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Home My WebLink AboutMiscellaneous - 136 SALEM STREET 4/30/2018 (2) � �. -. N„ \\ i i li i North Andover Board of Assessors Public Access Page 1 of 1 ,ORiN Forth Andover Bard of Assessors O •i 1�=y1G e^�' nv^"qh 9SSNCHUSEt - property Record Card Click Seat To[return Parcel ID:210/037.C-0019-0000.0 FY:2008 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels 1 Search for Sales ,, �r Summary x v r Residence Detached Structure Condo 136 SALEM STREET Commercial Location: 136 SALEM STREET Owner Name: GALVAGNA,CARMELINA F QUALIFIED PERSONAL RESIDENCE TR Owner Address: 136 SALEM STREET City: NORTH ANDOVER State: MA Zip: 01845 ENeigChborhood:7-7 Land Area: 2.81 acres de: 101-SNGL-FAM-RES Total Finished Area: 3805 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 624,800 651,500 Building Value: 386,300 400,500 Land Value: 238,500 251,000 Market Land Value: 238,500 Chapter Land Value: LATEST SALE Sale Price: 1 Sale 02/15/1995 Date: Arms Length Sale F-NO-CONVNIENT Grantor: GALVAGNA, Code: CARMELINA Cert Doc: Book: 04212 Page: 0069 11 I http://csc-ma.us/PROPAPP/display.do?linkld=1175527&town=NandoverPubAcc 9/10/2008 Air Quality Experts, Inc. (603) 894-6465 Asbestos Removal (800) 621-1189 23 Hall Farm Road Residential-Commercial-Industrial (603) 894-7044 FAX Atkinson, NH 03811 AirQualityExperts@AQENH.com RECEIVED September 3, 2008 Sip 0 � 2008 TOWN N O1,, PARTM TRTH ER LT North Andover Health Department 146 Main St North Andover , MA 01845 Dear Sir: Enclosed please find a copy of notification sent to the state for an Asbestos Abatement Project. The job will take place on 09/17/08. Project: Galvagna 136 Salem St Any questions concerning this matter should be directed to my attention. I� Sincerely, Christopher Thompson President Commonwealth of Massachusetts 100077639 Asbestos Notification Form ANF-001 Decal Number Important: When filling out A. Asbestos Abatement Description 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 [J No to move your cursor-do not b. Provide blanket decal number if applicable: use the return Blanket Decal Number . key. 2. Facility Location: 4DECARMELINA GALVAGNA 1136 SALEM STREET a.Name of Facility_.__ b.Street Address north andover IMA 1 101845 �-1 1GAR __ c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3.. kk Worksite Location: 1.All sections of this (B SEMENT C-� L� form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room completed in order to comply with 4. Is the facility occupied? [ZYes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational iAIR QUALITY EXPERTS INC 23 HALL FARM ROAD Safety(DOS) a.Name b.Address notification ATKINSON 03079 6038946465 requirements of 453 CMR 6.12 c.Ci /Town d.Zip Code e.Telephone Number AC000167 f.DOS License Number g. Contract Type: Z✓ Written ❑Verbal hh.Fac( illy Contact Person i.Contact Person's Title 1ANTONIO„CONTRERAS u� AS034339 � 6' a.Name of On-Site Su eroisor/Foreman b.Supervisor/Foreman DOS Certification Number N/A �' la.Name of Project Monitor b.Project Monitor DOS Certification Number N/A $' a.NameTfAbestos Analytical Lab b.Asbestos Analytical Lab DOS Certification Number -0 5. 09/17/2008 . 009/17/2008 a.Proiect Start Date(mm/dd/yryy) b.End Datemm��ryy) � -o ,8AM-5PM N c.Work hours Mon-Fri. d.Work hours Sat-Sun. �o 10. a. What type of project is this? ==�0 El Demolition [✓] Renovation C] Repair Other, please specify: b.Describe 11. a. Check abatement procedures: o [_;Glove bag _ F-1 Encapsulation o 0 Enclosure Disposal only El Cleanup ❑Other, specify: �— Z Full containment b.Describe 12 Is the job being conducted IAdoors?=_ a#�ors anf001 ap.doc•10/02 -, � �bestos-hlofi if cation Form Pa e 1 of 3-0 k Commonwealth of Massachusetts ■ 100077639 Decal Number Asbestos Notification Form ANF-001 A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed, or encapsulated: 1520li- 95 -----�-� a. otT al pipes or ducts(linear ft) T`ofaf other su aces square c.Boiler,breaching,duct,tank l� 95 d.Insulating cement surface coatings Lin.ft. Sq.ft. Lin Sq� e.Corrugated or layered paper 520 f.Trowel/Sprayer coatings pipe insulation Lin.ft. (S�q.ft. Lin.ft. Sq.ft. g.Spray-on fireproofing i_.= h.Transite board,wall board Lin.ft. Sq.ft. Lin.ft. i.Cloths,woven fabrics j.Other,please specify: Lin SLin.ft. S ft k.Thermal,solid core pipe f.] insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination system(s)to be used: 3 CHAMBER DECON � 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): _ WET 2 PLY POLY 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a.Name of DEP Official b.Title c.Date(mm/dd/yyyy)of Authorization d.DEP Waiver# e.Name of DOS Official f.DOS Official Title N g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# _0 17. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A—F apply to this project? R Yes Z No 11 B. Facility Description N �o 1. Current or prior use of facility: RESIDENTIAL �o 2. Is the facility owner-occupied residential with 4 units or less? 2✓ Yes ❑ No CARMELINA GALVAGNA 136 SALEM STREET 3' a.Facility Owner Name b.Address 0 iNl ORTH ANDOVER, MA 7] 1 1978-686-5717 o cc.City/Town �of d.Zip Code e.Telephone Number area code and extension LL �Z 4' a.Nacilit Owner's On-Site Manager b.On-Site Manager Address �Q a City/Town d.Zip Code e.Telephone Number(area code and extension) ■ anf001 ap.doc•10/02 Asbestos Notification Form•Pa e 2 of 3■ Commonwealth of Massachusetts _ 100077639 Asbestos Notification Form ANF-001 Decal Number B. Facility Description (cont.) 5. a.Name of General Contrac�tor'� b.Address I L_ c.Ci /Town d.Zi Code e.Telephone Number area code and extension C_ m 1 f.Contractor's Worker's Comp.Insurer .Policy Number h.Ex Date mm/dd/ r�r 6. What is the size of this facility? F-------� Ems_ 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): AIR QUALITY EXPERTS, INC. �� Note:Transfer a.Name of Transporter _ [b.Address Stations must comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division Regulations 310 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: CMR 19.000 SERVICE TRANSPORT GROUP, INC. IPO BOX 2132 a.Name of Transporter b.Address BRISTOL, PA 119667 (877)999-9559 cc•C�wn _ d.Zip Code e.Telephone Number 3. a.Refuse Transfer Station and Owner b.Address c.Ci /Town d.Zip Code e.Telephone Number 4. IMINERVA ENTERPRISES INC a.Final DI s osal Site Location Name b.Final Disposal Site Location Owner's Name 9000 MINERVA ROAD WAYNESBURG c. Final Disposal Site Address d.Cit /Town OH CO 44688 ��— e.State f.Zip Code g.Telephone Number 0 D. Certification The undersigned hereby states, undelb6e a CHRISTOPHER THOMPW, o0 penalties of perjury,that he/she has read the a.Name b.Authorized Signature o Commonwealth of Massachusetts regulations IPRESIDENT —�� 09/03/2008 for the Removal, Containment or Position/Title yyyy) Encapsulation of Asbestos,453 CMR 6.00 and c. d.Datemm/dd/ - -� 310 CMR 7.15, and that the information (603) 894-6465 _—� AIR QUALITY EXPERTS � contained in this notification is true and correct e.Telephone Number f.Re resentin C) to the best of his/her knowledge and belief. 23 HALL FARM ROAD O g.Address U_ IATKINSON, NH 03811_ Z — h.City/Town i.Zip Code Q anf001 ap.doc•10/02 Asbestos Notification Form•Page 3 of 3 Town of North Andover. MA b ' Watershed Septic System --�� Servicing Report Date: Homeowner -c _ Pumper RD Streets Address• SEPTIC SERVICE NO. ANDOVER, 1-111ma Phone Phone (508)686.7653 Nature of Service: Routine Emergency Observations: Good Condition _ Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) Description of Work: C i p Comments: FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** 'APPLICANT• CxALVACTMA- Phone 66�c • 571.7 LOCATION: Assessor's Map Number Parcel Subdivision Lot (s) vswttreet 3�0 �JAj<E7M Z St. Number 1 3 (:�, ************************Official Use Only************************ RECOMMENDATION OF TO AGENTS: p q Date Approved -3/2 Conservation Administrator Date Rejected Comments / W� O*S 45 57k444 Ooy lAa 6✓rO*$69 pkify-1 e Date Approved Town Planner Date Rejected Comments Date Approved Food Insspector-Health Date Rejected / lam/ �I -� Date Approved Sep cif Inspector-Health Date Rejected Comments C-xe',eC%SF ,4�0�Z - /ZX/Z Public Works - sewer/water connections - driveway permit P/ Fire Department Received by Building Inspector Date SEPTIC SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED g PROPERLY FUNCTIONING? 6 N WEATHER CONDITIONS COMMENTS : - WA i'ER OUALI T Y TES Eb ? #ZesULTSj DYE TEST PERFORMED? Y .N DATE? SKETCH: WATERSHED RESIDENTS QUESTIONNAIRE 1. Name C E'-/ e246' � 2. Street Address 1-361- 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no ® do not know, -_ 6. How old is your sewage disposal system? ® 0-5 years ❑ 6-10 years ❑ 11-20 years".. ❑ over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? yes ❑ no ❑ do not know If yes, approximately how long ago? — _ years. What was done? ' 8. How frequently is your sewage disposal system pumped out? ❑ annually O ❑ every 2-4 years. every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes no If yes, what problems? ❑ repeated pump-outs needed ❑ system.clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine ✓ dishwasher garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher ►- �c nG; clotheswasher X 12. Does your property have a lawn? L�r yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ % acre ❑ 3/4 acre ❑ 1 acre fIZ� more than 1 acre (Specify) c2 j�� acres 13. How often do you fertilize your lawn? No. of applications per year —' Season(s) of the year `- 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. i- - -_ Sentry Claims Service w Route 2 Concord, MA 01742-3351 617 369-8600 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 38 k Building Commissioner or Board of Health or Inspector o Buildings Board o Selectmen - T014N OF NO ANDOVER ) ( TOWN OF NO ANDOVER addresses i NO ANDOVER, MA ) ( NO ANDOVER, MA ) ( Insured• Carmelina F Galvagna z Property Address: 136 Salem St No Andover, Ma 01845 Policy No: 77-04761-51 Loss of July 4 19 88 i File or Claim No: 83FO82066 a - y Claim has been made involving loss, damage or destruction to the ' above-captioned property, which may either exceed $1000.00 or g cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice un er Mass. Gen. Laws, Ch. 139, Sec. 3B is appropri- ate, please direct it to t e' attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. ALAN VILLEMAIRE, OUTSIDE ADJUSTER Signature and Tit--e :a F On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail . ANDREA WHITE 8/2/88 Signature and Date ;a NECL-141 (5-81) �a I� Serving: DairylandCounty Mutual lnsuranceCompany of Iexas L1 dd'esex I.-.s., .ce Coraoany Seniry ln,;urance:.f Cur.ois.inc / Dairyland Insurance Company Patrol Genera surancr Company Senl,v Insurance of Michigan-Inc - GreatSouthwest Fire Insurance Company Patnot Gener,- L`e Insurance Company Sentry Insuran-e o`Mutual Company HANSECO Sy Sentry Life In-�,�a --e Company entry indn v umpan :'i