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WARNER STREETKimberley 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 lramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-365 DATE ISSUED: 11/3/2015 Property Located at: 1 WARNER STREET UNIT #1 Owner/Agent: Barry Lyons Address: 124R Holworthy Street City/Town: Cambridge, MA Zip Code: 02138 O PublicHealt 1 Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (617) 755-7348 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 c SANITARIA Nideos0000t @4tiAaa. KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, ILS/RMS, Clio, C.P-hS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 1j AMl)1N@S&9M.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 ATL IS THIS UNIT NO P.O. BOX AS RIGHT LM FRONT OR BACK PLEASE C@CLE ONE iILMVr ■ A.. �2 �� r CITY, STATE, ZIP , g CITY, STATE, ZIP Sala., Aa 01970 RESIDENCE PHONEJ& 5- BUSINESS PHONE (24HRS) <Zr_ Sal '�- MZ BUSINESS PHONE TOTAL NUMBER OF ROOMS: (o 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 TRAE OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: (S%� Date of reinspection: L�f k,) ? IS_ Date of issuance of certificate: I_D 20Date fee paid:6yLS/ZDZ� Type of unit: Dwelling—\ZOtherCheck # 1 lCheck date: 0V-1 22013- Notes: Op., A+F61I ),t!yln r� r rror.�, / .NA, MAP Inspection of Name Owner Type ( ' I Remarks and Violations are listed below: Date ��Time )U, ) pm r� Address pp p Tel. No. JO\/—//��Rql�� /�7 Q Inspector �1Z e v Ra /'ofy Report Received by: SEARS HOME SERVICES NEN ENGLAND SER!QCE DIST, 266 ROUTE 125 KINGSTDN. NH 03848 (800) 4MY-HOME Sears #: 0007670 Oct 27, 2015 Technician ID: 0805721 Service Order Number: 42306150 BARRY LVONS 1 WARNER ST # NONE SALEM, MA 01970 (617) 755-7348 MDSE: PREMIUM RANGE DOUBLE GUEN Brand Name: KENMORE Model Number: 3627271193 Serial Humbert 4G107534P Service Requested: HIICS,BURNER IS HOT WOKRING Technician Comments: Notes: ordered value for no burner cond Labor Performed - Collect: Value, Surface Burner S 144.00 Labor Sub -Total S 144.00 Net Labor S 144.00 Tax on Labor S 0,00 Total Labor S 144.00 Parts Required - Collect: SUB SUB ULU fiff 22 364 WB21K40 1 S 34178 Parts Sub -Total S 38,78 Net Parts S 34.78 Tax on Parts S 2,17 Total Parts $ 36,95 Original Estlnate: S 180,95 Grand Tota li S 180:95. Customer Total: S 180.95 Pre -Paid Amounts -S 0.00 Customer Amount Due: S 180,95 Total Amount Collected Today: S 180.95 Master Card Payment S SBB.% Account # RKMRRRIiR}iKlgi3368 Thank you for calling SEARS ROME SER:JICES XXkkk%xxkkkkk%xkkk%xzk%%x%%kk%kkkkxkkk%x SAUE THIS RECEIPT %%kX%%k%kkk%Xkk%x%%x%N%k%kN%kXNNNkkkNXNk Ordered Parts Required for Completion of PREMIUM RANGE DOUBLE GUEN kX%XXXX%kkkxkkkkxXkk%XkkkMXXNkkkkxkkkkxk Oty Description Part# 01 SUB SUB ULU BRNR WB21940 XkkkkkkkXXkkXXXkkXXkkXXXXXzk%kkkXxkXkk%X 1115(e cit� CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH e. 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 476-04 DATE ISSUED: 10/19/2004 Property Located at: 2 Warner Street UNIT # House Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5135 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH {( JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR e STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 - JOANNE SCOTT, MPH, RS, CHO . HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". r* 16/ PROPERTY LOCATED AT `(--o✓%L ✓Z 5 h UNITlclg?�Z_1114v az IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER)—/fV,!�4'20--Kf'zr MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY !!� A' L6 m CITY 0 /l7u RESIDENCE PHONE Mr JY) - Q3S_BUSINESS PHONE (24 HRS.) BUSINESS PHONE Sr/rt - TOTAL NUMBER OF ROOMS: / ROOM USE: 1. t 2 L161 3 51y�/?erfn 6.� 7.1I/2l ��1 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 10 - /? -0 T DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 0 -/ 'U eDATE FEE PAID:—/ 7 TYPE OF UNIT: DWELLIN_OTHER_ CHECK # �? 8 5 Q CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 i STANLEY J. UISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT May 8, 2003 John Riley 3 Warner Street Salem, MA 01970 PROPERTY LOCATED AT 3 Warner Street It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. — 7:00 p.m. and Friday 8:00 a.m. — 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. For the Board of Health Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector f u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR T'EL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGRF71;.NBAUM@SAJE%4.00M DAVID GRT."UNBAUM, RS ACTING Hi;,AL;ri-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE # 564-10 DATE ISSUED: 11/29/2010 Property Located at: 4 Warner Street UNIT # Owner/Agent: Neil Cornacchio Address: 77 Memorial Drive City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-2676 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 �ow A�� DAVID GREENBAUM, RS ACTING HEALTH AGENT COD FORCEMENT INSPECTOR IQMBERLEY DRISCOLL MAYOR DAVID GRIsENBAUM, RS ACTING HF.A1,1`H AGENT CITY OF SALEM, MASSACHUSETTS 13OARD OF HEALTH 120 WASHINGTON S IZF ET, 4"' FLOOR TFL. (978) 741-1800 FAX (978) 745-0343 D(;RF,kNBAUM Sm,e:,%1. 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 Lf - I00 "-e (r S� IS THIS UNIT DISIGNATED AS RIG tq a OR BACK, PLEASE CIRCLE ONE OWNER/LESSER V�-,vk- MANAGER/ AGENT NO P.O. BOX_,— _ CITY, STATE, ZIP S 1 til SSS CITY, STATE, ZIP_ RESIDENCE PHONE 7S'� ��/Y-��Z� BUSINESS PHONE (24HRS) BUSINESS PHONE' -46 TOTAL NUMBER OF ROOMS:— ROOM OOMS: 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 PAYM�tE AT THE TIME OF INSEECTION 09UIIC90,40 If.9 DATE Inspectors use only Date on initial inspection: _1_,. Date of reinspection: ---------1 Date of issuance of certificate:_( o) k (] Date fee paid: za / Type of unit: Dwelling -3Z -Other Check # :g(p 21 Check date: /2- / / , Notes:ylulh h (ayW,1 on p�'� ,0r. Of USI 1-F ��� Code E1 orce entInspector CITY OF SALEM, MASSACHUSETTS N"-BOARD OF HEALTH 120 WASHINGTON STREET, 4"" FLOOR TEL. (978) 741-1800 KIMI3ERLEY DRISCOLL FAX (978) 745-0343 MAYOR DcarLEM3AUM@q AI.,EM.COM DAVID GRF.I'?NBAUM, RS ACTING HEAL-'Ff i AGENT CERTIFICATE OF FITNESS CERTIFICATE # 124-11 DATE ISSUED: 4/27/2011 Property Located at: 4 1/2 Warner Street UNIT # 1 Owner/Agent: Neil J. Cornacchio Address: 77 Memorial Drive City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-2676 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 ✓'�ARP OF HEALTH - DAVID GREENBAUM, RS` ACTING HEALTH AGENT COENFOFZCWENT INSPECTOR KI114BERLEY DRISCOLL MAYOR DAVID GREENBAum, RS ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W11sHINGPON STREET, 4"' FLOOR TSL. (978) 741-1800 Ekx (978) 745-0343 DGREENBAUN10a 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." ql/a FEE: $50.00 PROPERTY LOCATED AT IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CHICLE ONE OWNER/LESSER c &, • CrWKL` -e ,,) MANAGER/ AGENT NO P.O. BOX ADDRESS T• ADDRESS CITY, STATE, ZIPSj4(e-. , CITY, STATE, ZIPY✓ht�c% D RESIDENCE PHONE G/¢` �BUSINESS PHONE (24HRS) Z7`a/ ,'q-�? (3 BUSINESS PHONE S57 7013 TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, BOARD OF HEALTH THIS FEE IS PAY, APPLICANT'S SIGNA Date on initial inspection:as/,/� Date of issuance of certificate: YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM AT THE TIME OF Inspectors use only Type of unit: Dwelling Other Check # Co nforcement Inspector Date of reinspection: Date fee rI TE ( co r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ����A1FlE TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 4.5 Warner Street OWNER/AGENT: Neil Cornacchio ADDRESS: 4 Warner Street CITY/TOWN: Salem, MA ZIP CODE: 01970 CERT.# 598-02 FEE $25.00 DATE: 11/22/2002 UNIT #: Left 24 HOUR PHONE: 744-2676 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a 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 UNIT # 0 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERdrt-,1�CoCM(.�-CC�, ,-O MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY< r -7y\ IcL� CITY, RESIDENCE PHONEq7l' 7f(F ZJ76 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOM,y�S� ROOM USE: 1.L.'V` "L - - 3. 4. 5. 6. 7 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR ck ur DATE p 10 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 11 )Z o Z DATE OF REINSPECTION DATE OF ISSUANCE OF CER,TIFFIICATE:.1L,�,}DATE FEE PAID: // - a z a TYPE OF UNIT: DWELLING LUTHER_ CHECK # SCHECK DATE _L__,. o CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 6 Warner Street OWNER/AGENT: Susan Fabiano ADDRESS: 8 Warner Street CERT.# 291-99 FEE $25.00 DATE: 06/10/99 UNIT #: House CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1799 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400(C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: - NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW. FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ct"rnllfr -SrUNIT#_11vV5, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER A q7uj31A/(/J MANAGER/AGENT No P.O. Bo r. ^ No P.O. Box ADDRESS V ware ST ADDRFSS R (11xrPLtA S� CITY ca& m AAjA CITY. RESIDENCE PHONECn. 11.4-1Zj, BUSINESS PHONE (24 HRS.) BUSINESS PHON TOTAL NUMBER OF ROOMS: ROOM USE: 1 4. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / / APPLICANTS SIGNATUREJ&00 DATE 6-10-97 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6' A0 ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELL ING(OTHER_ CHECK # 4f 5-7 CHECK DATE (2 __'"C 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-15-69 DATE ISSUED: 5/7/2015 Property Located at: 10 WARNER STREET UNIT #1 Owner/Agent: Zoila Marquez Address: 10 Warner Street #2 City/Town: Salem, MA Zip Code: 01970 11 PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 741-1899 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 i CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH PI1bPC IiC81tYl 120 WASHINGTON STREET, 41" FLOOR P.===^_. Promote. Protect. TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdin@Salem.com LARRY RAMDIN, RS/REHS, CHO, CP—FS MAYOR HEALTH 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 AT 10 Warner St Salem, Ma 01970 ### UNIT# 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER Zoila Marquez MANAGER/ AGENT Joan Y Mason NO P.O. BOX ADDRESS 10 Warner St ADDRESS 50 Dodge St CITY, STATE, ZIP Salem.Ma 01970 CITY, STATE, ZIP Beverly.Ma 01915 RESIDENCE PHONE 978-741-1899 BUSINESS PHONE (24HRS) 978-882-4309 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOM USE: l.living room 2.dinner room 3.kitchen 4.bathroom 5.bedroom 6.bedroom 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA Inspectors use only Date on initial inspection: 5� 15 Date of reinspection: Date of issuance of certificate: _ Date fee paid: Type of unit: Dwelling Other Check #_Check date: 3 d (Jl 7 C� # 15 -C�