19 HANCOCK STREET, UNIT 3 - CERTIFICATE OF FITNESS oND '� City of Salem, Massachusetts
.i Board of Health
120 Washington Street, 4th Floor, Salem, PubHcHedth
MA 01970 Prevent.Promote, Protect,
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-133
DATE ISSUED: 5/4/2017
Property Located at: 19 HANCOCK STREET UNIT#3
Owner/Agent: Charles Nelson
Address: 22 Northern Avenue
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(617) 285-2154
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.
EGagakis
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN