AMERICA WAY City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PubliCi3eaith
Prevent. Promote, Protact.
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO
Mayor Iramdin@salem,com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-16-210
DATE ISSUED: 6/13/2016
Property Located at: 16 AMERICA WAY UNIT#5
Owner/Agent: Lisa Carcengelo
Address: 11 Bay View Avenue
City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone:(781) 592-1580
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 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
r
Larry Ramdin, MPH, RENS, CHO
HEALTH AGENT SANITARIAN
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEAT11I
* 120WSitIN(;'i"ON SIRreT',4T"FT,OOR
TEL. (978) 741-1800
K1MBI RLF,Y DRiSCOL1 L FAX(978) 745-0343
MAYOR L1L MD1N@SALEM.COM
,LARRY RA.MDIN,RS/RFHS,CHO,CP FS
HCALTH 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�E/E: $50.�0g0
PROPERTY LOCATED AT C� k, YVQU V, � ' A219MI P* UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LFn FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER SCL=
,NO P.O.BOX / , O VAGER/AGENT
NQ
ADDRESS 11 >>t V1 J y�^ ��.AyyDDRESS
CITY, STATE,ZIP 7111 O I II.Ci<TY, STATE, ZIP
RESIDENCE PHONE USINESS PHONE (24HRS) 4boAnNQ�
BUSINESS PHONE-AaVff-o__.
TOTAL NUMBER OF ROOMS:
ROOM USE: 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 FEV IS PAYABA AT THE TIME OF INSPECTION (�
APPLICANT'S SIGNATURE ' DATE 1 (10
Ins e o s use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: /nql ZO! Date fee paid:%LP� 124) ^6
Type of unit: Dwelling Other Check#33�Check date:d 6&V v2�
Notes:
C`d for ment Insp for
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
June 11, 2003
Richard Roderick
16 America Way#6
Salem, MA 01970
PROPERTY LOCATED 16 America Way Unit#6
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 Boardof H/� Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
��OON01}
CERT.# 774-00
FEE $25 .00
DATE: 12/05/2000
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: 20 America Way UNIT #: 2
r
OWNER/AGENT: Noel & Doris Reebenacker
ADDRESS: P.O. Box 464
CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-7474
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
d1z Zane.-,
C/
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
j �ONDIT� / L
r
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 Tei:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS F R HUMAN HABITATION".
PROPERTY LOCATED AC2 V �MaJMUNIT# 1�z
IS THIS UNIT DESIGNATED AS RIGH LEFTRF ONT BACK PLEA CIRCLE ONE
OWNER/LESSER MANAGERIAGEN hp/A
No P.O. Box No P.O.Bax A
ADDRESS ADDRESSS
CITY CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)-M1 y?c1
BUSINESS PHONE
TOTAL NUMBER Off��F ROOMS::_fj�/
ROOM USE: 1.t/Z 2./ ////-3. k�/� 4.
5. 6.
THERE IS A TWENTY-FIVE($25 }DOLLAR F E,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SAL HEALTH D AR NT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. 1
APPLICANTS SIGNATURE DATES f �f
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION/ 2-"7- f DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/ l DATE FEE PAID:—L -flea
TYPE OF UNIT: DWELLING
/yOTHER— CHECK#J-7 �>- CHECK DATE
NOTES:
i
s CODE ENFORCEMENT INSPECTOR 9128198
i
i
21/24/2000 15:11 7304274 PAGE 01
•sl/1 ��2000 15: 2 7171 c315965 KAPLAN PAGE 01
0t Mo s"At.Kia e0i2i4,IlaaX P,04
I
1.
CITY CW SALZM 1B4ARO OF MFALTtt
Sat4M,lAeslaafiu941ta 0�970.79!9
i
AkME SCOTT Ips,CM0 fW4F NprTM SYgtet
MIKTM tiNT Yt. 1")741 100
j fu:itoN T414Jttp
I�i
r.n o:cuvd act with M44socbvsstts Geh4ral Laws Chaptet Irl, Coda of Itassaclwucta
Re44letio a 410.000 et . sey . ; S:�att srnit3ag "do ciloptea t sad Article MIT of
the CitY f sots% 0tdtn4net, udd4r3i`ned 0vt14:/14rsot and trxrntlltzrte of a Unit
I of YYsida tial property, htteby ovthorirt the Sslor, Board of 144alth oT its swthde-
lead 0446 r to inspect the Test4enco idaatitied uelow In sccurOnco with the
s!oreAc6t nod at4t1Att4, rt4vl4tIono and ordinances.
GL the %v t it is nse44sasy that said inspection be dost to My/dor abson¢t, I/ut
oxsrnt:aly suthorist the sane and 04 my/ovv suc44asorr and ssriina htrnby r¢lce4v.
and disc', rge t.ht City of 8411t.Ic, Wool 404rd of Mtslth 4nd Its avthotized a,,^,u6ta
from any is or injury sustained of woattvsr oataac slid description cc,asivcwd
ny roy/nvt boenca durin4 suit in4pertinn.
0"d X1595 _._
it
ADAR�S�';r`Tt.NI'!� BIS 7C0
.Ii
��F
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 12/09/99 Tel:(978)741-1800
Fax:(978)740-9705
WTS Nominee Trust c/o Joan & William Collins
20 America Way
Salem, MA 01970
PROPERTY LOCATED AT 20 America Way 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 the 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 One Week 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.
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 eo exist.
9FO THE BOARD OF REPLY TO
anTne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
REEBEHACKER 4872866543 P. 02
CITY OF SALIEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH.RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
11/14/2000 Fax:(978)7403705
Noel & Doris Reebenacker
P.O. Box 484
Marblehead, MA 01945
PROPERTY LOCATED AT 20 America Way UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
Fn 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 CMR1 State Sanitary Cods, Chapter I: General Administrative
Procedures and 105 CMR 410.0001 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 01 HEALTH REPLY TO
oanna Sco , MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
REEBENRCKER ra a 4072866 543 P.ey
Noel J. Roebanacker
20-2 America Way
94-w—Ma-01-970
978/744-0689
OR
5183 Burning Tree Circle
Stuart, F1. 34997
561/286-6543
Nov. 18, 2000
Salem Board of Health
Attn. Joanne Scott 2 .r
Fax: 978-740-9705 Lr 3L- /f11
Dear Ms. Scott,
I am in receipt of your correspondence of 11/14/00 with
respect to my summer residence at 20-2 America Way. No longer
residents of Massachusetts, my wife and I return to our
summer home in Salem for the period of June 1 to October 31 .
To offset the expense of two homes we attempt to rent our
Salem home during the winter. I don't know if the term
"dwelling unit" applies to the short term leasing of one ' s
own home or not. We are certainly not in the business of
renting apartments in the city.
Should we be required to go ahead with this process, our
agent in this matter is Gerald Kaplan at 781-631-7474.
Inspection can be arranged through Garry and he will pay said
fee as required.
I had no knowledge of said Ordinance but I do intend to
comply if said ordinance does relate to the short term
leasing of one's own home.
Should there be a need to contact me, please do so at my
Florida address.
Yours truly,
Noel Reebenacker.
Nov
HEA H DEPT