HomeMy WebLinkAboutBuilding Permit #793 - Exception 6/14/2006O` NORTH 1M
p TOWN OF NORTH ANDOVER
'• t' APPLICATION FOR PLAN EXAMINATION
CMMSES
Permit NO:793
Date Received: • ��
Date Issued: r • 06
I IMPORTANT: Applicant must complete all items on this page I
LOCATION 1(OOC7 0-�)e7DOD ':aT -
Print
PROPERTY OWNER FIV-6pf—ei l
MAP NO.:s2n PARCEL:
TYPE AND USE OF BUILDING
ZONING DISTRICT:
R�.MoV
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
❑ Addition
* Alteration
❑ One family
❑ Two or more family
No. of units:
❑ Industrial
0 Repair, replacement
kDemolition
❑ Assessory Bldg
[Commercial
0 Moving (relocation)
0 Other
0 Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
OF -f- W7ef-10L c ftt— PArf—
TITIOQ5
Identification Please Type or Print Clearly)
OWNER: Name: aR;`f 0 j >�S (K)(, Phone:
Address: (W)o 650009 >)
CONTRACTOR Name: NbeT*E*ST- Phone:
Address: (LO P*20A-�Gt 41 .4.I �3 SA u6ust" M 14 0110/0
Supervisor's Construction License:r'I"WID 6I� 2Exp. Date: 11f2 -
J2,11
Home Improvement License:
Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. N
FEE SCHEDULE: BOLDING PERMIT. $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $1;J.00 PER S.P.
Total Project Cost :$ ��ot "�"� �: 00 x10.00=FEE:$ i?C 7�7
Check No.:n Receipt No.:��
Page lof=t
TYPE OF SEWARGE DISPOSAL
Tanning/Massage/Body Art ❑
Swimming Pools El
Public Sewer
Wel.l� Q ❑
Tobacco Sales ❑
Food Packaging/60ef E
Private (septic tank, etc. ❑
Permanent Dumpster on Site ❑
;Electrict Ater location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the nnty f�unnd
Signature of Agent/Owner C��( Signature of Contract ' U " ►�M
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFIe USE ONLY y y'
INTERDEPARTMENTAL SIGN OFF - U FORM F'
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
.y
CONSERVATION
4
COMMENTS
❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
DATE REJECTED
DATE APPROVED
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑ All � a e -
COMMENTS c �- n .� . - -,t /_ 1 _
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Continents
Comments
Water & Sewer connection signature & date
Temp Dumpster on site yes no_ Fire Department signature/date
Building Permit Approved and Issued by:
Page 2 44
Building Setback (ft.)
Front Yard
Side Yard Rear Yard
Required
Provided
Required Provides Required
Provided
DIMENSION
Number of Stories:
Total land area, sq. ft.:
iNuiG�sanaursiA —(vor
Page 3 of 4
Creased SMC. Je,.2006
Total square feet of floor area, based on Exterior dimensions.
I)F PA RTMFNT- RPPO PMfli
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
Addition Or Decks
❑ Building Permit Application
❑ 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)
❑ Mass check Energy Compliance Report (If Applicable)
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
o Mass check Energy Compliance Report
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 submitted with the building application
Doc: INSPECTIONAL SERVICES DEPARTNIENT:13PFORNI05
Page 4 of 4
Location �f9/ -1 �S�/�nr�
No. / ✓ Date `
�0R701
TOWN OF NORTH ANDOVER
L
9
Certificate of Occupancy
$
CS t�'
Building/Frame Permit Fee
$
Foundation Permit Fee
$
�.
Other Permit Fee
$
TOTAL
$
_
75
Check # &3—�
y 3 �l� -� �✓�sr�
} Building Inspector ;e4
m
m
m
m
m
CO)
10
CD
az
CDCL
O
d
acc
o p
C.
c�
CD o
CO)
CD
O
L -J
CO)
d
d
O
Cie
Cf�
O
CO)
d
CD
O
CD
H
CD
CO)
0
cn
n
O
cn
C
O
cn
n
V J
2
rn7
r�
zz
cn
1
< cS-rfii2Q 'v g m =
O
So < O y
m cd00 00 cl) m 0 0
n R1
a
c homy 0 y
O .•r !
> >-0 0
IG M O O �1
o z 910 ,
O ca -'s 4
c �
N
c 10 3=:+
n"~� 0
rc o s ? • � -
0 0:
w�
i
10
d y .
CA C ONC O. cr
CL
H r O s tdwfti O
� * * •-
oo
f� N
0 0 0 G! D o
N .•► .
CD
n
0 0
CD
CDy
=
CDU .
CLGROMWs
r
y O
.w O
M
v
t
0
140
"
a
a�
H
O
f7
eL
t"
EL
::rO
9
91
O
d
C)
C/)8
fD
cn
�
Z�
a7
d
M
v
t
0
140
The Commonwealth of Massachusetts Y
Department of Fire Services
Office of the State Fire Marshal
P. O. Box 1025 State Road, Stow, MA 01775
PERMIT Date: 'F
North Andover permit No Dig Safe Number
( City of Town) (If Applicable)
In accordance with the provisions of M.G.L.114 $ Chapter 10 as provided in section 4 r.M R 34 StartDate
This Permit is granted to:
��`S�`
Full name of person, Firm or Corporation
Permission to locate dumpster for construction/renovation/demolition of building
Comments: dumpster must be 25' from structure if unable to place with required
Restrictions: clearance dumpster must be covered with vlvwood or tarp_ end of work day
at
( Give location by street and no., or describe in such manner as to provied adequate identification of location )
Fee Paid$ 50.00 �� Fire Chief
This Permit will expire j �r'� ' f_ ( Signature of offical granting permit) Offrcal granting pemut (Title)
OWNW11- TW1C PERMIT MI ICT RF r-nNlCPir.i Ir111¢1 V Pr)CTl=n 1 IPr1AI THF PRFMICI=C �t
"12u Control Nn Es
THE COMMONWEALTH OF MASSACHUSETTS
Departments of Labor and Workforce Development
Division of Occupational Safety
399 Washington Street, 5th Floor, Boston, Massachusetts02108
�M
ASBESTOS CONTRACTOR LICENSE
NORTHEAST REMEDIATION
253 LOW STREET SUITE 224
NEWBURYPORT MA 01950
LICENSE: AC000392 EXPIRES: Friday, January 12, 2007
IN ACCORDANCE WITH MGL CH. 149 § 6B AND 453 CMR 6.04
THIS CERTIFICATE IS ISSUED BY THE DEPARTMENT OF LABOR AND WORKFORCE
DEVELOPMENT, DIVISION OF OCCUPATIONAL SAFETY FOR THE PURPOSE OF ENTERING
INTO OR ENGAGING IN ASBESTOS WORK.
THIS LICENSE IS VALID FOR A PERIOD OF ONE (1) YEAR.
Robert J. Prezioso, Commissioner
P—d an Re ya d Pepin
� a 1
•�~' "Ellen Keller"
<ekeller@ozzyproperti
es.com>
` 06/07/2006 01:50 PM
Scott,
To: <smaranto@lviservices.com>
cc: "Rober Bartley" <rbartley@ozzyproperties.com>, "Glenn Nelson"
<gnelson@smithwessel.com>
Subject: FW: Buillding 20, second floor abatement
Per our conversation, 1600 Osgood Street has accepted your bid proposal to perform asbestos
remediation services as per the attached.
Please coordinate all on site activities directly with Robert Bartley. In addition, the GC that will be assisting
with related demo work is Ted Dowgiert. He is prepared to meet with you at any time to discuss the job
details. His number is 978-815-7292.
Thanks in advance and we look forward to the successful completion of this job.
Regards,
Ellen J Keller
VP — Commercial Real Estate
Ozzy Properties, Inc.
From: Glenn Nelson [mailto:gnelson@smithwessel.com]
Sent: Tuesday, June 06, 2006 11:31 AM
To: Ellen Keller
Cc: Rober Bartley
Subject: Buillding 20, second floor abatement
Hi Ellen and Bob:
I received confirmation from Scott Maranto of Northeast Remediation that they have notified to begin the
abatement work on the second floor of Building 20 on 6/13/06. He stated that he still does not have a
signed contract and was hoping to accomplish that before starting. In addition, what would you like Smith
& Wessel's involvement to be? Prep checks and clearance air sampling or full-time monitoring?
Please advise.
Regards,
Glenn Nelson
Operations Manager
Smith & Wessel Associates
Office: 508-885-5196
Fax: 508-885-5196
Cell: 978-580-6882
e-mail: gnelson@smithwessel.com
Scanned by IBM Email Security Management Services powered by MessageLabs. For more
information please visit http://www.ers.ibm.com
Northeast bid on 20-2-north.p
T,ype xsf asbestos-contalalfIT aatetia: Cr o aerhazardrattr MA%rlol'tta be
price(s)
t. tlsb�str s cdzt xsu x %a €zie -.s x1 la ;ur
S 2,00 /of
1 Asbestos C(1t'{mioiii ^tool tilc-- lationo.", M.4;
� {l';7�-.isf
3. Asbestus contaittnio;#ittos tilt wid.a otic adhesive
2 P Id
3 5 /Sf
4. sus#r}s tcrntasni i . 3e ra air ar�d.ssa tic a �s -est is firs
Asters co - " `tic:at Tile t it oc'wteiL camt
S 4:251sf
'... U. .i?t9.t`fi _. tlilfi`�a`tYr>.�iiFin'9Citcsl.sCt6'tlC .. .... ..1.4.%:af
7. ' unnAi s�ystc m pipe iwsOadou
p 8.00 it
8.0 Olrtti,x
9. 'iiaum4l srm mudded , �r ' ,v4u;at„ =
R F rt-doors
$ r .s 33�incsrp
!
1t3„ ?J�t{iTFii.Trdl�2tVCiSi alp �
� �.a�..}!�Si
[ 1. C VAC duct imulutiml
12.00 Isf
1.2. Window caulks
laoo x
LS, Window ^tare _a
z.t}ll tsf
f . Pzdka r 'and rercvcleldiE ' st of PCB hail .+t
1 ^, J ballast
1 . F1uxz s t fuezcaaz-� saBtrs
0:65 (if:
t icier ilibrs assocmt;� withlberttt sum s
s til.DO limb*
t 7. Cost trs rerttilbib" to the siteto ranwiv:c-.�•lditivnav asbrstc s
s IS
. 0a.toxea.
w
Massachusetts Department of Environmental Protection
3 Bureau of Waste Prevention • Air Quality 1100034060
BWP AQ 0 AhV Decal Number
'
Notification Prior to Construction or Demolition
Important: A. Applicability
When filling out Pp � Y
forms on the
computer, use
only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or
to move your residential building with 20 or more units is regulated by the Department of Environmental Protection
cursor- not
use the return (DEP), Bureau of Waste Prevention - Air Quality Control Regulations 310 CMR 7.09. Notification of
key. 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.
AF
B. General Project Description
1. a. Is this facility fee exempt - city, town, district, municipal housing authority, owner -occupied
Instructions residence of four units or less? ❑ Yes 2 No
1. All sections of b. Provide blanket decal number if applicable:
this form must be Blanket Decal Number
completed in order
to comply with the 2. Facility Information:
Department of
Environmental OZZY PROPERTIES
Protection a. Name
notification 11600 OSGOOD STREET
requirements of b. Address
310 CMR 7.09 NO� —�
RTH ANDOVER MA 01810
Citv[Town Q. Zig Code
(978) 475-4569
T le h n Number r d an a sionE-mail Address (optional)
2,000,000_ r3'
In. Size of Facility in Square Feet i. Number of Floors
j. Was the facility built prior to 1980? ❑✓ Yes ❑ No
k. Describe the current or prior use of the facility:
OFFICE BUILDING
I. Is the facility a residential facility?
❑ Yes ❑✓ No
__o
_
m. If yes, how many units?
Number of Units
3.
Facility Owner:
N
OEY PROPERTIES, INC.
o
a. Name
0
3 DUNDEE PARK
b. Address
NORTH ANDOVER
I MA 101810 !�
(0
c. Cityrrown
-d–State e. Zip Cod
o
(978) 475-4569
O
f.T I h n Nu r n i n--mailAddress
ion I
ROBERT BARTLEY
Q
h. Onsite Manager Name
ag06.doc • 10/02
BWP AQ 06 • Page 1 of 3
Massachusetts Department of Environmental Protection _
Bureau of Waste Prevention - Air Quality 10oo34oso
Decal Number
(, BWP AQ 06
Notification Prior to Construction or Demolition
General
B. General Project Description cont.
Statement: If
asbestos is found
during a
4. General Contractor:
Construction or
Demolition
IDOWGIERT CONSTRUCTION CO., INC.
operation, all
responsible parties
a. Name
must comply with
1616 ESSEX STREET
310 CMR 7.00,
b. Address
Cha and
Chapterer 2 21 E of the
LAWRENCE
MA �
01841
General Laws of
c. City/Town
d. State
e. Zip Code
the Commonwealth.
(978) 685-0306
This would include,
f. Tele hone Number area code and extension
. E-mail Address o tVonal
but would not be
limited to, filing an
ITOM DOWGIERT
asbestos removal
In. On-site Manager Name
notification with the
Department and/or
a notice of
release/threat of
C. General Construction or Demolition
Description
release of a
hazardous
substance to the
1. Construction or demolition contractor:
Department, if
applicable.
INORTHEAST REMEDIATION
a. Name
643 BROADWAY #143
b. Address
SAUGUS
_
MA —�
01960
c. Cit /Town
d. State
e. Zip Code
(617) 389-9188 1
lsmarcone@lviservices.com
f. Telephone Number (area code and extension)
g. E-mail Address (optional)
SCOTT MARANTO
h. On-site Manager Name
2. On -Site Supervisor:
EDWIN ALMONTE
On -Site Supervisor Name
3. Is the entire facility to be demolished? ❑ Yes[Z] No
4. Describe the area(s) to be demolished:
BUILDING #20 - 2ND FLOOR
5. If this is a construction project, describe the building(s) or addition(s) to be constructed:
0 ag06.doc - 10/02
N/A
BWP AQ 06 - Page 2 of 3 0
Massachusetts Department of Environmental Protection
Bureau of Waste Prevention • Air Quality
BWP AQ 06
Notification Prior to Construction or Demolition
■
100034060
Decal Number
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?
SMITH & WESSELL
b. Survevor Name
AA000161
c. Division of Occupational Safety Certification Number
7. Construction or Demolition: 06/23/2006 �� 07/14/2006
a. Start Date (mm/dd/yyyy) b. End Date (mm/dd/yyyy)
8. a. For demolition and construction projects, indicate dust suppression techniques to be used:
❑ seeding ❑ paving b. If other, pleasespspecify:
❑✓ wetting E] shrouding
❑ covering ❑ other
For Emergency Demolition Operations, who is the DEP official who evaluated the emergency?
N/A
a. Name of DEP Official
D. Certification
■ ag06.doc • 10/02
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).
SARAH MARCONE
a. Print Name
MARCONE
Signature
IPROJECT COORDINATOR
(NORTHEAST REMEDIATION
06/09/2006
e. Date (mm/d
BWP AQ 06 • Page 3 of 3 ■
A
J
Commonwealth of Massachusetts _ ■
' 100033529
k
-p Asbestos Notification Form ANF -001 Decal Number
Important:
tion
A. Asbestos Abatement Description
AC000392
When filling out
f. DOS License Number
forms on the
computer, use
1. a. is this facility fee exempt - city, town, district, municipal housing authority, owner -occupied
only the tab key
residence of four units or less? ❑ Yes M No
EDWIN ALMONTE
to move your
a. Name of On -Site Supervisor/Foreman
cursor - do not
b. Provide blanket decal number if applicable:
Blanket Decal Number
use the return
YEE CONSULTING GROUP
key'
2. Facility Location:
06/13/2006
OZZY PROPERTIES
1600 OSGOOD STREET
a. Name of Facility
NORTH ANDOVERMA--
b. Street Address
01810-� F
.::
��
c. City/Town d. State
e. Zip Code f. Telephone Number
INSTRUCTIONS 3
1. All sections of this
form must be
completed in order
to comply with 4.
DEP notification
requirements of 310
CMR 7.15 5•
and the Division
of Occupational
Safety (DOS)
notification
requirements of 453
CMR 6.12
6.
7.
8.
9.
Worksite Location:
BLDG. #20 - 2ND FLOOR
a. Building Name/Building Location
II 1 :1 11 1
b. Building # c. Wing d. Floor e. Room
Is the facility occupied? ❑✓ Yes ❑ No
Asbestos Contractor:
NORTHEAST REMEDIATION
a. Name
NEWBURYPORT
c. Cit /Town
01950
d. Zip Code
AC000392
f. DOS License Number
ROBERT BARTLEY
h. Facility Contact Person
EDWIN ALMONTE
a. Name of On -Site Supervisor/Foreman
SMITH & WESSEL
a. Name of Pro'ect Monitor
YEE CONSULTING GROUP
a. Name of Asbestos Analytical Lab
06/13/2006
7AM-3PM'
c. Work hours
10. a. What type of project is this?
❑ Demolition ❑✓ Renovation
❑ Repair ❑ Other, please specify:
11. a. Check abatement procedures:
❑✓ Glove bag
❑ Enclosure
❑ Cleanup
❑✓ Full containment
❑✓ Encapsulation
❑ Disposal only
❑ Other, specify
253 LOW STREET SUITE 224
b. Address
6173899188
e. Telephone Number
g. Contract Type: ❑✓ Written ❑ Verbal
OZZY PROPERTIES ONISTE REP.
AS033135
b. Supervisor/
AA000161
b. Project Mor
AA000145
b. Asbestos A
06/30/2006
b. End Date r
N/A
b. Describe
b. Describe
12. Is the job being conducted: ❑✓ Indoors? ❑ Outdoors?
■ anf001ap.doc•10/02
Asbestos Notification Form - Page 1 of 3 ■
Commonwealth of Massachusetts
r' Asbestos Notification Form ANF -001
■
100033529
Decal Number
A. Asbestos Abatement Description (cont.)
16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency:
13. Total amount of each type of Asbestos Containing Materials (ACM) to be removed, enclosed, or
encapsulated:
650 ] 10950
a. Name of DEP Official
a. Total pipes or ducts (linear ft) b. I otal other surfaces square
c. Boiler, breaching, duct, tank 350
d. DEP Waiver #
d. Insulating cement
surface coatings Lin. ft. Sq. ft.
Lin. ft. ft.
e. Corrugated or layered paper 650 C
(�Sq.
� C�
f. Trowel/Sprayer coatings
pipe insulation ft. Sq. ft.
ft� Sq. ft.
((Lin.
!�
(Lin.
E—�I 10000
g. Spray -on fireproofing h. Transite board, wall board
Lin. ft. Sq. ft.
Lin. ft. Sq. ft.
(�
600
i. Cloths, woven fabrics j. Other, please specify:
Lin. ft. S ft.
Lin. ft. Sq. ft.
k. Thermal, solid core pipe VAT/MASTIC
insulation Lin. ft. Sq. ft. I. Specify
14. Describe the decontamination system(s) to be used:
3 -CHAMBERED DECON. WITH SHOWER AND 2 -CHAMBERED DECON. WITH WASH STATION
15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR
6.14(2) (g):
OFFICE BUILDING
ACM WILL BE WET (HAND TO BAG). ACM WILL BE PROPERLY LABELED, PACKAGED AND T
16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency:
N/A
a. Name of DEP Official
b. Title
c. Date (mm/dd/ of Authorization
d. DEP Waiver #
N/A
e. Name of DOS Official
f. DOS Official Title
g. Date (mm/dd/yyyy) of Authorization
h. DOS Waiver #
N
0
17. Do prevailing wage rates as per
M.G.L. c. 149, § 26, 27 or 27A—F apply to this project? Yes Q No
B. Facility Description
N
OFFICE BUILDING
o
1. Current,or prior use of facility:
0
2. Is the facility owner -occupied residential with 4 units or less? ❑ Yes ❑✓ No
OZZY PROPERTIES, INC.
1 3 DUNDEE PARK
3. a. Facility Owner Name
b. Address
o
NORTH ANDOVER, MA
978-475-4569
o
c. Cit /Town
d. Zip Code e. Tele hone Number area code and extension
u
ROBERT BARTLEY
1600 OSGOOD STREET
4
a. Name of Facility Owner's On -Site Manager b. On -Site Manager Address
Z
NORTH ANDOVER, MA 1
101810 1 1978-475-4569
Q
c. City/Town
d. Zip Code e. Telephone Number (area code and extension)
■ anf001ap.doc
• 10/02
Asbestos Notification Form • Pa a 2q of 3 ■
Note: Transfer
Stations must
comply with the
Solid Waste
Division
Regulations 310
CMR 19.000
M
�O
0
N
0
0
0
LL
Z
Q
Commonwealth of Massachusetts
Asbestos Notification Form ANF -001
B. Facility Description (cont.)
N/A
5' a. Name of General Contractor
c. Citv/Town d. ZiD Code
f. Contractor's Worker's Comp. Insurer
6. What is the size of this facility?
100033529 Y
Decal Number
b. Address
e. Telephone Number area code and extension
q. Policy Number h. Exp. Date mm/dd/ yy
a. Square Feet b. Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos -containing material from site to temporary storage site (if necessary):
NORTHEAST REMEDIATION
a. Name of Transporter
NEWBURYPORT, MA 01950
c. City/Town d. Zip Code
253 LOW STREET, SUITE #224
b. Address
(617) 389-9188
e. Telephone Number
2. Transporter of asbestos -containing waste material from removal/temporary site to final disposal site:
SERVICE TRANSPORT GROUP
b. Authorized Signature
a. Name of Transporter
NEW CASTLE, DE
c. Cit /Town
19720
d. Zip Code
3. N/A
d. Date (mm/dd/vyvv)
a. Refuse Transfer Station and Owner
c. Cit /Town
d. Zip Code
4. JA & L SALVAGE INC
f. Representing
a. Final Disposal Site Location Name
q. Address
11225 STATE ROUTE 45
NEWBURYPORT, MA
c. Final Disposal Site Address
OH
44432
e. State
f. Zip Code
D. Certification
The undersigned hereby states, under the
penalties of perjury, that he/she has read the
Commonwealth of Massachusetts regulations
for the Removal, Containment or
Encapsulation of Asbestos, 453 CMR 6.00 and
310 CMR 7.15, and that the information
contained in this notification is true and correct
to the best of his/her knowledge and belief.
58 PYLES LANE
b. Address
(877) 999-9559
e. Telephone Number
b. Address
e. Telephone Number
b. Final Disposal Site Location Owner's Name
LISBON
d. Citv/Town
g. Telephone Number
SARAH MARCONE
a. Name
b. Authorized Signature
PROJECT COORDINATOR
05/30/2006
c. Position/Title_
d. Date (mm/dd/vyvv)
(617) 389-9188
INER I
e. Tele hone Number
f. Representing
253 LOW STREET, SUITE #224
q. Address
NEWBURYPORT, MA
01950
h. City/Town
i. Zip Code
Go To Top
E anf001ap.doc • 10/02 Asbestos Notification Form • Page 3 of 3 0
May 30, 2006
NOTIFICATION OF ASBESTOS ABATEMENT
ATTENTION: North Andover Fire Department
124 Main Street,
North Andover, MA 01845
Northeast Remediation will be conducting an asbestos abatement project at the following
location. Please note the site and dates listed below, with the latter being subject to changes. Do
not hesitate to contact our office for more detailed scheduling information at 617-389-9188.
I -30l 10=100KIZSl_•TY [IRS
START DATE:
END DATE:
Ozzy Properties
1600 Osgood Street
North Andover, MA
Building #20 — 2nd Floor
6/13/06
6/30/06
Asbestos signs will be clearly posted in all areas where work is being conducted. Please take the
necessary precautions in the event you are required to enter the building during an emergency.
If you have further questions with respect to this abatement project, please do not hesitate to
contact our office at any time at (617) 389-9188. Thank you very much for your attention
regarding this matter.
Very: truly yours,
NORTHEAST REMEDIATION
Sarah Marcone
Projects Coordinator
Corporate Headquarters New England Office
462 Getty Avenue 253 Low Street, Suite 4224
Clifton, NJ 07011 Newburyport, MA 01950-0803
Tel. 617-389-9188 Fax617-389-9198
May 30, 2006
NOTIFICATION OF ASBESTOS ABATEMENT
ATTENTION: North Andover Health Department
400 Austin Street
North Andover, MA 01845
Northeast Remediation will be conducting an asbestos abatement project at the following
location. Please note the site and dates listed below, with the latter being subject to changes. Do
not hesitate to contact our office for more detailed scheduling information at 617-389-9188.
BUILDING LOCATION:
START DATE:
END DATE:
Ozzy Properties
1600 Osgood Street
North Andover, MA
Building #20 — 2nd Floor
6/13/06
6/30/06
Asbestos signs will be clearly posted in all areas where work is being conducted. Please take the
necessary precautions in the event you are required to enter the building during an emergency.
If you have further questions with respect to this abatement project, please do not hesitate to
contact our office at anytime at (617) 389-9188. Thank you very much for your attention
regarding this matter.
Very truly yours,
NORTHEAST REMEDIATION
Sarah Marcone
Projects Coordinator
Corporate Headquarters New England Office
462 Getty Avenue 253 Low Street, Suite #224
Clifton, NJ 07011 Newburyport, MA 01950-0803
Tel. 617-389-9188 Fax617-389-9198
o�
P