Loading...
HomeMy WebLinkAboutMiscellaneous - 90 SECOND STREET 4/30/2018 (2),4 11 0 n En O n O l Lead Inspection/ Surface Assessment Form R.J. inspections Rt,, /.. �t tnspectori Agency i Osgood Street Mautoa used: /'o y?/q9 Q� Methuen. MA 01844 �c%s expiration duce C X -Ray Fluorescence Cicero-* # I 2098 _ Model Serial s Parent/ Giltacdlaaa's Last Nance owner's Na=. ownees Add u-- Af 1 Ott ��leua no �1tsstblr M 0 9 rawaftmem R (W4611104 s R wiped to bare substrate Parent/ Guardlan's First Name M Calibration: St phm (sporu of 0 or 1 ease. *=too of 2 tell): suebwet su0mufa w n. no W"11 au oaint intact $u9etrste 0-1 ud NS" s" -, va a no Mint nuriaved X.W Tape Sift 0- no pttint removed A (street side) Floor 4 Apt # City [� Alk-t—A / rIjoue, �Birthdate (?'��f/i�! k� Som Singh Family Q Multi -Family M Number of Units t+�to%Galnt net Intact 2-s+0%-4*%t nut 1At" t..I0% ngeon rw*r 2-1014 r,"O t1pNr :. VI G. paint"Moved 2-141@' paint removal ±.e1116 - *At tvmawd a—Itt@'?/httemoVed F4,06 P- 1 _ L L -- II I — I- -- -, -i--- i-- I i I i I s 1 t--I L_L �_-_�---z-Y-sr-r-r-r- -,--t--s - y� t--r-r-r- k { I t 1 1 l 1 I A (street side) Pb (lead) more than 1.2 mg/cv✓' x-ray fluorescence or positive with N'a2S is Dangerous. r Lead H;)i r—'--'; t. rt0anplwt s INSI? DATE { v or ra ( REINSP. DATE ( 2. went in sif"re e ( I s n000loenoy a. W16d Inspector ,. ut aomplMtttae I, in aetnptMnae REINSP. ©ATE 2. wok In p�.yemt ' REI NSP. ©AT>: ( 2. +rent in ptogmes 3. 14011 1porov I a. mon" enoy a. tmlaa ` i ' � I •. tatwo Hands ffip r�....� REINSIR, OATS•wont ;n 0raoreea reW6uponcV Did you complete a surface assessment for encapttulati®w' Y or N 'Foil Compilarcla DFatei -51999 inspector �' 3R� rLa0P Ne.x T- -?Af f t I t I i gr t i - L1. _I -_I -J 3 L_L L - I I t l t I t 1 1I _L-11 I I- A (street side) Floor 4 Apt # City [� Alk-t—A / rIjoue, �Birthdate (?'��f/i�! k� Som Singh Family Q Multi -Family M Number of Units t+�to%Galnt net Intact 2-s+0%-4*%t nut 1At" t..I0% ngeon rw*r 2-1014 r,"O t1pNr :. VI G. paint"Moved 2-141@' paint removal ±.e1116 - *At tvmawd a—Itt@'?/httemoVed F4,06 P- 1 _ L L -- II I — I- -- -, -i--- i-- I i I i I s 1 t--I L_L �_-_�---z-Y-sr-r-r-r- -,--t--s - y� t--r-r-r- k { I t 1 1 l 1 I A (street side) Pb (lead) more than 1.2 mg/cv✓' x-ray fluorescence or positive with N'a2S is Dangerous. r Lead H;)i r—'--'; t. rt0anplwt s INSI? DATE { v or ra ( REINSP. DATE ( 2. went in sif"re e ( I s n000loenoy a. W16d Inspector ,. ut aomplMtttae I, in aetnptMnae REINSP. ©ATE 2. wok In p�.yemt ' REI NSP. ©AT>: ( 2. +rent in ptogmes 3. 14011 1porov I a. mon" enoy a. tmlaa ` i ' � I •. tatwo Hands ffip r�....� REINSIR, OATS•wont ;n 0raoreea reW6uponcV Did you complete a surface assessment for encapttulati®w' Y or N 'Foil Compilarcla DFatei -51999 inspector �' 3R� rLa0P Ne.x T- -?Af f Lead Inspection/ Surface Assessment Form Inspector/Agency R.J. inspections _ROB I 1 Osgood Street uc�` ->- Llcslnsa I 2098 Methuen. MA 018" o N S expiration date e 2 ?fy'p - X -Ray Fluomeence Modal,_ Setial Address 4 Si_rl Ae4 1 LLLI Child's Nesne (Last- ii' ma- inizN PWOUt/ Guardian's Last Name Parentl Guard€anE's First Name owner's Ntiau: owner's Address: t3 s !!tip, art !! navatiiYd SCR somped to bare auttstrate Floor 0. 3� r-CoUIC-.. somas: (Scow of a at t pap, uoros at 2 IIWO.- SYdt w/ EYatad706 Ow no oWnv aR point Intact SYblb11b lnllWfapaTom d. paint+emowoa xCm :4144 Im o. no putt ittmovw J . J C; ., "1--E"1—'9—? •— r—r - r - r t 1 1 I t 1 1 I 1 I A tweet Sloe) Pb (lead) more than ] INSP. DATE O! 1 REiNSp DATE I� I Floor Of Apt # City Single Family C7 Multi -Family W Number of Units Z - t. <t,rc oartt rwt Meat a.,, 0% paYtt rat Inttwt t. <t tM nae" rrpo{r 2-1ell meow HDdr t.attt{'parntremovey 2nVIVpant nrndvau t. <th8•;ttint reftvoy 2-1/1'r paint mr"ayed n sazreei S1Ctef x-ray fluorescence or positive with Na2S is Dangerous. 2. wail In atoaessr �, ra6ppUptltey a. +aaa6 FiE3Nsp. GATE comaltanaa :. 'MOrli Ifl OrOQ+YSA a, fail" panty •Did you t otnpleta a surfaco assessment for enaspsulatiorr? Y or N REINSP. DAT( i '- campn.no, z **m s. h ptea�.a not+oura+natt 1 'y 4, t�tt� FtEINSP. QATg 1 h=ffla vMft �2. wept of pecan" F-77-7-1 ]uoanery I a, rpwa �uu Campiiance Datel t � ' ln9aectar I r __ �M s■ i WA l i 11 11kvauRn1nyrn1%.y AVDrr%.L L.VA:7Pi"1"1"1 R.J. INSPECTIONS, INC ONE OSGOOD STREET METHUEN MA 01844 Addnass of Inspection: '�d 5e—�o Pi t PORCH *5A if u.nr+ i515%jr cv I ivw SUPSACE ASSESSMENT FORM I Apt # rage 1.1 of SIDE LOCATION! LEAD L OWR 01.11 SRF COMMENTS DELEAD DELEAD SURFACE ASTI PREP? DATE METHM r SdN Cornerboerds Door Doorc=mVJamb Threshold Door Door casinglJamb Threshold Window sail Window cuirq win s IUMullions Window sill Window casing Win sash:Muliicns { i { Window sill { I 'Nirdcw rasing{ 'Nin -,smL4uiiic„s 1 �windcw sill 'Nincow =sine{ 'Nin sasnrMuilicns� support columns "4ewei past ;Railing can /1 j Handrail 1 j Balusters Lower nal! Treads RisersAkL UCENSE # 12098 cATF SIGNATURE'. r .- WMZ l� ..ran=�■■�■w■■ . 'mam� mmmm■� ��■■�■M� ■ � . �,; :: ■�i■�-■e■�� mm ■■■ter■■■ mmmm C L� .►�iiri i WON •1Y■�■�WON MEN �.• r.. I •. .: •ONE ■■■-ION� MINIMMOME MIN ONE • • NOM■■� ®■ ■OMEN MEMO ONE MOM UNION r �■■�■■�■r■ MEN MINI MION �■��■ moi■ ■�■ ..:_ I■■■O■IO■MOOKINION ■�■ WIN �= Mm■� �■TT-,Plm M■■rMOMMI �� �� O �■■ �■r ■�■■ NOW ■ . , rr�� �■ ONE WON NION OWN OWN NOW WON MEN �r■r��■.w ■ nq*CWApV ROBERT CORSETTI LEAS} INSPECTION Page a of !� R.J. INSPECTIONS , INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 Address of fnspect[on: �Q Se nl j@ Apt # City %j�o �`ey'„ EXTERIOR LICENSE # 12 0 9 8 DATE tr� C►'.�Ir�r��rr��� � .:.. •�.':ftrr�rrrrr srrr ... , Errr� ��r rr ... _:. , -• rrrrrrrrrr�■rrrrrr�rrr ��rrrrrrrr ... r■rr■rrrrr rrrrrrrr ',�srrrr��rrrrrr�rrr .. rrrr�r�rrr�rr rr 'rrrrrrrrrr rrr ... ^ ,-� �r�iir�irrrrr�rrrrrrrrrr� .: 'rrrrrrrrir�i �r ... .... rrrrrr�rrr rrrr■rt r� � .. ��rrrrrr r�r■r ra�rrrrr�r�r�rr rrr �rrtrrrrrrrrrrrrrrr�■rrr _:.. rr■rrrr�rr rrrr■ irrrc��■r�rrrrrr�rr r r®rrrrr rrr�rrr� -... rrrrrrrrr � - . ^ rrrrrrrrrrir rrr .. r�rrrrrr rwrrrrr� • rr�rrrrr rrr .. rrrr� rrrrir� �c�ri��r�■r�rrrrrrrr■ err rrr , rrrr�rr�rrr rrr■rr� rr rrrrrrrrrrrrrrr r : rrrrrrr� rr rrr . .... rrrrrrr r�■rrr �- - e�rrrrrr r� �► �r��rrr�rrrrrrrr�r� r� rrr■rrrrr �■ rrrrM�rrMrrrrr�rrrr rr�rr■r� rs rrrrrrrr rr rr rrrrrrrrr� �rrrr rrr �rrr�■rrrrr rr�rrr �■�■r rrr�r�rr�rr rrrr�rrrr: r rr�r�rrrrr rrr r■r �rrrrrrrrrr r� LICENSE # 12 0 9 8 DATE ' IROBERT CORSETTI , LEAD INSPECTIONI Page Akot IF RINSFECTIONS , INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 • NOT ml MOM / 1 ''frrr� � . _ ..:, .: rrrr �■ r�r . ' WM- m err rrr .:, ■rrrrrrr� � i; • rrrr r■■ ....: .' . rrrr - • • �rrr� � �r� � p = .�ur rrrrrrrr rrrr rurrrrrrrrr .:. rrrrrrrrr ..TIMrrrrrrrrrr rrrrrr� ■r■rrrrrir� :,. , rrrrrrrr rrrrrrrrrr�� r� r■r �rrrrrrrrr►rrrrr� r .:, , rrr�■rrrrrrr�rrrrrrr�r■■rr r - rrrrrrrrr rs rr�rrrrrr�r rr�rr��r �rr�r�rrrrrrrrrrrrrrrr rrrrrr�rrr■r ��■� ■rrrr .. _ rrrrrrrrrrr rrr � r�rrrrrrrrrr �■r � �irrrrr � r�i rrr�r�■r rs �■rrr rrrrrr�rrr�r � r■■r �rrrrrrrrrr��rrr�rrrr � rrrs�rrr�■r rrrr �rrr�r�rrr September 21, 1999 Dan Moriarty 90 Second Street North Andover, MA 01845 Dear Mr. Moriarty, This letter is in regards to our conversation of September 21s` concerning the outstanding Order Letter on your property. During our conversation it was revealed that you had the property known as 88 Second Street inspected by a lead inspector rather that the location listed in the Order, 90Second Street. To comply with the Order as written you are to have the property known as 90 Second Street inspected for lead paint within (14) fourteen days of receipt of this letter. Subsequently, if the inspector determines that a licensed deleader is needed to do the work, an estimate must be obtained and submitted to this office within (30) days of receipt of this letter. We also discussed the scheduling of the deleading over a period of time. Please submit a schedule that itemizes the work to be done along with specific dates of completion. Please be aware that failure to respond may be grounds for further legal action. If you have any questions concerning this correspondence or the Order please contact the Health Department at (978) 688-9540. Sincerely, Susan Ford Health Inspector -Ta W ko ani t4- V" ,L M Ca v%- c2rh , l) Fs, LcrR T- rtctr'vcj a v o l.,+t'a -"s -Cro" y of r c),Ff <<e CZIr-,ccrk.�J W`1 �✓c�2F'4 ��- ��- �l0 S,-cce. h -k Iv . 4-Jc, ve_r t wta, c%-4ACK b y Tb r 'L. �w, J Lc�J c� �-e� 6v, ?3 �e1'-t-o/+Mec9. 0. ✓1$aeC. 7'0^ d ^0-4- "-,/IL 50d d, (C"Ove 2.v C- OSC l 1 OVA t-o✓,,i vvlrn�n,a l I-e"a �`.nA , Vo-} OtDo,f i-v,.���$ kc,,/4z-6-e--c^ r'cv<oJ4'k� �`,� ta.s-E- 13 ycals ,1 kc,\A.. ow^e i +% .,%s Pvw �Q+n J c��r� Vi`l t CL %-A 4 S w�a� vt i,n fJlo �/Cwe+rT C -,S ow%c. ` -� "S 0, s-Im9ct Li a c(��`�d,�c� (0 -It s ccy) i . OLO v, k p lCL*,L o i,% w.4 k., Vj i aK ,'�., �,r� v c •�.-c.�c S T I n ,� (ol 1, ke. 4-u towe- 4-ks p uc-,.e- -�j+we- 6,,4- s jjs4- mow•. L— .Il ata. Ck be (c e ✓t T ��...� •.,„ v� � y q,�.,-�,'�c,v\. cf1CL c� �bt� 4-o CLvx ► o ,a�-io h S e,{�g ,t�-- �4-�tI L �� K-Q C-06(✓cn uvxj-,c Six w its I c e- F0-4- -( ,.r Z ba-V�,ej V ��- ao �,j , 4"o+o ~ ) Mo,,. a (p LIS - TC' \rEV OF N0RXH Ai unARQ OF Lead Inspection/ Surface Assessment Form Iryspector/ Agency R.J. Inspections / Q� ROBERT CORSETTI 1 Osgood Street pugt_ _/_ of A_ Method U d: ucense, # 12098 Methuen, MA 01844 =.=hada^ dare /d 2 7 99 G X -Ray Fluorescence Address Mode! Serial # Child's Name Parent/ Guardian's Last Name Owner's Name: Owner's Address: CAP CCN ► POS PRE RE.'A REP REV SCR :icer a�- Prepared removed revtacernent erse scraped to bare substrate Parent/ Guardian's First Name Calibration: Scales: (sprat of 0 or + Pass, spres of 2 tyff): SudaaM SAam rn ea 0. ro PrnV m Subsaaa 0. inata ngd- Tape Tact 0. no oast ^moved X -C411 Taw Tast 0. no pant nennaved ---- t— —! —i_ j — — — — I 1 I I 1 I I I I I I -r--+- -�-�- ;-T- T - r - I- - — —t— —i--1— —�—Y; r� + I L l! _ t _ t_ -+- -+- -+- —I - t t t A (street side) APL # City Birthdate (N1/D/i) Sea I E i I I CI Single Family 0 Multi -Family Q Number of Units 2 t. <1(r% Paso not intact 2-10% point not t n m= 1. <10% neads rewv 2-10% pram nroair' t. <vtt Pant ^moved 2-1116 wilt mmoved 1. <tl16 dint -,, o .d 2—:116, Paint ran ..ed —rjj—=_1_1_L_ L_L_LD 1 I 1 t I t I J. 1 -1 _! _I _ 1 I I I 1 i -�- -7-t r -r- !_ � +_STI _ I A (street side) Pb (lead) more than 1.2 mg/Cmz with x-ray fluorescence or positive with NaZS is Dangerous. INSP. DATE �' M REINSP. [DATE gen =11 I I I ( I ! 14 t ry 1 ector REINS?. DATE '''n 00nnumnm 3 "A x Ln orowo a REINSP. DATE ,. in oornpt{anon .. r*000 t°a"c' ► ( _ � In per.., 1 reodtyoanCy .. famed AE -NSP. DATE ncomowne. z. wonc in omgn.. F•.jII Camoliance Date! � ; � �.:aoccuoancy Did you complete a surface assessment for _ncapsulauon? Y or N 1 nsoec:or Inspector/Agency ROBERT CORSETTI LEAD INSPECTION/ R_.7_ TNSPEQTlQNS,INC. SURFACE ASSESSMENT FORM ONE OSGOOD STREET • METHUEN MA 01844 Address of d s*ed�t # Page A of /d ® fj"p • • ©� • �� •. ___ -YEM-77- Fill nim■ oil, �� Inspector/Agency ROBERT CORSETTI LEAD INSPECTION/ R.J. INSPECTIONS , INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 Page 3 of f6 Address of lnspecton: VS- �nsj rS .e`f—Apt # City /V o ir--gl l �d J Pry HALLWAY ( 0) 1,5-r GC�U�2- ® LICENSE # 1 G U y t9 DATE •7 SIGNATURE LOCATION/ SUR• ®� • , Win header/Stops� LICENSE # 1 G U y t9 DATE •7 SIGNATURE Inspector/Agency ROBERT CORSETTI LEAD INSPECTION( R.J. INSPECTIONS , INC. SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 Page 5 of l0 Address of Inspection: aIj-e r Apt # city G d V - .�• _ 171pipi — —0 LOCATIOW SURFACE me���� • MMOAMOMEMINEMIMIMIMMIMMINNIM1111111 IIMMI 1011111111101110 1011110111111110 1111111110111101 MMIMEN 1111111111111110 INEMI 1011111111101101 INEMI ElmoElm 1110=1 INMMI .:..MMEMEMBEEEEsM �Mi IEWMI LICENSE 9 12 0 9 8 neTC 7-2'/— 9 7 Inspector/Agency ROBERT CORSETTI R.J. INSPECTIONS, INC. ONE OSGOOD STREET METHUEN MA 01844 Address of ROOM -5 h - LEAD INSPECTION/ SURFACE ASSESSMENT FORM i -W Page �0 of Ar �Mfmll FIRM - LICENSE # 12098 DATE 7_2? -9% • • mlm�Emlm Win header/Stow! �Mfmll FIRM - LICENSE # 12098 DATE 7_2? -9% Inspector/Agency ROBERT CORSETTI LEAD INSPECTION/ Page 7 of IF R.J. INSPECTIONS , INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 Address of Inspection: OK Qn 15 / z �alt Apt # City AJO cwt A d 0 d e4z. STAIRCASE IST o�un LICENSE # 12 0 9 8 SIGNATURE DATE ;-7-q F9 LOCATIONI SURFACE _ � ... fes'//■■■__■■■ ■■_ �� . _ : ■■■■■��■■■ ■fie ! ' M . .. r11j,=N= ■■■■■■■■■ ■■■■■■ '� SIJ■■■S��■■ �■� LICENSE # 12 0 9 8 SIGNATURE DATE ;-7-q F9 Inspector/Agency ROBERT CORSETTI LEAD INSPECTION/ R.J. INSPECTIONS , INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 HALLWAY Page of SIGNATURE uUtrvst # 1 4 v 7 0 DATE 7-22-Y2 COMMENTS � ,.. i"1iii����►.i �i� ■,.. iiii��iii �i� ■ ... iiii���ii �i� M. R -T. -T sl...iii■ ■i�ii�i�i� �i i ...ii�i�■i�ii�iiii �iii�ii .- -=I- i - Y .. " ,.•.. . •.. iiii��iii �i� 1�fjlp;-:Et .:. • iiii��iii �i� =7171 •. ��1ii���ii �i� +1A78, 1 SIGNATURE uUtrvst # 1 4 v 7 0 DATE 7-22-Y2 ROOM/ LOCATION/ LEAD L OWR DLR SRF SUR/ SUBST I INITIAL X�UT COMMENTS SUIT fw IDELEAD DELEAD SIDE SURFACE ABT? PREP? SUBSUR COND TAPE TEST ENCAP? DATE METHOD "0 ,. r� ROOM/ LOCATION LEAD LrABT7 SIDE SURFACE ATF L_ Inspector/Agency ROBERT CORSETTI R.J. INSPECTIONS, INC ONE OSGOOD STREET METHUEN MA 01844 'Address of Inspection:g" ahU S f STAIRCASE ,7�Z2 r--�—Or-vt— LEAD INSPECTION/ SURFACE ASSESSMENT FORM Page /-3 of /o m SIGNATURE LICENSE a 120 9 8 DATE 7-02 7 �/ SURFACE m SIGNATURE LICENSE a 120 9 8 DATE 7-02 7 �/ u ispeccourryency %_uZ or. l' l l LtAU 114SHECTIONI Page / T of R.T. INSPECTIONS, INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 ress of Inspection: 00 EXTERIOR ft- -0 IX - # City /" o ® Iv" SIGNATURk LICENSE # 12 098 DATE —� 9 — 9 LOCATION/ • , • �. �.. • m��_ ''�� Iv" SIGNATURk LICENSE # 12 098 DATE —� 9 — 9 i(15PeC1ouHgency +�vl+l+rl l.VttJL1'1'll R.J. INSPECTIONS, INC ONE OSGOOD STREET METHUEN MA 01844 Address of LtAU INSNtCT10Nl SURFACE ASSESSMENT FORM EXTERIOR `1� (.et Q - Page /D of 1Y 1 SIGNAT n LICENSE # 12098 DATE l :�?_ �, - / / • • CE m�mmw w mol. - ?i - wis , I 11. �1.1 I t: � I 14 T/ ___-__- - 1 SIGNAT n LICENSE # 12098 DATE l :�?_ �, - / / • LOCATION • . , �� • WIMP M, mmm� mm i�� iiu}rcti.wirycwy-•�-L�•� �vi.,i,iit LC►wI( OM%.IIum Page aof1A R . J . INSPECTIONS, INC SURFACE ASSESSMENT FORM ONE OSGOOD STREET METHUEN MA 01844 Address of Inspection: ";"*,g EXTERIOR C , �\ /,d f!A.W LICENSE # 12098 SIGNATURE DATE 7-2 SURFACE , LICENSE # 12098 SIGNATURE DATE 7-2 urn AU1j^yCiwy ....vn.--)i,:,111 R. T. INSPECTIONS, INC ONE OSGOOD STREET METHUEN MA 01,8-444 Address of Inspection: �s a �� LCNUIribett:IIUN/ SURFACE ASSESSMENT FORM -57 .e&7 Apt # Pageaof16 City EXTERIOR n 11S7 SIDE LOCATION LEAD SURFACE L OWR DLR SRF ABT? PREP? COMMENTS DELEAD DELEAD DATE METHOD Siding Comerboards Lower trim Upper t U Door Door casing/Jamb Threshold Door Door casing/Jamb Threshold Door Door casing/Jamb Threshold Door Door casing/Jamb Threshold Winacw sill I G s I j { Window casing Win sashiMullions� , ! 1 Window sill Window casing Win sash/Mullions Window sill Window casing Win sash/Mullions Window sal Window casing Win sashlMullions Cellar win units Cellar win units Cellar win units Cellar win units Foundation Bulkhead Fences c�ra�eni LICENSE a 12 0 9 8 DATE __ SENDER: I also wish to receive the ■ Complete items 1 and/or 2 for additional services. ■ Complete items 3, 4a, and 4b. In fOIIOWServices (for an 9 ■ Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■ Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address ai permit. ■ et'Return Receipt Requested" on the mailpiece below the article number. 2• ❑ Restricted Delivery N ■ The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. P SI 3: Article Addressed to: 5. Received By: 6. X V - 4a. Article Number PAosg69I/�0 4b. Service Type ❑ Registered ❑ Express Mail D -Return Receipt for Merchandise 7. Date of Delivery d ami . 3� UPC�e­rtified ❑ Insured ❑ COD o' O 8. Addrdssee's Address (Only if requested Y and fee is paid) L H PS Forrti3811, Detmbe 1994 102595-98-B-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE ® E S ^ �► First -CI ail �` �Ff Pos[ ge & Fees P USPS Permit No. G-1 • Print your nark ldfbss,*;,and ZIP Code in this box • vcManst ON &VM VA so 'liilt]f 4��iti 14l�11�111�tii1�'il�ltt�lilitl! " Is lt�i�lt�ifl �� Town of North Andovert NaRTN i OFFICE OF °,.l"`0 6. o COMMUNITY DEVELOPMENT AND SERVICES 10 27 Charles Street WILLIAM J. SCOTT North Andover, Massachusetts 01845 9SSACHUS��� Director Y (978) 688-9531 Fax (978) 688-9542 DATE: 6/23/99 ORDER TO CORRECT ViOLATTON(S) Dan Moriarty 88 Second Street No. Andover, MA 01845 Owner or agent of the property located at 90 Second Street, No. Andover, MA. Be advised that an agent of the Board of Health has determined certain portions of the aforementioned residential property to be in violation of the State Sanitary Code Chapter II, "Minimum Standards of Fitness for Human Habitation," 105 Code of Nfassachusetts Regulations (CtifR) 410,7500. This violation also constitutes a violation or the Lead Law, Massachusetts General Laws (tifGL), Chapter 111, Section 197, and the Regulations for Lead Poisoning Prevention and Control, 105 OAR 460.000. Conditions exist in this residence which may endanger and/or materially impair the health of the occupants of these prerruses. .. DECLARATION OF EtiERGENCY The Director of the Childhood Lead. Poisoning Prevention Program and the Board of Health declare that'the presence of the aforementioned violation of the Lead Law and the Regulations for Lead Poisoning Prevention and Control constitutes an emergency pursuant to the Lead Law, MGL Chapter 111, Section 198 and within the meaning of the Sanitary Code, Chapter I, 105 CMR 400.200(B). BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 CORRECTION OF LEAD VIOLATION(S) The Lead Law, MGL c. 111, ss. 139A -199B, and the Department of Public Health's Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, require that residential premises or dwelling units built before 1973 have lead paint violations either abated and contained for full compliance or brought under interim control when a child under the age of six lives in the residential premises or dwelling unit. If you are interested in interirrl control then you must hire a licensed private risk assessor to perforin a i-isk assessrnent and issue a "Lead L-ispec lon/Rlsk Assessment Report" before you proceed. If you are ir,terer ed in deleading for ill compliance, then you must hire a licensed private lead inspe_ cr to perform a lead inspection and issue a "Lead Inspectien/Surface Assessuient-Report" before you proceed. The Le :d Law, the Department ofLakr and industries' Del erding Regulazions 454 Cly 22.00 as well as the Regulations for Lead Poisoning Prevention and Control req>>ire that anv hig�,-risk residerrr al lead abatement and containment acEInties, including making loose paint, plaster or putty intact, be performed by licensed deleading cor,=ctors—whether in the contest of achieving interim control or U,. complianc:. An owner or owner's agent, after mew=ing the training requirements of 105 CINa 460.175, may perform certain low-risk abatement and containment activities in accordance with these regulations wit=hout a deleaders license—again, whether in the contest of achieving inte=rim control or full compliance. These specific lox -risk abatement and containment activities are the followinV: applying encapsulants; applying such coverings as carpet, vinyl, aiuzninuni, plywood plesigiass, and acy[ic, to surfaces, including siding of e cterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition, an owner or owners agent may perform suuctural repairs, as defined in 105 CNIR 460.020, and cleaning of leaded dust, as may be required for interim coritreL except that the''final clean-up required after the completion of high-risk abatement and containment work by a licensed deleader must be performed by a licensed de'.eaden Violations of these requirements shall be punished by a tine of not less than 3500 nor more than 51,500 for each offense. ORDER You are hereby ordered to remedy all violations of itiSGL c. 1 i 1, s. 197 and 105 CNIR 460.000, as identined by a licensed private lead inspector or, if you Wish to pursue interim control, you must remedy all urgent lead hazards identified by a licensed private risk assessor. Whether you pursue full compliance or interim control you must correct the relevant violations in accordance with the following schedule: Within sisf (60) days ofyeur receipt of this Order, you must provide to this agency a copy of a signed contract with a licensed deleader, if any high-risk abatement and cont ain,nent work including making leaded paint, putty or,'�plaster intact', is require. If you or your agent is doing owner/agent low-risk abatement and containment and/ interim control work you must also provide within sixty (60) days a signed and completed CLPPP form entitled "Documentation of Training to Perform Owner/Agent Low -Risk Abatement and Containment and Deadlines by WIhich Owne 'Agent Low -Risk Work and/or Interim Control Work Will Be Completed." The contract must specify, and if you or your agent will be periorMinz low-risk abatement and containment work or interim, control wore, then you or your agent Vyili attest in the CLPPP form described above, that the work will be com=pleted according to the schedule: '(a) Violations of the interior of the dwelling unit andinterior common areas must be abated or contained- for full compliance, or as required for interim control, within ninety (90) days of your receipt of this Order. However, you have a total of one hundred and twenty (120) days from receiving the Order to complete the following activities: (i) any low-risk abatement and containment work you or your agent perform, as long as all dust -generating abatement or containment work, including surface preparation, required to be done by a licensed deleader, has been completed, and any doors removed have been replaced, within ninety (90) days of your receipt of this Order; (ii) application of encapsulants by licensed Level H deleaders, as long as all dust - generating abatement or containment work, including surface preparation required to be done by a licensed deleader, has been completed within ninety (90) days of your receipt of this Order; (iii) installation 'of replacement windows, as long as you can demonstrate that new windows have been ordered within ninety (90) days of your receipt this Order. (b) Violations on the exterior -of the residential premises and exterior common areas must be abated.and/or contained for full compliance or as required for interim control, within one hundred -and twenty (120) days of your receipt of this Order. Any contract with a deleading contractor must also specify, that the unit will meet acceptable lead dust levels, as determined by the results of sampling done by the licensed private lead inspector or risk assessor at the time of the reoccupancy reinspection, if one is necessary. Should any of the dust samples fail to meet acceptable standards, the contractor will be required to reclean the entire unit until all dust samples meet acceptable levels. In interim control cases in which no reoccupancy reinspection is necessary and no deleading contractor involved because no high-risk abatement and containment activities, including making leaded paint, plaster or putty intact, were necessary, then you or your agent who performed required work will be responsible for cleaning the unit to meet acceptable dust levels. In these cases, dust levels will be determined by the results of sampling done by the licensed private risk assessor at the time of the risk assessment reinspection. Any room or interior area in which one or more surfaces does not meet acceptable dust levels must be recleaned by you or your agent in its entirety. You must comply with all of the deadlines stipulated above, and with all applicable sections of 105 CMR 460.000. Compliance -with -this Order will.be determined.by this agency's receipt of the appropriate. documentation within the specified deadlines. The documentation consists of the following: a) if any high-risk abatement and containment work is necessary, including making lead -painted surfaces intact, a copy of a signed and dated deleading contract with a licensed deleader; b) if you or your agent will be doing low-risk deleading work or such other work as may be required for interim control, such as structural repairs and lead -dust cleaning for interim control, a completed and signed copy of the CLPPP form, "Documentation of Training to Perform Owner/Agent Low -Risk Abatement and Containment and Deadlines by Which Owner/Agent Low -Risk Work and/or Interim Control Work Will be Completed"; c) a Letter of Lead Paint (Re)occupancy (Re)inspection Certification issued by a licensed private lead inspector or risk assessor, in cases in which high-risk abatement and containment work, such as making loose lead paint, plaster or putty intact, is necessary, thus requiring occupants to be relocated from the unit for the duration of the work; d) copies of results of all dust samples taken by the licensed private lead inspector or risk assessor; e) a Letter of Full Deleading Compliance issued by a licensed private lead inspector or a Letter of Interim Control issued by a licensed private risk assessor. In addition, a copy of the deleading notification must be received by this agency at least ten (10) business days prior to any commencement of deleading, whether performed by a deleader or you or your agent, and whether in the context of full compliance or interim control. PENALTIES Failure to comply with this order will result in criminal prosecution. The law provides penalties of up to $500 for each day of non-compliance. In addition, you may become liable for civil punitive damages equal to three times, any actual damages for failure to comply with this order if a child becomes poisoned. CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY If within the time periods stipulated above the aforementioned residential property is not brought into frill compliance or interim control, this agency.may contract with a licensed deleader to correct the violation(s) and obtain a Letter of Full Deleading Compliance or a Letter of Interim Control, and bill the owner, or initiate court action to reimburse itself. RIGHT TO A HEARING You may request a hearing pursuant to 105 CINI R 460.900 of the Regulations for a Lead Poisoning Prevention and Control, in conjunction with the procedures of 105 CMR 400.200(B), the Sanitary Code provision for hearings in emergency public health matters. As already noted, the aforementioned violation constitutes an emergency. (See "Declaration of Emergency" section.) As such; ' you may request a hearing only if you have complied' with this Order. The hearing will be provided within ten days of your request. This agency shall issue a written decision within seven days after the hearing. n� ctor Certified Mail No. C:%WP50V-ZADI995\CE-NFR,�\BPC= 9A.,wN a. ll Director • Town of North Andover r OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES WILLIAM J. SCOTT Director (978)688-9531 Date: 6/23/99 Dan Moriarty 88 Second Street Dear Dan 27 Charles Street North Andover, Massachusetts 01845 10 Fax(978)688-9542 A lead paint determination was made of the property owned by you at go Second street, No . Andover , mA by _Susan Ford of the Town of North Andover Health Department on 6/23/99 . The determination revealed the presence of lead paint in violation of Massachusetts General Laws, Chapter 1 11, section 197. Please. contact this Druce at 688-9540 case, and the material enclosed. as soon as possible to discuss your responsibilities it this The Massachusetts Department of Public Health (DPH)'s Lead Poisoning Prevention. Regulations require that you provide to this office, within sixty (60) days of your receipt of this letter, a contract with a licensed deleader, simed by both you and the deleader, to abate and/or contain all lead violations existing in the dwelling unit, including interior and exterior common areas. You must provide the deleading contractor with a complete inspection report from a licensed private lead inspector, including an assessment for encapsulation if desired. Also, if you or your agent is planning to do any low-risk abatement and containment work, within sixty (60) days of your receipt of this letter you must provide this.oftice with a signed and completed Childhood Lead Poisoning Prevention Program (CLPPP) form entitled, "Documentation of Training to Perform Owner/Agent Low -Risk Abatement and Containment and Deadlines By Which Owner/Agent Low -Risk Work Will Be Completed." This form is available from CLPPP in the Homeowners Abatement package. The contract with the -licensed deleadermust,s*p ,fy, and if you or your agent will be performing low- risk work, then you or your agent will attest in the CLPPP owner/agent form described above, that the deleading will be completed by the deadlines described in this paragraph. All violations on the interior and ulterior common areas must be deleaded within ninety (90) days from your receipt of this letter. However, you have one hundred and twenty (120) days from your receipt of this letter to complete the following: any low-risk deleading work you or your agent perforin, as long as all dust - generating abatement and containment work including surface preparation required to be done by BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 a hcensdd deleader has been completed, and any doors that were removed have been replaced, within ninety (90) days; application of encapsulants by Level II deleaders, as long as all dust -generating abatement or containment work, including surface preparation, has been completed within ninety (90) days, and ins illation of replacement windows, as long as you can document that new windows have been ordered within rinery (90) days..A l exterior violations mus be deleaded within one hundred and twenty (120) days. The contract must also specie=,/ that ti -.,e unit will meet acccotable dust levels, as deier-nined by the samoiin_r done by the licensed private lead inspector; and that the deleader w 11 be reaulred to reclean the u^alt if necessar✓ until it meets acceptable StanCards for Cust. 1 ,1s Deparment Is required by law to file a case aga7' st you In court if It has not rece:vej the rewired doc�ure:,ts by t� e sr;ty-first (6lst) day or if`the irielines for inier,or and exterior deleading ccmpi.iar.ce are not adhered to as dccurrie-rated 'by a private lead inspe�:-, or. In a criminal case, you may be fined by the count up to 5500 for each day of rlon-compliance. 'Under the law, only contractors licensed by the Deparnnent of Labor and Industries (DLI) may engage in the abatement or cortainrnent of known lead haJards, witr, the excepricn of cera zain low-risk work that may be perfo=ed by an owner or owners agent without a deieader's license. Before such an owner or owner's agent may perform, low-risk abatement and containment worm he or she must ead the Childhood Lead Poisoning Prevention Progr-arn (CLPPP)'s educational booklet, view the CLPPP encapsulation video, and take a self-corre� ed exam that mus be submitted to CLPPP. To receive a copv of the Homeowner Abatement package, call the CLPPP Central OFmce at 1-800-53=-9571. Also available &orn CLPPP, at Che phone number above, is the booklet, "Deciding Whether to Encapsulate." If after reading it you decide you would like to have an assessment for encapsulation perfenmed, you �,m,usl hire a licer:sed private lead ins -pe -- or to per -j.6 rm this assessment. Results of the assessment shallbe recorded on the initial "Lead Inspection/ Surface Assessment form" and a copy should be sent to ne. Only those surLaces approved by the licensed inscector will be eligible for encapsulation, no matter who a=ally applies the encapsulant — a licensed Level 11 d_ -leader or you or your agent. I have enclosed a list of licensed private lead =' pesors. you would like irZc=ation about Ei arcial resources available for deleading, a pamphlet entitled "Deleading? Grants & Loans for Proper y Owners 1995 Resource Dire_ ory" is also available from CLPPP. At least 10 business days before any deleading work begins, the deleader must provide written notification to DLI, all residential occupants,the Board of Health and CLPPP. It is your resconsiodirv, as the owner of the premises, to ma'_tie sure the contractor sends the completed forns to all parties. If you or your agent will -be perforxiirlg-low-risk abatement and cont==ent work, you are responsible for providing the written notice of deleadina to DLI, the residential occupants, the Board of Health and CLPPP, and also for writing on the form which low-risk abatement and containment activities you or your agent will be per forming. All occupants and pets must be out of the dwelling unit for the entire time that interior deleadiny work performed by the licensed deieader is it progress. Occupants and gets may remain in the unit . Fr 1 while ybu or your agent perform low-risk abatement and containment work, as long as they stay out of the work area. Also, occupants and pets must be out of the unit entirely while you or your agent apply coverings to a surface with peeling, chipping or cracking lead paint or plaster. Occupants and pets who -have been out of the unit may not return until a licensed private lead inspector approves reoccupancy by conducting an on-site reinspection of the unit, including taking dust samples to assure that lead dust levels meet approved standards. This reinspection will be done at least 25 hours after deleading work is done: the inspector must wait at least one hour after the deleader performs a final clean-up, and the deleader must wait at least 24 hours after the completion of deleading work to perform that final clean-up. Deleaded surfaces are not to be repainted until the inspector performs the reinspection and gives approval. All work is to be done in a workmanlike mariner, and the dwelling must be returned to a condition that meets the requirements of Chapter H of the State Sanitary Code. Scraped surfaces must be feathered and made smooth by the deleader prior to repainting. (Repaint only after reinspection). Deleaded windows and doors must have all panes of glass intact and must be weather tight. You are required to provide written notice of the presence of lead paint to all other occupants of the building. `Notice to Tenants of Lead Paint Hazards" is enclosed for that purpose. You are required to send a copy of the inspection report and the enclosed order to all mortgagees and lienholders of record. Questions regarding Department of Labor Industries regulations should be addressed to the DLI office (617-727-1932). Questions regarding the Department of Public Health regulations should be addressed to the CLPPP central office (800-532-9571) or this Department ( ). In ector c Awp 5 N ead 199 5 \gcn cral\bhoov3 9 5. wpb Director Town of North Andover t kORTk OFFICE OF ? Of �. o � 0 ' COMMUNITY DEVELOPMENT AND SERVICES ° . A 27 Charles Street o e^ ; WII,LIAM J. SCOTT North � North Andover, Massachusetts 01845 'S.•"'`.1h ACH Director (978) 688-9531 _ Fax (978) 688-9542 L:E,1�D Dr.TDR'��_ �7hT__ON R`.?rJR'_' FORM Date, of Detz iradon: 6/23/99 Ins�ertcr: Susan Ford Lic se D3264 Method used: X Sodium, Sulfide ExDiraticn date:7/27/99 X -Ray Fluorescence Mode?: Se: ial m Prope^v.;ddress: 90 Second Street Act, Y No. Andover, Desc:,pdan of Prooew: Single family X{inti-fariiiy units 2_ Garage Fence Other s — ures Age of Prooe,-ty: X Pre -1978 Post -1978 Occupant: Kim LaVallee Occupants under six year of age: Emily DOB: 7/19/99 DOB: DOB: Occupant's T e'.eahone: 978-683-6535 Property OwTe;(s): Dan Moriarty Owner's Address: 88 Second Street, No. Andover, Owncr's T eleohone: Lead H,;7,rds found? Yes X No An X-ray fiucrescznce reading greater than 1.2 mg/crn2 or a gray or black reap ion to sodi= sulfide indicate; a positive level of lead and constitutes a positive de:.e.-urination. Deiea&ng of Iead painted surfaces as a result of this report or subsequent inspec ion must be pe rm ored by a licensed deleading contractor and/or by an owner/agent who is trained to perferm specific work as required under the Lead Law. Contact the Childhood Poisoning Prevention Program for additional information regarding deieading and training. cAwasou.&',[) t 99sc.fc.=oRuiALru=Fr..,VPo. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTIi 688-9540 PLANNING 688-9535 1v. ulLCZIUL I Uutside come: ei'ba.:,eboaru f 1 1. K(tcherr or Bat liaom Chair rail 12. I I Bathroom I Window sill I• I E:cterior I T'nresho!d I i 14. Interor Hallway (common area) I S � r tread or su in?er i 15. Inte:-icr Eallwav (common area) I Balusters 10. Ince for hallway (common area) I Door c: sing 17. 1 Porch ( Stair tread or riser 18. Porch I R�ii1r can 19. I Porch Balusters i 20. Porch Sunporcolumns(<o' ciume;er er soure) j 21. I Pore. Staircase st;in2er i 22. I Exterior I Bulkhead 75. I Garage%Cutbuiiding I Door casing or jamb 24. I Interior Closet dear or baseboard (uncapped) i 25, I Interior Cabinet door, she!f, or wall ij�-' [EI ��.-rocs—� ' . f Il � Jo�v u�� U '(`cam Lam.. .Jiy'ootr• �-$ I j I j i L ` - The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 470 Atlantic Avenue, Second Floor WILLIAM F. WELD Boston, MA 02210 Governor ARGEO PAUL CELLUCCI 617-753-8400 / 800-532-9571 _ Lieutenant Governor GERALD WHITBURN Secretary - -- DAVID H. MULLIGAN Commissioner DISCLAIMER CONCERNING LEAD DETERMINATION REPORT The information contained in this report concerning the presence of lead paint does not constitute a comprehensive lead inspection. The surfaces tested represent only a portion of those surfaces that would be tested to determine whether the premises are in compliance with the Massachusetts Lead Poisoning Prevention Law (Massachusetts General Laws, chapter 111, sections 189A through 199B). Serious lead poisoning hazards are created when materials containing lead paint are disturbed, unless proper safety guidelines are followed. Therefore, Massachusetts law requires that: All. lead paint removal, and in general, most of the work required to abate and contain lead paint violations, must be done by a licensed deleader. However, property owners and their unlicensed agents may perform certain low-risk abatement and containment activities without a deleader's license. Before they do so,,though, owners and their agents must obtain and review educational materials produced by the Childhood Lead Poisoning Prevention Program, and complete and send back to CLPPP a self -corrected exam. The low-risk abatement and containment activities are the following: applying encapsulants; covering surfaces; capping baseboards; removing doors, cabinet doors and shutters; and applying exterior vinyl siding. Letters of Full Compliance will be withheld if unauthorized deleading has occurred. Any renovating or rehabilitation of,premises containing dangerous levels of lead paint must be done in compliance with the "Procedures set forth in the Deleading Regulations issued by the Department of Labor and Industries (454 Code of Massachusetts Regulations 22.11), including sealing off the work area from adjacent areas, and using a HEPA vacuum and tri -sodium phosphate (TSP) detergent for final clean-up. . Any deleading work done on the basis of this report will not qualify the property owner for a state income tax credit, nor will the cost of such deleading be reimbursable under any state loan or grant program. In order to qualify for such programs, the premises must first be subject to a comprehensive lead paint inspection. IF child under six resides in this dwelling, the property. owner may face criminal or civil liabilities unless all lead paint violations have been corrected. This lead report cannot assure that the property owner has met his or her obligations under the law. It is unlawful for rental property owners to use the presence of lead as the basis for discrimination against tenants or potential tenants with young children. C:\WP50\LEAD1995NGENERAL\DISCLAMWPD Rev. 11/95 - The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 470 Atlantic Avenue, Second Floor WILL -M F. WELD Boston, MA 02210 Governor 617-753-8400 / 800-532-9571 ARGEO PAUL CELLUCCI Lieutenant Governor — GERALD WHITBURN Secretary DAVID H. MULLIGAN Commissioner RESIDENTIAL DELEADING ADVISORY The process of abating or containing lead paint (commonly called deleading) can be very dangerous, whether it is done for full compliance or as part of bringing a unit under interim control. For this reason, the Lead Law (Massachusetts General Laws chapter 111, sections 189A. through 199B), the Regulations for Lead Poisoning Prevention and Control (105 Code of Massachusetts Regulations 460.000) and the Deleading Regulations (454 CMR 22.00) require- -- that a licensed deleading contractor remove lead paint, and in general, perform all deleading work necessary to correct lead violations that is not low-risk. The Lead Law, as well as the Regulations for Lead Poisoning Prevention and Control, allow property owners and their agents to perform certain low-risk deleading activities without a deleader's license, whether the work is done for full compliance or interim control. Before they do so, though, owners and their agents must obtain and review educational materials produced by the Childhood Lead Poisoning Prevention Program, and complete and send back to CLPPP a self -corrected exam. The educational materials include information for owners and their agents about safety precautions and cleanup requirements. The low-risk abatement and containment activities are the following specific activities: applying encapsulants; covering surfaces; capping baseboards;'removing doors, cabinet doors and shutters; and applying exterior vinyl siding. Property owners and their agents may also perform other work that may be necessary for interim control, such as structural repairs and lead -dust cleaning. The Lead Law and the Regulations for Lead Poisoning Prevention and Control have additional requirements to make sure that occupants of a dwelling unit are not exposed to lead hazards. The most important requirement is that any occupants be relocated from the dwelling unit while a deleader is performing any deleading work that is not defined as low-risk on interior surfaces. Property owners and occupants'•s'hould refer to "Notice to Property Owners and Tenants: tenants' rights, "Responsibilities and Remedies" for move information on alternative housing arrangements. Occupants may continue to live in a unit while an owner or agent is performing specified low-risk. deleading activities, or other work that may be necessary for interim control, such as structural repairs or lead -dust cleaning, as long as they stay out of the area in which these kinds of activities are taking place. However, occupants must be out of the unit for the day while an owner or owner's agent applies coverings to a surface with peeling, chipping or cracking lead paint or plaster, and during spray application of encapsulants, and may return at the end of -the workday, after the owner or owner's ageni has cleaned up, but need not be out of the unit overnight. It is very important that occupants think carefully about what their daily needs will be during the time they areaway from home, and take along all that they will need. No one should return to a dwelling unit while a deleader is still working or while an owner or agent is covering a surface with peeling, chipping or cracking lead paint or plaster, or applying encapsulant by airless .sprayer. Both property owners and occupants must take their responsibilities seriously and cooperate fully to assure the protection of all concerned. No one should interfere with the work being completed safely. Occupants of the unit in which any kind of deleading work is taking place, whether for full compliance or as part of interim control, and other residents of the building, if any, must receive written notification at least 10 business days prior to the beginning of any lead paint abatement and containment work. Before a deleader begins work, all furnishings and possessions of every type should be removed or stored in plastic bags in non -work areas. This includes all children's clothing, toys, stuffed animals, bedding, etc. Everything should be removed and closets must be emptied. Possessions not removed from the work area should be put in plastic bags and left in the center of the room only as a last resort. The reason for these extensive precautionary measures is to protect every household article from lead dust contamination. Very fine dust is extremely- hazardous xtremelyhazardous and especially difficult to remove. Belongings must also be. protected before an owner or agent performs low-risk abatement and containment work, or other. work that may be required for interim control, but the precautions are not as extensive for this type of work. In general, it is recommended that furniture and belongings be moved outside the work area, or covered with thick plastic and sealed with duct tape, before low-risk abatement and. containment begins. A very thorough final clean=up will be conducted by the deleader no sooner than 24 hours after the completion of the deleader's interior work. This delay ensures that fine airborne particulate will settle out and be removed in the final clean-up. Occupants can return only a lead inspector or risk assessor determines that a residential premises or dwelling unit is safe through the reoccupancy reinspection, which will include an analysis of lead dust levels within the home. Occupants should leave a phone number where they can be reached so that the inspector or risk assessor can notify them when it is safe to return home. Occupants cannot be permitted to reoccupy the home unit until the dust sampler are found to indicate acceptable lead dust levels. If the property owner or agent is going to be performing, low-risk deleading work or other work that may be required for interim control after the occupants return home, they will be taking some precautions as instructed in the CLPPP educational materials. They will also be responsible for cleaning up when they are done (andneed not wait 24 hours after completion to do so). An inspector or risk assessor will return at that point and perform a reinspection to check the owner's or agent's work. While there is no substitute for correcting lead hazards through full compliance, or bringing a unit under interim control, and then performing a thorough clean-up to protect children from lead exposure, there are some important steps that can be taken even before work for full compliance or interim control begins. Your lead inspector's or risk. assessor's advice and counsel should be carefully followed because of his/her personal knowledge of your child's home environment. As part of their normal behavior, young children place things in their mouths, especially toys and their own fingers. If there are leaded paint chips and dust in your home, they may end up in your child's mouth. Children's fingers pick up lead dust, as do fogs, food and candy that fall on the floor, It is especially important to wash your child's toys and -to try to keep your child's hands clean, particularly at meal time. Areas of peeling, chipping or flaking lead paint and dust should be cleaned. Wet sponging and mopping with detergents containing phosphate, such as TSP (tri -sodium phosphate), sold in most hardware stores, or automatic dishwasher detergents, such as Cascade or Sunlight, or other lead- 'pecific detergents, are best for this kind of cleaning. Windows and window sills in particular are often a major source of lead exposure. Sills should be cleaned regularly if paint dust or flakes collect there. If windows are in poor condition, the best thing to do may be to keep the lower sash closed and open only the upper sash for ventilation. (This has the added benefit of protecting your child from accidental falls from'the window.) Contact paper may be applied to areas of peeling paint on window sills, walls or other surfaces as a temporary measure. Do not use your household vacuum cleaner to clean up paint chips, because it will disperse fine particulate into the air. Sometimes furniture can be moved to form a child -protective barrier to cover deteriorating paint or plaster. If deteriorating paint or plaster is in the child's bedroom, use another room as the child's room, if possible. Think of those parts of the home where your child spends most of his or her time, and try to keep them as clean as you can before your home's lead paint hazards are addressed through full compliance or interim control. Lead paint can contaminate soil. If the exterior surfaces of your home have chipping, peeling or flaking paint; do not allow your child to play in the soil around the house, and be careful not to track soil from these areas into the house. Follow the advice of your lead inspector or risk assessor about soil on your property. CAWP50V_BAD 19951SHARON\AD VLSORY. Rev. 9/95 Furdxr irv. 9/95 WILLIAM F. WELD Governor ARGEO PAUL CELLUCCI Lieutenant Governor GERALD WHITBURN Secretary DAVID H. MULLIGAN Commissioner The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 470 Atlantic Avenue, Second Floor Boston, MA 02210 617-753-8400 / 800-532-9571 NOTICE TO PROPERTY OWNERS AND TENANTS: TENANTS' RIGHTS, RESPONSIBILI'T'IES AND REMEDIES VIOLATION - It has been determined that the residential premises- or dwelling unit and/or common areas at the address cited on the accompanying documents contain dangerous levels of lead in paint or other coating, in violation of portions of the Lead Law, Mass. General Laws chapter 111, sections 196 and 197, and 105 Code of Mass. Regulations 460.000, Regulations for Lead Poisoning Prevention and Control. This violation may endanger or materially impair the health, safety or well-being of persons occupying the premises or unit: It is the responsibility of the owner of the residential premises or dwelling unit, under M.G.L. c. 111, s. 197, to abate and/or contain lead violations for full compliance, or bring the unit under interim control, whenever a child under six years of age resides in the premises or unit, or in special cases when directed by local or state authorities. TENANTS' RIGHTS. RESPONSIBILITIES AND REMEDIES In order for the above violation(s) to be corrected as quickly and effectively as possible, it benefits both the property owner and the tenant to cooperate with each other and make responsible accommodations to each others' reasonable needs. Should good -faith efforts at cooperation fail, tenants may, depending on the circumstances, be able to avail themselves of certain statutory rights and remedies. Since property owners have common law as well as statutory rights and remedies, too, and most of the remedies available to both tenants and property owners are somewhat complex, tenants are advised to obtain legal assistance and/or legal advice before seeking to use the rights summarized below. (1) Alternative Housing. M.G.L. c. 111 ',,, ' s. 197 and 105 CMR 460.160(A) require that tenants be relocated from the dwelling unit oresidential premises for the entire time that interior deleading work (other than that defined as low-risk) is being performed by a licensed deleader. Tenants may remain in the unit while a property owner or owner's agent without a deleader's license performs low-risk deleading work or other work that may be required for interim control, such as structural repairs or lead dust cleaning, as long as the tenants stay out of the work area. However, tenants must be out of the unit for the day if an owner or owner's agent uses an airless sprayer to apply encapsulants, or applies coverings to a surface with peeling, chipping or cracking lead paint or plaster. In these two cases, tenants may return at the end of the workday, after the owner or owner's agent has cleaned up, but need not be out of the unit overnight. Tenants who have been relocated from the unit may not return until the deleader's interior work is completed, the unit is cleaned up and a licensed lead inspector or licensed risk assessor finds that it meets the conditions of a reoccupancy reinspection specified in 105 CMR 460.760(A). It is the responsibility of the property owner and tenant to work out an acceptable plan for alternative housing when it is necessary. Whenever possible, tenants should find temporary housing with family -or friends. M.G.L. c. 111, s. 197(h) requires that owners pay for the tenant's reasonable moving expenses and any charges for occupancy of the alternative housing unit the owner offers, and that tenants continue to pay their full normal rent during the period they are moved out to alternative housing. The alternative housing unit must be one that does not cause undue economic or personal hardship to the tenant. If the alternative housing unit chosen by the owner does not pose a hardship, and the tenant still refuses to accept it, then the tenant is responsible for finding and arranging for his or her own temporary housing during deleading. In such a case, the tenant is not responsible for paying rent during the period he or she is out of the unit, but is responsible for paying. the cost of the temporary housing he or she has chosen. The owner remains responsible for paying the tenant any reasonable moving expenses, plus any amount by which the cost of the alternative housing unit originally chosen by the owner exceeds the rent for that period. Tenants under lease and tenants at will have applicable legal rights and are advised to seek legal assistance in the event an agreement cannot be reached. (2) Protection from Retaliatory Rent Increase or Eviction. Under M.G.L. c. 186, s. 18, the property owner may not increase rent or evict tenants in reprisal for their having reported a violation or suspected violation of the Lead Law. If rent is increased or the tenants evicted within six months of the tenants' taking any action with respect to the Lead Law issue, the property owner would have to show clear evidence that he or she had other reasons for the rent increase or eviction, and that he or she would have raised the rent or evicted the tenants at that point in time, regardless of the tenants' actions with respect to the Lead Law. Property owners who are found to have threatened or taken.reprisals against tenants for exercising rights under the Lead Law are liable for damages under M.G.L. c. 186, s. 18 and M.G.L. c. 93A. (3) Rent Withholding. Tenants have a basic obligation to pay rent to the owner of a unit they occupy. M.G.L. c. 239, s. 8A creates an exception to this when there are local or state law violations, including Lead Law violations, existing in the unit, by allowing tenants who qualify to withhold rent as long as,,such violations remain uncorrected. Tenants may take this step only if they were up to date in their rent payments at'the time the owner was notified of the lead paint violations, and they did not begin withholding until this point. Property owners are entitled to bring a court action to evict tenants for nonpayment of rent. To fully protect themselves against attempted evictions, tenants withholding rent for Lead Law violations may need to place withheld monies in an escrow (separated savings) account, or may be ordered to do so by the court. If these conditions are met, tenants may a, not be evicted for nonpayment of rent or for any other violation which is not the fault of the tenants. Property owners have the right to enter the tenants' premises, if possible by appointment, but in any case in emergencies, to inspect for violations and to have them repaired, and this includes the lead inspection and deleading or interim control process. Tenants have a responsibility to cooperate with owners and allow all necessary access to their unit for repairs. Tenants who interfere with this right of entry may be subject to eviction. As soon as the lead paint violation is certified as raving been corrected, all or part of the withheld monies may have to be paid to the owner, based on the court's judgment. (4) "Rent Receivership'". M.G.L. c. 111, ss. 127C through 127J allows the tenants, the Massachusetts Department of Public Health's Childhood Lead Poisoning Prevention Program or the local Board of Health to petition the court to find that Lead Law violations exist, and to allow rent to be paid into court rather than to the property owner, to pay for the repairs necessary. As under the rent withholding statute, this law allows tenants to take this step only if they were up to date in rent payments at the time they begin paying rent to the court. The court may then appoint a "receiver" who may spend as much of the rent money as is needed to correct the violations. Any remaining rent money after repairs have been made are paid to the owner. (5) Abatement of Rent or Damages. A tenant may have rent reduced or recovered as damages for a unit with Lead Law violations through a court action for breach of implied warranty of habitability, in accordance with the Massachusetts Supreme Judicial Court decision in Boston Housing Authority v. Hemingway 363 Mass. 184, 293 NE2d 831 (1973) and M.G.L. c. 93A. In such an action, brought by the tenant independently or as a counterclaim to a property owner's court action seeking eviction for nonpayment of rent, the court determines the value of the premises or unit with violations, and reduces the amount of rent due. (6) Owner Liability: Compensatory and Punitive Damages. Under M.G.L. c. 111, s. 199, the owner of a residential premises or dwelling unit built before 1978 is financially liable for all I amages to a child under age six who becomes lead poisoned as defined by the Regulations for Lead Poisoning Prevention and Control as a result of the owner's failure to.comply with the Lead Law and Regulations either through full compliance or interim control. The owner of such a residential premises or dwelling unit who is notified through an Order to Correct Violations or Order to Restore Interim Control Measures of a dangerous level of lead in paint, plaster or other material present upon the surfaces and building components of his or her premises, and who willfully fails to correct or remove the violations for full compliance, or bring the unit into interim control, in accordance with the Lead Law and Regulations, is also, in addition to actual damages, subject to punitive damages, which are triple the actual damages found. A property owner found to be financially liable under the Lead Law can seek contribution against the parent or guardian of the child after damages have been awarded to the child. F+ REPAINTING Violations of the Lead Law constitute violations of the State Sanitary Code. Although repainting of surfaces from which lead paint or other coatings have been removed is not required for compliance with the Regulations for Lead Poisoning Prevention and Control, repainting such surfaces is required under 105 CMR 410.021 of the State Sanitary Code. It is important that deleaded surfaces be sealed and can be easily cleaned. Repainting of deleaded surfaces may not occur until after the surfaces have been reinspected while bare and approved for repainting by a licensed lead inspector or a licensed risk assessor. Repainting of deleaded surfaces on the interior of the dwelling unit and interior common areas must be completed within 30 days of the reoccupancy reinspection, if there is one, or if not, the deleading reinspection or the risk assessment reinspection. Exterior surfaces must be repainted within 30 days of the deleading reinspection or risk assessment reinspection. This repainting requirement does not apply to surfaces where lead paint has been covered or a new fixture or surface installed. to replace a leaded one. However, such surfaces must also be reinspected by a licensed lead inspector or risk assessor before they are repainted. Tenants are advised to contact their property owners if the required repainting is not completed as stipulated above. If the property owner does not respond, then tenants may wish to call the local board of health. CLFF95.19 — Aeuised 3/95: - Further reutsed 5/95 and 9/95 I /"/p , /11 COMPLAINT NUMBER DATE: COMPLAINTANT : a CLOSE DATE: ADDRESS: PHONE: OWNER: At4L Se L ONE # ADDRESS: p Y G-z� 4 G CJ INSPECTION DATE: ORDER L DATE: COMPLAINT: 699 ACTION: O !�'��~�� �Oo1�uw� Six 1 r� —S/Z� _! r• r� MASSACHUSETTS SCHOOL HEALTH RECORD PRIVATE PHYSICIAN'S EXAMINATION J Child's f 2 Name �+ ���'`�`�`� Sex Birth Date qJ Address School IMMUNIZATION Date IMMUNIZATION Date IMMUNIZATION Dale SPECIAL TESTS DTP (Diptheria Tetanus Pertussis) 9 ' ! POLIO Oral Trivalent (TOPV) j /T MMR (combined) ---- TUBERCULIN TEST �a' I/ j 1/'/903 TETANUS TOXOID Results Date I �(1/ % I / ('� / Clb OTHER IMMUNIZATION 9 CG ' �7 �� 6�5C%7 HIB 1 7 %� �'k5 HIB 2 HIB 3 D q4/ HIB 4 �D 2G• Td (Tetanus Diphtheria) Adult Type MEASLES HEPATITIS B 1 LEAD TEST MUMPSHEPATITIS B 2 �(0 9' -91, RUBELLA HEPATITIS B 3 y5 9 MEDICAL HISTORY (Give Dates) Accidents Ear Infections Measles Scarlet Fever Allergy Encephalitis Meningitis Strep. Throat Rubella Mumps 7onsilitis Congential Anomaly Heart Disease Operations Tuberculosis Convulsions Hernia Poliomyelitis Whooping Cough Diabetes Kidney Disease Rheumatic Fever Other PERTINENT FAMILY MEDICAL HISTORY SUMMARY OF SIGNIFICANT TREATMENT PROGRAMS INCLUDING CURRENT MEDICATIONS, AND SUGGESTIONS FOR PROGRAM ADJUSTMENT IF INDICATED RECORD APPROVED BY DEPARTMENT OF EDUCATION AND THE MASS DEPT. OF PUBLIC HEALTH NOTE: Clip or staple this record to cumulative school health record. P 205 969 490 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See re Sends � Postage $ Certified Fee Special Delivery Fee LO Restricted Delivery Fee rn Return Receipt Showing to Whom & Date Delivered p n Return Receipt Showing to Wham, Q Date, & Addressee's Address 0 TOTAL Postage & Fees $ 3co , M Postmark or Date ti C0 CL ti 4SJG©U 26 L NdV`0 E 0=s i] )k% CD A f /±_ \ § k0 E- &■bCD LL t k ■®k s § )E §= k� §k ca %w §® § { � OECD E - A % 2§ = �S§ Co Kf �f){§e _ �e Edi {f /Zma k $ (D f /ca � \% {�{k k\ C" 2 ]]�� {Z } §k& ms` ■( )({k 22 ■ ;- $$\ ` 0]§/ k§ k\ i CL �S ) �0 E' U=, ƒ{ -C', I k k f� 2 )T § om f L2 (-�Lu /\ § § CL t � s- \ j / / \ \ \ \� / 2 �\ -E m `@ `§.8B 7 §5 ca %k-`r- �)f 2 3 ■EsL , - _ _ - \�\ /,=ME / - ) f t2wa Cf @§� - t: Postage fan " + — 4 Certified Fee - _ '88 Second Street - Spedal Delivery Fee NO 'I�ITdOder , "; .01845- Restricted Delivery FeeLO r c rn Retum Receipt Showing to °' Delivered p «. z Whom 8 Date Stwwing to Whom, Return Receipt CL" &Addressee's Address Q Date, x ostage &Fees r' p TOTAL P00 ' x e+7 Postmark or Date r n �v Y CL F. r u . r .. 1 — .' P i r .mak 6, r _ + — .. '- �• a ;_�- 4 � JA tz Town of North Andoverr►ORTH OFFICE OF 3�Og t��ee °,ti< COMMUNITY DEVELOPMENT AND SERVICES ° 30 School Street ' 1 North Andover, Massachusetts 01845 WILLIAM J. SCOTT 9SSgcHuS�� Director LEAD DETERMINATION REPORT FORM Date of Deterrnination: Zt-3 � ^ Inspector: Liccrise'4: � 6� Method Used: r_,--S-odium Sulfide Expiration date:. ;Vg2 lq,? X-Ray Fluorescence Model: Serial 'M: Property Address: �7_F��,-`�i,. �- Apt. tt Description of Property: Single family Multi -family # units Z Garage Fenc: Other structures Age of Property:1978 Post- Post -1978 Occupant: Occupants under six vear of age: DOB: DOB: DOB: Occupant's Teleph Property Owner(s) Owner's Address: Owner's Telephone: Lead Hazards found? Yes 1--' No An X-ray fluorescence reading greater than 1.2 mg/cm2 or a gray or black reaction to sodium sulfide indicates a positive level of lead and constitutes a positive determination. Deleading of lead painted surfaces as a result of this report or subsequent inspection must be performed by a licensed deleading contractor and/or by an owner/agent who is trained to perform specific work as required under the Lead Law. Contact the Childhood Poisoning Prevention Program for additional information regarding deleading and training. C:\WP50\L_EA1D BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 12. LOCATION SOURCE Pb 1. Child's bedroom Window parting bead/e-terior sill area 2. Child's bedroom Window sill 3. Living room Window parting bead/exterior sill area j 4.Kitchen Porch Window parting bead/exterior sill area 5. Interior Flaking paint 6. Exterior Flaking paint j 7. Exterior Cellar window units 1 j S. Exterior Window sills below 5' 9. Exterior Main entry door casing 10. Interior Outside corner of baseboard 11. 1 Kitcherr or Bathroom Chair rail I 12. Bathroom Window sill 13. Exterior Threshold i4+. . interior nauway (common area) Stair tread or stringer 15. Interior hallway (common area) Balusters 16. Interior hallway (common area) Door casing 17. Porch Stair tread or riser 18. Porch Railing cap 19. Porch Balusters 20. Porch Support columns(<6" diameter or square) 21. Porch Staircase stringer 22. Exterior Bulkhead 23. Garage/Outbuilding Door casing or jamb 24. Interior Closet door or baseboard (uncapped) 25. Interior Cabinet door, shelf, or wall II 1 )2-44 � _ ire-- 7---. 1 r")-_ I ' N C.\WP50\LFAD 1995\LIC.F0R1EADREPT. WPD 700r w! C.\WP50\LFAD 1995\LIC.F0R1EADREPT. WPD 17 . 1 Office Use Only ¢ u(bMM11nWg3# of :ffia55ar UBrftg Permit No. U_ �E;IIIitritEIIt 0fIIi1)It'ElfE21� Occupancy & Fee Checked J F FIRE PREVENTION REGULATIONS 527 CMR 12:00 3fi90 (leave blankkJJ) BOARD 0 y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date y— �19'7 (M* or Town of NORTH ANnOVF.R To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work de cribed bel . Location (Street & Number) Owner or Tenant c ��e2 Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No X (Check Appropriate Box) Purpose of Building Existing Service Amps Volts New Service Amps .__J Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work � rr Utility Authorization No. Overhead ❑ Undgrnd ❑ Overhead ❑ Undgrnd ❑ No. of Meters No. of Meters I OTHER: IVA INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Coo Operations Coverage or its substantial equivalent. YES -VN O o _ I have submitted valid proof of same to the Office. YES NO = If you have checked YES, please indicate the type verage by checking the p opriate box. JJJ ��` - INSURANCE BOND —_ OTHER Z (Please Specify) (Expiration Date) Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: T / a1 FIRM NAME Vi%7��s (G LIC. NO. 6 Licensee1217A /4 �,) %�� / f Signature LIC. NO. Address F� Pew, no Lr c-)?- 4�C17Alt. Tel. No. OWNER'S INSURANCE I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) (j Q (Signature of Owner or Agent) Telephone No. PERMIT FEE 5 X.6565 Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures I Swimming Above g Pool grnd. ❑ In - grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners Total FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. tons Heat Total Total Initiating Devices No. of Disposals No.of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating IMunicipal Heating Devices KW KW Detection/Sounding Devices ❑Other Local ❑ Connection t No. of Dryers No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: IVA INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Coo Operations Coverage or its substantial equivalent. YES -VN O o _ I have submitted valid proof of same to the Office. YES NO = If you have checked YES, please indicate the type verage by checking the p opriate box. JJJ ��` - INSURANCE BOND —_ OTHER Z (Please Specify) (Expiration Date) Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: T / a1 FIRM NAME Vi%7��s (G LIC. NO. 6 Licensee1217A /4 �,) %�� / f Signature LIC. NO. Address F� Pew, no Lr c-)?- 4�C17Alt. Tel. No. OWNER'S INSURANCE I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) (j Q (Signature of Owner or Agent) Telephone No. PERMIT FEE 5 X.6565 T, 858 fNORTI{ Ot,�•o .e.��O F 9 :� - ,SSACMUSEt Date ......l..... U. ).... f/. .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING c This certifies that ....... ?���........... '4.G%L/1 G--- .............. has permission to perfor ........:.... .........../� ..1...�1�.2... ................... C��....... S� wiring in the building of ...�.. ,_: �... �t!.1..,7..�....... .. ..,..� . . . r GCI �.�1...� . _. / at ... . ..... ..... ..... .:.................... ,North Andover, Mass. Fee... .................. Lic. Noa?.�i�5.............i� LECTRICALINSP INSPECTOR 04/10/97 10:41 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer