BARTON SQUARE " CITY OF SALEM, MASSACHUSETTS 10
BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR PablicHeaith
Prevant.Yrnmom.Pro[rct.
TEL. (978)741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Irariadin@salem.com.
LARRY RAA-(DIN,RS/RGHS,CFIO,CP-FS
MAYOR _ HEiAI:rFi AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#343-14
DATE ISSUED: 10/1/2014
Property Located at: 8 Barton Square UNIT#
Owner/Agent: RCG, LLC
Address: 201 Washington Street Ste 100B
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-0006
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.
FOR THE B ARD EALTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
a b J !
CITY OF SALEM, NNV1SSACHUSE'I"TS
BOARD OF HEALTH
120 WASHINGTON STREET,4."FLOOR. PublicHealth
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramdin o,salem.com
MAYOR LARRY'ILAti1DIN,RS�ItI F IS,CHO,CP-FS
HLALTH AULN,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 l�a r�v�. S J vp r L UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER —MANAGER/AGENT RLLT
NO P.O.BOX
ADDRESS 11 LOO ADDRESS 20k Wal I-,:wstor. S� Ste; k /oaf
CITY, STATE,ZIP S e AAy ry Z u rt O;I I`13 CITY, STATE,ZIP Sct(Rw, r AAkj' O 19-7O
RESIDENCE PHONE BUSINESS PHONE(24HRS) R1 F— ? 1/o- o6O
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
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 FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE 6 ez.-- DATE
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: k)—I^ 114 Date fee paid:
Type of unit: Dwellings,,-" Other Check# ZSCP3 Check date: 9–��1� I �j
Notes:
ode Enforcement Inspector
CITY OF SALEi\I, MASSACHUSETTS lu
BOARD or:HE?.LT'i
-
120 WASHINGTON STREET,4 FLUOR PublicHea aa«voo,.aa ,om.Fvneoat.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBE,RLEY DR.ISCOLL, lramdui esalem.com
MAYOR LARRY RA.�NIN,Rs/REits,CI 10,(T-FS'
HI::1Lii i 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. 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 inspection.
i
T Lessee Owner/Lessor
Gua o S4,441-e ao� &k Im a/ s� Ltv'j eAe-
Address Address
Address on unit to be inspected
q- 30 -iq
Date
Updated 5/23/11
vQ'.
3
0.
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 Fan:(508)740-9705
Anne Rachel Hennick c/o A. Rachel Perrella
65 Bayview Drive
Swampscott, MA 01907
PROPERTY LOCATED AT 9 Barton Square UNIT # 101 -
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 OFHEALTH REPLY TO
/ A,
V/
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
August 19, 1996
Pablo Valdez
City of Salem
Board of Health
9 North Street
Salem, MA 01970-3928
Re : Joanne Scott's Letter of August 14
Dear Sir:
Please thank Joanne Scott for her letter speaking to the issue of
my renting the condominium unit at Heritage Plaza Condominium, 9
Barton Square. I have no plan to rent the unit .
Although I am not a lessor of real property, I wish to thank you
for bringing to my attention the requirements of Article XIII,
sec. 2 .
Sincerely,
6 - urn�
Richard E. Savoy
2 n 1996
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: 08/14/96 Fax:(508)740-9705
Richard Savoy
7 Beach Avenue
Salem, MA 01970
PROPERTY LOCATED AT 9' Barton Square UNIT r 201
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 money
y ( ) fee payable by check, or o y 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 Scotb,..MPH,RS;CHO PABLO VALDEZ ..
HEALTH AGENT _ - CODE ENFORCEMENT INSPECTOR
3
�X �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
Date: 08/14/96 Fax:(508)740-9705
Richard Savoy
7 Beach Avenue
Salem, MA 01970
PROPERTY LOCATED AT 9 Barton Square UNIT # 201
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,
/FFO�R 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
9 120 Washington Street, 4th Floor, Salem, Pu ft
MA 01970 Pra cnt. Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO
Mayor lramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-15-191
DATE ISSUED: 7/28/2015
Property Located at: 10 BARTON SQUARE UNIT#
Owner/Agent: RCG Mill Hill LLC
Address: 17 Ivaloo Street
City/Town: Somerville, MA Zip Code: 02143 24 Hour Phone:(617) 625-8315
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
d '11114"-41
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANT RIAN
a �
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTIT
120 WASHINGTON STREET,4"'FLOOR
40 . TEL. (978)741-1800
KIMBERLEY DRISCOLL FAx(978)745-0343
MAYOR 1RAMDIN91jU,I_M-XDR
LARRY RAMDTN,R.S/RW IS,010,CP-IN .
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 C� �c�� }�' ✓� `J�(n �r2 UNIT# �
IS THIS TWIT DISIGNATED AS�+ LEFT OR AAM KXASE cnWU ONE
OWNER/LFSSER Leo o� '�\ock ILL MANAGER/AGENT
NOP.O.BOX
ADDRESS 7 7 iti�c. l ADDRESS2D1
CITY,STATE,ZIP M(r� AA CITY,STATE,ZIP ZZ
RESIDENCE FHONE(( t BUSINESS PHONE(24HRS)—J� T-1{) OOPS
BUSINESS PHONE_kJ 615 5 t(7
i
TOTAL NUMBER OF ROOMS: 14, �
ROOM USE: , bw A 2. 3
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECKOT1EY ER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P AT THE
APPLICANT'S SIGNA DATE T 7 12
edo and
Date on initial inspection: 177/22/242.,7- Date of reinspection:
Date of issuance of ceslificate/: o7IZ 2l2�I-C Date fee paid:b?t2ola n Zf
Type of unit: Dwelling V Other Check# 3 3 UL _Check dater.f„Q&a n1-S
Notes:
Co,0nqfcement J39pector
�,ol c� CI �rvn�on,
uu� �
6iL m! fo
PoP,A , nod
CITY OF SALEM BOARD OF HEALTH. , . t ,
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
10/11/2000 Fax:(978)740-9705
Paul Soucy
65R Spofford Road
Boxford, MA 01921
PROPERTY LOCATED AT it Barton Square UNIT # 201
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
inaccordancewith 105 CMR; State Sanitary Code,- Chapter'-I: 'General"Administrative
Procedures- and,105'-CMR '410.000; State Sanitary Code,"Chapter"1I: 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 ofreceipt 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 :90 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.
FOR THE BOARD F HE LTH REPLY TO
Joanne Scott, ':MPH,RS,CHO - PABLO VALDEZ`
Health-Agent - CODE ENFORCEMENTS-INSPECTOR
va'
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: 09/10/97
Fax:(508)740-9705
Elia & Ethel Shulam
14 Penn Road
West Peabody, MA 01960
PROPERTY LOCATED AT 11 Barton Square UNIT # 202
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
p G CITY OF SALEM9 MASSACHUSETTS
�]! HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
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#478-07
DATE ISSUED: 9/25/2007
Property Located at: 13 Barton Square UNIT# 1 Left
Owner/Agent: Mike McGinn
Address: 12 Winter Street
City/Town: Merrimac, MA Zip Code: 01860 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
!,
JO NNMPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
is
d 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 J;� Y+Z)r) -�I4 1 Y1-e- UNIT#j
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER TERr6744/ MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 17-- WANA-&IZ- S J ADDRESS
CITY N(/)' CIT
RESIDENCE PHONE 17k 3%-767P BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_ /
ROOM USE: 1.� 2. 3._;j? 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.
APPLICANTSSIGNATUR�IL%/�Gf/G1 ' _DATE 7
INSPECTORS USE ONLY p
DATE OF INITIAL INSPECTIONODATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: _DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER `CHECK # CHECJJK DATE .
NOTES. ReX&A SCNPWAS k ltk 1GN �iVt�1y_YdDvn ✓YIti C10pR. ns_vre,
ey --. ..-
C
IRCEMENT INSPECTOR ✓ 9/28/98
.p, CITY OF SALEM, MASSACHUSETTS
]! HEALTH AGENT
n
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 0197q
TEL. 978-741.1800
FAX 978-745.0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#479-07
DATE ISSUED: 9/25/2007
Property Located at: 13 Barton Square UNIT#2 R
Owner/Agent: Mike McGinn
Address: 12 Winter Street
Cityrrown: Merrimac, MA Zip Code: 01860 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 If'
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FORTHEBOARD OF HEALTH
1/10-?�, - 6JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
70 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 41970
- TEL. 976-741-1800
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_� _-SP —.. UNIT# /C
IS THIS UNIT DESIGNATED AS RIGHT LEFT FR
ONT AAC„K PLEASE CIRCLE ONE
OWNER/LESSER'L�2 i * 4kX--MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS /Z k)1��K ,._--ADDRESS
CITY � r71 ( ITY
RESIDENCE PHONEI BUSINESS PHONE (24 HRS.)_ _
BUSINESS PHONE---
TOTAL
HONE_ wTOTAL NUMBER OF ROOMS:_7 _ !,
ROOM USE: 12._._72
5/
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 �--
INSPfECTORS USE ONLY
QATE OF INITIAL INSPECTION5�6 _DATE OF REINSPECTION/
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ o'r!Q
TYPE OF UNIT: DWELLING _OTHER— CHECK #_ CHECK DATE
NOTES_&rLhO1L�. J�!�I p4.�?e. e �d e�tS��{i e SLK-S�vy� istefxcl¢�e�laze., k;k-har wind"'w
hast U'acAt,d lave, ,gto:S tda, 5kw.=+r' ed,z�m-P,vnr4 orae erab f?E CrareP, �?g Roenl ela.s>tf-.sc.
re of 0f 60!n9/'Irnfl eia 'Nut I!10- naf waw V, pcp uoe, /�Pp<o(35cwce.nx -/�uR
— �etf t,,*ped Sexa4s,
FORCEMENT INSPECTOR 9/28/98
3
�C/MIN6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT
03/24/99 Tel:(978)741-1800
Fav (978)740-9705
Michael & Thomas McGinn
13 Barton Square
Salem, MA 01970
PROPERTY LOCATED AT 13 Barton Square UNIT # 2 Left
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.
FW THE BOARD OF HEALTH - REPLY TO
oanne Scott, MPH,RS,CHO _ PABLO VALDEZ
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
Date: 06/10/96 Fax:(508)740-9705
Michael & Thomas McGinn
13 Barton Square
Salem, MA 01970
PROPERTY LOCATED AT 13 Barton Square UNIT # 1L
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
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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: 11/14/96 Fax:(508)740-9705
Michael & Thomas McGinn
13 Barton Square
Salem, MA 01970
PROPERTY LOCATED AT 13 Barton Square UNIT # 1 Right
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a duelling 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 atwenty-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 appreve.l 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