GERRISH PLACE CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KINEBEI=Y DRISCOLL FAX(978) 745-0343
MAYOR DGRI:8NBAUM@SALI3M.CDM
DAVID GRHENBAUM
ACTING HIALTI-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#313-10
DATE ISSUED: 6/30/2010
Property Located at: 1 Gerrish Place UNIT#2
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham MA Zip Code: 02180 24 Hour Phone: 781-953-0119
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.
FO Ty ARD OF HEALTH
1
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFOR EMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR DGREENDAUMnG SALEM.COM
DAVID GREENBAUM,
ACTING 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: $5,0/.0j0
'ROPERTY LOCATED AT / G� rr I.S Fj �l •^tpf7 ' •Z UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LE FRONT OR BACK PLEASE CIRCLE Of/NE
IWNERILESSER rr,4/ t, /Q��� MANAGER/AGENT A/
.)DRESS �C l✓t'L2. �' ADDRESS G/^ A j!! �
:TTY, STATE,ZIP CITY, STATE,ZIP
ESIDENCEPHONE BUSINESS PHONE(24HRS}
.USINESs PHONE
OTAL NUMBER OLF.ROOMS:
OOM USE: 1 2 C/ 3 V/1�4n 4 5.
6. 7. 8. 9. 10.
HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
OARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSVECTION
_-
PPLICANT'S SIGNA'T'URE
-� Lectors use only
ate on initial inspection: o l/U Date of reinspection: --'— --
ate of issuance of certificate: (P 80//b . Date fee paid: tp 11 G
?pe-ofunit:-Dwelling-- 0 er—Check# ^1-&4-flClieolc date:
Jtes:
)de Enforcement Inspector
00
CRY OF SALEM, MASSACHUSETTS
BOARD OF HF,,Az,,nr
12b�vtiH[?d<=CCTV 51'REI',t',4" I'I:,C)«It
1'r-i- (97$)741-1800
KIN63HRiki;Y DItISC;OLl..
FAX (978) 745-0343
MAYOR Iramchn satein—Com
L,;ARRY RAA(l�iA }ZtifRl:sHS,L:l i{} CP-15 -
H(i.AI;
1A(&'.Nn
CERTIFICATE OF FITNESS
CERTIFICATE#30-12
DATE ISSUED: 1/30/2011
Property Located at: 1 Gerrish Place UNIT#3
Owner/Agent: Gerrish Place LLC
Address: 6 Albion Avenue
CityfTown: Stoneham, MA Zip Code: 02180 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
to RY RAMDIN ! " ✓ I
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
7 v
i
CITY OF SALEM, NIASSACHUSEITS
Y
BOARD OF HE:U,`FF1
120WASF11NGTONSm-REF rj... FLOOR
TEL. (978) 741-1800
K1NMF-,R7DRISC01 11, FA\ (978) 745-0343
MAYOR 1,11AMIAN �,�AIAALCQNI
LAIMYRAMI)IN,1k1*,/)kF,J 1i,(A 1(),(:P-VS
Hrmxi I A(;I:N,i
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEEL$-50-00
PROPERTY LOCATED AT (q9 �VFY7 /114_—UNIT#
IS THIS UNIT DISIGN�ATFD�AS RIGHT�LEFr DONT OK BACK CIRCLE ONE
OWNER/LESSER4:f-26 /'//j/-/ /0Z ZZ (f MANAGER/AGENT
NO P.O. BOX
ADDRESS ADDRESS
CITY, STATE,ZIP __aAt)�XA Y�,--, �.2,lFdTY, STATE,ZIP
RESIDENCE PHONE f—BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. &I!W 4. 5,
6. 7. 8. 9. 10.
THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE ATT' TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE 2-
Inspectors use only
Date on initial inspection: R,.p- I L Date of reinspection:_
Date of issuance of certificate:- Datefecpaid:
Type of unit: Dwelling_✓ Other--Check#JZ2P _Check date: I
Notes:
dode Enforcement Inspector
TRANSMISSION VERIFICATION REPORT
TIME : 01/30/2012 22:53
NAME :
FAX : 9787450343
TEL : 9787411800 .
SER. # : 000BON341991
DATEJIME 01/30 22:53
FAX N0. /NAME 917815869478
DURATION 00: 00: 17
PAGE(S) 00
RESULT NG
MODE STANDARD
NG: POOR LINE CONDITION
` CITY OF SALFM, MASSAC I_JSE'F_1 y
BOARD OI� HtLwrIi
120%X/AS1-IING"fON Sl`REE'f,4"`I`LOUN
TIA'.(978)741-18(k)
KIM23E1ULE;Y I)R1SCC.)LI' E, x(978) 745-0343
MAYOR Ira dig@j9(wn to
LARRY RA NIDIN,RVRI•:1IS,(A RMT-P"
I1kiAIMIA( O.N7
Facsimile
Transmittal
To: Cr) M e>✓� __ —
Fax.#
RE: ('_Je,rr),.5 �k flacle—
Date : I' 3 i 1
Page(s): including this cover#
Message:
Board of Health New — ---- ---- — ------ —For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
TRANSMISSION VERIFICATION REPORT
TIME 01/30/2012 22: 54
NAME
FAX 97B7450343
TEL 9787411800
SER.# 000BON341991
DATEJIME 01/30 22: 54
FAX NO./NAME 917815869478
DURATION 00:00:40
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
a CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH 1P
120 WASHINGTON STREET 4'"FLOOR PublicHeatth
Prevent.Promote.Protect.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL 1ramdin@sa1em.co1n
LARRY 12;AMDIN,RS/REHS,CHO,CP-I:;S
MAYOR
HEAIfCH AG13N'f
CERTIFICATE OF FITNESS
CERTIFICATE #332-14
DATE ISSUED: 9/24/2014
Property Located at: 1 Gerrish Place UNIT#4
Owner/Agent: Gerrish Place
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 24 Hour Phone: 781-953-0119
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 Ile 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 gF HEALTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
i
.. i
CITY OF SALEM, MASSACHUSETTS 3
BOARD OF HEALTH
120 WASHINGTON STREET,4 .FLOORth
F prcll�tlbhCm„
e.Protect.
TEL. (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL Iramdia salem.COm LARRY RANIDIN,RS/RENS,CHO,CP-FS -
MAYOR HrALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"NIINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
FEE: $50.00
PROPERTY LOCATED AT / �' �"/ /S N UNIT#
/ISS THIS UNIT DISIGNATED AS RIGHT LEFP FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O.BOX /l
ADDRESS L O�U� a� ADDRESS
CITY, STATE,ZIP 3 0'� /2,0 n ' , M4 y --- rI'Y, STATE,ZIP
RESIDENCE PHONE ql %3-nl BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER/OF�ROOMS: J)
ROOM USE: 1. (/ 10 t 2. tin 3. k-L 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CrI`Y OF SALEM
BOARD OF HEALTH THIS FEE IIS PA);ABLE AT THE OF INSPECTION
APPLICANT'S SIGNATURE //' ! ! v^ � DATE
Inspectors use only
Date on initial inspection: /a�� f Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#�2Check date:
Notes:
....... - - -
Code Er4brkgAent Inspector
n CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH PublicHeaIth
120 WASHINGTON STREET,4"t FLOOR Prevent.Promote.Protcct. -
TEL. (978) 741-1800 FA%(978) 745-0343
KIMBERLEY DRISCOLL Iramdin e salem.com
LARRY RAMDIN,IiS/RI?IIS,CI-IO,Cl)-I;','
MAYOR HF:AI;ri-i AGISN I' _
CERTIFICATE OF FITNESS
CERTIFICATE# 168-14
DATE ISSUED: 5/15/2014
Property Located at: 2 Gerns
h Place UNIT# 5
P
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 24 Hour Phone: 978-335-5723
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
qA*A
LAR AMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS p )
• BOARD OF HEALTH
120 WAsFnNGTON STREET,4"'FLOOR 1 "`CCCIII
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR L RAMDINGO SA .EM.COM
LARRY RAMDIN,RS/REf-IS,CHO,CP-FS
HEAIa'Ft 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>? /-( -P/ UNIT#
IS THIS UNIT DISIGNATED AS RIGHTTfEF1
FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER m Icer Pr2 L I L L MANAGER/AGENT I\e AlA H�✓2) R A0 LA-
NO P.O.BOX 1
ADDRESS b AL 6 �0 A)/ f/�,LN/en ADDRESS 6 5 LSSP X % #Zcd4/
CITY, STATE,ZIP ST6 N n A M 'd,114 0D I S/0 CITY, STATE,ZIP �� le.,,.,
hd�920
RESIDENCE PHONE C BUSINESS PHONE (24HRS) c/ /8-3 3-J _� �/Z3
BUSINESS PHONE I �� �— d / 1 (led
TOTAL NUMBER OF ROOMS::JLw, P(., '[,ZA1 y
ROOM USE: 1. �S�onI 2.PwjPQ2oN 3. 1 i 0i ng j2T. , 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
AyPPLICANT'S SIGNATU DATE-----�
Inspectors use only
Date on initial inspection:��4 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling—Other—Check# L2Check date:
Notes:
Cc�deY4forMnentInspector
CITY OF SALEM, MASSACHUSETTS
• + BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR nGItrBNI;AUMna SAi.rM COM
DAVID GREENBAUM
ACTING HEAi.HFI AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#628-09
DATE ISSUED: 12/7/2009
Property Located at: 2 Gerrish Place UNIT#6
Owner/Agent: Gerrish PI LLC
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 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 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 TIdE T/ \JF HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HE\LTH
120 WASHIlNGTON STREET,4"'FLOOR
TF-L, (978) 741-1800
K.IMBERLCY DRISCOLL FAx(978) 745-0343
MAYOR DGiKrjiNBAjjN1 2 SALE iti COM
DAVID GREI,7WBAUM
ACIING HEALTH AGENT
Facsimile
Transmittal
To:
Fax#
RE:
Date :
' Page(s): including this cover# oC
Message:
Board of Health News ---------------------------------------------------------------For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
I
HP fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Dec 15 2009 12:07pm
Last Fax
DAM L= T= Identification Duration g - Result
Dec 15 12:07pm Sent 919785311012 0:35 2 OK
Result
OK - black and white fax
+ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUM Cn!SALEM.COM
DAVID GREENBAUM,
ACTING 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."
EEE: $50.00 scf / �lA 0/ 1-7 0
PROPERTY LOCATED AT o� C�L�`✓ I cI A /"`+ �ml` c0 UNIT#�
/Iis THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER l� p�f� t ,y L . G�iG MANAGER/AGENT / Gn�l
NO P.O. BOX ' Z,
ADDRESS lv l /Ur✓ ADDRESS / //
CITY, STATE, ZIP �� A� � c5/- VCITY, STATE,ZIP e_,e, M'AIL
RESIDENCE PHONE S5a_nit__ BUSINESS PHONE(24HRS)
BUSINESS PHONE t/ 9 S3 — Ull 9
TOTAL NUMBER OF ROOMS: 13 l
ROOM USE: 1. L V X M 2. 12d/Z J" 3. 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 I/S�PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE /V/ • DATE L 6
Inspectors use use only
Date on initial inspection: -7 /0 _ Date of reinspection:
Date of issuance of certificate:�a -7 o Date fee paid: a Q
Type of unit: Dwelling Other Check# J�p 17 Check date: g 7 U�
Notes:4 COUP/ �j
z akO
Code Enforcement Inspector
y CITY OF SALEM, MASSACHUSETTS
•
a
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 9'7 8-7 4 1-1 800
FAX 9780451343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts
Regulations 410.000 et . seq . ; State Sanitary Code Chapter I1 and article XIII of
the City of. Salem Ordinance, undersigned owner/lessor and tenantilessee 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 .
In the event it is necessary Lhat said inspection be done in my Jour absence, !/we
expressly authorize the same and for wy/aur successors and assigns hereby release
and discharge the City of Salet", Salem Board of Health and its authorized zgcnn
( from any loss or injury seatwined of W atever nature and description occasioned
by my/our absence during said inspection.
y
Y
ENAi1'JLiSSEE 01,'N RJT.FS56R — —._—
luDDRESS T —�— -- ADDRESS —'--�
ADDRESS OF UAT 7'7I LNS! EC'!'EED �
0A AT —
CITY OF SALEM, MASSACHUSETTS
HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM,MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#406-07
DATE ISSUED: 8/22/2007
Property Located at: 2 Gerrish Place UNIT#7
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code 02180 : 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 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
JOA�OTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
K CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• r 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
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 of �'_) JA if2 ,, S UNIT# /
IS THIS UNIT DESIGNATED AS RIGHT LEFTFRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I r_1171 ZIAII ) MANAGER/AGENT
No P.O. Box /l /j No P.O. Box
ADDRESS /, A �/O) � / ✓ d ^ ADDRESS
CITY S��DAA-I- I�A CITY
µ RESIDENCE PHONE7f/61S3 0)( c�3i�BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS- /3
ROOM USE: 1 _ t_ 2.i _3.3_41
5. 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 �l /C DATE 7
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION _DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE: 7DATE FEE PAID:_ 2, z'_
TYPE OF UNIT: DWELLI G _�OTHERCHECK #�3 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
I ,a
" CITY OF SALEM, MASSACHUSETTS
BOARD Or HEALTH
120 WASHINGTON STREET,4...FLOOR
TEL. (978) 741-1800
1:1Iv1I3E]ZLEY DRISCOLL FAx (978) 745-0343
MAYOR Iramdin@salein.com
LARRY RAMI IN,RS/RF1IS,CI 10,CP-I,S
1-1F,A];rl-1 AG HNT
CERTIFICATE OF FITNESS
CERTIFICATE#216-11
DATE ISSUED: 7/11/2011
Property Located at: 2 Gerrish Place UNIT#8
Owner/Agent: Gerrish PI LLC
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 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 ae .
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LARRY 6MDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• CITY OF SALEM, MASSACHUSETTS
( � BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLI. FAX(978) 745-0343
MAYOR I.RAMD1NCa]SALILM.00M
LARRY RAMDIN,RS/IWI IS,CHO,C114S
I FAIXI I A(;I!?NT
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 �17, � �G. ,/�4 'y UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR 9AC&PLEASE CIRCLE ONE
OWNEWLESSER MANAGER/AGENT—/2)
NO P.O. BOX
ADDRESS k4J ADDRESS CSS m�
CITY, STATE,ZIP V"\ 9 CITY, STATE,ZIP
RESIDENCE PHONED 5 619 BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: )) -// ,
ROOM USE: 1. xleA 2. c' h 3. 7�"�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 PAYABLEAT THE/TIME OF INSPECTION
L )
APPLICANT'S SIGNATURE / /// , ��X�L/! J DATE
Inspectors use only
Date on initial inspection: :7111-61( Date of reinspection:
Date of issuance of certificate: 7/,-//[ I C Date fee paid: / /
Type of unit: Dwelling ✓��O��th``er Check#��a b Check
Notes: �6Ck On, h G f�V com (�/IA CGt1_ALO A t(`I'hk/L l/I R �1�C
IA] Vl d cw 119-ph sCao&. t +r, �IaPA C�-� t1_1k 1V
Code nforce ent Inspector
City of Salem, Massachusetts10
Board of Health
120 Washington Street, 4th Floor, Salem, Pub1iC'He8Itb
MA 01970 Prexpt.Promote. %mt"L
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Rarrmain, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-279
DATE ISSUED: 9/112417
Property Located at: iorvERRISH PLACE UNIT#9
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 42184 24 Hour Phone:{781}913-2769
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.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, RENS, CHO
HEALTH AGENT SANITARIAN
CM OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR r.RAI ro�a�sALmu.cclM
LARRY RAMDIN,RS/RENS,CHO,CP-FS
HFALTHAGENT
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 3 GERRISH PLACE, UNIT# 9
IS THIS UNIT DISIGNATED AS RIGHT LEEP FRONT OR BAC% PLFASE CIRCLE ONE
OWNER/I:E+SS» Michael Hill MANAGER/.A#Wg Rena Andreola
NO P.O.BOX
ADDRESS 6 Albion Ave . Stoneham, MA OZODRESS 265 Essex St #204 Salem. MA
CITY,STATE,ZIP Stoneham, MA 02180 C1TY,STATE Z[P Salem, MA 01970
RESIDENCE PHONE ���' 4//9 BUSIlVESS PHONE(24HRS) 9 7 8-3 3 5-5 7 2 3
BUSH40SPHONE 781-913-2769 Maintenance
TOTAL NUMBER OF ROOMS: 4
ROOMUSE: 1. kitcher2. living 3. bedroom 4. bedrm 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 YABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNA DATE 8/31 /17
InsDecfors use only
1
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#ACheck date:
Notes:
Code Enforcement Inspector
Inspection of Date Time ...� r
Name / Address
Tel. I s
Owner AYT—
Type of Inspection Inspector 1 —1b! d`
( ' Remarks and Violations are listed below: .-
Al C1
y l f tl�� bf
OUT
Report Received by:
v
CERT.# 743-00
FEE $25 .00
DATE: 11/20/2000
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: 3 Gerrish Place UNIT #: 10
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derby Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-2442
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
94 -, - aA
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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 FI S FOR HUMAN HABITATION".
PROPERTY LdCATED AT —UNIT# O
IS THIS UNIT DESIGNATED S RIGHT LEFT FR NT BACK PLEASE CIRCLE ONE
OWNER/LESSERA�w /\ MANAGER/AGENT
No P.O. Box a P.O.Box
ADDRESSS�S`` ADDRESS_
CITY
RESIDENCE PHONEp.q��y� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE_
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.__ i L_2.P"{ y
5.--6.--7. 8._i__
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HE TH DEPAR ENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE `jD
I SP CTOdUSEONLY
DATE OF INITIAL INSPECTION b1`4210- 0 0 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEA �'0 -C ''DATE FEE PAID:Zz �d "G�
TYPE OF UNIT: DWELLING�_OTHER_ CHECK# _CHECK DATE -�
NOTES: _
CODE ENFORCEMENT INSPECTOR 9/28/98
i
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
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.
In the event it is necessary that said inspection be done in my/our absence, 1/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
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
T.ENAAT � E,:SEF. ER/LES OR
t
� �_ I -
ADDr�.ss r, DREss
ADDRESS OF UNIT TO BE INSPECTED
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