BOSTON STREET 1-24 ` CITY OF SALEM, MASSACHUSETTS
BOARD OF FLEA T1 I
120 WASHINGTON STRELT,4...Ft om
K72viBLRLl3Y DRFSCOLI TEL. (978) 741-1800
FAX (978)745-0343
MAYOR trgtm nass em.Co[7I
I-ARRY RANI IN,RS f 1 CNS,(110,01-1^S
CERTIFICATE OF FITNESS
CERTIFICATE#531-11
DATE ISSUED: 12/19/2011
Property Located at: 11 Boston Street UNIT# 1
OwnerlAgent: John Chamatsos
Address: 5 Samos Circle
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 535-8874
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.
FOR THE BOARD OF HEALTH
LARRYRAMDIN
HEALTH AGENT CODE ENFORCEMENT TKSPECTOR
• CITY OF SALEM, MASSACHUSETI'S
BOARD OFHi-zu.:n-i
1220 WASHINGTON STRLEr,4."1`1-0(m
Tf,,j- (978) 741-1800
KINMEJU,EY DRISC,01], FAX (978) 745-0343
MAYOR 1.RAN1D1NaWSALk%1.( 0,%1
LMUO*RAMINN,WS/Ittl IS,( I 10,(T-VS
A(;FINT
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 IT#_
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OVrNER1LESSER_;E0 C MANAGER/AGENT
NO P.O. BOX %
ADDRESS, C4 -7, #26+DRESS
CITY, STATE,ZIP JDLLJ-Z-0-------CITY, STATE,Zip
RESIDENCE PHONE_q 7g5 .—BUSINESS PHONE(24HRS)_
BUSINESS PHON/7_ZR_r,4_"_L?0
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 37 Z� i9e *-e13Je001V 4. 4/1//fl+§L
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 SIGNATUREn, 4, �A DATE
Inspectors use only
Date on initial inspection: 12- 19- I I Date of reinspection:_
Date of issuance of certificate: 12_-i - 1 Date fee paid: ) 2- 19- 1)
Type of unit: Dwelling Other -Check# /993 Check date:
Notes: MAI�l
Code Enforcement Inspector
• ���OND1T
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 06/16/99 Tel:(978)741-1800
John & Dina Chamatsos Fax:(978)740-9705
5 Samos Circle
Peabody, MA 01960
PROPERTY LOCATED AT 11 Boston Street UNIT # A2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. our office hours are Monday
thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
R THE BOARD O HEALTH REPLY TO
oani MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.# 683-96.
3 FEE $25.00
DATE: 10/02/96
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: 11 Boston Street UNIT #: A2
OWNER/AGENT: Demetrios Chamatsos
ADDRESS: 25 Gallows Hill Road
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 535-8874
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.
J/F/0R THE BOARD OAF/ff/HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
OFFICE USE ONLY/
t} /� CERT: #M3--,96
DATE:
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 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 AT UNIT I
OWNER/LESSER 1YF V1'1A �7rllS" ( Vl Mel MANAGER/AGENT
ADDRESS �GAa�/ / 7 i _ ADDRESS—
CITY
DDRESSCITY , �g � CITY
RESIDENCE PHONE ( -- �j 0 7 b BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: I . 2.
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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE Pl fi DATE (/�r� .2 • `��
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: //C> - �(C� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: b —' � 6 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
7 CITY OF SALEM, MASSACHUSETTS
BOARD OF HE-,\I TH
120 WASHINGTON STREET,4".FLOOR
TF.L. (978) 741-1800
hIIvIf3LItLEY DRISCOLL. FAx(978) 745-0343
MAYOR Iramdin@salem.com
LARRv RA64DJN,Rti�IU{I IS,CI 10,<:Y-Ifi
f-[anl;ll i AGi:Nr
CERTIFICATE OF FITNESS
CERTIFICATE #293-11
DATE ISSUED: 8/19/2011
Property Located at: 15 Boston Street UNIT# 1
Owner/Agent: Melanie Griffiths- C/O Barbara Cook Mack Realty Group
Address: 27 Andover Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-407-5291
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 RAM DIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
t Ira/ )
fa Ruatfor o�
bus vu3s r ff'
lr)s-kaA oi� owr��r
CrI Y OF SALEM, MASSACHUSETTS
B0AR0 nF HZXLTH Y '
12O WMNI NCTON 6-MMT,4'°'FT.00K
TBL.(978)741-1800
Kit £RLC?Y D1i iSCOI L FAX(97N)745.0343
MAYOR 1 ?iN4i2etiN rcu,
LAaxY�lAit>Ry 14�jQt�it:,f,FK3,C.N-{+K
§V4U:114 AC:1Arr
Application for Certificate ofFltzms
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11. 105 GMR 410.000
"NIIN1hWM STANDARDS OF FITNESS FOR HUMAN HABITATION"
lx�:sso.oa
PROPERTYLOCATSDAT 15 Boston St, Salem, Ma 01470 1
UNIT#
TS TKW UNFr DWGNATl+M AS RT = oNT ot3�CNy PL Cl C=*NE
OWNBRaMSS�t Melanie Griffiths MANAO8R/AGENT Barbara Cook
NDO.BOX
DS 51 Guillemot Rd
__ADDRESS Mask
7Pg B gla ,
up
Portishead, Bristol,BS20 err
CITY,STAEM STATE,y�Danvers, Ma.01923
978 407-5291
RIESIDENCEPHANE011 44 1275 21$370 5 FROM(248RSJ_&
BUSINEMSPHONs c sU U r�r Q('
TOTAL NUhMER OF ROOMS: 5
ROOM USE: L 2. 3, 4. S x
fi. 7.
THERE IS A FIFTY(ESO)DOLLAR PSE,PAYABLE BY OR MONEY ORDER To THE CTTY OF SALEM
BOARD OF HEALTH TH[S FEB IS PAY AT THE F INSPECTION f/
APPLICANT'S SIt3NAT DA�t�
IT�apac I3me on1y
Date on initial iaspaction: Dato afreiaapaotion:
Date of issnan{x of ceriiS J _ owe r a paid:
Tye of T>weBia Other Check#_ _ �(Oche*date: I !/
Notes: 'e.. 640 or S
c GC rn /IV Y10 rc-vn -f�f tnrVCJ * 4-o 40
TO 3Wd £VEOSbL8t6 9>:tB TT0Z160100
Inspection of I A ISG s )ao ,S't Date n 7/�� Time
Name Address v
Owner Tel. No.
Type of Inspection Inspector
( ' 1 Remarks and Violations are listed below:
— 0 .-� .� rU.('fxn rrozm
1),2 64- W -k-Or- -c,-,r n o as — 1100 4
Report Received by:
Inspection of Date T ��l / Time
Name Address
Owner Tel. No.
Type of Inspection Inspector
( � 1 Remarks and Violations are listed below:
r
s C
i
1 �� 1 I ✓
, r
.J
Report Received by:
Salem's Household Hazardous Waste Collection Day-$20 per car!
Sponsored by: MAYOR KIMBERLEY DRISCOLL and the Salem Board of Health
(Beverly residents also welcome; Salem residents will have access to Beverly's spring HHWD)
What Do I Bring?? From the House: What Not To Bring!!
✓ Rubber Cement, Airplane Glue O LATEX PAINT
From the Workbench: ✓ Fiberglass Resins 0 Empty Containers/Trash
✓ Oil Based Paints ✓ Photo Chemicals 0 Yard Waste
✓ Stains & Varnishes ✓ Chemistry Sets D Commercial or Industrial Waste
✓ Wood Preservatives ✓ Furniture Polish H Radioactive Waste, Smoke Detectors
✓ Paint Strippers/Thinners ✓ Floor& Metal Polish 0 Infectious & Biological Wastes
✓ Solvent Adhesives ✓ Oven Cleaner 0 Ammunition, Fireworks, Explosives
✓ Lighter Fluid ✓ Drain & Toilet Cleaner 0 Fire Extinguishers
✓ Spot Remover 0 Prescription Medicines/Syringes
✓ Rug & Upholstery Cleaner 0 Asbestos
From the Garage: ✓ Fluorescent bulbs 0 Air conditioners, Freezers, Refrigerators
v/ Hobby Supplies, Artist Supplies
✓ Fuels/Gasoline/Kerosene ✓ Items containing mercury
✓ Motor Oil ✓ TV's and computers monitors, $10 each Proof of residency is required for
✓ Antifreeze both Salem and Beverly residents
✓ Engine Degreaser How Can I Safely Transport
✓ Brake Fluid/Carburetor Cleaner These Hazardous Materials??? An additional fee of$10.00 each will be
✓ Transmission Fluid • Leave materials in original containers. charged for televisions and computer
✓ Car Wax, Polishes • Tighten caps and lids. monitors.
✓ Driveway Sealer • Sort and pack separately: oil paint, pesticides,
✓ Roofing Tar and household cleaners.
✓ Swimming Pool Chemicals • Pack containers in sturdy upright boxes and Other a-waste can be disposed of at no
pad with newspaper. charge; go to salem.com/recycling and
v/ TIRES & Car Batteries • NEVER MIX CHEMICALS. view the a-waste flyer.
From the Yard: • Pack your car and drive directly to the site.
• NEVER SMOKE while handling hazardous material. 1S
✓ Poisons, Insecticides, Fungicides
✓ Chemical Fertilizers
✓ Weed Killers DATE: SATURDAY, October 1, 2011 leac
✓ Moth Balls 8:00 AM—12:00 PM
✓ Flea Control Products PLACE: SALEM HIGH SCHOOL
r,
✓ PROPANE TANKS 77 Willson Street it -
More Info: Board of Health: (978) 741-1800
salem.comlhealth
CITY OF SALEM, MASSACHUSETTS
BOARD OF FIF-M- 'x
120 WASHINGTON STRE13T,4...F1,OOR
TEL. (978) 741-1800
KIMI;ERLEY llRISCOLL FAX (978) 745-0343
MAYOR Iramclin@salcin.com
salem.com
LARRY RANIDIN,RS/RF1 IS,010,CP-1-S
HHA1A'11 A(;vN'1'
Facsimile
Transmittal
To• ( Ae bUr6\ Cot- �L / (4CJ'4-
�E
Fax #
RE
Date
Page(s): including this cover#
Message:
4�
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
TRANSMISSION VERIFICATION REPORT
TIME 08/29/2011 00: 41
NAME
FAX 9787450343
TEL 9787411800
SER.# 000BON341991
DATEJIME 08/29 00:41
FAX NO. /NAME 919788824618
DURATION 00:00:42
PAGE(S) 02'
RESULT OK
MODE STANDARD
ECM
i
I
MACK Realty Group, in
27 Andover street Barbara L. Cook
Danvers11Realtor GRI ABR
978 0.07-52929 1 Cell Cell '��-
978 777-5509 Office
978 882-4618 Voice MailiFax
bcook@mackrealtygroup.com i
"w.mackrealtygroup.com
CERT.# 38-00
3R FEE $25.00
DATE: 01/14/2000
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: 15 Boston Street UNIT #: 2
OWNER/AGENT: James Kelly
ADDRESS: 17 Paul Avenue
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 535-3522
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: .
I
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
Xu I
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /5- /36 5 7 � ST UNIT# c
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERJ*�3 1( 66t� MANAGER/AGENT
No P.O.
Box / v`� No P.O. Box
ADDRESS I ADDRESS
CITY F6-,yA1? &q0 l CITY h�
RESIDENCE PHONE! 7F"s3r )s""Z BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: r
ROOM USE: 1. rT2. _3. /.7/C 4. l�
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 SIGNATOR DATE
INSPECTORS SE ONLY
DATE OF INITIAL INSPECTION/- 1'f -o D DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -Gy DATE FEE PAID: /-
TYPE OF UNIT: DWELLING OTHER_ CHECK#-3 s gt a CHECK DATE J- ly-SD
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
i
,
3
1j�, Ip
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
01/13/2000 Fax:(978)740.9705
James & Nancy Kelly
17 Paul Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 15 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,n each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
i
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
R THE BOARD O)f HEALTH REPLY TO
oanne Sco , MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM9 MASSACHUSETTS
�2! BOARD OF HEALTH
5! 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
Je TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 5, 2003
Kevin Reid
16 Boston Street
Salem, MA 01970
PROPERTY LOCATED AT 16 Boston Street
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Hea th Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
f
.v
�mve
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 03/24/99 Tel:(978)741-1800
James & Nancy Kelly Fax:(978)740-9705
17 Paul Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 17 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.
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 use -
exclusively by-that tenant. The Department of Public Utilities has billed property
owners for t-he-i=r 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
9Dann Scott, M�O PABLO VALDEZ c
Health Agent CODE ENFORCEMENT INSPECTOR
3 9j
t�� j10
�� a!
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SEECAqOTT, MPH, RS, CHO NINE NORTH STREET
H 0 4/2 9 GGEENT Tel:(978)741-1800
Date: /98 Fax:(978)740-9705
James & Nancy Kelly
17 Paul Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 17 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 b check, or money order to the City
Y
( ) P Y Y Y
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
A
CERT.# 37-00
31 /F 9t FEE $25.00
1 DATE: 01/14/2000
fro
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: 17R Boston Street UNIT #: R
OWNER/AGENT: James Kelly
ADDRESS: 17 Paul Avenue
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 535-3522
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 - r
:-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 AT Z2 IC 7T UNIT#Z
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER`J /�ZGG MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS /7 P�JL�L �2//L ADDRESS
CITY PSA30( V CITY , 1
RESIDENCE PHONE77?- 51` 3Ja- USINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF
ROOMS:
ROOM USE: 1. G2. 2. !C
rr � n
3.�4. j7/�
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 ATE ( -IW1)6
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION /,-150 -O E DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/-/N uo DATE FEE PAID:_/- l`I ' Do
TYPE OF UNIT: DWELLING OTHER_ CHECK# 3 5 If 2 CHECK DATE /ADD
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
J
CERT.# 504-97
FEE $25.00
DATE: 07/31/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 17R Boston Street UNIT #: 17R
OWNER/AGENT: James Kelly
ADDRESS: 17 Paul Avenue
CITY/TOWN: Peabody. MA ZIP CODE: 01960 24 HOUR PHONE: 535-3522
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
qe-*-4C-xx—�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
fi fi
3
tij'�nrag�� s
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1600
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 171: 05�7 L-��57 UNIT I � 7,
OWNER/LESSER, L-� t (_Ly MANAGER/AGENT :S ��'
ADDRESS_ 77 iGC•` /7I/� ADDP.ESS l7 f�,Ie-6 /
CITY
RESIDENCE PHONE ZZ BUSINESS PHONE (24 HRS.),53S 3
BUSINESS PHONE jd S )S-Z 2 -
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 . 3, l f 4 ,
5. (� 6.
THERE IS A TWENTY—FIFE (25.00) DOLLAR FEE, PAYABLE BY CUECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMgNT THIS FEE IS PAYABLE AT THE Tim OF INSPECTION^
APPLICANTS SIGMA71; /1 --` --,DATE �lr
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:�.3_t �^ DALE OF REINSPECTION _i-_
DATE OF ISSUANCE OF CERTIFICATE f -_� DATE FEE PAID:_-7-13 � �Z
TYPE OF UNIT: DWELLING OTHER_ui
NOTES:
CODE ENFORCEMENT INSPECTOR
r
CITY OF SALEM9 MASSACHUSETTS
HEALTH AGENT
_ 120 WASHINGTON STREET, 4TH FLOOR
-
SALEM, MA 01970
..._ TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#513-07
DATE ISSUED: 10/23/2007
Property Located at: 22 Boston Street UNIT# 1
Owner/Agent: Michael Finnegan
Address: P.O. Box 876
City/Town: Georgetwon, MA Zip Code: 01833 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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS / 6
BOARD OF HEALTH ` d
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800 I " �G��✓�
FAX 978-745-0343 O rr
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��Cq "-j S UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER/LI/dg6 xiN4/h SAA/ MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 7o .J/J 7 6 ADDRESS
CITY( 2n ✓L G-,!;_ fo �✓I✓ �f�l 1//� �� CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE �2 f — o)- 6 `1- V-3.P6
TOTAL NUMBER OF ROOMS:_
ROOM USE: 2. 3._�?�_4._
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _DATE/e )) -
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 4 7 _DATE OF REINSPECTION____- _
DATE OF ISSUANCE OF CERTIFICATE: 1j DATE FEE PAID:_,LCJ - 07 Ezl
TYPE OF UNIT: DWELLING OTHERCHECK #Z _CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OFHEALTH
S
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 183-07
DATE ISSUED:4/13/2007
Property Located at: 22 Boston Street UNIT# 1 (1st right)
Owner/Agent: Michale Finnegan
Address: 83 Baldpate Road
City/Town: Boxford, MA Zip Code: 01921 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
, fit 7
JOANNE SCOTT, MPH, RS, CHO a/� Ls, /
HEALTH AGENT CODE ENFORCEMENT INSPE OR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHtNGTON STREET, 4TH FLOOR V��•..��///
SALEM, MA 01970
TEL. 978-741-1800
FAx 978.745-0343 '
JOANNE SCOTT, MPH, R5, CHO
Kimberiey Driscoll HEALTH AGENT
Mayor
7
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", J
PROPERTY LOCATED ATO�'.,�� sG. ` 'K g n v__UNIT tt__!
_ ---
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNERJLESSER iG1ANAGER/AGENT _-_
No P.O. Bo No P.O.Box
ADDRESS ,3 —. -ADDRESS
CITY—ko
RESIDENCE PHONEDf_ 04SINESS PHONE (24 HRS.)2 ?F '02& �a Q
BUSINESS PHONE--.—
TOTAL
HONE _TOTAL NUMBER OF ROOMS: Olf._-.-
ROOM USE: 1_.----- 2-- -- 3
THERE IS A TWENTY-FIVE (525.00) 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 --!-- - ._..DATE_ � "�
INSPECTORS U5E ONL'
–v
DATE OF INI?=_IAL INSPECTION L/ /3 7 LATE OF REiNSPEG7lOiti
-7
DATE OF ISSUANCE OF CER
TIFICATt:.:�vf,( DATE FEE PAID: / 3
TYPE OF UNIT DVOF.LI_IIV�{/ OTHER CHECK - � � � CHECK P.TE
NOTES �\
CODE ENI ORCEMC?N1 INSPECTOR " ''' '
CITY OF SALEM, MASSACHUSETTS
+ • BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DOWUNBAUM(�SALBM.CO,b
DAVID GRLI'',NBAUM
ACTING H uAI;I7-I AG I_:N'r
CERTIFICATE OF FITNESS
CERTIFICATE#131-10
DATE ISSUED: 3/26/2010
Property Located at: 22 Boston Street UNIT#2
Owner/Agent: Michael Finnegan
Address: 83 Baldpate Road
City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: 976-269-4380
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 Ftness is valid only if there is a valid Certificate of Occupancy.
FOR/ ✓.' OF HEALTH
I
DAVID GREENBAUM
ACTING HEALTH AGENT CODE rr,,NJORCEMENT INSPECTOR
• CITY OF SALEM, MASSACHUSETTS ► ���
y Y BOARD OF HEALTH
-fix J 120 WASHINGTON STREET',4."FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR I)GREE.NBAUM(C1�SALEM.CONI
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."
I l FEE: $50.0 � _ Q sn�
PROPERTY LOCATED AT� &S(� �` �" / O UNIT# 1-�
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O.BOX {�3,., / �,, Q�
ADDRESS Uc7 /"a ADDRESS
/
CITY, STATE,ZIP RD V�D I�— CITY, STATE, ZIP '�qc7
RESIDENCE PHONE'?1 B' _�� - 029 4 BUSINESS PHONE(24HRS) +/ I • `7 !6� ' R69 X4 M 0
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOMUSE: 1OWK-L
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE ATTHETIME OF INSPECTION
APPLICANT'S SIGNATUREkgL '0
Inspectors use only
Date on initial inspection: a(pho Date of reinspection:
Date of issuance of certificate: S U 1 Date fee paid: //,gType of unit: Dwelling Other,, f,,-F�I�. Check# q O N Check date: 3 � CP /o
Notes: IN U
Code Enfo ent Inspector
CITY OF SALEM, MASSACHUSETTS
a m BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
W W W,SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, AS, CHO
Mayor HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 182-07
DATE ISSUED:4113/2007
Property Located at: 22 Boston Street UNIT#3
Owner/Agent: Michael Finnegan
Address: 83 Baldpate Road
City/Town: Boxford, MA Zip Code: 0192124 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 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.
FOt THE BOARD OF HEALTH
JOANNE SCOTT, MPH, AS, CHO
HEALTH AGENT CODE ENFORCEMENT I SP TOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF 14EALTH
120 WASHINGTONSTREET,4TH FLOOR
SALEM,
MA 01970
TEL. 978-741-1800
FAx 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITAT N".
PROPERTY LOCATED AT� UNIT # 13
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER 93 &SC ANAGER/AGENT
No P.O. Box ,). No P.O.Box
ADDRESS—
15 ADDRESS
, cd�_ --—
CITY 1i0
01 5��l
RESIDENCE PHONE??& 31c) -c)�46USINESS PHONE (24 HRS.)__
BUSINESS PHONEM-_2�7- 4_20
TOTAL NUMBER OF ROOMS:-3
ROOM USE: 1 2 -3
4.
THERE IS A TWENTY-FIVE (S25.00) DOLLAR FEE.'PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT TI-,E
TIME OF INSPECT! N 7
0'
Q�� Q � � /�
APPLICANTS SIGNATURg(Q
___DATE_ _
INSPECTORS USE ONLY
DATE OF INN IAL.INSPECT ION j DATE OF REINSPECT ION
DATE OF ISSUANCE OF CERTIFICATE 7 DATE FEE PAA.
d,
TYPE OF UNIT DVVFLkX OTHCR CHIC!', 3S� --d
CHECK F
CK D I-
NOTES
CODE
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
3/8/06
Mairead & Michael Finnegan
83 Baldpate Road
Boxford, MA 01921
PROPERTY LOCATED AT 22 Boston Street Unit 3rd Floor Left
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.
r the Board of Hea h Reply to
oanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
&o CITY OF SALEM, MASSACHUSETTS
��. BOARD OF HEALTH
n
gj 120 WASHINGTON STREET, 4TH FLOOR
�. SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#213-04
DATE ISSUED: 05/17/2004
Property Located at: 22 Boston Street UNIT#3rd Floor Left
Owner/Agent: Aser Frisch
Address: P.O. Box 621
City/Town: Swampsoctt, MA Zip Code: 01907 24 Hour Phone: 592-8858
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.
FO�ARDH
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:(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 HHAABIITATION".
PROPERTY LOCATED AT - r 17iY\ SAYZC- G [1NZT #
O'+.'NaWLESSER T S MANAGER/AGENT ....
ADDRESS C? \ i J1J (owi ADDRESS it) t �O t�tl
CITY
�RESZDENCE PHONE
^ '' ( BUSINESS PHONE (24 HRS.)
BUSINESS PHONE t � j �✓v
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 . Q12. `LUQ 3. Vty� 4 .
5. 5. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PA ABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEH HEALTH DEP THIS FEE I YABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE____]//T 0
I '
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: lj� L Q DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:--5--/ 7 a DATE FEE PAID: 1 �d
TYPE OF UNIT- DWELLING, ETHER
NOTES: /
CODE ENFORCEMENT INSPECTOR
�oxor CITY OF SALEM, MASSACHUSETTS
`g '� BOARD OF HEALTH
'� .b 120 WASHINGTON STREET, 4TH FLOOR CERT.# 623-02
5i
SALEM, MA 01970 FEE $25 .00
s
TEL. 978-741-1800
'�'c DATE: 12/05/2002
Fax 978-745-0343
STANLEY USOVICZ, JR. .JOANNE SCOTT. MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 22 Boston Street UNIT #: 3 1st Floor Left
OWNER/AGENT: Aser Frisch
ADDRESS: P.O. Box 621
CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-8858
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.
FO R THE BOARDO.FHEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'�.co CITY OF SALEM, MASSACHUSETTS
�. '� BOARD OF HEALTH
3
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.p�,� TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". ��/ C
PROPERTY LOCATED AT (�; d` 907rho� 9-r UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER e 1
AV5U4_ MANAGER/AGENT S
No P.O. Box No P.O. Box
ADDRESS P� 6a/ ADDRESS
1S�,c��
CITY [aT M9 0/ 907 CITY
RESIDENCE PHONE7V�� S 7a 1fd oBUSINESS PHONE (24 HRS.)
BUSINESS PHONE..
TOTAL NUMBER OF ROOMS:
�� /
3 40fl25 ln -1
ROOM USE: 1. 2. 3. 4.
5.--6.-7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/.I DATE FEE PAID:
TYPE OF UNIT: DWELLINTHER_ CHECK# t CHECK DATE
NOTES: ',(\
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
a 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
1131(06
Michael Finnegan
83 Baldpate Road
Boxford, MA 01921
PROPERTY LOCATED AT 22 Boston Street Unit 3RR
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,Section 2-
334,titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For a Board of HealthJJ: Reply to
Jo ne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°'FLOOR
TEL. (978) 741-1800
IQMBERLEY DRISCOLL Fax(978) 745-0343
MAYOR OGRI-,I'NBAUM@SAI BM.COM
DAVID G2T:SENBAum,RS
ACHNG HF.AUIH AGI?N"P
CERTIFICATE OF FITNESS
CERTIFICATE#28-11
DATE ISSUED: 1/25/2011
Property Located at: 22 Boston Street UNIT#5
Owner/Agent: Michael Finnegan
Address: 83 Baldpate Road
City/Town: Georgetown, MA Zip Code: 01833 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 O HEALTH
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, NIASSACHUSI TTS �/I
BORD OF HEAUM A
'�RMrig 120 WASI-11NGTON S'IRF.ET 4" FLOOR
',) 741-1800
KINMERLEY DRISCOLL FAx (978) 745-0343
MAYOR DGIWENB1UNI(@1 ALEN.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."
f� FEE:: $/50.00
PROPERTY LOCATED AT �� /" 1�G9 J+C UNIT#
IS THIS UNIT DISIIGGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSERYU'Jad MANAGER/AGENT
NO P.O.BOX "" ? Z A V ^
ADDRESS ��� X g7-2c— ADDRESS�� �' O G
,tel -
CITY, STATE,ZIP_ / o, CITY, STATE,ZIP 00,)
RESIDENCE PHONE 3S� BUSINESS PHONE(24HRS)
BUSINESS PHONE9 fie' SES ' 5/3 8 C7
TOTAL NUMBER OF ROOMS: `�
ROOM USE: 1.Q >2"�°'L-.2. b/tw rl— 3.0C`0-� 47« 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 -k-00-d- DATE 1Z a 0 l
Inspectors use only
Date on initial inspection: /�/ Date of reinspection:
Date of issuance of certificate: / Date fee paid: Ila Y
Type of unit: Dwelling L--'Other Check# L O Check date: ; /!
Notes: 11& u4V ,J�_47614 - SI4, (�ryl\, 4bf— J-_)a&Lo_-n wI/1&t)
Cod En orc ment Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
' 120 WASHINGTON STREET, 4TH FLOOR
r SALEM, MA 01970
�.� TEL. 978-741-1800
FAX 978-745-0343 -
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1/24/05
Michael Finnagan
83 Baldpate Road
Boxford, MA 01921
PROPERTY LOCATED AT 22 Boston Street Unit 5-2RR
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.
or the Board of He Its h Reply to
Joanne Scott MPH, RSA,'CCHH,O— Pablo Valdez
Health Agent Code Enforcement Inspector
' v��CONDIT ,
' CERT.# 121-99
99 FEE $25.00
w DATE: 03/11/99
MMB
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: 22 Boston Street UNIT #: 6 2nd F1. Left
OWNER/AGENT: Aser Frisch
ADDRESS: P.O. Box 621
CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-8858
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
/11
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
will
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
/M�A9N HABITATION".
PROPERTY LOCATED AT /=�'U/tet/ ST UNIT# (0 ��0 � � Lir
IS THIS UNIT DESIGNATED AS RIGHT LEFTFRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER &1EYL /�SC.F4 MANAGER/AGENT
No P.O. Box No P.O. Box p
ADDRESS PiP �� 62,1ADDRESS 80 19LD06,7 f 4)2-
CITY 5W.B4- jpS�b/47 7-r-� CITY
/
RESIDENCE PHONE -�-/p ZeW a-moi BUSINESS PHONE (24 HRS.) SAHC
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 HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE 6z� _DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 3 // f `F DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE —/( If DATE FEE PAID:
TYPE OF UNIT: DWELLINGX_OTHER__ CHECK #,3,�'7g CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
_ F
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
H
0 5 L71F A�FSNT Fax:(978))741 740 9705
Date: /
Aser Frisch
P.O. Box 621
Swampscott, MA 01907
PROPERTY LOCATED AT 22 Boston Street UNIT # 2 Left
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 `OFF HE.A'LT�H- REPLY TO
Joanne Scott, MPH, RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 309-97
FEE $25.00
X11' %IF`� DATE: 05/21/97
YIrB
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: 22 Boston Street UNIT #: 7
OWNER/AGENT: Aser Frisch
ADDRESS: P.O. Box 621
CITY/TOWN: Swampscott. MA ZIP CODE: 01907 24 HOUR PHONE: 592-8858
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 OFF HEALTH
a 6/
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 Tek:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE jSANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR\HUMAN HABITATION".
PROPERTY LOCATED AT a:,,^ 18 asyo S7- UNIT 1 . /
OWNER/LESSER p � �L` 7(L/SCZ4 MANAGER/AGENT
ADDRESS2Ia ADDRESS
CITY Sc=�' c4G f�/wry G CIF07 O7 CITY
.-RESIDENCE PHONE a'((�c7���a BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1, 2. 3. 4 .
5, 5.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTME IS FEE IS PAYABLE AT THE TIRE OFp^IN PECT�I/ON
APPLIGe1NTS SIGNATURE
_- 1 �'~1 l __ DATE J �I T _
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: - 4-1 DALE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:_ j!gi7". DATE FEE PAID: 7
TYPE OF UNIT:
DWELL�LI�NG )OTHER ,, {
NOTES:-�-/�/"�?�W.l�-.�-F-K.��_��-�"'�-'-�__*-�'--4- -�-�-�=--�
1U! o k/TX a 2 i'2 tb Hn
CODE ENFORCEMENT INSPECTOR
a
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH RS,CHO NINE NORTH STREET
O
HEALTH AGENT Tel:(508)741-1800
Date: 05/13/97 Fax:(508)740-9705
Aser Frisch
P.O. Box 445
Beverly, MA 01915
PROPERTY LOCATED AT 22 Boston Street UNIT # 7-3 Right
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
A_
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: 06/19/96 Fax:(508)740-9705
Aser Frisch
P.O. Box 445
Beverly, MA 01915
PROPERTY LOCATED AT 22 Boston Street UNIT # 7-3 Right
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 R�ALTH REPLY TO
1
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970
JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET
HEALTH AGENT Tel:( 741-1800
Date: July 21, 1994 � Fax:(508(508)744 0-9705
Aser Frisch
P.O. Box 445 V/ "
Beverly, MA 01915
PROPERTY LOCATED AT 22 Boston Street UNIT#
Dear Sir/Madam:
It has come to our attention, that you are about to allow rental of a dwelling unit at the above address.
It is incumbent upon you as 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 127B, of the Massachusetts General Laws, 105 CMR 400.000:
State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code,
Chapter II: Minimum Standards of Fitness for Human Habitation, 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:
- MPH,RS,CHO PABLO VALDEZ
EALTH AGENT CODE ENFORCEMENT INSPECTOR
y' CERTJI 320-83
- e
3 FEE: _.$ 25.00 -
DATE: 4/20/93
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
508-741-1800
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 22 Boston Street UNIT / 7 (3rd floor right)
OWNER/AGENT Aser Frisch
ADDRESS P.O. Box 621
CITY/TOWN Swampscott, MA ZIP CODE 01907 24 HOUR PHONE 617-592-8866
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
ROBERT E. BLENKHORN, C.H.O.
HEALTH AGENT CO E ENFORCEMENT INSPECTOR
OFFICE USR ONLY
a a� CERT..%—�—
DATE: .
9 CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
•RO8Ei1-E.•8LENKHORN - 9 NORTH STREET
HEALTH AGENT
508.741•iB00 APPLICATION FOR CERTIFICATE OF FITNESS*
IN ACCORDANCE WITH STATE SANITARY' CODE, ;CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
' I X20
PROPERTY LOCATED AT �a L3OS S1`A.C� CF UNIT / t
OWNER/LESSER'. ` f +Jti `"I�(L1SC MANAGER/AGENT
r ADDRESS ! , ADDRESS
77CITY#_ c�lQ9S'ts�1r CITY
T-
RESIDENCE-,.PHONE { '" . Z gg b . ' - BUSINESS PHONE-(24'" HRS.)
MUSINESS FHONH,
3z ,
TOTAL.NUMBER`OF ROOMS.
ROOM USE 1. 2. 3. 4.
S 6. 7. 8
r i 5.,w.x,w.,.r«....t.rk•=b•a �idw s'�cde•... - ,,. .. �
THERE IS'A.TWENTYFIYE' (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH::DEPARTMMKNT UPON�COMF�IANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE '� DATE T�vPi1-11- ,qq3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: d-O 'C3 DATE ,OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: � 3
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
a a
3 �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT May 27, 1997 Tel:(508)741-1800
Fax:(508)740-9705
Aser Frisch
P.O. Box 621
Swampscott, MA 01907
Dear Sir:
In accordace with Chapter III, Sections 127A and 127B, of the Massachusetts General Laws, 105
CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 22 Boston Street Common
Hallway conducted by Pablo Valdez, Code Enforcement Inspector of the Salem Health
Department, on May 22, 1997 @ 1:30pm.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code Chapter II: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the
Salem Health Department and the unit may not be rented or occupied until the noted violations
have been corrected and a reinspection has been made.
VIOLATIONS: SEE ENCLOSURE:
ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR
THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS.
Please note that some of the necessary repairs may require permits from the Building, Plumbing,
Electrical, Fire or other City Departments. These must be obtained before the work is
commenced.
FOR THE BOARD OF HEALTH REPLY TO
�OANNE SCOTT Pablo Valdez
HEALTH AGENT Code Enforcement Inspector
CERTIFIED MAIL P 153 314 446
Este es un documento legal importante. Puede que afecte sus derechos.
Enclosure
CITY OF SALEM HEALTH DEPARTMENT
x Nine North Street
Salem, Massachusetts 01970
22 Boston Street
Common Hallways
Aser Frisch
1 Month - Front Hallway - Replace main entry door lock and door must close automatically.
The Wall Ceiling - Door frame floors from 1-2-3 floor needs to be repainted.
1 Month - Post Name of owner ,address, and telephone number in front hall..
L '
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll VVWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 180-07
DATE ISSUED:4/13/2007
Property Located at: 22 Boston Street UNIT#7 3rd FI. right
Owner/Agent: Michael Finnegan
Address: 83 Baldpate Road
City/Town: Boxford, MA Zip Code: 01921 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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f'
����� / q
���Y ��F SALE��vMASSACHUSETTS
BOARD OF HEALTH / w
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SALEM, MA0:m7o
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^
F*x 97$~745-0343
JOANNE SCOTT, mpH. ns. c"o
HEALTH AGENT
��M0beNenK]�3c0ll
Mayor
APPLICATION FOR CERTIFICATE 0FFITNESS
� |NACCORDANCE WITH STATE SANITARY CODE, CHAPTER U. 105CMR 410DO0
'MINIMUM STANDARDS DFFITNESS FOR HUMAN HA8(TATlON"
PROPERTY LOCATED AT ��i/ UN|T#___/
IS THIS UNIT DESIGNATED LEFT FRONT BACK PLEASE CIRCLE ONE
ADDRESS AguC7:��ADDRESS
CITY CITY /
« q
RES|[)ENCEPH8NE |NESSPH0NE (24HRS] �
BUSINESS PHONE--
TOTAL NUMBER OF: R0OMS: �U _°7_ r
��_
ROOM USE: i 2` _ _ ___
THERE \SATVVGNTY'F\VE (S25.00) DOLLAR FEE. PAYABLE BYCHECK 0RMONEY
ORDER TOTHE CITY OFSALEM HEALTH DEPARTMFNTTHIS FEE |SPAYABLE ATTXE
TIME 0FINSPECTION
�
APPLI(�ANT8S|GNATUH� ^/ DATE
-�— -- -' ���----' '--- � - ' - / -' -
L� / ? '� �
DATE QF INI]TIAL.INSP ECT N ' / ' ' `' / DATE OFRDmSPECT|ON
�/ ~ ( � ,~� -/
DATE 0F |SSUAN(�E0FCERTIFICATE� / ' DATE FEE PAID.
�
TYPE OFUNIT DYVELL|N��' 0TUER CHECK � v^ ^ ~ CHECKD� q�TE `
LUX��
NUT[S
CODE
C-1
r
CERT.# 11-97
. % FEE $25.00
DATE: 01%13/97
CITY OF SALEM -2OARD 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: 22 Boston Street UNIT s: 8
047NER/AGENT: Asrr Frisch
ADDRESS: P.O. Box 621
CITY/TOW`N: Swampscott I•iA ZIP CODE: 01907 24 HOUR PHONE: 592-8858
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING- UNIT AT THE ABOVE ADLRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABII:ATION" .
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:
S NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
s
'F
Y
FOR THE BOARD OF HEALTH
i� ,
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f,�`tr � - µ ���y� �b'��S '" �:5�n-e a �t�s'� � ` PC" ay ae r• �• c rr r aE. ssi s J R '.x-+f
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GITY OF SALEM F30AFiD OFxHEALTti ,
`Salem;MassachJsefts 01970
• a4 - .#_
JOANNE SCOTT MPH,;RS CHO .x .c - `4`�.-.� NINE NORTH STREET
HEALTH AGENT To..(aWa 741-1800
� ..
APPLICATION FORCERTIFICTE OF FITNESS 568 740-9705
INACCORDANCE WITH STATEM
.'SANITARY'CODE, CHAPTER II; IOS CMR 410.000 "MINIMU
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED /A�T�, 'v v J 7VYL.) a jr / NIT €
OWNER/LESSER Q/ rJ / .�-�. //�c)S )U� MANAGER/AGENT
ADDRESS /-O fzSi/ p 21 �/ ADDRESS
CITY CATT- ( L D / CITY _
RISIDENCE "PHOIZ? ��"nnJ /. � ' b d �� BUSINESS PHONE, (24 HRS.)
-BUSINESS' PHOT- --
SAM —
TOTAL .I:-j?iBER OF ROOMS:'
ROOM USE: 1. 2. 3. 4.
5.
THERE IS A'TWENTY--FIVE (25_00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF' SAUK HPALTH DEPART: THIS FEE IS PAYABLE AT THS TIME OF 11C��T}}I17
APPLICANTS SIGNATURE .
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:_ l} - DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
[ 4i
CODE ENFORCEMENT INSPECTOR
i
CITY OF SALEM, MASSACHUSETTS
a o BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 181-07
DATE ISSUED: 4/13/2007
Property Located at: 22 Boston Street UNIT#9-3 Left
Owner/Agent: Michael Finnegan
Address: 83 Boldpate Road
City/Town: Boxford, MA Zip Code: 01921 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.
FOFO = OF L�EALTH
- � a,1�6 Z490��
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTO
f a;
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH 1
• 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 k
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNES..SS FOR HUMAN HABITATION'. �J
PROPERTY LOCATED AT j >4�^r J _UNIT It l
IS THIS UNIT DESIGNAT�E�JD�AS R/�IG T LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER?�F. KLJC-- MANAGER/AGENT
NOPO
ADDRE SO S �Q�h 0 P.O.BO
^ pp _ADDRESS C�
CITY-S-0
RESIDENCE PHON�-L]-" 0Q-Saq 1$USINESS PHONE (24 HRS)
BUSINESS PHONE __
TOTAL NUMBER OF ROOMS'
ROOM USE: 5. 1J /f c
J z� `7"I Y
THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. �n /� Q
APPLICANTS SIGNATURE/IIXk?�� � DATE-_ // 0
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION_{ �' DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE '� 7_ DATE FEE PAID. f 3
TYPE OF UNIT: DWELLINjL,-._OTHER . _ CHECK if A 3 S~ CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/2£3!98
IMPORTANT MESSAGE
FOR
DATE v� O TIME a'' .
M
OF
PHONE
AREA CODE NUMBER EMENSION
FAX
❑ MOBILE. Wl- - z ��
AREA CODE NUR ER TIME TO CALL
TELEPHONED PLEASE CALL
CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
RETURNED YOURCALL! 1 WILL FAX TO YOU
MESSAGET�aP_
SIGNED
FORM 40
9*PS MASE INIJ. .A.
�1"�
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier toanwScott-SatermBOH
978 745 0343
Apr 24 200f 11:25am
Last Fax
Date Time Tj W Identification Duration —Pa= )
Apr 24 11:24am Sent 917812840312 0:24 1 OK
Result:
OK - black and white fax
t k CITY OF SALEM, MASSACHUSETI'S
BOARD OF FIE.-1LTH
120 WASHINGTON STREET 4"`FLOOR PubliCAealfh
,
'TEL. (978) 741-1800 FAX(978) 745-034.3
KIMBERLEY DRISCOLL liamdin@a,salem.com
LnaeY IimMnN,as/Rr::.l IS,(1110,CP-FS
MAYOR FIEA];fII AGu'Xr
CERTIFICATE OF FITNESS
CERTIFICATE# 109-13
DATE ISSUED: 3/27/2013
Property Located at: 24 Boston Street UNIT#1 R
Owner/Agent: Michael Finnegan
Address: 83 Baldpate Road
City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: 978-269-4380
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 EALTH
E qAWK &A
LARRY RAMDIN
HEALTH AGENT SANITARIAN
TRANSMISSION VERIFICATION REPORT
TIME 04/09/2013 03: 07
NAME
FAX 9787450343
TEL 9787411800
SER. # 000BON341991
DATEJIME 04/09 03:07
FAX N0./NAME 919787449614
DURATION 00: 00: 31
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
rAx 578 - 744 - X6/ 9
Y CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4"'FLOOR PablicHealth
e Prevent.Promote.Protect.
TEL. (978)741-1800 FAx(978)745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
MAYOR Lt\lilil'IZ<\hIl)IN,RS/RI:HS,CI-IO,CP-PS
HHAixFI 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,2� 130Y® -,J Sr UNIT#�
y IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE
OWNER/LESSER/ / eo?� MANAGER/AGENT
NO P.O.BOX pp
ADDRESS 0-3 �✓��I» T�' �/ ADDRESS
CITY, STATE,ZIPO � (A (( CITY, STATE,ZIP
RESIDENCE PHONE q'8 02�q b BUSINESS PHONE(24HRS)
BUSINESS PHONE - 7 11�776/ 3E 0
TOTAL NUMBER
�O/F/�ROOMS: �T
ROOM USE: 1.P & 2. 3.A 4. 0� 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 DATE3z a2 2Old
r Inspectors use only
Date on initial inspection: 3ja7 I I3 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Y' 3f --Check date: 7 /
N tes.(? i� d1� 6Vrhus on �e S4oV (xnr, �s'��_� �11�O
� { �Scr2c� J ^^IIllotsfb2ooLh 7Y1 7n Y doII!
i
Co n _r ement Inspector
CITY OF SALEM, MASSACHUSETTS
.j X BOARD OF HEALTH
® ro 120 WASHINGTON STREET, 4TH FLOOR
j o SALEM, MA O 1970
TEL. 978-741-1 800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 160-04
DATE ISSUED: 04/26/2004
Property Located at: 24 Boston Street UN IT# 1 st Rear Back
Owner/Agent: 24 Boston Street Realty Trust
Address: P.O. Box 445
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-599-8866
An in of your vacant Dwelling/Rooming Unit at the above address has been approved and is in
compliance with 105 CMR410.000: Massachusetts State Sanitary Code,Chapter IP Minimum Standards
of Fitness for Human Habitation".
Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and
the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH /
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
pp, CITY OF SALEM, MASSACHUSETTS
.y BOARD OF 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 II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �� DnS S�` UNIT OIC kM
IS THIS UNIT DESIGNATED AS RIGHT LEFT F ON' ACK?
LEASE CIRCLE O
pp
OWNERILESSER26 bQS�� Sk M AGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ��O , �DX 11�1��5ADDRESS
CITY 0 (cl I l CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) —M6
BUSINESS PHONEI
TOTAL NUMBER OF ROOMS: l 'n ',
ROOM USE: 1k. L 2. \�R 3. UV 4� ��'�-�'�"A
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 �`/DATE FEE PAID: 26
TYPE OF UNIT: DWELLINOTHER_ CHECK# 5_CHECK DATE-V--" 9
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
I
I
CITY OF SAL EW, MASSAC-IUSE-T S
BOARD OF IIRALTI-i
120 WASHINGTON STREET,4"'FLOOR
TEL. ()78) 741-1800 F.-1x (978) 745-0343
KIMBFRLEY DRISCOLL iramdina sal.em.com
LARRY ILI MI)IN,IV/111.q IS,Cul(.),CT-IS
MAYOR I1cAIa1jA(&NT
CERTIFICATE OF FITNESS
CERTIFICATE#85-12.
DATE ISSUED: 3/12/2012
Property Located at: 24 Boston Street UNIT#2F
Owner/Agent: Michael Finnegan
Address: 83 Baldpate Road
City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: 978-269-4380
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 i5 a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LA jI
HEALTH AGENT CODE.f=KMAt E JINSPECTOR
TRANSMISSION VERIFICATION REPORT
TIME 03/13/2012 21: 29
NAME
FAX 9787450343
TEL 9787411800
SER.# 000BON341991
DATEJIME 03113 21: 28
FAX NO./NAME 919785310757
DURATION 00:00:50
PAGE(S) 02
RESULT OK
MODE STANDARD
CITY OF.SAI..L;M, MASSACHCJSEYj-,S
/ BmizD UF' Hiw.rH
120 WAS1-IiNG roN STREET,4"'H.o )R
K1M137-RLLY DRISCOLL 1'Ia.. (978)741-1800
MAYOR 1':\x (978)745-0343
Iramdin salcm.com
L.A211Y RAMI)IN,RS/RHI IS,C110.01-F.",
n AGENT
Facsimile
Transmittal
To: � w a;4i S,fk,
Fax # � �
RE:
Date
Page(s): including this cover#
Message:
Board of Health News ---- For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
����� ' �tiFJ"�
� � _/
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PROGRan
PROGRAMS -
Maureen Smith F
Case Manager
Housing Pathways t�
msmithOnscap.org.978-531-0767 x212(t).978-531-0757(f)
7511 Central Street,Peabody,Massachusetts 01960•wwwnscap.org
I
____
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CITY OF SALEM, MASSACHUSETTS
BOARD OF HFALxH
120W AtiHINGTON STREN'C iii 4 FLUOR
TEL. (978) 741-1.800
KIMBERLEY DRISCOLL, FAX (978) 745-0343
MAYOR an,�[DwCg�snLr.M.co�t
Lmun,R,(btDIN,16/101I IS,Cl IU,CI14i5
HI(AI;11i A(;vNf
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: $50.0`0
PROPERTY LOCATED AT +? STS S> ` '� �' ��7 UNIT#
- y�IS THIS UNIT DISIGNATED AS RIGHT L /FT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER ( t G#�e� �%i✓/1AF 6'_ MANAGER/AGENT
NO P.O. BOX yy� - �2 �
ADDREScy �p T\� 4) , ADDRESS q
CITY, STATE,ZIP &K/ Y CITY, STATE,ZIP 9 ' 0// a
c�,
RESIDENCE PHONE �7/ �CS�_3552 ' O� / �Jo BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:—
ROOM
OOMS:ROOM USE: J. 36--b 2. 3. S�i2C P, 2 4.
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
�ICS.PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE�/� .
Inspectors use only
Date on initial inspection: 3 -12 1 L Date of reinspection:
Date of issuance of certificate: _3- )t- N1. Date fee paid: 3 1- 11
Type of unit: Dwelling ✓ Other Check# y L)l'-L Check date: IZ-
Notes:
v
ode frirorgemAt Inspe tgr
v'."�+w,
e fn^
w
CERT # 48 97 1
ars
ri'F �a @ ,i
DATE 01-29/97
"s 'R ..L h sad'. w"e. . . �,.,, .n ,a R �•-'rn"h,,,/1,`f%11�: ry '-r' ' S+. a rwdm 4e ':.+tk�
CITY OF SALEM BOARD ,rF HEALTH
' r 7 �t,qyp
'
���°` -`Salem;MassachusE#f `04970.3928
JOANNE SCOTT,MPH,RS;CHO - NINE NORTH STREET
HEALTH AGENT - Tel:(508)741-1800
Fax:(508)740-9705,
CERTIFICATE 3F FITNESS
PROPERTY LOCATED AT: 24 BOSton Street UNIT #: 2nd floor rear
OWNER/AGENT: 24 Boston Street Reaity Trust
ADDRESS:.. P.O. Box 445.
CITY/TOWN: Beverly. ZIP- ZIP CODE: 01915 - 24 HOUR PHONE: 599-8866
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 HABITATTGN" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
'# MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: ' .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
A - ��-
(/ ,00 ✓� V
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
a
M
r
F
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970.3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT - TeL(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR [H�UMAN`HABITATIyON'".
PROPERTY LGCA'I D AT a \)(2517/✓
OWNER/LESSER ll ¢jOr-;}M J S _ MANAGER/AGENT} �I
ADDRESS rrOtY11?�X 1I� ADDRESS P.D
CITYZc.�PASts.T � C� t t�� CITY- 4_111
RESIDENCE PHONE BUSINESS PHONE (24 HRS. ( f ?147
BUSINESS PHONE� a �
4
TOTAL NUMBER OF`ROOMS:
ROOM USE: I .11A _2._L v\ (�3._6ia j_ia_-4•bcm _
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM' H)EALTH D ARTMENT THIS FEE IS ,PAYABLE AT TE: TIRE OF INSPECTION
APPLICANTS �SIGNATIR2El"\i DATE- ��--
�-
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:_ %J%J Z DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR -
CERT.# 66-96
FEE $25.00
X14. IF DATE: 02/08/96
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Boston Street UNIT !!: 2nd Rear
OWNER/AGENT: 24 Boston Street Realty Trust
ADDRESS: P-O. Box 445
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 599-8866
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
PITY OF SALEM BOARD OF HEALTH
-Salem Malachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO
HEALTH AGENT NINE NORTH STREET
"
Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANZTARY'CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT p(`( US�j/Vnnl S J 1THIT # of y=q {�Q.✓�
OWNER/LESSER X & A 1 (tA4 MAt1AGER/AGENT�q ��p �(S
ADDRESS Q 60>( v ADDRESS )00, 6ok
CITY �j` _1111/ CITY dGl�s✓ Off°/%�
RESIDENCE PHONE BUSINESS PHONE (24 HRS.�Ip1
BUSINESS PRON> ilYZ
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. k- pl 2" �1 N�3. l� G 4 .
5. 6. 7. B.
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 TI?IS OF INSPECTION
APPLICANTS SIGNATURE f�/� �1 DATE
1
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: f �� E DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
,
3Y� CERT.# 1086-94
" FEE $25.00
1�l Ips DATE: 12/29/94
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: 24 Boston Street UNIT #: 2nd Rear
OWNER/AGENT: 24 Boston Street Realty Trust
ADDRESS: P.O. Box 445
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 599-8866
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
CONW ! "
OFFICE USE ONLY
CERA. # / 8�-9 y�
a ?
A N
DATE:
.,7E.�I4INE`• a
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
9 NORTH sTREEI .
508-741-1800 APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY' CODE, ;CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT_m A 5AT-�_ Ih UNIT
OWNER/LESSER3t�A b S) t l I, (QUI ! �� MANAGER/AGENT ClCIkXC Q5c-k
ADDRESS ADDRESS � o
E )x
CITY -�'J. �l� 11 �7 d ( � CITY �JJI
Ul UL
RESIDENCE-PHONE-- - �y—�// - BUSINESS-PHONE--(24-HRS-.)
BUSINESS PHON �
TOTAL. NUMBER OF ROOMS: _
ROOM USE: _ I . 1�Ti.W eJ h 2• - 11 t Jn - B. (�I(�h l 4. V CXR�Yl _
5. 6.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DE ARTMENTUPON COMPLIANCE AND ISSUANCE OF CERTIFICATE..]
APPLICANTS SIGNATURE DATE � ' I
INSPECTORS USE ONLY
DATE OF. INITIAL INSPECTION: Iz/a4DATE ,OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 11�a9��iy
TYPE OF UNIT: DWELLING_ OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
CERT.# 203 .93
FEE: _$ 25.00 ..
Zee^nma '� DATE: 3/3/93
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT -
508-741-1800
CERTIFICATE OF FITNESS
1
PROPERTY LOCATED AT "24'Boston Street UNIT / 2nd Rear
OWNER/AGENT ~` 24 Bos ton`=Stree t Realty Trust
ADDRESS . P.O. Box 445
�CITY/TOWNi. ` ' .Beverly' MA ZIP CODE 01915 24HOUR PHONE 617-599-8866
21
2z
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
+' SALEMlHEALTHIDEPARTMENT AND.THE .UNIT MAY NOW BE RENTED.AND/OR OCCUPIED.
MARIMUM NUMBER
0C BASED 105 CMR 410:000.: MASSACHUSETTS STATE
SANITARY. CODE,-.CHAPTER' ii, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION",
SECTION..410.406. (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
RO ERT E. BLENKHORN, C.H.O.
HEALTH AGENT CODY ENFORCEMENT NSPECTOR
OFFICE USL ONLY
'moaP° DATE
CITY of SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
4.` Salem, Massachusetts 0.1970
9 NORTH STREEL
HEALTH AGENT
soe•rat-ttwo APPLICATION ,FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY'CODE, ZRAPTER II, 105 CMR 410:000 "MINIML74
STANDARDS OF FITNESS FOR RDMAN HABITATION".
PROPERTY LOCATED;AT 64w\4w\ �Z- UNIT I ? Cxng \
OWNSR/LESSER °: DA 1 MANAGERAGENT
ADDRI35S (]'n 'lyADDREss
czTY
RE ENC$`PR01U Ric BUSINESS FHgN$ (24.11RS.
P r .PH n�p� . ,
TOTi1� NDMBEIZ OF ROOMS
RpOM�
W. _ ` 2: \v i 3.
7 B
THERE`TS A.TWERTY=FIVE (25.00) DOLLAR In, PAYABLE BY CHECK OR MONEY ORDER TO TRE
CITY OF SALEH:HRALTH DEP UPON
COMPLI,OCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS. SIGNATURE $R�d�w�` DATE A �}
INS CTORS USE ONLY
DATE 4F INITIAL INSPECTION: DATE .OF REINSPECTION
DATE OF 'ISSUANCE OF CERTIFICATE: SI 7 jDATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
• CERT.0465-91
FEE: ..$ 25.00 ..
DATE: 5/16/91
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STIEET
HEALTH AGENT _
508-741-1800
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 24 Boston Street UNIT E 2nd rear
OWNER/AGENT 24 Boston Street Realty Trust
ADDRESS P.O. Box 445
CITY/TOWN Beverly, MA ZIP CODE 01915 24 HOUR PHONE 617-599-8866
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, "MINIPfUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPAR'TMEN'T AND 'THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
1Ci C:` /, 10.000: MASSACHUSETTS STATE
o :.I Ti Ri CCll:: U4;: TEi2 II, "NIINI_iwl ST:_NDARDS Cc` FIT_-ESS FOR HUMAN HABITATIOc]" ,
SECTION 410.400 (B) : DWELLING UNIT X AND 410.400 (C) : ROOMING UNIT
iMINIMUM 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
RO ERT E. BLENKHORN, C.H.O.
HEALTH AGENT CODE ENFORCE T INSPECTOR
..e ....4ei'vf"'".�.�^.....'_•_';aao.�+F'..:�<a:�lnrw^,r✓iac.�:'H+. ...'..�sw.'^^:3n..;:..��, +au�..:xewmwrmrmR'-xsF+.ral�aactl:i�:r..�
- - .00.uq��<� - - OFFICE. USE ONLY y.
e
CERT.- I_,_____—
a ?
'L�Eo1.rINE 1+'"� DATE
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts:01.970
9 NORTH STREET'.
HEALTH AGENT - ' -
508-741-1800 APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCQRRANCE WITH•'STATE SANITARY CODE, ;CHAPTER II, 105 CMR 410.000. "MINIMUM
-STANDARDS-OF FITNESS FOR HUMAN HABITATION",,—
PROPERTY LO&TED AT n UNIT i (tp(LIy
,OWNER/LESSER( k,7t� � `Lp t17`T' MANAGER/AnGENT (��';'VQA SLID-\.
ADDRESSQ.1O ' bk" 44 c< ADDRESS
CITY k � ,;..�n d'«�� -. CITY �;p
NESS P
BUSIHONE (24 'fHtS ) " `
a , ,,._; RESIDENCE PHONE
Ic v.
TOTAL NUMBER-OF \RO=OMS.:. � ,; ;
ROOM USE I. �\f7 p�_2. 3. 4 �dP-Al `
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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE
DATE
Ar �!�-cam_ � �n .
INSPECTORS. USE ONLY
DATE OF INITIAL INSPECTION: DATE .OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 5 ��� DATE FEE PAID:
TYPE OF UNIT: DWELLING 1- OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
COI0l,4
F
3Zy
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
508-741-1800
DATE: November 21, 1991
Twenty Four Boston Street Realty Trust
Madeline Frisch, Trustee
P.O. Box 445
Beverly, MA,01915
PROPERTY LOCATED AT 24 Boston Street UNIT 9
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 111 , Sections 127A and 127B,
of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the
Code Enforcement Division of the Salem Health Department.
Contact this department within .24 hours of receipt of' this notice. (508) 741-1800
Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY
Very ttuly'youis,
FOR THE BOARD OF HEALTH REPLY TO:
�p,�.,,t E �klt
Robert E. Blenkhorn, C.H.O. PABLO VALDEZ'
Health Agent Code Enforcement Inspector
c CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
Aa 6 120 WASHINGTON STREET, 4TH FLOOR
n
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# 159-04
DATE ISSUED: 04/26/2004
Property Located at: 24 Boston Street UNIT#3rd floor front
Owner/Agent: 24 Boston Street Realty Trust
Address: P.O. Box 445
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 599-8866
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in
compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter IP Minimum Standards
of Fitness for Human Habitation".
Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and
the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
F�E BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• i 120 WASHINGTON STREET, 4TH FLOOR !!!
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°.
PROPERTY LOCATED AT ? 'C D`r, l \ S UNIT# �
IS THIS UNIT DESIGNAT ED AS RIGHT L F O BACK PLEASE CIRCLE ON
OWNERILESSER� �a M –AGERAGENT �t \No P.O. Box (�, �� No .O.Box D Q Dx r
ADDRESS C) 1 `/O)gC p �} ADDRESS
CITY F to D t t 15� CITY
RESIDENCE PHONE_ CJBfUSIINNESS PHONE (24 HRS.)
BUSINESS PHONE, � _� `� ` 1 D
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1 U[ 2: 1�$1 3. 4. L
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.
y �
APPLICANTS SIGNATUR
I SPECTORS USE ONLY
j)AT E OF INITIAL INSPECTION (/'At `r DATE OF REINSPECTION_..
DATE OF ISSUANCE OF CERTIFICATE) - F DATE FEE PAID: L ..
TYPE OF UNIT: DWELLING_OTHER— CHECK#_3 y�-Y.S CHECK DATE G
NOTES: —
CODE ENFORCEMENT INSPECTOR 9/28/98