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30C-049 (4)
BP-2022-1204 506 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30C-049-001 CITY OF NORTHAMPTON Permit: Demo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1204 PERMISSION'S HEREBY GRANTED TO: Project# DEMO Contractor: License: Est. Cost: 30000 BRIAN CAMPEDELLI CS-082616 Const.Class: Exp.Date:09/06/2024 Use Group: Owner: LLC TAYLOR FLORENCE RE HOLDINGS II, Lot Size (sq.ft.) Zoning: SR Applicant: BRIAN CAMPEDELLI Applicant Address Phone: Insurance: 223 CARDINAL WAY (413)539-3685 FLORENCE, MA 01062 ISSUED ON:10/06/2022 TO PERFORM THE FOLLOWING WORK: DEMO HOME AND OTHER STRUCTURES POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 1 4 • • >9 - 59/1/ Fees Paid: S75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner File #BP-2022-1204 ` APPLICANT/CONTACT PERSON:BRIAN CAM PEDELLI 223 CARDINAL WAY FLORENCE, MA 01062(413)539-3685 PROPERTY LOCATION 506 FLORENCE RD MAP:LOT 30C-049-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRI I) DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $75.00 Type of Construction: DEMO HOME AND OTHER STRUCTURES New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License • 3 sets of Plans/Plot Plan iTH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON i IN ORMATIO RESENTED: % S v_E`r oR 410 - k) °` ?, Approved Additional permits required (see below) V �rQ' � PLANNING B PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management molition Delay 1 ii ial 1g .. 1 1 9'O‘ Sign;ture of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission,Depar ment of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office $f Planning&Development for more information. i — , - _— r The Commonwealth of Massachusetts ^ Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNIUIPE LITY N 13vilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 o N oe L One- or Two-Family Dwelling EJ ry This Sectio For Official Use Only cL L5 Bu�ing Pciiit Number: RA../.1,6- Date Ap lied: [ . ding(ific al(Print Name) Signature l D e �-; _ SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers S cn 6 c te't..! PSl t kI4-,-(76,. 3o G O cf 9 1.la Is this an accepted street?yes no I Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Way Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 6 Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 6 T L� 2s c- -5";_„,, Pew..-. Name(Print) J City,State,ZIP y 41JSgS'-- 421 No.and Street Telephone *tAwaJrsI_ l Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 A.dition 0 Demolition [ti Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': DL„„..0[ oll.'..c i E off- so 0-f(o ,., U . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees. ( � , Suppression) Check No. (lheck Amount: Cash Amount: 6. Total Project Cost: 1111111111= 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS gZ` (� i ��I �� E �,t License Number Ex ra io mi s n Date Name of CSL Holder /' List CSL Type(see below) 1'Z `o 1(nit / No.and Street Type Description 1:(11few.k. AA P 01061, Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiation Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this applicatio is true and accurate to the best of my knowledge and understanding. 1/Print w ,'s or Au orize Ag is Name(Electronic Signature) ate NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.go%/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage" may be substituted for"Total Project Cost" City of Northampton Massachusetts �'mow`' t�� DEPARTMENT OF BUILDING INSPECTIONS ,y, s `;,"t 212 Main Street • Municipal Building v.,, CD ‘,—'-a Or ' Northampton, MA 01060 �4, ' '�d A CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permi t Number is that all debris resulting from this work shall be •isposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: A Location of Facility: J �O�E'_- Al y The debris will be transported by: Name of Hauler: _poke i,//,‘,. 'r 1 if A Signature of Applicant: �/17 � , ,� Date: , Al 2 The Commonwealth of Massachusetts _ —, 1, Department of Industrial Accidents itaj .• 1 Congress Street,Suite 100 ili; Boston,MA 02114-2017 ,:— www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leg bly Name (Business/Organization/Individual): tom- ....Q eSt(i. Address: Z1-3 ...•Q City/State/Zip: Ti+v-e--, 1 VIA' O( 06 2_ Phone#: 4143 —5;91'''1—/ Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling any capacity.[No workers'comp.insurance required.] 9. { Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t p 6.0 We area corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. !,7 �(, Insurance Company Name: YOWU• 7.-(Z(i-44(24,-t Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$.,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains and penalties of perjur hat the information provided above is true and correct. Signature: Date: 1 Z.f 7_...1--- Phone#. tit 3 Set—z1 Official use only. Do not write in this area, to he completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: September Lane Labs, INC. WWI ONIIMINI P. O. BOX 275 Beacon Falls, CT 06403 203-668-8533 04/21/20;22 WORK PERFORMED BY: Baystate Contracting Services, INC. 352 Albany Street Springfield, MA 01105 Attn: James Beaudry Project NO: 506-FR-FM 506 Florence Road Florence, MA The asbestos abatement project is considered completed because the post-abatement re-occupancy criteria for the asbestos abatement have been satisfied. On April 20, 2022, a Licensed Project Monitor conducted a visual inspection and collected PCM Final Clearance air sample. No visible debris was found in the containment. The air sample collected in the abatement work area was below the level specified in Federal and MASS Regulations, 0.010 f/cc. Attached are EMSL's PCM Air Clearance analysis results. ABATED ACM: Kitchen Drywall and Joint Compound Roofing Shingles ro MA Li 041 31 nationalgridINVOICE National Grid Non-Utility Billing 300 Erie Blvd. West Syracuse NY 13202 (315) 428-3110 Invoice Number: 5001 15447 Invoice Date: 12/09/2021 Customer Number: 400030872 SHERRY TAYLOR Due Date: 03/09/2022 25 Edwards Sq Work Order: 10030505132 Northampton MA 01060-3219 Line Description Quantity UOM Unit Amt Net Amount Please make this payment promptly to ensure your job progresses in a timely manner. Costs associated with temp service at 506 Florence Rd, Florence, MA If paying by wire: Wire Payment: JPMorgan Chase, Bank Routing Number (ABA): 021000021, Credit: National Grid USA, Bank Acct. Number: 777149618. Please include invoice(s) with payment If you have any questions about this invoice, please contact DONNA MCGUIRE 10 Non Utility Billing Line Item 1 .000 EA 240.00 $240.00 Sub Total : 240.00 Total Taxes : *l 13, 0.00 TOTAL AMOUNT DUE: (442'I $240.00 Prices are subject to change after 90 days ACH Payments (Banking Information) up to $99,999 can be made for a One Time Fee through Speedpay at https://internet.speedpay.com/nationalgrid. Credit/Debit Card Payments can be made in five (5) $1,000 Increments for Invoices up to $5,000, at a fee per Transaction, through Speedpay, by selecting Add Card in the Payment Form at https://internet.speedpay.com/nationa!grid BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: NO' Address: S r? `VI a d kviLyle, Kit Building Use: Owner: • Phone: 1tL?— l Owner's Address: �r UTILITY CUT OFF (Signature of Authorized Representative of Utility Department required), As required by the Massachusetts State Building Code (780 CMR), a permit to demolish shall not be issued until a release from the utilities is obtained, stating that their respective service connections and appurtenant equipment have peen removed or sealed and plugged in a safe manner. Eversource (Gas) 474 4 Signature Title National Grid (Electric) . ,►1.tx„,.� Signature Title DPW (Water) _ Signature Title DPW (Sewer) /h Signature Title DPW (Storm water) _ nre � I Title DPW (Tree Warde YI1e lil��f yeh) Si nature Title DPW Director Signature Title Historic Comm. Review Signature Title September Lane Labs, INC. P. O. BOX 275 Beacon Falls, CT 06403 203-668-8533 Private Client Project Monitoring Agreement CLIENT: ''� / f ADDRESS: 57) 7V CITY: /1)� STATE/ZIP CODE: Client will retain September Lane Labs, INC. to perform a Final Visual Inspection and Collect Final Clearance Air Sample(s) if applicable. Check One: Final Visual Inspection $225.00 _ PCM Final Clearance — 1 Cassette $300.00 PCM Final Clearance — 2 - 4 Cassettes $350.00 SIGNATURE: DATE: 3 D Payment in form of check to SLL, INC. will be made available day of services. BAYME NW=SERVICAINC 352 Albany Street,Springfield,Massachusetts 01105 Tel: (413)781-0820/(800)448-2822 Fax:(413)734-6224 May S,2021 Industrial Hygienist Firms Recommend September Lane Labs Contact: Marco Carralero 83 September Lane Beacon Beacon Falls Ct. Cell: (203) 668-8533 E-Mail: septemberlanelabs(a;?gmail.com Project Monitor DLS Certification #AM041931 Asbestos Analytical Lab #AA000191 Green Environmental Consulting LLC Contact: Adam Lesko 180 Pleasant Street Suite# 213 Easthampton, Ma 01027 Cell: (413) 695-5875 E-Mail: alesko@gecenviro.com Project Monitor DLS Certification # AM071610 Asbestos Analytical Lab # AA000242 ATC Group Services LLC Contact: Brian Williams (413) 781-0070 73 William Franks Drive West Springfield, Ma. E-Mail: brian.williams@atcgs.com Project Monitor DLS Certification #AM000095 Asbestos Analytical Lab # AA000005 Project Monitor May 3,2021 BA Al CON'IIAC�l SEE 1 E-MAILED 352 Albany Street,Springfield,Massachusetts 01105 / Tel:(413)781-0820/(800)448-2822 1/2 V-2CteL Fax:(413)734-6224 www.bmstaiecontractin.2.com AAJEOE 1 January 26,2022 Sam and Sherry Taylor 25 Edwards Square Northampton,MA 01060 For the sum of$10,850.00,we agree to perform the following asbestos abatement work at 506 Florence Road in Florence.Massachusetts. Asbestos Abatement work includes: 1. Removal of approximately 704 S.F.of joint compound walls located in the kitchen, I"floor back hallway. 2. Removal of 8 S.F.of sink undercoating located in the kitchen. 3. Removal of 85 S.F.of glazing on windows located at front/back of house I°floor fix window&6 ea.in back. 4. Removal of 20 S.F.of old furnace located in the basement. 5. Removal of 1 ea.275-gallon oil tank with 10 gallons of product located in the basement. 6. Removal of 2 S.F.of black mastic located on the exterior meter box. 7. Removal of 225 S.F.of 3 ea.layers of rolled roofing located on shed#3. 8. Removal of 375 S.F.of 1 ea.layer of rolled rooting located on shed#4. Our methods of removal include: 1. Work is done in a cocoon type work area. 2. HEPA vacuum work area. 3. Use of Profo-Bags. 4. Brand method of negative air pressure and HEPA filtering work area(4 times per hour) 5. Wet removal. 6. Brush all surfaces and wipe clean. 7. Encapsulent agent on all surfaces. 8. Compliance concerning all local,state,and federal agency required by law notifications. 9. Proper disposal and transportation of asbestos to an EPA authorized dumpsite. Our standards meet all EPA,DOS,DEP and OSHA requirements for asbestos abatement. We are licensed and fully insured. Sam and Sherry Taylor shall be responsible for: 1. Removing all moveable objects from work area prior to start of work. 2. Making pre-payment of 50%prior to Baystate Contracting Services,Inc.filing the required State notification with Dep: ent of Environmental Protection(DEP),which has a ten(10)working day waiting period,with the balance due in full upon c.mpletion. 3. To arrange and pay for Visual Inspection and Air Test by an Independent Industrial Hygienist.See attached sh. t. Note: Due to the use of tape,spray adhesive,staples,etc.to meet compliance with applicable asbestos removal State regulations,Baystate Contracting Services,Inc.cannot be held liable for damages to surfaces in the work area. Sam and Sherry Taylor acknowledge that they are the owner of the property and are not in bankruptcy or petitioning for bankrup, y. Any balance that becomes past due for any reason will be charged a service charge of 1.5%per month,18%annually.If it should becom necessary to turn This account ov9/Igr collection,the billed party agrees to pay all collection costs,plus reasonable attomey's fees incurred. i DISCLAIMER: This contract is only val' 'f the Owner acknowledges and has disclosed any and all violations or orders placed on the .perty by any Governmental ager y(if any exists). n act any violations exist and any work has been done by Baystate Contacting Services,Inc.,B.ystate can stop further work upon discovery of su v' lations and the owner will be responsible for costs of labor and materials associated with the wo executed. The li ility of :ystate Complain Services,Inc.begins and ends with the contracted work only.Asbestos in the building not covered .y this contract is not the re sibili of Baysta Con ling Services,Inc. BAN STATr CONTRA . G S R CES,INC. Agreed Accepted by: .it J James Be,udry,Estimator "'Sam and Sherry Taylo Pi, ;girl;to .n c . 1'21)._? N:\Msword\ASBESTOS contracts120221506 Florence Road,Florence,MA..doc September Lane Labs, INC. P. O. BOX 275 Beacon Falls, CT 06403 203-668-8533 04/21/2022 WORK PERFORMED BY: Baystate Contracting Services, INC. 352 Albany Street Springfield, MA 01105 Attn: James Beaudry Project NO: 506-FR-FM 506 Florence Road Florence, MA The asbestos abatement project is considered completed because the post-abatement re-occupancy criteria for the asbestos abatement have been satisfied. On April 20, 2022, a Licensed Project Monitor conducted a visual inspection and collected PCM Final Clearance air sample. No visible debris was found in the containment. The air sample collected in the abatement work area was below the level specified in Federal and MASS Regulations, 0.010 f/cc. Attached are EMSL's PCM Air Clearance analysis results. ABATED ACM: Kitchen Drywall and Joint Compound Roofing Shingles ero MA Li 041931 � y 44))1. EMSL Analytical, Inc. EMSL Order: 2201856 Customer ID: LL78 Customer PO: 165 Gracey Avenue Meriden,CT 06451 Tel/Fax: (203)284-5948/(203)284-5978 Project ID: http://www.EMSL.com/wallingfordlab@emsl.com Attention: Marco Carralero Phone: (203)668-8533 September Lane Labs Inc Fax: 83 September Lane Received Date: 04/20/2022 03:35 PM Beacon Falls, CT 06403 Analysis Date: 04/20/2022 Collected Date: 04/20/2022 Project: 506-FR-FM/506 FLORENCE ROAD FLORENCE, MA Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method -A Rules, Revision 3, Issue 3, 6/15/2019 LOD Sample Location Sample Date Volume(L) Fibers Fields (fib/cc) Fibers/mm' Fibers/cc Notes B-01 BLANK LOT 04/20/2022 Field Blank Not Analyzed 242201856-0001 01 IN KITCHEN 04/20/2022 1318 5.5 100 0.0020 7.01 0.0021 242201856-0002 The results reported have been blank corrected as applicable. Analyst(s): Danny Sandhu PCM 1 Danny Sandhu,Asbestos La.. : • Manager or other Approved Signatory EMSL maintains liability limited to cost of analysis.Interpretation and use of test results are the responsibility of the client.This report relates only to the samples reported above,and may not be reproduced,except in full, without written approval by EMSL.EMSL beam no responsibility for sample collection activities or analytical method limitations.The report reflects the samples as received.Results are generated from the field sampling data(sampling volumes and areas,locations,etc.)provided by the client on the Chain of Custody.Samples are within quality control criteria and met method specifications unless otherwise noted.Limit of detection is 7 fibers/mm'.Fiber counts outside the recommended fiber density range of the method(100-1300 f/mm')have greater than optimal variability and are probably biased.Field blank results,when available,are used to blank correct results.NIOSH 7400 requires field blanks be submitted at a rate of 10%,with a minimum of 2 per set.Measurement of uncertainly available upon request.The results in this report meet all requirements of the NELAC standards unless otherwise noted.!We-laboratory Sr values:5-20 fibers=0.35,21-50 fibers=0.15,51-100 fibers=0.17.Inter-laboratory Sr values(Average of EMSL round robin data)=0.34. Samples analyzed by EMSL Analytical,Inc.Meriden,CT CT PH-0322,MAAA000191,RI AAL-108T3,VT AL357101,NYS ELAP 12063 Initial report from:04/20/2022 05:06 PM Printed 04/20/2022 05:06 PM ASS_: .'T,_NoSig_0003_0001 Pape 1 of 1 EMSL Analytical, Inc: EMSL Order: 42201856 Customer ID: LL78 •EMSL 165 Gracey Avenue Meriden,CT 06451 Customer PO: Tel/Fax: (203)284-5948/(203)284-5978 Project ID: , http://www.EMSL.com/wallingfordlab@emsl.com Attention: Marco Carralero Phone: (203)668-8533 September Lane Labs Inc Fax: 83 September Lane Received Date: 04/20/2022 03:35 PM Beacon Falls, CT 06403 Analysis Date: 04/20/2022 Collected Date: 04/20/2022 Project: 506-FR-FM/506 FLORENCE ROAD FLORENCE, MA Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method -A Rules, Revision 3, Issue 3, 6/15/2019 LOD Sample Location Sample Date Volume(L) Fibers Fields (fib/cc) Fibers/mm' Fibers/cc Notes B-01 BLANK LOT 04/20/2022 Field Blank Not Analyzed 242201856-0001 01 IN KITCHEN 04/20/2022 1318 5.5 100 0.0020 7.01 0.0021 242201856-0002 The results reported have been blank corrected as applicable. Analyst(s): DOZ1441 Danny Sandhu PCM 1 Danny Sandhu,Asbestos Laboratory Manager or other Approved Signatory EMSL maintains liability limited to cost of analysis.Interpretation and use of test results are the responsibility of the client.This report relates only to the samples reported above,and may not be reproduced,except in full, Without written approval by EMSL.EMSL bears no responsibility for sample collection activities or analytical method limitations.The report reflects the samples as received.Results are generated from the field sampling data(sampling volumes and areas,locations,etc.)provided by the client on the Chain of Custody.Samples are within quality control criteria and met method specifications unless otherwise noted.Limit of detection is 7 fibers/mm'.Fiber counts outside the recommended fiber density range of the method(100-1300 f/mm')have greater than optimal variability and are probably biased.Field blank results,when available are used to blank correct results.NIOSH 7400 requires field blanks be submitted at a rate of 10%.with a minimum of 2 per set.Measurement of uncertainly available upon request.The results in this report meet all requirements of the NELAC standards unless otherwise noted.Inlra-laboratory Sr values:5-20 fibers=0.35,2150 fibers=0.15,51-100 fibers=0.17.Inter-laboratory Sr values(Average of EMSL round robin data).0.34. Samples analyzed by EMSL Analytical,Inc.Meriden.CT CT PH-0322,MAAA000191,RI AAL-108T3,VTAL357101,NYS FLAP 12063 Initial report from:04/20/2022 05:06 PM Printed:04/20/2022 05:06 PM A SB_PGM_NoS/y_O003,._flOC-` Page 1 of 1 6/6/22,3:29 PM Mail-Samuel Taylor-Outlook Re: 506 Florence Rd Demolition David Sparks <davidsparks@northamptonma.gov> Mon 12/20/2021 8:52 AM To:Samuel Taylor <samtaylorl @hotmail.com> Hi Sam, do you expect to use the water service again for a new house? If so we ask that your demo contractor not hook the service during demolition. If this is not possible we will require the'service be cut off outside the foundation so it won't be pulled out of the water main. If you don't plan on reusing the service we will require it be cut off at the main. Let me know what your plan is. Thanks On Fri, Dec 17, 2021 at 12:18 PM Samuel Taylor <samtaylorl @hotmail.com> wrote: Hello, My name is Sam Taylor. We are trying to get the permit completed for a demolition of 506 Florence Rd. I need to get a sign off for the demolition to start. I had the water turned off at the road earlier so that there wouldn't be any freezing problems this winter. Is there anythithg else I need to have done to get your signature. Thanks Sam Taylor 413-588-7421 Sent from Mail for Windows David Sparks Water Superintendent City of Northampton 413-587-1097 1/1 https://outlook.live.com/mail/0/deeplink?Print INVENTORY FORM B CONTINUATION SHEET [NORTHAMPTON ] [506FLORENCE ROAD] MASSACHUSETTS HISTORICAL COMMISSION Arca(s) Form No. 220 MORRISSEY BOULEVARD,BOSTON,MASSACHUSETTS 02125 - NTH.445 Recommended for listing in the National Register of Historic Places. If checked,you must attach a completed National Register Criteria Statement form. Use as much space as necessary to complete the following entries, allowing text to flow onto additional continuation sheets. ARCHITECTURAL DESCRIPTION: Describe architectural features. Evaluate the characteristics of this building in terms of other buildings within the community. This is a one-and-a-half story house with a side-gable roof to which is attached a front-gable. In the angle of the two sections of house is a tower. A porch traverses the front-gabled section. It rests on columns and has a brick stoop. The vinyl siding and window replacements obscure any details of architectural significance. HISTORICAL NARRATIVE Discuss the history of the building. Explain its associations with local(or state)history. Include uses of the building, and the role(s)the owners/occupants played within the community. From Form B of 1980: "Florence Road, originally known as South Street, first appears on the 1854 Hampshire ¶o. Map as a connecting route between Florence and Easthampton. The road begins at a junction with West Street (now Ryan Road)at the middle crossing of the Mill River in Florence, and heads south to a junction with Easthampton Road (now Wilson Road) near the Easthampton line. Only a few farms were scattered along this road until the 20th century and more particularly after the Second World War, when suburban development lined this street with houses." BIBLIOGRAPHY and/or REFERENCES Beers, F. W. County Atlas of Hampshire Massachusetts, New York, 1873. Hales, John G. Plan of the Town or Northampton in the County of Hampshire, 1831. Miller, D. L. Atlas of the City of Northampton and Town of Easthampton, Hampshire County, Massachusetts, Philadelphia, 1895. Walker, George H. and Company. Atlas of Northampton City, Massachusetts, Boston, 1884. Walling, Henry F. Map of Hampshire County, Massachusetts, New York, 1860. Continuation sheet 1 6/6/22,3:29 PM Mail-Samuel Taylor-Outlook • Re: 506 Florence Rd Demolition David Sparks <davidsparks@northamptonma.gov> Mon 12/20/2021 8:52 AM To:Samuel Taylor <samtaylorl @hotmail.com> Hi Sam, do you expect to use the water service again for a new house? If so we ask that your demo contractor not hook the service during demolition. If this is not possible we will require the service be cut off outside the foundation so it won't be pulled out of the water main. If you don't plan on reusing the service we will require it be cut off at the main. Let me know what your plan is. Thanks On Fri, Dec 17, 2021 at 12:18 PM Samuel Taylor <samtaylor1 @hotmail.com> wrote: Hello, My name is Sam Taylor. We are trying to get the permit completed for a demolition of 506 Florence Rd. I need to get a sign off for the demolition to start. I had the water turned off at the road earlier so that there wouldn't be any freezing problems this winter. Is there anything else I need to have done to get your signature. Thanks Sam Taylor 413-588-7421 Sent from Mail for Windows David Sparks Water Superintendent City of Northampton 413-587-1097 1/1 https://outlook.live.com/mail/0/deeplink?Print Am- CITY of NORTHAMPTON 7 ' ' PUBLIC HEALTH DEPARTMENT � ffis � Public Health Director Meredith O Zea RS .,ti ;! Municipal Building 2/2 Main Street Northampton. MA 0/060 r .`;'� Phone(413)587-1214 Fax(4l3)587-1221 Public Health http::;%WU'northamptonma.gov:245'Health Present.Promote Protect WITNESS OF EXTERMINATION Date Time Property Owner: Property Address: Exterminator: Company: Company Address: Rodenticide/Chemicals Applied Reason for Extermination: Mu--- i SO 6 7-10 L1l/1 Comments: I hereby certify, under the pains and penalties of perjury, that Ito the best of my knowledge and belief, have applied the above noted pesticide in accordance with M.G.L. Chapter 132B and any other applicable law or regulation. 0 City Water El Well 0 Septic System / If applicable ❑Yes ❑ No Board of Health Representative Signature of Exterminator *Demolition best practices relating to fugitive dust and debris must be adhered to in accordance with MGL Chapter 111, Section 122. RULES AND REGULATIONS FOR EXTERMINATION FOR RODENTS IN BUILDINGS TO BE DEMOLISHED The Board of Health has adopted the following Rules and Regulations to be conducted before demolition of property: 1. A licensed and professional exterminator active in the business must be hired to perform the extermination of the building(s) to be demolished. 2. The Board of Health must be notified of the date and time of the extermination so that a Sanitarian can be present for inspecting and witnessing. 3. A fast acting rodent poison must first be used in sufficient quantity and bait stations to be adequately accessible to the rodents. 48 hours after this baiting, an anti-coagulating type or other effective rodenticide must be used and allowed to be present for 72 hours before demolition can begin. This is a total five (5) day treatment. The poison should be checked by the exterminator at sufficient intervals in order to replace bait stations which are consumed. Sufficient data must be supplied to the department on the rodenticide used to satisfy the Board of Health of its effectiveness. MIN •UTEMAN III TUTS/ ir�I _ 'EJT COI _TAOL I �'cO 90 CONZ STREET, NORTHAMPTON, MA 01060 • (413) 586-1009 • (800) 586-1009 • PEST CONTROL SERVICE AGREEMENT Date: 3 . << Rep: /j f1 SERVICE LOCATION DIRECTIONS to SERVICE LOCATION Name ...,.r-- Street �,r City State Zip Day Phone Evening Phone Cell Phone 7%,/ Email Address BILLING INFORMATION II SAME AS ABOVE JOB INSTRUCTIONS/COMMENTS Name ❑Need to call ahead 24 hours before service. Street t(- /� City State Zip �/"/ T fj-2.70•f/j /ram /7fe/I4// Day Phone Evening Phone Cell Phone 4rX /'/��1 • Email Address QUOTATION / l c/ tL-vk ,!(,/✓r .. !"/1 Initial Service Fee (c.o.d.) $ SZ7 `...% ��y+r`�J • j I Initial Service Fee (billed) $ v Monthly Acct. (c.o.d.) $ /e 01 :c� ..r// Monthly Acct. (billed) $ /�� ,t//"/.ere = l ram- 01. ",� 1'Gi-er1/4 orC/ Termite/WBI Treatment Fee$ • } JV 4/ �^ K o/Ia PRICE QUOTED EFFECTIVE FOR 60 DAYS Signature Date ANNUAL EXTERIOR HOME SERVICE CONTRACT FOR CARPENTER ANTS Minuteman recommends seasonal exterior treatments to help prevent carpenter ants from infesting your home. The treatments will start in the early spring and end late summer/early fall. This program will automatically renew annually, but you may cancel at any time by giving us a thirty-day written notice. Price subject to change after one year. Per-Treatment Cost$ • AREAS OF APPLICATION 71 House ❑ Garage Q Barn 7' J ]Shed El Pool Area Q Other Please allow ample time for the treatments to do their work. For this reason, it is important that the customer wait 30 days from the initial service for any re-treatment to be performed. (Rain will not affect the results of your exterior treatment.) Although Minuteman Pest Control Co., Inc. provides the most up to date materials and methods,this Agreement is not a guarantee or warranty as to the absence of wood destroying insects. Minuteman is not responsible for wood destroying insects that may be behind Obstructed areas or in locations where there is a moisture problem. It should be understood that some degree of damage, including hidden damage, may be present. Signature Date WHITE-Office Copy • Yellow-Return Copy • Pink-Customer Copy AW CERTIFICATE OF LIABILITY INSURANCE ' DATE(MM/DD/YYYY) kee,,,,,---- i 9/23/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not''confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Rebecca J.KUbosiak,CIC,CISR The Dowd Agencies, LLC PHONE FAX 14 Bobala Road (A/C,No,Ext): 413-437-1019 I(A/C,Nei 413-437-1419 E-MAIL Holyoke MA 01040 ADDRESS: rkubosiak@dowd.com PRODUCER CUSTOMER ID#_PIONLAN-01 INSURER(S)AFFORDING COVERAGE NAIC# _ INSURED INSURER A:Travelers Casualty Insurance Company of America 19046 Pioneer Landscapes, Inc. INSURERS:Charter Oak Fire Insurance Company 25615 15 Industrial Parkway ----- ---------- -Easthampton MA 01027 INSURER c:Travelers Property Casualty Company of America 25674 INSURER D:Travelers Indemnity Company of Connecticu, 25682- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:257818560 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM NT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD • POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) U ITS B GENERAL LIABILITY 6807K306848 3/15/2022 3/15/2023 EACH OCCURRENCE $1,000.000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $300,000 JCLAIMS-MADE rX I OCCUR • MED EXP(Any one person) $5,000 — PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2.000,000 X POLICY I X—I JECOT [ 1 LOC $ A AUTOMOBILE LIABILITY BA8L940392 3/15/2022 3/15/2023 COMBINED SINGLE LIMIT $1.000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $20,000 ALL OWNED AUTOS BODILY INJURY(Per accident) $40,000 X SCHEDULED AUTOS X PROPERTY DAMAGE $ _ HIRED AUTOS (Per accident) X NON-OWNED AUTOS _—_ -_ $ $ C X UMBRELLA LIAB X OCCUR CUP7K353420 ' 3/15/2022 3/15/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 _ DEDUCTIBLE —_—_ $ X RETENTION $5 000 $ D WORKERS COMPENSATION UB1T874617 3/15/2022 3/.15/2023 X WC STATU- OTH- ANDEMPLOYERS'LIABILITY TDRY I IMITS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE • E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N NIA --- - -_ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000.000 B Herbicide/Pesticide i I 6807K306848 3/15/2022 3/15/2023 1,000,000 2,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Insurance Verification Purposes Only AUTHORIZED REPRESENTATIVE Tr:0A ovir I 14/ ' 1%, ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD fS0 C- 099 City of Northampton zxa Yr Q,4 tit, �c'. Massachusetts 4' '! 11 DEPARTMENT OF BUILDING INSPECTIONS a '. " 212 Main Street • Municipal Building a Northampton, MA 01060 jh Sam and Sherry Taylor October 6, 2022 25 Edwards Square Northampton, Ma. 10160 Re: 506 Florence Road, Northampton, Ma. Dear Mr. & Mrs. Taylor, Pursuant to my visit to the property located at 506 Florence Road in Northampton, I observed the following during my "Walk-thru): Several broken floor joists Several holes in the exterior walls Large sections of the floor system that are deteriorated Areas of crumbling foundation Sections of walls that are unsupported Several areas where the roof has been leaking causing the plaster to disengage from the ceilings These are only some of the items that I observed. Because of this, I have determined that this structure be demolished as soon as possible. It is an "Attractive Nuisance" as well as a danger to life and limb. If you are aggrieved by this decision, you have the right to appeal to the Massachusetts Appeals Board. Please contact this office with your intentions. (413) 587-1240. Respectful) , Jonathan S. Flagg Building Commissioner City of Northampton