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HomeMy WebLinkAboutMiscellaneous - 65 MAPLE AVENUE 4/30/2018 210/019.x0_03-0000.0 G�ec.Pr�s i 1493 STONECLEAVE ROAD STONECLEAVE RD REAR 1465 27 FOSS ROAD 19 FOSS ROAD 11 FOSS ROAD 12 FOSS ROAD 20 FOSS ROAD 28 FOSS ROAD 36 FOSS ROAD 745 FOSTER STREET 734 FOSTER STREET 720 FOSTER STREET 706 FOSTER STREET 689 FOSTER STREET 3 LINCOLNSHIRE DRIVE 717 FOSTER STREET r 40 SYLVIN ROAD 300 FOSTER STREET 544 FOREST STREET 554 FOSTER STREET 400 FOSTER STREET 546 FOSTER STREET 646 FOSTER STREET 32 PALOMINO DRIVE 458 FOSTER STREET 450 FOSTER STREET 352 FOSTER STREET 312 FOSTER STREET 326 FOSTER STREET 340 FOSTER STREET 595 FOSTER STREET 535 FOSTER STREET 497 FOSTER STREET 40 SYLVIN ROAD 40 SYLVIN ROAD 30 ROSEBUD AVE 40 SYLVIN ROAD Date. ., 9570 NpR,M TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING et 1 /' I This certifies that .�. has permission to perform . . . t/?� !�H .�'P plumbing in the buildings of . . `�'k. . . . . . . . . . . . . . . . . . at . . . . .- . . . . . o ndover, Mass. Fee..?6 . . . .Lic. No/3 . . . . . . . . . . . . . . . . . . . /�/ P UM ING INSPECTOR Check MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I North Andover MA. DATE 9/412012 PERMIT# JOBSITE ADDRESS 65 67 Maple Ave. OWNER'S NAME I Francis Murp y POWNER ADDRESS:I 169 Grey St.North Andover,Ma. TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑■ PRINT CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOR FIXUTRES 7 FLOORS- Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 2 CROSS CONN DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYS DEDICATED WATER REUSE SYS DISHWASHER 2 DRINKING FOUNTAIN FOOD WASTE GRINDER UNIT FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK 2 LAVATORY 2 2 2 A' ROOF DRAIN SHOWER STALL 2 SERVICE/MOP SINK TOILET 2 2 2 URINAL WASHING MACHINE CONNECTION 2 WATER HEATER ALL TYPES WATER PIPING INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑■ NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted(or entered)regarding this appli do ar t e urate to the best of my l Knowledge and that all plumbing work and installations performed under the permit issued for this ap i " n be' iance with all P provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME: William Healy_ � LICENSE#113077 SIGNATOR COMPANY NAME: Bill Healy Plumbing&Heating11 ADDRESS: 6 Spring Valley d. M CITY: Methuen STATE: Ma ZIP: 101844 FAX: 1978 655 3757 TEL: 978 258 7267 CELL:1978 569 4928 EMAIL: WilliamMealy@aol.com MASTER❑■ JOURNEYMAN❑ CORPORATION❑#E=PARTNERSHIP❑#�LLC❑# I _.�s � � .� ' } t I I I �� y�� ` ;COMMONWEALTH OF MASSACHUSETTS' PLUMBERS AND GASFITTERS. LICENSED AS A MASTER PLUMBER ISSUES THE ABOVE LICENSE TO: `U�\ WILLaAM F HEALY III {pro 6 SPRING VALLEY RDS' METNUE'N 11A 01844-416 , 1307.7 05/01/14 - i' .a Date . . . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . �P.4! . . . e 'f4. /. . . - , . has permission to perform —R&zo.2 . . . .� . wiring in the building of . . /l-�j1/ . 0-/�� . . . . . - , f- . , . - at k r. !.'I/fiD.t o. . . . UC=' - . . . , - - . North Andover, Mass. Fee 9.6. . . . . . Lic. No—V.�',�. F. . . . . . . ELECTRICAL INSPEAOR Check# p 11072 Official Use Only < Commonwealth of Massachusetts J 7� Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICALWORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN HK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Number //-- 1 � —S Location(Street& ) l� • ��C, p 1 Owner or Tenant 141 V,,OAgfTelephone No. '•�� .��, Owner's Address 4,701-6 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building we � Utility Authorization No. Existing Service /610 Amps /W 130 Volts Overhead E?J� Undgrd❑ No.of Meters New Service �O Amps /Od / 7�0 Volts Overhead 2 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: w; A ¢g rores— ���f"o°Q� Com letion of the following table may be waived by the Ins ector of Wires. No.of Total No.of Recessed Luminaires No.of Ceii.Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In o.o mergency ig tingNo.of Luminaires Swimming Pool rnd. rnd. f Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.oEAir ond. Tons gHeat NumbeTn _ KW o.ofSelf-ContainedNo.of Waste Disposers T "'" Detection/Alertin Devices S ace/Area Heating KW Local❑ Connection lEl Other �• No.of Dishwashers P ' Security Systems:* Heating Appliances KW ices or Equivalent g PP of Devi 1 No.of Dryers No. No.of WaterNo.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: A — Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) o is application is true and complete.— I certify,tinder the pains and penalties of perjury,that the information pp a , FIRM NAME: . J SLK S� �G� lee° LIC.NO.: " 3 Licensee: `D Q�v! �e'S��• Signature LIC.NO.: ' ep ( applicable,enter "exempt"in the license number line.) Bus.Tel.No.:�7$ If Address: 9 3 Alt.Tel.No.:eux- (oS(rL *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License. Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Telephone No. PERMIT FEE: $ Signature p N. - P4,1 it 9./X� f Date.. . .. . .. NOATh pf �_ TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION /! 5 �,SS^CHUSEtt ra c R A rt , This certifies that .( d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installatio_/ne �,? Ae r. .Cc's'Ue f'SI°". . in the buildings of . �?.`/`�° I` at . . ..o. . .. . . !Q.p f... . . . . . . v -. . . ., North Andover, Mass. Fee. .3��' Lic. No.�'F D �T'. `U?'? /VI AA`�s�---- GAS INSPE TOR Check# 4099 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTrnNG (Type or print) Dat c (J NORTH ANDOVER,MASSACHUSETTS b Building Locations �Q� y�— Permit# Amount$ Owner's Name New❑ Renovation ❑ Replacement (❑� Plans Submitted ❑ C z�x d ° z �a w N ° a F o ao a a H o SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR STH. ,FLOOR 6- FLOOR 7TA�t,11%FLOOR STHY FLOOR (Printor type) one: Certificate Installin Com an Name ���r' Corp. g P Y Addres ❑ Partner. Business Telephone IqFirm/Co. y Name of Licensed Plumber or Gas Fitter �'Oc�?"�4 C /Pi c .S d 0C 1 y . A/1 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes please indicate the type coverage by checking the appropriate boat. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installs'ons performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa State C and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber 2 City/Town ❑ Gas Fitter icense NurnDer ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman WATER AND SEWER ADDENDUM MASSACNUSIRMS ASSOCIA'T'ION nr RFAL9ORS' This Addendum is art of the residerpal tenancy agreement(lease or tenancy-at-will)between G ("Landlord") and ("Tenant') dated 11 regarding rental of a dwelling(the"Dwelling")in the Premises described as OA/Y1 CJC� (the"Premi es"). In the event thig Addendum conflictsWith—ithle residential tenancy agreement, then this Addendum shall control. 1. Tenant agrees to pay Landlord for water and sewage charges for the Dwelling on the terms and conditions set forth. Landlord has certified eligibility of the Dwelling and compliance with General Laws Chapter 186, Section 22 and regulations in 105 CMR 410.354. Attached-"copy ofd Certificate filed by the Landlord with the local Board Health or other department having authority to enforce the State Sanitary Code. 2. Landlord As Consumer Water separately charged to the Tenant pursuant to this Addendum shall be delivered by the water company to the Landlord and the Landlord shall: (1) be the consumer; (2)for billing purposes, be the customer of record; (3) be responsible for payment of the water company bills; and (4) be subject to any actions of the water company for nonpayment. 3. DirectMetering If the Dwelling is connected to a meter installed by a water company; the Landlord is authorized to charge Tenant for water and sewer usage and Tenant agrees to pay for same. Such charges are subject to the condition that the meter measures only water that is supplied for the exclusive use of the Dwelling unit and only to an area within the exclusive possession and control of the Tenant of such Dwelling and does not measure water usage for any portion of any common area or by any other person or dwelling. Upon request by the Tenant, the Landlord shall apply for a test of the meter to determine its accuracy. The Tenant shall reimburse the Landlord for any cost incurred in connection with such test. If the Tenant does not reimburse the Landlord for such cost, the Landlord may add such cost to the next bill sent to the Tenant and such cost shall be considered to be part of the bill. 4. Submetering Billing Provided that a submeter and other devices required by Chapter 186, Section 22, have been installed by a licensed plumber, the Landlord is authorized to charge Tenant for water and sewer usage and the Tenant agrees to pay for same, provided that submetering equipment has been installed in each dwelling in the building and in the common areas, so that all water used is measured by both a primary meter and a submeter. Each bill for submetered water usage shall clearly set forth all charges and all other relevant information, including, but not limited to, the current and immediately preceding submeter readings and the date of each such reading, the amount of water consumed since the last reading, the charge per unit of water, the total charge and the payment due date. Such charges shall be billed to the Tenant in at least as many periods as the Landlord is billed by the water company providing such water to the building or such payments may be made on a monthly payment schedule as agreed to in the written rental agreement; provided, however, that if the Landlord bills the Tenant on a monthly basis, payment of the bill by the Tenant shall be due 15 days after the date the bill is mailed to the Tenant, but if the Landlord bills the Tenant at intervals greater than 1 month, payment of the bill by the Tenant shall be due 30 days after the date the bill is mailed to the Tenant. If the Tenant fails to make such payment, such nonpayment shall be a material breach of the rental agreement. 5. CostCalculation The Landlord shall determine a calculated cost per unit of water consumption by dividing the total amount of any bill or invoice provided to the Landlord from the water company for water usage, the customer service charge and taxes, but not including any interest for the late payment, penalty fees or other discretionary assessments or charges, for all water provided to the premises through the water company meter in that billing period, by the total amount of water consumption for the entire premises. The total amount charged separately to each submetered dwelling for water usage for any billing period shall not exceed such calculated cost per unit of water multiplied by the number of units of water delivered exclusively to the particular dwelling for the same billing period, provided that the Landlord has verified that the total amounts of water usage measured by all submeters in the building, including all submeters for common areas, does not exceed the total amount of water usage in the building for the same billing period. 6. Maintenance The Landlord has an affirmative obligation to maintain in good working order the water supply system to each dwelling unit and any component thereof, including any water conservation device and submeter and to respond in a timely manner to any request by the Tenant for the repair of any defect or malfunctioning in such water supply system, including any leak. MASSFORMS- 121 ©2009 MASSACHUSETTS ASSOCIATION OF REALTORS® 9406V SYodaU Rad Fatale Forme op- 47207.0107.20.09/463672 47207.0107.20.09/463672 David Minicumi Real Estate 508 Main St North Andover,MA 01845 Phone:978-68&4400 Pax: 978-682-7998 David Minicucci produced with ZipForm®by zipLogix 18070 Fifteen Mile Road,Fraser,Michigan 48026 www.zloLooix com Unfitted 7. Commencement: Meter Reading When a tenancy commences after the day on which a billing period of the water company begins, the Landlord shall mail to the Tenant on the first day of the tenancy,the reading on the submeter for the Dwelling on the day the tenancy commences and may bill the Tenant only for water and sewer usage based on water measured subsequent to that reading. 8. Termination: Meter Reading If the tenancy terminates before the end of a billing period for which the Landlord has not been billed by the water company, the Landlord shall give to the Tenant on the last day of such tenancy the reading on the submeter for the dwelling unit as of that day together with a final bill for water and sewer usage in the dwelling unit since the last prior reading of the submeter for such dwelling unit. The Landlord shall charge the same rate for the water and sewer used by the Tenant as the water company charged in the last bill issued to the Landlord. Notwithstanding the requirements of Section 22 (f) of Chapter 186, the bill shall be immediately due and payable by the Tenant. If the Tenant does not pay the bill, the Landlord may deduct the amount of the bill from any security deposit paid by the Tenant in accordance with Section 15B of Chapter 186, prior to returning the balance of the security deposit, if any, to the Tenant. If the Landlord is not able to give the final reading on the submeter for the dwelling unit together with a final bill for water usage to the Tenant on the last day of the tenancy, the Landlord shall mail such reading and such final bill to the Tenant no later than the day after the termination of the tenancy, provided that the Tenant has provided the Landlord with a mailing address. If the water company subsequently charges the Landlord a lesser rate than the Landlord charged the Tenant in the final bill, the Landlord shall recalculate the bill forthwith based on the lesser rate and mail to the Tenant the revised bill together with a rebate for any overpayment made by the Tenant. 9. Testing Upon receipt of a bill for water usage from Landlord and within the time allowed for paying the bill, Tenant may request that a person or entity with expertise in the installation and operation of water submeters and with no financial or other relationship with Landlord,test the submeter for the Dwelling of the Tenant to determine whether it is measuring water accurately. If the submeter is found to be measuring more water than is being used in the dwelling unit, the Landlord shall install a new submeter at his own expense and shall also pay for the cost of the test. The person conducting the test shall determine the amount of water that was improperly measured during both the prior and current billing periods. The Landlord shall calculate the amount the Tenant was overcharged for the prior billing period and reduce the bill by that amount, or, if the Tenant has already paid the bill, give the Tenant a rebate in that amount. If the submeter is found to be measuring no more water than is being used,the Tenant shall pay for the cost of the test; provided, however,that if the Tenant does not pay for the cost of the test, the Landlord may add such cost to the next bill to the Tenant. 10. Leaks In the event of a leak in the water supply to a dwelling, the Landlord shall determine the amount of water and sewer usage that was measured on the submeter for the Dwelling as a result of such leak, after a review of the billing records and consultation with the repairing plumber. The Landlord shall then determine the amount of the bill for the billing period in which the leak occurred that was attributable to such leak and reduce the bill to the Tenant by that amount or, if such bill has already been paid, grant the Tenant a rebate in that amount; provided, however, that with regard to any leak about which the Tenant knew or should have known,the Landlord shall only be required to reduce the bill to the Tenant, or to grant a rebate in an amount attributable to the water and sewer usage measured on the submeter as a result of the leak between the date the Tenant gave notice to the Landlord and the date the leak was repaired. 11. No Additional Fee Except as authorized by law, the Landlord agrees not to charge, to seek to recover, or to allow to be charged or recovered, any additional servicing, administrative, establishment, meter-reading, meter-testing, billing, or submetering fee or other fee. 12. Nonpayment In the event of nonpayment of a bill to a water company by the Landlord, such water company shall have all the remedies against the customer of the water company available pursuant to any law, rule or regulation. The Landlord may not shut off or refuse water service to a Tenant on the basis that the Tenant has not paid a separately assessed submetered water usage charge. Date: // Z' 9, /,/ enant Landlord- Tenant 2 MASSFORMS'" ©2009 MASSACHUSETTS ASSOCIATION OF REALTORS® Statewide Wadard RW Fatale Foran op a�rnoww, 47207.0/07.20.09/463672 Produced with ZipForm®by zipLogix 18070 Fifteen Mile Road,Fraser,Michigan 48026 www.zioLagix_rwm Untided ..,s. MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. a 186, § 22 and 1.05 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code Chapter II), the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. �+ 1 PROPERTY INFORMATION Address: W /e JaiQ i-e— Unit# #Of units in bldg. Z Ci /Town: MA Zip Code: Vff EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water conservation devices prior to a dwelling unit becoming eligible for the imposition on tenants of a charge for water and/or sewer.The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2 v2 gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2 2"0 gallons per minute(2.2 gpm) Ultra low flush water closets(toilets)not to exceed 16"0 gallons per flush(1.6 gpf) The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. SN* 03 3Oa ?gI g Submetering equipment information: dwa Manufacturer Model# Licensed Plumber Certification &4 [kk Print fine of Plumber License# Date I certify that(check all that apply): ❑ I have installed the submetering equipment listed above in accordance with accepted plumbing standards. ❑ I have installed one or more water closets not exceeding 1.6 gallons per flush. ❑ Determined that existing water closets do not exceed 1.6 gallons per flush. ❑ The plumbing permit issued by the city/town,if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water com ny and, in accordance with M.G.L. c. 186, § 22(p), does not require the installation of a submeter. Signed under the pains and penalties of perjury, eiggop Sighature of L' ensed Plumber Property Owner Certi ation I certify that: (1) This dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer usage in accordance with the water Submetering law(MGL c. 186, §22); (2) All showerheads, faucets, and water closets in this dwelling unit are water conservation devices that meet the standards specified above;(3)The water submeter measuring the use of water in the dwelling unit was installed by a licensed plumber and is in compliance with the standards specified above,or the water meter measuring the use of water in this dwelling unit was installed by a "water company" as defined in M.G.L. c. 186 § 22; (4) The water meter or submeter measures the water usage exclusive to this unit; (5) 1 will provide to the tenants of this dwelling unit, prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form; (6) That all information included on this certification is true and accurate to the best of my knowledge. Signed under the pains and penalties of perjury, JJVa!j llZ11- 4� Print N e ofOwner / Signature her to Board of Health/Health Department Received.By Date MDPH/CSP Submetering Certification Form,Revised 10/06 Produced with ZipForm®by zipLogix 18070 Fifteen Mile Road,Fraser,Michigan 48026 MffiW ZoLQgi&= Ondded T WATER AND SEWER ADDENDUM MASSACIJUSE'TTS ASSOCIATION m RF_AI3'ORS' This Addendum is a part of the residential tenancy agreemen (lease or tenancy-at-will)between FYI M Gil /R f Qkw A4J,( ("Landlord") and • ('Tenant") dated , regarding rental of a dwelling(the"Dwelling") in the Premises described as Je4 A44 v (the"Premise ). In the event this Addendum conflicts with 1he residential tenancy agreement, then this Addendum shall control. 1. Tenant agrees to pay Landlord for water and sewage charges for the Dwelling on the terms and conditions set forth. Landlord has certified eligibility of the Dwelling and compliance with General Laws Chapter 186, Section 22 and regulations in 105 CMR 410.354. 9ttachedis-acoovof the Certificate file l -with . ocal— Board- Health or other department having authority to enforce the State Sanitary Code. 2. Landlord As Consumer Water separately charged to the Tenant pursuant to this Addendum shall be delivered by the water company to the Landlord and the Landlord shall: (1) be the consumer; (2)for billing purposes, be the customer of record; (3) be responsible for payment of the water company bills; and (4) be subject to any actions of the water company for nonpayment. 3. Direct Metering If the Dwelling is connected to a meter installed by a water company; the Landlord is authorized to charge Tenant for water and sewer usage and Tenant agrees to pay for same. Such charges are subject to the condition that the meter measures only water that is supplied for the exclusive use of the Dwelling unit and only to an area within the exclusive possession and control of the Tenant of such Dwelling and does not measure water usage for any portion of any common area or by any other person or dwelling. Upon request by the Tenant, the Landlord shall apply for a test of the meter to determine its accuracy. The Tenant shall reimburse the Landlord for any cost incurred in connection with such test. If the Tenant does not reimburse the Landlord for such cost, the Landlord may add such cost to the next bill sent to the Tenant and such cost shall be considered to be part of the bill. 4. Submetering Billing Provided that a submeter and other devices required by Chapter 186, Section 22, have been installed by a licensed plumber, the Landlord is authorized to charge Tenant for water and sewer usage and the Tenant agrees to pay for same, provided that submetering equipment has been installed in each dwelling in the building and in the common areas, so that all water used is measured by both a primary meter and a submeter. Each bill for submetered water usage shall clearly set forth all charges and all other relevant information, including, but not limited to, the current and immediately preceding submeter readings and the date of each such reading, the amount of water consumed since the last reading, the charge per unit of water, the total charge and the payment due date. Such charges shall be billed to the Tenant in at least as many periods as the Landlord is billed by the water company providing such water to the building or such payments may be made on a monthly payment schedule as agreed to in the written rental agreement; provided, however, that if the Landlord bills the Tenant on a monthly basis, payment of the bill by the Tenant shall be due 15 days after the date the bill is mailed to the Tenant, but if the Landlord bills the Tenant at intervals greater than 1 month, payment of the bill by the Tenant shall be due 30 days after the date the bill is mailed to the Tenant. If the Tenant fails to make such payment, such nonpayment shall be a material breach of the rental agreement. 5. Cost Calculation The Landlord shall determine a calculated cost per unit of water consumption by dividing the total amount of any bill or invoice provided to the Landlord from the water company for water usage,the customer service charge and taxes, but not including any interest for the late payment, penalty fees or other discretionary assessments or charges, for all water provided to the premises through the water company meter in that billing period, by the total amount of water consumption for the entire premises. The total amount charged separately to each submetered dwelling for water usage for any billing period shall not exceed such calculated cost per unit of water multiplied by the number of units of water delivered exclusively to the particular dwelling for the same billing period, provided that the Landlord has verified that the total amounts of water usage measured by all submeters in the building, including all submeters for common areas, does not exceed the total amount of water usage in the building for the same billing period. 6. Maintenance The Landlord has an affirmative obligation to maintain in good working order the water supply system to each dwelling unit and any component thereof, including any water conservation device and submeter and to respond in a timely manner to any request by the Tenant for the repair of any defect or malfunctioning in such water supply system, including any leak. a, MASSFORMS' ©2009 MASSACHUSETTS ASSOCIATION OF REALTORS® sMtewide 9AN"d Rem FSUIe Forole OPPO0. 47207.0!07.20.09/46367367 2 David Minicucci Red Estate 509 Main St North Andover,MA 01845 Phone:97",884400 Fax: 978-692-7999 David Minicucci Produced w0h ZipFonn®by Apl-ogix 18070 FiReen Mile Road,Fraser,Michigan 48026 www.zigLo6x-Am Untitled A. 7. commencement: Meter Reading When a tenancy commences after the day on which a billing period of the water company begins,the Landlord shall mail to the Tenant on the first day of the tenancy,the reading on the submeter for the Dwelling on the day the tenancy commences and may bill the Tenant only for water and sewer usage based on water measured subsequent to that reading. 8. Termination: Meter Reading If the tenancy terminates before the end of a billing period for which the Landlord has not been billed by the water company, the Landlord shall give to the Tenant on the last day of such tenancy the reading on the submeter for the dwelling unit as of that day together with a final bill for water and sewer usage in the dwelling unit since the last prior reading of the submeter for such dwelling unit.The Landlord shall charge the same rate for the water and sewer used by the Tenant as the water company charged in the last bill issued to the Landlord. Notwithstanding the requirements of Section 22 (f) of Chapter 186, the bill shall be immediately due and payable by the Tenant. If the Tenant does not pay the bill, the Landlord may deduct the amount of the bill from any security deposit paid by the Tenant in accordance with Section 15B of Chapter 186, prior to returning the balance of the security deposit, if any, to the Tenant. If the Landlord is not able to give the final reading on the submeter for the dwelling unit together with a final bill for water usage to the Tenant on the last day of the tenancy, the Landlord shall mail such reading and such final bill to the Tenant no later than the day after the termination of the tenancy, provided that the Tenant has provided the Landlord with a mailing address. If the water company subsequently charges the Landlord a lesser rate than the Landlord charged the Tenant in the final bill, the Landlord shall recalculate the bill forthwith based on the lesser rate and mail to the Tenant the revised bill together with a rebate for any overpayment made by the Tenant. 9. Testing Upon receipt of a bill for water usage from Landlord and within the time allowed for paying the bill, Tenant may request that a person or entity with expertise in the installation and operation of water submeters and with no financial or other relationship with Landlord,test the submeter for the Dwelling of the Tenant to determine whether it is measuring water accurately. If the submeter is found to be measuring more water than is being used in the dwelling unit, the Landlord shall install a new submeter at his own expense and shall also pay for the cost of the test. The person conducting the test shall determine the amount of water that was improperly measured during both the prior and current billing periods. The Landlord shall calculate the amount the Tenant was overcharged for the prior billing period and reduce the bill by that amount, or, if the Tenant has already paid the bill, give the Tenant a rebate in that amount. If the submeter is found to be measuring no more water than is being used,the Tenant shall pay for the cost of the test; provided, however,that if the Tenant does not pay for the cost of the test,the Landlord may add such cost to the next bili to the Tenant. 10, leaks In the event of a leak in the water supply to a dwelling, the Landlord shall determine the amount of water and sewer usage that was measured on the submeter for the Dwelling as a result of such leak, after a review of the billing records and consultation with the repairing plumber. The Landlord shall then determine the amount of the bill for the billing period in which the leak occurred that was attributable to such leak and reduce the bill to the Tenant by that amount or, if such bill has already been paid, grant the Tenant a rebate in that amount; provided, however, that with regard to any leak about which the Tenant knew or should have known,the Landlord shall only be required to reduce the bill to the Tenant, or to grant a rebate in an amount attributable to the water and sewer usage measured on the submeter as a result of the leak between the date the Tenant gave notice to the Landlord and the date the leak was repaired. 11. No Additional Fee Except as authorized by law, the Landlord agrees not to charge, to seek to recover, or to allow to be charged or recovered, any additional servicing, administrative, establishment, meter-reading, meter-testing, billing, or submetering fee or other fee. 12. Nonpayment In the event of nonpayment of a bill to a water company by the Landlord, such water company shall have all the remedies against the customer of the water company available pursuant to any law, rule or regulation. The Landlord may not shut off or refuse water service to a Tenant on the basis that the Tenant has not paid a separately assessed submetered water usage charge. Date: � 6�Want I! d 1 Landlord Te ant 2 MASSFORMS- ©2009 MASSACHUSETTS ASSOCIATION OF REALTORS® sWortYlo%=&rd Rol Edale Foom 47207.0107.20.091463672 Produced with Z1pForrn®by zipLogix 18070 Fifteen Mile Road,Fraser,Michigan 48026 www.ziW g2j = Untitled MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code Chapter II),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. 2 Q, PROPERTY INFORMATION Address: G - h T7 d ee Unit# #Of units in bldg. Ci /Town: p O J e MA Zi Code: aq ANff EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water conservation devices prior to a dwelling unit becoming eligible for the imposition on tenants of a charge for water and/or sewer.The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2�2 gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2 2110 gallons per minute(2.2 gpm) Ultra low flush water closets(toilets)not to exceed 16110 gallons per flush(1.6 gpf The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. Submetering equipment information: �>A�6c2 Sn1a t3 a 33 oS Manufacturer Model# Licensed Plumber Certification _ Zzo-7 Print N of Plumber License# Date I certify that(check all that apply): ❑ I have installed the submetering equipment listed above in accordance with accepted plumbing standards. I have installed one or more water closets not exceeding 1.6 gallons per flush. ❑ Determined that existing water closets do not exceed 1.6 gallons per flush. ❑ The plumbing permit issued by the city/town,if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a watpr co y d, ' ac ance with M.G.L. c. 186, § 22(p), does not require the installation of a submeter. Signed under the pains and penalties of perjury, / SIgnaturd of Lic ed Plumber Property Owner CertificatioA I certify that: (1) This dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer usage in accordance with the water submetering law(MGL c. 186, §22); (2)All showerheads,faucets, and water closets in this dwelling unit are water conservation devices that meet the standards specified above;(3)The water submeter measuring the use of water in the dwelling unit was installed by a licensed plumber and is in compliance with the standards specified above,or the water meter measuring the use of water in this dwelling unit was installed by a"water company" as defined in M.G.L. c. 186 § 22; (4)The water meter or submeter measures the water usage exclusive to this unit; (5) 1 will provide to the tenants of this dwelling unit, prior to occupancy,a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form; (6) That all information included on this certification is true and accurate to the best of my knowledge. Signed under the pains and penalties of perjury, -4/Z Print Name of n ignature er ate Board of Health/Health Department Received By Date MDPH/CSP Submetering Certification Form,Revised 1.0/06 Michigan 4002fi Untitled Produced with ZipFonn®hy zipLogix 18070 Fifteen Mile Road,Fraser, g www.z ugtx cpm