WHEATLAND STREETx
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 # 14-07
DATE ISSUED: 1/2/2007
Property Located at: 1 Wheatland Street UNIT # 2
Owner/Agent: Phil Lohnes
Address: 298 Jefferson Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT /CODE ENPO.RCEMENTINSPECTOR
l `
u CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
t 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 HABITATIION".
I/`�
PROPERTY LOCATED AT I kek � � `' ". � St UNIT #
IS THIS UNIT DESIGNATED AS )RIGHT ('LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER �hl I [04r e / MANAGERIAGENT
No P.O. Box No P.O. Box
ADDRESS a� J��in 5 `� ADDRESS
CITY �� �� CITY /'I
�3b7BUSINESS PHONE (24 HRS.)
RESIDENCE PHON ��
25
BUSINESS PHON kz-ate
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._ I7 /Z-- 2. /3/Z— 3. 4. t-12-
6. 7. 8
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIMF OF INSPFCTION_
APPLICANTS SIGNA
INSPECTORS USE ONLY
H/v%
DATE OF INITIAL INSPECTION A/63. _DATE OF REINSPECTION 1/n/0
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:oG_
TYPE OF UNIT: DWELLING OTHER_ CHECK # n2- CHECK DATE I o _ G
NOTES: All V1B%Nb MS hIAy 2 btt44 COV-i-GP/LGOI.
Name
Owner �/ / % 4 oh nP s
/ j —/
Typeof Inspection//1_C.-0kJ7 Ai0* C
(� 1
Remarks and Violations are listed below:
✓r I/ / hog
• / -fit / 5
Date / // {Q� nT�y.,L��Tiim(.,e 11-r.;�����--
Add ress /U'��/.�ve ff J//��l . )A #'g—
Tel. No. _r� /6 e3 47 -3
Inspector
CV
r
✓-=�± ��J'Yl�r( �i` �UL! C�-E' �7r1� /%�� lh
�o-��h�.Pr�'cl,:°
Report Received by:
c
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
-Po
�eyy
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL
JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 177-08
DATE ISSUED: 4/16/2008
Property Located at: 2 Wheatland Street UNIT # 2
Owner/Agent: Raymond Blanchard
Address: 2 Wheatland 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 IP'
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
R THE BOARDH
4460y
JOANNE SCOTT, MPH, RS, CHO 6U
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT,
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"i FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
1SCO•rr (t77 SALEM. COM
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
PROPERTY LACATED AT.
IS Tt
NO P.O. BOX
T� ,,q -ti L7 S
AS RIGHT LEFT FRONT
BACK, PLEASE CIRCLE ONE
AGENT
CITY,STATE,ZIP CITY,STATE,ZIP 6y�i95 S
RESIDENCE PHONES% S%y 1y.3 a=11USINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE:
THERE IS A TWENTY-FIVE($25) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH TBTS-F� IS PAYABLE AT THE TIMF„QF INAECTION
APPLICANTS
Inspectors use only
Date on initial inspection: Date of reinspection::
Date of issuance of certificate: ��I O Date fee paid: L (6 0
Type of unit: Dwelling Other Check # `>` i o2' Check date:
TQ .fa
V
Code Enforcement Inspector
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 2 Wheatland Street
OWNER/AGENT: Raymond Blanchard
ADDRESS: 2 Wheatland Street
CERT.# 339-98
FEE $25.00
DATE: 06/05/98
UNIT #: 3
CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-4282
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT ( )
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
i"
ODE ENFO EMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
359Aff
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax: (978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT,:—,Cf/h PA/ n/V UNIT #
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
ADDRESS%/lLiosAT /Z/D ADDRES
CITY CITY
RESIDENCE PHONE%7f_ �i��r� �—BUSINESS PHONE (24 HRS.)
BUSINESS PHONE ,I&
z
TOTAL NUMBER OF ROOMS: `1
ROOM USE:1. 2._&Z3. 4.
5.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT T IJEE IS PAYABLE AT THE
TIME OF INSPECTION / / /
APPLICANTS SIGNA
INSPECT/ORS USE ONLY
DATE OF INITIAL INSPECTION_ DATE OF REINSPECTION efl /
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: G�Sz_ 11—e
TYPE OF UNIT: DWELLINGS OTHER
NOTES:
,fiK,WfVORC91VIENT
•-
5/19/98
CITY OF SALEM, MASSACHUSETTS
HEALTH AGENT
9{ 120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 492-07
DATE ISSUED: 10/3/2007
Property Located at: 4 Wheatland Street UNIT # 1
Owner/Agent: Bruce A Cody
Address: 21 Henenway Road
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 If'
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
J ANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Kimberley Driscoll
Mayor
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR (JI lAl
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, R5, CHO
HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
III
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FIT SS FOR HUMAN HABITATION".
-0
PROPERTY
PROPERTY LOCATED AT /{ELf/it/%i S% UNIT #
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
ENT
11"s
:.
CITY CITY
N(� CITY
RESIDENCE PHONE I7F79'11179 BUSINESS PHONE (24 HRS.)19 7k,;239310?
BUSINESS
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. 2. r 3.
L✓'
5. ,Q 6.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM H�'�1'LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. i
APPLICANTS SI
TE /a 3^G 7
DATE OF INITIAL INSPECTION IP' 3 —0 % _DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE/"- --07 DATE FEE PAID:-,/ 0 =3 i0 17
✓ 7
TYPE OF UNIT: DWELLING OTHER__. CHECK #_�� S CHECK DATE/j)_— 3 'D
CODE ENFORCEMENT INSPECTOR 9/28/98
Kimberley Driscoll
Mayor
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem,
MA 01970
Tel. (978) 741-1800 Fax. (978) 745-0343
lramdin@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-102
DATE ISSUED: 3/31/2016
Property Located at: 4 WHEATLAND STREET UNIT #2
Owner/Agent: Chris Angiolillo
Address: 76 Hathorne Street
City/Town: Salem, MA
Zip Code: 01970
LVI
PublicHeaith
Y .nt. Pramme. Protect.
Larry Ramdin, MPH, REHS, CHO
Health Agent
24 Hour Phone: (978) 836-8845
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
SANITARIAN
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4' FLOOR
TEL. (978) 741-1800 FAX (978) 745-0343
Iramdin@salem.com
C hriS4ofkerayt)10
LARRY RA WIN, RS/RENS, CHO, CP -1'S
H13A1.111 A(;FNT
Ci mo0. 1,.Ccm
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED
IS
UNIT DISIGNATED
01'770
RIGHT LENT FRONT OR BAC PLEASE CIRCLE ONE
NO P.O. BOX �"
ADDRESS �� I rOPNE ST ADDRESS
.SPiO� i/eor
AGENT,
CITY, STATE, ZIP SeM Y Ivl k 0 1 °I � 0 CITY, STATE, ZIP
RESIDENCE PHONE DS - 83 b—?F75 BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S'ei
ROOM USE: 1 Y)4-�, l 2,r Jf,,eL Z 3 &Jv,>. 3 4.h�'� An— s. ftw^
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYAB THE T1MI5;0F 1NSPE,
APPLICANT'S
TE—j/-Tb//(4)
Inspectors use only
Date on initial inspection: 0 35QL2=Q Z G Date of reinspection:
Date of issuance of certificate: ®3/4/2016 Date fee paid: 0/30�2���
Type ofUI�1t: Dwelling—Other Check # D D Check date: 0 3 1 3 1112 0.26
n 1 .. r f b, 1 . .I r Al, i l' 1
Im
D�j��S�rezn�nllr rno In au, rn rSSr
I�2Gr SfalY Gy I�,��l TlX'�trYL WtISSrnq �Iqh ibf.
EE orceme�pector J
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 # 275-06
DATE ISSUED: 5/31/2006
Property Located at: 12 Wheatland Street UNIT # 1
Owner/Agent: John Galaris
Address: 30 Rear Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5565
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
;�k
CODE ENFORCEMENT INSPECTOR
May 30 06 09:02a Joanne Scott Salem BOH 978 745 0343 p.2
CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH
120 WASHINGTON STRCCT. 41H FLOOR
SALLM, MA O1970
TEL. 978-741-1800 -
FAX 978-749-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEAL„T41 AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMI IM gTANDARDS OF FITNF3S FOR HUMAN HABITATION”.
PROPERTY LOCATED AT.—/2. '4,0e.- -UNIT 41
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSE y LLG�(/b(iC� MANAGER/AGENT_ No P.O. Box r _No P.O. Box
CITY_19 %D CITY
RESIDENCE PHONE9_Z1.7��SS�jr 5 BUSINESS PHONE (24 HRS.) __-
BUSINESS PHONE___.,_ -
TOTAL NUMBER OF ROOMS:_ /j
ROOM USE: 1.44-- 2. i/-- 3. �Ued,4.
7.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR _DATE_ dL o
INSPECTORS USE ONLY
DATE OF INMAL.INC ION �� —0 ( ,DATE OF REINSPECTION.,
DATE OF ISSUANCE OF CERTIFICATES. _?,fy-(- DATE FEE PAID: -.3J'1
TYPE OF UNIT: DWELLIN2 THERCHECK r ;'7j9,6r_CHECK DATE __:�_� l'z�
NOTES:
CODE ENFORCEMENT INSPECTOR 9128/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERT.# 539-03
FEE $25.00
DATE: 10/21/2003
PROPERTY LOCATED AT: 12 Wheatland Street UNIT #: 2
OWNER/AGENT: Jen Galaris
ADDRESS: 301R Lafayette Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 978-744-5565
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT ( )
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: -
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FO TD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
Oct 16 03 12:15p Joanne Scott Salem BOH 878 745 0343 p.2
(s
STANLEY USOVICZ, JR.
MAYOR
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
��
TEL. 978-74 1 -1600
FAX 976.745-0343
LJ• ✓
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 _. /cZ Lc% � _UNIT I£_2
IS THIS UNIT DESIGNATED AS RIGHT L—FRONT BACK PLEASE CIRCLE ONE
No P.O. 7 MANAGER/AGENT_
No P.O. Boxox �/ — No P.O. Box
ADDRESS /,e. _�dG _ADDRESS
CITY_..
� .._CITY....
RESIDENCE. PHONE�SS- BUSINCSS PHONE (24 HRS) �i 7kfGSS,�J
BUSINESS PHONE F/S .S5 2
TOTAL NUMBER�
,�JJOF ROOMS: o_
ROOM USE- i &4 2,d1
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
INS CTO USE ONLY
DATE OF INITIAL WkE TION=�}.�tJ�7_DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/f7�DATE FEE PAID; / y
TYPE OF UNIT: DWELLING OTHER_ CHECK kJ -'f-3 a CHECK DATE Jp ( -V-0
NOTES:_ 4w – ..
CODE ENFORCEMENT INSPECTOR 9/28/98
Oct 16 03 12il6p Joanne Scott Salem BOH 978 745 0343 p.3
t4 ce
STANLEY USUVICZ, JR.
MAYOR
C 6'ry OF SALEM, MA55ACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
rAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
In accordance with Massachusetts
RegulationGeneral Laws Chap[er III; Code of Massachusetts
Regulations Salem 410.000 eL, seq.; Crate Sanitary Code, cLapter II And Article X111 Of
clic City of Ordinance, undersigned owner/lessor and tenant/lessee of a unit
Of resident:ial property, hereby authorize the Salem Board of Health or its author-
-d
agents to inspect the residence idcnrifi.ed be luw i.n accordance with LL•e
aforementioned statutes, regulations and ordinances.
In the P.I'QnL it ;s necessary LhaL &aid iospecti.on bv: done in uty/out' absence, i./wc
expressly authorise the same and for my/our successors and assigns hereby re7oase.,
and discharge Che Ciry of Salem, Salem Board of H.ea1Ch and its authorized
,om any 1o.as nr injury sustained of vita CeYer adcu[e and description occasionN(j
by my/our abserc2 during said insnecti.on-
nDYAP
Dr+t;ss
D !,T17 --
is lv�� f _-!ce
i
..
A.D!)ItF;SSUF UNITINSPI>C'i'ED
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASS.AC.HUSEMfS
BOARD OF HEAIa f
120 WASHINGTON STREE'1', 4°1 FLOOR
TEL. (978) 741-1800 FAx (978) 745-0343
Iramdinr salcm.com
CERTIFICATE OF FITNESS
CERTIFICATE # 204-14
DATE ISSUED: 6/18/2014
Property Located at: 14 Wheatland Street UNIT # 1
Owner/Agent: Bridgewell / Elaine White
Address: 471 Broadway
City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone: 781-760-2842
D
PublicHealtb
Prmven,. Promote. Protect.
LARRY RAMUIN, RS/RFTIS, CHO, CP -FS
H Ig; V,:n-I. AGF.N'I'
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
LARRW4XMDIN��
HEALTH AGENT SANITARIAN
r A!,
CITY OF SALEM, MASSACHUSETTS
S� BOARD or HEALTH
120 WASHINGTON STREET, 4"' FLOOR /t
TFL. (978) 741-1800 l�I
KIMBERLEY DRISCOLL FAx ()78) 745-0343
MAYOR LIMIDIN&ALEM.CON1
LARRY RA MIDIN, RS/IU:r-IS, (ANO, CP -FS
H1_1r1LLH AGF.N,r
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 g (.0 n,
IS THIS UNIT DISIGNATED AS
UNIT# /
BACK, PLEASE CIRCLE ONE
OWNER/LESSER r id g P we l I MANAGER/ AGENT �EI QI n,i, W h i fC
NO P.O. BOX
ADDRESS -4-11 Bbzd UXI U ADDRESS_ _ 1471 '8tDQd Wab
CITY, STATE, ZIP " n d , M k Qlq �0 CITY, STATE, ZIP lJi , 4.0/ , H Dlq�(z)
RESIDENCE PHONE BUSINESS PHONE (24HRS) /79/-
BUSINESS
I9iI.
BUSINESS PHONE 339.993-1:R101
TOTAL NUMBER OF ROOMS: G w i 4 e nolo sed P o fCf1 7
ROOM USE:
bte)
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNA'
far rns(aec�J1� PCr�a� Canhzcf 6ie9 OeOyh 19/ - ?A,?,0F3 to
Inspectors use only
Date on initial inspection: G 7/p Date of reinspection:
Date of issuance of certificate: Date fee paid: la- Y
Type of unit: Dwelling C.,�Other Check # Check date: �P % )
IN
KIMBERI-EY DRISCOL.L
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF FlEALTH
120 WASHINGTON STREET, 41H FI-OOR
TEL. (978) 741-1800 FAN (978) 745-0343
Iramdin@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 205-14
DATE ISSUED: 6/18/2014
Property Located at: 14 Wheatland Street UNIT # 2
Owner/Agent: Bridgewell /Elaine White
Address: 471 Broadway
City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone: 781-760-2842
lu
PublicHea Ith
Prcvem. 1'rmm�m. Pmlat.
LARRY RANIDIN,RS/REHS,CL-IO,CP-I;S
Hr.SAI;I'FI AG1i:N'I'
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 ll" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARDOFHEALTH
LY RAMDIN
HEALTH AGENT
SANITARIAN
F
KINIBERLEY DRISCOLL
MAYOR.
LARRY RANIDIN, IiS/RF1-1S, CHO, CP -PS
HHALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BO. im OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
FI�x (978) 745-0343
I.RAMDIN9SALF.M.COM
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT
IS THIS UNIT DISIGNATED AS
UNIT#
PLEASE CIRCLE ONE
0
OWNER/LESSER r i a q e u3 211 MANAGER/ AGENT Ill a I nt
NO P.O. BOX
ADDRESS Ff i l ryad (txL ADDRESSI (3 raa d [t>"
CITY, STATE, ZIPS n:h-zt'd '-Ik omo CITY, STATE, ZIP O� `� n n �r2 L d . Ilkoiggo
RESIDENCE PHONE BUSINESS PHONE (24HRS) q b D' d �Y
BUSINESSPHONE 339• S83•?lob
TOTAL NUMBEROF ROOMS:— (P %
ROOM USE: 1. 4-)2
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE M ,W iu-tt DATE t�10 y
t r zt�ts(Jec-¢im pLead�t cCLtl reed l atit 7 �! Ra - e) 3
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: � Date fee paid: 6 )2-
Type
2Type of unit: Dwelling L/Other Check#I �Q Check date: (P I jl�
Notes:
0
Inspector
KIMBERLI✓Y DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4°1 FLOOR
TEL. (978) 741-1800 FAx (978) 745-0343
IramdinC ,salcm.com
CERTIFICATE OF FITNESS
CERTIFICATE # 206-14
DATE ISSUED: 6/18/2014
Property Located at: 14 Wheatland Street UNIT # 3
Owner/Agent: Bridgewell /Elaine White
Address: 471 Broadway
City/Town: Lynnfield, MA Zip Code: 01940 24 Hour Phone: 781-760-2842
u
PublicHea Ith
Present. 1'romom. Pmlcn.
T mmy RANI IN, RS/Itliihlt, (:1-1 0, CI) -1"S
I-II[;;\I;11[ AGHiN'I'
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
LAFZFW RAMDIN
HEALTH AGENT
SANITARIAN
KIMBERLEY DRISCOLL
MAYOR
LARRY RANil)IN, FI IS, CHO, CP -Fs
HEA I'I1 iGIWI'
CITY OF SALEM, NLkSSACHUSETTS
BOARD OF HEAI.11-1
120 WASHINGlONS IF -F r, 4"' FLOOR
TEL. (978) 741-1800
F.�x 078) 745-0343
LRAMDINgSN FALL N1
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT
IS THIS UNIT DISIGNATED AS RIGHT
NO P.O. BOX
ADDRESS q-71 /
0
BACK, PLEASE CIRCLE ONE
IT# -3
AGER/ AGENT 0 !a i"'U 6L)h �C
CITY, STATE, ZIP "ItN�f 2�d 1114 0(C1 q0 CITY, STATE, ZIP "n 11, 1-e h1l (HST of qV0
RESIDENCE PHONE BUSINESS PHONE (24HRS) 7e-/- 76,0 - o? FV 1
BUSINESS PHONE 3 3q- M a10 y
TOTAL NUMBER OF ROOMS: 5 e nolo sed p o rch (v
ROOMUSE: 1. her) 2. I6C4i) 3. RQ+h 4. le 5 8K
6._ porc61 7. 8. 9. 10.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE M -%C) h2t—& DATE 1 o101 q
-or C nSP-2c-f fm 1O1La. con+dCf &reJc Akav4 -7fi-4aa - 0g3
Inspectors use only
Date on initial inspection: b-1 P-7 4 Date of reinspection:
Date of issuance of certificate:: to / Jr --1y Date fee paid/: (o-)2,19
I/
Type of unit: Dwelling Other Check # OTA' Check date:
Code Enforcement Inspector