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HomeMy WebLinkAboutMiscellaneous - 38 MARBLEHEAD STREET 4/30/2018Oct 03 13 03:45p Neal Cass Inc. 1 781 794 1432 p.2 ;�. When fill' 'out forms on t computer, use only the t key to move y ur cursor - d not use there rn key. INSTR 1. All secti ns of this form must oe completed in order to comply "th Commonwealth of Massachusetts Asbestos Notification Form ANF -001 ri-6-0185951 I Decal Number A. Asbestos Abatement Description 1. a. Is this facility fee exempt -city, town, district, municipal housing authority, owner -occupied residence of four units or less? ❑✓ Yes ❑ No �_ -- ------ b. Provide blanket decal number if applicable: Blanket Decal Number 2. Facility Location: WEBSTER RESIDENCE -j a. Name of Facility -- IMA ! INORTH ANDOVER and the D' na! of O:,cup Onal c. CitylTown d. State 3. Worksite Location: notrequireern [WEBSTER RESIDENCE �- a. Building NamelBullding Location b. Building # 4. Is the facility occupied? Et) Yes F—I No DEP notification req uireme is of 310 CMR 7.15 5. Asbestos Contractor. and the D' na! of O:,cup Onal NEALCASS INC Safety ( S) a. Name notrequireern (BRAINTREE I '02184 requirem is of 453 CMR 6.12 c. Cityrrown d. Zip Code IAC000810 f. DOS license Number 0 0 N 0 0 0 Q iNEALA CASS 6- ;GERALD LEBLANC 7' a. Name of Project Monitoi ENV I ROTEST 8' a. Name of Asbes 9 i 10/4/2013 a. Lect Start D 17.3 c. Work hours Mor 138 MARBLEHEAD ST b_ Street Address _ 1101845 1 19788575402 j e. Zip Code L Telephone Number BASEMENT' j C. Wing d. Roor e. Room ,200 ADAMS ST b. Address _ 17817941432 e. Telephone Number g. Contract Type: Written _1 Verbal i. Contact Person's Title [A�S072613 b. Supervisor/Foreman_D_ OS AM031931 b. ProLecl Monitor DOS Certi }AA000128 b. Asbestos Analytical Lab_C ! 110/70013 b. End Date (mmlddlyyyr _ "7-3 d. Work hours Sat -Sun. 10. a. What type of project is this? r E ^ ; Demolition l✓I Renovation ;; Repair�I Other, please specify: b. Describe 11. a_ Check abatement procedures: J Glove bag Encapsulation [_ i Enclosure Disposal only r 3i Cleanup 0 Other, specify: 7 Full containment b. Describe 12. Is the job being conducted: F1 Indoors? Z Outdoors? ■ anf00hap.doc • 10102 Asbestos Notification Form - Page 1 of 3 0 Oct 03 13 03:45p Neal Cass Inc. 1 781 7941432 p.3 Commonwealth of Massachusetts 1100185951 Asbestos Notification Form ANF -001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials (ACM) to be removed, enclosed, or encapsulated: r0 1180 1 a. Total pipes or ducts (linear ft) �Totalo5fheir su_aces square _ c. Boiler, breaching, duct, tank �� surface coatings Lin. fl. Sq, fl d. Insulating cement Lm. ft. I Sq. ft. - e. Corrugated or layered paper 1 ! 1L 80 _ f_ Trowel/Sprayer coatings I i u` pipe insulation Lin. ft. Sq. ft- Lin.. ft � 1—Sq. g. Spray -on fireproofing L h. Transite board, wall board t F Lin. fl. Sq. ft. Lin. ft. i { rr I L Cloths, woven fabrics j. Other, please specify: Lin. K. —. 'S�q tt Lin. ft: �S�c . ft. k. Thermal, solid core pipe insulation Lin. ft_ Sq. ft. I. Specify 14. Describe the decontamination system(s) to be used: IFULL CONTAINMENT 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): .ALL ACM WET HANDLED, BAGGED, LABELED AND DISPOSED OF AT AN EPA LANDFILL. 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a. Name of DEP Official b. Title i c. Date (mmlddlyyyy) ofAuthodzatlon d. DEP Waiver# I e_ Name of DOS Oficial_ OS Official Title _ - i �Date (mmlddfyyyy) of Authorization h. DOS Waiver# �!—f N 0 17. Do prevailing wage rates as per M.G.L. c_ 149, § 26, 27 or 27A—F apply to this project?J Yes iii No B. Facility Description 1. Current or prior use of facility: ,CURRENT ' 2. Is the facility owner -occupied residential with 4 units or less? Z Yes No ;_RICHARD WEBSTER 3. a. Facility Owner Name b. Address 0 i o C. Ci Town d. Zip Code e. Telephone Number (area code and extension) ___T _ a. Name of Facility Owner's On -Site Manager b. On -Site Manager Address z Q c. CityfTown d. Zip Code e. Telephone Number (area code and extension) 0 anf00J ap.doc • 10/02 Asbestos Notification Form . Page 2 of 3 0 Oct 03 13 03:46p Neal Cass Inc. A .. K, Note: Tr Stations comply Solid W, Division Commonwealth of Massachusetts 1 781 794 1432 p.4 Asbestos Notification Form ANF -001 B_ f=acility Description (cont.) 5' a. Name of General Contractor c. City/Town d. Zip Code_ t l f. Contractor's Worker's Comp. Insurer 6. What is the size of this facility? 100185951 k Decal Number b. Address W— e. Telephone Number (area code and extension) _ i I I _ I I g. policy Number h. Exp. Date (mmJddly� a. Square Feet b. Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos -containing material from site to temporary storage site (if necessary): t er a. Name of Transporter b. Address i r � the c. City/Town d. Zip Code e. Telephone Number 310 2. Transporter of asbestos -containing waste material from removal/temporary site to final disposal site: I !SERVICE TRANSPORT GROUP a. Name of Transporter yb. Address c. City/Town �d. Zip Code e. Telephone Number a. Refuse Transfer Station and Owner b. Address c. City/Town d. Zip Code e. Telephone Number 4. IMINERVA ENTERPRISES INC a. Final Disposal Site Location Name b. Final Disposal Site Location Owner's Name '9000 MINERVA ROAD WAYNESBURG - ^f c. Final Disposal Site Address d. City/Town JOH J44688 e- State f. Zip Code g. Telephone Number I.ro .o D. Certification _C4 The undersigned hereby states, under the 'NEAL A CASS !NEAL A CASS -- -- �o penalties of perjury, that he/she has read the a. Name_ b. Authorized Signature _o Commonwealth of Massachusetts regulations 'PRESIDENT ;912312013 for the Removal, Containment or c. Position/Title d. Date (mm/ddh8WO =T Encapsulation of Asbestos, 453 CMR 6.00 and I E 310 CMR 7.15, and that the information ;7817941432 �r contained in this notification is true and correct a Telephone Number f. Representing to the best of his/her knowledge and belief. 5200 ADAMS ST i 'a ..Address =LL ;BRAINTREE 02184 = h. Cityfrown i. Zip Code cr 0 anf0olap.doc- 10/02 Asbestos Notification Form • Page 3 of 3 0 Dept; of Public Works Phone 978- 665-0950 364 Osgood Street Fax 978-688.9673 North Andover, MA 01845 TO: Zoning Board of Appeals From: James Rand, Jr., Director of Engine CC: J. William Hmurciak, Dir. of DPW, Datm July 27, 2000 r% Rae Lot Y, 38 Marblehead Street Ppector This department has made a field inspection of the proposed driveway location to service the proposed Lot Y. We find that the proposed driveway should be able to meet all the requirements of the DPW. Upon proper application we would issue a driveway permit for this location with a width up to a width of 26 feet. Please note that in this approximate location there now exists a dirt entrance and a paved apron, neither are shown on the plan. If you need any additional information, please contact us at any time. Attached you will find a copy of a driveway permit and application. C:/BoA/MemoAppeals01 • Page 1 Phone (978) 688-9541 TO: FROM: 710 Lf MMA North Andover Zoning Board of Appeals 27 Charles Street North Andover, Massachusetts 01845 M -E -M -O Jim Rand, DPW Engineer Mary for Zoning Board of Appeals�}j DATE: 7/25/2000 Fax (978) 688-9542 SUBJECT: Proposed parking spaces on Proposed Lot Y, 38 Marblehead St. Jim, Enclosed is a plan of land for Nancy Melillo, 38 Marblehead Street, North Andover. Ms Melillo is an applicant on the August 8, 2000 ZBA agenda requesting a variance for a side setback and also requesting special permit to separate Lot Y from Lot X. Is it necessary for Ms Melillo to obtain a DPW driveway entry permit because of the location of the proposed 4 parking spaces. Please see Lot Y for location of proposed parking spaces located near the entrance to Baldwin Street. Please let me know of your concerns prior to the August 8th meeting. Thank you. Cc: Mike McGuire/Building Inspector ZBA file MI/driveway c J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 DRIVEWAY PERMIT DATE LOCATION BUILDER phone OWNER phone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Telephone (978) 685-0950 Fax (978) 688.9573 e LE TOWN O.F ..eOt T. 1 NI)OV1 R DIVISION 011 ' _1J-1�tC WORKS 84 OSGOOD STREET Nt.iRT-1 ANDOVF-R, ,%-JASz '. CC IjISE" *TS 01845 (% ,8 6-M-95 3 June 1, 1999 FORM U & DRIVEWAY APPLICATIONS PROPOSED DRIVEWAY PLAN - a plan which is required to show the dimensions of the lot, the location of the proposed driveway and the building(s) it services, the type of street pavement, type of existing sidewalk, type of curbing, location of any permanent structures within ten (10) feet of the driveway such as utility poles, hydrants, catch basins, stone bounds, etc. The plan shall be submitted to the Engineering Department for review. If the plan is approved then a driveway permit can be issued. (See Sketch Plan Attached) CREATION OF A CURB CUT - If there is existing curbing where the new driveway is to be located, then it must be removed to create the proper ramp from the gutter. The new driveway shall not protrude into the gutter. In any instance the new curb cut shall not allow surface water to enter the property. (See Sketch B) EXISTING SIDEWALK SURFACES - If there is an existing curbing and / or sidewalk the new driveway shall match the existing material and shall be a minimum of 4 " thick. The contractor shall provide a detail showing the thickness of material, number of layers, reinforcement and sub -base. DIG SAFE NUMBER - The applicant shall and have a valid Dig Safe number CONTRACTOR - The Contractor doing the work shall have all insurance's required and be in good standing with the Town. DRIVEWAY PERMIT - The permit shall be good for thirty (30) days and may not be transferred without prior written approval by the Town of North Andover. INSPECTIONS - The Contractor MUST notify the Town 24 hours prior to commencing construction. The completed work must be inspected and signed off by the Town, within 48 hours of completion. C:-WOR.D\DRIVEWAYSTORM U & DRIVEWAY APPLICATIONS Town of North Andover Division of Public Works 384 Osgood Street North Andover, MA 01845 joB RAP 54,E 7�)Ull'WAY -Bloo'9AI SHEET NO. -2,OF CALCULATED BY . w"ORW43) DATE P19, CHECKED BY DATE SCALE ........ .. .. . .. .. ........... . . .......... ................... ......... . . .. . ........ . . PROFILE PR I E TYPICAL DRP*.WAY N.T.S_ NOTE: 1.) ALL DRIVEWAY APRONS TO BE PAVED WITH Y -BITUMINOUS CONCRETE. 2.) DRI'V'EWAYS SHALL NOT BE INSTALLED IN LOCATIONS WHERE STONE BOUNDS ARE PROPOSED.