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HomeMy WebLinkAboutMiscellaneous - 144-146 Waverly Road 144 - 146 Waverly Road z e c f a 0 06 m%M acres ' • �` �� A VO0 U.S.POSTAGE* 'Town of N :.. o •.K..,. a m %, 02.98 COMMUNITY DEVEL( Z 115 7 9 9 hfAYO,' 9 27 Charles Street a North i E'^1 A ` I METER 4 d6 1;1 {� ro RCS /Ur I.M f z� 3 ear -j�•;.,� � n� /9� 1 Nuent �,. ---Robert zarian 'ch s� r"s !rtuln�j 14 4 Wave y road e �A p Ict rEr aif ET state pu® this "7 --_ , i SENDER: s 1 and/or 2 for additional services. I also wish to receive the rn ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. e Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address v i permit. ■Write "Return Receipt Requested"on the mailpiece below the article number. 2.E3 Restricted Delivery y r ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. _o 0 3.Article Addressed to: 4a.Article Number tQ /jDbE27— ffq� 4b.Service Type J Registered, �� l , ' 9 ' tl�ertified I I ❑ Express Mail ❑ Insured No -�`1��D� f /T ice-Return Receipt for Merchandise ❑ COD 55 7. Date of Delivery .,., w 5. Received By: (Print Name) �. 8.Addressee's Address (Only if requested and fee is paid) 0 ` 6.Signature: (Addressee or Agent) :- a X 2 PS Form 3811, December 1994 102595-98-13-0229 Domestic Return Receipt � 6 6 E h6?- - z71�1a:&OWL wal&o6widn'or. _ �• Rave 146 CWau4 Mod y c� 'Nerd►✓Rn&w,O&R 01845 r`:`', :y•---- _ II` TOWN OFN RTH ANDOVER/ BOARD OF HEALTH II i 50,547J APR - 7 1999 4 as.ACVS+ =•A,as 1111,,tstill sit 1111141 ills III$sill 8111 yE X�e First-Class Mail UNITED STATES POSTAL SERVIC w p ISS Mage&Fees Paid p 3 rmit No.G-1T •Print your na ,.''Eddress, and ZIP Code in this box • North Andover Health Dept~w""`" 27 Charles St. North Andover, MA 01845 TOWN OF NORTH ANDOVER/ BOARD OF HEALTH F025M I a I y MDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. following services(for an rn ■Complete items 3,4a,and 4b. r` ■Print your name and address on the reverse of this form so'that we can return this %extra fee): r. ;n card to you. y u ma Attach this form to the front of the mailpi9cp,oron the back if space does not., 1.❑ Addressee's Address L ■permit. eWrite Receipt Requested'on:the mailpiece below the article number. 2.❑ Restricted Delivery 4) m The The Receiered. pt will show to whom the article was delivered ary the date Consult postmaster for fee. c 0 3.Article Addressed to: 4a.Article Number V Z 115 794 405 Robert Nazarian 0 4b.Service Type M E x.44 Waverly Rd. u .%crth Andover, uA 01845 [1 Registered ❑ Certified M ❑ Express Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ COD 7.Date of Delivery o / 'o 1Wand5. c e�By, i ll'Na e)/ 8.Addressee's Address(Only if req ested fee is paid) 6.Signatu ddressee or Aging,-7- L l 2 P �F r 811,December 1994 102595-98-6-0229 116 0m e6tic eturn Receipt Z 115' 7-14 405 Receipt for Certified Mail © No Insurance Coverage Provided urarmsTAns Do not use for International Mail POSTALSERME (See Reverse) Sent to Robert Nazarj.,?V Y44Waverly Rd. ,NA j P.O.,State and Z!>nL�1H Cob 1845 Postage $ 1 ?3 Certified Fee \.J Special De ery g Q Restricted y Fe Return Rece%Da , OF 0) to Whom& r r t Return Receipt Sho ' _ M., 122 Date,and Addressee's Address A TOTAL Postage p O &Fees O Postmark or Date M O V- N STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). m 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address Q leaving the receipt attached and present the article at a post office service window or hand it to m your rural carrier Ino extra charge). tY `. 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article, date,detach and retain the receipt, and mail the article. M r 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card, Form.3811,and attach it to the front of the article by means of the gummed to ends if space permits.Otherwise,affix to back of'article.Endorse front of article RETURN RECEIPT p REQUESTED adjacent to the number. O 00 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. 0 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested, check the applicable blocks in item 1 of Form 3811. a' 6. Save this receipt and present it if you make inquiry. 105603-93-8-0219 Date F 8/2-4/981Complaint Bertucci's sandblasting paint. Got in child's Complaint$ eye. Complaintant Anonymous Addresss Action SF inspected-crew was finished sand blasting. Called"Retch's(contractor)and discussed method Owner of Property Bertucci's Restaurant I of removal and clean-up. Inspection found no infractions... Owner's Address 435 Andover Street Phone# 685-4498 OL Sent ❑ Date 8/28/981Complaint Smell at GLSD. Complaints _ j Complaintant Keibard Orivist Addresss 157 High Street North Andover,MA 01845 Action SF went out to 157 High Street and didn't smell anything. Owner of Property GLSD Owner's Address Charles Street Phone# OL Sent ❑ Date F-9/8/981Complaint Received a complaint regarding illegal asbestos removal,by the owner in the basement. SF Compl aint# J called Division of Labor-Joyce Rhodes 372- Complaintant Sandra KynesI 9797.,SF&JR went to location with owners permission. JR fully suited entered basement. Address 146 Waverly Road North Andover,MA 01845 Action Found many indications of mishandling of asbestos Le.loose material on floor&inP iles. Pictures were Owner of Property Nazarian ( taken by JR. Spoke with owner about problem. JR made report&passed on to DEP. Area blocked from entry of residents. Owner's Address 144 Waverly Road ' Phone# OL Sent ❑ A606-Itl1611C Z��7n) Inch" 30iq��' v IcIl tied 70 ___� �✓O� mit/. �a''� i°r��� .�' v�/�j�D .�' ,�D �ti�s� T�r`�. - "4&— . fid?'*Y t/E7� _ C5 �ivf0 �i lilJ eoe S ��• �. 7776�_ 54/t—�O 667-6r01-,V& lel ' - % If " A�e�-V GO'✓Je:7 Say-,e::-- shx6- Al c�jvG � may, 90heA47- 4,(?- -7?�P,3-30 ' I Ce -19 i { h� I� 1i I�f }4� I'. L tr- �1C�L a Town of North Andover NORTH E � OFFICE OF 3a o�' 6 °L COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street North Andover, Massachusetts 01845 `°4•.Fo "'`c5 WILLIAM J. SCOTT 9SSACHuS�� Director (978)688-9531 Fax (978)688-9542 DATE: March 3 0, 1999 TO OWNER OF RECORD PROPERTY LOCATION Robert Nazarian 146 Waverly Road 144 Waverly Road North Andover, MA North Andover, MA 10845 01845 A Health Department ORDER LETTER dated February 16, 1999 was issued to you as owner of record of the property listed above citing violations of the State Sanitary Code, 105 CMR 410.000, Minimum Standards of Fitness for Human Habitation. A re- inspection of the property on March 22,1999 indicated that there are violations noted on the order have not been corrected within the required time period. Please see the attached pages which indicate the corrected and outstanding violations. This re-inspection was conducted at the request of the owner's attorney, with the inspector's assumption that the premises would be in compliance of the order. However, there seem to be discrepancies on the availability of access to the premises. The Health Department is requesting that all requests or denials for access be submitted to this department so that resolution to the outstanding issues can be done with minimal conflicting reports. Ms. Petralia has contacted this office concerning your request for three additional weeks to complete repairs. Please be advised that the ORDER you are responding to is that of the Board of Health. Only this department can issue an.extension based on compliance and your good faith efforts. Please respond to this request as soon as possible to avoid further action by this office. Sincere , e/ san Y. For Health Insp or CC: Christine Petralia, Renter Sandra Starr, Health Agent File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 a i VIOLATIONS TO BE CORRECTED NO LATER THAN TEN (10) DAYS FROM RECEIPT OF THIS ORDER LETTER OR A SIGNED CONTRACT WITH A PROFESSIONAL MUST BE SUBMITTED TO THIS OFFICE WITHIN SEVEN (7) DAYS: VIOLATION REGULATION REINSPECTION 1) Bathroom sink very slow draining 410.350 J • All plumbing must be maintained Investigate and repair V 2) Bathroom toilet not secure 410.350 • Toilets must be free from defect Secure and check seal to the floor for leaks 3) Stove - 2 burners do not light 410.351 • Owner installed equipment must be maintained Renter reports, owner repair of gas system in 7/98. Repair stove burners and show proof of gas line repair ,,,,4) Kitchen - loose paneling, molding, 410.500 small hole in wall. Loose insulation in cabinets above dishes. • every structural element must be free from holes and defects Repair areas as needed L/ 5) Front room - windows left of center and 410.480(E) left not able to be secured. Check all windows • Every openable exterior window must be fitted with an operating device Repair all windows as needed 6) Small computer room - window sash broken 410.501 ✓ won't stay up. Drop ceiling with bowed panels • must open and close properly, maintain ceiling Repair window sash and replace worn ceiling tiles 7) Hallway - interior and exit, switch plates in 410.351 in disrepair • Maintain free from defect Replace broken covers 8) Front common hall - bulb flickers when 410.254 ss turned on. • Electrical fixtures and wiring must meet the requirements of the electrical code Hire a licensed electrician and pull appropriate permits to repair problem 9) Front common hall - paint chipping 410.500 v maintain walls free from defect and in a cleanable condition Repair wall 10) Kitchen sink faucet leaks 410.500 • Plumbing fixtures must be free from defect Replace or repair unit 11) Front door - large gap around door 410.501(B) • Exterior door leading to a common hallway �-,- must not have cracks between the frame wider than 1/16 of an inch on the sides, 1/8 on top and bottom Make door weather tight l 12) Near back door - hard wired fire detector hanging 410.351 off the wall. • Must be installed according to code Maintain or remove unit if not in use 13) Exterior lighting not operational to tenants. 410.253 Switch in owner's apartment. • The owner shall provide light switches and fixtures so that illumination is provided for porch and exterior stairway Move switch or place on a timer to ensure lighting at night 14) The basement must be accessible at all times Electrical Code for access to the electrical panel by the tenant Do not lock the door to prohibit access CC: C. Petralia, Renter Sandra Starr, Health Agent File A Town of North Andover AORTN t 1 OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES ° N p 27 Charles Street `►^°, °" North Andover, Massachusetts 01845 WILLIAM J. SCOTT SAC US- Director (978)688-9531 Fax(978)688-9542 Date: May 6, 1999 To Owner of Record: Property Location: Robert Nazarian 146 Waverly Road 144 Waverly Road North Andover, MA North Andover, MA 10845 01845 Dear Mr. Nazarian, Please be advised that the time limit for repairing the housing code violations as listed on the Health Department Order dated February 16, 1999 at the above address has expired. Your last communication dated April 4, 1999 stated that all outstanding repairs would be completed within three weeks. Please contact this office before Monday, May 17, 1999 to schedule a final inspection or a complaint will be filed at the Lawrence Housing Court. Sincerel —_S san Ford Health Inspector CC: C. Petralia, Renter Sandra Starr, Health Agent File 2D OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 t I f N �} n CL c .� a C 6!f 1_ Er r 0 r_i 1 =r Er 0 Er tti 4, tv 7 > W d� v a • . •� N y 2 j• o'er v c> c'y UI a L p o y 0 zo _ O N p.p pa • N p "a o N E v ¢ _ ¢ a <n in a a v E661 40M114 `008£ WJOd Sd ai SENDER: I also wish to receive the a ■Complete items 1 and/or 2 for additional services. rn ■Complete items 3,4a,and 4b. following services(for an (D ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. 0; ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 d permit. ■Write "Return Receipt Requested"on the mailpiece below the article number. 2.El Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date T delivered. Consult postmaster for fee. Q _ o 3.Article Addressed to: 4a.Article Number a U a ! Z)l c�21 /tires . 4b.Service Type E ❑ Registered 9 [L-Certified p� ❑ Express Mail ❑ Insured °1 S cc return Receipt for Merchandise El COD 7. Date of Delivery o d IM 5. Received By: (Print Name) 8.Addressee's Address(Only if requested Y H and fee is paid) o 6.Signature: (Addressee or Agent) L T X PS Form 3811, December 1994 102595-98-13-0229 Domestic Return Receipt _ J Town of North Andover NORTIy OFFICE OF 3?og to e1�OL COMMUNITY DEVELOPMENT AND SERVICES ° :' A 27 Charles Street s 9 North Andover, Massachusetts 01845 �9SSgcNUs�tcy WILLIAM J.SCOTT Director (978)688-9531 Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH ORDER Issued under the provisions of the State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation, 105 CMR 410.000. Date: February 16, 1999 CERTIFIED MAIL Z 115 794 405 To Owner of Record: Property Location- Robert Nazarian 146 Waverly Road 144 Waverly Road North Andover, MA North Andover, MA 10845 01845 An authorized inspection was made of your property at the above address by North Andover Health Department personnel on February 11, 1999. This inspection revealed violations of certain regulations of the State Sanitary Code, Chapter II, as listed on the attached Violation Form. You are hereby ORDERED to correct these violations within the time allotted on the enclosed form. Failure to comply within the allotted time period may result in a criminal complaint against you in the Lawrence District Court and may result in an assessment of a fine. You have the right to request a hearing before the Board of Health if you feel this order should be modified or withdrawn. A request for said hearing must be made in writing and received by the Health Department within seven (7) days from the receipt of this order. At said hearing you will be given an opportunity to be heard and to present witness and documentary evidence as to why this order should be modified or withdrawn. All affected parties will be informed of the date, time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. You may be represented by an attorney. You also have the right to inspect and obtain copies of all relevant records concerning the matter to be heard. S an Ford Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VIOLATIONS TO BE CORRECTED NO LATER THAN TEN (10) DAYS FROM RECEIPT OF THIS ORDER LETTER OR A SIGNED CONTRACT WITH A PROFESSIONAL MUST BE SUBMITTED TO THIS OFFICE WITHIN SEVEN (7) DAYS: VIOLATION REGULATION REINSPECTION 1) Bathroom sink very slow draining 410.350 V All plumbing must be maintained Investigate and repair vj 2) Bathroom toilet not secure 410.350 • Toilets must be free from defect Secure and check seal to the floor for leaks 3) Stove -2 burners do not light 410.351 Owner installed equipment must be maintained Renter reports, owner repair of gas system in 7/98. Repair stove burners and show proof of gas line repair 4) Kitchen - loose paneling, molding, 410.500 small hole in wall. Loose insulation in cabinets above dishes. • every structural element must be free from holes and defects Repair areas as needed 5) Front room -windows left of.center and 410.480(E) left not able to be secured. Check all windows • Every openable exterior window must be fitted with an operating device Repair all windows as needed 6) Small computer room - window sash broken 410.501 won't stay up. Drop ceiling with bowed panels • must open and close properly, maintain ceiling Repair window sash and replace worn ceiling tiles 7) Hallway - interior and exit, switch plates in 410.351 in disrepair • Maintain free from defect Replace broken covers 8) Front common hall - bulb flickers when 410.254 , id . JI turned on. • Electrical fixtures and wiring must meet the requirements of the electrical code Hire a licensed electrician and pull appropriate permits to repair problem 9) Front common hall - paint chipping 410.500 y maintain walls free from defect and in a cleanable condition Repair wall 10) Kitchen sink faucet leaks 410.500 • Plumbing fixtures must be free from defect Replace or repair unit 11) Front door - large gap around door 410.501(B) • Exterior door leading to a common hallway must not have cracks between the frame wider than 1/16 of an inch on the sides, 1/8 on top and bottom Make door weather tight 12) Near back door - hard wired fire detector hanging 410.351 off the wall. • Must be installed according to code Maintain or remove unit if not in use 13) Exterior lighting not operational to tenants. 410.253 Switch in owner's apartment. • The owner shall provide light switches and fixtures so that illumination is provided for porch and exterior stairway Move switch or place on a timer to ensure lighting at night v1 14) The basement must be accessible at all times Electrical Code for access to the electrical panel by the tenant Do not lock the door to prohibit access CC: C. Petralia, Renter Sandra Starr, Health Agent File t .-1 Town of North Andover NORTH OFFICE OF 3?Oy`t``0 / 6 0 COMMUNITY DEVELOPMENT AND SERVICES 10A 27 Charles Street North Andover, Massachusetts 01845 ' Arfo �y WILLIAM J.SCOTT 9SSACHUS�� Director (978)688-9531 Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH ORDER Issued under the provisions of the State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation, 105 CMR 410.000. Date: March 4, 1999 To Owner of Record: Property Location: Robert Nazarian 146 Waverly Road 144 Waverly Road North Andover, MA North Andover, MA 10845 01845 An authorized inspection was made of your property at the above address by North Andover Health Department personnel on February 11, 1999. An order letter was subsequently sent concerning the violations found. This is an addendum to the Order Letter dated 2/16/99. The single item was on the initial report, but was inadvertently left off of the noted correspondence. This inspection revealed violations of certain regulations of the State Sanitary Code, Chapter II, as listed on the attached Violation Form. You are hereby ORDERED to correct these violations within the time allotted on the enclosed form. Failure to comply within the allotted time period may result in a criminal complaint against you in the Lawrence District Court and may result in an assessment of a fine. You have the right to request a hearing before the Board of Health if you feel this order should be modified or withdrawn. A request for said hearing must be made in writing and received by the Health Department within seven (7) days from the receipt of this order. At said hearing you will be given an opportunity to be heard and to present witness and documentary evidence as to why this order should be modified or withdrawn. All affected parties will be informed of the date, time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. You may be represented by an attorney. You also have the right to inspect and obtain copies of all relevant records concerning the matter to be heard. S an Ford -'Flealth Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i VIOLATIONS TO BE CORRECTED NO LATER THAN TEN (10) DAYS FROM RECEIPT OF THIS ORDER LETTER: VIOLATION REGULATION REINSPECTION Refrigerator missing temperature 410.351 control knob, can't control internal temp. ■ All owner -installed equipment must be in workable order Replace knob CC: C. Petralia, Renter Sandra Starr, Health Agent File 27 Charles Street North Andover,MA 01845 Telephone#(978)688-9540 Nort over Fa4(978)688-9542 Board of _ alth To: Atty. Seccareccio From: Susan Ford, Board of Health Fac Pages: Phone: 794-9628 Date: March 4 , 1999 Re: CC:• ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street • North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Housing Inspection Report COMPLAINT# COMPLAINANT ADDRESS OF PREMISES ate. OCCUPANT OWNER D,oe/7L I,.- OWNER'S ADDRESS / �• DATE OF INSPECTION ZZ Z Z7 HOUR � >!� ROOMS/VIOLATION: 2, 21 s���, —� ��"� cd►-•�`>� f�✓�eV 1-/ ° v 411 D Ifas 19 i/ D , Cenv-•-'6 cstCV- r�4m -- L4-.j ae-S ,`:P zSKc !� / �5 C .. e ASS �s- 7 13 INSPECTOR Form MR-1 Actlon Press 885.7000 Date r 2/10/991Complaint Electrical&holes in wall Complaint# 27 Electrical&holes in wall Complaintant Christine Petralia Address 146 Waverly Rd. Action Owner of Property Robt.Nazarian Owner's Address 144 Waverly Rd. Phone# 685-4241 I OL Sent ❑ NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street • North Andover, MA 01845eN� 1 Telephone (508) 682-6483, Ext. 32 Housing Inspection Report COMPLAINT# COMPLAINANT ADDRESS OF PREMISES OCCUPANT OWNER OWNER'S ADDRESS ��y1 DATE OF INSPECTION HOUR , -Zt> Re OOnMSJWQLATION: Z s :� :2 :z !Z2 9 7 !�f/ J L/ r i/ �7 G�tJ Gt��`S /� ^G3... `SSS /C�'�• �1��� � �G.} C�� �C�! C 4�✓ f INSPECTOR Form MHIR•1 Action Press 885.7000 Asbestos AIoNI/c#hofs f0m -- ANF-W1 WOE 903 Ase st s AAstsm nt Desedpos I. facility location. 726272 Mr. Robert Nazarian 146 Waverer Road '~;- el�RIICIINI Akar AM= r� No. ANdover, MA 1 AN mcbm W6% 9787686- law aw11 be ceerdelal l IM/ruw n us aarl to ce0#1r WsA Basement on oepeA"sem el I■lrbeam@"lel 069♦of Mrbb Uaw haft tae11,/.44 aw tame 01 110C 2. Is The Tacitly occupled7 I Use 0 No ww.ews.1�10 csrl , . 11! tw.w"Vd" pwrrweAcaswse 3. Asbestos Calbadul aYwd Nass aturnwl paw aqua Advallclyd lit 1 I d i uy Systems, I ne. 97 Shannon Road oererimed W tem Harr AMM 406111411140061108 — e11111NeMelu 1wlAaa11e11 reQlwenwb S a l e 111, NII 03079 603 893-0380 ul H l C 6W 611 (1r1 p�,, a n ar �� days ping twil4*1*14 reyurailefANy Al'UUU 3 I .► Written aGa1a►wM peNq p'eMr .__._.. . _.� I0*1 WM Ir►w a lvure /. 00 Site Pluled Supelvlsul/foleman 7 S"Ouiovullwm Gary Grzywacz AS60305 ewer 4JC�re11e/ --- CenweeeHelth of 1114"Ar.60"I 5. Pooled 100111101, Adeeles 11epem PAA.Otani Covino Environmental AA000006 Aube,MA 02112 e1«,r arceeera+e�ei 0011 6 Asbestus Arlalybul l ab ] 11ws lam uur be 6uu111rr10so Covino Environmental AA000006 --. U S 11404N&ara1 """' 7�....-11,1,0 � 1 *I hu1kbal Ayelrr Heowwi P ►�lubeflaudlwlswllr�," / PluleclMail date 9---`9.8,�nddalr. Aft4-- poell�lr.ukhouls(Mon.#1i.) 7-4 1a1ovMlauy n adlwls /VJ . y/ l j g� 7..►,=./11% r, wbPLtwWMWS to (.iH.�ubpml M) N what type 01 ploled 1s 111117 (circle one): a"."s Now A+eneem 011041M1 �0Wj 9 Oescllbs the asbestus abalsment procedures to be used (ckcls): sway eelamlw weeraed entry «aswd�un Ju/"r/ur� aAwp�ldy 10 Is theµ,b being Luuducted t Xlndoon t J ouldools 1 A.wM 11 1 oral allluu11101 each type 01 Asbestos Cor4&W p Mdubb(ACM)to bs hmdbd a0 opo w OAU(kw N.):10 0-01 swiaces(squaw tt) 1 2 0 0 b be removed,onckmW oe w capsubied - AN&MISpewe led padr,aesli►rp alai o1r1 slr4acaalrlps ._ z MMWASsiu tAook"M....100z carlptls0 ar AywOpypr pyre rsuleYan... _J i1Mt"Aaw................ .. (__ weytae hV*AV..... . .... .... _J Aew 8110 .............. x 1 CA0k orsos Yra ... .......... / IAMMIM AArbolf.............. I 1 of johmdeaAW. __J1 200 Decontamination 12. Ducribe the dsconteml Wlioo systeal(a)b be used: Thre-e- chd.mber decontamination chamber with shower n 13 Deacribe a NN*vA31f=1.16 sl i w l UMd All nldterial will be wetted thoroughly, 1 saulj l dbel C!d---- ----- William ---William Zahoruilco- -- -- -- ------ ---- � ✓� � NAM#4 up dmwa 15/98 � �J 9809961 LW W AWM*Aw WWI Joyce Rhodes 9/16/98 HV98244 L1001AWkWAN WWI ' 15. Do preva"l;wap tales so*as pa M.O.I.a 111. It 21.r 21A•F b I. CU"M of piwr sass sal lauuly. Residential ? Is 1he I&C'WY owner-occupied tsOderdW w ih/ N O 10 3. facYily Owner. Same A6" /elrlw /. faeiWs Ownar's On Site Mamp u Same Adam ------ >Mr�r 5. General CuMudur: ' N/A waw, say/l�.A - l�`� --- ►mow lteliai��:t lu:;urariceC()mE)dr►Y NWA179SO1900 1 /18/99 CoMm1w s walla coni/- Al"WO, poky 3, 000 ,wl W,� 6 Wlul is the tut of Ihs ladle?-_.-.__(sq n) 2 (/ Ibols) 75 years Asbestos Transporlatlon and Disposal 1 raneporler of ajLo'�lus cunliunnp wads malarial from"d to lemporary slaape elle(� )b Ilei MI/Mr181� Advane.u•d filli 1 d i nq Systems, Inc=AMw 9.1_ .�hApnQn Rod Alcan ----a---. :;.i 1 em, Nil 03079 603 893-0380 kill" „?<. l ean:puelar sal aiL��lw 4unlapiuip wails tpalsrial from unioval/lomporagy elsea$e•,ks b Logano Trucking 209 Pickering St. Portland, CT 06480 800-272-3867 Noir. liens/ell i-hgwn ..r 1110ns must 3. ASIUse IMISIN 61411u11 said ownu(d applicabk): _Wuly w/h Ihs .... Ivaste N/A '�-s-in fegu4• AWN ;caw - - - - - --- ----,..._ .s 310 CAIN 3 JO as/rw. lberrr AIMMr - 4. final Disposal Sits: So. Allegany Disposal I maw Valley View Drive AMM Holsopple, PA 15935 814-479-2537 e CIN�I/lC1lIN1 The undwWWW hereby Males.urda IM pen"d prwry.*A Aelelr Ar sW IIM UMMIRMr td ift1odaft AlpleM lot IAe Rewovafr CoolaionwM a fhc+pwWlwlollltNMo�„I6iCMAi�00M/810CMA 1.14,w�I�M�lrwlrl�Mll1r Ibis nolilieilion is bw and correct to We bel of 1kft M-1-6-�-aril MO. William Shea _..__.� 9/16/98 AwMw. AMe�Iirrr�r pr ek:Crwbacloi uMap0INS President AHS Inc.-..---- 603 -893-0380 rrn la DU ANKMAr �"- - Now Mutan '/ s 97 Shanngn ltc�ad Salem, NH " _03079 AAMM aWm 4W& Fee exempt(City.Town.dis Uid.mualcipd hou4�IMoINy.oww.opcltpit/1M1lMflilr �M Win Q 726272 e.sruununwvdful U1 Md33aCnU5eR5 Asbestos Notlllc#iron form — ANF-W1 WO# 903 • Asbestos Abatement Desedpllon 726272 I. Facil y location. Mr. Robert Nazarian 146 Waverly Road Nli�tIC110M1 Awn Aye ------No. ANdover, MA 978-686-9973 Won atus1 be vw*4 led Otho"x h asst /arMrae ekadotoCoo*With Basement on Oper aw el - --— —-.. ---- — 1 alrbeamsew OWN Ae OWAII b hOl hAft SAWA/.dM aK M1 — heleelNreaeUMratba 2. Is the facilely oocupled7 (Otis n No rpwsaues el ho Us /IS (am aerary L6js pa, 1qa 3. Asbestos Cooh&c1cm ayureJ N�rr atwenwl atrdlla Advanc:crrf Ito i I d i ny Systems, Inc. 97 Shannon Road Depulow W IAN Agar - sal loiludelee rahlrcdanrogwoewis SalCul, NII 03079 603 893-0380 ul 4S)UM 612 Jim CMgers mast 1 Ye Jap Pitt nuwaatrurr a iauur,oJo/ANY ACODUI l '- Written aGatarwM peNQ pester COO" khan Ilrae Inear of squarepdi /. On-Sile Project Supervlsoofteman- 1 S"Aurpuulfwm Gary Grzywacz AS60305 o AWN plfire141w/ — teraareaereelth of MaasCMuelts S. Pooled Moullut. Asbestos►rqp ear a'.t►.�.11001 Covino Environmental AA000006 Neaten.MA 02112 Aw�r a/C«/klrM/ 00411 6 Asbestus Analylrcai I ab l 11"�Iwm auy be Uxw6Wdyrr0sy Covino Environmental AA000006 - ---US Illvd0laweal Awir aIGAkaeu•/ koul i�tyea e„y�y g,m,, l Prolect start date 917 /9 8tnd daleg� �/mac g►peeMk wakfaurrs( n#rl.) 7-4 (ems SAM.) rnrovaUal wblecl to 111 SNAPS(/0 1.1M�ubpwl M) 8 What type of project is Ih157 (circle one): 464"M now manors oftrpdrrly 9 Oourlbs the asbestus abatement procedural to be used (shote)' trw•as mast. #Amo w dtny wk�wd/.t» duµrl u�/ owtl N�) 1WNu/ Ill Is the job being conducted i Xindoors t J outdoors 7 li.r.. P@4W Aq.o..ypr.@d 11 1 out amuurd of each type of Asbestos ConWring Mataiab(ACM)to bs handled on pip*a duds(fMet N.) 10 0 -9 surlaces(square tt) _1200 to be to nove�d.emlo"d or oncepsuble>d� IlnaeNtqUAe led eo"Mr.baedwly,eta t oral srraacaefwys...—J rwwee aelYeeer/ieiitr1A11se.... 1 0 0.! kw me PON .. _� iwtb"Amd................ .. cap a s0 rettdsUar. gvarw ba "6y..... ..... ......... —J aew1M1 eldk p.............. I cbrAu rwerAe IWea ... ....... _/ #1111k 4111111110# 111...... .... e1wLebswduarAW. Decontamination 4 12. Daec/ibe the dscontamhWion system(s)to be wed: Thj_ee c:hdmber -decontamination chamber with shower 13. Describe the j onta"iWionldisposal esstllode boom*WO 310CM 1.160d Al l 1 Materiawill be wetted thoroughly, do e and labeled 11. Fa Emergency Asbestos Abdowd Opwaft „Mtn DEP MI DU dMft vis mirrft*n*W. William Zahoruiko-- -- - ------------------ w•or n aH f"10 Mr 9/15/98 9809961 rAe dArllwY� IMher/ Joyce Rhodes wwrasuuraw ►w 9/16/98 HV98244 uraAWAwV ue WW/ 15. Do prevailing wage rates appy u per M.O.L.a 113,;20,21,w 21A-F M /M1Mt O QJ Me Prov ld'r2 I. Cullom or pries use ul lauhly. Residential ? Is the Jac* 14Y owns(-occupiod tojJdenlW vAh/WIND a bso? V" O No 3. Faculy Owner. Same __ . Aare ---------- c/hqure - h auei 4. Faciliry'e Owner's on-SAS Manep t: Same Aftm MOM S. Gearal Conlledor. ' N/A A/Irwj - GryAu.a --- Iw lb cuN kcl idltc e 1 itsurdltc e C()tnpdtty NWA1 79501900 1 /18/99 Caili-clw i wul"a CWJW Yuwsr l�ecrtl � 3, 000 6. Whal is the Alli d the 1-16100—......__(sq h) 2 (/of Moore) 75 years Asbestos Transpodallon Sad Disposal 1 ltanspolttlr 01 asbestos c0116111inp waste maleliel Isom Ade to tempaaty etolapo elle(p neceeeay)to IM rl"W Advanced liui ldinc3 S_ ystelns, Ines 'U's AiM m Sd 1 ern, Nil 03079 603 893-0380 I lAnspullel of asbeslus cu11laa►ing waste material Irom removal/tempaety dolape site b AINI 1llp0ed A; Logano Trucking - _ 209 Pickering St. AWAO AMM Portland, CT 06480 800-272-3867 .,rmons must 3. Reluse 11411614/ 61a11011 and owner(M applicable): -•1:0uly WO the Wesb N/A ��,s.i4 Ipu4 mom AMw - ---- - ---- ------ „s 310 CAIN -3.JO MOM 4. Final Disposal Site: So. Allegany Disposal I"A0M O -- IAr11�Nn11 ---'"'-'-- Valley View Drive MOM Holsopple, PA 15935 814-479-2537 S iCaNlilcador>f The underelprled hs(eby ewes.unlet the porlelllee d jwJwy.Md Ade*Air road So C MMUMM&d MM"@hMft Alpidfr la Alit Ronlwa�CoMeillaloM a Eacs�eulayloll al Ao*otol„X41 f�IR i.001tn1'tIOCMiA 1.1�,11�Mltl MrMlrttttlN�11011>�Ilr this noUliatilion Is Itue and collect to Ow bad of Al&U kioub in s1A1 boMM. William Shea 9/16/98 AMN AWW Aft/SwMre veli:CAWfacle/ Dust so INS President ABS Inc. 603 •893-0380 bim/at M -- --- - H~Mrr wift"n lutposes 97 Shannon head Salem, NH • 03079 AMm fes ;elr foe exempt(City.Town,di:arict,muaklpol Alwldnp .Itnator�ooetlpinl IrMytllt�llf MlfM1� O 726272 S1irY�r/Ilrnn►Irnnl nl Inrm1• j i t` K' The Minae Man Companies Middlesex Insurance Company Patriot General Insurance Company Concord,Massachusetts 01742 e Phone(617)369-6000 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen ) addresses 05-1 Insured: �i 1 r �.l ,�•. �,d .. . , f k A Property address: �try ;r�� , P:., �� t;•, '� P,: . Policy No: Loss of 19 60 File or Claim No: „ ,(" ,t0 Claim has been made involving loss, damage or destruction to the above-captioned property, which may either exceed $1000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be appli- cable. If any notice under Mass. Gen. Laws, Sec. 139, Sec. 3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Signature and,—,title , 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. Signature and date NECL-141A