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SHORE AVENUES Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE M GHL-15-57 DATE ISSUED: 4/30/2015 Property Located at: 16 SHORE AVENUE UNIT #1 Owner/Agent: Trustee of 16 Shore Ave, Salem Realty Trust Address: 34 Smith Street City/Town: Marblehead, MA Zip Code: 01945 IVPublic Health Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 631-7954 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT /VA It a0 P SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY R,<NIDIN, RS/RFI-IS, CFIO, CP -ISS H I?N: n 1 AG IISN'1' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 W,,SHINGTON STREET. 4"' FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 1 RAMDIN9SALLM.COM 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 /6 S1701 -r, f/de, , IS THIS UNIT DISIGNATED AS RIGHT A o1970 OR BACK PLEASE CIRCLE ONE OWNER/LESSERrr-AnorS/6 taAl�. bet�Pd/l� irS MANAGER/AGENT /Gober--f C,�;/'t r - NO P.O. BOX �} 1 ADDRESS 3�'y :5/u -;A S7 . p ADDRESS 3// Spec S� CITY, STATE, ZIP//&J�(,Aed 1121 0,0/��%� CITY, STATE, RESIDENCE PHONE %S1 6.3I -79,7 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) 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 Inspectors use only Date on initial inspection: 'L [*—C)7 Date of reinspection: Date of issuance of certificate: Date fee paid: It Type of unit: Dwelling Other Check #_Q 6 Check date: Lt ilii l.' .. N IUNMERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RENS, C1 IO, CF-I^S Hl At: n-1 Ac 13N'r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 41° FLOOR. TEL. (978) 741-1800 FAX (978) 745-0343 ].RAMUINC&ALE .COM Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. ,/renant/Lessee Owner/Less r r�oP�*'E/� q/ Y/� Address Address /6 o Ave- 1 :�4)64,M KA o/,f Addres�nit to be inspected Date Updated 523/11 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4". FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Itamdinna,salem.com CERTIFICATE OF FITNESS CERTIFICATE # 292-14 DATE ISSUED: 8/29/2014 Property Located at: 16 Shore Avenue UNIT # 2 Owner/Agent: Robert Carter Address: 34 Smith Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: L*j ra—m. r.omme. Prwmec,. L,\RRN' RAbIDIN, RS/R3,1-IS, CIiO, CP -FS Ht:ALn r A(iFNT Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II° Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J a1:, a HEALTH AGENT KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 lramdin@salem.com V V 1 L)1 PublicHealth Prevent. Promote. Protect. LARRY RAM AN, RS/RF-',I S, CHO, CP -FS HEALTFI 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" // 9` �/ FEE: $50.00 ,may/ Q PROPERTY LOCATED AT 1� S kOrE Alf,, / -SWC , �/� /i UNTT#_c2.? IS THIS UNIT NO P.O. BOX CITY, STATE, ZIP BAM PLEASE CIRCLE ONE AGENT STATE, ZIP. RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONEAI2 -2qO — �'-�'90 0C/)V.14L4lIlu10.3aX171I: 141"7 1 ROOM USE: THERE IS A FIFTY ($50) DOLL. BOARD OF HEALTH THIS FEE APPLICANT'S PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ABLE AT THE TIME OF INSPECTION , Inspectors use only Date on initial inspection: �r''" ' h Date of reinspection: Date of issuance of certificate: 2 �'+ -1� Date fee paid: it- 2R� M Type of unit: Dwelling F/ Other Check # .S -2 Check date: f Notes: Enforcement Inspector Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE* GHL-16.7 DATE ISSUED: 1/8/2016 Property Located at: 16 SHORE AVENUE UNIT #3 Owner/Agent: Robert Carter Address: 34 Smith Street O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: (781) 631-7954 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter]] "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KHOERLEYDRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRM, 4'" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 em com PabHcH�lth Pmm�L Plemom. Roite[. LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11,105 CMR 410.000 "MIND" STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE`. $50.00 PROPERTY LOCATED AT IK SAo &, J9Uci UNIT# IS THIS UNIT DISIGNATED AS RIGHT EVr I''RONT OR A +PLEASE CIRCLE ONE NO P.O., BOX AGENT YoGe �^� CTPY, STATE, ZIP G'vjoy J , t1,T 6 y3 7 CTfY, STATE ZIP N C� �CIL%5 RESIDENCE PHONE BUSINESS PHONE (24HRS) X17 -2a-`/O –Y Y o a BUSINESS PHONE 2e j 2 _ // : TOTAL NUMBER OF ROOMS: S ROOM USE: I. ai-lyl, 2 Bdrrrt 3. A 4 0f�_ 5. 41vin4raslt� 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 Inspectors use only Date on initial inspection: O X02%/ 1-6 Date of reinspection Date of issuance of certificate/ JJ0r71 tC N1� Date fee paid: �07 40-1� Type of unit: Dwelling_ V Other ick# 65 5" Checkaate:n1%(�6120.1 c o. �MrB STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 2/22/05 Robert & Mary Carter 21 Pilgram Road Marblehead. MA 01945 PROPERTY LOCATED AT 16 Shore Avenue Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. or the Board ofH/e�Ith Joanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector c � e �QhMB STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343- JOANNE 78-745-0343JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 224-05 DATE ISSUED: 4/5/05 Property Located at: 16 Shore Avenue UNIT # 1 F Owner/Agent: Robert & Mary Carter Address: 21 Pilgram Road City/Town: Marblehead, MA Zip Code: 01945 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR "ll' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASH I NGTON'STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1 -1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 � �j il2L - Z ✓ dA .: G- CLLLY UNIT N � SrL IS THIS UNIT DESIGNATED AS RIGHT LEFT RON BACK PLEASE CIRCLE ONE OWNER/LESSER /l(&Z;r' ( iW12 MANAGER/AGENT No P.O. Box//JJ //// No P.O. Box / ADDRESS ;l / 11L,40?ja ,Ncv-. AnnRFsc .411"A (21�W5 CITYY� 3 V� /l/1�1/p*(5' CITY RESIDENCE PHONE%�/ (�/- �/�d�( BUSINESS PHONE (24 HRS.)RE. BUSINESS PHONE TOTAL NUMBER OF ROOMS:__.�_� q ROOM USE: 1. LR/__/r/( 2317 4.9-/ 5. 6. 7 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 SIGNATUREDATE1/ �� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION `f �t '0 J _ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE -f:i � DATE FEE PAID v J� TYPE OF UNIT. DWELLIN-OTHER NOTES CODE ENFORCEMENT INSPECTOR CHECK K_ /3 4,7 9_ CHECK DATE Y' /'- 9/28/98 - 9/28/98 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 Itatndin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 47-13 DATE ISSUED: 1/31/2013 Property Located at: 16 Shore Avenue UNIT # 2 Owner/Agent: Robert & Mary Carter Address: 32 Smith Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: Publici%a ith Provent. P -..,o. Protect. LARRY RiAMDIN, RS/RE,14S, CHO, CP -FS Hr:4AI.;EFI AGII?NT 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 ARD HEALTH l LARRY RAMDIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON S'IREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iramdin@saletn.com V - u PublicHedffi Prevent. Promote. Protect. LARRY RANIMN, Its/REHS, CHO, CP -FS Hi AI: rH 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" W / SFEE: eeot$50.00 PROPERTY LOCATED AT /h h0 r'& Aile , A/4 o /9Wb UNIT#-c2:::� IS THIS UNIT DISIGNATED AS lezt be,,t /ter LEFT FRONT OR BAM PLEASE CIRCLE ONE z/ / �q MANAG AGENT ADDRESS s'fiSl?2Y S� W47'�,Iw ®/`71 4%9/tADDRESS CITY, STATE, ZIP la)Y61ebe 0� 016'0 CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE BUSINESS PHONE 1e./ 7—.2 Y0 — TOTAL NUMBER OF ROOMS: O 01 ib h0 3. e, f li� 4. �L , THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUR DATE / Inspectors use only Date on initial inspection: 1-3),)l Date of reinspection: Date of issuance of certificate: 1- 2) -11 Date fee paid: Type of unit: Dwelling v-" Other Check #_Check date: Code CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 322-06 DATE ISSUED: 6/22/2006 Property Located at: 16 Shore Avenue UNIT # 2 Owner/Agent: Robert & Mary Carter Address: 21 Pilgram Road City/Town: Marblehead, MA Zip Code: 01945 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 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. FO THD OF JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741 -1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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". AIP PROPERTY LOCATED AT = o ✓F RL a UNIT#) CZ. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�669/_1r AWfC—;q MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS d I FLqR/_TL/L> fD, _ ADDRESS CITY /,1lu d bOICAA J&� 19 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE �FI GLC TOTAL NUMBER OF ROOMS: J ROOM USE: 1. & 2. /A1. 3. L/✓ 4._&� 5. ig" 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 INSPECTORS USE ONLY 4 /dz DATE OF INITIAL INSPECTION BIZ ____DATE OF REINSPECTION -J(/ A DATE OF ISSUANCE OF CERTIFICATE:L D _DATE FEE PAID:��O� TYPE OF UNIT: DWELLING ✓OTHER CHECK # CHECK DATE NOTES:,�ii _e_E&?O_, O -Al ____ --cy. �N0--v_ C61YIL(STiON — - C E E FORCEME T INSPECTOR`�J 9/28/98 CERTIFICATE OF FITNESS CERTIFICATE # 69-04 DATE ISSUED: 03/16/2004 Property Located at: 16 Shore Avenue UNIT # 2 floor front Owner/Agent: Robert Carter Address: 21 Pilgrim Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-7954 An inspection of your vacant Dwelling/Rooming Unit atthe above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. R THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS .+` BOARD OF HEALTH c �P 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 69-04 DATE ISSUED: 03/16/2004 Property Located at: 16 Shore Avenue UNIT # 2 floor front Owner/Agent: Robert Carter Address: 21 Pilgrim Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-7954 An inspection of your vacant Dwelling/Rooming Unit atthe above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. R THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _L�l d,QG / f �( �ALC4i1 UNIT # p IS THIS UNIT DESIGNATED AS RIGHT LEFT ONT BACK PLEASE CIRCLE ONE OWNEWLESSER "&X ( "7--C--,4L MANAGER/AGENT No P.O. Box No P.O. Boz ADDRESS 12 i/GC QiAi/ 2 ADDRESS RESIDENCE PHONE �Pf/-�3/ 79�� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5"A e. ROOM USE: 1._/_,_ 2. e-7> 3.i� 4.ik�r 5.6. 7 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3Z�16/4 & DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 Ib o DATE FEE PAID: TYPE OF UNIT: DWELLING VX OTHER_ CHECK # IZSOq CHECK DATE sLIG �y CODE ENFO CEMENT INSPECTOR 9/28/98 P' KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, "'FLOOR 'fEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 264-13 DATE ISSUED: 8/2/2013 LARRY RAMDIN, RS/REHS, C1 10, U -FS HFALTFf AGI[;NI' Property Located at: 16 Shore Avenue UNIT # 3 Owner/Agent: Robert Carter Address: 34 Smith Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 617-240-4300 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 e 4 z„;/, LAR 4WRAMDIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 . Iramdin&alem.com �q'p PabHcHean Prevent. Promote. Ptotcct. LARRY RAINIDIN, RS/RENS, CHO, CP -RS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE`. $50.00 PROPERTY LOCATED AT / b �A'Ore IVVe'✓ —QJeP L �� "� 01971 UNIT# �IS vTHIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR RAM PLEASE CIRCLE OHNE OWNER/LESSER re- Ave, &4� Q -ffWMANAGER/ AGENT NO P.O. BOX ADDRESS ADDRESS 9-I' SAX114 St CITY, STATE, ZIP CITY, STATE, ZIP, 0 RESIDENCE PHONE BUSINESS PHONE (24HRS) S/ 7 BUSINESS PHONE TOTAL NUMBER OF�R�O� OMS: ROOM USE: 1. 41 2. 4e 3. 9X%W4. apka 5./gAetn THERE IS A FIFTY ($50) DOLLAR FEE, PA ABLE BY CHECK OR MONEY ORDER TO THE CrfY OF SALEM BOARD OF HEALTH THIS FEE IS RAMAT UW TIME OF INSPECTION APPLICANT'S Ilsnectors use only Date on initial inspection: � -Z- 13 Date ofreinspection: Date of issuance of certificate: Date fee paid: F 1--l) Type of unit: Dwelling -j/ Other Check 4 Check date:'y' 2- )3 Code CITY OF SALEM, MASSACHUSETTS adL BOARD OF HEALTH R. 120 WASHINGTON STREET, 4TH FLOOR r � SALEM, MA 01970 .�Q TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 163-05 DATE ISSUED: 3/8/05 Property Located at: 19 Shore Avenue UNIT # 2 Owner/Agent: Deborah B. Sudenfield Address: 31 Colgate Road City/Town: Marblehead, MA Zip Code: 01945 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 °-0, � 4. JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 D FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO - HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNE� FOR HUZ HABITATION". PROPERTY LOCATED AT UNIT #-9— IS THIS UNIT DESIGNATED AS RIGHT LEFT FRNTNT BACK PLE L.(-64ASE CIRCLE ONE OWNER/LESSER ��,[��Y0Ii�'//� VIANAGER/AGENT No P.O. Box-, i ; i L I No P.O. Box CITY /% a� [J�y CITYgo#t RESIDENCE PHONE7t $1JSINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS l:'' � ROOM USE: 1.xC y�3./�/""�4.&/ 5. 6. 7. 8. THERE IS A TWENTY- IVE ($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. _ n APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3- 7 9 �l DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -? -D' DATE FEE PAID: ' 3 -7 U TYPE OF UNIT: DWELLING I./6THER_ CHECK # 23 % L CHECK DATE "7 NOTF_S CODE ENFORCEMENT INSPECTOR � a e STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 _ FAx 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 2/22/05 Deborah B. Sudenfield 31 Colgate Road Marblehead, MA 01945 PROPERTY LOCATED AT 19 Shore Avenue Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 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. FF the Board of Health foanne Scott MPH, RS, CHO Health Agent Reply to Pablo Valdez Code Enforcement Inspector