INTERVALE ROAD 2 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEILTH
120 WASHINGTON STRI-,RT,4...FLOOR PtiblicHealth
TEL. (978) 741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL Iramdin e salem.com
LARRY RA MDIN,RS/RL:I-1 S,Clip,CP-ISS
MAYOR f IVAI. 'PI AC IIiN'I'
CERTIFICATE OF FITNESS
CERTIFICATE#270-12
DATE ISSUED: 7/3/2012
Property Located at: 5 Intervale Road UNIT#
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-74-6571
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 pancy.
OR THE BOARD OF HEALTH
LARRY RAMDIN /
HEALTH AGENT NI ARIAN
i
0
CITY OF SALEM, MASSACHUSETTS
G{� BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR
TEL. (978) 741-1800
KIIVIBEI LEY DRISCOLL FAX(978) 745-0343
MAYOR LIUN(DIN&Ai M.Cou
LARRY RAMDIN,1ZS/RI_HS,CI10,CP-FS - -
Hi-,1m 1'17AGf.m
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____Nr �4/�? ;?1/r+d Lc{ �� UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �y0e., /,£(RCE, MANAGER/AGENT
NO P.O. BOX
ADDRESS I (3.44-1oh?,U) 1--A� ADDRESS
CITY, STATE, ZIP � CITY, STATE,ZIP /9j9'o 1970
RESIDENCE PHONE_q 7F 7 9 v/ ir7/BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. _/(;.f- 2. POerl 3. 1- 1V I N11 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 SIGNATURE2. DATE
n Inspectors use only
Date on initial inspection: L✓ Date of reinspection:
Date of issuance of certificate: Date fee paid:
-713 llr�
Type of unit: Dwelling Other Check# Check date:
Notes:
CIve E cement Inspector
1
e CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH _
120 WASHINGTON STREET 4"'FLOORPublicHea Ith
Prevent.r."mme.Fr",m,.
TEL. (978) 741-1800 FAx (978) 745-0343
KIMBERLEY DRISCOLL lramdin e,salem.com
MAYOR LARRY IiADIUIN,RS/RLhCF
? IS, IO,CI'—FS
r AmI NT
CERTIFICATE OF FITNESS
CERTIFICATE#246-14
DATE ISSUED: 7/16/2014
Property Located at: 7 Intervale Road UNIT#
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-6571
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 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
LOAY RAMDIN
HEALTH AGENT SANITARIAN
M1 k
i < CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH , , �",I�" l
120 Wi SHINGTON STRP,ET,41"FLOOR
TEL. (978) 741-1800
KINIBERLEY DRISCOLL FAx(978) 745-0343
MAYOR LUXIDTNIL&SALFM.COM
LARR]"R- 4NMTN,RS/RF1IS,CHO,CP-FS
I-IL�,m,r1;1GIi'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"
1 FEE: $50.00
PROPERTY LOCATED AT � M&5e V 51 ,• UNIT#
I IS THIS UNIT DIS'I/G- ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
Leo eo V• C MANAGER/AGENT
NO P.O.BOX
ADDRESS '3 40-KOV SI - ADDRESS
CITY, STATE,ZIP S—� �1nn-- CITY, STATE,ZIP
RESIDENCE PHONES -��{G ' I.criUSINESS PHONE(24HRS)
BUSINESS PHONE $l
TOTAL NUMBER OF ROOMS: C LL--� I
ROOM USE: 1. Q� 2. 5 ak M 3. K Tl� 4. LA'✓'41 Q.5 P'Y I r�
6. ekt K . '7. 8. 9. v 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 PAY BLE T IME OF INSPECTION
APPLICANT'S SIGNATURE DATE oK/1
l� Inspectors use only
Date on initial inspection: �TI Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date: 7 �
Notes: r 5 De iovi IoW � h -fa Stay or.
Code of ement Inspector
to 1y�
City of Salem, Massachusetts10
Board of Health
120 Washington Street, 4th Floor, Salem, PublicHealth
MA 01970 Prevent. Promote. Protect,
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-15-122
DATE ISSUED: 6/18/2015
Property Located at: 5-7 INTERVALE ROAD UNIT#
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
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 SAN' ARIAN
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4O'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR RAMI)IN sAI.ISNI.COM
LARRY RAMDIN,RS/RIEI-IS,CHO,CP-I'S
H F.AI.rI-I AG 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"
FEE: $50.00
PROPERTY LOCATED AT r1 XN�EIV VR L& Fr' UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER it'S+ �6�iGfi MANAGER/AGENT
NO P.O. BOX ti`' '
ADDRESS q OA ILt/1 E,Ik) ADDRESS 4
CITY, STATE,ZIP o C? CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE
1
TOTAL NUMBERyyOF ROOMS: `
ROOM USE: 166/ ty ✓"- 2. 3. ^Z4 4. #1 �' 5.
6. A 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 SIGNATUREVt.e) DAT '�J/ <
�e-Iw
q Inspectors use only
Date on initial inspection: h �LI 1�7 OZS Date of reinspection:
'. ' � kw
�Date of is§uance of fica�te: LqAol rs Date fee paid: 061101 ml-s
Type of unit: Dwelling V Other-Check#-.Checkdate: WOV2� 15""
Notes:+" Sm u le vn ki�c�evt fink
Coe fo ement In ector