BRADFORD STREET CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4m FLOOR Pith
STREET, ablicHea prcvenL Promot<.P,ww.
TEL. (978) 741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL Iraindin@salem.com
MAYOR .LARRY RAMDIN,RS/121,;1-15,CHO,CP-FS
Hr,AI;rr1 AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#365-13
DATE ISSUED: 10/10/2013
Property Located at: 5 Bradford Street UNIT# 1
Owner/Agent: John Hall/Ning Jia
Address: 22 Maplewood Avenue
City/Town: West Hartford, CT Zip Code: 06119 24 Hour Phone: 617-710-6394
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
ffWY RAMDIN
HEALTH AGENT SANIT
1
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rolz
CITY OF SALEM, MASSACHUSETTS
BokRD of HEALTH
120 W ksmNGroN STREET,4"'FLOOR Public$ealth
FTvenL P[ngn[[,PI01[[I. i
TEL.(978)741-1800 FAX(978)745-0343
KIMBERLEYDRISCOLL hamdin&alcm.com
'' II LARRY RAANO N,RS/RENS,C110,Ct>-VS
MAYOR - U v HEALTH AGENT j
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Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"[MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
t FEE: $50.00
PROPERTY LOCATED AT J �� '� Sad` I�}o UNIT#
IS THIS UNIT DISIGNATED AS RIGHT FRO OR BACK.PLEASE CIRCLE ONE j
0VJNER1LFSSER a01t-- 114
NO P.O.Box ! Sia MANAGER/AGENT I
� e j
ADDRESS -L2 I LcwmA Nye- ADDU SS 1
CITY,STATE,ZIPt t�ic�i Wa4 rrt, C70-111 CITY,STATE,ZIP
j
RESIDENCE PHONE (o t-�n:i ty`(-3I'I BUSINESS PHONE{24HRS) Sa .e aS f^f E
i
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �
I
ROOMUSE: 1.6ty 2. 414121 3. kl�h 4. lots{ 5. 1x.(
6 Ise 7. ty* 8. 9- 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY-OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION i
APPLICANT'S SIGNATUREQ�L� C7"Q 1°'`i'!') DATE (D LLLa
f
t
Inspectors use only
Date on initial inspection: 100(J3 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling_�,-LOther Cbeck# Cbeck date:
Notes: EY it ( p c rv�lltc�P C oNc 1l �TCI�nY1 �rc Ic C4t]CQ)( ciSYjlfnJ
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TRANSMISSION VERIFICATION REPORT
TIME 09/24/2013 01: 50
NAME
FAX 9787450343
TEL 9787411800
SER. # 000BON341991
DATEJIME 09/24 01: 49
FAX NO. /NAME 917818721037
PAGETS)N 00:0100: 37
RESULT OK
MODE STANDARD
ECM
CITY OF SALE- M, MASSACHUSL-;T-PS
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120 iJUASI fiNC;'fON S'i'Ri�ii t,4" FL,O(Ht
Tia.. (978) 741-1800
K1MB)3RLEtY DR[SCOLL F,\x (978)745-0343
MAYOR k-imdm@salem corn
LARRY RAM IAN,tis/RN IS,Cl rt 1,01-i'S
IiP.,\l:l'I I Awl.m
Facsimile
Transmittal
To:
Fax # 7 7
RE:
Date : /y /I Z/1
Page(s): including this cover#�-
Message:
l
Board of Health News ----- ------ -------------------- - -- -- ---For Your Informal;on
OFFICE HOUR'S:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
IT,
r �$ S� E` 4 '3r'.`
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DATE: 09/30/99
CITY OF SALEM'BOARD+OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740.9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 7 Bradford Street UNIT : Right
OWNER/AGENT: Barbara & Kevin Brown
ADDRESS: 6 Olsen Road
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-6381
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 UNITMAY 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 (S) - 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
ado l�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fav 978 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". tt��
PROPERTY LOCATED AT rl �r�rztd /�Lcsf BI� DG{ / UNIT# df
IS THIS UNIT DESIGNATED A IG LEFT FRONT BACK PLEASE CIRCLE ONE
OWNEWLESSER 164,54 r in �rU MANAGER/AGENT AJJA
No P.O. Box No P. RESSO. Box
ADDRESS OIJ
ADD IA
CITY ia,606(�, A)I - CITY d1l
RESIDENCE PHON97e) S3I/a38/ BUSINESS PHONE (24 HRS.)
BUSINESS PHONq /� 5w— -)?Qj
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. /XX 1 2. M413 - 4. �.�•
5. - 1C- 6.—Zg 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 ,301
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION C( - ; O — ' 4 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: b -4 4 DATE FEE PAID:
TYPE OF UNIT: DWELLING v/0THER_ CHECK# 9 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD oP HEALTH
120 WASHINGTON STREET,4...FLOOR
KTMBE JLEY DRISCOLL TEL. (978) 741-1800
MAYOR FA (978) 745-0343
Iramdin a.salem.com
LARRY RANIDIN,RS/ItP?FIs,C:HO,(T-FS
HvAI:I'll A(;1+,NT
CERTIFICATE OF FITNESS
CERTIFICATE #424-11
DATE ISSUED: 10/21/2011
Property Located at: 22 Bradford Street UNIT#
Owner/Agent: Kevin Kidney
Address: 60 Pelczar Road
City/Town: Dracut, MA Zip Code: 01826 24 Hour Phone: 978-766-0477
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LARRY R
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• CITY OF SALEM, NLksSACHUSETT'S
BoARD OF HFAL;PL!
120 WASHINGTON STREET 4°1 PLO( IR
TEL. (978) 741-1800
KIMBERLGY DRISCOLL. FAX (978) 745-0343
MAYOR JAAN!D1NQS: J,Fy ( 0\1
LARRY RANIDIN, us/iira!s,OR),a1-Fs
Flit A!:rn A(;HN'I'
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED IT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER nn C,0) 14e C`At MANAGER/AGENTNO P.O.BOX
64
ADDRESS 60 Pe(CLa I�h Ofatu+ / 11t . HADD ESS
CITnnnn
Y, STATE, ZIP / A. (p CITY, STATE,ZIP
RESIDENCE PHONE 9 /h, tv 0q BUSINESS PHONE(24HRS(q/d )7(v (v 'Uq 1
BUSINESS PHONE(/ -7
TOTAL NUMBER OF ROOMS: V
ROOM USE: 1.bV 01 2. b I h)>,� 3. yl 4 61-6- 1 5 � Z
6. P,a h 7. 8. 9. to
THEE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE I A THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE /U
Inspectors use only
Date on initial inspection: 01RI//I Date of reinspection:
Date of issuance of certificate: 04 // Date fee paid: Iola /
Type of unit: Dwelling-i,-- -Other Check# /S E Check date: /0/0?
Notes:
Code rr
Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAX 978-745-0343
MAYOR W WW.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#598-05
DATE ISSUED: 9/27/05
Property Located at: 24 Bradford Street UNIT#2
Owner/Agent: Kevin Kidney
Address: 60 Pelczar Road
City/Town: Dracut, MA Zip Code: 01826 24 Hour Phone: 978-744-2875
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If'
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
J ANNE MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA O1970
TEL. 978-741-1800
- FAX 978-745-03433
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". -7
PROPERTY LOCATED AT UNIT# oC
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERMANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS to O C -� #,< RD ADDRESS
CITY _044 C a7- CITY /P�A d /qPa7c,
RESIDENCE PHONE F-:79 4Ty`99-_/YBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.--
�U 2. �y��� 3. 6-CO 4.
5.��7 6. f7.13 8.
THERE IS A TWENTY-FIVE($254SPECT,
00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OALTH DEPA TME THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATU / _DATE19'e:2 3� ��
RS US NLY
DATE OF INITIAL INSPECTION -e- -3 _DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE_—o c DATE FEE PAID: 3 _
TYPE OF UNIT: DWELLIN21�OTHER_ CHECK # 02__�_�_CHECK DATE
NOTES: J__
CODE ENFORCEMENT INSPECTOR 9/28/98