LORING HILLS AVENUE wND� City of Salem, MassachusettsOn '
Board of Health
120 Washington Street, 4th Floor, Salem, PltbliCHealth
MA 01970 Prevent.Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-17-1
DATE ISSUED: 1/4/2017
Property Located at: 6 LORING HILLS AVENUE UNIT#A4
Owner/Agent: Lynda Cutrell
Address: 63 Naugus Avenue
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(617) 592-5625
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.
—eL
J (o
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIA'
CITY OF SALEM, MASSACHUSETTS
' BOARD OF HEALTH
120 WASHINGTON STRLE'1',4O'FLOOR
TFL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDIN@SALEM.0 0
LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTH AGENT I 1 • h ^r\^ A J ^
y �JI '' 1 w �J � � Dir C
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
4 y-�� S AVe . �CEm/ * 'DA �I�T#�
PROPERTY LOCATED AT �
IS THIS OMIT DISIGNA/Ty Ag/RIIGIF LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER L�N PA 1h 1 L/lti`1Y Q t CMANAGER/AGENT
NO P.O.BOX b rte /� �n� ��
ADDRESS t�/J h�A/A G J I ADDRESS
CITY, STATE,ZIP/ " U`r (Fi�1 `�� CITY, STATE,ZIP MA �/�
RESIDENCE PHONE BUSINESS PHONE(24HRS (0
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5. x
6. 7. 8. 9. W
THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P GABLE AT THE TIME OF INSPECTION l
APPLICANT'S SIGNATURE DATE
q / Inspectors use only
Date on initial inspection: y2I gL201-b Date of reinspection:12L2 2-Lt
Date of issuance of certificate: 2 �r Date fee paid: 9/G� Fi�
Type of nit: DwLerllin / Other n Check#2-24,2— Check date: W012,01-
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Fnspect'sdn of ��� Date
Name
Owner Tel. No.
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Type of lnspectio Inspector ', �___
( ' Remarks and Violations are listed below:
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Report Received b
RECEIVED 12/29/2016 03:15PM 9787450343 Salem Health Dept
Dec 29 16 08:12p Gilbert and Cole 7816319746 P'l
Gilbert & Cole Building Products
42 Bessom St.
Marblehead, MA 01945
781-631-0222 781-631-9746 (fax)
To: n(--
Date:
Pages Sent Including Cover:
T-
RECEIVED 12/29/2016 03:15PM 9787450343 Salem Health Dept
Dec 29 16 08:12p Gilbert and Cole 7816319746 p.2
GILBERT & COLE BUILDING PRODUCTS
42 BESSOM STREET SPECIAL ORDER
MARBLEHEAD, MA 01945 TICKET
(781) 631-0222 FAX {781) 631-9746
Page: 1 ShippingTicket: 10280347
Special a Timer 15:49:00
Inslructione Ship Date: 12/29/16
• Invoice Date: 12/29(16
sale rep a: 4 Brendan Acct rep code: Due nate: 01/31/17
Sold To. STEPHEN W.CHAISSON Ship To: SPCIREPLACEMENT WINDOWS
165 GREEN STREET (781)9105493 6 LORING HILLS AVE
MARBLEHEAD, MA 01945 SALEM MA
(781)910-5493 IsCpagQ2
Customer a: CHA300 Customer R7. order By.
toFta IHn Lora
T 26
ORDER'; SHIP 'L; U/M 1 ITEM# DESCRIPTION i RETAIL PRICE, PRICE j EXTENSION
SILVERLINE WINDOWS
j BMS
2.001 2.00.P: EA 24222ZOMI I2 i 9500 30043/4 WHT RPLC WINDOW 245.00006..' 245.00006q 490.00
DOUBLE STRENGTH LOW-E GLASS w/ARGON
AND HEAT LOCK
I I
HALFSCREEN
DOUBLE LOCKS
FOAM AROUND FRAME
j + SILL ANGLE
j HEAD EXPANDER
SL#23569647
EST SHIP 1117/17 1
i
i
I
i
I
i
i
I
FILLED BY CHECKED BVPE IAL DATE SHIPPED DRIVER Sales total S490.00
SHIP VIA OP9
RECENED CIiESJ°trl1E A17Ub IRC'G CONDITION Taxable 490.00 Tax 30.63
TICKET Non-taxable 0.00
X Tax#
Gilbert is not responsible for Special Orders not picked up within 30 days of ramming
"I"
Orders ara not prised
Mose SpsoH Ortlere cannot tre returned TOTAL $520.63
Returned Spedal Orders may be Cra ped a�aslcrkbg fee 2 - Customer Copy
CERT.# 30-95
FEE $25.00
� r
DATE: 01/13/95
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
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 6 Loring Hills Avenue UNIT #: D-4
OWNER/AGENT: Kenneth P. Blair
ADDRESS: 6 Loring Hills Avenue D-4
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2788
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 HEALTH DEPARTMENT 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 410.400B
( ) 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 THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� C0WTD
OFFICE USE ONLY
4 � s CERT. f � 9s
0 3
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
9 NORTH STREET
sasaat-teoo 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 i UNIT I
OWNER/LESSER M, MANAGER/AGENT —�
ADDRESS /�/ 'Q O�w ADDRESS
CITY CITY
---.'RESIDENCE-PHONE � i - - ---_..
���� �� BUSINESS-PHONE- (24 HR&.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS
ROOM USE: - 1 . 2. - 3. - 4.
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 DEPARTHETf UPON Ot 1
9NCE ISSUANCE OF CERTIF CATE.
APPLICANTS SIGNATURE y DATE WYE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: J DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: — ATE FEE PAID: �� 3
TYPE OF UNIT: DWELLING y OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR