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BALCOMB STREET w CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #223-06 DATE ISSUED: 5/2/06 Property Located at: 5 Balcomb Street UNIT# 1 Owner/Agent: Fernando H. Gomes Address: 5 Balcomb Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4281 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR -ajw :: tw OF SALE.M; Ctitl5E BOARD OF HMALTH 120 WASHINGTON STREET,AIT" FLOOR T:� SJ SALEM.14A 01970 TEL. 978-741-SHOO p FAX 978.745-0349 STANLEY USOWCL,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT kr1 iY* F' piRR BOARD OF HEALTH APPLICATION FOR CERTIFICATE OF FITNESS L IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER(I, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 7� Q ff-Y)J9 UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER ,69& } //')Ol-/-/L.O -('SMANAGERIAGENT No P.O. Box No P.O.Box ADDRESS GT. jet'p YY} _ADDRESS CITYC•-�✓pL��1� CITY RESIDENCE PHONE`J �(� USiNESS PHONE (24 NRS.)_-. 2t - BUSINESS PHONE TOTAL NUMBER OF ROOMS:___ ROOM USE: I. THERE IS A TWENTY-FIVE(525,00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE Al THE TIME OF INSPECTION. APPLICANTS SIGNATURE 1 fir —.DATE. -C/-Z. '-0f INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DA'I L: FEIL PAID TYPE OF UNIT DWELLING OTHER CHECK i CiiF.CK DATE NO1FS: (4001 . I-M OHCb MI N I INti ' C I l)i i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 335-06 DATE ISSUED: 6/29/2006 Property Located at: 5 Balcomb Street UNIT#2 Owner/Agent: Fernando H. Gomes Address: 5 Balcomb Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-239-9414 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 If' 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 }O�/F HEALTH _ JOANNE SCOTT, MPH, RS, CHO V � HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, c*o | � Kimberley Driscoll HEALTH AGENT N1@yVr APPLICATION FOR CERTIFICATE OFFITNESS � |NACCORDANCE WITH STATE SANITARY CODE, CHAPTER ||. 106CMR 410.00O "M|N|W1DMSTANDARDS OFFITNESS FOR HUMAN HABITATION"- PROPERTY L0CATED8T ]N|T#_�~_ | ]STHIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE � ~.--~~ ~~~-_ --_-------_-- | | NoK».O. Box NoP.O. Box ADDRESS 5 _ DD8EOG CITY —CITY—__ _— � RES|[}EN{�EPHONEf8|NE8SPHONE (24HRS] BUSINESS PHONE TOTAL NUMBER OFRO8K1S: � R[n]MUSE: 1—_2_________3__________4_____�___� 5_---__8.__---___-T-0._-�___--__ THERE YS /\TWENTY-FIVE($26OO) DOLLAR FEE, PAYABLE BYCHECK ()RMONEY ORDER TQTHE CITY oFSALEM HEALTH DEPARTMENT THIS FEE ISPAYABLE ATTHE TIME OFINSPECTION. APPLICANTS SIGNATURE _�-%��DATE_6- INSPEC FORS �=��__l�} USE—ONLY DATE OF /^ _DATE OF8E!NSPECT|0N--____ DATE8F |SSUANCEOFCERT|F|CATE& /` DATE FEE PAID: _^^ -~ J� TYPE OFUN|T� DVVELL|N THER___ CHECK I1,44-0.—CHECK DATF ~-6 <� �—��--- C0DEENF0RCEN1ENT |NSPECTOR 9/28/88 City of Salem, Massachusetts e � n Board of Health 120 Washington Street, 4th Floor, Salem, Pablic'Heatth 'PflYl62.PfOROf<. Pf0[!C[. MA 01970 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-17-346 DATE ISSUED: 10/16/2017 Property Located at: 7 BALCOMB STREET UNIT#1 Owner/Agent: James Alevizos Address: 30 Park Street City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. . This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF FIE-UJI-I 120 WASHINGTON STREET,461 FLOOR PI1b1iCHC8Ith Protne.Promote Protetl. TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com salem.com MAYOR L,AItRY K;AMDIN,RS/ItE4{S,Cl-[O,(:Y-PS HEALTII 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 `' 6-4,LC..�.5 UNIT# Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ,,, ,1 Rec��Sd �/ ro�,MANAGER/AGENT ��LuPs NO P.O. BOX �— ADDRESs ', � 7Zij�s �._.!� S( ADDRESS 36 5-(- . CITY, STATE, ZIP CITY, STATE,ZIP Z y All(,p uiL RESIDENCE PHONE - T��G 4, -7 -7 a 0 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S� ROOM USE: 1. /,)t-j 2. 1 3. 0/4i -o< 4. i'0>I+{ 7. 8. 9. 10. 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 OFF INSPECTION APPLICANT'S SIGNATURE 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#Check date: Notes: Code Enforcement Inspector r-, T'Af 4owv, rrop oJ,5?"�; OCITY OF SALEM, MASSACHUSETTS BQARD OF HEALTH 120 WASHINGTON STREET,4°"FLOUR P11b1ICHC81tb Prevent.Promote.Protect, TEL. (978) 741-1800 FA-\(978) 745-0343 KIMBERLEY DRISCOLL lramdin(cesalem.com MAYOR L.ViRY RAMllIN,RS/RF}iS,(:HO,CP-IS Hii.ALTH AGENT 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/our 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 loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11 ye" CERT.# 291-96 3 FEE $25.00 DATE: 05/14/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 7 Balcomb Street UNIT #: 2 OWNER/AGENT: Arthur Neuner ADDRESS: 7 Balcomb treet Apt. 1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2981 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH U JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR K 6 GtTY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HAAB,ITATION". PROPERTY LOCATED AT L'-C-1-„„ �, . UNIT f Z— OWNER/LESSER kyl-TN-t,{YL- 4(~L4/\)c-L7 L._- MANAGER/AGENT A/ld ADDRESS J Jyj ADDRESS_ ( ` CITY �� L, 0 -1 CITY _ RESIDENCE PHONE G3' 7 — '2R r BUSINESS PHONE (24 HRS.) BUSINESS PHONE ?L Z (S{YO TOTAL NUMBER OF ROOMS:” }� ROOM USE: 1. 4 2. 3. 4 . 5. 6. 7 . 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEH HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ,5- ) / G DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFFI�jJCATE:, "'1 It b..-DATE FEE PAID: - TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 05/06/96 Fax:(508)740-9705 Arthur Neuner 7 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 7 Balcomb Street UNIT # 2, Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is, occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO r s°' Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH _ 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 4 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#535-05 DATE ISSUED: 8/22/05 Property Located at: 21 Balcomb Street UNIT#2 Owner/Agent: Ana Maria &Arlinda Bettencourt Address: 21 Balcomb 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 x 1 C� JOIY�AfNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSE-TS 4��✓� BOARD OF HEALTH CJ� • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /J S—TUNIT 42 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSERdl�� 4 ANAGER/AGENT No P.O. Box No P.O. Box ADDRE5S_ ADDRESS_ ---_....— RESIDENCE PHONE---BUSINESS PHONE (24 HRS.), BUSINESS PHONE- _ __ TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. Z _2, . Z -_3 -_- GK—..4. �ff -- 5.A. _6._—.—T --- 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 SIGNATUREA7(f �_ INSPECTORS USE ON4_Y r DATE OF INITIAL INSPECTION* -Iib -0 - DATE OF REINSPECTION _. DATE OF ISSUANCE OF CERTIFICATETDATE FF.E PAID `�''� .__ _ 1 TYPE OF UNIT DWELLING OTHER G'F9EC'K r CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 912fj�98 _ mb 3 s_ CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 10/28/99 Fax:(978)740-9705 ' Pilgrim Realty Trust _c/o Roy Gelineau, Trustee P. 0. Box 550 Salem, MA 01970 PROPERTY LOCATED AT 27 Balcomb 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 %III of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be ' i 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. j 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. FXII THE BOARD 0F41EALTIH REPLY TO I _ariiie .Scott, MPH,RS,CHO PABLO.VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR - �w CERT.# 98-96 3 FEE $25.00 DATE: 02/23/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 27-29 Balcomb Street UNIT # : 1 OWNER/AGENT: Pilgrim Realty Trust ADDRESS: 5 Foster Court CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0424 AN INSPECTION OF YC.-,R VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAI. DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 9r 76 CITY OF SALEM BOARD OF HEALTH --------- ------ Salem;Massachusetts 01970-3928— -- JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY'CODE, .CHAPTER II, 105 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATI/ON". J PROPERTY LOCATED AT �' j ��!L�,; Ei S UNIT I OWNER/LESSER p✓/ 1ti /�r �a -lf MANAGER/AGENT f I /. Z'o/'1.1 - ADDRESS �� o5`G/. CGyADDRESS CITY }9/Ti! /'/ CITY / RESIDENCE PHONE BUSINESS PHONE (24 HRS.) a f f 'L' BUSINESS PHONE- . 3e>ed — TOTAL NUMBER OF ROOMS: L ROOM USE: I. 2. S. 6. 7. 8, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TUE CITY OF SALEM'HEALTH DEP NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE-- = DATE Z 0,3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:� DATE FEE PAID: 3, 7j Fi TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR j CERT.# 99-96 3 FEE $25.00 �1J1 �F DATE: 02/23/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 27-29 Balcomb Street UNIT # : 2 OWNER/AGENT: Pilgrim Realty Trust ADDRESS: 5 Foster Court 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 II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,R.;,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR PITY OF SALEM BOARD OF HEALTH __ _ _-------_ _Salem Massachusetts 01970-3928– --____— --- -- JOANNE JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT J-pZ / 14.to l um #_ OWNERJLESSER �gfd/, MANAGER/AGENT��c -7- Vt" ADDRESS �.// j e- Gyyr j ADDRESS /J}�- �/��"�F` If' f CITY is lar �J CITY y G/Tii b RESIDENCE PHONE BUSINESS PHONE (24M.) Z `6Y f . T. BUSINESS PHONE- 7 Y �.doea TOTAL NUMBER OF ROOMS I ROOM USE: I. /r L 2• y.E' �3. / G- 4. � v 5. 6. 7. B THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM-HEALTH DEP THIS FEE IS PAYABLE AT THE TI!!E OF INSPECTION APPLICANTS SIGNATURE � DATE 2 ` Z�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 1,6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-2., '7. ,3 -G,6 DATE FEE PAID: Z -2, i', TYPE OF UNIT: DWELLINGN / OTHER _ NOTES: �C CODE ENFORCEMENT INSPECTOR �ONDIT ro T i . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 07/06/2000 Tel:(978) 741-1800 Fax:(978) 740-9705 Mary Kuc & Cynthia Blanchette 30 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 30 Balcomb 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 beconducted 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 .978-7.41-1800, 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. FOR THE BOARD OF HEALTH REPLY TO Joan tt, MHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 3L BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/15/05 Gregory R. McNamara 11 Yorkshire Road Marblehead, MA 01945 PROPERTY LOCATED AT 33 Balcomb Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Healt Reply to �anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector a e 3 9t y� d' CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 07/28/97 Fax:(508)740-9705 Vincent & Mary McGrath 33 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 33 Balcomb Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO q0-pW-11L�"'001� Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i �conm�r CERT.# 179-99 c 53 FEE $25.00 DATE: 04/14/99 °Mme CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 34 Balcomb Street UNIT #: 1 OWNER/AGENT: Paulino Garcia ADDRESS: 34 Balcomb Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1526 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH OANNEE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR v -99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fav(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". 12 PROPERTY LOCATED AT � � y S� ' UNIT#_/ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 79U�//✓ a��92U' �0 MANAGER/AGENT No P.O. Box / No P.O. Box ADDRESS -2S ADDRESS CITY 5-4-4-c— CITY RESIDENCE PHONEBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. IZ— 2. �" 3. 4. _ 5. ff5 & 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 aAi -� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION [-/i� -579 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:) 4�DATE FEE PAID:_ ' 1 -1 Y -� r TYPE OF UNIT: DWELLINGOTHER__ CHEC # CHECK DATE ` a roroi6 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 w CERT.# 835-97 �v FEE $25.00 ' L k DATE: 12/11/97 �>MfI�B CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 34 Balcomb Street UNIT #: 1 OWNER/AGENT: Paulinon & Alda Garcia ADDRESS: 34 Balcomb Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1540 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH ANNE SCOTT, MPH,RS,CH0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR w CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". r/ PROPERTY LOCATED AT (J/a' c0 UN M J'J� '�'7— _-�/�fMl�'//_r��i1NIT i l OWNER/LESSER /((lad C, (rRfILR MANAGER/AGENT ADDRESS_3 4 , C 6 td S?= ADDRESS 9 f Q CITY &E M MA, 0 t `j (5 CITY RESIDENCE PHONE 2' LI.IrO4. BUSINESS PHONE (24 HRS.)_ - .. BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM USE: 1. KirQ 2. ,3. ��_4 . I Fly 5•� 6' 416. 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 TIM OF INSPECTION APPLICANTS SIGNATUREo>!if/� INSPECTORS USE ONLY DATE OF INITIAL INS PECTION:/k�z-_jJ - r C DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /,,�—( (-q 7 DATE FEF. TYPE OF UNIT: DWELLING OTHER� NOTES: CODE ENFORCEMENT INSPECTOR 'dtrmra CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 12/04/97 Fax:(978)740-9705 Paulinon & Alda Garcia 34 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 34 Balcomb Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEEENCLOSEDSECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR L h 3 rn� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,C_HO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 03/06/97 Fax:(508)740-9705 Paulinan & Alda Garcia 34 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 34 Balcomb Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health DeL.'artment prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1. General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter ll: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 424-96 3 FEE $25.00 DATE: 0 07/09/7/09/ 96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40 Balcomb Street UNIT #: 2 OWNER/AGENT: Roland Gendron , ADDRESS: 40 Balcomb Street CITY/TOWN: Salem, MA ZIP CODE: .01970 24 HOUR PHONE: 745-2469 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. /FOR THE BOARD OFHEALTH ► /a/�J�n / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • K b CITY OF SALEM BOARD OF HEALTH -Salem,-Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT1�rL (p7yy f,, UNIT #^ „ OWTIER/LESSER !L Ei a-m G gAldoo Az MANAGER/ACENT ADDRESS �^,I ADDRESS CITY CITY _ RESIDENCE PRONE q? J' BUSINESS PHONE (24 RES.) BUSINESS PHONE T TOTAL NUMBER OF ROOMS: &/2 - ROOM USE: I. lG f�&Ai 2•�N/ N t��3. Ai e W 6 4 - 5.44 k' m-_6.37 ,?136,6 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MOHEY ORDER TO THE CITY OF SALEM'HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OFF INSPECTION APPLICANTS SIGNATURES JINSPECTORS USE ONLY DATE OF INITIAL INSPECTION: `( � �- ��j DATE OF REINSPECTION -i DATE OF ISSUANCE OF CERTIFICATE: `DATE FEE PAID': `7 ` ( ,6 TYPE OF UNIT: DWELLING y OTHER NOTES: 7 CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH - - ----- -- -Salem Massachusetts-01970=3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter Ill ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, I/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT/LESSEE OWNER/LESSOR ADDRESS ADDRESS J40 Q�<<�m Q S /'/� ADDRESS OF UNIT TO BE INSPECTED DATE CITY OF SALEM BOARD OF HEALTH —�- - -Salem,-Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 02/28/96 Fax:(508)740-9705 Roland & Paulette Gendron 40 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 40 Balcomb Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify 1s of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR a b, 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET '- HEALTH AGENT 02/04/2000 Tel:(978)741.1800 Fax:(978)740-9705 Roland & Paulettte Gendron 40 Balcomb Street Salem, MA 01970 PROPERTY LOCATED AT 40 Balcomb Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable 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. FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, M�0 PABLO VALDEZ ' HEALTH AGENT CODE ENFORCEMENT INSPECTOR i i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#202-07 DATE ISSUED: 3/26/2007 Property Located at: 48 Balcomb Street UNIT# 1 Owner/Agent: Jacquelyn Michaud Address: 48 Newcastle Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-531-1988 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 JOE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS d 'o7 BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 JOANNE SCOTT, MPH, R5, CHO L/ Al Kimberley Driscoll HEALTH AGENT !lY � !"G Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF�FITNESS FOR /HUMAN HAA,BIT�W PROPERTY LOCATED AT?B t E/b2Yl�//r�CC UNIT#-T IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 4cC� J)PIy��ji iJ<}vf fyIANAGER/AGENT No P.O. Box ' - No P.O. Box ADDREESSS�_�v Wev"edy ,' _ ADDRESS CITY' l z/6 v._7 Mq CITY RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. (feti d2 3.f ec/� ubAA. V 5. 6. 7. 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 GC� DATE INSP CTORS USEONLY DATE OF INITIAL INSPECTION �" — 0 '47,DATE OF REINSPECTION v 7 DATE OF ISSUANCE OF CERTIFICATE.3 ' 6 DATE FEE PAID: l _ -67 TYPE OF UNIT: DWELLIN, OTHER _ CHECK # G_(1 ) ___CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 V CITY OF SALEM HEALTH DEPARTMENT • ' a Salem, Massachusetts 01970 Page Of � Date. / - 3 —v7 Name:� i1 � 126 L ��A) ,G/(claly� Address: y M4 Specified Time Reg.#410.. Violation(s) T kl I e (),U-le ! L • > CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGREr.•NNUAUM&S ALrNM Come DAVID GREENRAUM ACTING HEAL'T'H AGENT CERTIFICATE OF FITNESS CERTIFICATE #65-10 DATE ISSUED: 2/8/2010 Property Located at: 50 Balcomb Street UNIT# 1 Owner/Agent: Gregory Revill .Address: 4 Smith Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-407-7948 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 ,/LUX I DAVID GREENBAUM [p /Qo� ACTING HEALTH AGENT C CEMENT INSPECTOR V A t CITY OF SALEM, MASSACHUSETTS �l r e BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAR(978) 745-0343 MAYOR DGREENBAUNI SAI.EM.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 PROPERTY LOCATED AT W 6 a I CG M� g � I r I UNIT# ' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER -eQ✓ 2LV , MANAGER/AGENT ADDRESS S Wl I �T ADDRESS CITY, STATE,ZIP �U (i vk Mn U y 1 () CITY, STATE, ZIP RESIDENCE PHONE q j � 1 Y S_'t - BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. B Q 2. B 2 3. �- 2 4. V 11r(4 5. 4 to 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLUHEOR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE AT SPECTION APPLICANT'S SIGNATURE DATE 2 �� Inspectors use only Date on initial inspection:_ aI$ J�o Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: Imo/ . Notes: L�illY`,c� io�Yyl Wjnj. , z �C) 1I OIs `ArtycT!jL\ep =ct` So `l" SS�' ofd 11, Co nforcement Inspector 6 { �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH w 120 WASHINGTON STREET, 4TH FLOOR CERT.# 291-03 � PSo SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 06/25/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 50 Balcomb Street UNIT #: 2 OWNER/AGENT: Kathleen Utz ADDRESS: 50 Balcomb Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2624 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT ( ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ORCEMENT fNSPECTOR a CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH us 120 WASHINGTON STREET, 4TH FLOOR n `� SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". 1 PROPERTY LOCATED AT ',5'61d jKfR .x.E, 5� UNIT# d IS THIS UNIT DESIG/N�ATED> AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER i f &7_2 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY_ SfICo CITY RESIDENCE PHONE _7F /2&,?Q�bUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. &J 2.. 3. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE JG � � � DATE& �O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION (A�; oa DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: G -/ ? TYPE OF UNIT: DWELLING OTHER_ CHECK# CHECK DATE 6 7 NOTES: CQ ORCEMENT INSPECTOR 9/28/98 ` a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` F 120 WASHINGTON STREET, 4TH FLOOR 3 . Y SALEM, MA 01970 •�QrolYE TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Ritgulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents Lo inspect the residence identifies below in accordance with the aforementioned statutes, regulations and ordinances. I:i the event it is necessary that said inspection be done in my/our absence, i_ /we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized ager, s from any loss or injury sustained of whatever nature and description occasioned . by my/our absence during said inspection. TE9AN`LjLESSEE ONNER/LIE SSOR - - ADDRESS ADDI Vit," �� P.DDRES,S OF UN LT TO BE INSPEC ED DATE ra