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LORING HILLS CONDO POOL-POOL - ESTABLISHMENTS GORING HILLS CONDO POOL °N City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 PubliCHe8Ith Prceent-promote,Proetta. Tel. (978) 741-1800 Fax. (978) 745-0343 Kimberley Driscoll health@salem.com Larry Ramdin, MPH, REHS,CHO Mayor Health Agent PUBLIC POOL HEALTH PERMIT Permit# PO-17-10 License For : Pool (seasonal) Date of Print 5/18/2017 Granted To: Markwood Management Permit Issued 5/18/2017 Address: P.O. Box 900 Marblehead MA 01945 Permit Expires 9/8/2017 Location of Establishment: 6 LORING HILLS AVENUE Permit Fee $140.00 Restrictions: Late Fee $0.00 Notes: This permit or license is granted in conformity with the statues and ordinances relating thereto, and expires on 9/8/2017 , unless sooner revoked or suspended. Larry Ramdin, MPH, REHS, CHO Health Agent � v r CITY OF SALEM, MASSACHUSETTS BOARD ON HLAL11-I 120 WASHINGTON STREET,4" FLOOR KIMBERLEY DRISCOLL 7t.L.(978)741-1800 RECEIVED FAx(978)745-0343 MAYOR lramdin(asalem.com LARRY RAMDIN,RS/RI-'HS,CHO,CP-FS MAY 17 2011 HEAL.H-I AGENT CITY OF SALEM BOa,RD OF HEALTH 2011 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OF POOL (D %_ox-k!n R 111s AV cyNue L"W%S t411lS C0nCL0IY'tr1tN1" NAME OF APPLICANT u r%it %* t Trust TEL#__421 - 1039 •L4 o8 0 MAILING ADDRESS P. O. Zcix cloo., - "A 0tct45 CERTIFIED POOL OPERATOR C.90- Name: MOCK A. Cert#: 312.%04 TEL# 844' 3LA- 10105'+ I DATES OF OPERATION(if not annual): J V hC 21.4 DAYS &HOURS OF OPERATION: C CtltdOLLI 1 O A M - Q PM TYPE OF POOL Public Semi-Public Special Propose FEE: $210.00 for year round pools $140.00 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code,before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 63C,Section 49a,I certify under the pains and penalties of perjury that 1,to my best knowledge and belief,have filed all state tax returns and paid all state taxes required under the law. lo� 5/ 2o14 OSI - 2943 4 105 SignatutL-� (.AoJtr* Date SS#or Federal Identification Number Revised 5/23/11 pmlappi t.doc Check#Date L_ �1 City of Salem, Massachusetts Board of Health m 120 Washington Street, 4th Floor, Salem, MA 01970 PublicHealth Pmvmc➢mmom.Pm,¢t. Tel. (978) 741-1800 Fax. (978) 745-0343 Kimberley Driscoll Iramdin@salem.com Larry Ramdin, MPH, RENS, CHO Mayor Health Agent PUBLIC POOL HEALTH PERMIT Permit# PO-16-9 License For : Pool (seasonal) Date of Print Granted To: Markwood Management 5/24/2016 Permit Issued 5/24/2016 Address: P.O. Box 900 Marblehead MA 01945 Permit Expires 9/30/2016 Location of Establishment: 6 LORING HILLS AVENUE Permit Fee $140.00 Restrictions: Late Fee $0.00 Notes: This permit or license is granted in conformity with the statues and ordinances relating thereto, and expires on 9/30/2016 , unless sooner revoked or suspended. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR HIMBERLEY DRISCOLL TEL.(978)741-1800 FAx(978)745-0343 MAYOR Iramdin@salem`com LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT 2011 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OF POOL tO k-k VV s A\J-e-n�,Xe- E l\zabcrth LouF NAME OF APPLICANT"&(_)Z \tc)cY-\ MQhCIdP SEL# --VRl Lo3°l 4CSst) MAILING ADDRESS .O . 8 CSO N�O�� �lek1�QC, M A O kOt W5 CERTIFIED POOL OPERATOR Name: Cert#-�9 2-(-O Z36 TEL# 'ELA4 34'-1 . lul9EJ)- DATES OF OPERATION(if not annual): Suvl , Mtx \t,,ye::Ni DAYS &HOURS OF OPERATION: 26 0.rr. TYPE OF POOL Public Semi-Public Special Purpose FEE: $210.00 for year round pools $140.00 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code,before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 63C, Section 49a,I certify under the pains and penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law. L2.i�. kj. = n l JO&A 5 / (n / 2y1LD ©LA - 2 9 237 - 5 Signature Date SS#or Federal Identification Number Revised 5/23/11 poolappl Ldoc Check M Date G ��a TPG -16 -�j CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON S1RFF_T,4 .FLOOR Pub1iCFIeallh Prevent.Promote.Prot<c[. "TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL lramdin(a,salem.com LAtltl'RAnIDIN,RS/REI-IS,CI 10,CP-FS MAYOR I-IFALTI1 AGGN'I' SWIMMING POOL INSPECTION REPORT NAME: x10^ 1- 10 !r �V& DATE: S /Z 6 TIME IN: ADDRESS: 1n11GUZ � PHONE: 194-1 ,M—YOCTIME OUT: CERTIFIED POOL OPERATOR: Regulations 105 CMR 435.000 :Minimum Standards for Swimming Pools, State Sanitary Code, Chapter V Regulation Compliance Number Yes No Title and Description 435.03 Bathhouse: Separate sanitary dressing facilities and water closet for each sex which are well J lighted, drained and ventilated- Showers with hot and cold water-Sanitary drinking water- �/ toilet paper, soap at sink and in showers (shatter proof containers), paper towels and waste receptacle 435.06 Water Circulation and Filtration: Over-all recirculation and purification system designed / recirculates and filters the entire volume as follows: • Swimming Pools-Once every eight hours • Wading Pools-Once every four hours • Special Purpose Pools(Spas)-Once every half hour Maximum design filtration for filters: • High rate sand filter- 15 gpm/ft' -20 gpm/ft2 (NSF filters) • DE filters-2 gpm/ft' • Cartridge filters-0.375 gpm/ft' Automatic hypochlorinators required feed-rate capacity: • Outdoor Pools-Three pounds of chlorine per 24 hours per 10,000 gallons • Indoor Pools-One pound of chlorine per 24 hour per 15,000 gallons 435.08 Inlets and Outlets-All special purpose and wading pools shall install an emergency shut off switch which is accessible,working and prominently marked 435.12 ✓ Water Depth Markings-Marked on pool deck and on vertical pool wall. Four-inch contrasting color stripe dividing shallow and deep ends including ledges and steps 435.21 / Permit Requirements and Pool Records-Permit posted in conspicuous location. Maintain V/ initialed records including daily attendance, amounts and types of chemicals used daily, chemical and bacteriological tests,dates and times of emptying,cleaning, and back-washing and hours of operation of purification equipment 435.22 Health Regulations, Signs-No employee working at swimming,wading or special purpose pool shall have a communicable disease. Operator shall enforce the following for bathers: All bathers shower before entering pool-Clean bathing suits-No communicable diseases (fever, cough, cold, inflamed eyes, nasal/ear discharge)-No open sores, skin diseases or bandages-No glass • Signage at entrance of pool enclosure or in dressing room-"All persons are required to take a cleansing shower bath before entering the pool. No person with a communicable disease is allowed to use the pool'. • Additional signage for special purpose pools-"Do not use under these conditions: Alone- Under the influence of alcohol,anticoagulants,antihistamines,vasoconstrictors, vasodilators,stimulants, hypnotics or tranquilizers-Consult physician if person is elderly,pregnant,suffers from heart disease,diabetes, high/low blood pressure-Water temperature above 104°F-Observe reasonable time limits-No oils and body lotions" Easily readable large dial clock SWIMMING POOL INSPECTION REPORT Regulations 105 CMR 435.000 Minimum Standards for Swimming Pools, State Sanitary Code, Chapter V NAME: DATE: Regulation Compfiance Number Yes No Title and Description 435.23 Lifeguards—Lifeguard certifications—Warning sign stating(if no lifeguard is required by Board of Health) "Warning—No lifeguard on Duty"and"Children under age 16 should not use swimming pool without an adult in attendance and "Adults should not swim alone"in four inch letters. Clothing—Lifeguards shall wear red or bright orange bathing suits, shirts or jackets with guard printed in 4-inch lettering. Lifeguards shall direct their attention to area assigned 435.24 Safety Equipment—One ring Buoy for each 2000 ftz,One rescue tube and rescue hook Lifeguard staffed pools shall have readily available a backboard with straps 435.25 First Aid Equipment and Emergency Communication—Provide a standard Red Cross first aid kit—Working,convenient,immediate, toll-free communication system with emergency medical services, local/state police, fire department available to staff and public at all times with instructions for use 435.29 Chemical Standards—Test for residual disinfectant and pH conducted four times a day(once during peak load),Alkalinity and calcium test conducted weekly. Ranges are: • Residual Chlorine 1.0—3.0 PPM Combined Chlorine 0.0—0.2 PPM • Bromine 2.0—6.0 PPM • pH 7.2-7.8PPM J • Alkalin 50—150 PPM 435.30 Water Testing Equipment—Provide a DPD test kit for measuring chlorine/bromine and appropriate kit for measuring pH, alkalinity and cyanuric acid—Reagents shall not be more than one year old—Provide accurate, unbreakable thermometer forspecial purpose pools 435.31 ✓ Water Clarity—Water shall be clear(black disc on bottom of pool, clearly visible from sidewalks of pool at all distance up to tenyards) 435.32 r Water Quality Maintenance—Special purpose pools shall be drained, cleaned and refilled a ` minimum of once every 14 days 435.33 Maximum Operating Temperature for Special Purpose Pools—Water temperature not more than 104°F—Water temperature shall be tested when residual disinfectant and PH are tested 435.34 / Closure of Pool—Operator shall immediately close pool until pool water conforms to 105 CMR V/ 435.28 through 435.31 standards 435.38 General Sanitation—All pools,bathhouses and grounds shall be maintained in good repair, safe and sanitary manner. Remarks, Results and Action Taken: Swimming Pool Wading/Kiddie Pool Spa Type: Type: Free Free Free Free Free Chlorine `1 Chlorine Chlorine Chlorine Chlorine Combined Combined Combined Combined Combined Chlorine J Chlorine Chlorine Chlorine Chlorine Bromine Bromine Bromine Bromine Bromine H PH H H PH Alkalin �� Alkalinity Alkalinity Alkalin Alkalinity Calcium Calcium Calcium Calcium Calcium Hardness Hardness Hardness Hardness Hardness SWIMMING POOL INSPECTION REPORT Regulations 105 CMR 435.000 Minimum Standards for Swimming Pools,State Sanitary Code,Chapter V NAME: lJrC6 DATE: Remarks,Results and Actions: T e: T e: Ty e: Free Free Free Chlorine Chlorine Chlorine Combined Combined Combined Chlorine Chlorine Chlorine Bromine Bromine Bromine H p pH Alkali ni Alkalinity Alkalinity Calcium Calcium Calcium Type' Hardness Hardness Hardness Type' Type Pool Pool Pool Volume g Volume g Volume Sand Sand Sand DE Filter Type D Filter Type DE Filter Type Cartridge Cartridge Cartridge Filter Size ft' Filter Size ft' Filter Size ft2 Minimum Minimum Minimum Flow Rate m 1 ' Flow Rate m Flow Rate m Maximum I �Q Maximum Maximum Flow Rate m Flow Rate m Flow Rate m Actual I Actual Actual Flow Rate m Flow Rate m Flow Rate gpm 1¢ t_ 'Y Passed Ins ection: Ye o '511,3 ❑ Re-Inspection Date: Inspector's Si nature Person In Char i ��� . � ord � m��c�l.�.�«cam mc�r�a�erc . �m ��4 Commonwealth of Massachusetts City of Salem Board of Health Kimberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Swimming Pool Seasonal Permit DATE PRINTED: 05/14/2009 ESTABLISHMENT NAME: Loring Hills Condo Pool File Number:BHF-2004-000199 East Cost Properies 400 Highalnd Ave Ste. I I Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes SWIMMING POOL- BHP-2009-0461 May 18,2009. Sep 30,2009 $140.00 SEASONAL Total Fees: $140.00 PERMIT EXPIRES September 30, 2009 Board of Health Page 1 ` CITY OF SALEM, MASSACHUSETTS BOARD ole Hl'.AL'114 120 WAST I ING'1'ON S'IREET 4"'FLOOR TEL.(978)741-1800 �����% KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IMANCIN12SALEM.COM MAY 12 20no JANETMANCINI, CITY OF SA ACDNG HEWAU AGEN'r BOARD OF Ht. ._.. . 2009 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OFPOOL 6 LORING HILLS :AVENUE LORING HILLS CONDOMINIUM NAME OF APPLICANT UNIT Nn_ 1 TRITST TEL# 978-741-2003 MAILING ADDRESS c/o East Coast Properties , 400 Highland Ave . , Salm MA 01970 CERTIFIED POOL OPERATOR 01-182673 Name: ANDREW J. ANSELMO Cert#: TEL# 978-852-4001 DATES OF OPERATION (if not annual, MEMORIAL DAY to LABOR DAY DAYS &HOURS OF OPERATION: MONDAY - SUNDAY - 9 AM - 8 PM TYPE OF POOL Public Semi-Public X Special Purpose FEE: $210.00 for year round pools $140.00 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code,before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 63C, Section 49a,I certify under the pains and penalties of perjury that 1,to my best knowledge and belief,have fil 11 state tax retu s an paid all state taxes required under the law. i a e � Date SS#or Federal Identification Number Revised 8/14/07 poolapp.wpd Check# Date J �� CITY OF SALEM, MASSACHUSETTS • ' BOARD OF HEALTH 120 WASHINGTON STREhr,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IMANCINI l�!$ALBM.C:OM )AxET MANCLNt ACTING HF.ALTI-I AGENT MAY 12 2009 Salem Board of Health CITY OF SAL� 120 Washington Street 40'Floor BOARD OF Salem,MA 01970 Pursuant to The Virginia Graeme Baker Pool&Spa Safety Act and the Commonwealth of Massachusetts Minimum Standards For Swimming Pools(State Sanitary Code:Chapter V-105 CMR 435.00),I certify that the pool and all pool drain/grate covers in the semi-public or public pool (choose the type of pool below) swimming wading special purpose_ locatedat 6' LORING HILLS AVENUE LORING HILLS CONDOMINIUM UNIT NO. 1 TRUST Establishment Name c/o EAST COAST PROPERTIES 400 HIGHLAND AVENUE, SALEM MA 01970 Establishment Address I conform to the The Virginia Graeme Baker Pool&Spa Safety Act and the American National Standard ASME Al 12.19.8—2007 OR: 0 do not conform to The Virginia Graeme Baker Pool&Spa Safety Act and the American National Standard ASME A112.19.8—2007 and that the pool will be shut down effective December 19,2008. IIII �Sigtatyle of pool owner orporation President 9,,� / Title 4�iasBl Q i7Ad$ >�ZOpBC�d /�W/-mac i(/ 400 Highland Avenue � Ear MA(17974 ��,pp (978) 741-2003 PrintQn n�T, � /�Y v !^e /r�/ Date ° City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 PubticHealth F h �- Tel. (978) 741-1800 Fax. (978) 745-0343 Prevent.Promote.Protect. Kimberley Driscoll Iramdin@salem.com Larry Ramdin, MPH, REHS, CHO Mayor Health Agent PUBLIC POOL HEALTH PERMIT Permit# PO-15-8 License For : Pool (seasonal) Date of Print 5/22/2015 Granted To: East Coast Properties Permit Issued 5/22/2015 Address: 400 Highland Avenue SALEM MA 01970 Permit Expires 9/7/2015 Location of Establishment: 200 LORING HILLS AVENUE Permit Fee $140.00 Restrictions: Vinnin Square Recreation Facility 200 Loring Hills Avenue Late Fee $0.00 Notes: This permit or license is granted in conformity with the statues and ordinances relating thereto, and expires on 9/7/2015 , unless sooner revoked or suspended. < CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WAST-IINGTON STRF'ET,4m F1.,OOR KIMBERLEY DRISCOLL Tea..(978)741-1800 FAX(978)745-0343 MAYOR LRAMDIN&AL&M COM LARRY RAMDIN,ILS/RF',HS,CHO,CP-FS HEALTH AG1LN'F 2011 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OF POOL 200 Loring Hills Avenue NAME OF APPLICANT_Vinnin Square Recreation Facility TEL# 978-741-2003 _ MAILING ADDRESS400 Highland Avenue, Ste 11, Salem MA 01970 CERTIFIED POOL OPERATOR Name: ANDREW J.ANSELMO Cert#: CPO-251439 TEL 4978-852-4001 DATES OF OPERATION(if not annual): Memorial Day, 5/15/15 thru Labor Day—9/07/15 DAYS & HOURS OF OPERATION: Monday thru Sunday 10 Am to 8 PM TYPE OF POOL Public Semi-Public x Special Purpose FEE: $210.00 for year round pools $140.00 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code, before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Ch ter 3C,Section 49a,I certify under the pains and penalties of perjury that 1,to my best knowledge and belief,have fil to tax re Ins d paid all state taxes required under the law. r� /�/� // /� /- l �ol (W1666 47 ig atu a Date SS#or Federal Identification Number Revised 5/23/11 poolappl Ldoc Check 0 Date — �,.• �•.�..3A :.�. ?• +•. d �Ss�� {•;v�• +✓S _.'7'., .♦. - s', ��Er4�.ti�i p.1.5! Fdr �Hfiption,telephone NS��F at 719 540 9119 0111; 11 serylce�nspf.orqq I"'� 111111'G�rvlpl. �I �� �Illlnl(I"Itlld� 11 . lit"41�u,11���� It Mg IIIIIIIIIIIi�NIhIrIIIIII � �_ � ����, As 4i _ 5 y u�ulphN� lllfl'' _ � �_" ince ' III�II II�iIIIdlVlll �� ,v��� � IlIi��llllllll"I'�II �I�' _ �I :I ��' �k, p � ti S°�'�ati� ' ���VldVllllldll. 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'�'.✓�ee,�3.;b�..r: J,J.1 V..J✓O.♦♦ A S 'O♦i♦�..�♦♦ ,1 1��♦ ♦ X15 1'iV �♦ Vy w `-a2 {tet. .' � ti1v3�' ✓.y�.'•d 3av3SY2' t�v�' di? vv>r .•s r` �s ✓.♦.A ,?.�r P���yP'c�'v+3��2SC2 e�+�''...Y11d". _- Es• �� II IIII'4N ' �I�� �I, III�IIIIIIICII' ��y„'n '' IIiM9u'gil�6l n. ; +'^' — dh�1IIIIIIIIIpIIh�!II� i�X,.,st'"a _ Pi�l�'IIIIIIhIYidl I� "'P I'IiJhrp"�) , Y CITY OF SALEM, MASSACHUSETTS BOARD of Hr:Ai TH 120 WASHINGTON STREET,4"'FLOOR IQMBERLEY DRISCOLL TEL• (978)741-1800 MAYOR Fax(978) 745-0343 Imindin@s-Alei-n.com LARRY RAMDIN,RS/RF1IS,(1110,(:P-FS HF,ALTFIAGENT Swimmine Pool Inspection Report Pool:IORWy E{ILLS Date: S-2_7-"f f AddressIaiLtS ewL Phone: Operator:t1o4Dy a)+X Max Bathing Load: /n accordance with 105 CMR 435.00 Minimum Standards for Swimming Pools;State Sanitary Code Cha ter V. [Annual Permit Posted ea and Showers signs Posted Health: no sick employees, no sick bathers,bathers take showers,-spitting prohibited,no glass. Lifeguards: Present Certification _Red/orange suit _"Guard"printed on jersey _Sun block avail. Voice Amplifier _Elevated seat Emer.Communication:phone_at pool Phone instructions _Emergency numbers _Phone in unlocked area Safety Equip: for each 2000,sq. feet _Rpwup.h1br or ring buoywit rope) Backboard with collar and straps _First d: Equipment area 5 1"band-aids -00)3x3 gauze -9 /(4 5x9 surgipads 92)antiseptic wipes 1)8x10 Surgi ( soft roller bandages V issors )3"Soft roller bandages eezers L- 4)1/2 roll hypoallergenic tape escue blanket _moi packs yocket mask sterile isotonic eyewash ►`jDisinfection _Chlorine _pH 7.2-7.8 Residual free 1-3,Combined 0-0.2 (5 f C, _Bromine _pH 7.2-7.8 Residual 2-6 (ppm)(mg/1) 1�Li �I Records Kept: PIT _Water tests —Chemicals Used _Backwashing _Attendance _Hours of operation Depth Markings Sidewalk and inside pool Diving Boards rigidly constructed,properly anchored,braced for heaviest load,no splinters or c cracks,non-slip surface,not over 10'above water level and at least 13'unobstructed headroom Bathhouse: Separate dressing and sanitary facilities for each sex,adjacent to pool,well lighted, drained,ventilated,impervious construction,one shower and one toilet per 40 bathers,hot and cold water,soap provided,no common cups,towels,combs, pool adequately enclosed,approved dri ' g water facilities i Notes: ty��tAnco c�nelnntccQ `�17r r;z �U O pki(68 Pon Receiv Inspected by: hC N Sit 1p wv % A S 00 wa "a— w mp,*;�',massachuseus,00,�1 U:4 lN O'NN"I44 0 fY Jx 2Y 7M, 7 11 . - MW. Z L, M, il 14 ;n a dr U` 'I I ,,li"m � L� ,- � Y 1.11N A "I %,,:�Np B, i, AWQ�J v pai 3,- �Ak d, 'GOI , I� vt lf.Z 'Ill PAYW,.� vll, l" P, Rs MA pi 2� z' "i" �"" I� — , yv lop .Sr4 Kik � amberley I s aml rr %g 1-11 11 4�I..� "I- I . IV eefth Agent LJ i�s t ' r '1� I A��,Mv "a%611"t &-,,IuPUBL 4 C4r"1 "h 4- v 11 -111 - -' 1 , 1 - J Q PO 0 -r q [w -vate,ot'Frint-i- r,,' E VI.: oft 7rj 'giGranteciTo, ernes'LLC"., I. A, qrqw JI �-k 4 4, -,V 1A, ,Permit, '17v Oy-WV�; l 277 :'400" Il M - T - ­ W.9te Stella R Ilk '4: "JO gify IFON�A i:1m, "A I& 7 'WiV WIll 7, , 17Z', Lot lime AVENUE ' 4� Location of tstablis V 04 Permit 1. w 11-11 1; 11 'ore, $ % % % V $ NI defi AS'. :,A�Aestriictions-dl 'T ' , R:�i ; I , ,N I �l, Lat 011 W 4l V,4—�,VIO % I" A 'l * l I I , ? ",J e ems. -e eqq VlV, T Vl j V;,� IV; JO ,$ 0 0 F K l- 14: �' AV —, 1, J Z4,11 — I _ qjl', , 'i Notes- �;, IM,ll" -14 �,,l le Vv� 41 1!, .. V,... W, MY "o, f VY; 'J H. "This p6rffiit-br:license Ai ghihtidAn'Con onnit the,statues f y:vAtWth ordinances relating thereto and`axpires on 413012015 revoked %Jt n Mt c"l I -w", Jw r 4 % r, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T FLOOR KIMBERLEY DRISCOLL TEL.(978)741-1800 FAx(978)745-0343 MAYOR LRAMDIN0a SALF,M.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT 2014 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OF POOL 6 Lorin Hills Avenue Salem NAME OF APPLICANT Loriniz Hills Condo Unit#1 Trust TEL# 978-741-2003 MAILING ADDRESS 400 Highland Avenue Salem MA 01970 CERTIFIED POOL OPERATOR Name: Andrew J.Anselmo Cert#: 01-182673 TEL#978-852-4001 DATES OF OPERATION(if not annual): Memorial Day to Labor Day DAYS & HOURS OF OPERATION:--Ida s a week— l0AM—9 PM TYPE OF POOL Public Semi-Public x Special Purpose 1l FEE: $210.00 for year round pools $140.00 for seasonal$4000 Non-Profit (Please pay total with one check pa(q�the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code,before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapt • C, Section 49a,I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed to tax retu - -an paid all state taxes required under the law. 5/05/14 Federal Id Number: 04-2983765 SAal�l Date SS#or Federal Identification Number Revi /23/11 poolapp l Ldoc Check#_Date 5_� Commonwealth 0f Massachusetts: s fi g a..a rCity Of S8ie11ta EK fc � a tl i W:P3 .5F y. , ,.O 4N 't' 'Y+s ) • A < 4? +s Board of Health I € " " IGmbedeY Dn SC01f °120 Washington Street,4th Floor xxtz n �. p = a a SALEM,MA .01970'-' - . ga � an � a a 5wunmmg Pool Seasonal Permit ti DATE PRINTED ,05/22/2013 , } ffi ESTABLISHMENT NxAM Lortng,Hills Condo Pool � - � � ��flleNumlia BHF-2004-000199� r. R � '� East Cost'P[operles'���, ase. �. `� s w fV 400 FIlghalnd Ave Ste 11 s r r « t 4 .�vSalem r v z tri, o u MA 01970 a arc i� �y� LOCATED AT 4-%- . sass ; "',SALE MA, 019704 - � 1 Perimt TypePermit Noz ._ Permit Issued',Permit Expires Fee Restrlchons/Notes , P ' SWIMMING POOL BHP-2013-0420 Mai 25 2013 ,Se 49' 2013`' $140 00 ` z-i " 2 SEASONAL a a-iO�� a� y r � � a � �w Total i 06S.- $140.00 it },- .�- s c ., ,.-a a }� ,. 'ate € :<� ,�' 'A A aw.,'dv"b, '�8"rop� %3 '?r Ya r a fi- i ^"$ 3xi f {4t L a 41 PERMIT EXPIRES -4 9,-2013 - � - Board of Health t ` » t g e 0F _ F $ N a $� 4 ' gj - 4 �' IN , a $" •ems- ,� Y" ." g tin ,y' a �'a`.zV4 . +;+4` § °� '€. 'a z+ Y' a 'Paget 4 ...� � � Fahy` gev sS �< . - CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR KIMBERLEY DRISCOLL FAX (978)741-1800 FAx(978)745-0343 MAYOR lramdin@salem.com LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT ..APPLICATION FOR PERMIT TO OPERATE �A7/S/WIMMING POOL LOCATION OF POOL_ � � C./✓V NAME OF APPLICANTZ71-1 EL# 978-741 2nn3 MAILINGADDRESS EAST COAST PROPERTIES, 400 HIGHLAND AVE. . SALEM MA CERTIFIED POOL OPERATOR 01 -182673 Name: arnrjrew .7 Ansglme Cert#: TEL# 978-859-4001 DATES OF OPERATION(if not annual): MEMORIAL DAY to LABOR DAY DAYS &HOURS OF OPERATION: 7 days a week - 10 AM - 9 PM TYPE OF POOL Public Semi-Public xy Special Purpose FEE: $210.00 for year round pools $140.00 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code,before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. A GLChapter3C, n 49a, I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have a returns and Date SS#or Federal Identification Number Revised /I1 poolapp]].dor Check#Date 1 CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH 120 WASHINGTON S'1 nx,4"FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 NLIYOR FAY(978)745-0343 Iramdin salem.com LARRY RAMDIN,RS/RI"iI-IS,CHC),CV-FS HEAI.rtIAcu'Nt, Swimming Pool Inspection Report Pool: LdZ*110H1n3,_i Ctrdoo Date: 5-11-11 Address Phone: Operator: Max Bathing Load: In accordance with 105 CMR 435.00 Minimam Standards for Swimming Pools;State Sanitary Cade Chapter V. _Annual Permit Posted — ,./ Health and Showers signs Posted ,7 Health: no sick employees,no sick bathers, bathers take showers,spitting prohibited,no glass. _1_Lifeguards: Present _Certification _Red/orange suit _"Guard"printed on jersey —Sun block avail. _Voice Amplifier _Elevated seat Emer.Communication:phone at pool Phone instructions _✓Emergency numbers / ✓Phone in unlocked area ✓ Safety Equip: for each 2000,sq.feet ✓fescue tube or ring buoy(with rope) _„_/Backboard with collar and straps First Aid: Equipment area on n ,/'(35) I"band-aids 0)3x3 gauze .7(2)5x9 surgipads ✓(12)antiseptic wipes iy �y 17 1) 8x 10 Surgi __!5::�2)2"soft roller bandages Scissors " (2)3"Soft roller bandages Tweezers t/(1) '/,roll hypoallergenic tape Rescue blanket lice packs / ✓Pocket mask �terile isotonic eyewash ✓ Disinfection _I o Chlorine '!_i5 pH 7.2—7.8 Residual free 1-3,Combined 0-0.2 _Bromine _pH 7.2—7.8 Residual 2-6 (ppm)(mg/1) Y Rec s Kept: Water tests 'Chemicals Used VBalckwashing b!Attendance .IIioursofoperation —��i�Depth Markings Sidewalk and inside pool _1Diving Boards rigidly constructed,properly anchored,braced for heaviest load,no splinters or c cracks,non-slip surface,not over 10'above water level and at least 13'unobstructed headroom Bathhouse: Separate dressing and sanitary facilities for each sex,adjacent to pool,well lighted, drained,ventilated, impervious construction,one shower and one toilet per 40 bathers,hot and cold water,soap provided,no common cups,towels,combs,pool adequately enclosed,approved drinking water facilities Notes: 5E­u ti� �wr.. �� 44�ir�tk Cal�n�r yTt Received b . Inspected by: �� 06 CTI'Y OF SALEM, MASSACHUSE fS BOARD OF II :1LTH IPublicFleatth 120 WASHINGTON STREE ,4 r FLOOR TFJ_ (97 8)741-1800 FAX(97 8)745-0343 KIMBERLEY DRISCOLL lramdinDa alein.com I„11URY IM1I?iN,3LSf Rt{hiS,CF{C�,CV-F5 MAYOR HFA :I'I I A(ikNT Swimmina Pool Inspection Report Pool: 1 Cjf1V IIk� Q) Date: 5b� �� ov Address Phone: Operator: Max Bathing Load: In accordance with 105 CMR 435.00 Minimum Standards for Swimrnine Pools•State Sanitary Code Chapter V. Annual Permit Posted Health and Showers signs Posted Health:no sick employees,no sick bathers,bathers take showers,spitting prohibited,no glass. Lifeguards:Present Certification _ Red/orange suit "Guard"printed on jersey Sun block avail. _Voice Amplifier _Elevated seat Emer,Communication:phone at pool _Phone instructions _Emergency numbers Phone in unlocked area _—A/—Saf_ety Equip: for each 2000,sq.feet _Rescue tube or ring buoy(with rope) t / _Backboard with collar and straps bec of I a4, y FirstQQid: Equipment area (35) 1"band-aids (10)3x3 gauze (2)5x9 surgipads (12)antiseptic wipes (1)$x10 Surgi (2)2"soft roller bandages Scissors (2)3"Soft roller bandages Tweezers (1)'fz roll hypoallergenic tape Rescue blanket —ice packs Pocket mask — sterile isotonic eyewash pip�` t c} _Disinfection �J Chlorin' _pH 7.2—7.8 Residual free 1-3,Combined 0.0.2 Bromine 1119 pH 7.2—7.8 Residual 2-6 (ppm)(mg/1), Records Kept: Water tests _Chemicals Used _Backwashing Attendance _Hours of operation Depth Markings Sidewalk and inside pool Diving Boards rigidly constructed,properly anchored,braced for heaviest load,no splinters or c cracks,non-slip surface,not over 10' above water level and at least 13' unobstructed headroom NiJARathbouse: Separate dressing and sanitary facilities for each sex,adjacent to pool,well lighted, drained,ventilated, impervious construction,one shower and one toilet per 40 bathers,hot and cold water,soap provided,no common cups,towels,combs,pool adequately enclosed,approved drinking water facilities Notes: Received by: Inspected by: t, CITY OF SALEM, NIASSAC iUSL '_Q Y BOARD OF HF,1I.1'H 120 WASHINGTON STREET,4°1 FLOOR I IMBERLEY DRISCOLL TEL. (978) 741-1800 MAYOR Fax(978) 745-0343 Iramdin@salem.com LARRY RANIDIN,RS/REI-IS,CHO,CP-FS I-IFAuniAGF.Ni Swimming Pool Inspection Report Pool: �I 111 1 15 Ql'1l7 d Date: s///a / 6 Address Phone: Operator: Max Bathing Load: /n accordance with 105 CMR 435.00 Minimum Standards for Swimming Pools:State Sanitary Code Chapter V. Annual Permit Posted Health and Showers signs Posted Health: no sick employees,no sick bathers, bathers take showers, spitting prohibited, no glass. vJW Lifeguards: Present —Certification _Red/orange suit _"Guard" printed onjersey A_Sun block avail. _Voice Amplifier _Elevated seat mer.Communication: phone at pool Phone instructions _Emergency numbers _Phone in unlocked area Safety Equip: for each 2000, sq. feet Rescue tube or ring buoy(with rope) _Backboard with collar and straps First Aid: Equipment area V (35) 1"band-aids _V00)3x3 gauze 2)5x9 surgipads 12)antiseptic wipes O 8x10 Surgi V(2)2"soft roller bandages p Se, ssors 1/(2)3"Soft roller bandages �' O weezers :V(I) '/2 roll hypoallergenic tape l9 Jtescue blanket ✓' e packs y�Pocket mask ✓sterile isotonic eyewash Disinfection* _Chlorine'7.6 pH 7.2–7.8 Residual free 1-3,Combined 0-0.2 / _Bromine _pH 7.2–7.8 Residual 2-6 (ppm)(mg/1) 9� Reco s Kept: Water tests ✓Chemicals Used /Backw ashing it Attendance ✓ Hours of operation V\OW Lj"t-� Depth Markings Sidewalk and inside pool Diving Boards rigidly constructed,properly anchored,braced for heaviest load,no splinters or c cracks,non-slip surface,not over 10' above water level and at least 13' unobstructed headroom N Bathhouse: Separate dressing and sanitary facilities for each sex,adjacent to pool,well lighted, drained,ventilated, impervious construction, one shower and one toilet per 40 bathers,hot and cold water, soap provided, no common cups,towels,combs, pool adequately enclosed,approved drinking water facilities Notes: ReceivedInspected by:1E 5Gd a*iJPe4r Commonwealth of Ma'ssachesetis` City of Salem Board of Health Kimherlev Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Swimming Pool Seasonal Permit DATE PRINTED: 05/24/2011 ESTABLISHMENT NAME: Loring Hills Condo Pool File Number:BHF-2004-000199 East Cost Properies 400 Highalnd Ave Ste. 11 Salem. MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes SWIMMING POOL- BHP-2011-0444 May 28,2011 Sep 6,2011 $140.00 SEASONAL Total Fees: $140.00 PERMIT EXPIRES ISeptember6, 2011 Board of Health Page 1 i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR . . - - DGREENBAUMQSALEM.COM DAVID GREENBAUM,RS ACTING HEALTH AGENT 2011 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OF POOL LORING HILLS CONDOMINIUM, 6 LORING HILLS AVENUE NAME OF APPLICANT LORING HILLS CONDOMINIUM TEL# 978 741 2003 UNIT 1 TRUST MAILING ADDRESS 400 HIGHLAND AVENUE, STE 11 , SALEM MA 01970 CERTIFIED POOL OPERATOR Name: ANDREW J. ANSELMO Cert#01 18U.673TEL9g78-857-48(11 DATES OF OPERATION (if not annual): MEMORIAL DAY TO LABOR DAY DAYS &HOURS OF OPERATION: 7 DAYS A WEEK — 9 AM — 8 PM TYPE OF POOL Public Semi-Public XX Special Purpose FEE: $210.00 for year round pools $140.00 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code, before any renovations, improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 63C, Section 49a, I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state taxt 'ns and paid all state taxes required under the law. l 5 11 11 04 2983765 Si f n ture Date SS#or Federal Identification Number Revised 10/6/10 poolappI Ldoc Check# Date �1 i/0 East Coag'Properties;'LLC. 49pYggh6nd Avenue:SU.11 Salem,MA 01970 (978)741-2003 EaslCoestPro@aol.com y Commonwealth of Massachusetts City of Salem Board of Health 120 Washington Street,4th Floor SALEM,MA 01970 Swimming Pool Seasonal Permit DATE PRINTED: 06/23/2010 ESTABLISHMENT NAME: Loring Hills Condo Pool File Number:BHF-2004-000199 East Cost Properies 400 Highalnd Ave Ste. 11 Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes SWIMMING POOL- BHP-2010-0424 May 28,2010 Sep 6,2010 $140.00 SEASONAL Total Fees: $140.00 PERMIT EXPIRES September 6, 2010 Board of Health r Page 1 P CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASI-]INGTON STRE rin',4T FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGR1:LN13AU,M a).SALEM.COM DAVID GREE.NBAUM, ACTING HEALTH AGENT 2009 APPLICATION FOR PERMIT TO OPERATE A SWIMMING POOL LOCATION OF POOL a 0© C0 l^r 0 U 14i /1/ /l U 'L- S ( kfwk� NAME OF APPLICANT V r 1_L (Cv V,��;n S p, TEL# 79/ - ?3a MAILING ADDRESS 500 w �� ,vr,'�a S T a✓ k Su fi r OSa W cDt7t c�� i� � 6/g o l CERTIFI D POOL OPERATOR ( R oq Name: OL V"c� G , TD l I / Cert#:0J:!2(%- � �)O EL# �gl—J!Mon , r DATES OF OPERATION (if not annual): / (7� /t/- Tp 0� N�, pyt —Fri r DAYS &HOURS OF OPERATION: 10.00 A g4. f p S.ecle- M, 5o_�, _ 5A n TYPE OF POOL Public Semi-Public Special Purpose FEE: $210.00 for year round pools 140.0 for seasonal$40.00 Non-Profit (Please pay total with one check payable to the City of Salem) This permit is not transferable and must be reissued upon change of ownership. In accordance with the State Sanitary Code,before any renovations,improvements,or Equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 63C, Section 49a,I certify under the pains and penalties of perjury that I,to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law. ,5 / zI 120{o 3z - GoF3 G�o� nature e Date SS#or Federal Identification Number Revised 8/14/07 poolapp.wpd Check# Date ,g41 T D