46 Highland Ave #48 Certificate of Fitness 8-29-2019 Op City of Salem, Massachusetts
J
i q Board of Health
lth
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-19-497
DATE ISSUED: 8/29/2019
Property Located at: 46 HIGHLAND AVENUE UNIT#48
Owner/Agent: George Hoxha
Address: 52 Highland Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 944-6674
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.
EGagakis
David Greenbaum SANITARIAN
HEALTH AGENT
CITY OF SALEM, MASSACHUSE1
BOARD OF HEALTI I
98 WASIIINGTON S'IREI T,3RD FLOOR PtZiC�eA�th
SALEM,MA 01970 Prevent.Promote.Protect.
TEL. (978) 741-1800
I�iNIBERLEY DRISCOLL health 2•salem.com DAvID GREENBAUM
N1<-�YOR
H i A c ENT
Application for Certificate of Fitness
IN ACCORDANCE WITH CITY OF SALEM ORDINANCE, SEC. 2-705
"CERTIFICATE OF FITNESS OF RENTED DWELLING UNIT, APARTMENT OR TENEMENT"
FOR COMPLIANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT � ���G,4 �••,.�L - �'�� UNIT#Lb
IF THIS UNIT IS DISIGNATED AS RI,kHT,LEFT,FRONT OR SACK,PLEASE CIRCLE ONE
IS THIS UNIT BEING RENTED AS A SHORT-TERM RENTAL? YES NO
OWNER/LESSOR � � MANAGER/AGENT
NO P.O.BOX �� �
ADDRESS ADDRESS
CITY, STATE, ZIP_ °'-t ' CITY, STATE,ZIP
RESIDENCE PHONE Old� 4IL-tL'1 LpG`')'t CELL PHONE(24HRS)
EMAIL fix' S c� G�
TOTAL NUMBER OF ROOMS:
ROOM USE: I. 2. -e,cl 3. t, 4.
Bedroom#1 ft2 Bedroom#2 ft2 Bedroom#3 ft2 Bedroom#4 ft2
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 1T TH - CTION
APPLICANT'S SIGNATURE DATE '�Q
a Inspectors use only
Date on initial inspection:_ O ,,109 _ Date ofreinspectio
Date of issuance of certificate: Date fee paid: �
Type of unit: Dwelling Other Check# Check date: S �'
Notes:
Code Enforcement Inspector,�"