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Home My WebLink AboutMiscellaneous - 13 BELMONT STREET 4/30/2018 (3) __ _ ___ ---- -- - __ _ - - _ _ - �.,��,�E�J�� oat -9 4 n { fI I RrN 0 9 41,0 7'�T—•'�s .4c TOWN TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE Notice is hereby given that the Board of Appeals will give a hearing at the Senior Citizen ' s Center located at the rear of the Town Building, 120 Main Street, North Andover on Tuesday evening the 9th day of August 1994 at 7:30 o ' clock, to all parties interested in the appeal of Gary Laurendeau requesting a Special Permit under -V sec. 9, Paragraph 9.2(l) of the Zoning By Law so as to permit construction of an addition to a non-conforming structure on the premises, located at 13 Belmont Street. By Order of the Board of Appeals Frank Serio, Jr. , Chairman Publish 'n i the Norte Andover -3�e 20 & 27 1994 An er Citizen on , LEGAL NOTICE TOWN OF NORTH ANDOVER BOARD OF APPEALS NOTICE Notice Is hereby given that the Board of Appeals will give a hearing at the Senior chizen's Center located at the rear of the Town Building,120 Main Street,North Andover on Tuesday evening the 9th i day of August 1994,at 7c0 o'clock,to all parties Interested In the appeal of Gary Laurendeau requesting a Special Permit under Sec. 9. Paragraph 9.2(1)of the Zoning By Law so as to per' Mk construction of an addition to a nonconiormI g structure on the premises,located at 13.8etntortt Street By Order of the Board of Appeals Frank Serlo,Jr.,Chahman NAC:720 8 27/1994 -- ,t DANIEL T oNOR T yv f -9 ND-OVER Received by Town Clerk: � fl7 PM TOWN OF NORTH ANDOVER, MASSACHUSETTS BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant Address Q Tel. No. 1. Application is hereby made: a) -,, - For a variance from the requirements of Section Paragraph and Table of the Zoning Bylaws. . b) For a special Permit under Section Paragraph?.�/ of the Zoning Bylaws. C) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. 2 . a) Premises affected are land ✓ and building(s) numbered 13 Q E L M041 f S T' Street. b) Premises affected are property with frontage on the North ( ) South ( ) East ( L� West ( ) side of 13ECr»o11%1kT S" 7-. Street. Street, and known as No. 13 B E L rho Nr rr Street. C) Premises affected are in Zoning District ��, and the premises affected have an area of 10 i 000 square feet and frontage of r00.0Ofeet. 3 . Ownership: I a) Name and address of owner (if joint ownership, give all names) kesh'e r`iv kC Ua4&..QJ4 Date of Purchase i9(,a5 Previous Owner i b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required. j '4 . Size of proposed building: 31V front; 2 feet deep; Height 23-q stories; 2 feet. a) Approximate date of erection: J il I / q R� b) Occupancy or use of each floor: 12E,s'1L)EAjs%c C) Type of construction: u2oo b DwE-L1AJ( 5. Has there been a previous appeal, under zoning, on these premises? A10 -- . If so, when? 6. Description of relief sought on this petition 7 . Deed recorded in the Registry of Deeds in Book [4_Q ?tPage _o.3 Land Court Certificate No. Book Page The principal points upon which I base my application are as follows: (must be stated in detail) c1) I agree to pay the filing fe advertising in newspaper, and incidental expenses* ignature of Petitioner(s) Every application for action by the Board shall be made on a form approved by the Board. These forms shall be furnished by the Clerk upon 'request. Any communication purporting to be an application shall be treated as mere notice of intention to seek relief until such time as it is made on the official application form. All information called for by the form shall be furnished by the applicant in the manner therein prescribed. Every application shall be submitted with a list of "Parties of Interest" which list shall include the petitioner, abutters, owners of land directly opposite on any public or private street or way, and abutters to the abutters within three hundred feet (3001 ) of the property line of the petitioner as they appear on the most recent applicable tax list, notwithstanding that the land of any such owner is located in another city or town, the Planning, Board of the city or town, and the Planning Board of every abutting city or town. *Every application shall be submitted with an application charge cost in the amount of $25. 00. In addition, the petitioner shall be responsible for any and all costs involved in .bringing the petition before the Board. Such costs shall include mailing and publication, but are not necessarily limited to these. Every application shall be submitted with a plan of land approved by the Board. No petition will be brought before the Board 'unless said plan has been submitted. Copies of the Board' s requirements regarding plans are attached hereto or are available from the Board of Appeals upon request. I Rev. 4/93 •sem-�s- _ _ �. __ .._ ,_ � ...�. _.�' t. J CERT/F/ED PLOT PLAN Ft PREPARED FOR.' GARY LAURENDEAU AT /3 BELMONT STREET - NOR T H ANDOVER, MA. NO. ESSEX REG IS TR Y OF DEEDS.' BK. /,032 PG. 403 PLAN.'NO. /2,355 8 033 ZONE.' R-4 ASSESSORS.' MAP /8, PARCEL /7 SCALE' ll- 30' DATE.' JUNE /6, /994 DATE OF FILING.* r DATE OF HEARING.' N/F BOARD OF APPEALS - DATE OF APPROVAL. DEMERS DATE.' /00.00 --� 20.0 32.4' /6' PROP. /2 WOOD 37.B' 34 DECK PROPOSED 24' 2 STORY - 37.7 DWELLING \ N/F EX/STING\ N/F -?\Sry BEL MONT STREET TRUST MORSE ' LOT �I �OWG. o AAAA. /0,000 SF-i No.13\ o 100.00` _ ' � ca. BaMONT STREET""` P ABAGIS, PIS PREPARED BY JOHN ASHG/S 8 ASSOCIATES, PROFESS/ONAL ,LAND SURVEYORS /37 CHANDLER ROAD, ANDO VER, MA. (508)688-4899 NO./464.8 A 1 LIST OF PARTIES OF INTEREST SUBJECT PROPERTY MAP IPARCEL ILOT INAME JADDRESS I GA RV L ER Q 113 13 CIL m 04J 7- ABUTTERS ABUTTERS MAP IPARCEL LOT INAME ADDRESS zg jagu SNE e,''�'/ E. (p A.,0 Si 2-7 M, L SG , SU A 'UTAodSo 12- 3etrr,,,,, ' l Co I/f2GJAJ l ° 36, CtJA L'S- CHA JEAJEE F 1Z0 57�f f r'";` " �.� 79 OST eC i 132, MrZi- iljG ,jEs M61zs' - L► 32 - as 3 sr is ,,-5!N L -R NWI F4 L A/n LfaAJ 2-7 IrliQ"N C-r jd0AJ 4. I�� L ZiS 38-pfd l 1.1 I � I � I I i I - I � I r-- i I Gary.Laurendeau 13 Belmont Street North' Andover, MA 01845 John & Mary Shea 6 Belmont Street North Andover, MA 01845 Myles & Susan Wanson 12 Belmont Street North Andover, MA 01845 Virginia Sullivan 18 Belmont Street .North Andover, MA 01845 Charles & Charlene Faro 5 Belmont Street North Andover, MA 01845 Trust 7 Belmont Street 6 Belmont Street North Andover, MA 01845 Melvin & Agnes Morse 21-23 Belmont Street North Andover, MA 01845 Steven & AndreaNelson 27 May Street North Andover, MA 01845 John & Ellen Voulgaris 38-40 May Street North Andover, MA 01845 Rene & Clara Demers 46 May Street North Andover, MA 01845 Violet Patricia Kondrat 52 May Street North Andover, MA 01845 w ZA2 la;t • ERT/F/ED PLOT PLAN t PREPARED FOR.' 1 RY LAURENDEAU jAT -3� O� /3 BEL MONT STREET e•®AZ NORTH ANDOVER, IVIA. NO.- ESSEX REG IS TR Y OF DEEDS.' BK. /,032 PG 403 PLAN.'NO. /2,355 8 033 ZONE* R-4 ASSESSORS.' MAP /8, PARCEL /7 SCALE.' 1 '- ,30" DATE.- JUNE /6, /994 DATE OF FILING.* DATE OF HEAR/NG.' N/F BOARD OF APPEALS DATE OF APPROVAL: DEMERS DATE:' 100.00, ; 20.0' , 32.4' 16 36.3' At PROP. 6 /2' WOOD DECK 34 PROPOSED 24' 2 STORY \ 3T.7' DWELL/NG 5 9, iY/F EXIST/NGS N/F MORSE p \2STYq\\ BEL NOW T STREET TRUST o LOT A QOWG. /0,000 SF¢ .No /J\ ap Fl—)w o a /00.00' j6ELAfONT STREET soar J N M. ABAG/S, P S. PREPARED BY.' JOHN ABAG/S 8 ASSOCIATES, PROFESSIONAL LAND SURVEYORS b 137 CHANDLER ROAD, ANDOVER, MA. (508)688-4899 Any appeal shall be filed 3 JOYCE Fna;, �uAW . «�' within (20) rays after the APMM01 ER date of filing of a �� lis Notice 's'• ie� •' HO RTH ` � , iz '9a in the Office of the Town SEP �Z 57 Clerk. TOWN OF NORTH ANDOVER MASSACHUSETTS AAS... Thia to b�that twamy(20)days WWW hm�a 14 ad.a ted 0�� A.2�d�r■Mr ,_S� BOARD OF APPEALS 'TVMCW& lbon park NOTICE OF DECISION Date . . .September. 12.9. 1994. . . . . Petition No.. . . .029-94. . . . . . . . . . . . Date of Hearing. .August. .9, .1994. . August 30, 1994 Petition of Gary_ Laurendeau . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 13 Belmont-Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Special Permit under . Referring to the above petition fora AKILUK . .Section .9' . . C�. Paragraph 9.2(1) of the Zoning Bylaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (�C i� so as to permit construction of an addition. to. .a .non-conf.orming. s.tr:ucture.. . . . . . . . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . . GRANT. . . . the Special Permit as requested and hereby authorize the Building Inspector to issue a .� i permit to Gary Laurendeau, . . . . . . . . . . . . . . <. The Board finds that the applicant has satisfied the provisions of Section 10, &_O Paragraph- 10.3 of the Zoning Bylaw and that such change, extension or alteration `cz shall not be substaintially more detrimental thatn the existing non-conforming use to the neighborhood. Signed Walter Soule, _Acting-chairman Robert. Ford, .Clerk. . . . . . . . . . . . . . . )71 cti ► John.Pallone . . . . ... . . . . . . . . . . . . . . l Scott .1ZaFp.inski. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Board of AAP.eal+ r r✓t W )1 T AWY appeal sIla be fi{ed whin (20) :;,: 31 .he of "a R'v�tQ aa�. : o. ri '.;, s �`,otice S7` the ui i ice of the Town � � EP 51 C1e.k • ' 5 • �9SSACMUSEt.( TWi j%o pettily that twenty(20)days .... , hoe ebMW from dide of deasim Nod TOWN OF NORTH ANDOVER' A TEM. V*Wfft ATM Copy Ddlt=_ MASSACHUSETTS �� t. TownCmc Town Clerk BOARD OF ;APPEALS ***************************** * Gary Laurendeau * DECISION 13 Belmont Street North Andover, MA 01845 * Petition , #029-94 * The Board of Appeals held a regular meeting on Tuesday evening August 9 , and then a special meeting on August 30, 1994 upon the application of Gary Laurendeau requesting a Special Permit under Section 9, Paragraph 9 . 2 (1) of the Zoning Bylaw so as to permit construction of an addition to a non-conforming structure on the premises s located at 13 Belmont Street. The following members were present and voting: Walter Soule, Vice-chairman, Robert Ford, . Clerk, John Pallone and Scott Karpinski. The hearing was advertised in the North Andover Citizen on July 20 and 27, 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Pallone and seconded by Mr. Karpinski, the Board voted unanimously to GRANT the Special Permit as requested. The Board finds that the applicant has satisfied the provisions of Section 10 , Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. s 12th da of Dated this Y September 1994 . BOARD OF APPEALS Walter Soule Acting Chairman =SSFX NOP e f 1FJr'.FJM y REGISTER OF DEE09 TOWN OF NORTH ANDOVER REQUEST FOR LEGAL SERVICES DATE. 8/23/94 NAME: Karen H.P. Nelson TITLE Dir, Planning & Comm. Dev. COMMITTEE/DEPARTMENT: Division of Planning & Comm. Dev. - Zoning Board of Appeal DESCRIPTION OF REQUEST: (Include such information as' "request for legal opinion" or "relates to pending litigation" . Is this a request of a committee or an individual member's concern; and is the request high/low priority and explain why. Please attach all relevant documentation. ) Request is a result of discussion with the Zoning Board of Appeals. All material is attached. TIME FRAME: (By what date is a response needed; please explain. ) A verbal opinion followed up with a written response would be appreciated by next wE due the timing of the Zoning. Board of Appeals monthly meeting. SUBMIT COMPLETED REQUEST FORM TO OFFICE OF TOWN MANAGER FOR PROCESSING Your request for legal services relative to a / �i,��' �✓ S was: Forwarded to Town Counsel Date: Returned Date: Reason: Town Manager Ary jcmeai Shall be filed after • W r the IL r within (20'. ::'IVS ... '11;t; �-,,otice I., dxe of Of L ...... of theTown CHU L %le TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date . . . September. 12., 1994. . . . Petition No.. . .0Z9-94. . . . . . . . . Date of Hearing August. .9,. . 1994 August 30, 1994 Pet,'-:on of GariLaurendeau . . . . . . . . . . . . . . . . . . . . . . . Premises aff e-c:ed 13 Belmont Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special Permit under Section 9, Referring ro the above petition fora Paragraph 9.2(1) of the Zoning Bylaw so as to permit construction of an addition to. a non-m-conf.orming. s.tructure. . . . . . . . . . . . . . . . . I . . . . . . . the Board of Appeals voted to GRANT the After a 'public '-earin., griven on the above date, - `,Decial Permit as requested and hereby authorize the Building Inspector to issue a Car,,- T aurendeau. pe—. -it to W k4i k P-14 X X Nw, �jm OnA.is-r-CM5=- The 3oard finds that the applicant has satisfied the provisions of Section 10, Paragraph 10.3 of the Zoning Bylaw and that such change, extension or alteration = ail not '�De substaintially more detrimental thatn the existing non-conforming use to the neighborhood. Signed jllaztL �� Walter Soule, Acting-chairman Robert Ford, Clerk. . . . . . . John .P411PAe . . . . . . . . Scott Karp.inski. . . . . . . . . . . . . . . . . . . . . . . . . Board o Appeals Y al)DpaI S"111 be piled j0''� ,,ORTIy �� •l•,t�' .. .�� . . - _ -. 3r y O� i ori�:i. +, 1��({`�►�!(j �: _• � - ,.'; �.:;;eco � �� EP 57��,p•t J � Town :P 51 ... i.. �9SSA C`HUSE��9 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS * Gary Laurendeau * DECISION 13 Belmont Street North Andover, MA 01845 * Petition T029-94 * ***************************** The Board of Appeals held a regular meeting on Tuesday evening August 9 , and then a special meeting on August 30 , 1994 upon the application of Gary Laurendeau requesting a Special Permit under Section 9 , Paragraph 9 . 2 (1) of the Zoning Bylaw so as to permit construction of an addition to a non-conforming structure on the premises located at 13 Belmont Street. The following members were present and voting: Walter Soule, vice-chairman, Robert Ford, Clerk, John Pallone and Scott Karpinski. The hearing was advertised in the North Andover Citizen on July 20 and 27 , 1994 and all abutters were notified by regular mail . Upon a mot-ion by Mr. Pallone and seconded by Mr. Karpinski , the Board voted unanimously to GRANT the Special Permit as requested. The Board finds that the applicant has satisfied the provisions of Section 10 , Paragraph 10 . 3 of the Zoning Bylaw and that such change , extension or alteration shall not be substantially - mor-e detrimental than the existing non-conforming use to the neighborhood. Dated this 12th day of September 1994 . BOARD OF APPEALS Walter Soule Acting Chairman LPu(�s�� f�� g e�� r. 8 pp11Tp ` O� •. a y q4O ' N f 1 A'• TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Gary Laurendeau 13 Belmont Street North Andover, MA 01845 Date: June 20, 1994 Dear Applicant: Enclosed is a copy of the legal notice for your application before the Board of Appeals . Kindly submit $ 10.44 for the following: Filing Fee $ Postage $ 10.44 Your check must be made payable to the Town of North Andover and may be sent to my attention at the Town Office Building, 120 Pain Street , North Andover , Mass . 01845. Sincerely, BOARD OF APPEALS Linda Dufresne, Clerk Commonwealth of Massachusetts 100213125 Asbestos Notification Form A s stos Project# roject Revision roject Cancellation ski; L 3 2014 A. Asbestos Abatement Description '��91fi+nduI':JVU�IHAiV1�UVER P LTH D PAS 1.Facility Location: - GARY LAURENDAU 13 BELMONT STREET Name of Facility Street Address Instructions 1.All NORTHANDOVER MA 01845 9789738318 sections of this form City/Town State Zip Code Telephone must be completed in X X order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: BASEMENT CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facility occupied? r Yes ❑No notification requirements of 453 CMR 6.12 3. Is this a fee exempt notification (city, town, district, municipal housing authority, state facility,or owner-occupied residential property of four units or less)? fJ Yes r No MassDEP Use Only 4.Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To: Commonwealth of 6.Asbestos Contractor: Massachusetts NEW ENGLAND SURFACE MAINTENANCE 850 WASHINGTON STREET Asbestos Program P.O.Box 120087 Name Address Boston,MA 02112- WEYMOUTH MA 02189 7813372117 0087 City/Town State Zip Code Telephone AC000196 Contract Type: r Written F Verbal DLS License# 7. JOHN P.VALLIQUETTE AS060773 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. RICHARD K.BOWEN AM061044 Name of Project Monitor DLS Certification# 9,,FLI ENVIRONMENTAL INC AA000144 Name of Asbestos Analytical Lab DLS Certification# 10. 1/2/2015 1/2/2015 Project Start Date(MM/DD/YYYY) End Date(MM/DD/YYYY) 8-4 N/A Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 11.What type of project is this? Demolition r` Renovation G Repair ❑ Other-Please Specify: Revised: 11/13/20.13 Page 1 of 4 Commonwealth of Massachusetts 100213125 L7, - Asbestos Notification Form ANF-001 Asbestos Project# `. ❑ Project Revision Project Cancellation A.Asbestos Abatement Description: (cont.) 12.Abatement procedures(check all that apply): Glove Bag jJ Encapsulation rj Enclosure [ Disposal Only r— Cleanup [ Full Containment (= Other-Please Specify: 13.Job is being conducted: (y—j Indoors ❑ Outdoors 14.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: 80 Linear Feet(Lin.Ft.) Square Feet(Sq.Ft.) Boiler,Breaching,Duct, Transite Pipe Tank Surface Coatings Lin.Ft. Sq.Ft Lin.Ft Sq.Ft Pipe Insulation 80 Transite Shingles Lin.Ft. Sq.Ft. Lin.Ft Sq.Ft Spray-On Fireproofing Transite Panels Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft Cloths,Woven Fabrics Other-Please Specify: Lin.Ft Sq.Ft. Insulating Cement Lin.Ft. Sq.Ft. Lin.Ft. Sq.Ft. 15.Describe the decontamination system(s)to be used: AS REQUIRED 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): AS REQUIRED 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: Name of MassDEP Official Title of MassDEP Official Date of Authorization(MM/DD/YYYY) Waiver# DLS of Name Official I a O c a Title of DLS Official Date of Authorization(MM/DD/YYYY) Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149, §26,27 or 27A—F apply to this r yes 1J No project? Revised: 11/13/2013 Page 2 of 4 Commonwealth of Massachusetts 100213125 Asbestos Notification Form ANF-001 Asbestos Project# Y 9a 143 Project Revision F Project Cancellation B. Facility Description 1.Current or prior use of facility: RESIDENCE 2.Is the facility owner-occupied residential with 4 units or less? r Yes No 3.GARY LAURENDAU 13 BELMONT STREET Facility Owner Name Address NORTH ANDOVER MA 01845 9789738318 Citylrown State Zip Code Telephone 4.X X Name of Facility Owner's On-Site Manager Address X MA 01845 0000000000 City/Town State Zip Code Telephone 5.X X Name of General Contractor Address X MA 01845 0000000000 City/Town State Zip Code Telephone Note:Temporary X storage of Asbestos containing waste Contractor's Worker's Compensation Insurer material is only X 2/2/2015 allowed at the place Policy# Expiration Date(MM/DD/YYYY) of business of a DLS licensed Asbestos 6.What is the size of this facility? 2000 2 contractor or a transfer station that is permitted by Square Feet #of Floors MassDEP and C. Asbestos Transportation & Disposal operated in compliance with Solid Waste Regulations 1.Transporter of asbestos-containing waste material from site of generation: 310 CMR 19.000 Directly to Landfill or r!—oj, To Temporary Storage Location/Transfer Station NEW ENGLAND SURFACE MAINTENANCE,LLP 850 WASHINGTON STREET Name of Transporter Address WEYMOUTH MA 02189 7813372117 City/Town State Zip Code Telephone 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: RED TECHNOLOGIES 10 NORTHWOOD DRIVE Name of Transporter Address BLOOMFIELD CT 06002 8602182428 City/Town State Zip Code Telephone Revised: 11/13/2013 Page 3 of 4 Commonwealth of Massachusetts 100213125 Asbestos Notification Form ANF-001 Asbestos Project# ❑ Project Revision Project Cancellation note:contractor must C.Asbestos Transportation&Disposal: (cont.) sign this form for DLS notification purposes 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: RED TECHNOLOGIES 203 PICKERING STREET Temporary Storage Location Name Address PORTLAND CT 06480 8603421022 City/Town State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA ENTERPRISES MINERVA Final Disposal Site Name Final Disposal Site Owner Name 9000 MINERVA ROAD Address WAYNESBURG OH 44688 3308663435 City/Town State Zip Code Telephone D. Certification "I certify that I have personally examined the foregoing and am KEN FURTNEY KEN FURTNEY familiar with the information Name Authorized Signature contained in this document and PARTNER 12/22/2014 all attachments and that,based Position/Title Date(MM/DDlYYYY) on my inquiry of those 7813372117 NESM,LLP individuals immediately responsible for obtaining the Telephone Representing information,I believe that the 850 WASHINGTON STREET WEYMOUTH information is true,accurate, and Address City/Town complete. I am aware that there MA 02189 are significant penalties for submitting false information, State Zip Code including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that 1 am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11/13/2013 Page 4 of 4