BAY VIEW AVENUE 0`�NA`�``° City of Salem, Massachusetts
f � �
Board of Health
120 Washington Street, 4th Floor, Salem, PablicHealth
MA 01970 Prevent. Promote. Protea.
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-16.383
DATE ISSUED: 10/7/2016
Property Located at: 10 BAY VIEW AVENUE UNIT#2
Owner/Agent: Lois E. Jalbert
Address: 10 Bay View Avenue# 1
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-7193
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 then: 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.
e B
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
� 1
CITY OF SALEM, MASSACHUSETTS
e BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDINgSALEM.COM
LARRY RAMDIN,RS/RF.HS,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 4\15 N U E UNIT# L�
IS TM UNIT DISI NATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER Lr, S fl GR _(�—r MANAGER/AGENT
NO P.O.BOX
ADDRESS 10 I A� V 1k w Au 1^ NU E ADDRESS
CITY, STATE,ZIP SA LES CITY,STATE,ZIP p A Ol q (�
RESIDENCE PHONE 9]g -_) 1449 ) 93 USINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:-
ROOM
OOMS:ROOM USE: 1 krrGNr0 2 _�ft(LG A 3 &'XLMrf\ 4 LtV1d ADLnS -1) /APamn
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 XI/ DATE
Lectors use only
Date on initial inspectionlobl�Zn r. Date of reinspection:
Date of issuance of certificate:lozo Mz= Date fee paid:10IM-1 016
Type of unit: Dwelling Other Check 7q Check date:IGIL
Notes:
40
>Ifi rcement Ig pector
IMPORTANT MESSAGE
FCS
DATE
M
OF
PHONE
AREA CODE NUMBERE%TE- SION
❑ FAX
❑ MOBILE
AREA CODE N MBER TIME TO CALL
TELEPHONED PLVASE LL.
CAME TO SEE YOU W ALL AGAIN
WANTS TO SEE YOU RUSH
RETURNED YOUR CALWILL.FAX TO YOU
e
MESSAGE
SIGNED
SOPS. FORM 4099
�iFMADOR IN LLS.A,
v��CONUIT,��'
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
08/21/2000 Fax:(978) 740-9705
Jane O'Hara c/o Patricia O'Hara
12 Central Avenue Apt. 1
Danvers, MA 01923
PROPERTY LOCATED AT 17 Bay View Avenue UNIT # House
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.
OR THE BOARH REPLY TO
OLO
Joanne Sc t, MPH R ,CH0 PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
to 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#107-08
DATE ISSUED: 3/3/2008
Property Located at: 30 Bay View Avenue UNIT# 1
Owner/Agent: Mary Duda
Address: 30 Bay View Avenue
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 ll"
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
ANNE SCOTT, MPH=SCHO
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 3Q UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER d MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS f a1, �a ADDRESS AVE
CITY Sa( n —CITY M4 01 lct/q
�
RESIDENCE PHON 1 —0qS BUSINESS PHONE (24 HRS.).
BUSINESS PHONE IVIA
TOTAL NUMBER OF ROOMS�:p ,,
ROOM USE: 1.�Ii km 2. Cil�UY1'�3.J_ A y✓I
5. fD1 ._ l� 7. 8. 1
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 �/
APPLICANTS SIGNATURE , 'Tr ,f ti' I ' L� _DATE .7 r
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 3— 3 `0 3— _DATE OF REINSPECTION__ _
DATE OF ISSUANCE OF CERTIFICATE:3—((/—��V DATE FEE PAID:_3-3 -29
TYPE OF UNIT: DWELLIN(1 / OTHERCHECK #_0 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
v4
a
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Date: 06/01/98 Fax:(978)740-9705
Edwin & Rosmond Dennis
33 Warren Street
Salem, MA 01970
PROPERTY LOCATED AT 77 Bay View Avenue UNIT # House
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit-
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or
Friday 8 :00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 6, 2003
Ruth Whittredge
78 Bay View Avenue
Salem, MA 01970
PROPERTY LOCATED AT 80 Bay View Avenue
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 dwellingunit must be inspected and certified
p
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 1.05 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.
F r the Board of Hei��G� Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CERT.# 320-98
FEE $25.00
DATE: 05/26/98
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: 80 Bay View Avenue UNIT # : House
OWNER/AGENT: Ruth Whittredae
ADDRESS: 78 Bay View Avenue
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5134
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 b4ITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH o/
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Y 9b
1j 'F y
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
j� �I•i1
PROPERTY LOCATED AT_ �6� �j ��J V 1�� ,cY-I'J _UNIT I
I e
OWNER/LESSIDR ,c W , r SZ- MANAGER/AGENT
ADDRESS ' V teco ADDRESS
CITY 15 ctk cw CITY _
'RESIDENCE PHONE L Li I'1 ':S I rj If BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1 .`gA('00,2. 3._ 4 . QI1.
5. �7Z �Z 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 SIGNATURE � ��,,.`V( ��_ --� DATEjV, —k
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: — . lW 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 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
Date:
IRM %NT Fax:(978) )740-97978) 05
Ruth Whittredge
78 Bay View Avenue
Salem, MA 01970
PROPERTY LOCATED AT 80 Bay View Avenue UNIT # House
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 thisprocedure, 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
vo_,,_�'1000�
Joanne Scott, MPH,R.S,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'�'.yk Yry♦ v� �..
CERT.# 811-96
FEE $25.00
DATE: 11/14/96
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS -
PROPERTY LOCATED AT: 86 Bay View Avenue UNIT # : Basement
OWNER/AGENT: Virainia M. McArthur
ADDRESS: 84 Bay View Avenue
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6359
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
i
r
a 6
GIN OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tet:(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
tt HUMAN HABITATION".
PROPERTY LOCATED Al IINIT #pinta
OW' - LESSER ro^
KM�, Kin l� t4ANAGER/AGENT
ADDRESS
124664 ADDRESS
CITY S A w. CITY
-RESIDENCE PHONE .l'/b� {�35 v BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: t
i ROOM USE: 1. g- p 2. 1r pp�3. L �[ 4 . w r .
5.1� 12K 6• �ry n 7. g,
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM' REALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INS3p$CTI.ON
q _ lut VM
APPLICANTS SIGNATURE DATE p }� } / _
INSPECTORS USE ONLY /
DATE OF INITIAL INSPECTION: DATE DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE.: /icy/y6 DATE FEE PAID:
TYPE OF UNIT: DWELLING l/ OTHER
NOTES:
CODE =INSP
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: 11/08/96 Fax:(508)740-9705
Morehead 84 Bay View Avenue Trust
84 Bay View Avenue
Salem, MA 01970
PROPERTY LOCATED AT 86 Bay View Avenue UNIT #
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a do-elling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter l: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday .thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410,354 METERING OF GAS & ELECTRICITY
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
I
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 196-99
,y
z
FEE $25.00
a 1
DATE: 04/23/99
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: 98 Bay View Avenue UNIT #: 1
OWNER/AGENT: James & Kathleen Plummer
ADDRESS: 98 Bay View Avenue
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-8372
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000:. MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD
DOOF/T�HCEAALLTTHH 7/////
Z; �
V
q OANNE SCOTT, MPH,RS,CH0
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
3 �q
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
APPLICATION FOR CERTIFICATE OF FITNESS 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 9 Ld 1N "XI14UNIT# J
IS THIS UNIT DESIGNATED AS RIGHT LEF FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER ia�'Ps' Z/y/77/0u✓ MANAGER/AGENT
/
ADDRESS w AIAADDRESS
CITY -5a LL, 11, CITY P91 -
RESIDENCE PHONE 9 7f J yy ft-- BUSINESS PHONE (24 HRS.)q7F-7�` g37 a
BUSINESS PHONE 12-y -7 y y- X37 t,
TOTAL NUMBER OF ROOMS: 9
ROOM USE: 1. 10`2. K relw-i& a»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
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION . ' J __DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICAT Z 3 RATE FEE PAID: 3 y
TYPE OF UNIT: DWELLING OTHER_ �(�CZr,� I7
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978)741-1800
KINMERLEY DRISCOLL FAx(978) 745-0343
MAYOR 1SCd112SALEX COM
JOANNE SCOTT,
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #362-08
DATE ISSUED: 8/7/2008
Property Located at: 102 Bay View Avenue UNIT# 1
Owner/Agent: Vaughan C. Hennum
Address: 67 Blackberry Lane
City/Town: Keene, NH Zip Code: 0343124 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 ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD HEA TH
JOANNE SCOTT, MPH, RS, CHO c
HEALTH AGENT CQPE ENFORCETQfr=NT INSPECTOR
. .
CITY OF SALEM, MASSACHUSETTS
Au BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ISC0Tr(rbsA[.Eh1.COM RTli
IVED
JOANNE SCOTT, g4HEALTH AGENT 8 2008
CITY OF SALEM
BOARD OF HEALTH
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
FEE:: $75.00
PROPERTY LACATED AT !Oy 1/1' � #V2 &OW UNIT#
IS THIS UNIT DISIG*RATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER a^ 9„ We n h "I'l MANAGER/AGENT
NO P.O. BOX
ADDRESS 6 �7- $(u 1�� , D2_rrH,` ADDRESS
CITY,STATE,ZIP l�-P�.1/1¢, Al�/ O33 CITY,STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS) mpow
BUSINESS PHONE 6 0 S SQ6 f/ /
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. �A � 2.� '1 3. 4. �I� 5. "bcm
6. be em 27. 8. 9. 10.
THERE IS A SEVENTY-FIVE($75)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
APPLICANTS SIGNATURE "' `PN' _41% vws DATE_i - 2e6T
p Inspectors use only
Date on initial inspection: 8 7 LO IP Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit:: Dwelling Other Check# 1 Check date:
Notes: �s� O1J{51� '� sl� �'Vl ILOaC DSS V rj* wrar-K -ou30 Q.f t0 f�Q,PCI t__�
Coe forcement Inspector
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4`"FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR jscov e SALBM.COM
JOANNE SCOTT, P EC E IVE D
HEALTH AGENTdU� 6,S,
1 8 2000
CITY OF SALEM
Release BOARD OF HEALTH
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.
Tenant/Lessee Owner/Lessor
6 7- g4 c berr�7 LOw2
Address Address 1c—e-e /Y
1401 gni �ve� #
Address on unit to be inspected
Date
CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH
a
� g} 120 WASHINGTON STREET, 4TH FLOOR
- c SALEM, MA 01970
gq�Mll�r TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
6/11/05
Vaughan C. Hennum
67 Blackberry Lane
Keene, NH 03431
PROPERTY LOCATED AT 102 Bay View Avenue 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.
For the Board of Health Reply to
Panne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
0 120 WASHINGTON STREET, 4TH FLOOR`t636-03` SALEM, MA 01970 CERT.#
TEL. 978-741-1800 FEE $25.00
FAX 978-745-0343 DATE: 12/31/03
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
Y
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 110 BAYVIEW AVENUE UNIT #: 2
OWNER/AGENT: SUSAN 5 RAYMOND MAC FARLAND
ADDRESS: 110 BAYVIEW AVENUE, #1
CITY/TOWN: SALEM ZIP CODE: 01970 24 HOUR PHONE:
978-744-5968
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 1I, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT W AND 410.400 {C} : ROOMING UNIT ( }
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FOP, THE
BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT JEF Y . VAUG
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
�' • 120 WASHINGTON STREET, 4TH FLOOR
" SALEM, MA 01970 / Q
TEL. 978-741-1800 - W
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT / /0 B A �l Vr e vJ A v-z UNIT#2-
r —
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERK PV_5Ae0 +� MANAGER/AGENT
No P.O. Box ��-�YIA 'No P.O.Box
ADDRESS_ i l o 066 )Z; nN AL,,- A ADDRESS
CITY- Z� �e, �- d i°i � b CITY
RESIDENCE PHONE 9 9,V-9yv-5-96 S BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. 2. i3,1A m3. 4. !
5. A'71
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�� �,t ae� DATE /2-"30 -63
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 1-?A,1A 1 DATE OF REINSPECTION �1i5
DATE OF ISSUANCE OF CERTIFICATE: 1)12vloDATE FEE PAID: /alllo /
TYPE OF UNIT: DWELLING OTHER_ CHECK# CHECK DATE J
NOTES: �• F. 2S
CODE VNFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
/ 9 , 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 # 500-04
DATE ISSUED: 11/4/04
Property Located at: 122 Bay View Avenue UNIT# Basement
Owner/Agent: Everett L. Dawkins
Address: 122 Bay View Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-4591
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CTTY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 '
STANLEY LISOVICZ, JR, JOANNE SCOTT, MPH, R5, 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 Id ,T1 PLl Q1S P _UNIT HSPS
IS THIS UNIT DESIGNATED AS RIGHT IILEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER_-Cu_2rA � , �I.t, MANAGER/AGENT
No P.O. Box No P.O.Box
ADDRESS jaa g ,"?fL,' eeU 9_ ADDRESS_
CITY SctI CITY
RESIDENCE PHONE___l?Q7141, '4EA@ BUSINESS PHONE (24 HRS.)___
BUSINESSPHONECStl� g4
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1.�' 8 [1_.2.4 I ,3, �cs�a+R 4. ( pt2_vI^
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 __ jh . ------DATE 1l h4y____
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE jZ ��' ti'9 DATL FFE PAID-
TYPE O UN11 OWELLINGt OTHER CHECK 1' f,� -7 a CHECK DATE 1f t
NOl'I=S
COC}I_ i-Ni oRk i Ml N1 iNSi'I CI C>i? U1/;T/W
Ca�1TT
s
s ..
9R��P;INE
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
07/26/2000 Fax:(978) 740-9705
Mary Louise Tranos
P.O. Box 532
York Harbor, ME 03911
PROPERTY LOCATED AT 130 Bay View Avenue UNIT # House
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.
qJOR THE BOARD F HE _ TH REPLY TO
4
ne Sco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
��,CON01T
n
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
02/05/2001
Marylyn M. Ratcliff
Sleepy Hollow Road
Richmond, MA 01254
PROPERTY LOCATED AT 136 Bay View Avenue UNIT # Basement
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article %III of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
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.
TH
THE REPLY TO
JR
anne Sco CHPABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
31� �F
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
L, p,�,��.�T Tel:(978)741-1800
Date: H�'7Tu Iy tt Fax:(978)740-9705
James & Charlene Michaud
140 Bay View Avenue
Salem, MA 01970
PROPERTY LOCATED AT 140 Bay View Avenue UNIT # Basement _
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
p 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