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HomeMy WebLinkAboutMiscellaneous - 701 WAVERLY ROAD 4/30/2018N Apr 22 113 03:49p Important: When filling out forms on the computer, use only the lab key to move your Cursor- do not use the return key. INSTRUCTIONS Neal Cass Inc. 1 781 794 1432 p.2 Jg Commonwealth of Massachusetts 7 ---.. fED)l 74 Asbestos Notification Form ANF-aa1 Number A°R. 23 2013 TOWN OF NORTH ANDOVER %JMA .----- A. Asbestos Abatement Description 1. a. Is this facility fee exempt -city, town, district, municipal housing authority, owner -occupied residence of tour units or less? ✓ Yes 71 No b. Provide blanket decal number if applicable - 2. Facility Location: 3 1. All sections of this form must be completed in order to comply with 4. DEP notification requirements of 310 CMR 7.15 Jr. and the Division of Occupational Safety (DOS) notification requirements of 453 CMR 6.12 IVIOLA RESIDENCE a. Name of Facility North Andover MA a City/Town d. State Blanket Decal Number 701 WAVERLY ROAD b. Street Address 01845 9788217076 e. Zip Code f. Telephone Number Worksite Location: NORTH ANDOVER �� BASEMENT: a. Buitding Namel6uilding Location b. Build c. Win 9 g d. Floor ee. Room Is the facility occupied? 2) Yes ❑ No Asbestos Contractor: NEALCASS INC l a. Name BRAINTREE �� 02184 C. Ci !Town d. Zip Code JAC000810 f. DOS License Number 6 NEAL A CASS a. Name of On -Site Super GERALD LEBLANC 7. _ ..-- a. Name of Asbestos Anal ical Lab --�412312013 0 9. a. Proeot start Date mmld `0 7-4 `N C. Work hours Mon -Fri. mac, 10. a. What type of project is this? ==`o ❑ Demolition Renovation [l Repair ❑ Other, please specify: •. 11. a. Check abatement procedures: 0 V Glove bag LJ Encapsulation o ® Enclosure ❑ Disposal only .'LL Cleanup ❑ Other, specify: "'maziffii� ❑ Full containment 200 ADAMS ST j b. Address 17817941432 e. Telephone Number g. Contract Type: ❑ Written ❑ Verbal 1AS072613 bSupervisor, JAM031931 b. Project Moi AA000128 b. Asbestos A 4/2412013 b. End Date Ii 7-4 d. Work hours b_ Describe b. Describe Q 12. Is the job being conducted: 0 Indoors? ❑ Outdoors? anfoolap.doc • 10102 Asbestos Notification Form • Page 1 of Apr 22 13 03:49p Neal Cass Inc. 1 781 794 1432 p.3 Commonwealth of Massachusetts 100174919 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: 1100 0 a. Total pipes or —ducts ft) o. t otai other surtacesTsou— arp C. Boiler, breaching, duct, tank surface coatings Lin. ft. e. Corrugated or layered paper 100 pipe insulation Lin R g. Spray -on fireproofing Lin i. Cloths, woven fabrics Lin, fL k. Thermal, solid core pipe insulation Lin.-ft--- Neal in.ft_ 14. Describe the decontamination system(s) to be used: BAG AND FINE CLEANING OF ELBOWS d. Insulating cement I Lin. ft. f. TroweNSprayer coatings Lin h. Transite board, wall board Lint— ft: i. Other, please specify: Lm. ft. tt. I. Specify 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14121fnl- ACM WET HANDLED, BAGGED, LABELED AND DISPOSED OF AT AN EPA APPROVED 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a. Name of DEP ME ai b. Title c. Date (mmrdd/yyyy) of Authorization d. DEP Waiver# e_ Name of DOS Official t. S Oridal Title g. Date (mm/ddtM) of Authorization h. DO�Swer # 17. Do prevailing wage rates as per M.G.L. c. 149, § 26, 27 or 27A–F apply to this project? 0 Yes Evl] No B. Facility Description 1. Current or prior use of facility: 2. Is the facility owner-oocupied residential with 4 units or less? Q Yes ❑ No 3 RON VIOLA I 701 WAVERLY ROAD a. Faal_- iNOwnerlVame b. Address WORTH ANDOVER �~ 01845 978-827-7076 e. Telephone Number {area cue 4. ' a. Name of Farztin,�- c. C d. Zp►--_ _1 ! e. anf001 ap.dac - 10102 Asbestos Notification Form - Page 2 of 3 Apr 22 13 03:50p Note: Transfer Stations must comply with the Solid Waste Division Regulations 310 CMR 19.000 Neal Cass Inc. 1 781 794 1432 p.4 Commonwealth of Massachusetts 100174919 Asbestos Notification Form ANF -001 Decal Number B. Facility Description (cont.) A Name of General Contractor C. CI !Town I f. Contractor's Worker's Comp. Insurer ' i h �Aeirece 6. What is the size of this facility? a. Square Feet b. Number of floc C. Asbestos Transportation and Disposal 1. Transporter of asbestos -containing material from site to temporary storage site (if necessary): a. Name of Transporter c. CiWTown d. Zip Code b. Address e. Telephone Number�������' 2. Transporter of asbestos -containing waste material from removavtemporary site to final disposal site: SERVICE TRANSPORT GROUP a. Name of Trans orter b. Address C Town I d. Zi Code e. Telephone Number 3 a. Refuse Transfer Station and Owner 4. (MINERVA ENTERPRISES INC a. Final Disposal site Location Nartte i 9000 MINERVA ROAD b. Final Dis osal Site WAYNESBURG k1mal DisaosafSiieAddress ,, , ;, , own �=�`y� e. State f. Zip Code—f g. Telephone Number D. Certification The undersigned hereby states, under the penalties of perjury, that he/she has read the Commonwealth of Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos, 453 CMR 6.00 and 310 CMR 7.15, and that the information contained in this notification is true and correct to the best of hislher knowledge and belief. MEAL CASS �� Roz Gill a. Name PRESIDENT b. Authorized Si nature 41212013 c. Positionfritle 7817841432 d. Date mm/dd e. Telephone Number f. Re esentin 200 ADAMS ST. Address BRAINTREE [02184 h. CityfTown i. Zip Code anf001ap.doc• 10102 Asbestos Notification Form • Page 3 of 3 Apr 2213 03:49p Neal Cass Inc. '-d . 'M N EA LCASS I N C "Nealco" 200 Adams St Braintree Ma 02184 781-794-1432 Attention: N. Andover BOH From: Neal Cass Fax: 978-688-8476 Date: 4/22/2013 Phone: ( j Phone: (781)794-1432 EXT. EXT: Comment: See Below Fax:( 781-794-1434 4 pages including cover Please see the attached DEP notification for 701 Waverly Rd., N. Andover Thanks Roz Gill 1 781 794 1432 p.1 t . � SIGNATURE PROPERTIES C. Richard Barrett (978)475-1100 X113 Pa Pager: (781)d5 Email: rbarrett@andoverhomes.com Lillian Montalto si/P�lwi j 0 6 34 Park Street, Suite 1 ABR, CRB, CRP, CRS, GRI Andover, MA 01810 #1 Real Estate Team In New England (978) 475-1400 Web Site: WWW .AndoverHomes.com Toll Free, (888) 681-0001 E -Mail: LMontalto@AndoverHomes.com Fax: (978) 475-5222 a INSPECTION SERVICES, INC. April 14, 2003 Re: 701 Waverly Road, North Andover, MA 01845 Mold Testing TO WHOM IT MAY CONCERN: On January 17, 2003, we performed an inside (0 floor) and outside air -o -cell mold test of the above referenced property. On that date, there was evidence of toxic mold. On April 3, 2003, we repeated the air testing of the above referenced property and on that date the laboratory test results revealed no apparent evidence of toxic or pathogenic molds. There is no way to reduce mold levels to zero. Mold is found everywhere. Since there are no standards for "acceptable" levels of mold in buildings testing is done to compare the levels and types of mold spores found inside the home with those found outside the home. Since the temperature was warmer on April 3, 2003, the outside levels of .mold were higher, therefore, increasing the naturally occurring levels of mold on that date. The tests performed are only an indication of the actual conditions at the time and on the specific date the sampling has occurred. Conditions can change over time- This is only an indication of the type of mold which may be present in the area tested and at the time the test was taken. This is no guarantee that mold does or does not exist in other areas of this, or any other home, such as behind walls or concealed areas. If you require any additional information, please do not hesitate to contact us. Very truly yours, MAIDA SERVICES, INC. '14, )LAU(— Sandra Maida P.O. Box 15 a Plaistow, NH 03865 • 603-382-3839 • Andover, MA 1-800-669-3809 Visit Our Website: www.wehomeinspect.com PRO-LAB/SSPTM INC. Mold Analysis Report 3300 Corporate Avenue, Bldg,, 112 NON-VIABLE Spore Trap Weston, Florida 33331 Toll Free: 800-427-0550 Report Number. 012203-0066 Received Date: 1/22/03 Test Address: Reported Date: 1/22/03 BINGHAM-701 WAVERLY RD, NO ANDOVER, MA 01845 Analysis By: SSPTM, Inc. Client: J , Maida Services Inc. Alyssa Murray, CIAQC P O Box 15 Comments: Plaistow, NF103865 Phone: (603) 382-3839 Fax: (603)382-2225 Emall: SJMAIDA,0aATT131.00M Your Results Pro -Lab Number. 012203-0066 0)2203-0065 Date Collected: 1/17/03 1/17/03 Collection Location: MAIN ISTFLOOR OUTSIDE Sample Submltted: Air -O -Cell -Air-O-Cell Volume (L): 150 150 Chain of Custody# 55510 55509 Serial 111: 3914891 3914892 Results Results Spore Identification Raw Score (Spores/m') Raw Score (Spores/m3 Chaetomium0 27 1 "0 ._.._— Cladosporium _ _ 5 l 133 0 iOther Ascospores :.9 ... ... 240 ... �- ... _......I ;Other Basidiospores 8213 ,..- - ... I ... ..�-•---... _.......1_.. 27 Penicillium/Aspergillus 24 .0.....— - ---•--_Q.._- ------..... 0 _..l Smuts-/ nornY_cs.. 3 _ 80 — — 0 27 -- - 0 U Total Spores (Spores/ml): 1360 27 ---_. Analysis Date: 1/22/03 Analysis Date: 1/22103 AnalystiD: 3 AnalystlD: 3 The following Mold analysis report and results are compiled by PRO-LABISSPTM Me. 81 1119 request W and for Ins exdusive use or the client named an title report Results, reports or copies of same will not be released by PR04 AI31SSPTM Inc. to any third party without the prior express written consent from the client named In this report. This Mold analysis report and results apply only to those samples collected at the dine, place, and location provided by the client, This Mord analysis report was deelgnwi to fortow currently known Industry guidelines for the interprotadon of n kfobtat ssmpting and analysis. Since Interpretation of Mold analysis reports are a edentlllc work in progress, It may as such be changed at any time without notice. This Mold analysis roport makes no express or implied warranty or guarantee as to the sampling methodology used by the Individual performing Me sampling. The client Is solely responsible for the use and interpretation of these test results and PR04-AWSSPTM Inc, makes no express or implied warranties as to such use or tnmrprt talion. olte.LABISSPTM Inc. M not able to make and does not mako a determination as to the anvironmental soundness, safety of hearth of a property from only the samples Bent to their laboratory for analysis. The Client Is hereby notified that due to the subloefive nature of fungal analysts and the growpi process of fungal Infestations, laboratory samples can and do change over time relative to the originally sampled material. PRo1ABISSPTM Ina, reserves the right to properly dispose of all samples afkr the testing of such samples, Is sufficiently completed or atter a 7 day period, whichever period Is greater. Paye 1 or 3 60 3917d ONI S3ciind3S VGIVW 6686ZBEE09 60:91 600Z/b1/b0 Town of North Andover Office of the Health Department 4 Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 "ss'�`v I Sandra Starr Public Health Director Letter Of Compliance DATE: April 25, 2003 PROPERTY LOCATION 701 Waverly Road No. Andover, MA 01845 Telephone (978) 688-9540 Fax (978) 688-9542 Health Department correspondence dated May 4, 2001 was issued in regard to the property listed above, citing violations of the State Sanitary Code, 105 CMR 410.000, Minimum Standards of Fitness for Human Habitation. The conditions promulgated the dwelling be deemed unfit for human habitation until certain tasks are performed and certain conditions are met. A re -inspection of the interior of the dwelling and professional spore analysis has found that the conditions noted in the correspondence have been corrected. The Board of Health at their April 24, 2003 meeting reviewed the submittal and deemed the dwelling fit for human habitation. Thank you for your cooperation. Sincerely, rian J. LaGrasse Health Inspector Cc: File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ® t m § 23§«Q : =�cm m% ( q=5 �a10\{ \ \ f\/)f \ ) k( � — k 2/2 §\\�§ Q)#�■ L `Maida INSPECTION SERVICES, INC, April 14, 2003 Re: 701 Waverly Road, North Andover MA -01845 Mold Testing TO WHOM IT MAY CONCERN: On January 17, 2003, we performed an inside (1" floor) and outside air -o -cell mold test of the above referenced property. On that date, there was evidence of toxic mold. On April 3, 2003, we repeated the air testing of the above referenced property and on that date the laboratory test results revealed no apparent evidence of toxic or pathogenic molds. There is no way to reduce mold levels to zero. Mold is found cvciywhcrc. Since there are no standards for "acceptable" levels of mold in buildings testing is done to compare the levels and types of mold spores found inside the home with those found outside the home. Since the temperature was warmer on April 3, 2003, the outside levels of mold were higher, therefore, increasing the naturally occurring levels of mold on that date. The tests performed are only an indication of the actual conditions at the time and on the specific date the sampling has occurred. Conditions can change over time_ This is only an indication of the type of mold which may be present in the area tested and at the time the test was taken. This is no guarantee that mold does or does not exist in other areas of this, or any other home, such as behind walls or concealed areas. If you require any additional information, please do not hesitate to contact us. Very truly yours, MAIDA SERVICES, INC. f4,,1 -Sandra Maida P.O. Box 15 & Plaistow, NH 03865 • 603-382-3839 • Andover, MA 1-800-669-3809 Visit Our Website: www.wehomoinspect.com Z0 30Vd ONI S30inZZM VGIVW 6£8£Z8££09 60:91 £00Z/tVt/V0 ,- .V O-LfAB/SSPTM INC. 3300 Corporate Avenue, Bldg., 112 Weston, Florida 33331 Toll Free. 800-427-0550 Test Address: 13INGHAM-701 WAVERLY RD, NO ANDOVER, MA 01845 Client: Maida Services Inc. P O Box 15 Comments: Plaistow, NH 03865 Phone: (603) 382-3839 Fax: (603) 382-2225 Emall: SJMAIDA(a;AT1T31.COM Your Results Fold Analysis Report NON-VIABLE Spore Trap Report Number. 012203-0066 Received Date: 1/22/03 Reported Data: 1/22/03 Analysis By: SSPTM, Inc. Alyssa Murray, QAQC Pro -Lab Number. 012203-0066 012203 -WS Date Collected: 1/17/03 1/17/03 Collection Location: MAIN l ST FLOOR OUTSIDE Sample Submitted: Air -O -Cell Air -p -Cell Volume (L): 150 ISO Chain of Custody# 55510 55509 Serlal dtt: 3914891 3914892 Results Results Spore Identification Raw Score (Spores/m°) Raw Score (Spores/m") IChaetomitun 1 27. 0 0 133 0 (Other Ascospores 9 240 0 _.... _ -- •--..___..__ ....... _ ... ._. ... ..... _.... ...._. .. ... _....0._._... _ .._. (Other Basidiospores 8 ••,- . - . .•213 iPenieillium/Asperillus 24 _640.,_.v_—___•�__ - 0 Sum3 . ..... 1 0 0 27 --_- Total Spores (sporesw):. 1360 27 Analysis Date: 1/22/03 AnalystlD: 3 Analysis Date: 1/22/03 AnalystlD: 3 The following Mold analysis report and results are compiled by PROd.ABISSPTM tate. at the request of and for the exclusiys use of the chlertt named on this report. Results, reports or copies of same will not be Messed by PROA ABISSPTM Irrc- to any third party without the prior express written consult from the client named In this report. This Mold analysis report and results apply only to those samples colladed at the dms, place, and location provided by the client. This Moro enalysls report wan aeelynetl to follow currently known Indw" guidelines for the inserpntedon of microbial rumpling and wAlysis. Since Interpretation of Mold anidy is reports are a scientific work in progress, It may as such be charged at any rime without notice. This Mold analysis report makes no express or implied warranty, or guarehtes as to the sampling methodology used by the tndlvldusl performing N» sampling. The client Is solely rospomible for the use, and interpretation of these feet results and PR04"SSPTM Inc, makcs no express or implied warranties as to such use or IntorpretaKk%n. PRMLOB15SPTM Inc, to not able to make and dose not make a determination as to the environmental soundness, safety or health of a property from only the samples sent to their laboratory for analyst. The Client Is hereby notified that due to the sublacdve nature or fuagaf analysts and the growrtt proceas of fungal Infootatlons, laboratory samples can and do change over time relative to the originally sampled metaMei. PRO-LABISSPTM Inc, reserves the right to properly dispose of all samples atter the testing of such samples, Is aufnclOntly cornplebd or after a 7 day period, whichever period in greaten Paye 1 or 3 E0 39Vd SNI S30iiIN3S VGIVW 5FR>= 7.RRFA9 FA :CT P R 0 7 /nT /t7P Town of North Andover ..,,, o Office of the Health Department o a Community Development and Services Division William J. Scott, Division Director �RAia° 27 Charles Street �S CN61sc(� Sandra Starr North Andover, Massachusetts 01845 Telephone (978) 688-9540 Health Director Fax (978) 688-9542 May 4, 2001 Carolyn Windle 121 Bay State Road North Andover, MA 01845 Re: 701 Waverly Road, North Andover Dear Carolyn, This correspondence is in response to a walk through of the home at 701 Waverly Road, owned by Mary Bingham. This letter is written to you because it is the Health Department's understanding that as the niece of Mrs. Bingham, you currently have legal responsibility of her affairs. In addition to the visual inspection, this office reviewed the letters written by The Merry Maids and McGuire/Rich Co. (see attached), which describe the physical condition of the home's interior. The inspection, performed by authorized personnel, confirmed the conditions listed in both of the above-mentioned correspondence. This home, in it's present condition, has now been identified as uninhabitable. No person shall reside within this home until the following is met: 1) Qualified personnel must remove all mold build-up 2) Contaminated materials (not limited to but including any rugs, sections of wall board, etc.) must be removed. Clutter must be addressed. 3) Professional cleaning must be performed 4) The home is re -inspected by McGuire/ Rich Co. (or a similarly qualified company) and a report is submitted to the North Andover Board of Health. In addition to the condition of the home, there is concern for the neighbors of 701 Waverly. The noxious odors present in the home are migrating to the out doors and are very pungent. The odor was obvious over 20-30 feet and down wind from the home. Unwanted odors are considered a nuisance under the state sanitary code. It is a violation to the State Sanitary Code, 410.602(A) "The owner of land shall correct any condition caused by or on such parcel or its appurtenance which affects the health or safety, and well-being of the occupants of any dwelling or of the general public". Due to the addition of the nuisance concern, the clean up of this home should begin as soon as possible. As we enter into the hot and humid months of the year, the Health'Department is very BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 concerned for the acceleration of deteriorating conditions in the home. Please submit a timetable for correction of these violations. If you have any questions, please call the Health Department. Thank you for your anticipated cooperation. /Usan rely, , ' Ford, R. S. Health Inspector i cGuimMEYRICH CO. VENTILATING SERVICES (508) 745-6277 25 Aborn Street • Salem, MA 01970 -1136 Indoor Air Quality Investigation certified by National Environmental Health Association - Listed by the EPA 1. Carolyn Windle Dave McGuire 121 Bay State Road General Manager North Andover, MA 01845 May 4, 2001 Re: Indoor Air Quality Inspection Dear Carolyn, As to your request, an indoor air quality visual inspection was conducted at 701 Waverly Road, North Andover, Massachusetts on April 24, 2001. The inspection revealed mold, fungi, mildew and yeast contamination to a great degree on the first and second floors as well as unsanitary conditions through out the entire house. Visual inspection, sans laboratory results, suggested a very high colony count of Penicillium, Aureobasidium, Cladosporium and Streptothrix. Other Genus were also present but were not identified. None of these molds are known to be pathogens and all are common to the area (Northeast) in various concentrations. The problem is when they establish ' themselves in homes. All microbiologicals (mold, mildew, fungi and yeasts) are allergenic and are capable of producing allergic reactions, especially in more sensitive individuals. Therefore, in our qualified opinion, the home at 701 Waverly Road, North Andover, Massachusetts is not fit for human habitation. AAPS/ i3,`lvgAaIn If we can be of any further service to you, please do not hesitate to call us at 978-535-7609 or 978-536-0514. Res ectfu4y David F. McGuire Senior Investigator NEIHA, NAFP We've Moved! Our new address is: MCGUIRE/RICH COMPANY 261 Newbury St #91 Peabody, MA 01960 oTh America's Maid ServiceThe� s O R 60 Ashland St., Suite A North Andover, MA 01845 (978) 683-3883 .� �� .bei C , ~ I o 1 c{ � V � � ��.�`C `�. � � U t Res r1 �•t� j" ..yk � `..y. - i C3 t' Hc Wil= s � -� . - !i 9 c•i c .140 4 ook A�-k L_ t ccc w PS So Tb Nb i H �t . Ip 1 y .� �� .bei C , ~ I o 1 c{ � V � � ��.�`C `�. � � U t Res r1 �•t� j" ..yk � `..y. - i Town of North Andover Office of the Health Department Community Development and Services Division . William J. Scott, Division Director n° �w�• 27 Charles Street �4ss " �cwuS North Andover. Massachu pff%. (11Rd5 Sandra Starr Health Director May 4, 2001 Carolyn Windle 121 Bay State Road North Andover, MA 01845 Re: 701 Waverly Road, North Andover Dear Carolyn, Telephone (978) 688-9540 Fax (978) 688-9542 This correspondence is in response to a walk through of the home at 701 Waverly Road, owned by Mary Bingham. This letter is written to you because it is the Health Department's understanding that as the niece of Mrs. Bingham, you currently have legal responsibility of her affairs. In addition to the visual inspection, this office reviewed the letters written by The Merry Maids and McGuire/Rich Co. (see attached), which describe the physical condition of the home's interior. The inspection, performed by authorized personnel, confirmed the conditions listed in both of the above-mentioned correspondence. This home, in it's present condition, has now been identified as uninhabitable. No person shall reside within this home until the following is met: 1) Qualified personnel must remove all mold build-up 2) Contaminated materials (not limited to but including any rugs, sections of wall board, etc.) must be removed. Clutter must be addressed. 3) Professional cleaning must be performed 4) The home is re -inspected by McGuire/ Rich Co. (or a similarly qualified company) and a report is submitted to the North Andover Board of Health. In addition to the condition of the home, there is concern for the neighbors of 701 Waverly. The noxious odors present in the home are migrating to the out doors and are very pungent. The odor was obvious over 20-30 feet and down wind from the home. Unwanted odors are considered a nuisance under the state sanitary code. It is a violation to the State Sanitary Code, 410.602(A) "The owner of land shall correct any condition caused by or on such parcel or its appurtenance which affects the health or safety, and well-being of the occupants of any dwelling or of the general public". Due to the addition of the nuisance concern, the clean up of this home should begin as soon as possible. As we enter into the hot and humid months of the year, the Health'Department is very BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 concerned for the acceleration of deteriorating conditions in the home. Please submit a timetable for correction of these violations. If you have any questions, please call the Health Department. Thank you for your anticipated cooperation. /usan rely, Ford, R. S. Health Inspector McGuilacl/RiCH Co. VENTILATING SERVICES (508) 745-6277 25 Aborn Street - Salem, MA 01970 -1136 Indoor Air Quality Investigation certified by National Environmental Health Association - Listed by the EPA Carolyn Windle Dave McGuire 121 Bay State Road General Manager North Andover, MA 01845 May 4, 2001 Re: Indoor Air Quality Inspection Dear Carolyn, As to your request, an indoor air quality visual inspection was conducted at 701 Waverly Road, North Andover, Massachusetts on April 24, 2001. The inspection revealed mold, fungi, mildew and yeast contamination to a great degree on the first and second floors as well as unsanitary conditions through out the entire house. Visual inspection, sans laboratory results, suggested a very high colony count of Penicillium, Aureobasidium, Cladosporium and Streptothrix. Other Genus were also present but were not identified. None of these molds are known to be pathogens and all are common to the area (Northeast) in various concentrations. The problem is when they establish'' themselves in homes. All microbiologicals (mold, mildew, fungi and yeasts) are allergenic and are capable of producing allergic reactions, especially in more sensitive individuals. Therefore, in our qualified opinion, the home at 701 Waverly Road, North Andover, Massachusetts , is not fit for human habitation. AP�J )3 lvg�iQ� If we can be of any further service to you, please do not hesitate to call us at 978-535-7609 or 978-536-0514. �� Respectful y C, David F. McGuire Senior Investigator NEIHA, NAFP Ve've Moved Our new address is: MCGUIRE/RICH COMPANY 261 Newbury St #91 Peabody, MA 01960 N r. America's Maid Service The MOCI f;♦ 60 Ashland St., Suite A North Andover, MA 01845 (978) 683-3883 CLeKkAtoC#- Te7"_-t a' P P Lk�) C3_ I 4 � � � .. C i`Et�ti� �C� �J C�j.L'� R ��•'{�"� IJ � � Ci'�l� �.�" � 1 .. -� .l Q 1�•� W Aw ru. _ max" � .4 �. 1 r-� c Irloc�o -ten i�l� L.� .J w S S o rb A*h i rE * T �f t © �(- c7 t- M+ --L y.. Mtn c"t'� '6=mt �— .� i CYC -r� o x c% �e� I o 1 ct L V t -k fitc�.LT �_:: ZG�vL tow , Law Offices of jack Bryan Little, P.C. 401 Andover Street North Andover, MA 01845 (978) 682-9985 FAX (978) 682-9935 ` _'-7,,,Ann nF HEAiYH___J_ January 30, 2002 N Susan Ford, R.S. Health Inspector Town of North Andover 27 Charles Street North Andover, MA 01845 Re: 701 Waverly Road, North Andover Dear Ms. Ford: Please be advised that Carolyn Windle is no longer authorized to act on behalf of her aunt Mary Bingham. It is my understanding that Ms. Bingham has retained Attorney John J. Willis, 160 Pleasant Street, North Andover, MA 01845-2797, (978) 685-3551, to represent her interests. Any and all future communications regarding the above -reference property should be addressed directly to him. Thank you for your attention to this matter. JBL/mph cc. C. Windle Complaint # 45 Complaintant Date Paula Campbell, Wingate Nursing 04/26/2001 Home Address Owner of Property Mary Bingham - - Owners Address 701 Waverly Road Phone # 978470-3434 Phone 978-687-7809 Complaint Mary Bingham in Nursing hone. Cleaners went into her home to clean and feels home is inhabitable because of mold on walls & backup of sewer during storm & no-one there to take care of it. If patient cannot go home, arrangements need to be made. Action Family member -Susan Windell 978-686-5655 S. Ford called & spoke w/care giver & greet nieces boyfriend on 4/27/01 No-one called the Board of Health again. AIR QUALITY EXPERTS, INC. 40 LOWELL ROAD, UNIT 1 ~/x� SALEM, NH 03079 603-894-6465 DECEMBER 5, 1997 NO. ANDOVER HEALTH DEPT. 146 MAIN STREET NO. ANDOVER, MA. 01845 DEAR SIR: n � � ENCLOSED PLEASE FIND A COPY OF NOTIFICATION SENT TO THE STATE FOR AN ASBESTOS ABATEMENT PROJECT. THE JOB WILL TAKE PLACE ON DECEMBER 16, 1997 PROJECT: 701 WAVERLY ROAD. ANY QUESTIONS CONCERNING THIS MATTER SHOULD BE DIRECTED TO MY \ ATTENTION. SINCERELY, CHRISTOPHER THOMI: PRESIDENT 11118 ICTIONS 1. All sections of this form must be completed in order to comply with the Department of Environmental Protection notification iequkemerits of 310 CMR 7.15 (ten working days prior notification is required ofany abatement project): and Ore Department of Labor and Industries notification requirements d45.°CUR5.12 (trt days prior notification is regaited ofAN..✓ abatement project greater than Wee linear or square 164. 2. Submit Original Form To: Commonwealth of Massachusetts Asbestos Program P.O.B. 120087 Boston, MA 02112- 0087 3. This form maybe used for notifying the US. Environmental Protection Agency Region I of asbestos demolition/ renovation operatics subject to NMPS (40 CFR Subpart M). Rev. 6192 . Commonwealth of Massachusetts Asbestos Notification Form — ANF -001 1. Facility location: BILL BINGHAM 701 WAVERLY ROAD Name Address ................ NO_.......ANDOVER................................ ....0.18.4.5 ...... _.................5 03...._6_$.7..- 7.8.0.9.__........_...... CltylT-1 DO mde Telephone ................. HAS.EMENT............ __....... ......................... _... _.... __._..._.__.._.._...._.............__......_._.._...... matislleaodaiteloeation7farddngremr./, llaorrwm 2. Is the facility occupied? es CO3No 3. Asbestos Contractor: AIR QUALITY EXPERTS, INC. 40 LOWELL ROAD, UNIT 1. Nave Addrtss SALEM, NH .......... 03079 603-894-6465 ._..._._..._ _... Ctry/faan DP mde TeJ�lrora AC 0001.67 ........ WRITTEN ....._ " OU ttrmm l co" rym (+dMVWWI ........................................... 4. On -Site Project Supervisor/Foreman: JOSEPH SHARPE AS 30725 Narro Off Certabbon 1 5. Project Monitor: ................ FINAL .....G.LFARAN GF.....&NALY.S.LS.........................AA a.Q. Q.03..5....._....._..........._...__._.. Nano al Cereimann 6. Asbestos Analytical Lab: SAME ......................................................................................................................._.._._.._.......... ... _._. Nam 121697 1216 9'�icroi 7-4 7. Project start date_/__ / end date_/_/_specificworkhours(Mon: Fri.) (Sat. Sun.) 8. What type of project is this? (circle one): demolition repir ower/apter) 9. Describe the asbestos abatement procedures to be used (circle): gknebag manum fusconWmnud desarp Mmulalim dispasalonly oarzr(erplanif 10. Is the job being conducted gincloYrs ❑ outdoors ? 11. Total amount of each type of Asbestgs�ontaining Materials (ACM) to be handled on pipes or ducts (linear ft.) or other surfaces (square ft.) �f3 to be removed, enclosed or encapsulated: lineadsquare feet boibr, breaching, dud, tank surface coatings. O diermal, sold core POe insulation ...... _J corrugated o•h)wedpaper pipe insuialmn.... 2_Cl insulating canis .................. _> spray`onfreproofng ..................... _J_ 6aweYwaye►coatings .............. cloths, wgrm fabrics ...................... —J bamile board. will board ............. other(#I-ol—ibe) .................... 12. Describe the decontamination system(s) to be used: ............... FU.L.L..:..C-GN-T-A-1.N-M-E-NT................._......................... __................................. _ ............... .................. ...... ........................................ .............................................................................. _......................................................... 13. Describe the containerizationidisposal methods to comply with 310 CMR 7.15 and 453 CMR 3.14(2)(8): WET ....REMOVAL ....M.T.Q....6MIL....P.:QLY...ASSEST0S..._LAHELED_.BAQS_._.__.. _.. ....................................... ........................ ........................ ........................................... ...:............................................ ...................................................... 14. For EmergepcyAsbestos Abatement Operations, the DEP and DLI officials who evalugt@d 1 ..................... ...... ................................................_...................................................................................................................... E Name aauQrry nae # DO olMhdlratier ftw / NAME INSPECTOR movol ua9clat Roe --� DATE #� _................................................ aoeaAalxuararr.....rKii..............................................................................__._..__..._, 15. Do prevailing wage rates apply as per M.G.L. c.149, § 26, 27, or 27A - F to this project? ❑ Yes zwo Ij Facility Description 1. Current or prior use of facility: ` ...................................................................... . Jl..p 2. Is the facility owner -occupied residential with 4 units or less? 3. Facility Owner: ............. A .............................................. ddress Name ................................ ........................... ........................... &code Clry/Town 4. Facility's Owner's On -Site Manager://n Address Name 0 No Telephone ................................................................................ ............. I............. telephone � code CtryAowrr 5. General Contractor:(//� < ................... .................................. Name ............. ................................................. Telephone clry/Toxn Pew, E E�.Daro • Contractor's Workers comp. Insurer what is the size of the facility? (Sq it) -2., (1 of floors) 6. Asbestos Transpoltatlon and Disposal 1. Transporter of asbestos -containing waste matetial from site to temporary storage site (if necessary) to linai disposal she: QUALITY EXPERTS, INC. 40 LOWELL ROAD, UNIT 1 AIR Q .........................:. ...................................................................Address 03079 603-894-6465 SALEM, NEW HAMPSHIRE ................. ,.... ....... .._... Npc Trindnrm flry/ro-i •. waste material from removal/ temporary storage site to final disposal site: 2. Transporter of asbestos containing Address lip node Note: Transfer City/lo- Stations must 3. Refuse transfer station and owner (if applicable): comply with the SolidWaste.....................................................................................................aedrrss Division regula- Name tions 310 CMR 18.00...................................................................................................... Wade CVI_ Note: Contractor must sign this form for DO notification purposes 4. Fina! Dls;esa! SI!e: .................. ........................peters None loralhm Name ....................................... ltleplront telephone AAdras ........................... ............................................ �Ih/rrwn � Certification The undersigned hereby states, under the penalties of perjury, that he/she has read the Commonwealth of Massachusetts Regulations for the Removal, Containment or Encapsulation of Asbestos, 453 CMR 6.00 and 310 CMR 7.15, and that the information contained In this notification Is true and correct to the best of his/her knowledge and belief. ......................./.?�.... 3/� CHRISTOPHER THOMPSON.................. 69 ' ........................... ......:................................................................. , Audartred Sfpnafure FdnlName • ""• 603-894-6465 PRESIDENT AIR QUALITY EXPERTS; LNC. ........ senI ......................... relephone P.............si.........................................lwige In 40 LOWELL ROAD, UNIT 1 SALEM, NH 03079 ........................................................... Clry/ruwnIqr axle ............................................... . Address Fee exempt (City. Town, district, municipal housing authority, owner -occupied residential of tour units or less) ? O yes O no 2 q. Sticker N (from front of form): 'L— e 0