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Home My WebLink About0114 GOSNOLD STREET - Health r'Hyaru is Pro�gressive'Investrnent, 0 0 9 Io 0 I i P ° 0 d P ° o i o l TO: BOARD OF HEALTH/INSPECTIONAL SERVICES DEPARTMENT AFFIDAVIT I, Garry N. Blank under oath depose and say: I, Garry N. Blank, Trustee of the Marlin Realty Trust ereby certify that the Trust owns the single family home located at 114 GosAold Stre and further that: 1. Licensed plumbers installed meter(s) that mea re the actual water being used for the dwelling unit 2 Low flow fixtures are installed 3. The written Rental Agreement acknowl .tlges certification and Tenants Agreement to pay the water bill relative to th it Tenancy and use thereof. Garry N. - a- lI 1 . `t ,iaA! n 1 _ The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Center for Environmental Health MITT ROMNEY Community Sanitation Program GOVERNOR 250 Washington Street, Boston, MA 02108-4619 KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY PAUL J.COTE,JR. COMMISSIONER MEMORANDUM TO: Massachusetts Local Boards of Health FROM: Paul Halfmann,Assistant Director Community Sanitation Program DATE: May 2,2005 RE: Submetering of Water Revisions to 105 CMR 410.000 On December 16, 2004,the Governor signed Chapter 417 of the Acts of 2004, entitled An Act Authorizing Water Submetering in Residential Tenancies(hereafter referred to as the"Act"). This Act became effective March 16, 2005.The Act,codified as M.G.L. c. 186, §22, authorizes landlords of residential property to separately charge tenants for actual water and sewer service costs provided that all of the comprehensive requirements of the Act are met.Among its many specific provisions,the Act: • Prohibits water submetering unless the dwelling unit is separately submetered or,for v single-family rentals,the water usage is under the complete control of the tenant,to ensure that tenants are only charged for water actually used; Requires landlords to have licensed plumbers install any water submetering devices at the expense of the landlord; Requires landlords to certify in writing to the local Board of Health that the dwelling unit is in compliance with the requirements of the Act prior to separately charging for water or sewer service an to have a written agreement with tenants; J- Requires water conservation devices on all showerheads, sinks and toilets, at the landlord's expense,prior to separately charging for water or sewer service; Page 1 of 2 i I rJ ,�,• /. Permits water submetering only in new tenancies created after the effective date of the Act, except that water submetering is not permitted in public housing dwelling units; Provides a process for tenants to report leaks,contest bills, and question the accuracy of water submeters and to only pay for water costs resulting from actual use; • Requires landlords to remain as the water company customer and to be responsible for payment of water supplied by the water company; 4 "Prohibits landlords from shutting off water to a residential dwelling for non-payment of water or sewer costs but permits landlords to pursue all other legal remedies to collect bills, including deducting unpaid bills from security deposits; • Authorizes the Department of Public Health to promulgate such additional regulations to the state sanitary code as it determines to be necessary to implement this section. Enclosed you will find a copy of the revised regulations, 105 CMR 410.000, and the SUBMETERING OF WATER AND SEWER CERTIFICATION FORM. Any landlord planning to charge tenants for the use of water and sewer must use the certification form attached. The Community Sanitation Program is in the process of placing the certification form and revised regulations on our website, http://www.mass.gov/dph/dcs/dcs.htm. A copy of M.G.L. c. 186, §22 may be downloaded by visiting, http://www.mass.gov/legis/laws/mgl/l86-22.htm. Page 2 of 2 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 11), the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. PROPERTY INFORMATION Address: Unit# #Of units in bldg. City/Town: MA Zip Code: 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 '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 1 6/:0 gallons per flush(1.6 gpf) The submetering equipment used to measure the quantity of wafer 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: Manufacturer Model# Licensed Plumber Certification Print Name of Plumber License# Date I certify that l have installed the submetering equipment listed above in accordance with accepted plumbing standards. I also certify that I have(check one): ❑ installed one or more water closets not exceeding 1.6 gallons per flush,or El determined that all existing water closets do not exceed 1.6 gallons per flush. The required plumbing permit issued by the city/town is attached. Signed under the.pains and penalties of perjury, Signature of Licensed Plumber Property Owner Certification 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.I 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 certificate form. I certify 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, Print Name of Owner Signature of Owner Date Received by Board of Health/Health Department Name Date MDPH/CSP Submetering Certification Form 3/05 MAY-16-2015 13: 12 From:BARNST HEALTH 15087906304 To:508 888 5925 P.3'3 MASSACHUSETTS I)EPARTAIENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTTFTCATTON FORM Tn accordance with M.G.L. c. 186, § 22 and 105 CMK 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code Cbapter IT),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. PROPERTY INFORMATION Address: Z Z V G6 s 0 o 0 tY7 Unit# #Of units in bldg. �-- City/Town: /� a s7 01 I R MA Zip Code: 0.2O EQUIPMANT 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 scwcr,'The devices must'meet the.following specifications: Showerheads with maximum flow fate not to exceed 2 h a]Ions per nunute(2.5 Spin) Faucets with maximum flow vae not to exceed 2 gallons per minute(2.2 gpm) l i7� Ultra low t=iush water'closets(toilets)not to exceed 1 61:0 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 0 rnect the standards of accuracy and testing pf the American Water Works Association or similar accredited assoeiatio A licensed plumber must.install the water closets and submetering equipment. Submetering equipment information: Manufacturer Model# Licensed Plumber Certification 14-M Aj 3 /4 Print Name of Plumber License# bate I certify that have installed the submetering equipment listed above in accordance with accepted plumbing standards. . I also certify that I have(check onc): installed one or more water closets not exceeding L.6 gallons per flush,or W determined that all existing wat r closets do not exceed 1.6.gallons per flush. The required plumbing permit issued by the city/town is attached. Signed under the pains and penalties of perjury, Signature of Licensed Plumber Property Owner Certification 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)A11 showerheads,faucets, and water closets in this dwelling unit are water conservation devices that meet the standards specified above;(3)The wawT submeter measuring the use of water in the dwe. ng unit was installed by a licensed plumber and is in compliance with the standards specified above.I 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 ecrtificate form. I certify that all in formation included on this certification is true and accurate to the best of my knowledge. Signed under the pains and per allies of perjury, Print Narn.6 of Ovrner Si of Date Received by Board of Health/1:'ealth Department Name Date MT)PH/r:CP RiihrnPtarino rP.ri;rrtHF;, n Fern+1/6'; RECEIVED 05-18-'15 13:20 FROM- 15087906304 TO- Blank & Solomon P003/003