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BOSTON STREET 101- CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 03/13/98 Fax:(978)740-9705 Hinda & Herbert Selesnick 24 Ober Street Beverly, MA 01915 PROPERTY LOCATED AT 103 Boston Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit ' at thG a`uu Jc flddr-SS. 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 l4 Joanne Scott, MPH, RS,CH0 PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41 'FLOOR PublicIiPalth Vrevcnt.Vrnmotc Pwteec. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL llamdin(a.salem.com MAYOR LNtRI'RA6IUIN,RS/RENIS,CI-K),03-1 HEAIaH AGI?NT CERTIFICATE OF FITNESS CERTIFICATE#351-13 DATE ISSUED: 10/3/2013 Property Located at: 106 Boston Street UNIT#1 Owner/Agent: Yoleny Ynoa Address: 85 Congress Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation'. Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOA D OF H LTH I LARRY RAMDIN ) HEALTH AGENT SANITARIAN l3 CITY OF SALEM, MASSACHUSETTS 3 1 ry BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PabUcEkan f Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdinaa,salem.com MAYOR LARRY KANfDIN,RS/KEPIS,CI-10,C11-FS HEAI.n I 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 /-N / FEE: 550.00 PROPERTY LOCATED AT / D 6 O s/o '5 - UNIT# 2 Y0 IS THIS UNIT DISIGNlAT�ED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE S OWNER/LESSER / D L C N / 7 w 0 1 MANAGER/AGENT NO P.O.BOX ADDRESS AC;- ADDRESS CITY, STATE,ZIP S ;D lem , YVI A O dAgrrY, STATE,ZIP RESIDENCE PHONE / BUSINESS PHONE(24HRS) BUSINESS PHONE 2-9- ?,5 TOTAL NUMBER OF ROOMS: ROOM USE: 1_ 2. 3. 4. 5. M 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 PAY LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE )+� Inspectors use only Date on initial inspection: I D/J�I Date of reinspection: Date of issuance of certificate: �1,�.y��11 Date fee paid: Type of unit: Dwelling Other Check# y4o0l7d�t/' Check dater Notes: Code Enforcement Inspector J ND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pt1Ith MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-357 DATE ISSUED: 9/15/2016 Property Located at: 106 BOSTON STREET UNIT#1R Owner/Agent: Yoleny Ynoa Address: P.O. Box 8712 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 758-1644 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. &Jey arosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4� FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I anava�trsA>EM coal LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGEA'r )) // jj ' �'o(cNy y @101-na!/- C"0m 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 O PROPERTY LOCATED AT J01-> 9 c S A/ S-A I0- UNIT# IS THIS UNIT DISIGNATED AS WGHT LEFT FONT OR BACK.PLEASE CIItCLE ONE OWNER/LESSER T/O f C lvy �O 0 MANAGER/AGENT NO P.O.BOX ADDRESS FO. BOX 8-iL 12 , A+4 ADDRESS CITY, STATE,ZIP ,;a /&, n . M A 6 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) *Adv-SSS&'=/G BUSINESS PHONE ACW— TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. & 7. 8_ 9. I0. 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(I..E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ ..�. 5`� DATE—,&r /l Inspectors use only Date on initial inspection: f/�/ �j� 1—L Date of reinspection: Date of issuance of certificate:,0q/1c/;at. Date fee paid: ©VI Sj=ra Type of unit: Dwelling OtherCheck# Check date: b a-5'1 C Q Notes: S�afeA ('r +(rrle�e.. 4 S jjeQ cy`e s^S} .Sm n X e, LlXP_'{e.c4ny- 0-44 Carba�n mDh n Y+IZe v 72r�m y- ra¢u.r� lc,Y'� en/rti'e.a ne4.�f. rteu,- Co 5pinentInS7 1 CITY OF SALEM, MASSACHUSETTS ry ;, 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#270-07 DATE ISSUED: 6/7/2007 Property Located at: 106 Boston Street UNIT#3 Owner/Agent: Yoleny Ynoa Address: 89 Congress Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F R THE BOARD OHEALTH F JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ^/ •�/1 BOARD OF HEALTH !,. w 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 /t/') h/ 66S 10/✓ S UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 10l0N y _yN O c7 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ''S- �mn/�✓t�SS S #/ ADDRESS CITY S ,ale`/'/? CITY RESIDENCE PHONE 2R-4- y/j!?-3 f-BUSINESS PHONE (24 HRS.) BUSINESS PHONEQe/, TOTAL NUMBER OF ROOMS: ir ROOM USE: 4. PlN/ va, rna,�t 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ��'� 1l/� DATE U INSPECTORS USE ONLY DATE OF INITIAL INSPECTION "7 DATE OF REINSPECTION 7 DATE OF ISSUANCE OF CERTIFICATE ? DATE FEE PAID: �' _6 / TYPE OF UNIT: DWELLI OTHER__ CHECK# 7 CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS lin\RD (w HF,-u,ri-1 120 W,\SI-ii.(;i oN S,rRGHT,4•••1'LOOR 14D1BERI.LY DRISCOLL '11:1,, (978) 741-1800 1'.\X (978) 745-0343 MAYOR lramchn(a)salem.com LARRY RANIDIN,RS/RP.I N,(A 10,(P-FS Hi;,\I:r11 AGkN'I' CERTIFICATE OF FITNESS CERTIFICATE#337-11 DATE ISSUED: 9/15/2011 Property Located at: 107 Boston Street UNIT#Rear Owner/Agent: Edmund A LeBlanc Address: 301 Newbury Street#253 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-766-5910 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS b BOARD OF HFAI.;I'II �� .r 120 W:1$HINGrON STItFLT,41°FLO()R JJJJ Tt,i-. (978) 741-1800 liIMBERLEY DRISCOLL F.'Y (978) 745-0343 MAYOR I.RAN4DINnaSA1 a.NI.CONI LiARY R\Nn)IN,RS/RI?I IS,(:11(),CP-I'S HFAI A'I-1 AG 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" n R FEE: $50.00 PROPERTY LOCATED AT K �`� 'Ut)4tf)(A Si— UNITAt IS THIS UNIT DISIGN/ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER n-�daU �C- lie �Ct *��, MANAGER/AGENT 0 BOX ADDRESS 31 IV 0ut( .A/ J� oZS� / ADDRESS (� l CITY, STATE, ZIP kq-(J(QVA,YP�! (- 11p i m 1 god '? CITY, STATE,ZIP RESIDENCE PHONE r�C7 Iq �(4`�1 0 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. kA` &V%A 3. 4. A4ioaA 5. Li viy POOV t 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 Pj`�/ /BL THE TIME OF INSPECTION /� APPLICANT'S SIGNATURE £>„-/I / DATE —1 IS �z Inspectors use onlv Date on initial inspection:/ Date of reinspection: / Date of issuance of certificate: clbsbi Date fee paid: // Type of unit: Dwelling L/ther Check# Check date: /s- / Notes: ` rvl� �,n r 111- ,Or roam r7,P -0 b o ri<alC / k (a T - A-Whk for kbt harkroom fjpx-Ha �-,< � Co Enforc merit Inspector City of Salem, Massachusetts IV Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaIth 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-15-418 DATE ISSUED: 12/15/2015 Property Located at: 107 BOSTON STREET UNIT#2 Owner/Agent: Salem Res. Rental Prop. Address: 48 School Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 777-4444 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 thisCertificate i issued h C EnforcementDivision of the Salem Board of Health and the unit may now s ss ed byte ode y 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 LHEALTH AGENT 71TARIAN arry Ramdin, MPH, REHS, CHO l � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEI.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR i_RAMDIN(g1s'riUN.COM LARRY RANDIN,RS/RIAS,CHO,CP-1S HEAvDI 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 OZ dJO S� D 0 6rf ee;f UNPr#_2 IIS UNI TT UT DISSIIGNAnTED AS RIGA LOT OR PLEASE CHttCLE/O�NE� OWNER/LESSER�Lern RPS �n�g &—a, MANAGER/AGENT M! NO P.O.BOX ADDRESS A9 4 cSCA,AO/ 5t e_c� ADDRESS5�- CITY, STATE,ZIP Sa-W4 ©Iq 7�9 CITY,STATE,zip ScLb-m /L4 4 `Z 70 RESIDENCE PHONE `7 79 - 777' 1yyy BUSINESS PHONE(24HRS) BUSINESS PHONE q2i� -7 7 7 -4' 41zf TOTAL NUMBER OF ROOMS: ROOM USE: 1. hi kh ) 2. L ui Aq 8 .reoe<4. 6?lt Xu» 5. �w 6. 7. S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CrrY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE � � F� DATE Inspectors use only Date on initial inspection: 12/1-q/2615- Date of reinspection: Date of issuance of certificate: ) �1 t{`ZOZ S� Date fee paid:�V171'1.LSr Type of unit: Dwelling V Other 'Check# J- Check date: LL12D/.201-S'— Notes: C�rcement ectw City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.397 DATE ISSUED: 10/20/2016 Property Located at: 108 BOSTON STREET UNIT#2 Owner/Agent: Yoleny Ynoa Address: P.O. Box 8712 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)758-1644 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. &effr Larry Ramdin, MPH, RENS, CHO SANITARIAN HEALTH AGENT R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RAMDIN(&SALEM.COM LARRY RAMDIN,RS/RENS,CHO,CP-FS HEALTH AGENT y01eNYV&� 6,1 Yn 2 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" c� n _ / FEE: $5/0.00 PROPERTY LOCATED AT D O 13e ,51bN ,ST• A!54—' UNIT# IISS THIS UNIT DISIGNNAATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER / D (G/'/ti y / N Z� 2 MANAGER/AGENT NO P.O.BOX /� �7 2 ADDRESS d .• So7- Z �/ � Z ADDRESS CITY, STATE, ZIP 5c)-/E'M CITY, STATE, ZIP 0'7A a RESIDENCE PHONE BUSINESS PHONE(24HRS) 9 9 8 '7 Sg'I6 yy BUSINESS PHONE C TOTAL NUMBER OF ROOMS: l ROOM USE: 1. 2. 3. 4. 6. 7. 8. 9. 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 A fn Inspectors use only Date on initial inspection:-10/17/201-b Date of reinspection: Date of issuance of certificate: Date fee paid:JO/�-7/-201_ Type of unit: Dwelling Other Check# 20 Check date: /` I r Notes: "Jckz t' r I6 gyp, 0n rr 'f n S , $mo COocGkor fea f F VIr✓z�h� f S bee n 9� C n rcement spector _ 0 (6 3 7 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I RAMDIN(a).SA1-EM.00M LARRY RAMDIN,RS/REHS,CHO,CP-FS 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. Tenant/L-ssee Address Address /a S 13as�o,v S/ //z Address on unit to be inspected Date Updated 5/23/11 COPY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 589-03 TEL. 978-74 1-1800 FEE $25.00 FAX 978-745-0343 DATE: STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 109 BOSTON STREET UNIT #: 1 OWNER/AGENT: ALBERT B. SIMONSON ADDRESS: 2 FERN STREET CITY/TOWN: BEVERLY ZIP CODE: 01915 24 HOUR PHONE: 978-927_5665 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 I1 , "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (%) 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT JE� N 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 �/ D G STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO ///O 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 HABITATIONa. PROPERTY LOCATED AT 10 ! I29ki a 14Nm I ?iq, UNIT# IS THISUNITDESIGNATED AS IGT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER4'Le,TCS �fhhw .Snv, MANAGER/AGENT No P.O. Bo ((�� No P.O.Box ADDRESS �evv7 ST PVChC'/��J`rr(MSCJ/9/(-ADDRESS CITY &U�, L ` �I U l '�/� CITY RESIDENCE PHONE92i -ga0-S(p(r BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 40n2, i t'�G�2�3. �IJ 1 i 4 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 % % ?� Lrr•- DATE 11-117 -o3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION //j'7 1r1.7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING ✓OTHER_ _ CHECK#--/(/0 CHECK DATE /rl/ 3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 . . Crry <x S,a�.E. , M,�ss.�cr-�t�sr.'ITS 130LARDt)hHV,Al rI-I 120 West-(IN<,"Pc)N ST,21.{T"I' 4"' Fi.,tx)R PtibCHCeltli 17:t1- (978)741-t800t,1,X (978) 745-0343 KF vlIW,RLP.Y 17RtSC;OL1, trundin(a).saicni.cum MAYOR 1.,T RE21'R,�1i3)iti,ttti�R)'i715,t;E it?,CP-I iC 1-1P.:Va'I1 A( 7FNr CERTIFICATE:OF FITNESS CERTIFICATE #322-12 DATE ISSUED:8!9!2412 Property Located at: 109 Boston Street UNIT#2 Owner/Agent: Albert B. Simonson Address: 2 Fern Street CitylTown: Beverly, MA Zip Code: 01915 24 Flour Phone: 978-337-8611 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". r 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 itdith 105 CMR 410.060. 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. FQR THE BOARD OF HEALTH LARRY RAMDIN AIANIT!,�'RIAN HEALTH AGENT CITY OF SALEM' MASSACHUSETTS ` 3 R' BOARD OF HE.aLTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978)741-1800 KINIBERLEY DRISCOLL F.,�x{978) 745-0343 TNLAY'OR 1,RA DIN(a)SAl.F-M.t oM LARRY R\,VDtN,16/REI-IS,CI f0,CP-RS HEAE. : HAGNI' Application for Certificate of Fitness k �0 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" nn FEE: ($150.00 PROPERTY LOCATED AT D ot eOSM h '&7 - SRr fyt r , M�, J_4 `70 UNIT#_a_ IS THIS UNI✓TIDISIIGINATED AS RIGHT LEFT FRONT dR BACK,PLEASE CIRCLE ONE OWNER/LESSER b4LbetzC- w'S. J(Mon SOK_ MANAGER/AGENT NO P.O.BOX r� ADDRESS a Fo lr n ST• ADDRESS CITY, STATE, ZIP R-e V e i L X Mg. O lql ' CITY,STATE,ZIP RESIDENCEPHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: I. Ktr bew 2.1 jyt/7a Awx 3.edbrmy, 4. "yw)5^ 5. 6. 7. v 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEIS PAYABLEATTHB.ITIME OF INSPECTION (� APPLICANT'S SIGNATURE /3' -�/W DATE aOI �L Insnectors use oniv Date on initial inspection: l A �lA ''V Date of reinspection: 4 Date of issuance of certificate: Date fee paid: Type of unit: DwlliOther \' Check#� / (/� � Check date: Notes: � bla IA.ry I/od'� &f J Co*spertor f� CITY OF SALEM, MASSACHUSETI"S BOARD OF HEAUFF1 120 WASHINGTON STREI FT,4°1 Fl.,OOR KWBERLEY DRISCOLI, TEL,. (978) 741-1800 FAX (978) 745-0343 MAYOR Iramdinna.salem.com LARRY RA\iDIN,RS/KHI IS,to 10,(71-FS H F,V:1'1-1 AG FNL CERTIFICATE OF FITNESS CERTIFICATE #297-11 DATE ISSUED: 8/19/2011 Property Located at: 114 Boston Street UNIT#2 Owner/Agent: Ronald & Elaine Pare Address: 114 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-7088 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1—t� LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY r SALEM, MASSACN"USE'rf'S g BOOM O HEAL11i !2t}Gr1ns1-[tns<,'1'oNs'rizri:'r 4'"PLO>ntz T'I!,J_ (978) 741 1800 KINIBI.,RL1 Y DRISCOLL F.\x (978) 745-0343 MAYOR IAMM NnOSALFAI-CONI Ulan,RANIDIN,RS/I I IS,CI 10,(:1'-"ISS HvAixii AO.I:N1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT / UNIT# 0 IS THIS NIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE //S� OWNER/LESSER VC;0 MANAGER/AGENT NO P.O. BOX ' ADDRESS 11�C #901A�) 77_, ADDRESS CITY, STATE,ZIP 0 L a 0 0 CITY, STATE,ZIP J RESIDENCE PHONE BUSINESS PHONE-" (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: to �// p ROOM USE: 1. / Int. 2. D 3. fCl r 4. e 5. Bed, & R P_L T 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTHTHIS FE PAYABLE H � _,�OF INSPECTION /o I APPLICANT'S SIGNATURE 1�2w�k% I r DATE l /, 24/� O lnsnectors use only Date on initial inspection: 3 <�G//! Date of reinspection: Date of issuance of certificate: A I hI(l I Date fee paid:,,_�1 I/ Type of unit: Dwelling �Other Check"#—q Notes: I" /4flCheck date: 1 —. J rovb(I.- I nr ^ `, C e Enf cement Inspector f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR p SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#45-04 DATE ISSUED: 02/12/2004 Property Located at: 116 Boston Street UNIT#: 1 Owner/Agent: Heidi Straghan Address: 310 Salem Street Cityffown: Wakefield, MA Zip Code: 01880 24 Hour Phone: 617-626-6609 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliancewith 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter 11"Minimum Standards of Fitness for Human Habitation'. Therefore,this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I ,J CITY OF SALEM, MASSACHUSETTS *� BOARD OF HEALTH O • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 {{{ TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR_ JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT l'00 1 a UNIT#L, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER MANAGER/AGENT 30 ✓Y1� No P.O.Box No P.O.Box ADDRESS Nn ADDRESS CITY '( �P Ir� vV X71 CITY RESIDENCE PHONE) ij �lp 1 �j S BUSINESS PHONE (24 NRS)ja��&2,(2 (PC, Ute} BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: IA&C 2._ { 3. VI 1 4. k1"ef-) i 5. ,6. _7_ 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. f APPLICANTS SIGNATURE �i1�1 DATE J I /INSPECTORS S ONLY , DATE OF INITIAL INSPECTION L DATE OF REINSPECTION p DATE OF ISSUANCE OF CERTIFICATE:'2 rt "' DATE FEE PAID: ,) b Z TYPE OF UNIT: DWELL OTHER—_OTHER_ CHECK # I J_CHECK DATE�1 Z NOTES: f CODE ENFORCEMENT INSPECTOR 9128198 CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ncau:r.NIIAunr(r SAf,r,NI.C.OM DAVID GRj-.'ENBAUNI ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 152-10 DATE ISSUED: 3/29/2010 Property Located at: 116 Boston Street UNIT# 1L Owner/Agent: Heidi Straghan Address: 1920 Friendship Road City/Town: Waldoboro, ME Zip Code: 04572 24 Hour Phone: 617-448-9217 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 T�RD F HEALTH i DAVID GREENBAUM ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR xazr:ENiinw�(7sni,rnccc M DAVID GRF.I:,NBAum ACTIN(;HI7AI.fF1 A(i I'.N'r Facsimile Transmittal Fax # ci '�)2V (.0 tom-,4 L1' 71� RE: I/1 a_ Jh"/JlJ �%-M Date Page(s): including this cover# Message: �Ge �h�l Board of Health News -------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Apr 12 2010 10:17am --L-ast-Fax Date Time Tye Identification Duration Pace ReC t Apr 12 10:16am Sent 919786544270 0:35 2 OK I, Result: OK - black and white fax CITY OF SALEM, MASSACHUSETTS + e BOARD OF HEALTH 120 WASHINGTON STREET,41 'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FA,Z(978) 745-0343 MAYOR neem=.NBA[IM rnisnu,M.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." q� �l FEE: $50.00 c L PROPERTY LOCATED AT �0 11f1S qn X31 N e-- ' 15' FI Cor LC.` T UNIT# 1�- IS THIS UNIT DISIGNATED AS RIGHT�b°11PRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Ne(I 3�nr,&N o� MANAGER/AGENT NO P.O. BOX r ADDRESS IgOl� TY iPu Q �r� ADDRESS CITY, STATE,ZIP04S]A _CITY, STATE,ZIP RESIDENCE PHONE 201 832 y1 3 BUSINESS PHONE(24HRSl(•o l") yqFxl BUSINESS PHONE Call q-QA Cf—A\"1 TOTAL NUMBER OF ROOMS: ROOM USE: 1 &-Acrrxv� 2.UvmI mm 3. O9 RC-Z 4. 16iC.Her-% 5.9 �Ary-or 6.AIA(mnn 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 aTIME OF INSPECTION APPLICANT'S SIGNATURE 6 .� _k(� DATE 3�y / 111 /III\1ns_uectors use onlv Date on initial inspection: �/a 9I�f�f Date of reinspection: Date of issuance of certificate: la��U Date fee paid: Type of unit: Dwelling Other 1 Check# �{a $ Check date: Notes: add raj bon For za � ,vdr6n1n I reple? CQ_ bGAlo-vs n V)d y 3 CGI bGN • v Code Enfor ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,e'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ncaaratNf;,wnfrilsnf.f.nc CONI DAVID GREENBAUM, 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. rwt_ Tenant/Lessee O er/Lessor 192o-tr,eWJ5h,,0PC� wA(dobov-6 NE� d ,�s 7 a Address Address 11(, gnsS ' St .�Jlcrvl W 0/970 I L Address on unit to be inspected Date / CITY OF SALEM, MASSACHusErrs BOARD OF HEALTH i • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 cERT.# 634-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 1/12/04 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 116 BOSTON STREET UNIT #: 2L OWNER/AGENT: HEIDI STRAGHAN ADDRESS: 310 SALEM STREET CITY/TOWN: WAKEFIELD ZIP CODE: 01880 24 HOUR PHONE: 617-626-6609 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 1I, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT ( ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO T�D OF �HE�AL�THt_. JOANNE SCOTT, MPH,RS,CHO HEALTH ZFR6W. EALTH AGENTS VAUGHAN CODE ENFORCEMENT INSPECTOR ( IMPORTANT MESSAGE ) Ff7F! DATE �p� TIME M OF P NF AREA CODE NUMBER EXTENSION BII F � /7- 26 .3 -55-7q AREA CODE NUMBER TIME TO CALL TELEPHONED ,t�LEASE CALL G.�I CAME TO SEE YOU ' I WILL CALL AGAIN WANTS TO SEE) ' �I RUSH RETURNED YOUR ALL 11 WILL FAX TO YOU MESSAGE , SI�G®N/EO 1 + MADE IIN�DSUA '}�//��ZvB I IJP Z 10 N ', 1 1 ��, ` 1 �� 1�� 1 ' X11 1 1 ' ' 1 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 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 I ICD 1PD'dTC'C1 i�S� l�C'�� UNIT# 2L- IS THIS UNIT DESI'G'NATED AS RICHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER Ae,161 �_ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY Li 1cgc��tnc?\ CITY �_NGcyl\e d{ d rl v RESIDENCE PHONE BUSINESS PHONE (24 HRS.) lC�?111 BUSINESSPHONES,p\-1 (o') U (o& (-) TOTAL NUMBER OF ROOMS: -1 ROOM USE: 1. 7KI7 Zmr?. 71.3. 4. l'� 5. 1 _7..V A.(('W;n 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 Z 0 'INSPECTORAE'ONLY / DATE OF INITIAL INSPECTION ldl-?, 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: la,12117 TYPE OF UNIT: DWELLING //OTHER_ CHECK# /bS CHECK DATE 4�1 ' J NOTES: ,.; x_ _ a CODE r,E FWGlff'MENT INSPECT R7 9/28/98 DDNDiT„�� City of Salem, Massachusetts . { i Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeatth Prevent. Promote. Protect MA 01970 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-15-315 DATE ISSUED: 10/2/2015 Property Located at: 116 BOSTON STREET UNIT#2R Owner/Agent: Heidi Straghan Address: 1920 Friendship Road City/Town: Waldoboro, ME Zip Code: 04572 24 Hour Phone:(207) 832-4793 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 O"A-0-� Larry Ramdin, MPH, REHS, CHO A HEALTH AGENT SANIT RIAN Crn, or S,\!-,I-:m5 1'1.').SSZ,\(-J I USFITTS V A.-i 1!V I KI"Ili F R TJ NDR IS(,t)U Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11. 105 CMR 4(0.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" HE: $50.00 PROPERTY LOCATED AT UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFTFRONT ORBAC PLEA4.CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX I ADDRESS Q-- ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONR (I BUSINESS PHONE(24HRS) BUSINESS PHONE &,n TOTAL NUMBER OF ROOMS: ROOM USE: 6. 7. 8. 9. to. 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 SIGNATUFFDATF--—. 21, t7C 1 13ectors use onlv Date on initial inspection: Oq/9 V) eq1� Date of reinspection: Date of issuance of certificate:05/2-w n2 Date fee paid:0q/2-V2 5- Type of unit: Dwelling_ —Other Check#J41 Check date: Notes: Eq ementypector M,;1SS. CHUST-A-I'S 120 tR KENIfir RUN DKISC01 1. b, I I R ti S'R,'oi i)r "1(1 j�,J I "P I I Release In accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et. Seq. State Sanitary Code Chapter 11 and Article 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. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner essor XI I-v iQ5 Address Address S� Address on unit to be inspected Date Up hiwl 5123/11 s m CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREF'P 4p.FLOOR PablicHealth f Prevent.Promote Protea. TEL. (978)741-1800 FAs(978) 745-0343 KIMBERLEY DRISCOLL lramdin(asalem.com - LARRY RAhIDIN,RS/RISI 15,CFK),CP-PS MAYOR HEAFFIJ AGENT CERTIFICATE OF FITNESS CERTIFICATE#349-13 DATE ISSUED: 10/2/2013 Property Located at: 120 Boston Street UNIT#1 Owner/Agent: Jordan Ryan Address: 31 Nursey Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If'Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE ARD HEALTH LARRY RAMDIN HEALTH AGENTQf�v Clly OI' SALEM, MASSACI IUSET"F') Bo,\RD OF HEALTH 120 W:�sIIINGTON SI RE r,4'"FLOOR PublioFIeaith n VrevfN.I'mmme.Vroter, J Tru... (978)741-1800 FAx(978) 745-0343 KIMBE ,11YDRISCOLL Iratndinnsalem.com MAYOR le1KR1`Rrinit)IN,RS/HI?lt5,CI IU,r,P-Pti Hv„vxr r A('41:N'(' Application for Certificate of Fitness INACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 / PROPERTY LOCA IED AT /20 / l��`,`° Y/ S 7 C�� ! .��5 ��/ YIT# _ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER -=Vb t2T,VVt>2�f0" MANAGER/AGENT NO P.O. BOX r ADDRESS 5?l fULI?rSCo7 S'f ADDRESS CITY, STATE, ZIF- A _CITY,STATE,ZIP RESIDENCE PHONE ��Zr�'� - fL?�/ BUSPIESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBEF,OF ROOMS: ROOM USE: 1. 2. {`i'v/1"73. ' 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEA LTH THIS FEE IS PAY LE AT TH IDIE OF INSPECTION / APPLICANT'S S:GNATURE__- U Ems- i DATE ! / { Inspectors use onlv t Date on initial ins)ection: Ctf vt �� Date of reinspection: b � Date of issuance(f certificate: y _ Date fee paid: 1 Type of unit: Dw.-lting___`_O er _ Chec # 1 :7 "�7 Check date: 111Oi 1 l 7 Notes: ,VYIc - 1 C orcemef'd Inspector � � � ' ~ � TRANSMISSI0H VERIFICATION REPORT | | | | / � � TIME : 10/87/2013 03:41 � NAME : � FA;� : 9787450343 TEL : 9787411800 � SER.# 000BDN341991 � | � DATE,TIME 10/07 83:40 � � ' ~` '`~. ''~~M~ 9l9784539l50 DURATION 80:00:52 83 PAmL > � RESULT m. MODE STANDARD ECM CI1"Y OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,41..FLOOR PnblicHea Ith Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL 1ramdinnasalem.com - LAR121'R,\MUIN,RS/Rfil-IS,CI 10,CP-FS MAYOR Hvm,n-f AGENT CERTIFICATE OF FITNESS CERTIFICATE#350-13 DATE ISSUED: 10/2/2013 Property Located at: 120 Boston Street UNIT#2 Owner/Agent: Jordan Ryan Address: 31 Nursey Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAl6Zq�RAMDIN 57 HEALTH AGENT SANITARIAN t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHealth 120 VUASI3ING'1 ON STREET,4°'FLOOR rro.000 rmmo< rromm. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdina.salcm.com LiU ltl"ltnnmlN,as/xla]S,CuO,c;l'-l'S MAYOR H I"A].CI-]AG I xr 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 �/FFE,E: $50.00 PROPERTY LOCATED AT / O /�� }7 S'1 . S r,01 /115 U1-1 IIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �10 0111 MANAGER/AGENT NO P.O. BOX ADDRESS �I /t/i/�S�r ,✓�/f ADDRESS CITY, STATE,ZIP5�/7 CITY, STATE,ZIP RESIDENCE PHONE -C 7� !; —7G0/ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1<4tn 2. (W(-(° IW3. 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 PAY LE AT TH IME OF INSPECTION APPLICANT'S SIGNATURE / DATE rr // Inspectors use only Date on initial inspection: l� �/I �� Date of reinspection: td�lb Date of issuance of certificate: v /2(� Date fee paid: r� Type of unit: Dwelling—ler—Ch ec # l O Ll a Check date: Notes: �� Coorcekmentt ector ►� �D-ql v TRANSMISSION VERIFICATION REPORT TIME 10/03/2013 03:21 NAME FAX 9787450343 TEL 9787411800 SER. # 000S0I4341991 DATE,TIME 10/03 03:21 FAX NO. /NAME 919784539150 DUP.ATI0H 00:00:8 PAGES} 02 RESULT 04' MODE STANDARD ECM CITY OF SALEM, NIASSACHUSE'r Bomw ov FII.,.ua11 120 WASI3INGTON STRI ET,4"FLOOR 11,]"O78) 741-1800 iii,Mlli:,RLL-':1`I31ZISt;t3I:L t',1?:(I78) 745-0343N AYOR l�1 i tr7 en c f.A IMY RAMIAN,RS{twf Is,cI KS,n,-I•l- 11 l 1,11;111 A(;VN'l' Facsimile Transmittal To: Fax# RE: a (2_)_r�A Q2P v C4- Date ; Page(s): including this cover# Message: Board of Health News ----- --- -- — —_________ _______ _________For Your Infonnation OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON Q City of Salem, Massachusetts luxBoard of Health ��uL 120 Washington Street, 4th Floor, Salem, th Promote. Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-439 DATE ISSUED: 11/8/2016 Property Located at: 122 BOSTON STREET UNIT#1 Owner/Agent: CT Financial Trust Address: 869 Western Avenue City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone:(781) 592-8900 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e , � Ae r B Larry Ramdin, MPH, REHS, CHO J^4�y/ HEALTH AGENT SANITARIAN v • v �ITY OF SALEM, MASSACIIUS]-�'I"TS BOARD OF HEALTH � ` 120 WASHINGTON STREET,4T"FLOOR ) TEL. (978) 741-1800 1IMBERLLY DRISCOLL FAX(978) 745-0343 MAYOR 1.RAMDINGSALEM.COM ti LARRY RAMDIN,RS/RF.HS,CHO,CP-FS HEALTH AGENT' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �F1EE: $50..00 / (� / PROPERTY LOCATED AT �� S l Y) v � -A I ��M G�� 9ZIT# IS THIS UNIT DISIGNATED ASRIGHTLEFT FRONT OR BACK PLEASE �CIRCLE ONE OWNER/LESSERI, I i' t Y1 ay-\, r I Gt � 'Tyl 14S MANAGER/AGENT / I� S S �rd& - 24 U�(L� ADDRESSADDRESS / CITY, STATE,ZIP ! 4 h 0 (l� ✓�- CITY, STATE,ZIP RESIDENCE PHONE p BUSINESS PHONE (24HRS) �— 4-5 a -3c) BUSINESS PHONE GI Z 0 LI U TOTAL NUMBER 'O/F ROOMS: ROOM USE: L k 'fie(l 2 11'" V)_5 4-eJ 4. �� `f 6. . 8. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE 7PABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE � — — DATE Inspectors use only Date on initial inspection: 11/0712c)lil, Date of reinspection: Date of issuance of certificate: q Date fee paid:��171 Type of unit: Dwelling--V/—Other Check# + ! 3 3 Check date: 11f/®7fj_01J� d Notes: ?f [ �vi 0.�� S ret, S, jr:al Irl ,.I 11w11, 2e n rcementVector `OND� City of Salem, Massachusetts Q Board of Health ` 120 Washington Street, 4th Floor, Salem, PubIfCHCalth MA 01970 Preltnt.PlO.Ote. PMW Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-440 DATE ISSUED: 11/8/2016 Property Located at: 122 BOSTON STREET UNIT#2 Owner/Agent: CT Financial Trust Address: 869 Western Avenue City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone:(781) 592-8900 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. AJ e Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACIIUSI�TTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR IFL. (978) 741-1800 KTMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LAAMDINGSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT Z &,a n S- • , ! Pot to�, t*4 D/q7�0 UNIT# IS THIS UNIT DISIGNATED/AS RIGHT LEFT'FRONT OR BAtK,PLEASE CIRCLE ONE OWNER/LESSERr F 1 um ( j R 1 b, bt 5}'MANAGER/AGENT PASS B td�-SC�j//7 nP-s ADDRESS b ADDRESS CITY, STATE,ZIP d /7 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 2 �� I TOTAL NUMBER OF /ROOMS: / ROOM USE: 1. e I tG�� i2. l.i I/ 1 VN j 38. � � 4. 6 ee( 5. �e) 6 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYA LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE C_ DATE q p Inspectors use only Date on initial inspection: 21,��p7/201 Date of reinspection: Date of issuance of certificate:*/./(91'1^ Date fee paid: t 4l=Za � Type of unit: Dwelfing ✓ Other Check# _L 1 33 Check date: 1116%� r. �] i tL Notes: �� wiulPr zr� Ii/L/Jnw fczLe IS (As^e_ hPP�YP orcement ector i City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pt# H6811th MA 01970 Prevent.Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-441 DATE ISSUED: 11/8/2016 Property Located at: 122 BOSTON STREET UNIT#3 Owner/Agent: CT Financial Trust Address: 869 Western Avenue Cityrrown: Lynn, NIA Zip Code: 01905 24 Hour Phone:(781)592-8900 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 11 "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only If there is a valid Certificate of Occupancy. Note:This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO ! SANITARIAN HEALTH AGENT • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FA_Y(978) 745-0343 MAYOR LRAMDIN(dSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HFALTH 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 FEE: $50.00 PROPERTY LOCATED AT 17- 2- B 0-, I T:1 i Sq. UNIT#__3 IS THIS UNIT DISIGNATED/AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER G I � A VI ( I�(/ 'r jr pt 5 t- MANAGER/AGENT 5. S bro k-,/' ' ✓1 C eS NO P.O.BOX �-; ADDRESS 7 �7 t/lles f V1 ADDRESS CITY, STATE,ZIP L—^�V\V\ 1 ✓� /I �G1 6 (— CITY, STATE,ZIP RESIDENCE PHONE \\. I ��rZ' ��/�c� BUSINESS PHONE(24HRS) ( - 3 C� BUSINESS PHONE T6 I — TOTAL NUMBER OF ROOMS: ""Z ROOM USE: 1. k i f( U, 2. Y,-C tC f-&34 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEIS PAY BLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE / �- — DATE qq qq � n/ Inspectors use onlv Date on initial inspection: a.. 0 712/ -°�.�, qq Date of reinspection: Date of issuance of certificate: .Lj/0%21-.l4 Date fee paid::-!- t4 Type of unit: Dwelfin��Other Check# 11 3 Check date: 1 110 712 IX Notes: Wr`AJAIA/ tr✓PAJIV klPJel 'A, Co n Zernen[Ins�ctor C1-1'Y OF SALEM, MASSACHUSL I 1 S 10 BOARD OF HE-,AL'H 120 WASHINGTON STRrFT,4"'FLOOR PubllCPromHeAItroteh TEL. (978) 741-1800 FAX (978) 745-0343 KIMBF_RLEY DRISCOLL llamdionasalem.com LARRY IL\N[UIN,RS/REI-IS,CI-10,(-T-FS HI'AL17-1 Ac; CERTIFICATE OF FITNESS CERTIFICATE #006-13 DATE ISSUED: 1/3/2013 Property Located at: 122 1/2 Rear Boston Street UNIT#2 Owner/Agent: Trinh Ma Address: 122 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 781-990-1587 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. 4HE =LTH LARRY RAMDIN 4✓ A HEALTH AGENT SANITAR n CITY OF SALEM, MASSACHUSET T'S 2 /lXJ1l/J(/7 BOARD OF HE 1I.TH 120 WAtiHING'I'()N''l'RPl�,'r,4' 'FLOOR 12t1�}IiCH�L)fl Fmvrnl icH PnJ h TEt... (978)741-1800 F\X(978) 745-0343 kIMBLLRLEYDRISCOLI, y Iratndinasalem.com �Ir�YOR La)etz� R.�aioiN,xsJRi;us,<:i lo,(Y-F',; HI;:AI;L11 ACI{NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE5NT-T-ARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDA S OFFITNESS�' HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT_�G , f UNIT# �- IS THIS UNIT DISI NATED AS RIGHT LEVr FRONT O AC LEASE CIRCLE ONE OWNER/LESSER Y/NN /Vl MANAGERI AGENT Tt/t vI G) I� fx NO P.O. BOX ADDRESS 12--2- ADDRESS CITY, STATE,ZIP Sa I e v" IV! CITY, STATE,ZIP D f q -7 D RESIDENCE PHON EL�BUSINESS PHONE(24HRS) f— qCt0 -I P ._ BUSINESS PHONE '' 700�i � TOTAL NUMBER OF ROOMS: 3 ROOM USE: n, 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISPAYABLEAT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DAT � to Insnectors use only �� Date on initial inspection: � '3 ' �9 Date of reinspection:4L-1-'-,�-- _ Date of issuance of certificate: v Date fee paid: Type of unit: Dwelling f other Check# Check date: Notes:�t�3t;l_Q` t n1_f 9�'k7 S te} �. �f�cP, r2,�� sty ,�s�l�2 �C7rjfr _g[}gt-I t?i'C3�i fA� 1f L�0! SC ]te w � Co2k ement Inspector tom']6n _qj( E a t1r�s �meced cplrs �I/ fila Ing Pa)��+ ' City of Salem, Massachusetts e � W Board of Health A 120 Washington Street, 4th Floor, Salem, PabliCHealth MA 01970 Prevent. Promote. Prnlem 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 M GHL-15-189 DATE ISSUED: 7/28/2015 Property Located at: 123 BOSTON STREET UNIT#1 Owner/Agent: Jeff Lusczynski Address: 123 Boston Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(413) 330-8480 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'. f rd of Health and the unit may now Therefore, this Certificate is issued by the Code Enforcement Division o the Salem Boa y be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO /� �� NITA HEALTH AGENT ` i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL.(478)741-1800 KIMBERLEY DRISCOLL FAx(478)745-0343 MAYOR JRMMIN@SAMM.COM LARRY RAMDJN,RS/RFJJS,CJJO,CP-!;S j t n K r 1 t 6 (Phg a� ! • G4✓�` HFv1J.T'11 AC,J'sNT � GGI h � j' `� 1. Application for Certificate of Fitms IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: 550.00 PROPERTY LOCATED AT C 2 3 r2>C/51 v h :,t- UN1IT#-1 _ i IS THIS UNIT DISIGNATED AS IG WToR A KC ]PLEASE CIRCLE ONE OWNER/LESSER. �� L-v5c L V ins"' MANAGER/AGENT NO P.O.Box !, ADDRESS l L3 V5 47S IVA S E $ Z- ADDRESS n -7 CITY,STATE,ZB' t G 7 0 CITY,STATE,ZIP S� I � ✓H�i t1 l � l 0 RESIDENCE PHONE W3 3 a 3 U BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10, THERE IS A FIFTY($50)DO PAY BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE P AB A TAM OF INSPECTION APPLICANT'S SIGNATURE DATE 12,012 �a� 2ats Insvectons use onlv Date on initial inspection: 0712.o/2A1 C- Date of reinspection: Date of issuance of ccrtiScatep7n-o/2ot t Date fee paid: ka0Z2,n1 S Type of unit: Dwelling i�Otha A Check#., n?S Check date:n7712 o/J01v5�� Notes: R,.moi . wi. d ow i hoom ar7lY -"n4 +0 be AIrnnn, ne i Se r^e�4 �S win kY cl ell t p t r r (�.zyQ�sS��--�„yf_ rv��r U k�rnn A Ld Lrimnam M155;n) 5LCZ94r, t i h CITY OF SALEM, MASSACHUSETTS BO_1RD OF HEALTH 10 120 WASHINGTON STREET,4°.FLOOR PublicHealth TEL. (978) 741-1800 FAZ(978) 745-0343 KIMBERLEY DRISCOLL lrarndinaa salem.com Lr\ARl'1LAMDIN,RS/RGl-I5,CI-IO,C114-5 MAYOR HI:;AI XI I A(;D:NT CERTIFICATE OF FITNESS CERTIFICATE#459-12 DATE ISSUED: 10/29/2012 Property Located at: 123 Boston Street UNIT#2 Owner/Agent: Lori Silva Address: 1 Purchase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4242 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 LARRY DIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BcmRD OF H&),LTH 120 WASHINGTON STREFT,4`'FLOOR Public Health V'rmenl PrOmnic Pmlee TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdinna salem.com MAYOR L:\IIRY MNIDIN,RS/RD;IIS,CI 10,CP-FS H o'.AL IT I AG P,NI' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT I Z3 V»S4riv S'4 UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 1 owl + Ar1nc�n� SI I/ MANAGER/AGENT 4c.w-t NO P.O. BOX ADDRESS 1 PUrC-ha_S� ' ADDRESS `' m CITY, STATE,ZIP SCAU AA CITY, STATE,ZIP !� d RESIDENCE PHONE R.7$--7 H l - y z y Z BUSINESS PHONE(24HRS) 9-7 S--7L//- Y- y z BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE PAYABLE AT jTH,E TIME OF INSPECTION APP CANT'S SIGNATURE(, DATE i t 1 2.a 1 _ Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: JG/rq 1/e7. Notes: CoInspector Sa.Le� , . Iq v/,776 .. x vg�cU III CERT.# 156-99 = _ FEE $25.00 DATE: 03/31/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 123 Boston Street UNIT #: 2 Left OWNER/AGENT: Anthonv J. Silva ADDRESS: 1 Purchase Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3211 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH 10=ANNECOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' ln � 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT# o� IS THIS UNIT DESIGNATED AS RIGHTEF FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY �CLmeAAA CITY qq RESIDENCE PHONE 19S) 9g,5-3cW/ BUSINESS PHONE (24 HRS.) ivtC? BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. k4bna 5. 6. 7. 8 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE '.,., DATE INSPECT RS SE ONLY DATE OF INITIAL INSPECTION S -3/ - f f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:3-31— Y DATE FEE PAID: -3- TYPE AID: 3-TYPE OF UNIT DWELLING ,(�_OTHER_ CHECK#_�2.,�- �., CHECK DATE NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 s 9lvg��ONDlT '�'. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 03/23/99 Tel (978)741-1800 Household Finance Corporation Fax:(978)740-9705 961 Weigel Drive Elmhurst, ILL 60126 PROPERTY LOCATED AT 123 Boston 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. FOR THE BOARD OF .HEALTH REPLY TO 4oanne Scott MP�HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ' • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM(a .M.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#581-09 DATE ISSUED: 11/16/2009 Property Located at: 123 Boston Street UNIT#2R Owner/Agent: Lori Silva Address: 1 Purchase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-4242 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. FORTHE BOARP OF HEALTH // I DAVID GREENBAUM !� ACTING HEALTH AGENT CODEdRCEMENT INSPECTOR 1 � G aP'l —79 Mursh� fv • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUNInn SA1.17m.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." //�� FEE: $50.00 PROPERTY LOCATED AT /,? 3 A15 t Y, 5 1,- UNIT# /Q IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Lor! R. ' T.lue, MANAGER/AGENT NO P.O. BOX ADDRESS 31% ADDRESS CITY, STATE,ZIP S'ectt wn M A CITY, STATE,ZIP D/4F7l1 RESIDENCE PHONE 9 7oC-' 7 W- V.2V 2 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 32 ROOM USE: 1. KI re{i, 2. !'312 3. Z le 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS SAYABLE AT THE TIME OF INSPECTION /. /4 ��//� APPLICANT'S SIGNATURE r'uZ.t � - 1�-t.�C1r/ DATE IJ `/ Inspectors use onlv Date on initial inspection: �� / �P!Q e7 Date of reinspection: Date of issuance of certificate: I//l/IP/40 9 Date fee paid: U Type of unit: Dwelling Other Check# vl 7 Check date: 11 /1U16 Notes: 4um Aw/1 had- h a4v , Code Enfo went Inspector -- �„ a c� a his U� � � �� CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KINIBERLEY DRISCOLL FAX(978)745-0343 MAYOR WRP.ENRAUMr@SAL9MM.LQM DAVID GREEN'BAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#. 581 -09 DATE ISSUED: ' 1 1 /20/09 Property Located at: 123 Boston St. 2R Owner/Agent: : Lori A Silva Address: 1 Purchase St City/Town: ; Salem MA s: 01 9704 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in oompiiancewith 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Il" 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 D i R EIBAUM ACTING HEALTH AGENT CODE E ORCEMENT INSPECTOR } w CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR f TFL. (978)741-1800 KIMBERLEY DRISCOL.L FAX(978)745-0343 MAYOR cicr;n:N[+nuMf7nsn a+nt.ctin� DAVID GREENBAUM ACTING HEALTH AGENT Facsimile Transmittal To: NSCA Fax# /0 3L,. RE: 3 l�JJS�C�t1 LSt - SG: ft� �'StE'IN Date Page(s): including this cover#a, Message: ceft lr« 2 4p Board of Health News -----------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON i �ONDIT,tQ City of Salem, Massachusetts 10 r 0. Board of Health 120 Washington Street, 4th Floor, Salem, Pab1iCHCalth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-308 DATE ISSUED: 9/25/2015 Property Located at: 123 BOSTON STREET UNIT#3 Owner/Agent: Jeff Luscrynski Address: 123 Boston Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(413) 330-8480 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITAR CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMt?W 5A1J M.COM A LARRY RAMDIN,RS/RJ-HS,{:140,CP-1 S HEA1:1H AGNNT 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 `7,'5 V-A"yl '�ty :�- UNIT#J ll -- �P�IyS 7� WS UNIT DISIGNATED ASIG RHT LES FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER � r W-Y` jCmc Zs�1n.S MANAGER/AGENT NO P.O.BOX { _ ADDRESS ` Z�77�Sr�� Sq�� 7, ADDRESS CITY, STATE,ZIP 5cl U/170 1 V` 01 q O CITY, STATE,ZIP RESIDENCE PHONE -33 a SSLt-?S p`"" BUSINESS PHONE(24HRS) BUSINESS PHONE E ! TOTAL NUMBER OF ROOMS: r l ^ ROOM USE: 1. V"4 X64 r` 2. L1 Vt Vy . 4 &J/VO4)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 PAY LE AT INSPECTION APPLICANT'S SIGNATURE w 2 � l�'zi only Date on initial inspection:BU2V5" Date of reinspection: Date of issuance of certif cate4Oq 2L1 Zal t Date fee paid:nww=a�-5` Type of unit: Dwelling.._Z Other Cheek# 2D42 Check date:6113SI201 S'- Notes: Notes: rmRr1 ,4;A _TH+' \v;4j0,%0 Aa-S Om kr;nJnw w ,A nn Sc-cz4h GLej a.e er \V o1- I.rllklkeA f+t rm ramp„ C ^ orcemen spector "ND " City of Salem, Massachusetts IV Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-10 DATE ISSUED: 3/26/2015 Property Located at: 123 1/2 BOSTON STREET UNIT#2 Owner/Agent: Amy Newton Address: 123 1/2 Boston Street City/Town: SALEM, MA Zip Code: 01970 24 Hour Phone:(978) 740-9290 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO r HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS u �fj u BOARD OF HEALTH .5� 120 WASHINGTON STREET,4"'FLOOR TSL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN(a)SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE CHAPTER 11 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' n FEE: $50.00 PROPERTY LOCATED AT �Z 3 �2 1?057DA.) UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE��^^ONE OWNER/LESSER /1 M �I N& ct// 0/v MANAGER/AGENT 144a4-910 P ,Aj eln4 e7PaS NO P.O.BOX I ADDRESS ('J rl OV P v Q_I P (A ✓e- ADDRESS Z 0 r 1 q/UP v d t-A I P a✓(o CITY,STATE,ZIP ScA l�em IAA A n 9�O CITY,STATE,ZIP S'cc K/✓1/1 VW A- 0 ) ! 2 O RESIDENCE PHONE 970'-749-10'54 BUSINESS PHONE(24HRS) '77F- 76,1- 6 Z 9 4 Basi ESS PHONE 97 f- 7 �a- 9 Z q 0 TOTAL NUMBER OF ROOMS: ROOM USE: 1 96--Q✓100fa12 BED/20ow43 /?(-Q1 00PO4 RA r// 5.A�� 6.t,t/ fL 7. aA) ✓ A 8. 1 jmfi&n/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 E AT THY,T F INSPECTION APPLICANT'S SIGNATUREj� DATE4d/o�' Zrl/s Insuectors use onlu Date on initial inspection: ,)IaLlII S Date of reinspection• Date of issuance of certificate: 1 Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code En orce ent Inspector l_ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMUNO)SALEMMM LARRY RANIDIN,RS/REHS,CHO,cp-FS 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. ." �/k�6 Tenant/Lessee Owner ssor ?a cLee-lcwl Address Address 0 V> 9ar%O1v s1 2 Address on unit to be inspected AllAi-d 2 (1 20/ 5 Date updated sn3n I gib ) CITY OF SALEM, MASSACHUSETTS 120 W.\sl-IING'I'ON Srxecr 4"'FI ue T[:L. (978) 741-1800 ICIM1ili;Al.,131" llR]S(;(.)LL, FAX (978) 745-0343 MAYOR Iramdin(a�salem.com LARKY RANIUIN,RS/IWI IS,CI 10,CII-JS I- rm,I'II A(;kN'I' CERTIFICATE OF FITNESS CERTIFICATE#374-11 DATE ISSUED: 9/29/2011 Property Located at: 123 1/2 Boston Street UNIT#2nd floor Owner/Agent: Amy Newton Address: 123 1/2 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-764-6294 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 [� LARRf RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY (.-)F SALEA MASSACHUSETTS BOARD(I',Hr kl.:I'H 120 W.�sF[INCTc�N SrRl�e:r 4"'17,(x nt � (978) 741-1800 IiIM13EM-EW DRISCO11, FAX (978) 745-0343 MAYOlt 1.RAMOINnO SAI. IM.coM LARRY RAMAN,RS/RI{[IS,CI lo,cP-1'S HI!.11:1'll AGHN'l' 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 P PROPERTY LOCATED AT '/2 GacS(C1 f j ST- UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER tl 1A V MANAGER/AGENT k 0 Q IffO IM e i WI 'P rC(3 NOP.O. BOX // 1 ADDRESS (Z�j /(2 GOS%o pv % ADDRESS CITY, STATE,ZIP CE- [/✓t //1/1 A CITY, STATE,ZIP RESIDENCE PHONE 97Dp`7q o / OS 4BUSINESS PHONE(24HRS) '' 2e- -26-1 —C29 '- BUSINESS PHONE S c-f C7 " c� 2 01 C TOTAL NUMBER OF ROOMS: ROOM USE: 1. pec vovA2. ppr)rranbv3.RIJrm,w 4. VVI 6. 7. 8. 9. 10. a � ' 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 !AB EAT TH SPECTION APPLICANT'S SIGNATURE 0 DATE InSnectois use onlv Date on initial inspection: 9/c?Cf�/ Date of reinspection: /,J30/lf Date of issuance of certificate: SII r7I I Date fee paid: q Type of unit: Dwelling LZOther Check# doh. Check date: / °l�II� Notes: SSG - it M S f02 buohu, 0 bGV7�M bo-X? . SVS -Fur 1"Uodow de En orcement Inspector n m 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel (978)741-1800 Date: 02/18/98 Fax (978)740-9705 B & M Realty Trust c/o R.E. Gauthier 130 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 126 Boston 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 gvrmTON 1nS rMR 410 .354 METERING OF GAS & F.LECTRTCTTY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r " co CERT.# 487-00 FEE $25.00 a DATE: 08/01/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 128 Boston Street UNIT #: 2 OWNER/AGENT: B & M Realty Trust ADDRESS: 52 Bay View Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1171 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 - Q Lgy JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 00 t, 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 �CKO 1-Oh UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER S±>n4q( MANAGER/AGENT 6M/-6 No P.O. Box No P.O. Box ADDRESS ER�i�1�/l/'k-w-) /P_ ADDRESS CITY X141eY" �A 61?70 CITY RESIDENCE PHONE n!7f,-7"516_-/17/ BUSINESS PHONE (24HRS.) Z- BUSINESS PHONE C�ra/hv TOTAL NUMBER ,,O//F''ROOMS: �4J/ ROOM USE: 1. �G 2. 25Eet 3. kZUV 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. `, , ' APPLICANTS SIGNATURE �'+ / DATE INSPECTORS USE ONLY e DATE OF INITIAL INSPECTION D - ) - o '° OATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: A - ('moo o DATE FEE PAID: 9-/ -o 0 TYPE OF UNIT: DWELLING OTHER_ CHECK# 661 CHECK DATE C,�—i 20 D -NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CONO f +y4 CERT.# 488-00 A FEE $25 .00 DATE: 08/01/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 130 Boston Street UNIT #: 1 OWNER/AGENT: B & M Realtv Trust ADDRESS: 52 Bav View Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1171 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 C/Q JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR . . • NUIT ' 3 ��IMIN6W . 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 IN &,5-4n & UNIT# / IS THIS UNIT DESIGNATED AS RIGHT LEFT BACK PLEASE CIRCLE ONE OWNER/LESSER .&fAIit-�DL )Wd MANAGER/AGENT ��hr� �. G19lJ7r�/f/Z No P.O. Box / No P.O. Box ADDRESS 46 � Owaz"1 FGJAP_ ADDRESS v � CITY �4%X/Y/ YA4 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE r 7 � TOTAL NUMBER OF ROOMS: 7 ROOM USE: 1.f6- 2. 3. /``�� 4. 5./(9-"L� 6. Idd-I'L7. AZ�-) 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 f A DATE / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION S!_-I-0 O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:'R-/--0 O DATE FEE PAID: D d 0 TYPE OF UNIT: DWELLING "'OTHER_ CHECK# OI CHECK DATE NOTES- CODE ENFORCEMENT INSPECTOR 9/28/98 �v��coxorr��i n y �Q NNE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 06/27/2000 Tel (978) 741-1800 Fax (978) 740-9705 B & M Realty Trust 130 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 130 Boston Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD OF HEALTH REPLY TO Joanne Sco t, MPH,RS,CH0 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 (978)741-1800 Date: 02/13/98 Fax (978)740-9705 B & M Realty Trust R.E. Gauthier & E.J. Murphy 130 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 130 Boston Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 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 ' vg�gONU1T Q' CERT.# 456-00 s _ FEE $25.00 DATE: 07/14/2000 �q`�IMINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 Fax:(978) 740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 130 Boston Street UNIT #: 3 OWNER/AGENT: B & M Realty Trust ADDRESS: 52 Bavview Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1171 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 qOZE 'T MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR COKIM n � 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 /3I d !`7 � UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Gfh�, 7 /Pi/S� MANAGER/AGENT je. 1115eell-62&? ✓AFX_ No P.O. Box No P.O. Box ADDRESS 5-A ADDRESS CITY RESIDENCE PHONE 2V65-i/7/ BUSINESS PHONE (24 HRS.) 7 q5_- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. tZkl 2. Af� _3. . - 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE-' /?%/ /lJ�/ti DATE / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 77- 1. Y-v O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:?-^N- 00 DATE FEE PAID: -7-14 -o U TYPE OF UNIT: DWELLING;(OTHER_ CHECK# 69;a CHECK DATE 7--/ 9' -0 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 � h 3 R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/16/99 Tel:(978)741-1800 Fax:(978)740-9705 B & M Realty Trust 130 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 130 Boston Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 them 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-meter�i�ngg has been proven eo exist. R THE BOARDte i- REPLY TO io=annecott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + BOARD 01'HIv'ALTH 120 WASHINGTON STREET,4"'FLOOR 1'FL. (978) 741-1800 K TNIBER1,EY DRISCOLL, FAX(978)745-0343 MAYOR ID1QNNLa.,;,u.,4.00t%( JANF-i DIONNi_, AcrtNG HI?Al:m AG1:,N'r CERTIFICATE OF FITNESS CERTIFICATE#603-08 DATE ISSUED: 11/18/2008 Property Located at: 131 Boston Street UNIT#1 Owner/Agent: Peter Copelas Address: 135 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5074 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 HE BOAR O HEAL[H J ET DIONNE ACTING HEALTH AGENT CO"ICEPECTOR CITY OF SALEM, MASSACHUSETTS / 3-07� BOARD OF HEALTH 120 WASHINGTON STREET,4"' FLOOR TEL. (978) 741-1800 KIMHI'RLEY DRISCOLL FAX (978) 745-0343 1vL-\YOR sc:crrr(ril .\tatnf.COM J( ) \NNE SCOTI, 1-h \LTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FV HUMA HABITATION." ?? / / /FEE: $95 90 .S o. ®o PROPERTY LACATED AT /j/ /305 Z01 SI � � UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR.BACK,PLEASE CIRCLE ONE OWNER;LESSER .S t 4Ab6L ?eJ 1/ TV^uS4 MANAGER AGENT NO P.0 BOX -j / / ADDRESS �777r jos 474 5t ADDRESS CFTY,STATE,ZIP 541t41. m� d� 1�?d CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) y7e- 317 -55`571- BUSINESS PHONE TOTAL NUMBER OF ROOMS, ��// ROOM USE: 1. L 11744 2 9 3. 1'3 4. K,1C-/-e115. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE(S75) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TIjIS FEE IS PAYABLE AT TH IME OF INSPECTION APPLIC:WTSSIGNATURE � J\D \ ,1 \ DATE 6 V Insoectors use onlv Date on initial inspection: 1 1 - 18 -O$ Date of reinspection: Date of issuance of certificate: 11 I oY Date fee paid: 11^ FSr • of Type of unit. Dwelling ✓ Other Check # I2-Sr Check date: 1/^ I t` Q�' Notes. ti Code Enlorc ment for „_---- .v CERT.# 88-00 FEE $25.00 DATE: 02/07/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 131 Boston Street UNIT #: A OWNER/AGENT: Peter Conelas ADDRESS: 135 Boston Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-5074 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 INF - INFORMATION CALL 978 741-1800. FOR THE BOARD OF HEALTH U JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /� PROPERTY LOCATED AT 131 r3" rl- UNIT#L"/ IS THIS UNIT DESIGNATED AS�RIGHHTT EFT /0FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /YGtf eaf9 MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS �✓'DD� 73 S7� ADDRESS CITY Sem , A/,4/, `/714 7TH CITY RESIDENCE PHONE? BUSINESS PHONE (20-RS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 411-7 5. w4 A# 7. 8. U (� 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 J d INSPEC ORS USE ONLY DATE OF INITIAL INSPECTIONS - b DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:Z 7 .v b DATE FEE PAID: 'Z - 7 - � TYPE OF UNIT: DWELLING "OTHER_ CHECK# R d `E R CHECK DATE NOTES: _ CODE ENFORCEMENT 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 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 51-07 DATE ISSUED: 2/6/2007 Property Located at: 133 Boston Street UNIT# 1 Owner/Agent: Sigma Realty Trust Address: 135 Boston Street City/Town: Salem ,MA Zip Code: 01970 24 Hour Phone: 978-317-4656 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`N`NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH w 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 Il, 105 CMR 410.000 A `MINIMUM STANDARDS OF FITNESS FOR HUMAN BITATION". y� MAN PROPERTY LOCATED AT 3� �� UNIT# IS THIS UNIT DESIGNATED AS BIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ® Q I> 'MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS J �� S� ADDRESS CITY . A19 019 7 p CITY RESIDENCE PHONE 77 /JBUSI/,NESS PHONE (24 HRS.) BUSINESS PHONE 9791 —3/ 7--�4zU`''" TOTAL NUMBER OF ROOMS- ROOM USE: I_/s� 2. Z.> 3. 1J.Go� 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ^� APPLICANTS SIGNATURE �� DATE /, �J JU / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 Q!� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-" ._DATE FEE PAID: 9.6,cr0 TYPE OF UNIT: DWELLINtLe!!!�OTHER_ CHECK#-&/_CHECK DATE; C� NOTES: CODE ENFORCEMLINT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS uv a 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 #429-06 DATE ISSUED: 8/28/2006 Property Located at: 133 Boston Street UNIT#2 Owner/Agent: Peter Copelas Address: 135 Boston Street City/Town: Salem ,MA Zip Code: 01970 24 Hour Phone: 978-317-4656 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 JONN�MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR q CITY OF SALEM, MASSACHUSETTS AAA BOARD S HEALTH 120 WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 TEL. 978-74 1-1800 ( • 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HYMAN HABITATION". PROPERTY LOCATED AT 133 143"j" J f' UNIT N_� IS THIS UNIT DESIGNATEDRI LEFT FRONT BACK PLEASE feIRCLE NE OWNER/LESSER MANAGERIAGENT Ga No P.O. Box No P.O. Box (� ADDRESS l3 s /Sl� ADDRESS CITY , , D/J�7If CITY 7 v RESIDENCE PHONE ?B-3/7 �yBUSINESS PHONE (24 HRS) BUSINESS PHONE—fly 4V -J )71 TOTAL NUMBER OF ROOMS: 5"' ROOM USE: 1._. 2.�3. 5.-6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. (� APPLICANTS SIGNATURE DATE INSP TO USE ONLY DATE OF INITIAI. INSPECTION' < DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATECS;35-,O G DATE FEE PAID:'k ✓ TYPE OF UNIT: DWELLINC��OTHER CHECK N d�'� f� CHECK DATES - 0 E' NOTES: (� CODE ENFORCEMENT INSPECTOR 9/28/98 I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 12.0 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#357-05 DATE ISSUED: 6/1/05 Property Located at: 133 Boston Street UNIT#2L Owner/Agent: Peter Copelas Address: 135 Boston Street City/Town: Salem ,MA Zip Code: 01970 24 Hour Phone: 978-317-4656 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 E, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, ATH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978.745-0343 STANLEY USOYICZ, 1R. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 `MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT# Zu IS THIS UNIT DESIGNATED AS RIII�GH LEFT'� C*RYYO T BACK PLEASE CIRCLE NE OWNER/LESSER ANAGER/AGENT � �✓ �C� ? No P.O. Box ((JJ No P.O. Box ADDRESS /// S � ��A44�Z ��` ADDRESS CITY CITY 5, > �iv�l� Jr p RESIDENCE PHONE BUSINESS BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF RROOMS: 7� ROOM USE: 1. ��t%/ 2._�.��.3. )� 4.�� l 5. 6. 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. gr / APPLICANTS SIGNATURE 1 ,e I DATF S' Z?' INSPECTORS USE ONLY DATE OF INITIAL. INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTWICATE:L1 -cf DATE FLEE PAID: TYPE OF UNIT: k DWELLIN OTHER_ CHECK# / �� / CHECK DATE NOTFS /`` CODE ENFORCEMENT INSPECTOR 9/28/98 c 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#: 377-03 DATE ISSUED: 7/24/2003 Property Located at:: 134 Boston Street UNIT#: 1 Rear Owner/Agent: Scott Galber Address: 9 Belleair Drive City/Town: Swampscott. MA Zip Code: 01907 24 Hour Phone: 592-4462 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. 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. 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. R THE BOARD OF. HEALTH Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR peen f 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 H�A-BITATIOW. PROPERTY LOCATED AT J 3 T � � v UNIT#/7AAn,. IS THIS UNIT DESIGNATED AS RIGH TLEFT FRONT PACK PLEASE CIRCLE ONE OWNER/LESSER&Coa G7 EK—MANAGER/AGENT No P.O. Box —� No P.O. Box ADDRESS ( fLL AI{2 Ql2! V6 ADDRESS .41 yc_ CITY JLC SC° IIIA �U j _CITY RESIDENCE PHON(7S)) 572-�4 Z' BUSINESS PHONE (24 HRS.) BUSINESS PHONE( O 7�/ 7� b/ 1 TOTAL NUMBER OF ROOMS: I ROOM USE 1IU 2 �. 2.�1�5�3. 4.- - — 7. 8. _ THERE IS A TWENTY-FIV ($25. 0) DOL FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF ALE HEALT EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. c� APPLICANTS SIGNATURE _ -_DATE INSP TORS USE ONLY DATE OF INITIAL INSPECTION 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFiCATE:7- {1-O) DATE FEE PAID 7 - TYPE OF UNIT: DWELLING OTHER_ CHECK # __CHECK DATE NOTES: l CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR cSALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/21/04 Moase RE Trust/Scott Gelber 9 Belleair Drive Swampscott, MA 01907 PROPERTY LOCATED AT 134 Boston 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. FortJxf Board of Health Reply to Joa(ffne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 251-02 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/07/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 134 Boston Street UNIT #: 2-Rear OWNER/AGENT: Scott Galber ADDRESS: 9 Belleair Drive CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-4462 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i J n � � f O 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 19 S� UNIT # 2-4eon IS THIS UNIT DESIGNATED AS RIGHTLEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERSC()tt ( Z&ffg MANAGER/AGENT No P.O. Box No P.O. Box Q ADDRESS 1 Ai-LLEAII nKI VE ADDRESS // CITY CITY RESIDENCE PHON( SI S' Z_� 6 L BUSINESS PHONE (24 HRS ) BUSINESS PHONE�/ J / I G TOTAL NUMBER OF ROOMS ROOM USE 1 L(J 2. �C1� 3 O�,"1 4.__ 5 6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONS '] 'o L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES_- 7 z DATE FEE PAID.S_ TYPE OF UNIT DWELLING OTHER_ CHECK # YG b CHECK DATE �'7 9 Z' NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 191-96 FEE $25.00 X11. IF. DATE: 04/01/96 '�YMPB 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: 136 Boston Street UNIT #: 1R OWNER/AGENT: Maria & Joao Silva ADDRESS: 136 Boston Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR q l 4& CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, -CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ' /S .- UNIT /_� Ir OWNER/LESSER / d k� tl A O S( � V-4- MANAGER/AGENT ^� ADDRESS / Z lam/� go S,U W S ' ADDRESS CITY < /10-1,,,, J 6,q CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 2. 3. 4 . 5. 5. 7, 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'HEALTHDEP NT THIS FME EE IS PAYABLE AT TTIM OF INSPECTION APPLICANTS SIGNATUT `(�7Ow ei 4 S/ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: C� - - , DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: — + -- (� DATE FEE PAID: — 1� TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR r 3 �MINB 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: 03/20/96 Fax:(508)740-9705 Maria & Joao Silva 136 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 136 Boston Street UNIT # 1R 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. $EE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 194-96 3 5 - FEE $25.00 DATE: 04/04/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax.(508)740-9705 CERTTFICATE OF FTTNESS PROPERTY LOCATED AT: 136 Boston Street UNIT # : 2 OWNER/AGENT: Joao Silva ADDRESS: 136 Boston Street CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND 1S IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION DF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ic2:_ .. - __ - ' — * - - _.'— s _:.•r is __ _ i .:��". � :7" "i APR -- - --- - -- -GI-T-Y-.OF SALEM$OARD OF HEALTH - - JOANNE SCOTT,MPH,AS,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 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _3 S�/l/ UNIT # �` OWNER/LESSERAA��//9' 4-'�J a S( V44-MANAGER/AGENT ADDRESS ��f[� 60 5 0t---' SSG ADDP.ESS CITY RESIDENCE PHONE BUSINESS PHONE (24 NRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SATMf HEALTH DEP NT THIS FEE IS P YABLE AT THE TIME OF INSPECTION DATE / ,O APPLICANTS SIGNATURE 7///i//C( /f ,�/ /U�C - T - INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: I —y (7 DATE__OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Z-1 —q- DATE FEE PAID: L TE YP OF UNIT- DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 03/21/96 Fan:(508)740-9705 Joao Silva 136 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 136 Boston 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 ,OOFF�HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CERT.# 308-98 3 FEE $25.00 DATE: 05/20/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 136 Boston Street UNIT #: 2 Left OWNER/AGENT: Joao Silva ADDRESS: 136 Boston Street #3R CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 745-0224 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 'V1ITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH 1dV-1-w-f� Q zzal� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 1.13b Tk&ATPn . 1. fUNIT# Z L IS THIS UNIT DESIGNATED ASIR GHT 4 EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJOAC7 s1 LvA MANAGER/AGENT ADDRESS i 36o ` 0STOM Si- #3RADDRESS CITY _s/i 1-.k'm CITY RESIDENCE PHONE _)%4502,2- `f ,%450LL `f BUSINESS PHONE (24 HRS.) BUSINESS PHONE �1-I 1; "'-7 TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. KIT 2. �/�3. $k. 4. r> 5. L-r: 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 / ' / APPLICANTSSIGNATUREI..-sSl� t � ) �C �._ DATE { Jt��P INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONS'- -a - ?J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES'- o DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 t /F s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 05/07/98 Fax:(978)740-9705 Joao Silva 136 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 136 Boston Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 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. CRF FNM.ndgFD SFCTTON 105 CMR 410 ,354 METERING OF GAS & E1.F.CTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + e BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRF',VNRA1JMn3ATTWXIOM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#600-09 V DATE ISSUED: 11/25/2009 Property Located at: 138 Boston Street UNIT# 1 Owner/Agent: Ronald Michaud Jr&Wendy Michaud Address: 106 Maple Streeet City/Town: Wenham, MA Zip Code: 01984 24 Hour Phone: 978-357-9693 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 IAI k DAVID GREENBAUM ACTING HEALTH AGENT CODE ENF EMENT INSPECTOR A 5- �'1 Z � � �, � �� -' � , � r A A A A A A A A A A A A M A 1 A (dyu-o9 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMOSNk:M.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." n FEED: $50.00 PROPERTY LOCATED AT ��5 �1 � �C,, UNIT# IS THIS U�I�SIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �e P�l�/ /�a MANAGER/AGENT NO P.O.BOX /, ADDRESS ; JJ/A-bp ADDRESS CITY, STATE, ZIP liI/� it yyr �� GAO , CITY, STATE,ZIP r RESIDENCE PHONE 49 7 --7,-;10 - ,`7,27� BUSINESS PHONE(24HRS) I BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. ✓ 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNAT / tGPQ.v,/e. ��[��st/� DATE /11,2_5/0 /r' Ins_nectors use onlv Date on initial inspection: .11/c200 c Date of reinspection: Date of issuance of certificate: 'I I Id's-/(l l q Date fee paid: Type of unit: Dwelling Other Check# y S I Check date: Notes: Code Enfdent Inspector HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Dee 07 2009 11:46am Inst Fax P= Tim I= IdentificationrDu ation Dec 7 11:45am Sent 919787205715 0:35 2 OK Result: OK - black and white fax SED Eb ED'? si...i:..fr!_ '��,•_+..A 'e.Flj._.,�. _ .u.. v_a�,c�... x. �+ � a..a.'., .+ .. _. .!•, r..y.�.,•..,ry �{ : :.ij:..\�}`t M .1fi.ac? !P7.t.i 'fi r :f:713 • CITY OF SALEM, �VIASS��CHUSE'ITS BOARD OP HE,\LTi I 120 WASHI NGTON STREET,4"'FL.00R TEL. (978)741-1800 KINIBF:RLEY DRISCOLL FAY(978)745-0343 MAYOR DGRFFNBAUMQ.SAU.M.00%1 DAVID GRLFNBAUNI ACTING HEAuri-I AGLiNT Facsimile Transmittal To: ��P�� Fax # Ci ry , t/� �� ✓1 RE: 1. 4C �ISS�OJ! Date 7�i5 R Page(s): including this cover# C9- Message: Board of health News For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. Fax 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#731-05 DATE ISSUED: 12/5/05 Property Located at: 138 Boston Street UNIT#2 Owner/Agent: Ronald Michaud Jr& Wendy Michaud Address: 138 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410 000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH f JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS n 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 I� O � M-iln.Jt S a 60) UNIT# IST I U IT D NAT,E,,DnnAS RIGHT�L,E�F,T,FRONT BACK PLEASE CIRCLE ONE O NER/LESSE4 Ik - 1 t(J PdMAlrGER/AGENT No P.O. Bogy (� No P.O. Box ADDRESS I3//--t'Sf�L ADDRESS CITY �� I�iVYI p / CITY RESIDENCE PHONEq 4 '_744_��,�.11�•BUSINESS PHONE (24 HRS.) BUSINESS PHONE -531 -10000 TOTAL NUMBER OF ROOMS: -' . ROOM USE: 1 � i a.�j�4. ad�m, 5. 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. APPLICANTSSIGNATURW 1 DATE /Cl INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / 4L - S_- 0 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/JL -S'OJ DATE FEE PAID: TYPE OF UNIT: DWELLINGGVOTHER_ CHECK# G .3- CHECK DATE NOTES: CODE ENFORCEMENT 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, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter Ill ; 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 author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence , !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized aAc:nts from any loss or injury sustained of c.•hatever nature an--' description occasioned by my/our. absence :luring said inspection. /'!Ll OWNER/LESSOR -- -- —-- -- ADD!:GSS fDOR°SS ADIIKESS OF UNIT To BE INSPECTED ZZ445:��_A/_. 07 D TF CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 190-03 SALEM, MA 01970 FEE $25.00 .�, TEL. 978-741-1800 DATE: 05/08/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 140 Boston Street UNIT #: 3 OWNER/AGENT: Raymond W. Lavoie ADDRESS: 140 Boston Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7139 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FO�DD OFHEALTH, JOANNE SCOTT, MPH,RS,CHO t:!� V HEALTH AGENT CODE ENFORCEMENT INSPECTOR I`— I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR / /J� 6j SALEM. MA 01970 �/7} TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR, JOANNE SCOTT, MFH, 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 PROPERTY LOCATED AT / Y d S'li7 q J S &AA UNIT#_2 IS THIS UNIT DESIGNATED AS// IG T LEFT NT BACK PLEASE CIRCLE ONE OWNER/LESSERA/ ��.�J✓WozQ �1VQ7(' MANAGER/AGENT No P.O. Box r No P.O. Box ADDRESS S7/+0, 4 ADDRESS CITY ,4 M G /" 10- 1%. Sb CITY RESIDENCE PHONE 22f,01/ S'-lr,?kUSINESS PHONE(24 HRS.) -- BUSINESS PHONE ` TOTAL NUMBER OF ROOMS: ROOM USE: 1. _2. 3 fl 4. 5, 6. 7. 8. THERE IS A TWENTY-FIVE{$25.00}DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / r APPLICANTS SIGNATURE I'" ��uu .c DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION!5-- W `J 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES--9 - a 5 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER.^ CHECK# 36 sa CHECK DATES=-L ,� NOTES: -. -- CODE ENFORCEMENT INSPECTOR 9/28/98 6��0(dU1T��Q n n y Y e O CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 07/06/2000 Fax:(978)740-9705 Ariestea & James Noble, Jr. 17 Barnes Circle Salem, Ma 01970 PROPERTY LOCATED AT 145 Boston 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 Ordinanoes, 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. THE BOARD HEA TH REPLY TO oann�tt, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF KEAIJJ-F 120 WASHINGTON S'1'REP:P,4'..FLOOR Tr•_F,. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL tram,din(&T.salem.com - LAIt ItY R,\f\4llJN,RS/RI;i iti,C;(1(7,CP-PS MAYOR 1It?AV:P!{AGIiNT CERTIFICATE':OF FITNESS CERTIFICATE#142-13 DATE ISSUI=D: 4/25/2013 Property Located at: 145 Boston Street UNIT# 1 Owner/Agent: Shenmain Yu Address: 374 River Road City/Town: Andover, MA Zip Code: 01810 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Il"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 i:,a valid Certificate of Occupancy. FOR THE BOARD OFEALTH r� LARRY RAMDIN ! HEALTH AGENT SANITARIAN e CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"{FLOOR PubliCHeatth STREET, Prevent.Promote Protect TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinOsalem.com MAYOR LARRY RAMDIN,RS/REI IS,CHO,CP-FS Hl:?AI,T7-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "M MMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" f� FEE: $50.00 PROPERTY LOCATED AT i I/� 5 �� UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER S H VIO I A.� ! GER/AGENT NO P.O. BOX �'7{ �f✓��(LX ADDRESS rt T ADDRESS 0 Wo CITY, STATE,ZIP (_ CITY, STATE,ZIP RESIDENCE PHONE Z Z�� BUSINESS PHONE(24HRS)� BUSINESS PHONE 2 %1 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)-DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION /L APPLICANT'S SIGNATURE S �`--� DAT > InsDectors use onlv Date on initial inspection: 4las/�3 Date of reinspection: I Date of issuance of certificate: Date fee paid: Type ofunit-I Dwell' Other Check# �� _Check date: J) Notes: hl' t� '�ti a4tw1 ,, mu' \t fir&ull donrr k Oob arl �ql nebr be �C 1r nr C' wd doe kou S 4R� �1'e_D (aCP . Cwt skyl �i�t 0� a I'd �0bf fc� o ar cZv.d C cosi pYo dy, Q� 1 o E oem2Cent Inspector ' " Y15p2c��>s11 —d�"( �p O I ��10� r n_� YY lk1 5�y Li �t Owt�ut, way a ( n e `-�' ' VOIT wke� TRANSMISSION VERIFICATION REPORT TIME 04/29/2013 21: 02 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 04129 21: 01 FAX NO. /NAME 916172108948 DURATION 00:00: 32 PAGE(S) 01 RESULT OK MODE STANDARD ECM TRANSMISSION VERIFICATION REPOPT TIME 04/29/2013 21:01 NAME FAX 9787450343 TEL 9787411800 SER.# 000S0N341991 DATEJIME 04/29 21:00 FAX NO. /NAME 919787449614 DURATION 00: 00: 19 PAGE(S) 01 RESULT OK MODE STANDARD ECM . J wv CERT.# 752-96 3 9i FEE $25.00 DATE: 10/24/96 Mrd 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: 148 Boston Street UNIT #: 2 OWNER/AGENT: Maria & Francisco Lobao ADDRESS: 148 Boston Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-9147 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 11, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITPTION" . 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. �QR THE BOARD O HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M1 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01 970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT NINE (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 /40p f1iS'7 f7N S'T UNIT I 'f- OWNER/LESSER `-OWNER/LESSER /-4AA/Pi14Cl.7 1_0,0Aa MANAGER/AGENT ADDRESS /L/.?' j9?ey2--itiA/ ADDRESS CITY S'gLEr/ /fA CITY RESIDENCE PHONE 13a8/ 7e/1/_ 9/q)r BUSINESS PHONE (24 HRS.) BUSINESS PHONE -- TOTAL NUMBER OF ROOMS: X� ROOM USE: 1. 2. 3. 4 . 5. 6. 7. 8, THERE IS A TWENTY-FIFE (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 jS( flr/f �jjgp �� p DATEIZ2 - 6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:/t>,4- - b DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/6 �' �(p DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR L_ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 07970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#106-08 DATE ISSUED: 3/3/2008 Property Located at: 150 Boston Street UNIT# 1 Owner/Agent: Francisco Lobao Address: 148 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection ofyourvacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOIN r , 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 /&0 5' T UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER ra.4 IPI. wee ZO hQANAGEWAGENT No P.O. BoxNo P.O.Box ADDRESS /yST /�i/sr��v C'7- ADDRESS CITY Sf t°t Gf/7 //A- GG CITY RESIDENCE PHONEJ70 -Z2I - &6JSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. /` 2. 3. r5 / 4 5.--6.-7. 8._ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE —� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE. Z-� ti1 DATE FEE PAID: �� w TYPE OF UNIT: DWELLING /�OTHER_ - CHECK# b Z__CHECK DATE-5_�3_ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ti CITY OF SALEM, MASSACHUSETTS r BOARD OP HrALTII 130 WASHINGTON STREET,4`.. FLOOR TEL. (978) 741-1800 KIMBERL EY DRISCOLL FAs (978) 745-0343 MAYOR oclasr,Nlsnuml�s.uatni.coal DAVID Gm,'J UNf,RS ACTING Hl',ALA-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE #499-10 DATE ISSUED: 10/20/2010 Property Located at: 150 Boston Street UNIT#2 Owner/Agent: Francisco Lobao Address: 148 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-9147 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 Ala. , DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMRY T INSPECTOR CITY OF SALEM, MASSACHUSETTS y-I "IU BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR Ti-M. (978) 741-1800 KIMBERLEY DRISCOI,L FAS(978) 745-0343 MAYOR DGREENBAUMaSALFAI.COM DAVID GREENBAUM,RS 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 //h? l (309 7"0lt/ S7" UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER F1fAP 9,15 c 0 Li7P.9U MANAGER/AGENT NO P.O. BOX ADDRESS /q,? I�OS roar �' 7— ADDRESS CTTY, STATE,ZIP -!?1+1-1Z11 " A 01970 CITY, STATE,ZIP RESIDENCE PHONE 979' - 7,1/ V- 9/`J7BUSINESSPHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE l /, Inspectors use onlv Date on initial inspection: D gaol U Date of reinspection: Date of issuance of certificate: ) O Ia 010 Date fee paid: l0 b d II U Type of unit: Dwelling <�ther Check# �_� Check date: l0 6 Fi Ito Notes: lum dr"I . hc14- NW CodeEnforc entInspector CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIbiBL RLEY DRISCOI L FAX(978) 745-0343 MAYOR ucRFkNAUMasAi.nM CONI DAVID GREENB um,RS 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. F/-?A V e 9 e-a Z--L?,eA 0 Tenant/Lessee Owner/Lessor /yam f�o� r�n� .9 7- Address Address Address Address on unit to be inspected Date SIGNED RELEASE PERMISSION TO ENTER APARTMENT We, the tenants of 150 Boston ST Apt 2 Salem MA, Paulo Lobao and Manika Lobao, do hereby give authorization to our landlord and the City of Salem Board of Health Department to enter our apartment to complete a Certificate of Fitness inspection on Wednesday, October 20''. PruZaor Date 10116 .1 (to Manika Lobao Date CERT.# 362-96 FEE $25.00 DATE: 06/17/96 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: 152 Boston Street UNIT #: 1 OWNER/AGENT: Lillian Tardiff ADDRESS: R152 Boston Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6738 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 O/Ftp_HEALLT_H., JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR - �4ntra GITY 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:(506)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, jCHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITAAT7ION". PROPERTY LOCATED AT O d !. dvJ J UT I OWNER/LESSER L( ,l(fg �y �► h� i 3 MANAGER/AGENT ADDRESS ff��. r„S o S T6 i- S-r ., ADDRESS CITY ( � I v /L {'Y/ �'f- CITY RESIDENCE PHONE ')V V-.- BUSINESS PHONE (24 HRS.) BUSINESS PHONE �✓® /. -- TOTAL NUMBER OF ROOMS: `V ROOM USE: 1. A/, T 2. 41. 3. .�p � 4. . � e 5. 6. THERE IS A iw=li 4A.YL (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALW HEALTH DEPARTMENT THIS FEES IS PAYABLE AT THE TIKE OF INSPECTION APPLICANTS SIGHA�116490 �tt. �(� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: /r -( 7 - 9,1v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -( 7 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR AM Date 3 -S-96Time // �ry QPM WHILE YOU WERE OUT M zibe'°4 of )t-4- eP✓IJtG? Phone( 1 9 VS- Q XM3 Area Code Number OExtegon TELEPHONED_ ,*DYt k ,/ CALLED TO S ILL C �l�.A,d-CIN WANTS TO ESO T t Message Alp., ^� 90-i a C'DF Mo /mar q -t3�4a'-a /el like -n g reorder 23-700 Operator �® Breen Cycle'" RECYCLED PAPER 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: 04/02/96 Fax:(508)740-9705 Lillian Tardiff 152 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 152 Boston Street UNIT # 1L 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 IOS CMR 410.354 METERING OF GAS k ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 7, CERT.# 630-99 FEE $25.00 It DATE: 10/21/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,PIS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 155 Boston Street UNIT #: 3 OWNER/AGENT: John Vanloon ADDRESS: 155 Boston Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2735 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 CERTLFY .COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR .poem 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 ISS 120,S i,,U Sr-_ SW—A--rq UNIT#-? IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJ_014A/ VAWn eoAl MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Savnn- ADDRESS CITY ST6. &w 14-. CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: �{ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H LZDEPR ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION.APPLICANTS SIGNATURE A. U _ DATE )NSPECTORS USE ONLY DATE OF INITIAL INSPE ION /n 9 4 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: f D-d 1 4 4 DATE FEE PAID:/?) '3 / F ti TYPE OF UNIT: DWELLING}_ OTHER_ CHECK#CHECK DATE/p ,?- y NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 10/18/99 Fax:(978)740.9705 John & Laurie Vanloon 155 Boston Street #1 Salem, MA 01970 PROPERTY LOCATED AT 155 Boston Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article %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. THE BOARD O HEALTH REPLY TO JR anne Sco , MPH,RS,CHO PABLO VALDEZ ant CODE ENFORCEMENT INSPECTOR g CERT.# 164-96 " FEE $25.00 DATE: 03/21/96 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: 155 Boston Street UNIT #: 3 OWNER/AGENT: John & Laurie Vanloon ADDRESS: 155 Boston Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2735 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 � - �ao�6 z4g3,..,, JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1p N 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 GERTIFICTE 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 14� UNIT / 3 OWNER/LESSER �y�^, 1Ga�Cl�f l)Tly\ex)N MANAGER/AGENT 5c*�- ADDRESS 'ISS" &Z5 e v S1 uh-} I ADDRESS CITY (W1 c, I CITY -,RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 5-0% TOTAL NUMBER OF ROOMS: s ROOM USE: I . }C4 BN 2• € C IYtrttr ,3.,5/krto RvcYh 4 . L V,A�Y 2vY 1 5. 7. 8 THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP NT THIS�FEE/IS P YABLE AT THE TDIE OF INSPECTION APPLICANTS SIGNATURE ✓ �% �- 1 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �^�� % DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER r NOTES: CODE ENFORCEMENT INSPECTOR L L _ M ' 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 03/13/96 Fax:(508)740-9705 Frank & Dorothy Cirome 155 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 155 Boston Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. 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 & ELECTRTCTTY- Very truly yours, FFO,�OyRTHE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR � 11 f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR ptibilCHCAlth Prevent,Promote.Protect TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Itarndin@salem.com I ViRY RADIUIN,Rti/RF,IiS,CI IO,CP-ISS MAYOR HIS,\I. HACiENC CERTIFICATE OF FITNESS CERTIFICATE # 129-13 DATE ISSUED: 4/18/2013 Property Located at: 161 Boston Street UNIT#2 Owner/Agent: Dimitrios Stefanidis Address: 161 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY DIN HEALTH AGENT SANITARIAN �� 0 T 1 VYl cc.�C�Ga� ( 33°�� g$3 - I3a5 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR PublicHealth Prevent Promote Protect TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdinnn salem.com MAYOR LI\1tRY RANDIN,RS/REI IS,CI 10,CP-FS HEAL;n-1 A(-,i mr 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� Ao�� J / r1UNIT# IS THI UNI ISIGNATEDA T LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �.nm� ,rLi nC -GIN 1 O�D_.0 MANAGER/AGENT ADDRESS / b .K o GTS N 54v ADDRESS CITY, STATE,ZIP��F-1v YV�/ CS CITY, STATE,ZIP �/ni 7U RESIDENCE PHONE ��DIY S ,z U ✓ 1 BUSINESS PHONE(24HRS) 9- F-1 BUSINESS PHONE 72 -) L/�-//- ),,9. 3 l TOTAL NUMBER OF ROOMS: ROOM USE: 1. L2 2. DfrA 3. l L,, 4. (,P 5. 8/Z 6. bra 7. �Ij 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 0 SPECTION APPLICANT'S SIGNATURE � DATE Inspectors use only Date on initial inspection: 4I(S I I3 Date of reinspection: I I Date of issuance of certificate: Date fee paid: �/�� Type of unit: Dwelling Other Check# 7'7 7� Check date: Notes: U(�P 07 (S ) --� /1+ot QAXA W4113 Code or ent Inspector TRANSMISSION VERIFICATION REPORT TIME 04/22/2013 22: 12 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATE,TIME 04/22 22: 12 FAX NO. /NAME 913398831325 DURATION 00:00: 36 PAGEiS7 00 RESULT NG MODE STANDARD ECM NG: POOR LINE CONDITION ' • TRANSMISSION VERIFICATION REPORT TIME : 04/22/2013 22: 14 NAME : FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 04/22 22:13 FAX NO./NAME 913398831325 DURATION 00: 00: 30 PAGE(S) 01 RESULT OK MODE STANDARD ECM u T CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR =' 3S SALEM, MA 01970 CERT.# 604-02 FEE $25 .00 TEL. 978-741-1800 DATE: 11/27/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 163 Boston Street UNIT #: 1 Front OWNER/AGENT: Robert S. Gallant ADDRESS: 35 Green Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-5172 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 10S 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 idale", JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH '6 * 120 WASHINGTON STREET, 4TH FLOOR O SALEM, MA 01970 'i' 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 6J�o sTo m_;�7 S 9 A r)-) UNIT# / IS THIS UNIT DESIGNATED AS RIGHT L/EFT'- .RON BACK PLEASE CIRCLE ONE OWNER/ SSER/`G� �YTSCc>�/q7 NANiGER/AGENT No O. Bo No P.O. Box ADDRESS _� .e_z v S l ADDRESS CITY04 r) yeti,-s /O I C 6 /S 2 3 CITY RESIDENCE PHONE 777 S /7ZBUSINESS PHONE (24 HRS.) BUSINESS PHONES -7s 72-1� 6 '/ 5Z- TOTAL `/7ZTOTAL NUMBER OF ROOMS: 3 ROOM USE: 2.1,1'Y 3J3� r,m 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. // APPLICANTS SIGNATURE� LDATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION > DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/) -a-? `v DATE FEE PAID: / -7 ? a 2— TYPE OF UNIT: DWELLING /�OTHER_ CHECK# CHECK DATE/( Z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 . - '� t 7 •,y �^�` 1F ;f,,r7. ty3 t�-a+n°P.} '� .`"��;E*�>.T{d§^..s'J�"�'�.F"" CERT.# 615-99 3 1jlP FEE $25.00 DATE: 10/15/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741.1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 163 Boston Street UNIT #: 2 OWNER/AGENT: Robett S. Gallant ADDRESS: 35 Green Street CITY/TOWN: Danvers. MA ZIP CODE: 01923 24 HOUR PHONE: 777-5172 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, BASEp ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER IT, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT '(X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPIIJG PURPOSES: . •h NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARG OF AGE�# FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OFHEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT _ CODE ENFORCEMENT INSPECTOR I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATA63/{{xz)ar57 S 4/R ., I INIT# 2- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERyC NT__ 9 44/ MANAGER/AGENT No P.O. Box No P.O. Bo_x �n ADDRESS S Gn ,-_,_ Ste' ADDRESS �2-�i CITYO–)o n V Q.nS CITY g RESIDENCE PHONE`�"_-'g BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9 7 87 7� y 09 -2- TOTAL ifS2TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. i 2. n�3. L/sr 4V�ti� R� 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 HIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE,, &'V�/1 DATE�o///S tii INSPECTORS USE ONLY DATE OF INITIAL INSPECTION/o -/�_, 4 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/(J-'/S DATE FEE PAID:/ a TYPE OF UNIT: DWELLING �c_OTHER— CHECK# -�_00 CHECK DATE/ J( S NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 676-96 3 " FEE $25.00 DATE: 10/01/96 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 FTTNESS PROPERTY LOCATED AT: 163 Boston Street UNIT #: 3 OWNER/AGENT: Robert S. Gallant ADDRESS: 35 Green Street CITY/TOWN: Danvers. MA ZIP CODE: 01923 24 HOUR PHONE: 777-5172 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFFICE USE ONLY { 6 1 IP CERT: 116 ,yam DATE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(50B)741-1800 APPLICATION FOR CERTIFICATE 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 AT77 ./�( SO-5 4 77 4!9--Y S/�' _UT I OWNER/LESSER(/tio,, 7,2 � q /q�,- MANAGER/AGENT ADDRESS �� /5(5,3_ SA�>,�e,» S ADDRESS CITY ��j l7 y2„?� CITY 7 RESIDENCE PHONE �� 7 7 /�� ; Z� BUSINESS PHONE (24 HRS. ) BUSINESS PHONE TOTAL NUMBER OF ROOMS: n ROOM USE: 1 . / 2.�i L �h7 3.15 a)n m 4 .)33 y1 yv� 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 ON COMPLIANCE AND SSUANCE OF CERTIFICAT,E.. APPLICANTS SIGNATURE. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: b DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/b' J (� DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR City of Salem, Massachusetts 410r m Board of Health 120 Washington Street, 4th Floor, Salem, PQ blicB�althh MA 01970 Prn<n,.Pra=te. Prmeet. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-100 DATE ISSUED: 3/31/2017 Property Located at: 168 BOSTON STREET UNIT#1 Owner/Agent: Arsenio Delarosa Address: 166 Boston Street City/Town: Salem , MA Zip Code: 01970 24 Hour Phone:(978) 979-8600 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN (Sen;o ��i -@� MC('( ' d +� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR Tia- (978)741-1800 I0MBFJU,EY DRISCOLL FAX(978) 745-0343 MAYOR LRAMD7N(aSALEM.f.DM , LARRY RAMDIN,RS/RAHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / pp FEE: $50.00 PROPERTY LOCATED AT 16/1 �aS <LUNIT#—L_ IS THIS UNIT DISIGNAT®AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE /� OWNER/LESSER I �✓S `n i U e ' q�c�S MANAGER/AGENT NO P.O.BOX / ADDRESSI Ti s�(f ADDRESS CITY,STATE,ZIP Sfn 1 R✓v� CITY,STATE,ZIP /!� c{�I I I RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. 13f,4-u6?4M 2. 4 i1ke-4eb 3. �I h'/7 4. Ltd/h f 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 q APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 2 II Date of reinspection: Date of issuance of certificate: �_)I�L �� Date fee paid:_ i�')1(� Type of unit: Dwelling Other Check# Check date: V y '� Notes: ^ �1QQ� �rr �!% V�`�� D g�C4L4( r / J Code Enf rcement Insj�ector - ffb any" 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#572-06 DATE ISSUED: 11/15/2006 Property Located at: 173 Boston Street UNIT# 1 Owner/Agent: Allstar Enterprises Inc. Address: 171 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-8434 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. FO�Rj THE BOARD OFEALTH C�4-tvx�r_.e� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS g BOARD HEAL-TN • • 120 WASHINGTON STREET,STREET, 4TH FLOOR SALEM, MA 0 197 TEL. 978-741-1800 I FAX 978-745-0343 - 1 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 __ �3-,Q4S/v�/ ST UNIT #_1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERX, < —�MANAGEPJAGENT No P.Q. Box No P.O.Box ADDRESS LSI/,L _ ADDRESS yj/) CITY CITY_1%/ - 070 --- RESIDENCE PHONE. __BUSINESS PHONE (24 HRS )—V- 2 W), BUSINESS PHONE_ TOTAL NUMBER OF ROOMS: ROOM LJISE: 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 ?H ��D PARTv1E THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNATUR _ __ ATE_ -�J INSPECTORS LSU LY (7A OFINITIAj kll PECTIt7N,_�f �} i0 l" DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/�'45'-O -P DATE FEE PAID.- // `�} -6 TYPE OF UNIT DWELLING:; OTHER _ CHECK v'; 3 CHLCK DATE NOTES - CODE ENFOHCEMENI INSPEUTOf1 9/28 a8 CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S iZO 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#571-06 DATE ISSUED: 11/15/2006 Property Located at: 173 Boston Street UNIT#2 Owner/Agent: Allstar Enterprises Inc. Address: 171 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �A HOARD HEALTH • r 120 WASHINGTON STREET,, 4 ATH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICAT E OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION". PROPERTY LOCATED Al _—�/ I'f 1 }-- UNIT k IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER- Of (�MANAGERJAGENT Box/2 f ff f f No P.O. Box ADDRESS �/ fnJ ADDRESS CITY � CITY RESIDENCE PHONE 97�375I_w_(i'_BUSINESS PHONE (24 HRS) BUSINESS PHONE___ TOTAL NUMBER OF ROOMS: 7 ROOM USE I 2 3 4 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE SY CHECK OR MONEY ORDER TO THE CITY OF SALE DEPART ANT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR - ___--DATE I(TSPECTORS USE ONLY UNDUE INIl IAt I_`SPECTION —/}// 0 '. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE(� j�"a r' DATE FEE PAID . /. /—/ TYPO OF UNIT, DWEL ING OTHER _ CHECK if,15`39 CHFCK LATE// /S ' v NOTES CODE ENFORCEMENT INSPECI OH 9/2898 .,7 ��CONINT� n " CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 03/26/99 Tel: (978)741-1800 Richard Savickey Fax:(978)740-9705 36 Dearborn Street Salem, MA 01970 PROPERTY LOCATED AT 175 Boston 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. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: June 17, 1994 Fax:(508)740-9705 Richard E. Savickey 36 Dearborn Street Salem- MA 01970 PROPERTY LOCATED AT 175 Boston Street UNIT# 21, 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 III, Sections 127A and 1278, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation,and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, 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: 1D a roc X4"L1MPH,RS,CHO PABLO VALDEZ YEALTH AGENT CODE ENFORCEMENT INSPECTOR