SYMONDS STREETSYMONDS STREET
0
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
March 4, 2003
Helen Wood
103 Vermont Street
Holyoke,MA 01040
PROPERTY LOCATED AT 10 Symonds Street Unit # 1
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 1: General Administrative Procedures and 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. — 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 ($20.00) 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 tenants' 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
Joanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
�o
n
KIMBERLEY DRISCOLL
MAYOR
JOANNE SCOTT
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JSCOTT@SALEM.COM
4/14/08
Michele Tremblay
8 Apple Blossom Way
Groveland, MA 01834
PROPERTY LOCATED AT 21 Symonds Street 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.
or the Board of H ItOp h
Joanne Scott MPH, RS, CCHHO—
Health Agent
Reply to
Pablo Valdez
Code Enforcement 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
Iramdin@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-15-320
DATE ISSUED: 10/2/2015
Property Located at: 21 SYMONDS STREET UNIT #2
Owner/Agent: Edmond Tremblay
Address: 8 Appleblossom Way
City/Town: Groveland, MA
Zip Code: 01834
PublicHeatth
Prevent. Promote. Protect.
Larry Ramdin, MPH, RENS, CHO
Health Agent
24 Hour Phone: (978) 521-4278
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.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
SANITA N
KIMBERLEY DRISCOLL
MAYOR
LARRY RAMDIN, RS/RENS, c1l0, CP -15
HE,A1.77-/ AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
1.RAMDfNiO MUM.COM
Application for Certiricate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MIMMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED
IS
NO P.O. BOX
AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
AGENT
CITY, STATE, ZIP �U� �f9xJ ,,TzA � CITY, STATE, ZIP
RESIDENCE PHONE % %E �/ yL7� 134SINESS PHONE (24HRS)
BUSINESS PHONE -r % %0,9 OW/
TOTAL NUMBER OF ROOMS: –.5—
ROOM
ROOM USE: 1. gem 2. � 3 �� 4 i 1/ 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 SIGNA
Inspectors use only
Date on initial inspection: J P/0 112.0 J- - Date of reinspection:
Date of issuance of certificate :.-0�01.Z2015-- Date fee paid: 1-0/01
Type of unit: Dwelling—Y—/OtherCheck #--Ila—Check date: l0%1/2015'
jF
ILEA .i /1m mm PAMA
i i
r CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
14 120 WASHINGTON STREET, 4TH FLOOR
�F c 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 # 284-04
DATE ISSUED: 07/02/2004
Property Located at: 21 Symonds Street UNIT # 3
Owner/Agent: Edmond Tremblay
Address: 8 Apple Blossom Way
City/Town: Groveland, MA Zip Code: 01834 24 Hour Phone: 521-4278
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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
D FORCEMENTINSP
f
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 HUMAN HABITATION".
PROPERTY LOCATED AT p2%//�+On(CS UNIT # 3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER AaryJ MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS '? ADDRESS
CITYTou -ej," CITY
RESIDENCE PHONES 5_73 1,el?V SINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. eed 2._% rl
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 OF ISSUANCE OF CERTIFICA
TYPE OF UNIT: DWELLING _OTHER_
CODE ENFORCEMENT INSPECTOR
i DATE OF REINSPECTION
2v_DATE FEE PAID:
CHECK # SI /J CHECK DATE
9/28/98
a
STANLEY USOVICZ, JR.
MAYOR
Jeffrey Garinger
Lakeview Road
Essex, MA 01929'
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
03/21/2002
PROPERTY LOCATED AT 27 Symonds 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; 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':oo.
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 $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has been proven to exist.
VTHE'BOARD�OF EALTH
nne Scott, MPH,RSS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENTINSPECTOR
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4." FLOOR
TEL. (978) 741-1800
KIMBLRLEY DRISCOLL FAx (978) 745-0343
MAYOR DCR].[ nNl;AUM@SAI,l;NI.COM
DAVID GREENBAum, RS
AC['ING HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 21-11
DATE ISSUED: 1/14/2010
Property Located at: 30 Symonds Street UNIT # 1
Owner/Agent: Linda Cullen
Address: 13 Abbott Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-3112
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
DAD�4K
NBAU , RS
ACTING HEALTH AGENT CODE E ORCEMENT INSPECTOR
Kni fBERLEN DRISCOLL
MAYOR
DAVID GREENBAUM, RS
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF IIL vLTH
120 W A$ FII N G 1 ON STREET, 4'...FLOOR
(978) 741-1800
ESN (978) 745-0343
D(IIJ2}±NISAUAI(((1S:\L.le:�t, 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 Q 0
IS THIS UNIT
AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
OWNER/LESSER L i rym C u L C L^, MANAGER/ AGENT
NO P.O. BOX
ADDRESS I, A RROTT ST - ADDRESS
CITY, STATE, ZIP Y SA L I?j CITY, STATE, ZIP M 4 0 17 %b
p 0CrLL77&-7bb-311Z
RESIDENCE PHONE /7�- 7 y I- `IS � % BUSINESS PHONE (24HRS)
BUSINESS PHONE 17(Z- i 31-Z z,5 1/ Y.1 D 6
TOTAL NUMBER OF ROOMS:— S
ROOMUSE: I. VITeHG�4 2.&nllom Blanl2ow 5. LIu1N6 Rn
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 P/A ABLE" -LITE TIME OF INSPECTION
APPLICANT'S SIGNA
TE /f)
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling—Lz—Other Check # 1 '6 V5Check date: 11Jwq
Code En rc e t Inspector
KTAI GRL]_.Y DRISC01 J.
N'IAYOR
D.% ID GREENBAUM, RS
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF f[IL LTH
120WASHINGTON SIRhF:I' 4"1;Lc)oii
TF.L. (978) 741-1800
FAX (978) 745-0343
ixaer i �It:wv(r?�w car. COb1
Release
In accordance with Massachusetts General Laws Chapter, l 11; 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
30 as Unit I lwm,
Address
✓�t3��1
Date
Owner/Lessor
Address
3 o (;YNDNDS S'1 • 0IVXT
Address on unit to be inspected
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR DGRBBNl3AU%1 [7SAI.G:M.Q)M
DA V l t> GRP:ENBA u M, RS
Ac'PING HEAL.TI-i AGENT'
CERTIFICATE OF FITNESS
CERTIFICATE # 22-11
DATE ISSUED: 1/14/2010
Property Located at: 30 Symonds Street UNIT # 2
Owner/Agent: Linda Cullen
Address: 13 Abbott Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-766-3112
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 HEALTH14W, )
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
KIN1BER1_EY DRISCOLL.
MAYOR
DANT ID GREENBAUM, RS
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4"' FLOOR
TEL. (978) 741-1800
EA -N (978) 745-0343
D(kci NBAU61@AS.11 1AJ. 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."
3 FEE: $50.00
PROPERTY LOCATED AT—Na
IS THIS UNIT
AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
OWNER/LESSER LI ti4kC""_'MANAGER/ AGENT
NO P.O. BOX
ADDRESS Io A ADDRESS
CITY, STATE, ZIP S,0, cu-" CITY, STATE, ZIP VIA D 1? % U
q Cc --U, c? ?b - 7(o 6 -3 It i
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE"A - lD-1-2-2S') X1 �
TOTAL NUMBER OF ROOMS:_
ROOM USE:
tib Povv�+
2
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEUTI PAYABLL AT THE TIME OF INSPECTION
APPLICANT'S SIGNA
Inspectors use only
Date on initial inspection:_ H1 U Date of reinspection:
Date of issuance of certificate: ) Date fee paid:
Type of unit:
rA
Code Enfoleme t Inspector
Check #
TE / 0
-for--as
0r) S -k Ire
KIN-fBERLEY DRISCOLL
MAYOR
D.\N ID GREENI Aum, RS
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BU 1RD OF HEAL.TH
120 WASI11NGTON STREET -4"' FLOOR
TFL. (978) 741-1800
EAt ()78) 745-0343
DGRELNBAU{(Cf)eALENL CUM
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter IT 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.
LZ
Tenant/Lessee Owner/Lessor
Date •
Address
3o SW160S ST, Nr�
Address on unit to be inspected