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38B-006 (67) Smith College Lead Determination 01/09/15 ATC 1835C00006 Shaping the Future 2 r Ca�dn®� Smith College Lead Determination 01/09/15 ATC 183SC00006 Shaping the Future Sample Location Testing Combinations XRF Condition Notes No. Results (mg/cm') 01 Salt Shed 6"x6" Support Post 0.00 Good 02 Salt Shed 2'x 8'Joist 0.00 Good 03 Salt Shed Plywood Unfinished Wall 0.00 Good 04 Salt Shed Interior Plywood Roof 0.00 Good 05 Salt Shed Lower 2'x6 Foundation Beam 0.00 Good 06 Salt Shed 2'x 12' Cross Beam 0.00 Good 07 Salt Shed Concrete Foundation Wall 0.00 Good 1 Relinquished by: C"VL4P �d U. Date/Time: 01/09/15 Received by: )el Date/Time: 1116 L x".3 Relinquished by: Date/Time: Ln EN Received by. Date/Time: 2 SIR Ls Relinquished by: Date/Time: Received by: Date/Time: Company Name: Cardno/ATC Associates, Inc. EMSL-NEW YORK: 307 WEST 38"STREET Company Address: 73 William Franks Rd NEWYORK, NY 1001 8_293� City: West Sprin�field state: MA Zip: 01089 J212)284-5948 bm Project Name:Smith College Salt Shed Analysis Type: PLM Michael Matilainen@r-ardno.com Project Address:Nothampton,Ma. Positive-.Stop- yg� 10 Results to:Michael Matilainen Project Manager:Mike Matilainen Turnaround Time-Same Day LQ 0 Cell or Pager#:(413)522-8833 Sampled by:Jim Lowell Date: 01/09/15 Return Samples: Yes No Site Fax: Special Instructions Send Regular Report With All Components Broken Down Additional Fax: Lab ID Field ID Location Sample Description Homogenous Area# SMSS-01@ Interior of Salt Shed Gray Foundation Caulk I SM SS-0 1 b Interior of Salt Shed Gray Foundation Caulk I SMSS-02a Interior of Salt Shed __�_Black Mastic On Foundation Footing 2 SMSS-02b Interior of Salt Shed Black Mastic On Foundation Footing 2 SMSS-03a Salt Shed Roof White& Black Sand Roof Shingle 3 SMSS-03b Salt Shed Roof White & Black Sand Roof Shingle 3 SMSS-04@ Salt Shed Roof Black Tar Mastic Under Shingle 4 SMSS-04b Salt Shed Roof Black Tar Mastic Under Shingle 4 EMSL Analytical, Inc. EMSL Order: 031500793 40� 307 West 38th Street,New York,NY 10018 CUStomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http//www.EMSL.com manhattanlab anew com ProjectlD: JI Attn: Michael Matilainen Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 01/10/15 10:36 AM West Springfield, MA 01089 Analysis Date: 1/10/2015 Collected: 1/912015 LP,,jet: 183SC00006 1 SMITH COLLEGE SALT SHED/NOTHAMPTON,MA The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy. The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Sample Receipt Date:: 1/10/2015 Sample Receipt Time: 10:36 AM Analysis Completed Date: 1/10/2015 Analysis Completed Time: 12:10 PM Analyst(s): Henry Akintunde PLM(4) Jessica Fearon-Brown PLM(4) Samples reviewed and approved by: �� rr� '<<C�' James Hall,Laboratory Manager or other approved signatory EMSL maintains liability !mited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except'n full,without written approval by EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL ll recommends gravimetric reduction prior to analysis Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1 Samples analyzed by EMSL Analytical,Inc.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 I I Initial report from 01/10/2015 12:2110 — -- Test Report PLM(S)-7.25.0 Printed: 1/10/2015 12:21:10 PM THIS IS THE LAST PAGE OF THE REPORT. 3 EMSL Analytical, Inc. EMSL Order: 031500793 307 West 38th Street,New York,NY 10018 CUstome(ID: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http://www.EMSL.com manhattanlabCc emsl com ProjectlD: j Attn: Michael Matilainen Phone: (413)781-0070 Call ATC Fax: (413)781-3734 73 William Franks Drive Received: 01/10/1510:36 AM West Springfield, MA 01089 Analysis Date: 1/10/2015 Collected: 1/9/2015 LP11ject 183SC00006/SMITH COLLEGE SALT SHED/NOTHAMPTON,MA Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description _ Appearance % Fibrous % Non-Fibrous % Type SMSS-04B SALT SHED Black 60% Matrix None Detected ROOF-BLACK Non-Fibrous o 031500793-0008 TAR MASTIC Heterogeneous 40% Non-fibrous (other) UNDER SHINGLE EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022.CT PH-0170,MA AA000170 Initial report from 01/10/20115512:21 10 J Test Report PLM(S)-7.25.0 Printed: 1/10/2015 12:21:10 PM 2 EMSL Analytical, Inc. EMSL Order: 031500793 307 West 38th Street,New York,NY 10018 CUstomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 htto'//www.EM L.com manhattanlab(c),emsl com L Projectl]D J Attn: Michael Matilainen Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 01/10/15 10:36 AM West Springfield, MA 01089 Analysis Date: 1/10/2015 L Collected: 1/9/2015 Project: 183SC00006/SMITH COLLEGE SALT SHED/NOTHAMPTON,MA Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Type SMSS-01A INTERIOR OF Gray 35% Matrix None Detected SALT SHED- Non-Fibrous o 0 Non-fibrous(other) 31500793-0001 GRAY 65/o Homogeneous FOUNDATION CAULK SMSS-01B INTERIOR OF Tan 20% Ca Carbonate None Detected SALT SHED- Non-Fibrous 80%o Non-fibrous(other) 031500793-0002 GRAY Heterogeneous FOUNDATION CAULK SMSS-02A INTERIOR OF Gray/Black 15% Quartz None Detected SALT SHED- Non-Fibrous o 031500793-0003 BLACK MASTIC 85/o Non-fibrous(other) ON Homogeneous FOUNDATION FOOTING SMSS-02B INTERIOR OF Black 5% Cellulose 24% Quartz None Detected SALT SHED- Non-Fibrous o 031500793-0004 BLACK MASTIC Homogeneous 71/o Non-fibrous (other) ON FOUNDATION FOOTING SMSS-03A SALT SHED Black 45% Matrix None Detected 031500793-0005 ROOF-WHITE& Non-Fibrous 55% Non-fibrous (other) BLACK SAND Homogeneous ROOF SHINGLE SMSS-03B SALT SHED Black 25% Quartz None Detected 031500793-0006 ROOF-WHITE& Non-Fibrous 75% Non-fibrous(other) BLACK SAND Heterogeneous ROOF SHINGLE SMSS-04A SALT SHED Black 40% Matrix None Detected ROOF-BLACK Non-Fibrous o 031500793-0007 TAR MASTIC 60/o Non-fibrous (other) Homogeneous UNDER SHINGLE EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no j responsibility for sample collection activities or analytical method limitations. Irterpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical.Inc.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506.NJ NY022,CT PH-0170,MA AA000170 J Initial report from 01/10/2015 12:21_10 -- — Test Report PLM(S)-7.25.0 Printed: 1/10/2015 12:21:10 PM 1 Office of Consumer Affairs and Business Regulat 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registratic Tyr Expiratic ASSOCIATED BUILDING WRECKERS _ING,` ANDREW MIRKIN 352 ALBANY STREET f° SPRINGFIELD, MA 01105 Update Address and SCA 1 0 20M-05/11 1-1 Address ❑ Ren �lcc i�ri�rurnt»ecuca,�(�r�C��ac�ict4e%C.<t Office of Consumer Affairs&Business Regulation License or registration valid for indivit IMPROVEMENT CONTRACTOR before the expiration da If found rei egistration: 169969 Type: Office of Consumer Aff it and Busine xpiration: 8/2512015 Corporation 10 Park Plaza-Suite 5 Bus n,MA 02116 ASSOCIATED BUILDING WRECKERS, INC. ANDREW MIRKIN 352 ALBANY STREET SPRINGFIELD,MA 01105 Undersecretary Not valid without signature Massachusetts -Department of Public.Safety Board of Building Regulations and Standards 1,>[s,fro.a:fi+;aas s'i3tw;�1"Ir ' License: C5-062382 ANDREW H MIm- N 299 TANGLEWOOD LUNGMEADOW MAa ✓ — .� , ',' Expiration Ccmmmissioner 10/31/2013 The Commonwealth of Massachusetts Department of IndustrialAccidents H Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leizibly Name (Business/Organization/Individual): ASSOCIATED BUILDING WRECKERS, INC. Address: 352 ABANY STREET City/State/Zip: SPRINGFIELD, MA 01105 Phone #: (413) 732-3179 Are you an employer? Check the appropriate box: Type of project(required): 1.F I am a employer with 32 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ l am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working or me in an capacity. employees and have workers' g Y 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs insurance required.] .1 c. 152, §1(4),and we have no employees. [No workers' 13.7 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. it:WCA154516512 Expiration Date:02/01/2015 .lob Site Address: 126 WEST STREET 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 ay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations oftht DIA for surance coverage verification. 1 do hereby cer i tder the a'ns and penalties of perjury that the information provided above is true and correct. Si nature: Date:JANUARY 20, 2015 Phone#: Li%'?)732-_517q 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 11 Licensed Construction Supervisor: Not Applicable M (2 Werise Nuniber Slav Kes A( Expiration Date (L 11-5)7 3 Z- 17 C9 Telephone AA 99 Rg±014Q.Home Impr vernent Con ttaqM Not Applicable 0 bq9 (09 C o no p a nmKy'Naxmm e Registration Number VXQV,.-e-!L( Addam Expiration Date Telephooe(413 -7 32-31171 I SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Coin pe,nsation Insurance affidavit roust be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the ISSI-lar)Ce Of the building permit. 'Siqnecl..Affidavit Attached Yes Na,—'n- .1-tome Owner Exemption The current exemption fir"homeowners" was ememledto KchideOwnarmcmigid DwOliqlsol'one(l) or Iwo(2) tamilim; and to allow such hoincowlict,to engage all individual for hire 1010 does not possess a license,IPT&Wd that the invirier mylks as sMwrvkm% CN1 R 780, Sixth Edition Section 108.3.5.1. Definition of 11olneowneir: Person (s)who own a parcel of land on which h5dw resides or WnWs W reside.on which there, 1. or is intended to ho a one or family WHO&a0vidled or detached structures accessory to such use and/or ISH11 Anicluak A Berson who constructs more than one home in a 1wo-yeal,period Sj1:111 not be considered :1 hom.. net. SLJCII "11011)mvim-shall AbAl In We building Vidal.on a Win ameWable to (Ile Btlilding Official, 1hal Ilehhc 01;111 lie jesponvilde for all such work wirl'of-med 1111(fel.the ,U WhO Qmhoplikon SyL)rrvisor your presence on the site will he required from time to tinle• dal ink and upon Completion of the work for which this permit is issued. Also he advised that with reference w Chapter 152(Workers' Compensation t and uImplei 15) (Liiihility to Linployecs for injuries not resulting in Death)ofthe Massachusetts General Laws Allnotated,3'oll may be liable, for You hire 10 IM1011)) W01-1, I01-YOU 1111drr this Hw ulWolpled and assumes respoilsihly her compliance with the%Mw Building Ado (My (d Northairplon ()r(jiunnees• Slate and Local Zoning laws and We OFMamachNells General laws Annmakd 11011100wiler-Signature 1 SECTION 5-DESCRIPTION OF PROPOSED WORK cheqj��) Addition New HOLISO Replacement Windows I Alteration(s) Roofing Or Doors F Accessory Bldg. Demolition IX"I ,kfNj New Signs [0] Decks [E.--] Siding [EI] Other 01 Brief Description of Proposed Alteration of existing becroom Yes gNA— No Adding new bedroom yes N o Attached Narrative Renovating unfinished basement I-.,---,---Yes Plans, Attached Roll -Sheet Ga If Now 1101.1se and or addition to existing housing, complete the followincl 1). Nurnber of roorns in ea�'h family unit: NL]mb(-,r of Bathrooms--- C. Is there a garage attached? d Proposed SquaTe footage of new conStl'LIC6011. Dimensions \11,1111her of stories? 1, Method of heating? Fifepiaces'oi-Vvoodstove!:; Number of each q Energy Conservation Compliance. Mas5check Energy CORIpliance form attached) I , Type of coristi-Liction Depth of lbisement or cellar floor below finished grade k Will 1)1_111dinq conform to the BUilding and Zoning regUlations? Yes No I Septic Tank ___ City Sewer Private well City water SLIpply SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property to act on ri��;)alf. in all matte elative to work aL orized by this bUilding permit application �',iqnature of Owner Date i Agent hereby declare that the staternents and information on the foregoing al�ylication and belief. are ti ue and accurate, to the best of i ny knowledge fliint Name Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information —_Existing Proposed Required by Zoning — I his cnlnnut to he tilled in by [tuilclint!Dch:ntnli'nl Lot StZC' Froninge Setbacl;c From Sicle L: R: L,: R: Rear F3uildin� Hei�ltt _ Bid-. Squ;tre. Footave `;o Open Space Fooln.—e r l_id•nea minus blip_ C IY•tvid H of Parl<ins,S paces Fill; (vrtlUme l LricptiVn) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES 0 IF YES, date isst.red: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES 0 IF YES: enter Book Page and/or Document N B. Does the site contain a brook, body of water or wettands? NO O DON'T KNOW O YES 11:7 YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O Date Issued: C. Do any signs exist on the property? YES O NO C) IF YES, describe size, type and tocation: D. Are there any proposed changes to or additions of signs intended for the propel ty ? YES O NO O IF YES, describe size, type and location: E. Will the construction activity disturb (clearing,grading, excavation, or filling)over 'I acre or is it part of a common clan that will disturb over 1 acre? YES 0 NO 0 IF YES, then a Northampton Stone Water Management Permit from the DPW is required Departnient USe only ity of Northampton Status of Pernilt: ilding Department Curb CLJt/Drivoway Permit 212 Main Street Sewer/Septic Availability—— —------ Nib Room 100 Water/Well Avai lab i1ity_---------.- awt ampton, MA 01060 TWO SOLS Of Structural Eiecl6c, 7-1240 Fax 413-587-1272 Plot]Slte Plians Nc" Other SPedfy-——- APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -S11..E INFORMATION This section to be completed by office 1.1 Pro ortvAdcfross: pert--- k7-ro VJ04A Map Lot '-.AA Zone Overlay alobs Elm St.District CB District........ SECTION 2 -PROPERTY OVVNERSFIIP/AUTHORIZED AGENT 2.1 Owner of Record: S i+t-% %k-cick 0 Namp( it f C rent Mailing Address* e4n) so S !> Telephone .Si(jM11.We 2.2 Authorized A( t: Sort"Geld. *110 S qe N'nwe(Print) Curient MaiNhn'g��Addcdl"rress, q ii Siginahire Telel)[ione SECTION 3 -ESTIMATED CONSTRUCTION COSTS I I e 11) Estimated Cost (Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee z'00c). co Electrical (b) Estimated Total Cost of Constmction from Plumbing BUilding Pori-nit Fee 4 Mechanical (HVAC,') Fire Protectjoi-i 6 Total = (1 , 2 + 3 -� 4 + !j) Check NUrnher This Section For Official Use Date Building Permit Number Signature� I of Buildings IX)tp 126 WEST ST BP-2015-0756 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B-006 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-0756 Project# JS-2015-001468 Est. Cost: $2000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq. ft.): 9365.40 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: SI(100)/WP(6)/ Applicant: ASSOCIATED BUILDING WRECKERS INC AT. 126 WEST ST Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732-3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON.112312015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE ROOF FROM 'SALT SHED', CONCRETE WALLS TO REMAIN 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 1/23/2015 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner