PUTMAN STREET PUTMAN STREET
9
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CITY OF SALEM, MASSACHUSETTS
/ BOARD OF HEALTH
120 WASHINGTON STREET,4"`FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL F.\x(978) 745-0343
MAYOR INIAN(INI SAISM.COM
JANET MANCI.NI
ACTING HEALTI-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 18-09
DATE ISSUED: 1/13/2009
Property Located at: 15 Putnam Street UNIT#2
Owner/Agent: 15 Putnam LLC
Address: 50 Washington Street
City/Town: Haverhill, MA Zip Code: 01830 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 11"
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 K there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
J NET AN INI
CTWG HEALTH AGENT CONFORCEMEKT INSPECTOR
N� -�� �. $
• CITY OF SALEM, MASSACHUSETTS
- BOARD OF HEALTH
120 WASHINGTON STREET',4° FLOOR
TEL.(978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR 1Q10N e a SALEM COM
JANET DIONNE,
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
I 7
PROPERTY LOCATED AT 6 � 14-4- y 07 L–4�f UNITh
IS THIS UNIT AS RIGHT LFP FRMT OR BA<IC PLEASE CIRCLE ONE
0VVNERILESSER f �� { MANAGER!AGENT �x �17�13g
NO P.OBOX
ADDRESS �'SC� GCJ^c)�C/ J� c/T��ADDRESS
CITY, STATE,ZIP_,._—%`!'Dl'Cf`� <a l/ CITY, STATE,ZIP
RESIDENCE PHONE j li{2••- BUSINESS PHONE(241IRS}
BUSINESS PHONE � '�
TOTAL NUMBER gOFFi ROOMS: J y�
ROOM USE: I. J�'k4 2. GA 3. QR 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLL PAYABLE HECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE PA ABLE TIME OF INSPECTION
ANT`S-�
APPLICSIGNATURE DATE ! C d
Z�z ;�-,
/ Inspectors use only
Y l
Date on initial inspection: dog Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling ff Other Check# C, LII ij Check date: {�I/q/09
t 4z 1 vI �,c i cur, rkpnzz .5UA-Rn In 10+ 1'r-w+t OLV i• r^fcUr �oor �i� oaf
--V �T& d r to ofen
e Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
R 120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
3/8/05
Dennis Fisher
40 Daivs Road
Methuen, MA 01844
PROPERTY LOCATED AT 15 Putnam Street Unit 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A propertyowner is required to a as and electricity for residential tenants if there is not a written letting
q pay Y 9
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which crass-metering has been proven to exist.
For,the Board of Heal Reply to
,)5
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
r �
444
CERT.# 395-97
3 93 FEE $25.00
DATE: 06/24/97
MII�B
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: 30 Putnam Street UNIT #: 2
OWNER/AGENT: James LeBlanc
ADDRESS: 64 Appleton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5016
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
SOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
rr
µ �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY. CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 16/ �v //1Jfl( �1 UNIT
OWNER/LESSER �Afj2 s F, h Tj���jijjc MANAGER/AGENT
ADDRESS �f /�PP,l /d A) �(' ADDRESS
CITY :�jjt{�N/ /1 � . CITY
RESIDENCE PHONE-1-of rcd 16 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE rve- 7 G - C) a
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3,--4 .
5. -8 6. 7. 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
7�IS�PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATUREr% ---DATE-
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: / 7 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER_ —
NOTES:
CODE ENFORCEMENT INSPECTOR
3
5I
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
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, !/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
_ vv FA _
TENANT/LESSEE WNER/LESSOR
ADDRESS ADDRESS
ADDRESS OF UNIT TO BE INSPECTED
AZDATE y �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
'Date: 06/12/97 Fax:(508)740-9705
James & Susan LeBlanc
27 Japonica Street
Salem, MA 01970
PROPERTY LOCATED AT 30 Putnam Street UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Jeanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
c
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
4� TEL. 978-741-1800
FAx 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#614-07
DATE ISSUED: 12/12/2007
Property Located at: 35 Putnam Street UNIT# 1
Owner/Agent: John Anezil
Address: 215 Newbury Street, Suite 104
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 535-4572
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
�iiss�valid only if there is a valid Certificate of Occupancy.
FF TRD OFC,
/o
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
' CITY OF SALEM, MASSACHUSETTS 1 (�
+� BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
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 II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS HUMAN HABITATION".
PROPERTY LOCATED AT3--� '� ' = �`` { v� UNIT#a
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE
�CIRCLE ONE
OWNER/LESSER� _ _ v C ' -f MANAGER/AGENT �1�(duJ���
No P.O. Boz 1 No P.O. Box
ADDRESS�Z/�,�_l�b✓J�.S� ADDRESS— ----
CITY b(7 U CITY _
r
RESIDENCE PHONE BUSINESS PHONE (24 HRS.) * �
BUSINESS PHONE
TOTAL NUMBER��OF��{{''ROOMS:/_
// S / {
ROOM USE: 1._�X�eti 2. 0 3. X11t 4.Gi✓i_j
THERE IS A TWENTY-FIVE{$25.00} DOLLAR FEE, PAYABLE BY-CHECK OR MONEY
ORDER TO THE CITY OF SALEM IJEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
j TIME OF INSPECTION. }
APPLICANTS SIGNATURE _.. _DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �,�- !. .0 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE -fit-D7 DATE FEE PAID: t 2 d
TYPE OF UNIT: DWELLING�r�1OTHER_ CHECK# /.4_i 6 CHECK DATE a 1;L 'a
NOTESQ�ZS- SU ✓✓ �r
CODE ENFORCEMENT INSPECTOR 9/28/98
9