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Home My WebLink AboutMiscellaneous - 60 LYMAN ROAD 4/30/2018 60 LYMAN ROAD 210/021.0-0012-0000.0 FR "�' 447 Boston Street,Suite 9 Topsfield,MA 01983 r'' JSTERS (978)887-8112 FAX(978)887-8113 Craig McDonald/Owner-Operator August 28, 2012 Town of North Andover Town Hall North Andover, MA 01845 Building Commissioner or Board of Health Tnepector of Buildings Board of Selectmen Policy: FP5500246 Insured: William Sherlock Loss Location: 60 Lyman Road Date of Loss: July 27, 2012 File No.: 168P-12-6212CM (rot claim) A claim has been made involving loss, damage, or destruction of the above captioned property which may either exceed $1,000.00 or cause Massachusetts General Laws CH. 143 Sec. 6 to be applicable. If any notice under Massachusetts General 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 file number. J1C0mtaU Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. August 28, 2012 Date Main Office: 447 Boston Street, Suite 9;Topsfield,MA 01983 (978) 887-81120(978) 887-8113 FAX Boston,MA • Boston/Lynn,MA Gloucester/Beverly, MA • Framingham,MA •New Bedford/Fall River,MA Providence, RI • Cranford,NJ • Toms River,NJ • Philadelphia/Bensalem, PA Shenandoah,PA 9 State College,PA • Williamsport,PA • Winston-Salem,NC F 447 Boston Street, Suite 9 T ER Topsfield,MA 01983 J U E (978)887-8112 FAX(978)887-8113 Ilk Craig McDonald/Owner-Operator August 28, 2012 Town of North Andover Town Hall North Andover, MA 01845 Building Commissioner or Board of Health Inspector of Buildings Board of Selectmen Policy: FP5500246 Insured: William Sherlock Loss Location: 60 Lyman Road Date of Loss: July 27, 2012 File No.: 168P-12-6175CM A claim has been made involving loss, damage, or destruction of the above captioned property which may either exceed $1,000.00 or cause Massachusetts General Laws CH. 143 Sec. 6 to be applicable. If any notice under Massachusetts General Laws CH. 139, Sec. 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, locationolicY number, date of loss and claim file number. p Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. August 28, 2012 Date Main Office: 447 Boston Street, Suite 9; Topsfield,MA 01983 (978)887-8112 0 (978) 887-8113 FAX Boston,MA • Boston/Lynn,MA Gloucester/Beverly,MA • Framingham,MA •New Bedford/Fall River,MA Providence,RI • Cranford,NJ • Toms River,NJ • Philadelphia/Bensalem,PA Shenandoah,PA 9 State College,PA • Williamsport,PA • Winston-Salem,NC N2 2276 ....... NoaTM TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING CHU This certifies that; .Z!.�Z—.�................................................................ C-11 has permission to perform / ....... ................... wiring in the building of.Z2��....... ........................ D�- 4T- .......��a-�^ at.4 .... ........................... ,North Andover,Mass. Fee ........ Lic.N0167I.?.. ............................................ V/ -- -ELECTRICAL INSPECTOR 03/01/99 09:16 '�5'0 ' 0 POR WHITE: Applicant CANARY: Building Dept. K:Treasurer 02/05/88 16:25 _ FAX 878 682 1646 LANDERS ELEC IC IA02 Tile Commonwealth of Alassaellua� • ii" 1E1ECtE O� Y selt 1 BOARD OF FIRE PREMITION REGU AT1O11S 521 CUR +LOO 11,190 t►....„,,,,, �`@ S�!'4 t. P T I'! S"iM�\.".• • ems! L�f�S'11I��.A1. � ! Ar""PUCATION FOR PERU'Ar 1 TO {-ERFO IM E1_cUl 1'SiVf• L WORK AS iw k to 6 ptiloiinvii in atteioante.ltl,jelie Eif'Siiltal C"s.Sig CMR ;2.60 Q Q (PLE AS6 PRIM I1 INR OR ME ALL 111FORI[d210011) a Date, ��"51-, / 7 City or ?oun of /(/B 4,6oylrr Io the Inspector of Ufreet ]hi ps,dsratgtied appllts for a pere,tt to perform the electrleot we'rk-4tserlted below. ' lredatign (Street A lhaaber) 4w'er or teaeut Oww'p Address• 511E gs this Permit to eat/unties vlth a building permit: Tet 0 No (G,tck ApproPrlste Box) ^. Iy F �L3iAI�' rl+ose of Dntild{ag ..�� Utility Authorlatlon tM. d'D opz- trieteng Service laps 1 volts Ovelbead Ej Udgto� us. o€ It ters— Neu Service H::A.pj 4717 ( e; yG Its Overhead Lj Ward U Ne. of hetets Nuober at readers and Aopeeity t4ceetea and 11eturs of 4roposet Liectelea! Eyck zice,/ 41"'17 ai,1ro5ff 11// ' 1 . No. of Lt httn Outlets Iocst g g No. eE Hot tubs 110. of Irsns[or,oers 1~vA No, of {.iahttng Fixty►ts Swiceeil6g Pec! Brno.L j Srad. venerators 11{A No. of Receptacle Outlets fie. of Olt Burners 00• of Eat( encs LIghtlat RatteryUnnits No. of Switch Outlets No. of Cas Burners FIRE A[.AXIS Ile. of Unto No. of ELn t: i Setsl tie. of Qeteetion and S No. of Air Gond. tons initiating Devices !fest 5otsl local 110. of bi@poesls 1[0. of Pumps- T„,,. Cl+ Ito. of Sounding Devices Ito. of pish"10%trp Spa€e�g:�_ [[e-ttn5 A,i �No. of Set( contained Detection/Souud(ag Devices No. of Dryers Ileating Devices RN toeal Hunlelpst Other~— connection ow IbWtet lleslera 101 l 7�1e. of -0i. at , of Voltage _aa.:opts �c+iiint .., fie. 11race Massage Tubs No. 61 fbiors Total Iii a �1 0THERg 111SURAIKII CPERAGEt rursuent to the requtrementa of 112ssaehusetts General Lx%py 1 neve a clorrent"111ty Insurance Foliey !"eluding Completed operations Coverage or-W@ substantial e ielvalEnt. $ES 1.0Ej I have submitted vatic proof ori sane to ibis alike. YEsi' iia Cl l you have checked IES, please Indicate the typ: of envc-". be th_ckin: thr sni+reprtate baa. 11151 11 i6 �BwID El viii R 0 arltarie speelws _ ' ' ap rat en ate Estlested Talwe e[ E ectr sl Work S Work to Start 5-• Inspection Date Aeelueatedt tough Final ee_-%ed wider the pontIttes of r1iul wom l A��SL-E'r';' !� �. l.tc. I10. 1�-- i.(ctnsee Signature VRv-�a.. {� ;P-,�11+a- ~LIC. no. "Address /0,0`0 Ogg "a S 40, A00 L,,6A7O/ aui: lei. • WM'S INSURAUCE t1AIVtki t am @were that the Licensee does not have the t> inawronce coverage or Jtq se - strntlal tauteatent as regvIced by 11stenchusetts General fays, end that my signature on this r ant agpilctatloa "sives this [eq+si:_oert. O�mer s&on Masse Chuck sial Telephone Ne. ` PEmax FEE 514natutie o eE or Agent)1 p, All State Abatement professionals, inc. 4 Wilder Drive, Suite 12 866-565-ASAP Q Plaistow, NH 03865 Fax: 603-378-0610 P May 16, 2007 RECEIVE® Town of North Andover MAY 2 2 2007 Board of Health 120 Main Street T�EWN ALLTHJORTDEPARATME TER North Andover, MA 01845 Phone#: (978) 688-9540 Fax#: (978) 688-9542 Re: Asbestos Abatement @ Residence 60 Lyman Road To whom it may concern: All State Abatement Professionals, Inc. (ASAP)is scheduled to perform work for the above referenced project on the following dates: Start Date: 06/04/07 End Date: 06/04/07 All appropriate agencies have been notified for the above referenced project. If you have any questions or need additional information, please do not hesitate to contact me. Sincerely, #JScott Curley President JSC:jab Enclosures Asbestos• Masonry Cleaning •Selective Demolition•Shot/Sand Blasting • Mold Remediation f Commonwealth of Massachusetts 100055450 Asbestos Notification Farm ANF-001 Decal Number Important: A. Asbestos Abatement Description When filling out p 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 ❑ No to move your cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key' 2. Facility Location: RESIDENCE 60 LYMAN ROAD a.Name of Facifily b.Street Address North Andover 101845 (978)683-8855 c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: -----� 1.All sections of this RESIDENCE IBASEMEN7T I 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? QQ Yes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of occupational ALL STATE ABATEMENT PROFESSIONALS 4 WILDER DRIVE SUITE 12 Safety(DOS) a.Name b.Address notification requirements of 453 �ISTOW �� 03865 6033780600 req CMR 6.12 c.C' /Town d.Zip Code e.Telephone Number AC000331 f.DOS License Number g. Contract Type: ZWritten [I Verbal J.SCOTT CURLEY PRESIDENT h.Facil' Contact Person i.Contact Person's Title 6' JEFF VALCOURT I JAS033985 a.Name of On-to Su rvisor/Foreman b.Supervisor/Foreman DOS Certification Number AIR TESTING SERVICES IAA000124 T a.Name of Project Monitor b.Project Monitor DOS Certification Number 8' AIR TESTING SERVICES AA000124 a.Name of Asbestos Analytical Lab b.Asbestos Analvtical Lab DOS Certification Number c 9 06/04/2007 06/04/2007 a.Project Start Date(mm/dd/ b.End Date mm/dd/ �o j7 -3:30 �N c.Work hours Mon-Fri. d.Work hours Sat-Sun. �o 10. a. What type of project is this? �10111111110 ❑ Demolition Q Renovation ❑ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: o ❑ Glove bag ❑ Encapsulation o [I Enclosure ❑ Disposal only =LL ❑Cleanup ❑ Other, specify: 171/1 Full containment b.Describe 12. Is the job being conducted: i;! Indoors? E]Outdoors? �"`P" 'a anf001ap.doc•10!02 Asbestos Notification Form•Page 1 of 5(i.. j Commonwealth of Massachusetts 100055450 i_. 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: lu 175 a.Total pipes or ducts(linear ft) b.Total other su aces(square c.Boiler,breaching,duct,tank 75 d.Insulating cement �----i surface coatings Lin.ft. Sq.ft. Lin.ft. Sq.ft. e.Corrugated or layered paper �- C� f.Trowel/Sprayer coatings , pipe insulation Lin.ft. Sq.ft. Lin, [ ft, Sq.ft. g.Spray-on fireproofingLin.—ft Sq� h.Transite board,wall board Lin. --—a q ft I L Cloths,woven fabrics j.Other,please specify: !� Lin S� Lin.ft. So.ft. k.Thermal,solid core pipe insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination s stems to be used: Y PROVIDE AN ADEQUATE DECONTAMINATION SYSTEM. 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): DOUBLE 6 MIL POLY. 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a.Name of DEP Official b.Title c.Date mm/ddl of Authorization d.DEP Waiver# e.Name of DOS Official f.DOS Official Title �N g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# ° 17. Do prevailing wage rates as per M.G.L. c. 149,§26, 27 or 27A—F apply to this project? El Yes Q No ° B. Facility Description �N �0 1. Current or prior use of facility: RESIDENCE �o .� 2. Is the facility owner-occupied residential with 4 units or less? []✓ Yes []No BILL SHERLOCK19 LOWELL AVE 3' a.Facil' Owner Name b.Address ° HAVERHILL, MA 01832 1978-683-8855 o c.City/Town d.Zip Code e.Telephone Number area code and extension 4 IBILL SHERLOCK , 19 LOWELL AVE a.Name of Facility Owner's On-Site Manager b.On-Site Manager Address. 1HAVERHILL, MA ViiL01832 1978-683-5855 < c.City/Town d;Zip Code e.Telephone Number(area code and extension) anf001ap.doc•10102 Asbestos Notification Form•Pape'.2 0.3 Commonwealth of Massachusetts ;. 100055450 Y : Asbestos Notification Form ANF-001 Decal Number B. Facility Description (cont.) 5' a.Name of General Contractor b.Address c.C' /Town d.Zip Code a.Telephone Number r_�code and extension f.Contractor's Worker's Comp.Insurer g.Policy Number I II h.Exp.Date"mm/dd/ _ _ 6. What is the size of this facility? 1000 1 • 11 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): ALL STATE ABATEMENT PROFESSIONAL 4 WILDER DR,STE 12 Note:Transfer a.Name of Transporter b.Address Stations must f PLAISTOW,NH 03865 (603)378-0600 comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos-containing waste material from removalttemporary site to final disposal site: Regulations 310 CMR 19.000 J.O.B.lROLLOFF,INC. PO BOX 6037 a.Name of Transporter b.Address CHELSEA, MA 02150 (617)387-1495 c.C' /Town d.Zip Code e.Telephone Number 3. NIA a.Refuse Transfer Station and Owner b.Address c.C' /Town d.Zip Code e.Telephone Number 4. ITURNKEY LANDFILL(WASTE MGT NH) a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name 7 ROCHESTER NECK ROAD I IROCHESTER c.Final Dis osp sal Site Address d.C' /Town NH 03839 1 1(800)847-5303 M e.State f.Zip Code g.Telephone Number D. Certification N The undersigned hereby states, under the f JUDITH IEREZANSKY penalties of perjury,that he/she has read the a.Name b.Authorized Signature �° Commonwealth of Massachusetts regulations JOFFICE MANAGER05/16/2007 for the Removal, Containment or y r Encapsulation of Asbestos,453 CMR 6.00 and c.Position/Title � � 310 CMR 7.15,and that the information (603)378-0600 ASAP, INC.INC.d.Date(mrrddd/vI�, contained in this notification is true and correct e.Telephone Number f.Representing ° to the best of his/her knowledge and belief. 14 WILDER DR,STE 12 o g.Address �� Biu PLAISTOW, NH _ 03865 �Z h,City/Town i.Zip Code anf001 ar.doc•10/02 Asbestos Notification Form•Page.^3 of 3 05/23/2007 10:06 FAX 6033780610 ASAP 10001 r. Ali State Abatement Professionals, inc. .4 Wilder Drive,Suite 12 866-665-A o L' Ly ' Plaistow,NH 03865 Fax 603-378.0610 FAX Number of pages including cover sheet: Ta From: (\Ot 0'J E�' All State Abatement Professionals,Inc. EOot.rcA. 03 9E]a Phone, A Phone: (603)378-0600 Faxphone: �t��$` ��' sy`� Fax p4a ne: (603)378-0610 —- - --- CC: RFX ARKS: ❑ Urgent ® For your review ❑ .Reply ASAP ❑ Please comment ieu),sed GW 5 Asbestos•Masonry Cleaning•Selective Demolition•Shot/Sand Blasting•Mold Remediation 05/23/2007 10:06 FAX 6093780610 ASAP WJVVA All State Abatement Professionals, enc. 4 Wilder Drive,Suite 12 866.565-ASAP ' Plaistow,NH 03865 Fax:603-378-0610 19-3 May l , 2007 Town of North Andover Board of Health 120 Main Street North Andover,MA 01845 Phone#: (978)688-9540 Fax#: (978)688-9542 Re: Asbestos Abatement @ Residence . iti- 60i:�ym�i1 Road` ) To whom it may concern: All State Abatement Professionals, Inc. (ASAP)is scheduled to pedorm work for the above referenced project on the following dates- Start Date: 06f84= /07 End Date: 061407— 0/40 7 All appropriate agencies have been notified for the above reference project. Myou have any questions or need additional information, please do not hesitate to contact me_ Sincerely, r t /J. Scott Curley President JSC Jab Enclosures Asbestos•Masonry Cleaning•Selective Demolition•Shot/Sand Blasting•Mold Remediation 05/23/2007 10:06 FAX 6033780610 ASAP 10003 Massachusetts Department of Environmental Protection 1100055M '-" Bureau of Waste Prevention—Air Quality coal Number Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 tnrportant: 1MenWing out A. Facility Location roans on the =RESIDENCEcompuW,use only the tab key 1.Name of Fscfy to move your 60 LYMAN ROAD c usor-do not use the return 2,Kqg AW key. INORTH ANDOVER I IMA F- 3.City 4.3btte S.Zl►Cods iO IOM83USS 8.Telephone Hamper INSTRUCTIONS B. Project Cancelled t. This form is only avaitabte for 0 CheCk here if this project Wwas Cancelled. online raw of pro)ed dots revisions. deoaEl number.` C. Project Dates othat th pr06l04120D7 06104fZ00� the project sa kroetion is coned 1.Criminal art to 2. W10i E rWDAWAMMOOOL— for the onmrod decal 3.Lstast Revised Start Date(rratrddlyyyy) 4.Laced Rsvlsed End Dom"W016") 4. Eater yaw new project deter. S. Cenrryour sn D. Revised Project Dates chorIps, 06/11/3Q07 06111J200T 1.RovlUd tMrt Dab(mmrd&yyyy) 2.Rcvisad&A Onto Dam(rtuNddtyyyy) E. Other Project Revisions F. Revision Histo arrUp tIm.doe•rev.2SM4 05/23/2007 10:06 FAX 6033780610 ASAP 10004 t Massachusetts tepartrnent of Environmental Protection 100055 M Bureau of Waste Prevention—Air Quality Oewl Nwfter `t Project Revision Notification For Asbestos Notification ANF401 and AQ 06 G. Certification The undersigned hereby emus under the WaMn of WM,that Wehe las rood to Commonweal of Massachusetts regulations for the Removal,Corttelnmentor Encapsulation of Asbestoe,453 CMR 6.00 and 310 CMR 7.15,and-(hat 1ho Irdbrmdon contained In tltia notification is true and coned to the beat of hk4w lmowledge and belief. LJuoITH 13ERUANSKY I. N= ftnatwre OFFICE MANAGER �� 1�)7 , 2. PbsrtiorJT ASAP,INC. (603)MOM 4. RopmerOw5. T ne 4 WILDER DIRWE,STE 12 8. Add ss PLAISTOW,NN 03885 7. ChyRoam S. Zip Code ardOSOm dea rev.ZSM4