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Home My WebLink AboutMiscellaneous - 22 PHILLIPS COURT 4/30/2018 22 PHILLIPS COURT 210/095.0-0030-0000.0 _ I INCORPORATED Ms. Elisa Reppucci September 20, 2010 14 Bucklin Road 7ECE North Andover MA 01845 4 5 Wo RE: 22 Phillips Court, N. AndoVPWWN OF NORTH ANDOVER HEALTH DEPARTMENT Dear Ms. Reppucci: This letter is sent to inform you that notifications have been sent out to all necessary regulatory agencies concerning the asbestos abatement work to be performed at the above captioned job location. Federal and State regulations require notification of intent to perform abatement work at least ten working days prior to start of work. The notifications for this work were sent out on September 20, 2010. We plan to commence work at the above captioned location on October 5, 2010. Enclosed please find copy of the Asbestos Notification Form for.the Commonwealth of Massachusetts. We will be in touch with you prior to this date to confirm our arrival. Please do not hesitate to contact me at 978-683-7767 if you have any questions regarding this matter. Sincerely, Pa ick J. Sennott President PJS/pjs Cc: North Andover Health Department I 145 Marston street,Lawrence, MA 01841 Telephone: (978)683-7767•FAX:(978)688-9998 Commonwealth of Massachusetts ■ 100113441 Asbestos Notification Form ANF-00 _pecalNumyber T SSP 2010 Important When filling out A. Asbestos Abatement Description HEALTH DEPAF1Tlblty� 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 0 No to move your cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return . key- 2. Facility Location: i - RESIDENTIAL 22 PHILLIPS COURT a.Name of Facility b.Street Address NORTH ANDOVER I MA 1 101845 9782044192 c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: 1.All sections of this RESIDENTIAL BASEMENT 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? M Yes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division. of occupational ISENCAM INC 145 MARSTON STREET Safety(DOS) a.Name b.Address notification LAWRENCE 01841 9786837767 requirements of 453 CMR 6.12 c.Ci /Town d.Zip Code e.Telephone Number AC000129 f.DOS License Number g.Contract Type: El Written ❑Verbal ELISA REPPUCCLI OWNER h.Facility Contact Person i.Contact Person's Title PABLO A. NUNEZ I JAS030514 6' a.Name of On-Site Supervisor/Foreman b.Supervisor/Foreman DOS Certification Number FELABORATORY AA000128 7' a.Name of Project Monitor b.Project Monitor DOS Certification Number ENVIROTEST LABORATORY AA000128 8. a.Name of Asbestos Anal ical Lab b.Asbestos Analytical Lab DOS Certification Number =0 9 10/5/2010 10/5/2010 _ a.Project Start Date mm/d b.E nd Date mm/dd/ �0 8AM-4PM N c.Work hours Mon-Fri. d.Work hours Sat-Sun. a 0 10. a.What type of project is this? =0 ❑ Demolition ❑Renovation ❑✓ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: 0 ❑Glove bag ❑✓ Encapsulation �0 ❑ Enclosure ❑ Disposal only 'LL [ICleanup ❑Other, specify: ❑ Full containment b.Describe �Q 12. Is the job being conducted: ❑✓ Indoors? ❑Outdoors? Asbestos Notification Form•Pa e 1 of 3 � anf001ap.doc•10/02 g Claim # Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building j Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner off` Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: Carl M. Reppucci Property address: =2n--rte; as-o1CA- North Andover, MA 01845 Policy #: 2616485 i Loss of: 2014/09/Ob File or Claim No. AD 1550 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._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. Glenn Gu r a ente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. _ -09-10-14 ignature and date L* sc Date. . . .l�.. 2.ds/.° .:. . HORTN - o� TOWN OFORTH��,ANDOVER p PERMIT FORZSolflSTALLATION TO s ore s _ 4 ,� �9SS�IC MUSEt $' I This certifies that . . : G. U h�°.G . . . . . .�. . . l� . . . has permission for gas installation . . . . . . . 4 in the buildings of. .c.. . .-�.[ �: . ! . . . . . . . . . . . . . . yz -North Andover, Mass. .; Fee.2. . ... Lic. NO2.� . . . . . . GASINSPECTOR I Check# ;k 646 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 17 1& NORTH ANDOVER,MASSACHUSETTS Building Locations CT Permit# Lf Amount$ -.Owner's Name New Renovation D Replacement M1 Plans Submitted D CA w F w w x o a x H U z Fw rA 19 C7 U W x z t— a a > d w w e x x a w w o w z C w d a [� F y O > w x 'o x 3 a a > U a a F o SB-BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOGR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Name. NA110leAN /�� }� Corp. Address c 0 ACS 5`T /2T! A A14o,Cle' i_ ¢• Partner. Business Telep one &c6 15'— -5 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes n No13 If you have checked Xes,please indicate the type coverage by checking the appropriate box. Liability insurance policy � Other type of indemnity Bond 13 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner pAgent p I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. 70 By: Signature of Licensed Plumber Or Gas Fitter Title L=1 Plumber r-2 t j;v3 City/Town [3 Gas Fitter License Number Master ®APPROVED(OFFICE USE ONLY) Journeyman i GY .Date.? '�`'. j NORTN s •'�o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING CHUS This certifies that ��. .tZ4� . . ,(. . . . . . . . . : . . . . has permission to perform . . . . . .. ` . . . . . . . . . . . . . . . . . . plumbing.in the buildings of I , . , , , , , , att. . . . . . . . . . ., . . North Andover, Mass. Fee . . . . . .Lic. No.�y� ?' i 3 . . . . . . PLUMBING INSPECTOR Check # 778 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) f NORTH ANDOVER,MASSACHUSETTS c a Date Building Location 6 o� p��Jj S C7- Owners Name TA�e- l�e QU Q L 1f j'hl permit# Amount 2 1 y Type of Occupancy Nj elJ;tj S New Renovation Replacement rM Plans Submitted Yes No FIXTURES Cn z w a C6 Cr zw � G '-' w w U Z z w CC Z o �' w x w w z°" c: a fx F� A a 00 � a A ALn a Q A A a x H A . A SZIMM BASEvENT � 15�)HI�OC[t 21V1 LtiL10QR 3M FLOOR 4M H—" SII3IHIDLIR 6IH)HIS 7111 Hf0M gm FLOOR (Print or type) �j Check one: Certificate Installing Company Name_�/ A L(,d��}AJ ]-."r' �l ❑ Corp. Address FAC S T Partner. A A,0oPleb A4 A Q usmess Telephone el vs-- .9s-d4l Firm/Co. Name of Licensed Plumber: fdtit /�i�/fo?��✓ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Signature oi Eicensea riumoer Title Type of Plumbing License City/Town c2Y 93 3 cense um er Master ❑ Journeyman rM APPROVED(OFFICE USE ONLY Lai 9563* fl Date..... -. .�.�` z 'v NORTIr �'s 3r°•`�`' °�M°oc TOWN OF NORTH ANDOVER a y PERMIT FOR WIRING , SACMUS� This certifies that has permission to perform ........... ..�`�f1.. ..,��./�................................. wir-ing in the building of..............� ......................................... s at........... :-. J....... .. �Ll r" ...� ... .. ,North Andover,Mass. Fee.. ate- Lic.No. ..,5... Y31W.......... . .... .... ...........:�......... ...... ELECTRICALINSPECT6R '1 Check # J i t.onunonwealtli o` a36aclutde Official Use Only ' 2c/ c7 - Permit No:.parfinetit 4- im.�Brvice9 .Occupancy and,Fee Checked BOARD OF FIRE PREVENTION REGULATfONS [Rev:1/07] , .(leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(I Mrp ),577 CMR 12.00 (PLEASE PRINT I1V INK OR TYPE A4 INF ,IA ION) Date: /b City or Town of: Poid ye,p-� To the Inspe to of Wires: By this application the undersigned gives noticeof his or her int tion to perform the electrical work described below. Location(Street&Number) �� 1 G� Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a build',g permit? Yes ❑ No (Check Appropriate Box) l Purpose of Building '-L— P/a rn,ul�Q Utility Authorization No. Existing Service Amps J Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No,of Meters Number of Feeders and Ampacity � tLocation and Nature of Proposed Electrical Work: r ... �04nf `7-40"P SCK Fd� Completion of the ollowin table nW be waived by the Inspector of f"fres. No.of Recessed Luminaires No.of Ceil.-Susp:(Paddle)Fans o.of Tota Transformers KVA No.of Luminaire Outlets No.of Ht i Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. grnd. :Battery Units No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS I No.of Zones TI No.of Switches No.of Gas Burners o.o election an Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers eat Pump umber ons K o.oSelf-Contained Totals: _ Detection/Alerting Devices No.of Dishwashers Space/Area Beating KW Local❑ unictpa ❑ Other Connection No.of Dryers Heating Appliances KW SecuritySystems:* No.of Devices or Equivalent No.of Water KW o,of No.of Data Wiring: Heaters Signs Ballasts No,of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP elecommunications Wiring s� No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of ff"ires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability . surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of s e to the pR it issuing o ce. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) t}" / �'2 j /U I certify,antler the an altd pen t' of erjrrry,tl t the in rmatio►r on its applrcatl true mal mr ete: (2' FIRM NAME: v E'�- iC y, LIC.NO..,X' 7,33 Licensee: Signature 'LIZA LIC.NO.: (If applicable,ent "exem t"in the license number If .) Bus.Tel.No .• Address: �S t ( /0/ ��Ci t Alt.Tel No] *Per M.G.L.c. 147,s.57-61,security wc#requires Departrifent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.' Owner/Agent PERMIT'FEE: Signature Telephone No. ��. � . � � ., ¢.�� ' � � k Ar C. 8991 Date.6.-: ".0 PT:��, TOWN OF NORTH ANDOVER 0. PERMIT FOR PLUMBING ,SSACMUsf� . This certifies that . . . . . .4: .—"" . . . . . . . . . . . . . . . . . . . . . . has permission to perform .Yy!. .`.� . . . . . . . . . . . . . . . . plumbing in the buildings of . . f7 .. . . . . . . . . . . . . . . . . . . . . at 0�':(. . . . . . ., North Andover, Mass. Fee.aC2,t ' .Lic. No.!�'. PLUMBING INSPECTOR Check # \ J MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: ,MA. Date• 6 �14Permit# Building Location. Owners Name: AaLce-- Type of Occupancy: Commercial❑ Educational Ej Industrial❑ Institutional ❑ ResidentialO6 New: Alteration:❑ Renovation:❑ Replacement:❑ Plans Submitted: ❑ Yes❑ No FIXTURES DEDICATED F2! SYSTEMS Z Z � Y U Uj Z 0 X CA i a w Z ta- Y Q _j V w C7LU a°' Z a Z v� Z Q Q C O m vxi aQC in w a h Y O a F=- nai N w Q ° t�'i :3 a N ° Q Z C Ce LU a0 OC Z vii U d X Q F- Id 0 x c oLLJ z 3 a = 021 0 3 U Q W WUj D: Q Q h to 0 r�V.. M O o Q Z Z NQ r"' 1- _ H �• N Q .a m m ° ° LL x Y 3 g Q 3 3 3 0 a N Q -SUB BSMT. Q 3 BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR f 6TH FLOOR 7TH FLOOR TH 8 FLOOR R Installing Company Name: Check One Only Certificate# Address: ❑Corporation Business TTel:_ 1 City/Town: State:��!f /tqp ��S„ !ry�� El Partnership 17 Fax: "Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ] No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy-] Other type of indemnity ❑ Bond. OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Si nature of Owner or Owner's A ent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General L s. By Type of License: Title I ature of Lic nsed Plumber City/Town Master APPROVED OFFICE USE ONLY ❑Journeyman License Number: Date. .: f NORTH 1 TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION 9SSACHUSE4 This certifies that . . . . . . . . . . . . . . . . . . has permission for gas installation . . .f ./�9.':'. . . . . . . . . . . . . j in the buildings of . . . . c !. { . . . . . . . . . . . . . . . . . . . . . . . . . at .?. . .�� . .� './.'. !. . . ./ . . . . . . .. North Andover, Mass. Fee. . .3u. . . Lic. No..dc-c?3. C . . . . . . . . GASINSPECTOR Check# 4317 i MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or T m f print) {i .Date NORTH ANDOVER,MASSAC SETTS Building Locations 7i Z Permit# �l Amount$ 3 p Owner's Name ` New❑ Renovation ❑ Replacement Plans Submitted ❑ Con O O F w a C x A w J:! o SUB-BA SEM ENT BA SEM ENT 1ST'. FLOORAL 2ND. FLOOR 3RD.. FLOOR 4TH . -FLOOR 5TH.. FLOOR 6TH. "FLOOR 7TH. FLOOR 8TH . FLOOR (Print or type) fi f ec one: Certificate Installing Company Name ` V / G�i/�'"e,. d- Corp. Address �� d x ✓��' �/' ❑ Partner. 61 Business U Telephone P (� U $ Z 0-Fim>/Co. Name of Licensed Plumber or Gas Fitter / J leo INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑-- No❑ Ifyou have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑— Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ' Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the` best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus Stat Ga ode ani hap✓r 42 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Q Plumber n 3 City/Town ❑ Gas Fitter License Number 13"Master . APPROVED(OFFICE USE ONLY) ❑ Journeyman