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UPHAM STREETUPHAM STREET JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 501-00 FEE $25.00 DATE: 08/08/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 4 Upham Street OWNER/AGENT: Allen King ADDRESS: 4 Upham Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 24 HOUR PHONE: 745-2478 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 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 APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (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 L UNIT #-Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERA/feN P- MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS t� Qri4 M ADDRESS CITY ����M i�%.�S• CITY RESIDENCE PHONE 745 a 7 R BUSINESS PHONE (24 HRS.) Vt'00 BUSINESS TOTAL NUMBER OF ROOMS: ROOMUSE: 1.Liyi.uG 2.~Ci7MfA1 g bli" & 4 Y-' "A-conq 5.6.913AM,q 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 SIGNATURE DATE © O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION !Z -Y —0D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: V -7 —O -0 TYPE OF UNIT: DWELLING OTHER_ CHECK # 6 2- CHECK DATE k- -4 -0 D CODE ENFORCEMENT INSPECTOR 9/28/98 FEE; $25.00 DATB:'09/29/99 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 6 IInham Street OWNER/AGENT: Craig M. Story ADDRESS: 7 Elm Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 24 HOUR PHONE: 741-4014 NINE NORTH STREET Tel: (978) Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.-000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000-: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400,(C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSE$: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH$TATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATORN CALL 978-741-1800. 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 APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 6 (APha' Sf-• UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER C1/u-''cl M• S4 -or U MANAGER/AGENT Sarnfe No P.O. Box No P.O. Box ADDRESS -4 E I m AV2 • ADDRESS CITY Sa.lefn , MA 019.7 0 CITY RESIDENCE PHONE -74'/ - 40/ 4 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7 Sl- 368- /06 0 X 11 1 TOTAL NUMBER OF ROOMS: ROOM USE: 1.L-iyi�2.Dinin 3. CedwOm 4. ZfcAen 5.&Od vom 07Ckce 7. &dYoOrn 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 �� DATE 9-29-99 •; • DATE OF INITIAL INSPECTION�DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:F-9-`1-_4 f DATE FEE PAID: TYPE OF UNIT: DWELLING&OTHER_ CHECK # a 6 CHECK DATE -P CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 RELEASE NINE NORTH STREET Tel: (508)741-1800 Fax: (508) 740-9705 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 author- ized 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/our absence, I/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatevernature and description occasioned...: by my/our absence during said inspection. TENANT/LESSEE: OWNER/LESSOR V U �,� sf. +. a , s ADDRESS __ 9 -,2.7. DATE -7 91ni A-ve, Sojem AAA _ ADDRESS 6 Ueham Si-, AAV,2, SaJem MA ADDRESS OF UNIT TO BE INSPECTED CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 04/02/2001 Shaun Frye 29 Upham Street Rear Salem, MA 01970 PROPERTY LOCATED AT 29 Rear Upham Street UNIT # B 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. ,MR THE BOARD OF HEALTH ?oanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR ra STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 11/2/04 Dinh Vi Phu 156 North Street Salem. MA 01970 PROPERTY LOCATED AT 33 Upham Street Unit 1 L 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 he Board of Healt,ElT--+4",i[ n f/►��LC J nne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector STANLEY J. USOVICZ, JR: MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 11/2/04 Dinh Vi Phu 156 North Street Salem, MA 01970 PROPERTY LOCATED AT 33 Upham Street Unit 1 L 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 he Board of HealthReply to i J nne-Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 11/2/04 Dinh Vi Phu 156 North Street Salem, MA 01970 PROPERTY LOCATED AT 33 Upham Street Unit 2 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 Jo ne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 07/19/2000 First House Trust 10 Front Street Beverly, MA 01915 PROPERTY LOCATED AT 33 Upham Street UNIT # 2 Dear Sir/Madam: NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. IoD anne Scott, MPH,RS,CHO Health Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR A JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 2-99 FEE $25.00 DATE: 01/04/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 33 Upham Street OWNER/AGENT: First House Trust ADDRESS: 10 Front Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 UNIT #: 2 24 HOUR PHONE: 922-0379 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �I. 4RO B EFT - E. -BL -EN KHORt1 HEALTH AGENT 508.741.1600 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH .Salem, Massachusetts 01970 APPLICATION FOR CERTIFICATE OF FITNESS OFFICE USE ONLY CERT. DATE: 9 NORTH STREET IN ACCORDANCE WITH STATE SANITARY'CODE,.CHA'TER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 'OVA UNIT / LkpT� S� JLF, '= C LESSER lkkl' I ng" yil -r MANAGER/AGENT ''aI�iES H. FINN SONS ADDRESS 10 frar tI CITY RESIDENCE PHONE q-7$ -" qua 71 BUSINESS PHONE ADDRESS & fA) omr ST CITY_ 16,r F/ey MA D lys- �7 BUSINESS PHONE (24 HRS.(SD$ +037% TOTAL NUMBER OF ROOMS: ROOM USE: I . Rt K 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 D TMENT IN CO CE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE 9 /rrn DATE 1 _ `/'4 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:/ — l� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: % —2 TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CERTIFICATE OF FITNESS CERTIFICATE # 005-07 DATE ISSUED: 1/4/2007 Property Located at: 33 Upham Street UNIT # 2L Owner/Agent: Dinh Vi Phu Address: 156 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-7686 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 HE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO / HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741 -1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 005-07 DATE ISSUED: 1/4/2007 Property Located at: 33 Upham Street UNIT # 2L Owner/Agent: Dinh Vi Phu Address: 156 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-7686 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 HE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO / HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 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". PROPERTY LOCATED AT UNIT # IS THIS UNIT DESIGNATED AS RIGHT L�EfF 1 RONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1 /1 A&yI H (J MANAGER/AGENT Box . f� No P.O. Box ADDRESS / /U0� �r(W! JY ADDRESS CITY f'& NA ©17 70 CITY RESIDENCE PHONd� d rf_ N`USINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 / ROOM USE: 1. 2. 3. 4. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ­z,A APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION f %___DATE OF REINSPECTION - DATE OF ISSUANCE OF CERTIFICATE: I - 1 F -0 _DATE FEE PAID:_- L� 0.7 TYPE OF UNIT: DWELLIN OTHER_ - CHECK #_-S __ CHECK DATE -/ — ( —D 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 33 Upham Street OWNER/AGENT: First House Trust ADDRESS: 10 Front Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 CERT.# 388-00 FEE $25.00 DATE: 06/13/2000 UNIT #: 3 Left 24 HOUR PHONE: 922-0379 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 OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 APPLICATION FOR CERTIFICATE OF FITNESS NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORT HUMAN HABITATION". yy PROPERTY LOCATED AT S? CLA/hAl 5r )d/f-- UNIT #�Z ew b?/,i - IS THIS UNIT DESIGNATED AS RIGHTEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �/i'sZ�, S12.� / MANAGER/AGENT A//"& A No P.O. Box 2 No P.O. Box n CITY /IS7 CITY %1�y✓n/�i RESIDENCE PHONE BUSINESS PHONE (24 HRS.)—ft' BUSINESS PHONE_ 4?7,?.. �oTo2`D3% I TOTAL NUMBER OF ROOMS: ,p ' ROOM USE: 1. L•� 2. >� 3. lZA THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPjrTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 11'%/ i APPLICANTS SIGNATURE "164rM !/! I �1v DATE ra TSD d '" SPECTORS USE ONLY DATE OF INITIAL INSPECTION (;� - / � aDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - / -a -DATE FEE PAID: / U Z' TYPE OF UNIT: DWELLING/OTHER_ CHECK # D S CHECK DATE -__6�� CODE ENFORCEMENT INSPECTOR 9/28/98 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-16-460 DATE ISSUED: 11/21/2016 Property Located at: 33 UPHAM STREET UNIT #4 Owner/Agent: Dinh Vi Phu Address: 156 North Street City/Town: Salem, MA Zip Code: 01970 V PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 745-7686 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 EGagakis SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4 " FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 lramdin@salem.com IV PublicHealth Prevent. Promote. Profeq.— LARRY RAMDIN, RS/REI-IS, CHO, CP -FS HE,\l:rt-I 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 PROPERTY LOCATED VP//� IS THIS UNIT DISIGNATED AS OWNEWLESSER LAI P V i �Y� �/ MANAGER/ �7 ADDRESS � (%{ W41, I &I" ADDRF.RR CITY, STATE, ZIP A 6197a BACK PLEASE STATE, ZIP RESIDENCE PHONE --% �7S / 6 �l;BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS: ROOM USE: UNIT#—�E 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: If�I '116 Date of reinspection: Date of issuance of certificate: Date fee paid:ll 116 Type of unit: Dwelling Other Check # I `1 U% Check date: I I R /rte p 7� ID—� co cement Inspector ,.r STANLEY J: USOVICZ, JR. MAYOR CLTY OF SA -LM MASSAC14USETTS BOARF), OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR. _ SALEM; MAU 1970 TEL. 978-741-1.800 Fax 9-78-745-G343 JOANNE SCOTT, MPH, RS; qHO HEALTH AGENT CERTIFICATE OF FrMESS CERTIFICATE # 250-05 DATE ISSUED: 4/29105 Property Located at: 34 Upham Street UNIT # 1 Owner/Agent: Byron Locke Address: 34 Upham Street 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 theunit 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 avalid Certificate of Occupancy: FOR E BOARD OFHEALTH i���_ �J�' JOANNE SCOTT, MPH; RS; QHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR l?. I/ CITY OF, SALEM, MASSACHUSETTS Y BOARD OF HEALTH 120 WASHINGTON'STREET, 4TH FLOOR SALEM, MA 01 970 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 UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. Box No P.O. Box CITY CITY RESIDENCE PHONE3�J1 BUSINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS:�� _ ROOM USE: 1. 7 4. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPA TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / J APPLICANTS SIGNATURE DATE IN PECTORS USE ONLY DATE OF INITIAL INSPECTION�_�� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE .DATE FEE PAID:_ -� `14 C TYPE OF UNIT DWELLIN5k,�'60THER _ _ CHECK H. �6 3 3. CHECK DATE NOTES:. CODE ENFORCEMENT INSPECTOR 9/28/98 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-15-306 DATE ISSUED: 9/25/2015 Property Located at: 35 UPHAM STREET UNIT #1 Owner/Agent: Dinh Vi Phu Address: 156 North Street City/Town: . Salem, MA Zip Code: 01970 O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 745-7686 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 Wth 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�t AN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, (J10, CP -1•S HBAI; IH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN O�SALEM CDM Fc 1-s-G61c ae<<om Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" � f I { FEE: $50.00 PROPERTY LOCATED AT t`7 �� U ��/7 /�.� UNIT#_[_ IS THIS VNITI)ISIGNAWED A. GH _ LEF r FRo r OR n_er PLEASE CIRCLE ONE yw1YGN1,DJJGR ,L/ ( fV ( v�..yy MANAGER/AGENT ADDRESS /V Oaf/ f { � 7 ADDRESS CITY, STATE, ZIP S /4 27 714 /'"l k D i 9 I CITY, STATE, ZIP RESIDENCE PHONE_ ` 7 �� (kS— / v/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 /% L� APPLICANT'S SIGNATURE DATF f/ Z'/ A Inspectors use only Date on initial inspection: 6jZ2,y 015- Date of reinspection: Date of issuance of certificate:QVZ, /2015 Date fee paid: 09/2y/2p�r Type of unit: Dwelling_Z_Other Check # 15t5y Check date: �9/2'i%101s' Notes:cSec Aq"Lbed ��.� 0 Inspectionaof Name yy�� Owner. DC}� P&/ Type of Inspection ( ' ) Remarks and Violations are listed below: > Llvi Date 09j2.y11U1S- Ti Address 3.S V D ka - Slrae4 #-.I- Tel. No. -.ITel.No. g7�—'79T--767 _ Inspector J e r f rev P,"05� Report Received by: KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HE. -\LTH 120 WASHINGTON STREET, 4`" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 liamdinna,saleln.com CERTIFICATE OF FITNESS CERTIFICATE # 55-14 DATE ISSUED: 3/6/2014 Property Located at: 35 Upham Street UNIT # 2 Owner/Agent: Dinh Phu Address: 33 Upham Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-7686 L;\RRY RAMDIN, RS/REI IS, CI 10, (:V -F'S HI?ALXI I AGENT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, 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 11MINNRA HEALTH AGENT KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@salem.com P61idlealth Prevent. Promote, Protect. LARRY RADIDIN, 11S/REI-1S, CI10, CP -FS HFAI:PI-I A(;i:.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 ATJ57 04 y�IS THIS UNIT DISIGNA) r E,D AS Al OWNER/LESSER i AI{�Fi �/ NO P.O. BOX ADDRESS_ CITY, STATE, ZIP. OR BACK PLEASE CIRCLE ONE STATE, ZIP RESIDENCE PHONE ILL— BUSINESS - 7 q = 76�� BUSINESS PHONE (24HRS) BUSINESS 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 APPLICANT'S SIGNATURE DATE Inspectors use only J'ih�eP.�i"an- Date on initial inspection: 31N /(4 Date of reinspection: 3 4 Q I U01cif,'&t > Date of issuance of certificate: _ Date fee paid: C o rrcelbr{; Type of unit: Dwelling Other Check # b� Io�1�bYnS;'S e,(re,F\j ,f � p(Ov of Coe o entInspector `-10kf,5 (V' UJXV Kad- 4�o +Ub t ,ec U htMai:4 ill Ocoad bcZZ md;azlu( V%vVI r��Yn,✓ �����e�- -{-�n�.✓ UZ I t -&I0I7i ILL LI -w, pc�rn`� Inti �C✓ ;aroorn�✓it2 r WIrdO ceir (,eczVC�xt CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4:" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iramdin@salem.com Release PublicHealth Prevent. Promote. Protect. LARRY RAMUIN, RS/RF[ IS, CHO, Cl) -E'S HEA] H A;ENT 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 Date Updated 523/11 Owner/Lessor Address Address on unit to be inspected KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS POLICY 1P PublicFiealth Yrevml. Promom. Pmmct. LARRY RANIDIN, RS/RENS, CHO, CP -ES' HEAD HI AG13Nf 1. A Certificate of Fitness inspection is required for all rental units older than 5 years, per City of Salem ordinance; 2. A Certificate of Fitness is good for 1 year or the life of the tenant, whichever is longer; 3. A Certificate of -Fitness inspection maybe obtained by calling or coming into the -- Health Department and requesting an appointment; 4. Appointments must be requested at least 24 hours in advance pending an open appointment; 5. No "same day" appointments will be granted; 6. All appointments are subject to the schedule of the inspector; 7. A rental unit will be considered occupied when either the previous tenant or the current tenant has belongings in the unit. In the case of an occupied unit, either the tenant whose belongings are in the unit must be present at the time of inspection, Ok have signed a release statement allowing the Board of Health to inspect the unit. 8. Please allow at least one week turnaround time for the Certificate to be issued, especially at the end of the month; 9. A Certificate of Fitness will be granted when: a. An inspection has been conducted by a Health Department employee b. An application has been filled out and a check or money order has been received 10. If you have any questions, please contact the Health Department STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W. SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 10/18/05 Jeffery Corriveau 34 Upham Street Salem, MA 01970 PROPERTY LOCATED AT 36 Upham Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. F r the Board of Healt anne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector CERTIFICATE OF FITNESS CERTIFICATE # 164-07 DATE ISSUED: 4/6/2007 Property Located at: 36 Upham Street UNIT # 2 Owner/Agent: Byron H. Locke Address: 34 Upham Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4099 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 qvl--X� 'Idz� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 164-07 DATE ISSUED: 4/6/2007 Property Located at: 36 Upham Street UNIT # 2 Owner/Agent: Byron H. Locke Address: 34 Upham Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4099 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 qvl--X� 'Idz� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O1970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, 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". PROPERTY LOCATED AT 3 b LQ'A0^ _ J T, UNIT # _�- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER X-Od "c kjL MANAGER/AGENT No P.O. Box No P.O. Boz ADDRESS ADDRESS CITY S/a-L.Ar, CITY RESIDENCE PHONE 7M7 Y4 Sti 0 BUSINESS PHONE (24 HRS.) 97,f- *7?1.316 / (,4 L, - BUSINESS PHON TOTAL NUMBER OF ROOMS: ROOM USE: 1. /✓ 2. gnD 3—A4 4. A4 6. 1,kA�Q 7 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE � DATE_��/L��n % INSPECTORS USE ONLY DATE OF INITIAL INSPECTION H - 1 - a) DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 9' � 'y') DATE FEE PAID: a- U - TYPE OF UNIT: DWELLING�C OTHER CHECK # 81 SS CHECK DATE NOTES: U N ,7 RWZ4wv3gw%v�Nr� p 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-15-384 DATE ISSUED: 11/19/2015 Property Located s t: 36 UPHAM STREET UNIT #3 Owner/Agent: Byron Locke Address: 34 Upham Street City/Town: Salem, MA Zip Code: 01970 D publicHealth Prcecni. Promote. Prnteet. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 7445263 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 II "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 fo- 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 BOARC OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT p Ari v P SANIT RIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RENS, CHO, CP -1S HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4'" FLOOR TEL. (978) 741-1800 FAX (97b) 745-0343 LRAMDIN AIEAf.0 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 (o ✓/991 S� UNIT# 3 IS THIS UNIT DISIGNATED AS RIGA LEFT FRONT ORBACK PLEASE CIRCLE ONE OWNER/LESSER �2 d / I N. LD ckiiMANAGER/ AGENT NO P.O. BOX ADDRESS 3yaY,4m S - ADDRESS CITY, STATE, ZIP — 04 t-xM .,�" ,y' CITY, STATE, ZIP 6 / 97,0 RESIDENCE PHONE '-4BUSINESS PHONE (24HRS) % %��J 7�J�6 �" BUSINESS PHONE TOTAL NUMBER OF H ROOM USE: p"It%N 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 A THE VkV0F INSPECTION APPLICANT'S SIGNATURE / DATE ////6/9 Inspectors use only Date on initial inspection: 17 /� Date ofreinspection- Date of issuance of certificate: Date fee paid: I QC1201-5— Type of unit: Dwelling_V/� Other Check #Check date: Z 6Z2 -Q . 5 Code'Efifckp6ent Inspector