WINTER STREETWINTER STREET
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
I":@ :iLMl9FSYY4:ti1C1[�lIX9
PROPERTY LOCATED AT: 1 Winter Street UNIT #: 1
OWNER/AGENT: Helen & Edward J. Mulry. III
ADDRESS: 179 Cherry Street
CERT.# 93-98
FEE $25.00
DATE: 02/17/98
CITY/TOWN: Wenham. MA ZIP CODE: 01984 24 HOUR PHONE: 468-2430
NINE NORTH STREET
Tel: (978) 741-1600
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
L�THE BOARD OFF/F 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".
PROPERTY LOCATED[A AT a/ / t S 7— UNIT /
OWNER/LESSER C�/2 h P 17 U /��� MANAGER/AGENT S/� ADDRESS/ 7 9 CR2 S .57—_ ADDRESS s/f /%C --
CITY w6 -1(/,/11/N CITY SH /`76 -
PHONE,
PHONE. 9 7,f' BUSINESS PHONE (24 HRS.)
BUSINESS PHONE $/f /V &
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 'l3G v 2. l.�T�7 3• L/(/ 4, K/T
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 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE �/� DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTLFICATE:DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER yy
NOTES: -�- L? 5 z0 - J�
CODE ENFORCEMENT INSPECTOR
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
or 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.
TENANT%LESSEE.
ADD [iESS
'v
OWNER/LESSOR
--
ADDRESS
/ IvIAl Tr /z S L
ADDRESS OF UNIT TO BE INSPECTED
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERT.# 453-96
FEE $25.00
DATE: 07/17/96
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Winter Street
OWNER/AGENT: Helen & Edward Mulry. III
ADDRESS: 179 Cherry Street
CITY/TOWN: Wenham. MA ZIP CODE: 01984
UNIT #: 2
24 HOUR PHONE: 468-2430
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".
PROPERTY LOCATED AT
OWNER/LESSER �y/W,'/ p( //"
ADDRESS iV-"`
CITY �Uvy1Ur�
RESIDENCE PHONE
BUSINESS PHONE $S`Z"' w 6 67/
MANAGER/AGENT
ADDRESS
CITY
BUSINESS PHONE (24 HRS.)
TOTAL NUMBER OF ROOMS:
ROOM USE: 2. �p1f 4P
3. 1pde.� 4 •
5.�6.IL�a. t,, 7. 8.
THERE IS A TWENTY—FIVE (25.00)
DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEK HEALTH DEPARTMEb
THIS FEE IS PAYABLE
AT THE TIM OF INSPECTION?
`
APPLICANTS SIGNATURE
iV
DATE 1
G
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:7// // 7 -- C 6 DATE OF REINSPECTION G _
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:—7 -/ 7 �(, .
TYPE OF UNIT, DWELLING,>", OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Winter Street
OWNER/AGENT: James McLean
ADDRESS: 8 Winter Street
CERT.# 60-01
FEE $25.00
DATE: 02/07/2001
UNIT #: 1 Left
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0359
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 (K) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES:- .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800
Fax: (978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". F4at Fl.d .' Sem d)
PROPERTY LOCATED AT I O `» UNIT #-Z
IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE
OWNER/LESSERlk—wi e MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS <- ADDRESS
CITY ��'� CITY
RESIDENCE PHONE <, G3,"'AUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 2
ROOM USE: 1. 2. 3. 4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
J
DATE OF INITIAL INSPECTION/0--3 /' o DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:d,-7"-�� DATE FEE PAID: %O
TYPE OF UNIT: DWELLING Y OTHER_ CHECK # 5-7R CHECK DATE /0-3/
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 III; Code of Massachusetts
Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of
the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized age-rs
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
T.ENA� % ESS
OWNMri,ESSOR l "
ADDRESS aq 7d ADDRESS Otq 7Q
L Wi0fe_ SQA l�nAA
TD -DRESS OF UN1T TO BE IN PEC D 01n_7!\
TE
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
1 pic1lp"-M-Y.V_oww3FIHlyU �9
PROPERTY LOCATED AT: 12 1/2 Winter Street
OWNER/AGENT: Paul Herrick, Trustee
ADDRESS: 12 Winter Street
CERT.# 151-98
FEE $25.00
DATE: 03/20/98
UNIT #:
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5159
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 o 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
/6-1 -qs,
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 410000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT JZ f/Z co TE rL 57 UNIT I
OWNER/LESSER P.4dL J: Nt�_2iL(Ck— ) rKS
ADDRESS% -
CITY �N
RESIDENCE PHONE YY''7-5-/,59
BUSINESS PHONE �% b 2, 2,O X e 3_
MANAGER/AGENT
ADDRESS
CITY
BUSINESS PHONE (24 HRS.)
TOTAL NUMBER OF ROOMS, /_`'•' `
ROOM USE: I. _/ `vim � 2. V. �3.L _tZ 4. JB/Z-
5. ��L 6. /�/oL 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 DATE_
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: C/ DATE OF RELNSPECTLON _
DATE OF ISSUANCE OF CERTIFICATE: _ b eO DATE FEE PAID — D :7/
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
KIMBERLEY DRISCOLL
MAYOR
]AN I.'; T DIONN IJ,
ACTING HF:AL;III AGIzNT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
IDIONNI SAI,6M (YAM
CERTIFICATE OF FITNESS
CERTIFICATE # 544-08
DATE ISSUED: 10/9/2008
Property Located at: 14 Winter Street UNIT # 2
Owner/Agent: Mary Manning
Address: 16 Oliver 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 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 BOARD OF. HEALTH
JA*ENNE
ACLTH AGENT
IQMBLRLEY DRISCO LL.
MAYOR
JAM- .TDIONNE,
SENIOR SANNTARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OP HEALTH
120 \VASEt iNC,'r0N STREET, 4°' Ft_00R
Ti- '1 (978) 741-1800
FAX (978) 745-0343
P ioN ,p a�SAt,r%t. 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 TI
Iq
UNIT#_
AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
NT57.0. BOX
ADDRESS 16 o I �?I' a. ADDRESS
AGENT
CITY, STATE, ZIP 6) yUt./ [) (qj0 CITY, STATE, ZIP.
RESIDENCE PHONEg7� 1� 1I ' O zlI S BUSINESS PHONE (24HR
BUSINESS
TnTAL NT IMRFR nF RonMR. 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 FE11,jPAYAB �E�A/T�T�H�E�TIME OF INSPECTION% APPLICANT'S SIGNATUREG ( ("i DATE (D d0
Date on initial inspection: k0biw Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check # Check date:
mG
floor
mos} t,5v40.z tv\ untt wire rested to u,UlCto 51tiy ofen wLThzot
r� r� �.ia/ �a�`�5 pYop oQeX1. cit T(�5i�dez(i�It is 6)W I �cwe celc�cays
Co nforcementInspector �p.e e &,Z,6 y%C - S 'd,�L((ji �Cktkt WlVt" tWUS 1#7
opera t6,melv-es • OC4U- ce ls� 5i d ` Sev�s�cl wivtd S
wp going to �i u�cvr ctcvj
CITY OF SALEM MASSACHUSETTS
HEALTH AGENT
Q�%
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
IS FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 432-07
DATE ISSUED: 8/31/2007
Property Located at: 15 Winter Street UNIT # 1
Owner/Agent: Fatima Heath
Address: 17 Ledge Lane
City/Town: Gloucester, MA Zip Code: 01930 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
JJ ANT, MPH, RS, CHO
HEALTH AGENT
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".
I
PROPERTY LOCATED AT /A�&�a, UNIT # l
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERT_174� MANAGER/AGENT 51�4-
No P.O. Box / / No P.O. Box
ADDRESS/tea ADDRESS
RESIDENCE PHONE 9/ '65 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE Fa - 5/ y5`6 '
TOTAL NUMBER OF ROOMS:
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 h�e:��DATE S a / O 7
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION O - �I -Z' % DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: l `0DATE•FEE PAID:__T_-__� 7
TYPE OF UNIT: DWELLINke�_OTHER__ CHECK #-J/_ j CHECK DATE / _ -0
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
o;7
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4161 FLOOR
TEL. (978) 741-1800 FAx (978) 745-0343
ltamdin asalem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 353-13
DATE ISSUED: 10/1/2013
lu
PublicHealth
Prevent, Promote. Protect.
L IMY RAtMI)IN, RS/RG:HS, CHO, ORFS
Hi "Al a'GI AcrcNP
Property Located at: 15 Winter Street UNIT # 1 Front
Owner/Agent: Fatima & Brian Heath
Address: 17 Ledge Lane
City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 508-783-2717
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.
;FytLTH
LARRY RAMDIN AUA-)
HEALTH AGENT SANITARIAN
u ;
KIMBERLEY DRISCOLL
MAYOR
LARRY RAMDIN, RS/REFIS, CI 10, CP -FS
HFAM,i 1 AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4:... FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
I.RAMD I N @SALI3.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 15 Winter Street Salem, Massachusetts 01970
UNIT# 1
IS THIS UNIT DISIGNATED AS RIGHT LEF FRONT R BACK, PLEASE CIRCLE ONE
OWNER/LESSER Fatima and Brian Heath MANAGER/ AGENT Fatima Heath
NO P.O. BOX
ADDRESS ADDRESS 17 Ledge Lane
CITY, STATE, ZIP Gloucester, MA. 01930 CITY, STATE, ZIP
RESIDENCE PHONE 978-2824405 BUSINESS PHONE (24HRS) 508-783-2717
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 2
ROOM USE: LStudio with loft, and kitchenette 2.bathroom 3. 4. 5.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNA
Date on initial inspection: I
Inspectors use only
Date of reinspection:
Date of issuance of certificate: Date fee paid: Id ^I ^ 13
Type of unit: Dwelling ✓ Other Check # Check date: ni 3�1 0
113
4.*
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Winter Street UNIT #: 2
OWNER/AGENT: Steve Pelletier
ADDRESS: 1648 Garden Court
CERT.# 233-99
FEE $25.00
DATE: 05/18/99
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
CITY/TOWN: Charlottesville,VA ZIP CODE: 22901 24 HOUR PHONE: 741-4404
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION--
SECTION
ABITATION"SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
r
OANNE SCOTT, MPH,RS,CHO
HEALTH AGENT. CODE ENFORCEMENT INSPECTOR
MAY 17 '99
V,
.�y
07:18 AM SALEM HEALTH
+3087480705
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
Page 2
a 233 9
JOANNE SCOTT, MPH, RS. CHO NINE NORTH STREET
HEALTH AGENTAPPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800
Fax: (978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT L_y _..i UNIT p 2
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
/
OWNER/LESSERLIJC .,_Pe�I��c,...., MANAGEWAGENT.
NR�
No P.O. Box o P.O. Box
ADDRESS y� V4^0te^ f ADDRESS !'
CITY / CITY
RESIDENCE PHONE Y� ? _BUSINESS PHONE (24 HRS.) e L y �o y
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._. 2._.
S. 6.
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
P4*_�,__��E)ATE_5__a-
jN3PF
CT,Q.,RS USE ONLY
pATE OF INITIAL II„ff f DATE OF REINSPECTION.. _
DATE OF ISSUANCE OF CERTIFICATE:=/ 8 - f f DATE FEE PAID:S=�ff ^ .,
TYPE OF UNIT: DWELLING e
OTHER__ ._ CHECK #1_al�_[ - CHECK CHECK DATE ,
NOTES:
CODE ENFORCEMENT INSPECTOR
9/28/98
MAV 17• '99 07:18 AM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
SALEM HEALTH
+9087408705
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
RELEASE
Page 3
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 at. seq.; State Sanitary Code Chapter 1.1 and Article X11) of
safe City of Salem Ordinance, undersigned owner/lessor and tenant/lesser- 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.
fn the event it is necessary Lhat 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 end its authorized a.renEs
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
�e'�
4
OWNER/LESSOR
9('0 -7. c �-
ADD CESS ----._. .-------- ADDRESS - -----
ADDRESS OF UNIT 'I'O RF: INSPF:CTF:D
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Winter Street
OWNER/AGENT: Brian & Fatima Heath
ADDRESS: 17 Ledge Lane
CITY/TOWN: Gloucester, MA ZIP CODE: 01930
CERT.# 202-01
FEE $25.00
DATE: 04/30/2001
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
UNIT #: 2 1st Floor Back
24 HOUR PHONE: 741-4404•
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
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 /J C/�//1L�lJ� T - UNIT #
NINE NORTH STREET
Tel: (978) 741-1800
Fu: (978) 740-9705
2
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT AC PLEASE CIRCLE ONE48 r/012 0X7e/ 1
OWNER/LESSER / Q� f e'4 /7ParGl MANAGER/AGENT SQGL! E
No P.O. Box/ / No P.O. Box
ADDRESS 17 A LdGF A1C AnnaGcc
CITY GSD U CPS 69/2 CITY
RESIDENCE PHONE ,;4& -�SBUSINESS PHONE (24 HRS.) 97f a F3 -,?6o o
BUSINESS
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1. /lt/ X 2. 8hA, 3. U 4. D /ti e4A4 (� i
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE�a jwc } /4�ax DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION o 'G DATE OF REINSPECTI
DATE OF ISSUANCE OF CERTIFICATE. -:-3- 0 '6/ DATE FEE PAID: Y - 3 () - o/
TYPE OF UNIT: DWELLING %HER— CHECK #._/ _CHECK DATE 3 -�
CODE ENFORCEMENT INSPECTOR
9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
r a
120 WASHINGTON STREET, 4TH FLOOR CERT. # 196-03
o SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 05/12/2003
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 winter Street
OWNER/AGENT: Brian Heath
ADDRESS: 17 Ledge Lane
CITY/TOWN: Gloucester, MA ZIP CODE: 01930
UNIT #: 4
24 HOUR PHONE: 282-4405
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
UJOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �r �/� CST- UNIT #
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE
mli m- 1
No P.O. Box
CITY CITY
RESIDENCE PHONE 72F -A9 ] BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —44WCC
TOTAL NUMBER OF ROOMS: Zu �,/ ,
ROOM USE: 4177 2. �`//`� 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 / ��_DATE _Y2:0
O
INSPECTORS USE ONLY
GATE OF INITIAL INSPECTION i_-/ 2- a 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: S _ z' 3 DATE FEE PAID: _5--12- a
TYPE OF UNIT: DWELLING VOTHER_ CHECK # �'S 3 CHECK DATE�E_/Lz'If—
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
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 �r �/� CST- UNIT #
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE
mli m- 1
No P.O. Box
CITY CITY
RESIDENCE PHONE 72F -A9 ] BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —44WCC
TOTAL NUMBER OF ROOMS: Zu �,/ ,
ROOM USE: 4177 2. �`//`� 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 / ��_DATE _Y2:0
O
INSPECTORS USE ONLY
GATE OF INITIAL INSPECTION i_-/ 2- a 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: S _ z' 3 DATE FEE PAID: _5--12- a
TYPE OF UNIT: DWELLING VOTHER_ CHECK # �'S 3 CHECK DATE�E_/Lz'If—
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
07/19/2001
Brian & Fatima Heath
17 Ledge Lane
Gloucester, MA 01930
PROPERTY LOCATED AT 15 Winter Street UNIT # 5
Dear Sir/Madam:
120 Washington Street
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,n each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. -Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has been proven to exist.
R THE BOARD HEALTH
oanne Sco MPH,RS,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
r'
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Winter Street UNIT #: 5
OWNER/AGENT: Steve Pelletier
ADDRESS: 1648 Garden Court
CERT.# 236-99
FEE $25.00
DATE: 05/18/99
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
CITY/TOWN: Charlottesville, VA ZIP CODE: 22901 24 HOUR PHONE: 741-4404
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
(JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
MAV 17 '99 07:18 AM
SALEM HEALTH
+5087488705
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
�3(0-99
Page 2
JOANNE SCOTT. MPH. RS. CHO NINE NORTH STREET
HEALTH AGENTAPPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800
Fax: (978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT I. y ._..i UNIT #
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE /
OWNERILESSER(el�C.,_��T�[.,..N.. MANAGER/AGENT
No P.O. Box .i�.1
/ o P.O. Box
ADDRESS SCSI G "(0 Cf ADDRESS
CITY Cha✓/nf %e5 /i"��C //� Z Z `/O / CITY CTed
RESIDENCE PHONE M 2 2,/$!� _BUSINESS PHONE (24 HRS.) 4' L y �0 V
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE:
4.
S..... 6. - --�' --- 8..
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. g
APPLICANTS SIGNATURE
����DATE—
INSPECTQBS USE ONLY
DATE OF INITIAL INSPECTION rf_!&__r DATE OF REINSPECTION. _
DATE OF ISSUANCE OF CERTIFICATEZ_nI# -9? DATE FEE PAID: , —t�_yQ .. .
TYPE OF UNIT: DWELLING OTHER --
CHECK #IZ r -Y ... CHECK DATE -$-- 4.110
CODE ENFORCEMENT INSPECTOR 9/28/98
HAY 1; '99
n y,
r.
07:10 AM SALEM HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
*S007400705
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
RELEASE
Paye 3
NINE NORTH STREET
Tel: (508) 741.1800
Pax; (508) 740-9705
in accordance with Massachusetts General Laws Chapter III; Code of Massachusetts
Regulati.ons 410.000 et. seq.; State Sanitary Code Chapter 11 and Article 7(111 0l
the CiLy 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.
1:n the event it is necessary Lhatsaid inspection be done in my/our absence, 1./we
expressly authorize the same and for my/our successors and assigns hereby relcasa
and discharge the CiLy of Salem, Salem board of Health and its authorized arencs
from any loss or injury sustained of whetevev nature and description occasioned
by my/ouc absence during said inspection.
T^.NANTT'.IgANT
/LnSSEF.
6L/`
nDDRESS
UA'i F;
OWN•./LESSOR -
ADDRESS
ADDRESS OF UNIT 9'/) HF; INSPECTED
CITY OF SALEM, MASSACHUSETTS
m31. BOARD OF HEALTH
c ,
llA
120 WASHINGTON STREET, 4TH FLOOR
„ c SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
.JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 71-08
DATE ISSUED: 2/8/2008
Property Located at: 15 Winter Street UNIT # 6
Owner/Agent: Brian Heath
Address: 17 Ledge Lane
City/Town: Gloucester, MA Zip Code: 01930 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 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
FO T 0 D OF
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
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 /, fes `S,7 UNIT # 6
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ICK PLEASE CIRCLE ONE
OWNER/LESSER iU /kn%_ MANAGER/AGENT
No P.O. Box _ _ i I i No P.O. Box .
CITY�(1Y1��pp�% � A CITY CV e3d
I�1
RESIDENCE PHON?_�-YRS BUSINESS PHONE (24 HRS.)
BUSINESS
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1._ 2. 3
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 DATE 2 __e7-0
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION a - 9- I) Y DATE OF REINSPECTI
DATE OF ISSUANCE OF CERTIFICATE -2-:11) DATE FEE PAID:_
TYPE OF UNIT: DWELLING/ OTHERCHECK#-/,/ CHECK DATE ._ _.� -05
NOTES: /�C\
CODE ENFORCEMENT INSPECTOR
9/28/98
KIMBERLEY DRISC:OLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
BO,MD OF HEALTH
120 WASHINGTON STREET, 411 FLOOR
'TILL. (978) 741-1800 Fax (978) 745-0343
lramdin@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 417-12
DATE ISSUED: 10/22/2012
lu
PublicI%aIth
Prwc�l. Plomn[a. Ploleol.
L IMY RAMIAN, RS/Rf?I-I5, Cf 10, C1' -1'S
REAL„PLf AGFNC
Property Located at: 15 Winter Street UNIT # 7
Owner/Agent: Brian Heath
Address: 17 Ledge Lane
City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 978-282-4405
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11”
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LA RAMDIN
HEALTH AGENT
SANITARIAN
KIMBERLEY DRISCOLL
MAYOR
CITY OF SALEM, MASSACHUSETTS
Bmm OF HEALTH
120 W ASI3INGTON STREET, 41}1 FLOOR
TEL. (978) 741-1300 FAX (973) 745-0343
tramdin@salem.com
PublicHeal4h
Yrerem. 1'romnrc. f'rntec�.
LMMY RiMI)IN, RS/lu;1 iS, cl-lo, cP-I'S
HI?;A!:I'FI 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"
FEE: $50.00
PROPERTY LOCATED AT—1 /rCl/IV/L
IS THIS UNIT DISIGNATED AS
OWNER/LES
NO P.O. BOX
FRONT OR BACK PLEASE CIRCLE ONE
AGENT �' 4 t_
7
ADDRESS .41 /_j��,,it /�% ADDRESS
CITY, STATE, ZIP a&e CITY, STATE, ZIPF�( /�
RESIDENCE PHONE BUSINESS PHONE (24HRS) ' /,
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:—
ROOM USE:
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S
Inspectors use only
Date on initial inspection: ��a I�ol Date of reinspection:
Date of issuance of certificate: Date fee paid: nn
Type of unit: Dwelling Other Check # �c) 7 Check date: / O1ad I g
Code nforcement Inspector
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Winter Street UNIT #: 8
OWNER/AGENT: Steve Pelletier
ADDRESS: 1648 Garden Court
CERT.# 239-99
FEE $25.00
DATE: 05/18/99
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
CITY/TOWN: Charlottesville VA ZIP CODE: 22901 24 HOUR PHONE: 741-4404
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.
�yFOR THE BOARD �O/F HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
MAY 17 '99 07:18 AM
JOANNE SCOTT. MPH. RS. CHO
HEALTH AGENT'
SALEM HEALTH
45007409705
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
APPLICATION FOR CERTIFICATE OF FITNESS
Page
37'9�
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /.5 ._._ UNIT N.V
2
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE /
OWNER/LESSEReUC EAIV,i�MANAGER/AGENT
No P.O. Box No P.O. Box Ch 4 S
ADDRESS Sl� V�� dc� Cf ADDRESS, s«
---
CITY Ga✓ltT�`cSG��[ ZZ`10/ CITY
RESIDENCE PHONE :7 M J2/Y _BUSINESS PHONE (24 HRS) / Y '�o 7
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2._ 1 .1.._3. .4.,
5. ... .. 6.--�'--- 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. g
APPLICANTS SIGNATURE
p4`�/DATE- Z 2- 7/
INSP CiQRS USE ONLY
DATE -E INITIAL INSPECTION 5: � r[ f DATE OF REINSPECTION.. -
DATE OF ISSUANCE OF CERTIFICATE! P -ff DATE FEE PAID: f ff f. .
TYPE OF UNIT: DWELLING OTHER._ . CHECK NZj--Y' [ - CHECK DATE _ -4--
NOTES:--__._..._... ------..._........... .__._ .,.._ _ .....
CODE ENFORCEMENT INSPECTOR 9/28/98
+{{�, CITY OF SALEM, MASSACHUSETTS
m31. BOARD OF HEALTH
a 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 # 67-08
DATE ISSUED: 2/8/2008
Property Located at: 15 Winter Street UNIT # 9
Owner/Agent: Brian Heath
Address: 17 Ledge Lane
City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 978-283-8600
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy
FORTH(�� OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
i Q L&5"�
CODE ENFORCEMENT INSPECTOR
`
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
•
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 '
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll
HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT S7— UNIT #_7
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
No P.O. Box
No P.O. Box
CITY a&I(RS 1/ ///G7, CITY
RESIDENCE PHONE M29Z— � BUSINESS PHONE (24 HRS.)
BUSINESS PHON
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.--4.
5. —6.-7.-8.—
THERE
.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
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION o*;� _g -6 S ----.DATE OF REINSPECTION___
DATE OF ISSUANCE OF CERTIFICATE;2 -,:S -gDATE FEE PAID:_ `?- _ S'' v Y
TYPE OF UNIT: DWELLING�THER___ CHECK #-//cJ ,_CHECK DATE D
NOTES:
CODE ENFORCEMENT INSPECTOR
9/28/98
TST,►�
i
N.f
KIMBERLEY DRISCOLL
MAYOR
DAviD GRtiFNimuM
ACTING HEAL' m AGf,NT
CITY OF SALEM, MASSACHUSET"T"S
BOARD OF HEALTH
120 WASHINGTON STREET, 4"' FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
DGRE F.NBAU MALE M.COM
CERTIFICATE OF FITNESS
CERTIFICATE # 523-09
DATE ISSUED: 10/16/2009
Property Located at: 15 Winter Street UNIT # 10
Owner/Agent: Fatima Heath
Address: 17 Ledge Lane
City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 741-4404
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 q¢� F HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CODE E ORCEMENT INSPECTOR
cro
I IMBERLEY 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
DGREE.NBAUM(C/�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."
PROPERTY LOCATED
FEE: $50.00
O
0fter 51
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
OWNER/LESSERMANAGER/AGENT
NOP ' 0 '
OP.O. BOX / /
ADDRESS I7 G� EC�CF /tQ2 ADDRESS
/o
CITY, STATE, ZIP 0 le P S 7',0/' /`lr7 CITY, STATE, ZIP
�,y, D/4r3a _
RESIDENCE PHONE 979 a 9a 77 6 BUSI
J NESS PHONE (24HRS) Q 78- a E 3
BUSINESS
TOTAL NUMBER OF ROOMS:
STU,UI6
ROOM USE: 1. 2.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEEIS
PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE �C� ///Y��lG /i1�L� DATE
Inspectors use only
Date on initial inspection: D Date of reinspection:
Date of issuance of certificate: U Date fee paid: PU ALO G
Type of unit: Dwelling Other Check # 0� S / Check date: /0 116PLO 9
D�
Code Enf ment spe or
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Winter Street
OWNER/AGENT: Fatima & Brian Heath
ADDRESS: 17 Ledge Lane
CITY/TOWN: Gloucester, MA ZIP CODE: 01930
CERT.# 203-01
FEE $25.00
DATE: 04/30/2001
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
UNIT #: 10 Left Back
24 HOUR PHONE: 741-4404
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES:
NOTE: THIS APPROVAL DOES NOT. CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
_OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE
INSPECTOR
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".
p_6 i
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
PROPERTY LOCATED AT Zf LL%/A//`P/� Sf UNIT #16
IS THIS UNIT DESIGNATED AS R GHT EF FRONT BAC PLEASE CIRCLE ONE
OWNER/LESSER 141P(V;! MANAGER/AGENT 51YIW�i
No P.O. Box/ No P.O. Box
ADDRESS 17 � e� p I G oto ennapec
CITY_6����CITY l//r//b,q
�yFs9rs1
RESIDENCE PHONE 278 o7Ra -W05 BUSINESS PHONE (24 HRS.) 979d S 3 jf'(od0
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:__ _ e�
ROOM USE: 1. 2. 3. 4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION '� - 3 0 - o/ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:g -3 a - o ( DATE FEE PAID: �4' 3 y 0 /
O/
TYPE OF UNIT: DWELLING OTHER_ CHECK# �( CHECK DATE G- _S (3
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-17-161
DATE ISSUED: 6/6/2017
Property Located at: 15 WINTER STREET UNIT #11
Owner/Agent: Brian Heath
Address: 43R South Street
City/Town: Rockport, MA
Zip Code: 01966
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.
a--2�
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
KIMBERLEY DRISCOLL
MAYOR
LARRY RAMDIN, ]LS/RENS, CHO, CP -FS
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4" FLOOR
TEL. (978) 741-1800
FAx (978) 745-0343
LRAMDIN .SALEM.COb[
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANTI'ARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT /Jr 6,1 JO /,0/"_ 57, , '�)G 149!4,! UNIT# %/--
IS THIS UNIT DISI,G�N/ATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
OWNER/LESSER
`/� �/ / �rh / ((-e/ 47 7�4 1 MANAGER/ AGENT 5)m_("F
ADDRF. �S 'T _> SD fi 7�1� �T C2 / ADDRESS 1,9i5 r L- /),n
CITY, STATE, ZIP_
CITY, STATE, ZIP MA , 6 1,9<e
RESIDENCE PHONE 5_0(? -76'3— 27/7 -BUSINESS PHONE (24HRS) dI",9
BUSINESS PHONE AZA
TOTAL NUMBER OF ROOMS: / CS ! v of d I n C ,
ROOM USE: 1. St)j 0 2. P4 f 3. \ 4. 5.
THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THETIME OF INSPECTION
APPLICANT'S
` nn Inspectors use only
Date on initial inspection: W Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check #�Q1-�Check date:
Code
TE U P 20/
0
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Winter Street
OWNER/AGENT: Steve Pelletier
ADDRESS: 1648 Garden Court
CITY/TOWN: Charlottesville, VA ZIP CODE: 22901
CERT.# 242-99
FEE $25.00
DATE: 05/18/99
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
UNIT #: 11
24 HOUR PHONE: 741-4404
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
MAY 17 '99 07:18 AM SALEM HEALTH ♦$087409709 Page 2
i
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
C pq9
JOANNE SCOTT, MPH. RS. CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800
Fax: (978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /
/ 6� F
PROPERTY LOCATED AT L.5 � UNIT # I
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER:5:j-CJLCPe
.._ _. MANAGER/AGENT
No P.O. Bax �1 No P.O. Box
ADDRESS f`q� 64^de^ 7 ADDRESS, '
CITY c4ei4f-`1_ 1)[ ZZ90/ CITY lii�l�d
RESIDENCE PHONE Yy 3L/S� _BUSINESS PHONE (24 HRS.) e L y OV
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.-. 2.-. _3. .4.
5...... 6. - —�'-- 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����DATE-S
INSPECIQRS USE ONLY
DATE OF INITIAL INSPECTION L- & - f DATE OF REINSPECTION, -
DATE OF ISSUANCE OF CERTIFICATE:Sr-&.� f g DATE FEE PAID:, ---T17 TYPE OF UNIT DWELLING � OTHER.- _ CHECK #/j�(_,_ _. CHECK DATE . S -t? �fy
NOTES:
CODE ENFORCEMENT INSPECTOR
9/28/98
NY l7 - SS 07:10 AM
r
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
SALEM HEALTH
+9007409709
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
RELEASE
Page 3
NINE NORTH STREET
Tel: (508) 741 -1800
Fax: (508) 740-0705
In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts:
R(..:gul.ations 410.000 at. se.q.; State Sanitary Code Chapter 11 and Article X111 of
ttie City of Shcem Ordinance, undersigned owner/lessor and tenant/lessee o1 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.
1:, the event it is necessary that said inspection be done in my/our absence, 1./we
expressly authorize the same and for my/our successors and assigns hereby rel.^ase
and discharge the CiLy of Salem, Salem board of Health and its authorized a -,encs
from any loss or injury sustained of whatever nature and description occasioned
by my/nuc absence during said inspection.
ADD USS
_ C 0 �7� S
ADDRESS
ADDRESS Or UNIT TO RF: INSPECTED
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-16-232
DATE ISSUED: 7/6/2016
Property Located at: 15 WINTER STREET UNIT #12
Owner/Agent: Brian Heath
Address: 17 Ledge Road
City/Town: Gloucester, MA
Zip Code: 01930
Larry Ramdin, MPH, RENS, 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.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
r
SANITARIAN
KIbfBERLEY DRISCOII,
MAYOR
LARRY RAMDIN, RS/REHS, CHO, CP FS
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEAT.TH
120 WASHINMON STREET, 4T" FLOOR
TEL. (978) 741-1800
FAx (978) 745-0343
LRAIADINnq.SALEM.00N1
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 Al Nj—m i rr#12:�—
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
NO P.O. BOX
CITY, STATE, ZIP
RESIDENCE
—cir,—xly—
BUSINESS PHONE < u
TOTAL NUMBER OF ROOMS: !
ROOM USE:
AGENTGC�e�
CITY, STATE, ZIP
PHONE
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
Inspectors use only
TE�
Date on initial inspection: Cftzapg` Date of reinspection:
Date of issuance of certificate: Date fee paid: 0%% -20j-g
Type of unit: Dwelling Other Check # 5-17 Check date:���c0
C nfC cement�ector
6
KnIBE.RLEY DRISCOL.L
'\LVVOR
L\RRI, R.umtN, IS, t i to. CP-fS
HG.u:Il I AmhN'i'
CFT Y OF' S.AL EM, .MAS ACfiUSE'1 rS
BOAR[) or I Irnt:rrr
120 WASIitN(,rON S„trt r 4"' FLOOR
-Ila-. (978) 741-1800
r.\x (97B) 745-0343
t u ��nnvau.0 r•�i <<���
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
temnt/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. Uwe 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-
Owner/Lessor / 7 o6
Address w sglco Address
Address on unit to be inspected
4 %h 7 ,�.
Date
t>pdaudsrzvil
l -b
t��,n�l1i
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
1/13/05
Jeffrey Barrows
14 Gregory Street
Marblehead, MA 01945
PROPERTY LOCATED AT 17 Winter Street Unit 5
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 Health
i
Joanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
Fax: (978) 740-9705
03/01/2001
Glenville Realty Trust c/o Jeffrey Barrows
14 Gregory Street
Marbehead, MA 01945
PROPERTY LOCATED AT 17 Winter Street UNIT # 6
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross -metering has been proven to exist.
R THE BOARD 0 HEALTH
oanne Sco MPH "RS, CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
tea
STANLEY J. USOVICZ, JR.
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
2/15/05
Jeffery Barrows
14 Gregory Street
Marblehead, MA 01945
PROPERTY LOCATED AT 17 Winter Street Unit 9
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 Health
t�0-i�'H�,r-C�
J nne Scott 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
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 289-05
DATE ISSUED: 5/4/05
Property Located at: 17 Winter Street UNIT # 10
Owner/Agent: Jeffrey Barrows
Address: 14 Gregory Street
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 745-4572
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
STANLEY USOVICZ, JR.
MAYOR
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 ,rl W IOj 1� Jr UNIT # 1(�
IS THIS UNIT DESIGNATED AS RIGHTEFT FRONT BACK PLEASE CIRCLE ONE
OWNERILESSER Q e`Ff Q)A*AOW 1 MANAGER/AGENT
No P.O. BoxNo P.O. Box
ADDRESS I`� 3 p7,6 ADDRESS
CITYCITY
RESIDENCE PHONEI" It3 t -L- BUSINESS PHONE (24 HRS.)
BUSINESS PHONE_ (W1- 1S`1 Il2�E�
TOTAL NUMBER OF ROOMS:_l�
ROOM USE: 1.
4.
THERE IS A TWENTY-FIVE ($25.00) IJOLLAR 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 _DATELS I �S
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION '� S �J� DATE OF REINSPECTION
DTE OF ISSUANCE OF CERTIFICATE _ _' DTE FEF PAID `-! - x'70
TYPE OF UNIP DWELLIN(OTHER
NOTES
COC F ENF RGI MFNT INSPECTOR
CHFCK /? %! 7f CHECK DATE `f a5 __"
9/28/98
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
CERTIFICATE OF FITNESS
CERTIFICATE # 290-05
DATE ISSUED: 5/4/05
Property Located at: 17 Winter Street UNIT # 11
Owner/Agent: Jeffery Barrows
Address: 14 Gragory Street
City/Town: Marblehead, MA Zip Code: 01945 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
�PJte
JOA NE MH,
RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
0
r
STANLEY USOVICZ, JR.
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM. MA 01970
TEL. 978-741 -1 800
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 ' 1 W IGS �� UNIT #lL
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE I`J
OWNER/LESSER J �� lkSkrjW5 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS �'� ������ �� ADDRESS
CITY VVIf L fi CITY VA
RESIDENCE PHONE Af —(a3 )' 10- BUSINESS PHONE (24 HRS.)
BUSINESS
TOTAL NUMBER OF ROOMS: 1
ROOM USE: 1. 2.-3.-4.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE
DATE OF INITIAL INSPECTION � S p s DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: r DATE FEE PAID:
TYPE OF UNIT: DWELLING,(OTHER_ CHECK #�Z�CHECK DATE
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
W W W.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 314-07
DATE ISSUED: 7/13/2007
Property Located at: 17 Winter Street UNIT # 12
Owner/Agent: Jeff Barrows
Address: 14 Gregory Street
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 617-257-7247
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 tjEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
Kimberley Driscoll
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT j-qW I�JTVL a- UNIT #a
IS THIS UNIT DESIGNATED A R�IpGH LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER � rF p,/IROWS MANAGER/AGENT SAWLe
No P.O. Box No P.O. Box
ADDRESS 1'{ D RF.60k%f �fi ADDRESS
CITY k"f.Lt1+k N CITY Vti.
RESIDENCE PHONEaL7(- (31VIBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: ��t02.------3 -- -------4 --
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUREVIA-PEcTORS
A USE ONLY
DATE OF INITIAL INSPECTION �_� _� _ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE? 3_O%_DATE
FEE PAID: -__-7
CITY OF SALEM, MASSACHUSETTS
��
BOARD OF HEALTH
TYPE OF UNIT: DWELLII)�--OTHER_ _ CHECK k_,;?
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1 800
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 j-qW I�JTVL a- UNIT #a
IS THIS UNIT DESIGNATED A R�IpGH LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER � rF p,/IROWS MANAGER/AGENT SAWLe
No P.O. Box No P.O. Box
ADDRESS 1'{ D RF.60k%f �fi ADDRESS
CITY k"f.Lt1+k N CITY Vti.
RESIDENCE PHONEaL7(- (31VIBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: ��t02.------3 -- -------4 --
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUREVIA-PEcTORS
A USE ONLY
DATE OF INITIAL INSPECTION �_� _� _ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE? 3_O%_DATE
FEE PAID: -__-7
5
��
TYPE OF UNIT: DWELLII)�--OTHER_ _ CHECK k_,;?
)-J,t`__CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR
C
9/28/98
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Judith & Glenn Wolfe
22 Winter Street
Salem, MA 01970
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970 -
02/14/2002 120 Washington Street — 4'h Floor
Tel # (978)-741-1800
u
rdX 1F (y/ O) -/40-U J4J
PROPERTY LOCATED AT 22 Winter Street UNIT # 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m.- 4:00 p.m. -
A $25.00 check payable totheCity 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 eo exist.
OR, THE BOARDr HEALTH
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
eco CITY OF SALEM, MASSACHUSETTS
�y BOARD OF HEALTH
• m $ 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: 26 Winter Street
OWNER/AGENT: Kathleen Ward
ADDRESS: 26 Winter Street
CITY/TOWN: Salem, MA ZIP CODE: 01970
UNIT #: 3
CERT.# 360-02
FEE $25.00
DATE: 07/15/2002
24 HOUR PHONE: 744-2320
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
y
CODE ENFORCEMENT INSPECTOR
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH /�.
120 WASHINGTON STREET, 4TH FLOOR "
SALEM, MA 01970 3 , ^�
gB�%MIAtR TEL. 978-741-1800 �(J
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 FO HUMAN HABITATION".
PROPERTY LOCATED AT c,� '�� Q 27 UNIT #—&
IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE
No P.O. Box
ER/AGENT
No P.O. Box
RESIDENCE PHONE
�/J/���j�7r'/rS�,BUSINESS PHONE (24 HRS.)-� 7`y z31D
BUSINESS PHONE / O — 7Z
TOTAL NUMBER OF ROOMS: S/X 11� (�_
ROOM USE: i ld& 2.d 3.Z�14. `/ U/ 47)
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 THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE -DATE
D%/ 2D0.7�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-) - /d 'O'' DATE FEE PAID:Z S "
TYPE OF UNIT: DWELLING.' OTHER_ CHECK # -? 0,5 CHECK DATE
CODE ENFORCEMENT INSPECTOR 9/28/98
1. 0(i)
STANLEY USOVICZ, JR.
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
RELEASE
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
the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, i_/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE
A
ADDRESS --- ---- --- ADDRES
ADDRES'fcOPN T kom I —
DAT