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BEAVER STREET t � r� ` P R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR PabliCHealth Prevent,Promote.Protect. TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salein.com MAYOR L,\RRY R,\MDIN,RS/REFIS,(11-10,CP-FS HF,ALTFI AGIWI' CERTIFICATE OF FITNESS CERTIFICATE # 15-14 DATE ISSUED: 1/3/2014 Property Located at: 6 Beaver Street UNIT#1 Owner/Agent: Peter McSwiggin Address: 21 Liberty Street City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: 508-397-4444 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 i 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 POARD OF HEALTH n. LARRY RAMDIN HEALTH AGENT SANITARIAN dt' ® CITY OF SALEM, MASSACHUSETTS I BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR �PubHeEWalt$ TEL (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL h-amdi,n@salem.com MAYOR LARRY RAb�NIN,RS/RENS,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 (.0 Q V Ye 2�- UNIT# IS THIS UNIT DLSIGNATED AS RIGHT LEFT R DAM PLEASE CIRCLE ONE OWNER/LESSER��2(- MANAGER/AGENT NO P.O.BOX ADDRESS a � � �t C} ADDRESS CITY,STATE,ZIPCITY, STATE,ZIP RESIDENCE PHONE -E�-V1 ,i- �D-ll\ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 1. BeACUdM2.J? YZ m 3.LiV\h�VOv0K(i6on 5.eEktaOcm 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 SIGNATi1IFF. O //�� DATE T—T— Iectors use only nsa Date on initial inspection: -1 Date of reinspection: y Date of issuance of certificate: �� Date fee paid: 1 ' `T) 7 Type of unit: Dwelling ✓ Other Check# (,3b L Check date: 3 Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PI1b�ICI3C81fh Prevent,Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 IQMBERLEY DRISCOLL Iranadin e,salem.com LARRY RAMDIN,RS/KEPIS,CFLO,CP-PS MAYOR HEALTH AG HNT CERTIFICATE OF FITNESS CERTIFICATE#354-13 DATE ISSUED: 9/30/2013 Property Located at: 6 Beaver Street UNIT#2 Owner/Agent: Peter McSwiggin Address: P.O. Box 2062 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-397-4444 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 IP'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 ARD ALTH LARRY RAMDIN HEALTH AGENT SANITARIAN i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4`"FLOOR PablicHean STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinnn.salem.com Lt\RRy 1tAbIINN,RS/REFIS,CI-IQ CI'-FS MAYOR HEALTH A(iI:N1' 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 67 U ?ay-ey 6T �� _ UNIT# THIS UNIT DISIGNATED AS RIGHT LEFT'FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO DDRESS ei) jD(� c?- e�a� i'�l�DRESS CITY, STATE,ZIP /�`!/u'/Cyl/ *��6/;�/uu' CITY, STATE,ZIP RESIDENCE PHONE 97Y-77�--WW�ZBUSmSSPHONE(24HRS) BUSINESS PHONE TOTAL NUMBER/OF ROOMS:_ ROOM USE: 1. L V 2. 3. r✓ 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 YABLE AT THE TIME OFIN CTION C} APPLICANT'S SIGNATURE DATE/ Inspectors use only Date on initial inspection: Dated reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling ✓ Other Check# (a UP`3 Check date: 07 -224- 13 Notes: Code Enforcement Inspector I� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET',4...FLOOR TEL. (978) 741-1800 KIIv1BEItLLY DRISCOLL FAX(978) 745-0343 MAYOR Lramchn@salm.com salem.com LARRY RAMDIN,RS/RP:I-IS,CHO,C:Y-ISS HFAJ;nI AGI;.NT CERTIFICATE OF FITNESS CERTIFICATE #211-11 DATE ISSUED: 6/21/2011 Property Located at: 6 Beaver Street UNIT#3 Owner/Agent: Peter McSwiggin Address: 21 Liberty Street City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: 508-397-4444 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 HEALTH Y LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • }7 CITY Or SALEM; MASSACHUSETTS , ��• BOARD OF HEALTH _. 120 WASHINGTON STREET,4°1 FLOOR TEL.. (978) 741-1800 I IMBERLEY IDRISCOLL FAX (978) 745-0343 1YAMD1NaS/MAW.c0M L•,RRtR, LDIN,as�al'.ilti,(.Ia,,(.I)_: RECEIVED 14FAI I'II A(;F.N'r JUN 0 5 2011 CITY OF SALEM Application for Certificate of Fitness BOARD OF HEALTH 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 R jeT�i/(ER aZ UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER &2Z,9 MANAGER/AGENT NO P.O. BOX ADDRESS p2./ G 1 t? ST, ADDRESS CITY, STATE, ZIP_ M > ✓� Q Lr__rro••kJ IVA oGgy9 CITY, STATE, ZIP RESIDENCE PHONE-.-?7,F- 7 S`U 7 BUSINESS PHONE(24HRS) BUSINESS PHONE .:"vyB -3 `j 7 TOTAL NUMBER OF ROOMS:— ROOM USE: d. 1 2. Kt jr, 3. 3 4. 13 R 5. B A7 j( 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 SIGNATUR DATE d Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 1 1 Date fee paid: tp Type of unit: Dwelling----L.,Other Check#_Check date: (,/11/;/ Notes:. naw • sMa&_ ynzi2 nepdec� — czolaCA 1 -� - �n 4("r � �rnolc�S ltnh �� m mo� hAllwa." nrort�l�,� Cod E or ment Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a e 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 4, 2003 Nury Espinal 10 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 10 Beaver Street Unit# 1 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to C.Nr�h& � qanne Scott PH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector t J - ,d g�f,ONOIT v CERT.# 786-00 FEE $25.00 DATE: 12/07/2000 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: 10 Beaver Street UNIT #: 1 OWNER/AGENT: James Bailey ADDRESS: 81 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685 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. Q Z4915"-, OR THE BOARD O�{p HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR J • � iV/J r co�r� � 6 n S Q. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT / 0 3' UNIT# f IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERNNV'�a 12*f MANAGER/AGENT No P.O.Box No P.O. Box ADDRESS �/ - j sem. ADDRESS CITY. �i CITY RESIDENCE PHONE�,7h 7f/S L' S BUSINESS PHONE(24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 / ROOM USE: 1. 2. `L 3. 6� 4.a� THERE IS A TWENTY-FIVE($25.00}DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE PARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE v P COBS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/2 `"DATE FEE PAID: f '' J TYPE OF UNIT: DWELLTNpppppp ��. HER_ CHECK#3dX CHECK DATEI� .� NOTES: CODE ENFORCEMENT INSPECTOR 9/28198 e- 4 a m 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 02/02/2000 Fax:(978)740-9705 James Bailey P.O. Box 3062 Salem, MA 01970 PROPERTY LOCATED AT 10 Beaver Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,. Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 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. J0R THE BOARD HEAL H, REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ti CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR 3 > SALEM, MA 01970 CERT.# 143-03 FEE TEL. 978-741-1800 DATE: 03/27/2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Beaver Street UNIT #: 1 Left OWNER/AGENT: Nury Espinal ADDRESS: 12 Mt. Vernon Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-3889 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR� BOARD OF HEALTH {� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M t a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3/ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 97 8-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". i PROPERTY LOCATED AT 10 IbQOWP� : l1 &,! - UNIT# / IS THIS UNIT DESIGNATED AS RIGHTLEFT FRONT BACK PLEASE CIRCLE ONE OWN ESSER MANAGER/AGENT o P.O. Box / No P.O. Box ADDRESS 1/Z-Y�'lyK_n&,r2 al ADDRESS CITY N G l il4f X 7 0 CITY RESIDENCE PHONE,I CSS :2Vw038'? 9 BUSINESS PHONE (24 HRS.) BUSINESS PHONE i TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 3. 4. 5.--6.- 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE � Z7G0 I PECTORS USE ONLY DATE OF INITIAL INSPECTION 3 —3- ) -0 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Y 'a71 3 DATE FEE PAID:_ -17 v TYPE OF UNIT: DWELLING/OTHER_ CHECK# -?a- '// CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM9 MASSACHUSETTS ,j BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR "ro SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#94-04 DATE ISSUED: 03/09/2004 Property Located at: 10 Beaver Street UNIT# 1 R P Y Owner/Agent: Nury Espinal Address: 12 Mt.Vernon Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-3889 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter 11"Minimum Standards of Fitness for Human Habitation'. Therefore,this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO Q/ HEALTH AGENT CODE ENFORCEMENT INSPECTOR f4 ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH {{{ • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 '! TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT�� 1 Q.1911p r/ S / `J� �� u-c— UNIT#M IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS I-Z- ADDRESS CITY �iaeev4 CITY "j RESIDENCE PHONE 17� 7V 0386 BUSINESS PHONE (24 HRS.) - BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. &1 2.__&_3__L: 4. 5._6._T_8- THERE . 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 SIGNATUREATE_ /y c I[�ISPECTORS USE ONLY , DATE OF INITIAL INSPECTION 3 f2!4 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 "" '"* DATE FEE PAID: I '-f "o� TYPE OF UNIT: DWELLING, OTHER— CHECK # LL S CHECK DATE ' t`� NOTES: _ CODE ENFORCEMENT INSPECTOR 9/28/98 a �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ' Aq TEL. 978-741-1800 p FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#245-04 DATE ISSUED: 06/07/2004 Property Located at: 10 Beaver Street UNIT#2L Owner/Agent: Arthur Speridakos Address: 1 O Crescent Drive City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-592-9500 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 IP'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 / ENFORCEMENT CTOR CITY OF SALEM, MASSACHUSETTS ,O / 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, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I O {�lJe0.vef <:�-F UNIT#Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERA E�Ir - e f i d a .�C- MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 10 Crg-SceA� D2 ADDRESS CITY S a. l e-nn ,S 01110 CITY RESIDENCE PHONE Ilg '14 -S 80ot9 BUSINESS PHONE (24 HRS.) G' 1'7 SIR 4? SDO BUSINESS PHONE TOTAL NUMBER OF ROOMS: , ROOM USE: i.pg{[[l1_2. l "rhA 3. rM 4. L OqM 5. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM Az NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGN DATE IN EC DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:IP e)el DATE FEE PAID:–ZAy D TYPE OF UNIT: DWELLING _OTHER_ CHECK# $ / CHECK DATE " / NOTES- -7— OTES: ,z)& 1 Gi d CODE ENFORCEMENT INSPECTOR 9/28/98 �DNDIT City of Salem, Massachusetts Sm Board of Health 120 Washington Street, 4th Floor, Salem, Pub&H"1di MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-20 DATE ISSUED: 4/10/2015 Property Located at: 10-U3 BEAVER STREET UNIT#3 Owner/Agent: Ramon Frometa Address: PO Box 3 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone:(407)452-8870 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 gbe?�- Larry Ramdin, MPH, REHS, CHO i/ HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMDINQSAUiM.COM LARRY RAMDIN,RS/REHS,CHO,CP-PS HEAL:I'iAGRXI' 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 W3 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER ea yr2017 V�o w-ct9 MANAG AGENT NO P.O. BOX - ADDRESS I - �0 / �DDRE CITY, STATE,ZIP �Ul Q m LO tom', 01 q0 7 CITY, STATE, ZIP RESIDENCE PHONE-----4-D 7 – 462 - Fy?0BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAl ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUR DATE J Inspectors use on Date on initial inspection: 4�I(5 Date of reinspection: Date of issuance of certificate: Date fee paid:tA115 Type of unit: Dwelling------Other—Check# oZ0$ Check date: Notes: Code gnfcVement Inspector City of Salem, Massachusetts Board of Health 9 120 Washington Street, 4th Floor, Salem, 111- Eleaft MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-83 DATE ISSUED: 3/28/2017 Property Located at: 10-U4 BEAVER STREET UNIT#4 Owner/Agent: Yanier Frometa Address: 10 Beaver Street Unit# 1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMD1N@SALSM.00M LARRY RAMDIN,RS/RAHS,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 UNIT#� Is THIS UNfrr Dmr;NATED As .RiGGHT tEff FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER Ll /�e)z �y�i� �/111�/!� MANAGER/AGENT ADDRESS ADDRESS CITY, STATE,ZIPJ;2�ZGl/t��%-- CrTY,STATE, RESIDENCE PHONE S(� 55 {� 3 0 3 BUSINESS PHONE(24HRS) 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 DATE Inspectors use only Date on initial inspection: 1 Date of reinspection: 2 Date of issuance of certificate:9V 51� Date fee paid: Type of unit: Dwelling Other Check If Check date: Notes: C,DdleE orcement pector 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/27/99 Tel:(978)741-1800 Fax:(978)740-9705 Carlina & Richard Caceres 14 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 14 Beaver Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 BOARD OF HEALTH REPLY TO ' loanne Scott, MP�O PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 `` 5 1A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 Date: 9/27/94 Fax:(508)740-9705 Jeffrey M. & Susan I. Doughty 14 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 14 Beaver Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above addresssss. 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 1lQN 105 CMR 410,354 MFTERILra 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 n mros CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO - NINE NORTH STREET HEALTH AGENT 12/27/99 Tel:(978)741-1800 Fax:(978)740-9705 Carlina & Richard Caceres 14 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 14 Beaver Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 so exist. i F THE BOARD OF/HEALTH REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i F Al 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: 9/27/94 Fax:(508)740-9705 Jeffrey M. & Susan I. Doughty 14 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 14 Beaver Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit . at the above addresssss. 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 CERT.# 426-97 3 FEE $25.00 DATE: 07/14/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,HIS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 23 Beaver Street UNIT # : 1 OWNER/AGENT: Dolores A. Tierney ADDRESS: 5 Looney Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0528 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 • Y 3 Oji - 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 Fan:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY� CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM 04 STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 2 3 en.rtr S( UNIT # :Z OWNER/LESSER�j GU/Z P S �,!_? n i �G MANAGER/AGENT ADDRESS _5' ,"op fie, y - /¢ t)e_ ' ! ADDRESS CITY S r9-�o_ [ d� - 0/,47-70 CITY _ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 5._ —G. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS EE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE J lJJ u Gj �( (j .r/ DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION::_ : —q 7 DATE OF REINSPECTION DATE /OF ISSUANCE OF CERTIFICATE:�_. g 7 DATE FEE TYPE OF UNIT: D�WE�LL ---��"'ccc�ING OTHER— NOTES : Y CODE ENFORCEMENT INSPECTOR w ar n M ��MINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 08/05/99 Tel:(978)741-1800 Dolores Tierney Fax:(978)740-9705 5 Looney Avenue Salem, MA 01970 PROPERTY LOCATED AT 23 Beaver Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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 DepartmentofPublic 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. THE BOARD OF HEALTH REPLY TO anne Scot MPH,RS, HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 427-97 FEE $25.00 FM. DATE: 07/14/97 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: 23 Beaver Street UNIT #: 2 OWNER/AGENT: Dolores Tierney ADDRESS: 5 Looney Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0528 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 jA - �/ az .JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR , . w 7-9 7 v µ y � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO HEAL H AGENT NINE NORTH STREET Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT_� (�e afx,r g. { UNIT I a OWNER/LESSER ©/o /Z E? 5 /G,O�"/7/B / MANAGER/AGENT ADDRESS 1!�" G o Ca IV y 2 ADDRESS CITY PG-s 114U �l - O /'( 7 0 CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL :NUMBER OF ROOMS: ROOM USE: 1. 2.--6 __u3. 4 . K 5. —G. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT IS FE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE--� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 7, DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ' __DATE FEE PAID: 7— ` TYPE OF UNIT: DWELLING OTHER NOTES : Y��S."' CODE ENFORCEMENT INSPECTOR CERT.# 276-96 n FEE $25.00 DATE: 05/08/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 23 Beaver Street UNIT #: 2 OWNER/AGENT: Dolores Tierney ADDRESS: 5 Looney Avenue CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 741-0528 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 t V V JOANNE SCOTT, MPH,RS,CHO -� HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFFICE USE ONLY CARE. DATE CITY OF SALEM HEALTH DE;ART*TI8 1994 BOARD OF HEALTH Salem, Massachusetts 01970 _. CITY OF SALEM 9 NORTH sTREEt ii0BEA7-E.-8LNKN0ftlL - - ... �, - HEALTH AGENT IEALTH DEPT. 508-741-1800 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 oD deie �/ UNIT OWNER/I:ESSER. 1)ah ce--!4 Q,- /Q 7 MANAGER/AGENT ADDRESS 5 J 00 N�1 fI✓"Q- ADDRESS CITY SaJ.pp, 6) C1 U ` CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. kJ4 O 4V—r., Y�3• 5. Kl r 6. ba//l 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TUE CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF. INITIAL INSPECTION:,:�7�y -j 6 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /f DATE FEE PAID: " TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR v 4� CERT.# 322-98 1 +. FEE $25.00 31] F DATE: 05/27/98 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: 24 Beaver Street UNIT #: 1 OWNER/AGENT: Edward Crowley ADDRESS: 24 Beaver Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0932 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 Illi 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. THE BOA aHEALTH 9�LD JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 ft r CITY OF SALEM BOARD OF HEATH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NIN€.NORTH.STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY: CODE. CHAPTER II , 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4 �/ OWNER/LESSER �1 lCr�f'A Gi('t54.,j{"(l' MANAGER/AGENT _ ADDRESSp�yIJ/ �- �f\ ADDRESS CITY 1Z .p�7 - CITY RESIDENCE PHONE / .� ©�. BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.J 2. �3.`� lYt� THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DE TMEHT THIS PEE PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATI INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: . DATE OF REINSPECTION-- DATE EINSPECTION_DATE OF ISSUANCE OF CERTIFICATE:17DATE/ '. DATE FEE PAID: �' p2 7� Q „_ 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 HEALTH AGENT Tel:(978)741-1800 Date: 04/30/98 Fax:(978)740-9705 Edward Crowley 18 Ward Street Salem, MA 01970 PROPERTY LOCATED AT 24 Beaver Street UNIT # 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 an vacant dwelling unit is rented or PP Y Y 9 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 qa__9_1t_x�"e?� Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR P .�o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH i $ 120 WASHINGTON STREET, 4TH FLOOR CERT.# 324-03 SALEM, MA 01970 FEE $25.00 �sAq TEL. 978-741-1800 DATE: 07/08/2003 o'er FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 24 Beaver Street UNIT #: 2 OWNER/AGENT: Edward Crowley ADDRESS: 24 Beaver Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 834-6992 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 OCCUPAN�TyS' UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . OR THE BOARD/F _ ` H . JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r" CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 \� ` "\tA � UNIT# IS THIS UNIT DESIGNATED AS RIGHT LE\F_T' FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT No P.O. Box G^ _ No P.O. Box ADDRESS to ADDRESS CITY- S M CITY RESIDENCE PHONE IpllS�.�'Co q I7BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER \OF ROOMS: ROOM USE: 1. 5.WN 6. _7. 8. THERE IS A TWENTY-FIVE-$25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAL DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE TE�Jt✓`�1-X INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICAT01- ip 5 DATE FEE PAID: — y TYPE OF UNIT: DWELLING HER CHECK#CHECK DATE �6 I ` _ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 I 11 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON StREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR MANCINI&SALVA.COM ]ANP:';P MANCINI ACTING HvAPa'I-I AGUNT CERTIFICATE OF FITNESS CERTIFICATE#133-09 DATE ISSUED: 3/17/2009 Property Located at: 32 Beaver Street UNIT# Owner/Agent: Jane Lawson Address: 27 LeBlanc Drive City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � / r NET MANCINI ACTING HEALTH AGENT CODE EN ORC MENTI N7 ECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR JDIONNf.@SAL6'M.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 () PROPERTY LOCATED AT 3 7 K1,pp AV OI C. —rG . �p /PiL„ UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER C MANAGER/AGENT NO P.O. BOX / ADDRESS Z ,6141:-0 3,LJj4t !_ADDRESS CITY, STATE,ZIPCITY, STATE,ZIP RESIDENCE PHONE!71:: 3131-- 0O1� BUSINESS PHONE (24HRS) Z6 BUSINESS PHONE �- TOTAL NUMBER OF ROOMS: p / ROOM USE: 1./a, 2. �cT , 3. S�1�1`k 4y1 ✓, J;,,5 0( .�Gii 6. 7. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 3' Of Inspectors use only Date on initial inspection: -3-1 -1- G > Date of reinspection: Date of issuance of certificate: 3- 1 l - y Date Fee paid: Type of unit: Dwelling � Other Check# )1y'`1 Check date: jr I ) 6 g Notes: �4� 1r' 1LCP� t �> Sc ci�%�e�S- �al�a o• 6dAn6rcTment Inspector CITY OF SALEM, MASSACHUSETTS `-' BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR $ c SALEM, MA 01970 CERT.# 256-02 - TEL. 978-741-1800 FEE $25.00 FAx 978-745-0343 DATE: 05/10/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40 Beaver Street UNIT #: 1 OWNER/AGENT: Andrew Theberge ADDRESS: 7 Pauline Road CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-2986 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 f xq,-n-a-•,;G x AL. a tafiw f! +w, ° ,a§:�-a%`�"F,ki.r x a.?�sT.an+ '"•+',..�" .'"' 'La r. c+ mrr ' CITY OF SALEM;MASSACHUSETTS w jN BOARD OF HEALTH, • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 . FAX 978-745-0343 - - STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO �t 'MAYOR -HEALTH AGENT I I i 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 (3eayev- UNIT# i IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT,BACKt.PLEASE CIRCLE ONE OWNER/LESSER A:L+dyE,-,I d e rqg,_aMANAG.ER/AGENT No PO Box p No P.O:'Box ' ADDRESS' ! Q V u ' ADDRESS � l CITY:V)Ce uZILs /�G - city xRESIDENCE PHONEI�Y 77 3013 BUSINESS,PHONE (24 HRS:) k 4Y s a t 1 t {kBUSINESS PHONE�I79✓'77 1Q �0 a r" a c S TOTAL NUMBER'OF ROOMS: 4 w I . la- ROOM USE 1 KCT .' 2• L i V 3 4 ` I 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 DEPARTM T THIS'FEE IS PAYABLE AT THE,. t TIME OF INSPECTION. I APPLICANTS SIGNATURE DATE__5/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '�6 y L DATE OF.REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S'/D -v Z'DATE.FEE,PAID: `'% r TYPEfOF ONIT:TDWELLING_OTHER'_ CHECK:# 19TX CHECK DATE. i�D y .NOTES: i f SZ} Y { ; CODE ENFORCEMENT INSPECTOR 9/28/98s 5"r K y } 3 b aFP¢s,XxYr a#4 •. -• a urtt. j tx C ,r 4 .47i : r to»` Fz . + •`S' vg�CONOIT � � g 9 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 09/27/2000 Fax:(978)740-9705 Andrew & Nancy Theberge 7 Pauline Road Danvers, MA 01923 PROPERTY LOCATED AT 40 Beaver Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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 . q;OR THE BOARH REPLY TO o"anne S ot , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR :: ,�.. xr _„ , -•�� kt x y.' xT "�° k i3a1,"�r+':,'.• .+� a ` ��a�.,x�`1,"•-+ted '°^xt�+VvG,y.°^w,."n,,a- Y 1.,�;y' '�"�^.s�Ft,i uL'a x,.arvp. yrr-'4 .Ya> _ CITY OF SALEM, MASSACHUSETTS 'fr BOA\RD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PubliCHeat# . � prevent.gromow:Proront. TEL.(978)741-1800 FAX{978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com L,amzY ItAMuL�,lzsJIU31 Is,cH0,c7 1 s MAYOR HEALn i AGENT CERTIFICATE OF FITNESS CERTIFICATE#143-14 DATE ISSUED: 5/13/2014 Property Located at: 48 Beaver Street UNIT# 1 Owner/Agent: Eric Easley Address:.P.O. Box 4542 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 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 BOARD OF HEALTH LAR+R%AAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS ROAM OF HEALTH I20 W7i1SHTNGTON S7U7r,4"'FX 00X TEL.(978)741-1300 ICIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 12GREE aA M eAmAt.COnt. DAvtD GFSENBAUu �Cd ✓✓ �(J ACTING HEALTH AGENT Application for Certificate of Fitness C IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEFi$50.00 tOPFJRTY LOCATED IS THIS UNITI)ISIGNATED ASRTGNT LMBM OR RACK!'LASE CIRCLES ONE WNER/LESSER jz �1s " 7� MANAGER/AGENT ��K GiiBrr�Liy i P.o.SaItESSx �DADDRESS .TY,STATE,ZIP /bl.� D!`I20 9TY,STATE,ZIP5 •• . /O * 6 e7 70 ?SIDENCE PRONE BUSINESS PHONE(24HItS) 7SWESS PRONE )TAL NUMBER OF ROOMS: 471 )OM USE: 1. 6X 2. ly-c--e 3. &`f 4. L14-,v i 5.Kly_ 6. iJ 7. 8. 9._ 10. SERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHEM ORMONEY ORDER TO THE CITY OF SALEM )ARA OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF IDI CTION 'PLICANT'S SIGNATURE = i i` T DATE J F InU rs use only le on initial inspection: S- �" N Date of reinspection to of issuance of certificate: 5- Date fee paid: PC of unit: Dwelling Other Check#. 20/ Check date: tes• de Enforcerne it Inspector 2010'06-2721:21 9787450343 Paget CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PRt1I1CHP.8Ith TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL llamdinod salem.com 1.ARI0'Itr\R1D1N,RS/REI-IS,CllO,CV-FS MAYOR HEALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#204-12 DATE ISSUED: 5/24/2012 Property Located at: 48 Beaver Street UNIT#2 Owner/Agent: Eric Easley Address: P.O. Box 4541 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5892 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 LARRYMDIN HEALTH AGENT SANITARIAN t CITY OF SALEM, MASSACHUSETTS �, o- BOARD OF HEAIXII - - 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RANIDIN&Ac ENI Conic LARRY RANIDIN,RS/RI!?I-IS,CI 10,CP-FS I IEIA1, 1I AG ENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" G FEE: $50.00 PROPERTY LOCATED AT—V —� UNIT# IS THIS UNIT D>fISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ZlalZ G—A.s MANAGER/AGENT NO P.O. BOX p ADDRESS o ` 95 !S y ADDRESS CITY, STATE,ZIP / Q/`} 7 0 CITY, STATE,ZIP RESIDENCE PHONES \ r7BUSINESS PHONE(24HRS) BUSINESS PHON$' 7,8 /yS -- -9 2— TOTAL NUMBER OF ROOMS: /� ROOM USE: 1. 9Ge.X 2. 3 �-�'�-C 4 &�5 THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK ORM Y ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY�TTHE� IME OF P ON APPLICANT'S SIGNATURE DATE jj� 2 /1Z I>pectors use only Date on initial inspection: ) Date of reinspection: Date of issuance of certificate: �y ) Date fee paid: 411 4-- Type of unit: Dwelling Other Check# 3 / Check date: Z Notes: Co4alementUspector F �pN➢t City of Salem, Massachusettslu s Board of Health � a 120 Washington Street, 4th Floor, Salem, PtlblicFiealtll MA 01970 Prevent, Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-375 DATE ISSUED: 1111012016 Property Located at: 50 BEAVER STREET UNIT#1 Owner/Agent: Isaida R. Flores Address: 50 Beaver Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (781) 535-4048 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 Larry Ramdin, MPH, RENS, CHO ~ItL-0, HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,If"FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1 R n fN a(1@SiUn�COM LARRY RAMDIN,RS/REHS,('110,(T-FS WALTH 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 %G ;1� r' V� v S ► UNIT# j IS THIS UNIT DISIGNATED AS GnLEFTFRONTOR PLEASE CIRCLE ONE OWNER/LESSER. SG l tr�16' MANAGERI AGENT NO P.O.BOX ADDRESS O ('.isy 2 r S t ADDRESS CITY, STATE ZIP Sq ( &j CITY, STATE,ZIP RESIDENCE PHONE 7 I-5 S S- LINK BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: t ROOM USE: 1. k)'t ,' D ti 2 1 iy 1. & i%� u_3 ln, -0 rcnm 4. tie>Oroo +n 5. G 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 PME OF INSPECTION APPLICANT'S SIGNATURE DATE I/ i Insaectors use only Date on initial inspection: ] lo q/Lo. S Date of reinspection: Date of issuance of certificate: 1 11 0q1qoZ;r Date fee paid: 11 CYy 20j="E Type of unit: Dwelling_�Other Check# 1 (Z Check date: 11/ �lJ Notes: E04C t Spector CITY OF SALEM, MASSACHUSETTS 9 m BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �"0N6 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/4/06 Mary Bonefant 11 Mooney Road Salem, MA 01970 PROPERTY LOCATED AT 52 Beaver Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 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 statin the tenant is responsible for those utilities and if the meter(s) records electricity and 9 9 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. Ford of alth Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector r � CERT.# 713-99 3 1� p FEE $25.00 DATE: 12/01/99 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: 52 Beaver Street UNIT #: 1 OWNER/AGENT: Mary Bonefant ADDRESS: 11 Mooney Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1937 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 ti �oeu11 3 4f CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 5 ') Q ,4ee UNIT#j_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT: � 'F No P.O. Box /� No P.O. Box ADDRESS //,//// Y /� ADDRESS CITY�� ,e�n1 CITY _)YLO-dd l RESIDENCE PHONE 7S3 7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: t 2. 3. 4. (/ 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR 4 - DATE / �I Ir INS ECTORS USE ONLY DATE OF INITIAL INSPECTION ,/.2 ; 1 -• 9 c/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: I a -I - S 9 DATE FEE PAID: / a. - I TYPE OF UNIT: DWELLING BOTHER_ CHECK# )L 3 9 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 v6��ONe1T��, n < q s �P°�rnne W CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 05/18/99 Tel: (978)741-1800 Mary Bonefant Fax:(978)740-9705 11 Mooney Road Salem, MA 01970 PROPERTY LOCATED AT 52 Beaver Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 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. la THARE BOD OF HEALTH REPLY TO nne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ;?T CERT.# 60-00 FEE -$25.00 ZIP? DATE: 01/28/2000 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: 52 Beaver Street UNIT #: 2 OWNER/AGENT: Mary & Robert Bonefant ADDRESS: 11 Mooney Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1937 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH105CMR 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 , J JOANNE SCOTT, MPH,RS,CHO VV�evy. _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ��,ONOIT 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 Fait:(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 CS ;gO/111,91 UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT No P.O. Box 7 (/ -�No P.O. Box ADDRESS ----.ADDRESS�j CITY /��X� CITY ��7� RESIDENCE PHONE 74,37 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.-_ /_� _2. 3. 1� _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 f faces INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / a- X- O O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/-,>k-00 DATE FEE PAID:/ 5 L ,� - O o TYPE OF UNIT: DWELLING� OTHER_ CHECK# 93 5_7 CHECK DATE�140 O NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 t u M 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 07/15/97 Fax:(508)740-9705 Mary Bonefant 13 Silver Street Salem, MA 01970 PROPERTY LOCATED AT 54 Beaver Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for -this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 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 Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR Vt v CERT.# 206-96 3 . FEE $25.00 DATE: 04/11/96 CITY'OF SALEM BOARD OF HEALTH '$alein, 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: 54 Beaver Street UNIT #: 2nd floor OWNER/AGENT: Mary Bonefant ADDRESS: 13 Silver Street CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 745-1937 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) : DW-ELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THESTATELEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MP_H,RS,CHO _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR z 1 .w 9 GIN 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". UNIT PROPERTY LOCATED AT / /I�[J �y # , OWNER/LESSER / MANAGER/AGENT ADDRESS . ADDRESS CITY 1rt/\\ L /��// 7 CITY RESIDENCE PHONE� BUSINESS PHONE (24 HRS.) - BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Y2. 3._-LIZ 5. 6. 7. g- THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEIf HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIM OF INSPECTIIOON APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: -'(;/-DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7`"l( DATE FEE PAID: — I 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 HEALTH AGENT Tel:(508)741-1800 Date: 03/28/96 Fax:(508)740-9705 Mary Bonefant 13 Silver Street Salem, MA 01970 PROPERTY LOCATED AT 54 Beaver Street UNIT # 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling un-t 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 9 Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHea Ith MA01970 Prrvent. Promote. Protein. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15.204 DATE ISSUED: 7/31/2015 Property Located at: 57 BEAVER STREET UNIT#1 Owner/Agent: Mary Marte Address: 57 Beaver Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 527-4520 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAN14ARIAN CITY OF SALEM, MASSACHUSETTS BOARD or HI',ALTI I ' 120 WASHINGTON STREET,4n`FLOOR fEL. (978) 741-1800 KLA4BERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANDIN([M.EM.COM LARRY RAWNN,IIS/RENS;CHO,CP-FS HEAImi 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 S /7 S+ UNIT#--L— ISS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 4�P.. 4 �QQ MANAGER/AGENT ADDRESS 57 fJQ��C(,� s� -Y o� ADDRESS CITY, STATE, ZIPI�S�1ac11 (N ONq / CITY, STATE,ZIP RESIDENCE PHONE(508) '�;0 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM USE: l.,\;V)99JD01 2. V)AChQrl 3. bX"QDO-1 4. bm-aom 5. so0� 6 X0+"1 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEIS YABLE T THE OF INSPECTION APPLICANT'S SIGNATURE �' DATE ! -oZ�- Inspectors use only Date on initial inspection: 0212-1/ s Date of reinspection: Date of issuance of certificate/: Ozag4ALc Date fee paid: OZ/22j. 9� ZS Type of unit: Dwelling ✓ Other Check# 636 Check date: 0�/29f20�s- Notes: Co e2ent In$ ector ��ao City of Salem, MassachusettsAn 6 Board of Health h 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-211 DATE ISSUED: 8/5/2015 Property Located at: 57 BEAVER STREET UNIT#2 Owner/Agent: Mary Marte Address: 57 Beaver Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 527-4520 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,—�� . // '., Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT AN CITY OF SALEM, MASSACHUSETTS B(�mm UP 11FAIA11 sa 120WASHINGTON S TEJ,:r 4"' FLOOR 'frT.. (978) 741-1800 KIMBERLEN DRISCOLL FAX(978) 745-0343 MAYOR L.RAMEAN Q 3ALEM.CON1 LARRY RANmIN,Rs/Rr.it Ts,c:t w),ci,-Fs - FII3:A7.:T1 S.11G F.N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" G� FEE: $50.00 PROPERTY LOCATED IS THIS UNI1l�j DISIGNA�TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE \ A.1 OWNER/LESSER ` l l_Qy \ ' D\A& MANAGER/AGENT NO P.O.BOX ADDRESS �� QC�Qq S� /� ADDRESS CITY, STATE, ZIP r ]l L'�'' 1 I MR �Q�119 10 CITY, STATE,ZIP RESIDENCE PHONE l`�C�l�� 7— �c�aW BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: brt41 1 1- ROOM USE: 1 1\\I% QW- 2 a0om 3 bjRoo�1 4. Kjbg,) 5. I w,()s GQQ1 69,c '1 7 brad6,00, 1 8 9 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY C ECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I YABLE T THE EqFINSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: �'5��3/2015— Date of reinspection: Date of issuance of certificate: Date fee paid:02&W-10 7_! Ljof unit: Dwelling Other Check# C39 Checkdate: OYLV: g rcenA ntInspect MCOND �Yd City of Salem, Massachusetts 9 Board of Health ` 120 Washington Street, 4th Floor, Salem, Pub&Hadth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-203 DATE ISSUED: 7/30/2015 Property Located at: 57 BEAVER STREET UNIT#3 Owner/Agent: Mary Marte Address: 57 Beaver Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 527-4520 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, —�� X ��I , Larry Ramdin, MPH, REHS, CHO HEALTH AGENTSANITA AN CITY OF SALEM, MASSACHUSETTS BOARD of Hr ALITT - 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-PS - HEALTIIIIGENT 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 57 UNIT# S IS THIS UNIT DISIG\,NAAT�ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE ll� OWNER/LESSER " QN '1` R MANAGER/AGENT ADDRESS 57 VCR 8+ 4-�(q ADDRESS CITY, STATE, ZIP t)C�M7n, 1 I D970 70 CITY, STATE, ZIP RESIDENCE PHONE(5CX3) 7- '95a(� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 00avt 3. bcx�00n 4.bZC6014 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLA E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS ABLE pT THE E OF INSPECTION APPLICANT'S SIGNATURE X DATE 7' Inspectors use only Date on initial inspection: 0 zayjo2.y Date of reinspection: Date of issuance of certificate:© 7f2q/ZOLS' Date fee paid: 072�f/202l— Type of unit: Dwelling V Other Check# C 39 Check date: 0 q/2045' Notes: Co of ement 01pector { 1 CITY OF SALEM, MASSACHUSETTS BOARD OF Ht,\LTH lu 120 WASHINGTON STREET 411 FLOOR PublicAealth STREET, Prevent PrnOnte.Protea. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL llamdin esalem.com LARRI'ttAntnlN,RS/RI�:i 1s,c;Ho,Cr-rs MAYOR HFAL t'I-t AGI3NT CERTIFICATE OF FITNESS CERTIFICATE #401-13 DATE ISSUED: 11/22/2013 Property Located at: 58 Beaver Street UNIT# 1 Owner/Agent: Leoncio Vizcaino Address: 58 Beaver Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 BOARD LARRY RAMDIN ---AUX ) HEALTH AGENT SANITARIAN '` • CITY OF SALEM, MASSACHUSETTS Jj } BOARD OF HEALTH 120 WASHINGTON STREET,4P FLooR TEL. (978)741-1800 ICIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGxEL"AUM �Aa LEW COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ' FEE: $$50.00 f ROPERTY LOCATED AT \J i' l/t2 5 T— Sf( po nt*0r1H UNFI'# IS THIS UNIT DISIGNATED ASIR GHT LEFT'FRONT ORB, ACK PLEASE CIRCLE ONE IWNBR/LESSER Lew11d o ��'1� /1V6 MANAGER/AGENT — 0 P.O.BOX .DDRESS a I >eoo� �Z ADDRESS TTY, STATE,ZIP 14iJ A7 191 °� CITY, STATE,Z� ESIDENCE PHONE ` 4<iVi --��BUSINESS PRONE(24HRS) USINESS PHONE_Z��iok DTAL NUMBER OF ROOMS: )OM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. SERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM )ARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION I "PLICANT'S SIGNA DATE-2/t 0/3 IDs�ectors use oDly to on initial inspection: ) -2,1 Date Date of reinspection: to of issuance of certificate: !V 22-+ } Date fee paid: I i 22�13 ie of unit: Dwelling tr Other Check# Check date: es: e Enforcement Inspector it ^. TRANSMISSION VERIFICATION REPORT TIME 11/24/2013 19: 58 NAME FAX 9787450343 TEL 9787411800 SER. 0 000BON341991 DATEJIME 11/24 19: 57 FAX NO./NAME 916173896948 DURATION 00:00: 39 PAGE(S) 01 RESULT OK MODE STANDARD ECM � 1 x CITY OF SALEM, MASSACHUSETTS y * BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIM 3ERLEY DRISCOLL Fax(978) 745-0343 MAYOR DCRIa NBAUM@SAI.r.M COM DAVID GRUNBAUM ACTING HEM,tH AGUNT CERTIFICATE OF FITNESS CERTIFICATE#260-10 DATE ISSUED:6/7/2010 Property Located at: 58 Beaver Street UNIT#2 Owner/Agent: Leoncio Vizcaino Address: 173 Water Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-741-0656 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 I DA IDV/ NBAU ACTING HEALTH AGENT CODE ERF6RCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TFL. (978)741-1800 r KIMBERLEYDRISCOLL FAX(978)745-0343 1 � �Gtp�iC �/v✓}g� (�GPEEN iAUM(77l„SALEM.COM 11 n MAYOR 71`d-ti 511-W, DAvID GREF.NBAuM, Glovc. v ;ak ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 'ROPERTY LOCATED AT 5Y L9-jt�.� � � �r UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE IRCLE ONE tWNERfLESSER � r 1 (�/ � ��j MANAGERI AGENT ` O P.O.BOX /�2 DDRESS /V3 IWO�' t�� ADDRESS PTY, STATE,Z1P_, STATE, ZIP-0� � f/ �� ESIDENCE PHONE $(` BUSINESS PHONE(24HRS) 9 DO Z/ Z '(2 USINESS PHONE_Z L_ i24 )TAL NUMBER OF ROOMS: (� ,�� )OM USE: 1 2 ( 3 1 4. 5. 6 7. _S� — 9. 10. IERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM )ARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION 'PLICANT'S SIGN DATE Qt(/ Q lC Inspectors use only to on initial inspection:- ubh (J Date of reinspection: to of issuance of certificate: (P 1-7 110 Date fee paid:/to, )e of unit: Dwellingt/Other Check# Check date: (P I f es: e E orc entinspector � TRANSMISSION VERIFICATION REPORT � TIME : 06/87/2010 03:50 NAME : FAX : 9787450343 | TEL : 9787411880 SFR.# ' 00888N341991 DATEJIME 06/07 03:49 FAX NO./NAME 919786544270 DURATION 00:00:21 PAGE(S) 02 RESULT OK MODE STANDARD ECM � � CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGtF.GNRAUM(@SAI.,EM.CON4 DAVID GREI',NBAUM ACTING HF ALTI i AGENT Facsimile Transmittal To: Fax # 5-7-K (�.5 11 y �� RE: ff' Date : I Page(s): including this cover# Message: Board of Health News ---------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON i CERT.# 15-98 " FEE $25.00 3 gj DATE: 01/13/98 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:, 63 Beaver Street UNIT #: 1 OWNER/AGENT: Thomas McDonald ADDRESS: 4 Radcliff Road CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-6627 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(506)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY* CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 2 J ,R\�� / != UNIT / OWNER/LESSER �o M 14-S / , c�o A16 MANAGER/AGENT -SID-t... ADDRESS ' K(}L—)r— e,. ; F ADDRESS CITY / 13V�tp,L?'- CITY RESIDENCE PHONE t 2- 7r 6 ( Z,7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE g l q 3 -3 — TOTAL NUMBER OF ROOMS: j ROOM USE: 1. -2. 4 'oe" , 3. 4 . 5. L- 1 L,< ' 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 %k-j2h::n Ac�� _ J DATE I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: j;j _DATE FEE PAID: TYPE OF UNIT: DWELLING ✓ OTHER— T NOTES: CODE ENFORCEMENT INSPECTOR O � f t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR plLb11romnte th TEL. (978) 741-1800 Fax (978) 745-0343 KIMBERLEY DRISCOLL Iramdin e salem.com LARRY RAhNIN,RSAEI-IS,(1110,CP-FS MAYOR HL',AI,TH AC:iFNI' CERTIFICATE OF FITNESS CERTIFICATE#247-14 DATE ISSUED: 7/22/2014 Property Located at: 63 Beaver Street UNIT#2 Owner/Agent: Thomas McDonald Address: 151 Rantoul Street#23 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 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 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 LAR MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH �l 120 WASHINGTON STREET,4:m FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 .MAYOR LRAMnIN SALEM.COM LARRY RANmiN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 2 FEE: $50.00 PROPERTY LOCATED AT (0 3 �r2/1UNIT# IS TIR UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER / �I DIMA4S M C L aN4I/MANAGERI AGENT NO P.O.BOX ADDRESSISI Rte' A cpcy Z� ADDRESS q CITY, STATE,ZIP CITY, STATE,ZIP M q © � / RESIDENCE PHONE 7 L127^7 6 6 —(aZOZBUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER�OF ROOMS: p ROOM USE: 1. LS-e� 2. 1� 3. Zia 4 5. L 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—T-1",ISPAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 11'-L)��^ eV DATE 7 "- z- Z'- 1 1' Inspectors use only Date on initial inspection: -7, 22- -/V Date of reinspection: Date of issuance of certificate: T L1- I V Date fee paid: •7,ZZ-1 U Type of unit: Dwelling_,,�' Other Check# -7 ^S Check date: Notes: de Enforcement Inspector CITY OF SALEM, MASSACHUSETTS ` e BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRIP,F..NBAUM@SAI,FM.COM DAVID GREENBAUM - ACTING HEALTI i AGENT CERTIFICATE OF FITNESS CERTIFICATE#571-09 DATE ISSUED: 11/4/2009 Property Located at: 63 Beaver Street UNIT#3 Owner/Agent: Thomas McDonald Address: P.O. Box 23 City/Town: Beverly, MA Zip Code: 01915 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 I[" 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 DAVID GREENBAUM v- ACTING HEALTH AGENT CODE EN R EMENT INSPECTOR ~• _ CITY OF SALEM, MASSACHUSETTS,—' i BOARD OF HEALTH I 124 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRE'.ENhAUMaSAij:,M.COM l DAVID GRE ENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 63 4?:! - UNIT# 3 IS THIS UNIT DISI�GINATED AS RIGHT+LEFF FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER11lc�oN �GI MANAGER/AGENT NO P.O. BOX ADDRESS 62Z , 2p3 ADDRESS ^A CITY, STATE,ZIP ALL CITY, STATE, ZIP /VL ck RESIDENCE PHONE ' BUSINESS PHONE(24HRS) --- BUSINESS PHONE TOTAL NUMBER OF,—ROOMS: `Jr ROOM USE: 1. 2. lir ^3. ra 4. 94 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 AAT,HE TIME OF INSPECTION aa '' q APPLICANT'S SIGNATURE qb'"'' I� ' —DATE x0t/t ` Inspectors use only Date on initial inspection: f ) Date of reinspection: Date of issuance of certificate: Date fee paid: l y U Type of unit: Dwelling N./Other Check# / y 00 ! Check date: l l/ G f` `� Notes: J2 - Ci i� vas o a-F � VIS V0 0/On - 000IU 0C�-- ( heClC �I tihkj 01 Wa-kl ., 540(lc. ,>k- bCA4� In J(on4 I-aon--) Tf'-L4 S(iftn bQ(L I vulic)ow 1n fr6n�..�e W',*iw (t b(MV00rn 40 S-It c ft^, b kI£ bands Gfik orGjn+v? Code Enfb&6nent tar 1 L -- " CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STREET,4."FLOOR KIMBE'RLBY DRISCOLL 11.1.. (978) 741-1800 MAYOR FAN (978) 745-0343 lramdin o salem.com LARRY RAMIAN,RS/RNIS,(';I-lo,(1'-16 HI?AI:a'I I A(&,N'I' CERTIFICATE OF FITNESS CERTIFICATE #488-11 DATE ISSUED: 11/23/2011 Property Located at: 72 Beaver Street UNIT# 'I Owner/Agent: Luiz Quaresma Address: 4 Johnson Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or o;cupied. 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 G/ �4'.1�t I I d LARR RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR � �S �� CITY OF SALEM, MASSACHUS.F."ITS BOARD OF HF,_mxii 120 WASHINGTON STREF-r,4... FLOOR '11il_ (978) 741-1800 Rx (978) 745-0343 MAYOR IMANIDIN MI LMMYRANIDIN, ItSl/lt 1i1 1S, 10,(:P-VS I 11:,\1 aH I AGVINT 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 Be PROPERTY LOCATED AT e4 averV e�, 13 6 � UNIT4 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASECIRCLEONE OWNER/LESSER S.IY a . MANAGER/AGENT_(22CI(e-' >V 4 N NO P.O. BOX ADDRESS JOHNSVI S F —ADDRESS CITY, STATE,ZIP J* CITY, STATE,ZIP RESIDENCEPHONE-- BUSINESS PHONE(24HRS)— BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM USE: 1. Oat 2. 6�e4 3._J4,ed 4. Deot_5. � #64t.4 6, b, th 7. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE By CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE IMectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: __7 Type of unit: Dwelling Other_Check# Check date:----"& ILI Notes: tO C Enfo ement Inspector a^,r CI1-`Y OF SALEM, MASSAC.HUSL"1"1S BOARD OF HEM -1 1��Wr1jH1�tGTC)�I 51'REET,4°� 1'C.Ot lfi ' TES.. (978) 741-1800 IUMI3ERLLY DRISCOLL FAx (978) 745-0343 MAYOR ;;ttitnins,u.i;�a,c' ati+ L;11?I?Y R:A�4U!N,KtiJRI:1!5,Cli(1,CP-I'ti FlFatf;1'iJ RGIiN'i' Release In accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article X111 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. Tena it/Lessee Owner/Lessor r e Address Address Address on unit to be inspected Date Updated 523111 TRANSMISSION VERIFICATION REPORT TIME 11/30/2011 01: 14 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 11/30 01:14 FAX NO. /NAME 919784539150 PAGE(S) DURATION 0:00:25 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSL'1"I:s Bo.0 D OF' Hi.\u:n-I 120 WAS[-IINGTON SI RGF.T,4"' 1'1.•00R KIMBERLF,Y DRISCOLL ,. (978)741-1800 F'\X(978)745-0343 MAYOR Iramdin&salunxom 1_.i\R.RYRANRDIN, RS/RVIIS, 11 M&INT Facsimile Transmittal Fax # /SC -/,7, ) q RE: Date Page(s): including this cover# Message: Board of Health News ------------------ Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON 17 i �+ q . �.i • �� k,` +n y�, y.x a :" � xr4� * "�,'i' '? �----- a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 09/23/99 Tel:(978)741-1800 Armindo & Maria Quaresma Fax:(978)740.9705 10 Purchase Street Salem, MA 01970 PROPERTY LOCATED AT 72 Beaver Street UNIT # 3 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 CtdR 410.0001 State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unite, 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. i THE BO REPLY TO JOR oanne Scott, MPH,RS,CHO - PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR } CERT.# 765-97 3 FEE $25.00 DATE: 11/06/97 97 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: 72 Beaver Street UNIT #: 3 OWNER/AGENT: Armindo & Maria Ouaresma ADDRESS: 10 Purchase Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0081 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 a ' JOANNE SCOTT, MPH,R5,CH0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR �p CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO HEALTH AGENT NINE NORTH STREET Tei:(503)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 7o716jeoync sfi UNIT I '' 3 OWNER/LESSER rylD 4 ///fP�/IT NAGER/AGENTclef ele / j'{{fm ADDRESS/0 Alar-d- ya . cf� ADDRESS /Q ar�h�cl e �j 1G CITY{P4�to/� / CITY 'RESIDENCE PRONV E � QQ ' BUSINESS PHONE (24 HRS.) 7 -QQp BUSINESS PHONE (,sj9r )e- i TOTAL NUMBER OF ROOMS: _ _f ROOM USE: i. /jJj!/jL2. I(�3 5�� DO/Y�• 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DE TMENT THIS �C eee,-s. PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIG HA o c,s>sa,. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:_ DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICAATE:_�// .J DATE FEE PAID:_//� TYPE OF UNIT: DWELLING j,,-'OTHER NOTES COD C T INSPECTOR'r4 L h 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 Date: 10/30/97 Armindo & Maria Quaresma 72 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 72 Beaver Street UNIT # 3 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. 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 Standard's 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 daythat 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 o BOARD OF HEALTH ( 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#249-06 DATE ISSUED: 5/23/06 Property Located at: 74 Beaver Street UNIT# 1 Owner/Agent: Lisa Millard Attn.Joyce Address: 111 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 607-598-2510 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. FOR THE BOARD OF HEALTH / ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1.>+, '4. _. -„- ..,:F,-,ssC�� .. * r�l;ct'9:^NiM'>..'S.: . . _, .Y.If i►iri:_*i`.y'###""` ,. BOARD of HEALTH 120 WASHI aMmALIEK MA 019 4TH FLOOR SALEM. MA 01970 TEL.979-741-1900 FAX 979.7454949 . " STANLEY 1JSCM=.JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 145 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER L-1 5 4. Nt i LLr32r�__MANAGERtAGENT _c2, GY• �m No P.O. Box No P.O.Box ADDRESS ( f1t —_,—ADDRESS CITY--LO-r, "' CITY /ll i RESIDENCE PHONE,��=�f$6'13 7 _BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUt`:'3ER vF RGG(viS ROOM USE: 5 G 7 THERE 1S A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FFF_ IS PAYABLE AT THE TIME OF INSPECTION. , APPLICANTS SIGNATURE ,. DATE - G6 .o 'L- DATF OF INH IAL INSPECTION DA i'E OF Iii=1NSN C I iUNI DAII OF ISSUANCi tis i)AII I i I. IVW) -�' "-Z- n ti b 'FYPI=. Of UNiI nwt ; <', LI4 )) nn ()I IiG:I3 C;III K n :� � � '.I II c!-; UAI l � - y Z O Ii. i Ni ; hi I F.iI 11 IN ;I 'I �1 : '' .' ' t CITY OF SALEM, MASSACHUSETTS ® BOARD OF HEALTH 8 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 159-06 DATE ISSUED: 3/31/06 Property Located at: 74 Beaver Street UNIT#2 Owner/Agent: Harbor Realty Trust/Joyce Center Address: 111 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-0389 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 r J?AZNNE T, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR „ Bos fow CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / O 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 1 rJ\ 1 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �2 -f t_1ay R UNIT#-2- IS :IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Ii SA th i L.L.L)9_j MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS I I ( ). ?�O q '�2,r CITY CITY �Al o m met- 0 4 G RESIDENCE PHONE /ey? 5-19ZSI G BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.A(T- 2. L9. 3. PR 4._DZk. 2M Fi- 5.R9 t 6. Y3 R 27. 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. fn)U494 APPLICANTS SIGNATUREi. DATEO� /g,��29 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION l`/I to _DATE OF REINSPECTION 9 "O DATE OF ISSUANCE OF CERTIFICATE: �C2 DATE FEE PAID: TYPE OF UNIT: DWELLING _O�T/HER_ CHECK#,3.S_,A'_ ' CHECK DATE NOTES: C1� JCP X�0 /,)O,, 1 CODE ENFORCEMEN S ' CTOR - 9/28/98 J r 111 DERBY STREET • SALEM, MA 01970-5641 • TEL. (978) 741-0389 / FAX (978) 741-0566 LMI c—' FACSIMILE TRANSMI;5SICM COVER SHEET FAX NUMBER ( 978) 741-0566 OATS - FACSIMILE T0: NAME ADDRESS FAX PHONE NUMBER 7z`,r � FACSIMILE FROM- HARBOR RENTAL $ REALTY INC. 411 Derby, Street, Salem , MA 01970 5(JBJECT _P/ 8L— ) [r a ,e�S B- Lrdn Z/h 7 t 'FLlr 7 t !a.4F/9 L 4F ra/diy/ :PECIAL INSTRUCTIONS w�.are. Submitting, � Pages including this coversheet _ T..11V31t v IVIN39 9099VB 8950161868 XVd wC0 $00$!OB(CO F�RIP .77 9 & B PEST CONTROL P.O. Box 8077 LYNN,MASSACHUSETTS 01904 (781) 599-4317 qF.gr7-J(a IM OUT 11 0{-TIME qRM []COMM. INDOOR 11-OUTOM "N -46f4lw, ET'm AMI D 7bTREATMEW 0 WIMP Al m a TOTAL' CVb W.qN]W,UPg SERVICE REPORT7136 A.L1V3H 9 IVINaH HOGHVH 99sol6LeL8 YVA og:co gooz/oc/co l CITY OF SALEM // / LTH Establishment Name e � s/ BOARD OF HEAD Date: 3/�`f/d4 Page: of Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date No. Reference R—Red Item -Verified PLEASE PRINT CLEARLi - 24' 4 rx� doo,e - qi oYc o� laces 4Z, �7 u 5 I V f Discussion With Person in Charge: Corrective Action Required: ❑ No ❑ Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion P ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency closure your food permit. i✓� LiVoluntary Disposal LlOther: F 3-501.14(C) PFIFs Received at Temperatures Violations Related to Foodborne Illness Interventions and Risk According to Law Cooled to Factors(Items 1.22) (Cont) 41'F/45'F Within 4 Hours. PROTECTION FROM CHEMICALS 3-501.15 Gx 1im,Methods for PHFs 19 14 Food or Color Additives PHF Hot and Cold Holding 3-501.16(B) Cold PRFs Maintained at or below 3-202-12 Additives" 590.004(F) 4t'145° F'' 3-302.14 Protection front Unapproved Additives* 15 Poisonous or Toxic Substances 3-501.16(A) I lot PHFs.Maintained at or above 140'F. * 7-101.11 Identifying Information-Original 3-50L16(A) I Roasts Held at or above 130'F. Containers^ 2g Time as a Public Health Control 7-102.11 Common Name-Workim=Conuainers* 3-501.19 Time as a Public Health Control* 7-201.11 Separation-Storage" 7-202.1( Restriction-Presence andUse'k 59(1004(H) Variance Re uirement 7-202.12 Conditions of Use, REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-203.11 Toxic Containers-Prohibitions* POPULATIONS(HSP) 7-204.11 Sanitizers,Criteria-Chemicah` 7-204.12 Chemicals for Washing Produce,Criteria* 2I 3-801,11(A) Unpasteurized Pre-packaged Juices and 7-204.14 Drying tAtgents.Criteria' BeVertges with 16 nein;C,abels* 3-801 l I(B) Use of Pasteurized Eggs* 7-205.11 Incidental Food Contact,Lubricants'" 3-301 11(D) Raw-or Partially Cooked Animal Foal and 7-206.11 Restricted Use Pesticides, Criteria* Raw Seed Sprouts Not Served. 7-206.12 1 Rodent Bait'Stations" 3-801.1](C) Uno cued Tood Packa e Not Re-served. " 7-206.13 Tracking Powders,Pest Control and Monitarin8* CONSUMER ADVISORY TIMETPEMPERATURE CONTROLS 22 3-603.11 Consumer Advisory Posted for Consumption of F6 Proper Cooking Temperatures for Animal Foods That are Raw,Undercooked or PHFs - Not Otherwise Processed to Eliminate ' 3-401.11,,(1)(2) Eggs- 155°F 15,Sec. PathotrcnS*c111 1 r eom Eggs-Immediate Service 145'Fl5sec* 3-302.13 Pasteurized Eggs Substitute for Raw Shell 3-401.11(A)(2) Comminuted Fish, Meats,41.Game B'g`* Animals- 155'F 15 sec SPECIAL REQUIREMENTS 3-401.11(13)(1)(2) Pork acral Beef Roast- 130"F 121 min* 3-401.11(A)(2) Ratites,Injected Meats 155'F 15 590.009(A)-(D) Violations of Section 59O.009(A)-(D)in see + catering, mobile food, temporary and 3-441.11(,,)(3) Poultry,Wild Game,Stuffed P,fIf7s, residential kitchen operations should be Stuffing Containing Fish,Meat, debited under the appropriate sections Poultry or Ratites-165°.F 15 see.* above if related to foodborne illness 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks interventions and tisk factors. Other 1450F*° 590.009 violations relating to good retail 3-401.12 Raw Animal Foods Cooked in a practices should be debited under 1129- Microwave 165'F* Special Requirements. 34011](A)(l)tb) All Other PHFs-1,45'F 15 sec. 17 Reheating for Hot Holding VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-40111.(A)&(ll) PHFs 1650F 15 sec. " (Items 23-30) 3-403.11(B) Microwave- 165'F 2 Minute Standing Critical and non-critical violations, which do not relate to the Time* .foodborne itines.s interventions and risk factors listed above, can be 3-403.11(C) Commercially Processed RTE Foal- f r n d in the following sections of the Food Code and 105 CAIR 140'F* 590.000. 3403.11(E) RemainingUnslicedPortions ofBeef item Good Retail Practices FC 590.000 Roasts*" 23. Menaament and Perso__na,net-,._ FC-2 .003 _._-_ Tg Proper Cooling of PHFs 24. Food and Food Protection FC- 3 .004 - 25. __ �uipment and Utensils FC 4 .005 3-501.14(A) Cooling Cooked PHFs from 14O`F to - _ - __ 26, Water. Plumbin and Waste FC-5 .006____ 70'F Within 2 flours ouand From 70'F 27. Physical Facility FC-6 .007 to 41'F/4.5'F Within 4 Hours. * 23. Poisonous or Toxic Materials FC-7 .008 ------------------- 3-50'1.14(13) Coolie;PHFs Made Front Ambient 29. S ectal Re uirements _^ .009 Temperature.Ingredients to4l°F/45'F 30, Other Within 4 Hours* b,U62.1" °Denotes critical item in the Weral 1999 Food Cede or 105 CMR 590.000. CITY OF SALEM BOARD OF HEALTH Establishment Name: �7Z t bio ) Date: 3 I/Y Page: / of Item Code C-Critical nem DESCRIPTION OF VIOLATION/PLAN OF"CORRECTION Date No. Reference R-Red item Verified i ... r PLEASE PRINT CLEARLY • al cs�e�ti - /tee{ hid cF�d /ov�e. nCe's ,2 . ' �, o vl�s�✓/� ,Amo P -7�7,e4 1DU oI ' A'oUl l/t d' ,� �-r �Lu�no�ou� /ssln h�rd/,u -✓l��'Jliide. Q% rr�,�J�i �� .,/ k)47 ral ins had q T - re-401 A? /44fg 9 k1 .h n u! orti i ped r w� -� )�141475c1-) ke-? f -h 4 9P /r hi >i� L_ nL dleu of 1,A2ro wa - Pivvle �° �� • - � � le ihl! or` - c�ye ire gaol �i�rq Le 0(nXhYn - k a SYYI a _x 40dP r fjc 4 � �' LtJ!/1_ ) /. //7 Gt/G✓/cC/P - iUNC.t�{ ilCl llt2l-✓ f h �ssin /r L - /�?vUJ Ahs CoGt°2 L.4 .� olai 4 / J c.U). / ->"a-& lrlLdr`� 02)(7 1116-&J 2W 23-JAW a rr✓CvaJ-Z ,; P/-p ! 5s/dr )avzJQ h"-40,( k n ✓-- .� / � - ltiz .l ,�'�fa � h ! h per- � Discussion With Person in Charge S r�pO� Ui n(�� Corrective Action Required: ❑ No ❑ Yes P t 1 r t oV / I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee RestrictionExclusion r violations before the next inspection, to observe all conditions as described, and to ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code, I understand that • noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of Ll Embargo Li Emergency Closure your food permit. �` ❑ Voluntary Disposal ❑ Other: f 3-501 W(c) PHFs Received at Temperatures Violations Related to Foodborne Illness Interventions and Risk According to law Cooled to Factors(Items 1.22) (Cont.) 41"F/45"F Within 4 Homs. PROTECTION FROM CHEMICALS 3-501.15 Cooilu Methods for PHFs -- 19 PHF Hot and Cold Holding 14 Food or Color Additives 3-501.16(B) Cold PM's Maintained at or below 3-202.12 Addnrve°* 590.004(17) 41°145°F* 3-302.14 Protection from Unapproved Additives* 3-501,16(A) hitt PHFs Maintained at or above 15 Poisonous or Toxic Substances 140°F. 7-10t.1 l Identifying Information-Original 3-50116(A) Roasts Held at or above 130°F. Containers* 7-102.11 Common Name-WorkingContainers* 20 Time as a Public Health Control 7-201.11 Separation-Stora e* 3-x01.19 Time as a Public Health Control* 7-202.t I Restriction-Presence and Use* 590.004(H) Variance Requirement 7-202.12 Conditions of Use* REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-203,11 Toxic Containers-Prohibitions* POPULATIONS(HSP) 7-204.11 Samtizers,Criteria-Chemicals* - arninga hikes and 7-204.12 Chemicals for W ashen¢ProdLee,Criteria"` 21 3-80't.'I 1(A) Unpasteurized Pre-packaged Beverages with W Wnum Labels* 7-204.14Dr nig Agents,Criteria' 3-901,11(B) Cie of Pasteurized I ns* 7-205.11 Incidental Food ConCnct, Lubricants* 3-801.11(D) Raw of PartiallyCooked Aninuil Forxl and 7-206.11 Restricted Use Pesticides. Criteria* Raw Seed S Hants Not Served. s 7-206.12 Rodent Bait Stations* 3-801.1 I(C) Unopened Foci Package Not Re-served 7-206.13 '(`racking Powders,Pest Control and Monitodn. CONSUMER ADVISORY TIMEITEMPERATURE CONTROLS 3 603.11 Consumer Advisory Posted for Consumption of 16 Proper Cooking Temperatures for Annual Foods That are Raw,Undercooked or PHFs Not Otherwise Processed to Eliminate 3-40LL1A(1)(2) Fig,- 155°F 15 Seo. Patho ins cFr.rve,r aom Eggs-Ltunediate Service 145'FI5sec* 3-302.13 Pasteunied Eggs Substitute for Raw Shell 3-401.11(A)(2) Comminuted Fish, Meats&Game Eggs* Animals- 155'F 15 sec.'s _ 3-401.11(13)(()(2) Park and Beef Roast - 130'F t21 SPECIAL REQUIREMENTS min* 590.009(.A)-(D) Violations of Section 590.009(A)-(D)in 3-401.11(A)(2) Ratites,Injected Meats-155'F 1.5 sec. * catering.motile food, temporary and 3-401.11(A)(3) Poultry,Wild Game,StuffedPl-IFs, residential kitchen operations should be Stuffing Containing Fish,Meat, debited under the appropriate sections Poultry or Ratites-165°F 15 sec. a= above if related to foodborne illness 3-401A I(C)(") Whole-nmscle,Intact Beef Steaks interventions and risk factors. Other 145°F* 590.009 violations relating to good retail 3-401.12 Raw Animal Foods Cooked in a practices should be debited under#29- Microwave 165'F* Special Requirements, 3401_11(A)(l)(b) All Other PHFs-145'F'15see. " I7 Reheating for Hot Holding VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-403.11(A)&(D) PHFs 165°F 15 sec. * (Items 23-30) 3-403.11(B) Microwave-165'F 2 Minute Standing Critical and non-critical violations, which do not relate to time Time* foodborne illness interventions and risk factors listed above„ can be 3-403.1 1(C) Commercially Processed RTE Ford- ,found in the fallowing sections of tine Food Code and IDS CMR 140°F* 590.000. 3-403.11(F) Remainno, UwlicedPortions of,Beef Item Good Retail Practices FC 590.OPO Roasts": 23. Mane omens and Personnel -_ FC-2 .003 ----._ ---- -- Ig Proper Cooling of PHFs 24. Food and Food Protection _ FC-3 .004 25 Equipment and Utensils FC 4 .005 3-501,14(A) Cooling Cooked PHFs from 140'F to 26 Water,Plumbing and Waste FC 5�_o06 70'F Within 2 flour and From 70'F 27. Physical Facility FC-6 007 . to 41'F(45F Within 4 Hours. "` 28 Poisonous or Toxic Materials FC 7 .008 - - 3-50'1_'l4(I3) Cooling PHFs Made From Ambient 2E S ectal Re uirements _ ' .009 Temperature Ingredients to 41'F/45'F 30 Other Within 4 hours:' "Denotes critical item in the tedend 1999 Food Cade or 105 CNIX 590.000. - CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH. RS,CHO NINE NORTH STREET /9z� T Date: Fax:(978)740-9705 Steven Eng 78 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 78A Beaver Street UNIT # 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 ofpayment- 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 M. CERT.# 300-97 " " FEE $25.00 3 r � ' v,. DATE: 05/14/97 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: 78 Beaver Street UNIT #: A OWNER/AGENT: Steven Eng ADDRESS: 78 Beaver Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-1141 - 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 r' CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOA.^,INC SCOTT ^1DH, RS,CH0 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 IT , 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT } 57— UNIT i OWNER/LESSER Cr- MANAGER/AGENT ADDRESS ADDP.ESS /(Il�� — CITY CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE -- TOTAL NUMBER OF ROOMS: lr� ll ROOM USE: I. leI�f�IUxF✓ 2._ �I�(I/(r 3,_a_ & 4 5. 6 ,2 6 2/I1 _7.--8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM WALTH DEPARTMENT THIS} FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE Qt � DATE ��It`1,9 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION / DATE OF ISSUANCE OF CERTIFICATE: -t �gpTE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR A, 3 Mlf� 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: 05/08/97 Fax:(508)740-9705 Mark & Steven Eng 78 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 78A Beaver Street UNIT # Rear 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 I S CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: July 11, 1994 Fax:(508)740-9705 Mark A. & Steven P. Eng 78 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 78A Beaver Street UNITff . -- Dear Sir/Madam: It has come to our attention,that you are about to allow rental of a dwelling unit at the above address. It is incumbent upon you as owner(s)-to contactthe City of-Salem Health Department-to apply for a Certificate of Fitness before any vacant dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter III,Sections 127A and 1276,of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances,-Sectior12-334, 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: MPH RS CHO P ABLO VALDEZ EALTH AGtNT CODE ENFORCEMENT INSPECTOR 3 K CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: July 11, 1994 Fax:(508)740-9705 Mark A. & Steven P. Eng 78 Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 78A Beaver Street UNIT# -- Dear Sir/Madam: It has come to our attention,that you are about to allow rental of a dwelling unit at the above address. —It is incumbent upon you as ownet(sy to conta—athe City of Salem Heafth Departmentto apply for a Certificate of — Fitness before any vacant dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter III, Sections 127A and 1276, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter Il: Minimum Standards of Fitness for Human Habitation,and in accordance with Chapter II, Article XIII of the City-of Salem Code-of Ordinances, Section 2-334,Certificate of Fitness. There is a twenty-five (25)dollar fee payable by check,or money order to the City of Salem Health Department. 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: c- MPH,RS,CHO PABLO VALDEZ EALTH AGIENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/16/99 Tel:(976)741-1800 - Fax:(978)740-9705 Steven Eng 78R Beaver Street Salem, MA 01970 PROPERTY LOCATED AT 78 Beaver Street UNIT # B 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. i 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. qOR ZTHE BOARD HEALTH REPLY TO I Joanne Scott, MPH,RS,CHO PABLO VALDEZ i HEALTH AGENT CODE ENFORCEMENT INSPECTOR I i i