Petitioner: Applicant Information
Rooming House & Manager Information
Name of rooming house |
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Rooming house address |
9 Sixtth St, Chelsea, MA 02150
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# of floors |
2
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# of rooms |
9
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# of lodgers |
18
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Rooming House Telephone |
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Manager Name |
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Manager Home Address |
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Manager Telephone |
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Manager Email |
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Renewals (please complete all fields if this is an application for a renewal)
If this is a renewal, has any information changed from your original license application? |
No - renewal without changes
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Current License Number |
2019-002
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Owner Information
Owner Name |
Sixth Street Investment LLC
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Home Address |
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Home Telephone |
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Owner Email |
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Certificates (required)
Certificate of Worker’s Compensation OR Certificate of Compliance (must be notarized) |
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Wage Theft Certification Form |
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Certificate of occupancy or application for same |
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Business Certificate or Articles of Organization |
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Certificate of Good Standing from the Massachusetts Department of Revenue; |
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Petitioner: Acknowledgement
Applicant Certification
I have read and agreed |
Yes (Yes - accept terms and conditions)
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Federal ID Number |
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Enter telephone number |
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City: Document Check
Document check
All documents submitted |
All documents submitted
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Application fee review
Application fee status |
Not required (renewal application)
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City: Internal Tracking
City Tracking
License Commission Review Date |
2019-12-05
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License Commission Decision |
Award License
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Notes / denial reasons |
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