ORNE SQUARE ORNE SQUARE
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+pp CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
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120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
,pB4 TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR .HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#, 325-04
DATEISSUED: 7/20/2004
Property Located at: 10 Orne Square UNIT# Right
Owner/Agent: Naomi & Patrick Gray
Address: ' 140 Mount Vernon Street 117
City/Town: Boston, M2�ip Code:02108 24 Hour Phone: 617-227-8592
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
HLALTH AGENT / CODS ENFORCEMENT INSPF_CTOR '
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
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 It, 105 CMR 410,000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT D UNIT#
IS THIS UNIT DESIGNATED AS11IGHT)LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERkkc_,-,,�t_��� MANAGERIAGENT—
N
No P.O. Box o P.O.Box
ADDRESS_L�O_(Ac otA%0v&n_Si- —ADDRESS
CITY �-m-H D Oj CITY—__
RESIDENCE PHONEkll-a BUSINESS PHONE(24 HRS.)_
BUSINESS PHONE—
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.
2. 3._t4j_C(lA_4. &-k(Z
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 4v_h�_ A_7___DATE_7-16
INSPECTORS-USE QN—LY
DATE OF INITIAL INSPECTIONDATE OF REINSPECTION—_
cj
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:-
TYPE OF UNIT DWELLING OTHER CHECK#_Z
CHECKDATE
NOTES:CODE ENFORGEMENT INSPECTOR—
9/28/98
CERT.# 815-97
FEE $25.00
DATE: 12/05/97
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: 11 Orne Square UNIT #: House
OWNER/AGENT: Trust U/Article 8 u/w Stephen Phillips
ADDRESS: P.O. Box 242
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8646
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 -
qg-v-'x_x-fi�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
RX
1
r
GITY'OFSALEM-BOARD6,'OF=HEALTH
Salem;Massachusetts 01970-3928'
JOANNE SCOTT;MPH RS,CHO':'
HE ACM AGENT`z NINE NORTH STREET
Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE,WITH STATE SANITARY:CODE, CHAPTER IF, 105 CHR 4 10.000 "MINIMUM
STANDARDS ;OF FITNESS FOR HUMAN HABITATION".
PRUPERTY';LOCATED AT ?1-1 OrnP 'SnLP Calem;{Macca .Itisetts": 01970 UNIT k y2Q -
OWNER/ZESSER irl - 8 iAw t phljliMANAGERIAGENT Al 1 ed P: Putnam
p
ADbRESS`:'gox 242, �S 1a ini MAscachticPtts 01470 ADDP.EM 81 Washington St lam 36
;CITY ' t? CITY ___saiem. MA 01970
'RESIDENCi;,iHONE ';-"klA BUSINESS'PHONE (24 HRS.)741-$646
BUSINESS;PHONE , r741-864 r
TOTAL„NUMBER OF ROAMS B :...
ROOM USE - I Kilrfi'an 2 inning Room 3 _Parlor _ 4 _ Bathroom
5 Be' drd ` 6`:Bedroom ?,• Bedroom 8,. AttiC''Room
THERE IS"'A T;EN FIVE C25:00) DOLLAR FEE,'PAYABLE BY CHECK OR HONEY''ORDER TO THE
City-,OF SAIMf HEALTH DEPARTMENT:a His FER IS -PAYABLE 'AT.THE TIRE'OF-"INSPECTION
APPLICANTS-SIGNATURE/�`
� DATE1-a
Alfred P. Putnam: Trustee
INSPECTORS USE ONLY
DATE OF -INITIAL INSPECTION': 1G� 'S�f(7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:,Z�Z- S—*,J DATE FEE PAID:
TYPE„OF UNIT- DWELLING OTHER
NOTES: .
CODE ENFORCEMENT INSPECTOR
CERT.# 622-97
FEE $25.00
DATE: 09/05/97
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
PROPERTY LOCATED AT: 19 Orne Square UNIT #: House
OWNER/AGENT: Alfred Putnam. Trustee
ADDRESS: P.O. Box 242
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 741-8646
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
i
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,AS,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 4 10.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 19 Orne Square, Salem MA 01970 UNIT #
OWNER/LESSERTrust U/Article 8 u/w Stephen Phillips MANAGER/AGENT Alfred Putnam
ADDRESS Box 242 Salem MA 0 970 ADDRESS 81 Washington St Rm 36
CITY CITY Salem, MA 01970
RESIDENCE PHONE NIA BUSINESS PHONE (24 HRS.) 741-86"
BUSINESS PHONE 741-8646 .
TOTAL NUMBER OF ROOMS: 6
ROOM USE: I. Kitchen/Dining rs-n 3• iving r00m4 •hacQmant
5. Bedroom 6• Bedroom 7• Bathroom $• Attic fnr storage
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 TINE OF INSPECTION
APPLICANTS SIGNATURE DATE_
Alred P Putnam, Trustee
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: _S �1 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 7 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES :
CODE ENFORCEMENT INSPECTOR