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WARD STREET 1-36WARD STREET 34 . i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax (978) 745-0343 MAYOR DGRN4NBAUMQSA1,EM.CQK1 DAVID GREENBAOM, RS ACTING HuAL,1H A<;I!NT CERTIFICATE OF FITNESS CERTIFICATE # 415-10 DATE ISSUED: 8/27/2010 Property Located at: 6 Ward Street UNIT # 1 Owner/Agent: Ocelot Operations/Dan Botwinik Address: 20 Washington Avenue #1 City/Town: Waltham, MA Zip Code: 02453 24 Hour Phone: 703-980-7518 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 D VI�I ENB1, RS ACTING HEALTH AGENT CODE E"tIEMENT INSPECTOR KINMERLEY DRISCOLL MAYOR DAVID GREENBAUM,RS ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET', 41° FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGRGENBAUibI&ANN. COAL 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_� IS THIS UNIT DC2tok NO P.O. BOX UNIT# AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE r . t MANAGER/ AGENT Da � CITY, STATE, ZIP V✓0. 1T� JMA 024S 3 CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) �cfg O — � S l b BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. B C 2. w P 3. 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 Inspectors use only Date on initial inspection: A /d-7// V Date of reinspection: 1 Date of issuance of certificate: a% o Date fee paid: g / O Type of unit: Dwelling ✓Other Check #� Check date: x h Code E I nfolvdent Inspector 0 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGRRI3NIIAUNI@SALI3M.CO,%I DAVID GREENBAUM, RS ACLING Hi,,.A 1'I -I AGENT CERTIFICATE OF FITNESS CERTIFICATE # 417-10 DATE ISSUED: 8/27/2010 Property Located at: 6 Ward Street UNIT # 2 Owner/Agent: Ocelot Operations/Dan Botwinik Address: 20 Washington Avenue #1 City/Town: Waltham, MA Zip Code: 02453 24 Hour Phone: 703-980-7518 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. D OF HEALTH DI DAVID GREENBAUM, RS ACTING HEALTH AGENT CODEF RCEMENT-INSPECTOR KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM,RS ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEAD rH 120 WASHINGTON STREET, 4"' FLOOR TEL (978) 741-1800 FAX (978) 745-0343 uGREENBAUM(@SAJ N.COM Ll/74 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 PR()PFRTV IC)r ATFTI AT 6 L.- " \+ T TY " 9 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE I 1 � OWNER/LESSER C)Cx ° k9ji-, MANAGER/AGENT �`i� DoTw 2 0 L^./msL^./msn. . NO P.O. BOX Ts n e /I ADDRESS 3 I,.,...o /'t�`�-� AllT1RFCC t'�.._...P CITY, STATE, ZIP (/✓ a 1+-� -..- (4A C7 2-4 S 3 CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 2. Q Z 3. L -1-i4. S. g PC 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 Inspectors use only DATE 2 7 Date on initial inspection:_6-7110 Date of reinspection: Date of issuance of certificate:_ Date fee paid: 6 -7110 Type of unit: Dwelling��Other Check #—M (a Check date: ff /d r7�10 Notes: )t[it-W6 - +0 -hire ren 4k, Code En10r1e&t Inspector Uft KIMBERI FY DRISCOLL MnY0lt CITY OF SALEM, MASSACHUShTTS BOARD OF HEAun-I 120 WASHINGTON STREET, 4'" FLOOR R TEL. (978) 741-1800 Fax (978) 745-0343 Ixatndin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 450-12 DATE ISSUED: 12/5/2012 Property Located at: 6 Ward Street UNIT # 3 Owner/Agent: Dan Botwinik Address: 20 Washington Avenue #1 City/Town: Waltham, MA Zip Code: 02453 24 Hour Phone: 703-980-7518 1�1 i�ublicI%aI'th Yrevrne. Prnmmc. Pm4d. LARRI' RANMIN, RS/RIiNS, CI 10, CP -FS Hf{;V;I'II A(;]X1, 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 �*-�-- • .T LARRY RAMDIN HEALTH AGENT KIMBERLEY DRISCOLL MAYOR LARRY R;\MDIN, RS/RF.[ fS, CI IO, CP -PS HF,AU11 i AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAHINGTON STREET, 4... FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 I,RAMDIN ,M,EM.00Nf 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 (D to A rd S- - S orl.PJM M Pr o lc�L'-O UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE 1 OWNER/LESSER Gb- ) Dah MANAGE AGENT NO P.O. BOX AT)n1?PQQ '217 t^I C\_.�_r��,... �..�� X nnrinr.�n —" CITY, STATE, ZIP W A Al"P nn M 24 .3 CITY, STATE, ZIP_ RESIDENCE PHONE IBUSINESS PHONE (24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS:-2— ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABI BOARD OF HEALTH THIS FEE IS PAYABI3E AT APPLICANT'S w BY CHECK OR MONEY ORDER TO THE CITY OF SALEM TIME OF INSPECTION V Inspectors use only Date on initial inspection:; Date of reinspection: Date of issuance of certificate: n Date fee paid: Type of unit: Dwelling—Other—Check #� O IJ _.Check date: / I Code Enforcement Inspector KIMBERLEY DRISCOLL. MAY OR CrTY OF SALEM , MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRER"C, 4' FLOOR 'FEL . (978) 741-1800 F.AK ()78) 745-0343 txamdin�salem.com CERTIFICATE OF FITNESS CERTIFICATE # 58-12 DATE ISSUED: 2/21/2012 Property Located at: 7 Ward Street UNIT # 1 Owner/Agent: Marshall Strauss Address: 10 Chestnut Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-594-5067 1�1 PublicHealth L ARI Y RAPIDIN, RS/RI :I -IS, CI 10, 01 -I'S I-IFAIXI I A(;I;N,I, An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH �� HEALTH AGENT CODE ENFORCEMENT INSPECTOR ptc.k up keC/ALx-�. G�o►d ktwt 11 KIMI3ERLE1' DRISCOLL, M,WOR I.,ARRF" IL,v�blUl�i, kS�ldl•:I IS, (;liO, CI' -RS CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON STREET, 4.n PL(X)R TL.L. (978) 741-1800 F vx (978) 745-0343 I,RA@II)IN(@SAI A, iAL('OAi 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: 550.00 PROPERTY LOCATED AT a,_ (/N IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Afff14 .%uvC t MANJAnFui Ar.PXTT NO P.O. BOX 1 ADDRESS I(5 t% i,,T S'T ADDRESS CITY, STATE, ZIP_ -Sq lain /0j4O / 970 CITY, STATE, ZIP RESIDENCE PHONE q%f f qy SD 6 �7 BUSINESS PHONE (24HRS) Eq ✓►l1 'e BUSINESS PHONE fa m 0, TOTAL NUMBER OF ROOMS:_ n ROOM USE: 1. ` 2 2. T\ 1 f/C A j?R <V �_ THERE IS A FIFTY ($50) DOLLAR FEE, PAYLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYW AT THE TIME OF INSPECTION APPLICANT'S SIGNA Inspectors use only Date on initial inspection:�l Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # 9 Check date: Code nfo ement Inspector TE a llf dU/2 I;, KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR 'TES.. (978) 741-1800 FAX (978) 745-0343 1%QQ1'1 'AjX.M. COM CERfIFICATEOF FITNESS CERTIFICATE # 430-08 DATE ISSUED: 8/28/2008 Property Located at: 7 Ward Street UNIT # 2 Owner/Agent: Marshall Strauss Address: 10 Chestnut 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 il" 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 *ANTIONNE , SENIOR SANITARIAN k.DEENRCEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4n' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ISC01-1 >)SAIEM. 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 rr UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER/'/4rdmI/ S> ci vrr MANAGER/ AGENT NO P.O. BOX // ADDRESS /0 cle f* a Sr ADDRESS CITY, STATE, ZIP cJ aleln L�O Q l CITY, STATE, ZIP RESIDENCE PHONE '? %� P7 Y 10 6 % BUSINESS PHONE (24HRS)_ BUSINESS PHONE cS a Al -C TOTAL NUMBER OF ROOMS:— ROOM USE: 1. L /C 2. A 3. Wol�? 4. f5 4C 5. =0 THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAS AT THE TIME OF INSPECTION APPLICANT'S SIGNA' Inspectors use onl Date on initial inspection: t - 2T - Qg Date of reinspection: Date of issuance of certificate: 8 - -L t - <3 Date fee paid: 8- L- r -CR Type of unit: Dwellingy Other Check # 3 5o L Check date: Notes: B-i-rH7cx„� \,ji yr oo.j ) 4 E VW,2-4,1 S -2/Gd "' KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HE uTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4 " FLOOR TEL. (978) 7414800 FAX (978) 745-0343 tsco rr@SAia M. 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 auihorized 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 natureand description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Addressrr M Y-� o C�r�:� T Address e7 vv cy-C PT— ci:�— D, Address on unit to be inspected ') 6--0 Date CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �Fc 120 WASHINGTON O90 ST 7TH FLOOR TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 215-08 DATE ISSUED: 5/13/2008 Property Located at: 7 Ward Street UNIT # 3 Owner/Agent: Marshall Strauss Address: 10 Chestnut Street City/Town: Salem, MA Zip Code: 0197024 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 AIMIR WMANiN 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 ]scorr(a SALENf. COM Application for Certificate of Fitness 6�/5-62 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000. "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT '2 U/ A �` fr UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE rr4// Stravti NO P.O. BOX [/ AGENT ADDRESS / � Cil pr*i .% Ir ADDRESS CITY,STATE,ZIP J G �/M /�42 Of '20 CITY,STATE,ZIP_ RESIDENCE PHONE �7a� sfy 1�G G BUSINESS PHONE (24HRS) BUSINESS PHONE V Q/h -0 TOTAL NUMBER OF ROOMS: / ROOM USE: 1. I— 2. 1C 3. 4 5 THERE IS A TWENTY-FIVE($25) SALEM BOARD OF HEALTH TH APPLICANTS kR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF IS PAYABLE AT THE TIME OF INSPECTION Inspectors use only Date on initial inspection: 5'* VY 6 r Date of reinspection: Date of issuance of certificate: 5' I'S G T Date fee paid: 5' '3 - OV TE 5 -f -?-0F Type of unit: Dwelling fC Other Check # Check date: S 3 - a %- Notes:?,.Rv)fa. l,' F,,%,VV Rev T. say arol Sv�L ib� .x,a� u Y jew S wiL Code Enforcement Inspector KINMERLEY DRISCOLL MAYOR DAVID GREENBAUM ACTING HEM Tt1 AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 DGRF?nNIIAUM a(7,SALBM.(:OM CERTIFICATE OF FITNESS CERTIFICATE # 548-09 DATE ISSUED: 10/22/2009 Property Located at: 10 Ward Street UNIT # 1 Owner/Agent: Point View Realty Trust Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH / � ''II AVt) ID GREEN UM ACTING HEALTH AGENT CODE E FO CEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS'" s �9 BOARD OF HEALTH 120 WASHINGTON STREET, 4.° FLOOR T$L. (978) 741-1800 FAX (978) 745-0343 DG1UiENBAUM@SALF.M. 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 Iy IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER�Ppi l 01e Pew qsr MANAGER/ AGENTA. SLid-c.-(7je 5k - NO P.O. BOX ADDRESS /i7 E SS E .� ADDRESS £S5 EAS S%, CITY, STATE, ZIP Si4-LC-I A-1 e C4 9 70 CITY, STATE, ZIP A C> i 97 C- RESIDENCE PHONE-!? 7 S - 3,3 - 3V�BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 1-12 2. b P- 3. K 4. 5. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS EAYABLE AT THE TIME OF INSPECTION APPLICANT'S InSDectorS use only Date on initial inspection: G / ?316.1 Date of reinspection: Date of issuance of certificate: / o 1a.3 0 _ ZZ Date fee paid: Type of unit: Dwelling �Other Check # % J7 Check date:a d 0 Notes: h(j W0-7�1 feCloct Il /hfi cr_s�oAc,b6ieLvp IzeiU " / )c- 17g' ?NS , 00 (ol frv�' fo Owl *. Code Enforc entpe for IUMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BO.-1RD UP HE'ALTTI 120 WASHINGTON STREET, 4°1 FLUOR TEL. (978) 741-1800 FAx (978) 745-0343 liamdin salem.com CERTIFICATE OF FITNESS CERTIFICATE # 329-12 DATE ISSUED: 8/17/2012 Property Located at: 10 Ward Street UNIT # 2 Owner/Agent: Peter Sholds Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: U PublicHeaith L ARav RAtiIDIN, RS/REr1S, Cl 10, (T -PS. HFAI:.pII A(}I;N'1' 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 LARRV RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 1 BOARD OF H&UTH 3 ' �m 120 WASHINGTON STREET, 4"' FLOOR KT1VII3FRLFY DRISCOI,L MAYOR .LARRY R,WDIN RS/RN 15, CI fO, Hi ,%I xi f A(;vN'r FAX (978) 745-0343 J,RdNIDIN UtiALISM.C(7N[ 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 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �cT ✓ S d %j -S MANAGER/ AGENT NO P.O. BOX ADDRESS Z{% !�:T ADDRESS _e - CITY, STATE, ZIP S Y+LC- -1 4A /I CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 'b1 s. 1? � 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 O1; IINSPECTION APPLICANT'S Inspectors use only Date on initial inspection: -1 "] , I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling_lz!�'—Other Check #Check date: Enforcement Inspector ;,Rru r� E! KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSE I"1 S BOARD OF F].F,.AI:1H 120 WASHING'T'ON SI'RF:HT, 4.° FLOOR TFi.. (978) 741-1800hAx (978) 745-0343 ltamdinnsalemxoni CERTIFICATE OF FITNESS CERTIFICATE #465-12 - DATE ISSUED: 1'2/1 /2 2012 Property Located at: 11 Ward Street NIT it 1 Owner/Agent: Sonia & Mario Abreu Address: 14045 Tierra Bonita Court City/Town: Poway, CA Zip Code: 92064 24 Hour Phone: 858-254-6950 I�rnvent Prnmo�e. Prn,ecr. LARRY RAMAN, RS/RP;lis, CI -1('), C11 -1;s HFAINHAGMT An inspection of your vacant Dwelling/Rooming U nit 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 OFJ 1EALTH J � LARRY RAMDIN HEALTH AGENT SANITARIAN KIMBLRLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BmRD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 Fax (973) 745-0343 lramdin a,salem.com PublicHealth� Prevrnl. 1'rommc. Yrolac�. LARM' RAAiDIN, RS/REI-IS, CHO, Cl' -FS HkALI'I-IA(;FNr ,Application for Certificate of Fitness INACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" War l/� 50.0050.00 . PROPERTY LOCATED AT "� W atT/p r jFEE: � i 1)UNIT#-J— IS THIS UNIT DISIG;iATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSERjj PCKV MANAGER/ AGENT NO P.O. BOX !. ._ i _ / ,'I A CITY, STATE, ZIP % CITY, STATE, ZIP RESIDENCE PHONE 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 Inspectors use only m Date on initial inspection: toI h a Date of reinspection: Date of issuance of certificate: fee paid: Type of unit: Dwelling Other Check # /JCheck date: el L 1.. _ r m L- 1 I — — - -^ Co ement Inspector KIMBERLEY DRISCOLL MAYOR DAVID GREFNBAum, RS ACTING HEALTL-I AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 41" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGREF'NBAUMna SALEM.COM CERTIFICATE OF FITNESS CERTIFICATE # 68-11 DATE ISSUED: 2/11/2011 Property Located at: 11 Ward Street UNIT # 2 Owner/Agent: Sonia Abreu Address: 14045 Tierra Bonita Court CityfTown: Poway, CA Zip Code: 92064 24 Hour Phone: 679-5050 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 �oA DAVID GREENBALIM, RSy ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR ... Pm rax S,.ry Ps ;o: iv,vv, "fit n t Oi03i2011 03:51 078745034; PAGE 01 ICIvS31:1t P -Y DRISCOLL MAYOR DAVID C xEFNB wIA, RS ACTING HEAulI AGEW CITY OF SALEM, EM, KNSSACHZJSE•'T`I BOARD OF HEALTH k. l L ft.-. (978) 741-1900 F4,x(91 j7&!-043 COM Application for Certificate of Fitness IN ACCORDANCE NVIT'H STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR T411MAN HABITATION." -y— PROI'PMTY LOCATED A"1' ii —W,4,� �C�' / 4 7U_ LNTT*_ IS THIS UNIT DISIONATEDA,4 RI HT LEFT _FRONT OR B¢ pt.EASi: CIRt[,E OCH; AGEW -No P.0 BOX ADDRESS CITY, STATE. ZIP WA 6q D 4L__ -CITY. STATE, Z.iF_„ r• RESIDENCE PHOX�_-^ '� C� BUSINESS PHONE (24IIRS)� — 'eA M c 6eLL DUSINESS PHONE .2) � - b / 5 D TOTAF NUMBER OF ROOM TISE: a THERE IS A FIFTY (S50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THF CITY OF SALF-m BOARD OF HEALTH THIS FEE YABLE AT THE'TNE• OF INSPECTION APPLICANT'S Inspectors use only Datc on initial inspection:,_ Date of issuanoe of certificate: LU Type of+Iutit: � �yD"w6ling Other_Clteck a1c F cement Inspector Label U� I �J Date of mAmp Date fee paid:. ' check date: a_C / /3/;�p // N,c�,t Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: 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-15-193 DATE ISSUED: 7/30/2015 11 WARD STREET UNIT #3 Sonia Abreu 14045 Tierra Bonita Ct City/Town: Poway, CA Zip Code: 92064 luPublicHealth Prevent. Promote. Protert. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (858) 679-5050 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 SANITAR7 AN ,i NEO KIMBERLEY DRISCOLL MAYOR LARRY Rr1MI)IN, RS/REHS, CHO, CP -FS HFAL'H-I AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 r RAAfn1N@SAr.t,w.roNr 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 IS THIS UNIT DISIGNATED AS /V I &CT D/ FRONT OR BACK, PLEASE CIRCLE ONE AGENT NO P.O. BOX -46-7- ADDRESSGTADDRESS 1110 S&ADDRESS G CITY, STATE, ZIP 8 024\'' CITY, STATE, ZIP RESIDENCE PHONE rYGV 6'e 66 SO. -BUSINESS PHONE (24HRS) BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: 1. t ✓. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEJS.YAYABLE AT TIDE TIME OF INSPECTION APPLICANT'S SIGNA Inspectors use only Date on initial inspection: Ovi 20f i Date of reinspection: Date of issuance of certificate: b 7123/2D2 Date fee paid: 0 1 %/ L Type of unit: Dwelling ✓ Other Check # Cn ` Check date: i? aoi5 Q �f �7ze�L (q 17Y) �i 64-j��93i �c-az- � D • DO � C''�z`. �fCX - G (�5�> - 7y- /- 6�Sd cel/ " ^o CITY OF SALEM9 MASSACHUSETTS gt BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR — SALEM, MA 01 970 htHB TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 283-04 DATE ISSUED: 07/02/2004 Property Located at: 12 Ward Street UNIT # 2 Owner/Agent: Point View Realty Trust Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-337-3489 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 F R THE BOARD/�H JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT O ENFORCEMENT INSPECTOR 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 rHABITATION". PROPERTY LOCATED AT UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT)IPD/J !7�W No P.O. Box No P.O. Box ADDRESS �� OC C ADDRESS CITY sg/ �hn / /J��_�CITYR_T RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE' TOTAL NUMBERO//F��--ROOMS:_ ROOM USE: 1.130_ 2. 3. 4. 1-1 J PO 0 AN 5.Dim Ag 6. 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. , _ L I APPLICANTS SIGNATURE IIVJrtU 1 UUM0 UJt UIVLY DATE OF INITIAL INSPECTION %Z /O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: ' f�/ �6 U TYPE OF UNIT: DWELLING _OTHER_ CHECK #nZ_7 g -CHECK DATE / CODE ENFORCEMENT INSPECTOR 9/28/98 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4�" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 tratndin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 58-14 DATE ISSUED: 3/6/2014 Property Located at: 14 Ward Street UNIT # 1 Owner/Agent: Linkin Minaya Address: 16 Ward Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: L\RRY RAMD]N, RS/RI3IfS, CI JO, (:],-I;S H1,"ALT1 I AGENC 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 LARRY DIN HEALTH AGENT SANITARIAN ` KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@Salem.com IVPIIb)�C)IiC&lth /�j/y1�J ) rrcvenv. r.omom. r.mec�. W LARRY RANMIN, RS/REAS, CHO, CP -IS HEAL"ni 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 7 IS NO P.O. BOX Loa AnnRFCC n CITY, STATE, ZIP wale UNIT DISIGNATED AS RIGHT. LEFT FRONT OR BACK PLEASE CIRCLE ONE AGENT STATE, ZIP. RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE- , 5q U-- 5271 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 PAYABI,EyAT THE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: (61 —I Date of reinspection: Date of issuance of certificate: Date fee paid: J/ Type of unit: Dwelling Other Check #_Check date: 7 CITY OF SALEM, MASSACHUSETTS + + BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DcicEENBAUM@SAI.EM.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 564-09 DATE ISSUED: 10/29/2009 Property Located at: 17 Ward Street UNIT # 3-1 Owner/Agent: Salem Point L.P. Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 DA I�ENBAUM ACTING HEALTH AGENT CO ENFORC T INSPECTOR KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4' FLOOR (J TEL. (978) 741-1800 Fax (978) 745-0343 s�Cogr m. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." FEE: S50,30 PROPERTY LACATED AT /% A) li A W S 7 UNtf# � IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER Salem Point L.P. MANAGER/ AGENT Salem Property Manacxers NO P.O. BOX ADDRESS 102Lafayette Street ADDRESS102 Lafayette Street CITY,STATEZIP Salem MA 01970 CITY,STATEZlPjj&jem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978 745-4961 IC 1 • Ilii TOTAL NUMBER OF ROOMS: ROOM USE: 1 • v THERE IS A SEVENTY-FIVE($75) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALT4-WS FEE IS PAYABLE AT THE TIME OF INSPECTION I APPLICANTS Inspectors use only Date on initial inspection: tO�a q ��j Date of reinspection: Date of issuance of certificate: I Date fee paid: 7 Type of unit: Dwelling Other Check # % `f Check date: / 0 ��W%!T'Enf�rcement inspector KU%IBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 47° FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 JKQ=SA1ZM. 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 thetalem 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. Uwe 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 Owner/Lessor Address on unit to be inspected w JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 120-01 FEE $25.00 DATE: 03/13/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 18 Ward Street OWNER/AGENT: Edward Crowley -1 ADDRESS: 18 Ward Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2F 24 HOUR PHONE: 834-6992 NINE NORTH STREET Tel: (978) 741-1800 Fa :(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 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 1FOR HUMAN HABITATION". PROPERTY LOCATED AT W�� S� - UNIT # 2r IS THIS UNIT DESIGNATED AS RONT AC PLEASE CIRCLE ONE CITY l4l� �,+� CITY RESIDENCE PHONE & lq'93y 4 V BUSINESS PHONE (24 HRS.) BUSINESS PHONEa'� TOTAL NUMBER OF )R��OO�,MS: Z ROOM USE: 1. C 1_/&"2. /3�� 3.'J�� 4. L u� THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH D PARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. _/X /1 APPLICANTS SIGNATURE TE 3-(3-aoo / DATE OF INITIAL INSPECTION 3 i 3 -_0 I" DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 -13 —10 ('DATE FEE PAID: 3 —/3 —0 TYPE OF UNIT: DWELLING OTHER CHECK #CHECK DATE 2-07 CODE ENFORCEMENT INSPECTOR 9/28/98 'aJ 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-15-321 DATE ISSUED: 10/2/2015 Property Located at: 18 WARD STREET UNIT #2R Owner/Agent: Edward Crowley Address: 18 Ward Street #2F City/Town: Salem, MA Zip Code: 01970 LEI PublicHealth Prevent Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (845) 901-2756 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 O�-A4L4---, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSEI"FS BOARD OF HE -\LTH 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iramdinna,salem.com lu PublicHea a Prevent. Promote. Protect. L ARIiY RANIDIN, RS/IiEHS, CHO, C114S Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED IS NO P.O. BOX ADDRESS CITY, STATE, ZIP AGENT STATE, ZIP RESIDENCE PHONE S "�ifl BUSINESS PHONE (241 -IRS) BUSINESS PHONE TOTAL NUMBER OF ROOM USE: CIRCLEONE 6. 7. y 8. 9. 10. THERE IS A FIFTY ($50) DOLLA�RYEE, PAYABLE BY C K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEVISMYABLE A'LTHE TINILDF INSPIQTION APPLICANT'S Inspectors use only Date on initial inspection-WAV20is Date of reinspection: Date of issuance of certificate: 20 Date fee paid: Ii/B2 f2 1.i 2 Type of unit: Dwelling Other Check # 23z s check date: JX102,1202.5'- 'I Notes: >ArW-, VIY\tna ✓Anm. L;na vnnw LJ tlznn tom. �J k4C �n o��fiV A \.vif✓t S! .. yrret�za�st�eriszr�r�r�m+r�.�� comjfflork !CJ Wnf ement V. 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 Release PublicHeaI'th Pr<vem. Promoro. Protein. LARRY RANIDIN, RS/RENS, CIIO, CP -FS HiI 'ALTI-f AGENT 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. enant/Les e Owner/Lessor Address Date Updated 523/11 b3 I. � 0 J �Z, k' t S Lu (Y A dre Address on unit to be inspected .r• KiMBERLEY DRISCOLL N AYOR LARRY R,ANIDIN, ItS/IZF I IS, Cl K), CP -I -S FivAI: i I I. AG FNT' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4." FL OOR TFZ.. (978) 741-1800 FAX (978) 745-0343 Iramdin@satem.com satem.com CERTIFICATE OF FITNESS CERTIFICATE # 006-12 DATE ISSUED: 1/9/2012 Property Located at: 19 Ward Street UNIT# 1-2 Owner/Agent: Salem Point L.P. - Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 LAR Y RAMDIN I / HEALTH AGENT CODE EQ MINT IN PECTOR KII 1BERLEY DRISCOLL MAYOR LrARRY R;ANIDIN, RS/RFUN, 0110, CP -FS FJI�:ALTI I A(; ENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FT.00R TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDfN(a�SALF9M 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 19 Ward Street. Salem. MA 01970 UNIT# 1-2 6�,Jg - IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Salem Point Limited Partnership MANAGER/ AGENT North Shore Property Managers, Inc. NO P.O. BOX ADDRESS 102 Lafavette Street ADDRESS 102 Lafavette Street CITY, STATE, ZIP Salem, Ma 01970 CITY, STATE, ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1.Liv. Rm 2. Kitchen 3.Bedrm 4.Bednn 5. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE � Inspectors use only Date on initial Date of issuance of certificate: )q-1Z�-1 L Date of reinspection: Date fee paid: ) , Q ] -) Z Type of unit: Dwelling_t Other Check # )) 2i� S Check date: ) A-) L Inspector hIMBLRLEY" DRISCOLL mj\YOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRL^'ET, 4.". FLOOR T>=.1:,. (978) 741-1800 FAx (978) 745-0343 tramdtn@salem.cote CERTIFICATE OF FITNESS CERTIFICATE # 221-12 DATE ISSUED: 5/31/2012 Property Located at: 19 Ward Street UNIT # 2-2 Owner/Agent: Salem Point L. P. Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 1P PublicHealtlft LARRY RANIDIN, RS/RFI IS, CI RI, CP -1,3 HLAL1'1l A(.; Nf 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 LARIFAAMDIN HEALTH AGENT SANITARIAN KIiNIBERLEY DRISCOLL IV mR LARRY RAmDIN, RS/REHS, (.-,HO, CP -FS HEALTH AGENT CITY OF S kLEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STREET, 4" .FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN@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 19 WARD STREET UNIT# 2-2 01-j2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE NORTH SHORE OWNER/LESSER SALEM POINT L.P. MANAGER/ AGENT PROPERTY MANAGERS, INC NO P.O. BOX ADDRESS 102 LAFAYETTE STREET ADDRESS 102 LAFAYETTE STREET CITY, STATE, ZIP SALEM, MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1.LN.RM 2.KITCHEN 3.BEDRM 4.BEDRM 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 THF, TIME OF INSPECTION APPLICANT'S SIGNA v Inspectors use only Date on initial inspection: 5 ' I 1 'L Date of reinspection: Date of issuance of certificate: i `L Date fee paid: Type of unit: Dwelling ✓ Other Check #-111 -5Check date: S' y_ i2 Inspector c Z 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 CERTIFICATE OF FITNESS CERTIFICATE # 448-04 DATE ISSUED: 09/29/2004 Property Located at: 19 Ward Street UNIT # 3-2 Owner/Agent: Salem Point L. P. Address: 102 Lafayette Street - City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THEE 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 HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS NINE NORTH STREET t 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'. W PROPERTY LOCATED AT I9 A r `J�- I�rn 11Y-) UNIT # J —a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Salem em nni nt L.P. MANAGER/AGENT Sampro P�rrY Managers, Ir, ADDRESS 102 T.afavette StrPa7- _ADDRESS lll2 Tafa;=atta Street, CITY Salem MA 01970 CITY Salem, MA 01.970 RESIDENCE PHONE BUSINESS PHONE (24 HRS:) 978- 745-4961 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 (.IU e "P. 1�"f4� 5. 6_7_8- THERE .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 DATE OF INITIAL INSPECTION !J ( DATE OF REINSPECTION R DATE OF ISSUANCE OF CERTIFICATE: ti BATE FEE PAID: TYPE OF UNIT: DWELLIN- OTHER JVD q ---- �/E A S s7 CODE ENFORCEMENT INSPECTOR 5/19/98 J 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-16-17 DATE ISSUED: 1/15/2016 Property Located at: 23 WARD STREET UNIT #1-1 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 luPt><blicHeasth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 825-4018 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 SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEAuj,H AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4: " FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDINQSALEM.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 23 WARD ST., SALEM MA 01970 UNIT# 1-1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE NORTH SHORE COMM. OWNERILESSE SALEM POINT H LP MANAGER/ AGENT DEV. COALITION NO P.O. BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-825-4003 TOTAL NUMBER OF ROOMS: 2 ROOM USE: LLIV. ROM 2. KITCHEN 3. BEDRM 4. BEDRM 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 P ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE / 4;17 Inspectors use only Date on initial inspection:0a �/Io Date of reinspection: Date of issuance of certificate: Date fee paid: OIZ9 4/_2014 Type of unit: Dwellin Other Check # I LI Check date: n1,11Y.20 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" t FLOOR T -EL. (978) 741-1800 FAX (978) 745-0343 Itamdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 271-13 DATE ISSUED: 7/31/2013 Property Located at: 23 Ward Street UNIT # 2-1 Owner/Agent: Salem Point L. P. Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 PublicHealth Prevent. Promote. Protect. LARRY RAMDIN, RS/RFI-IS, CHO, CF -FS HL:Aj_'nj 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 LAR M IN HEALTH AGENT SANITARIAN KIMBE_RLEY DRISCOLL MAYOR LARRY Rf1vmIN, RS/RF I IS, CI {O, CP -FS HMIA II AC,r:nr CITY OF SALEM, MASSACHUSETTS Boi= of, HEALTH 120 V6'61-IING'FON SLREE r, 4_` F7:,00R TEL. (978) 741-1800 (918) 745-0343 LRAMDINn,SAIA[M.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 23 Ward St.. Salem. MA 01970 UNIT# 2-1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Salem Point L.P. MANAGER/ AGENT North Shore Property Mana erg s,Inc. NO P.O. BOX ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street CITY, STATE, ZIP Salem, MA 01970 CITY, STATE, ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (2414RS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: ROOM USE: 1.Liv Rm 2.bedrm 3.bedrm 4. Kitchen 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 SIGNATURE DATE t� J Inspectors use only Date on initial inspection: / 13� I (3 Date of reinspection: Date of issuance of certificate: Date fee paid: ep Type of unit: Dwelling Other Check#M) Check date: Notes: 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-16.18 DATE ISSUED: 1/15/2016 Property Located at: 23 WARD STREET UNIT #3-1 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 LI PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 825-4018 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 4�2vwe5v SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/R1.1-IS, CI -IO, CP -FS HEAL,n-1 AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4". FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN@SALHM.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 23 WARD ST., SALEM MA 01970 UNIT# 3-1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE SALEM POINT H LP MANAGER/ AGENT DEV. COALITION NO P.O. BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM, MA 01970 CITY, STATE, ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-7454961 BUSINESS PHONE 978-825-4003 TOTAL NUMBER OF ROOMS: 2 ROOM USE: LLIV. ROM 2. KITCHEN 3. BEDRM 4. BEDRM 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE YABLE T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE % qq ��11 Inspectors use only Date on initial inspection: J� V20-1 C2- Date of reinspection: Date of issuance of certificate: �1�Z ��j p1� Date fee paid: W1 %L2 % C Type of unit: Dwelling 1� Other Check #Check date: OZ�ZZ ply Notes: CITY OF SALEM, MASSACHUSETTS ` • BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 K NMERLEY DRISCOLL FAR (978) 745-0343 MAYOR DGREi NBAUM&ALEM CON -t DAVID GitEFNBAUM ACTING Ht+,A1.,-n i AGENT CERTIFICATE OF FITNESS CERTIFICATE # 63-10 DATE ISSUED: 1/29/2010 Property Located at: 24 Ward Street UNIT # 2 Owner/Agent: Marcelo L. Cabrera Address: 10 Clark Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH DAVID GREENBAUM�� r�,Inc oti ACTING HEALTH AGENT COB$ ENFORCEMENT INSPECTOR KIINIBERLEY DRISCOIJ MAYOR DAVID G'REENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREF_T, 4". FLOOR TEi. (978) 741-1800 FAX (978) 745-0343 uceeENr5,\U,'y1@SAH,M COM ye` 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 'e— --s-7 5,1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER /oTKCOLO Cl%;C f 4 ANAGER/AGENT NO P.O. BOX ADDRESS_ 10 G L Pj-feu S T ADDRESS CITY, STATE, ZIP_ 541-1- ✓ 11 /'1A CII C 7 0 CITY, STATE, ZIP RESIDENCE PHONE CEZZ- �! 7a 3 35 N)7 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: P16D/✓/ ROOM USE: 1. 2. 3. 4. 5. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF IIQSPECTION APPLICANT'S Inspectors use only Date on initial inspection:_ �' 6 I ac) I O Date of reinspection: Date of issuance of certificate: P-6-, Code IrZArcement Inspector tris, V IUNMERLEY DRISCOLL MAYOR DA\rID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGRFFNIMUN &'%[']:M. CORM 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 Owner/Lessor ZL/ WK -1J 5-r to C i:,,/i-0t< 6-r Address Address L.li WiJ� CJ (. t Address on unit to be inspected Date 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 5/9/05 Salem Point Limited Partnership 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 25 Ward Street Unit 1-1 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. For the Board of Health �'�-- JoSfie Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector tv CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 06/06/2001 Salem Point Limited Partnership 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 25 Ward Street UNIT # 1-1 Dear Sir/Madam: lel: (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. ;OR THE BOARD HEALTH anne Scc% , MPH,RS,CHO Health Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 293-99 FEE $25.00 DATE: 06/10/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 25 Ward Street OWNER/AGENT: Salem Point L.P. ADDRESS: 102 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1-2 24 HOUR PHONE: 745-4961 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 F HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 a NINE NORTH STREET,'! JOANNE SCOTT, MPH, RS, CHO �..• 1 Tel: (978) 741-1800 i*" HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS 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 a 4A iEk UNIT # _45U_') IS THIS UNIT DESIGNATED AS RIGHT LEFT ERRQ(!I BACK PLEASE CIRCLE ONE .. OWNER/LESSER Salem Point L P MANAGER/AGENT Gal em prof Pity Managers Inc i ADDRESS 109 Tafayette StrPPt ADDRESS L09 To fayette Street CITY Sale MA 01970—CITY —oata.,rMA .01979 # RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 978– 745-4961 1. BUSINESS PHONE 97 R– 745-8071 , 114 TOTAL NUMBER OF ROOMS: –7 4 2. 3. 4. ROOM USE: 5. 6. 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 I INSPECTORS USE ONLY k DATE OF INITIAL INSPECTION DATE OF REINSPEECTION ISSUANCE OF CERTIFICATE: -/� 0 DATE FEE PAID: DATE OF TYPE OF UNIT: DWELLING OTHER__ G��Cr (7 SS3 � 't NOTES: 'a E p CODE ENFORCEMENT INSPECTOR i. 5/19/98 i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HELTH AGENT Tel: (978) 741-1800 Date: 06 /24/98 Fax: (978) 740-9705 Salem Point Limited Partnership 102 Lafayette Street Salem, MA 01970 PROPERTY LOCATED AT 25 Ward Street UNIT # 2-1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit - Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; 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, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH Joanne Scott, MPH.RS.CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°i FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 416-14 DATE ISSUED: 11/3/2014 Property Located at: 25 Ward Street UNIT # 2-2 Owner/Agent: Salem Point Limited Partnership Address: 106 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 IV PublicHea Ith Creven,. Pr"muM. Frotec,. LARRY UNIDIN, RS/RFI-IS, CFIO, CP -FS H [;AI:; LH AG ENP 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 EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN KIi B RLEY DRISCOLL MAYOR LARRP RAMDIN, RS/RF..FIS, CFIO, CP -FS H LAI: Ttt AG BN'I' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON SrRFEI 4 ° FLooR TEL. (978) 741-1800 FAX (971 8) 745-0343 LRAMDIN(O�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 25 WARD ST. SALEM MA 01970 UNIT#.a 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSE SALEM POINT II LIMITED PARTNERSHIP MANAGER/ AGENT NORTH SHORE PROPERTY MANAGERS INC. NO P.O. BOX ADDRESS 106 LAFAYETTE ST. ADDRESS CITY, STATE, ZIP SALEM, MA 01970 CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 4 ROOM USE: LLIV. ROM 2. KITCHEN 3 BEDRM. 4 BEDRM. 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 Inspectors use only Date on initial inspection: �� / �' �1 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check #_Check date: Notes: Code EWrcem6f Inspector KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 tramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 407-14 DATE ISSUED: 11/19/2014 Property Located at: 25 Ward Street UNIT # 3-2 Owner/Agent: Salem Point L.P. Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 lu PablicHea Ith Prcvcnt.r te, Pratcet. LARRY R, NIDIN, RS/REHS, CHO, CP—FS HB„\I;n i AGENT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV bivision3, 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 .LTH LARRY RAMDIN i C HEALTH AGENT SANITARIAN KIIzM RLEY DRISCOLL MAYOR LARRT RAbtDIN, RS/RI;[f IS, CHO, <:P-I:S Huzu rI-[AC]ENT CITY OF SALEM, MASSACHUSETTS Bo:\RU or HEALTH 120 WASHINGI'ON SI REFnT 4"' FLOOR TI;L. (978) 741-1800 EKY (978) 745-0343 LRA,\IDIN@SALGNI.00 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 25 Ward St., Salem, MA 01970 UNIT# 3-2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Salem Point II L.P. MANAGER/ AGENT North Shore Prope Mana ers,lnc. NO P.O. BOX ADDRESS 106 Lafavette Street ADDRESS 102 Lafavette Street CITY, STATE, ZIP Salem, MA 01970 CITY, STATE, ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: ROOM USE: l.Liv. Room 2.Kitchen 3. Bedroom 4.Bedroom 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: ��} Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # 1 d 3 Check date: �� I if Code f rc nentlnspector TE / AA 17 1T 1 . o CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 5S 120 WASHINGTON STREET, 4TH FLOOR a o SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 575-05 DATE ISSUED: 9/19/05 Property Located at: 30 Ward Street UNIT # 1 Owner/Agent: Manuel Vasquez Address: 30 Ward Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4804 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 JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 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 /0 14 l Gv .per 57-, UNIT #_f IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER %%%�H/U�( VA-Sr(l WAAGER/AGENT No P.O. Box '-? No P.O. Box ADDRESS a ADDRESS CITY ,>,,4Z� Q 14 i a CITY RESIDENCE PHONE?%�%S VVdt iSINESS PHONE (24 HRS.) BUSINESS PHONE 'TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1._/< 2. 3. 4. .L7 5.6 6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) D LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. p / APPLICANTS SIGNATURE _DATE 7, INSP TORS USE ONLY DATE OF INITIAL INSPECTION e', - I `( ---t' � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Lcj ti DATE FEE PAID:_I y �G TYPE OF UNIT: DWELLIN OTHER__ CHECK #->-t—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-15-279 DATE ISSUED: 9/8/2015 IVPublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 32 WARD STREET UNIT #1R Owner/Agent: Peter Pretorius Address: 17529 42nd Avenue West City/Town: Lynnwood, WA Zip Code: 98037 24 Hour Phone: (781) 348-3350 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 SANIT,#IAN KT IN 1B F"R LE Y' DRISC CLL Mg OR L.:ARR4Rai�tt.)IIJ, Rti�RJ�715, CF[6, CP -15 HP.AM ij AGHYI' CI ry OF SALEM, MASSACHUSETTS BOARD or HI LTII 120 V est uNc io.x S' l ,t 'i, 4''FLOOR TEL. (978) 41-1500 1:\N. (973) 745-0343 LRAMI)iNo smut m.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 , 1 PROPERTY LOCATED AT, �H f3 - �SG1�1? V1 l M . 019%0 UNIT#�� NO P.O. BOX _ ADDRESS I i 6-2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT O BA. K LEASE CIRCLE ONE GER/AGENT ,LI,e s I S�i0.2t� i3take.� low�e� CITY, STATE, ZIPLSI_ t �f h '�-63 T CITY, STATE, ZIP RESIDENCE BUSINESS PHONE TOTAL NUMBER OF ROOMS:-15— ROOM OOMS:1 ROOM USE: SPNESS PHONE (24HRS) 781-3�f(o 3� SZ7 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 TJME OF INSPECTION APPLICANT'S SIGNA Date on initial inspection: 09 /0 Date of reinspection: Date of issuance of certificate:0 9/0 242n13' Date fee paid: 07/01/2_plS- Type of unit: Dwelling_,,_/_Other Check # LZt Check date: O 3%2Z 12-o S L/z. ,c.. iw �; � ofl2s/is r Inspection of �� 1Oa�✓�I mPs�ti Date ©�U?111.— Time Name LlMaLw.V—Ltt'1lAA. �C_10.d^Yn- Address 3//77pp(�,/ Owner PP�'Pl Pfe}eri�is 1— Tel. No. 1p1 346/�]]-BS70 Type of Inspection �' o�i'I�jci1.�'G n� FI e3S Inspector .,Career & Mcil I ' ) Remarks and Violations are listed below: —. V 'JJL-_ I - I _ _ — . - -` -LI --- ._.- I r a Report Raceived 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-15-255 DATE ISSUED: 8/28/2015 O PublicHtalth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 41 WARD STREET UNIT #2-1 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 825-4018 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 AGENTjooZ SANITARI KINIBERLEY DRISCOLL 1\SAYOR LARR)' R:%NCDIN, RS/TUAIS, CHO, CP -('S llv Au;Cit AGFNT CITY OF SALEM, MASSACHUSETTS BOwtD OFHEALTH 120 k �SHINc FON StlzrEl 47'' FLOOR 1$T.. (9-f 8) 741-1800 f�,3X (978) 745-0343 LRAMD[N[USAHkN1.00M 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 PROPERTY LOCATED AT 41 Ward St., Salem, MA 01970 UNIT# 2-1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Salem Point II L.P. MANAGER/ AGENT North Shore Property Mana erg s,Inc. NO P.O. BOX ADDRESS 106 Lafayette Street ADDRESS 102 Lafayette Street CITY, STATE, ZIP Salem, MA 01970 CITY, STATE, ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24HRS) 978-745-4961 BUSINESS PHONE 978-745-8071 TOTAL NUMBER OF ROOMS: 5 ROOM USE: l.Liv. Room 2.Dinning Rm. 3. Kitchen 4.Bedroom 5. Bedroom THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATU Inspectors use only TE 8/20/15 Date on initial inspection: (0 V2 Date of reinspection: Date of issuance of certificate:C�8,/2_ 'z/20:-$— Date fee paid: �2 i/2915— Type of unit: Dwelling___1/_Other Check # Check date:2%2 Z29�U_ Notes: CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n ' 120 WASHINGTON STREET, 4TH FLOOR CERT.# 169-03 c SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 04/23/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 32 Ward Street UNIT #: 1 Back OWNER/AGENT: Pete Pretorius ADDRESS: 32 Ward Street #2R CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3241 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 THE BOAR�HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 32 ��;; 94nPel+ UNIT #-]- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK LEASE CIRCLE ONE OWNER/LESSER Y64t, Ori US MANAGER/AGENT No P.O. Box. _ ., _ _ No P.O. Box CITY C%Ibm CITY RESIDENCE PHONE Ca 19)70 3 AUSINESS PHONE (24 H BUSINESS PHONE &f_77 907-f®33 TOTAL NUMBER OF ROOMS: 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 ®ff� DATE OF INITIAL INSPECTION DATE OF REINSPECTION `f-, 3 -03 �0_ DATE OF ISSUANCE OF CERTIFICATE:i�,a . -03 DATE FEE PAID: Y'07-0 S TYPE OF UNIT: DWELLINGOTHER_ CHECK # 4�53 CHECK DATE '/7-03 NOTES: f�iA X"acw- 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-16-467 DATE ISSUED: 11/30/2016 10 th Prevent. Promote. ProtccI, Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 32 WARD STREET UNIT #1F Owner/Agent: SGH Management Address: 293 Commonwealth Avenue City/Town: Boston, MA Zip Code: 02115 24 Hour Phone: (617) 307-7777 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 SANITARIAN _Y J<J.NMERLEY DRISCOLL MAYOR LARRY RAMDLN, RS/REHS, CHO, CP -FS HEALTH AGF..NT CITY OF SALEM, MASSA. CIIUS:ET"I'S BOARD OF HEALTH 120 WASHINGTON STREET, 4T" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDI N &SA1.F A1.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" 2 FEE: $50.00 V PROPERTY LOCATED AT 0? � lel/S7 5j //--f, UNIT#�� I/S� THIS UNIT DISIGGNATED AS RIGHT LEFT FRONT OR ACK, PLEASE CIRCLE ONE OWNER/LESSER��r�/�C /S/) MANAGER/AGENT.✓i�C ADDRESS O 7� (?O / �Y1w eMCG/-Y,�h_4 � ADDRESS CITY, STATE, ZIP_L" Y Jla'01� r // /, U 2111 CITY, STATE, ZIP r �j, 7 7 ) 7 RESIDENCE PHONE BUSINESS PHONE (24HRS) 61 ? -, /J� 7 17' BUSINESS TOTAL NUMBER /OF ROOMS: ROOM USE: 1. ! %/ 2. 7 3.171 4. L / 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE OF INSPECTION APPLICANT'S SIGNATUR DATE i ,,�� // Inspectors use only Date on initial inspection: 2�/2QU Date of reinspection: Date of issuance of certificate:Uf29f 9 Date fee paid: 11.12 -No Type of unit: Dwelling ✓ Other Check I/7 r t i . f, r r r i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO Date: Hl�,tYTM(§�NT Plum -Dent Realty Trust 18 Hawthorne Boulevard Salem, MA 01970 PROPERTY LOCATED AT 30 Ward 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. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; 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, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (978) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, OR THE BOARD O HEALTH G17�-�C Joanne Scott, MPH,R.S,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 171-03 I o SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 04/23/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 32 Ward Street OWNER/AGENT: Pete Pretorius ADDRESS: 32 Ward Street #2R CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 Front 24 HOUR PHONE: 744-3244 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 THE BOARD OF HEALTH 0 �ESCOTT. MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i STANLEY LISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-t 800 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 3,_2UNIT # 2 IS THIS UNIT DESIGNATED AS RIGHT LEFT IFRONT BLACK PLEASE CIRCLE ONE OWNER/LESSER Ib% &-lXi0S MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS .3Z WCA-,7Apt 2 P ADDRESS CITY 5006m CITY RESIDENCE PHONE-3Z'i BUSINESS PHONE (24 HRS.) BUSINESS PHONE i �/ J ��.�� In KIMBERLEY DIUSCOLL 1NLIYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4` FLOOR TEL.. (978) 741-1800 Fr1x (978) 745-0343 1Lamdin(asalem.com CERTIFICATE OF FITNESS CERTIFICATE # 451-12 DATE ISSUED: 12/5/2012 Property Located at: 32 Ward Street UNIT # 2 R Owner/Agent: Peter Pretorius c/o Linda's Rental Address: 140 Elliott Street Ste. 5 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 617-283-6184 I IV PublicHealth YmvcN. Promote. Protect. LARRY RAMI)IN, RS/ILEI-IS, CHO, CP -I -S I-II'',41.1'I-I A(; ]:;NT 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 LARRY RAMDIN HEALTH AGENT 4 K1 MBE,RI .EY DRIS(;OLI. MAYOR L:Aiun RAMI) 16/R I { I IS, CI10, CP -FS HF:;\l:CIIA kNC CITY OF SALEM, MASSACHI�SETTS BOARD OF HF,AimI 120 tib' 1SHING ON S C u i 4''' Fi,oOR EL. (97 8) 741-1800 F_vN ()78) 745-0343 .RAMDIN C�SALI:M.CON 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. IS T1 NO P.O. BOX UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE NAGER/AGENT m CITY, STATE, ZIP InYll> � (0 Pr ggO3*CITY, STATE, ZIP 7` DS l �2 1) RESIDENCE PHONE A1) V%' BUSINESS PHONE (24HRS)O" +i ay - 6d - BUSINESS PHONE (�1:1-2—!0 Bl' -WV_ TOTAL NUMBER OF ROOMS: �1 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 PAYABLEIAT THE TIME OF INSPECTION APPLICANT'S SIGNA' Inspectors use only Date on initial inspection: IC i Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling -Other -Check # �� Check date: Inspector TE Z).z