ORNE STREET ORNE STREET
a
m
0
�onw , CITY OF SALEM, MASSACHUSETTS
g�' c BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
Po' _ SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY ORISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#268-08
DATE ISSUED: 6/4/2008
Property Located at: 36 Orne Street UNIT#
Owner/Agent: Sharon Gardner
Address: 38 Orne Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-6744
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.
F R THE BOARD OW HEALTH
JOANNE SCOTT, MPH, RS, C—HO a n�
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR Isco'rr@SArJ:ns.COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
PROPERTY LACATED AT 3(o C CVJQ2 5��22 UNIT#
cIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
c )
OWNER/LESSER VrW Z%n G%–UpnQ�– MANAGER/AGENT
NO P.O. BOX c�_-
ADDRESS 3 g (nCh� J1 T PZ,+ ADDRESS
CITY,STATE,ZIP Sa.ej!:pp TQMOL-CS 0 n--f Q CITY,STATE,ZIP
RESIDENCE PHONEq BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 5-jr
1 oc&\n6yn CLq
ROOM USE: 1. L K 2. 09, 3. K 4 Qf'm 5 BCM
6. boM 7. 8. 9. 10
THERE IS A TWENTY-FIVE($25)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 (/ Q
APPLICANTS SIGNATURE �l �� DATEa�D Q
Inspectors use only
Date on initial inspection: �J u I D? Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#—a l Check dater/ � q I
Notes: E'. (OI Ih d; rn r Qs 6�w omb1j 1 anct
lJih u� �h b��rnoM axes t` t 13ck.,)E 5&,i c, rp o plsi l Qw wr -6 coy-(M—C
C e Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
CERT.# 536-03
SALEM, MA 01970
FEE $25.00
TEL. 978-741-1800 DATE: 10/15/2003
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 42 Orne Street UNIT #: 1
OWNER/AGENT: Emily Johnson
ADDRESS: 198R Elliott Street
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 978-265-6120
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 NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FO THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
t CPCY OF SALEM, MASSACHUSETTS
.E +p BOARD OF HEALTH / 2�
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 2
TEL. 978-741-1800 J
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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
PROPERTY LOCATED AT ��i�� Z, �� UNIT#j
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
- —
��
(
OWNERtLESSER. � _S�J�inSb» MANAGERIAGENTt ICT!'//'In �P/S
No P.O. Box � No P.O. Box
ADDRESS ADDRESS /91 A0 ZA-i Srf
CITY l?�v u�i� /qfL Q 19 CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)_J g_"?65-_61_20
BUSINESS PHONE_C Zg-,v7G
TOTAL NUMBER OF ROOMS:-,15—
ROOM USE: 1. All
2.�n Cletl 4.�
5.
-7.
THERE
runrn 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_� =? DATE
FORS USE ONLY
DATE OF I ITIAL INSPEC 10 C S�1 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIRCATEa� -1 �--v S DATE FEE PAID: b
TYPE OF UNIT: DWELLING OTHER_. CHECK# / 3 7Z_(&HECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9128198
CITY OF SALEM, MASSACHUSETTS
o ; BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#580-06
DATE ISSUED: 11/20/2006
Property Located at: 46-48 Orne Street UNIT# 1
Owner/Agent: Cheever Associates
Address: P.O. Box 322
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-590-6421
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
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
crry dF SALEM, MASSACHUSE I I
BOARD OF HEALTH
120 WASHINGTON STREET. 4TH FLOOR t[//
SALEM, MA 01970 T�R
TEL. 978-741-1800 V
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
I Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE. OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 705 CMR 410.000
"MINIMUM STANDARDS OF FITNESOR HUMAN HABITATION'.
PROPERTY LOCATED AT C / _� _ UNIT q_t
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONI BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT �u
3�7 NO P.O. Bax 1 No P.O.Box 3�2
r� J
r ADDRESS-- — ADDRESS_ U • U �7oX
JO
CITY
RESIDENCE PHONE W �3 SSSBUSINESS PHONE (24 HRS).!
BUSINESS
TOTAL NUMBER OF ROOMS:___
ROOM USE: 1-- _ 2.--�------3 -
t
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, j
APPLICANTS SIGNATURE f --- -,DATF__J,_,�.-do
iiN PECTORS USE ONLY
DATE OF INITIAL INSaEEGTIgN . // �. -o 6 DATE iii= REINSPECTION
DATE OF ISSUANCE OF CERl IF1CATF `f-_ 'p` LATE FEE PAID._
TYPE OF UNIT: DWELLINk/ OTI IER CHECK Nl% 7 "-,t it-CK DATF
NOTES
17
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