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WILLIAMS STREETWILLIAMS STREET -i CITY OF SALEM, MASSACHUSETTS m 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 5/18/06 John & Alison Weir 15 1/2 Williams Street Salem, MA 01970 PROPERTY LOCATED AT 15 1/2 Williams Street 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. For the Board of Heal Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector I a .o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �q 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 # 392-05 DATE ISSUED: 6/22/05 Property Located at: 15 1/2 Williams Street UNIT # 2 Owner/Agent: John Weir Address: 191 Elliot Street City/Town: Danvers, MA Zip Code: 01923 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 FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH , 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1 -1800 ((((ff FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO 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 HUMAN HABITATION". PROPERTY LOCATED AT 4517- w � I)(C4,V4S �'1 UNIQ�, #72 - IS THIS UNIT DESIGNATED AS RIGHT R'' IGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-JIW o by 6 y- MANAGER/AGENT No P.O. Box rr No P.O. Box ADDRESS_ ADDRESS CITY --D0. AV P,i/5 , /I A- CITY / RESIDENCE PHONE 76') 7`i-/Sk! BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9V 4 SPC TOTAL NUMBER OF ROOMS: - ROOM USE: 1._K1 2.AP v�, 3. IVIb�rouh4. bayOnrl 5._WoQm 6.WY-00?n T V 8. THERE IS A TWENTY-FIVE ($25.00) DOL R FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. C APPLICANTS SIGNATOR- _DATE ( 6 5 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION l- - (G —0 �_ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: (( DATE FEE PAID:_L__: IL6 � TYPE OF UNIT: DWELLING /OTHER_ CHECK # 3 CHECK DATE NOTES - CODE CODE ENFORCEMENT INSPECTOR s STANLEY J. UISOVICZ, JR. MAYOR John Weir 191 Elliot Street Danvers, MA 01923 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 6/13/05 PROPERTY LOCATED AT 15 1/2 Williams Street 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. F r the Board of Health i oanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector S CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970• 02/21/2002 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Linus & Lisa 02alta c/o Harbor Realty 111 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 18 Williams Street UNIT # Right Dear Sir/Madam: 120 Washington Street, 40' Floor Tel: (978) 741-1800 Fax(978)745-0343 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 EOARD Oy HEALTH oanne S o , 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 PROPERTY LOCATED AT: 18 Williams Street OWNER/AGENT: Linus & Lisa Ozalta c/o Harbor Realty ADDRESS: 111 Derby Street CERT.# 573-00 FEE $25.00 DATE: 09/05/2000 UNIT #: Right CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0389 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 VJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". 5 � 3-i" NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 PROPERTY LOCATED AT IU NIi MS Sfyedt2A(em Mh O1IUNIT#_Li1ak1! IS THIS UNIT DESIGNATED A RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE J OWNER/LESSER LiRUS(LISU n MANAGER/AGENT bOY No P.O. Box No P.O. Box ADDRESS 1►rJ41I{nV� (&11+ �_ ADDRESS II 1 T2A9,1 Ske {- CITY kWS�SIVt J �¢� �UI�1 CITv Salem, M �� fi`F1.03Bq� RESIDENCE PHONEWf `�ef 6fZI JiSf�ZL1 BUSINESS PHONE (24HRS.) BUSINESS PHONE J 242 U (Brown 13roltiws Fk+�ri �^ TOTAL NUMBER OF ROOMS: 0 f, Lo ) ROOM USE: 1. V room 2.194411 3. Int 4. N -Or Lnrry--- 5.l7 hV s.C>e fWYV1 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 INSPECT APPLICANTS SIGNATURE DATE OF INITIAL INSPECTION I '�_,o 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: , 5--0 3 DATE FEE PAID: iF—,l 'u " TYPE OF UNIT: DWELLINr0THER__- CHECK # /� )5� CHECK DATE ..1111. CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 RELEASE 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, !/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. TE-NANT/LESSEE ADID RES s --- ----- ---- ADDRESS lmdry. we 150" (✓ i J nf) K ianns s Sa�rn �aoca� ADT)RESS OF UNIT TO BE INSPECTED D" E, fay. -- KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, e FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@salefn.com satefn.com CERTIFICATE OF FITNESS CERTIFICATE # 381-13 DATE ISSUED: 10/24/2013 Property Located at: 19 Williams Street UNIT # 2 Owner/Agent: Jauquinn Canas Address: 14 Daniels Terrace City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-821-5359 I V PublicHealei Prevent. Promote. Protect. LARRY RAMDIN, RS/IiEHS, CHO, CP -FS HEAL:TI-1 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 I LARR RAMDIN( HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"t FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iratndin(@salem.com hiblicHealth Prevent. Promote. Protea. LARRY RANIDIN, RS/REFIS, CI -IO, CP -FS 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 IS TI NO P.O. BOX FEE: $50.00- G>JlZ2 t4 Ws 5 UNIT DISIGNATED AS RIGHT LENT FRONT OR BACK PLEASE CIRCLE ONE N CITY, STATE, ZIP 26-,-912 Z2,2 v CITY, STATE, ZIP I�%%%y RESIDENCE PHONE 24HRS)T / h ;G O I 7 t.2 /0BUSINESS PHONE (�� p 21 �/ 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 HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S e% Inspectors use only Date on initial inspection: Z�%'17 Date of reinspection: Date of issuance of certificate: 2 3 Date fee paid: 16- Z`(- /3 Type of unit: Dwelling ✓ Other Check # L) i 20 Check date: 16-M-)3 Inspector KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -------120 WASHINGTON STREET, 4[if FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 lramdin(cr),salem.com CERTIFICATE OF FITNESS CERTIFICATE # 81-15 DATE ISSUED: 3/30/2015 Property Located at: 23 Williams Street UNIT # 1 Owner/Agent: Adele Maestranzi Address: 23 Williams Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-1425 lu PublicI%a Ith rr�.•rm. rrum to rr.t c". LARRY RAMDIN, RS/RESITS, CI 10, CF -PS Hi,"Ai;nIAC;EN,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 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 latera This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR MDIN HEALTH AGENT 1 % lap � � • . IUMBERLEY DRISCOLL MAYOR LARRY RAN'[DIN, RS/REI-[S, <:I-10, CI'-I;S HF.AI.Iti A(;uM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 I:.RAMDIN E SALEXCOM 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 C9-3 W I C L I ©MS s f UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER ADIEU AAAeS%eQ N / MANAGER/ AGENT NO P.O. BOX ADDRESS �3 W I LU A1M C S'T ADDRESS CITY, STATE, ZIP 91te 1 /IA DICT70 CITY, STATE, ZIP / RESIDENCE PHON h112–QAR,(eWN "� BUSINESS PHONE (24HRS) 60 � `Y (F '763Z CALL r c BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Irl V(IJ/r 2. DI tJ 106- 3. K 1 rcHW4. 6E)10(*4 5. 6 -V %200k 1 THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PXVABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE / If //I/ (—J / DATE ..-7 – 617 " Inspectors use only Date on initial inspection:I (.� Date of reinspection: Date of issuance of certificate: Date fee paid:__ Type of unit: Dwelling Other Check # c� Check date: — KIMBERLEY DRISCOLL MAYOR LARRY R,AMDIN, RS/R611S, CHO, CP -PS H i �,\ un iAc; i!NI' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4...FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 RAMDIN@Q SAI,EM.COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Les e O er/Lessor �3 01 t. L /,4141f ST . Address 3-2-a-15� Date Updated 523/11 93 O/Lt-14Ws s -r Address a3 �Jiui�wlf sr Address on unit to be inspected ;kl CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT • PROPERTY LOCATED AT: 28 Williams Street OWNER/AGENT: Paul & Christine Geoaheaan ADDRESS: 42�Church Street CERT.# 696-97 FEE $25.00 DATE: 10/07/97 UNIT #: 1 CITY/TOWN-.Merrimac, MA ZIP CODE: 01860 24 HOUR PHONE: 346-9443 NINE NORTH STREET Tel: (508) 741-1800 Fax: (508) 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 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". PR(1PFRTY TnCATED AT U W OWNER/LESSER ADDRESS l �r ^C��+V�" CITY Q{ 7 ) 1�� c u1 q RESIDENCE PHONE BUSINESS PHONE TOTAL NUMBER OF ROOMS: UNIT I MANAGER/AGENT ADDRESS CITY A _ BUSINESS PHONE (24 HRS.) ROOM USE: 1. & wN ^' 2. Jb. \m'lm 3,Mf00I1-- 4. 5. COQ 6. 'ice 7 . 8. THERE IS A TWENTY-FIVE ( 00) LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP S FEE PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE j _DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:Z_U___7 "DA'fEOF REINSPECTION �7 DATE OF ISSUANCE OF CERTIFICATE:�U �''7 — -7 Z / DATE FEE PAID: /0 / y - J , TYPE OF UNIT: DWELLING j/OTHER NOTES: Y� CODE FNFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Williams Street OWNER/AGENT: Bruce & Betsy Sargent ADDRESS: 30 Williams Street CERT.# 144-01 FEE $25.00 DATE: 03/28/2001 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 UNIT #: 1 Front CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3917 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 i JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 PROPERTY LOCATED AT 30 mi Gw_e:z3-t - UNIT #� IS THIS UNIT DESIGNATED AS RIGHT LEFT F ON BACK PLEASE CIRCLE ONE OWNER/LESSERV,V( E '%h MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 20 %k 11 f &h6 St ' ADDRESS CITY 5 6A.1M s CITY Aft RESIDENCE PHONE l BUSINESS PHONE (24 HRS. BUSINESS PHONI11 M Iu1-09 10 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. t.[, 2. &AMA. IOWk4. e0. g 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 'd g C� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.3 LD/ATE FEE PAID: 0/ TYPE OF UNIT: DWELLINGL/OTHER_ CHECK # T 3 r CHECK DATE -3 -d "l CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS .} BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR r o' 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 # 494-05 DATE ISSUED: 8/4/05 Property Located at: 31 Williams Street UNIT # 1 Owner/Agent: Melanie Maxham Address: 7 Brienne Road City/Town: New Durham, Nh Zip Code: 03855 24 Hour Phone: 603-275-1982 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 OFHEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t 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 2 II 110,mS `' � - UNIT # IS THIS UNIT DESIGNATED AS RIGHT � LEFT FRONT BACK PLEASE CIRCLE ONE �n OWNER/LESSER � y ACk' t'f— N`Fk� 4 M MANAGERIAGENT No P.O. Box No P.O. Box ADDRESSbbl(' l�il� � , ADDRESS 1- CITY Me-ui �Ulr;y\ckylA CITY aIr 03q _ RESIDENCE PHONE (y03,e5 ?)))BUSINESS PHONE (24 HRS.) (003 ' )l S_' BUSINESS TOTAL NUMBER OF ROOMS:_ j ROOMUSE: 1. V ( .n rr M ,2n_3.�1 Ic v 4. ��aONO 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION n 'D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:' �'� DATE FEE PAID:___ _l �' TYPE OF UNIT: DWELLINOTHER__ CHECK # 6 J 10 ��CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 .coxol CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Y 120 WASHINGTON STREET, 4TH FLOOR 1lFo' SALEM, MA 01970 Aq TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 211-08 DATE ISSUED: 5/13/2008 Property Located at: 31 Williams Street UNIT # 2 & 3 Owner/Agent: Dorothy Foskett Address: 4 Hill Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-531-6967 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 J"-4too— JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT min�I ), 1111', KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 ISCOTIaSALEM. 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 I" s UNIT# 4 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER �+Itd%f%Y Por�C�T� MANAGER/ AGENT NO P.O. BOX ADDRESS e -f 7/1' if s ! - ADDRESS -19 d4,5 CITY,STATE,ZIP_ AG-4ae,> V CITY,STATE,ZIP A --r 4 di 9Go RESIDENCE PHONE g7S - s 3l--Gp¢) BUSINESS PHONE (24HRS) 114 BUSINESS PHONE t/ w TOTAL NUMBER OF ROOMS: ` z ROOM USE: I . L, I' 2. X2.1, 3.6 i�-D 4. �i�09/r 5 ae7 THERE IS A TWENTY-FIVE($25) 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 APPLICANTS SIGNATURE � > DATEr/3/J Inspectors use onnI Date on initial inspection: -V -13 -c,rl Date of reinspection: Date of issuance of certificate: 5- oY Date fee paid: Type of unit: Dwelling Other Check # o is 9 Check date: Notes: ?�,-Z s"Solm - RwAm, o4 smli s - n Code Enforcement Inspe Lor STANLEY J. USOVICZ, JR. MAYOR Melaine Lynne Foskett 31 Williams Street Salem, MA 01970 CITY OF SALEM9 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 07/06/2005 PROPERTY LOCATED AT 31 Williams Street Unit All Units 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. or the Board of He Ith 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 PROPERTY LOCATED AT: 31 Williams Street OWNER/AGENT: Melaine Lynne Foskett CERT.# 392-00 FEE $25.00 DATE: 06/13/2000 UNIT #: 1 ADDRESS: 31 Williams Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 650-2633 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. CARD OF JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT rD�n V CODE ENFORCEMENT INSPECTOR - JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 APPLICATION FOR CERTIFICATE OF FITNESS CITY OF SALEM HEALTH DEPT. 3ya -0 V NINE NORTH STREET Tel: (978) 741-1800 Far (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS 11FOIIR HUMAN HABITATION". PROPERTY LOCATED AT � I V V t l l /n�- I Ck W 5 S� - , 4( 01 UNIT #: IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. Box No P.O. Box AnnRFcc 3 1 \ J , �\ ; a S _k�­ AnnC1CCC CITY -� allAv1 . M i' RESIDENCE PHONE °17g' 7`I ErI %� BUSINESS PHONE (24 HRS.) U5-6- o� 3 BUSINESS PHONE 1�4. 4� 00 3 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. f 2. inn&e 3. �� A n 4. W(D o/n THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPAR7Ta- APPLICANTS T THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / /Q SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4 - 0 - DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:/ -/,3 _&1 a TYPE OF UNIT: DWELLIN KOTHER_ CHECK #A0 9 / CHECK DATE CODE ENFORCEMENT INSPECTOR 4M:1- JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 RELEASE 2000 CITY OF SALEM HEALTH DEPT. NINE NORTH STREET Tel: (508) 741-1800 Fax: (508) 740-9705 In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of t"lie 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 loss or injury -sustained of.wilatever nature and description occasioned ., by my/our absence during said inspection. �nN 'TIL EP WNER/i.ESSOR—------- ADDRESS ADDRESS - 3l ADDRESS OF UNIT TO BE INSPECTED DATE