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CITY OF SALEM, MASSACHUSETTS LICENSING BOARD 93 WASHINGTON STREET, 2nd FLOOR SALEM, MA 01970 TEL. [PHONE REDACTED] EXT. 41504 FAX [PHONE REDACTED] KIMBERLEY DRISCOLL MAYOR REQUIREMENTS FOR A LODGING HOUSE LICENSE 1. An application is required for more than three rooms. 2. If the applicant is a Corporation you must submit a Vote of the Corporation and Articles of Organization. 3. The application must be advertised in the Salem News for one day. (This office will supply the legal notice; the applicant is responsible for publication). The original advertisement must be submitted to this office. 4. Abutter notification is required. (This office will supply you with a certified list of abutters, the applicant is responsible for certified notification). 5. The license will specify the number of rooms allowed. 6. Licenses are renewable every December for the following year. 7. License fee is One Hundred Dollars ($100.00) for the calendar year for the first four rooms, $25.00 for each room after. 8. Routing slip signed by all City Departments. ---PAGE BREAK--- CITY OF SALEM, MASSACHUSETTS LICENSING BOARD 93 WASHINGTON STREET, 2nd FLOOR SALEM, MA 01970 TEL. [PHONE REDACTED] EXT. 41504 FAX [PHONE REDACTED] KIMBERLEY DRISCOLL MAYOR LODGING HOUSE APPLICATION (PLEASE COMPLETE ENTIRE FORM) NAME: ADDRESS OF LODGING HOUSE: PHONE#: NAME OF OWNER: .EMAIL: ARE YOU A CORPORATION: YES NO CORPORATE NAME: D/B/A: BUSINESS ADDRESS: BUSINESS TELEPHONE: DO YOU LIVE ON THE PREMISES: IF NOT, HOME ADDRESS: HOME TELEPHONE: MANAGER”S NAME: MGR’s CONTACT # . MANAGERS EMAIL ADDRESS: TOTAL NUMBER OF ROOMS: NUMBER OF ROOMS WITHOUT KITCHEN OR PRIVATE BATH: NUMBER OF ROOMS WITH KITCHEN AND PRIVATE BATH: LOCATION OF REGISTER: MAXIMUM NUMBER OF ROOMERS: PRESENT NUMBER: TYPE OF HEAT: WHEN IS HEAT STARTED: WHEN IS HEAT STOPPED: IS CONSTANT HOT WATER PROVIDED: NAME: FEE $100.00 FOR THE FIRST FOUR ROOMS, $25.OO FOR EACH ROOM AFTER. TITLE: . APPLICATION & PAYMENT DUE BY DEC 15th ---PAGE BREAK--- CITY OF SALEM, MASSACHUSETTS LICENSING BOARD 93 WASHINGTON STREET, 2nd FLOOR SALEM, MA 01970 TEL. [PHONE REDACTED] EXT. 41504 FAX [PHONE REDACTED] KIMBERLEY DRISCOLL MAYOR LODGING HOUSE RENEWAL APPLICATION (PLEASE COMPLETE ENTIRE FORM) NAME: ADDRESS OF LODGING HOUSE: PHONE#: NAME OF OWNER: .EMAIL: ARE YOU A CORPORATION: YES NO CORPORATE NAME: D/B/A: BUSINESS ADDRESS: BUSINESS TELEPHONE: DO YOU LIVE ON THE PREMISES: IF NOT, HOME ADDRESS: HOME TELEPHONE: MANAGER”S NAME: MGR’s CONTACT # . MANAGERS EMAIL ADDRESS: TOTAL NUMBER OF ROOMS: NUMBER OF ROOMS WITHOUT KITCHEN OR PRIVATE BATH: NUMBER OF ROOMS WITH KITCHEN AND PRIVATE BATH: LOCATION OF REGISTER: MAXIMUM NUMBER OF ROOMERS: PRESENT NUMBER: TYPE OF HEAT: WHEN IS HEAT STARTED: WHEN IS HEAT STOPPED: IS CONSTANT HOT WATER PROVIDED: NAME: FEE $100.00 FOR THE FIRST FOUR ROOMS, $25.OO FOR EACH ROOM AFTER. TITLE: . APPLICATION & PAYMENT DUE BY DEC 15th ---PAGE BREAK--- CITY OF SALEM, MASSACHUSETTS LICENSING BOARD 93 WASHINGTON STREET 2nd FLOOR SALEM, MA 01970 TEL. [PHONE REDACTED] EXT. 41504 FAX [PHONE REDACTED] KIMBERLEY DRISCOLL MAYOR ROUTING SLIP The Salem Licensing Board requires each applicant to have the appropriate Departments sign this Routing Slip and return it to the Licensing Board Office prior to the issuance of a license. BUSINESS NAME Corporate name: d/b/a: LOCATION: Tele. # TYPE OF LICENSE: APPLICANTS NAME: Residence Street: Home telephone # City: State: Zip: ***TO ALL CITY DEPARTMENTS: By signing this slip you are only acknowledging that the applicant has made your department aware of their plans. Licensee will not be issued a license until all Departments have confirmed that the applicant has complied with all requests. Salem Historic Commission DATE Sign/Review Planning Dept. DATE 120 Washington Street 120 Washington Street Salem Health Department DATE Fire Prevention DATE 120 Washington Street 29 Fort Avenue Building Inspector DATE Dept. of Public Services DATE 120 Washington Street (Water Dept.) 120 Washington Street