Loading...
HomeMy WebLinkAboutBuilding Permit #546-13 - 22 UPLAND STREET 1/30/2013BUILDING PERMIT 3r �•"'` TOWN OF NORTH ANDOVER ° t— APPLICATION FOR PLAN EXAMINATION Permit NO: y '�� Date Received ' 9 Date Issu J ' IMPORTANT: Applicant must complete all items on this page LOCATION Print - PROPERTY OWNER__ „ COSc;ck 00Print MAP NO: PARCEL: ZONING DISTRICT: Historic Districtyes no Machine. Shop Village vesI no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building o One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial El Wair, replacement ❑ Assessory Bldg ❑ Others: S(Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ 'Watershed District El Water/Sewer 003A - Identification Please Type or Print Clearly) CC�� 22 OWNER: Name: „P1f� ��C';� Phone:gl0"g7S— JSs1 Address: ®. �oi� 6 CONTRACTOR Name: t6, ()�� Phone: 3'3d-It1a Address: Supervisor's Construction License:2 Exp. Date: Home Improvement License:Exp. Date: t\38th ARCHITECT/ENGINEER Address: Phone: Reg. No FEE SCHEDULE: BULDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ Vz) �W. 60 FEE: $ z D -P Check No.: �„�,� Receipt No.: ,2,61el NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Own r'c�'Signaturefi contractor %-2 i 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued, IMPORTANT: Applicant must complete all items on this page Irr—, -Ir'- " �Z 51, AG -A_ 5 EuIP,ffinNER r ri—CId 'Structure es -To -LLJHtCe no Q R—f-C District, TYPE OF IMPROVEMENT PROPOSED USE C Residential Non- Residential 0 New Building El One family 0 Addition 0 Two or more family El Industrial. D Alteration No. of units: 0 Commercial 0 Repair, replacement El Assessory Bldg El Others: El Demolition 11 Other p eF " � 'lo6dpW '' ®Watershed DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: AAAnnooe ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $- Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do nq� have access to the guaranty fund SJgqa qrp.o A_g' t/. _Wper Signatu "rebfcontractor " - Plans Submitted 11 Plans Waived 11 Certified Plot Plan 11 Stamped Plans 11 t W A laz VF� �7 C 2-77, '=7. $ 'V j , t':jy t 7 7 - Wit 0 c lf�L gc Y4-6ZOW ti Wien CS oj SHome 'z Le 1410 E 5� OM _01a �mQM e m r6 ,4HY ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $- Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do nq� have access to the guaranty fund SJgqa qrp.o A_g' t/. _Wper Signatu "rebfcontractor " - Plans Submitted 11 Plans Waived 11 Certified Plot Plan 11 Stamped Plans 11 t W A laz P d - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: A Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 3M Usgood Street FIRE DEPARTMENT - Temp Dumpster onsite yes. no Located 6t:124 Main Street— Fir . Fire DP men t signatdfb1date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No, MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use ® Notified for pickup - Date Doo.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan, Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm;tied with the building application Doc: Doc.Building Permit Revised 2012 Location Date 3v S Check #/op s'7 26130 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 161 Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 13,500.00 m $ - $ 162.00 Plumbing Fee $ 20.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 20.25 Total fees collected $ 302.50 22 Upland Street 546-13 on 2/1/13 Demo House and Garage W xa LL 0 p m c N Y o LL T•2 V) a d' N 0 d Z Vr Z > m c Y LL d' U c LL p W Z Z z > J d c LL O d ? Q u W W to d' U v Ln c L.L O a Z CA Cal L °�° p d' G LL uj C a Q La O LU 5 LL N Z co O Z v (% Y O E (n V• _ a CL m M= O "r N V CL L N E -c. O\� L r 3 in � L c Q N (D z =- = 4- n c Q c 0 ~ L Q Q (D L _� O m LL N Q N O N uj w - Z) :. W E v m O CIO (D �► • C 2 o C O F- t •+ Q- 0 U CL N t N O N G 75 m aD a� c M W O Q N d t O z O P J O FM 2 Z cfl Z W w X LUW 0- 0 LU Z CD m N Q O U C . O U t!y ujJ LU D y W W cc W N NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is That the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: I I C;'�- W ew-s�o� (Location of Facility) fV10 rrcm'�0011 Y—L M-�S- Signature of Permit Applicant Date ', rtlpe -D) Vt. h4s �5sae- 641ay A f-ee 6 0 \, 0 0 b Z.\ § \ ±,■ , \Q ƒ�z 0 `+ § #g w M1 � Cpn z u) [ K &. 7�2e`]+®: �) K ) \ « m ��� w ƒ \ s a L § o z x o° 5 2 L L:w§ 0$ /o rn $ w § / k a L� Town of North Andover wORTp Building Department ®�'I.T,.fD 1600. Osgood Street .`' �� r'` a�'. �6 North Andover MA 01845 o Tei: 978-688-9545 Fax: 978-688-9542 # DEMOLITION OF BUILDING AFFIDAVIT A i. CHUS�t DATE I OWNER'S NAME & ADDRESS 19 l U S L_AwAmc,& ("A LOCATION OF PROPERTY TO DEMOLISH C;0 DESCRIPTION CONTRACTOR'S NAME & ADDRESS DEPARTMENT SIGN -OFFS DEPT. OF PUBLIC WRKS -WATER: SEWER: MAMAI DEPT OF CONSERVATIONHEALTH DEPT: Sep ' HISTORIC COMMISSION. V GAS ELECTRIC '�>e 0 DIG SAFE NUMBER DATE REC'D Doc.form demolition of building affidavit BLDG. INSPECTOR C JAN/28/2013/MON 03;11 PM 'snuary 2$, 2013 Lou St. Once Kidder Wrecking #te: 22 Upland St, North Andover FAX No, P, 002 �I /_ alumbia Gas - of Massachusetts A NiSource Company 55 Marston Street P.O. Box 869 Lawrence, MA 01841-2312 978.687.1105 Fax, 978.688.1875 This is to inform you that the gas service to #22 Upland St, North Andover has been cut off at the main, and gas meters removed at your request. 1f you have any questions, please do not hesitate to contact me at 978-691-6484. Regards, Jeff Fontaine Field Operations Leader Columbia Gas of Massachusetts nationalgrid 40 Sylvan Rd Waltham MA 02451 January 17, M1-3 RE: Service Removal for Building Demolition. 22 Upland St. N, Andover, MA To whom it may concern. This letter is to confirm that, per your request, rational Grid has confi ed electrical service and meters have been removed from 22 Upland St..r_ Andover, MA. The work was processed on work request 14248021 with meter numbers 4215765 and 13161175. if you have any questions or need further assistance, please feel free to contact me at (508) 357 4554. Sirrcerely, A Amanda Rodriguez Customer Order Fulfillment nationalgrid Rid -All Pest Control • P.O. Bo 311, North Andover, RID -ALL MA 41845 • 888-•7 8-9756 • Pff" WO& www.rid-a11 es s.com April 7, 2011 Allan Cuscia Hacatts Up P.O. Box 468 Lawrence, MA 01842 Ref.: Rid -All Pest Control invoice 45518 of 1/23/13 On January 23, 2013, Rid. -All Pest Control technician Scott Sirota (MA lice se #38986) inspected and treated the building at 22 Upland St., North Andover for rodents. This structure is slated for demolition. If there are any questions please feel free to call me at 978-502-1950. S ott Sirota Rid -All Pest Control, LLC 1060 Osgood St. 2nd flr. North Andover, MA 01845 A/ DIG SAFE SYSTEM, INC. - Create New Quick Ticket Yage 1 of L Request Number: 20130302277 Date 01/15/2013 Time 11:32 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTH ANDOVER Address / Intersection: 22 UPLAND STREET Nearest Cross Street 1: Nearest Cross Street 2: Additional Information: Nature Of Work: DEMO HOUSE & GARAGE, REMOVE FOUNDATIONS Area Of Work: PRIVATE PROPERTY Area Is Premarked: Y Start Date: 01/28/2013 Start Time: 08:00 Caller: ROSCOE KIDDER Title: PROJECT COORDINATOR Return Call: 8-5PM Phone#:603-382-1422 Fax#:603-382-3697 Alt. Phone#: 978-360-0890 Email Address: RKIDDER@KBWDEMO.COM 0 Contractor: KIDDER BUILDING & WRECKING Address: 247 MAIN ST City: PLAISTOW State: NH Zip: 03865 Excavator Doing Work: YES Member Utility List Code Abbreviation IF Name EG CMAGAS COLUMBIA GAS OF MASSACHUSETTS ME NGRDEL NATIONAL GRID ELECTRIC -MASS ELEC SE VERIZN VERIZON ON ONTARG ON TARGET LOCATING RJ IDM INNOVATIVE DATA MANAGEMENT There may be non-member utilities in the area that you need to notify. Electric and other companies may not mark lines they don't own or maintain. You may want to contact them for more information. The excavator is responsible to maintain markings placed by member utilities... httn://diizsafeform.digsafe.com/cgi-bin/dlcgi.exe 1/15/2013 DIG SAFE SYSTEM, INC. - Create New Quick Ticket Yage L of DIG SAFE ENCOURAGES A COPY OF THIS ELECTRONIC TICKET ON SITE AT ALL TIMES. Create Neu Create From Existing Print Ticket L Return To Menu j Return To Home httpJlaigsafefo�rm.digsafe.comlcgi-binldlcgi.eye 1/15/2013 Envora- af�e Engineering PO BOA 424 semerviilit. MA 02144 (61 December 6, 201 AllanCuscia PO $,)u4'62' x 46 ' Lawrence, MA 41 42 RE: Asbestos Ins 0 I ection, 22 Upland Street, N Andover, MA On November 3, 2012, Patricia E. Riley, Massachusetts licensed asbestos inspector A160295, inspect asbestos prior to emod the house and garage at the above address for the presence of I' it' The, exterior window glaring, the wall material, the sheet floor and associat d mastic in the second and third floor kitchens, the 12" x 1.2" floor file and associated m stic in the third floor room, and the garage roof were suspected to contain asbestos. Bulk samples of the suspected asbestos containing materials were collected. There i assumed asbestos containing siding on the exterior of the house, assumed asbestos containing siding in a pile in the garage, and assumed asbestos containing pipe i sulation in the basement garage. The'samples we delivered to Covina Environmental Associates for analysis. The samples were an yzed by the V -PA endorsed method of Polarized Light Microscopy with Dispersion Staini g (PLM/DS) method. The PLM/DS is a. qualitative and quantitative form of analysis t at yields the type of asbestos in a sample, if any. The bulk sample of the 12" x 12" floor file and associated mastic in the third floor room and the garage ro f were positive for the presence of asbestos_ All other bulk samples were negative fo the presence of asbestos. See enclosed results. The asbestos con wining material must be removed by a Massachusetts licensed asbestos abatement contra for prior to demolition. If you should require more information on this matter, please do not hesitate to contact me at (617) 623-6678. Sincerely, r Patricia E. Riley President s. sa � ._...i...w. � _! ..__�—.•. _a....» ------(moi .� -�. v '7 . T I i 3 1 s 57 I' f` • iT �•._T� I w� �G.•tI G! T I ! ot"! 57 I' f` • T ot"! T ;ZA f7r, 77 f7r, 5�n It - i se, i7- lz: 77- co Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. tri l;YF) Instructions 1. All sections of this form must be completed in order to comply with the Department of Environmental Protection notification requirements of 310 CMR 7.09 Massachusetts Department of Environmental Protection 1100170496 Bureau of Waste Prevention • Air Quality Decal Number BWP AQ 06 Notification Prior to Construction or Demolition A. Applicability A Construction or Demolition operation of an industrial, commercial, or institutional building, or residential building with 20 or more units is regulated by the Department of Environmental Protection (DEP), Bureau of Waste Prevention - Air Quality Control Regulations 310 CMR 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description a. Is this facility fee exempt - city, town, district, municipal housing authority, owner -occupied residence of four units or less? [] Yes Z No b. Provide blanket decal number if applicable: L -----Blanket Decal Number 2. Facility Information: 'GARAGE 122 UPLAND STREET b. Address NORTH ANDOVER ] FRA 1'9-00-00:—1 c.CitvlTown _ __t fd. State _ M _ e. Zip Code ,_ i 10000000000 i _f. Telephone Number (areaCode and extension) _ q. E-mail Address (optional) L750 h. Size of Facility in Square Feet i. Number of Floors j. Was the facility built prior to 1980? ✓ Yes !d� No k. Describe the current or prior use of the facility: _ rFFORMER GARAGE I. Is the facility a residential facility? i! Yes 1 No m. If yes, how many units? Number of Units 3. Facility Owner: _ 'ALLEN CUSCIA a. Name P.(; BOX 468 .._._ b. Address LAWRENCE ] jMA -_ i F01842 c_C v Town _ _ ^ ��{ d. State y- e. Zip Code 10000000000 f. TgIgphone Number (area code and extension) _a.E_mail Address footionah ;LOU ST. ONGE__ h. Onsite Manager Name ■ ag06.doc • 10102 BWPAQ06-Page 1 of30 ir A General Statement: If asbestos is found during a Construction or Demolition operation, all responsible parties must comply with 310 CMR 7.00, 7.09, 7.15, and Chapter 21 E of the General Laws of the Commonwealth This would include, but would not be limited to, filing an asbestos removal notification with the Department and/or a notice of release/threat of release of a hazardous substance to the Department, if applicable. N o N oQ � o a�p �Q Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP AQ 06 Notification Prior to Construction or Demolition B. General Project Description (cont.) 4. General Contractor: b. Address t 10000000000 __ _g NIA_ h. On-site Manager Name 1100170496 Decal Number NA X00 0 C. General Construction or Demolition Description 1. Construction or demolition contractor: (KIDDER BUILDING & WRECKING, INC. __ __ .!. a.Name 1247 MAIN STREET 103865 � PLAISTOW�NFI� _I _e. .NET f. Telephone Number (are LOU ST. ONGE 2. On -Site Supervisor: SHAWN KIDDER -- On -Site Supervisor Name 3. Is the entire facility to be demolished? i✓ Yes 1,__I No 4. Describe the area(s) to be demolished: 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: N ag06.doc • 10102 BWP AQ06- Page 2of3® Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality L100170496 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s) surveyed for the presence of asbestos containing material (ACM)? []✓ Yes ❑ No If yes, who conducted the survey? PATRICIA RILEY b. Survevor Name A160295 c. Division of Occupational Safety Certification Number 7. Construction or Demolition: '1/28/2013 � � 12/28/2013 _ a. Start Date (mmldd/yyyy) b. End Date (mm/ddlyyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: L seeding paving b. If other, please specify: 1✓1 wetting ? I shrouding covering it—', other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? D. Certification I certify that I have examined the above and that to the best of my knowledge it is true and complete. The signature below subjects the signer to the general statutes regarding a false and misleading statement(s). ROS_COE_R. KIDDER a. Print MSCOE R. KIDDER PROJECT COORDINATOR ';KIDDER BUILING & WRECKING, INC. 1/11/2013 e. Date (mm, N anORAnn • 1n/O2 RInIP nn na . Pane Q of Q ■ eDEP - MassDEP's OnlineFiling System MassDEP's Online Filing System My eDEP Forms lA Ply Profile &A Helga C Receipt Page 1 of 1 MassDEP Home I Contact I Feedback I Tour I Privacy Policy Usemame:RKIDDER84 Nickname: RKIDDER J Forms Signature Receipt Summary/Receipt __.__ _ { print receipt i Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 535321 Date and Time Submitted: 1/11/2013 4:22:26 PM Other Email: Form Name: AQ 06 - Construction/Demolition Notification Payment Information DEP code: 80957 Date: 1/11/2013 4:22:18 PM Amount ($): 85 Payment Detail: KIDDER ROSOCE—AccountType — AccountNumber "`"""7058 ConfirmationNumber: Contractor Contractor Number Name Address, , Supervisor Project Monitor Lab My eDEP MassDEP Home I Contact i Feedback I Tour I Privacy Policy MassDEP's Online Filing System ver.11.10.5.0© 2011 MassDEP hMps-lleaep_aep masS.gov(pageSlprintReceipt.aspx 1/11/2013 �a Report #: B26463 Project #: 13-1042 Date: 1/18/13 Client: ECS! Project: 22 Upland St. N. Andover, MA 69 Bridge Street Dedham, MA 02026 www.fli-environmental.com (781) 251-0040 ph (781)251-0901 fax Asbestos Air Sample Data Sheet Sampled By: KC Analyzed By: KC Date Analyzed: 1/18/13 Lab Sample # Field ID Flow Rate (L/Min) Start End Total Minutes Volume (Liters) Fibers / Field Fiber Concen- tration Sample Location Sample Type 80658 KC -1042-1 15.0 11:20 a 12:30 p 70 1050 .07 < 0.005 Bedroom area At closet In containment Final Clearance 80659 KC -1042-2 15.0 11:20 a 12:30 p 70 1050 .09 < 0.005 Bedroom area At window In containment Final Clearance 80660 KC -1042-3 15.0 11:20 a 12:30 p 70 1050 .06 < 0.005 Garage Middle area In containment Final Clearance 80661 KC -1042-4 .00 Field Blank Supervisor Notes: N10SH Method 7400 (A) Phase Contrast Microscopy Fiber Concentration = Fibers per Cubic Centimeter (F/cc) The Post -abatement Airborne Fiber Limit is 0.01 F/cc Method Not Specific for Asbestos Fibers MA DOS Certification # AA000144 i f Fl_I Environmental fFinal Clearance Inspection Checklist ClientLC Date:' End Time Minutes Flow Rave Voiaine F/Field Address:�Z- Uc� Project #; y � — d !Y'L�78 /� ✓ - Time: Asbestos Contractor: EC S t Negative Pressure: es No Containment Area: IL=. J,4 -r-- Poly Sheeting in Place: No Decon Type: Full Containment No WorkArea Size 300 _V_ Glovebag Removal• t./ Yes No LiOMate 4& andQuanlrliuAhakd Material Quantity, Notes Catzon The work area outlined above has been inspected by the Asbestos Abatement Project Supervisor and iicensed Project Monitor and has passed the visual inspection criteria of no visible debris. a 1pw= 3.icense # ProjectMorutor: Supervisor. F'% x'x 1 Cc � AS 3 /1 Air kA4&a Data Total # of Samples: Pass)/ Fail 1A IID Sample # Locarion Start Torte End Time Minutes Flow Rave Voiaine F/Field P/cc J t© -6-J- gl- ,>,, t { Ia Dj _7 i I FLl Environmental - Final Clearance inspection Checklist A Client. -tFC S i Date; Address: V a Project #: — l Owl } Time: Asbestos Contractor. } Negative Pressure: No ContainmentArea:i �. rz-5-2. Poly Sheeting in Place: No 1 Decon Type: Full Containment Yes No i Work Area Size: Q Glovebag Removal: Yes 0 o List Mat n4& andQuanA5*r Abated } Material Quantity Notes , e- SJ J J1 cara0n . The work area outlined above has been inspected by the Asbestos Abatement Project Supervisor and Ucertsed Project Monitor and has passed the visual inspection criteria of no visible debris. Nam$. Sizaature its Project Monitor.--tQA (1 C Cc Supervisor:�Y'tyCg f 317 SV Air Sant Data Total ## of Samples: 1 pas) / Fail Lab ID Sam le # Location StartlimeFnd'Tmne Minutes Flow Rate Volume F/Field F/cc January 215`, 2013 Environmental Compliance Specialists Inco "WHERE COMPLIANCE BUILDS CONFIDENCE." Alan Cuscia PO Box 468 Lawrence, MA 01841 RE: 22 Upland St. North Andover, MA Dear Mr. Cuscia, Environmental Compliance Specialists Incorporated (SCSI) has recently c of all identified asbestos containing materials at the above-mentioned site. clear of all listed hazardous materials. ,A. waste manifest will be provided to you after it is transported to Ming where it will be disposed of The waste transporter for the asbestos is Servi4 New Castle, DE. If you have any questions, please feel free to contact me at 603-642-9200 e; Sincerely, ,Project Administrator Environmental Compliance Specialists Inc. rated Justin Wright Administrator ted the removal building is now ,a Landfill in Ohio Transport Group of 204. 111 Route 125 Kingstn, NH 03848 Te1603-642-9200/800-990-6373 Fax 603-942-9223