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Home My WebLink AboutMiscellaneous - 22 COLUMBIA ROAD 4/30/2018N C (D Insurance Adjustment Service, Inc. 936 Roosevelt Trail Unit 5 Windham, Maine 04062 207-892-0522 Fax 207-892-0526 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B TO: Board of Health/Building Inspector RE: Insured: Paul OConnell Property Address: 22 Columbia Rd N Andover MA 01845 Date of Loss: 2/11/2011 Policy Number: BCVLHG Type of Loss: File or Claim Number: 74218 Date: lune 27, 2011 JUL 25 X011 TOWN OF NORTH ANDOVER Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 38 is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, locations, policy number, date of loss and claim or file number. Thank you for your cooperation. Very Truly yours, Matt Martin Adjuster Ext. 109 h a a � 71Q �' rD v p r c a h OFFiCE OF THE COMMISSIONER SNOW 02202 D.L.I. File No. NOTIFICATION OF ASBESTOS WORK (In accordance with the provisions of M.G.L. c. 149, ss. 6-6F and 453 CMR 6.12) All sections of this form must be completed in order to comply with the notification requirements of 453 CMR 6.12 TEN (10) DAY PRIOR NOTIFICATION IS REQUIRED OF ANY ABATEMENT PROJECT GREATER THAN THREE (3) LINEAR OR SQUARE FEET Facility Owner Name: JX42e'e', Business 66cation (street): City/Town: Mailing Address: _j,?d City/Town: Entity or person performing project: Telephone No.: <0/ 00'? -&4/ State: State: Zip: Zip: Name: Environmental Solutions Inc Telephone No.: (617) 899-3370 Business Location (street): 50 Guinan g&ggt Citv/Town: Waltham State: MA Zip: 02154 Mailing Address: 50 Guinan Street _ City/Town: Waltham State: MA Zip: 02154 Massachusetts Asbestos Contractor License No.: AC 00004 2 (required after 5/2/88) Workers Compensation Insurer: Liberty Mutual Policy No.: WC7-312-4176616-017 Do prevailing rates'of wage apply to thispro ect as required under M.G.L. c.149, ss. 26, 27 or 27F? Yes No Is asbestos contract written_ verbal ? Address of pzoiect Street: L City/Town: _2ZD? State: qv7 Zip; p/09 Present use of facility Intended use: 4w,�, 11F knnwnI >`UescrIUtlon of facility Type of* Bullding: Size: Nature of Project Demolition Other (spec Nature of the asbestos activity i Removal ✓ Enclosure Encapsulation asbestos associated project — Indicate amount in linear feet of asbestos surface on pipes or ducts or square feet of asbestos surface on structures other th pipes o d ct to be le,�noved, enclosed or encapsulated Start date: -LUJOXCompletlon date: 1.2111.0-f : a.m.; _j_ p.m. — weekends Name of Supervisor/Foreperson on project: Boli Massachusetts Supervisor/Foreperson Certification 1 36+H) (SFOO611) Description of work practices to be followed: WQX La1ta_rllLbt_p"W WW -4"b �azaa�d Marlalna s�r�s. Personnel Mill ar U"jLrAWy protection and d� Dosable tvvek coveta118. Asbestos material will be Wetted wig mended r+dtOJ prior to and during remedial Work. A high effr e�c��attulalg (Hf�pA flltered handling unit with_ local exbf<st01_., will he Description of decontaminat on sys ems to sed der mination -sip t descrIbed-In 151 -cmR 6,14 Will be used, Description of handling/disposal methods to comply with 453 CMR 6.14 (2)(g) Asbestos InatgK_la,1,3aDd CVA"M1,pAtgd_debris will bg�packed fret 11LbJr111 Holy bags labe do�a;estos for �1sDosal at an atrnroved waste facility Name & Address/Location of disposal site(s): UiY_er BnvlCgnmental Re_g_QUU Faci,ity. Inc.. 358 Emerson MII1 Road Namoden, Maine 0!!!! Name & Address of transporters) If other than asbestos contractor: Chemical Recovery Inc.. 191 Portland Street Boston. MA 0211! Name of Asbestos Abatement Pro. iec� (if applicable) Person/Firm: A(/ Address: Address: T1xe unde-rsi . � hereby stat, under the penal of per -jury, that he/she h.�s rM and ur derstood the CtMnOrFAR881th of Massachusetts Ppgulations for the Puemoval, CbntaLrnent or Decapsulation of Asbestos, 453 (fit 6.00, and that the. information contained in this notification is true and oorrec-t to the best of his/her knowledge and belief. Date A a Signed by: C. � r Title: w A For 1'164,oC4 X7" 644 Date Time J:5 - WHILE YOU WVPF E OU From Phone No. — t1a Area Code Number Extension TELEPHONED URGENT PLEASE CALL WANTS TO SEE YOU WILL CALL AGAIN CAME TO SEE YOU RE!�RNED YOUR CALL I _j Message 00aWCOM 9161 19� llFYZ4 JOHNS. f INVILL, PRE SHRUNKi ASBESTOCr" C6ivd�ier �Yy- I (Led 7-bm pig Sr� log Cb 6e, ov,jikbL,�, It r '£8£—Z�Z# aTT3 zapun panssT asogj sapaozadns suoT4TpuO0 Io zapz0 STgZ '£6T—Z�Z#'oN aTT3 zapun panssT aso113 01 uoTITppu UT panssT ST suoTITPuoO Io zap -10 STU '91 •3uTluETd TETITuT zTagl zallu suosEas 2uTMoz2 Oml IsEaT lE TTlun palaTduioo sE sEazE juamaouTdaz asagl zapTsuoo IOU TTTM 00HN aqz •alEnbapE aq of sBazE luauiaDuTdaz PuETIaM zoI TEsodozd SIUPDTTddE aqj spur DDVM aql 'ST •MoTaq pagTzosap sE p9u2Tsapaz aq of goaCozd aqj pup 'uoTjonzjsuoo Cup 3o lzuas aqq 01 zoTzd suETd joaCozd aql uo PalVauTTaP—az puE Pa22ETI—az 2uTaq puETIaM aqs o:.joaCgns xzoM pasodozd aqq sanozddE .Kgazaq 00yN aq: 'uoTIEauTTap aqj UT saouazaJJTP zouTm aqj uanTO •pasodozd ST EazE luamaDuTdaz puETIaM aql azagM laal (00 ual Kjg2noa Xq IsaM aqq of zaglznl •£ Pup 'spuETIaM aq: �,sagono:l,, IoT 2uiNivd pasodozd aqs Io zauzoo q:lnos aqj azagM laal (00 ual XTg2noz Xq Isua aqj of zaggznl •Z 'spuETIaM aql uo sagouozoua 2uTPTTnq pasodozd aqj azagM uazE aqj UT laal (s) anTJ XTg2noz Xq Isua aqj of zaglznl •1 :Pualxa spuuTIaM PajPja2an aqj lugs PuTI aM •alTs aql IE sualu PuETIaM aql Io uoTIEauTTaP s,IUUDTTddu aq4 glTM saaz2EsTp DOVN aql ''1T •s3sazaluT PaTJT3uaPT aq3 03 sBazE aoznosaz asagj Io aouEo —TITu2TS I0 uoT3duinsazd aqj am00zano o3 palduia33E IOU suq 3uu3TTddE aql a •MET�g aqj Io sjsazajuT uoTIEazoaz aqj 03 3uEOTITu$Ts osTE azE suazE y aoznosaz asags •anoqu pa OU sE MET�g uMoZ puE boy aqs Io sjsazajuT aql 03 3uE3TITu$Ts azE suazE aoznosaz asagl•puETIaM pajPj@2an 2uTzapzoq t :-AzoM pasodozd aq3 Xq pajoallu azE sEazE aoznosaz PuETIaM 2uTMoTTo3 aql '£I SNOIZIQN00 'IH2 RM •sa2Ed (Z) Oml '886T 18 jsn2ny palup '•oossy 14 TNSUTmEx •3•g Io uospzugoT'd z93ad 01 'zauuuTd uMOI '3uTNOOIS IlooS mozl zallaq •p •saBEd (ZZ) Omj—,CJuamj '886T 'ST Isn8nV pasTnaz `886T 'ST 4nf palEQ •ouI '•oossy 39 T-4suTmux •3•g fCq '•o0 $uTPTTng Tauuug0 zoI pazudazd '(sTS4vuy zagndmo0 T-0SH) $uTPTTng aoT330 ojTpzV ? ouEosoz 103 suoTIuTnoTuo a2EuTEaa •o '886T 'LT Isn2ny pasTnaz Z 92Ed •sa2Ed (5) anT3 '8861 'ST KTnf :PajEQ •ouI 'sajuToossy 29 TNsuTmux 3 pzEgoTg Xq pazudazd „'BuTPTTng aaTIIO OITPzy puE ouEosoz zoI pazEdazd •sspN 'zanopuV gjzoN UT puET Io uETd alTs anTITuTIaQ,, PaTITIua suETd 'q •saBEd (6) au'M — 886T '6T STnf paiup '•ouI 'saluToossy 9 TNsuTmux •,I pzugoTg Sq pazEdazd •ouI ''00 2uTPTTng TauuugO Xq pailTmgns qualuT Io aoTjoN •E :suoTITpuoo TEuoTITP.PE PUP suETd ?uTMoTToI aql 01 mzoluoo TTEgs xzoM aqZ 'ZT ''$PZq aoT330 OITPzy � ouEosO1 " JG PTaTJXuq suoTITpuoO Io zapz0 ZL�—Z�Z— MSG 2tzq Avg I?W -&lp (l AW CL ce g ai2k(na��1 9wz,�? /Gk4irtS �ra a ✓& 5'eC - F Ac Tl,,5,-t'S �w5Cl � UPITe- h�s`l �vvo ? Gv�v c�rr� <T �-rJ Grxt/ 2 TOWN OF NORTH ANDOVER, MASSACHUSETTS OFFICE OF DIVISION OF FINANCE 120 MAIN STREET, 01845 CHARLES F. MANSFIELDOF "O oTM 91 TELEPHONE 882.1759 ., FINANCE DIRECTOR .%� „t, OL t � X90 -� : ,,• sSAC'HUSAll Date: June 14, 1988 ~ To: All Department Heads From: Charles F. Mansfield Director of Finance Subject: :;lose of Fiscal Yea4 Please note that all receipts for Fiscal 1988 should be received as soon as possible. The books close June 30, 1988; all amounts to be included in FY1988 should be turned over to the Treasurer's Office no later than July 11, 1988. Please contact me if there is a problem or any discussion concerning the above.