HomeMy WebLinkAboutMiscellaneous - 255 JOHNSON STREET 4/30/2018 (3)V`-
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Department of Public Health/Department of Labor & Workforce Development
NOTIFICATION OF DELEADING WORK
All sections of this form must be completed in order to comply
With the notification requirements of M.G_L. c.l l I S 197,
454 CMR 22.00 and 105 CMR 460.000 as most recently amended
contractorpoforming project MAURO CICERONE License # D0000775 Exp. Date 01-19-2010
Lead Paint inspector Mel Blackman Date of Inspection 05-20-09 License # Exp. Date
ADDRESS OF PROJECT:
Street Address: 4 310 Winter St.
Apt. Number: # single
City N.Andover MA Zip Code: 01845
Property Owner: Josephine Gammell Address# 310 Winter St: N. Andover MA 01845
Telephone Number:
De Leading method: Wet/Dry Scraping Heat Gun Liquid Encapsulant
Demolition Caustics Replacement (x) Covering (x)
If "Other" selected, please explain. Replace all widows
Check One: dwelling is multi -family other : Single
Start Date: 06-30-2009 Completion Date: 07-3-2009
When will work be done: A.M.? 8, 00 P.M. 4, 30 (Specify times on site) Weekends?
Project Supervisor's name: License # Exp. Date
Worker's Compensation Policy Number: Carrier :
In case of emergency contact: MAURO CICERONE Tel. # (800) 559-0868
(contractor's representative)
De Leading Contractor
The undersigned hereby states, under the pains and penalties of perjury, that
he/she has read and understood the Commonwealth of Massachusetts De Leading
Regulations, 454 CMR 22.00 and Leading Poisoning Prevention and Control
Regulations, 105 CMR 460.000, and that the information contained in this
Notification is true and correct to the best of his/her knowledge and belief.
Date 06-24-2009
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Company Name _
Address
Telephone Number (800) 559-0868 )
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Town of North Andover t°RTM
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OFFICE OF �? ,t' ° L
COMMUNITY DEVELOPMENT AND SERVICES °
27 Charles Street » ^O
North Andover, Massachusetts 01845 �9ssncNuS�t<y
WILLIAM J. SCOTT
Director
(978)688-9531 Fax(978)688-9542
March 24, 2000
Mr. & Mrs. John Rogus
310 Winter Street
No. Andover, MA 01845
Re: Sewer Tie-in
Dear Mr. & Mrs. Rogus:
The Health Department has been supplied with a list of all residences, currently on septic,
which have access to the municipal sewer system. As previously published at a Public
Hearing on March 17, 1994, the Board of Health has adopted regulations concerning the
required sewer tie-in. The following timetable concerning your property status was
adopted:
4.1 All establishments that currently do not have municipal sewer available
to them must connect to the sewer as soon as it becomes available, with a
maximum time limit of six months.
The purpose of these regulations is to safeguard North Andover's drinking water, surface
waters, groundwater and surrounding environment. Sanitary sewer is believed to be the
most effective form of wastewater treatment. A copy of the entire regulation can be
obtained at our office.
Your property is in violation of this Board of Health regulation. Please contact the Health
Department regarding this matter immediately. If we do not hear from you by May 10,
2000 your name will be placed on the regularly scheduled Board of Health meeting agenda
and placed on public notice. The meeting will be held on May 25, 2000 for discussion of
legal action including court hearings.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Sewer Tie -In 310 Winter Street Page 2
Any questions concerning this regulation should be directed to the Board of Health at
(978) 688-9540. Additional inquiries regarding the physical tie-in and permitting process
should be directed to the Department of Public Works at (978) 685-0950. Please be
advised this Board intends to persevere in this regulation.
Yours truly,
Gayton Osgood, Chairman
�/ i
Francis P. MacMillan, M.D., Member
ohn S. Rizza, D.M.D., Member
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i0- 1436
APPLICATION FOR SEWER SERVICE CONNECTION,,
North Andover, Mass. 19
Application by the undersigned is hereby made to connect with the town sewer main in lt�`% Street,
subject to the rules and, regulations of the Division of Public Works.
The premises are known as No
or subdivision lot no.
Owner
_GL
Contractor
Address
Address
/7 � r;
icant's Signature
So hn Ca -f -r
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
By
See back for rules and regulations
Street
Street
Division of Public Works
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N° 1436
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. c 19
Application by the undersigned is hereby made to connect with the town sewer main in % Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No
or subdivision lot no.
Owner
Contractor
Address
Address
Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
By
See back for rules and regulations
Street
Street
Division of Public Works