31C-014 (2) DIG SAFE SYSTEM, INC. - Create New Quick Ticket Page 1 of 1
Request Number: 20143007929 Date 07/23/2014 Time 12:09
Latitude: Longitude:
State: MASSACHUSETTS Municipality: NORTHAMPTON
Address/Intersection: 66 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: 07/29/2014 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:01105
Excavator Doing Work:
Member Utility List
Code Abbreviation Name
AJ COMCAS COMCAST-SOUTH BURLINGTON
MC NGRDEL NATIONAL GRID ELECTRIC-MASS ELEC
SP VERIZN VERIZON
FWG CMAGAS COLUMBIA GAS OF MASSACHUSETTS
FoN 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 THIS ELECTRONIC TICKET ON SITE AT ALL TIMES.
Create New- Create From Existing j rint Ticket Return To Menu Return To Home
htth://digsafeform.digsafe.com/cgi-bin/dlcgi.exe 07/23/2014
v
Massachusetts Department of Environmental Protection
"y Bureau of Waste Prevention• Air Quality
BWP AQ 06
No 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 Permit.
MassDEP assigned Non Traditional Work Practice Authorization 1D:
1✓ None of the above conditions apply,generate a new form.
Revised: 11/13/2013 Page 1 of 1
Massachusetts Department of Environmental Protection
y 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: 671246
Document: AQ 06 -Construction/Demolition Notification
Size of File: 218.35K
Status of Transaction: in Process
Date and Time Created: 7/25/2014:8:25:45 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.
s
Massachusetts Department of Environmental Protection
Bureau of Waste Prevention • Air Quality
f
BWP AQ 06 100204076
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 17 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
r" Seeding r Wetting r' Covering r" Paving (— Shrouding
r 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
ANDREW MIRKIN
"I certify that I have personally
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 Position/Title
individuals immediately ASSOCIATED BUILDING WRECKERS
responsible for obtaining the
information, I believe that the Representing
information is true,accurate,and 7/25/2014
complete.I am aware that there Date(MM/DD/YYYY)
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
L1002..` Bureau of Waste Prevention• Air Quality
BWP AQ 06
04076
l 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 1.Construction or demolition contractor:
Statement:If
asbestos is found ASSOCIATED BUILDING WRECKERS 352 ALBANY STREET
during a Construction Contractor Name Address
or Demolition MA 011050000 4137323179
operation,all SPRINGFIELD
responsible parties City/Town State Zip Code Telephone
must comply with 310 ANDREWMIRKIN 4137323179
CMR 7.00,7.09,7.15,
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/or a 3. Is the entire facility to be demolished? 1'Yes F No
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)? Yes No
7. Was asbestos containing material(ACM)found?
F, Yes F No
If yes,who conducted the survey?
DOUGLAS MONTMINY A1070773
Name Department of Labor Standards Contractor Number
Revised:03/17/2014 Page 2 of 3
L 1] Massachusetts Department of Environmental Protection
Bureau of Waste Prevention • Air Quality
BWP AQ 06 100204076
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 1✓ No
Type of Notification:
J" Revision of an Existing Form J` 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 66 PARADISE
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 RICHARD KORZENIOWSKI 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:
3289 2
Square Feet Number of Floors
Was the facility built prior to 1980? F Yes r No
Describe the current or prior use of the facility:
VACANT RESIDENTAL STRUCTURE
Is the facility a residential facility? [Yes 1-No 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 FACILITIES
On-Site Manager/Owner Representative Address
Northampton MA 01063 4135852424
City/Town State Zip Code Telephone
Revised:03/17/2014 Page 1 of 3
d
73 William Franks Drive
West Springfield,MA,09089
//�
Tel: 413-781-0070
A T Fax: 413-781-3734
CERTIFICATION OF VISUAL INSPECTION
CLIENT: a
PROJECT NUMBER: cV 'i�- o *7
GENERAL LOCATION: G k I h3
ABATENE CONTRACTOR:
N ETHOD OF ABATEN41T3 :.
TYPE AND QUANTTTY OF MATERLkL ABATED:_ w-
SUSPECT MATERIAL R.EMATi`M4G IN WORK AREA.:—_ N'
SPECIFIC AREA INSPECTED: a ft--M + !.x S N
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}. Date: -
(`Print Name): .
Accreditation Number: , state:
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 c cano Bove ' e d honest one.
Project.Monitor(Signature): bate: - 'L I
(,Print Name):� �
Accreditation Number: CSd i State: 'L'3
i,
73 William Franks Drive
West Springfield,MA, 01089
Tel: 41 3-781-0070
A T Fax: 413-781-3734
CERTIFICATION OF VISUAL INSPECTION
CLIENT- 't L e
PROJECT NUMBER-....- ,rr
GENERAL LOCATION:
ABATEMENT CONTRACTOR.. C
METHOD OF ABATEMENT: rvii i' #t
TYPE AND QuANTrrY of MATnUAL AB ATED.--5'V Sh et . 4-'1 ' z. -[-
SUSPECT MATERIAL REMADONG IN WORK AREA: Ala .�
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): �--�--�° Date; _ 't c/
(Print Narne): v ti
Accreditation Number: �',�.Sc o-el r/-3' Stater �9
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 ' cation.above is true and honest cane.
Project Monitor(Signature): o Date:
(Print Name): �t4*d �n
Accreditation Number: Aw 0? State: _
73 William Franks Drive
West Springfield,MA„01089
Tel: 413-781-oo70
ATC Fax: 413-781-3734
CERTIFICATION OF VISUAL INSPECTION 0-j— 2-
0
CLMW: 6JL t=!?R4=
PROJECT NUMBER /-o 7 a
GENERAL LOCATION:
ABATEMENT CONTRACTOK-
METHOD OF ABATE2Yffi'NTT: e-lk-
TYPE AND QUANTITY OF MATERIAL ABATED:
SUSPECT MATERIAL REMAINING IN WORK AREA:
SPECIFIC AREA INSPECTED:
CERTIFICATION OF VISUAL INSPECT ON
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.
-P
Supervisor(Signature): Zl Date:
7 ll�
(Print Name): AV
Accreditation Number: 0J,as 1?1 YJ State:
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 a and honest one.
Project Monitor(Signature Date:
(Print Name):_
Accreditation Number: kcv--,Oc o 1 state: (*r\
Now,
73 Springfield,Franks ON
Nest 5prl€�g�tefd,MA, 04088
Tel: 443-784-0070
A TC
Fax: 413-781-3734
CERTIFICATION OF VISUAL INSPECTION
PROJECT N NMER: a &1 I t-p 4 ± /a 70
GENERAL LOCATION: 6 Sh
AEATEMCNT CONTRACTOR--
METHOD OF ABATEMENT:
TAE AND QUAD OF MATERIAL ABATED:�� u.,-.
SUSPECT MATERIAL REMAI:NDT G IN WORK AREA: N#19.e-
SPECIFIC AREA INSPECTED: � .t_.++
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}: Date:
(Print Name):
Accreditation Number: State: a 11
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 's true and honest one.
Project Monitor(Signature): Date: 1
(Print Name):
Accreditation Number: 4) 1 n n o b i7 9 State: P
i
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A�'rojeet Monitor: CM f r TEM(circle lie)
[lent: ProjectManaager:
t Turnaaroaand`dime:
xaatiou: -r ltotometer#: - 0 _ Analyst Signature:
Send Results to:
..._.W...._.......... ...........
Tune 11low Rate'
Location Sample Start end Sfarf Saul Total volume Actual Adjusted Result analyst
Sample# _ or, Type Time (L}' I:OD Count Count � (.1vee) FD
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ample Type: 1)Area Background 3)During Prep Work S)During Final Clean 7) anal Air Clearance 9) Associated Work
2)Pre-Abatexueut 4)During Removal a)During Glovebag Remo-Val S)Personal.Air Sample 10)PCaxaard Assessment
:eliuquisbed By- � Date,!---� Receiverl By: Date:
6
73 Wiliam Franks Or
West SArynq",MA.01089
/y y Ti.,v 413.7810070
/-^i. Fax 413,781,3734
Shaping the future
ASBESTOS PCM AIR SAMPLE ANALYSIS REPORT
CLIENT NAME JOB SITE SAMPLED BY LATE SAMPLED Catano ATC SOB#
S.m41h Cat s Imoomaso C.mua Heatamr tS is 481.10439.1070
ANALYTICAL SERVICE LICENSE AA000005
AAR ANALYSIS.Dave Heelorl
DATE OF ANALYSIS 15-May-14
samplif k SaM400 location Sample Type Volume F1baffisiA Flberstcc
0 Fi4m Blank F'ek1 elan', 133100
CXF F&M Blank Flom Blank W100
01 Inskls Kkl hen Containment Final Air Clearance 8275 71900 0A03
02 IrtsodeKgononCcntanment Final Ax Clearance 1278 40140 <t3,uoa
AIR-SAMPLR4G SKEET
1"roject iYttttxe: k I Collection Date:_ 114 _ _ Dale of Analysis:---
Project#: •- 0 Project Monitor: o L
Client: 'ey. Project Manager:„ � - � Ti1M Tit rjtarounci T inte
Location: Ztotometer#. ___ .. Analyst Signature;
'York Area-.
`Lr +.1 send Results to:
_ _
_. ..,.,. .........
Location Sample Start End Star Rate _
Tltne_._ ... Fla
F t End Total Volume Actual Adjusted Result Analyst
Satt:pie# or Type Time (L) LOD Count Count U/ce) ID
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Pre- batem t 4)During Removal 6)During Glovebag Removal 8)Personal Air Sample 10)Hazard Assessment
Relinquished By: Dale: � Received By: Date:
73 WHUM Franks Or
West SpnnWlald,MA.01089
413.78-.007C
ATC Fax,113,78137734
Shaping the Future
ASBESTOS PCM MR SAMPLE ANALYSIS REPORT
CUENT NAME --Ijoe SITE SAMPLED BY DATESAMPLAID Cfd.9ATCJOB#j
Smm Coll"s 166 Paradise loot vM16
ANALYTICAL SERVICE LICENSE 9: AA0O0005
AAR ANALYSIS Bob VVhft
DATE OF ANALYSIS.0 may-14
Sam piloo S4!MI#location 5a le Type Volume Flbvtffi#M Fiberwet
0-1 FW99ank Fitio Blank GOOD
02 F*W Black F41(t 81,20 woo
03 Basement Cowammnt Foaf Xor Clearance 1200 vloo <OSQ2
04 Basement C'm(a,ment Final ArClearanco 1200 41100 -0002
05 1st FIw C4waomwt Final Air Coarents im vloo 0.002
06 1st Flow Containment Final Air 00arance 12M 5"D4 -0,002
2nd%or Containment Final Air Coamrim 1200 31100 40,002
2nd Flow Coma."Mont "I Am Clooraw. 122 V100 -0002
Car�dr�`
ATC
Shaping the FaWe
June 12,2014
Mr.Rich Korzeniowski Cardno ATC
Health and Safety Coordinator
Smith College Facilities Management 73 W1Gam Franks Dr.
Northampton,MA 01060 West Springfield,MA 01089
Phone +1413 7810070
Fax +1 413 781 3734
RE: Asbestos Final Air Clearances www.cardno.com
Smith College-66 Paradise-Basement, 1°'Floor&2 n Floor
Cardno ATC Project No.081.10438.1070 www.cardnaatc.cam
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, Bob White;AM000159&Dave Heelon;
AM073572,performed the final clearance visual inspections,air sampling and analysis on May 8&15,
2014.Visual inspection was completed by Dave Heelon on May 16,2014.
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 Micrompy (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 PCM 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.cardnoatc.com
1, tltltU t7 11 Cth// 14.44 -
Braman Termite&Pest Elimination Service Inspection Report
P.O. Box 368 See Orders Ws Below
Agawam,MA 01001-0368
rczmitt i(.i'�a(.1 GtnitsrXttnd!Spctr �f�Susce l9C 800-338-6757
Material Application Details MatA_nal Applied Active Ingredient Application Method
PPA# _ At Concentration Appllcatton Equipment Sq/CU Fe
General/Othwr N/A WA 12:00 AM
N/A
9193•256 Fhtt.Strike d1tethialone.0025% Baiting
N/A 0.0025 N/A N/A
Targnt Pest: Rodents
Arta/Device Name Finished Quantity Undiluted Quantity Technician Name Time
General/other N/A N/A 12:00 AM
N/A
7173--201 Maki Mini stockn emmadiolone Baiting
N/A 0.0050 N/A N/A
TarvotPa.st: Rodents
Area/0evice Name Finished Quantity Undiluted Quantity Technician Name Time
N/A — 12:00 AM
NjA,
Massaehuslrtts Posting N/A N/A
N/A 0.0000 N/A N/A
Ta iget Pest:
Ama(Device Name _ F1nlsliPd Quantity Undiluted Quantlty Technician Name Time
General"Otfier 0.0000 Each N/A Graig Carrier 02:38 PM
NIA
7173-113 Roxol T.P. Chlorophadnone Hand Dust
N/A 0.2000 N/A N/A
t'8rrrat Post, Rodents
Area/Device Name Flnishr'd Quantity Undirutei Quantity Technician Name Time
Genet8l(C?tf r_ N/A N/A 12:00 AM
NIP,
12455-116 Terad 3 AG Cholecalifeml Baiting
IVA 0.0750 N/A NJA
T,irgtlt Pest: R0,1e11ts
Area/Device Nance Finished Quantity —Undiluted Quantity Technician Name 71me
Germral/Otther N/A N/A 12:00 AM
N/A
12,4"-Ig ZP Tracking Powder Zinc Phosphide Hand Dust
t•UA 10.0000 N/A N/A
T,R(get Pdrst: Rodert{
Arca/Device Name Finished Quantity Undiluted Quantity Technician Name _ Time
ren raijOther --- - -- N/A N/A - 12:00 AM
N/A
PArrted: OR(ltd/2014 Page: 3/3
KEUE1UL U b13/bb/2W 4 14:44
' 1 Braman Termite&pest Elimination Service Inspection Report
P.D.Box 368
Agawam,MA 01001-036a See Orders #'s B+BIO`11
S.aKmitC it f(c�t (intintr ell ti�{fgran +ls itw Jt qe 800-338-6757
Materials Summary EPA# Active Ingredient Finished Quantity Application Method Application Rate
Materal A i Ned Lot# AT Concentration Undiluted QUdntity Applicationqulpment SqLCu Ft
RoToiT.P. 7173-113 Chlorophadnone N/A Nand Dust N/A
NIA 0.2000 N/A N/A N/A
Target pests:Rodents
ArotsApplied:CGdnerall0ther
Terad 3 AO. 12455-116 Choleca11fe1'Ol MIA Baiting N/A
NIA 0.07.50 N/A N/A NIA
Tw ysl Fears.'Rodents
Armes Apnttert.-GenarPPCW)dr
Ze Tracking Powder 12955-16 7Inc Phosphide N/A Hand Dust N/A
N/A 10.0000 N/A N/A N/A
Tr i1pt P<ists•Rodents
Arses Apprtod:Ganarebt7ltdtr
Weather; WA
Conditions Severity Created
Open on's_ _ _ ResponglblllN fast Inspected
No Conditions
Added or Updated
this Service
se
Conditions Resolved This Visit on Created
Respyonsibility Last Inspected
Nv Corrditrons
Added or Updsred
tins,emice
Pest UrT1mA with without Total Device exceptions
Device Summary Activity ActNlty Inspected Repfaced Removed Skipped_
Nine Noted Nnne Noted
Additional post findings mov hBvt bean observed.P7PdSN see rondif Ions and comments 1br mom deteils.
Area In$pectionS
Area Ins ected Pest Findings Time
None Noted
Device Inspection Details
Area _Device Name _ -_ Oevice Type Activity pest Findings Time
None Noted ^� _ None
Material Application Details Material Applied Active ingredient Application Method
EPA# Al Concentration Application Equipment Sq/Cu Ft
17455-7q Gantrac slox Bromadioione Baiting
NIA 0.0050 N/A N/A
TawetPast: Rodents
Area/Device Name Finished Quantity Undiluted Quantity Technician Name Time
Interior;Intprlor->Interior perimeter;Interior- 64.0000 e=ach N/A Graig Carrier 02;37 PM
N/A
1.2455-75 contlactltat/mouse Pack Bromadlolone Baiting
NIA 0.0050 N/A N/A
Target rest: Rodents
Area,"vlcr Name Finished Quantity Undiluted Quantity Technician Name Time
Printed: OB/p6/201a —� Y--- Page' 2/3
RECEIVED tab/Ub/1b14 14:44
11 1 RP
Braman Termite&Pest Elimination Service Inspection Report
P.O.Box Mss
Aga See Orders#'S Bellew
Agawam,MA 01001-0368
efMlrt 4A'Ikat,Amlaajod$pegiaWS►1mg 15Vg 800-338-6757
Client: 10001556 Service Location: 10001556
Assoclated Building Wreckers Associated Building wreckers
352 Albany Street Massachusetts
Springfield,MA 01105 Springfield,MA 01109
Customer signature: Technician Signature: Lioenses/CertHlcations
MA-1178290
(_Y MA-30840
Richard Graig Carrier Time In: 08J05/2014 01:29 PM Terms: NET 30
Time Out: 08JO512014 02:40 PM PO#:
Order# Service description Quantity Unit Cost Amount
1049276 Rodent Service 1 X0.00 $0.00
SubTotal: $0.00
Tax- $0.00
Total: $0.00
Amount Due! $0.00
Service Comments
Order Instructlons: Rodent Abatement.66&70 Paradise Rd,Northampton*Contact Mch at 413-887-9513 for entry*PO#975038*arrive 1-3*
Tech Comment: Inspected Interior and exterior of both 66 and 70 Paridise Rd.for 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 Ingredient Finished Quantity Application Methad Application Rate
Material A fippp .d _ lot# AT Concentration Undiluted puanti[y Applicaton Equipment Sq/cu Ft
contras Blox 12455-79 Bromadiolone 64.000 Each Baiting N/A
N(A 0.0050 N/A N/A N/A
Te)9OPOVS:Rodents
Areas Applied Integor,Inferior perimeter,70 Paridise Rd.66 Paridise Rd
Contra6 Rat/Mouse Pack 12455-75 Bromadiolone N/A Baiting N/A
N/A 0.0050 N/A N/A N/A
Target Pears:Rodents
Areas ApptleU:General/Other
First Strike 7173-258 difethlalone.0025% WA Baiting N/A
N/A 0.0025 MIA N/A NIA
YargetPests.Rodents
Areas Appied-Oenoral/Clthar
Maki Mini Blocks 71,73-202 Bromadiolone N/A Baiting N/A
N/A 0.0050 NIA N/A NIA
Target Pests,Rodents
Areas Appllod.GanerablOther
Massachusetts Posting N/A N/A 8,000 Each N/A N/A
N/A 0.0000 NIA N/A NIA.
Target PestB,(Nono)
Areas AppRep;Genomilottrer
Printed: Q8/0612014 Rage: 1/3
Page I of I
Michael Orr
=rom: John Hall ohall @northamptonma.gov]
Sent: Monday, July 28, 2014 11:46 AM
ro: demo @buildingwreckers.com
Subject: Paradise Road
✓tike, when the houses are demolished, cap them with either a plug or by cementing them, give
ne 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
("FIN I-S'
DEPARTMENTOF ,PUB!-,1C W(
125 LO("'UST STIF)E'-.--
n 1"
NORTT IAMPTC)N. a'A 10(0
413-5 97-357 0'
F A X"11-3,-.587-15-11,6
July 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.
S'inc4eree�,,Y
1dre"I'glory R.Nuttelman
Superintendent of Water
Cc: Ned Huntley,Director of Public Works
Jim Laurila,City Engineer
Page 2of2
>pringfield, MA
-elephane: (413) 732-3179
=ax: (413) 734-6224
2S mq)(i,Uuildingwreckersxom
08/07/2014
Page I of 2
Achael Orr
=rom: ASSOCIATED BUILDING [abw_inc @comcast.net]
ient: Thursday, August 07, 2014 2:09 PM
fo: demo @buildingwreckers.com
iubject: Fwd: Request for Demolition of 66 Paradise Road, Northampton, MA
=rom: "Romito, Jeff' <Jeff_Romito @cable.comcast.com>
Fo: "ASSOCIATED BUILDING" <abw_inc @comcast.net>
ient: Thursday, August 7, 2014 2:03:48 PM
;ubject: RE: Request for Demolition of 66 Paradise Road, Northampton, MA
all set
rom: ASSOCIATED BUILDING [mailto:abw_inc @comcast.net]
Sent: Thursday, August 07, 2014 10:52 AM
fo: Romito, Jeff
Subject: Re: Request for Demolition of 66 Paradise Road, Northampton, MA
Jeff,
Just wanted to check in and follow up on the status of this request.
Thank you,
Michael Orr
...............___.............._.__. . .
From: "ASSOCIATED BUILDING" <abw inc(d-)comcast.net>
To: "Romito, Jeff' <ieff romito(a-)-cable.comcast.com>
Sent: Thursday, July 31, 2014 2:10:18 PM
Subject: Request for Demolition of 66 Paradise Road, Northampton, MA
Good Afternoon Jeff,
Attached you will find a request for disconnection of cable service at 66 Paradise Road
in Northampton, MA.
Thank you,
Michael Orr
Associated Building Wreckers
Demolition Coordinator
352 Albany Street
08/07/2014
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
Page 2 ol'2
'ic har d Kor•zeniowski
;iciiitics E11&S Coordinator
mith College
16\N'est Street
urthampton, MA 01063
(413)585-2458
(413)585-2444
mail:rkorzeni(ivsmith.edu
08/15/2014
Page 1 of 2
lichael Orr
=rom: Steve Hill [steve @buildingwreckers.com]
Sent: Friday, August 15, 2014 5:17 AM
Fo: Democoord User
;c: 'Richard Korzeniowski'
Subject: FW: Letter of Cable Abandoned at Elizabeth Mason Infirmary and Sunnyside
Mike:
_,ould you please let Rich know if Louis would be ok with this email as proof of
emiination?
Fhank you,
>teve.
=rom: Richard Korzeniowski [mailto:rkorzeni @smith.edu]
Sent: Thursday, August 14, 2014 1:02 PM
Fo: Steve Hill
Subject: Fwd: Letter of Cable Abandoned at Elizabeth Mason Infirmary and Sunnyside
�tevc,
Mere is the telecommunications termination for 70 and 69 Paradise Road. 69 and 70 Paradise is
serviced by Smith College system.
Will this due?
Rich K.
---------- Forwarded message ----------
From: Al Evans-Perez <aperez(smith.edu>
Date: Thu, Aug 14, 2014 at 11:23 AM
Subject: Letter of Cable Abandoned at Elizabeth Mason Infirmary and Sunnyside
To: Richard Korzeniowski <rkorzeni(d).smith.edu>
Cc: Frank Roach<froachCQ smith.edu>, Sharon Moore<samooreC&smith.edu>, Eric Brewer
<ebrcwer u,smith.edu>
Dear Rich,
This is to inform you that the cable plant (both copper and fiber) to both Elizabeth Mason
Infirmary and Sunnyside are now considered abandoned and no longer connected to the Smith
College Telecommunications or Smith College Fiber Networks. The intent of this letter is to
allow for the demolition of said buildings.
Yours Truly,
Al Perez
Telecommunications Manager
Smith College
08/15/2014
nationalgrid
40 Sylvan Rd
Waltham MA 02451
August 1, 2014
Mr. Richard Korzeniowski
SMITH COLLEGE
126 West St.
Northampton, MA 01063
EMAIL: rkorzeni @smith.edu
RE: Service Removal for Building Demolition
Dear Mr. Korzeniowski:
This letter is to confirm, per your request,National Grid has removed electrical service
and meter from 66 Paradise Rd.,Northampton, MA as of August 1, 2014. If you have
any questions or need further assistance, please feel free to contact me at(508) 357-4605.
Sincerely,
Ann larie Estrella
Customer Fulfillment
nationalgrid
Ref: WR# 17512938
a
.. L i',a
A NJSource 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 : 66 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 Industrial Accidents
Office of Investigations
E
1 Congress Street, Suite 100
} le Boston,MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (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.❑E I am a employer with 32 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. ❑ Remodeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have g. Demolition
working for me in any capacity. employees and have workers'comp. ❑ Building addition
[No workers' comp. insurance comp. insurance.♦
5. E] We are a corporation and its 10.❑ Electrical repairs or additions
required.]
3.❑ I required.]
a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions am
myself. [No workers' comp. right of exemption per MGL C. 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.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
iContractors 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: 66 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
tine 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 against the violator. Be advised that a copy of this statement may be forwarded to the Office or
Investigations o e DIA f insurance coverage verification.
I do hereby ce ify nder t pains and penalties of perjury that the information provided above is true and correct.
08/19/2014
Signature: Date:
Phone#:
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 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable Cl
_ -L -5
Name of Licensf-Holder.
c- 0
License NUMI)PI
Al,b r
S 4-reg+
Addi C)li 51 120\
Expiration Dale
Telephone
9,-Liqqjs�rd_tjq m p CSI!j r?
MtL_pL
_yqaQ!A_ Not Applicable n
ASS-(Q
Registration NLjtnbc,,i
08 2-0
Adrfies
Lxpiration Date
I SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6))
Workers Compensation josurnnco affidavit 1111-ist be completed and submitted with this application Failure to provide this affidavit will rcsIjlt
in We donial of the issuance of the building permit.
-.)iqneo-J Affidavit Attached Yes No , ❑
I . - flome Owper Exemptiop
The current C\clllplioll for"hoillookvilers- �vas extended to include Owner-occupied Divellillp-S of'olle(I) of lwo( ') families
mid to allow Such homeowner to ell"a"e all individual for hire who does not possess a license, provided 111,11 file miller
its sli Wll'visor. (111t 780, Sixth Edition Section 1 08.3.5.1.
—
Definition of Homeowner Person (s)who own a parcel ot'lillid on\Vllicll lle/she resides or intends to resiiie. (III which 111cle
is, or is intended to he, a one or 1\\,o family d\velIiIl,,-,, attached or detached stniclurcs accessory to -11cl,t1w 1,111(1/(), 1;11111
structures. A-L JsL-!Who constructs more than One bonze in a two-year period S1►, 11 Iot he considered ; lolleml lel.
S11(11 "hollICOMICI" shall Submit to the Building Official,on a form acceptable try the 131,lildilll-, Official,111:1t h(hhr .h Ill he
-maLo—ns —fi,rA1-!-n-1K 11—wort(vv-1`01-11jed 1,11(lef.the buildillL, I)ej-111if.
A" ao int! (,ollsll 1-110 ioll S1lDCl-%'iS01-YOM'I)I-CSellCe on the jet)silc will he required il-ccl h-oill time to time. (1111 ile- Ind Ilpml
completion of the vvork tor which this permit is issued.
Ako he il(lvlsc(l llix \vilh reference to ('hapler 152(Workers'kers' Compensation) and Ch;iplci 15,, (1-iiihilo.v oft cit, j()
1--illployces fi,r injuries not resulting in Death)of The massacllllsclts General Laws Annoi:itcd,3,m! 11.1y
0- he 11:1111c Im 1cl
you hire to pel 1, 111 work I )) You index this permit. j
I he lllldclsigilcd "hollicoxvIlel",certifies and assumes for compliance with the [Wilolim-,CO(IC, ( 11)' 01
,"kile and Local Zollill" Laws and State of Massndlusell" General Laws Almol;Iled
110mcowfler"'iP11,1111re
,
__
SECTION 5-_DESCRIPTION OF PROPOSED WORK
New House E] Addition E-1 Replacement Windows Alteration(s) Roofing
Or Doors
Accessory Bldg Demolition New Signs [0] Decks [F-1 Siding [01 Othor 101
Brief Description of Proposed
Work
Alioration of existing becroom____Yes No Adding new bedroom Yes --Y-- No
AtInclipc! Nairative Renovating unfinished basement Ye
No
PInns Attached Roll - Sheet
6a If New I10LIse and or addition to existing 110USi.11q, Complete the following.
Use of bLlilClll')g One Family Two Family Other
1) NUmber of roorns In each family unit Number of Bathroom,,;
C" Is there ;:.i qirnge attached?
Method of heating? Fne.pInces or Vvoodstoves Niiinher of each
q [nerqy Conservation Compliance Massc.lieck Energy Corrip I ia rice foiniattochpd?
I I Type of construction
! Is co I I struct loll within 100 ft of wetlands? Yes No Is construction within 100 yr floodplAin Yes, No
1 D(�)th of basement or cellar floor below finished glade
1, Mh hUildinq conform to the Building and Zoning regulations? Yes No
I Septic Tank___ City Sewer Private well City water SLIpply
SECTION 7a -OWNER AUIHO RIZATION -TO BE COMPLETED WHEN
OINNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
propelty ;is Owner of the suh)c I
to act on III bof If, III all niatters relative to workhuthorized by this htjilding permit application.
of Owner V Date
I A(lont hereby declare that the Maternents and Information on the foregoing applx',ation are tl'Lle arid accurate, to tho hest of iny klIowI(,,(j(je
I Signed under tli(, an(] penalties of perpity
Pftnt Nan
j tIIA--
^
sethacks Flow
Rear
A Has a \peciai Pennit/Vahancp/Findin8 ever been issued for/on the site?
�� \_/��
NO \`�[\ V/ \~�DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Keyistryo( Deeds?
NO /~�\ DON'T /—\ YE� /—\
�� �� L�
IF YES: enter Book Page and/n1 Uocmnent �
B. Does the site contain a brook, body of water orwetlands? NO 0 DON'T KNOW () YES 0
IF YES, has a pennit been or need 10 be obtained from the Conservation Commission?
Needs to be obtained / \ Obtained /^-\ Date\_/ \`� ' �
C Doanysiynsexistontheproperty? YES /—\ NO
IF YES, describe size, type and location:
D. A/e thmeany proposed changes touraddibons ofd8n� in�ended for the p/npo�iy � Y�\ /-\ NO /—\
�� \`�
IF YES, de«chbedze. type and (ucahon:
E Will the uonnkuction acUvitydioiodb (c| ring.grading vadon, orhi|mg) over 1 acre or is it part of common plan
txat will gamx` over 1arw? YES ( ) NO ( )
�� ��
Departmont LISC5 only
ity of Northampton Staft.18 of Permit:
2 U &4 B jilding Department Curb Ctit/Driveway Permit
212 Main Street Sewer/,Septic Availability—,
�p
Room 100 Water/Well Availability
Electric,Plumbing&Gas Inspecf4M hai'T)pton, MA 01060 Two Sets of Structural Plans
L "-"-- "............
Northampton,M 01060
7-1240 Fax 413-587-1272 Plot/Site Plarts-
Othpr
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWE►-LINC,
SEC TION 1 SIT E INFORMATION
1.1 Property Address. This section to be completed by office
Co(O?Ctx-r"C�ise Map Lot Unit
1 C)(0 Zone---------- Overlay District_
Elm St. CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
S41 c C O Sr-DLV'eS Q(V-ic– k'oloe 0(=115
Nam(,(I Irit it) Current Mailin�Addresc�
ALA 1-5 S' 1-4 5
`'qnatuie
Z.:L�fl Ac it:
Ad 6s'z AA 10"vN'A
A--
Name 111111t Current Mailing Addr ss
-7
,Iqnatiire Tedephon(,.
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
teiii Estimated Cost (Dollars)to be Official Use Only
I RUdding (,q) 131-1ilding Permit Fee
) Electrical (b) Estimated Total Cost of
Construction from
3 Plumbing Building Permit Fee
4 Mechanical (I IVAC)
1, Firc, F'r()te(,,jioij
11--- ---- 0% 1 oe 0% .2 0'�—
(j Total = (I + 2 4
3 4 4 + 5) Check Mirnher 13 0
This Section For Official Use Only
Ruilding Permit Number— Date
Issued---
q
ej
griature
of BON'ngs ()WP
------------
----------
66 PARADISE RD BP-2015-0208
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 C-014 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category: demolition BUILDING PERMIT
Permit# BP-2015-0208
Project# JS-2013-001893
Est. Cost:
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ASSOCIATED BUILDING WRECKERS INC 063282
Lot Size(sg. ft.): 48351.60 Owner: SMITH COLLEGE c/o Sharon Moore
Zoning: EU(105)//URC(61)/RR(45)/WP(45)/ Applicant: ASSOCIATED BUILDING WRECKERS INC
AT. 66 PARADISE RD
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 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner