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WEST AVENUEWEST AVENUE e JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 - CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 5 West Avenue OWNER/AGENT: CPT Realty Trust ADDRESS: 50 Washington Street CITY/TOWN: Haverhill, MA ZIP CODE: 01831 CERT.# 118-02 FEE $25.00_ DATE: 03/05/2002 120 Washington Street — 4'h Floor Tel # (978)-741-1800 Fax # (978)-745-0343 UNIT #: 1 24 HOUR PHONE: 373-3024 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 MAYNOWBE 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, 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 5 (.�//✓� UNIT #� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 0 d_ OWNER/LESSER ��r//ZMANAGER/AGENT LB�C�'��•Z%r✓C'� r No P.O. Box No P.O. Box ADDRESS i) ft ADDRESS CITY ti /dl CITY /1 9 RESIDENCE PHONE GAG BUSINESS PHONE (24 HRS.) aZx BUSINESS PHONE L TOTAL NUMBER OF ROOMS � 2L ROOM USE: 1. 2. 5. 6. 7. 8. THERE IS A TWENTY-FIVE ($25. )DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. > APPLICANTS SIGNATURE, '� ✓ _DATE 3 (d -l6 Z DATE OF INITIAL INSPECTION 3 - 5_ - 6 L DATE OF RE!NSPECT!ON DATE OF ISSUANCE OF CERTIFICATE: � — '; -e"- DATE FEE PAID: � -5 — O L TYPE OF UNIT: DWELLINOTHER_ CHECK # CHECK DATEv t' CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 484-97 FEE $25.00 DATE: 07/24/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 7 West Avenue OWNER/AGENT: CPT Partners ADDRESS: 80 Washinaton Street CITY/TOWN: Haverhill, MA ZIP CODE: 01831 NINE NORTH STREET Tel: (508) 741-1800 Fax: (508) 740-9705 UNIT #: 7-1 24 HOUR PHONE: 370-0894 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 #v1i_q_1 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". ` ' PROPERTY LOCATED AT � ��� J'�V �� UNIT / OWNER/LESSER_L.2\ V-'C.c`7?-I�tLf\J MANAGER/AGENT ��` ADDRESS L CITYjJT \ �� 'RESIDENCE PHONEORcl� BUSINESS PHONE TOTAL NUMBER OF ROOMS: �1 ROOM USE: I. 2. 3. 5. 5. 7. ADDRESS CITY BUSINESS PHONE (24 HRS.) _ 4. Q THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE I ABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE_ �S INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:_7�'�AZ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTLFICATE:2__7�_l;� _j% DATE FEE PAID: 7. 9e TYPE e TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR H X o � s 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 W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 218-06 DATE ISSUED: 4/22/06 Property Located at: 7 West Avenue UNIT # 2 Owner/Agent: CPT Realty Trust/ James Collett Address: P.O. Box 2098 City/Town: Haverhill, MA Zip Code: 01831 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 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 7 4)cc l�t4if 7 LPl` UNIT # Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER L��Z rQ /- _ /1LJT MANAGER/AGENT 6�7Pvrr No P.O. Box n _ No P.O. Box i CITY fG�iG`� CITY r C, /_2 azo-(�� RESIDENCE PHONE BUSINESS PHONE (24 HRS.)IFZP Z?K7Z� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. ' ' 2.Z-JOL- 3._06M 4. J 50- W07- 7. ee-3 06e - THERE . 6e THERE IS A TWENTY-FIVE ($25.00) D LAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EAL DEPA THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ---) /6--­-� APPLICANTS SIGNATURE ,y Z -0 & DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE4(- 27,,&C DATE FEE PAID: '- a �- TYPE OF UNIT: DWELLING %OTHER_ CHECK # �c 6 Y CHECK DATE CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 4/4/06 CPT Realty Trust/ James Collett P.O. Box 2098 Haverhill, MA 01831 PROPERTY LOCATED AT 7 West Avenue Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. Fo he Board of Health J anne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS a BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W WW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 582-05 DATE ISSUED: 9/20/05 Property Located at: 15 West Avenue UNIT # 2 Owner/Agent: Kathleen Papalegis Address: 15 West Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-4231 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 FORE BOARDOF HE JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". L9. PROPERTY LOCATED AT(110S ( ACX_ UNIT # 5 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 2 A� No P.O. Box " " No P.O. Box ADDRESS _ ADDRESS CITY �% t/-,, A- 0 (976 CITY RESIDENCE PHONE`((�"W-Y)A BUSINESS PHONE (24 HRS.) Cil 978-��( �a3� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.1�2.UVI�_^"3. U/_ 0X–A Ur0'"– i THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE -w(/ _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 8) lekw; DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE: S 180 DATE FEE PAID: 8 8 of TYPE OF UNIT: DWELLING OTHER_ CHECK # 2.252.—C HECK DATE glj NOTES: i�,%PY-t\j1��-Rs.�L� _—'f�'M�SS IAJ�j1D�_mYj_(yG� SL1.�"e�,�1S N $rA CODE ENFORC WENT INSPECTOR 9/28/98 s s 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 May 7, 2003 Mary Garvey 17 West Avenue Salem, MA 01970 PROPERTY LOCATED AT 17 West Avenue Unit # 1 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. — 7:00 p.m. and Friday 8:00 a.m. — 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. or the Board of He th Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector CERTIFICATE OF FITNESS CERTIFICATE # 166-04 DATE ISSUED: 04/26/2004 Property Located at: 17 West Avenue UNIT # 2 Owner/Agent: Shane Osterberg Address: 17 West Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-2461 An inspection of yourvacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR410.000: 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 OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS b BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 166-04 DATE ISSUED: 04/26/2004 Property Located at: 17 West Avenue UNIT # 2 Owner/Agent: Shane Osterberg Address: 17 West Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-2461 An inspection of yourvacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR410.000: 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 OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS >' BOARD OF HEALTH l 0 120 WASHINGTON STREET, 4TH FLOOR //,PSALEM. MA 01970 l TEL. 976-741-1800 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 11 W P&)IF� UNIT # ' IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 5V)4 PYN MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Proz_- ADDRESS CITY S(Hl�("r\CITY RESIDENCE PHONE 4-N- 7q 4 ZQU k BUSINESS PHONE (24 BUSINESS PHONE T(R 2S7 TOTAL NUMBER OF ROOMS: ROOM USE: 1,10 2.'Jt-OWaf�3. \41%` 4. ibektclm 5. z.ak 6. Bim "^I 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 RALE OF INITIAL INSPECTION li�'.)'L, O `F DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:��tlo --0-DATE FEE PAID: Y-- % b a TYPE OF UNIT: DWELLING/�OTHER_ CHECK #. `, N CHECK DATE 4')'b z CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGRrrNBAUM@SAI.r;M.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 582-09 DATE ISSUED: 11/23/2009 Property Located at: 19 West Avenue UNIT # 2 Owner/Agent: John Antonopoulus Address: P.O. Box 152 City/Town: Salem, NH Zip Code: 03079 24 Hour Phone: 508-843-5538 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is incompliance 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 ff there is a valid Certificate of Occupancy. FOR TH�EBOOA OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR KLMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°1 FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGItEHNI3AUM@SAL1iM. 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 --Z IS THIS NO O. BOX - AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE AGENT CITY, STATE, ZIP bra% CITY, STATE, ZII' /V •�Ob -2 9 19 RESIDENCE PHONE&4-:3---9/r - - 6'/ i- BUSINESS PHONE (24HRS) Sbt--,Pe/3 SS•3,A' BUSINESS PHONE�O< -,?6 > Cl 3� TOTAL NUMBER OF ROOMS: / ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P Y E AT THE TIMF INSPECTION APPLICANT'S SIGNATURE IA;;;e DATE Date on initial inspection: 11la 3 /Q { Date of reinspection: Date of issuance of certificate: Wd 3/0 i Date fee paid: Type of unit: Dwelling e/Other Check # Check date: i a - qs.�- 9/,�O , MJ113 (-661M - ' sQ/K SWv ollIn to 5< I—)albd r4 zlees, Code Enf cei ent Inspector .MGo" W4. ,-or h u'S N) -jt/', CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4'" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR - DGRFENBAUM&ALEM.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 582-09 DATEISSUED:' 11/23/09 Property Located at: 19 West Ave Unit 2 Owner/Agent:: John Antonopoulos Address: p0 Box 152 City/Town:: Salem NH ;;Q 3079 P4 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH i D 1 R EBA ACTING HEALTH HEALTH AGENT CODE E ORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 05/03/2001 Jon & Adelaine Cahill 17 Stafford Road Danvers, MA 01923 PROPERTY LOCATED AT 20 West Avenue UNIT # 1 Dear Sir/Madam: NINE NORTH STREET Tel: (978) 741-1800 Fac: (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 BOARH JoanScot,�MPHRSC O 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 05/07/2001 Jon & Adelaine Cahill 17 Stafford Road Danvers, MA 01923 PROPERTY LOCATED AT 20 West Avenue UNIT # 2 Dear Sir/Madam: NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 6:00 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. ,40PR THE BOARD HEA TH oanne Scott, MPH,RS,CHO Health Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR • ! CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR CERTIFICATE OF FITNESS CERTIFICATE # 332-13 DATE ISSUED: 9/17/2013 Property Located at: 20 West Avenue UNIT # 3 Owner/Agent: Chad & Lyndey Rudicel C/O Zoe Karademos Address: 71/2 Church Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-405-7122 PublicHealth PrevvOl. Promote. Prolttt, LARRY RANIDIN, RS/RFHS, C:HO, CP -FS HF:AI. PTI AGENT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA40 RAMDIN HEALTH AGENT �. _/.✓aair p CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4m FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN SALHMCOM 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 o QG1 dV(Z —UNIT#= IS THIS UNIT DLSIGNATED AS IUG�HT LEFT FRONT OR BRCS PLEASSE CERCLE ONE OWNER/LESSER Cum ��YO+71 ��-'�`*� MANAGER/AGENT L(�� NOP.O.BOX t/s`j, A/ Cf'- oioOE ADDRESS L, O GAN s' Po 2--, t/Cg47 AnnuFcc -7/A ( l l lrrLn C-4-- CITY, STATE, ZIP C1TY, STATE, ZIP Sd L a rf \ tT ac , O RESIDENCE PHONE .�7 Y- 35V - 9-.i 7/ BUSINESS PHONE (24HRS) S ( `7 BUSINESS PHONE 57V -35S - Galc[Kv Bewn � TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4 5. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TBE OF INSPECTION/ APPLICANT'S Inspectors use only Date on initial inspection: 3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling. Other -Check#� ( Ip �� Check dater �5 I S///3 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 583-05 DATE ISSUED: 9/20/05 Property Located at: 24 West Avenue UNIT # 2 Back Owner/Agent: Fawn Lumbert Address: 15 Lochstead Avenue City/Town: East Falmouth, MA Zip Code: 02536 24 Hour Phone: 774-769-9297 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 THERE BOARD OF 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 HEAT-TH 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 ATS_ UNIT HoZ IS THIS UNIT DESIG(�NATE5 AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER h- Ltd j�h qq No P.O. Box ' ,l -L—MANAGER AGENT A.DDRESS� l..ww /� seta (}i q No P.O. Box -- / U� AnnRGcc --CI FY --- RESIDENCE PHONE SU o 8 �0-3106 —BUSINESS PHONE (24 HRS.)y_% qj BUSIiJESS PHONE-'SoI' #-n- 07 TOTAL NUMBER OF ROOMS ROOM USE1f 3J-1)._._ 4 UV(ii<t�[%1i THERE IS A TWENTY-FIVE (525.00) 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 NSPECT ORS U E ONLY DATE OF_INITI_AL INSPECTIOIV q— (— Ti DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE TYPE OF UNIT DWELLING OTHI=R NOTES c61`v 'o` 41fJT .>r FcroR DATE FEE PAIt7 a5-- (--HFCK::1-� CHECK DATE INC"��� SEP:A+91005 CITY OF SALEM BOARD OF HEALTH 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, R5, CHO HEALTH AGENT 03/11/2002 Robert, Valerie Hiltanen & Maria Vincent 28 West Avenue Salem, MA 01970 PROPERTY LOCATED AT 28 West Avenue 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. - A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public ,,,.iliacs has billed property _c_ tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven eo exist. O`� ::� �O HEALTH S Joanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-297 DATE ISSUED: 8/12/2016 30 WEST AVENUE UNIT # Brooke Morrisey 244 High Street City/Town: Topsfield, MA Zip Code: 01983 D PublicHealth Prevent. vrwnote. Prcron. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 471-9066 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT 1Ajef f 5rXaroksy� SANITARIAN F KIMBSRI.EY DRISCOLI: MAYOR LARRY RAMDIN, RS/RENS, CHO, CP -FS HEALTI-t AGENT CM70F OF SALEM, MASSACI-IUSETTS BOARD OF HEALTH 120 WASHING'T'ON STREET, 4" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRANf )1N0$ALEM.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�� �V `1 �1� S w — `— UNIT# �- IS THIS 'UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNFR/f.FCCF�,�f ' o, �'+r���st MAMAI-Fu) Ar.Fnrr NO P.O.ADDRESS SS �5�� �� ADDRESS rL"A1l � � O S •-W\ ADDRESS CITY, STATE, ZIP���� �����CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALT F$E I YABLE AT THE TIME OF INSPECTION APPLICANT'S II -2m (,/ Inspectors use only Date on initial inspection:a4lI,= Date of reinspection: 9�p g Date fee paid: awl/20111 Check date: ti r a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 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: 30 West Avenue OWNER/AGENT: Brooke Morrissey ADDRESS: 244 High Street CITY/TOWN: Toosfield, MA ZIP CODE: 01983 CERT.# 603-02 FEE $25.00 DATE: 11/22/2002 UNIT #: 1 Front 24 HOUR PHONE: 617-743-2515 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 v JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF%FITNESS FOR j HUMAN HABITATION PROPERTY LOCATED AT "" �ry Ve-- UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT ACK PLEASE CIRCLE ONE OWNER/LESSER It )(Q6(q mdmJA MANAGER/AGENT 56W -e - No P.O. BoxI I I I No P.O. Box ADDRESS 7cfq klq ADDRES�Sq CITY Id (JS�Ia. CITY IVIN 7 RESIDENCE PHONX9ff7' (0 Z BUSINESS PHONE (24 HRS.) BUSINESS PHONE 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 HEAL H DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 5 DATE/( 0 Z INSPECTORS IISE ONLY DATE OF INITIAL INSPECTION �/�� 2 —0 Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - DATE FEE PAID: TYPE OF UNIT: DWELLING _OTHE� CHECK # $ % CHECK CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ✓ G� a SALEM, MA 01970 - TEL. 978-741-1800 FAX 978-745-0343JOANNE ✓ STANLEY USOVICZ, JR. SCOTT, MPH, RS, CHO - l/f////_ MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF%FITNESS FOR j HUMAN HABITATION PROPERTY LOCATED AT "" �ry Ve-- UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT ACK PLEASE CIRCLE ONE OWNER/LESSER It )(Q6(q mdmJA MANAGER/AGENT 56W -e - No P.O. BoxI I I I No P.O. Box ADDRESS 7cfq klq ADDRES�Sq CITY Id (JS�Ia. CITY IVIN 7 RESIDENCE PHONX9ff7' (0 Z BUSINESS PHONE (24 HRS.) BUSINESS PHONE 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 HEAL H DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 5 DATE/( 0 Z INSPECTORS IISE ONLY DATE OF INITIAL INSPECTION �/�� 2 —0 Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - DATE FEE PAID: TYPE OF UNIT: DWELLING _OTHE� CHECK # $ % CHECK CODE ENFORCEMENT INSPECTOR 9/28/98 , o � n 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 RFf. F.A SF. In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts Riegulations 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 Lhat 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 apes --s from any loss or injury sustained of whatever nature and description occasioned by my/ ur. absence'duringsaid inspecti.or.. x�t.�/""„ 'IW�CG 1j�lfs�02 ft, NANIf'/-LE SSEE OH ER/i FSSOR len, Xp�&/� kv ADDRESS ---- --- ADDRESS -- _est r�c zc k�r ADDRESS OF UNIT TO BE fNSPECTED DATE ,J JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 692-00 FEE $25.00 DATE: 10/31/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 32 West Avenue OWNER/AGENT: Chuck Watts ADDRESS: 32C West Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 32 24 HOUR PHONE: 744-0123 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 OANNE SCOTT, MPH,RS,CH0 HEALTH AGENT Qzaj:�� 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 -3' �L �- A JiI UNIT # 02- IS 2 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE /J OWNER/LESSER //6el- Z� /nMANAGER/AGENT No P.O. Box/ No P.O. Box ADDRESS c3,9—G �i%s 7L ADDRESS CITY J�fN/1�(/l CITY RESIDENCE PHONE �NZID/ g-3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:i ROOM USE: 1. K 2. 3. 4. 3 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTY, DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUREDATE /O '3 INSP TORS USE ONLY DATE OF INITIAL INSPECTION f0 -?,(-0 d DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,2Q-31-11 z DATE FEE PAID: – Z ( – � a TYPE OF UNIT: DWELLING OTHER— CHECK # O'a % CHECK DATE lo ( –c3 NOTES: zvalto A, dzz 57ov riv/ ch ,4• gna 14 CODE ENFORCEMENT INSPECTOR 9/28/98