HARMONY STREET CITY OF SALEM, MASSACHUSETTS
�3c !
BOARD OF HiL�T Ti-t
120WASHINGTON S"TR8131 4••• FLOOR
TEI. (97 8) 741-11300
I-:-TNfBERLF_,Y DRISC.OLL Fax(978) 745-0343
MAYOR Iraminllc�Salein.com
L:1 RItl'lt1 Af171N,R5/KI-;r IS,t;l3Q,�J'-IS
HISAL 111 AGI;,NT
CERTIFICATE OF FITNESS
CERTIFICATE#478-11
DATE ISSUED: 11/17/2011
Property Located at: 9 Harmony Street UNIT#
Owner/Agent: Joshua H Gatechell
Address: 7 Harmony 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 Cafe, 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 if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LARRV RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
1A
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTI I
120 WASHINGTON SrREE I,4' FLOOR
TEi.. (978) 741-1800
IQMBI:RI.F_.Y DRISCOLL FAX (978) 745-0343
MAYOR RAm1)IN@SALF%1.(0y1
I AW0'1ZAMD!N, Rti/RIf!!X,Cl IO,(T-1,S
HISAI:PI I A(;1::N 1
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
(—� f i FEE: $50.00 L Q
PROPERTY LOCATED AT / —� POOZmo r) ,4 sT UNIT# I
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER 7e S�V aL, H �' V (( MANAGER/AGENT
NO P.O. BOX
ADDRESS Ho,. -Mond S+ o ADDRESS
CITY, STATE, ZIP SA LW M Pt O I O CITY, STATE,ZIP
RESIDENCE l PHO14E � BUSINESS PHONE (24HRS)
f
BUSINESS PHONE /61 —ol —18— I S 19
TOTAL NUMBER OF ROOMS:__
ROOM USE: 1. 2. 3. 4 ( 51
6. 7. 8. 9. 10
THERE IS AFIFTY($50)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
APPLICANT'S SIGNATUREt,t„ DATE
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: 11117111 Date fee paid: I I II7�
Type of unit: Dwelll"ing ✓Other Check#�TT�11 1 _1 Check date: 11 In It I
Notes:
C Enfo cement Inspector
4 ' CITY OF SALFM, MASSAC.HUSEY S
x BoAl DOF Hfs,V;111
120 WASHINGTON'TRCPT,4"' H,t)OR
1<].MP3I�RLH�"DRISCOLL
Tea,. (978) 741-1800
MAYOR F♦\x(978) 745-0343
Iraindjn@salciii.com
LA It.RY RAMIAN,Its/RHI N,(:110,c:r-f+s
Facsimile
/�
,^ \� Transmittal
To: /Al e_kYAAt�1,
Fax # Dqq G
RE:
Date �
Page(s): including this cover#
Message:
A
Board of Health News ----------------------------- --------For 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 11/28/2011 01:22
NAME
FAX 9787450343
TEL 9787411800
SER.# 000BON341991
DATEJIME 11/28 01: 22
FAX N0./NAME 919787449614
PAGE(S) 0
DURATION 00:00: 27
00: 27
RESULT OK
MODE STANDARD
ECM
w
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
n' 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
6J' TEL. 978-741-1800
FAX 978-745-0343
i ANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 189-04
DATE ISSUED: 05/06/2004
Property Located at: 9 Harmony Street UNIT#
Owner/Agent: William J. Rynkowski
Address: 22 Neptune Road
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-0279
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 ,J
��+
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1 800
FAX 978-745-0343
ANLEY 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 AT M o,,2 37`, UNIT#_
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTBACK PLEASE CIRCLE ONE
OWNER/LESSER W!/IAgl" J. LoikawSk, MANAGER/AGENT
No P.O. Box li No P.O. Box
ADDRESS
c2- wed Y ,tee ; "/ ADDRESS
CITY � YIAr 6/ei� CITY /`lA
RESIDENCE PHONE 7j/- 631- 0a 79 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE So F - 3 3 /- P 7 S3
TOTAL NUMBER OF ROOMS: S�
ROOM USE: 1. 2. �iv„v 3.
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 i� G oL�` DATE -S - S- 04
a
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 5 _ G DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:':;– DATE FEE PAID:
TYPE OF UNIT: DWELLINGk OTHER_ CHECK # 3 CHECK DATE_ _-� '4'
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98