38B-035 (17) 30 LYMAN RD BP-2018-1111
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mar:BloCk: 38B-035 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category demolition BUILDING PERMIT
Permit BP-2018-1111
Project# JS-2018-001191
Est.Cost:
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot SIZe(an. ft): Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning URC(83)/SC07)/GB(0)/ Applicant: KEITER BUILDERS
AT: 30 LYMAN RD
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 0 WC
FLORENCEMA01062 ISSUED ON:4/26/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.DEMOLISH ENTIRE BUILDING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Seryice: Meter:
Footings:
Rough: Rough: House Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeTvpe: Date Paid: Amount:
Building 4/26/2018 0:00:00 $75.00
212 Main Street Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
AFk 2 6 i
NLAr woGAJ tale Olay
City of Northampton Status or Permit
Building Department Curb Culffkk ny Permit
212 Main Street Sevror/Sepec Avebablity
Room 100 WatmhVgl AvakMay
Northampton, MA 01060 Two San,of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plgaslte Plane
Over Spadry
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1.89E INFORMATION
1.1 Property Addrme: Tine codon to be completed by oMce
30 Lyman Rd Map La uml
taro O"rlsy Olatrkt
Elm as.Maw- CS dgdm
SECTION 2-PROPERTY OWNERSHIWAUTHORRIZED AGENT
21.1 Owner or Record:
?rAattts �l Sd4:kl4 (oil ese ZIZ Nof+f Aur&w Vii. A111hzrs+ Nle orae
p ,
PMt) I 1 I CvrenlMalbgA�my22, $SG�2
On pGry/-1 �Dl4ttt'�l (d� Ispnon'�eFt�1�
2.2 Authods ad Ammt,
Keifer Builders,Inc 35 Main St Florence,MA
Nem MV Cunni MMeg Adc.sa:
President,KBI 413-586.8600
s TmepM
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cog(Dollar)W be Official Use Only
completed rmita Idanl
1. Building ! / O (a)Building Permit Fee
2. Electrical ( l- (b)Estimated Total Coal of
Construction from fi
3. Plumbing Building Permit Fee
4, Mechanical(HVAC) 476
5.Fire Protection
S. Total=(1+2+3+4+5) A' G<U I Cheek Number d
This Seeeon For Official Use Only
Building Permit Date Number. Issued:
Signature: Z/.
nuadhp Commiaabnegmpeclm d BWdbga Gals
Section4. ZONING an nrormatbn Mutt Be,Carpeted.Pamir can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
Thu wbmnmbeNby
Building DePxmutm
Lot fine
Fmo e
Setbacks Front
Side L:_R: L---R:_RearBudding Height
Bldg.Square Footage %
Open Space Footage %
eataeaminusbWaa,red
#of Puking Spoi
Fill:
voh.al fiaa
A. Has a Special Permit/Variance/Finding ever been Issued for/qct the site?
NO O DONT KNOW Q YES O
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO 0
IF YES,describe size, type and location:
E. Will the construction aclMly disturb(clearing,mading,excavation,or filling)over 1 acre or is it part of a common plan
that willdisturb over t arn7 YES O NO O
IF YES,than a Northampton Storm Water Management Pemdt iron the DPW is required.
SECTION DL5CRjPT1ON OF PROPOSED WORK Ichuclk all aciplicabra,
Naw Nous ❑ Addition ❑ Replacement Windows Alterad..(.) ❑ Roo0ng
Or Doors O
Accessory Bldg. ❑ Damoflaon New Signe 1177 Decks [I] Siding lel Olh.I01
Brief Description of Proposed
Work: Demolish Entire Building
Alteretlw of eaNting bedroom_Yea X NO Adding new bedroom Yes A
AMctwtl Namative Renovating unfinished basement _Yee No
Plans Attadmd Roll -Sheat
ae.If New house and or addition to aKlstina hOUSlna, complete the follavil
a. Useof Wlldig:One Family. Two Family Other
b. Number of rooms In each family unfl: Number of Bathrooms
c. is there a garage amcheda
d. Proposed Square footage of new construction. Dimensions
e. Number of stodes7
I. MethodofhsM1g7 Fireplaces or Waodstmms Numb.of each_
g. Energy Conan m k.Compliance. Mascheck Energy Compllanw fano attached?
In. Type of mnsbuctlon
I. Is consWction wine,100 R.of waU.nd&7_Yes _No. Is consomtbn wahin 100 yr. floodplain_Yes_No
J. Depth of bsament or cellar floor below finished grade
k. WNI Wilding conform to the Building and Zoning regulations? _Yes_No.
I. Septic Tank^ Chy Sen._ Pdvalewell_ Citywat.Supply_
SECTION 7a-OWNER AUTHOR17ATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR
�BUILDING
`PERMIT
n
1, T . Wn.of the he 11�Ns17� "A {�1 (,.(��lvl..r� ,ea Oe aa
properly—�
thereby wthodze Keifer Builders Inc
to my behalf.In ell maflem relawe to irk au hodred by this building permit appica
I X� V— — oK IoebAlt S��xw}�t all q / e;-- /8
pro d Owner a alai
1, Keher Butld Inc as OAnedAuthndzed
Agent hereby dada.That 0he slatements and Information on the foregoing applica0on are hue and awmats,to the beat of my knonledge
and belief.
Signed under the pains and penallies of parlury.
Scott KeKer
N�
Presidev4 Keifer 6ugders,Iva.
sgnewro d Qwhw/Agent
We
SECTION 8-CONSTRUCTION SERVICES
0.1 Ucwm"Con rtnredon Sunanlaon Not Applicobte ❑
taansa of Ueama XOM.r:Scoh Keifer CS702457
Ucanee Number
51 A Hatliekl Sl NortlumnWon MA 01060 6.20.18
Addheaf) Es instion ONe
President,Reiter Sudden,Inc 413.586.8600
Blgmwn Telephone
B.R IM red Nome Imomvamanf ContnigW, Not Applicable ❑
Kober Builders Inc 175168
Comoem Noma Registration Number
35 Main Street Florence MA01062 04/28/18
Addrps Expiration Date
stcdnw@Kdnwedem+.m Tal ephona413.588.8800
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L e.152,9 2SC(G))
Workers Compensation Insumne s a6dav0 must be completed and submilled with this application.Failure W provide this affidavit WIN result
In the dental of the Issuance of the building unit
Signed AMdavft Attached Vas....... 0 No...... ❑
11. -Home Owner Exemption
The cwrenl exemption for"homeowners'was extended to include Ownac-occuoled Dwellings close(1) or two(2)families
and W allow such homeowner W engage an individual for hire who does not possess a license,provided that the owner eels
as supmjwr.CMR 780, Sixth Edition Section 10835.1.
DeflWdm of Homeowner.Person(s)who own a parcel of land on which heishe resides or intends W reside,on which there
is,or is intended W be,a one or two family dwelling,attached or detached strucpaes accessory to such use audit m term
structures.A person who constructs more lase one bome in a Iwo-var Period shall not be considered•homeowner.
Such"homeownw"shall submit W the Building Official,on a form acceptable to the Building Official that he/she shall be
remo,Wbk for W such work performed under the building oerndt.
As acting Contraction Smervkar yaw presence an the job site will be required from time to dime,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference W Chapter 152(Worker,'Compensation) and Chapter 153(Liability of Employersto
Employees for injuries not resulting in Death)of the Musachuseds General IAM Annotated,you may be liable for permn(s)
you hire W perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the Stam Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and gale of Massachusetts General Isws AeroMed.
Homeowner Signature _...._
Willlamsburg, MA
City of Northampton 212 Main Street,Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: w lvmm
The debris will be transported by: Keaer Bmidere inc
The debris will be received by: Duseau Trucking
Building permit number:
Name of Permit Applicant Ke'Ier Builders Inc
3.'2.18 � Pmldns Kelfer Beildemroc
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
Qpme of Investigations
I Congress Street,Suite 100
Boston,MA 02114.2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Imibiv
Name(Bosinesa/Otganintiodlndividua0: Keiser Builders, Inc
Address:35 Main Street
Ci /State/Zi :Florence, MA 01062 Phone#:413.586.8600
Are you an employer?Check the appropriate box: Type of project(required):
1. 1 am a employer with 20 4. ❑ 1 am a general contractor and[
employees(full and/or part-time)." have hired the sub-contractors 6. ❑New construction
2.❑ [am a sole proprietor or poorer- listed on the attached shat 7. [3Remodeling
ship and have no employees Time sub-cauractors have g, Q Demolition
working for me in any capacity. employees and have workers' q ❑Building addition
[No workers' comp.insurance comp. insurances
required.] S. ® We are a corporation and its 1013 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions
myself. [No workers comp. right of exemption per MGL 12❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees [No workers' 13.0 Other
comp. insurance required.)
•MY applicros Nos chats boz lel mat aW fill out the s¢tioebelow showmgthcir wnrlrae'wmpensatim policy information.
t Rommwnea who wbmit Nh adidavit indimdng Nry art doing Jl wwk wdNm hheaoaide conbecmn mm1 submit a pew affidavit Micadngsmh.
:Cnamelasilmcheck Niebox mustauschaian additional shitrhowiv8 nwneoflhe cob-mnrracmrsandwm ahMaarot tlwuentlea have
empbyem. gNe subcmmclonhave empbyea,Nay must provide Ne"u wotkvi romp.poliryvumba.
lam an employer char isproviding workers'compensation insurancefor my employees. Below is thepolicy andjob site
information.
Insurance Company Name:AIM Mutual
Policy#or Self-ins. Lic.#:WMZ80080071392017A Expiration Date:3.2.18
30 Lyman Northampton 01060
Job Site Address: City/Smte/Zip:
Amch a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a me
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ido hereby nify of the pains andpemaldes of perjury that the information provided above s true and comet.
Sien4 /A�_' -- en
Presidt,Keifer Builden,Inc. Date'3.2.18
Phone M 413.586.8600
Official use only. Do not write in this arca,to be completed by city or town official.
City or Town: PermittLicense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/To"Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.other
Contact Person: Phone#:
A`oRa CERTIFICATE OF LIABILITY INSURANCE ai29/° "
2017
MR CERTIFICATE IS ISSUED AS A hla F OF INFORMATION ONLY AND CONFERS NO RIGHTS UNDN THE CEIRIFICAn HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY O) NEGATIVELY AMEND, EXTEND OR ALTER 1HE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTFICAW of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING NSURER(% AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: 0 the arllfla tE holder W an ADDITIONAL INSURED,Um pollvy(les)mset W anderaac. N SUBROGATION fS WAIVEG,aob(sd W
the terms and candNkes vl the pocky,canto policies may raoulm an Nldoraemest- A e tammt on We uHlRats cora not ranter I'M to Vm
avNlule holder In It..of mth aMbvasmm�t a
M. Cynthia Sanderson, CIER
Mebbnr A Grinnell Nwxe (d13)SB6-0113 vu .o13paE_Nu
S vortb Ries Street .WandaeaovSHabberevdgrivvall.von
waYR YIapMOaYERAOE wtI
Northeeptnn MA 01060 INMIN elective 19159
3NIUnm aeaFA6A.I.N. Mutual
Reiter builders, ]so. sMIMFw c:
Attm Scott Reiter aauxao:
35 Malo Street NaLPERE:
Florence MA 01061
COVERAGES CERTIFICATENUMBER ster Zsp 2013 REVINON NUMBER:
THIS IS TO CERTFY THAT THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NNAED ABOVE FOR THE POLICY PERIOD
NDICATEO. NOTWITHSTANDING ANY REWIIIEMENT,TERM OR CMINTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE NSURANCE AFFORDED BY THE PWCIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,
"MUSIWS AND CONDRIONS OF SUCH POLICIES.LIMNS SHOVN MAY HAVE BEEN REDUCED BY PAID CIAU.IS.
MR I111101 N1.MNVE =7=1 I.MFIFF PG,CC lie
I Ccea1M•LaN[RYlMeallY EAa cooseENor S 1,000,000
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CERTIFICATE HOLDER CANCELLATION
SHOULD MY OF THE ABOVE DESCRIBED INDMIM BE CANCELLED BEFORE
Evidence of Insurance THE EINRATION DATE THEREOF, NOTIE WILL BE OEWERED IN
ACCORDANCE WITH THE POLICY MOVIBBNS.
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nationalgrid
40 Sylvan Rd
Waltham MA 02451
April 12, 2018
Richard Korzeniows
30 Lyman Rd
Northampton MA
RE: Service Removal for Building Demolition.
This letter is to confirm that, per your request; National Grid has confirmed that meters
and service drop at 30 Lyman Rd
Northampton MA has been removed. If you have any questions or need further
assistance, please feel free to contact me at (508) 357-4514.
Sincerely
C �1
Dean 'fad
Electric Order Processing
nationalwid
40 Sylvan Rd.
Waltham MA02451
office 800-375-7405
(.IJ1Ll11111)1_l Gas -
of %Vjassad11t;Cit.-
A NiSoerce Company
995 Belmont Street
Brockton, MA 02301
o4/t6/r8
To: City of Northampton
This letter is to inform you that our records indicates the gas formerly
supplying the property listed below has been physically cut off at it source
on the date indicated.
3o Lyman Rd,
Apartment B ( Rear Bldg)
Northampton , Mn o1o6o
Sincerely,
Isatta Magona
Integration Center
Columbia Gas of Massachusetts
Green Environmental Consulting. Inc
180 Pleasant Street,Suite 213 Cel/fax 413-341-3418
Easthampton,MA 01027 www GecEoviro com
April 12, 2018
Mr. Richard Korzeniowski
Environmental Health and Safety Coordinator
Smith College
126 West Street
Northampton, MA 01063
RE: Clearance Monitoring
30 Lyman Street
Northampton, MA
Dear Mr. Korzeniowski.
Enclosed please find documentation for asbestos clearance services performed by
Green Environmental Consulting, Inc(GEC) at the above-referenced address from
March 14 thru April 12, 2018.
Following asbestos abatement activities, GEC's asbestos project monitors
(Mr. Adam Lesko, MA Project Monitor License # AM071419 and Mr. David Abad, MA Project
Monitor License # AM071610) performed visual inspections and air sampling in accordance
with Commonwealth of Massachusetts Department of Labor Standards (DLS) regulations 453
CMR 6.14 (5).
Visual inspections were performed by the asbestos abatement site supervisor and project
monitor until the criterion of no visible debris was achieved.
Clearance air sampling analysis was performed utilizing Phase Contrast Microscopy (PCM)
NIOSH Method 7400. Air samples were below the acceptable clearance level for post
abatement re-occupancy of 0.010 fibers per cubic centimeter(f/cc).
GEC appreciates the opportunity to work with you on this important project. If you have any
questions please contact us at(413) 341-3418-
Sincerely,
Adam Lesko
President
Page 1 of 1
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton,MA 01027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project N: 02057
Client Address: Physical Plant Northampton, MA 01063 Sampled by: David Abad
Date: 3/14/2018
Project Name: 30 Lyman Street
Project Address: 30 Lyman Street, Northampton
Sample Volume LOD Results
Sample Number Sample Location Type 17 terss Fibers Fields jlritiers cc FI ers cc
DC535424-01 Dining Room Area Final Air Clearance 1200 8 100 .002 .003
DC532501-02 Kitchen Area Final Air Clearance 1200 10 100 .002 .004
DD693963-03 Field Blank 0 100
DD693970-04 Field Blank 0 100
Analyst Name: I
David Abad Adam Lesko,Laboratory
Quality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,8/1S/94. Reported results have
been blank corrected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except In full,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class"C"Asbestos Analytical License d AA000242.
( Asbestos Air Sample Chain
g
Of Custody Record
Green Environmental Consulting.
180 Pleasant Street-Suite 213
Easthampton, MA 01027
Project Name: 30 Lyman Street Collection Date: 3/14/2018
GEC Project M 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street, Northampton
Time ow volume Actual T Adjusted Results LOD Duplicate
Sample k Sample Location I Sample Type Start top ata tart Stop Avg. (liters) Fibers Fields Fibers Ftaid. (f/cq (f/cc) Fibers Fields
DC535424
-01 Dining Roam Area Final Air Clearance 14:35 15:55 80 15.0 15.0 15.0 1200 8 700 8 100 .003 .002 100
DC532501
-02 Kitchen Area Final Air Clearance 14.36 15:56 80 15,0 15.0 15,0 1200 10 100 10 100 .004 .002 8 100
179-4 Reference 65 100
DD693963
-03 Field Blank 0 100
DD693970
-04 Field Blank 0 100
Relin fished by,
Date/Time Received In Lab By: Date/Time'.
tCl 1�
Page 1 of 1
Certification of Visual Inspection
Green Environmental Consulting, Inc
Green
Pleasant Street-Suite 213
Consulting,
Easthampton, MA 01027
GEC Project p: Date :
02057 3/14/2018
Project Address: Client
30 Lyman Street, Northampton Smith College
Work Area(s)Inspected:
Kitchen
Materials Removed and Quantity:
Yellow Mastic Under Backsplash-13 LF
Black Sink Undercoating-3 SF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the Work Area(s)and have found no visible debris.
Owner's Representative: Date: License 9 License Exp.Date:
AM071610 1/1/2019
Notes: 2�
Pagel oft
Green Environmental Consulting, Inc
Pleasant Street-Suite 213
Easthampton,MA 07027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project#: 02057
Client Address: Physical Plant Northampton, MA 01063 Sampled by: David Abad
Date: 3/14/2018
Project Name: 30 Lyman Street
Project Address: 30 Lyman Street, Northampton
Salm le Volume LOD Results
Sample Number Sample Location T mels Fibers Fields Fibers c< Fr ers CC
DC535641-05 Back Room - Left Side Final Air Clearance 1200 11 100 .002 .004
DC535778-06 Back Room -Right Side Final Air Clearance 1200 12 100 .002 .005
DC535384-07 Field Blank 0 100
DC535589-08 Field Blank 0 100
Analyst Name:
David Abed Adam Lesko, Laboratory
Quality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,d/)S/94. Reported results have
been blank corrected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except in full,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class"C"Asbestos Analytical License#AA000242.
Asbestos Air Sample Chain
Green Environmental Consulting, Inc of Custody Record
'.yam Pleasant Street-Suite 213
Easthampton, MA 01027
Project Name: 30 Lyman Street Collection Date: 3/14/2018
GEC Project O: 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street, Northampton
Time ow volume Actual Adjusted Results LoD Duplicate
Sample 7f Sample Location Sample Type tart top Tota Start Stop Avg. (liters) Fibers Fteltls Fibers Fields (f/cc) (f/cc) Fibers Fieltls
DC535641 Back Room - Left
-05 Side Final Air Clearance 14:55 16:15 80 15.0 15.0 15.0 1200 11 100 11 100 .004 .002 100
DC535778 Back Room - Right
-06 Side Final Air Clearance 1455 1615 80 15.0 15.0 15.0 1200 12 100 12 100 .005 .002 9 100
DC535384
-07 Field Blank 0 100
DC535589
-08 Field Blank 0 100
Relinquished By: Date/Time: Received in Lab By Date/Time:
Page 1 of 1
Certification of Visual Inspection
`ik� weal Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton, MA 01027
GEC Project#: Date :
02057 3/14/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Area(s)Inspected:
Living Room
Materials Removed and Quantity:
Glue Daubs-300 SF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the Work Area(s)and have found no visible debris.
Owner's Representative: Date: License It License Exp. Date:
14 j AM071610 1/1/2019
Notes:
Page 1 of 1
4,
vessel 180
Environmental Consulting, Inc
re Pleasant Street-Suite Consulting,
Easthampton,MA 01027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project C: 02057
Client Address: Physical Plant Northampton, MA 01063 Sampled by: David Abad
Date: 3/15/2018
Project Name: 30 Lyman Street
Project Address: 30 Lyman Street, Northampton
Sample Volume LOD Results
Sample Number Sample Location Type tern Fibers Fields Fibers c< F ere Cc
DC535626-05 2nd Floor Bath Final Air Clearance 1200 8 100 .002 .003
DC535396-06 2nd Floor Laundry Closet Final Air Clearance 1200 9 100 .002 .004
DD694166-07 Field Blank 0 100
DD694234 Field Blank 0 100
Analyst Name: ./I' t
David Abad Adam Lesko, Laboratory
Quality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,8/15/94. Reported results have
been blank corrected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except in lull,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class"C"Asbestos Analytical License a AA000242.
y. Asbestos Air Sample Chain
of Custody Record
Gre¢n Environmental Consulting, Inc
Pleasant Street-Suite 213
Eas
Easthampton. MA 01027
Project Name: 30 Lyman Street Collection Date: 3/15/2018
GEC Project#: 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street, Northampton
me Faw Volume Actual Adjusted Results LOD Duplicate
Sample# Sample location Sample Type Start mop Totall3tart top Avg. (liters) Fibers Fieldsribersl Fields) (f/cc) I (f/<c) Fibers Fields)
DC535626
-05 2nd Floor Bath Final Air Clearance 13:55 15:15 80 15.0 15.0 15.0 1200 8 100 8 100 .003 .002 100
DC535396 2nd Floor Laundry
-06 Closet Final Air Clearance 1355 1515 80 15.0 15.0 15.0 1200 9 100 9 100 .004 002 7 100
DD694166
-07 Field Blank O 100
DD694234 Field Blank 0 100
Relinquished By: Date/Time: Received in Lab By. Date/Time'.
� �iS�ly � C 7t�C 31j�fr
Page l of
Certification of Visual Inspection
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
EdSlhdmptOn, MA 01027
GEC Project#: Date
02057 3/15/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Areats)Inspected:
2nd Floor Bath
2nd Floor Laundry Closet
Materials Removed and Quantity:
Tan Shell Linoleum-35 SF
Black Paper Under Linoleun-35 SE
Black Cove Base Mastic-13 LF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the Work Area(s)and have found no visible debris.
Owner's Representative: Date: License# License Exp. Date:
AM071610 1/1/2019
Notes:
Page 1 of 1
Green Environmental Consulting, Inc
y 180 Pleasant Street-Suite 213
vesselwh. Easthampton,MA 01027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project#: 02057
Client Address: Physical Plant Northampton, MA 01063 Sampled by: David Abad
Date: 3/15/2018
Project Name: 30 Lyman Sheet
Project Address: 30 Lyman Street, Northampton
Sample Volume LOD Results
Sample Number Sample Location Type iters Fibers Fields fibers cc Ft ers cc
DC535630-09 Left Side Final Air Clearance 1200 11 100 .002 .004
DC535837-10 Right Side Final Air Clearance 1200 8 100 .002 .003
DD694173-11 Field Blank 0 O 100
DD694167-12 Field Blank 0 0 100
/��pV
Analyst Name:
David Abad Adam Lesko, Laboratory
Quality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,8)15/94. Reported results have
been blank corrected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except in full,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class"C^Asbestos Analytical License#AA000243.
Asbestos Air Sample Chain
of Custody Record
Gr¢¢n Environmental Consulting, Inc
�.
Easthampton,
Pleasant Street 1027 213
Easthampton, MA 01027
Project Name: 30 Lyman Street Collection Date: 3/15/2018
GEC Project#: 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street, Northampton
Volume Actual Adjusted Results LOD Duplicate
Sample# Sample location Sample Type Start Slop ota Start Stop vg. (liters) Ftbers Fields FibersJFields (t/cc) (t/cU Fibers Fields
DC535630
-09 Left Side Final Air Clearance 2'.21 3'41 80 15.0 15.0 15.0 1200 11 100 11 100 .004 .002 9 100
DC535837
-10 Right Side Final Air Clearance 2:21 341 80 15.0 15.0 15.0 1200 8 100 8 100 .003 .002 100
179-4 Reference los 100
DD694173-11 Field Blank 0 100
DD694167
-12 Field Blank 0 100
Relinquished By: Date/Time: Received in Lab By: Date/Time:
Vi$ i( i__ i� Crs Z 3ll�j�d
Page 1 of 1
Certification of Visual Inspection
6 Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
�re Easthampton, MA 01027
GEC Project Y: Date
02057 3/15/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Area(s)Inspected:
2nd Floor Bathroom
Materials Removed and Quantity:
Linoleum-3S SF
In accordance with applicable regulations and project requirements, hereby certify that I have visually inspected
accessible surfaces in the Work Area(s) and have found no visible debris.
Ole,' Representative: Date: License is License Exp. Date:
AM071610 1/1/2019
Notes:
Page 1 of 1
Green Environmental Consulting, Inc
Gr Pleasant et-Suite Consulting,
Easthampton, MA 01027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project#: 02057
Client Address: Physical Plant Northampton, MA 01063 Sampled by: David Abad
Data; 3/16/2018
Project Name: 30 Lyman Street
Project Address: 30 Lyman Street, Northampton
Sanaa Volume LOD Results
Sample Number Sample Location TVDe tern Fibers Fields Fibers cc F ers cc
DC535417-01 Bottom of Stairs Final Air Clearance 1275 2 100 .002 <.002
DC535608-02 Middle Room on ledge Final Air Clearance 1275 1 100 .002 <.002
DC535603-03 Back Area Final Air Clearance 1275 1 100 .002 <.002
DD694221-04 Field Blank 0 100
DD694193-05 Field Blank 0 100
Analyst Name'. i V
David Abad Adam Lesko, Laboratory
Quality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,11/15/94. Reported results have
been blank connected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except In full,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class"C"Asbestos Analytical License g AA000242.
Asbestos Air Sample Chain
of Custody Record
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton, MA 01027
Project Name: 30 Lyman Street Collection Date: 3/16/2018
GEC Project M 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street, Northampton
T me T Flow Volume Actual Adjustetl Results LDID Duplicate
Sample M Sample Location L. Sample Type $tart ✓✓p�1'ota Start Stop Avg. (liters) Fibers Fieltls Fibers Fields—(f/!c) (f/cc) Fibers Fields
DC535417
-01 Bottom of Stairs Final Air Clearance 9:55 11:20 85 15.0 15.0 15.0 1275 2 100 2 100 1,002 .002 1 100
DC535608 Middle Room on
-02 ledge Final Air Clearance 9:55 1120 85 15.0 15.0 15.0 1275 1 100 1 100 1.002 .002 100
DC535603
-03 Back Area Final Air Clearance 9:55 11:20 85 15.0 15.0 15.0 1275 1 100 1 100 <.002 .002 100
200-4 Reference 14 100
DD694221
-04 Field Blank 0 100
DD694193
-05 Field Blank 0 100
Relinq h By, Date/Time: Received in Lab By: Date/Time:
1 J /�f`r —+�- �., �.Cl _ Il. .l.ir�t{c�.. �Itri i(f
Page l of
Certification of Visual Inspection
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton, MA 01027
GEC project#: Date
02057 3/16/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Area(s)inspected:
Basement Area
Materials Removed and Quantity:
Black Glue Daubs-120 SF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the work Area(s)and have found no visible debris.
Owner's Representative: Date: License# License Exp. Date:
'k I $ AM071610 1/1/2019
Notes:
Page 1 of 1
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton, MA 01027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project It: 02057
Client Address; Physical Plant Northampton, MA 01063 Sampled by: David Abad
Date: 4/5/2018
Project Name: 30 Lyman Street
Project Address: 30 Lyman Street, Northampton
Sample Volume LOD Results
Sample Number Sample Location TypeI—I tars Fibers FieldsFibers cc F' ars cc
CY915126-01 Exterior Final Air Clearance 1200 1 100 .002 x002
CY915187-02 Exterior Final Air Clearance 1200 2 100 .002 <,002
CY915119-03 Field Blank 0 0 100
CY915133-04 Field Blank 0 0 100
Analyst Name'. 4 r�
David Abad Adam Lesko, Laboratory
Quality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,8/15/94. Reported results have
been blank corrected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except in full,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class"C"Asbestos Analytical License p AA000242.
Asbestos Air Sample Chain
Green Environmental Consulting, Inc of Custody Record
180 Pleasant Street-Suite 213
Easthampton, MA 01027
Project Name: 30 Lyman Street Collection Date: 4/5/2018
GEC Project p: 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street, Northampton
T m�T ow yolum�pctual Adjusted Results �LOD Duplicate
Sample p Sample Location Sample Type Start top Tota tart Stop Avg. (liters) Fibers Fields Fibers Fields (f/cc) (f/cc) FlberS Fields
CY915126-01 Exterior Final Air Clearance 13:16 14:36 80 15.0 15.0 15.0 1200 1 100 1 100 <.002 .002 100
CY915187
-02 Exterior Final Air Clearance 13:18 14:38 80 15.0 15.0 15.0 1200 2 100 2 100 <.002 .002 2 100
200-4 Reference 13 100
CY915119-03 Field Blank 0 100
CY915133
-04 Field Blank 0 100
Relinquished By: Dale/Time: Received in Lab By'. Date/Time'.
Page 1 of 1
Certification of Visual Inspection
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton,MA 01027
GEC Project#: Date
02057 4/5/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Area(s) Inspected:
Exterior- North 8 West Walls
Materials Removed and Quantity:
Foundation Damproofing-270 SF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the Work Area(s)and have found no visible debris.
Owner's Representative: Date: License# License Exp. Date:
Li a AM071610 1/1/2019 —
Notes:
Page l of
Green Environmental Consulting, Inc
180 Pleasant Street-Suite 213
Easthampton,MA 01027
Phase Contrast Microscopy (PCM) Air Sample Report
Client: Smith College GEC Project R: 02057
Client Address: Physical Plant Northampton, MA 01063 Sampled by: David Abad
Date: 4/6/2018
Project Name: 30 Lyman Street
Project Address: 30 Lyman Street, Northampton
Sample Volume LOD Results
Sample Number Sample Location TVDeI�ters Fibers Fields Fibers cc FI ers ct
CY915174-01 Exterior-SE Corner Final Air Clearance 1200 4 100 .002 <.002
CY915638-02 Exterior-SW Corner Final Air Clearance 1200 3 100 .002 <,002
CY915214-03 Field Blank 0 0 100
CY915129-04 Field Blank 0 0 100
Analyst Name: t4
t�-
David Abad Adam Lesko, Laboratory
Duality Assurance Manager
Fiber count by Phase Contrast Microscopy(PCM), NIOSH 7400 Method,Revision 3,Issue 2,8/15/94. Reported results have
been blank corrected as applicable. This report relates only to the samples reported above. This report may not be
reproduced,except in full,without written approval by Green Environmental Consulting,Inc(GEC).
Massachusetts Class^C'Asbestos Analytical License g AA000242.
Asbestos Air Sample Chain
Groan Environmental Consulting, Inc of Custody Record
1a0 Pleasant Street-Sone 213
Easthampton, MA 01027
Project Name: 30 Lyman Street Collection Date: 4/6/2018
GEC Project k: 02057 Collected/Analyzed by: David Abad
Client: Smith College
Project Address: 30 Lyman Street,Northampton
T me F ow volume Ac[uai Adjustetl Results LOD Duplicate
Sample# Sample Location Sample Type
Start Stop Tota tart Stop Avg. (liters) Fibers Frelds Fibers Fieltls (f/cc) (ti Fibers F'elds
CY915174-01 Exterior-SE Corner Final Air Clearance 12:40 14:00 80 15.0 15.0 15.0 1200 4 100 4 100 1.002 .002 2 100
CV915638 __... _
-02 Exterior-SW Corner Final Air Clearance 12:40 14'.00 80 15.0 15.0 15.0 1200 3 100 3 100 <,002 .002 100
179-4 Reference 68 100
CY915214 — _-
-03 Field Blank 0 100
CY915129
-04 Field Blank O 100
Relinquished By: Dale/Time: Received in Lab By: Date/Time:
Page 1 of
Certification of Visual Inspection
5� Green Environmental Consulting. Inc
a 180 Pleasant Street-Suite 213
1, Easthampton, MA 01027
GEC Project#: Date
02057 4/6/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Area(s)Inspected:
Exterior- South Wall
Materials Removed and Ouantity:
Damproofing-120 SF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the Work Area(s)and have found no visible debris.
Owner's Representative: Date: License# License Exp. Date:
il 1 AM071610 1/1/2019
Notes:
Certification of Visual Inspection
�.
Green Environmental Consulting, Inc
Gr Pleasant Street-Suite Consulting,
Easthampton, MA 01027
GEC Project p: Date
02057 4/12/2018
Project Address: Client:
30 Lyman Street, Northampton Smith College
Work Area(s) Inspected:
Roof
Materials Removed and Quantity:
Transite Board-25 SF
Caulk on Chimney-25 LF
Roofing Tar-870 SF
In accordance with applicable regulations and project requirements, I hereby certify that I have visually inspected
accessible surfaces in the Work Area(s) and have found no visible debris.
Ow� 4>s Re pre Entalive: Date: License R License Exp.Date:
4 3 AM071419 7/15/2018
Notes:
Roofing Tar removed from upper roof. Transite removed from transition from lower to upper roof. Caulk
removed from both chimneys.