BECKET STREET CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
X 120 WASHINGTON STREET, 4TH FLOOR
/fso' SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 141-08
DATE ISSUED: 3/24/2008
Property Located at: 2 1/2 Becket Street UNIT#House
Owner/Agent: Carol Maher
Address: 123-33 83rd Avenue#2806
City/Town: Ken Gardens, NY Zip Code: 11416 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
q"'X�
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
il
CITY OF SALEM, MASSACHUSETTS
• • BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR ]scorr(n�snia a .COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
PROPERTY LACATED AT gl 1A .BECJ10C-% % UNIT#_
IS'f HIS UNIT DISIGNATED AS RIGHT LENT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER (244aZ_ rJ /fc� MANAGER/AGENT
NO P.O. BOX
ADDRESS/A7.3-03 93 1gP5, ADDRESS
CITY,STATE,ZIPt(ELd �,tAb6;4�_/f `l/gyCITY,STATE,ZIP
RESIDENCE PHONE?�'o?c� h��/�� BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: Fo
ROOM USE: I.dFi/Ct 2.L/ U/A& 3. 1h/r1)/A6 4. I-17&,14. 65i�
6. k,�F)S 7. 8. 9. 10.
THERE IS A TWENTY-FNE($25)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH THIHI]S FEE IS PAYABLE AT THE/TIME OF INSPECTION /
APPLICANTS SIGNATURE ( � %�lav�/�CJ DATE (3/G11a
log
Inspectors use only
Date on initial inspection: u _ b g Date of reinspection:
Date of issuance of certificate: ' Y Date fee paid: f
Type of unit: DwellingY---Other Check# (C 7 Check date: - 3- `(' a
Notes:
Code Enforcement Inspector
I
a CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a � 120 WASHINGTON STREET, 4TH FLOOR
` SALEM, MA 01970
,p�, TEL. 978-741-1800
�'� FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#227-04
DATE ISSUED: 05/27/2004
Property Located at: 3 Becket Street UNIT# 1
Owner/Agent: Damian Flynn
Address: 3 Becket Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-836-6729
An inspection of yourvacant Dwelling/Rooming Unit at the above address has been approved and is in
compliancewith 105 CMR410.000: 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.
F R THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 0�
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 :3 (5eCVf4- S r UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I NA),O rM%*9 F�l A�MANAGER/AGENT
No P.O. Box ' 1 No P.O. Box
ADDRESS 7 �� � S 1 ADDRESS
CITY 'SAI 2rll CITY rn/f
RESIDENCE PHONE 779 7Y0 Q%7%USINESS PHONE (24 HRS.) Y7!�3 X (v �77i`J
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: d
ROOM USE: 1. 2.
5. �ti Rte"6._ 7. 8 W Qp�
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 S-2 O
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S/ O`f DATE OF REINSPECTION IL
DATE OF ISSUANCE OF CERTIFICATE: f/?'i/� DATE FEE PAID: S o
TYPE OF UNIT: DWELLING BOTHER_ CHECK# 1989' CHECK DATE C
NOTES: ig-r4&a Wrr190✓ R.f�/'ih c 114&,,W rjpr�K 1q,
&Adr,&- Arlo ELWt/r L3A r /, r schs&7/
CODE LNFORCEMENT INSPECTOR 9/28/98
�coxwT
L
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
10/11/2000 Fax:(978)740-9705
Richard Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 3 Becket Avenue UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; 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.
4;0R THE BOARD QjP HEALTH REPLY TO
oa tt, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.# 246-96
FEE $25.00
3
DATE: 04/22/96
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: 4 Becket Street UNIT #: 1
OWNER/AGENT: Denise MacKay
ADDRESS: 4 Becket Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1848
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 F HEALTH
/;9��j717d^CrKbC ,.�` Iofj
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
OFFICE USE ONLY
i) CERT: 0
DATE:
CITY OF SALEM BOARD OF HEALTH
Satem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY:CODE, _CHAPTER II, 105 CMR 610.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT. ✓� �>� 2 -'� �5 � UNIT 4__�
OWNER/LESSER MANAGER/AGENT
ADDRESS Jf ! ; ADDRESS
CITY CITY
.,RESIDENCE PRONE_ " ��ya . .' BUSINESS PHONE (24 HRS.)
BUSINESS PRONE
TOTAL NUMBER OF ROOMS: Z5 � a
ROOM USE: I . 2.i�d���¢ 3�=���G.�La�4.�r��.,r��.x� I
1. 8.
f
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE64 DATE /
i
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: Vas/5c DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-I _ —!?- _DATE FEE PAID:_ q�
TYPE OF UNIT: DWELLING ✓ OTHER
} NOTES :
h CODE ENFORCEMENT INSPECTOR
1
3
Ilk
MR-B
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO � )I NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date: 03/08/96I Fax:(508)740-9705
A6, 5�
Denise Mackay
4 Becket Street
Salem, MA 01970
PROPERTY LOCATED AT 4 Becket 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.
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
SND " City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PublicHealth
MA 01970 P,event. Prnmo,e. Pr."M
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-15-63
DATE ISSUED: 5/4/2015
Property Located at: 5 BECKET STREET UNIT#1
Owner/Agent: Lilo Gallagher
Address: 44 Simon Atherton Row
City/Town: Harvard, MA Zip Code: 01451 24 Hour Phone:(978) 772-3311
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,--A4�
W
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
• CITY OF SALEM, MASSACHUSETTS
y� BOARD OF HEALTH
Y
120 WASHINGTON STREET,4 m FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDINgSALEM.COM
LARRY RANIDIN,RS/REFIS,G 10,CP-PS
H E.AI;Hi AG I?N7'
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 5 6 EG K E T 5T• UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER 41 L O (-A1,61-?6W ER MANAGER/AGENT
NO P.O. BOX
ADDRESS 4H 5 N&O ?M6A;r0AJ &)U) ADDRESS
CITY, STATE,ZIP /'//ale VAIZ D. A'1A O t N5 I CITY, STATE,ZIP
RESIDENCE PHONEq7&-78' 77Z- 3311 BUSINESS PHONE(24HRS)6 17-69q - 754/0
BUSINESS PHONE // r.Qhar fur @ c11a�-F�r , h�
TOTAL NUMBER OF ROOMS: tP
ROOM USE: 1. 0V/NG- 2. OFFICE 3. KI'rcNEN4. 9AT74 5. 3EP96bk0/D/A1!nNG-
6. 66PACDAf 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:il}II je Date of reinspection:
Date of issuance of certificate: Date fee paid: Lt 30 l S
Type of unit: Dwelling------Other-Check# i O as Check date:TT S
Notes:
Code Enfor6iment Inspector *15 -63
�pNDI ,�� City of Salem, Massachusetts
Board of Health
Wu m 120 Washington Street, 4th Floor, Salem, PublicHeatlth
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-15-62
DATE ISSUED: 5/4/2015
Property Located at: 5 BECKET STREET UNIT#2
Owner/Agent: Lilo Gallagher
Address: 44 Simon Atherton Row
City/Town: Harvard, MA Zip Code: 01451 24 Hour Phone:(978) 772-3311
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
4m4"-
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
I CITY OF SALEM, MASSACHUSETTS
r BOARD OF HEALTH
r 120 WASHINGTON STRFET,4"'FLOOR
TFL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDIN a SN[M.COM
LARRY RAMDIN,ItS/R 1:1 IS,CI-IO,(T-1,S
H FAL 17i A(;i N'r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT ✓r BeG K C T 5T UNIT# 2—
IS
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSERA/1-0 15104-C 6)q6 Q MANAGER/AGENT
NO P.O. BOX
ADDRESSO/ 31NON FITNERlOQ RDW ADDRESS
CITY, STATE, ZIP94911hd%) IVA 0/y5/ CITY, STATE, ZIP
RESIDENCE PHONE 978 -77Z - 7✓3 BUSINESS PHONE(24HRS) t'o l7- 6 9q - 75,VO
BUSINESS PHONE A kq rP\;r &_ ckarfer,, ke--t
TOTAL NUMBER OF ROOMS: 5
ROOM USE: I.t I Y/N(r 2. OFFICE 3.PICAE/1/ 4. &41)l 5. eEP9&VM
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: � I o /,/,5 Date of reinspection:
Date of issuance of certificate: Date fee paid:l 5
Type of unit: Dwelling----Other—Cheek# j a D a Check date:A3I/5
Notes:
"W&
Co- de-PnWrcement Inspector 47 �/a
wnff
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax:(978)740-9705
02/14/2001
Richard E. Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Becket Street UNIT #
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate- of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD - HE TH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent - CODE ENFORCEMENT INSPECTOR
��CONOIT
� x
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
Fm: (978)740-9705
04/02/2001
Richard E. Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Becket Street UNIT # 2L
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.
I
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.
R THE BOARD HEALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
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: 05/08/97
Fax:(508)740-9705
Richard E. Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Becket Street UNIT # 2L
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 0� REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
ye
3
d'
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: 12/12/95 Fax:(508)740-9705
Richard E. Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Becket Street UNIT # 2L
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
V
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
1�
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: 04/11/95 Fan:(508)740-9705
Richard E. Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Becket Street UNIT # 2L
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 &ENCLOSED SECTION 1OS 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
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
02/05/2001
Richard Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 1/2 Becket Street UNIT # House
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
! Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
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.
qOR THE BOH REPLY TO
oanne
Scott,
H A T
MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
l R
3
11� )IF
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: 03/27/97 Fax:(508)740-9705
Richard Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7 1/2 Becket Street UNIT # House
Dear Sir/Madam:
It has come to our attention, _that you may be considering renting a dwelling unit
at the above address.
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
XIIIof 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
Fiidav 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
� • .jCO�IY{4�
Iy 'r 4
Y `k
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
_ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
508-741-1800
DATE: September 9, 1993
Richard E. Savickev
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 7$ Becket Street UNIT 0 ---
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 contact the 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 II1, Sections 127A and 127B,
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, Chap-
ter II: 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 upon issuance of Certificate.
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 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY
Very rt(ily`yours,
FOR THE BOARD OF HEALTH REPLY TO:
10 ,9
Robert E. Blenkhorn, C.H.O. PABLO VAT_DE2
Health Agent Code Enforcement Inspector
b M1
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: 04/30/96 i , Fax:(508)740-9705
Deanie Leonard
6804 Bonnie Ridge Drive Apt. 201 � ,��7)
Baltimore, MD 21'209
PROPERTY LOCATED AT 9 Becket Street UNIT # 1
Dear Sir/Madam: 000
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 f.Yom 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
L
CITY OF SALEM MASSACHUSETTS
J BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DcxeasNBnuu(d nu u.cc u
DAVID GRI:;ENBAOM
ACTING HEAL.1iri AC FNT
CERTIFICATE OF FITNESS
CERTIFICATE#71-10
DATE ISSUED: 2/16/2010
Property Located at: 10 Becket Street UNIT# 1
Owner/Agent: Robert Chilton
Address: 13 Saunders Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-429-7380
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.
FORBO THE HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENF CEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
!Z BOARD OF HEALTH I '
120 WASHINGTON STREET,4"1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUM(7 SALEM.COM
DAVID GREENBAUM,
ACITNG 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."
L 0 FEE: $50.00
PROPERTY LOCATED AT D �eC�e7_ ��. J/9-(ev_t UNIT#41
IS THIS UNIT IDISIGNAT/ED ASS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER R rA_P_ - -- C lnL ,4 MANAGER AGENT
NO P.O.BOX
ADDRESS // ( � Sally"J-Pi S 1-ADDRESS
CITY, STATE,ZIP Sir 12w� CITY, STATE, ZIP IM 14 Q mU
RESIDENCE PHONE (P 1'7- q Z 9 - 7?Ga BUSINESS PHONE(24HRS)
BUSINESS PHONE S r",_Q_
TOTAL NUMBER OFROOMS:
�m _
ROOM USE: 1. ,y1 2. ���! 3. V��k�� 11. D-e✓l 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 P�L AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE Co ()
Inspectors use only
Date on initial inspection: II(Q!I U Date of reinspection:
Date of issuance of certificate: if(p'1 0 Date fee paid:
Type of unit: Dwelling 1/" Other Check# S S Check date: jkdotl_
Notes: l`. d WIr1Cayi *) h6ujf- . Syzza frr sIpryla , +)rn dG ul( A6�-
-SIX b16lcvL d(L)r w>nd6w inclvt . til h °�
SU �V b64vo6M w y)Uw �G1VII�G� IN S
�!`"'�-- Cel l vl�s)
Code En ce ent Inspector
WND 4 City of Salem, Massachusetts
q Board of Health
120 Washington Street, 4th Floor, Salem, PublicHea ith
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-16-194
DATE ISSUED: 6/3/2016
Property Located at: 10 BECKET STREET UNIT#2
Owner/Agent: Emil Kraner
Address: 404 Paradise Road #2
City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone:(617) 306-7413
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
00 ffrIr zos WY
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS .
BOARD OF HEALTH
120 WASHINGTON STREET,4m FLOOR
TEL. (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOIL Iramdin@salem.com
LARRY RAMNIN,RS/REIiS,CHO,CP-f�
MAYOR HL'A nj 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 Q�
PROPERTY LOCATED AT /,g -T,/ f� uNIT#
IS THIS UNIT DISIGNATED ASESN' FRONT ORBA KC PLEASE CIRCLE ONE
OWNEMLESSER �i4tie� MANAGER/AGENT
NO P.O.BOX
ADDRESS ADDRESS
CITY, STATE,ZIP Flo�/ /�a ra�/ir� Rc✓ A(,! CITY,STATE ZIP S,v saps G lid /yf>�/9�
RESIDENCE PHONE 6 306 ��i/3 BUSINESS PHONE(24HRS) �° 5'� `�o
t
BUSINESS PHONE (/
TOTAL NUMBER OF ROOMS: /
ROOM USE: 1. 2. f 3. �wib5 4. Xeje A , 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 PA LE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE Z/"o16
Inspectors use only
Date on initial inspection: n���6��16 Date of reinspection: 01*1201L—
Datee of issuance of catficate:j0v5gz2Q1L Date fee paid: 0Sdb X 20
Type of unit: Dwellin Other Check#2 Check date: O��Z2
Notes:CsfL ej
9 ement actor
Inspection of M49VQ2,C�Mekd Date CSS 14 20ILTcim�e 11:30,.,
Name Address �� P -t++
Owner ' —Allu a eg K Tel No. �z.Z'7-7 D' tfpto .r rh e)L
Type of Inspection Cer-F; a4r- glno Inspector i „ BtxY)05V
( ' 1 Remarks and Violations are listed below: I/
— !
w r
p^ II�__
2 AQ � ��s� Gle,'I'�G"�nV',
Sv
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Report Received by:
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and $Ads °;
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♦ ♦ y
CITY OF SALEM MASSACHUSETTS
b BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR 1DMNCINI& 1,FNI.CONI
]ANFT MANCINI.
ACTING HFALTI-I AGENT'
CERTIFICATE OF FITNESS
CERTIFICATE#219-09
DATE ISSUED: 5/14/2009
Property Located at: 10 Beckett Street UNIT#3
Owner/Agent: Robert Chilton
Address: 13 Saunders Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-429-7380
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 1
p OS 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
rv- .u_
JANET MANCINI
ACTING HEALTH AGENT C ENFORCBWNT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4."FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR JMANCINI&SALEM.COM
JANET MANCINI,
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 ( 19 -RecV2Aa 3 sA�M UNIT# 3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �s C �A�,oh MANAGER/AGENT
NO P.O.BOX pp 1
ADDRESS �3 SA 4e St. ADDRESS
CITY, STATE,ZIP SFa evvv , CITY, STATE,ZIP V_V-� A 61 k-7 0.
RESIDENCE PHONE t-1- `r2 9- 3�' BUSINESS PHONE(24HRS) 544," -
BUSINESS PHONE Sff^^C
TOTAL NUMBER OF ROOMS: a
ROOMUSE: 1. L;vin� 2. 73'eJ 3.
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 PAYAB T ME OF INSPECTION l
APPLICANT'S SIGNATURE DATE
p Inspectors use only
Date on initial inspection: (( I I Date of reinspection: I_Sholcri
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_Check date: ghl
Notes:l�r U�I�hda Vtrl+ t�Or6ord DfOuMe &_r-PZn:T-for w( .bEc com Windot.Ak�,
�,mum t oI a bei( t -
�h bucKl�ta.11} s I�tprov� �i ix� in
,elucK hall; Qnwte,Cod �c I-�l in, gar hwll 116hq-
C d nfcrcement Inspector ✓ � L�n� �I4LL Smote & t
A+ +vm of M--irtfecAiol) -ca �uipolaf+ons come c�tecyl- e� lt�t��v e( � bcc
lef
h01 ord ti+t C0v''"-;ff and , ()LOK f io czrre {�s �C
v CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
�4,ytgg 120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR IMANCINl(Cr)SALEM.COM
JANET MANCINI,
ACTING HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
7
Tenant/ ssee Ownner/Lessor
Robert Chilton
PO Box 4446
Salem,MA 01970
Address Address
� 6 3ec�P-4a- S� .
Address on unit to be inspected
513/0
Date
i
CITY OF SALEM, MASSACHUSETTS
r
BOARD OF HEALTH
120 WASHINGTON STREET,4 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR IMANCINI@SALEM.COM
JANET MANCINI,
ACTING HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Reeulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned ownedlessor 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 aid-inspection.
I �
Tenant/Lessee Owner Lessor
Robert Chilton
( d 3Er� ox 4446
e S 3 Sa mBMA 01970
Address Address
Address on unit to be inspected
Date
K
CERT:# 71-00
n
3 1 !P R FEE '$25.00
1 DATE: 02/03/2000
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(976)741.1800
Fax:(978)740.9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Becket Street UNIT #: 4
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derby Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-2442
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 O� V
JOANNE. SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
y
q `� 30
v��CONDIT.(i.
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 1�— �L���. UNIT#S
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER—b3'(" ,<- MANAGER/AGENTaJ � r
No P.O. Box No P.O. Box
ADDRESS AADDRESS
CITY '� CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) rft4( -&H Z
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: '/
ROOM USE: 1. UL 2. 3. BYL 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- LTH-DEPARTMENT-THIS FEE IS PAYABLE AT THE ---- ----TIME OF INSPECTION.
APPLICANTS SIGNATURE LDATE S-C 0
ORP21u- ,ONLY
DATE OF INITIAL INSPECTION,2-- 3- 00 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-?-0-P DATE FEE PAID: 2 -,5 s�
TYPE OF UNIT: DWELLING�OTHER_ CHECK#hS-J CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
I
y v�
CERT.# 647-95
3 FEE $25.00
DATE: 009/14/9/14/
95
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: 10 Becket Street UNIT #: 4
OWNER/AGENT: Fred J. Cardella
ADDRESS: 63 Memorial Drive
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0047
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 I/I
ANN . 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 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 f CS t/�p�, y,j� UNIT I�__
OWNER/LESSER i ' 1���j1 MANAGER/AGENT
ADDRESS (� �y/�Lyy/p �/�yQ (4 ADDRESS
CITY �i( E�Et �J9 /� CITY
RESIDENCE PHONE W5`- oq ;7 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE — —
TOTAL NUMBER OF ROOMS:-_J
ROOM USE: 1. 2. 3• 4 •
5. 6. 7. 8.
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS�PAYYABBALE AT THE TIME OF INSPECTION
APPLICANTS SIGNATDRE f�i G Lam`SGC DATE �I �f,5
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSE1"1 S
BOARD OF HEAL l7{
120 WASHINGTON STREET,4"'Flxx0R
TEL. (978) 741-1800
KlMI3ERLL.Y DRISCOLL FAY (978) 745-0343
I \YOR 1ramdinQsa1e1n.com
1.,ARRY RAiMI)IN,RS/RH[S,(,:I 10,CP-Ii.S
1-f rm,PI-I AG FSN'I'
CERTIFICATE OF FITNESS
CERTIFICATE#490-11
DATE ISSUED: 11/18/2011
Property Located at: 11 Becket Street UNIT# 1
Owner/Agent: Chester Chalpowski
Address: 119 Water Street#65
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 921-4945
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 RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
IL — -
iry
CITY OF SALEM, MASSACHUSE FT'S
BOARI)OF HEALTH
120WASHIzNGTONSTRE1?T,4'" Ft,<>tiR ����
Teti.. (978) 741-1800
K1MI3fsltLt Y L�RISCOi.I. F, x(978) 745-0343
MAYOR xa�st�IN�a�S��.r.nt.cotil
1:.nlluv 1ZA6dDIN,ias/Iia1!s,c:!iii,cr-FS
FLP.ACfi I ACllEN'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"
J ,rFEE: $50,00f�
PROPERTY LOCATED AT l lr ' �E 1 UNl"C#
IS THIS UNIT D,IS,IGfNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE.ONE
OWNER/LESSER "" GL/ MANAGER/AGENT
NO P.O.BOX
ADDRESS �Y �J� / ADDRESS
CITY, STATE,ZIPt''i� / CITY, STATE,P ZIP-
RESIDENCE
IP
RESIDENCEHO NE 7 4 ✓ if BUSINESS PHONE(24HRS)
BUSINESS PHONE -/ Z6"1 1/ _
TOTAL NUMBER OF ROOMS:
ROOM USE: 1lr`l/t�7� 2 i� T�l 3 � 4 9(3OQ�iLS:
T 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAY E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYAB AT THE T E OF INSPECTION
APPLICANT'S SIGNATURE ' DATE ld
nsDectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: I ')$ )) Date fee paid: jo 'Z.t
Type of unit: Dwelling ✓ Other Check# }3t- Check date: )c1 - 2,L) }
Notes: Z�,QF413 TJ�S1� nY� Cvly�clb,
A \ -
—.._
ale Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWw.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#324-07
DATE ISSUED: 7/18/2007
Property Located at: 11 Becket Street UNIT#2
Owner/Agent: Chester Chalupowski, Jr.
Address: 119 Water Street#65
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 921-4945
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.
F THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPE OR
r�
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
c
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO -
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT—//— UNIT 4tA4� /
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OW NER/LESSER MANAGER/AG ENT
No P.O. Box ` No P.O. Box
ADDRESS ADDRESS
CITY�� - —CITY --
RESIDENCE PHON _BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.- -- 2 ; _��
5. _--0` ---T -----8'-- --
THERE IS A TWENTY-FIVE (525.00) DOLLAR EE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEA DEP RTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE -- - --- - — -- --_-DATE—�/
CTORS USE ONLY
7
DATE OF INITIAL INSPECTION - 711161 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE 7,1 07 DATE FEE PAID —7 —
TYPE
TYPE OF UNIT: DWELLING _11'0�THER CHECK P. 3 C FCK GATE
NOTES _
----------- ---
CODE ENFORCEMENT INSPECTOR 9/28/98
1
G�
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH lu
120 WASHINGTON STREET,4T"FLOOR 1�1b)�1CHC81,�1
Prevent.Pmmorc.Prolate.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdinnsalem.com
LARRY RiAMDIN,ILS/RI3hIS,CI-IO,CP-IS
MAYOR HEN.I7:I:AGENT
January 28, 2013
To whom it may concern
RE: 11 Becket Street, Unit 3, Salem MA 01970
Please be advised that per City of Salem Ordinances, Chapter 2, Article IV, Division 3, Section 705 :Certificate o/
Fitness of rented Dwelling unit, apartment or tenement, there is no current or valid Certificate of Fitness on file for
11 Becket Street Unit 3, Salem, MA .
A Certificate of Fitness was last issued for said apartment, rented dwelling unit or tenement was last issued on July
18, 2007. That certificate was good for one year from the date of issue (expired July 17, 2008). No further certificates
as required by City of Salem ordinance have been issued for this apartment, rented dwelling unit or tenement
Please feel free to contact us if you have any questions
Yours Very Truly
Larry A. Ramdin
Health Agent
cc: File
Municode Page 1 of 1
Sec. 2-705. - Certificate of fitness of rented dwelling unit, apartment or tenement.
(a) Owner1lessor responsibility. Whenever a rented dwelling unit, apartment, or tenement, other than
one in a hotel or motel, is vacated by the occupant thereof or prior to such vacancy, the owner or
lessor of such residential property shall be responsible for notifying the board of health of such
vacancy and for scheduling an inspection required by this section.
(b) Certification required; fee. Such unit must be certified by the board of health or its agents as
meeting 105 CRM 410.000, State Sanitary Code, Chapter 11, Minimum Standards of Fitness for
Human Habitation, as promulgated and from time to time amended by the state department of
public health prior to being reoccupied by a new occupant. The fee for such a certificate shall be
$50.00.
(c) Refusal of certification. If, after any inspection by the board of health or its agents pursuant to this
section, an inspector refuses to issue a certificate of fitness, such inspector shall issue a written
order or copy of the inspection form setting forth the violations of chapter 11 of the state sanitary
code existing in the unit, which must be corrected before a certificate of fitness may be issued. It
shall be the responsibility of the owner or lessor receiving such order to notify the board of health
when such violations have been corrected.
(d) Time limitations on inspections. The board of health shall make such an inspection within five
working days of notification. If the inspection shall not have been made within five working days,
the owner or lessor may rent the unit.
(e) Posting of certificate. Upon issuance of such certificate, it shall be posted in a conspicuous place
in which the unit is located or a copy of it shall be given to any person occupying the unit.
(f) Appeal procedure. The appeal procedure from any decision of the board of health shall be same
as that set forth in chapter 11 of the state sanitary code.
(9) Records. Whether or not a certificate of fitness has been issued by the board of health for a
particular unit shall be a matter of public record.
(h) Penalties. Any owner or lessor of such property used for dwelling purposes failing to comply with
this section shall pay a fine of up to$20.00 each and every day that he allows any person to live,
occupy, or inhabit the premises without having received a certificate of fitness from the board of
health for a particular unit.
(i) Reinspections. No rented dwelling unit, apartment, or tenement shall be required to be certified
for occupancy more than once in any consecutive 12-month period.
G) Exemptions. Exemptions from this section shall include property owned and managed by the city
housing authority and any new construction completed less than five years prior to date on which
the rented dwelling unit, apartment, or tenement becomes vacant. Also exempted from this
section is property consisting of 100 or more rental units that is subject to periodic inspections by
the state housing finance agency, the Metropolitan Housing Assistance Program, the Department
of Housing and Urban Development, and/or the city housing authority.
(k) Right to inspect. The board of health reserves the right to inspect any dwelling unit, apartment, or
tenement at any time.
(I) Other remedies. This section shall not be construed to impair any common law or statutory cause
of action or legal remedy therefrom of any person for injury or damage arising from any violation
of this section or from other law.
(Code 1973, §2-344, Ord. of 7-17-2008, § 1)
http://library.municode.com/print.aspx?h=&clientID=11521&HTMRequest=http%3a%2f... 1/28/2013
CITY OF SALEM, MASSACHUSETTS
a i BOARD OF HEALTH
a 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#325-07
DATE ISSUED: 7/18/2007
Property Located at: 11 Becket Street UNIT#3
Owner/Agent: Chester Chalupowski, Jr.
Address: 119 Water Street#65
City/Town. Beverly, MA Zip Code: 01915 24 Hour Phone: 921-4945
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 oftheSalem 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
JOO NN`�, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
1
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
JOANNE SCOTT, MPH, RS, CHO -
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION",
PROPERTY LOCATED AT_//— ee��! UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT_
No P.O. Box
.O. Box
ADDRESS �D ESS
CITY CITY
RESIDENCE PHONE l BUSINESS PHONE (24 HRS.)_
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1/ _ 2 .
5. — -8.---
THERE IS A TWENTY-FIVE (' 5.00) LAR FEE, P ABL BY CHECK OR MONEY
ORDER TO THE CITY OF SALE EAL H DEP HENT IS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR -_-_.-_PATE___ _
N. E -OR E ONLY
DATE OF INITIA ECTION _.- b'� DATE OF REINSPECTION 7-- 0 7
DATE OF ISSUANCE OF CERTIFICyTE DATE FEE PAID: 7`
TYPE OF UNIT DWELLINGOTHER CHECK = 3 39 CHECK DATE 7 - 3
,
NOTES:
CODE ENFORCEMENT INSPECTOR 9/2&198
IntpectionOf /� / �C.:ff t -"5y �Q� # / 2 Date */� Z) 7 Time
Name_!�P7'ifl�(Ya f0 / Address
Owner(' hass- ��2 fnh(_ /(�l/n--('�i7/�, scs — Tel. No. l r tP� /51/ 4
Type of Inspection / 0 k)4 . a, l'I�/)f'�� Inspector . '' ���(/17�Q /�l - AOfl
( ' ) Remarks and Violations are listed below: •../
O (J/,0,120I ,%n //lY 2 PF;17 K /Jd//-/
,/
111
,< WS2 JTZ!//S
ff Cl/f c�a0/h . a'Gt CA34 n 0 4 t 4e , .
/Cr //C/
All
�j r y
Rgvl M/ -
`Y1/ C4nG7
a OW1 ll hgar ml �l�
Report Received by: /
v
• - f i
Inoecbbl'bf / 1 �ti 't,. f _ . '��Y.� T' � � J � Date IA/0 � Time
Name
oe �,�r, Ia of T, /I) c Address ll � �`� n
h -Y),
I_ /
Owners � hG "��e,�. (� �J /// klil ),al�. Tel. No.Type of Inspection 0-49 i; 1 /If�`1� Inspector . i ' 1 1161 ou '.l ' 6/ A'-I"
( ' Remarks and Violations are listed below: ./
L1-1,;i,dwl (-�GUF YWY/1 Frr7l>�N• �< ,JC1 ! S� •err
I r —
i/ 11nb � �,�,��� J�✓ iii/( f , ..�:', � J
c7r7L Nof� lrnrt °
G�° '1'JPr� ���• r,'r�> �� rarer > i� +
d,l Idr `U 2il .illt( \
Il I�C1 Di�1C/ /( ~ !, '7 6 d �fl P ,t�.
4 I�
K fr��/l '41�: 'lll r '`fic.rr�J�rJG J�11/t 'fCC/�C S 14
„r�� /ir)l� fl�I!/C( LCJ1 /ZUrI�C • /y
J /
1 �y
v F f looz V
TT h�r 6 f a
,di ngy �n in �r�1 y Mo / ��vm A,)I l
f' i(i , 7y�/1 l"ttPO Y� f17 �/�r✓��1��� t?p ��///� >('/�L'.E {Z . a' i
/ J
f7rde /'J/?////ol// . /?-y
Report Received by: �
r
' r•- �'"." _� ..,`'�'^s,r^>'"'c c ---ems .3•.. �iS,.�m '.2�"..n `tom.eaa` C .�- .c> x
1�i .':"y 43e2 a..^.rf si2�? i r•^4'y X45 .a JB M4.F;'�'. ar rpi cwt flan;,
,
3 t1rP
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT 1-1800
10/22/99 Fax:(978)7440.9 05
Wayne Trecartin c/o Sheila Locke-LeBlanc
12 Becket Street
Salem, MA 01970
PROPERTY LOCATED AT 12 Becket 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.
j 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
i which cross-metering has been proven eo exist.
FOR THE BOARD OF HEALTH . REPLY TO
I
I
_ Joanne Sco t, M�HO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
1
CITY OF SALEM, MASSACHUSETI'S
BOARD OF HEA111-1
120 WASHINGTON STREET 4`" 11OO1t
TEL.. (978) 741-1800
KID4BERLEY DRISCOLL FAX(978) 745-0343
MAYOR Iramdin(@salcm.com
LARRY R,,\MDIN,RS/RF1IS,CI IO,CP-I;S
HI'e\1;I'l 1 A(;vN'1'
CERTIFICATE OF FITNESS
CERTIFICATE#489-11
DATE ISSUED: 11/18/2011
Property Located at: 13 Becket Street UNIT# 1
Owner/Agent: Chester Chalupowski
Address: 119 Water Street#65
City/Town: Beverly; MA Zip Code: 01915 24 Hour Phone: 921-4945
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
LARIRYRAMDIN fi
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF 1-1EALTH
120 WASHINGTON STREET,4"' ht.of�R
TSL. (978) 741-1800
KIMBERLE.Y DRISCOLL FAX (978) 745-0343
MAYOR unmminl�5ni.r:�1 ro.�i
L.AItm'R.,AhI DIN, RS/IWI
HFAI.I I I Ac;F:NT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
J FEE: $50.00
PROPERTY LOCATED AT / UNIT#—)—
Q IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER/� (�� ��� MANAGER/AGENT
No P.o. BOX q� n/ / DRESS
ADDRESS i y( �/� rJ �y
CITY, STATE,ZIP V� /'!/- -0 7T—CITY, STATE, ZIP
RESIDENCE PHONEn y ?J/['BUSINESS PHONE (24HRS)
BUSINESS PHONE 7 !
TOTAL NUMBER OF,,//ROOMS: //n� �p // /��
ROOM USE: r9T/Y.(l'Ou-t-2.(5f�ir 06&3. QA Aet 4.,t7' 46'Acy'5 0/212
6. kV7. 8. 9 10 /
THERE IS A FIFTY($50)DOLLAR FEE,PAY A nLE BY CHEC OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAY ' THE TIM F INSPECTION
APPLICANT'S SIGNATURE DATE
jqderctors use only
Date on initial inspection: 16 -Z F-11 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# L)S1- Check date: 10
Notes:
r
Code Enforcement Inspector
t
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
n 120 WASHINGTON STREET, 4TH FLOOR
fA
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#607-07
DATE ISSUED: 12/6/2007
Property Located at: 13 Becket Street UNIT#2
Owner/Agent: Chester Chalupowski, Jr.
Address: 119 Water Street#65
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 921-4945
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
qvLv��
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
` CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT -UNIT
IS THIS UNIT DESIGNATED AS/JR'IIG�jH,jTT LEFT FFRRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER � L�"'=-I/U�11)5 MANAGER/AG�ENT ,
No P ADDRE 50T �_ADDRS
CITY CITY
RESIDENCE PHONE ?Z- BUSINESS PHONE (24 HRS.)__ _
BUSINESS PHONE_� � 1 —
TOTAL NUMBER OF ROOMS:_.
ROOM USE: 1 21
,,7 4.--A,
5.PW�� —_ .
006. _7___8__
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR <� ��—BA-TE_
INSPECTORS USE ONLY
DATE OF IN( L INSPECTION /'2 - A .o _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/gg-L -0 9 DATE FEE PAID:--/,,Ol —( '"'D 7
TYPE OF UNIT: DWELLING OTHER_ CHECK# SrG CHECK BATE 1
NOTES:
CODE ENFORCEMENT INSPECTOR 9/2$/98
1
Y CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
<Ao SALEM, MA 01 970
-� TEL. 978-741-1800
FAx 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT IIS
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #608-07
DATE ISSUED: 12/6/2007
Property Located at: 13 Becket Street UNIT#3
Owner/Agent: Chester Chalpowski
Address: 119 Water Street, Apt.65
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 921-4945
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 H
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN
(H-ABITATION. �G
PROPERTY LOCATED ATi_ d UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERCtn, �? GER/AGENT
No P.O. Box No P.O.Bax
ADDRESS /✓ �5 ADDRESS G�l�
CITY CITY„
RESIDENCE PHONEPeV
B,USINESS PHONE (24 HRS.)
BUSINESS PHONE ' �s���Gu--S
TOTAL NUMBER OF ROOMS:___!��2._� �cca�
ROOM USE: 1142._,Jge 4._.
THERE IS A TWENTY-FIVE($25.40)DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
rr7
APPLICANTS SIGNATURE �� r _DATE— 07
r
TORS U E ONLY
DATE OF INITIAL 1 CTIO N _DATE OF REINSPECTION —
PATE OF ISSUANCE OF CERTIFICATE: ?:1—o�_DATE FEE PAID:_/V7 .d
TYPE OF UNIT: DWELLIt1}f OTHER._ CHECK# 3 $:�CHECK DATE
NOTES: —\
CODE ENFORCEMENT INSPECTOR 9/28/98
S CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR PublicHea Ith
TEL. (978) 741-1800 FAx(978)745-0343
KIMBERL.EY DRISCOLL Itamdirl@salem.com
L;A liRl'R;A bDIN,RS/RL+1 i5,CF[O,CP-FS
MAYOR HE;V;ri I AGL:NT
CERTIFICATE OF FITNESS
CERTIFICATE#386-14
DATE ISSUED: 10/30/2014
Property Located at: 14 Becket Street UNIT# 1
Owner/Agent: Nadean Family Trust/Cynthia Nadeau
Address: 747 A Cedar Crest Drive
City/Town: Warrenton VA Zip Code: 20186 24 Hour Phone: 703-303-6506
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
- fie'
� y
LAR MDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH v
120 WASHINGTON STREET,4`171,0011
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR I RAMDIN&M,r..M.COM
LARRY RAhfDIN,RS/RGIIS,(,MO,(:P-Y'S
HEALTU 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 i Y /3Fc Ket ST '::,�Afe m We UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER IQd6,,to rL vt :V t ST MANAGER/AGENT fvk)a-Glut L-
NO P.O.BOX
ADDRESS ADDRESS 1'7y2 x) Cedmr C.resT Z��
CITY, STATE,ZIP CITY, STATE,ZIP \00,tr f e ,q46,n VL2 i
RESIDENCE PHONE BUSINESS PHONE(24HRS) 90 3 - 3o3-6 So
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. Il 17C pG,L) 2. -D,Al n1(A;6 3. G u'M 6 4. 60J r00rv\- 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 DATES1�
Lectors use only /
Date on initial inspection: 3T Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# J Check date:
Notes:
6&� ent Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
124 WASHINGTON STREET,4'FLOOR. ....
Prevsn,.Promote.Prolscr.
TEL.(978)741-1804 FAx{978} 745-0343
KIMBERLEYDRISCOLL Iramdin(tr�,salem.com
LARRY RqNiD[N,RS(REHS,GHO,
MAYOR HEN;I7-I AG f..Nf
CERTIFICATE OF FITNESS
CERTIFICATE#55-15
DATE ISSUED:2/24/2015
Property Located at: 14 Becket Street UNIT#2
Owner/Agent: Cynthea Nadeau
Address: 747 A Cedar Crest Drive
City/Town: .Warrenton VA Zip Code: 20186 24 Hour Phone: 703-303-6506
Pursuant to the requirements of ally 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.
OR THE BOA D OF LTH
LARRY RAMDIN
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 LRAMDIN ;ALF,M.COM
LARRY RAMI)IN,RS/R[-'.HS,(T IO,CP-ISS
Hvm,TH AGENr
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 1 ` j I r kPT �T2�e T UNIT#�_
IS THIS UNIT
11D'' G''ISINATED AS RIGHT LEFT FRONT OR BAC K PLEASE CHICLE ONE
OWIVBd�
OWNER/LESSER L11.4 1,A 111 MANAGER/AGENT
NO P.O. BOX �^
ADDRESS W7 A-Ce-ciP&CAesr -pz ADDRESS
CITY, STATE,ZIP W ,,<48W font VCL qn I ir6 CITY, STATE,ZIP
RESIDENCE PHONE 7o3-3o3-6se4 BUSINESS PHONE(24HRS) SAm�
BUSINESS US SS PH ONE
TOTAL NUMBER OF ROOMS:—
ROOM
OOMS:ROOM USE: 1. R MCAEAI 2. b✓WN tZvd,"9. Bg'Pgde% 4. Pjcy,,2ea l5.
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 SI+uNATURE .5 DATE:jzG _,71_d0/�
Lectors use only
Date on initial inspection: W a I S Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other - Check#_Check date:
Notes:
Code f ement Inspector
CITY OF SALEM, MASSACHUSETTS
,3- BOARD OF HEALTH
n
gj 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#78-04
DATE ISSUED: 02/26/2004
Property Located at: 15 Becket Street UNIT# 1 F
Owner/Agent: Tim Shea
Address: 21 Buchanan Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-542-6517
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 7 J
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
t 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
MAR 1 2004
APPLICATION FOR CERTIFICATE OF FITNES
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 106 CMR 450.000 ^-^^^'^"^^'^--
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HA ITATION".
PROPERTY LOCATED AT � d UNIT#-[:I'
IS THIS UNIT DESIGNATEDS IR GHQT�LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�— C MANAGERIAGENT
No P.O. Box No P.O. Box
ADDRESS � cCsR1Ct� ADDRESS
CITY_ . CITY
RESIDENCE PHONE } / {_BUSINESS PHONE (24 HRS.) � 2- 65/p
BUSINESS PHONE 72 Z CjiS:/�2,
;0TALal,iMSE C.ncROOMS:
ROOM USE: 1. ._
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 HE
TIME OF INSPECTION.
APPLICANTS SIGNA RE— - <— DATE G
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION ,;?^fo �' '� DATE OF REINSPECTI N
DATE OF ISSUANCE OF,CERTIFICATE: a-, b DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER—_ CHECK#_/UV J( CHECK DATE.2 •• �" 0' `�
NOTES: �- ---- --_
i
CODE,ENFORCEMENT INSPECTOR 9/28/98
=t CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
.f c 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# 128-05
DATE ISSUED: 2/24/05
Property Located at: 15 Becket Street UNIT# 1 Rear
Owner/Agent: Timothy Shea
Address: 21 Buchanan Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-1341
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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f
.' CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR OVID
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 HUNAN ATION".
PROPERTY LOCATED AT S UNIT #t �• V�
IS THIS UNIT DESIGNATED AS
RIGHT LEFT FRONT BACK PLEASE CIRCLL O�
OWNER/LESSEP( O k-f MANAGER/AGENT
No P.O. Box �7 No P.O. Box
ADDY RESS R) Imo] 4�141n ��ADDRESS 2G
CITI Act , O)iU) CITY U hV1VQ� kAQG(/1�L3
RESIDENCE PHONE S BUSINESS PHONE (24 HRS.) &22-0 20
BUSINESS PHONE �� SCJ /c5&3
TOTAL NUMBER OF
II ROOMS:
ROOMUSE: 1. ([ 2. _3. �"__4._L1j�
5. 6._7. — $
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH 7DEPAMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATU // DATE <: -
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION a ) S "b DATE OF REINSPECT[ N
DATE OF ISSUANCE OF CERTIFICATES-- - ) 9 .6 DATE FEE PAID:__
TYPE OF UNIT: DWELLIN (OTHER CHECK 4 10 �o CHECK DATE 0-0
NOTES _. /(\ _
CODE ENFORCEMENT INSPECTOR 9/28198
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
e SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 --
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
2/10/05
Timothy Shea/ Leavitt Street Realty Trust
21 Buchanan Road
Salem, MA 01970
PROPERTY LOCATED AT 15 Becket Street Unit 1 Rear
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
F the Board of Health Reply to
anne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
r q CITY OF SALEM, MASSACHUSETTS
! ..�'� BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR'
SALEM, MA 01970 CERT•# 480-03
TEL, 978-741-1800 FEE $25.00
FAX 978-745-0343 DATE: 9/30/03
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
tl
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 BECKET STREET UNIT #: 2 FRONT
OWNER/AGENT: TIMOTHY P. SHEA
ADDRESS: 21 BUCHANAN ROAD
CITY/TOWN: SALEM, ZIP CODE: 01970 24 HOUR PHONE: 978-542-6517
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER 1I, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (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 THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i ,
' fl
it
CITY OF SALEM, MASSACHUSETTS
'� BOARD OF HEALTH (�
• � 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, 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 HABI ATION".
PROPERTY LOCATED AT ��y �� UNIT#_�
IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE
OWN ER/LESSER�� MANAGER/AGENT-
No P.O. Box No P.O. Box
ADDRESS-774" ADDRESS
CITY J 9 /l! ,c.� —CITY—
RESIDENCE
ITYRESIDENCE PHONeZr2 /�/f ??/BUSINESS PHONE (24 HRS.)
BUSINESS PHONE. % /4�✓ J.
TOTAL NUMBER OF /RO/OMS:
ROOM USE: 1 /% 1 �/y 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 ATT E
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSP ORS USE ONLY
DATE OF INITIAL INSPECTION�'f�d 33 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: D 3
TYPE OF UNIT: DWELLINGÐER_ CHECK# q75 CHECK DATE F- �3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
.co CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
c 120 WASHINGTON STREET, 4TH FLOOR
r�5 SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 148-04
DATE ISSUED: 04/22/2004
Property Located at: 15 Becket Street UNIT#2 Rear
Owner/Agent: Tim Shea
Address: 21 Buchanan Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-542-6517
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 9 J�
l/JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SAL.EIYI, MASSACHUSETTS
BOARD OF HEALTH /(
• i 120 WASHINGTON STREET, 4TH FLOOR
e SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 J f S t y
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO Q
MAYOR HEALTH AGENT
t
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HA ITATIOM". �J
PROPERTY LOCATED AT
( = —UNIT# e�'�t r
IS THIS UNIT DESIGNATED ASStR GHT LEFT FRON BAC PLEASE CIRCLE ONE
OWNER/LESSER7:FA N� »'ti I_ .._MANAGER/AGENT _
No P.O. Box It 11 i No P.O. Box
ADDRESS l G.�n C v Qo, `D ADDRESS
CITY_ <�[��G' �M,�. O Z CITY
RESIDENCE PHONE`2& 57'0- GSJ7 BUSINESS PHONE (24 HRS.) ' 226517
BUSINESS PHONE 79- 5. /2- <;512
TOTAL NUMBER OF ROOMS: J
ROOM USE: 1.�t p 2.��a4c, 4.�V jam '
5. O�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. i
APPLICANTS SIGNATURE l L"' Pn.e°,P� DATE G G
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION L- 2 ro � DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE: l Z. ° fDATE FffEE PAID: `-E ' �l z a�
TYPE OF UNIT: DWELLING OTHER._._ CHECK#�_` CHECK DATE��_O_ o
NOTES: —
CODE ENFORCEMENT INSPECTOR 9/28/98
i
CITY OF SALEM, MASSACHUSETTS
t. BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
2/15/05
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED AT 18 Becket 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 stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
J ne Scott�MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO
HEALTH AGENT NINE NORTH STREET
Tel:(978)741-1800
05/12/2000 Fax:(978)740.9705
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED AT 18 Becket 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 1: 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.
ay. 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.
R THE BOARD - HE TH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
co CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 ro' 120 WASHINGTON STREET, 4TH FLOOR
rh/ ° SALEM, MA 01970
TEL, 978-741-1800
�phIN6 FAX 978-745-0343
STANLEY J. USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
November 2, 2003
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED 18 Becket 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.
Fo the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
^: . .. : '
4 R
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH
STREET
HEALTH AGENT - Tel:(978)741-1800
11/17/99
Fa%:(978)740.9705
-
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED AT 18 Becket 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 %III of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness,u 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.
j 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 in which cross-metering.has been proven to exist.
OR THE BOARD 9F L'�' TH REPLY TO -
oanne Sco -, MPH,RS,CHO PABLO .VALDEZ
- Health Agent CODE ENFORCEMENT INSPECTOR
1
i
IJeffrey Mold
18 Becket Street
Salem, MA 01970
MOLD018 019702016 1898 09 11/13199
FORWARD TIME EXP RTN TO SEND
MOLD
63 MEMORIAL DR
SALEM IMA 01970-5651
i
��.ONOIT
� � b
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
04/03/2001
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED AT 18 Becket 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 %III of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
� . time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
gORoannTHe E BOARD HEALTH REPLY TO
BO
t, MPH,RS,CHO PABLO VALDEZ
Health Agent _ CODE ENFORCEMENT INSPECTOR
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
_ TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#95-05
DATE ISSUED: 2/9/05
Property Located at: 18 1/2 Becket Street UNIT# 1
Owner/Agent: Jeffrey Mold
Address: 63 Memorial Drive
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8731
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
JOANNE SCOTT, MPH, RS, CHO ' r/
HEALTH AGENT C06EIEKrORCEMENT INSPEC R
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 LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION`.
PROPERTY LOCATED AT_j� �]� �9 , UNIT#1
IS THIS UNIT DESIGNATED AS RIGH
IGT LEFT FRONT BACK PLEASE CIRCLE ONE
pp��
OWNER/LESSER_ � MANAGER/AGENT
Na P.O. Bax / /� No P.O. Box
ADDRESS ' ! � 1 �C� a�'D Ur ADDRESS
CITY 7) �j +CITYA r
RESIDENCE PHONE �7D`727- D73/13USINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:: "t ,,
ROOM USE: 1. NO 3. CjG' 4.
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 Gi�DATE__
Is ECTORS SONY
DATE OF INITIAL INSPECTION _ d kr__ OF REINSPECTION _____
DATE OF ISSUANCE OF CERTIFICATE:_ ]!41 !' DATE FEE PAID:_"/< wto _
TYPE OF UNM DWELLING ✓OTHER_ CHECK# jzpP CHECK DATE t4�.�
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
a '
CITY OF SALEM, MASSACHUSETTS
6� '� • BOARD OF HEALTH
�` a. 120 WASHINGTON STREET, 4TH FLOOR
a
SALEM, MA 01970
J'
TEL, 978-74I-1800
FAX 978-745-0343
STANLEY USOVIC7, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
03/11/2002
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED AT 18 1/2 Becket 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,n 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.
I0FRTHE BOARD HEALTH REPLY TO
Scott, M
anne PH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
`t BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
c SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#96-05
DATE ISSUED: 2/9/05
Property Located at: 18 1/2 Becket Street UNIT#2
Owner/Agent: Jeffrey Mold
Address: 63 Memorial Drive
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8731
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
JOA NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECT R
Ya ..
~ CITY OF SALEM, MASSACHUSETTS
cl;lj
BOARD OF HEALTH /
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 n/
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 ZK Z �ECIcC�� dUNIT#
IS THIS UNIT DESIGNATED AS RIGHT L FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER - 6� �O MANAGER/AGENT
No P.O. Box 2 M No P.O. Box
ADDRESS /6 J l lCi1 (�/?ti �� ADDRESS /�/
CITY 54 ` �r`' 7/'l, CITY / /A /�/ —7G�
RESIDENCE PHONE q�7T _O/BUSINESS PHONE (24 HRS.) '' T27O O T C
BUSINESS PHONE /
TOTAL NUMBER OF ROOMS://
ROOM USE: 1. A/� In 2. Awlrk'n 3.klt! 1� 4.
11/
5. 6. T � 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEA TH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. /
APPLICANTS SIGNATURE 41R DATE < ��
IN PECTORS USE ONLY
DATE OF INITIAL INSPECTION Z/ o DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: Z .0 o r DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER CHECK#_CHECK DATE -1/110asp
NOTES:
CODE NFORCEMENT INSPECTOR 9/28/98
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, R5, CHO
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code Of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residentiai property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
Ln the event it is necessary Lhat said inspection be done in my/our absence, !/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized ageen s
from any loss or injury sustained of whatever nature and description occasioned
by my/out absence during said inspection.
THt ANT/LESSEE OWNER >; S ---------
ADDESS ADDRESS
P.D11RESS OF UN1T TO BE INSPECTED
D L'E
CITY OF SALEM, MASSACHUSETTS
m3D BOARD OF HEALTH
c 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.�, TEL. 978-741-1800
FAX 978-745-0343 _
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1/4/05
Jeffrey Mold
63 Memorial Drive
Salem, MA 01970
PROPERTY LOCATED AT 18 1/2 Becket 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 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
/>9jor the Board of`H//elth Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
c b BOARD OF HEALTH
s 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#587-06
DATE ISSUED: 11/28/2006
Property Located at: 19 Becket Street UNIT# 1
Owner/Agent: Michael Terry
Address: 19 Becket Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-8000
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS /
BOARD OF HEALTH
• � 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO -
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �' 3t' ��T UNIT # V
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER VWO1MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS I �J�'--�K zT. ADDRESS
CITY S(k ,,V\, CITY
RESIDENCE PHONE32-1 %6) 6 BUSINESS PHONE (24 HRS.) 7tiS£j'�>o0
BUSINESS PHONE
TOTAL NUMBER OF ROOMS::
ROOM USE: 1. �Lr� 2. UJ 3. 4.
5. 1)!�,16. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE(
INSPECTORS USE Y
DATE OF INITIAL INSPECTION II- )-,y - a L DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEY/ ) -0 6 DATE FEE PAID:_&-6kS
TYPE OF UNIT: DWELLIN�OTHER_ CHECK# r� CHECK DATE// '�b��� 6'
NOTES: �
CODE ENFORCEMENT INSPECTOR 9/28/98
IIS_
z CITY OF SALEM, MASSACHUSETTS r`\\lui/+J�
BOARD OF HaALTH
120 WASHINGTON STREET 4"'FLOOR PublicHealth
> Preven,.Prmm�m.Prosect.
TEL. (978) 741-1800 F.jk(978) 745-0343
KIMBERLEY DRISCOLL Ixamdinna.salem.com
MAYOR LARRY RAb�IDS
IN,RS�REI-IS,CI10,CP-IT
HEAVA I Ac EN'r
CERTIFICATE OF FITNESS
CERTIFICATE# 27-13
DATE ISSUED: 9/,6/2013
Property Located at: 19 Becket Street UNIT#2
Owner/Agent: Michael Terry
Address: 19 Becket Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 9-11-745-8000
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Divisio,3, Section
705: Certificate of fitness of rented dwelling unit, apartmen, or teneroc:nt. An ,.pection •1 your
vacant Dwelling/Rooming Unit at the above address has been approv d and is i, compli^nce with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IIr' M;nimum 5 andards :
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcer.i.ent Divi,:on of the S::.Ilem 8:;':rd of
Health and the unit may now be rented and/or occi pied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or u `'I the Cu. ent tenani vacates, whiche�
is later.
This Certificate of Fitness is valid only if there is a valid Certifi zte of Cxupancy
FOR THE BOARD
LARRY RAMDIN _
HEALTH AGENT SA
J m CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON SI'REET
e 4""FLOOR PublicHealth
w<.e ..r.amo.e.r.oi«..
TFC,. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Itamdin@salem.com salem.com
MAYOR LNtItY RANIDIN,RS/R13f IS,C1 10,CP-FS
HEALPH 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"
Q, FEE: $50.00
PROPERTY LOCATED AT �J 2 G1�Jj- UNIT# Z
q IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER (� \1 A n e L 7ti q MANAGER/AGENT
7
ADDRESS I.q (3o-c,Kur Sfi — ADDRESS
CITY, STATE,ZIP&, { wvx 64r CITY, STATE,ZIP VV'-0 O 1 On 6
RESIDENCE PHONE nI-1 5 -7 S Ste'D BUSINESS PHONE(24HRS)
BUSINESS PHONE -gc v"\k
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.VI -�Lwl\ 2. Ll ti 3. binA.2nj 4. I;Ad TiVA
.n
6.WMp. 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 �` DATEST� 201
Inspectors use only r
Date on initial inspection: Date of reinspection: Itt/ I
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date
Notes:
Cod orcement Inspector
+pp, CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH
< e
y,
120 WASHINGTON STREET, 4TH FLOOR
�oSALEM, MA 01970
TEL. 978-741-1800
�Q FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #. 341-04
DATE ISSUED: 7/23/2004
Property Located at: 22 Becket St. UNIT# 1
Owner/Agent: Ben Bragc
Address: ' 40 Winter Street
City/Town: Woburn, MtZip Code:01008 24 Hour Phone: 781-938-5672
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 HF_ALTH
JOANNE SCOT T. MPH. RS. CHO _
I ll-Al 111 AGENT CODE ENI-0RCEMEN I INSPI C T OR
f CITY OF SALEM, MASSACHUSETTS +
BOARD OF HEALTH.
f • 120 WASHINGTON STRF_ET, 4TH FLOOR
SAL-EM, MA 01970
qq TEL. 976-741-1 600
FAX 976-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OFFITNESS
1?- L`nF�ITNES�S2,FOR HUMAN HABITATION".
F, /
PROPERTY LOCATED AT -'`cy e-1 �� - UNIT# 1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LeSSER �n}�3�r4G G MANAGER/AGENT /xkN -��
No P.O. Bax No P.O. Box
ADDRESS SFO W i N VL!t-S7 _ADDRESS
CITY fNU V�W qU+ aI �0� CITY
RESIDENCE PHONE-70(' /3 E` 5M BUSINESS PHONE (24 HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._&a 2.�YL 3.���/�:4.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEAL DEP TMEN IS FEE IS PAYABLE AT THE
TIME OF INSPECTION-
APPLICANTS SIGNATURE DATE 2� O
1NSP TORS USE ONLY
DATE OF INITIAL INSPECTI _DATE OF REINSPECTION",__
DATE OF ISSUANCE OF CERTIFICATE: 3-a Y-' DATE FEE PAID:_2
TYPE OF UNIT: DWELLING OTHER` CHECK#_"-/-_CHECK DATE�r .� 7!
NOTES:_ a_i
COD�FEMENT IN PECTOR 9/28/98
R
4
n
�9���rI1N6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 07/19/2000 Tel:(978) 741-1800
Fax:(978) 740-9705
22 Becket Street Realty Trust
22 Becket Street
Salem, MA 01970
PROPERTY LOCATED AT 22 Becket Street UNIT # 2R
Dear Sir/Madam:
It has come to our attention, that you (nay 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.
R THE BOARD 0 HEALTH REPLY TO
. Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�1
mra
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date: 11/12/97 Fax:(508)740-9705
22 Becket Street Realty Trust
22 Becket Street
Salem, MA 01970
, PROPERTY LOCATED AT 22 Becket Street UNIT # 2R
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
2 ° CERT.# 322-01
a FEE $25.00
DATE: 07/16/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT
120 Washington Street
Tel: (978)741-1800
Fax: (978)-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 23 Becket Street UNIT #: 1
OWNER/AGENT: Philip Jesoraldo
ADDRESS: 23 Becket Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-3088
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
ANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
' gONUIT zo
s .,....
�r✓MINE D010
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
120 WASHINGTON ST. 4TH FL
JOANNE SCOTT, MPH, RS, CHO - XI)(M1Ufl0MM917=X
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee (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 _23 f�ECWT Sr UNIT# -I
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER �a L�ASD( A Q(L_MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS )-�b_ ADDRESS
CITY SA ICm CITY
RESIDENCE PHONE M -791-3p&R BUSINESS PHONE (24 HRS.)
BUSINESS PHONE A XM
TOTAL NUMBER OF ROOMS:__
ROOM USE: 1.L Vi4k wM2. 6eoeoon 3. QATAAopm 4. C. TcHEN
5. 6. oCnl T . e 90" 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 d�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION ?—f6 —a r DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:`? -l6 `0/ DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER_ CHECK# CHECK DATE ? — /6 e
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel: (978)741-1800
05/29/2001 Fax:(978)740-9705
Philip Jesoraldo
23 Becket Street
Salem, MA 01970
PROPERTY LOCATED AT 23 Becket Street UNIT #
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.
R THE BOARD O HEAL H_ REPLY TO
anne Scot MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 0 970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH SFREET
HEALTH AGENT Tel:(508)741-1800
Date: 01/22/97 Fax:(508)740-9705
Richard Savickey
36 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 25 Becket Street UNIT 9 1
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
cccupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department.
pr�ci to allowing occupancy in accordance with Chapter 111, Sections 127A and 1278, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1 : General
F:dministrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 7.1: 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 ord�r 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