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SOUTHWICK STREETSOUTHWICK STREET 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 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16333 DATE ISSUED: 9/6/2016 Property Located at: 21 SOUTHWICK STREET UNIT #1 Owner/Agent: Lee Bay Properties, LLC Address: 15 Marion Street City/Town: Lynn, MA Zip Code: 01905 PublicH+ealtL Prevent. Promote. Prerect, Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 929-4412 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT // &Je SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RATMI)IN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDINC[7�.SALEM.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 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE OWNER/LESSER iee �G�1 AvoA06U, a( MANAGER/ AGENT (i/1G//BS 'r X 4 NO P.O. BOX �I ADDRESS I � IG✓ran styeeb ADDRESS CITY, STATE, ZIP_T-/n_n� MA 01105— CITY, STATE, ZIP RESIDENCE PHONE (�g - 4 tF f a BUSINESS PHONE (24HRS) BUSINESS TOTAL NUMBER OF ROOMS:_ ROOM USE: 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: M12140lx Date of reinspection: Date of issuance of certificate: 4/9/2 - Om Date fee paid: ©2%Z U-014 Type of unit Dwelling�Other Check #Check date: 071=/2A.2ti' C nfq cement Ind ector T�! KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAM-- DINP—SAL.EM.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. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. tR N&(Jo & Tena ssee Owner/Lessor 21 r�t Address��� Date Updated 5/23/11 IS 4'�," Sf. 4 r-14 Olgios Address Address on unit to be inspected C' 4'.Cl KIMBERLEY DRISCOLL MAYOR LARRY RAmDiN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRANIDINnSALEM.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 21 SoUth w i U— SF V1n rf # IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/ AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE, ZIP_ CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5_ 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 SIGNA Date on initial Inspectors use only Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # Check date: Code Enforcement Inspector TE KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH 120 WASHINGTON STREET, 4ttt FLOOR TEL. (978) 741-1800 FA1(978) 745-0343 Iramdinna,salem.com CERTIFICATE OF FITNESS CERTIFICATE # 243-14 DATE ISSUED: 7/15/2014 Property Located at: 21 Southwick Street UNIT # 1 Owner/Agent: Lee Bay Properties, LLC Address: P.O. Box 1249 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: IV PublicHeaI'th Prevent. Promote. Protect. LARRY RANIDIN, RS/REHg, C110, CP -FS HI;.\ m AF[ -"N7' 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 Cade, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY MDIN HEALTH AGENT f?-AWj VA SANITARIAN CITY OF SALEM MASSACHUSETTS aV ` BOARD OF HEALTH ' 120 WASHINGTON STREET, 4" ' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1.RA7vfDIN@a SALEM.COM LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT .il 6QQ'(11JlCP( 61 IS THIS UNIT DISIGNATED AS RIGHT FRONT OR BACK, PLEASE CIRCLE ONE I OWNER/LESSER LLL MANAGER/AGENT C)fA/e11,C 1A9*fA9) NO P.O. BOX ADDRESS i0• IQ49 ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP. RESIDENCE PHONE (191) 41b— Sl �S BUSINESS PHONE (24HRS) BUSINESS TOTALNUMBER OF ROOMS: 10 ROOM USE: 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 S1GNA Inspectors use only Date on initial inspection: �Ifs '14 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # 0'9 Check date: 11I Code fo ment Inspector TE 11{ l KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR Release TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN@SALFM.COM 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. yy -- - Zee 061 Prdx es ac, Tenant/Lessee , Owner/Lesso o. &J>t Address Address (Lt at al i5ywiaw SGveer Address on unit to be inspected Date ' Updated 5/23/11 r ';; V01 .'4VFit KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREFT,.4t" FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 ltamdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 242-14 DATE ISSUED: 7/15/2014 Property Located at: 21 Southwick Street UNIT # 2 Owner/Agent: Lee Bay Properties, LLC Address: P.O. Box 1249 City/Town: Marblehead,MA Zip Code: 01945 24 Hour Phone: lu PublicHealth Prevent. Promote. Protect. LARRY R,AMDIN, RS/Iit?I IS, CI IO, CP -FS I -U LCI-IAGFINP 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 OFffALTH r LAIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RENS, CHO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS ��3✓)� BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 I.RAMDIN@SALEM.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 o1 l XJM(J1W IS THIS UNIT DISIGNATED AS LEFT FRONT OR BACK PLEASE CIRCLE ONE _it/ OWNER/LESSER LC2 044 D/d,OP✓LiES CGL MANAGER/AGENT C ie CjL�<✓cl NO P.O. BOX L' ADDRESS I • U . /,V)( ADDRESS CITY, STATE, ZIP�C,/_T A0, r"lA 01111.5- CITY, STATE, ZIP, RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE `491) 41 b TOTAL NUMBER OF ROOMS: S ROOM USE: 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 PA3;ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE •���V� DATE1114/14 Inspectors use only Date on initial inspection: cI I �1} Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check #—x Check date: 7 1/5 f Z Notes: Code En cement inspector KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RENS, CHO, CP -FS HFAL'rH AGCNT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4:` FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 J.RA.MDIN@SALFM.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. �� Lee &f /AqA&- . ac Tenant/Lessee Owner/Lessor �� 04 ). al 5oJt>,wta 5t .fGlAw✓ h-& la4k P14*e4Bcol Mq 01145, Address Address Un,t I , o21 5oUt1,c ii, wee Address on unit to be inspected -64 15'"I aot la.00rM.� Date Updated 5/23/11