WASHINGTON SQUARE EAST NORTH SOUTHf
WASHINGTON SQUARE
EAST NORTH SOUTH
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
Fax: (978) 740-9705
03/19/2001
Washington Square North Trust, John Wilkinson, Trustee
18 Mt. Vernon Street #1
Boston, MA 02108
PROPERTY LOCATED AT 39 Washington Square North UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105.CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
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 DepartmentofPublic 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, F HEALTH
Joanne Sc tCHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 11/12/98
Washington Square North Trust, John Wilkinson, Trustee
P.O. Box 736
Damariscotta, ME 04543
PROPERTY LOCATED AT 39 Washington Square North UNIT # 1F
Dear Sir/Madam:
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. to noon.
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.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OFF HEALTH
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
Fax: (978) 740-9705
03/19/2001
Washington Square North Trust, John Wilkinson
18 Mt. Vernon Street #1
Boston, MA 02108
PROPERTY LOCATED AT 39 Washington Square UNIT # 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has been proven to exist.
OR THE BOf4/H
oanneSco , MPH,RS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
STANLEY J. USOVICZ, JR.
MAYOR
Mary Curtin
45 Washington Square No
Salem, MA 01970
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
10/21/04
PROPERTY LOCATED AT 45 Washington Square Unit North
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 Board of Health / Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
,r 'i
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF H&j LTH
120 WASHINGTON STREET, 4... FLOOR
TEL. (978) 741-1800 FAX (978) 745-0343
lramdinna salem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 203-14
DATE ISSUED: 5/20/2014
LARRY RAMIAN, RS/RI IS, CHO, CP -FS
I-IFAJ; r1 -I AG UNT
Property Located at: 53 Washington Square North UNIT # 2A
Owner/Agent: Nancy Antell
Address: 173 Rosecliff Lane
City/Town: Manchester, NH Zip Code: 03109 24 Hour Phone: 978-771-1949
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 11" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
^ FOR THE B RD OF EALTH
LARRY RAMDIN
HEALTH AGENT
SANITARIAN
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
05/02/2001
Shawn Shea
108 Broadway
Salem, MA 01970
PROPERTY LOCATED AT 70 Washington Square E
Dear Sir/Madam:
UNIT # 1
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m.- 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has been proven to exist.
OR THE BOARD. HEALTH
Joanne Scott, MPH,RS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
h -
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll www.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 49-07
DATE ISSUED: 2/1/2007
Property Located at: 72 Washington Square East UNIT # 1
Owner/Agent: Nancy Sachetti
Address: 72 Washington Square East #2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-756-2162
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
u CITY OF SALEM, MASSACHUSETTS (
BOARD OF HEALTH
3 a, 120 WASHINGTON STREET, 4TH FLOOR
9c, SALEM, MA 01970
yB' TEL. 978-741 -1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /� GcJL�S� W01(e_ e oN UNIT #
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER CV ( J QC�2-T}"7 MANAGER/AGENT r% Q
No P.O. Box ' No P.O. Box
ADDRESS R Q/7? 2 — &17,,'T z9 ADDRESS
RESIDENCE PHONE Ok 5�ryiy93 BUSINESS PHONE (24 HRS.) 791- 1'S6'2101Z
BUSINESS PHONE fie// 9Tg- 77/--73a 9
TOTAL NUMBER OF ROOMS -v /,5 G
ROOM USE: 1._ZaZ�o, 2. )i✓fir/ 3. f/C/1 4. 131
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 SIGNATURE `LI&ne 4S44-�;-' DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: Z - /-0) DATE FEE PAID: -2- /�aq -
TYPE OF UNIT: DWELLINGt/6THER_ CHECK 4 77 CHECK DATE 2i/ O�
NOTES:?Roy,D6 R 3A)G6-t,�)i
gam- (,AIR
CODE EN RCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
3/6/06
Alan Sherr
12344 1st Fork Road
Los Gatos, CA 95033
PROPERTY LOCATED AT 74 Washington Square Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross -metering has been proven to exist.
9F the Board of HZanne SMPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 06/24/98
Janice & Lewis Conrad
411 Lafayette Street
Salem, MA 01970
PROPERTY LOCATED AT 74 Washington Square East UNIT # 3
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. (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
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT 120 Washington Street
07/24/2001 Tel: (978) 741-1800
Fax: (978)-745-0343
Joseph Skomurski
4 Norwich Road
Danvers, MA 01923
PROPERTY LOCATED AT 78 Washington Square UNIT # 3rd floor
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has been proven to exist.
R THE BOARD HE L H
(Joanne Scott, MPH,RS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
CERT.# 5-00
FEE '$25.00
DATE: 01/03/2000
NINE NORTH STREET
Tei: (978) 741-1800
Fax: (978) 740-9705
PROPERTY LOCATED AT: 78 Washington Square Hast UNIT #: 4 -2nd Left
OWNER/AGENT: Joe Skomurski
ADDRESS: 4 Norwich Road
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-1823
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
w
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 ' 1 (1 � R4I A1�y\ S \ �UNIT # �2
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER-70C SKomyyS,K\ MANAGER/AGENT
No P.O. Boxj No P.O. Box
ADDRESS 4 NoVW1(-4 (LA ADDRESS
CITY I?AhVAt S, AAA— 6197-3 CITY
RESIDENCE PHONE 'ffl- -lr"t-1B73 BUSINESS PHONE (24 H
BUSINESS PHON
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. �vlh 2. 3. Kl�� 4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HE TH DEPARTMENT T IS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE 3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION I- 3 — 0 a DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: J D6 DATE FEE PAID: — 0D
TYPE OF UNIT: DWELLING OTHER_ CHECK # /3 96 CHECK DATE a
Nf1TF4
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
CERT.# 481-97
FEE $25.00
DATE: 07/24/97
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
PROPERTY LOCATED AT: 78 Washinaton Square East UNIT #: 5
OWNER/AGENT: Joseph A. Skomurski
ADDRESS: 4 Norwich Road
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-1823
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT ( )
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
V THE BOARD/ Off' HEALTH -
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY: CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
S� � U -
PROPERTY LOCATED AT 1k)( -tit �`� UNIT I
OWNER/LESSERAAnn SKOmv, s1�1 MANAGER/AGENT
ADDRESS {/]
4 IVoYu11c�� ��1, ADDRESS
CITY �oihu%1. S / �' q .• CITY _
RESIDENCE PHONE $0fr-717"/8Z3 BUSINESS PHONE (24 HRS.)_
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_,
ROOM USE: 1. UiH 2. !d'" -t 3.� 4. 07
5. t _6. 104 7. 8.
THERE IS A TWENTY-FIVE (25.00)
CITY OF SALEM* HEALTH/M_%RTMEN
APPLICANTS
DOLLAR FEE, PE
7HIS FEEIrS ]
INSPECTORS USE ONLY
BY CHECK OR MONEY ORDER TO THE
AT THE TIME OF INSPECTIONN
DATE_ z L / —
DATE OF INITIAL INSPECTION:2/�Y--ee -7 DACE OF REINSPECTION _
?
DATE OF ISSUANCE OF CERTIFICATE: _� DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
R F T. F. A S F.
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts
Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author-
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, i_
/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection. - /
TENANT/LESSEE
ADDRESS
ADDRESS
.v A4'A'W� �'q 601,
ADDRESS OF UNIT TO BE INSPECTED � F/
3
�7-Z/q
li.4TE — - --
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
2/22/05
Castine Realty Trust/Thomas O'Donnell
80 Washington Square East
Salem, MA 01970
PROPERTY LOCATED AT 80 Washington Square East Unit 4
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross -metering has been proven to exist.
F r the Board of Health
Joanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
JOANNE SCOTT gMGPEH, RS, CHO
HR6
Date: TA3 98NT
Christopher Albanese
420 East Ohio Street #13D
Chicago, ILL 60611
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 0 970-3928
qK
PROPERTY LOCATED AT 82 Washington Square East 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_ChapterS111,=SSections 127A and 127E, of
the MassachuseCt'S`•'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 REPLY TO
'Joanne Scott;'MPH,RS,CHO; PABLO"VALDEZ ..
HEALTH AGEN'I' " " � � �" CODE- ENFORCEMENT INSPECTOR
CITY OF SALEM
HEALTH DEPARTMENT
NINE NORTH STREET
SALEM, MASSACHUSETTS 01970-3928
C—ftSE-WER
tG DEAROORN
WrrFMPTED NOT KNOwX
Christopher Albanese
420 East Ohio Street #13D
Chicago, Ill 60611
0
JUN24'98 0
U.S. POSTAAF
8415454
YFEaVED
JUL 6 - 1998
CITY OF SALEM
HEALTH DEPT.
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
CERT.# 508-97
FEE $25.00
DATE: 07/31/97
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
PROPERTY LOCATED AT: 96 Washington Square East UNIT #: 3
OWNER/AGENT: Emma Toomey
ADDRESS: 96 Washington Square East
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0055
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410;000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN jHABITATION".
PROPERTY LOCATED AT ��/L/i�� UNIT �-
ADDRESS
CITY
RESIDENCE PHONE �J
BUSINESS PHONE���
TOTAL NUMBER OF ROOMS._t�
ROOM USE: I. 2. 3.
F'.
0
7.
AGENT
)�-, ADDRESS ala /
CITY
BUSINESS PHONE (24 HRS.) _
4.
up
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_�� C
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: 3 � � DATE OF REINSPECTION
DATE OF ISSUANCE OF CE.RTIFICATE:� 31-1�7— DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
Y
,�corrol CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
` 120 WASHINGTON STREET, 4TH FLOOR CERT.# 152-02
j s SALEM, MA 01970
FEE $25.00
gq�dif TEL. 978-741-1800 DATE: 03/20/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 98 Washington Square Hast UNIT #: 1
OWNER/AGENT: Hemlock Land LLC
ADDRESS: 30 High Street, Suite 400
CITY/TOWN: Medford, MA. ZIP CODE: 02155 24 HOUR PHONE: 595-0100
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION--
SECTION
ABITATION"SECTION 410.400. (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. 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 - 120 Washington Street
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: (978)-745-0343
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT V INAf`'JNErP_1 S?. LAf UNIT #�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER /1e1%Ldc/C' 406 L" MANAGER/AGENT-</i/APc% / 9 IA:! y 141W, Z�4.
No P.O. Box No P.O. Box �/
ADDRESS'�O/S/'M l i 4ai7e WO ADDRESS( QG*
CITY__ CITYJ ���/'1Jc�,,4 0/9107
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 7P/ .III" 0/c/0
BUSINESS PHONE b/ /7 ip7`yV
TOTAL NUMBER OF ROOMS: <__
ROOM USE: 1. 2.-3.-4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HE LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE 6 DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION Z DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 7, _?10 0 �
TYPE OF UNIT` DWELLING THER_ CHECK # _CHECK DATE 3_-_ o c7"L�
NOTES:
CODE ENFORCEMENT INSPECTOR
= 4 - ��' � r ti.v'+tx +, '+-r„w Yaw �-:, -c- �`� =v � '.�j �, '..^',�•-r=.--.-�--+-.<
t ,
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERT.# 326-00
FEE $25.00
DATE: 05/25/2000
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
Fax: (978) 740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 98 Washington Square East UNIT #: 1 Right
OWNER/AGENT: Hemlock Land LLC
ADDRESS: 30 High Street, Suite 400
CITY/TOWN: Medford, MA ZIP CODE: 02155 24 HOUR PHONE: 595-0100
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
3a6 "a
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 G�JgSh��C�f Dh J UNIT # /
IS THIS UNIT DESIGNATED
FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERIJ���M/Ott Q/?d MANAGER/AGENT �, / v/
ADDRESS X�d irlCl� �Sf SUi �iSU ADDRESS ��' 86X A5 G j.
CITY / ' LLYI �/ CITY SGVL/ ps /V
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)N/)5
BUSINESS PHON
TOTAL NUMBER OF ROOMS:3 / o
ROOM USE: 1. 2. 3. 4.
THERE IS A TWENTY-FIVE ($25.00 DOL R FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM TH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
-Zz-ou
r X09
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 6� )- <- 02 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ted' 'o DATE FEE PAID :6-'-',;-C` -�
TYPE OF UNIT: DWELLING OTHER_ CHECK #_CHECK DATE _ �?
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: 98 Washinaton Square East
OWNER/AGENT: Hemlock Land LLC
ADDRESS: P.O. Box 181
CITY/TOWN: Swampacott, MA ZIP CODE: 01907
CERT.# 31-00
FEE -$25.00
DATE: 01/18/2000
NINE NORTH STREET
Tel: (978) 741.1800
Fax: (978) 740-9705
UNIT #: 3
24 HOUR PHONE: 595-0100
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 TT, MPH,RS,CH0
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
31-0
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 -/d w�f��N6l° SP. CAfI UNIT #3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERr/�mloUC [bNa Lc t MANAGER/AGENT �W A�"7 "r/y
#2
No P.O. Boxp No P.O. Box
ADDRESS( 9C'X la ADDRESS
CITY / 1 �F /Vp.f w7T CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) %�/ J_� f 0100
BUSINESS PHONE %y/ f7 f o'00
TOTAL NUMBER OF ROOMS: J
ROOM USE: 1. //� 1 2. L 7 y 3. e J 4.
5. 6. 7
THERE IS A TWENTY-FIVE ($25.0
ORDER TO THE CITY OF SALEM
TIME OF INSPECTION.
APPLICANTS SIGNATURE
PAYABLE BY CHECK OR MONEY
TMJENT THIS FEE IS PAYABLE AT THE
11/1"P/o0
n.,�oti �/��p�.u7r km
DATE OF INITIAL INSPECTION 1 -[.� - 0 b DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: - B -00 DATE FEE PAID:,
TYPE OF UNIT: DWELLINGOTHER_ CHECK # 8 8 9 CHECK DATE - O v
CODE ENFORCEMENT INSPECTOR
9/28/98
• a CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"" FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR DGRBBNI+AUM@SAra'-,%I.CO\I
DAVID GREENBAum, RS
ACTING HF.ALTI-l. AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 16-11
DATE ISSUED: 1/11/2011
Property Located at: 98 Washington Square East UNIT # 5
Owner/Agent: Melba Apartments
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 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
FORTH HEALTH
I
lk
DAVID GREENBAUM, RS
ACTING HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
KIMBERLEY DRISCOLL
MAYOR
DAVID GREE:NBAUNI, RS
ACTING HEM.Ti-i AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON S1"REi-,,T, 4°1 FLOOR
THI,. (978) 741-1800
FAX (978) 745-0343
DGRITNBAUNI&AIEM.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."
PROPERTY LOCATED AT
NO P.O. BOX
IS THIS UNIT DISIGNATED AS
r'1-
E..f ,X"-
5
OR BACK, PLEASE CIRCLE ONE
ER/ AGENT S 6f A 64-Ql
CITY, STATE, ZIP r'\ 0f 2,/2 CITY, STATE, ZIP.
RESIDENCE PHONE? F S3 -01 I BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK' R MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE A THE TIME OFSPECTION /
APPLICANT'S SIGNATURE t DATE
Inspectors use only
Date on initial inspection: I I 1 (I I Date of z
Date of issuance of certificate: n 1 I Date fee
Type of unit: Dwelling L�Other Check #' Check
&
Notes: .4 WA /1 /iU//L kD� VijaI e l- , V1 n/lii a Mrd H Ute
tr� ,yrnOe ( ch-1nv,
Colle Enfor ment Inspector
CERTIFICATE OF FITNESS
CERTIFICATE # 327-05
DATE ISSUED: 5/26/05
Property Located at: 98 Washington Square East UNIT # 7
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 24 Hour Phone: 781-279-2323
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 NE SCOTT, MPH, RS, CHO
HEALTH AGENT
i
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
I
BOARD OF HEALTH
s a
3 .
120 WASHINGTON STREET, 4TH FLOOR
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 # 327-05
DATE ISSUED: 5/26/05
Property Located at: 98 Washington Square East UNIT # 7
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 24 Hour Phone: 781-279-2323
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 NE SCOTT, MPH, RS, CHO
HEALTH AGENT
i
CODE ENFORCEMENT INSPECTOR
.o
e �
3
9�
STANLEY USOV ICZ, 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. r
HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
CITY OF SALEM
BOARD OF HEALTH/
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". j
PROPERTY LOCATED AT 9 !r✓/QS�1�n �^ S%' 67-A Sr UNIT#
IS THIS UNIT DESIGGNATE/D AS RIGHTT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER AA , Gil4+ t/ MANAGER/AGENT 5�d ✓'^�
No P.O. Box/ No P.O. Box
ADDRESSw .414/ Dr -J A v a ADDRESS
CITY � Tij n -A ca vI- I ✓ AA . G at 9 dCITY
RESIDENCE PHONE7Y/ ool!%a'3a3 BUSINESS PHONE (24 HRS.) Sd✓/u
BUSINESS PHONE SA /^^-
TOTAL NUMBER OF ROOMS:_ pp
ROOM USE: 1. k, kGNRn 2
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. 'M
APPLICANTS SIGNATURE
�'�l _DATE 15/117465
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION li •- 1 V •O )_ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: " /W -y3 DATE FEE PAID:_ ,S — fs- — & 3^
TYPE OF UNIT: DWELLING/Iw I HER__ CHECK #0 0 Y CHECK DATES _7_f o )-
CODE ENFORCEMENT INSPECTOR 9/28/98
STANLEY USOVICZ, JR.
MAYOR
C& OF SALEM, MASSACHUSAS
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
RELEASE
In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts
R:!gulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of
the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author-
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized SW -1-5
ffrom any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
0'n1 ER/LESSOR.
ADDRESS
9 U (AIA S ) i�)T_Dv ��- �AIrr- /
ADDRESS OF TN k TOB E, INSPECTED
S 11.&1 o S
DATE.
STANLEY J. USOVICZ, JR.
MAYOR
Melba Apartments LLC
6 Abion Avenue
Stoneham, MA 02180
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
4/27/05
PROPERTY LOCATED AT 98 Washington Square Unit 7
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.
"Fpr the Board of He th
Joanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
C
m
� r �
STANLEY J. 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
November12, 2003
Hamlock Land LLC
40 Appleton Street
Cambridge, MA 02138
PROPERTY LOCATED 98 Washington SQ East Unit # 7
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 $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross -metering has been proven to exist.
Fo the Board of Health
/ — --�
Joanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
K1MBF.RLEY DRISCOLL
MAYOR
DAvtD GRuFNg1A UM
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD.OF. HEALTH
120 WASHINGTON STREET, 4"4 FLOOR
TSL. (978) 741-1800
FAX (978) 745-0343
DGR H EN BAU M&ALEMA70M
CERTIFICATE OF FITNESS
CERTIFICATE # 157-10
DATE ISSUED: 4/7/010
Property Located at: 98 Washington Square East UNIT # 8
Owner/Agent: Mdba-Apartnlents
Address: 6 Albion Avenue
City/Town: StoneharF�,-tvfA--Zp-6ode; 4-Z180-24•H"ne:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance-105=CW 4W,000::..Massashusetfs state-SanitaFy Coder €hapt II"
Minimum Standards of Fitness for Human Habitation".
Tberefore, this Cer#fiGate-4sissded cede EnisreemertFDivisien ekhe Salem B7rl of
Health and the unit may now be rented and/or occupied.
Maximum Number-of-Gmupaats, must Gamply with 105€M94�000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
i$ later.
This Certifieateof-Fitness-4s4a4dr oalyif-there is-avalid-Certiacataef Oosueancv.
FOR THE BOA D OF -HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT" CODE ENFOWEMENT INSPEOTOR'-
KIMBERLEY DRISCOLL
MAYOR
DAVID GREENBAUM,
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
DGRFA,NBAU,Nf ,SALEM. COM
� 57-&
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FE/E: $50.00 /`
PROPERTY LOCATED AT % U (/VCCcS`j JN �/—tsy� C7 4- Af'� UNIT#
IS THIS UNIT DISIGNATEDj ASR HT LEFT FR NT OR BACK. PLEASE CIRCLE/ONE /
OWNER/LESSER 1�4 4ct/`�-M�(✓� MANAGER/AGENT yC-/// Gh a,6Z 1 -t1 -j f /
NO P.O. BOX /
ADDRESS CIJvJ /P-_ ,/ ADDRESS c�
CITY, STATE, ZIP cS791195-3-011
iG � �h '° ' . i'I// ✓� ` CITY, STATE, ZIP
! �%✓Z %r/ 0
RESIDENCE PHONE 91 19 S.3 — 0// BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER
//O��F//ROOMS: nn ,,
ROOM USE: 1. lSi t 2. L V RM 3. /�5-t'(Vv�
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION I ,
APPLICANT'S
Inspectors use only
Date on initial inspection: h / U Date of reinspection:
Date of issuance of certificate: &Date fee paid: Ll �O
Type of unit: Dwelling Other Check # c 0.3 Check date: _c7 �O
Notes
Code Enforce"mat Inspector
O;
7116
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
05/03/2001
Hemlock Land LLC
40 Appleton Street
Cambridge, MA 02138
PROPERTY LOCATED AT 98 Washington Square East UNIT # 9
Dear Sir/Madam:
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative .
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive tothedate of initial
occupancy in cases in which cross -metering has been proven to exist.
R THE BOARD Oyy HEALTH
?oanne Scot , MPO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
o BOARD OF HEALTH
a 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 277-06
DATE ISSUED: 5/31/2006
Property Located at: 98 Washington Square East UNIT # 10
Owner/Agent: Michael Hill
Address: 6 Albion 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.
FO T�RD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 '
JOANNE SCOTT, MPH, RS, CHO -
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS /FOR HUMAN HABITATION".
PROPERTY LOCATED AT / i WAS A /4 47%1,J �✓�S� UNIT
�/
016
IS THIS UNIT DESIGNATED AS RIGHT LEFTFRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER /V! / GA ��! 1 / MANAGER/AGENT
No P.O. Box ) / No P.O. Box
ADDRESS .Ci///a1l1AJ �VB /ADDRESS
CITY JrdAelAAA j,n c�aiBL¢ITY
RESIDENCE PHONE SVIN-C ' BUSINESS PHONE (24 HRS.)
BUSINESS PHONE7 9/— 9S 3-W /
TOTAL NUMBER OF ROOMS: L'V!''l 2�/i ,0dro" ki~•C6dC Z/4
ROOM USE: 1`/ V//) 2.-3.-4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. C /
APPLICANTS SIGNATURE G DATE_
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATES' -5/-0 L DATE FEE PAID:!
TYPE OF UNIT: DWELLIN4 /OTHER_ CHECK #% 7�CHECK DATE
CODE ENFORCEMENT INSPECTOR
9/28/98
0
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, R5, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
RELEASE
In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts
Rrogulatior,s 410.000 et. seq.; State Sanitary Code Chapter TI and Article XIII of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, !/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any less or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
n
�.I/ LL.,SE.
.��V SEH V OWNER/LESSOR
_l
A141 6,_r
ADU!iGSS ADDRESS
ADI1RRSS OF UNIT _IlI) l3I IitSPE .T ---
1 l _gv
L11C-
1`dVz!?" 6_1d'N1t1hAA/�'
CITY OF SALEM BOARD OF HEALTH
Salem. Massachusetts 01970-3928
CERT.# 325-00
FEE $25.00
DATE: 05/25/2000
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
Fax: (978) 740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 98 Washington Square East UNIT #: 11 Left
OWNER/AGENT: Hemlock Land LLC
ADDRESS: 30 High Street, Suite 400
CITY/TOWN: Medford, MA ZIP CODE: 02155 24 HOUR PHONE: 595-0100
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
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS
NINE NORTH STREET
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 Lh11) 'n c� • Ez-� UNIT #
IS THIS UNIT DESIGNATED AS IGHJT�7LEEFF FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER,J MOe4 19j v MANAGER/AGENT
No P.O. Box in IJ l_ A. - (,, , 4- A i)n No P.O. Box ,, - „ ,n , rn rVc'.
CITY 0 C cMw CITY 0�l�ay�
rr//
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 7 / 5!'5 0/6
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.
5. 6.. 7. 8.
THERE IS A TWENTY-FIVE ($25.00) DOL AR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM)H DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. / //6 'd
APPLICANTS SIGNATURE /`/' ! OWD DATE �-7 t"o
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION?6-,-�-G'-8-0 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATIEz! �,�`6-- O -Z) DATE FEE PAID: K% 1% -a
TYPE OF UNIT: DWELLING�OTHER_ CHECK # !? q 6 CHECK DATE �a
CODE ENFORCEMENT INSPECTOR
9/28/98
STANLEY J. USOVICZ, JR.
MAYOR
Hemlock Land LLC
40 Appleton Street
Cambridge, MA 02138
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
10/26/04
PROPERTY LOCATED AT 98 Washington Square Unit 14
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 tJ1e Board of Health
J ne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
0
n
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
November 2, 2003
Hemlock Land LLC
40 Appleton Street
Cambridge, MA 02138
PROPERTY LOCATED 98 Washinton SQ Unit # 15
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 he Board of Health
Joanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
STANLEY J. USOVICZ, JR.
MAYOR
Hemlock Land LLC
40 Appleton Street
Cambridge, MA 02138
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
10/21/04
PROPERTY LOCATED AT 98 Washington Square Unit 16
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 oard of Health Reply to
Joanie Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
Fax: (978) 740-9705
05/07/2001
Hemlock Land LLC
40 Appleton Street
Cambridge, MA 02138
PROPERTY LOCATED AT 98 Washington Square UNIT # 19
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has beenprovento exist.
R THE BOARD Of HEALTH
oanne Sco t, MPH,RS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
e BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll www.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 212-07
DATE ISSUED: 5/7/2007
Property Located at: 98 Washington Square East UNIT # 20
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 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 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.
f�F R THE BOARD OF
"t-Ex-C, ! GJf/
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPE
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
JOANNE SCOTT, MPH, RS, CHO
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".
PROPERTY LOCATED AT �� 4C�_Lr UNIT # :–U
IS THIS UNIT DESIGNATED ASRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERM161d4ep9// MANAGER/AGENT
No P.O. Box / .dq,1 No P.O. Box
ADDRESS c o _ �AI n A v1 V4,- ADDRESS
CITY V►{�hLUy17 /v'Q. l)� IR � CITY
RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER
/jOO�F�/ROOMS
:
ROOM USE: 1._! " 2.02— _3.__r_�_
N
THERE IS A TWENTY-FIVE (S25.00) 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
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION _._J/7/%DATE OF REINSPECTION.
DATE OF ISSUANCE OF CERTIFICATE:_ DATE FEE PAID.
TYPE OF UNIT DWELLING ✓OTHER CHECK a CHECK DATE
NOTES:
`��
CODE ENFORCEMENT INSPECTOR
9%28198
CIO OF SALEM, MASSACHUS&S
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM. MA 01970
TEL. 978-741-1800
FAX 976-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
RELEASE.
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts
P,egulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author-
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salea, Salem Board of Health and its authorized age:,.. -5
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT%LESSEr OWME./LESSOR
L? �_✓ _>y " 7 - --- - -- --
ADDCiESS--- ADDRESS
P.D!1RESS OF UIJI'1'E IPtSPECTED
u/7_w /
DATE
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 0t 970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 98 Washington Square East
OWNER/AGENT: Ed Rosenthal c/o Thomas Doran
ADDRESS: 48 English Street
CERT.# 121-97
FEE $25.00
DATE: 02/26/97
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
UNIT #: 21
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-4572
AN INSPECTIONOFYOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE = MOH PS CHO - NINE NORTH STREET
HEALTH AGENT Tel: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY: CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT
OWNER/:LESSER
ADDRESS
CITY a / p A l Cr d —
RESIDENCE PHONE /
�JI� - 1,� _5Q
�y
BUSINESS PHONE / J.J�C/(J
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2- �/ s•
S. 6.
UNIT I
/ MANAGER/AGENT
1 ADDRESS
CITY_
BUSINESS PHONE (24 HRS-)7%,�
4.
7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALRM' HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE ��� DATE _
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:�g"d-b "ll7
DATE OF ISSUANCE OF CERTIFICATE: 2 -
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
DATE OF REINSPECTION
1 7 DATE FEE PAID:
X2'6 �r7