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45 TRADERS WAY - SUBMETERING WS CERTIFICATES MASSACHIISETTS DEPARTUENT OF PIIBIAC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordan,ce with M.G.L. c. 186, `22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitanv 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: 45 Traders Way Unit 4 10408 #Of units in bld . 28 City/Town: Salem _ MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 10.5 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 sc►vcr,The devices must meet die follo►ving 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 u`"'gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 °'"'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 testinS of tlhe American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. Submetering equipment information: _ Minol _ Minomess 130 i Manufacturer Model 4 Licensed Plumber Certification Michael Muise 11058 10/15121 Print Name of Plumber License 4 Date 1 certify that(check all that apply): DI have installed the submetering equipment listed above in accordance with accepted plumbing standards. 0 I have installed one or more water closets not exceeding 1.6 eallons 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 company 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. L'2tj � C�i�� `� _• V�I~� Si naturc of Licensed Plumber Property Owner Certification I Cuftify that. (1)This tltvclliug unit is eligible for late 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 showenccads, 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.►vas installed by a licensed plumber and is in compliance with the standards specified above,or the water meter pleasuring the use of water in this dwelling unit was installed by a"water company" as defined in M.G.L.c. 1$6, §22; (4)The water incter or submeter measures the water usage exclusive to this unit.(S)I will provide to the tenants of this dwelline unit,prior to occupancy.a written rental agreement that clearly provides for die 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.. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC `Z Print Name of Owner _ Signature of Owner �JI Date The property has been transferred to owner above and the unit Submiticd remains in compliance with the requirements of M.G.L.c. 186, §22 Date: to BOH: DEC 10 20 h '1H15 FCitR`,'i MUST BE I=LED WITH THE t.ClCA r?0AR0 OF HF-A .'TH PMO R"rcr INO' IA-rank`-.: S'+,lBME— r-'PU Cff� 6W SALEM TviDPA-CSP Sulamcl.erint[Fann Rev, l 1.8?0'l.claes BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PUBIAC HFEALTH 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: 45 Traders Way Unit# 10407 #Of units in bldg. 28 City/Town: Salem _ MA Zip Code: 01870 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: Showenccads with maximum flow rate not to exceed 2'' gallons per minute (2.5 gpm) Faucets with maximum flow rate not to exceed 2=`'"gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I "`"'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 oraccuracy 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 infonnation: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10115/21 Print Name of Plumber License# Date 1 certify that(check all that apple): M❑I have installed the submetering equipment listed above in accordance with accepted plumbing standards. x❑I have installed one or more water closets not excecding 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 company 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, _ Sienaturc of Licensed Plumber Property Owner Certification , I ccrtify that. (I)This dwelling writ is eligible for the imposition on the tenants of a charge for tit aier and/or server usage in accordance with the water submetering law(MU c. 186.§22).(2)All showenccads, faucets. and water closets in this dwwelling unit are water conservation devices that meet the standards specified above:(3)The water submeter measuring the use of water in the dwelling unit Avas 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)Tlic 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 cope of this certification fonn_(6)That all infonnation included on this certification is true and accurate to the best of my knowledge. Signed under the pains and penalties of perjury, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC J! 4 Print Name of Owner SiL-,nature of Owner Date The property has been transferred to owner above and the unit Submitted remains in compliance with the requirements of. M.G.L. c. 186, �22 Date: to BOH: DEC 10 202 "?#? !tls,` IYtt' T l 1 rr ty!"rH .i i.,f f �� Or- �:rtl: A ,_ . p ;="`t ? rI t i , ,t 'C:I, CDf., [' OF 3�1... t.r H T r' INI,C�'t.NG. :xUB1,14ETE�ING CITY OF SALEM NiDPB-CSP Suhmetcring Form Rev. I IX 1-021.doex BOARD OF HEALTH MASSACHIfSETTS DEPARTMENT OF PUBLIC HEALTH SUBM.ETERING 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 Sanitan Code Chapter 1I),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. PROPERTY INFORMATION Address: 45 Traders Way Unit# 10406 #Of units in bld 28 Cit►'/To►wn: Salem MA Zile Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water conservation devices prior to a dwelling unit becoming eligible for the f imposition on tenants of a charge for water and/or sower.The devices must meet the following specifications: Sho►erheads with maximum now rate not to exceed 2', gallons per minute(2.5 gpm) I Faucets with maximum flow rate not to exceed 2 2"k'gallons per minute(2.2 grpm) Ultra-low flush water closets(toilets)not to exceed 1 wri gallons per flush(1,6 gpf) The submetering equipment used to measure the quantity of water used for each d►►selling 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 submctering equipment. Submetering equipment information: Minol Minomess 130 _ Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15121 Print Name of Plumber Liccnse# Date 1 certity that(check all that apply): QI have installed the submetering equipment listed above in accordance with accepted plumbing standards. 911 have installed one or more water closets not exceeding 1.6 gallons per flush. ❑ Determined that existing water closets do not exceed L6 gallons per flush, ❑ The plumbing permit issued by the cite/to►wn, il'required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company 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 perjur}-_ Si rnaturc oI'Licensed Pltlrrtbcr 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 sew.-er usage in accordance with the water submetcring 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 treasuring 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)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 cope of this certification form:(6)That all information included on this certification is true and accurate to the best of my knowledge. Signed under die pains and penalties of perjury, t t-omas D.Beaton,senior Vice President,Management,CAPS,CPM ,ram Th e Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC I i Q Print Name of Owner �V�V���'��II S�mature of 0►►ncr l -- - - - Date E U The property has been transferred to owner above and the unit Submitted remains m com)liance►with tine re tiirements of M•G.L. c. 186, S22 Date: to BOH: DEC 10 021 3 A 4 R r s t' r.� ;-;;fit� t=�.t6elk'1 M1���1'l:>f rl�.F?� t�tirl" l,•-t."i 1#,:. l.�i€`:�i. t'�._��,�,€�i�F i�?r.:;�'.;>t•i €���.?0= TO y NMI AT!NG attfsF=�?`Fly C:1�=OF SALEM 1\rQ)PT-I-CSP Sulimetering Form Rey-. 1 l,R.?C)21.dc>c,, BOARD OF HEALTH 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 dw-elling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service, _ PROPERTY INFORMATION T f Address: 45 Traders Way Unit 4 10405 #Of units in bl&,. 28 City/Town. Salem T MA Zii}Code: 01910 EQUIPMENT INSTALLATION INFORMATION f 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 scivor. 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 now rate not to exceed 2 2`1 gallons per minute(2.2 gpnm) Ultra-low [lash water closets(toilets)not to exceed I "`t"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, Subnmeteriimg egtipment infonation: Minol _ Minomess 130 Manufacturer _ Model Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apple): x❑T 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[lush. ❑The plumbing permit issued by the city/town, if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 1867 e 22(p),does not require the installation of a submeter. Signed under the pains and.penalties of perjur<. Si nature of Licensed Plumber Property Owner Certification I cu;t-tifi than. (1)This dwelling unit is eligible for the imposition oil the tenants of 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 nmcasuring 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 submetcr measures the water usage exclusive to this unit:to I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for dme separate charging of water and/or sewer service,and a cope of this certification forth: (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. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM W LC — PrintName ot'Owner Signature of Owner Date Date Tlme property has been transferred to owner above and the unit Submitted remains in coin)liance with the requirements of M.G.L. c. 186, §22 Date: to BOH: 21 !�} FORM 1`It^l4s I'Z 1-=F.f' 'v3Tr4 i'"I '.l. ft. 1. F. L FS, -t`1 �r st-�y;q-rt_}{=� 's i:. 7''' 't :+ C a:. ». C HEAL t E, _l.' t,.t 1�' D ATING `l�a.il�(..' CITY OF SALEM TvMPIT-C'SP Submetering Fomi Rev. 11.8.?021.doex BOARD CF HEALTH MASSACHUSETTS DEPARTMENT OF PUBi,IC 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: 45 Traders Way v Unit# 10404 # Of traits in bldg. 28 Cit>>/Town: Salem __ MA _ Zia Code: 01970 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 Mow rate not to exceed 2'gallons per minute(25 gpm) i Faucets with maximum flow rate not to exceed 2 gallons per minute(2.2 grpm) Ultra-low flush water closets(toilets)not to exceed I WRI 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 testinqu or the American Water Works Association or similar accredited association. i, A licensed plumber must install the water closets and submctcring equipment. I Submetering equipment information: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): x❑f have installed the submetering equipment listed above in accordance with accepted plumbing standards. x0 I have installed one or more water closets not exceeding: 1.6 gallons per flush. ❑ Detcnmined that existing«kater closets do not exceed 1.6 gallons per flush, ❑The plumbing pernhit issued by the city/to»n, ifrequired,is attached. ❑ Dwelling unit is connected directly to a ureter installed by a water company 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, Signature of Licensed Pltnnbcr Property Owner Certification I certify that; (1)This dwelling uttit is eligible for the imposition on the tenants of a charge for water and/or sewer usage in accordance with the water submctcring 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% ater 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 tie water usage e\elltsive to this unit;(5)1 w411 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 forth.- (6)That all information included on this certification is true and accurate to the best of my knowledge. Signed under die pains and penalties of perjure ? moms D.Beaton,Senior Vitt President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings UC _ JPrint Name of Owner Si,'nature of Owner Date J n The property has been transferred to owner above and the unit Submitted remains in compliance with the requirements of M.G.L. c. 186, S22 Date: to BOH: DEC 10 2011 ..T1`la` FORM rAtUST€E FILED WMI-i-E IHE 1.0CAL BOARD OF H€::A T l: Ps`:K)E,s TO INI T I TtNr CITY OF SALEM MDPi-I-ASP Submcterintt f=tirn1 Rev. 1 I.R.202l.ducx BOARD OF HEALTH MASSACHIiSETTS DEPARTNTENT OF PUBLIC HEAi.,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM Nn accordance witm 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: 45 Traders Way Unit 4 10403 #Of units in bldg. 2$ City/Toww Salem MA Z1 Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 4.10.000 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 server. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2 t alIons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2=u1 gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I t1f W 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: _ Mino) Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certlR,that(check all that apply): [El have installed the submetering equipment listed above in accordance with accepted plumbing standards. xX 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 company 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 Si nature of Licensed Plumber Property Owner Certification I curtifw that. (1)This dwelling unit is eligible for the itposition on the tenants of a charge for%hater and/or sewer usage in accordance with the water submetering law(MG.L c. 186. §22); (2)All shoyverlmcads, 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 submctcr measures the water usage exclusive to this unit; (5)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 certification form: (6)That all information included on this certification is true and accurate to the best of my lmowlcdt!e. Signed under the pains and penalties of periuiy. 'Thomos D.Beaton,Senior Vice President,Management,CAPS,CPM ;AEnSigvnait�ure The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLPrint.Name of Owner of Owner _ Date Date The property has been transferred to owner above and the unit Submitted remains in conJiance with the requirements of M.G.L.e. 180. 922 Date: to BOB: 1 "TM"TMS FORM, MUST Sr FftF-.D A11TH THE, 1.DI(A, BOARD 43F r4FAIJ14 I"'f=;f'R TO INITIATING G SUBN-ffe CITY OF SALEM iv0PN-CSP Sulmtetering Form Rev i I.1t.202l.docx BOARD OF HEALTH MASSACHIJSETTS DEPARTMENT OF PUBLIC. HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM kin accordance with M.G,L.c, 186,§22 and 1.05 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitany 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 I Address: 45 Traders Way Unit 4 10402 #Of units in b1dg, 28 I Cit%/Toun: Salem MA _ Zin Code: 01970 EQUIPMENT INSTALLATION INFORMATION 1 105 CrVIR 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 moot the following specifications: Shoverheads with maximum [low rate not to exceed 2''gallons per minute(2.5 -pm) Faucets with maximum floe rate not to exceed 2 211°gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 °""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: Minol Minomess 130 _ Manufacturer iModel# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I eertif-that(check all that apple): xQt have installed the submetering equipment listed above in accordance with accepted plumbing standards. FX-1 1 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(lush. The plumbing permit issued by the cite/town. if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a seater company and.in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submcter. Signed under the pains and penalties of perjure, Si nature of Licensed Plumbcr _ Property Owner Certification I certifi that. (I)This dwelling unit is eligible for the imposition on the tenants of a charge for water and/or seiver usage in accordance with the water submetering law(MGL c. 186. §22); (2)All sho►vcrheads, 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 Beater 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►eater ui this d►eellinL unit was installed by a"water company" as defined in M.G,L. c. 186, 22; (4)The water meter or submetcr measures the water usage exclusive to this unit;(5)I ►►-ill 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 seiner service,and a copy of this certification farm; (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 perjure-, i•omas D.Beaton,Senior Vitt President,Management,CAPS,CPM e1 ^ 1'he Dalben Company,fnc.,Managing Agents for Traders Way Residential Holdings L� ,Sihmature C (. Print Name oi'O►encr of Owner - n 0 The property has been transferred to opener above and the unit Submitted remains in compliance with the requirements of M.G.L. c. 186, §2l2`4. Date: to BOH: T DEC 1 0 20 1 ' I-1€S s=�,il' M, Lt UST BE FIL E'I:;t/t"Ir t T?€1 t_0 �y_ r; ,.R 0'OF i,,FtF:F..f f't P-r*� R r o INITIA'11ING St.l£'M1ET"b R0 f"G, CITY OF SALEM VDPH-CSP Submetering Form Rev. 11.8?02Ldoee BOARD OF HEALTH MA,SSACH'USETTS DEPARTMENT OF PUBLIC HEAI.,TH SUBMETERI.NG OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L. c. 186. e 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan�Code Chapter 1I),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. _ PROPERTY INFORMATION Address: 45 Traders Way Unit# 10401 #Of units in bid,,,. 28 Cit%/Towvn: Salem _MA _ Zii�Code: 01970 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 ofa charge for water and/or saver. The devices mast 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',i"gallons per minute(2.2 gpm) Ultra-tow flush water closets(toilets)not to exceed I "'"`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: Minol Minomess 130 Manufacturer ,Model# Licensed Plumber Certification Michael Muise 11058 10/15121 Print Name of Plumber License# Date t certif<- that(check:all that apple): X l Have installed the submetering equipment listed above in accordance with accepted plumbing standards. X[] 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 company and,in accordance with M.G:L. c. 186, §22(p),does not require the installation of a submeter, 4, } Signed under the pains and penalties of periury. " � � 1 ���GO ;,` ✓� Sienaturc of Licensed Plumber Property Owner Certification I certify that. (1)This dwelling unit is eligible for Ole imposition on the tenants of a charge for neater 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«rater 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 sen!ice,and a cope of this certification form.(6)That all information included on this certification is true and accurate to the best of my knowledge. Signed tinder the pains and penalties of penury, Thomas D.Seaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC I aq la Print Name of Owner Signature of Owner 11 Date The property has been transferred to owner above and the unit Submitted i remains in coal l#iance with t)he ree uir'eme'{'nts ofe M.G.L. c. 186,, R,22 Datc: q r to 13OH: l i THE 1"t.Rr0 1�11US BE FIi,E.., A!1'}9T THE E l_r:,.CA; n`�'�': ! (.-YF 3r,, -�A'y'H �yhI...r "�.0'�e ;.1.'1A{11N � .y.. 16 t #.1F To,tit..k i ;i + l�`# e r.. 'st ?v� i l;lti� CITY OF SALEM Nff)PXl-CSP Submetering Form Rev. 11.8.202Ldoex BOARD OF HEALTH 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: 45 Traders Way Unit# 10308 #Of units in bldg. 28 City/Town: Salem MA Zits Code: 01970 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 (low-rate not to exceed 2'' gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2,;"gallons per minute(2.2 gpni) Ultra-low flush water closets(toilets)not to exceed 1 6710 gallons per flush(.1.6 gpf) The submetering equipment used to measure the quantiov 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: Minol _ M_ino_mess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date i certify that(check all that apply): MX 1 have installed the submetering equipment listed above in accordance with accepted plumbing standards. X[ I have installed one or more water closets not exceeding 1.6 gallons per(lush. ❑ 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. ❑ Dwcl ling unit.is connected directly to a meter installed by a water company and,in accordance with M.G.L .e. 186,a 22(p),does not require the installation of a submcter. /4 'j Signed under the pains and penalties of cr'urv. �' 1 pe p 1 Si mature ofLiccnscd 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. ti22): (2)All showcnccads, faucets.and water closets in this dwelling unit are water conservation de-ices 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 companv`' as defined in M.G.L. c. 186, ;;22, (4)The water meter or submetcr measures the water usage exciusiyc 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 cope 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, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM �1 ^ The Dolhen Company,inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Si nature of Owner V1 E D ' Date Q The property has been transferred to owner above and the unit Submitted remains in compliance with the rel uirements of M.G.L. c. 196, $22 Date: to BON: DEC 10 2021 '"t 1415 FOWA NAUST ICE FILED THE s.0 ,., RCI ' GJF F t PrRi- TY) €Nlfi ATiJI' y y P � �! ai.�.�:t'3[.7 :i € ?.."0.:.i 1'i ; ?`;.cJ}; Y 1 i z. )r��C I' ri�,i' �ITYIC F SALEM 1vfl)Pl-1-00 Su6metering Form Rey. 11.R.?C►?l.docx BOARD OF HEALTH MASSAC14USETTS DEPARTMENT OF PUBTAC UEAI.,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.e. 180, §22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan,Code Chapter 11),the follo►►ping dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. _ PROPERTY INFORMATION Address: 45 Traders Way unit 4 10307 #Of units in bldg. 28 CitviTown: Salem _ MA Zip Code: 01970 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 22'10 gaIlons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I 6`1°'gallons per flush(1.6 gpf) I The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuract.- and testing orthe American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. Submetering equipment information: Minot Minorness 130 _ Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certif-,; that(check all that apply): [Ei have installed the submetering equipment listed above in accordance with accepted plumbing standards. X❑I have installed one or more water closets not exceeding L6 gallons per flush. ❑Determined that existing water closets do not exceed 1.6 gallons per flush. ❑The plumbing pcmiit issued by the cite/town,if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186. §22(p),does not require the installation of a submeter. ,fir. Signed under the pains and penalties ofpetjur�, 'r2r ,�1: Signature of Lic_nsed Plumber Property Owner Certification I ct;rtiN that. (1)This dwelling writ is eligible for die imposition on the tenants of a charge for water and/or server usage in accordance with the water submetering law(NIGL 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"►►ater company" as defined in M.G,L.c. 186, § 22; (4)The water meter or submeter measures die 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 sever 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, Thomas D.Rcaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC I a Print Dame of Owner IF Si;,nature of Owner ED Date The propert. has been transferred to owner above and the tuiit Submitted remains in com Aiance with the requirements of M.G.L. c. 186, 122 Date: to BOH: DEC 10 2 21 "T HITS FORMI I'ViL1S T 0F: 1'lt rD WITH T H 1-OCAL 8C Af_ ! OF HEA;`..!-ri f'JOR O ONQf>`::,I'iNGSi.#t M-E T EP'J"5 CITY OF SALEM 1M]PN-00 Submetering Fomi Rev. 11.9.2021.doax BOARD OF HEALTH IViASSACHUSETTS DEPARTMENT OF PI.IBI,iC NEAi._.TH SUBMETER[NG 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 sere ice. PROPERTY INFORMATION Address: 45 Traders Way _ Unit# 10306 #Of units in bldg. 28 Citr/TOWIL Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of muter 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 moot 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"'gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I °I"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 or accuracy and testing or the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. Submetering equipment information: Minos Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certili that(check all that apply): NIT have installed the submetering equipment listed aloe=e in accordance with accepted plumbing standards. 0 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 pen-nit issued by the city/town,if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company 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 perjuun, f''GZ. ;Fs'r/ Chi' l ''� ,�; /� Signature of Licensed Plumber Property Owner Certification I curlifi dial. (1)This dwelling unit is eligible;for the imposition on the tenants of a charge for water and/or seAver usage in accordance with the water submetering law(MGL c. 186.§22); (2)All shoNverlicads,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. t86, §22; (4)The water meter or submeter measures die water usage cxclusiwc to this unit;(5)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 cope of this certification form;(6)That all in.fonuuation included on this certification is true and accurate to the best ofmy knowledge. Signed under the pains and penalties of perjury. Thomas D.Beaton,Senior Vice President,Management,CAPS.CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC [a a Print Name of Owner Signature of Owner Date The property} has been transferred!o otiener above and the unit Submitted remains iCn/comgtlpiapncc with the rep uiremern�tgs of M.G.L. c. 186, s22 Date: to BOH; 1 'THIS,E IS, tl"O I M.L15Y BE f151 5 a %rl",l H Y i:- LOCAL ) D X F' fi r IF—D T p f •iT r f p r Nam, sc�.�. _ir. L �. �s i. �,t.�l'� Plt:lv;R tC; ['� ;1:�TIN� ;;€sEtl�l:1"t:ftt�4� CITY OF SALEM 1vMP11-CSP Submetering Fnmt Re%?. I i.8.242IAocx BOARD OF HEALTH MASSACHIJSETTS DEPARTMENT OF PIJRL1C HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM kIn accordance with M.G.L.c. 186. e 22 and 1.05 CMR 410.000: Minimum Standards of Fitness for Hutnan 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 sen_�icc. PROPERTY INFORMATION Address: 45 Traders Way _�— Unit# 10305 #Of emits in d& 28 Citci"fo►vtt: Salem — MA _ Zill Code:_ 01970 EQUIPMENT INSTALLATION INFORMATION 1055 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 saver. The devices must meet the following specifications: Showcrheads with maximum flow rate not to exceed 2' gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2='"gallons per minute(2.2 Spin) Ultra-low flush water closets(toilets)not to exceed 1 °'"'gallons per Bush(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 testinS of the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetcring equipment. Submetering equipment information: Minol Minomess 130 --- Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15121 Print Name of Plumber License# Date I certiy:that(check all that apply): 01 have installed the Submetering equipment listed above in accordance with accepted plumbing standards. x0 I have installed one or more water closets not exceeding 1.6 gallons per!lush. ❑Determined that existing water closets do not exceed 1.6 gallons per flush. The plumbing permit issued by the city/tovoi, if required.is attached. ❑Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L ,c. 186, S 22(p),does not require the installation of a submcter. Signed under the pains and Penalties of erJur%. 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 submetcring 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 submcter 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.e. 186, ;22; (4)The water meter or submcter measures the water usage exclusive to this unit;(5)] 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 Corm:(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 periun-.. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC �� 1 Print Name of Owner Si nature of Owner ale, ir Date 0 The property has been transferred to o►yner above and the unit Submitted remains in com liance with the requirements of M.G.L. c. 186,;22 Date: to BOH: DEC 1 0 Z4 :.THIS t=ORI''VI MUST trlw 1-1t.1�f"WITH T$4E!:aCAL. B(.'i,':.N) 0!-' WArLIK €T'JOP TO INMATING CITY OF SALEM lvMPl-l-CSP Submetering Fonn Rev. i I.k.202Ldoer• BOARD OF HEALTH MA.SSACHUSETTS DEPARTMENT OF PUBT.iC HEA1,TH SLIBN1ETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, §22 and 105 CMR 41.0.000: 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: 45 Traders Way Unit 4 10304 #Of units in bldg. 28 City/Town: Salem __ MA ZipCode: 01970 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 serer. The devices must meet the following*specifications: Showerheads with maximum flow,rate not to exceed 2 ;allons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2='"gallons per minute(2.2 eTm) Ultra-Low- flush water closets(toilets)not to exceed 1 6""gallons per (lush(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 sianilar accredited association. A licensed plumber trust install the water closets and submeterine equipment. Submetering equipment information: Minol Minomess 130 L� Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License 4 T Date 1 certify that(check all that apply): [DI have installed the submeterine equipment listed above in accordance with accepted plumbing standards. I have installed one or more water closets not exceeding 1.6 ealtons per flush. ❑Determined that existing water closets do not exceed 1.6 gallons per flush. ❑The plumbing permit issued by the cite/town. if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, ti 22(p),does not require the installation of a submeter, Signed under the pains raid penalties of cr'urv, e P P P 1 Si rnaturc of Licensed Plumber Property Owner Certification 1 ccrtif'� 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 showcnccads, 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 phunber and is in compliance with the standards specified above,or the water motor measuring the use of water in this dwelling unit was installed by a"water company's as defined in M.G.L.c. 186, y 22. (4)The water meter or submctcr measures the water usa c 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 periury. Thomas D.Benton,senior Vice President,Management,CAPS,CPM �1 The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner t Signature of Owner Date Q The property has been transferred to owner above and the unit Submitted + remains in compliance with the requirements of M.G.L. c. 186, $22 Date: to BOH: 5 DEC 10 20 1 f H l'S, a 3E i1T r ¢ i fIV.. �i}:.TF a i FORM F}, �£, O FIG I t� ! tPl t. ' ID 10F 'W.-711, .1+.tD€ T�. N °� l'qr- 6TY OF SALEM MDPI4-CSP submetering Form Rey. 1 1.9-02Ldoee BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PUBLIC HEAI..,TH 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 Htnnan 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: 45 Traders Way Unit# 10303 #Of units in bid 28 City/Town: Salem MA zip Code: 01.970 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: Showeriicads with maximum flow rate not to exceed 2'- gallons per minute Q.5 gpm) Faucets with maximum flow rate not to exceed 2'0 gallons per minute(2.2 gpm) Ultra-lo�v flush water closets(toilers)not to exceed l t"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 Worts Association or similar accredited association. A licensed plumber must install the%vatcr closets and submetering equipment. Submetering equipment information: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise _ 11058 10/15/21 Print Name of Plumber License,', Date l certify that(check all that apple): x❑1 have installed the submetering equipment listed above in accordance with accepted plumbing standards. XQ l 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 directiv to a meter installed bN.•a water compam°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. e ) Signature of Licensed Plumber Property Owner Certification 1 ccrtify that: (1)This dwelling unit is eligible for the illiposition 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 nry knowledge. Signed under the pains and penalties of perjury, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of 0%%iier _ Signature of Owner Da e Date RECEIV 0 The property has been transferred to otivner above and die unit Submitted FD remains in com liance with the req augments of M.G.L. c. 1K �22 Date: to BOH: 71415 t~0WO MU1-;T 6 t r ,. WtT Hr .i:% l k.1AR: O "A k 1 L 'f.1.0- T01 s i I F+qw� ..yy��.R' 0 2021 1vMPIT-CSP Subineterins 1=orm Rev. I L8.2021.doex CITY OF SALEM BOARD,'-"IF Mrr�,'-rH A•tASSAC tfl.rSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETER.ING OF WATER AND SEWER CERTIFICATION FORM "In accordance with M.G.L.c. 186, ,22 and 105 C.M.R 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 server service. PROPERTY INFORMATION Address: 45 Traders Way LJ»it# 10302 #Of units in bld_4 8 Citv/Towvn: Salem _ MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION �f 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''�'gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I "`10 gallons per flush(1,6 gpf) The submeteri.ng 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 die American Water Works Association or similar accredited association, A licensed plumber must install die N%Iatcr closets and submctering equipment. Submetering equipment information: Minol M_in_omess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): MQl have installed the submctering equipment listed above in accordance with accepted plumbing standards. X❑ 1 have installed one or more water closets not exceeding 1.6 eallons per(lush. ❑ Determined that existing water closets do not exceed L6 gallons per flush. ❑The plumbing permit issued by the city/town,if required,is attached. ❑ Dwel ling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, ;;22(p)_does not require the installation of a submeter, f" 1 Signed under the pains and penalties of perijirv. Signature of Licensed Plumber Property Owner Certification I certify that. (I)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 submctering lawv(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 d-vvelling 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. f 8li, y 22; (4)The NA,ater meter or submeter measures the water usage exclusive to this Unit;(5)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 certification form; (6)That all information included on this certification is true and accurate to the best of my knowvledge. Signed under the pains and penalties of periun!. Thomas D.Beaton.Senior Vice President,Management,CAPS.CPM ie Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner c Si nature of Owner VDate 0 Date CEIVED The property has been transferred to owner above and the unit Submitted remains in compliance with the requirements of M.G.L. c. 186, §22 Date: to BOH: I US €=t,:m IM, MUST P3E 1 D 141,W!'H THE 1'(O ID ;;�: � 1 Y 7 '� 't#, s u;�l;. �... t,� c;3 i-r;:3:�=R�1 F5H,1��it:t klk:1 i lAT$Ncy MDPII-00 Submetering Form Rev. 11-9.02l.docx CITY OF SALEM BOARD OF HEALTH MASSACHt1SETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER MIND SEWER CERTIFICATION FORM *In accordance with M.G.L. c. 186. e 22 and 105 CMR 410,000: Minimum Standards of Fitness for Htunan Habitation (State Sanitan•Code Chapter I1),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sever service. PROPERTY INFORMATION Address: 45 Traders Way _ Unit# 10301 #Of units in bld 28 Citv/Tow n: Salem _ MA Zi•i Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CNIR 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 sc,.vcr. The devices must meet the following specifications: Showerlicads with maximum flow rate not to exceed 2'°gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2'11 gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I W10 gallons per flush(1.6 bTf) 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. Submetcring equipment in.fonmation: Minol _Minomess 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License#i Date 1 certify that(check all that apply): FA]1 have installed the submetering equipment listed above in accordance with accepted plumbing standards. X 1 have installed one or more water closets not exceeding 1.6 gallons per(lush, ❑ 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 company and,in accordance with M.G.L. c. 186, §22(p),does not require the installation of a submeter. Signed tinder the pains and penalties of perjureGG+ Signature of Licensed Pltunbcr Property Owner Certification I cw;rtifv drat. (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.showcrheads, faucets,and water closets in this dwelling unit are water conservation devices that nneet 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. t86, §22; (4)The water nncter or submeter measures the water usage exclusive to this unit: (S)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 cop} of this certification form.(6)That all information included on this certification is true and accurate to the best of nnv knowledge. Signed under the pains and penalties of perjury. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC ' i f y_Print Name of Owner Signature of Owner Date The property has been transferred to owner above and the unit Submitted remains in com Aiance with the requirements of M.G.L. c. 186, S22 Date: to BOH: 'TH15,F-OPUYI "'OUST r5E ri'l-µDi siTH fil- /`0 BOARD .�€ TH r R r't IHIA S'p�� f p !L. .1 ti$5 H �t' I.ht At. ��f l-�-'��-ly,. i s �'e':I�.�!' I�.l f S}i?fi try f liK'�.-r .�«1'y1�P�:4�-Z��A�I�';$>3 CITY OF SALEM MDPIi-CSP Suhmetering Form Rev. t 1.9.202Ldocx BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PUBLIC ITEAI.,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186. e 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan•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: 45 Traders Way _ _ Unit 4 10208 #Of twits in bldg. 28 CitVrowtl: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water conservation de-ices 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 tnaxitmtun flotw rate not to exceed 2" oollons per minute(2.5 gpm) Faucets with maximum flow-rate not to exceed 2''`'gallons per minute(2.2 gpm) Ultra-loth (lush water closets(toilets)not to exceed i. "''"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 accurac}!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: Minot Minomess 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certih!that(check all that apply): all have installed the submetering equipment listed above in accordance with accepted plumbing standards X❑ 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 cite/town, if required.is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, §22(p),does not require the installation of a submeter. -' � �a Signed under the pains and penalties of perjury, Si nature ofLiccnscd Plumber Property Owner Certification I ccrtifv that: (1)This dwelling wait is eligible for die 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 shorwerlieads, 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 tmit 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 csclusivc 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 wider the pains and penalties of periun, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM k2lignaturc u Dolben Company,Inc.,Managing Agents for Trader;Way Residential Holdings LLCPrint Name of Owner of Owner CCCXXX lllDate Date ��vv CC `' The property has been transferred to owner above and the unit SubmittcdM t—C C I V4 remains in compliance with the rep uirements of M.G.L.c. 186. §22 Date: to BOH: `THf_ 1F0f t,-,4 1100,!ST D17, F-LF`D W I T f i i 1.1E .0CAdt. R�:�'eIR0 f Al€`1 PPIOR TO INFI IATING MMIB`iif Ta�-r'0 ZOZi MDPN-CSP submetering Fomi Rev. i 1.R.2021.docx CITY OF SALEM BOARD OF HEALTH MASSACHIJSETTS DEPARTMENT OF PI1B1,IC 1fiEAl,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, §22 and 10.5 Chill 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan,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: 45 Traders Way_ Unit# 10207 #Of units in blda. 28 Citv/Town: Salem --- MA Zile Code: 01970 EQUIPMENT INSTALLATION INFORMATION' 105 CMR 410.000 requires the installation of water conservation devices prior to a dwelling tmit 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(25 gpm) 1 Faucets with maximum flow rate not.to exceed 2 2`1 gallons per minute(2.2 gpm) Ultra-low hush water closets(toilets)not to exceed 1 n'"'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 oPaccuracv 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: _ Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification f Michael Muise _ _ 11058 10/15/21 _ Print Name of Plumber License# Date 1 certify that(check all that apply): i )l have installed the Submetering equipment listed above in accordance with accepted plumbing standards. 01 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. Ej The plumbing permit issued by the city/town, if required, is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G,L .c. 186, a 22(p),does not require the installation of a submeter, /, .� Signed under the sins and nalties of run. g p' Pe Pe 1 fGG tCl , .tee a~4�t�/ Signature of Licensed Plumbcr _ Property Owner Certification I certify that. (1)This dwelling unit is eligible for die imposition on the tenants of a charge for water and/or sewer usage in accordance with the water submeterina 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 per Jury. Thomas D.Beaton,Senior Via President,Management,CAPS,CPM �1 The Dolhen Company,Inc.,Managing Agents For Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner bate Date RECEI�The property has been transferred to owner above altd the unit Submitted remains in coma liance with the rem uirements of M.G.L. c. 186. 922 Date: to BOH: sxHl� ln ;�n iiE1 ° . flat,fF°ails'3Titl '..tJC.'-,1. �..`;f3.iF`r{,,: 6f .I '�r P t # ; ss?�5i't't 1v1DP1-1-00 Submetering Fann Rev. 1 I.R.2021.Atwx CITY OF SALEM BOARD OF HEALTH MASSACHI.ISETTS DEPARTMENT OF PIiBiAC RF.AI.,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, `s 22 and 105 CMR 410.000: Minimum Standards of Fitness for Htunan Habitation (State Sanitary Code Chapter 11),the following dwelling unit is eligible for the imposition on the tenants of charge for .water and/or sev%,cr service. _ PROPERTY INFORMATION Address: 45 Traders Way _ unit i# 10206 #Of units in bid-;!, City/Town: Salem MA Zits Code: 01970 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 die following specifications: Showerheads with maximum flo%v rate not to exceed 2"gallons per minute (2.5 gpm) Faucets with maximum flow,rate not to exceed 2="4 gallons per minute(2.2 sTm) { Ultra-low flush.eater closets(toilets)not to exceed I °'1"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 infonnation: Minol Minomess 130 Manufacturer _ V1ode1# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License 4 Date I certify that('check all that apple): -11 have instlled the submetering equipment listed above in accordance with accepted plumbing standards. ]1 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 directh to a meter installed by a water company and,in accordance with M.G.L .c, 186,§22(p),does not require the installation of a submcter. Signed under the pains and penalties of perjury. , sGj � tp / Sicnaturc 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 seiner 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 duelling unit was installed by a licensed plumber and is in compliance with the standards specified above,or the water meter treasuring the use of water in this dwelling unit was installed by a"water company" as defined in M.G.L.c. 186, 3 22; (4)The water meter or submcter measures die water usage exclusive to this unit: (5)h 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 cope of this certification form:(6)That all infonnation included on this certification is true and accurate to the best of my knowledge. Signed under the pains and penalties of perjun-, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC �`�'�� J` Print Name of Owner _ Signature of Owner ate Date The property has been transferred to owner above and the unit Submitted R EC E I E remains in compliance with the requirements of M.G.L, c. 186, 922 Date: to BOH: ' 11 FOR,,`-4 lellrl 'iST ME ti€R,.l.s:.�' V`a�11-H `.''.'H [,OCA' I?1`��`�;F;D-OF HFAt,'Pi I-TOts T'01 U4—'itA >f ���sR'��i ® Z�2� Tltt.tP::; t MDPH-CSP submetering 1=omi Rev. 11.9.2042I.doex CITY OF SALEM BOARD OF HEALTH MASSACHl.1SETTS DEPARTMENT OF PUBLIC HEALTH SUBIVIETERI.NG OF WATER AND SEWER CERTIFICATION FORM kin accordance witil M.G.L.c. 186, §22 and 10_5 CMR 410.000: Minimum Standards of Fitness for Human Habitation (Stale Sanitary Code Chapter lf),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. PROPERTY INFORMATION Address: 45 Traders Way Unit.# 10205 #Of units in bld-. 28 Citv/Town: Salem MA Zip Code: 01970 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 sc«•er. The devices must meet the following specifications: Shower}tcads with maximum flow rate not to exceed 2'-,gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2 210 gallons per minute(2.2 gpm) Ultra-low flush water closets (toilets)not to exceed l "`i°gallons per flush(1.6 3pf) 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 infonnati.on: Minol Minomess 130 _ Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date l ccrtifv that(check all that applv): I have installed the submetering equipment listed above in accordance with accepted plumbing standards. xQ 1 have installed one or more water closets not exceeding 1.6 gallons per flush. ❑Determined that existing water closets do not exceed f. )gallons per flush. The plumbing pennit issued by the city/town; if required.is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L , c. 196, 5 22(p),does not require the installation of a submeter. Signed under the pains and penalties af'perlUrV. ;..'4? SiLm,turc of Licensed Plwnbcr .Property Owner Certification I certify that. (I)This dwelling uiiiL is eligible for the imposition on the tenants of a charge for water and/or serer usage in accordance with the.eater submetering law (MGL c. 186, §22): (2)All showenccads, faucets, and water closets in this dwelling unit are water conservation devices that meet the standards specified above:(3)The water submetcr 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, i 22-1 (4)The water meter or submeter measures the water usage exclusive to this unit.(5)1 fwill 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 non knowledge. Signed under the pains and penalties of perjury, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Trader]Way Residential Holdings LLC Print Name of Owner Siff nature of Owncr D to The properl� has been transferred tv owner above Ind the unit Sub Date mitted RECEI E® remains in compliance with the requirements of M.G.L. c, 186, �22 Date: to BOB: I�rIU T FIE; F sr, ' r LOCAL t �� t r a `AIN TO 1N1Tj1AT"' v ';4T;iI�s ���?�;�vi c "f-e' ;`�.;�' f`�tr _���`f.. � t61;`�£.3 i i� ?'t�=: 1,i i-t } �,li 4 f` j'�.��.: :�.� ?'t'�-� IuiDPI-1-C. P submetering Fonn Rev. I I.R.2021.doex CITY OF SALEM BOARD OF HEALTH MASSACHIfSETTS DEPARTMENT OF Pi1R1.1C HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L. c. 186, a 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan Code Chapter 11),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service, r PROPERTY INFORMATION Address: 45 Traders Way Unit# 10204 #Of units in bld 28 Citv/To%vn: Salem MA Zip Code: 01970 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 now rate not to exceed 2 gallons per minute(2.5;pm) Faucets with maximum flow rate not to exceed 2 gallons per minute(2.2 gpnm) Ultra-low flush water closets(toilets)not to exceed 1 °'!'"gallons per flush(1.6 gpf) The submctering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards tar accuracy and testing of the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submctering equipment. Submetering equipment information: Minol Minomess 130 Manufacturer Model 4- Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date l certiR? that(check all that apply): X❑l have installed the submctering equipment listed above in accordance with accepted plumbing standards. fl 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 company and,in accordance with M.G.L .a 186 §22(p),does not require die installation of a submeter. Al/�.r Signed under the pains and penalties of perjure, Siannturc of Licensed Plumber Property Owner Certification I certify that. (1)This dwelling tutu is eligible for die imposition on the tenants of a charge for water and/or sewer usage in accordance with the water submetering law(MOL 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 meas-wing the use of water in the dwelling unit ,vas 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 defrincd in M.G.L.c. lK ;22; (4)The water meter or submeter measures the water usage exclusive to this unit; (5)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 sevver service-and a copy of this cettification 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. Thomas D.Beaton,Senior Vice President,Management.CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner Difte Date ,pED © The propert. has been transferred to owner above and die unit SubmittecRECEI V remains in compliance with the requirements of M.G.L. c. 186.C22 Date: to i : : BOB: ::THt FORiyI MVS"tr BE f ED %..V " H [_ ^A„ C-u-'I ' l1 OF L? 1T Ci;i1ri t ffNl i TING 5 t idq r D��hti.o 2021 MPH-CSP Submetering Fomi Rev. 11.8?02 Ldoex CITY OF SALEM BOARD OF HEALTH MASSACHI.ISETTS DEPARTMENT OF PtIR1,IC HEAC.TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L. c. 186, a 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: 45 Traders Way _ Unit# 10203 4 Of units in bldg. 28 Citv/Twvn. Salem MA Zip Code: 01970 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: Showcrheads with maximum [lore rate not to exceed 2"1 gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2 "'gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 °'I"gallons per flush (1.6 gpf) The submetering equipment used to measure the quantity of water used for each dwelling atilt 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 inforniation: _ Minol Minomess 130 Manufacturer Model# Licensed Plumber Cetlification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certift that(check all that apph'): QI have installed the submetering equipment listed alxwc in accordance with accepted plumbing standards, X❑ 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 pernia issued by the cite/town, if required,is attached. ❑ Dwelling unit is connected directly!to a meter installed by a water company and,in accordance with M.G.L .c. 186, y 22(p),does not require the installation of a submeter. " .r..- Signed under the pains and penalties of perjun• ''i'2r��! r. Signature of Licensed Plttmbcr Property Owner Certification ' I crrtif}° that. (1)This dwelling unit is eligible; for flit; 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 showcrheads, 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 tic use of water in this dwelling unit was installed by a"water company" as defined in M.G.L.c. 1.86, §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 cope of this certification form: (6)That all infornnation included on this certification is trite and accurate to the best of niv knowledge. Signed under the pains and penalties of perjurv. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC ;c - �- law h I Print Name of Owner Si nature of 0«rner Date Date I The property has been transferred to owner above and the unit SubmiucdFRECEIVED remains in cornAance with the requirements of M.G.L. c. 186,V2 Date: to BOH: I tS� •..^.r.1a x +} t�^;• n*, �. S'r.! `rTJ` 'C}.-'• r, '�"t` �S. �` irvt•" R re-^•hy } i;, e. I-I" €:0P •Iy f4.iz . I lt.. 'VV. .4 E l.0t L. .3t�,� l) i); s EAI.TH PRIOR T V? it aITIATi r � ,t tl- 2021 T.-Er l,4.DP.14-CSP Submetedng Fomi Rey, I I.R.202Ldoes CITY OF SALEM BOARD OF HEALTH MASSACHIJSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L, c. 186, a 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code Chapter 11),die following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. _ PROPERTY INFORMATION Address: 45 Traders Way Unit# 10202 #Of units in bl&. 28 Citv/Town; Salem _ _ MA Zip Code: 01970 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 die following specifications; Showerheads with maximum flow rate not to exceed 2`-' gallons per minute(2.5-pm) Faucets with maximum lo►v rate not to exceed 2=1"gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 °11 gallons per(lush(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: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certiEv that(check all that apple): x❑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 pen-nit issued by the city/town, if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, § 22(p),does not require the installation of a submeter. Signed tinder the pains and penalties of pctjun,. G� y!l.�f � � ,`' Signature ol'Licenscd Plumber Property Owner Certification I certify that. (1)This dwelling tout is eligible for the imposition on the tenants of a charge for water and/or setter usage in accordance with the water submetering law(MGL c. 186-§22): (2)All showcrheads, faucets.and water closets in this dwelling unit are water consen ation 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 tn•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 cope of this certification form:(6)Tlnat all information included on this certification is true and accurate to the best of my kno-wledge. Signed under the pains and penalties of perjury, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc„Managing Agents for Traders Way Residential Holdings LLC v Print Name of Owner _ Signature of Owner Date Date ��++ The property has been transferred to owner abov a and the unit Submitted V I v remains in compliance with the.requirements of M.C.L. c. 186. ;22 Date: to BOH: ;'f-PS F)PT0 PNIUST Ei, Hi.r=f 'Vlj s i t Ti,iE t.00:AL J-110 'R s Of HEA!1'1-1 Pt'4u1t TO lf,4T)A.TW MvMPU-CSP Suhmetering Porm Rev. l 1.8.2021.docs CITY OF SALEM BOARD OF HEALTH MA,SSACHIJSETTS DEPARTMENT OF PIJBl.,IC ffEAL,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM kin accordance with M.G.L.c. 186. §22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitart:Code Chapter 11),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer scnticc. PROPERTY INFORMATION Address: 45 Traders Way Unit# 10201 #Of units in bl&. 28 Citv/Town: Salem MA -Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water conservation devices prior to a dwelling wilt becoming eligible for the imposition on tenants of a charge for water and/or sewer. The devices nuist meet the following specifications: Showerheads with maximum flow rate.not to exceed 2" eallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2'1"gallons per minute(2,2 gpm) Ultra-low [lush water closets(toilets)not to exceed l A`I"gallons per flush(1.6 gpf) The submetcring 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 sirni.lar accredited association. A licensed plumber must install the water closets and submctcring equipment. Submetering equipment information: Minol Minotness 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date 1 certiA?that(check all that apple): [1I have installed the submctcring equipment listed above in accordance with accepted plumbing standards. X❑I have installed one or more water closets not exceeding 1.6 gallons per€lush. ❑ Determined that existing water closets do not exceed 1.6 gallons per(lush. ❑The plumbing permit issued by the cite/town,if required..is attached. ❑ Dw°eIling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L L . c. 186, § 22(p),does not require the installation of a submeter. G Signed under the pains and penalties of perjury, _ Si:nature.of Licensed Plwnbcr 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 xyith the water submctcring law(.MGL c. 186.§22); (2)All showcrltieads, faucets, and water closets in this dwelling unit are water consen ation 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 i ater 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.eater meter or submeter measures the w-atcr 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 cop} of this certification form;(6)That all information included on this certification is true and accurate to the best of mr knowledge. Signed under the pains and penalties of perjun•, Thomas D.Beaton,Senior Vitt President,Management,CAPS,CPM The Dolbcn Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner St anaturc of Owner to © The property has been transferred to owner above and lie unit Date Submitted RECEIVED remains in compliance with the requirements of M.G.L. c. 196. §22 Date: to BOH: _F-D : ; 1_,_0CnF 1�r � , ;)r. {_r 1—I4 � R3(,R Tf? IN, tiT'NC : .3j :TH15 F0R:NI Ntt15 CUE I'- . . 21 lutl)PF1-CAP 5uhmetering Form Rey. 11.R.2021.Joex CITY OF SALEM BOARD OF HEALTH MASSACHIISETTS DEPARTMENT OF PUBLIC HEAi..,TH SUBM.ETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 180. §22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan,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: 45 Traders Way Unit# 10104 # Of units in bld:_28 Citv/Town: Salem MA _ Zip Code: 01970 _ EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of%voter conservation devices prior to a dwelling unit becoming eligible for the imposition on tenants of a charge for water and/or sower. The devices must moot 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'I"gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I "ao 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 die American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. Submetering equipment information: _ Minol Minomess 130 Manufacturer ;Model# Licensed Plumber Certification Michael Muise 11058 10i15121 Print Name of Plumber License# Date I certi R. that(check all that apply): z❑f have installed the submetering equipment listed above in accordance with accepted plumbing standards. 0 I have installed one or more water closets not exceeding 1.6 gallons per flush. ❑ Determined dial existing water closets do not exceed 1.6 gallons per[lush, ❑The plumbing permit issued by the cite/town, if required, is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and.in accordance with M.G.L .c. 186, §22(p),does trot require die installation of a st►bmetcr. ^� Signed tinder the pains and penalties of perjure � Sisnaturc of Licensed Plumber Property Owner Certification 1 I ccrtifv that: (1)This dwelling unit is eligible for die imposition on the tenants of a charge for water and/or sewer usage in accordance with the water submetering law(M.GL c. 186, §22): (2) All shorverheads, 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''waler compare' as defined in M.G.L.c. 186, §22i (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 knowledee. Signed under the pains and penalties of perjury, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM r'1 The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Si matt►re of Owner D Date The property has been transferred to owner above and the unit Submitted remains in compliance with the rec uirements of M.G.L. c. 186, S22 Date: to BOH: DEC 1 -� 20 1 �Hl r't�3f 11A f'?ILIS IfIr :d—r� VvA 1 ► ! 1' �^, t _ ,e#� v';;s!"r` .rl 'x"'" _t fr r,:, €:r<t�. < H �1't �JqP. �'g :F Y.,.t;' 'jf' A zt"F 11 .. .Tz;, :i3 i� .Sfr.Sl id �t�Ci:riLt i t GITY U•l=SALEM TvtDPN-CSP Subinet.ering Form Rev. 11.8.2021.<locx BOARD OF HEALTH MASSACHIISETTS 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 dowelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. PROPERTY-]N FORMAT ON Address: 45 Traders Way Unit# 10103 4 Of units in bide. 28 Citv/Town: Salem _ MA _ Zi 7 Code: 01970 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 moot the following specifications: Showcrheads with maximum flow rate not to exceed 2`°gallons per minute(2.5 gpm) Faucets with maximum flow rate trot to exceed 2�'I�'gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed l 6rlr'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 oraccuracy and testing of the .American Water Works Association or similar accredited association. A licensed plumber must install the water closets and submetering equipment. Submeterittg equipment infontiatiott: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date 1 certifi-that(check all that apply): x❑t have installed the submetering equipment listed above in accordance with accepted plumbing standards. M I have installed one or more water closets not exceeding i 6 gallons per flush. ❑Determined that existing oyster 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 compare and,in accordance with M.G.L .c. 186, § 22(p),does not require die installation of a submctcr. Ark Signed tinder the pains and penalties of perjury, c`l :l �!a �l bLumature of Licensed Plumber Property Owner Certification I certify that. (1)This dwelling unit is eligible for die 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 siubmeter 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 ui this dwelling unit was installed by a"water company" as defined in M.G.L. e. 186, ti 22; (4)The water meter or submctcr 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 sevver service,and a copy of this certification form; (6)That all information included on this certification is true and accurate to the best ot-my knowledge. Signed Linder the pains and penalties ofperjurv, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc..Managing Agents for Traders Way Residential Holdings LLC —� M Print Nane of Owner _ _r_ Signature of Owner Date The property has been transferred to owner above and the unit Submitted DEC 1 � L Z� remains in com liance with the requirements of M.G.L.c. 180,§22 Date: to BOH: 4 i tf'tS r'ORf�A �E i c. _ %ti.'rlr' xr.'l .. , .:a .. 05c f . E.1.1 iVa i7.'iOR i 0 {N i 1 " T iN VI C Vq ALEi BOARD OF HEALTHIvMPid-CSP submetering Fonn Revs. 1 l.8.2021.doce MASSACUI.fSETTS DEPARTMENT OF PUBLIC HEALTH SUBM.ETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G,L. c. 186, r 22 and 105 CiMR410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan.Code Chapter 11),the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer sen-ice. PROPERTY INFORMATION Address: 45 Traders Way Unit# 10102 #Of units in bldg. 28 Citv/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 4.10.000 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 soNs-cr. The dcviecs must moot the following specifications: Showerheads with maximum flow rate not to exceed ? gallons per minute(2.5 gpm) Faucets with maximum flowrate not to exceed 2=""gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I "'"'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: Minol Minomess 130 _ Manufacturer Model 4 Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): (X]I have installed the submetering equipment listed above in accordance with accepted plumbing standards. { X❑I have installed one or more water closets not exceeding 1.6 gallons per flush. ❑Determined that existing water closets do not exceed 1.0 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 company and.in accordance with M.G.L. c. 1867 § 22(p),does not require the installation of a submcter. ' Signed under the pains and penalties of perju n% := :. • Signature of Licensed Plcunbcr Property Owner Certification I certiN 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 shox%crheads, 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, a 22, (4)The water motor or submcter measures the Nvater 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 cope 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 perjun-. somas D.Deaton,Senior Vice President,Management,CAPS,CPM � The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner Date The property has been transferred to owner above and the unit Submitted DEC 1 .0 2021 remains in con liance with the requirements of M.G.L. c. 186. �22lr Date: to BOH: 5 K I PAY ♦.,T }:C ":i r C I T r 1 VI Ct. H' 4 t 1.6IOR �ty I 11 A 1 NVI' WOP SALEM a l'll 1T�tA.�'s ., t.p_ ,s,:. ... .. V�� C i7 THE- F_��.:�t.. �(:;a C;S P p.�,.i L•=F �# .� 'i3 1 1.�1�'° � .1�. J _ BOARD OF HEALTH MDPII-CSP Subinetering T:onn Rev. 11.$.202Ldoex MASSACHIJSETTS DE.PARTMF.NT OF Pl1BI,iC 14EAI.,TH 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 sen!ice. PROPERTY INFORMATION Address: 45 Traders Way Unit 4 10101 #Of twits in bldg. 28 City/Town: Salem _ MA Zi)Code: 01970 EQUi.PMENT INSTALLATION INFORMATION 10S 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 2.10 gallons per minute(2.2 l,,pm) Ultra-low flush water closets(toilets)not to exceed I °'1s 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: Minot Minomes5130 _ Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): MI have installed the submetcring equipment listed alxavc 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 b} the city/town, if required,is attached. ❑Dwelling unit is connected directly to a meter installed by a water company and., in accordance with M.G.L.c. 186, a 22(p),does not require die installation of a submeter. / " t Signed under the pains and penalties of perjure, 't"i f GG� A, _ Signature of Licensed Plutnbcr Property Owner Certification I Ccrtifi• that. (1)This dwelling ultit is eligible for the irnposidon 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, j 22. (4)The water meter or submeter measures the water usage cxclu'siwe to this unit,(5)I will provide to the tenants of this dwelling unit,prior to occupancy. a ivritten rental agreement that clearly provides for the separate charging of water and/or sewer service,and a cop} 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 perjure. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner 11 Date The property has been transferred to owner above and the unit Submitted DEC 10 20 remains in con liancc with the requirements of M.G.L. c. 186, 522 Date: to BOH: 1` I�.ST f FRX"' iA, 1 c P* SI s- ,F e !'t 1..1«�# �=t. i '�. la .{ x THE� {�f t.. T" �{�i•+'S 'r i n C r 'rs k v T 1. . s a. :�',e. �zr:�r .� {:1f i?t;:�k,�}. ,a-�R. -�:< ]s°�l��t"rr:T11`�� c=`�'�°�����'1�aALEM BOARD OF HEALTH lvfDPI-I-CSP Su6lneterinta Forin Rev. 1 1.8.2021 dons MASSACtU ISETTS DEPARTMENT OF PiJBiAC HEAi.,TH 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: 45 Traders Way Unit# 20405 #Of units in bid,. 23 Citv/Town: Salem _ MA__ Zip Code: 01970 _ EQUIPMENT INSTALLATION INFORMATION T � 105 CMR 410.000 requires the installation of water conservation devices prior to a duelling unit becoming eligible for the l imposition on tenants of a charge for water and/or sever. The devices must meet the following specifications: Showerheads with maximum flo►►y rate not to excccd 2''gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2—"'('gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed l 6!10 gallons per flush(1.6 gpf) I The submetering equipment used to measure the quantity of water used for each duelling 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 die water closets and submetering equipment. Submetcring equipment information: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise __ 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): x❑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/to-mi, irrequired,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .e. 196, ti 22(p),does not require the installation of a submcter. Signed under the pains and penalties of perjury. Si'nature of Licensed Plum_bcr Property Owner Certification 1 certify that. (1)This dwelling unit is eligible for die imposition on the tenants of a charge for water and/or Sewer usage Ill accordance►►•ith the water submetering law(MGL c. 186. ti22).(2)All sho►%--crheads,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 duelling 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 submcter 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 ofperjury, Thomas O,Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC M G Print Name of Owner Signature of Owner Date The property has been transferred to owner above and the unit Submitted remains in com iliance►►pith the requirements of M.G.L.c. 186, s22 Date: to BOH: pEC 10 202 *THIS FORM MUST BE RLUD WITH THE LOCAL BOARD OF HEALTH,PRIOR TO INITIATING SUI310FITMNG CITY OF SALEM MDPB-C:SP Submetering Form Rey. 11.9.202 Ldocx. BOARD OF HEALTH MASSACHIiSETTS DEPARTMENT OF PI.IRL.IC HEALTH SUBMETERING OF WATER AIND SEWER CERTIFICATION FORM kin accordance with M.G.L.c. 186, 5 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 serer scn.ice. PROPERTY INFORMATION f .w Address: 45 Traders Way Unit 4 20404 4 Of units in bldL. 23 Citv/Town: Salem MA zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION IOi 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 sower. 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 ']gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I °`"'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%%.atcr closets and submetering equipment. Submetering equipment information: Minol Minomess 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumbcr License# Date I certify that(check all that apple): Fill have installed the Submetering equipment listed above in accordance with accepted plumbing standards. x❑I have installed one or more v•atcr closets not exceeding 1.6 gallons per flush. ❑Determined that existing Neuter 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 company and,in accordance with M.G.L, c. 186, a 22(p),does not require the installation of a submeeter. n ll � Signed under the pains and penalties of perjurv. Signatureo1*Liccnsed Plumber a Property Owner-Certification i ccrtifv 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 sub meter measures the water usage exclusive to this unit:(5)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 coP),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. homes D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC h , Print Name of Owner � Si=nature of Owner - t 13 Date The property has been transferred to owner above and the unit Submitted AEG � '6 2021 remains in con liance with the requirements of M.G.L. c. 180,§22 Date: to 134H: 'THIS FORM It UST BE FILED WITH THE LOCAL ;OAPD OF HEALTH Pf100R TO (NtTIATINdG f'U5;'Fj- aSALEM BOARD OF HEALTH! MDPH-CSP Submetering Farm Rev, 11.8.2021.doex MASSACHUSETTS DEPARTMENT OF PUBLIC HFALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186. r 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan,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: 45 Traders Way Unit# 20403 #Of units in bldg 23 Citv/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water conservation devices prior to a dwelling unit becoming eligible for the j imposition on tenants of a charge for water and/or sewer. The devices must meet die 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"'gallons per minute(2.2 gpm) Ultra-low Flush water closets(toilets)not to exceed I will 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: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15121 Print Name of Plumber License it Date I certifi•that(check all that apple): x01 have installed the submetering equipment listed atx)ve in accordance with accepted plumbing;standards. M 1 have installed one or more water closets not exceeding L6 gallons per flush. ❑ Determined that existing water closets do not exceed 1.6 gallons per flush, The plumbing permit issued by the cite/town, if required,is attached. ❑Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L . c. 186, §22(p),does not require die installation of a submeter. Signed under the pains and penalties of perjun, Sianaturc of Licensed Pltunbcr Property Owner Certification 1 certify thin. (1)This dwelling unit is eligible for dte 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 showerlicads.faucets. and water closets in this dwelling unit are water conservation deg=ices that meet the standards specified above:(3)The water submeter measuring f the use of water in the dwelling unit was installed by a licensed plumber and is in with the standards specified above,or the water meter measuring the use of water in this dwelling unit was installed by a"water company" l as defined in M.G.L.c. 186, §22; (4)The water meter or submetcr measures the water usage exclusive to this unit; (5)1 wi11 provide to the tenants of this dwelling unit,prior to occupancy.a written rental agreement that cleariv 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 perjun_ Thomas D.Beaton,Senior Vice President,Management.CAPS,CPM The Dolban Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner _ S_i=nature of O%vner Date The property has been transferred to owner above and die unit Submitted remains in com liance with the requirements of M.G.L. c. 186, �22 Date: l to BOH: 0 ZO 1 'THIS FORM MUST BE FILED WITH THE LOCAL BOMRO Or HEALTH PM OR TO 'INITIATING SUBMETERiiNG CITY OF SALEM 1v1DRH-CSP submetering Form Rev. 11.R.2021.doex BOARD OF HEALTH MASSACH1JSF:TTS DEPARTMENT OF PIJBIAC REAI..:M SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *1n accordance with M.G.L. c. 186, §22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan 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: 45 Traders Way Unit# 20402 #Of units in bldi~. 23 Citv/Tuv%,w Salem MA Zip Code: 01970 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 soNver. The devices must moot the following specifications: Showcrheads with maximum flow rate not to exceed 2'-gallons per minute(2.5 epm) Faucets with maximum flow rate not to exceed 2'--l"gallons per minute(2.2 gpm) 1 Ultra-low Hush water closets(toilets)not to exceed 1 l"gallons per Hush(1.6 gpf) f The submetering equipment used to measure the quantity of water used for each dwelling unit mid 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: Minol Minomess 130 Manufacturer Model # Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apple): x❑i have installed the submetering equipment listed above in accordance xvith 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. ❑ Di yelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, a 22(p),does not require the installation of a submeter. '4 r 1 Signed under the pains and penalties of perjure, Sh-maturc of Licensed Plumber Property Owner Certification I ccrtif}, that. (I)This d%%.elling wtil is eligible fear flit; imposition on the tenants of a charge for water and/or server usage in accordance with the water submetcrin;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.eater 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 motor or submeter measures the water usage cxciusivc to this unit;(5)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 server service.and a cope 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. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM 1 The Oolben Company,Inc.,Managing bents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner Dale The properly has been transferred to owner above and the unit Submitted DEC ' Zl'21 remains in compliance with the ret uirements of M.G.L. c. I86, N922 Date: to BOH: �THIS 1^CaPM IM U ST 6 1=111D lr'ifl Di 1_0CAL E130A80 OF 11EAt.Tt f R<tDR TO €NITIATiNG, S€J6N! t;r.r,'�hb_1=SALEM BOARD OF HEALTH MDPN-CSP Submetering Form Rev. 1 1.9.202,l.doex MASSACHi.1SETTS DEPARTMENT OF Pt1B1,IC HEAI..,TH SUBMETERING OF WATER AND SEWER CERTIFICATION.FORM *In accordance with M.G.L.c. 186,ti 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (Stale Sanitary Code Chapter 11).the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sower service. PROPERTY INFORMATION I Address: 45 Traders Way Unit# 20401 #Of units in bldg. 23 Citv/7own.- Salem MA Zip Code: 01970 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 sower. The devices must meet the following specifications: ShoNvenccads with maximum flow rate not to exceed 2'=gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2 2 11 gallons per minute(2.2 grpm) Ultra-low flush water closets(toilets)not to exceed 1 6'1"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 oP 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: Minol Minomess 130 .Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apple): x❑f have installed the submetering equipment listed above in accordance with accepted plumbing standards. 0 I have installed one or more water closets not exceeding 1..6 eallons 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 company and,in accordance with M..G.L,c. 186. a 22(p),does not require die installation of a submeter. Signed under the pains and penalties of perjun•, Signature of Licensed Plumber Property Owner Certification 1 ccrtifv drat: (1.)This dwelling unit is eligible for die imposition on the tenants of a charge for water and/or server usage in accordance with the water submetering lair(MGL c. 186.s22:);(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 ut 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 Nvatcr usage exclusive to this unit,(5)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 cope 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, Thomas D.Beaton,Senior Vioe President,Management,CAPS.CPM The Dolben Company,Inc..Managing Agents for Traders Way Residential Holdings LLC , Print Name of Ovinier Si nature of Owner Date The property has been transferred to owner above and the unit Submitted remains in com zliance with the requirements of M.G.L.c. 180,§22 Date: to BOH: 41 *THIS FORM MUST BE FILED WITH THE LOCAL BOARD OF HEALTH PPIOB TO INITIATING SUBMETERI C3 CITY OF SALEM MDPH-CSP Submetering Form Rev, 11.8.2021.doex BOARD OF HEALTH MASSACHi_fSETTS DEPARTMENT OF PI.TBI,iC HF.AI-,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, a 22 and 1.05 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 mid/or sewer service. ' PROPERTY INFORMATION Address: 45 Traders Way Unit# 20306 #Of units in bad 23 CO/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION i05 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 scNver. The devices must meet the following specifications: Showerheads with maximutn flow rate not to exceed 2'`gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2':I`'gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 °"°gallons per push(1.6 gpo 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 infonnation: Minot M Minomess 130 anuf acturer Model# Licensed Plumber Certification Michael Muise _ 11058 10/15/21 Print Name of Plumber License# Date i I certify that(check all that apply): x[]- 1 have installed the submetering equipment listed above in accordance with accepted plumbing standards. 0 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 company and,in accordance with M.G.L .c. 186,5 22(p),does not require the installation of a submeter. n ' r''Signed under the pains and penalties o£perjury, SiLmaturc of Licensed Plumber Property Owner Certification I certify didt. (1)This dwelling trait is eligible for die 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 sholverheads,faucets,and water closets in this 1 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, y 22; (4)The water meter or submeter measures the water usage exclusive to this unit;(8)1 Zvi If 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 cope 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, somas D.Beaton,Senior Vice President,Management,CAPS,CPMf� The Dolben Company,Ina,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner - - — - - Date 13 The property has been transferred to owner above and the unit Submitted DEC 10 202 remains in compliance with the requirements of M.G.L.c. 186,$22 Date: to BOH: I'HIS i-ORINA E IUST 0E FILED WITH"FHE LOCAL.BOARD OF HEALTH P11JOR TO INITIATING 5U8f#MTtlf''0 ALEM BOARD OF HEALTH MDPI1-CSP Submetering Form Rer. 11.8.2021.docx MASSACHUSETTS DEPARTMENT OF PURIAC HEAI,,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *in accordance with M.G.L.c. 186. r 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan-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: 45 Traders Way Unit# 20305 #Of units in_bld_4 23 Citv/Town: Salem _ MA zi Gode: 01870 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 seater and/or sewer. The devices must meet the following specifications: I I Showerheads with maximum flow rate not to exceed 2`'gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2'1°gallons per minute(2.2 gpm) Ultra-lore flush water closets(toilets)not to exceed 1 °-"'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 or aceuracy 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: _ Minol Minomess 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise _ 1105.8 10/15121 Print Name of Plumber License# Date I certiA!that(check all that apply): Ml have installed the submetering equipment listed above in accordance with accepted plumbing standards. x❑ 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 company and,in accordance with M.G.L . c. 186,§22(p),does not require the installation of a submetcr. Signed under the pains and penalties of perjury. �2rr.lfG��� ,' .mow✓% _ Signature of Licensed Plumber Property Owner Certification I certify that: (1)This dwelling unit is eligible for die 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 tint 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 submetcr measures the water usage exclusive to this unit,(5)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 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, omas D.Beaton,Senior Vice President,Management,CAPS,CPM t The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC - Vy Print Name of Owner Si mature of Owner 11 Date ' The property has been transferred to owner above and the unit Submitted remains in compliance with the rep uirements of M.G.L. c, 186, S22 Date: I to BOH: DEC 10 20 1 'THIS FORM MUST BE FILED I T 4 THE 1.0CAl. BOARD t?F HEAt.TH PRIOR TO 11 fTjAl`tNr 5USMt.�TERINt< CITY OF SALEM MDPFi-(V Submetering Form Rev. 11.R.202Ldoex BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PIIBIAC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G,L.c. 186. e 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code Chapter 11),the following dwwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service, _ PROPERTY INFORMATION T �� Address: 45 Traders Way _ Unit# 20304 4 Of units in bldu- 23 Citv/To wn: Salem MA zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 10i 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 Neater and/or sewer. The devices must meet the following specifications: Showerheads with maximum Dow rate not to exceed 2'=gallons per minute(2.5 Spm) Faucets with maximum flow rate not to exceed 2=""gallons per minute(2.2 gpm) Ultra-loxw flush water closets(toilets)not to exceed 16141 gallons per flush(1.6 spf) 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 XVorks Association or similar accredited association. A licensed Plumber must install the water closets and submetering equipment. Submetering equipment information: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date 1 certify that(check all that apple): X 1 have installed the submetering equipment listed above in accordance with accepted plumbing standards. X 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 comiected directly to a meter installed by a water company 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, 61 / Si nature of Licensed Plumber Property Owner Certification I certify that: (I)This dwelling unit is eligible for the imposition on the tenants of a charge for water and/or setter usage in accordance with the water submetering law(MGL c. 186. §22): (2)All showenccads, 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. 1.86, § 22; (4)The water meter or submeter measures the water usage crctusivc to this unit;(5)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 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, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Si-nature of Owner Date The property° has been transferred to owner above and the unit Submitted remains in compliance with the requirements of M.G.L. c. 186_ S22 Date: to BOH: 11 F C 10 202 'I MS FORM MUST 0E F1l_rD W!TH'FHE LOCAL 150ARD O HEALTH PRIOR TO 1N1 T tATING St.JBMl»TI ERINGi CITY OF SALEM IX)PII-CSP Submetering Form Rev. 11.8.2021.docx BOARD OF HEALTH MASSACHUSFTTS DEPARTMF,NT OF PUBLIC HRALTH SU.BMETERING 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 Sanitan?Code Chapter 11),the following dwelling unit is eligible for the imposition on die tenants of a charge for water and/or sewer service. _ ___ PROPERTY INFORMATION Address: 45 Traders Way Unit## 20303 4 Of units in bldg. 23 Citv/Town: Salem MA Zip Code: 01970 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: Showverheads with maximum floe°rate not to exceed 2 gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2"I`'gallons per minute(2.2 gpm) Ultra-low. flush water closets(toilets)not to exceed 1 °""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: Minol Minomess 130 Manufacturer _ Model 4 Licensed Plumber Certification Michael Muise 11058 10115/21 Print Name of Plumber License 4 Date I certih that(check all that apply): l XKI have installed the submetcring equipment listed above in accordance with accepted plumbing standards. X I have installed one or more water closets not exceeding 1.6 gallons per(lush. ❑ Determined that existing water closets do not exceed 1.6 gallons per(lush. The plumbing permit issued by the city/town,if required,is attached. ❑Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L ,c. 186, e 22(p),does not require the installation of a submmeter. 4' J.11 Signed under the pains and penalties of perjury, 2r-�rl Signature of Licensed Plumber Property Owner Certification I Certify drat: (I)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 submetcring law(MGL c. .186, §22).(2)All shoNverheads,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. 1.86, r 22: (4)The water meter or submeter measures the water usage c�clusivc 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 Corm;(6)That all information included on this certification is true and accurate to the best of my knowledge_ Signed under the pains and p Ienalties oFperjun.-. Thomas D.Beaton,Senior V" President,Ma agement,CAPS, PM The Oolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Prins Name of Owner _��— Signature of Owner c EIVED Date The property has been transferred to owner above and the unit Submitted DEC 1 '® 202 remains in compliance with die re uirements of M.G.L, c. 186, s22 Date: W BOB: ,*"r lfS FORM MUST ICE FILED WITH THE 1-0C.At, BOARD OF HEALTH PFRIOR TO INITIATING SU'�M6I� SALEM BOARD OF HEALTH MI)PT-I-CSP Suhmetcrintt Forrn Rev. 11.R.2021.cJevcx MASSACHUSETI'S DEPARTMENT OF PIJBI,IC HEAI.,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, §22 and 1.05 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitan•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: 45 Traders Way Unit# 20302 #Of twits in bl&,. 23 City/To%vn: Salem _ MA Zip Code: 01970 _ �I 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 maximtun flow rate not to exceed 2' gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2 2r"gallons per minute(2.2 gpm) Ultra-love !lush water closets(toilets)not to exceed 1 t'`t"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 submctcring equipment. Submetering equipment information: _ Minol Minomms 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise _ _ 11058 10/15/21 Print Name of Plumber License 4 Date I certify,that(check all that apply): [El have installed the submetering equipment listed above in accordance with accepted plumbing standards. X❑1 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 cihy/town,if required,is attached. ❑Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, e 22(p),does not require die installation of a submeter. Signed under the pains and penalties of perjure, Sienaturc of Licensed Plumbcr Property Owner Certification I certify that: (1)This dwelling out is eligible for the imposition on the tenants of a charge for water and/or setter usage I in accordance with the water submctcring law(MGL c. 186.§22); (2)All shovverheads. 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 writ 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 cxclusiyc to this unit;(5)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 cope of this certification form; (6)That all information included on taus certification is true and accurate to the best of my knowledge. Signed under the pains and penalties of perjury, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Aee Print Name of Owner Si nature of Owner Date © The property has been transferred to ow-ner above and!lie unit Submitted remains in compliance with the re uirements of M.G.L. C. 196, 922 Date: to BOH: DEC 10 2021 THIS l'ORMI MUST BE FILED WITH THE LOCAL BOARD OF HEALTH PRIOR TO INITIATING NV SUB rr-RFN ALEM MDPI-I-CSP Submetering FnrEn Rev. 11.R.2021.docx BOARD OF HEALTH MASSAC14ITSETTS DEPARTMENT OF PUBLIC HEAi.,TH 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 server service. PROPERTY INFORMATION Address: 45 Traders Way Unit# 20301 #Of units in bldg. 23 Citv/To%vn: Salem _MA _ zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 1.05 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="f'gallons per minute(2.2 gpm) Ultra-Iory flush water closets(toilets)not to exceed I 6"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. Submetering equipment information: Minol _ Minomess 130 Manufacturer Model## Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): X[]I have installed the submetering equipment listed above in accordance with accepted plumbing standards. i n 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 company and,in accordance with M.G.L .c. 186, ,22(p),does not require the installation of a subml/eter, f I Signed under the pains and penalties of perjury, G -4 .. Shmaturc ofLiccnscd_Plumbcr Property Owner Certification I certify that. (1)This divelliug 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 ttnit was installed by a"water company" as defined in M.G.L.c. 186, §22; (4)The�N,ater meter or submeter measures the water usage exclusive to this unit;(5)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 server service,and a cope 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 perjure!. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Prins Name of Owner Si nature of Owner Date Tf�e property has been transferred to owner above and the unit Submitted DEC 1 :� 20'?1 remains in com Aiance with the rec uirements of M.G,L, c. 186, P2 Date: to BOH: '"THIS FORM. MUST BE FILEDD WITH THE;LOCAL 80:APD OF HFAI T'H PRIOR TO INITIATING stJBMUCM-!dB SALEM BOARD OF HEALTH MDPT-i-CSP Submetering Form Rev. 1 1.8.202Ldoe\ MASSACHUSETTS DEPARTMFNT OF PUBLIC HEAiaTH SUBMETERI.NG OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186. S 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. 45 Traders Way _ Unit# 20208 #Of units in blds. 23 Citv/Towit: Salem MA _ zip Code: 01970 EQULPMENT 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 saver. 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"t"gallons per minute(2.2 gpm) Ultra-l.ow flush water closets(toilets)not to exceed 1 °'I"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: Minol _ Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date 1 certiR.-that(check all that apply): X[ 11 have installed the Submetering equipment listed above in accordance with accepted plumbing standards. X�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 cit}/toxtim, if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 186, §22(p),does not require the installation of a submeter. n Signed under the pains and penalties of perjun, ' '' �� " � {} .' �r. .�:✓/ Si nature of Licensed Plumber �! Property Owner Certification I certify that. (l.)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 cxclusivc to this unit; (5)1 wi Il 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 cope 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 perjun--, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner D Date : The property has been transferred to owner above and the unit Submitted remains in compliance with the requirements of M.G.L. c. 186. ,522 Date: to BOH: DEC 10 202 "THt'S FORM MUST BE HUD WITH THE I.00AL.BOARD OF kEA41 t H PRI€ R O INITIATING SUB' FTERING CITY OF SALEM 1,MP11-CSP Submetering.Form Rev. 11.k.2021.docx BOARD OF HEALTH MASSAC141,.TSETTS DFPA.RTMENT OF Pt1BLIC I EALTH 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 Sanitart!Code Chapter 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: 45 Traders Way Unit# 20207 #Of units in bid . 23 Citv/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION 1NFORMA_TION 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 floe rate not to exceed 2`° gallons per minute(2.5 gpm) Faucets with maximum flow rate not to exceed 2=:1°gallons per minute(2.2 gpm) Ultra-loxv flush water closets(toilets)not to exceed 1 611 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 Minol _ _ Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): Ell 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. ❑ Determincd that existing water closets do not exceed 1.6 gallons per flush. ❑The plumbing permit issued by the cih•/town,il'required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L .c. 196,§22(p),does not require the installation of a submeter. Signed under the pains and penalties of perjure'. Signature of Licensed Plumber Property Owner Certification I ccrtifV that. (1)This dwelling ttttit 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, ti22): (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 grater 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)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 cope•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 periun'. Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM t. .. �tnf� )The Dolhen Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Lim! Print Name of Owner _ _ _ Siwnature of Owner D Date The property has been transferred to owner above and the unit Submitted remains in compliance with the requirements of M.G.L, c. 186,,22 Date: to BOH; DEC 10 2021 *THIS FORM MUST BE FILE LOCAL THE BOARD OF HEAt H PRIORTO INRlATlsf5 G SUBMETEROJI ] CITY OF SALEM MDPFI-CSP Submetering Form Rev, 11.8.2021.do:x BOARD OF HEALTH MASSACHIISETTS DEPARTMENT OF PUBLIC HFAI..,TH 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 Htttnan 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: 45 Traders Way Unit# 20206 #Of units in bide. 23 Citv/TbwVtt: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.000 requires the installation of water cons=ation 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=`"'gallons per minute(2.2 gpm) Ultra-low Flush water closets(toilets)not to exceed 1 OF10 gallons per flush(1.6 gpf) The submetering equipment used to treasure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of die American Water Works Association or similar accredited association, A licensed plumber must install the water closets and submetering equipment. Submetering equipment informatioti: —Minot Minomess 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date 1 certify that(check all that apple): x❑i have installed the submetering equipment listed above in accordance with accepted plumbing standards. x❑ 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/tovoi,if required,is attached, ❑ Dwelling unit is connected directly to a meter installed b� a water company and,in accordance with M.G.L .c. 186, §22(p),does not require the installation of a submetcr. Signed under Cie pains and penalties of perjury, 5i nature oFLiccnscd Plttmbcr Property Owner Cet-tiPcatian 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 show-erheads,faucets.and water closets in this dwelling unit are water conservation devices that meet the standards specified above:(3)The water submetcr measuring the use of water in the d%veliing unit Nvas 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, 4 22: (4)The water meter or submetcr measures the water usage exclusive to this unit,(5)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 sever service,and a copy of this certification forth; (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, Thomas D.Bealan,Senior Vice President,Management,CAPS.CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residanllal Holdings LLC Print Name of Owner Signature of Owner E D - --- - Date-- 0 Tile property has been transferred to owner above and the unit Submitted DEC 1 ® 2 21 remains in compliance with the requirements of M.G.L. c. 186, �22 Date: to BOH: *THIS FORM Mlusr OF FILFD WITH THE LOCAL BOARD OF I11 ALTH PF,10R TO INITIATING SUB. F SALEM Ob OF HEALTH MDPH-CSP Submetering Fnmi Rev. 11.$.202Ldoex MASSACHi1SETTS DEPARTMENT OF P1-1BL.tC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L. c. 186, i 22 and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code Chapter 11),die following dwelling unit is eligible for the imposition on the tenants of a charge for waiter and/or sewer service. _ PROPERTY INFORMATION Address: 45 Traders Way Unit# 20205 #Of units in bldg. 23 Citv/Town: Salem W MA zip Code: 01970 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: Showerltcads with maximum flow rate not to exceed 2!'gallons per minute(25 gpm) Faucets with maximum flow rate not to exceed 2 2"('gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 5111 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: Minot Minomess 130 _ Manufacturer Model# Licensed Plumber Certification Michael Mulse 11058 10/15/21 Print Name of Plumber License# Date 1 certifi?that(check all that apply): X I have installed the submetering equipment listed above in accordance with accepted plumbing standards. x�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 company and,in accordance with M.G.L . c. 186, ` 22(p),does not require die inswilation of a subm�e/ter. Signed under the pains and penalties of perjure. '�✓y,r /�.� �'GGF� � l� .� ��j� Signature of Licensed Plumber Property Owner Certification 1 certify that. (1)This d%%ulling 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%vatcr usage exclusive to this unit.(5)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 certification fonn. (6)That all information included on this certification is true and accurate to the best of my know-ledge. Signed under die pains and penalties of perjury. Thomas D.Beaton,senior Vice President,Management,CAPS,CPM r— d The Dolhen Company,Inc.,Managing Agents for Traders Way Residential He LLC �� b Print Name of Owner —u Si:.natu_re_of Owner EI Y Date OF The property has been transferred to owner above and the unit Submitted remains in compliance with the requirements of M.G.L. c. 186, s22 Date: to BOH: 'DEC 10 202 *THIS FOR1N MUST Of FrILED VI!T H THE LOCAL.BOARD OF 1-tf:At,TH PRIOR TO INITIATING StsBM17=TERING CITY OF SALEM 1VTDP14-CSP Suhmetering Form Rev. 11,8.202 Ldoex BOARD OF HEALTH MASSACHIJSETTS DEPARTMENT OF PUBLIC FTEA1,TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L. c. 186, ti 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 server service. PROPERTY INFORMATION Address: 45 Traders Way Unit# LULU4 #Of units in bld . 23 Citv/Town: Salem MA Zip Code: 01970 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'`I"gallons per minute(2.2 gpm) Ultra-low !lush water closets(toilets)not to exceed I 6`11 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 clandards of accuracy and testing of the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and subnetering equipment. Submetering equipment information: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): Ell have installed the submetering equipment listed above in accordance with accepted plumbing standards. 0 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!lush. ❑The plumbing permit issued by the city/town, if required,is attached. ❑Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L , c. 186. y 22(p),does not require the installation of a submeter. Signed under the pains and penalties of per jury. Si gnaturc of Licensed Plu mbcr Property Owner Certification I cerd.fv 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]aw (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 comp any" as defined in M.G.L.c. 186, §22.- (4)The water meter or submeter measures the water usage exclusive to this unit;(5)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 sever 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 perjure, Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC t Print Name of Owner_ Signature of Owner Da c Date RECEIVED The property has been transferred to owner above and the unit Submitted � remains in compliance with the requirements of M.G.L. c. 186, x22 Date: to BOH: -THIS FORM MUST BE FILED WITH THE LOCAL BOARD OF HEALTH PRIOR TO INITIATING SUBM- .t Lt; G 1 MDPI1-CSP Submetering Fann Rev. 11.9.202 Ldoex CITY OF SALEM BOARD OF HEALTH I MASSAC.'HUSETTS DEPARTMENT OF PtIRLI('HEAI..,TH SUBMETERI:NG OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, ,22 and 1.45 CNIR 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: 45 Traders Way Unit i# ZUZU3 #Of units in bldg. 23 Citv/ToNva.- Salem MA _ Zip Code: 01970 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"gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 of l'I gallons per flush(1.6 gpl) 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: Minol _ Minomess 130 Manufacturer Model 4 Licensed Plumber Certification Michael Muise _ 11058 10/15/21 Print Name of Plumber License 4 Date i certify that(check all that apply): x❑I have installed the submetering equipment listed above in accordance with accepted plumbing standards. X❑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 cih!/town,if required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water compam and,in accordance with M.G.L .c. 186, §22(p),does not require the installation of a submcter. Signed under the pains and penalties of perjury, Signal=of Licensed Plumber Property Owner Certification I certify that: (i)This tlivclling wait 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 submcter measures the water usage exclusive to this unit: (5)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 cope 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.c Thomas D.Beaton,Senior Vice Presideni.Management,CAPS, PM L� /' The Dolhen Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC (gyp Print Name of Owner Signature of Owner l E Date The property has been transferred to owner above and the unit Submitted remains in compliance with the re uiremenls of M.G.L. c. 186, �22 Date: to BOH: 02 21 THIS FORMI i`AOST RE FILED WITH THE LOCAL BOARD OF HErALT11 PROOR TO INI i JATING SUBME CRII"3.fu" CITY OF SALEM MD131-CSP Submetering Farm Rev. 11.8.202 Ldoex BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PUBLIC HEAI_.TH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M.G.L.c. 186, N 22 and 1.05 CMR 410.000: Minimum Standards of Fitness for Htmian Habitation (State Sanitary Code Chapter Itj,the following dwelling unit is eligible for the imposition on the tenants of a charge for water and/or sewer service. PROPERTY INFORMATION Address: 45 Traders Way Unit# 20202 #Of units in bldg. 23 Citv/Town: Salem MA Zip Code: 01970 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 Avater 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=1 i"gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed 1 6-10 gallons per flush(1.6 gpf) The submetering equipment used to measure the quantity of crater used for each dwelling unit and common area must meet the srandards of accuracy and testing of the American Water Works Association or similar accredited association. A licensed plumber must install the water closets and sttbmctering equipment. Submetering equipment information: Minol M_ ino_mess 130 _Manufacturer _ Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify-that(check all that apply): xDt have installed the Submetering equipment listed above in accordance with accepted plumbing standards. XD 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. D The plumbing permit issued by the city/tov.Tr, If required,is attached. ❑ Dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L L . c. 186, 5 22(p),does not require die installation of a submeter. Signed under the pains and penalties of perjut Gi Si�naturc of Licensed Pltrmbcr Property Owner Certification I cu UN hilt. (.1)This dwulling 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 dcc•elling 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, y 22; (4)The water meter or submeter measures the water usage cxelusivc to this unit.(5)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 cope 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 perjur., Thomas D.Beaton,Senior Vice President,Management,CAPS,CPM r, The Dolben Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner Signature of Owner 0 The propertyDate has been transferred#o Deemer above and the unit Submitted remains in compliance with die requirements of N1.01, e. 186, �22 Date: to BOB: "THIS FORM rAUST BE FILED WITH THE LOCAL BOARD OFF HEALTH PNO1t TO 1NITIATV46 '�t3(3MF1'F$tI aC CITY OF SALEM MEIP1-1-CSP Submetering Form Rey, l 1.R.2021.doex BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM *In accordance with M,G.L.c. 186,a 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: 45 Traders Way Unit# 20201 #Of units in bldg. 23 City/Tow n: Salem MA zip Code: 01970 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:-i('gallons per minute(2.2 gpm) Ultra-low flush water closets(toilets)not to exceed I Will 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 die standards of accuracy and testing of the American Water Works Association or sinular accredited association. A licensed plumber must install the water closets and submetcring equipment. Submetering equipment information: Minol Minomess 130 Manufacturer Model# Licensed Plumber Certification Michael Muise 11058 10/15/21 Print Name of Plumber License# Date I certify that(check all that apply): Ell have installed the submetcring equipment listed above in accordance with accepted plumbing standards. FXJ I have installed one or more water closets not exceeding 1.6 gallons per(lush. ❑Determined that existing water closets do not exceed 1.6 gallons per flush. ❑The plumbing permit issued b8!the cite/town,if required,is attached. ❑ Dwelling unit is connected directly-to a meter installed by a water company and,in accordance with M.G.L .c. 180,5 22(p),does not require the installation of a sub2LA ,A Si ned under the sins and nalties oC r*un,, GGG g p< penalties pe J Si=nature of Licensed Piumbcr Property Owner Certification I certify that: (.i)This dwelling uttit is eligible.for the imposition on the tenants of a charge for water and/or sewer usage in accordance with the water submetcring Imv(MGL c. 186. §22): (2)All shoe°crheads,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, y 22: (4)The water meter or submeter measures the water usage cxclusivc to this unit;(5)I will provide to the tenants of this dwelling unit.prior to occupancy. a Avritten 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_ Thomas D.Beaton.senior Vice President,Management.CAPS,CPM �r'1 The Doihen Company,Inc.,Managing Agents for Traders Way Residential Holdings LLC Print Name of Owner i mature of Owner 'Datcl Date The property has been transferred to owner above and die unit SubmittcR C E I TD remains in compliance with the requirements of M.G.L. c. 186. §22 Date: j to BOH: YTH6 FORM, MUrl BE FILED WiTH T HE LOCAL B01"ARD€ 1: 1r EA 1i PRIOR TO ft1 A'TING 5U6'rA0f_6tjA 2021 M)KI-00,96meter►ng Fnrm Rev. 11.8.2021.docx CITY OF SALEM BOARD OF HEALTH