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WILLOW AVENUEWILLOW AVENUE m 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-314 DATE ISSUED: 9/21/2017 Larry Ramdin, MPH, RENS, CHO Health Agent Property Located at: 2 WILLOW AVENUE UNIT #1 Left Owner/Agent: Madeline Frisch Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 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. mom Larry Ramdin, MPH, REHS, CHO HEALTH AGENT 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". NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 PROPERTY LOCATED AT a UCS IOC - UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT j� ONT BACK PLEASE CIRCLE ONE OWNER/LESSER alma- (n 5+' MANAGER/AGENT r- �AT6,r,�e No P.O. Box ' �- No P.O. Box ADDRESS R � ADDRESS_ _ Ro, CITY A9PAU CITY C 1J I (k I Iq I5 RESIDENCE PHONE' 3I 6S :54 -9'bU P BUSINESS PHONE (24 HRS.)_A�A-Jg6(-M(0(0 BUSINESS PHONE_�ll-Sf�lq-6911(0 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1 Y ftOff\ 4. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ��t�C -/ DATE &� n INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING _OTHER_ CHECK CODE ENFORCEMENT INSPECTOR rlCHECK DATE V 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR } SALEM, MA 01 970 yeWmNa TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 358-05 DATE ISSUED: 6/1/05 Af T— Property Located at: 2 Willow.S4eet UNIT # 1L Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-599-8866 Madeline 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 JOA E SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS 1FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT #_Lt�p IS THIS UNIT DESIGNATED AS ilmla�4 RESIDENCE PHONE_IXI BUSINESS No P.O. Box PHONE (24 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.�2.�.4. 8. THERE IS A TWENTY-FIVE ($25.00) 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_ INSPECTORS USE ONLY I 1 DATE OF INITIAL INSPECTION ,L ��"L ° DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE::) DATE FEE PAID: 2 -D- TYPE OF UNIT: DWELLINOTHER CHECK # L4 � 9 _CHECK DATE 2 KInTFS_ Z CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a�pa SALEM, MA 01970 qq TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 358-05 DATE ISSUED: 6/1/05 Property Located at: 2 Willow Avenue UNIT # 1 R wrr_,�.C�t/8 624 Owner/Agent: 265-267 Lafayette Street Realty Trust Address: P.O. Box 445 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-599-8866 Madeline 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 HE LTH JOANNE 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 LICK :_ • �_ PROPERTY LOCATED AT: 2 Willow Avenue OWNER/AGENT: 265-267 Lafayette Street Realty Trust ADDRESS: P.O. Box 445 CERT.# 166-98 FEE $25.00 DATE: 03/90/98 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 UNIT #: 1st Right CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 599-8866 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 EALTH l�`�- 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". PROPERTY LOCATED AT �JLN\,S\�D LA—) OWNER/LESSER -',�� P.Ctf_ � DA� ADDRESS Qin, CITY I�A-L 6l ll RESIDENCE PHONE BUSINESS PHONE rA\ -`2 — p pp�(p TOTAL NUMBER OF ROOMS: 3 UNIT AGENT Tie ADDRESS CITY C1 BUSINESS PHONE (24 HRS.Qgl�-0&1� ROOM USE: I. K'i�)1 pyo 2•\�a3• ��4. 5. 6. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEPI HEALTH DEPARTMENT THIS n�FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE_—__ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:a-I - T _ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -' `� DATE FEE PAID: `2 - -2 D =. TYPE OF UNIT: DWELLING OTHER NOTES: s.y �y -�' /Kiss•a1' ,C/.vo.c Xn. , gz w qI, C'Lu2Fh7. 01C ..31 -Yf8 — CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"` FLOOR TEL. (978) 741-1800 I{IMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR IDIONNB SAI,FM COM JANF.T DIONNE ACTING HL''.AI1rFIAGU9N'r CERTIFICATE OF FITNESS CERTIFICATE # 476-08 DATE ISSUED: 10/5/2008 Property Located at: 2A Willow Avenue UNIT # 1 Front Owner/Agent: Derba Crosby Address: 2A Willow Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-410-4083 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE 80 OF HEALTH A TDI 'r ACTI G HEALTH AGENT C ENFORCEMENT INSPEC R KIMBERLEY DRISCOLL MAYOR JANET DIONNE, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 IDIONNE SALEM. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00a PROPERTY LOCATED AT i[i W 1 11 0 IS THIS UNIT DISIGNATED AS RIGHT LEFT R OR BACK PLEASE CIRCLE ONE OWNER/LESSER:: eO CSS\b' MANAGER/ AGENT NO P.O. BOX ADDRESS -6>4 H W DW f''CV�C— 4�r S ADDRESS CITY, STATE, ZIP Cil �Vyl / " \ /� CITY, STATE, ZIP 0 ' 9 q � U RESIDENCE PHONE �� — 1 I C) W�3 BUSINESS PHONE (24HRS) / BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5- - 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 TS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S Date on initial inspection: Date of reinspection: C% Date of issuance of certificate: Date fee paid: / OlJ 01% Type of unit: Dwelling Other Check # Check date: /b) b OZ) Code Enforcement Inspector CD CITY OF SALEM9 MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR 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 # 514-07 DATE ISSUED: 10/24/2007 Property Located at: 2A Willow Avenue UNIT # 1 Owner/Agent: Derba Crosby Address: 2A Willow Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-410-4083 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 Occupanc . FOR THE BOARD OF HEALTH i JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT L ` \ V w IJa'� kT � UNIT #L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSI No P.O. Box, ArN)RFSC a IANAGER/AGENT P.O. Box CITY S et\Qiw� � � Ci �_41TY y�b3 RESIDENCE PHONE G-�� l' -q` D v 6USINESS PHONE (24 HRS.) lG BUSINESS PHONE I� b -�-g-Ll( —a�-$ 3 TOTAL NUMBER OF ROOMS: 15 ROOM USE: J 2. 3. 4.-& 5 (,U6. ;;r�� 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 TIME OF INSPECTION. APPLICANTS SIGNATURE CDATE INSPECTORS USE ONLY i DATE OF INITIAL INSPECTION i D —) Yy % DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/', DATE FEE PAID: b TYPE OF UNIT: DWELLI OTHER_ CHECK # CHECK DATE/0 --Yrf —a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH r 120 WASHINGTON STREET, 4TH FLOOR p 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 # 185-05 DATE ISSUED: 3/14/05 Property Located at: 2A Willow Avenue UNIT # 2 Owner/Agent: Heath Carafa Address: 2A Willow Avenue Apt. 3 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 JOA E 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". PF,OPERTYLOCATEDAT �A-�.Ji�lp�-kV< _'----UNIT#-a IS THIS UNIT DESIGNATED AS RIGHT EFT FRONT BACK PLEASE CIRCLE ONE 4oWNE LESSER e� ,Y j� CncS(� MANAGER/AGENT P.O. B1ri Box No P.O. Box ADDRESSA- [ik<rAvADDRESS CITY CITY RESIDENCE PHONE TA' Tit RGI —BUSINESS RGI BUSINESS PHONE (24 HRS.) BUSINESS PHON TOTAL NUMBER OF ROOMS: ROOM USE: 1._Li 2.Q`wPr_3.4. (5JM-rn 5. V.+",vl, 6. 6oA\ _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 TIME OF INSPECTION. / / --v APPLICANTS SIGNATURE r DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE. O,-_-('� DATE FEE PAID:_ 3 =�_- 6_� /, 7 J TYPE OF UNIT: DWELLING ,Y_ OTHER_._- CHECK a_ 7 �> _-CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 ' JOANNE SCOTT, MPH, R5, CHO HEALTH AGENT RELEASE ;.a accordance with Massach,s.s_tts Gene -al Laws Chapter II!; Code of Massach'I'Detts Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article X(Ifi of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, i_/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. r ;",''I'I EBBE: hDDR ESS Oh' ER/i ESSOR. _� -/-,- /-,'//_ 11"e-- /� 3 ADDRESS ,2J ADDRESS OR UNIT TO ill I�:SPEC1'E7----------- 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 1/20/05 Heath Carafa 19 Goldwaite Place Peabody, MA 01960 PROPERTY LOCATED AT 2A Willow 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. For the Board of Helie lt�� Joa�MPH, RS, CHO Health Agent Reply to Pablo Valdez 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 Kimberley Driscoll WN/W.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 422-06 DATE ISSUED: 8/25/2006 Property Located at: 11 Willow Avenue UNIT # 2 Owner/Agent: William & Joyce Mcginn Address: 40 Birch Street City/Town: Peabody, MA Zip Code: 01960 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 If, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT /d dU/CC OW *-J/E ---- UNIT #_�' IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE W/4,�(Ar M C McG/NN OWNER/LESSER ER 7oyEL MANAGER/AGENT No P.O,.Box ___�_ ADDRESS 4(o 131 61— No P.O. Box ADDRESS CITY RE'A0.O�/ y q o / 96v CITY RESIDENCE PHONEL78 5d5-o7z9 _BUSINESS PHONE (24 HRS) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 5.__---6.---7. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE - - INSPECTORS USE ONLY DATE OF INITIAL jNSPECTION_C — 0 (O DATE OF REINSPECTION _.. . DATE OF ISSUANCE OF CERTIFICATE�� a --o-b DATE FEE PAID:_ TYPE OF UNIT: DWELLINC_IOTHER_ CHECK 8 119e;?CHECK Dj GG11CC��'' ATE NOTES: CODE ENFORCEMENT INSPECTOR 9/281/98 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, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERT.# 622-03 FEE $25.00 DATE: 12/29/03 PROPERTY LOCATED AT: 12 WILLOW AVENUE UNIT #' 1 OWNER/AGENT: TIM KNOWLTON ADDRESS: 24 DEVEREUX STREET CITY/TOWN: MARBLEHEAD ZIP CODE: 01945 24 HOUR PHONE: 781-479-4592 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 978-741-1600. FTHE BOARD OF HEALTH �v v"'✓C JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH p{{��^,3/yy, ly - �� • • 120 WASHINGTON STREET, 4TH FLOOR II�t I41,' SALEM, MA 01970 TEL. 978-741-1800 AA FAX 978-745-0343 DEC `T —2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO , MAYOR HEALTH AGENT CITY OF SALEM BOARD OF HEALTH �_o3 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 LdWILOLJ /4(Zt 0y UNIT # l IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE k,l No P.O. Box CITY 1/ [rJ��CITY YY, -0l RESIDENCE PHON�[�(�3� -� S��a BUSINESS PHONE (24 HRS. BUSINESS PHONEO,/),-,?/— TOTAL ,--?/—TOTAL NUMBER OF ROOMS: I_ p ROOM USE: I. KI I 2. L U 3. a l 4. IJQ f IM 5.�afy6. 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. o / APPLICANTS SIGNA INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I a -q— 1)'5 DATE OF REINSPECTION t,c DATE OF ISSUANCE OF CERTIFICATE:! d- _C -0 3 DATE FEE PAID: / ) — TYPE OF UNIT: DWELLING\ ZOTHER_ CHECK # /3 9/ CHECK DATE -2 1l -67 NOTES: S� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS t BOARD OF HEALTH is 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 6 FEE $25.00.00 TEL. 978-741-1800 DATE: FAX 978-745-0343 12/29/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 WILLOW AVENUE OWNER/AGENT: TIM KNOWLTON ADDRESS: 24 DEVEREUX STREET CITY/TOWN: MARBLEHEAD ZIP CODE: 01945 UNIT #: 2 24 HOUR PHONE: 781-479-4592 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 T�D OF HEALTH ' � v v�✓C JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE, ODE EN ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ,f '� BOARD OF HEALTH 1"`7 • e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 I'y �V VVV TEL. 978-741-1800 v DEC 4-2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CITY OF SALEM BOARD OF HEALTH �,�(,o3 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /I U4 / OL-) /4( -.Lt f UNIT #1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASECIRCLEONE OWNER/LESSER//4 ffKbrr)(IC)IJ MANAGER/AGENT JOINJ No P.O. BoX . No P.O. Box c --- CITY�/1 621, / 1j P 4 0 0/ 9'l.!r CITY RESIDENCE PHON �&SJKI/' yJSda BUSINESS PHONE (24 HRS.�_W&2_�— BUSINESS PHON TOTAL NUMBER OF ROOMS: ROOM USE: 1. K, t 2�-t U l0 3. 4 4. l� 5.�Ra �6.�G(CJ.1f7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. -17 'Al APPLICANTS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / 9 ,'Y_V 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/.2 - �'9 3 DATE FEE PAID: /Z `7 -0 5 TYPE OF UNIT: DWELLINGtOTHER_ CHECK # / 3 It CHECK DATE/_2-_�-?�5 nlr =O. _% S -Z) CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 01/03/2000 Judy Armitage 10 Meadow Drive Middleton, MA 01949 PROPERTY LOCATED AT 14 Willow Avenue UNIT # Front 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 %III 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. F THE BOARD �EALTH anne Sco ealth Agent TH REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-264 DATE ISSUED: 8/29/2017 Property Located at: 14A WILLOW AVENUE UNIT #2 Owner/Agent: Sally Clark Address: 14A Willow Avenue City/Town: Salem, MA Zip Code: 01970 Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: 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 KIMBERLEY DRISCOLL MAYOR LARRY RANiDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, KV sSACHUSETTS BOARD OF HEALTH 1301 `iCASHINGTON STREET, 4T" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN [L SALEVLCOI 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 1 q 4 Lw II Ile) 64J IS THIS % UNIT DIISIGNATE�D% AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE :)COIL, l _tai -e- MANA(;FR/AC:FNT NO P.O. BOX ��JJ��,,� JJ y� ADDRESS 1 %fW" Il1 � 0 I A"� ADDRESS CITY, STATE, ZIP <90U l f M CITY, STATE, ZIP I q 79 RESIDENCE PHONE BUSINESS PHONE BUSINESS PHONE �� -ala - 73 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. L K 2. IJ K 3. Kl 7L- 4. 5. 6. 7. 8. 9. 10. 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 ATT T O INSPECTION .7 APPLICANT'S SIGNATURE �0`u%/ DATE °` Z Inspectors use only , 1� Date on initial inspection: 6 I Date of reinspection: Date of issuance of certificate: � .za 112L Date fee paid: Type of unit: Dwelling Other Check # Check date: 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: 14A Willow Avenue OWNER/AGENT: Marion D. MacDonald CERT.# 744-00 FEE $25.00 DATE: 11/21/2000 UNIT #: 2 ADDRESS: 14A Willow Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6874 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 UJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 qq-.0 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: (978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT f V qq U%1 646 b1% 40 e, UNIT # Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FROON�T BACK PLEASE CIRCLE ONE OWNER/LESSER AI 4,2.1'0,t.1 �l'' 5i2AyAVAdER/AGENT No P.O. Box No P.O. Box ADDRESS_ ZV� WlItV it/ �I"U "- ADDRESS CITY A ��-- 1/1 — O( Ol ? OCITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS:-7Z— ROOM OOMS:Z-- ROOM USE: 1. 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 / n .Dap //, 2 1 -OD INSPECTORS USE ONLY DATE OF INITIAL INSPECTION //-,l 1-6 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: —U a DATE FEE PAID: 111 a- I U o TYPE OF UNIT: DWELLING/VOTHER_ CHECK # 96 CHECK DATE /- a- (—o `' CODE ENFORCEMENT INSPECTOR CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 15 Willow Avenue OWNER/AGENT: Arthur Valaskatqis ADDRESS: 15 Willow Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 CERT.# 338-02 FEE $25.00 DATE: 07/03/2002 24 HOUR PHONE: 741-8040 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. 9FOj2 THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE INSPECTOR CITY OF SALEM, MASSACHUSETTS 0 1r 3. 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, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 15 Willow Avenue OWNER/AGENT: Arthur Valaskatqis ADDRESS: 15 Willow Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 CERT.# 338-02 FEE $25.00 DATE: 07/03/2002 24 HOUR PHONE: 741-8040 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. 9FOj2 THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE INSPECTOR 0 STANLEY LISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 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 %.S hcJ 69== UNIT #—a, IS THIS UNIT DES!GNATED AS !TIGHT. LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER I4 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS IC 1!% flou) 4< ADDRESS CITY ,Sf}Fot C) /97y CITY RESIDENCE PHONE M-25(1400 BUSINESS PHONE (24 BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.-3.-4. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. I APPLICANTS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7DATE OF INITIAL INSPECTION i, DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:?. 3 --v V DATE FEE PAID: 7 - 3 � V 1 -- TYPE TYPE OF UNIT: DWELLING,� -OTHER_ CHECK # 6 g 19 I CHECK DATE %' 3 _o Z CODE ENFORCEMENT INSPECTOR 9/28/98 / 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: 16 Willow Avenue OWNER/AGENT: Sally Clark ADDRESS: 14 Willow Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 1 CERT.# 136-03 FEE $25.00 DATE: 04/01/2003 24 HOUR PHONE: 740-2752 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. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR STANLEY LISOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT i ( A// ll0 a) A V --el UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�R�_0a"�MANAGER/AGENT �GCVIk`e No P.O. Box 11 No P.O. Box ADDRESS 17I/t% � Vt ADDRESS CITY S a `/ L m CITY RESIDENCE PHONE ? V 0'-a 7s` BUSINESS PHONE (24 HRS.) BUSINESS PHONE q I F_ �1'�1- 3 TOTAL NUMBER OF ROOMS:( ROOM USE: 1. L 2. 3.�4. 36-65 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. `� i1 APPLICANTS SIGNATURE SAZ4 1 ` — DATE �) v INSPECTORS USE ONLY ATE OF INITIAL INSPECTION 4— l -'03 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 'v3 DATE FEE PAID: _ 0 TYPE OF UNIT: DWELLINTHEIR_ CHECK # 6(o CHECK DATE 'O 3 NOTES- yl\ CODE ENFORCEMENT INSPECTOR 9/28/98 rh WN STANLEY J. USOVICZ, JR. MAYOR Sally Clark 16 Willow Avenue Salem, MA 01970 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT PROPERTY LOCATED AT 16 Willow Avenue Unit 2 Dear Sir/Madam: 7/25/05 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@Ithe Board of Heal Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT. CERT.# 781-99 FEE $25.00 DATE: 12/28/1999 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Willow Avenue OWNER/AGENT: Sally Biseana ADDRESS: 14 Willow Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 24 HOUR PHONE: 741-0500 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978 -741 -1800. - FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i{ ✓ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT. CERT.# 781-99 FEE $25.00 DATE: 12/28/1999 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Willow Avenue OWNER/AGENT: Sally Biseana ADDRESS: 14 Willow Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 24 HOUR PHONE: 741-0500 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978 -741 -1800. - FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 191-f/ /1 V I - / 1 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee (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 (aZ O Gt> 7rt V UNIT # 2 - IS IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER � (f L, -9 (S h4—MANAGER/AGENT Sa (h 'e— No P.O. Boz '' dADDRESS CITY CjQ Wt ��J � i� NAn RB R RESIDENCE PHONE -7 y --,> 7 -?2- BUSINESS PHONE (24 HRS.) % (-bSo a BUSINESS PHON TOTAL NUMBER OF ROOMS: f ROOM USE: 1. 2. 3.�4. 11 �- 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 ��AA F 'aA l J2_ 2_s ;�4- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION tD DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEaDATE FEE PAID: /) J S/ 7 5 TYPE OF UNIT: DWELLING V OTHER_ CHECK #3�1__CHECK DATE / ) -) 5' - `j `j CODE ENFORCEMENT INSPECTOR 9/28/98 KIIvIBERLEY DRISCOLL MAYOR DAVID GR}? EN B k um Ac,rlNG Hj-,,ALni AGEN'r CITY OF SALEM, MASSACHUSETTS BOARD OF HF-ILTH 120 WASHINGTON STREET, 47" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 D(;R F,HM3AUM(.SAI,F?M.COM CERTIFICATE OF FITNESS CERTIFICATE # 644-09 DATE ISSUED: 12/22/2009 Property Located at: 21 Willow Avenue UNIT# 1 Owner/Agent: David & Vita Williams Address: 21 Willow Avenue #2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0278 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 BOARp OF HEALTH l DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGRrr.•.NBAUM SA1XN4. 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 E IS AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER G dMANAGER/ AGENT M o :oe ADDRESS W JIB w t -y&- ADDRESS CITY, STATE, ZIP '5, t CITY, STATE, ZIP (} RESIDENCE PHONEl �i 71TiU BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. L', v t U/ Np - 1-W4 f ✓r�%'3"' f c in i t'l q t 5. Oar' 9 iQ D IS 2 THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA LE AT E TIME O 15PECTION r APPLICANT'S SIGNATURE DATE �^ Inspectors use only Date on initial inspection: � o /U GJ Date of reinspection: Date of issuance of certificate: Date fee paid: a a o Type of unit: Dwelling /Other Check # L& S Check date: / 14 0) /01 i'/ Notes: �i 0 &4/j �"U f � g �lerVl a nMA OW,( 'fri ayc SVw,r. Code Enforcement Inspector CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1 800 FAx 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 555-03 DATE ISSUED: 10/30/2003 Property Located at: 21 Willow Avenue UNIT #: 1 Right Owner/Agent: Michale lannuzzi Address: 21 Willow Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-4562 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if 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 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if 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 HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS 55 S -6J, IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION IS THIS UNIT DESIGNATED AS RIGHTAEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER/�4�Adl �lC(Z/�GIANAGER/AGENT C No P.O. Box 1 �, _ • ./I,, ) No P.O. Box t— t)_ CITY CITY l /CCXX/l�f ` RESIDENCE PHONE f7l S USINESS PHONE (24 HRS.)' 7 J 0 -W BUSINESS PHONE TOTAL NUMBER OF ROOMS: :1) / ROOM USE: 1. 2. I e11 11 id_ 5. T-8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. J APPLICANTS SIGNATURE DATE INSPECT( USE ONLY DATE OF INITIAL INSPECTION 101,301d 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,e,7-50 l DATE FEE PAID: / Z) 3 ° " 3 TYPE OF UNIT: DWELLING HER CHECK # 7,2::2 CHECK DATEA-319 y3 NOTES: CODE ENFORCEMENT INSPECTOR