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WISTERIA STREET (002)KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON STRF)✓T, 4"t FLOOR TEL. (978) 741-1800 FAh (978) 745-0343 lramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 131-12 DATE ISSUED: 3/30/2012 Property Located at: 2A Wisteria Street UNIT # 1 Owner/Agent: Chris & Barbara Zorzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 508-527-0044 LARRY RANIDIN, RS/RI; .I IS, Clio, CP -I S HI:'.AI.I,I'I AG IfrNT 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 ) HEALTH AGENT SANITARIAN a Ktb1HE3RId:Y DR1SCO'N, MAYOR. LAR11Y RAMIAN, R4/RFIIS, CI 10,, CP -PS ("FlY OF SALEti2, MA.SSA(Ji SFIT1:S I3(LVm01 H \I III 120 W ASH I c fON SI til I..I 4 FLOOR 1LL. (978)?41-1800 (9?8) 745-0343 IYA MD I NLQ)SALl,'MCOM 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 ATS IS THIS NO P.O. BOX DISIGNATED AS RIGHT LEFT Ci OR BACK, PLEASE CIRCLE ONE CITY, STATE, ZIP 0Q/7ytg.S CITY, STATE, ZIP O�so?3 RESIDENCE PHONE 7 7,�-- X2 — 7110 BUSINESS PHONE (24HRS) J0Fr ZL-�- k. -7 / BUSINESS PHONE cl�/ TOTAL NUMBER OF ROOMS: S ROOM USE: /3 z THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PARABLE AT THE TIME OF INSPECTION \ APPLICANT'S SIGNA' TE 3_3C'_ /� Inspectors use only Date on initial inspection: - 11 Date of reinspection: Date of issuance of certificate: 3 • �P-1'Date fee paid: -�p -12 Type of unit: Dwelling � Other Check # 7 5 5 Check date: Inspector CERTIFICATE OF FITNESS CERTIFICATE # 146-06 DATE ISSUED: 3/16/06 Property Located at: 2A Wisteria Street UNIT # 1 Left Owner/Agent: Barbara Zorzy Address: 115 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-0424 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 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 Kimberley Driscoll W W W.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 146-06 DATE ISSUED: 3/16/06 Property Located at: 2A Wisteria Street UNIT # 1 Left Owner/Agent: Barbara Zorzy Address: 115 North Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-0424 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 BOO 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 Qq �)i S � f ✓1 � ` UNIT # / IS THIS UNIT DESIGNATED AS RIGHT 0 FRONT BACK PLEASE CIRCLE ONE No P.O. Box No P.O. Box CITY S�� MA- 0 (`r-7 6 CITY RESIDENCE PHONE M 769-7// p BUSINESS BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ CQ__ ENT PHONE (24 HRS.)g7 %`f/-Uyay ROOM USE: 1.ihn r^2. cin_ 4✓ocw3. Clr _4_ �fnon� 5. 641-00-,� 6. �C(�e �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 =. -Q -(,___-DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.- 6 -O 6 DATE FEE PAID -�?- 4,1 -b 6 TYPE OF UNIT DWELL INC�OTHER CHECK i l a qv CHECK DATE-�G -06 NOTES \\ CODE ENFORCEMFNT INSPECTOR '1/28/98 E KIMBERLEY DRISCOLI, MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAY (978) 745-0343 1ramdin e,satcm.com CERTIFICATE OF FITNESS CERTIFICATE # 193-14 DATE ISSUED: 6/5/2014 Property Located at: 2 Wisteria Street UNIT # 2A Owner/Agent: Chris & Barbara Zorzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 50&527-0044 PublicHealth Prevent. Promote. Prolttt. LARRY R AVIDIN, RS/RL?HS, CHO, CP -FS HEA I: riI AG FN'I' Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ;",HE B ARD HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAmDiN, RS/RENS, CHO, CP -FS HEALTH AGENT QTY OF SALEM, MASSACHUSETTS 1 q 3,-1 q BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDINaa 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: $50.00 PROPERTY LOCATED AT p( GtI1 S �tr i CC c�+ UNIT#_� IS THIS UNI I DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER-(a r,' J 9f /✓an �Z c✓ 2 �/ MANAGER AGENT NO P.O. BOX �/ ADDRESS 1�( KocLj H-, )( C Le ADDRESS CITY, STATE, ZIP 1)Q,v\\/-(✓1, CITY, STATE, ZIP_M H-- 0 19 aL-i RESIDENCE PHONE -��17'C- -((era-'1 )1 d BUSINESS PHONE (24HRS) ED - —00-4 BUSINESS PHONE g1�--1`(1-04?IV TOTAL NUMBER OF ROOMS: ROOM USE: L k +(: Vk -. 21XJ n 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 Lo-S-ry �I Date on initial inspection:_( -'s 4 Date of reinspection: Date of issuance of certificate: (o - 5 -' y Date fee paid: -� I Type of unit: Dwelling Co� Other Check # P7 ) F Check date:_ Enforcement S KIMBFRLFY DRISCOLL MAYOR CITY OF SALEM; MASSACHUSETTS BOARD OF HEALTH 120 WA.SI4INGTON SI'REF1',4'.I'FLOOR- -... . - _ TEL. (978) 741-1800 Fax (978) 745-0343 Itamdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 43-15 DATE ISSUED: 2/11/2015 Property Located at: 2 Wisteria Street UNIT # 2 Owner/Agent: Barbara Zorzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 508-527-0044 10 PublicHealth - " Pre- ,. Pmmom. Prmem. LARRY RA bIDIN, JtS/REI-IS, CI -R), CP-I+S I Ili,;\I; rH A('A NT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO RD OFAEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN �o n v KINIB ERLEY DRISCOLL M:VmR L:ARRt-RAMIAN, (S, CHO, CP -FS 1 vAt,Ct-iAc:ftv[' CITE' OF SALEM, N�SSACHUSETT S�0 ' `� BOARD CII HLAMII 120 G ASFI INCT0,N S uu L-, , 4"" FLooR Tt,.t.. (978) 741-1800 FAN (978) 745-0343 i.a AUDiNr!S A1,eNi 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 UNIT#_� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE AGENT NO P.O. BOX ADDRESS l� CITY, STATE, ZIP 4�,✓SMlq 61 /�3 Cyry, STATE, ZIP. RESIDENCE PHONE 9 1�'�(10� .-j I i 0 BUSINESS PHONE (24HRS) BUSINESS PHONE q2R'-�-69 ,x - TOTAL NUMBER OF ROOMS: to ROOM USE: 1. (,iJ1�CoM 2.-h;v%lnar,^ 3. 44-��vi 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: J% J11 �,5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # Check date: Code En Bement Inspector TE 9- It 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-17-107 DATE ISSUED: 4/4/2017 Property Located at: 2 WISTERIA STREET UNIT #3 Owner/Agent: Barbara & Chris Zotzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 Publi�cHeatth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 762-7100 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 RAmDiN, RS/REHS, C HO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMI)IN(a) SALEM.(pM 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 2 Wisteria Street, UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNERILESSER Chris & Barbara Zorzy MANAGER/ AGENT NO P.O. BOX ADDRESS 19 Rocky Hill Circle ADDRESS CITY, STATE, ZIP Danvers, MA 01923 CITY, STATE, ZIP RESIDENCE PHONE (978)762-7110 BUSINESS PHONE (24HRS) (508) 527-0044 BUSINESS PHONE (978) 741-0424 TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. Bath 2. Kitchen 3. Bedroom 4. Bedroom 5. Livineroom 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:�I /� D I �� Date of reinspection: G 1 Date of issuance of certificate: Date fee paid: ;II)a D l� Type of unit: DwellingOther # Check Check date: � l 2- c 2 l A - Code KINMERLEY DRISCOLL MAYOR LARRY RANIDIN, RS/RLI-IS, CHO, CP -FS HEALTI I AGENT CITY Oh SALEM, MASSACHUSETTS BOARD OI, 1IFALTI I 120 WASI'IINGTON STREET, 4"'FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 JALMMDIN&SALf{,'A.COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Address Date Updated 5/23/11 Owner/Lessor Address Address on unit to be inspected Inspection �ofDate . T;me /� CS Name ' bcLEQ- Address Owner Type of Inspection (' ) Remarks and Violations are listed below: ti Tel, No. Inspector Report Received by: CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH PublicHeaith__ .: - - -- - - 420 WASHINGTON STREET-, 4��' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdinka salem.com LARRY 1L\bIllIN, RS/R1-',1 IS, C410, CY-I+5 MAYOR - I -Illi A(;I:{N"C CERTIFICATE OF FITNESS CERTIFICATE # 44-15 DATE ISSUED: 2/11/2015 Property Located at: 2 Wisteria Street UNIT # 3 Owner/Agent: Barbara Zorzy Address: 19 Rocky Hill Circle City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 508-527-0044 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN SANITARIAN HEALTH AGENT C I IMBERLEY DRISCOLL MAYOR LAM-RAMDIN, RS/RFJ IS, CHO, Ch -FS I"lu'.m I'I-1 A(.;F.N1' CITY OF SALEM, MASSACHUSETTS BOOM) OF HFAIA1I 120 \Y 1SIIINGTON SIRF.@:T_ 4... F1.,001t TF::1.. (978) 741-1800 FAX (978) 745-0343 1,RAMDINgSALFM.00M 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 C� (K ) 6+t I- i A 5-f— UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE ,vv r.u. DVA ADDRESS Q �, l) Cie-cL( -ADDRESS— CITY, DDRESS CITY, STATE, ZIP16,YIV4>3 AMD192-3 ary, STATE, ZIP RESIDENCE PHONE 17 ?''7(o?, --1110 BUSINESS PHONE (24HRS) BUSINESSPHONE LQI) 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 SIGNA Inspectors use only Date on initial inspection: II I15 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # Check date: Code nfolcement Inspector KIMBERLE Y DRISCOLL MAYOR LARRY R.3NIDIN, RS/RUI-fS, CFIO, (P -FS lli�A1,.I Ii Aciillm CITY OF SALEM, MASSACHUSETTS BoAm) OF I{I Alai 120 WASHINGTON SIREF:1, 4." FLOOR TeL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN�iQ SALF.M.COM Release In accordance with Massachusetts General Laws Chapter 11 l; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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. �7 � ria � u ✓ Tenant/Lessee W s-+ , a R -46� lz rl Address Date Updated 5/23/11 3. ` yLni Owner/Lessor 1/7 lO✓A 614-70 Address J OJ i 54e -r 0.S -f ; 4-3 Salei III k -o r9 -7o Address on unit to be inspected M F CITY OF SALEM, MASSACHUSETTS j BOARD Ota HEAI.TI-1 120 WASHINGTON STREET, 4." FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGR1;NBA U M@,SAJ,r!M C,OM D,\\,11) GRra:;N1iA U tit, RS ACTING HvALTI-I AGUNT CERTIFICATE OF FITNESS CERTIFICATE # 434-10 DATE ISSUED: 9/8/2010 Property Located at: 3 Wisteria Street UNIT # 3A Owner/Agent: David & Teasie Goggin Address: 9 Wisteria Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-2605 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 BOAR OF HEALTH �p Au ) (J , DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE EN RCEMENT INSPECTOR KIIVIBERLEY DRISCOLL MAYOR DAVID GREENBAUM, RS ACTING HFALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4." FLOOR TEE- (978) 741-1800 FAx (978) 745-0343 DGRJ.TN11AUM2SAJJ M. COM LI311'I b 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 ATS I IS THIS NO P.O. BOX CITY RESIDENCE BUSINESS PHONE ' ' TOTAL NUMBER OF ROOMS:y ROOM USE: FRONT OR BACK PLEASE CIRCLE ONE AGENT S Y, STATE, ZIP PHONE (24HRS) J�- THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF BOARD OF HEALTH THIS FEE A PAYABUFnAT THE MEiOF INSPECTION i APPLICANT'S L/ " lJ/ Inspectors use only %% Date on initial inspection: 8 //U Date of reinspection Date of issuance of certificate: 10 / Date fee paid: Type of unit: Dwelling �Othpr Check #_y� lllg Check date:/0 C de Enf rcement Inspector V1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M /A-�C&E DATA y CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR ItL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR QCREENBAUMQsALEM, COM DAVID GRF..FNBAum, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Sec State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and 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 abse during said inspection. /FAA LZ .,PA Address W-5401il4ffl .r„� i /�- P, , 1�ftPiye” r Hu SSttett, Salem MA 01970 3705S8I: OB86 24D43 ill'T. CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 3 Wisteria Street OWNER/AGENT: Teasie & David Goggin ADDRESS: 300 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 CERT.# 603-01 FEE $25.00 DATE: 12/27/2001 UNIT #: 3B 24 HOUR PHONE: 745-2605 AN INSPECTION OF YOUR VACANTDWELLING/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 JJJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CITY OF SALEM, MASSACHUSETTS o e� '� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR P' SALEM, MA 01970 i°,p�,®� 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: 3 Wisteria Street OWNER/AGENT: Teasie & David Goggin ADDRESS: 300 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 CERT.# 603-01 FEE $25.00 DATE: 12/27/2001 UNIT #: 3B 24 HOUR PHONE: 745-2605 AN INSPECTION OF YOUR VACANTDWELLING/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 JJJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 �d3 0/ JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax :(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3 WISTERIA STREET UNIT# 3B IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE TEASIE F. GOGGIN and OWNER/LESSER nnN7TT) T_ rnrGTN —MANAGER/AGENT_ No P.O. Box 300 LAFAYETTE ST. No P.O. Box 300 ADDRESS _ ADDRESS CITY SALEM, MA 01970-5434 DAVID J. GOGGIN LAFAYETTE STREET SALEM, MA 01970-5434 RESIDENCE PHONE(978) 745-2605 BUSINESS PHONE (24 HRS.) (978) 745-2605 BUSINESS PHONE (978) 745-2605 TOTAL NUMBER OF ROOMS: 3� ROOM USE: 1, L. -R.. 2. B.R. 35pare 4KITCHEN (FULL BATH) 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 SIGNATUREkaA�_ A ) DATE DECEMBER 27, 2001 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION AZzexz DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '////j/ DATE FEE PAID:_�z�9 G1 TYPE OF UNIT: DWELLING _OTHER_ CHECK #_,20/ % CHECK DATE Lal -a? 7-01 13.52. _-, /GlZ CODE ENFORCEMENTINSPECTOR DAVID J. GOGGIN TEASIE F. GOGGIN 300 i.AFAYETTE ST. SALEM, MA 01970 5434 S53-7055 2 317 2113 038524043! DATE__ 1.2/27/01_ ani• TO Tn` CITY OF SALEM MA HEALTH DEPT. oaDra or C _ .... 25.00 TWENTY FIVE and no/100****************** qq -.. _.DOLLARS L9 SALEM FIVEA 71 SALEM. MASSACHUSETTS 01970 MEMI.I In_sp.. Apt.#35Wisteria St, 1: 211370SSal: OB8524043111• 2317 /O 4 co pPllfi6 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 #: 414-03 DATE ISSUED: 8/11/2003 Property Located at:: 3 Wisteria Street UNIT #: 36D Owner/Agent: Teasie & David Goggin Address: 300 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-2605 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 It "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. 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. 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 wl 5 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENTNINE NORTH STREET 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 3 WISTERIA STREET— — UNIT q 3BD IS THIS UNIT DESIGN E�F S T LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER DAVID J• GOGGIN _MANAGER AGENT D VID J. GOGGIN No P.O. Box No P.O. Box ADDRESS __ ____300 LAFAYETTE STREET 300 LAFAYETTE STREET ADDRESS—________ CITY______SALEM,_MA 01970-5434 CITY SALEM, MA 01970-5434 RESIDENCE PHONE (978) 745-2605 BUSINESS PHONE (24 HRS) (978) 745-2605 BUSINESS PHONE (978) 745-2605 TOTAL NUMBER OF ROOMS: 6 plus 2 small rooms ROOM USE 1. L.R. _ 2 KITCHEN 0 B.R. 4 B.R. B.R. SMALL ROOM SMALL ROS': OLD KITCHEN AREA 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. �D APPLICANTS SIGNATURE �ti -----DATE--- August 11, 2003 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 8- ��/ .__DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICA&^ 0 DATE FEE PAID TYPE OF UNIT: DWELLIN OTHER_ CHECK k ) S? �/ CHECK DATE 'A—LZ -P.3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • � • BOARD OF HEALTH 120 WASHINGTON STREET, 4"" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGRF1..'.NBAUMQSALEM COM DAviD GRi+NBAUM Am ING H]EALI'li AGENT CERTIFICATE OF FITNESS CERTIFICATE # 309-10 DATE ISSUED: 6/25/2010 Property Located at: 3 Wisteria Street UNIT # 3C Owner/Agent: David J. & Teasie F. Goggin Address: 300 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-2605 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 xlt DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ` • BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DCRrrNBAUM(@ •Ar i'M. COM DAVID GREENBAUM, ACTING 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." FEE: $50.00 �c)fl -fib PROPERTY .LPEAT_ ED ,ATZ,-- 3.;WISTERIA STREET UNIT•# 3C TER T&1IJ1IT D&E�hyf) AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER DAVID J. GOGGIN MA TAGER/AGENT DAVID J. GOGGIN NO P.O. BOX ADDRESS 300 LAFAYETTE STREET ADDRESS 300 LAFAYETTE ST. CITY, STATE, ZIP SALEM, MA 019705434 -TTY, STATE, ZIP. SALEM, MA 01970-5434 RESIDENCE PHONE (97R) 74F_�tin5 BUSINESS PHONE(24HRS(978) 745-2605 BUSINESSPHONE (978) 745-2605 TOTAL NUMBER OF ROOMS: THREE ROOM USE: 1. L.R ) B. R. zKITCHEN 6. 7 THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF. HEALTH _THIS FEES PAYABLE AT THE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: I J / U Date of reinspection: Date of issuance of certificate: S /U Date fee paid: aS D Type of unit: Dwelling_— Lz-bther Check #_K=1 Check date: Ud J Code o ement Inspector 0 1 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 3 Wisteria Street OWNER/AGENT: David & Teasie Goggin ADDRESS: 300 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 CERT.# 404-02 FEE $25.00 DATE: 08/02/2002 UNIT #: 3D 24 HOUR PHONE: 745-2605 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 10S 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 14 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 k�o /-6,- JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3 WISTERIA STREET, SALEM, MA UNIT# 3D SECOND FLOOR = RIGHT SIDE IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE TEASIE F. GOGGIN and OWNER/LESSER DAVID J. COGGIN MANAGER/AGENT DAVID J. GOGGIN No P.O. Box No P.O. Box ADDRESS300 LAFAYETTE STREET ADDRESS 300 LAFAYETTE STREET CITY SALEM, MA 01970-5434 CITY Salem, MA 01970-5434 RESIDENCE PHONE(978) 745-2605 BUSINESS PHONE (24 HRS.) (978) 745-2605 BUSINESS PHONE (978) 745-2605 TOTAL NUMBER OF ROOMS: 31, ROOM USE: 1. L. R. 2 B.R. 3 KITCHEN4 SMALL EXTRA EOOM (NO CLOSET) 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. n APPLICANTS SIGNATUR DATE OF INITIAL INSPECTION ?S _ _'_ DATE OF REINSPECTI DATE OF ISSUANCE OF CERTIFICATE:5//,-),- ,-),- w L DATE FEE PAID:_ :: �_ —pz TYPE OF UNIT: DWELLING4OTHER_ CHECK #} / CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 2002 J A DAVID J. GOGGIN.... 2414 TEASIE F. GOGGIN 2113 300 LAFAYETTE ST. 0886240431 SALEM, MA 01970-5434 DATE 08/02/02 PAYTOTHE CITY OF MA HEALTH DEPT. !t $" ,- 2 5 .SALEM; _ ORDER OF 3 g TWENTY FIVE and no/100****************** 8 e DOLLARS m SALEM FAW 77117711 SALEM, MASSACHUSETTS 01070 mEMoApt.#3D Wisteria ST. - SALEI�� --/ nr 1:2113705581: 0886240431110 2414 3 � STANLEY J. 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 1/4/05 Elizabeth & William Coombes 17 Linden Street Salem, MA 01970 PROPERTY LOCATED AT 5 Wisteria Street Unit 1L 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 alt �the Board of He Jb(snne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector ca CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 97 8-74 1-1800 o FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 08/05/2002 William & Elizabeth Coombes 17 Linden Street Salem. MA 01970 PROPERTY LOCATED AT 5 Wisteria Street UNIT # 2L 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. THE BOARD 0 HEALTH am MPHR�CHO qR alth Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR 05/01/2002 Mark Caron 8 Wisteria Street Salem, MA 01970 PROPERTY LOCATED AT 8.5 Wisteria Street UNIT # Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public 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. F/�OARD OF HEALTH oanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS o 3 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 05/01/2002 Mark Caron 8 Wisteria Street Salem, MA 01970 PROPERTY LOCATED AT 8.5 Wisteria Street UNIT # Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public 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. F/�OARD OF HEALTH oanne Scott, MPH,RS,CHO HEALTH AGENT REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + BOARD OF HFALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DCIa:r:NUAUM(2SAl.e:Na.cOM DAVID Gm.I7,Nimum ACTING Hf.AI.; n I AGI:?NT CERTIFICATE OF FITNESS CERTIFICATE # 370-10 DATE ISSUED: 8/4/2010 Property Located at: 9A Wisteria Street UNIT # 9A Owner/Agent: David & Teasie Goggin Address: 300 Lafayette 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 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 DA IV D GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR q KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEAL,FH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ncai;nN snumC�snr, ti. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT z!j UNIT412-- /SIS THIS UNIT DISIGNATED AS HT LEFT FRONT OR BACK, PLEASE CIRCLE ONE AGENT NO P.O. BOX O AT)nRRCC CITY, STATE, ZIPZff y/ �l ) CITY, STATE, ZIP RESIDENCE PHONE /77` /�,)'L'Jp BUSINESS PHONE (24HRS) BUSINESS PHONE �� "J n D 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 TIJETIME Of INSPECTION /,-> APPLICANT'S Date on initial inspection:_ Date of issuance of certific, Type of unit: Dwelling_ Notes: -f()(t1— C de Enforc ment Inspector l� Date of 0 Date fee ck # c Check d ` CITY OF SALEM, MASSACHUSETTS BOARD"OF HEALTH 120 WASHINGTON STREET, 4n' FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAX (978) 745-0343 MAYOR UGRf]ENBAUM ¢ 4Af':M. COM DAVID GREENBAUM, ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 11 l; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article JGII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection 9,1 " C 0 Address Address lesson 'unitto be linspected 998- dj�? - /'76PI i CITY OF SALEM, MASSACHUSETTS Y '1 BOARD OF HEALTH 120 WASHINGTON STREET, 4p1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGEENBAUM(@SALEM.COM DAVID Giu;F.NBAUM, RS AC'T'ING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 406-10 DATE ISSUED: 8/20/2010 Property Located at: 10 Wisteria Street UNIT # 1 Owner/Agent: Maria Correia Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH I DI REE BAW, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH LIG 'I 120 WASHINGTON STREET, 4' FLOOR TEL. (978) 741-1800 HIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGRF:Ii:NBAUM@SAIJ3M. COM DAVID GREENBAUM, \_ J ACTING HEALTH AGENT �O ��- 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 / 0 W n4 e.,;�% ci S' UNIT# (20 � IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSERRO.oes"�- FGl �Y1L1Q C� MANAGER/AGENT Q-P/ct NO P.O. BOX rr^^ AF)IIRF.RR�.("7 �'Y>>C S� AT)DRF.RR q•lJ• 07y S�- CITY, STATE, ZIP O �C'�')CITY, STATE, RESIDENCE PHONE BUSINESS PHONE (241IRS) BUSINESS PHONE 'A-) 0 �a �J S -7 S TOTAL NUMBER OF ROOMS: L ROOM USE: 1. W YWw 2. bal VVOv-I 3. 1.,A 4. IU B 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 Inspectors use only TE -CP b Date on initial inspection: O�Q ho Date of reinspection: ' Date of issuance of certificate: (5 a C)// D Date fee paid: s dcj lG Type of unit: Dwelling VOther Check #-a (P(P Check date: ( a U AO ,C t -A Ll -1414- window (n 1-J00 Code fo cement Inspector S'' 1 a �3 a n It 9- `0 �"` r V 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 DGREENBAUM&SALFU COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Address L)6 -Q -J I c �ct-q. d Owner/Lessor P' &&)-- Address )-Address Address on unit to be inspected '?��, Date KIMBERLEY DRISCOLL MAYOR DAVID GRFI',NBAU6I ACTING HEAJ:I7-IA(;VNP To: - Salto" Fax # CI 7 <,- -7q i 9 � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4Q1 FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 DGIi P.I?N73AUM(le�,SALI3M.00 M I Facsimile Transmittal RE: Date: ��/ IZ6 r7 Page(s): including this cover # Message: Board of Health News----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 08/31/2010 22:17 NAME 919787449614 FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 08/31 22:17 FAX NO./NAME 919787449614 DURATION 00:00:25 PAGES? 02 RESULT OK MODE STANDARD ECM 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 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-35 DATE ISSUED: 2/5/2016 Property Located at: 10 WISTERIA STREET UNIT #2 Owner/Agent: Robert Barnard Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 IV PublicHealt t Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 223-5756 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 /�)111& SANITARIAN �l :hL n rte\ C.3 ?. 5 CF s_} i� }..I ""it, 1.�!S_ \f..f 1 Z7 rS5'°':3'27 T t;,ti`l,t.)sr__ r h $ - Ag dm for Certificate of Fitnm IN ACCORDANCE wrtHsTATE SANrrARY CODE, CHAPTER 11 105CNM410.000 E NIAli3A+i STANDARDS OF FITNESS FOR HUMAN HABITATION" 1... FEE: $50.00 PROPERTY LocATED AT—L O. U i i 5 T Q S t UNIT# IS THIS`UMPr WWWATED AS FHGYf LEFT FMNr OR, BAL PlYASE (YRCLE ONE 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-298 DATE ISSUED: 811 212 01 6 Property Located at: 12 WISTERIA STREET UNIT #1 Owner/Agent: Maria Correia Address: PO Box 52 City/Town: Salem, MA Zip Code: 01970 PublicHeatt t Prcvem. Promote. pmwt. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 223-5756 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. LAjeffr B sy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ry) CD, e 1q 9 $y CLI, C o� C Q'S4 , n om Y I� KIMBERLEY DRISCOLL MAYOR LARRY RANIDIN, RS/RENS, CHO, CP -FS FIEAI:'rH AGENT CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STR:F:ET, 4°i FLOOR TF.L. (978) 741-1800 FAX (978) 745-0343 LRA\CD1N2,SALLNf.00M 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 12 w I S� h 1 c1 S IS THIS UNIT DISIGNATED AS RIGHT LEI BACK, PLEASE CIRCLE ONE OWNER/LESSER VQ� b P 6-A AGI C IR U(' MANAGER/ AGENT NO P.O. BOX Q ADDRESS tl ` O b X SL ADDRESS CITY, STATE, ZIPS— i%) C) 5 D CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) SSP BUSINESS PHONE B a 3 S --75b TOTAL NUMBER OF ROOMS: ,�)A ROOM USE: LI U n)� 2. 6d wi,,,. 36ealYM-L, 4.b.eA— - 5. lcl h4-9-i� THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FFF IS PAYARI.F. AT THF. TTMF OF TNSPRCTION APPLICANT'S SIGNATURE R0 )0-kAJ- 6 Usti Inspectors use only Date on initial inspection: Ovm�6 Date of reinspection: Date of issuance of certificate: Date fee paid: Q*?11- 1ZDJ,E Type of unit: Dwe11in"Z—Other Check #-2z03 —Check dater 0, n `ement pecS for N CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET, 4T" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1SCOTY rnI SALEM. COM JOANNE SCO'T'T, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 392-08 DATE ISSUED: 8/15/2008 Property Located at: 12 Wisteria Street UNIT # 2 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 745-0518 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 ��'s�-cam }�'(e•,c�,^ (JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT nL)l t�� CODE EN R EMENT I SPECTOR KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ]SCOT132SALF.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 / A IS THIS UNIT DISIGNATED NO P.O. BOX 0 el I CITY, STATE, ZIP / �i/ iql��CITY, STATE, ZIP =/4ZA� ///�//�� / RESIDENCE PHONE ?yj' 7(/! " 7 BUSINESS PHONE (24HRS) 9 % � 7 % S` F BUSINESS PHONE TOTAL NUMBER OF 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 PALE AT THE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: T - I S -QV Date of reinspection: Date of issuance of certificate: 9 -1S -<3k Date fee paid: S -13k Type of unit: Dwelling ✓ Other Check # 1) 3? Check date: �r— 16; Ot Code Enforcement KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4P FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ISCOT11C2SALEM. COM' Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Address Date Owner/Lessor Address Address on unit to be inspected Inspection of 12- W I < i I-, 7- +- W- 2 Date k— Name Address Owner Tel. No. Type of Inspection Inspector _ ( ' ) Remarks and Violations are listed below: dy Time 1 Report Received by: Insp"eet`ionaf I W F � 2-- I Date Time NadTeI Address r I Owner I Tel. No. Type of Inspection C -,I,nspector (� 1 Remarks and Violations are listed below: v Report Received by: i 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-17.299 DATE ISSUED: 9/14/2017 .PublicH�th Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 21 WISTERIA STREET UNIT #1 Owner/Agent: Leonid Karan Address: 1443 Beacon Street #802 City/Town: Brookline, MA Zip Code: 02446 24 Hour Phone: (617) 608-2494 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. e�- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4' FLOOR �, A TEL. (978) 741-1800 FAX (978) 745-0343 LRAMD1N9SALFM COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT Z,1 W `Sj't r; A S4 r Sn1 a yy%. r 144% p j q 7o L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSEMANAGERIAGENT f�er� Kwrgn NO P.O. BOX ADDRESS I (!13 S4- ADDRESS SK I G-34 (s His SF STe 401, 1)WIdt CITY, STATE, ZIP I�. reu �.U'Pw "4 Y f CITY, STATE, ZIP IS04i,n, lr* 02 ((b RESIDENCE PHONE 7? 1- 77 5 6 4 7 BUSINESS PHONE (24HRS) 6 r 6 a�r- Z �i' y BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLARE, PAY E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS 9YABLF THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE �� only Inspectors use Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwe1Hng Other Check #__Check date: ffi1. ; Notes: Code Enforcement Inspector KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 47 FLOOR Release TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN@SAI.PM.COM In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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. Tenant/Lessee Address Date Updated 5/23/11 k1LA-5 Aiv^L Owner/Lessor 9dyl 154'aiLm .St *6yy 13oslsn tTbub Address Z-1 W ;st ti t5 St �*/ 0 Sate.tr .., NK 00 Address on unit to be 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 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-379 DATE ISSUED: 1111312015 Property Located at: 21 WISTERIA STREET UNIT #1 Owner/Agent: Robert J. Burns Address: 36 Pinecliff Drive City/Town: Marblehead, MA Zip Code: 01945 lu PublicHea Ith Yrovurt. Pmmme.. Yrocttr. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 854-6239 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RENS, CHO, CP -FS HE'ALTT-I AGENT CITY OF SALEM, MASSACHUSETTS BOium OF HEAU11-1 120 WASHING'T'ON STREET, 4°' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ]..RAMDINQa-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: $50.00 PROPERTY LOCATED AT I UNIT# IS TIDs UNIT' DISIGNATED AS RIGRIG L� OR RAC I{_ PLEASE CIRCLE ONE OWNER/LESSER Zvff T �. �u�el✓S MANAGER/ AGENT NO P.O. BOX ADDRESS3J� /,,A FfF DGz7✓9 ADDRESS CITY, STATE, ZIP w MMff44/JYEQ 1 1�t►C 6Zg CTTY, STATE, ZIP RESIDENCE PHONE 29L&Y6239 BUSINESS PHONE (24HR 1811hyhIJ.X�' TOTAL NUMBER OF ROOMS: ROOM USE: 1. bV, ?M - 2. 4�/d_ P , 3. k/T 4. FR 5. 6R 2— THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AYTHE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: I u p2� Date of reinspection: Date of issuance of certificate: ;1 L 2DI-5— Date fee paid: Type of unit: Dwelling V Other Check # J6 L Check date: KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REBS, CHO, CP -FS HEAun-I ACEN'r CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL1'1-1 120 WASHINGTON STREET, 4:` 171:001t TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN(@_SALBM.COM Release In accordance with Massachusetts General laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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. Tenant/Lessee Address Date Updated 5123111 O er/Lesso .fib 11ii6a-iAr D2 ✓koeeia'V&D N1 i CD/9,95— Address /}y5Address Address on unit to be 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-17-300 DATE ISSUED: 9/14/2017 Pfc�eat.:. P�4inote. Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 21 WISTERIA STREET UNIT #2 Owner/Agent: Leonid Karan Address: 1443 Beacon Street #802 City/Town: Brookline, MA Zip Code: 02446 24 Hour Phone: (617) 608-2494 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 41.0.000: 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 Fitnessis 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 RAMDIN, RS/RENS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 47 FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN@SALFM 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 Z1 Aj1` I,, s4 S¢ `I Z S 4 r+ M 01X170UNIT# Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER N -04--x r11-5 NO P.O. BOX MANAGER/ AGENT ADDRESS 11'13 s f 4'0 L ADDRESSd50"40Y CITY, STATE, ZIP 15✓ eo (% 1 i 14Mt G'4 K ` CITY, STATE, ZIP "1-&^ O z, ff L RESIDENCE PHONE 1 ' s` b R S BUSINESS PHONE (24HRS) 61 7 - 6 09 y BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. (y 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 IWAYABI, A-ATHE TIME OF INSPECTION APPLICANT'S Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check #_Check date: Code Enforcement Inspector 411 KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4T" FLOOR Release TEL. (978) 741-1800 FAX (978) 745-0343 1,RAMDINna.SALEM.COM In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee 08rd= q(c�d((� Date Updated 5/23/11 I--` 42+- 65 L� 1- Owner/Lessor Sre( 'may 15io, 5+-4+- 1Q4 t5cilo.,, 4'1A- ot(t6 Address Address on unit to be 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 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-180 DATE ISSUED: 5/24/2016 Property Located at: 21 WISTERIA STREET UNIT #2 Owner/Agent: Robert J. Burns Address: 36 Pinecliff Drive City/Town: Marblehead, MA Zip Code: 01945 PnblicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (781) 854-6239 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 )&J,4�nt SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, 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 LRADIDIN t�1SALE'Nf,C06I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" I FEE: $50.00 u PROPERTY LOCATED AT /S %151'"If �% UNIT#_Z IS THIS UNIT DISTGNATED A iG LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER /ogFa j T. Et/d&� ' MANAGER/ AGENT--)-/Of-.'Y-- NO GENT/✓on/Y--NO P.O. BOX ADDRESS 3,v Z)RjVxc— ADDRESS CITY, STATE, ZIP M&CAL016AD 1 MA O/ 9`y�6' CITY, STATE, ZIP. RESIDENCE PHONE BUSINESS PHONE BUSINESS PHONE 7P 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 SIGNA Itispectors use only TEs Date on initial inspection: 051)- LL IL Date of reinspection: Date of issuance of certificate: 0 W2—V 19016 Date fee paid: 054 yz�oa Type of unit: Dwellin Other Check # �STCheck date: OS��j�,� KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RF,HS, 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 LRAM13IN2SALEXCON1 Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter R and Article XM of the City of Salem Ordinance, undersigned ownerAessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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. Tenant/Lessee /20&-t-� a r �T- 3g4YVJ Owner/Lessor 36 iFF .Z)12. /"(melic.N Address Address Address on unit to be inspected s�zv�ile Date Updated 5/23/11 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 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-8 DATE ISSUED: 1/8/2016 Property Located at: 21 WISTERIA STREET UNIT #2A Owner/Agent: Robert J. Burns Address: 36 Pinecliff Drive City/Town: Marblehead, MA Zip Code: 01945 O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 854-6239 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/R19iS, 010, CP -1S HrALni AGJDQT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 41" FLOOR TEL(978)741-1800 FAX (978) 745-0343 iMWEN(a A' .f d Application for Certificate of Fytness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MIMMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: S50.00 PROPERTY LOCATED AT n!/ W ZT —>�52 % 9 S i . SAS FC M14- UNIT# 2A. IS TATS UNIT D19IGNATED AS FRONT OR DA,CI1 OULASE CIRCLE ONE OWNER/LESSER A!2aL,e i 13tA2? MANAGEPJ AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE, ZIPSQLi�CITY, STATE, ZIP RESIDENCE PHONE USINESSPHONE(24HRS) BUSINESS PHONE 2L/ `2'la"%�G23� TOTAL NUMBER OF ROOMS: S ROOM USE: 1. LrCh - 2, A—R r) , Re{ 3. 6Z 4. fde 5 ,3 6. 7. S. 9. 10. THERE IS A FIFTY (S50) 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 Inmos dors use only // 7/15 Date on initial inspection: j!)VQ 712-01,( Date of reinspection: Date of issuance of certificate: Date fee paid: 01/0 Z/2CJ � � Type of unit: Dwellin Other Check # .S� Check date, 6yDf 2 01,9 r! I I I e . w___ rr' %Ii 5wrr'r , 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-301 DATE ISSUED: 9/14/2017 Prcvmt. homOle. P+ottct. Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 21 WISTERIA STREET UNIT #3 Owner/Agent: Leonid Karan Address: 1443 Beacon Street #802 City/Town: Brookline, MA Zip Code: 02446 24 Hour Phone: (617) 608-2494 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 le: Larry Ramdin, MPH, REHS, CHO HEALTH AGENT CITY OF SALEM, MASSACHUSETTS • x BOARD OF HEALTH 120 WASHINGTON STREET, 4T FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1.RAMDIN9SAI.F.M.00M LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT Z I W is G1- 4* 3, ,SSI IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR By M�-QIR-2o UNIT# 3 CIRCLE ONE OWNER/LESSER ttLtV� o, tet, MANAGER/ AGENT tti �� ✓� NO P.O. BOX ADDRESS l 14,N e� s F �oZ ADDRESS `$ 8 L Ox /51� n St # 6 b y CITY, STATE, ZIP -5y'"'o Aj�, SVMkITY, STATE, ZIP 'T30SP 'z ^h. 0'�4-6 RESIDENCE PHONE ?.V(-775- 617-d BUSINESS PHONE (24HRS) 6 ( 7 - 6 02? - _"-i -, &1 BUSINESS 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 ISPAYYABL,,E A TIME OF INSPECTION APPLICANT'S SIGNATUREI DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Check # N Check date: Code Enforcement Inspector KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RENS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET. 4"' FLOOR Release TEL. (978) 741-1800 FAX (978) 745-0343 1,RAMDINQSA1f3M.00M In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence, I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address q11 Lq17 Date Updated 5/23/11 SeL 5-t Address Address on unit to be inspected CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 109-05 DATE ISSUED: 2/16/05 Property Located at: 21 Wisteria Street UNIT # 3 Owner/Agent: Robert J. Burns Address: 36 Pinecliff Drive 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 IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH JO MPH, RS, CHO HE H� CODE ENFORCEMENT INSPECTOR l 3 � STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 O d 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 G/ l l"fJ �/A -'9-'�``—� UNIT # IS THIS UNIT DESIGNATED A RIGH /�JLEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE- R � sir J gya g,t MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 36 ADDRESS CITY r�[19— 0A - el/'?Y'CITY RESIDENCE PHONE G1 S Iul BUSINESS PHONE (24 H BUSINESS PHONE -?WS7- AOF-9- i TOTAL NUMBER OF ROOMS: S ROOM USE: 1. `gip 2. Ilii 3. 62- 4.65rL 5. 6,'Z 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 �, :.w— _DATE ,INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �f ��i/6D� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 2l' DATE FEE PAID / (^ST TYPE OF UNIT: DWELLING OTHER_ CHECK# /3�'_ CHECK DATE NOTES: P4—&4.09 A-VC.4 d' onr FIeN� I ffNcll t c g"A'Ftor (� CODE ENFORCEMENT INSPECTOR 9/28/98 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°i FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 lxamdinna,salem.com CERTIFICATE OF FITNESS CERTIFICATE # 274-12 DATE ISSUED: 7/5/2012 Property Located at: 27 Wisteria Street UNIT # 4 Owner/Agent: Wisteria Condo Assoc. Address: 15 Seten Circle City/Town: Andover, MA Zip Code: 01810 24 Hour Phone: 978-594-1646 LARRY RAMDIN, RS/RU..11S, C110, CP -IIS HFAL'ni AGENT 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. 47:D OF HEALTH LARRY RAMDIN HEALTH AGENT KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN,RS/RF1N,C110,CP-FS HFAL111 AGCSN'1' CITY OF SALEM, MASSACHUSETTS P ` ,) a BOARD OF HEALTH 120 WASHINGTON STREET, 4. . . FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN&AL] MCOM 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 2? W (5QO r 1 ',3-. UNIT# 4 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERUJIS-11-0A C60j)U I4SSOC. MANAGER/AGENT JOSE i'31S13C NO P.O. BOX _ ADDRESS ADDRESS CITY, STATE, ZIP tjJ D0 W-�T AA. (-) I (S') O CITY, STATE, ZIP. RESIDENCE PHONE CI A - 594 - I 04P BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: WvWG V. 2. KjTdt&X 3. �"(i'(06r-, 4.%Q)eA)0r1 5. C*M jL. IV bjq smi(eqr THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY BOARD OF HEALTH THIS FEE IS PAYABLE AT THE` APPLICANT'S SIGNA // Inspectors Date on initial inspection: / / C� MONEY ORDER TO THE CITY OF SALEM Date of reinspection: Date of issuance of certificate: Date fee paid: _ Type of unit: Dwelling Other Check #Check date: Notes: n Inspector S" /2 ICIMBERLEY DRISCOLL KkYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°i FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 Iral-ndinod salem.com CERTIFICATE OF FITNESS CERTIFICATE # 418-13 DATE ISSUED: 11/26/2013 LARRY RAMDIN, RS/RFGHS, CHO, CP -FS HF AI XI f AGENT Property Located at: 29 Wisteria Street UNIT # 1 Owner/Agent: Cheryl Briggs Address: 49 Menendez Road City/Town: Saint Augustine, FL Zip Code: 32080-4543 24 Hour Phone: 978-8848338 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ^ FOR THE B ARD O EALTH L LARRY RAMDIN~k� HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REI-IS, CHH, CP -FS HENvI'I-I AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HIL-1LTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 qj<z,)5 FAx (978) 745-0343 LRAMDIN&ALL',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 UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE AGENT NO P.O. BOX (� v L--1 / Ci� ADDRESS 7�� LL r 6� ADDRESS G)J A (, 01 PrIA -�'la �y CITY, STATE, ZIP pJ O( ` CITY, STATE, ZIP RESIDENCE PHONE / 7a d D 43 3f BUSINESS PHONE (24HRS) S G✓J i D BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: Mau�-ILi` G-11, THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY -ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA Date on initial inspection Date of issuance of Date of reinspection: Date fee TE iri —�-�/ Type of unit: Dwelling Other Check #Check date: lI)X1Q I) Code En orcement Inspector JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Thomas J. Thibodeau, P.O. Box 25040 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 02/16/2000 Jr & Ann & Thomas J. Thibodeau, Sr. Philadelphia, PA 19147 PROPERTY LOCATED AT 40 Wisteria Street UNIT # 2 Dear Sir/Madam: NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article %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 410.0001 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. ,FqR THE BOARD ON HEAL7 anne Scot MPH,RS,CHO Health Agent REPLY TO PABLO VALDEZ CODE ENFORCEMENT INSPECTOR