82 Derby Street Unit #2F Certificate of Fitness 8-29-2019 ��oNDf City of Salem, Massachusetts
7 Board of Health
Q F oti. 98 Washington St, 3rd Floor Salem, MA 01970
Tel. (978) 741-1800
Kimberley Driscoll health@salem.com David Greenbaum
Mayor Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-19-496
DATE ISSUED: 8/29/2019
Property Located at: 82 DERBY STREET UNIT#2F
Owner/Agent: Debra Hogan
Address: 53 Hickory Lane
City/Town: Boxford, MA Zip Code: 01921 24 Hour Phone:(508) 265-1115
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 three years 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.
X)O�k EGagakis
David Greenbaum SANITARIAN
HEALTH AGENT