01970 PROPERTY LOCATED AT 31 Summit Avenue Unit 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. qthe Board of Hea h nMPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector a STANLEY USOVICZ, JR. MAYOR William Busta 13 Bayview Terrace Danvers. MA 01923 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 06/27/2002 PROPERTY LOCATED AT 33 Summit Avenue UNIT # 3 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. O�OAR�H Joanne Sc MPHR ,CHO Health Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°1 FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ISC0TFCni SAI.BM. COAI CERTIFICATE OF FITNESS CERTIFICATE # 372-08 DATE ISSUED: 8/8/2008 Property Located at: 42 Summit Avenue UNIT # 2 Owner/Agent: Chamberas Realty Trust Address: 43 Summit Avenue Apt. 1 Cityfrown: 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. FT THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INS ECTOR I M7 KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ISCOTr([r)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." FEE: $50.00 PROPERTY LOCATED AT �/3 54 rr!/>f/ 14 0314 a "-4 P 10 o -o- UNIT# -2— IS IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE NO P.O. BOX ADDRESS AGENT`f✓u-5f - o Vi ws Qdcire5s 1/3 �-t"44 A -l -g 1 if, CITY, STATE, ZIPOaJA&� 1, rya, CITY, STATE, ZIP �WAA . U 1 0(q 0 RESIDENCE PHONE q V- 8 Z,Sr— 9 1$ !� BUSINESS PHONE BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 6. 17. 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 THE TIME OF INSPECTION APPLICANT'S SIGNATURE R-,t-knj ATE V's/0 Inspectors use only Date on initial inspection: Sr - S' ' 8 S' Date of reinspection: Date of issuance of certificate: 1;� - 3- o Date fee paid: g Type of unit: Dwelling % Other Check #_3 g Check date: coil d Notes: 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 isco'rigSALEN. COM 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 said inspection. Owner/Lessor q3 S()MM�i ArLV -14. `i + S'4� Address Address ( VA'-; �i w, Address on unit to be inspected at�l 9 ? Date K.IMBLRLF,Y DRISCOIL MAYOR LARRY R,ANIDIN, RS/RH IS, CHO, (TT -FS Hh,AIAI I AG INT Anthony Chamberas 43 Summit Ave Salem, MA 01970 RE: 43 Summit Avenue Dear Sir/Madam: CITY OF SALEM, MASSACHUSETTS BOARD OF HF\LTH 120 WASHINGTON STREET, 4... FLOOR TLL. (978) 741-180C FAX (978) 745-0343 lramdin@salem.com July 28, 2011 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 through 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 $50.00 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. FortheBoard of Health: L Larry Ramdin Health Agent l h ment Inspector 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-16-319 DATE ISSUED: 8/24/2016 Property Located at: 43 SUMMIT AVENUE UNIT #2 Owner/Agent: Chamberas Realty Trust Address: 43 Summit Avenue #1 City/Town: Salem, MA Zip Code: 01970 PublicHealth Prevent Promale, Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 825-9185 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 Jeffrey Barosy SANITARIAN 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-16319 DATE ISSUED: 8/24/2016 Property Located at: 43 SUMMIT AVENUE UNIT #3 Owner/Agent: Chamberas Realty Trust Address: 43 Summit Avenue #1 City/Town: Salem, MA Zip Code: 01970 0A P bicHealth 'Prevent..promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 825.9185 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 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. 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 SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMIAN, RS/RFHS, CHO, CP -FS HFALTI-1 AGENT CITY OF SALE, M. MASSAC14USETTS BOARD OF HEALTH 120 WASHINGTON STREET', 4T'FLOOR TSL. (978) 741-1800 FAX (978) 745-0343 LRAnfDlh(a SAL&of.CQPA 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 G IS THIS AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER eh9,, 6ef1jA AQe, %!/tta, MANAGER/AGENT 6j'..Ao,, Zl>.Qg,:Z-V NO P.O. BOX ADDRESS ADDRESS CITY, STATE, ZIP �Om1 CITY, STATE, ZIP_ A p /};? O RESIDENCE PHONE CJ 7 &- E2 5' - CI /ES" BUSINESS PHONE (24HRS) 54,-w f . BUSINESS PHONE gA-in e TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. . ;J 2. R. 3. 4. k e i 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 THE TIME OF INSPECTION APPLICANT'S SIGNA Inspectors use only Date on initial inspection: Mlb-ol C Date of reinspection: Date fee paid: Okz 2a it Check date: 2!gg TEP40/ 6 C tlPorcemenVdspector Jeffrey Barosy From: Sent: To: Cc: Subject: Greetings Mr. Jeff Barosy, Lester Kiehn <leester82@gmail.com> Thursday, August 18, 2016 12:29 PM Jeffrey Barosy gachambaras@comcast.net Permission to inspect As the current tenant of 43 Summit Ave, Apt #2, I hereby give my permission for the said premises to be inspected by the Salem Dept of Health with the accompaniment of the landlords George and/or Cynthia Chambaras. Regards, Lester Kiehn