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18D-051 (2) Louis Hasbrouck From: Louis Hasbrouck Sent: Wednesday, November 28, 2012 10:05 AM To: 'Talia Totten' Cc: Duane Nichols; Ned Huntley; Scott Savino; Fire Prevention; Charles Miller Subject: Demo permit for Kollmorgen Talia, I've approved the demo permit for the old Kollmorgen building at 347 King Street. On a project of that size, it is important that you contact the Fire Department and the Department of Public Works prior to the start of work, along with the Police Department if the project will affect traffic on the street. I've copied this to the FD, the PD and the DPW. Call if you have any questions. Thanks. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building, Northampton, MA Page 8 35)This AWP is not intended to, nor does it constitute "regulations" as that term is used in M.G.L. Chapter 30A. MassDEP does not assume any liability in association with the performance of any activity in accordance with this AWP. 36)This AWP is valid for ninety (90) days after date of acceptance by MassDEP and shall be deemed expired at the start of the ninety -first (91st) day. If activities are to continue past the 90 day expiration date then the MassDEP shall be notified in writing at least ten (10) days in advance, specifically, on or before the eightieth (80th) day. Continuance of the work under the provisions of the AWP shall be the sole determination and approval of MassDEP. Sincerely, Fnvironmentnl Consulting, L L C Adam Lesko MA Designer Lic #AD071566 Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building, Northampton, MA Page 7 26)Following the bulk loading operation and cleanup of all remnant asbestos wastes, as defined in 310 CMR 19.000, but prior to any continued Site work, excavation or backfilling, a final visual inspection shall be performed by the APM and Asbestos Site Supervisor to ensure that no remnant asbestos, commingled asbestos demolition debris, asbestos - contaminated water or any other suspected asbestos waste remains on the ground around the work site, at the loading site, as well as any other area at the Site. The results of this inspection shall be recorded in the individual's respective Site logbooks. 27)All documentation regarding air monitoring results, visual inspections and waste disposal shall be kept on Site for inspection by MassDEP personnel during the asbestos demolition and bulk loading operation. Copies of the documentation are to be supplied to the MassDEP by the owner, contractor and consultant upon request or within thirty (30) days of completion of the work if not requested earlier. 28)This work plan does not negate the responsibility of the property owner, the contractor, subcontractors and consultants from complying with all other applicable federal, state and local regulations. 29)This work plan applies specifically to the demolition of the former Kollmorgen facility located at 347 King Street, Northampton, MA. This work plan does not apply to any past or future demolition or asbestos handling operations at the Site. All other MassDEP regulations are in effect for the duration of this asbestos demolition and bulk loading operation. 30)The property owner or their representative shall distribute copies of this work plan to each entity involved with the project. A copy of this work plan shall be kept at the Site for the duration of the project. 31)Should unforeseen Site conditions require changes to any of the procedures in this work plan, the owner may request an amendment or addendum to the AWP. Any request for changes shall be made to MassDEP in writing. None of the added or amended conditions shall be utilized at the Site until the request has been reviewed and accepted by MassDEP. 32)Should asbestos become released, property owners, their contractors, subcontractors and consultants may be subject to enforcement action by the MassDEP, and may be held responsible for any subsequent abatement of the release. 33)MassDEP may, at its sole discretion, revoke this AWP. 34)The AWP is intended solely as guidance for the property owners in the conduct of the subject asbestos removal activities. This AWP is not to be relied upon to create rights or defenses, implied or otherwise, enforceable at law or in equity, by any person in litigation with the property owners. 2 As defined in 310 CMR 19.000 A.sbestos_Waste means Asbestos - containing Material and Asbestos - containing Waste Material as defined in 310 CMR 7.00: Air Pollution Control. As of October 7, 2005 Asbestos - containing Material is defined at 310 CMR 7.00 as follows: friable asbestos and any material containing 1% or more asbestos by area as determined by a laboratory using USEPA approved methods. This term includes, but is not limited to, sprayed -on and troweled -on materials applied to ceilings, walls, and other surfaces, insulation on pipes, boilers, tanks, ducts, and other equipment, structural and non - structural members, tiles, shingles or asbestos - containing paper. As of October 7, 2005 Asbestos - containing Waste Material is defined at 310 CMR 7.00 as follows: any friable asbestos - containing material removed during a demolition/ renovation project and anything contaminated in the course of a demolition /renovation project including asbestos waste from control devices, bags or containers that previously contained asbestos, contaminated clothing, materials used to enclose a work area during a demolition /renovation operation, and demolition /renovation debris. Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building. Northampton, MA Page 6 20)The building rubble shall be maintained in large sections during demolition and not crushed or compacted in any way. Steel materials that are to be bulk loaded may tear the poly liners. If it is determined that tearing of the liners cannot be prevented, then the contractors shall place % inch thick (nominal thickness) plywood sheets inside the dumpster, between the liners and the waste, to prevent tears to the poly. This plywood shall then be disposed of as asbestos waste with the load. 21)The asbestos waste shall not be crushed or compacted by hydraulic or other means. Large metal components such as un- insulated steel I- beams, if present, that are to be recycled, shall be washed and thoroughly decontaminated. Following decontamination each such large steel component it shall be visually inspected by the APM. A list of these components and the results of all visual inspections of such components shall be maintained in the APM's Site logbook. All insulation materials and any covered or coated components, that contain or are suspected to contain asbestos or have not been previously tested prior to demolition, shall be segregated to a remote area of the Site, wetted and covered. These components shall be tested for asbestos materials and abated in a sealed work area with air cleaning or alternatively abated in a sealed work area with air cleaning without testing in accordance with the provisions of 310 CMR 7.15(1)(c), Procedures for Asbestos Emission Control. Friable asbestos insulating materials, insulated structural components and heating system components are not subject to the bulk loading or alternative handling procedures of this AWP. 22)If it is necessary to leave a partially filled asbestos waste roll -off or truck at the Site overnight, then it shall be wetted, covered and secured. 23)The asbestos waste shall be "live loaded ", which for the purposes of this AWP means that it shall be loaded as it is produced. Asbestos waste shall not be stockpiled and shall not be crushed or compacted. If by unforeseen occurrence all asbestos waste material generated is not loaded prior to the end of the shift, due to a delay in vehicle availability, then the asbestos waste shall be wetted and covered with at least one -layer of six -mil (0.006 inch thick) poly sheeting that has been secured to the ground. This asbestos waste shall then be loaded the following day prior to the commencement of any further demolition operations. The poly covers shall likewise be disposed of as asbestos waste and not stored or reused. 24)The contractors shall ensure that no water leaks from the trucks or roll -off dumpsters during transport to the landfill, and that the waste is covered at all times during transport. The trucks or roll -off dumpsters shall be in good condition with no holes or rusted out areas and with tailgates, which close tightly and are lockable. USDOT Class 9 placards shall be affixed to the exterior of each dumpster or truck prior to transport. 25)Following the completion of the demolition and removal of all of the bulk asbestos waste material but prior to any further demolition, excavation or backfilling operations, the asbestos contractor shall collect, for disposal, all remaining waste, small debris and detritus accumulated around the Site. This material shall be collected with wet methods utilizing either HEPA vacuums or squeegees and shovels. Dry sweeping shall not be employed. The remaining asbestos waste shall then be sealed into leak -tight and properly labeled containers for disposal as asbestos waste. m�. • Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building, Northampton, MA Page 5_ 15)Each of the contractors performing asbestos handling at the Site shall perform employee air monitoring. This is not to be confused with OSHA personal monitoring requirements. Employee air monitoring shall be performed by each contractor and subcontractor performing asbestos related work at the Site. At least one in four workers, for each assigned job duty, shall wear a personal air monitor. This includes supervisors, ground crew in the asbestos work area, ground crew outside the asbestos work area, asbestos removers, and equipment operators. The employee air monitoring shall be performed on a continuous basis during all phases of the work. 16)AII employee air monitoring samples shall be collected in the breathing zone, which for the purpose of this AWP, is located at a maximum of twelve inches (12 ") from the nose and mouth of each individual. Each sampling pump shall be calibrated to operate at a flow rate of approximately two and one -half (2.5) liters of air per minute. The device used to measure the flow rates for the employee monitoring samples shall have been calibrated by a primary calibration device within six (6) months of utilization at the Site. A record of the calibration record for each of the measurement devices used at the Site shall be kept at the Site by each contractor for the duration of the project and a copy of each calibration record shall be submitted to MassDEP prior to commencing any work pursuant to this AWP, and shall accompany the air monitoring data required in Condition 27, below. Air filter cassettes shall be changed periodically during each day's employee monitoring to prevent particulate overloading. Each air filter cassette shall have the start and stop time and associated start and stop flow rates recorded in each contractor's Site logbook for review by MassDEP. Sample results of each filter cassette shall be calculated and reported individually. Air monitoring series which repeatedly reveal samples that are overloaded with particulate and cannot be analyzed, shall be considered to be in noncompliance with the AWP, and potentially subject the facility, and their contractors and consultants, to enforcement action by MassDEP. 17)Analyses of the employee air samples shall be performed daily by analysts who are properly trained by holding a NIOSH Course 582 or 582 Equivalent certification. The analyst performing the analysis of the employee monitoring samples shall also be a successful participant in the American Industrial Hygiene Association's Asbestos Analytical Registry (AIHA's AAR), deemed "proficient" in the current round of the Proficiency Analytical Testing ( "PAT ") program or alternatively, be an employee of a laboratory, which holds a current and valid license issued by the MADLS to perform such analysis, and said laboratory shall also be accredited with either the AIHA or National Voluntary Laboratory Accreditation Program ( "NVLAP "). 18)AII employee air sampling analyses results shall be reported, in writing, to the APM and property owner, on the morning following the date they were collected and before any work shall be allowed to commence on any day other than the first day of operations. If the employee air monitoring results exceed the MADLS clean air criterion of one - one hundredth fiber per cubic centimeter (0.010 f /cc) of air, then all activity at the Site shall halt and MassDEP shall be notified by telephone within one (1) hour of receipt of the results showing the exceedance in order to evaluate the work and to institute necessary changes in the work procedures. 19)AII of the co- mingled asbestos demolition debris shall be disposed of as asbestos waste. This material shall be thoroughly wetted with water during demolition and shall be kept wet until bulk loaded. This asbestos waste shall be live loaded into trucks or roll -off dumpsters, which have been lined with a minimum of two (2) ten -mil (0.010 inch thick) pre- formed poly liners. These liners shall be of sufficient size so that they can be sealed across the top of the load in an overlapping manner. During loading operations proper placards shall be displayed pursuant to 40 CFR Part 61. After sealing the exterior liner, it shall be properly labeled. None of the asbestos waste shall remain on the ground or in a dumpster or truck in an uncovered state overnight. Here and throughout the Alternate Work Plan "properly labeled" means pursuant to 310 CMR 7.15(1)(e)1.a. and 40 CFR Part 61. a a Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building, Northampton, MA Page 4 11)An Asbestos Project Monitor ( "APM ") holding a current license issued by the MADLS shall perform perimeter air monitoring of the ambient air around the circumference of the work area. This perimeter air monitoring shall be performed on a continuous basis during the asbestos demolition and bulk loading operation. Attention shall be paid to the downwind sector as well as to all adjacent properties, streets and walkways to ensure that the circumferential monitoring points coincide with these sensitive receptors. The consultant shall have a minimum of six (6) air monitoring stations however more stations may be required to accomplish adequate monitoring between the Site and all of the sensitive receptors. Air sampling locations shall include the roofline on the four sides of the building, select entryways and ground level areas. 12) Analyses of the air samples shall be performed immediately upon collection and results reported to the APM, asbestos supervisor and demolition site supervisor within one (1) hour of collection, so that corrections in the work practices can be made immediately. If the air monitoring results exceed the MADLS's clean air criteria of one - one hundredth fiber per cubic centimeter (0.010 f/ cc) of air, then all work shall stop. The work methods shall be evaluated by the APM, the Asbestos Site Supervisor and the demolition site supervisor prior to continuing any further work. MassDEP shall be notified by telephone by close of business (5:00 p.m.) on that same day of the air monitoring exceedance and the updated emission control procedures. If the airborne fiber concentrations reach or exceed fifteen thousandths fibers per cubic centimeter (0.015 f /cc) of air, then work shall stop and MassDEP shall be notified of the exceedance by telephone within two (2) hours. All perimeter air monitoring shall be performed by properly trained Asbestos Project Monitors ( "APM's ") who hold a current license issued by the MADLS. All sample analyses shall be performed by analysts, who are properly trained by holding a NIOSH Course 582 or 582 Equivalent certification. The analyst shall also be a successful participant in the American Industrial Hygiene Association's Asbestos Analytical Registry (AIHA's AAR), deemed "proficient" in the current round of the Proficiency Analytical Testing ( "PAT ") program or alternatively, be an employee of a laboratory, which holds a current and valid license issued by the MADLS to perform such analysis. 13)With the exception of samples collected at the roofline, all perimeter air samples shall be collected in the general breathing zone, which for the purpose of this AWP, is located at a minimum of forty - eight inches (48 ") and a maximum of seventy -two inches (72 ") above the ground level. Air samples collected utilizing low -flow pumps shall be collected at a flow rate between two to five liters per minute (2.0 -5.0 LPM). Low -flow sample results shall be calculated to reflect the eight - hour time - weighted average (8 -hour TWA). Samples collected using high flow pumps shall be collected at a flow rate between eight and twelve (8 -12) LPM with a minimum volume of 1100 liters per sample. The device used to measure the flow rates for the perimeter air monitoring samples shall have been calibrated by a primary calibration device within six (6) months of utilization at the Site. A record of the calibration record for each of the measurement devices used at the Site shall be kept at the Site by each consultant for the duration of the project and a copy of each calibration record shall be submitted to MassDEP prior to commencing any work pursuant to this AWP, and shall accompany the air monitoring data required in Condition 27, below. All air filter cassettes shall be changed periodically to prevent particulate overloading. Each air filter cassette shall have the start and stop time and associated start and stop flow rates recorded in the consultant's Site log for review by MassDEP. Air monitoring series which repeatedly reveal samples that are overloaded with particulate and cannot be analyzed, shall be considered to be in noncompliance with this AWP and potentially subject the facility owners, and their contractors and consultants, to enforcement action by MassDEP. The asbestos contractor shall provide two (2) sources of one hundred ten volt alternating current (110v AC) for use by MassDEP personnel at the Site. These power sources shall be protected by ground fault circuit interrupters (GFCI's). 14)No work pursuant to this AWP shall commence unless the APM is at the Site and all air monitoring stations, both perimeter and employee monitoring, are in full operation. Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building, Northampton, MA Page 3 6)AII contractors and sub - contractors shall comply with all safety requirements, directives and instructions issued by city, state and federal health, safety and building inspectors. Failure to comply with such directives shall immediately result in the revocation of this AWP. 7) A regulated work area shall be established using asbestos warning signs and asbestos barrier tape and physical barriers to prohibit unauthorized access into the work area during the asbestos demolition and bulk loading operation. Existing, perimeter, concrete block walls will remain in- place during demolition of the roof. In addition, due to the size of the building, demolition work areas shall be further divided into smaller work areas using interior poly walls. 8)An asbestos abatement contractor, ( "asbestos contractor ") holding a current and valid license issued by the Massachusetts Department of Labor Standards ( "MADLS ") shall be on site at all times during the asbestos demolition and bulk loading operation. The employees of the asbestos contractor shall also hold current and valid licenses issued by the MADLS as either asbestos workers and or asbestos supervisors. At least one (1) asbestos supervisor shall be on site for each four (4) workers. The asbestos contractor shall ensure all of the following: a) that the co- mingled asbestos and demolition waste material ( "asbestos waste ") is thoroughly wetted and properly labeled, b)that all of the roll -off dumpsters or trucks are properly lined as described in this AWP, c) that all of the asbestos waste is properly containerized as described in this AWP, by sealing the liners over the top of each load and ensuring that the loads are covered prior to transport from the Site, d)that no water leaks from the vehicles during transport to the landfill, e) that the asbestos waste is properly tracked with USEPA required Waste Shipment records ( "WSR's "), f) hat all asbestos waste is disposed of properly in accordance with all local, state and federal regulations regarding the transport and disposal of asbestos wastes, g)that the exterior of all vehicles leaving the Site are properly cleaned and free of any debris generated at the Site. 9) Large capacity water hoses shall be used during all phases of the demolition and loading operation to eliminate dust generation. Hookups to fire hydrants or water tankers are required to meet this standard. Garden hoses are not acceptable. Water runoff control shall be implemented to ensure the capture and containment of all asbestos - contaminated water from the Site. Asbestos - contaminated water must pass through filters capable of capturing and containing particles greater than or equal to five (5) microns in size, before disposal to a sanitary sewer is permitted. If a lined collection pit is utilized then following all demolition and cleanup operations the liner shall be removed and disposed of as asbestos waste and three (3) inches of soil shall be excavated from the pit and disposed of as asbestos waste. 10)The demolition contractor shall use equipment of sufficient size to ensure a controlled demolition operation. All equipment and personnel associated with the asbestos demolition and bulk loading operation shall be fully decontaminated on a daily basis and before being released to other service. The equipment operators shall be trained in accordance with the standards for asbestos awareness and /or asbestos handling as determined by MADLS. Copies of said training shall be kept at the Site at all times for review by MassDEP personnel and shall be submitted with the requisite documentation listed in Condition 27, below. Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building, Northampton, MA Page 2 By performing work pursuant to this AWP, the owners and their contractors, subcontractors and consultants acknowledge and agree that failure to strictly comply with all of the work plan provisions and conditions stated herein may result in immediate revocation of this AWP and that all parties may be subject to enforcement action by MassDEP. The specific sections of the MassDEP asbestos regulation, 310 CMR 7.15, to which these alternative work practices will apply are: 310 CMR 7.15(1)(c)1. - Requires the removal of any asbestos - containing material from a facility prior to demolition /renovation operations. 310 CMR 7.15 (1)(c)3.d. - Requires the capture and containment of fugitive dust by utilizing sealed work area with air cleaning during asbestos removal operations. 310 CMR 7.15(1)(e) 1.a. - Requires that asbestos - containing waste materials be sealed into leak -tight containers following removal. The following conditions and work practices shall be strictly followed during the course of the asbestos demolition and bulk loading operation: 1) The asbestos abatement contractor shall submit a completed notification (ANF -001) form to the MassDEP database at least ten (10) working days prior to the start of any work pursuant to this AWP. All applicable notification fees shall be paid. The notification shall comply with all parts of MassDEP regulation 310 CMR 7.15(1)(b). Failure to submit a properly completed notification form shall result in the notification being rejected by MassDEP. Rejected notifications may be re- submitted within 30 days without paying an additional notification fee, however, the 10 working day notification period must be observed each time a rejected notification form is resubmitted. 2)The demolition contractor shall submit a separate asbestos notification form (ANF -001) to the MassDEP database at least ten (10) working days prior to the start of any work pursuant to this AWP. All applicable notification fees shall be paid. The notification shall comply with all parts of MassDEP regulation 310 CMR 7.15(1)(b). Failure to submit a properly completed notification form shall result in the notification being rejected by MassDEP. Rejected notifications may be re- submitted within 30 days without paying an additional notification fee, however, the 10 working day notification period must be observed each time a rejected notification form is resubmitted. 3) The demolition contractor shall submit a completed Notification Prior to Construction or Demolition (BWP AQ -06 form) to the MassDEP database at least 10 working days prior to the start of any demolition activity at the Site which is NOT subject to this AWP. All applicable notification fees shall be paid. Failure to submit a properly completed notification form shall result in the notification being rejected by MassDEP. Rejected notifications may be re- submitted within sixty (60) days without paying an additional notification fee, however, the 10 working day notification period must be observed each time a rejected notification form is resubmitted. 4)The Asbestos Project Monitor ( "APM ") shall review the asbestos notifications for completeness prior to commencing any work. The results of this review shall be recorded in APM's Site logbook and the MassDEP shall be notified by the APM that the notification review has been completed at least one (1) day prior to the Start of any operations at the Site pursuant to the AWP. 5)The Asbestos Project Monitor ( "APM ") shall review all aspects of this AWP with each contractor, sub - contractor and consultant prior to commencing any work pursuant to this AWP. A written record of each entity attending the review shall be kept by the APM conducting the review and submitted to MassDEP prior to the start of any work. A copy of the written attendance records shall be delivered to MassDEP, by the APM, before 5:00 p.m. on the day the review was completed. Fry,- , H11): , !),11 ing, 1 _;_s 296 Sylvester Road • Florence, MA, 01062 • Tel /Fax (413) 341 -3418 October 4, 2012 Mr. Brian Bordeaux Massachusetts Department of Environmental Protection (MassDEP) Western Regional Office Asbestos Compliance Section 436 Dwight Street Springfield, MA 01103 Re: Request for Conditional Approval of Alternative Work Practices Former Kollmorgen Corporation Building 347 King Street Northampton, MA Dear Mr. Bordeaux: This Alternate Work Plan ( "AWP ") is being submitted on behalf of the property owner, Tommy Car Auto Group, requesting that their contractors be allowed to demolish portions of the roof of the former Kollmorgen facility located at 347 King Street in Northampton, MA without first removing the asbestos - containing roof decking and built -up, asphalt -based roofing materials. The roof of the building is generally comprised of a built -up, asphalt -based roofing system, supported by roof deck panels and metal support beams and covered with a newer membrane -type roofing system. Removal of the asbestos - containing components of the roof (decking and built -up asphalt -based portions) only, while leaving the membrane in -place causes the roof to be structural unstable and potentially unsafe. Continued exposure to the elements following removal may exacerbate the structural instability of the roof and potentially contribute to an uncontrolled collapse. Therefore, Tommy Car Auto Group requests that the asbestos materials described above be allowed to remain in place during the controlled demolition of the roof and that the co- mingled debris be bulk loaded for disposal as asbestos waste. Green Environmental Consulting, LLC (GEC) and the demolition contractor, Associated Building Wreckers, have developed specific alternative work practices and engineering controls which shall be implemented by all contractors, sub - contractors and consultants, to ensure that no release of asbestos emissions occurs during the asbestos demolition and bulk loading operation. These work practices include wet methods, full -time third party oversight (including perimeter air monitoring and visual inspections), a full time asbestos contractor, and decontamination of vehicles and personnel during the demolition and loading operation. GreenEnvironmentalConsulting .com }DEP - MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home 1 Contact 1 Feedback 1 Tour 1 Privacy Policy MassDEP's Online Filing System Username: BAYSTATE 1 Nickname: BAYSTATE CONTRACTING 100 0 F My eDEP Forms ® My Profile= Help Receipt Forms Signature Receipt Summary/Receipt print receipt 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: 511696 Date and Time Submitted: 10/10/2012 4:11:07 PM Other Email : Form Name: AQ 04 - Asbestos Removal Notification Form ANF -001 Payment Information DEP code: 74167 Date: 10/10/2012 4:10:50 PM Amount ($): 85 Billing Info: BEAUDRY JAMES -- AccountType -- AccountNumber ** **1200 ConfirmationNumber: Contractor Contractor Number: AC000000 Name: INHOUSE OR HOMEOWNERS Address: INHOUSE ABATEMENT, INHOUSE, MA 02108 617 - 292 -5500 Supervisor NON LICENSED REMOVAL Project Monitor Lab Location KOLLMORGEN CORPORAT Project Start Date 10/23/2012 My eDEP MassDEP Home Contact Feedback Tour Privacy Policy MassDEP's Online Filing System ver.11.8.2.0© 2011 MassDEP https: / /edep.dep. mass .gov /Pages /PrintReceipt.aspx 10/10/2012 , Commonwealth of Massachusetts . 1100161146 . Asbestos Notification Form ANF-001 Decal Number B. Facility Description (cont.) -- ASSOCIATED BUILDING WRECKERS INC 352 ALBANY STREET 5. a. Name of General Contractor b. Address SPRINGFIELD kii5 1 413-732-3179 , /Town d. Zip Code e. Telephone Number (area code and extensionL 1 GREAT DIVIDE INSURANCE COMPANY 1 WCA15416510 1 12/1/2013 : , f. Contractor's Worker's Comp. Insurer .. Folic Number h. Exp. Dateimm/dd/gyy) , 125000 1 1 6. What is the size of this facility? : 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): WEIGLE TRUCKING 274 REYNOLDS ROAD , a. Name of Transporter b. Address Note: Transfer Stations must FL —1- 117744 1 15703265438 , 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 WEIGLE TRUCKING 1 274 REYNOLDS ROAD a. Name of Transporter b. Address LINDEN -----] 17744 1 5703265438 c. City/Town d. Zip Code e. Telephone Number 3 _ . L_ i --___J _ a. Refuse Transfer Station and Owner - 15. Address I — , ._,. c. Cit y/Town d. Zip Code e. Telephone Number 4. MINERVA ENTERPRISES INC — 1 MINERVA ENTERPRISES INC a. Final Dis osal Site Location Name b. Final Disposal Site Location Owner's Name 9000 MINERVA ROAD 1 WAYNESBURG c. Final Disposal Site Address d. City/Town OH 144688 --1 3308663435 ........ .1... e. State f. Zip Code g. Telephone Number cf) ■ 0 ■111111111•1111111111■1•1 -- CI D. Certification ... ■•■■■= CV , IMINI■1 The undersigned hereby states, under the JAMES BEAUDRY - 1 1 JAMES BEAUDRY t..._ = penalties of perjury, that he/she has read the a. Name b. Authorized Signature ; r ... Commonwealth of Massachusetts regulations 'PROJECT MANAGER j [10/10/2012 : for the Removal, Containment or c. Position/Title d. bate Imm/d I ...`... Encapsulation of Asbestos, 453 CMR 6.00 and ...... 4137323179 1 [ASSOCIATED BUILDING i , 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. 352 ALBANY STREET ...... o g. Address .......■ .... 'SPRINGFIELD ......11. ; 1'01105 ........ h. City/Town i. Zip Code ..... < El anf001ap.doc • 10/02 Asbestos Notification Form • Page 3 of 3 1 ,- Commonwealth of Massachusetts • 100161146 ' 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: I 0 1 46000 1 a. Total pipes or ducts (linear ft) b. Total other surfaces (square ft) j c. Boiler, breaching, duct, tank [:7 171111:71 d. Insulating cement surface coatings Lin. ft. Sq. ft. Lin. ft. Sq. ft. e. Corrugated or layered paper L__ _I I . - ,--. ---- f Trowel/Sprayer coatings pipe insulation Lin. ft. Sq. ft. • Lin. ft. Sq. ft. g. Spray-on fireproofing [ 1 _ _ h. Transite board, wall board Lin. ft. _ sq. n. 1 LinTif. i. Cloths, woven fabrics r ---- _I L_ 1 • , j. Other, please specify: 1 ,46000 Lin. ft. Sq. ft. lin. ft. ' 'Sq,,,ft. , 1 k. Thermal, solid core pipe I ROOFING DEBRI insulation Lin. ft. Sq. ft. I. Specify 14. Describe the decontamination system(s) to be used: I3-STAGE REMOTE DECON 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): i IBULK LOAD INTO 2-10-MIL LINERS,WETTED,LABELED AND PROPERLY DISPOSED • 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: I , a. Name of DEP Official b. Title 1 1 c. Date (mm/dd/yyyy) of Authorization d. DEP Waiver # i 1------ _ e. Name of DOS Official f. DM Title 1____ :1 [ ... ...... g. Date (mm/dd/yyyy) of Authorization h. DOS Waiver # (\i —......o 17. Do prevailing wage rates as per M.G.L. c. 149, § 26, 27 or 27A-F apply to this project? Li Yes X No ...........° B. Facility Description ...... swiemm■ CNJ DEMOLITION OF STRUCTURE .........0 1. Current or prior use of facility: ....... 2. Is the facility owner-occupied residential with 4 units or less? 11 Yes L/1 No CARLA COSENZI 347 KINS STREET ...........,- ... 3. 11•1111111111111■1■ a. Facilit Owner Name b. Address 0 NORTHAMPTON 1 01060 4135701302 .............. .........— o c. City/Town d. Zip Code e. Telephone Number (area code and extension) .,.= CARLA COSENZI 347 KINS STREET ............u. 4. a. Name of Facility Owner's On-Site Manager b. On-Site Manager Address 1■111•1111111■11111111111111 Z NORTHAMPTON ----- 01060 4135701302 .........< c. City/Town d. Zip Code e. Telephone Number (area code and extension) • anf001ap.doc • 10/02 Asbestos Notification Form • Page 2 of 3 II .... ., 4 fect,41 Commonwealth of Massachusetts II 100161146 ! ' Asbestos Notification Form ANF-001 Decal Number Important: out A. Asbestos Abatement Description When filling 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 4 No to move your cursor - do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key. 2. Facility Location: vii_lho 'FORMER KOLLMORGEN CORPORATION 347 KINS STREET . , a. Name of Facility b. Street Address .108.. ' — — --- NORTHAMPTON MA c. City/Town ----] d. State 01060 135701302 e. Zip Code 41 f. Telephone Number INSTRUCTIONS 3. Worksite Location: KOLLMORGEN CORPORAT 347 E.— ----, I i 1 , 1. All sections of this 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? * Yes 2 . I No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational INHOUSE OR HOMEOWNERS INHOUSE ABATEMENT , Safety (DOS) a. Name b. Address notification 1 ---1 requirements of 453 1 INHOUSE 02108 6172925500 CMR 6.12 c. City/Town d. Zip Code e. Telephone Number r i Ac000000 1 7--- f. DOS License Number g. Contract Type: ii. J Written 1,,_ : Verbal I 'CARLA COSENZI — 1 413-570-1302 h. Facilit Contact Person i. Contact Person's Title NON LICENSED REMOVAL AS000000 6. a. Name of On-Site Supervisor/Foreman b. Supervisor/Foreman DOS Certification Number [UNKNOWN AT THIS TIME -1 N/A a. Name of Project Monitor b. Pro'ect Monitor DOS Certification Number 8 PINT AT THIS TIME N/A . .... ■MIN11111111■ a. Name of Asbestos Analytical Lab b. Asbestos Analytical Lab DOS Certification Number ......... 110/23/2012 _I 12/12/2012 , 9. — -- a. Pro'ect Start Date (mm/dd/yyyy) b. End Date (mm/dd/yyyy) o 7:00-4:30 -- 1 N/A immo■ __..i ■•■•■ c. Work hours Mon-Fri. d. Work hours Sat-Sun. ......(N ....(:D 10. a. What type of project is this? ......0 , ,E Demolition 7 Renovation .......... _ 0 Repair 0 Other, please specify: b. Describe .... ..... ....r 11. a. Check abatement procedures: —... —......... o ........... Glove bag o Encapsulation ....... o 0 Enclosure 0 Disposal only —..— IL Lill Cleanup n Other, specify: NON FRIABLE-MACHINE-BULK LOAD ww■ ■ Full containment b. Describe ....... —1— 12. Is the job being conducted: L Indoors? ril Outdoors? ■11111•1111M11■11111 < • anf001ap.doc • 10/02 Asbestos Notification Form • Page 1 of 3 1 eDEP - MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home i Contact I Feedback 1 Tour 1 Privacy Policy MassDEP's Online Filing System Username:BAYSTATE 1 Nickname: BAYSTATE CONTRACTING Laa OP. 1 a'DE Fot n s 0 My Profileoll Profile Help Receipt Forms Signature Receipt Summary/Receipt print receipt ] 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: 514640 Date and Time Submitted: 10/23/2012 9:03:32 AM Other Email : Form Name: Project Date Revision Notification DECAL # and Facility information Form Name: ANFOO1 DECAL # : 100161146 Facility Name: FORMER KOLLMORGEN CORPORATION Address: 347 KINg STREET, NORTHAMPTON, MA 4135701302 Original Project Dates Start Date: 10/23/2012 - End Date: 12/12/2012 Revised Project Dates Start Date - End Date My eDEP MassDEP Home Contact Feedback Tour Privacy Policy MassDEP's Online Filing System ver.11.8.2.0© 2011 MassDEP https: / /edep.dep. mass .gov /Pages /PrintReceipt.aspx 10/23/2012 Li Massachusetts Department of Environmental Protection '100161146 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 BEAUDRY IJAMES BEAUDRY 1. Name Authorized Signature r [PROJECT MANAGER i 10/23/2012 2. Position/Title 3. Date mm/dd/vyyVL____ ASSOCIATED BUILDING WRECKERS, INC. 4137323179 4. Representing 5. Telephone !. 52 ALBANY STREET 6. Address [SPRINGFIELD Kl"1105 7. City/Town 8. Zip Code anfO6pdrn.doc • rev. 2/5/04 fe ) Massachusetts Department of Environmental Protection 1 161146 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 y forms on the - -- computer, use 1FORMER KOLLMORGEN CORPORATION only the tab key 1. Name of Facility to move your 347 KIND STREET cursor - do not 2. Street Address use the return — - -_ _ r key. F N RTHAMPTON IMA 3. City 4. State 5. Zip Code 14135701302 6. Telephone Number MUT INSTRUCTIONS B. Project Cancelled 1. This form is only available for i Check here if this jroect is /was cancelled. online filing of p project date revisions. 2. Enter project decal number. C. Project Dates 3. Validate that _— , - - -- - the project 110/23/2012 12/12/2012 location is correct 1. Original Start Date (mm /dd /yyyy)__ 2. Original End Date (mm /dd /yyyy for the entered r 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. 1 11 /20/2012 12/12/2012 1. Revised Start Date (mm /dd /yyyy) 2. Revised End Date Date (mm /dd /yyyy) E. Other Project Revisions PLEASE NOTE: THAT THE ABOVE ADDRESS IS 347 KING STREET NORTHAMPTON, MA. i F. Revision History _ anf06pdrn.doc • rev. 2/5/04 1 • Massachusetts Department of Environmental Protection • Bureau of Waste Prevention • Air Quality ;100150042 BVV P AQ 0 A Decal Number Notification Priior 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)? El Yes [ No If yes, who conducted the survey? b. Surveyor Name c. Division of Occupational Safety Certification Number 7. Construction or Demolition: !9/1/2012 11/30/2013 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: seeding paving i✓ 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 'N /A b. Title 36/7/2012 c Date (mm/ddlyyyy) of Authorization N/A d. DEP Waiver Number D. Certification I certify that I have examined the ANDREW MIRKIN o above and that to the best of my ( a. Print Name o knowledge it is true and complete. 'Andrew Mirkin The signature below subjects the b. Authorized Signature signer to the general statutes PRESIDENT o regarding a false and misleading c Position /Title statement(s). !ASSOCIATED BUILDING WRECKERS, INC d. Re resentin ;6/7/2012 e. Date (mm /dd /yyyy) 0 0 Q • ag06.doc • 10/02 BWP AQ 06 • Page 3 of 3 • . . Massachusetts Department of Environmental Protection NI Bur88uofVV83tGPrevendon~Ajr(]uG|itv 1100150042 1 @����&��~� AQ ���� Decal Number ���������� U��� ------- Notification Prior to Construction or Demolition General Statement: If B. General Project Description (cont.) asbestos is found during 4 General Construction or � � Demolition A8SOC|&TEO BU|LO|NQ WRECKERS, INC. operation, all ^ - ^ --- a. Name responsible parties / with must comply [352 ALBANY STREET 310 cMn7o0. b. Address r.oe.7.1o.and Chapter o1smthe L"'�"``"'' _J LMA 01105 General Laws of c. City/Town d. State e. Ziapode the Commonwealth. This would include ' ex���!m Adum but would not be ----------==�== limited to, filing un C� v*muEmnuur : asbestos removal h. On-site Manager Name ---- — ' --------'-------- notification wilh the Department and/or a notice of r release/threat m d� ����J����U Construction or Demolition KDescription �/mmoma C. General ~ ^ ^ Description hazardous substance mthe 1. Construction or demolition contractor: Department, if applicable. r ASSOCIATED BUILDING WRECKERS, -�7 ��`o � -- � 352 ALBANY STREET ; ISTRINGFIELD ;MA 1 '01105 [ c. City/Town d. State e. Zip Code f. Telephone Number (area code and extensi‘o - 1 Address (optional) h. On-site Manager Name 2. On'SiheSupemionc On-Site Supervisor Name 3. Is the entire facility to be demolished? �� Yes �� No N o 4. Describe the area(s) to be demolished: o iENTIRE AREA N 0 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: � co o 0 < 1. ag06.doc^10/02 BVVPxo06' Page zmaII , Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality 1100150042 Decal Number . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . BWP AQ 06 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 cursor - do not use the return (DEP), Bureau of Waste Prevention - Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) days prior to any r work being performed. The following information is required pursuant to 310 CMR 7.09. ra B. General Project Description r„., 1. a. Is this facility fee exempt - city, town, district, municipal housing authority, owner - occupied Instructions residence of four units or less? IZI Yes ) No 1. All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of [FORMER KOLLMORGAN BUILDING Environmental i Protection a. Name notification 347 KING STREET requirements of b 310 CMR 7.09 Address _.._... [Northampton MA 01060 c. City/Town d State e Zip, Code -_ r �_ f f. Telephone Number (area code and extension) __ LE-rnail Addressloptionall 100000 t =1 h. Size of Facility in Square Feet i. Number of Floors j. Was the facility built prior to 1980? , ii Yes , f No k. Describe the current or prior use of the facility: iCORPORATE BUILDING I. Is the facility a residential facility? `Yes ✓ No ° m. If yes, how many units? Number of Units ° 3. Facility Owner: N iTOMMY CAR AUTO GROUP o a Name o 140 RUSSELL STREET b Add ress HADLEY . MA 01035 co cc city /T4!'yR,. �.� m -w._ ..q. �.� d State o 14135701302 _ _ __ g f. Telephone Number (area code and extension) a. E -mail Address (optional) 0 tCARLA COSENZI Q h. Onsite Manager Name • ag06.doc • 10/02 BWP AQ 06 • Page 1 of 3 III k Nov 16 2012 7:45 City of Northampton DPW (413) 587 -1389 p.l � - ,, � ^Mxr CITY OF NORTHAMPTON, MASSACHUSETTS ��'„ „ti DEPARTMENT OF PUBLIC WORKS ��,41. 125 Locust Street +� Northampton, MA 01060 413. 587 -1570 Fax 413 - 587 -1576 Edward S. Huntley, P.E. Director TO Associated Building Wreckers, Inc FROM Dave, Northampton Water Dept. DATE: 11/16/12 SUBJECT: 347 King St disconnect FAX #: 1- 413 - 734 -6224 Number of Pages including this sheet 2 DIG SAFE SYSTEM, INC. - Renew Existing Ticket Page 2 of 2 • The excavator is responsible to maintain markings placed by member utilities... DIG SAFE ENCOURAGES A COPY OF TIIIS ELECTRONIC TICKET ON SITE AT ALL 'TIMES. Renew Another Ticket j Print Ticket [ Return To Menu 1 j Return To Home http : / /digsafeform.digsafe.com /cgi- bin /dwcgi.exe 10/30/12 DIG SAFE SYSTEM, INC. - Renew Existing Ticket Page 1 of 2 Request Number: 20124402349 Date 10/30/2012 Time 12:21 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address / Intersection: 347 KING ST Nearest Cross Street 1: DAMON RD Nearest Cross Street 2: BARRETT ST Additional Information: FORMER KOLLMORGAN CORPORATE BUILDING Nature Of Work: DEMOLITION OF BUILDING Area Of Work: PRIVATE PROPERTY Area Is Premarked: Y Start Date: 11/02/2012 Start Time: 13:00 Caller: TALIA Title: Return Call: BEF 430PM Phone #: 413 - 732 -3179 Fax #: 413 - 734 -6224 Alt. Phone #: Email Address: ABW_INC @COMCAST.NET Contractor: ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY ST City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: Member Utility List Code Abbreviation Name Al27 G4STEC G4S TECHNOLOGY LLC AJ COMCAS COMCAST - SOUTH BURLINGTON MC NGRDEL NATIONAL GRID ELECTRIC -MASS ELEC ML MCI MCI ON ONTARG ON TARGET LOCATING RJ IDM INNOVATIVE DATA MANAGEMENT SP VERIZN VERIZON WB BRKGAS BERKSHIRE GAS WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS • 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. http: / /digsafeform.digsafe.com /cgi- bin /dwcgi.exe 10/30/12 DIG SAFE SYSTEM, INC. - Create New Quick Ticket Page 1 of 1 Request Number: 20122310113 Date 06/07/2012 Time 13:24 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address / Intersection: 347 KING ST Nearest Cross Street 1: DAMON RD Nearest Cross Street 2: BARRETT ST Additional Information: FORMER KOLLMORGAN CORPORATE BUILDING Nature Of Work: DEMOLITION OF BUILDING Area Of Work: PRIVATE PROPERTY Area Is Premarked: Y Start Date: 07/01/2012 Start Time: 15:00 Caller: TALIA Title: Return Call: BEF 430PM Phone #: 413 - 732 -3179 Fax #: 413- 734 -6224 Alt. Phone #: Email Address: ABW_INC @COMCAST.NET Contractor: ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY ST City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: Member Utility List Code Abbreviation Name Al27 G4STEC G4S TECHNOLOGY LLC AJ COMCAS COMCAST - SOUTH BURLINGTON MC NGRDEL NATIONAL GRID ELECTRIC -MASS ELEC ML MCI MCI SP VERIZN VERIZON WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS ON ONTARG ON TARGET LOCATING RJ IDM INNOVATIVE DATA MANAGEMENT • 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 TIIIS ELECTRONIC TICKET ON SITE AT ALL TIMES. Create New J [ Create From Existing J Print Ticket j Return To Menu ) [ Return To Home http : / /digsafeform.digsafe.com /cgi- bin /dlcgi.exe 06/07/12 ING SAFE SYSTEM, INC. - Renew Existing Ticket Page 2 of 2 • The excavator is responsible to maintain markings placed by member utilities... 1)IG SAFE ENCOURAGES A COPY OF TIIIS ELECTRONIC TICKET ON SITE AT ALL TIMES. I Renew Another Ticket J Print Ticket I Return To Menu J I Return To Home http: / /digsafeform.digsafe.coin /cgi- bin /dwcgi.exe 08/06/12 DIG SAFE SYSTEM, INC. - Renew Existing Ticket Page 1 of 2 Request Number: 20123201453 Date 08/06/2012 Time 10:59 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address / Intersection: 347 KING ST Nearest Cross Street 1: DAMON RD Nearest Cross Street 2: BARRETT ST Additional Information: FORMER KOLLMORGAN CORPORATE BUILDING Nature Of Work: DEMOLITION OF BUILDING Area Of Work: PRIVATE PROPERTY Area Is Premarked: Y Start Date: 08/10/2012 Start Time: 11:00 Caller: TALIA Title: Return Call: BEF 430PM Phone #: 413 - 732 -3179 Fax #: 413 - 734 -6224 Alt. Phone #: Email Address: ABW_INC @COMCAST.NET Contractor: ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY ST City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: Member Utility List Code Abbreviation Name Al27 G4STEC G4S TECHNOLOGY LLC AJ COMCAS COMCAST - SOUTH BURLINGTON MC NGRDEL NATIONAL GRID ELECTRIC -MASS ELEC ML MCI MCI ON ONTARG ON TARGET LOCATING RJ IDM INNOVATIVE DATA MANAGEMENT SP VERIZN VERIZON WB BRKGAS BERKSHIRE GAS WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS • 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. http: / /digsafefonn .digsafe.com /cgi- bin/dwcgi.exe 08 /06/12 DIG SAFE SYSTEM, INC. - Renew Existing Ticket Page 2 of 2 • The excavator is responsible to maintain markings placed by member utilities... DIG SAFE ENCOURAGES A COPY OF TIIIS ELECTRONIC TICKET ON STTE AT ALL TIMES. 1 Renew Another Ticket ] Print Ticket 1 [ Return To Menu [ Return To Home http://digsafeforrn.digsale.com/cgi-bin/dwcgi.exe 09/11/12 k DIG SAFE SYSTEM, INC. - Renew Existing Ticket Page 1 of 2 Request Number: 20123703787 Date 09/11/2012 Time 08:07 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address / Intersection: 347 KING ST Nearest Cross Street 1: DAMON RD Nearest Cross Street 2: BARRETT ST Additional Information: FORMER KOLLMORGAN CORPORATE BUILDING Nature Of Work: DEMOLITION OF BUILDING Area Of Work: PRIVATE PROPERTY Area Is Premarked: Y Start Date: 09/19/2012 Start Time: 09:00 Caller: TALIA Title: Return Call: BEF 430PM Phone #: 413 - 732 -3179 Fax #: 413 - 734 -6224 Alt. Phone #: Email Address: ABW_INC @COMCAST.NET Contractor: ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY ST City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: Member Utility List Code Abbreviation Name Al27 G4STEC G4S TECHNOLOGY LLC AJ COMCAS COMCAST - SOUTH BURLINGTON MC NGRDEL NATIONAL GRID ELECTRIC -MASS ELEC ML MCI MCI ON ONTARG ON TARGET LOCATING RJ IDM INNOVATIVE DATA MANAGEMENT SP VERIZN VERIZON WB BRKGAS BERKSHIRE GAS WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS . 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. http : / /digsafefonn.digsafc.com /cgi- bin /dwegi.exe 09/11/12 413 - 734 -9123 08:21:31 a.m. 10 -18 -2012 111 Associated Building Wreckers, Inc. 352 Albany St., Springfield. MA 01105 Tel: (413) 732 -3179/ (800) 448 -2822 Fax: (413) 734 -6224 September 7, 2012 To: Deborah A. Pisciotta Email: deborah.pisciotta @verizon.com of: Verizon Phone: (413) 787 -0312 Please cut all services of all buildings at the following location as it is being scheduled for demolition: 347 North King Street Northampton, Massachusetts Once disconnection has been completed, please either sign below and fax it to 413 -734- 6224 or send a notification on your company letterhead. Thank you very much for your assistance in this matter. Sincerely, Associated Building Wreckers, Inc. SERVICE AT: HAVE BEEN DISCONNECTED AS OF 16 (15 l�Z PRINT NAME: KV 1 +t■.) Lit\Q SIGNATURE: �fG� REMARKS, IF ANY: Pagc1of1 Talia Totten From: Romito, Jeff [Jeff Romito@cable.comcast.com] Sent: Tuesday, July 10, 2012 6:08 PM To: Talia Totten Subject: RE: 347 King Street Northampton, MA All set From: Talia Totten [mailto:Talia @buildingwreckers.com] Sent: Friday, July 06, 2012 1:25 PM To: Romito, Jeff Subject: 347 King Street Northampton, MA Please see attached 07/11/12 Associated It Wilding Wreckers, Inc, 352 Albany St., Springfield. MA 01105 Tel: (413) 732 -3179/ (800) 448 -2822 Fax: (413) 734 734 -6224 November 20, 2012 To: John Hall, Foreman Phone: 413 587 -1570 Of: Northampton DPW Sewers Division Fax: 413 587 -1576 Please sign below to confirm that sewer services to the former Kollmorgen Facility at: 347 King Street in Northampton have been terminated as the building is being scheduled for demolition. Thank you very much for your assistance. Thank you, Associated Building Wreckers, Inc. Service at: have been disconnected as of Print Name: Signature: Remarks, if any: 07/30/2012 07:17 4137327393 PAGE 01/01 Associated Building Wreckers, Inc. ;, .. 352 Albany St., Springfield. MA 01105 Tel: (41 732-3179/ (800) 448 -2822 Fax: (413) 734 -6224 July 9, 2012 TO: Jackie Email:jbejune@nisouree.com OF Columbia Gas PHONE: 413 781.9200 Fact 2115 Please cut all services of all buildings at the following location as it is being scheduled for demolition: 347 King Street Northampton, MA Once disconnection has been completed, please either sign below and fax it to 413-734 - 6224 or send a notification on your company letterhead. Thank you very much for your assistance in this matter. Sincerely, Associated Building Wreckers. Inc. SERVICE AT: 3 7 ,/' 6r' 'e/ HAVE BEEN DISCONNECTED AS OF Z . 7 ... PRINT NAME: SIGNATURE: • REMARKS, IF naionagric Th pctr. sr of action Reservoir Woods 40 Sylvan Rd Waltham, MA 02451 November 19, 2012 Associated Building Wreckers Email: Talia@buildingwreckers.com RE: Service Removal for Building Demolition. Attn: This letter is to confine that, per your request; National Grid has removed the electrical service and meter, number 04848629, located at 347 King Street in Northampton on November 19, 2012. If you have any questions or need further assistance, please feel free to contact me at (508) 357 -4661. Sincerely, / 'z • 1 i Reily nationalgrid Customer Order Fulfillment Central & Western MA Office 508- 357 -4661 Fax 888 266 -8094 nov 16 2012 7:45 Citj of Northampton DPW (413) 587 -1389 p.2 NOV -13 -2012 14:12 From: To :DPW Central P.1'1 , Associated Building Wreckers, Inc. 352 Albany St., Springfield. MA 01105 Tel: (413) 732 - 31 448-2822 Fax: (413) 734 734-6224 November 13, 2012 To: Dave Sparks Fax: 413 587 -1576 Of: Northampton DPW Water Dept. Phone: 413 587 -1098 Please confirm by signing below that all services to the building at the location of: 347 King Street Northampton, MA (the former Kollmorgen Facility) have been disconnected. Thank you very much for your assistance. Sincerely, Talia Associated Building Wreckers, Inc. Service at: have been disc as of /]-- / '- j , Io _..� �. , 25 Signatur Print Na d � � __ e ,4W 1l Remarks, if any: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for thcir employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub- contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should he returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self- insured companies should enter their self- insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to till in the permit /license number which will be used as a reference number. In addition, an applicant that roust submit multiple permit /license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.c. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617- 727 -4900 ext 406 or 1- 877 - MASSAFE Fax # 617- 727 -7749 Revised 4 -24 -07 www.mass.gov /dia The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 MM. Workers' Compensation Insurance Affidavit: Builders /Contr actors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization /Individual): Associated Building Wreckers. Inc. Address: 352 Albany Street City /State /Zip: Springfield, Massachusetts 01105 Phone #: 413 732 -3179 Are you an employer? Check the appropriate box: Type of project (required): I. ® I am a employer with 26 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub contractors 6. 1 New construction 2. 1 am a sole proprietor or partner These sub-contractors listed on the attached sheet. 7. ❑ Remodeling b have and have no employees 8. ® Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. 1 1 We are a corporation and its 10.0 Electrical repairs or additions 3.1 1 I am a homeowner doing all work officers have exercised their 11.[1 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. I lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors 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. lithe sub - contractors have employees, they must provide their workers' comp. policy number. / r an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Grcat Divide Insurance Company Policy # or Self -ins. Lic. #: WCA 154516510 Expiration Date: 02/01/201/ .lob Site Address: ��i/vG S, e4. 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to $1,500.00 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 a ainst the violator. 13e advised that a copy of this statement may be forwarded to the Office of Investigations of the DI for insurance coverage verification. 1 do hereby certify and t to pains and penalties of perjury that the information provided above is true and correct. Andrew Mirkin, President /f 0 Signature: 3 Date:��cyt clr)X/ v< Phone it: 413 732 -3179 Official use only. 1)o not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): I. Board of health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: z._ J. J Jci J 0JJ ((91. ( ec Jep.:J,Jtv...]:Ji-; `s, jj ,j ;;;12' - L 3U 03fl0' _ .„.. r•-,•):'.n it? 1 .rDLINLO • - 'JOLOVJINCO JO .1! "ITLIUDIIdiS •J. 7;2:3 0;10: . . Version 1.7 Commercial Building Permit \ =lay 15. 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 720 CMR 116 (CONTAINING MORE'FHHAN 35,000 C.F. OF ENCLOSED SPACE) .J 9.1 Registered Architect: Not Applicable _ ______ —_ Name (Registrant). Rc,glStration Number Address Expiration Date Signature --_ _.— _- - olndno -1e L 9.2 Registered Professional Engineer(s): ``lame 1 Area of Responsibility Address —_" — __ —. —_ -- Rei ist;ation Number Signature e . a p t 'n ne Expiration Date i t` emo i Area of Responsibility Address Registration Number Signature Telephone Expiratio. ^, Date Naunc Area of Responsibility — Address ss ,Regi.sl ation Number Signature — _ Telephone Expiration Date Name Area of Responsibility E Address Registration Number . en3iUie Tcf p none Expiry ion Date 9.3 General Contractor Associated iated Bui} dint, Wreckers, lric. IE Not Applicable 0 —_. - t i Cin '3 Yy Nanib? ,' \nfr ovi '�.tirkin, Pr: ident - :: , nstbfe In Cha of ,mstruct'son — — 3' lbany Street ringfield, NI/ \ 01105 r, (41 3) 132 -317 Sit nalurt Teiephene . . YomionlJ Commercial Uoi|div8 Permit May 15, 2000 V. NORTHAMPTON ZONING Existing T— Required byIonin l C mnmm^cm�mbv Lot o��o�xu/,n/urmp*mn. | i - - __�-_____-_ ' -- - - --- -- --- Setbacks Front Side Li D � ' L� n: -_ __ ��� Rear i � | Building Heigh . � Bldg,. Square Footage | '---' -- `� \ - - Open Space Footage . (Lot =" minus bldg.upaved =mine) 4of Parking S,aces Fill: Location) - ��-- — \ ' _ A. Has a Special PcrrnitfVariance/Finding ever been issued for/on the site? C) �� /� NO �� DON'T KNOW \�/ YES \`J '---- IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO �-� DON'T �� YES �-� x�, _-' `�/ �� IF YES: enter Book Page and/or Document #! __ -- /"-\ /,� /~� G. Does the dtecontain a brook, body of,'a\ern/wetiands! NV ,r,„!„) D0N7KN0Y� \^� YES \_/ IF YES, has a permit been orneed to be obtained from the Conservation Commission? Needs to be obtained /\ Obtained /-� Date — ----'-' \~/ , ' C. Do any signs exist on the property? YES 0 NO (� IF YES, describe size, type and location: -- --- ----------------- D Are there any proposed changes to or of for the property YES �� NO 0 D. ` \^� �� - — )F YES, describe d d size, -- ` ' ---- ---- . . E. Wil the construction ectvity disturb (clearing, noon ove'1 aue common plan 0mt wxx d�uru over �nco? YES � ) �� NO ��) � IF YES, then a florthampton Storm \A'ater Management Permit from the DPW is required. • . • Version!J Commercial Building Permit SECTION 4- CONSTRUCTION - SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENLOSED SPACE nerior Atcrations s [] Existing Wall Signs [] Demolition VI Repairs 0 Additions [] Accessory Building 0 Other Rooting Exterior [] Existing Ground n si [] New Signs an:o [] Change of Use [] [] _ - _-_- Bxe,onsxnpuvn buildirig remov all debris 1uWestern Recycling at 120 Old Boston Road in Of Proposed Work: ;Wilbraham, MA ' ` - ' _ SECTION 5- USE GROUP AND COr4STRUCTION TYPE USE GROUP (Check as appticabte) CONSTRUCTION | mTrp� ' A Assembly A-1 [] A-2 [] A-3 [] 1A 0 0 A-4 O A-5 0 1a 0 L] 2^ [] -- Educational , [] _ za ' [] F Factory [] F-1 [] F-2 [] K co [] * High Hazard [] 3A [] 'I Institutional []I-1 [] i-z / [] 3B [] 141 Mercantile LJ ^ [] R Residential 0 R-1 0 R-2 0 R-3 0 5A 0 8 Storage [] 8'1 [] S-2 [] 0 58 0 u Utility [] specify. , | - - - '-- - ---- -------' - m Mixed [] Specify: : �� � �� � � ��� . . � ��� _ _ _ ...., . „ . . . , 5 Special Use Specify: I COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE SECTION 6 BUILDING HEIGHT AND AREA OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Arcapo Floor (s0 ' u ' -- ---- ---- ------ | 1'` �--- / � _ __ _-__�___�____�__-__ ___�_ _-_ _-___�— -' -----'-~�-'--~ -i 2' | ----- ----\ Z~/ - - -- - - ^ '------- ... --. ------- - zm 3* --------------------` ( | ------ --- ---- - -- - | 4 r - ------------`--- = ' , 1„ P ' Total Area (s0 - --'--------- T�m|PopunodN���o���g���0 ' - - ' ro/�o �----------- Total Height ft . _ ■ 7, Water Supply (M.G.Lc40,054) 71 Information: 7.3 Public V0 Private Zone L Ou��vn"odzn"v[�_ Municipal ����mspvna system 4 ^ . . V 15 Permit '--- Dupa*n=m use on� | ..\________.: — City cfNorU�mpbon ' o��sn/Pcnnk Building Department Curb Cut/Driveway Permit 212 Main Street smwer/3optic Room 100 vvatummel|*oai(au/|hy t or. OF www , o�humptun.&1AQ1O5O Two Seuv(s�ucvum|P�ns SOS '� � 413-587-1240 Fax413-587-1272 P|ox3i\oPianu phone Othu,Svacify APPLICATION TonnwaTnUCT.REpmn. RENOVATE, CHANGE THE USE OR OCCUPANCY OF, Pg DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELUNG SECTION 1'SITE INFORMATION i Ths section to be comploted by offce 1,1 £ r ,�nnv� «d r���__... _ 347 King Street (Former Kollmorgcn Facility) Map Lot Unit Zone Overlay District Elm St. District CB District / SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT — - 2.1 Owner of Record: ' - —_ | TOMIlly car-Auto Group � 4 V Russell Street Uod| MA 01035 / Current Mailing Address: ` (4\3)57O')302 � ^ ' _ ru�nmx ` _ * .' z,zAumon�dAgent: �, // N;;11;11;.? (Print) , , �r Current Mailing Address: ` ' Sii;i=tura relr.s _ . _ SECTION 3' ESTIMATED CONSTRUCTION COSTS ) — -- /�m sn�nmdcu�|o��o)muo Official ' _______ comp/�udu'panritopE�a� 1. Building #sui/mon Permit Pee S|65.00000 2. Eleuuical /(h)Ecmvm�Tv�|Cnn d Cost Construction from (5) 3. Plumbing Building Permit Fee «. mccxanica|(*vAC) | | �,�mpm�cm� | ' - -- K� � s� To �z �n ~4+ 5) _______ Check wo� - �K � ~V faoo . � - ___ __ ______ Z�ssccunv For omc�/u," Only ______ ( auiiding Permit Number Dn.: Issued __ _____] Signature: | Building � m m^nn,�pacm,m Buildings i[*te \ ^ File # BP- 2013 -0592 APPLICANT /CONTACT PERSON ASSOCIATED BUILDING WRECKERS INC ADDRESS/PHONE 352 ALBANY ST SPRINGFIELD (413) 732 -3179 PROPERTY LOCATION 347 KING ST MAP 18D PARCEL 051 001 ZONE HB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid V 11 9 7 Sa w Tvpeof Construction: DEMOLISH BUILDING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 063282 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Signa e of Building Official Date / M b ' 7 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. 347 KING ST BP- 2013 -0592 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D - 051 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- 2013 -0592 Project # JS- 2013- 000954 Est. Cost: $165000.00 Fee: $200.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq. ft.): 223027.20 Owner: COSENZI AUTOMOTIVE REALTY LIMITED PARTNERSHIP Zoning: HB(100)/ Applicant: ASSOCIATED BUILDING WRECKERS INC AT: 347 KING ST Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732 -3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON:11/28/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMOLISH BUILDING 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 11/28/2012 0:00:00 $200.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner