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BARSTOW STREET f t CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH � -� i.. . 120 WASHINGTON STREET,4 FLOOR TEL. (978) 741-1800 KUABERLEY DRISCOLL FAX(978)745-0343 MAYOR JDIONNE.&ALEM.COM JAN ET DIONN F. ACTING HEAL'IH AGIsN'r CERTIFICATE OF FITNESS CERTIFICATE#610-08 DATE ISSUED: 11/20/2008 Property Located at: 4 Barstow Street UNIT#2 Owner/Agent: Fernand &Doris Dube Address: 4 Barstow Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-0867 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 9 there is a valid Certificate of Occupancy. RNE HEBOARD OF HEALTH DIONNE , ACTING HEALTH AGENT CO NFORCE INSPECTOR • > CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH G�m 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ]DIONNE SALEM.COM JANET DIONNE, 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 B /tZ- t'crw S .T UNIT# dL IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Qt,4E MANAGER/AGENT NO P.O. BOX ADDRESS -tt4 sBA R $ w ,7 ADDRESS CITY, STATE,ZIP /14,4. CITY, STATE,ZIP O /1;r6 RESIDENCE PHONE !- % 7� - �T//S o&67 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1. ffe'c( ffM, 2. fed RM. 3. inriAJ R.. 4. k/fati Ei✓ 5. t4ekv?9-" 6. 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 OF TION APPLICANT'S SIGNATURE ::91 DATE Inspectors use onl / y Date on initial inspection: �� 'a.0 1 o? Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#�I�Check date: ///20/ Notes: 1 of Wcd�-r at Cu)pCck• ?6°-�- Cts' jj&Q Ci ,ku +�o t_xn � uxRIpw up Jp hgic�n l l c t -a 0'f C e forcement Inspector. City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pu P.eobliC�ole Health 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-16-389 DATE ISSUED: 10/7/2016 Property Located at: 12 BARSTOW STREET UNIT#1 Owner/Agent: Kimberly& Barry Silverman Address: 17 Emerson Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 277-8046 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. �wr B Larry Ramdin, MPH, REHS, CHO f HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS h a' BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIM 3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR - LRAMDINgSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS 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: $50.00 PROPERTY LOCATED AT o` 8d.4*0 cS . UNIT# '' _-I1S THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER wr*V'X (j aAAR.&w*Lk&►lut~ MANAGER/AGENT NO P.O.BOX ADDRESS 0 Gmei(G 1 6k ADDRESS CITY, STATE,ZIP PO /hR a lS J CITY, STATE, ZIP RESIDENCE PHONE A l$SZT!—$DV BUSINESS PHONE(24HRS) BUSINESS PHONE S&eAA— TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. 4. 5. 6. 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 OF INSPECTION APPLICANT'S SIGNATURE � DATE U Inspectors use only Date on initial inspection: InLo = Date of reinspection: Date of issuance of certificate-1 n/2*2- 6 Date fee paid: k/©�/ 6 Type of unit: Dwelling-A/—Other Check#jj� Check date: ID fQ(/� Notes: *() rcemenxpector 1 ca CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TSL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMMN([�.SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H 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/out 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 lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspecti 4a-w 111-11 1 m bwh j chi'law n Tenant/Lessee OWner/LesSO Address Address Address on unit to be inspected Date Updated 5/23/11 R `o " City of Salem, Massachusetts Board of Health ��Lu� 120 Washington Street, 4th Floor, Salem, Prevent. Promote.I3 Protect. eAM MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-487 DATE ISSUED: 12/15/2016 Property Located at: 12 BARSTOW STREET UNIT#2 Owner/Agent: Kimberly& Barry Silverman Address: 17 Emerson Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(978) 277-8046 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 vim` z_ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1,RAMD1N1@SALEM.00M LARRY RAMDIN,RS/REHS,CHO,CP-FS 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 12 a AILSM V�) 5' UNIT# 02 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERIAM. -t kttitgatcN S(�v 610AW MANAGER/AGENT . NO P.O.BOX ADDRESS 6%AO A(6 S'� ADDRESS CITY,STATE,ZIP 6jbbDy 1 M5 loa CITY, STATE,ZIP RESIDENCE PHONE a1S '�-'��I�SCDt{(o BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: �o ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE V tt.lrL DATE Inspectors use only Date on initial inspection: L?cC ,6,2oM Date of reinspection: Date of issuance of certificate: nC `rt-), -L5V Date fee paid: ^0. �rr)72Z 1� Type of unit: Dwelling Other Check#K�$Check date: V�Cc Notes:_: )1 o AIA ckA g"n �Q-uxTzm,N A ur Code Enfc•cement Insp ctor j ry s CITY OF SALEM, MASSACHUSETTS > a BOARD OF HEALTH 120 WASHINGTON STREET,4T FLOOR TEL. (978) 741-1800 KiMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1 RAMDIN(7a SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH 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/out absence'. Uwe 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 lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor, Address Address Address on unit to be inspected Date Updated 5/23/11 i CITY OF SALEM, MASSACHUSETTS '. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#71-04 DATE ISSUED: 02/26/2004 Property Located at: 13 Barstow Street UNIT# 1 Owner/Agent: Robert& Gladys Gallant Address: 35 Green Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-777-5172 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 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if 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 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 9 }� 4 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t�. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 r 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". PROPERTY LOCATED AT 2..3 ST So Io v- UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE"&,,71SG& ANAGER/AGENT No P.O. Bo� No P.O. Box ADDRESS S G n e Q NN ST ADDRESS CITY--:9 z CITY RESIDENCE PHONE 9\�S ` '7 /7 a BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9 '7R `7 y'7e 6 W 9 2 TOTAL NUMBER OF ROOMS: } ll ROOM USE: 1. L> 2. DI" h 3. 5. H rA 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 s�yAt INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '1-L 'V DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:2'3 • 'r DATE FEE PAID: '2 ' � C 4A TYPE OF UNIT: DWELLING rTHER_ CHECK# lL 7 C' CHECK DATE�'YG a Y NOTES: 7 CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 5{ 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/24/05 Gladys E. Gallant 35 Green Street Danvers, MA 01923 PROPERTY LOCATED AT 17 Barstow Street Unit 1 st floor 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 Health Reply to J ne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector f CERT.# 275-97 FEE $25.00 3 gj DATE: 05/02/97 'i7N1Ng 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: 19 Barstow Street UNIT # : 2 OWNER/AGENT: Dorothy Beeman, c/o Gladys Gallant, Guardian ADDRESS: 35 Green Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-5172 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 ,d"- (/a z4gle-1- JOAN - JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f . / I2 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 SANITARY7 CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY PROPERTY LOCATED AT J&L4tA. ( - QyUNIT € OWNER/LESSER MANAGER/AGENT ADDRESS X3:5 ADDRESS ��� ' CITY ljd-4 � �/ %?3 CITY (f'l7isi! P�� _ RESIDENCE PHONE­_Z�7 BUSINESS PHONE (24 HRS.) j / ,� BUSINESS PHONE TOTAL NUMBER OF ROOMS: t5- ROOM ROOM USE: 1 . 2. 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 <C � %CSC DATE -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: �_�--_ Z_DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES : - CODE ENFORCEMENT INSPECTOR ' ? CITY OF SALEM, MASSACHUSE'I"I'S BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR PublicHeAlth TEL. (978) 741-1800 FAx(978) 745-0343 I IMBERLEY DRISCOLL lramdinga salem.com LARIi7-'1LVNIUIN,RS/REIIS,CF[O,(111-FS MAYOR HI.41:1'1 I AG f;N'I' CERTIFICATE OF FITNESS CERTIFICATE#389-12 DATE ISSUED: 9/25/2012 Property Located at: 28 Barstow Street UNIT# 1 Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6571 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 BO RD OF EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS J`/L aur' BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubliCHeal$$S 1'rev¢nl. Prmmte.Pmleer. TEL. (978) 741-1800 FAX(978)*'_0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LARRY R\KRAN,RS/RF]IS,C1 10,CT-FS HF DLII-[A(;Ih:N'r 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 2g 3 A t�> S 7b W UNIT# 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERf} P I Z tzc,F— MANAGER/AGENTm 2. NO P.O. BOX ADDRESS q FORA t ud ADDRESS CITY, STATE,ZIP C RLQ IV` CITY, STATE,ZIP M G I j' b RESIDENCE PHONE °1�Y 69 _BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER O,F�ROOMS: ROOM USE: 1. lb"`"' 2.LkJ 3. tot 4. '54 5.) 1� 6. 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 OF INSPECTION APPLICANT'S SIGNATURES \\ DATE S ' 1 7-- Inspectors use only Date on initial inspection: l0as Date of reinspection: Date of issuance of certificate: Date fee paid: nn Type of unit: Dwelling Other Check#_._Check date: ) d' Notes: Co&— rcement inspector l" Co DI City of Salem, Massachusetts lu M YQ q Board of Health ` Da ` 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-33 DATE ISSUED: 4/22/2015 Property Located at: 28 BARSTOW STREET UNIT#2 Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: Salem, MA Zip Code: 01970 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. FOR THE BOARD OF HEALTH Gi Larry Ramdin, MPH, REHS, CHO CC// HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 11 e BOARD OF HEALTH h` 120 WASHINGTON STREET,4iu FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR LRANIDIN Q SA1.CNLC.Om LARRY RANIDIN,RS/RF1 C 10,CP-PS H F.Aj xt 1 AG 13N'1' 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 FR B fi R S Y 0 o UNIT# 2— IS IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 6A RV iE-RDGL MANAGER/AGENT NO P.O. BOX ADDRESS GI ('1A �� G� P1 �Fi ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. A,4 4. 5. 6. 7. 8. 9. d 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I PAY LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUR DATE �/o—/S / // Inspectors use only Date on initial inspection: 4 6 JDate of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: (3 (5 Notes: Co&rEWr4AentInspector S- 33 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 3/8/06 Jill Provencal 9 Perrywinkle Lane Gloucester, MA 01930 PROPERTY LOCATED AT 32 Barstow 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 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. Fo the Board of Heal Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector �'. CERT.# 554-00 FEE $25.00 DATE: 08/28/2000 9�P7M1rva CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 32 Barstow Street UNIT #: 2 OWNER/AGENT: Jill Provencal ADDRESS: P.O. Box 729 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 281-0336 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. OR THE BOARD OC HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t • �ONDIT � i ���7MINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT &>)— t(SiDW �&i ' UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJih ?(We-nCO-( MANAGER/AGENT No P.O. Box R ^ I No P.O. Box ADDRESS �- a q ADDRESS CITY Zcdern CITY RESIDENCE PHONEtQ�$)a8I o33b BUSINESS PHONE (24 HRS.) BUSINESS PHONE-(P�8) L0(9( TOTAL NUMBER OF ROOMS: G ROOM USE: 1.k_;tW 2. IrR(�4 3. U4U-4. bed vixy ) 5.1 0 VIyy)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 ` J({ � DATE SP C ORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-- �(/�DATE FEE PAID: '��� TYPE OF UNIT: DWELLINOTHER_ CHECK CHECK DATE ) NOTES: �( CODE ENFORCEMENT INSPECTOR 9/28/98 r - % CERT.# 256-96 � 3 FEE $25.00 DATE: 05/02/96 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: 36 Barstow Street UNIT #: 1 OWNER/AGENT: Gerard A. Fournier ADDRESS: 36 Barstow Street CITY/TOWN: Salem, NLS ZIP CODE: 01970 24 HOUR PHONE: 744-1418 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 33 (,)JOANNE SCOTT, MPH,RS,CRO HEALTH AGENT 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 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 / __ OWNER/LESSER (:5�'.frUM � d��� MANAGER/AGENT ADDRESSADDRESS CITY l5 42 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:. L5 ROOM USE: 1 -- 2. 3.- 4. %7 5. —5. 7. 8. , THERE IS A TWENTY FIVE (25,00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP NT THIS FEE AT THE TIME OF INSPECTION APPLICANTS SIGMA INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:-p ' �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTI�F/ICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING-27 WELLING n/ OTHER NOTES: 7\� CODE ENFORCEMENT INSPECTOR Air IESImpact Environmental Services 140 Williams Street Chelsea, MA 02150 (617) 884-8790 LETTER OF INITIAL LEAD INSPECTION COMPLIANCE DAT&J- � " , '--.— DEAR��/ffbi� 7111�" This letter is to tify that I inspected your property located at apartment no.� and relevant common areas,in City or Town of for dangerous levels 'f lead according to 105 CMR 460.730(A) through (F): Procedures for Initial Inspection, Regulations for Lead Poisoning Pre en .on and Control, and determined that there were no violations. The inspection was conducted on 5 Please be advised that Massachusetts law requires that only certain residential surfaces be free of lead paint. Thus, this letter does not mean that your property contains no Iead paint. the premises or dwelling unit and relevant common areas shall retrain in compliance only as long as there continues to be no peeling,chipping,or flaking lead paint or other accessible materials and as long as coverings forming an effective harrier over such paint and materials remain in place. Sincerely, 4r Inspector MA License Number . w v CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 DATE: September 15, 1992 Jane A. & Gerard A. Fournier 36 Barstow Street Salem, MA 01970 PROPERTY LOCATED AT 36 Barstow Street UNIT U 1 DEAR SIR/MADAM: It has come to our attention, that you are about to allow rental of 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. 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 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, 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 upon issuance of Certificate. Failure to comply with this procedure, will resulE 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 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMB 410.354 METERING OF GAS A ELECTRICITY Very r,Yulyl;'yours, FOR THE BOARD OF HEALTH REPLY TO: log �E ` Robert E. Blenkhorn, C.H.O. PABLO VALDEZ Health Agent Code Enforcement Inspector �Y CERT.# 567-96. FEE $25.00 G R DATE: 08/20/96 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: 38 Barstow Street UNIT #: 2 OWNER/AGENT: Gary Pierce ADDRESS: 9 Oakview Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6571 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,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPK RS,CHH NINE NORTH STREET HEALTH AGENT Tel:(509)741.1800 I APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)7409705 IN ACCORDANCE WITH STATE SANITARY'CODE, :CHAPTER II, 105 CMR 410.,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ?j=ng"Q _-- UNIT I OWNER/LESSER �ftiD-Lf MANAGER/AGENT ADDRESS Old RVI -91A A7rT ADDRESS CITY /.} (�� 1 CITY .,RESIDENCE PHONE l� ,Jr� BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: _ ROOM USE: i. 2. vj WC, 4. 5 5. —'T-7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEWUMTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIM OFF�INSPE ION APPLICANTS SICNATURE c C y DATE INSPECTO rR �S USE ONLY DATE OF INITIAL INSPECTION: rcCTv �*ATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE } 'DATE FEE PAID: V TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR "4 •� v��coxnrT,�� CERT.# 458-00 z FEE $25.00 DATE: 07/14/2000 9�'p7MIN6�pt� 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: 40 Barstow Street UNIT #: 2 OWNER/AGENT: Leonilda Caruso ADDRESS: 14 Morgan Drive CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 750-8107 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. FOR MORE INFORMATION .CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I .tl r n e ��MINE Do� 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 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Yo a4,�r f Sy­ UNIT# a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY 4ti CITY RESIDENCE PHONE 7�� —�'�� BUSINESS-PHONE (24 HRS.) 7S0 — gl D 7 BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 2. 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 �� P"� L' " %ATE -7 — ` 3 60 INSP CTO S USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_���'�� TYPE OF UNIT: DWELLING OTHER_ CHECK# CHECK DATE �3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 i • w CERT.# 141-96 - 3 + FEE $25.00 DATE: 03/08/96 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 Barstow Street UNIT # : 2 OWNER/AGENT: Michael & Leonilda Caruso ADDRESS: 14 Morgan Drive CITY/TOWN: Danvers. MA ZIP CODE: 01923 24 HOUR PHONE: 750-8107 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 EAI'' LTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR mrra 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". PROPERTY LOCATED AT 40 SPkSTou) sTpcFr- UNIT I '.a OWNER/LESSERC��}2(LSi7 IyJICI){AT G i L.9-ONJL0A MANAGER/AGENT ADDRESS 11 MO,2d-AN Q4!(^IlE ADDRESS CITY 4)4 J UF4 S I' s!� '0.1%e 3 CITY 'RESIDENCE PHONE -15*09 -2SO-- /07 BUSINESS PHONE (24 NRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:—s ROOM USE: I. a (} 2YYI 2. j� /)/{? 3. 1 (� 4. �I AJ Q61 5. RRrTlt S. 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 FEES ISS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE-- =��j �i8lt.���i `tiGto¢S') DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: = ! `7 j DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE:. DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH --- - - -Salem,, Massachusetts 0?970--3928--- — JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date; 01/18/96 _ Fax:(508)740-9705 Michael & Leonilda Caruso 14 Morgan Drive Danvers, MA 01923 PROPERTY LOCATED AT 40 Barstow 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 ! 7f�d A-t-t— V Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR wig 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#519-07 DATE ISSUED: 10/25/2007 Property Located at: 44 Barstow Street UNIT#House Owner/Agent: Herman Sokolow Address: 56 Leicester Road City/Town: Marblehad, MA Zip Code: 01945 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 / qv-tt'� '44� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 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 l S 1 O W 6t. UNIT 4t-410 te, S IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER fl eO 4!-g Spko (k)UJ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS_ 9j L�(� eS��� V�� ADDRESS CITY A (31gYi CITY RESIDENCE PHONE2$1-63 1-5305 BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: (o ROOM USE: 1._ /< 2._ 3. • 4._�_ 5.4-6. 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 SIGNATUREkC/"t,44"'I dqVaA7DATE N-a Sr-O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/6--?'S-1)'7 DATE FEE PAID: 0-S- TYPE OF UNIT: DWELLISOTHER_ CHECK #J-0-a- CHECK DATE l b_ d NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 +� 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 05/01/2002 Joan Stevenson & Catherine Regan 20 Worthington Avenue Danvers, MA 01923 PROPERTY LOCATED AT 53 Barstow 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; State Sanitary Code, Chapter 1: 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. 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. 9THE BOARD O HEALTH REPLY TO oanne Scot ,, M ,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR QR City of Salem, Massachusetts10 Board of Health 120 Washington Street, 4th Floor, Salem, Pr<PubllcHeealthMA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-151 DATE ISSUED: 5/6/2016 Property Located at: 60 BARSTOW STREET UNIT#2 Owner/Agent: Xiaofeng Guan Address: 60 Barstow Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 406.1182 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. FOR THE BOARD OF HEALTH 0,—A-0-4� &1^0�r Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN aCITY OF SALEM, MASSACHUSETTS BOARD OIC HE_\LTH 120 WASI{iNGTON STREET,4"FLOOR TEL. (978)741-1800 KIS BERLEY DRISCOLL FAx (978)745-0343 MAYOR iRn�anw�)sn ahLconl LARRY R vNIDIN,RS/Rr,.us,CHO,CP-RS Hr.AL 114 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 60 BAPS-row 51. = Ol 0 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT4g?NX OR BACK,PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT S�e�.,ue Cel` NO P.O.BOX r ADDRESS (00 BAR-5;-rain S-r ADDRESS church CITY, STATE,ZIP SA Ik M (no 019'3 CITY, STATE, ZIP S6(-eff) 4 Old 019 (3 RESIDENCE PHONE` JJ - O // oI BUSINESS PHONE (24HRS) BUSINESS PHONE' TOTAL NUMBER OF ROOMS: 5 ROOM USE: 4tcker� 3 `D;nI . 4. mnscaRD 5. Reauoom 2 6. 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 OF INSPECTION APPLICANT'S SIGNATURE'G�� E C(lDATE lel a 876 Inspectors use only Date on initial inspection: (o yE4zaL6 Date of reinspection:(0SY011r 9� Date of issuance of certificate: Date fee paid: 0� Type of unit: Dwelling_�Other Check -Check date: 0�( aC Notes: Aj ( )1;0Win_,5 corc&zw, lolfE rcement spector o� 1� CITY OF SALEM, MASSACHUSETTS \a a1 BoARD OF HE, LTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978)741-1800 I TNfBERI.EY DRISCOLI, FAX (978)745-0343 MAYOR LIZAMDINCn6ALEM.COM LARRY RAMDIN,RS/REITS,(1110,CP-FS - - I3E:u,TH AGUNT 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/out absence. Uwe 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 lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. JtTG���re� C U6(,n Tenant/Lessee Owner/Lessor ST S&L'eMI, YVIA- Address Address 9A6S1w) ST sAL-M, mP Address on unit to be inspected Date Updated 5/23/11 4 Inspection of &PYtMPA4Eh Date 0//720/L�/J.b Time y1 Name Addressho �✓' '{YP�I . nnpp��/�� 11 Owner ��(�t.0 Cr/�v(.n Tel. No. _ 7-7 yi — ytV, Type of Inspection l..Cf' ;t,'cale, nf Sbiet £f Inspector,)C�� 4/6 u ( ' ) Remarks and Violations are listed r � bellow: b— dfayr5 wi (,;IP_f ,ez jEd-E-I` (O ST IIIb KKc��,v✓��;� ,✓ hYOV1PD^ 4 Qi +, JA - Report Received by: l 7 �v CERT.# 167-98 3 *. FEE $25.00 DATE: 03/30/98 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: 64 Barstow Street UNIT #: 2 ` OWNER/AGENT: Alexander Kolodziei ADDRESS: 64 Barstow Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-3305 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 rHEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f 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". PROPERTY LOCATED AT I r Y . �a A I P Yrt UNIT I -z- OWNER/LESSERdl �PX/ t�Q� )\ nIO� 2i MANAGER/AGENT ADDRESS L� y-g} } . ADDRESS CITY 4Z)Ilk-lean,/ 4 -ss• © 1 q Z 0 CITY RESIDENCE PHONE 7 7 g- rf q •S Q� BUSINESS PHONE (24 MRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE: 1 . 2. 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 ,moi 2a - INSPECTORS USE ONLY — DATE OF INITIAL INSPECTION _3.0, DATE OF REINSPECTION LL DATE OF ISSUANCE OF CERTIFICATE:3-0 DATE. FEE PAID: , TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR r v CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET Date;H 0 3t/2 7/9 8 T Tel:(978)741-1800 Fax:(978)740-9705 Alexander Kolodziej 64 Barstow Street Salem, MA 01970 PROPERTY LOCATED AT 64 Barstow 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 t � CERT.# 808-96 O 92 FEE $25.00 1IF�' DATE: 11/13/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOAN14E SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 64 Barstow Street UNIT #: 2 OWNER/AGENT: Alexander Kolodziei ADDRESS: 64 Barstow Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3305 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 CD7R 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 qzllvx�l� c ✓ JOANNE SCOTT, MPH,RS,CHO - HEALTH AGENT ODE ^ORCEMEN!T-INSPECTOR -JX °[ • }. a ) 3 s 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". PROPERTY LOCATED AT (dyll 2 4r 570- eJ � UNIT { _ OWNER/LESSERZ& Le G& O/ /� /JLO(�a lel MANAGER/AGENT ADDRESS��y /'J�/iS �^ ADDRESS CITY J� �lili/yA� //'L_ e-L. CITY _ RESIDENCE PHONE -7 / y 3 3D� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: - ROOM USE: 1.2. 3. 4. U 5. I�/jl " 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TOE CITY OF SALEH HEALTH DEPARTMENT THIS FY:E IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE /L L/ "� DA — L. INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: /e3 /,r� - DATE OF REINSPECTION- DATE OF ISSUANCE OF CERTIFICATE: // 1 /1CL_—DATE FEE PAID: z11,13 y TYPE OF UNIT: DWELLING_ OTHER NOTES: C NT INC i IN PEC 'F "0 CERT.# 684-99 :R FEE -$25.00 DATE: 11/16/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(976)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 68 Barstow Street UNIT #: 1 OWNER/AGENT: Roland Plante ADDRESS: 4 Larch Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 531-6006 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 UNITAX) 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 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENTR FO CEMENT IN2� OR 3 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 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 469 942mi._11_ /_� UNIT# P IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS �I L �jjn _�S�r.Y7 ADDRESS CITY CITY RESIDENCE PHONE-,2�7_13USINESS PHONE (24 HRS.) �,fV BUSINESS PHONE TOTAL NUMBER p .OF� ROOMS: __ ROOM USE: 1.�(.Y4 , 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 _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / 6179 DATE OF REINSPECTION / DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 444 h4 TYPE OF UNIT: DWELLING _OTHER_ CHECK# J b CHECK DATE 114 -99 NOTES: d e Qi�T CODE ENFORCE-SINSPECTOR 9/28/98 1 v x % s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT 10/25/99 Fax;(978)740.97,0 Roland & Dorothy Plante c/o Robert O'Grady 68 Barstow Street Salem, MA 01970 PROPERTY LOCATED AT 68 Barstow 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 "Certikicate 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 978-74171800, 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. 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 eo exist. AR THE BOARD 0 . HEAL REPLY TO Joanne Scott; MPH,RS,CHO PABLO 'VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS '3& BOARD OF HEALTH w 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 14, 2003 Louise White 69 Barstow Street Salem, MA 01970 PROPERTY LOCATED AT 71 Barstow Street Unit#2 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; 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. 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 ($20.00) 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 tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. or the Board of He Ith Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH 0 9 120 WASHINGTON STREET, 4TH FLOOR �•/ q 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#42-08 DATE ISSUED: 1/28/2008 Property Located at: 72 Barstow Street UNIT# 1 st floor Owner/Agent: Edward Thomas/Harbor Rental &Realty Property Management Address: 111 Derby Street City/Town: Salem, Ma Zip Code: 01970 24 Hour Phone: 978-852-0650 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 ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR * CITY OF SALEM, MASSACHUSEYTS BOARD OF HEALTH • 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-74S-0848 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH ACENT APPLICATION FOR CERTIFICATE OF FITNESS f IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION*. PROPERTY LOCATED AT� �a 510 V �T1 e"T UNIT#_�f- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ElUNQ�� A)h?Q MANAGERIAGENTC70 �L 4 iro' No P.O. Box - NO P.O.Bax `_ ADDRESS ADDRE//SSfi U S 'L CITY CITY�g)pm /^ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 7�-8V 650 0 BUSINESS PHONE_ TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1,�lj�v)�?I 2. liv 5.ILItO.6 . 7. 8.�� THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _DATE_&4/__a_ PWDATE DATE OF INITIAL INSPECTIONEINSPECTION DATE OF ISSUANCE OF CERTIFICATED-.a OV DATE FEE PAID:_/__ _ TYPE OF UNIT: DWELLIN OTHER CHECK # �/ gZJ . CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 q CITY OF SALEM, MASSACHUSETTS o 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# 196-07 DATE ISSUED:4/25/2007 Property Located at: 73 Barstow Street UNIT# 1 Owner/Agent: Joseph Day Address: 39 Sunset Drive City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-852-6203 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 CITY OF SALEM, MASSACHUSETTS i ✓ '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR gum 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 ATUNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE OSt K MANAGER/AGENT No P.O. Bo �' No P.O. Box ADDRESS WSIILSZ7 � ADDRESS CITY �� f%/Lr CITY _ RESIDENCE PHONE_ BUSINESS PHONE (24 HRS BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.SSff � 2.�'V")1 3_dtAt ntl 4. 5. �n�/thM THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE TH DEPARTMENT THIS FEE IS PAYABLE AT TIME OF INSPECTION. 7 APPLICANTS SIGNATUR 7 —— DATE' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _ 7 DATE OF REINSPECT ION DATE OF ISSUANCE OF CERTIFICATE: �D7 DATE FEE PAID: c 7 d'> TYPE OF UNIT DWELLS-- OTHER.__ CHECK # �o 7 - _ CHECK DATE CODE ENFORCEMENT INSPECTOR 9128/98 C $v CERT.# 415-96 3 R FEE $25.00 DATE: 07/08/96 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: 80 Barstow Street UNIT #: 1 OWNER/AGENT: Antonio Ortins ADDRESS: 5 Walsh Avenue CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-8298 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 �J JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M i 0. . r i 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:(548)740-8705 IN ACCORDANCE WITH STATE SANITARY!CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT I_ _ OV`NER/LESSER j��I�yt �u 3 MANAGER/AGENT ADDRESS fa'�, Ja yJS� �I /f ADDRESS CITY CITY 'RESIDENCE PHONE S!3 1 : S 7 % BUSINESS"PHONE (24 HRS.) BUSINESS PHONE — — TOTAL NUMBER OF ROOMS: ✓� ROOM USE: I. /Y( e44 3• C 4. dGf 5. 6. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL.EM' HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE �yy ct �jG � DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:,,7— — y �r DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 7-5 —!q., TYPE OF UNIT: DWELLING OTHER + NOTES: I 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: 06/26/96 Fax:(508)740-9705 80 Barstow Street Salem Realty Trust, Noelia Ortins 5 Walsh Avenue Peabody, MA 01960 PROPERTY LOCATED AT 80 Barstow 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 & ELECTRICITY Very Y trul yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR P . � CITY OF SALEM, MASSACHUSET"T"S BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DciaRNunu�(�snLe:M.com DAVID GItEENB1\uN1 AC11NG HFAi..PI-I A(;I;N'I' CERTIFICATE OF FITNESS CERTIFICATE #354-09 DATE ISSUED: 7/29/2009 Property Located at: 84 Barstow Street UNIT# 1 Owner/Agent: Anthony Ortins Address: 5 Walsh Avenue City/Town: Peabody, MA Zip Code: 01960 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. RELTH ACTING HEALTH AGENT CODE NF RCEMENT INSPECTOR at. — CITY OF SALEM, MASSACHUSETTS 35y-(57BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TE1.. (978) 741-1800 IQMBERL EY DRISCOLL FAX(978) 745-0343 MAYOR DGRITNBAUN19SALEM.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 " 6 k 5711y 47 L-'" UNIT# l I&MIS UNI DISIGNATED A RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE MY. OWNER/LESSER �A TG (� a 4z (�4/S MANAGER/AGENT NO P.O. BOX ADDRESS F W AIL 4� P z le ADDRESS CITY, STATE,ZIP Y &a d-7 Q�f �}S s• CITY, STATE,ZIP RESIDENCE PHONE ,7�7 ( S 7 S V BUSINESS PHONE(24HRS) BUSINESS PHONE 17�r 2 (67� Pl9 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 1 2. r' 3. 4. 5.f 6. 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 OF INSPECTION APPLICANT'S SIGNATURE r DATE Inspectors use only Date on initial inspection: -710) 91 `� Date of reinspection Date of issuance of certificate: -7/d `l G Date fee paid: Type of unit: Dwelling her Check#_Check date: ] C)9 Q C9 Notes: ha IAIG4wy b2 )3e il)P/t4 Auin �- gk904A _ Code Enforcem sp cto wn� Y s M '7z Dated` ime m� pepM 3.' c ' {� OUT N!/1-1 EdYOU W RE r . w ;ze M r v is z ' Pho t_Aria Code jNUmber'. " "r Ext ension TELEPHONED PLEASECALL'. CALLEDTOSEEYOU VVILL'CALL-AGAIN. WANTS TO SFE YOU URGENT RETURNED YOUR CALL Message 0 erato � AMPAD REORDER ®EFFICIENCY® a23000 I 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: 10/16/96 Fax:(508)740-9705 Evelyn & Charles Sawyer & Sandra & Alexander Kolodziej 5 Ardmore Drive Danvers, MA 01923 PROPERTY LOCATED AT 84 Barstow 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, F,OR THE BOARD OF H ALTH REPLY TO t7t— Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR -