HomeMy WebLinkAboutMiscellaneous - 32 CHURCH STREET 4/30/2018 r
-32 CHURCH STREET
210/042.0-0004-0000.0 \
Address C l� 4C � Title of File
Date File Open:
Page _ of
Date file dosed:
Doc Document/Action Title Date of _
action 6tefer to other Purpose of Document/Act�vn and notes
Num. Document/ document/ --
Action De artment
Board of Appeals-- Board of Heal h PIannin-g.Bo:ard _ D
•nseruatiion COn'11T1hSSlon — Building Departrnen;t
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DEPARTMENT OF PUBLIC HEALTH/DEPARTMENT CF- LABOR & INDUSTRIES
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. 111 5197
9
FILE NUMBER
Lead Paint Inspector-1-4rZI.S) Date of inspection
Contractor performing project
-4J2j214e-,%jC�f� '.r vi crt4 Z-7C License # _
Address of Project
Building Name (if any) Floor
Street Address�� ( �h�rC�.� S Apt. No.-- .�
City Zip
Deleading Method: DRY SCRAPING HEAT GUN ENCAPSULATION DEMOLITION
(circle all that apply)
POWER SANDING CAUSTICS REPLACEMENT OTHER
If "Other" selected, please explain
C ;k one: dwelling is Multi-family t/' single family.
Start date /O/-7 w_ Completion Date�d�
When will work be done: am <' pm weekends?
Project Supervisor Name_ ��� r License # -_
Property
Address S
CitYState dl Zip_4L4/ 7,l
Telephone 2, (O
In case of emergency, contact what person:
Phone: Area code required day - ,12 /2 evening_ P
(OVER)
0034B/s
rev 11/16/89
r
In accordance with Chapter 773 of the Acts of 1967, Massachusetts General Laws
C. 111 5197, 454 CMR 22.00 and 105 CMR 460.000, notice of the date and method(s) of
removal or covering of paint, plaster soil or other accessible material containing
dangerous levels of lead, is to be provided to the following persons at least five
days prior to the beginning of deleading.
1. Occupants of the dwelling unit
2. All other occupants of the residential premises, if any
3. Director, Childhood Lead Poisoning Prevention Program
Department of Public Health, 305 South Street, Jamaica Plain, MA 02130
4. Lead Removal Program, Bureau of Technical Services
Department of Labor and Industries, Division of Industrial Safety
100 Cambridge Street, Room 1101, Boston, MA 02202
S. Local Board of Health/Code Enforcement Agency
6. Massachusetts Historical Commission
(if premises is listed on the State Register of Historic Places)
The undersigned hereby states, under the penalties of perjury, that s/he has reed
and understood the Commonwealth of Massachusetts Deleading Regulations, 454 CMR
22.00, and Lead Poisoning Prevention and Control Regulations, 105 CMR 460.00, and
that the information contained in this notification is true and correct to the best
of his/her knowledge and belief.
Date y/ 3`9/ Signed:
Title:
Company: h
_ _ _ _ _ _ _ _ — ~ + — - - — — — — — — — — —
Office Use Only
0034-/6
rev 11/16/89
Renovation Services Inc.
P. O. Box 113 • • ���-ESS�� \ O'cdrney
Lowell„ MA 01853 211 J p M to a
New
D D -
?6 SEP cS s Tor-'
P 718 032 537 , `t ,C,;_ 4
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%,^•R TH
BOARD OF HEALTH
.hilus Kat. M.D.,Chairman NORTH ANDOVER °
R. George Caron . }
8 MASSACHUSETTS
Edward J. Scanlon 01845 `
,SSACHU3E�
TEL. 6-i2-6400
April 15, 1981
Mr. Joseph Borgesi
80 Morningside Drive
No.-Andover., Mass.
Dear Mr. Borgesi:
Corqaints have been filed in this office
regarding an accumulation of rubbish being stored on property
in the rear of your property, 32 Church St., by your tenants.
This rubbish must be removed immediately and
your tenants should be instructed to take advantage of the Toj:-n's
t,eekly pick-up servi ce for trash at curbside.
Dun i ng in this m---inner is against the laws of
this Tom and the Common,•;ealth and failure on your part to remove
this rubbish and cease this practice t;All result in further action
by this Board.
Very truly yours,
4,
J Julius Kay, M.D.
Chairman
cc;Tr.Coutoure
32 Church St.
40
BOARD OF HEALTH of NORTH,1
Julius Kay, M.D., Chairman
NORTH ANDOVER n
R. George Caron - t �
MASSACHUSETTS
Edward J. Scanlon 01845
CHUSE'
TEL. 682-6400
April 15, 1981
Mr. Joseph Borgesi
80 Morningside Drive
No.Andover, Mass,
Dear Mr. Borgesi:
Complaints have been filed in this office
regarding an accumulation of rubbish being stored on property
in the rear of your property, 32 Church St., by your tenants.
This rubbish must be removed immediately and
your tenants should be instructed to take advantage of the Tol�m's
weekly pick-up ser-vice for trash at curbside.
Dumping in this manner is against the laws of
this To-vm and the Commonwealth and failure on your part to remove
this rubbish and cease this practice will result in further action
by this Board.
Very truly yours,
Julius Kay, M.D.
� ,Chairman
cc;M•r.Coutoure
32 Church St.