BARTON STREETJOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERT.# 764-99
FEE -$25.00
DATE: 12/22/99
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 5 Barton Street
OWNER/AGENT: Henry Barbineau
ADDRESS: 5 Barton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970
UNIT #: 1
24 HOUR PHONE: 745-9686
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
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
ABITATION"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
;_,
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 FITNESSFOR HUMAN HABITATION'.
PROPERTY LOCATED AT -- �� ie / d aC —� UNIT #�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
No P.O. Box No P.O. Box
ADDRESS 51642!?- -`f �S ADDRESS
CITY !f !1!!:i 5 CITY
RESIDENCE PHONE 7t(5 � � S BUSINESS PHONE (24 HRS) _
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1
t/ I
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. q C�
APPLICANTS SIGNATURE„C
SP C O S US Y
DATE OF INITIAL INSPECTION ! 1 ` 2 _DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: / -� - Y 2 Ili,
TYPE OF UNIT: DWELLING OTHER_ CHECK ___CHECK DATE �ra L PC 4
AIl1TCC----
CODE ENFORCEMENT INSPECTOR 9128/98
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Henry Barbineau
5 Barton Street
Salem, MA 01970
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
12/21/99
PROPERTY LOCATED AT 5 Barton Street UNIT # 1
Dear Sir/Madam:
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
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.
F R THE BOARD OF HEALTH REPLY TO
qbfnne MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERT.# 758-95
FEE $25.00
DATE: 10/12/95
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 5 Barton Street
OWNER/AGENT: Henry Barbineau
ADDRESS: 5 Barton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970
UNIT #: 1
24 HOUR PHONE: 745-9686
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
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
mra
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (508) 74 1 -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 �) (�(\ G UNIT i l
OWNER/LESSER fA ��} ( E3
ADDRESS
CITY
RESIDENCE PHONE-------------
BUSINB.SS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE
W
2.
MANAGER/AGENT
ADDRESS
CITY
BUSINESS PHONE (24 HRS.)
3. 4
7. 8.
THERE IS A TWEHTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALE( HHALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE :]L:DATE ( 6 2
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: /V Y ?��DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE:) 2%`2 J DATE FEE PAID:�
TYPE OF UNIT: DWELLING/V OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
oatE4-e-fie Time
HTAM
��,z C] PM
WHILE YOU WERE OUT
M 024
Q— _
of
Phone
Area Code
Number Extension
TELEPHONED
PLEASE CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
URGENT
RETURNED YOUR CALL
Message
�e u e c PCLP:P
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,t�.t.fl�p2t�c.
o lip C,Gunl -
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reorder 23-700
Operator
�® C'.- Green cycle" ,
RECYCLED PAPER
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 08/31/95
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
Five Barton Street Salem Realty Trust, Henry Babineau, Trustee
5 Barton Street
Salem, MA 01970
PROPERTY LOCATED AT 5 Barton Street UNIT # 1
Dear Sir/Madam:
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
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,
�FO_R• THE BOARD OF HEALTH
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
ICM13ERLEY DRISCOLL
MAYOR
LARRY RAMDIN, RS/RHFIS, 010, (T -FS
HFAl::PII AGILNT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4... FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
Iramdin@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE # 179-11
DATE ISSUED: 6/13/2011
Property Located at: 5 Barton Street UNIT # 2
Owner/Agent: Guy M Babiweau
Address: 5 Barton Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy
FOR THE BOARD OF HEALTH
LARRY RAMDIN
HEALTH AGENT CODE E RCEMENT INSPECTOR
h CITY OF SALEM, MASSACHUSETTS
BOARD OF HF�1L"f'I-I
120 WASHINGTON STREET, 4... 1'LooR
TEL. (978) 741-1800
KIMBERLE-Y DRISCOLL FAx (978) 745-0343
N111YOR LRM1UlN !] SALLiM.COM
)1N, RS/RF9iS, CI IO, CP -I S
?Ar: H Aci;N r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
LARRY RAMI
Hr
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED ATj
IS THIS
V
NO P.O. BOX
ADDRESS
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At
AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE
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CITY, STATE, ZIP s -A L%
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AMLLGAIN
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 07/16/97
Edward .& Muriel Narey
9 Barton Street
Salem, MA 01970
PROPERTY LOCATED AT 9 Barton Street UNIT # 202
Dear Sir/Madam:
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
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
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
{ + BOARD OF HEALTH
120WASHINGTON STREET, 4"" FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR 7MANCINI&ALEM.COM
JANrT MANCINt
ACTING HLAun-i AC=GN'r
CERTIFICATE OF FITNESS
CERTIFICATE # 96-09
DATE ISSUED: 2/17/2009
Property Located at: 10 Barton Street UNIT #
Owner/Agent: Tobin Family Trust
Address: 10 Barton Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-479-3289
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
J ET MANCINI
ACTING HEALTH AGENT
KIMBERLEY DRISCOLL
MAYOR
JANET DIONNE,
ACTING HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4". FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
7DioNNena SAJ.EM. COM
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
IS THIS
DISIGNATED AS RIGHT LEFT' FRONT OR BACK PLEASE CIRCLE ONE
NO P.O. BOX I
ADDRESS IST -1. ADDRESS
AGENT
CITY, STATE, ZIP-2—le-1-1—AWL /�j %� �Q CITY, STATE, ZIP
=0
RESIDENCE PHONE BUSINESS PHONE (24HRS)�7,,F--
BUSINESS PHONE 117f-' 7 iQ --9�1 y `/
TOTAL NUMBER OF ROOMS:
ROOM USE:
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
Inspectors use onl
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: 2- 11 u g Date fee paid: 1- I T �3 i
Type of unit: Dwelling ✓�Other Check # 1 14 Check date: Z n, d g
Notes: i)�, LrGlt7 0„) r�,ti
Enforcement
y
"fie
y'ltr.iw ii i,+ "duk`,,.CERT. # ,812-96
v
FEE $25.00
DATE: 11/14/96
CiTY�OF S:aLEIVi'BOA6%D JF HEALTH
Wim, ' : r,Salem, Massache se s 01970-3928
e.
JOANNE SCOTT,.MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (508) 741-1800
Fax: (508) 740-9705
{�JJ;,YY��I�IOYY_��].7�91YY�L�X7
PROPERTY LOCATED AT: 11 Barton Street
OWNER/AGENT: Lucille Jenkins
ADDRESS: 1- BBarton Street
CITY/TOWN: Salem. MP. ZIP CODE: 01970
UNIT #: 1
24 HOUR PHONE: 745-1924
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 C61R 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
qcm=
, MPH, RS,CH0
HEALTH AGENT
v
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Saleri, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO - - NINE NORTH STREET
HEALTH AGENT Tei: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 4!0.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT
OWNER/LESSER
ADDRESS
CITY
'RESIDENCE PHONE
All -
BUSINESS PHONE
UNIT i f
ru:pn�� ctt/ nur.:r i
ADDRESS
CITY
BUSINESS PHONE (24 HRS.)
TOTAL NUMBER OF ROOMS:
ROOM USE: I. cQ/j1 2. �.-I v 3.jkLjP,6oV 4. GALLCt
OQ
S.S f/r�/4 6. HAi �UDt17• 8.
cot
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THIS/FLEE IS PAYABLE AT THE TIM OF INSPECTION. j
APPLICANTS SIGNATURE%i'—G
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:CAjfftY19L DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 6_/y y
TYPE OF UNIT:
NOTES:
DWELLING :Z OTHER
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERT.# 804-00
FEE $25.00
DATE: 12/20/2000
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Barton Street
OWNER/AGENT: Lucille Jenkins
ADDRESS: it Barton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970
UNIT # 2
24 HOUR PHONE: 745-1924
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
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
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
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".
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
PROPERTY LOCATED AT _I/;�Z°n ,_ UNIT #�
uf'
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONI BAC PLEASE CIRCLE ONE
OWNER/LESSER Cr lr_ � 45 MANAGER/AGENT
NoPO Box No P.O. Box
ADDRESS ac A70 � ADDRESS _
CITY,
RESIDENCE PHONE 7�{i /2 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: Z,
ROOM USE: 1. 2. ______4.
5.-6.--7
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
DATE OF INITIAL INSPECTION DATE OF REINSPECTION 6161
DATE OF ISSUANCE OF CERTIFICATE: /9 4/ DATE FEE PAID: 1,06,40o
TYPE OF UNIT: DWELLING !/OTHER_ CHECK #_ . /1/ CHECK DATE _1211,Lln,
e �
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
RELEASE.
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
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 Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
or residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, !/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description occasioned .,
by my/our- absence during said inspection.
Y 1
TEN /LESSEE OWNER/LESSOR
ADDR°ss-- -----
ADDRESS OF UNIT TO BE INSPECTED
DTE
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Lucille Jenkins
11 Barton Street
Salem, MA 01970
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
12/14/2000
PROPERTY LOCATED AT 11 Barton Street UNIT # 2
Dear Sir/Madam:
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m.- 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross -metering has been proven eo exist.
FOR THE BOTH
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERT.# 466-99
FEE $25.00
DATE: 08/19/99
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Barton Street
OWNER/AGENT: Lucille Jenkins
ADDRESS: 11 Barton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970
UNIT #: 2
24 HOUR PHONE: 745-1924
NINE NORTH STREET
Tel: -(978)741.1800
Fax: (978) 740-9705
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.
1FOR THE BOARD OF F HEALTH
JOANNE "SCOTT, MPH, RS, CHO
HEALTH AGENT
r'-'QV
CODE ENFORCEMENT INSPECTOR
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 Tet: (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 / ] / '24" - UNIT #
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
CITY,_A0 CITY ���
RESIDENCE PHONE BUSINESS PHONE (24 HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: J�
ROOM USE: 1. 2.
5.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS
SIGNATU �2�n�——DATEZ��/ q/ " % 94
S C S USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:$_) _R - y DATE FEE PAID:
TYPE OF UNIT: DWELLING ,<OTHER_ CHECK # CHECK DATE (`
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERT.# 654-97
FEE $25.00
DATE: 09/23/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 Barton Street
OWNER/AGENT: Lucille Jenkins
ADDRESS: 11 Barton Street
CITY/TOWN: Salem MA ZIP CODE: 01970
UNIT #: 2
24 HOUR PHONE: 745-1924
NINE NORTH STREET
Tel: (976) 741-1800
Fax: (978) 740-9705
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
Ffy�OR THE,, BOARDOF
�HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
i.
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970.3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tei: (508) 741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705
IN ACCORDANCE WITH STATE SANITARY'CODH, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT J q yn�f Q S t UNIT #A—
OWNER/LESSERkuc1–1/� (�l-nyf4v MANAGER/AGENT
ADDRESS // as n 10-4 5/- ADDRESS
CITY & G � CITY
.,RESIDENCE PHONE j 1 %z BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 2 rf3gt4
ROOM USE: 1.L 2. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPAgTMENT:THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SZGNA'iI7R$:7f / '21�.f DATE 4�� -7, la
1,7
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: r7.s DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-,—% � DATE FEE PAID: ^"`�^' Z, 17
TYPE OF UNIT: DWELLING OTHER_
NOTES:
CODE ENFORCEMENT INSPECTOR
.�
`',
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�. �
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is�
�%% /��
..v �:�' r .)a
• •
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1 �
���,1�
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 09/16/97
Lucille Jenkins
11 Barton Street
Salem, MA 01970
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
PROPERTY LOCATED AT 11 Barton Street UNIT # 2
Dear Sir/Madam:
NINE NORTH STREET
Tel: (508) 741 -1800
Fax: (508) 740-9705
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
Joanne Scott. MPH.RS.CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 11/07/96
Lucille Jenkins
11 Barton Street
Salem, MA 01970
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
PROPERTY LOCATED AT 11 Barton Street UNIT # 2
Dear Sir/Madam:
NINE NORTH STREET
Tel: (508) 741.1800
Fax: (508) 740-9705
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.
Very truly yours,
FOR THE BOARD OF HEALTH
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem. Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel: (978) 741-1800
10/11/2000 Fax: (978) 740-9705
Paul Soucy
65R Spofford Road
Boxford, MA 01921
PROPERTY LOCATED AT 11 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
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
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
Joanne Scott,CHO
Health Agent
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR
L I F- tr--�
3
60ict:71
�D
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
Date: 08/14/96
Robert & Jana Mason
15 Barton Street
Salem, MA 01970
PROPERTY LOCATED AT 15 Barton Street UNIT # 1
Dear Sir/Madam:
NINE NORTH STREET
Tel: (508) 741-1800
Fax: (508) 740-9705
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.
Eachdwelling 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 R THE BOARD OF,;HEALTH
f'
Joanne Scott, MPH,RS,CHO
HEALTH AGENT
REPLY TO
PABLO VALDEZ
CODE ENFORCEMENT INSPECTOR