BEACON STREET n
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEAI;rIf -
120 WASHINGTON STREET,41° FLOUR
KIMBERLEY DRISCOLL TEL. (978) 741-1800
MAYOR FAR (978) 745-0343
lramdin@salem.com
LARRY RAAIDIN,RS/RENS,cHO,CP-FS mdin@saletn.com
H13,ll;I'1-I AGI?NI' -
CERTIFICATE OF FITNESS
CERTIFICATE#48-12
DATE ISSUED: 2/7/2012
Property Located at: 11 Beacon Street UNIT# 1
Owner/Agent: Georgios Zamakis
Address: 76 Ellsworth Road
City/Town: Peabody, MA Zip Code:, 0196024 Hour Phone: 978-281-7770
An inspection of you rvacant 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
LARRr
HEALTH AGENT C66E ENFO C T NSPECTOR
AL
CITY OF SALEM, MASSACHUSI TCS
BOARD OF HI'LALTH �} _
A . I � 7Y � rT
920\w.�s[nNG'roNSTRr3e.r,4''� I �o�,R � Cl
TET. (978) 741-1800
!U f13GRLI3Y DRISCOLI. FAN(978) 745-0343
MAYOR uANI D INa SAi eMA 0v1
L,ARRl'RAAiUIN, 16/10F1 IS,CM),CI'-Fl
91r:Ai:rn Acr•,N.h
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 u fcz c ca✓t S�uJa�zrn YV 1 a SS �rD UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LN FT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER ( z 2 a YYt0�-K i 5 MANAGER/AGENT G2co !^SfP_ ZYrtt'Kis
NO P.O. BOX { p �1
ADDRESS "0- ADDRESS 13'eraC0r1 .Sa Levh rnI L 01 VO
CITY, STATE, ZIP - .. :r - GCITY, STATE, ZIPS CLLeiwA y3n_ea r�l9�O
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE GI 9-8'l4-4 7-0 i�CeCy
TOTAL NUMBER OF ROOMS: S V-S� �-6q (A(d
ROOM USE: 1. 2. 3. 4.
b. 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 ;?-- 64, ,L_/ DATE l D I Z
Inspectors use only ✓✓
Date on initial inspection: Date of reinspectio : ?.
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling_Other
Other Check#_`` Cheek date:_
Notes: va�p Qd'da .� CO __((,,1l 6d7 (1 S dar-uCcQ�
f
vt01Ut 4 6Y can\er�
C e of` ent Inspector
�w
I
CITY OF SALEM, MASSACxuSETTS
BOARD OF HFaLTH
120 WASHINGTON STREcT,4"' FLO(1R
TLL. (978) 741-1800
KIMBERLEY"DRISCOLL FAX(978) 745-0343
MAYOR I.eAMIA N&A to fNLCONI
LARItI`R VN1DIN,ItS/REI IS,C[10,CI'-PS
1-IISAI;I'II A(;I,N'I'
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.
Tenant/Le ee Owner/Lessor
f U e0.0-0r) S'' - SQte[nom
Address 1 '10. C1970 Address
l` &eo-coY1 S -� S '� m h a1 ;S
Address on unit to be inspected
Date
Updated 523/11
" CITY OF SALEM, MASSACHUSETTS
`? SOARD OF IJu-u:rH
120 WASHINGTON STREET,4."FLOOR
KIMBE,RLEY DRISCOLL TFL. (978) 741-1800
MAYOR FAti (978) 745-0343
lxamdin e salem.com
LARRY RAMI)IN,RS/RH fS,Clio,CP-FS
I iE,v.:rr I AGI;N r
CERTIFICATE OF FITNESS
CERTIFICATE#223-11
DATE ISSUED: 7/14/2011
Property Located at: 11 Beacon Street UNIT#2
Owner/Agent: George Zamakis
Address: 76 Ellsworth Road
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 531-7887
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
1�t�
v S
LARRY RAMDIN
HEALTH AGENT CODE E RCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS m"'A
BOARD OF HE,dL1'ti
120 WASHINGTON STREET,4."FLOOR
TEL. (978) 741-1800
1CMBERJ-EY DRISCOLL FAX (978) 745-0343
MAYOR anMUIN(�snLisna.coh
LARRY RANIDIN,RS/R1:f IS,CHO,CP-I-S
HEA1.;FH AG 1::NI'
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 I cl l e G CO n S� UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACKPLEASE CIRCLE ONE
OWNER/LESSER G-G O IC.CE -G K f4t1 yQ 4 1--S—MANAGER/AGENT
NO P.O. BOX
ADDRESS q� 6 C— G GcU O� 7'� RiP" ADDRESS��
CITY, STATE,ZIP CITY, STATE, ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS) 13 'S 3 1 TC?
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 / II
APPLICANT'S SIGNATURE9 e-r- T t4 it4 1,4IC I ( DATE
Inspectors use only
Date on initial inspection: I Date of reinspection.-
Date
einspection:Date of issuance of certificate: 1 I (� Date fee paid: 1
Type of unit: Dwelling--jZ0ther Check# /S ! Check date: 7��
Notes: G r r ri (GGm S "n6
a SUPan rir Ff 4+ ('ono �uIbS fo< rG�+ ccc,g -Flxfure,
�pL& q� wtr,-,k plU4e.s brct
Code Enrtt Inspector
A
h
CERT.# 478-00
53 FEE $25 .00
DATE: 07/20/2000
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: 12 Beacon Street UNIT #: 1
OWNER/AGENT: Peter Tzoitzis
ADDRESS: 12 Beacon Street
CITY/TOWN: Sales, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6631
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
i�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
s
5r �
4
s��IMIN&00
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". f
PROPERTY LOCATED AT 10 _ COY) UNIT# I
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSE;4.-foC MANAGER/AGENT _
No P.O. BoxNo P.O. Box
ADDRESS IQ (_a COY_" S� ADDRESS SIT
CITY` 0�51 a CITY 0
RESIDENCE PHONEIIk-M-(g�o, )� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOL AR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF S LEM HE L H DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE ii DATE O
INSP C ORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE71-,)-O '0DATE FEE PAID:2-3-0 —off
TYPE OF UNIT: DWELLING "OTHER CHECK#.f oAJew CHECK DATE 7 —tea
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
�vg�eONU(T
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO 120 Washington Street
HEALTH AGENT Tel: (978) 741-1800
07/25/2001 Fax: (978) 745-0343
Amy Newton
123 Boston Street
Salem, MA 01970
PROPERTY LOCATED AT 13 Beacon Street 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
y
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.
OO�OARD F HEALTH REPLY TO _
ll oanne c MPH, ,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR