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BARR STREET M:. CITY OF SALEM9 MASSACHUSETTS m31. BOARD OF HEALTH s l0 120 WASHINGTON STREET, 4TH FLOOR r o' SALEM, MA 01970 '"— TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #32-08 DATE ISSUED: 1/24/2008 Property Located at: 11 Barr Street UNIT#1 Owner/Agent: Daniel Bona Address: 11 Barr 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 qVLVV� / A JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4k ;.. CITY OF-SALEM, MASSACHUSETTS BOARD OF HEALTH •J" • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor 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�/� T �1S�UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /;214e/ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY \ (f7 �i✓� L✓ _S CITY RESIDENCE PHONE 3 %D:2--BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.-3.---4. 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. I APPLICANTS SIGNATURE � � _ _DATE� -f- INSPECTORS-USE ONLY DATE OF INITIAL INSPECTION I `` DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: I -- TYPE TYPE OF UNIT: DWELLINGOTHER_ CHECK#—)_3 y' _CHECK DATE 1 - —0 S2 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �v��,coNnrr 0� i C CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 07/03/2001 Tel: (978)741-1800 Fax: (978)-745-0343 Virginia, Freda & Alice Borek 14 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 14 Barr 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 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. J 0THE ARD REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I' vg�(`.Q�'mt�' C @pjP11NB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 07/03/2001 Tel: (978)741-1800 Fax: (978)-745-0343 Virginia, Freda 7 Alice Borek 14 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 14 Barr 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. 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. IF R THE BOARD OREPLY TO ant, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 CITY OF SALEM MASSACHUSETTS �. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �lAq SALEM, MA 01970 TEL. 978-741-1800FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@5ALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#23-08 DATE ISSUED: 1/17/2008 Property Located at: 18 Barr Street UNIT# 1 Owner/Agent: Robert O'Meara Address: 18 Barr Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3359 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 �0x[� Xdc� - a JPJANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPEC OR r � i CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH • • 120 WASHINGTON 01 , 4TH FLOOR SALEM, MAA 019970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor 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 /8 ��f) UNIT#L IS THIS UNIT DESIGNATED IG LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER UO O�CfR-�2� MANAGER/AGENT� No P.O. Box No P.O. Box ADDRESS / 2/1 SY _ADDRESS CITY_ LAAo n &Q� _CITY Z RESIDENCE PHONE S BUSINESS PHONE (24 HRS.)------ BUSINESS RS.). %BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 2.4(u"3. �` 4._ 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 DATE / O� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ,- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7--d—DATE FEE PAID:---//-- / TYPE OF UNIT: DWELLIN OTHER_ CHECK#SCHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ��60NDIT CERT.# 803-98 - �i FEE $25.00 a DATE: 12/29/98 . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 18 Barr Street UNIT #: 1-Rear OWNER/AGENT: Robert O'Meara ADDRESS: 18 Barr Street CITY/TOWN: Salem, MA ZIP CODE: 01970 . 24 HOUR PHONE: 744-3359 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH qg-"G-r-� /�_ Imo— ."JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i � IT C 6, KC u ///IIIB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FO HUMAN HABITAT/ION°. PROPERTY LOCATED AT ____ � C UNIT# ""Q . IS THIS UNIT DESIGNATED AS IR GHT LEFT ER ONT�PLEASE CIRCLE ONE OWNER/LESSER!\UPN- �A aMANAGER/AGENT No P.O. Box '���" '" No P.O. Box ADDRESS_( r�_�4N C11—ADDRESS ., CITY (�: t- — `��-- C1TY_1�_ RESIDENCE PHONE 7V4 BUSINESS PHONE (24 HRS) BUSINESS PHONE /__� TOTAL NUMBER OF ROOMS: ROOM USE: .-- THERE IS A TWENTY-FIVE($ .00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S E HIS FEE IS PAYABLE AT THE TIME OF INSPECT,ION. APPLICANTS SIGNATURE _ _CAzelz2�_—DATE 17fa INSPECTORS USE ONLY )ATE OF INITIAL INSPECTION _DATE OF REINSPECTION___ DATE OF ISSUANCE OF CERTIFICATE:LJ__�:s JJ DATE FEE PAID:--/-d N� TYPE OF UNIT: DWELLING _OTHER CHECK #-,Z3� -CHECK DATE NOTES:__.— - -- CODE ENFORCEMENT INSPECTOR 9/28/98 r CERT.# 750-96 3 9 FEE $25.00 DATE: 10/24/96 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: 22 Barr Street UNIT #: 1 OWNER/AGENT: Steven Boucher ADDRESS: 22 Barr Street CITY/TOWN: Salem MA 7,IP CODE: 01970 24 HOUR PHONE: 741-4377 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. EOR THE - ��a l� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4.' GITY OF SAL'EM.BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tek(50B)741-1900 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 UNIT f I OWNER/LESSER Ae-' ey\ \ CJ &c r MANAGER/AGENT ADDRESS � 2- cer r ADDRESS CITY CITY RESIDENCE PHONE `T{I BUSINESS PHONE (24 URS.) BUSINESS PHONE l�f't. 795 i TOTAL NUMBER OF ROOMS:41 ROOM USE: I. �,N�2. aj'L 6 _3.2, 5. Z;y i y 61n�.-7• 8 THERE IS A TWENTY-FIVE (25.00) DOLLAR.. FEE, PAYABLE BY CHECK. OR MONEY ORDER TO THE CITY OF SAIMf HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE== = �C DATE /0 - 2 Lt " 91 G INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ` )�- '.�(>DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:Z/Q_-,�-4'Z�,b DATE FEE PAID:_ -.2- G TYPE OF UNIT: DWELLING/y OTHER NOTES: �" CODE ENFORCEMENT INSPECTOR / MMB 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: 09/25/96 Fax:(508)740-9705 Steven Boucher 22 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 22 Barr Street UNIT # 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 Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR w CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGI2EENI3AUMC[el7,Se\LEM.COM DAVM GRI..U.NBA UM ACTING HEAL'11-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#497-09 DATE ISSUED: 10/1/2009 Property Located at: 27 Barr Street UNIT#2 Owner/Agent: Stephen Tobey Address: 27 Barr Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-594-5353 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 T�A�F HEALTH I DAVID GREENBAUM ACTING HEALTH AGENT C ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4°4 FLOOR ff II TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREP.NEAUM@SALEM.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 1% G/✓L. 5 UNTI# `IS THJIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER S/�/'/��i� 7J���y MANAGER/AGENT NO P.O. BOX ADDRESS C�Y�2IZ l ADDRESS CITY, STATE,ZIP �q �`'/ 7 CITY, STATE,ZIP RESIDENCE PHONE/ 5ff7 J/SJ,r3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 9 ROOM USE: 1. 2. 3. 5. 6. 7. 8. 9 10. THERE IS A FIFTY($50)DOLLAR FE PAYABLE By Y C CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P LE ,T E OF INSPECTION APPLICANT'S SIGNATURE DATE L1 Inspectors use only Date on initial inspection: C(1 i Li 439 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling-----Other- Check# Ae121 Check date: 6 Notes: * f & ISM61 voo mie 6vt000m, kw 40 bct,, a -1'u A 6"60px hcw v�ndow o-t Sjcjt o� M 'it own, wirtda in J�jl sA� rt rtYe CMyk M� OC4K,) nca1 a. "- �. tart bv(b; Enforcement Inspector oy,2, v��1 1ti1 �� � S ha��Ce Rim T H ADD ScY`ew in 3��-�(. be,&a�,„ �s�a k�e. red• t r� '�ns�ec ��n-� 1► v'tolafi.ons corr�ct&I 3 gj f�� jIF m� 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: 04/16/98 Fax:(978)740-9705 Paul Emelian 33 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 33 Barr 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. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS G ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i q 5 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 a JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 Date: 09/13/96 Fax:(508)740-9705 Paul Emelian 33 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 33 Barr 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 l: 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. SFE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & EL•ECTRICITY Very truly yours, )F R THE BOARD p� REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r ,L 4 3 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: 03/18/98 Fax:(978)740-9705 Paul Emelian 33 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 33 Barr 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 Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 477-97 3 FEE $25.00 DATE: 007/23/7/23/ 97 NMB 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: 34 Barr Street UNIT #: 2 OWNER/AGENT: Ellen L. Murray ADDRESS: 34 Barr Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-9375 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 �� V �� ✓�_ 6 (/_4a-y JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 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 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". {� PROPERTY LOCATED AT �r----t �c G UNIT i G OWNER/LESSER!! { _ (� MANAGER(AGENTSo ,,, ADDRESS t �Y 46a r y- �� ADDRESS, CITY yfll CITY s;lt I � ,RESIDENCE PHONE s!1 ,?> 'IYs' - 7 / - BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 5. —6.-7. THERE IS A TWENTY-FIFE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTU DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE � – DATE / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION. / ''3 "�� DATE OF REINSPECTION [ / - DATE OF ISSUANCE OF CERTIFICATE: /lr 7 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: � - CODE ENFORCEMENT INSPECTOR r u m 3 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; 07/15/97 Fax:(508)740-9705 Ellen L. Murray 34 Barr Street Salem, MA 01970 PROPERTY LOCATED AT 34 Barr 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 Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR wW W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#589-05 DATE ISSUED: 9/20/05 Property Located at: 35 Barr Street UNIT# 1 Owner/Agent: Feisha Zhao Address: 18 Hathorne 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. FO H� OF H�FALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR "x< CITY OF SALEM, MASSACHUSETTS - � BOARD OF HEALTH • + 120 WASH SALEM, STREET, FLOOR SALEM, MA 449700 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 S �2 6Z. T. UNIT 41 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE lft f)ooc { �wWe ✓i- OWNCMANAaffT�RIf /C l SHA Zf/A O No P.O. Box Na P.O. Box ADDRESS 060 757T- _ADDRESS _p�/ Ll�' 1 G 1-4 ov7 `AP t'd� CITY__ SR-11 — IT}'- -- i•t .D k �M a a 1.5 6 RESIDENCE PHONE 73:41_:si buS;NLSS PHONE (24 HRS)__...A-__—_ BUSINESS PHONE TOTAL, NUNMER OF ROOMS:_lA_ .__ ROOM USE 1.y- pig 2�4V102�„ 3 Cc1 q Qd 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 AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE - _._ =! _ DATE C/ ( 0 ` INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _ t C 3^DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE- DATE FEE PAID TYPE OF UNIT_ DWELLIN OTHER CHECK s: / 3 CHECK /DJ JATE �- f � � NOTES �e,rvc( r cJ._.. ./j � 1 c� `c +�Nc1 ('1.- f� a ✓�f/� CODE EN( ORCI-MEN1 IN`3PEC:TOR IMPORTANT MESSAGE FOR A DATE d 9-t2Q—O,S" TIME •'3'� .M. Mjr(l,r,s h 0 OF 3,5-- ,/ PHONE %�-.� % yl1J�o �{- 765�<< AREA CODE NUMBER E NSION ❑ FAX ❑ MOBILE AREA CODE ^UMBER TIME TO CALL TELEPHONED. PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE ,may",ta- a�n��--✓e� �as�s,r�, SIGNED rY` FORM 4009 1_I MADE IN U.S.A, i NOTES 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 WWw.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 179-07 DATE ISSUED: 4/12/2007 Property Located at: 35 Barr Street UNIT#2&3 Owner/Agent: Feisha Zhao Address: 35 Barr 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 Jd NTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r Apr 1.# •07 12: 5Sp Joanne Scott Sal - BOH 979 745 0343 p. 2 CITY OF SALEM, MASSACHUSETTS u4D BOARD OK HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALFM, MA 01970 - TEL. 978-741-T(300 FAX 978-745-0343 ' JOANNE SC01'r, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CFRTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3SJ�r>' �hna�`.__--_ ._..�UNIT #_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER (- F-I SN'A L t N-� - MANAGER/AGENT� No P.O. Box No R0. Box �r ADDRESS,---! :,R r .,ADDRESS— _ CIIY,, Ow,. MA- olq� D _CITY — RESIDENCE PHONE 4 ) _t ISIO�13USINESS PHONE (24 HRS.) BUSINESS PHONE--4, '101 AL NUMBER OF ROOMS- ROOM USE: 1. .. 2. 5... rJA;. 6._ Zoo. 7, 1 HERE 1S A TWENTY-FIVE("$25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE F �.i �u•�.n DATE_, l iNa ECTOBSU$EQNLY DATE OF.INM L 1 SPECTION ' / -�a ..., .. .,DATE OF REINSPECTION,—...,__..,-_._._ DATE OF ISSUANCE OF CERTIFICATE; _ ,.--......_.._DATE FEE PAID:_, Iy v -'7 TYPE OF UNIT. OWELInILIN O'i HEH.. CHECK 4-1, o /„ CHECK DATE e- "7 NOTES; C1LeA.. CODE ENFORCEMENT INSPECTOR 9/2II/SII Received Time Apr. 11. 12: 13PM Page 1 of / Date: '7 / Name: �D /_S H 4 7 HQ Address -s /�J VL✓L $ �� 4. 7 � Specified Time Reg.#410.. ViolatiOn(S) c81 opf /1- 49 C (i u 13 I v /a z 2 A C _Smpke I / kv 0 k I j PIt4 S C !4 r d. T ' ( l 2 I ;LA e OY✓ 0 v to a CITY OF SALEM HEALTH DEPARTMENT 7n Salem, Massachusetts 01970 Page Of Date: Name: Address: Specified Time Reg.#410.. VIOIat1Or1(S) j iir%.tit- �� `� _ _- �� .�4. 31h5� ,, y� `I! n< K r�"7�, , ���. � Rpr 11 07 12; 5Gp Joanne Soott Salem 130H 878 745 0343 p• 3 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 Kimberley Driscoll Mayor ' RELEASE In accord ante-'with Massachusetts General Laws Chapter III ; Code. of Massachusetts 'Agulations 4+ i0_(iQo cc. sect. ; St,cc Sanitary Code Chapter 1t and MICK XIII of tie City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem fOlyd of Health or its acthor- i20.d Agonta to inspect the residence identi[ivd belouln;`acc:ordaace :rith the afotemea&oned statutes, regulations and ordinances. 1:n rhn ovant it in nOUCan9ry Lhat said inspau.ion be done in my/our absence, We exprWAY suthOriZC the some and for my/our successor's and assigns hereby celeast, and discharge the City of W le:m, Salem Board oi, Health and its authorized a coon `raa any 1CSe ar Ujury SUSS ,ined of whatever nature ant description ocrinj and by my/ctur abser.ca ;luring said inspection n ti ?=<alhN'P1 L'n$.`i1:,E Cta A'F:!i/i.!SSSCR W4!h(T its`i!'liY1',i f! .. I::.IT - Received Time Ap01. 12: 13PM N 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 WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#78-07 DATE ISSUED: 2/27/2007 Property Located at: 43 Barr Street UNIT#2 Owner/Agent: Jacqueline Langlois Address: 43 Barr Street City/Town: Salem, MA Zip Code: 01970 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 y J � � J NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR BOARD OF HEALTH 120 WASHtNGTON STRSET4TH FLOOR SALEM, MA 0 1970 TEL. 978-741-1800 FAx 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberiey Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OFFITNESS FOR HUMAN HABITAT0N" PROPERTY LOCATED AT _ -UNIT #_ �2 ]STHIS UNIT DESIGNATED ASRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE � / OWNER/LESSER m\ANAGERA\GEN KAaP.O. Box NoP.O.Box ADDRESS _—ADDRESS_____ | C || Y RESIDENCE PHONE /09eBUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OFROOMS:________- � R(}(}MUSE� 1� 23 -' 4 THERE |SATWENTY-FIVE (S250V) D0LLARFEE, PAYABLE BYCHECK URMONEY ORDER TOTHE CITY F EALTH8 PABTMENTTHIS FEE ISPAYABLE ATTHE TIME 0FINSPECTION. APPLICANTS SIG �r �� /�7 /� �� v'^�"='+'��+^~° �/-=��~�7``°~~""^t/`-� =-/-- v '--' -- N ~J ^�' 7 ^vq 7DATE 0FRE|NSPECll0N DATE [)FISSUANCE 0FCERTIFICATE * 7 DATE FEL PAID. -Z- ~7 ~-* / � � TYPE OFUN|T� 0YYEU\ OTHER CHECK -7 ./'' ' () C|�1ECKD�TE�1 r ' ' | k � NOTES S a C',ITY OF SALEM, MASSACHUSETTS BOARD OF 1'IEALT1-1 120 WASIIINGI'ON I TREI I',4'"F L()()R p) PCIWC81'1 I "CEL. (978)741-1800 FA\ (978)745-0343 _ KIMBERLEYDRISCOLL Itamdin a)salem.coin 1..Alilil'RAMDIN,RS/R1;1 19,(A 10,CP-FS MAYOR H I.S;\1;1'1-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#299-14 DATE ISSUED: 9/5/2014 Property Located at: 45 Barr Street UNIT#1 Owner/Agent: Maria Vasilakis Address: 45 Barr Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-0274 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. OR THE BO D OF ALTH 42h A(00( LARRY RAMDIN HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o� 120 WASHINGTON STREET 4""FLOOR PublicHealth > Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdiii@salem.com - LARRY RAM,RS/RFI-IS,C1 10,CT-FS 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" FEE: $50.00 PROPERTY LOCATED AT q5 bZyy J0.ZLam , /VVf-- UNI T# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MAtZ(A VAST (-A Klj MANAGER/AGENT �— NO P.O. BOX lL ADDRESS 45 QcxrY 5 1 ADDRESS CITY, STATE,zfp (J, m MA Ocl7 o CITY, STATE,ZIP RESIDENCE PHONE q j� ' S73 D`L(Z�o BUSINESS PHONE(24HRS) �- BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. ( 3.> 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP AB A 1E OF INSPECTION p- APPLICANT'S SIGNATURE DATE 1 < V' rs use only Date on initial inspection: 7/5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#-.--.Check date: l` Notes: Code Enfbr(ement Inspector