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From:
09/17/2012 15:46
2/
#091 P.003/003
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PERMISSIONTO ENTER
September 17,2012
et
lntepafalli on.
Juliette Burbank give permission for the Board of Health to enter my unit for inspection, I h
eaten 24 notice.
I am aware that the staff from ServllteNet will be there to company them Oro this lnspettlo
I will In verbs}pennimren to one or mom individwlaro presets at the time of Inspection
absents. - &rVE PERMSSS Zt N 0 1 "'r z-ASS
AND El.-2 DA-A4 0N-to �� P14FSerrA-T -r TNSP
Sincerely, �' W ouL-D 719 A Ob '�t�l�i M
os-H-r- 61le• ;E S Flv4 LM mo,v
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been
we,
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g M� Tria5 S Act �TTY
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MSNr t-1 F.i 12ST 77:r-Mt I
3Nl t` oT. "Co7't+.IS HAr°PEnCZNE
129 Xing Street • Northampton,MA 01060 • 419.589.1900 • hi 413.382•252 • www. rvteendneog • Si
L Slabbt.CE,O.
ervice
September 17,2012
Ms.Juliette Burbank
58 Cherry Street 151 Fl.
Northampton,Ma. 01060
Dear Ms.Burbank:
Due to the condition of your unit we were forced to contact the Board of Health. It is imports t for us
to inspect your unit so that we ran maintain a healthy and safe environment for you to reside
We have been trying to work with you to clean up the unit as required by the Massachusetts 5 ate
Sanitary Code since June 2012 and have not had any success. Your team feels at this point it i a hazard
for you to continue to INe in this unit in these present conditions.
We would like to go into your unit,along with the Board of Health for the City of Northampto
tomorrow,September 18,2011 to assess health and safety the situation you have been living
If you have any objections,please call your Team leader Rebecca Pierce or myself to let us If you
refuse to allow us entry at this time this matter will go in front of the housing court,and from e,a
Judge will decide if and when we can enter the unit.
Attached you will find a permission slip that will allow the Board of Health entry. If you will al w the
Board of Health access,please sign this form and fax it back to us by 5:00 pm today.
Integrated
services
Sincerely,
Shannon Madigan
Property Manager
ServiceNet,inc.
Sae L.Smalls. CEO.
129 King Serer • I orSmptms MA 01060 • 4(3.583.(300 • Fax 113.381.4252 • awatr®vke,reritr.Org • '
3OARD OF HEALTH
MEMBERS
)NNA C.SALLOOM,CHAIR
SUZANNE SMITH,M.D.
JOANNE LEVIN,M.D.
STAFF
Merridith O'Leary,RS
Director of Public Health
Brown,R.N.,Public Health Nurse
nund Smith,Health Inspector
aiel Wasiuk,Health Inspector
Heather McBride,Clerk
atte Burbank
Therry Street, let Floor
thampton, MA 01060
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
NOTICE OF COMPLIANCE
FILE COPY
212 MAIN STREET
NORTHAMPTON,MA 01060
COMPLIANCE WITH ORDERS
ar Ms. Burbank,
9/19/12, an initial Housing Inspection was made at the property located at 58 Cherry Street
.:upied by you and owned by ServiceNet. Violations were observed and an enforcement letter with
rrection orders was mailed to you on 9/20/12.
final re-inspection was conducted on 9/20/12.
violations noted in the 9/19/12
lforcement letter were found to be corrected and therefore, please note that you have complied with
of the correction orders issued in the inspection report.
tis letter was signed under the pains and penalties of perjury. If you have any questions regarding
is matter, please contact me at my office.
incerely,
' ::N..- C,*•
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?4/2012 07:39 4132537475
COLLECTIVE COPIES HAUL 114,07
Program Rules for Cherry Street
These Program Rules apply to each You("You")in the program of treatment run by ServiceNet
("ServiceNet")at 58 Cherry Street,Northampton,Ma"Cherry Street House".
1. No smoking in the House under any circumstances.
2. No open flames(candles,incense,etc.)in or outside the House.
3. No alcohol,illegal drugs or other illegal activity in or outside the House.
4. No guns,knives, brass knuckles or other weapons in or outside the House.
5. No pets or other animals in or outside the House.
6. You must keep Your own room and the House in a neat,sanitary and safe condition.
7. If Your room is unsanitary or unsafe, ServlceNet may act to fix the problem. Examples
are old open food containers,dirty refrigerators with rotting food,smelly end unclean
clothes piled on the floor,and blocked doorway&
8. Toilets,disposals,and waste pipes must not be used for any purposes other than those for
which they were meant No sweepings,trash,rags,or other improper items may be put in
them.
9. No air conditioners,space beaters or other cooling or heating devices without
ServiceNeCs written permission.
10. You have to buy Your own insurance to pay You in case Your personal belongings are
stolen,damaged or destroyed. ServiceNet insures the House used$not Your property.
11. You will get keys(no charge)for the House when You move in. You need to tell
ServieNet Staff right away if You lose a key. ServiceNet will replace the key,but You
will have to pay for it. You have to return the keys to ServiceNet Staff when You move
out.You cannot give out a key to anyone without the written consent of the Staff and the
Property Manager.
12. You agree to have no outside visitors for more than reasonable length visits,and no
overnight guests.
13. You agree to have no overnight guests without the prior written consent of ServiceNet,
and then only on a temporary basis. Temporary shall mean no more than two consecutive
nights and no more than 14 nights in total during a calendar year.
14.No loud noise or other activity that bothers other people who live in the House or bothers
the neighbors.
!4/2012 07:39 4132537475 COLLECTIVE COPIES
5.There are no storage areas in the house. You must keep all your belongings in Your own
room,and Service Net will not pay You for damage or loss to Your personal belongings,
goods or property that You leave in the lime or on the property outside Your own loom.
16.Except in situations that ServiceNet did not expect or know about, Service Net will keep
Your room and shared areas of the House,safe and in good repair. ServiceNet welcomes
Your comments and suggestions for making the Program better,including the House.
17. ServiceNet may go into Your room without Your invitation only at reasonable times and
after a reasonable attempt to schedule a visit that is convenient for ServiceNet and You.
If that cannot be arranged,ServiceNet will make a reasonable effort to tell You before
going in. ServiceNet will go into Your room without invitation only(a)for an
emergency,(b)under a Court order,(c)because the room looked like You had left it for
good,(d)to show the room to possible future users,(e)to paint,clean,repair,improve or
redecorate the room or(f)to inspect it.
t'abt eO UD
You will obey all of these Program Rules. If You break any of the Rules ServiceNet may cod this
Agreement,the Program and Your use of this Program House. If a break of
fd tear) to any unorr ague guest
of Yours causes any damage to Your living space(beyond wear or
property of the House,You will have to pay ServiaNet for the costs and expenses of the damage. If a
break of the Rules by You or a guest of Yours causes any damage to property belonging to others,You
will have to pay the owner of that property for the coats and expenses of the damage.
Resident
Date Staff Date
M/2012 07:39 4132537475 COLLECTIVE COPIES PAGE 02/05
Jr4v d. *ea7 EC()4-Z
9/21/12 ///
-----ter ; lam �I Q J / --
Juliette, .. _ .. \ Be- 7
A
To get the entry key to apartment(hidden near-by),Please call the answering service
413-585-1225 and ask for Hampshire County Team 2 on-call.
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11 GO 5 1 -6iv.
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!4/2012 07:39 4132537475 COLLECTIVE COPIES
921/12
Juliette,
To get the entry key to apartment(hidden near-by),Please call the answering service
413-585-1225 and ask for Hampshire County Team 2 on-call.
PAGE 03/05