ORANGE STREET Ot2ANGE STREET
u
@J
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR CERT.# 207'02
SALEM, MA 0197p
TEL. 978-741-1800 FEE $25.004D DATE: 04/19/2002
FAx 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
I� CERTIFICATE OF FITNESS
I, PROPERTY LOCATED AT: 1 Orange Street UNIT #: 1 Rear
OWNER/AGENT: James A. Bailey
� ADDRESS: 81 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685
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: .
I 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
j JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
CITY OF SALEM, MASSACHUSETTS D
'� BOARD OF HEALTH
• s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
- TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - -
MAYOR HEALTH AGENT
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 �4 S i UNIT# T
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENTS,S0A Js_
No P.O. Box p No P.O. Box
ADDRESS ,L4e.IG`3 ADDRESS
CITY 1918n --- CITY
RESIDENCE PHONE 711-1q 2P,6f`XBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1. 2. c f 3. S�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 LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _ DATE 7 Dy
SPEO S USE O Y
DATE OF INITIAL INSPECTION �t- / l 0 2- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:[ -I ( 2 <- DATE FEE PAID: (4 -1 `j -V 2-
TYPE OF UNIT: DWELLING
7�OTHER_ CHECK# �ly �t CHECK DATE�Z L
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
" s SALEM, MA 01970 CERT.# 208-02
�. FEE $25.00
TEL. 978-741-1800 DATE: 04/19/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 1 Orange Street UNIT #: 2
OWNER/AGENT: James Bailey
ADDRESS: 81 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
i 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
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
.- SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
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 145eA e S�/ - UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER - Ames A/4h(h_ MANAGER/AGENT
No P.O.P.O. Box No P.O. Box
ADDRESS_ ADDRESS
CITY �/7-J, � CITY
RESIDENCE PHONE 27J'Z•7QEa OGPSBUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. L: 2. C r 3. 4. e
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM-HE DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE / d7�
PECTO S USE ONLY
DATE OF INITIAL INSPECTION �f /�%ZS DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:'�-/
TYPE OF UNIT: DWELLING
'je OTHER_ CHECK#Y1 CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
J
Y
CERT.# 422-97
3 FEE $25.00
DATE: 0 07/11/7/11/
97
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
FITNESS
PROPERTY LOCATED AT: 1 Orange Street Rear UNIT # : 3
OWNER/AGENT: James A. Bailey
ADDRESS: 81 Essex Street _
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685
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 .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 THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Y%
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY!CODE, CHAPTER II, 105 CMR 430.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT f - � �j! Qc2�- UNIT
OWNER/LESSER t —pL A MANAGER/AGENT
ADDRESS { —5�*S-ClovS < ADDRESS
CITY <-:} {',n w , to CITY
'RESIDENCE PHONE _ '-7 (4 S"0 S� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.�1/�2.
5. 6. 7. B,
THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEH HEALTH `PARTMENP\THIS FEE I2PAY LE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE rf
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: fj 7 DATE OF REINSPECTION
DATE OF ISSUANCE. OF CERTIFICATE: 7-/'// 7 DATE FEE PAID:I7
TYPE OF UNIT: DWELLING OTHER_
NOTES:
CODE ENFORCEMENT INSPECTOR
I
CITY OF SALEM, MASSACHUSETTS
o T
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
O 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# 17-08
DATE ISSUED: 1/15/2008
Property Located at: 3 Orange Street UNIT#1
Owner/Agent: James Bailey
Address: 188 Derby Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-502-2725
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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMEN INSPECTOR
.
r CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 1
TEL. 978-74 1-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO -
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICAT: ON FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT Q 7Arlj(�E ST UNIT# I
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEA§4 CIRCLE ONE
OWNER/LESSERclO-OlpS 'ICA/'" MANAGER/AGENT
No P.O. Box No P.O.Box
ADDRESS $(_T);:�pry, ADDRESS
J _
CITY A r 4 r- l CITY
RESIDENCE PHONE 6176 . OIo BUSINESS PHONE (24 HRS.)rD_'<�j)2
BUSINESS PHONE _
TOTAL NUMBER OF ROOMS: r3_1
1.60%ROOMUSE: 1. n 2.k QZ,
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SAL M HEALTH PARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE_ DATE l
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION / " j r' _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:" DATE FEE PAID:_:2_._ D
TYPE OF UNIT: DWELLINY,/ OTHER_ CHECK# �a CHECK DATE L
NOTES: v�
CODE ENFORCEMENT INSPECTOR 9/28198
rCOBDIP
v
CERT.# 781-00
FEE $25 .00
DATE: 12/07/2000
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 Orange Street UNIT #: 2
OWNER/AGENT: James Bailey
ADDRESS: 81 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0185
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,40F HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
^► v��coxmr
INK
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 Tat(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNES.FS�FOR HUMAN HABITATION".
PROPERTY LOCATED AT_ tY b 4u^�� S —..—UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT - '
No P.O. Box ko P.O. Bax
ADDRESS I ADDRESS
CITY �i4/� /e__ CITY
RESIDENCE PHON&;�77 S t! &�Sr BUSINESS PHONE(24 HRS.)
BUSINESS PHONE_ ,
r
TOTAL NUMBER OF ROOMS: �2
1 v.
ROOM USE: 1.-4-2.r_3. -
1
5.p=ew 6. . 8.
THERE IS A TWENTY-FIVE-($25: LLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY t F SALEM HE LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTIO�1.
APPLICANTS SIGNAR€ < _DATE4 A)
INSPECTORS USE ONLY
DATE OF INITIAL INS CTION ---? —DATEo OF REINSPECTION._
,a
DATE OF ISSUANCE OF CERTIFICATE12 7-" DATE FEE PAID: l f
TYPE OF UNIT: DWELLING OTHER__ CHECK#.T qd_S CHECK DATE `®
NOTES: _
CODE ENFORCEMENT INSPECTOR 9/28/03
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3" 120 WASHINGTON STREET,4"FLOOR
TEL. (978)741-1800
K NIBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IDGRFT!NBAUM@SAI BM.cbnl
DAVID GREF.NBAUNI
ACTING HI?AI-17-1.AGENT -
CERTIFICATE OF FITNESS
CERTIFICATE #354-10
DATE ISSUED: 7/29/2010
Property Located at: 5 Orange Street UNIT#1
Owner/Agent: James Bailey
Address: 188 Derby Street
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.
FORO✓�Rj� OF HEALTH
DAVID GREENBB(1AUUM (/` "'—
ACTING HEALTH AGENT CODE ENFORCE E T INSPECTOR
• _ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4..FLOOR
TEL. (978)741-1800
KIMSERLEY DRISCOLL FAX(978)745-0343
MAYOR DGREENEAUM&AMM.COM
DAVID GREFNBAUM,
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: $50.00
ZOPERTY LOCATED AT �Ar �e < % UNIT#4
IS TTH—IS. UNIT DISIGN.rA�TED AS RIG EFT FRONT OR BACK,,PLEASE CIRCLE ONE
WNERtLESSER <J f3 w� e i� �MANAGERt AGENT
)P.O.BOX
)DRESS ADDRESS '
TY, STATE,ZIP CITY, STATE,ZIP
3SIDENCE PHONE ?,f? c[S'D 6 5'l BUSINESS PHONE(24HRS)
ISINESS PHONE�O 2
)TAL NUMBER OFROOMS: ,
)OM USE: 1.4 //X 2 � IR 3. 7 lf� 4..D.e+-- 5.
6. - 9. 8. r 9. 10.
FERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
1ARD OF HEALTH TIES FEE IS-PA LE AT.THE TIME OF INSPECTION
PLICANT'S SIGNATUR�-- — lc DATE
Inspectors use only
e on initial inspection: 9 A0 Date of reinspection: _
r,of issuance of certificate: / ! l9 Date fee paid:_ 7 eiIO
ofunit: Dwelling. - V Other-Check t�r —Check date: -7�a al�l
e Enforcer6ent ector
CITY OF SALEM9 MASSACHUSETTS
ye BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
r�o SALEM, MA 01970
TEL. 978-741-1800
g' FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#467-05
DATE ISSUED: 7/28/05
Property Located at: 5 Orange Street UNIT#2
Owner/Agent: James Bailey
Address: 188 Derby Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-0685
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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
A.
°y"ta�6
pQ _ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 124 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 p!
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
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 ATs% _UNIT q
IS-THIS UNIT DESIGNATED AS RIGHT LEFT FRONT HACK PLEASE CIRCLE ONE
OWNER/LESSERJr1f� F ( /� MANAGER/AGENT—, ;
No P.O. Box �4:No P.O. Box
ADDRESS, __ "rS ( _ADDRESS ,^
CITYGI�vL^rq�1 ✓�/4` - CITY_ Y _
RESIDENCE PHONEI7f -7BUSINESS PHONE (24 HRS)____
BUSINESS PHONE
TOTAL.NUMBER OF ROOMS: 5
ROOM USE: t
5 "^'. 6,
THERE IS A TWENTY-FIVE (525.00) 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��/LRlcx '��`"�"` DATE
INSPF-Cl Of3_S_USC__QNLY
DATE OF INITIAI- INSPE.CTICTN zn2 ?>'� DATE OF RF_INSPECTiON
DATE OL ISSIaAIJCF O! CE1"3l IFICAl ! ���?"��'� D,�l E FlcE PISID � --3 � "���
r
TYPFOFUNP DWELLING lll1ER 0it-CK xC 5'i�_C.FECKDAT17
Ns)TES
CITY OF SALEM, MASSACHUSETTS
m11. BOARD OF HEALTH
m 120 WASHINGTON STREET, 4TH FLOOR
�fsq SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 16-08
DATE ISSUED: 1/5/2008
Property Located at: 5 Orange Street UNIT#3
Owner/Agent: James Bailey
Address: 188 Derby Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-502-2725
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
I OAE SCOTT MPH RS, CHO
NN
HEALTH AGENT CCFDE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR I [J
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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT .'14N fat sf- UNIT# 3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER T�e,r LM MANAGER/AGENT /otic /-r
No P.O. Box No P.O. Box
ADDRESS (I;t /Ls�- ADDRESS
CITY CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) -)y-S z 2--)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
b
ROOM USE: 1.k- 2L1✓ln 3.2r,j _BA
5.Zv X 6_7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH PEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. /
APPLICANTS SIGNATURE �— DATE d
INSPECTORS �USE ONLY
DATE OF INITIAL INSPECTION O o DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/ DATE FEE
1PAID:j - � ��
TYPE OF UNIT: DWELLIq< OTHER_ CHECK # oZ b7 // CHECK DATE �I U
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
�oxw CITY OF SALEM, MASSACHUSETTS
' oSv BOARD OF HEALTH
Z 9 120 WASHINGTON STREET, 4TH FLOOR
�(Oo. SALEM, MA 01970
g
TEL. 978-741-1800
Fax 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 183-08
DATE ISSUED:4/17/2008
Property Located at: 7 Orange Street UNIT#1 Left
Owner/Agent: Seven Orange Street Realty Trust
Address: P.O. Box 445
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 599-8866
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 T��RD OF yiEALTH
JOANNE SCOTT, MPH, RSA, CCHHO Gi% W t4k�
V
HEALTH AGENT C DE 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 Tet:(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 �I t� 5M UNIT#1t7qy
IS THIS UNIT DESIGNATED{ gjG I BACK PLEASE CIRCLE ONE
G✓tom- u
OWNER/LESSEn MANAGER(AGENT
No P.O. Box (jNo P.O.Box �} f
ADDRESS ��D fJI7X �4'ES ADDRESS t �-O
CITY_ e o (�J CITY AQ94441o t`ti i 5� p�
RESIDENCE PHONE BUSINESS PHONE (24 HRS.}m=�_00'
BUSINESS PHONE_-1'6
TOTAL NUMBER OF ROOMS:,,,,,_
ROOM USE: 1 t 2. 3. 11
5,-6.-T 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'
$ " �y
APPLICANTS SIGNATURE ' 1'+�_LYc� DATE* _
NSPECTORS USE ONLY
DATE OF INITIAL INSPECTION Z a DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE (LI 7 ° DATE FEE PAID: 7 '
TYPE OF UNIT: DWELLING i//bTHER_ CHECK If 7 Y't CHECK DATE L/ -2`
`
NOTES: 'l
CODE ENFORCEMENT INSPECTOR 9128198
I �
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH 10
120 WASHINGTON STREET,4"'FLOOR
Prevent. mo,e
.Protect.
TEL. (978)741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
IeVZRI'Rr\b1D1N,RVRE?HS,CI 10,CV-ISS
MAYOR HIsAI,TI-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#420-13
DATE ISSUED: 12/2/2013
Property Located at: 7 Orange Street UNIT#2 Left
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-962-4800
Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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.
FRRTHE BOAR
LARRY RAMDIN
HEALTH AGENT SANITARIAN
a CITY OF SALEM, MASSACHUSETTS y�
BOARD OF HEALTH 1
120 WASHINGTON STREET,4"'FLOOR aPublicHean
nt.Promote.Protect.
TEL. (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL lramdin@salem.com LARRY RADIDIN,RS/RENS,CHO,CP-I's
MAYOR
HriAI,11-I AGENT
Aji , i�i r�- Gr-eer►
9-) q 0r7 q/-oao�7
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: $5J (-& � t0.0�0/ L44
PROPERTY LOCATED AT �l�/W O h0 - UNIT#
IS THIS UNIT DISIIGNATED AS RIGHT LEFr FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER �JIC L/ ��Y�`GO�G� MANAGER/AGENT
ADDRESS 33 ADDRESS
CITY, STATE,ZIP S9�P/I I1/I ���,y CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE So P
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. lid. R1 2. Am/ A411 3. 16 4. P/1 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY C CK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT E OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: )2 -2 I l Date of reinspection:
Date of issuance of certificate: 1-2 --L--n Date fee paid: 1.4
`2-
Type
2Type of unit: Dwelling—L/—Other Check#J0 1 'L Check date: 12 t ^rj
Notes: *
Code Enfo ement Inspector
.a
aCITY OF SALEM. MASSACHUSt:,"m :s
Bim op FIEum.j
120 WASFIING*fOxJ''rRECT,4`"t'LtX?Jt
'Flu'.(978) 741-1800
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Facsimile
Transmittal
To: kl
Fax # ` 11 0 V t-. —i ,tr 0
RE: 1 ` m�rnc��p( Pg j 1
Date
Page(s): including this cover#
Message:
Board of Health News ----------- 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 12/05/2013 02: 49
NAME
FAX 9787450343
TEL 9787411800
SER. # 000BON341991
DATEJIME 12/05 02: 48
FAX NO./NAME 919787410207
DURATION 00:00:37
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
CITY OF SALEM, MASSACHUSETTS 10
BOARD or HEALTH
120 WASHINGTON STREET 4r"FLOOR PI1t111CH881t)h
, r .:m.r.mme.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL h-amdin@salem.com salem.com
LARRY IL1bff)IN,RS/REHS,CH(.),CV-FS
MAYOR Hl:?AL:Hi AC kNl'
CERTIFICATE OF FITNESS
CERTIFICATE#357-13
DATE ISSUED: 9/27/2013
Property Located at: 7 Orange Street UNIT#2R
Owner/Agent: Michael McLaughlin
Address: 33 Liberty Hill Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-962-4800
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
LARRY RAMDIN
HEALTH AGENT I
�An
e � m CITY OF SALEM, MASSACHUSETTS lu
5T�5
BO,1RD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR _ PublicHealth
Prevent.Promote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@a,salem.com
MAYOR LiViRY RA NIDIN,RS/I2EF1S,CHO,CT-FS
HISAI: HA(;Ii.N"T
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)6e <Sr UNIT# oZ
y�IS THIS UNIT/DIIISIGNATEDD AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER ll') /e /,c4()d'�� MANAGER/AGENT
ADDRESS 33 {✓J 1111 A✓C ADDRESS
CITY, STATE,ZIP r /P& f�.9 dlM CITY, STATE,ZIP
RESIDENCE PHONE p Q !/p BUSINESS PHONE(24HRS)
BUSINESS PHONE S-41711Awd o
TOTAL NUMBER O//F,, ROOMS: nr
ROOM USE: 1. W✓ 2. jO/AJC' 3. 4. 41' 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 V&TIMOF INSPECTION
APPLICANT'S SIGNATURE Vii`""' DATE
Inspectors use only
Date on initial inspection: V�l Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling-Other-Check# Check date:
Notes:
Code orcement Inspector