CEDAR AVENUE CITY OF SALEM, MASSACHUSETTS
• ` BOARD OF HEALTH
120 WASHINGTON STREET',4`4 FLOOR
TEL. (978) 741-1800
KIMBERLF-Y DRISCOLL Fax(978) 745-0343
MAYOR DGRP.G.NRAUM(�SALI4M.COM
DAVID GwF ENBAum,RS
AC'PING HLAL'T'I-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 100-11
DATE ISSUED: 3/31/2011
Property Located at: 4 Cedar Avenue UNIT# 1
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6571
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
DAADF4EvIt/NBA WRS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF H&, LTH
120 WASEIINGION STREET,4." FLOOR
TSL. (978) 741-1800
ICNIBERLEY DRISCOLL FAX(978) 745-0343
MAYOR D(;R1;1:NBAuMna.snrarn1.COM
DAVID GREENBAUM,RS
ACTING HEMI:IH 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 +a-co jL_,A �8 UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESS
ER CSs �� ('?f'k'Ct`� MANAGER/AGENT
NO P.O. BOX
ADDRESS_j (Si! Y VI�,t� � ADDRESS
CITY, STATE, ZIP :Tkf: CITY, STATE,ZIP
RESIDENCE PHONE r[7Ce 7�l`� (fS`� BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER-SOF ROOMS:
ROOM USE: 1. IJ 2.L ✓ 3. �L I� 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 ISPAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATUR C /1 DATE
Inspectors use only
Date on initial inspection: 3 () Date of reinspection:
Date of issuance of certificate: 3131110 Date fee paid: �1
Type of unit: Dwelling_—IZOther Check# 30)x Check date: YJ
Notes:
C e E rcement Inspector
CITY OF SALEM, MASSACHUSETTS CUA
BOARD OF HE.„LTH -
j_...... . .. . . .. .... - - . . ...._. -. ..-120WASHINGTON STREET4”FLOOR -- - - - PubliCHealth
Preen,.rrommc-rrm«t.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdin e salem.com
MAYOR LrARRY RARIDIN,RS/RI'ihIS,CI ll),CP-PS
HI7.;\I;n i AGklN,i'
CERTIFICATE OF FITNESS
CERTIFICATE#40-15
DATE ISSUED: 1/21/2015
Property Located at: 6 Cedar Avenue UNIT#
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6571
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 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
LARRY IN "
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
/ BOARD OF HEALTH
120 WASHINGTON STREET,4®'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDIN&ALEM.COM
LARRY RAMI)IN,RS/RF.1-IS,C1 10,CP-FS
HF,;V xii 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 C ells;p r fi t/6 UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER G11-Ay 7/F/;C. F, MANAGER/AGENT
NO P.O. BOX
ADDRESS R dAKUI£ij Ave- ADDRESS
CITY, STATE, ZIP SALT jri CITY, STATE, ZIP 7 U
RESIDENCE PHONE 97e )�� �S"7/ BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3
ROOMUSE: 1.hC/ J?ll 2.�"4 3. /"co 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 SIGNATURE a' �iA. c. DATE / ysf
Inspectors use only
Date on initial inspection: / 'l/-�1`� Date of reinspection:
Date of issuance of certificate: �' 2J ,lY Date fee paid: /•Lr 1J
Type of unit: Dwelling--!: Other Check# t)Y P Check date: '2) '/J
Notes:
dje Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
+ / BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRIsN BALIM&ALF..MCOM
DAVID GRui,,NBAUM
ACTING HFALn I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#353-09
DATE ISSUED: 7/29/2009
Property Located at: 8 Cedar Avenue UNIT# 1
Owner/Agent: Gary E. Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 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
DAV�EEN
ACTING HEALTH AGENT CODE ENF EMENT INSPECTOR
CITY Or SALEM, MASSACHUSETTS
_ BOARD OF HEALTH
120 WASHINGTON STREET,41P1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ucareNHAUMI�_ SA1Eu.COM
DA\qD GREENBAUM,
ACTING H&-ILTH 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 G��Nk /¢Z UNIT# ✓
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER C�/FRN pl cece MANAGER/AGENT
NO P.O. BOX
ADDRESS ADDRESS
CITY, STATE, ZIPS d CITY, STATE,ZIP
RESIDENCE PHONE ?Z�L 74r�4-SZl BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:— 3
ROOM USE: 1. Wv4- 2.4wl" 3.k,OU 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 SIGNATURE eV DATE
p, Inspectors use only
Date on initial inspection:_ Zhgl Date of reinspection: r
Date of issuance of certificate: a / G Date fee paid: O -1
Type of unit: Dwelling—V—Other—Chock#—aj��Check date: a 0
Notes:
Jp/u1 KPou �A��
Code Enforcement Ins for
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IMnNCINI@SALrni.00M
JANET MANCINI.
ACTING HEALT-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#633-08
DATE ISSUED: 12/2/2008
Property Located at: 10 Cedar Avenue UNIT# 1
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6571
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 ET MANCINI
CTING HEALTH AGENT CCff ENFORC NT INSPECTOR
4.
7%
n r�'
�MIHIi W
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
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /O C4V _UNIT#
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERAi& IS, P- MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 9 OAtryl tiv ADDRESS_ .
CITY _CITY 1p
RESIDENCE PHONEY? USINESS PHONE (24 HRS.).
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1 2.&t 3 —4.
l
5. &. 7. 8...
THERE IS A .00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO Yt ITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE= —' —DATE 1 L"/
INSPECTORS USE ONLY
(� �I
DATE OF INITIAL INSPECTION ��, Ivv..—DATE OF REINSPECTION @1. 410
DATE OF ISSUANCE OF CERTIFICATE:^.. DATE FEE PAID:
TYPE OF UNIT: DWELLING ._OTHER_ CHECK#_ _CHECK DATE
NOTES: c Vtpy1 (�I♦11W2u� i VY' �UsYN� 4 _ nyK¢_r, L1CQAa.✓1 6�1K 15 It'd
krkb cv)a k�wr SlrLlz_. _lrrc� �_� lks C'���.a , 4-00};
`�1'cui S t�z. c4.11e.��tcc~vl
CO FOR �INSPECTOR 9/28/98
+f�� �I w (3F Y "�I
tl w�lki�715 erne
{2
PV
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
Kimberley Driscoll HEALTH AGENT
Mayor
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 author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
I;i the event it is necessary shat said inspection be done in my/our absence, !/we
expressly authorize 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
f--ora any loss or injury sustained of whatever nature and description occasioned
by my/our- absence during said inspection.
A.
To
T.SbIl:NT/L SSE. OWNER/ FSSCR -- -- --- --
ADD!IESS ADDRESS
ter `y1a-y
--- _,9 _ , �
P. t1NESS OF UNI'!'
To BE INSPECTED