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39-059
Curt Shumway March 50, 2010 Page 4 of 4 A The regulations that apply to the management of polychlorinated biphenyl (PCB) waste include 40 Code of federal Regulations (CFR) 761 and 22 CCR 66260 and 66270. ➢ Suspect Light fixtures that contain ballast with potential PCB will be separated and drummed in the appropriate containers for disposal per regulation. Mercury - Containing High Pressure Sodium Lights: > Specific Observation The survey discovered approximately ( 15 ) high pressure sodium lights were identified at the subject exterior building that may contain PCB containing ballasts and mercury. Our professional services have been performed, our findings obtained and our conclusions and recommendations prepared in accordance with customary principle practices in the fields of environmental science and engineering. If you should have any questions or concerns regarding the information in this report or if we can be of further assistance, please feel free to contact me at (413) 781 -0820. Sin ; -ly, ', Y 1 • TE CO' G SERVICES, INC. t J: Beaudry, Proj Manager jab C:\Documents aril Settings \James.A13 W\ Drsktop\ 11 Atwwood Drive Northampton Ma asbestos survey.doc S•S'd 2L2TLBS£It':OI :wOJJ 02:60 O't08- TT-AOW Curt Sumu way March 30, 2010 Page 2 of 2 The following sampled materials were analyzed for asbestos content and were determined to be non - asbestos containing materials (< 1% asbestos): Table I Non - Asbestos Containing Material ➢ Plaster Skim Coat ➢ Sheetrock ➢ Ceramic Floor Tile Mastic 9 Joint Compound 9 Ceiling Tile > Flooring 9 Cove Base 9 Caulking > Glazing • Siding_Paper • Roofing Shingles 9 Wallboard On Cupola The following sampled materials were analyzed for asbestos content and were determined to be asbestos containing materials (>1% asbestos): Table II Asbestos Containing Material Location Material Amount Exterior Cupola Black Roofing Tar On Lower 20 SF. Box Exterior Cupola Black Roofing Tar Step 60 LF. Flashing Bottom Exterior Snow Guards Black Roofing Tar On North & 220 LF. South Side Exterior Vent Pipes Black Roofing Tar On North & S LF. South Side Exterior Above Bath Rooms Transite Wallboard 26 SF. Exterior Roof Black Rolled Roofing Paper All 1,920 SF. Of North & South Roof All samples were analyzed via polarized light microscopy (PLM). See attached lab analysis sheets for verification of results. C: \Documents and Settings\James.AHW \Desktop\ 11 Atwwood Drive Northampton Ma asbestos survey.doc Srt''d 82.8TL8S2T17: :w 08 :60 CT02- TT-AUW 352 Albany Street, Springfield, Massachusetts 0110 Tel: (413) 781 - 0820/(800) 448 -2822 Paz: (413) 734-6224 March 30, 2010 Curt Shumway C/O Clarion Hotel 1 Atwood Drive Northampton, Ma. 01060 RE: Asbestos Survey Former Mobil Gas Station 11 Atwood Drive Northampton, Massachusetts Dear Curt: Per your request, James Beaudry (AI #000202) of Baystate Contracting Services, Inc. performed an asbestos inspection on March 19, 2010 to identify asbestos containing materials for your upcoming demolition project at the above referenced address. The scope of the inspection was to identify asbestos containing and hazardous materials accessible within the above mentioned building. This report includes the procedures, methodologies and analytical laboratory results, as well as applicable conclusions and recommendations regarding the identified ACM and hazardous materials. Building areas were visually inspected for the presence of materials suspected to contain asbestos. Forty -Two (35) bulk samples were collected and placed into individual containers for transport to Carolina Environmental Laboratory for analysis. The asbestos inspection consisted of three (3) basic procedures as follows: I , A visual inspection of the structure 2. Identified homogeneous areas of suspect surfacing, thermal system insulation and miscellaneous materials 3. Sampling accessible friable and non - friable suspect materials Actual collection of a bulk asbestos sample involves physically removing a small piece of material. The following suspect ACM were sampled: • Sheetrock > Joint Compound A Roofing Tar ➢ Paper Insulation • Flooring > Roofing Shingles 9 Grout • Ceiling Tile ➢ Mastic floor Tile ➢ Covebase • Transite Board ➢ Floor Tile • Door & Window Caulking /Glazing C: \Documents and Settings \►ames.ABW \ Desktop \ 11 Atwwood Drive Northampton Ma asbestos aurvey.doc SrE'd ZL2TL8S£Zb: of :woad 61:60 0202 -TT- WW Curt Shumway March 30, 2010 Page 3 of 3 Special Waste Survey Mercury- Containing Fluorescent Lamp Tubes: Many products we use every day contain mercury. Some products are made with mercury added to perform a specific function; these are called "mercury -added products ". Other products may have small amounts of mercury in them because some chemical used in the manufacturing process is contaminated with mercury; these are called "mercury - -containing products". Mercury Added products usually have much greater amounts of mercury in them than mercury - containing products. The most commonly identified mercury -added products include some types of thermometers, barometers, thermostats, batteries and fluorescent bulbs (KDHE). Fluorescent light tubes may contain more than 50 milligrams of mercury per tube, depending on size and model and should be properly dispose. • Specific Observation The survey of the interior and exterior building discovered the building to have a total of approximately ( 405 LF.) Mercury containing fluorescent light bulbs /tubes of various sizes and wattages were identified at the subject building. MI of these fluorescent light bulbs /tubes are known to contain mercury. PCB - Fluorescent Light Ballasts: Fluorescent light ballasts manufactured before 1978 or which are not stamped: NO PCBs" should be considered PCB fluorescent light ballasts ( PCB ballasts) because the small capacitor included as one component of the ballast probably contains polychlorinated biphenyls ( PCB ) PCB Regulations. Although most aspects of PCB manufacture use and disposal are regulated, the United States Environmental Protection Agency ( EPA) dose not require disposal of non- leaking PCB Small Capacitors, including those contained in PCB ballasts, in an incinerator that complies with 40 CM 761.70 or in a chemical waste landfill that complies with 40 CFR 761.75 As of December 30, 1994 the PCB regulations state that non - leaking PCB Small Capacitors may be disposed of as municipal solid waste (unless disposal is by manufacturer of the small capacitors or by a company which included the small capacitors in its products). Proposed amendment to the PCB regulations would establish specific requirements for disposal of PCB ballasts. See 59 Fed. Reg. 62788, December 6, 1994. Accordingly, persons handling PCB ballasts should be aware of the amendments to the disposal requirements for these ballasts ( EPA ) > Specific Observation ➢ The survey discovered approximately (70) ballasts were identified at the subject building that may contain PCB containing ballasts. To reiterate, old ballasts contain PCB's the ballasts manufactured after 1978 or which are not stamped: "NO PCBs" do not contain .PCB's. C: \Documents and Settinv Vsmes.ABW \ Desktop \1 T Atwwood. Drive Northampton Ma asbestos survey.doc S.8'd 2L2TL8 2Tt7 :ol :woad 6T :60 OT08- TT-AUW kt4 t9 t P'h'n 'ADM' pic 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732 - 3179/(800) 448 -2822 Fax: (413) 734 -6224 www.buildingwreckers.com May 4, 2010 Building Inspector CITY OF NORTHAMPTON 212 Main Street Room 100 Northampton, Massachusetts 01060 RE: Demolition Permit Application Enclosed please find our application for demolition of the former Mobil Station located at 11 Atwood Drive along with the applicable fee and required documentation. Please let me know if there is anything else you need. Sincerely, ASSOCIATED BUILDING WRECKERS, INC. t°U1i� � f nie Savage e � g Demolition Coordinator Encl. M: \ Msword \ Correspondence \ 11 _Atwood_Dr_Northampton_Per.doc Massachusetts Department of Environmental Protection ■, IL- Bureau of Waste Prevention • Air Quality 100104773 BWP 06 Decal Number by Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s) surveyed for the presence of asbestos containing material (ACM)? Si Yes 0 N If yes, who conducted the survey? 'JAMES BEAUDRY b. Surveyor Name IA1000202 c. Division of Occupational Safety Certification Number 7. Construction or Demolition: 105/05/2010 06/30/2010 • a. Start Date (mm /dd /yyyy) b. End Date (mm /dd /yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: 0 seeding ❑ paving Q wetting ❑ shrouding b. If other, please specify: ❑ covering ❑ other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? a. Name of DEP Official 1 b. Title ( c. Date (mm /dd /yyyy) of Authorization E d. DEP Waiver Number D. Certification "' I certify that I have examined the IJOHANNA SAVAGE =o above and that to the best of my a. Print Name o knowledge it is true and complete. 1 The signature below subjects the b. Authorized Signature N signer to the general statutes DEMO COOR -o regarding a false and misleading c. Position/1 itle statement(s). (ASSOCIATED BUILDING WRECKERS, INC. I d. Representing e. Date (mm /dd /yyyy) a Q 111 ag06.doc • 10/02 BWP AQ 06 • Page 3 of 3 II . - ,,,,,_,(;,::, Massachusetts Department of Environmental Protection ,_.,„ Bureau of W aste Prevention • Ai Quality [100104773 BWP AQ 0 6 Decal Number ill Notification Prior to Construction or Demolition General Statement: If B General Project Description (cont.) asbestos is found during a 4. General Contractor: Construction or Demolition ASSOCIATED BUILDING WRECKERS, INC. operation, all responsible parties a. Name must comply with [ 352 ALBANY ST. 310 CMR 7.00, b. Address . 7.09, 7.15, and Chapter er 21E of the SPRINGFIELD I MA 1 [01105 General Laws of c. City/Town d. State e. Zip Code the Commonwealth. J(413) 732 -3179 This would include, f. Telephone Number (area code and extension) O. E -mail Address (optional) but would not be 'ANDREW MIRKIN limited to, filing an asbestos removal h. On -site Manager Name notification with the Department and /or a notice of release /threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department, if applicable. ASSOCIATED BUILDING WRECKERS, INC. a. Name 1352 ALBANY ST. b. Address 'SPRINGFIELD I 'MA [01 105 c. City/Town d. State e. Zip Code 1013) 732 -3179 f. Telephone Number (area code and extension) g. E -mail Address (optional) 'FRED VANDERHOOF h. On -site Manager Name 2. On -Site Supervisor: (WILLIAM BABCOCK On -Site Supervisor Name 3. Is the entire facility to be demolished? p Yes D No 'N _ 4. Describe the area(s) to be demolished: o ENTIRE EXISTING BUILDING N 0 , o 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: N/A - 0 -o C1 - Q • ag06.doc • 10/02 BWP AQ 06 • Page 2 of 3 N • Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 100104773 ( BWP AQ 06 Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out pp y forms on the computer, use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection us - not use e th e return (DEP), Bureau of Waste Prevention - Air Quality Control Regulations 310 CMR 7.09. Notification of th key. Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. 1 B. General Project Description 1. a. Is this facility fee exempt - city, town, district, municipal housing authority, owner - occupied Instructions residence of four units or less? ❑ Yes 0 No 1. All sections of b. Provide blanket decal number if applicable: Bianket Decal Number this form must be completed in order to comply with the 2. Facility Information: Department of !VACANT MOBIL STATION ! Environmental Protection a. Name notification 111 ATWOOD DRIVE requirements of b. Address 310 CMR 7.09 [Northampton !MA 101 060 Q. City/Town d. State e. Zip Code f. Telephone Number (area code and extensi.n) q. E -mail Address (optional) 11,920 1 11 h. Size of Facility in Square Feet i. Number of Floors j. Was the facility built prior to 1980? p Yes ❑ No k. Describe the current or prior use of the facility: !VACANT MOBIL STATION I. Is the facility a residential facility? 0 Yes 2 No � o m. If yes, how many units? Number of Units - ° 3. Facility Owner: � N IATCOR •■••■■ o a. Name ■ ° 11 ATWOOD DR. b. Address (NORTHAMPTON I IMA 101060 - o c. City/Town d. State e. Zip Code 0 1(413) 586 -1211 I I 1 f. Telephone Number (area code and extension) •. E -mail Address (optional) o [CURT SHUMWAY - Q h. Onsite Manager Name aq06.doc • 10/02 BWP AQ 06 • Page 1 of 3 /7 Commonwealth of Massachusetts ilI 1100103626 hillk Asbestos Notification Form ANF -001 Decal Number B. Facility Description (cont.) Baystate Contracting Services, Inc. 1 352 Albany St. 5 ' a. Name of General Contractor b. Address 'Springfield I 101105 I 14137810820 c. City/Town d. Zip Code e. Telephone Number (area code and extension) 'Steadfast Ins. Co. I IWC654902700 1 107/21/2010 f. Contractor's Worker's Comp. Insurer q. Policy Number h. Exp. Date (mm /dd /yyyy) 6. What is the size of this facility? 11920 1 1 a. Square Feet b. Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos - containing material from site to temporary storage site (if necessary): IBaystate Contracting Services, Inc. 1 1352 Albany Street I Note: Transfer a. Name of Transporter b. Address Stations must 'Springfield I 101105 I 1(413) 781 -0820 comply with the c. City/Town d. Zip Code e. Telephone Number Solid Waste Division 2. Transporter of asbestos - containing waste material from removal /temporary site to final disposal site: Regulations 310 CMR 19.000 IBaystate Contracting Services, Inc. 1 1352 Albany Street a. Name of Transporter b. Address 'Springfield 1 101105 1 1(413) 781 -0820 c. City/Town d. Zip Code e. Telephone Number 3. 'Charles M. Gordon & Sons 1 1203 Pickering St a. Refuse Transfer Station and Owner b. Address Portland 1 106480 I 1(860) 342 -1022 c. City/Town d. Zip Code e. Telephone Number 4. (MINERVA ENTERPRISES INC I 'Permit #54288 a. Final Disposal Site Location Name b. Final Disposal Site Location Owner's Name 19000 MINERVA ROAD 1 IWAYNESBURG c. Final Disposal Site Address d. City/Town 10H 1 144688 1 1(330) 866 -3435 e. State f. Zip Code g. Telephone Number M —............ D. Certification ■■■■■ The undersigned hereby states, under the 'Johanna Savage 1 — penalties of perjury, that he /she has read the a. Name b. Authorized Signature ■........o Commonwealth of Massachusetts regulations !Coordinator I I for the Removal, Containment or c. Position/Title d. Date (mm /dd /yvvv) Encapsulation of Asbestos, 453 CMR 6.00 and 1 (413) 781 -0820 1 1Baystate Contracting 310 CMR 7.15, and that the information contained in this notification is true and correct e. Telephone Number f. Representing ° to the best of his /her knowledge and belief. 1352 Albany St. o q. Address 1 = 'Springfield 1 101105 ■■ h. City/Town i. Zip Code ■••••••■•••Z Q Go To Top II anf001ap.doc • 10/02 Asbestos Notification Form • Page 3 of 3 U • • Commonwealth of Massachusetts III (100103626 , Asbestos Notification Form ANF -001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials (ACM) to be removed, enclosed, or encapsulated: 12208 I 146 a. Total pipes or ducts (linear ft) b. Total other surfaces (square ft) c. Boiler, breaching, duct, tank I I I d. Insulating cement I I I surface coatings Lin. ft. Sq. ft. Lin. ft. Sq. ft. I e. Corrugated or layered paper I I I f. Trowel /Sprayer coatings I I I pipe insulation Lin. ft. Sq. ft. Lin. ft. Sq. ft. g. Spray -on fireproofing I I I 1 h. Transite board, wall board I I 26 Lin. ft. Sq. ft. Lin. ft. q. . 2208 20 i. Cloths, woven fabrics I Lin. ft. I IS . ft. i j. Other, please specify: ( I I Lin. h. Sq. ft. k. Thermal, solid core pipe 1 I I Ivar roof mat I insulation • Lin. ft. Sq. ft. I. Specify 14. Describe the decontamination system(s) to be used: 'Remote Decon. 15. Describe the containerization /disposal methods to comply with 310 CMR 7.15 and 453 CMR 6 . 14 ( 2 ) (g): I To be thoroughly wetted double bagged, labeled and properly disposed of. 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: l a. Name of DEP Official I l b. Title I I I c. Date (mm /dd /yyyy) of Authorization d. DEP Waiver # e. Name of DOS Official I I f. DOS Official Title I g. Date (mm /dd /yyyy) of Authorization I I h. DOS Waiver # ■..,■....,... ° 17. Do prevailing wage rates as per M.G.L. c. 149, § 26, 27 or 27A —F apply to this project? ❑ Yes [✓] No B. Facility Description 1•■•■ N o 1. Current or prior use of facility: (former Mobil gas station — 2. Is the facility owner - occupied residential with 4 units or less? ❑ Yes SI No (Curt Shumway /ATCOR I 11 Atwood Dr. 3 ' a. Facility Owner Name b. Address _ (Northampton I 101060 I 14135861211 o c. City/Town d. Zip Code e. Telephone Number (area code and extension) ■� 4. (Curt Shumway I 11 Atwood Dr. a. Name of Facility Owner's On -Site Manager b. On -Site Manager Address � z 'Northampton 1 101060 I 1413 586 - 1211 � Q c. City/Town d. Zip Code e. Telephone Number (area code and extension) II anf001ap.doc • 10/02 Asbestos Notification Form • Pa.e 2 of 3 M Go To Top i Commonwealth of Massachusetts • 1100103626 ,,. Asbestos Notification Form ANF -001 Decal Number Important: A. Asbestos Abatement Description When filling out p forms on the computer, use 1. a. Is this facility fee exempt - city, town, district, municipal housing authority, owner - occupied only the tab key residence of four units or less? 0 Yes F4 No to move your cursor - do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key. 2. Facility Location: At [VACANT MOBIL STATION 1 111 ATWOOD DR. "" "" a. Name of Facility b. Street Address Northampton 1MA I 101060 l c. City/Town d. State e. Zip Code f. Telephone Number INSTRUCTIONS 3. Worksite Location: 1. All sections of this 'VACANT GAS STATION I I I 'EXTERIOR 1 I form must be a. Building Name /Building Location b. Building # c. Wing d. Floor e. Room completed in order to comply with 4. Is the facility occupied? 0 Yes Q No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational IBAYSTATE CONTRACTING SERVICES INC 1352 ALBANY STREET Safety (DOS) a. Name b. Address notification !SPRINGFIELD I 101005 I 14137810821 I requirements of 453 CMR 6.12 c. City/Town d. Zip Code e. Telephone Number [C000021 I f. DOS License Number g. Contract Type: tg Written 0 Verbal (CURT SHUMWAY I 'OWNER h. Facility Contact Person i. Contact Person's Title 'FRANCIS C MASON IAS070548 6. a. Name of On -Site Supervisor /Foreman b. Supervisor /Foreman DOS Certification Number 'UNKNOWN AT THIS TIME I IN /A 7. a. Name of Project Monitor b. Project Monitor DOS Certification Number 'UNKNOWN AT THIS TIME I 1N /A 8. a. Name of Asbestos Analytical Lab b. Asbestos Analytical Lab DOS Certification Number -� 104/15/2010 I 104/20/2010 •••••••••••••-.° 9 ' a. Project Start Date (mm /dd /yyyy) b. Bid Date (mm /ddlyyyy) ..—.. o 17-4P I (NONE N c. Work hours Mon -Fri. d. Work hours Sat -Sun. ...........o 10. a. What type of project is this? ,0 12 Demolition 0 Renovation 0 Repair 0 Other, please specify: b. Describe 11. a. Check abatement procedures: ■ o 0 Glove bag 0 Encapsulation -. o ❑ Enclosure 0 Disposal only _ 0 Cleanup IS Other, specify: !EXTERIOR 0 Full containment b. Describe - z � Q 12. Is the job being conducted: ❑Indoors? Q O utdoors? Go To Top II anf001ap.doc • 10/02 Asbestos Notification Form • Page 1 of 3 U eDEP.- MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home I Contact I Feedback I Tour I Privacy Policy MassDEP's Online Filing System Username:BAYCON352 Nickname: JOANIE LOG R I<Yx My eDEP Forms cal My Profile sso Help Receipt J Forms Signature Receipt Summary /Receipt I print receipt 1 Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 300808 Date and Time Submitted: 4/16/2010 7:33:09 AM Other Email : Form Name: Project Date Revision Notification DECAL # and Facility information Form Name: ANF001 DECAL # : 100103626 Facility Name: VACANT MOBIL STATION Address: 11 ATWOOD DR., NORTHAMPTON, MA Original Project Dates Start Date: 4/15/2010 - End Date: 4/20/2010 Revised Project Dates Start Date - End Date My eDEP MassDEP Home I Contact I Feedback I Tour I Privacy Policy MassDEP's Online Filing System ver.9.4.0.0© 2010 MassDEP https: / /edep.dep.mass.gov /Pages /PrintReceipt.aspx 4116/2010 Massachusetts Department of Environmental Protection 1100103626 Bureau of Waste Prevention — Air Quality Decal Number Project Revision Notification For Asbestos Notification ANF -001 and AQ 06 G. Certification The undersigned hereby states, under the penalties of perjury, that he /she has read the Commonwealth of Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos, 453 CMR 6.00 and 310 CMR 7.15, and that the information contained in this notification is true and correct to the best of his /her knowledge and belief. [JAMES BEAU DRY J 'JAMES BEAUDRY 1. Name Authorized Signature PROJECT MANAGER 1 14/16/2010 2. Position /Title 3. Date (mm /dd /vvvv) BAYSTATE CONTRACTING SERVICES, INC. 1 14137810821 4. Representing 5. Telephone 1352 ALBANY STREET 6. Address 'SPRINGFIELD 01105 7. City/Town 8. Zip Code anf06pdrn.doc • rev. 2/5/04 • Massachusetts Department of Environmental Protection 100103626 Bureau of Waste Prevention — Air Quality Decal Number Project Revision Notification For Asbestos Notification ANF -001 and AQ 06 Important: A. Facility Location When filling out Facility forms on the VACANT MOBIL STATION computer, use only the tab key 1. Name of Facility to move your F11 ATWOOD DR. cursor - do not 2. Street Address _ use the return key. NORTHAMPTON _ MA 1 I 3. City 4. State 5. Zip Code 6. Telephone Number INSTRUCTIONS B. Project Cancelled • 1. This form is only available for Check here if this project is /was cancelled. online filing of project date revisions. 2. Enter project decal number. C. Project Dates 3. Validate e project that h _4/15/2010 4/20/2010 I P 1 location is correct 1. Original Start Date (mm /dd /yyyy) _ 2. Original End Date (mm /dd /WVy) for the entered decal. 3. Latest Revised Start Date (mm /dd /yyyy) 4. Latest Revised End Date (mm /dd /yyyy) 4. Enter your new project dates. 5. Certify your notification. D. Revised Project Dates Submit date changes. 4/16/2010 4/21/2010 I 1. Revised Start Date (mm /dd /yyyy) 2. Revised End Date Date (mm /dd /yyyy) E. Other Project Revisions F. Revision History i . anf06pdrn.doc • rev. 2/5/04 Mar 31 10 01:40p Water 4135871576 • p.1 MAR -22 -2010 08:48 From: To:413 587 1576 P.i /1 A4afoilat)scflkiildingitrittdiers rna n n 352 Alba »y St., Springfield, MA 01105 Tel: (413) 732 - 31791(800) 448.2822 Fax (413) 734.6224 1, DATE: March 22, 2010 TO: DAVE SPARKS (LYNN) FAX # 413 -587 -1576 OF: WATER DEPT. PHONE # 413-587-1098 (1570) PLEASE CUT ALL SERVICES AT THE LOCATION OF FORMER MOBIL GAS STATION, 1 ATWOOD DR., NORTHAMPTON, MA, AS IT IS BEING SCHEDULED FOR DEMOLITION ONCE DISCONNECTION HAS BEEN COMPLETED, YOU MAY EITHER SIGN BELOW AND FAX IT TO ME AT 413 -734 -6224 OR YOU MAY FAX ME NOTIFICATION ON YOUR COMPANY LITraHEAD. THANK YOU VERY MUCH FOR YOUR ASSISTANCE. SINCERELY, ASSOCIATED BUILDING WRECKERS, INC. JOANIE SAVAGE DEMOLITION COORDINATOR SERVICES AT: FORMER MOBIL GAS STATION, 11 ATWOOD DR., NORTHAM.FTON, Mi HAVE BEE ONN TF A OF _ 3_;31 (2 PRINT' NAME: i - , SIGNATURE: . G 'L REMARKS. IF ANY: Page 1 of 1 Joanie Savage From: Romito, Jeff [Jeff_Romito @cable.comcast.com] Sent: Thursday, April 22, 2010 11:40 AM To: Joanie Savage Cc: Kietner, Alex; Kouflie, Gary Subject: RE: 11 Atwood Dr., Northampton Joanie, this is all set. From: Kietner, Alex Sent: Thursday, April 22, 2010 11:39 AM To: Romito, Jeff Subject: RE: 11 Atwood Dr., Northampton There are no services to this building. Will you get back to Joanie or do you want me to? From: Romito, Jeff Sent: Thursday, April 22, 2010 11:08 AM To: Kietner, Alex Subject: RE: 11 Atwood Dr., Northampton Thanks From: Kietner, Alex Sent: Thursday, April 22, 2010 11:07 AM To: 'Romito, Jeff; Kouflie, Gary Subject: RE: 11 Atwood Dr., Northampton I will be there in20 min and I will get back to you From: Romito, Jeff Sent: Thursday, April 22, 2010 11:00 AM To: Kouflie, Gary; Kietner, Alex Subject: FW: 11 Atwood Dr., Northampton Is this done? From: Joanie Savage [mailto:joanie @buildingwreckers.com] Sent: Thursday, April 22, 2010 10:23 AM To: Romito, Jeff Subject: 11 Atwood Dr., Northampton Good Morning, I requested disconnection of service at the vacant Mobil Gas Station located at 11 Atwood Dr., Northampton back in March, but I haven't heard anything as of yet. It is the only confirmation that I need to file for the demo permit, any way you can check on this for me, or let me know who handles the Northampton area, thanks Joanie Savage Demolition Coordinator Associated Building Wreckers, Inc. 413-732-3179 04/22/2010 • Page 1of1 Joanie Savage From: kathleen.anderson @verizon.com Sent: Thursday, March 25, 2010 1:58 PM To: Joanie Savage Subject: Re: Disconnection of Service Physical disconnect of wires done on 3/24 on ticket# DW0323Q002 Also per tech, buried service was removed from facilities at the pole. "Joanie Savage" <joanie @buildingwreckers.com> Joanne Swanson /EMPL /MANerizon @VZNotes, Kathleen To Anderson /EMPUMANerizon @VZNotes 03/2212010 09:00 AM cc Subject Disconnection of Service Good Morning, Please disconnection all Verizon service connected to 11 Atwood Drive, Northampton, MA (Mobil Gas Station). Thank you. Joanie Savage Demolition Coordinator Associated Building Wreckers, Inc. 413 - 732 -3179 03/25/2010 bona ra n The power of anti; April 15, 2010 Associated Building Wreckers, INC. 352 Albany St Springfield, MA 01105 RE: Service Removal for Building Demolition. Attn: Joanie Savage This letter is to confirm that, per your request, National Grid has removed the electrical service and meter(s) from 11 Atwood Dr Northampton, MA on 4/14/2010. If you have any questions or need further assistance, please feel free to contact me at (781) 907 -3393. Sincerely, 'f17 7<m amsi [( nationalgrid Customer Order Fulfillment Order Processing Representative Central & Western MA Reservoir Woods 40 Sylvan Rd Waltham MA 024.51 " Office 781 907 - 3393 Fax 315 -460 -9149 sKri.stine. Ramsdel lgus.ngrid.com l.•y By State Gas A NiSource Company 2025 Roosevelt Avenue PA. Box 2025 Springfield MA 01102 - 2025 March 29, 2010 Associated Building 252 Albany St Springfield, Ma 01101 Fax 734 -6224 To Whom It May Concern:, The address listed below has NO gas service: ADDRESS : 11 ATWOOD DR TOWN : NORTHAMPTON STATE : Massachusetts Sincerely, #1-4444- JACKIE BEJUNE Maintenance Administrator 781 -9200 EXT 2115 DIG SAFE SYSTEM, INC. - Renew Existing Ticket Page 1 of 1 Request Number: 20101708296 Date 04/22/2010 Time 11:03 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address I Intersection: 11 ATWOOD DR Nearest Cross Street 1: MT TOM RD Nearest Cross Street 2: OXBOW RD Additional Information: DEMOLITION OF FORMER MOBIL GAS STATION Nature Of Work: DEMOLITION OF GAS STATION Area Of Work: PRIVATE PROPERTY Area Is Premarked: Y Start Date: 04/28/2010 Start Time: 11:00 Caller: JOANIE SAVAGE Title: DEMO CO ORDIN Return Call: BEF 430PM Phone #: 413 - 732 -3179 Fax #: 413 - 734 -6224 Alt. Phone#: Email Address: JOANIE@BUILDINGWRECKERS.COM Contractor: ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY ST City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: ASSOCIATED BUILDING WRECKERS, INC. Member Utility List Code I Abbreviation I Name ML MCI MCI RJ IDM INNOVATIVE DATA MANAGEMENT SP I VERIZN I VERIZON • WG I BSTGAS I BAY STATE GAS • There may be non - member utilities in the area that you need to notify. • Electric and other companies may not mark lines they don't own or maintain. You may want to contact them for more information. • The excavator is responsible to maintain markings placed by member utilities... DIG SAFE ENCOURAGES A COPY OF THIS ELECTRONIC TICKET ON SITE AT ALL TIMES. I Renew Another Ticket j [ Print Ticket J Return To Menu J I Return To Home l http:// digsafeform .digsafe.com/cgi- bin/dwcgi.exe 04/22/2010 Versionl.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT - I, 1. JI )I I l r (' t � � f T � ..__... _ .___.. _ _ , as Owner of the subject property hereby authorize € I r ) 1 ' i ! t t l l�l )t / / / /� Wit � i r s:.. to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, I, 4/1/1R1/ 4 /11A92 .?.. L 1.11 014 / ((hf r _11irr, . _ ,._... as Qw er /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and,Renalties of perjurer w „ tlSC , _ _ I Print Na pt , ",�,,. l., ""/\../•----------- ili' 'L\dir--------------- 9 2-2. Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: . Not Applicable ❑ [ ,/ J Name of License Holder . i /J / / / ,_v. L , A - License Number Addr s - _ �d.. Expiration Date . l'i. )`-'\ i■—. ‘.,U .--,_„. : i LI 5 - )/- /,2/)/ , Signature Telephone SECTION 13 - 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 Versionl .7 Commercial Building Permit May 15, 2000 SECTION '97 PROFESSIONAL: DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION .CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: �""' Not Applicable i Name (Registrant): ---- --�—�• - «---- - -i --- " Registration Number Address _. Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): I Name Area of Responsibility Iw_ { E 1 Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility i Address Re istration 1 Signature Telephone Expiration Date E _ _ ... __ _ _ _ __ Name Area of Responsibility Address Registration Number a --I Signature Telephone Expiration Date 1 __.._....._______ __ _ .. _ ._ _� _. .. i _ _.._.. ; Name Area of Responsibility Address Registration Number J L_ L. Signature Telephone Expiration Date 9.3 General Contractor FX701 /f )tl�/ 6 // �irl %f l V / r 11(' > 1J i1. _. . __ Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Versionl.7 Commercial Building Permit May 15, 2000 8:, NORTIHAM1'TON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 117 ) . .,.0 3 L _ ,_ _ ,' Frontage _...., ._ -- _ Setbacks Front ___'_ Side L.' .__._..µ R:I. --1 L:1,......._ ...1 R _.......... i !_, Rear l......... .,. L.__ '_. Building Height t °°`°° i "° (" Bldg. Square Footage Ell 117 % !`I77 r Open Space Footage (Lot area minus bldg &paved i_11 ._._ l parking) # of Parking Spaces a - - Fill: (volume & Location) �., t er.. A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 411 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page ` and /or Document # B. Does the site contain a brook, body of water or wetlands? NO do DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained 0 , Date Issued: r C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: 3 D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolitions Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description tEnter a brief description here. /1,1,1), / Of Proposed Work: � t t ) li t n � /f r / i / t'F11 _) 1 11.1 1 1,1 1 ( 1 11117 F SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business a 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ 5-1 ❑ S -2 ❑ 5B I El U Utility ❑ Specify: , _ _y w M Mixed Use ❑ Specify: x T,,, �,.., �..,.-„ x....,...-... �, �... ��.. �„ �,. m... ��... �, �.,._ �.,,.., _._�._.m�......._...,�..A.....� ....; S Special Use ❑ Specify: ".___, ..___...__,___,._...__ _ _ 3 COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: _..._.. _ .._._._..._ ..__.... _______________ _.____.._._.. Proposed Use Group: a.. ____ _. ._.._.. ., .___ _.._.____ __ .............. Existing Hazard Index 780 CMR 34): ,„, , „„„, ,,_ __-._u�= Proposed Hazard Index 780 CMR 34): ,. ,, .___ i SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING I PROPOSED NEW CONSTRUCTION OF ICE USE ONLY Floor Area per Floor (sf) • .. 2nd; ,,.. _._ .....,_._,._ ...._..�...__ .._.�... ....,.., 2n d 3 3 4 « _. Total Area (sf) 3 Total Proposed New Construction (sf) Total Height (ft) Total Height ft ,..._w„__. ..._.,_., . __...,____.,., 7. Water S ply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage I:jisposal System: Public Private ❑ Zone r ,, i Outside Flood Zone Municipal [�' On site disposal system El N Versionl.7 Commercial Buildin: Permit Ma 15, 2000 , 7 - ,Pg1P7,77,-tT,X7f7;r77(771M1 ; „,„.,;.,, :, ., , 7 ' -.xk ; City • of Northampton :.i,i k ,. s ,,-,:: . ,„ ..4. Building Department . .., ' 12 Main Street ; \ • . , ,--- , Room 100 „, 7 ) .. , orthampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 :giii44, i,-,..,:;41''; ‘;'," '2:2 , '-':', ,. ii: ',•-` ,i!';fr;1 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCYpF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 'SITE iNFORMATION - 4- ii,43 riticOrOt, ',4t•.:'.-:',.' : -- , 1.1 Property Address: I I I Al IY. 1 lPrft7111ni)ttn, AAA , 0 :„ , 4 6 - citVstili ri,' SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT , , ... 2.1 Owner of Record: . C/C riiii/LA f/[ ft / Are0,1 17 1 L5httriiihroti , - I 74--hi/, iiiii)t„ Ak9ribtimi)eig, A/rA /7/'fitt) i Name (Print) ( (ny/ 5 / (/ , - iii i , . /27 7 V Current Mailing Address: :/ , . - _ 1 2 11 4 ) 1 )11i- i) /1 i Signature 4 1 ii . Telephone 1 7 , . 2.2 Authorized Agent: A biiii p Aft5_bk ../ , 1 , _ . ,_ _____).. k , , , , I . - / ' i n V)/7q St 6'1/1,1,1Al'ilk) i Name (Print) 211Ylitiii Al/ Am 1Y 1.5111t/Ti- Current Mailin• Addr-ss: — 12 d -,15I-11 ---_, J Signature ,t t ' ----- , - Telephone , . SECTION 3 - ESTIMATED CONSTRUCTIONCOSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant , __ „.................__________, 1. Building Lei MIL I tit ti i 1 ( a ) Buildihg Perrnit Fee a --- 2. Electrical I (b) Estimated Total. Cost of i 1 j Construction from (6) L 3. Plumbing Building Permit Fee 1 4. Mechanical (HVAC) .;. ...... ___,......, 3 ! ..--- E --- i _...."---- 5. Fire Protection ec UM r c 2O- . 6. Total = (1 + 2 + 3 + 4 + 5) A , , ' , ) I Ch k N be k.,...274 , i s ,29-9 1( LC . co This Section For Official •Use Only Building Permit Number Date Issued Signature: Building Commissioner/inspector of Buildings Date F File # BP- 2010 -0993 APPLICANT /CONTACT PERSON ASSOCIATED BUILDING WRECKERS INC ADDRESS/PHONE 352 ALBANY ST SPRINGFIELD (413) 732 -3179 PROPERTY LOCATION 11 ATWOOD DR MAP 39 PARCEL 059 001 ZONE GB(100) //WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ,? Fee Paid ∎ 6 AtY 1 do 0 Typeof Construction: DEMOLISH FORMER MOBIL GAS STATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 062382 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFgOPIATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD 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 Demolition Delay /P 4-12) Signature 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, Department 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 of Planning & Development for more information. 01 ATWOOD.DR BP- 2010 -0993 GIS #: COMMONWEALTH OF MASSACHUSETTS %:Blocks 39-059 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # B P- 2010 -0993 Project # JS- 2010- 001461 Est. Cost: $7000.00 Fee: $200.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 062382 Lot Size(sq. ft.): 33802.56 Owner: ATCOR LLC Zoning: GB(100) //WP Applicant: ASSOCIATED BUILDING WRECKERS INC AT: 11 ATWOOD DR Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732 -3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON:5 /11/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMOLISH FORMER MOBIL GAS STATION 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: 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: FeeType: Date Paid: Amount: Building 5/11/2010 0:00:00 $200.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo