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31C-013 (4) AG SAFE SYSTEM, INC. - Create New Quick Ticket Page 1 of 1 Request Number: 20143007938 Date 07/23/2014 Time 12:11 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address I Intersection: 70 PARADISE RD Nearest Cross Street 1: ELM ST Nearest Cross Street 2: Additional Information: Nature Of Work: DEMOLITION OF RESIDENTIAL STRUCTURE Area Of Work: STREET TO HOUSE Area Is Premarked:Y Start Date: 07/2912014 Start Time:09:00 Caller: MICHAEL Title: Return Call: Phone#: 413-732-3179 Fax#:Alt.Phone#: Email Address: Contractor:ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY STREET City: SPRINGFIELD State: MA Zip: 0110 Excavator Doing Work: Member Utility List Code I Abbreviation Name AJ COMCAS COMCAST-SOUTH BURLINGTON MC NGRDEL NATIONAL GRID ELECTRIC-MASS ELEC SP VERIZN VERIZON WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS J ON ONTARG ON TARGET LOCATING RJ IDM INNOVATIVE DATA MANAGEMENT e 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. Create New Create From Existing Print Ticket Return To MenO Return To Home http://digsafeform.digsafe.com/cgi-bin/dlcgi.exe 07/23/2014 Massachusetts Department of Environmental Protection L Bureau of Waste Prevention • Air Quality BWP AQ 06 It Notification Prior to Construction or Demolition F This is a revision to an existing form. Project ID for existing form to be revised: F This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: I F This job is being conducted under a Non Traditional Abatement Work Practice Pen-nit. MassDEP assigned Non Traditional Work Practice Authorization ID: F None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: DEMOCOORD Transaction ID: 671263 Document: AQ 06 -Construction/Demolition Notification Size of File: 218.39K Status of Transaction: In Process Date and Time Created: 7/25/2014:7:47:56 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP AQ 06 F10o2o4oso Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this UNAVAILABLE address is: This project r— Construction Cv`" Demolition is: 8/7/2014 10/30/2014 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used 1" Seeding F Wetting r Covering r Paving Shrouding (— Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? N/A Name of MassDEP Official N/A Title 7/23/2014 N/A Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number D. Certification "I certify that I have personally ANDREW MIRKIN examined the foregoing and am Print Name familiar with the information ANDREWMIRKIN contained in this document and Authorized Signature all attachments and that, based PRESIDENT on my inquiry of those individuals immediately Position/Title responsible for obtaining the ASSOCIATED BUILDING WRECKERS information,I believe that the Representing information is true,accurate, and 7/25/2014 complete. I am aware that there Date(MM/DDNYYY) are significant penalties for UNKNOWN submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 Massachusetts Department of Environmental Protection L11k .J Bureau of Waste Prevention • Air Quality 100204080 j BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: ASSOCIATED BUILDING WRECKERS 352 ALBANY STREET Name Address SPRINGFIELD MA 011050000 4137323179 City/Town State Zip Code Telephone ANDREWMIRKIN 4137323179 General Contractor's On-site Manager/Foreman Telephone C. General Construction or Demolition Description General L Construction or demolition contractor: Statement:If asbestos is found ASSOCIATED BUILDING WRECKERS 352 ALBANY STREET during a Construction Contractor Name Address or Demolition operation,all SPRINGFIELD MA 011050000 4137323179 responsible parties City/Town State Zip Code Telephone must comply with 310 CMR 7.00,7.09,7.15, ANDREWMIRKIN 4137323179 and Chapter 21 E of Construction and Demolition On-site Manager Telephone the General Laws of the Commonwealth. 2.Licensed Contractor Supervisor: This would include, but would not bw ANDREWMIRKIN CS-062382 limited to,filing an asbestos removal Supervisor Name License Number notification with the Department and/ora 3.Is the entire facility to be demolished? F Yes FNo notice of release/threat of 4.Describe the area(s)to be demolished: release of a hazardous ENTIRE STRUCTURE substance to the Department,if applicable. 5.If this a construction project,describe the building(s)or addition(s)to be constructed: 6. Were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? l✓ Yes F No 7.Was asbestos containing material(ACM)found? r Yes FNo If yes,who conducted the survey? DOUGLAS MONTMINY A1070773 Name Department of Labor Standards Contractor Number Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection L Bureau of Waste Prevention• Air Quality BWP AQ 06 '00204080 Notification Prior to Construction or Demolition Asbestos Project Number# A. Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP), Bureau of Waste Prevention,Air Quality Division, under Regulations 310 CMR 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. Is this a fee exempt notification(city, town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r— Yes V No Type of Notification: f— Revision of an Existing Form ( Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval ID# 1.All sections of this 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental 1.Facility Information: Protection notification SINGLE FAMILY RESIDENCE 70 PARADISE ROAD requirements of 310 CMR 7.09. Name of facility Street Address NORTHAMPTON MA 010630000 4135852424 2.Submit Original City/Town State Zip Code Telephone Form To: Commonwealth of RICHARDKORZENIOWSKI FACILITIES Massachusetts Facility Contact Person Contact Person Title Asbestos Program 4135852424 DEMO @BUILDINGWRECKERS.COM P.O.Box 120087 Boston,MA Facility Contact Person Telephone Facility Contact Person Email 02112-0087 Facility Size: 2000 2 Square Feet Number of Floors Was the facility built prior to 1980? F Yes F No Describe the current or prior use of the facility: VACANT RESIDENTAL STRUCTURE Is the facility a residential facility? 1✓ Yes FNo If yes,how many units?1 2.Facility Owner: SMITH COLLEGE 126 WEST STREET Facility Owner Name Address NORTHAMPTON MA 010630000 4135852424 City/Town State Zip Code Telephone RICHARD KORZENIOWSKI 126 WEST STREET On-Site Manager/Owner Representative Address Northampton MA 01063 4135852424 City/Town State Zip Code Telephone Revised:03/17/2014 Page I of 3 ATC gam. Site Diagram Form NAN : . . . . . . . . . . . . Project site: ProjectNumbet: Date: , ...'.11Z1,44 Project €nitor: er,'144A& Licensek C P�-_-yam A TW b�� g4I Site Diagram Form vy fl rt . . . . . . . . . . r�o Project Site: r Project License ` ATC . Site Diagram Form Futm ctoor: for 6 f Project Site: 1 ProjectNumber. Date:— 51 J114 AA Ila pwj ect Monitor License 73 Witham Franks Drive West Springrield,MA,01089 Tel: 413-781-0070 ATC Fax, 413-781-3734 CERTTFiCATION OF VISUAL INSPECTION CLIENT: t C �e c PROJECT NI3NMER: _ 6A 1' 10 W1 2•• 0 a GENERAL LOCATION: `7 -a ,1c fz-e, ABATEMENT CONTRACTOR: '• �e 3 METHOD OF ABATEME'N'T: TYPE AND QUAN'T'ITY OF MATERIAL ABATED: zod*/- SUSPECT MATERIAL R.ENIAR\T1NG Its WORK AREA.°_ SPECIFIC AREA INSPECTED:...,._,_ v0' r6 a&-Y' CERTIFICATION OF VISUAL INSPECTION In accordance with Specification for this project any applicable regulations the Contractor hereby € certifies that he has visually inspected the work area(all surfaces including pipes, beams,ledges, walls, ceiling and floor,decontamination unit, sheet plastic,equipment, etc.)and has found no visible dust, debris or residue. Supervisor(Signature): ZO "' Date: (Print Name) Accreditation Number: :w• - State: t�7 ICY OWNER'S REPRESENTATIVE CERTIFICATION The Owner's Representative hereby certifies that he as accompanied the Contractor on his visual inspection and verifies that this inspection has been thorough and to the best of his knowledge and believes the Contractor ce abov is tru and honest one. Project Monitor(Signature): Date: ' (Print Dame): I r Accreditation Number: -Ik�- ` State: 73 William Franks Drive West Springfield,MA,01089 /� Tel: 413-781-0070 A TC Fax: 41 3-781.3734 CERTMCATION OF VISU A ,INSPECTION 4 ° PROJECT NC YMBF- GENERAL LOCATION: l ABATEMENT CONTRACTOR METHOD OF A13ATMVEENT: °~ TYPE AND QUANTITY OF MATERIAL ABATED: r r SUSPECT MATERIAL REMAINING RN W A[t1rA: !j1. 7 SPECIFIC AREA INSPECTED: CERTIFICATION OF VISUAL INSPECTION In accordance with Specification for this project any applicable regulations the Contractor hereby certifies that he has visually inspected the work area(all surfaces including pipes,beams,ledges, walls,ceiling and floor,decontamination unit, sheet plastic,equipment, etc.)and has found no visible dust, debris or residue Supervisor(Signature): r Date: r (Print Name): Accreditation Number: State: girl OWNER'S REPRESENTATIVE CERTTIF°ICATI4N The Owner's Representative hereby certifies that he as accompanied the Contractor on his visual inspection and verifies that this inspection has been thorough and to the best of his knowledge and believes the Contractor certification above is tree and honest erne. Project Monitor(Signature}: Date: (Print Narne): la- A7auk Accreditation Number: ` State: T3 William Franks Drive West Springfield,MA,01069 Tel: 413-781-0070 ATC F= 413-781-3734 CERTIFICATION OF VISUAL INSPECTION CLIENT: PROJECT N"M L GENERAL LOCATION: ABATEMENT CONTRACTOR: l . MFTHOD OF ABA.TEM ENT: TYPE AND QUANTITY OF MATERIAL ABATED: susPECT MATERIAL REmAI\ G rn=wo AREA: ptp� trr�d SPECIFIC AREA INSPECTED: Yd Ir an CERTIFICATION OF'ISUAL INSPECTION In accordance with Specification for this project any applicable regulations the Contractor hereby certifies that he has visually inspected the work area(all surfaces including pipes,beams,ledges, walls,ceiling and flour,decontamination unit, sheet plastic,equipment, etc.)and has found no visible dust,debris or residue. Supervisor(Signature): Date: Zf (Print Name): ZeZA&It Accreditation.Number:,P6 c e- #q.,3 State: 1-466' OWNER'S REPRESENTATIVE CERTIFICATION The Owner's Representative hereby certifies that he as accompanied the Contractor on his visual inspection and verifies that this inspection has been thorough and to the best of his knowledge and believes the Contractor certification above is true and honest one. Project Monitor(Signature): Date: 7 (Print Name): Accreditation Number: State: +��°` D kMY SUE LOG Page of TC Project -7o V, V Date: ''q` "3� project 0: o 00-1 f ProjectMonzto ,��L Clienr. .k--"' -+ r-.� Project Manager Time OBSERVATIONS/ACTIONS . c ..� Ga�.`r"1 s c ew _;J rlt.tti w✓ to -. r.� TC R re mtelve Si at=' Tit1c Cyr� � � J - • „ /. r�. it / �,. �,� ' E� • i i • i Old F ir, ��i� fJriir�/.;al � ;wIll�ld1J ,�!� f i!� .,�t�►� �,�/ '+r .WOUt .rf ,�,,� OVAA Del W ..,.,.�.t. A' R r. A w 1...�.: f! �•nI .�[ .s Ira. i..._� �1� ! fK �� 1� :lr1,�:` � � � �.. fir.tt 1 ..s ♦r 111.Y: AN R. 1 O'i R _ tic fffffff 1! fj a/�, /' +�" . / s►y' /ll!/,Mal WMAM ON PRA r /. rAl/. '.✓ A.. WA / M / /J1f_ r f'Vii•i / 1/� YAM r � ! WA /1 � _ r � ti t t. .. ".,� t }:��''.t�t+I �` �'<1it�t►Il rr! � ,"•!." 1.111.r�t AA 1� fall !�� 1' i r/!/ "� /� !1 , t. ! Ala /. rr,' J rf !1► MA IMMARIWO w . sES rise irc : : ,t is. jc. QjectNzr.me:t es r C'roclrljeecett i oMnoDlaaittoer:�: _ C t" _ _ Pate UfAnalysie:ircldi ' or TE Al(ce o1►e ojecfi 1�# B'Y 4 aezat: t�l Project Manager! E IDI�S'Pilrzlarrluzzrl`3"i11 e: cation; 10 0. dt• Ratometer#: Analyst Signature-, � oricArea: (0&4 + 1 Send Results to: Time Slow Rate Location -Sample Start End Start �nc3 T�tai �szlul�le Actual t�rlJusted Result Analyst Sample it or Type �llrae Ede LOO Count Count (rice) 3D Worlcer_Ngme/S8V `Xas1c1P.PR 1-ill f1cc ltlltlal` 1 =.T"ield Blank e-� Z Field Blank �» a t 7 S .� a. SEA cz_TZ ,-o at Deference Slide Duplicate Slide. mplle_t : 1)Area Bacicground )During Prep Worl( 5)During Final Clean 7)Final Air Clearauce 9)Associated Worlc 2)Pre-A en )During Removal 6)During Glovebag Removal 8)Personal Air Sample 0)Hazard Assessment dizzguished)3y: _w .__..__._.._.._ ._._..__....... ?ate: Received By: Date, 73 William Franks Or. o West SongAekl,MK 01089 4137810070 ATC Fax 413 781 3734 Shaping the Futun ASBESTOS PCM AIR SAMPLE ANALYSIS REPORT CLIENT NAME 908 SITE SAMPLED BY DATE SAMPLED Cardno ATC JOB 4 Smith Ean I 170 Paradso IBM M_* _ 23 IAs 14 081.10438.10?t T2 ANALYTICAL SERVICE LICENSE 0, AAOOOOO5 AAR ANALYSIS:Bob Vftlo DATE OF ANALYSIS:23-May,-14 Sanwile 0 Sample location Sarin e T n Volume Fibedleld —Filliers/cc 01 Field Blank Field Blank WOO 02 FIM Blank Field Blank CY100 03 htn&v a SIAIM Final Air Clearance 1200 3!100 -0.002 04 SE cornet Final Air Clearance 1200 2f1o0 -0.002 05 SW Comer FionalAirClearance 1200. 21100 •11002 06 Center West Final Air Clearance 1200 41100 -0.002 07 North West Final Air Clearance 1200 31100 40-002 08 North East Final Air Clearance, 1200 11100 -0.002 Alit SAMPLING SKEET AT"C �` Iroject Name:,,,,} Collection Date: *aof'Atlaly sis! L'rojectlh f Ct TZ. Project Monitor: r TEM�(circle one) Project Manager: 7 a�ttt.+-a �},jr t#,R►Y2- Turnaround`1'1111 aoclltiall• Rotometer#: PIF t� Analyst Signature: 1 Vork Area: Send Results to: tli/ • -i Time Flow Rate Location Sample Start End Start Bud Total Volume Actual Adjusted Result Analyst S11111ple# or Type Time R L OD Count Count (ticc) ID Worker l`tame/SSN1TasldPPP I-lfl) (Vcc) flcc Initials Field Blunk V/o j 16q fo .0 t�� go .ors .5°" .OOZ- 121 050 f ,d ff.C) 2. z,3d .cwir U. z L sw L4 w rem Ala 0 Z a / < .IVR Z &YJ 0,o0z, I t.. nm ,le Tip—e: 1) Area Background 3)During Prep Work 5)During Final Clean 7)Final Air Clearance 9)Associated Work. 2)Pre-Abatement 4).During Removal G)During; Glovetiag.Removal 8)Personal Air Sample 10)Hazard Assessment C elinquislred Lay: ' M Date: :1�Lf Received By: Date: r 73 edam Franks Or a West SPnn0ek8,MA.010ell ` 413,781.0070 Tt'w Fax 413,731 3734 $IIt1{7ing the FUwM ASBESTOS PCM AIR SAMPLE ANALYSIS REPORT CLIENT NAME JOB SITE SAMPLED BY GATE SAMPLED Cardrso ATC JOB di Smith cod 70 Faraili" tee Muwrits 21-M 1a 091.10438.1071 T2 ANALYTICAL SERVICE LICENSE d; AA000005 AAR ANALYSIS.Let Musaste DATEOF ANALYSIS.21-May-14 Sam It a Sample location Sam M T Volume Flbertlledd fibetsicc Field Swnk Told sair. U100 00 Field Stank Field Blank 11100 11 Bathroom-2nd Floor final Air Clearance 1230 vloo <0.002 12 Kitchen-2nd Flow Final Air Clearance 1230 2.51100 <0.002 13 Sound Room.2ntlFloat FinoiAirClearance 12W GA00 <0002 14 Sw Comer-Lmnq Room Final Air Clearance 1230 41100 4.002 15 Central Area-2nd Hoar Final Air Clearance 1230 5!100 <0.002 18 NW-La a Roam-2na Floor Final Air Ctowwoo 1230 31100 41.002 17 N End Basamwn Final Air Ctasimi a 1230 151100 -0.0102 18 S End Basement Final AY Gleam— 1230 11100 •0.002 it Carano AIR SAMPL G SIMET ATC 'roject Name: f Ad Collection Date: ,;�G _ f.Analysis: ?roject' : I Project Monitor: LP g �. __ _ C r TFM{circle one) 'Bent: Project Manager: 1' )IIII 411 TEM Turnaround Time: �ocat on: Rotometer#: r..{x 12 Analyst Signature: 'ork Area: j Send Results to: Time FIow Rate Location Sample Start End Start End Total Volume Actual Adjusted Result Analyst Sample n or Type Time (L) LOO Count Count (Vcc) ID Worker Name/SSNiTaskIPPE 1-10 (Clcc fJce Initial' Field Blank 0160 Field Blank I AJtb rt"p 0 Q .o :a RI, 17,50 0,001 3.5-1100 L0,007 L-to 5"0 5q m' t °d' L i/ a£7 i✓ A,60( J /YC/ 4wVs �v Gormr 9W All } se- rI cy r 0.co 2 .' 15 �1'" 'qp :� ,v - ZSp � /.S'" o 40®dpi, 4XIM j/j(',.gj/'° ♦j ( �e/� //j �//' j/j+6rtl /J{}f}+` /� j(( _ 1 ' t e 0.00. j ' Reference Slide Duplicate SlideAC� ample Type: 1)Area Background 3)During Prep Work a)During Final Clean 7)Final Air Clearance 9)Associated Worst: 2)Pre-Abatement 4)During Removal G)During Glovebag Removal 8)Personal Air Sample 10)Hazard Assessment iiinquisbed By: , Date: —1 -- l -- Received By: Date: 73 William Franks Or ar West$prir4eld,MA,01089 413.7610070 ATC Fax 4,3.7813734 Shaping the Future ASBESTOS RCM AIR SAMPLE ANALYSIS REPORT CLIENT NAME IJOB SITE SAMPLED By DATE SAMPLE ATCJCBS Strain collne 170 Pergola mgsanta --T-21-,V �LlcM ANALYTICAL SERVICE LICENSE 9: AA000005 AAR ANALYStS,Lee Musarite DATE OF ANALYSIS 21-&My-14 Sam tial 9 sample location Sam to Type Voluwm Flbtrffietd Fibers.1cc 01 Foem slaax 02 Field Blank Field 6tarlk 01100 03 West Side-1 st Fk90f Foot AV Clearance 1230 ----3.5!100 -000-. 04 Sam*Raorw 1s1 Root Final Air Cloamom 1230 51100 <0.002 05 SE comer.lot ploOr' Final Air Qwanm 1230 4MOO ­LO 002 Do Batwom.Ill Flow Final Air Clearaftib 1230 1,9100 40,W2 07 lKitcaenr 1st Flow Final Aw Chan inca t230 01100 <0= 08 Nom Side-I in Float A1211 Ar asavince 1230 4 WIDO-- -0= m SE Carrier-2nd Floor Finai Air Clearance 1230 3000 <.002 77nai A,,cieswce 1230 10100 <0 11 i— m �►� ► Cardna` ATC Shaping the FaWre June 16,2014 Mr.Rich Korzeniowski Cardno ATC Health and Safety Coordinator Smith College Facilities Management 73 William Franks Dr. Northampton,MA 01060 West Springfield,MA 4tO89 Phone +1413 7810070 Fax +1 413 781 3734 RE: Asbestos Final Air Clearances www.cardno.com Smith College-70 Paradise-1`t&2`d Floor Cardno ATC Project No.061.10438.1071 T2 www.cardnoetc.com Dear Mr.Korzeniowski, Asbestos abatement Clearance Monitoring Procedures as described In the State of Massachusetts Department of Labor Standards(DLS)Regulations 453 CMR 6.14(5)were performed in the abatement area(s)referenced above. Cardno ATC's Massachusetts licensed asbestos project monitor,Lee Musante AM900479&Bob White, AM000159,performed the final clearance visual inspections,air sampling and analysis on May 21 &23, 2014. Final air clearance sampling was performed after successful completion of the visual inspection performed by the asbestos abatement supervisor and project monitor. Analysis of air samples was performed on-site using Phase Contrast Microscopy (PCM), NIOSH 7400 Method. Analysis of all air samples indicated levels equal to or below 0.010 fibers per cubic centimeter(flcc),the minimum level required by the US Environmental Protection Agency and State of Massachusetts DLS following an Asbestos Response Action. Enclosed please find the RCM air sample analysis reports,the Certificates of Visual Inspection and the Site Logs. If you have any questions,please call our West Springfield,Massachusetts office at(413)781-0070. Sincerely, Cardno ATC Michael Matilainen CIH,CSP Brian Williams Senior Project Manager Branch Manager Enclosures Australia • Belgium • Canada • Columbia• Ecuador • Germany - Indonesia • Italy Kenya • New Zealand • Papua New Guinea • Peru • Tanzania . United Arab Emirates United Kingdom • United States • Operations in 85 countries www.cardnoa#c.com RECEIVED 08/06/2014 14:44 Braman Termite&Pest Elimination Service Inspection Report Box 368 MA 01001-0368 See Orders Vs Below �amib�featFGmulc+ilert;Sptxrittat�Suircl9C 800-338-6757 Material Application Detains Material Wiled Active Ingredient Application Method EPA# A[Concentration AP01Icetion Eoulpment Sg/CU Ft General/Other N/A N/A t2:00 AM N/A 7173.258 FiratStrike dtfethialone.0025% Baiting N/A 0.0025 N/A NIA Target Pest Rodents Area/Device Name Finished Quantity Undiluted Quantity Technician Name Time Gererat/Other N/A NIA 12:00 AM N/A 7173-202 Maki Mini blocks Bmmadiolone Baiting N/A "050 N/A N/A Target Peat; Rodents- Area/Device Name Finished Quantity Undiluted Quantity Technician Name Time Generaljoffier N/A N/A 12:00 AM NIA Massachusetts Posting N/A WA N/A 0.0000 WA N/A Target Pest: Area/DeAce Name Finished Quantity Undiluted Quantity Technician Name_ Time General/Wer 0.0000 Each NIA Graig Carrier f 02:38 PM NIA 7173-113 RosoiT.P. Cnlorophacinone Hand DuSt NIA 0.2000 N/A N/A F v Vet Pasty Rodents Area/Device Name Finished Quantity Undiluted Quantity Technician Name Time Genet-dl/Utrier N/A N/A 12:00 AM N/A 11A35-ii6 Terad 3 AG Cholecaif rui Baiting WA 0.0750 N/A WA Target Pest: Rodertfa Area/Device_Name Finished Quantity undiluted Quantity Technlclan Name 'rime General/Oftr N/A N/A 12:00 AM NIA 12455.16 2P Tracking Powder Zinc Phosphide Hand Dust NIA 10,0000 N/A N/A Target Past Rudentr Area/Device Name Finished Quantity undiluted Quantity Technician Name Time C,rn�r3tjOther N/A NIA 12:00 AM NIA Pape: 313 Printed: 08/06/2024 RECEIVED 08/06/2014 14:44 Braman Termite&Pest Elimination Service Inspection Report P.O.Box 368 Agawam,MA 01001-0368 See Orders Vs Below IT. ife,A i0t.U00ti epada"SW 1�% 800-338-6757 Materials Summary EPA# Actve Ingredient Finished Quantity Application Method Applieation state Ma nai�Ied Lot# Al Concentration UndButer!l uantity Application Equipment SQ/CU Ft ROSOIT.P. 7173-113 Chlowhadnone N/A hand Dust -NIA N/A 0.2000 N/A N/A NIA Target Posts;Rodonta Areas Applied;G,enersflOther Terard 3 AG 1245 5-1 16 Chaiecaliferol N/A Baiting N/A N/A 0.0750 N/A N/A NIA Target Feats.'Rodents Areas App#e!d-Generet0mor ZP Travcing Powder 12455-16 Zlnc Phosphide N/A Hand Dust N/A N/A 10.0000 N/A N/A N/A Target Pests:Rodents Areas AppW Genar .kvrher. Weather. N/A Open conditions Severity Created No Conditions on Respslblifty Last Inspected Added or updated this samce Conditions Resolved This Visit seventy created kesponsibility Last Inspected No conditions Added or Updared this Service Rest Summa With without Total Device Bxeibons �'Y uanU pee Not Summary Activity Activity Inspected Replaced Removed skipped None Noted None Ndtec7 Additional pest findings may have boon observed.Ph:aEe see condltlona and comments rdrmors details. Area Inspections Area Insp.aed Pest Findings Time None Noted Device Inspection Details Area Device Name Device Type Activity Pest Findings Time None Noted None Material Application Details Material Applied Active Ingredient Application Method EPA# AI Concentration Application Equipment SC/Cu Ft 12455.79 Conb=510x Bromadiolone Baiting NfA 0.0050 NIA N/A Target Past JWVonts Area/Devim Name Rnlshed Quantity Undiluted Quantity Technician Name Time Interior;Interior->Interior perimeter;Interior- 64.0000 raCh N/A Graig Carrier 02;37 PM N/A 12455-75 Contrac Rat/Mouse Pacts Bromadkrlone Balling N/A 0.0050 N/A N/A Target Pest, Rodenfe Area/oevice Name Finished Quantity Undiluted Quantity Technican Name nme Printed: 05/06/2014 page; 213 RECEIVED 08/06/2014 14:44 Braman Termite&Pest Elimination Service Inspection Report P.O.Box 368 Agawam,MA 01001-0368 See Orders#is Below rdtaMtiiE�d. etiPeawteSfr �30 800-338-6757 F Client: 10001556 Service Location: 10001556 Associated Building Wreckers Associated Building Wreckers 352 Albany street Massachusetts ' Sptlngfleld,MA 01105 Springfield,MA 01109 Customer Signature: Technician Signature[ Licenses/CertlHtations MA-1178290 MA-30840 i Richard Graig Carrier Time In: 08/05/2014 01:29 PM Terms: NET 30 Time Out: 08/05/2014 02:40 PM PO Order Service Description Quantity unit Cost Amount 1049276 Rodent Servk:e 1 X0,00 $0.00 SubTOtai: $0.00 Tax: $0.00 Total: $0.00 Amount due: $p-Do Service Comments Order Inatractons: Rodent Abatement,66&70 Paradise Rd,Northampton*Contact Rich at 413-8879513 for entry*P0#975038*arr1ve 1-3* Teel Comment: Inspected interior and exterior of both 66 and 70 Paridise Rd.tar rodent evidence or activity, No rat evidence found but some light mouse evidence. Baited Interior of both addresses. THANK YOU for choosing Braman, Materials Summary EPA# Active Ingnedlent Finished Quantity Appl)rcttlon Method Application Rate Material Applied Lot# AT Concentration undiluted Quantity Application Equipment 5WCu Ft Contrac 81 ox 12,455-79 Bromadlolone 64.000 Each Baiting N/A , N/A 0.0050 IVA N/A N/A TawtPosts;Rodents AYmas Applied.interior,Inferior perimeter,70 Parldise Rd.66 Paridise Rd Comma fiat/Mouse Pack 12455-75 BrDmadtolone N/A BaRmm N/A N1A 010050 N/A N/A N/A Target pears,Rodents Areas App#ed:GoneraYOther First Strike 7173-258 difethialane.0025% N/A Baiting N/A N/A 0.0025 N/A N/A N/A Teg®f Posts:Rodents Areas AppNed.•Genera8t]thar Maki Mini Bbcks 7173-202 Bromadblone N/A Balting N/A N/A 0.0050 N/A N/A N/A Target PesfB:RotloMs Areas AppNed:Gonerakl0ther Massachusetts Posting WA N/A 8.000 Each N/A N/A N/A 0,0000 N/A N/A N/A Target Pests;(None: Areas App#eo,,-Qen"Wthar Printed: 08106/2014 Papa: 1/3 Page 1 of 1 Aichael Orr From: John Hall Ohall @northamptonma.gov] Sent: Monday, July 28, 2014 11:46 AM To: demo @buildingwreckers.com Subject: Paradise Road Aike, when the houses are demolished, cap them with either a plug or by cementing them, give nc a call, and I will inspect them and send a letter to the Building Inspector. John Hall City of Northampton Sewer Department ;City of Northampton E-mail is a public record except when it falls under one 07/28/2014 C,1' £�'_'�S�;.`.�"H ��1 ' F P T N'r OF UBIL C, , "mss O p psR s AX' is-58 -15,_6, .Culy 30, 2014 Louis Hasbrouck, Building Inspector Municipal Office Annex 212 Main Street Northampton,Ma 01060 Dear Mr. Hasbrouck: The water services at 66&70 Paradise Road have been disconnected from the city water supply and the water meters have been removed from the buildings as of July 30,2014. Please contact me if you have any questions.. Sincere,y, rgory R.Nuttelman Superintendent of Water Cc: Ned Huntley, Director of Public Works Jinn Laurila,City Engineer Page 2 of 2 >pringfield, MA -elephone: (413) 732-3179 "ax: (413) 734-6224 kmo((�.bui ldi ngwreckers.corn 08/07/2014 Page 1 of 2 Aichael Orr =rom: ASSOCIATED BUILDING [abw_inc @comcast.net] Sent: Thursday, August 07, 2014 2:09 PM ro: demo @buildingwreckers.com Subject: Fwd: Disconnection of Service -70 Paradise Road =rom: "Romito, Jeff' <Jeff_Romito @cable.comcast.com> ro: "ASSOCIATED BUILDING" <abw_inc @comcast.net> ;ent: Thursday, August 7, 2014 2:03:56 PM ;ubject: RE: Disconnection of Service - 70 Paradise Road ell set :rom: ASSOCIATED BUILDING [mailto:abw_inc @comcast.net] ;ent: Thursday, August 07, 2014 10:50 AM "o: Romito, Jeff ;ubject: Fwd: Disconnection of Service - 70 Paradise Road l eff, lust wanted to check in and follow up on the status of this request. Fhank you, Aichael Orr =rom: "ASSOCIATED BUILDING" <abw inc(@comcast.net> ro: "Romito, Jeff' <ieff romito(a-)-cable.comcast.com> Sent: Thursday, July 31, 2014 2:44:40 PM Subject: Disconnection of Service - 70 Paradise Road Jeff, %ttached you will find a request for the disconnection of service at 70 Paradise Road. In addition to 66 Paradise Road) (hank you, Michael Orr Associated Building Wreckers Demolition Coordinator 352 Albany Street 08/07/2014 Page 2 of 2 it havd Kor'zerrionAi cilitics li;ll&S Coordinsbtr iill)Coliotic i Wco Strect rthampUon, iNIA 01063 (413)�95-24;X (413)585-2444 mil: lAorzc[li(iosnlith.edo 3/15/2014 Page I of 2 ichvael Orr rom: Steve Hill [steve @buildingwreckers.com] ent: Friday, August 15, 2014 5:17 AM o: Democoord User c: 'Richard Korzeniowski' ubject: FW: Letter of Cable Abandoned at Elizabeth Mason Infirmary and Sunnyside like: ould you please let Rich know if Louis would he ok with this email as proof of nrzination? hank you, .eve. -om: Richard Korzeniowski [mailto:rkorzeni @smith.edu1 ant: Thursday, August 14, 2014 1:02 PM ): Steve Hill abject: Fwd: Letter of Cable Abandoned at Elizabeth Mason Infirmary and Sunnyside .eve, ere is the telecommunications termination for 70 and 69 Paradise Road. 69 and 70 Paradise is :rviced by Smith College system. gill this due? ich K. --------- Forwarded message ---------- �-om: All Evans-Perez <aperezAsmith.edu> ate: Thu, Aug 14, 2014 at 11:23 AM abject Letter of Cable Abandoned at Elizabeth Mason Infirmary and Sulinyside o: Richard Korzeniowski <rkorzcni(&smith.edu> c: Drank Roach <froach(ci),smith.edu>, Sharon Moore <samoore((,�snrith.edu>, Eric Brewer °brewer(uDsmith.edu> car Rich, This is to inform you that the cable plant (both copper and fiber) to both Elizabeth Mason rlirmary and Sunnyside are now considered abandoned and no longer connected to the Smith ollege Telecommunications or Smith College Fiber Networks. The intent of this letter is to low for the demolition of said buildings. Ours Truly, 1 Perez cleamnnunications Manager mith College 8/15/2014 rr DATE: 8/19/2014 FROM: Verizon Engineering 146 Leland St.—Flr.2 Framingham,Ma. 01702 RE: 66 and 70 Paradise,Northampton MA This letter is to inform you that the Verizon services involving 66 and 70 Paradise, Northampton,MA have been disconnected. V [ZdN- Engineer Thank you, Lisa Donovan Central Engineering 508-820-3533 Collins Electric FOUNDED 1906 53 Second Avenue Opp.Mass.Tpke.Exit 6 Chicopee,MA.Mailing Address Post Office Box 3311.Springfield,MA 01102-3311 Telephone(413)592-9222.FAX(413)592-4157 Richard J. Korzeniowski July 24, 2014 SMITH COLLEGE Envifonmental Health and Safety Physical Plant 126 West Street Northampton, Ma. 01063 Dear Richard, Collins Electric has disconnected the power to the Sunnyside Daycare Center at 70 Paradise Road. Northampton, Ma. It has been disconnected and made safe in the manhole across the street. Please contact me with any questions. Very truly yours, The Collins Electric Co., Inc. Mark G. Lemelin Vice President Complete Office Also In Pittsfield,Massachusetts $ L1 1 ' a � I. taz A NiSource Company 995 Belmont Street Brockton, MA 02301 Date: August 18, 2014 To Whom It May Concern: The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS : 70 Paradise Road TOWN : Northampton STATE : Massachusetts Sincerely, Lisa Buckley Integration Center Columbia Gas Of Massachusetts 508-580-0100 Ext 1293 The Commonwealth of Massachusetts -- Department of IndustrialAccidents Office of Investigations 1, 1 Congress Street, Suite 100 Boston, MA 02114-2017 r www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Hanle (Business/Organization/Individual): Associated Building Wreckers Address: 352 Albany Street City/State/Zip: Springfield, MA 01105 Phone #:(413) 732-3179 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 32 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ■❑ Demolition working or me in an capacity. employees and have workers' g Y P tY• 9. F—] Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Great Divide Insurance Company Policy#or Self-ins. Lic. #:WCA154516512 Expiration Date:02/01/2015 Job Site Address: 70 Paradise Road City/State/Zip: Northampton, MA 01063 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 fine 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 againff the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o t e DIA f insurance coverage verification. I do hereby ce if under t pins and penalties of perjury that the information provided above is true and correct. S i<=nature: Date: 08/19/2014 Phone#: (ti13�132-31 1q Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: SECTION E -CONSTRUCTION SERVICES II:1 Licensed Construction Supervisor: Not Applicable ❑ q Name of License.Holde : yynfy-w ��1 �-ZVN l� ,-0 C,�(J2— License Number i 0\\0 S 1 O� Address Expiration Date I Slgruiture r�W .r fin, reaZlow Telephone i I 9. R�gistered,Home Improvement Contractor: Not Applicable ❑ SS c' tvi �r e �r 11�19b4 Contpan N me Registration Number Adri ess Expiration Date I ' l Te1ephone(41.3)-132.-31-16k 1 SEC,rION 10-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. _ . J�' No. ._ ❑ 1.1. - Home Owncr .Excmption. The current exemption for"homeowners" was extended to include Owner-occupied Dwellings ol'one(I) or two(21) fanrilic,s and to allow such homeoNwner to en-age an individual for hire who does not possess a license, provided that the rrwner act. as supervisor, C'N1It 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which helshe resides or intends to reside•cut which there is,or is intended to be,a one or two family dwelling„attached or detached structures accessin•y to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"horneowner"shall submit to the Building 01'ticial,on a form acceptable to the 131.1ilding Ufticial,that Ile he 01:111 he responsible for all such work performed under the building permit. As aclin1 C'onStruction Supervisor your presence on the joh site will he required Born time to time, t'urin uid ulxv, completion of the-ork for which this permit is issued. Also be advised that with reference to Chapter 153(Workers' Compensation) and Chapter 15 (Liability of llmploycrs to 1_,111ployees for injuries not resulting in Death)of the MaSSaChllSettS General Laws Annotated, ot}i may Ile liable t l prrsc n( I you hire to perform \work for you under this permit. I he undersigned "homeowner''certifies and assumes responsibility for compliance with the State Buildin (:rule.City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Iomeowner Signature i SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) I New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors Accessory Bldg ❑ Demolition New Signs [p] Decks [0 Siding[®] Other]0] I Brief Description of Proposed Work.-D,,-vvlp k� t ovn ©� SMG\e jl�c M�k4 Sic-vc�-,X-f- Alteration of existing bedroom__Yes_)<� No Adding new bedroom Yes C No Attached Narrative Renovating unfinished basement Yes �c No Plans Attached Roll -Sheet -- _-- Ga If New house and or addition to existing housing complete the following, I a Use of building : One Family Two Family Other h Number of rooms in each family unit Number of Bathrooms C", Is there a garage attached? (I Proposed Square footage of new construction. _Dimensions I .. Number of stories? Method of heating? - _ Fireplaces or Woodstoves Number of each g Energy Conservation Compliance. Masscheck Energy Compliance form attached? h Type of construction Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr floodplain _Yes No I. Depth of basement or cellar floor below finished grade l I, Will building conform to the Building and Zoning regulations? Yes No I� I Septic Tank City Sewer Private well City water Supply SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT QvIt'J W✓(I• as Owner of the sr t>lect property Hereby authorize to act on my behalf, in all matters relative to work4uthorized by this building permit application. .- -) i ,ignature of Owner pate r as Authorized j Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. j :.signed Llrl^the pai and penalties of perjury. Print Nam j igiiature of Owner/Agent Date ^ Section 4. ZONING All Information IMUSt Be Completed, Permit Can Be Denied DUe To Incomplete Informal on I Ills Coltmill lo be 'illed In k, Lot '�ize Froninge Sethicks Front Rear Btiildiw, Height A. Has a Special. Pennit/Vahance/Flndin8 ever been issued for/on Lhesite? NO / D0NT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry ofDeeds? NO � \ DON'T /—1 YES /—\ �� �� �� IF YES: enter Book Page and/or Document # K. Does the site contain a brook. body of water orwetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained frorn the Conservation Commission? Needs to be obtained /—\ Obtained /—\ Date\.� \~� ' � C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property 7 YES ��/—\ NO /—^\_�\ IF YES, describe size, type and iocation: E Will the construction activity disturb (clearing,grading, ovmhon, orfi||ing)over 1 acre or is it part of common plan that will disturb over 1acre? YEO ( ) NO (��) �� IF YES. then u Northampton Storm Water Management Permit from the DPW in required Department use only of Northampton Status of Permit: -r t Ing Department Curb Cut/Driveway Permit Alka A^i 204 ' 12 Main Street Sewer/Septic,Availability- I o Room 100 Water/Well Availability_ .......Electric, Plumbing rt ampton, MA 01060 Two Sets of Structural Flans Northampton60 q 7-1240 Fax 413-587-1272 Plot/Site Plans — Other Specify_____ APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address This section to be completed by office i -70 Rrr,& S e V©,a Map___-- Lot Unit__------_._____. �h ' � p� � Zone Overlay District 01OtD3 -- Elrn St. District CB Disfnc.t SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT _2.1 Owner of Record: S�n�v� 11�ae 4 c e d 4 �cze�av re�c _kkV '0_� .�-t , Uo�k�a �ern . V-4 [A O to.5 Name(Print) Current ailin Address Q,a, / �ti13� sus-ztis8 Telephone f� signature T 2.2 Author' Pd aAen't' I C 352 A\bSv�vt S-"reeT s?C V\C1 Z' c� � O1 t p5 Name(Prir ) Current Mailing Addr ss_ ?32-317`i_- ISignature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS (tern Estimated Cost(Dollars)to be Official Use Only completed by permit a pp licant 1. Building (a) Building Permit Fee 2 Electrical (b) Estimated Total Cost of -_----- --- ---- - --- Construction from -----.. --- -- ._ I Plumbing Building Permit Fee 4 Mechanical (I-IVAC) Fire Protection 6- Total = (1 + 2 + 3 + 4 + ,) Check Number This Section For Official Use Onl --- -------- -- - Date Building Permit Number: Issued Signature: Phi It Building Comn`tissioneMnspectoi of Buildings Cate 70 PARADISE RD-SUNNYSIDE BP-2015-0207 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 C-013 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-2015-0207 Project# JS-2013-001891 Est. Cost: Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq.ft.): 308056.32 Owner: SMITH COLLEGE c/o Sharon Moore Zoning: EU(123)/RR(86)/WP(86)//URC(38)/FFR(1)/ Applicant. ASSOCIATED BUILDING WRECKERS INC AT. 70 PARADISE RD - SUNNYSIDE Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732-3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON.812012014 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMOLISH S F H 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 8/20/2014 0:00:00 $35.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner