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31A-033 (2) 15 FRANKLIN ST BP-2019-0059 GIs#' COMMONWEALTH OF MASSACHUSETTS MwBIOCk: 31A-033 CITY OF NORTHAMPTON Lot .001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv:renovation BUILDING PERMIT Permit BP-2019-0059 Project# JS-2019-000089 Est Cost $250000.00 Fee,$1625.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Kevin R. Schnell DBA Live Well Home Improvement LLC109600 Lot Size(sa.ft.): 9931.68 Owner: MUSPRATT MATT&ASHLEY Zoning URB(100)/ Applicant.• Kevin R Schnell DBA Live Well Home Improvement LLC AT: 15 FRANKLIN ST Applicant Address: Phone. Insurance: 114 Prospect Street (413) 887-8482 Workers Compensation HATFIELDMA01038 ISSUED ON.7/27/2018 0:00:00 TO PERFORM THE FOLLOWING WORK:INTERIOR RENOVATION OF 1,214SQ FT OF EXISTING BUILDING DEMO AND REBUILD 1.080 SQ FT, EXISTING FOUNDATION AND BASEMENT STAY 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 seat re• FeeTvpe• Date Paid: Amount: Building 7/27/20180:00:00 $1625.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Poi' PG�N File#BP-2019-0059 IfA N 5(a N e APPLICANT/CONTACT PERSON Kevin R Schnell DBA Li +Well Home Improvement LLC ADDRESS/PHONE 114 Prospect Street I• tTFIELD (413' :87-8482 PROPERTY LOCATION 15 FRANKLIN S' MAP 3 I A PARCEL 033 001 ZONE URB 0))/ THIS SEC,ION FOR n_;;* . IAI US.i ONLY: Sly 3 PERMITAPPLICATiC 214ECKL,IST OSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out I Fee Paid TypeofConstructiom INTERIOR RENOVATION OF 1.214SO FT OF EXISTING BUILDING DEMO AND REBUILD 1.080 SO FT EXISTING FOUNDATION AND BASEMENT STAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included' , Owner/Statement or License 109600 3 sets of Plans/Plot Plan View PLAO S 66f drtc rotODATI90 N&V NCzlu6 ppocj woRE "M THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON v � j INFO MATION PRESENTED: Approved_Additional permits required(see below) ' PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: Finding Special Permit Variance" Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW _Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay O ` IK_� Z ?7 GB Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. eNOLLO3d5NI ON101I17IB z D"M Department use Only City of North pt of P ie Building Dep me t BIOZ E L cum Weary mS 212 Main S eet Availability_ - '!( Room 10 w el vailobility Northampton, M 01 ^ Structural Plans phone 413-587-1240 F x41 J Ogler Spedfy APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE /ORRJTWO FAMILY DWELLING SECTION 1 -SITE INFORMATION POW—"— � (e HS 1.1 Property Address: This section to be completed by office Map 3 rA Lot U ✓� Unit 15 Franklin St Northampton, MA 01060 zone Overlay District Elm St District CB Dlsvw SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Matt and Ashley Muspratt 15 Franklin St Northampton,MA 01060 N me(Pnm) Current Mailing Address- 1-617-775-5530 Telephone an L Asd."d A Nam( m) Current Mailing Address: Signature Telephone SECTIO -E CON TR CTI N COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bpermit a licam 1. Builth 19 $198,610 (a)Building Permit Fee 2. Electrical $21,390 (b)Estimated Total Cost of Construction from e 3. Plumbing $15,000 Building Permit Fee 4. Mechamml(HVAC) 5. Fire Protection $15,000 1✓ 6. Total=(1 +2+3+4+5) $250,000 Check Number This Section For Official Use Only Date Building Permit Number. Issued: Signature: Building Commissionedinspegw of Buildings Date office @ livewellhomeimprovement.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed.Permit Can Be Dented Due To Incomplete Information Existing Proposed Required by Zoning This column to be filld in by Building Department Lot Size .228 .228 Frontage Setbacks Front ,� O Side L:�/ R: 10 L: ` R:-/b Rear Building Height 2 p t Bldg. Square Footage % / Open Space Footage % (Lot arw minus bldg&paved arum #of Parking Spaces Fill: volume&Locution A. Has a Speciat Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES O IF YES: enter Book Page and/or Document N B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW O YES O IF 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 Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: E. Wil the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ AddHlon Q]Reeplincennorit1flifinglovis Alteration(s) 0 RooflngOr Doors +MAccessory Bltlg. ❑ Demolltlon ❑� New Signa D] Decks [q+ Sidinglo] Other[= Brief Description of Proposed Inredor reoovanon of ,214 sq It of existing Wilding.Denwlition aM odnn1din,,liaWsq fl.Existing foundation and ria i,tit stay. Work: Alteration of existing bedroom_Yes �< No Adding new bedroom X Yes No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet Sa. If New house and or addition to existing housing complete the following. a. Use of building: One Family X Two Family Other 5tl b. Number of rooms in each family ung 12 Number of Bathrooms 2.5 C. Is there a garage attached? NO d. Proposed Square footage of new construction. I Sa ft Dimensions 22X26 e. Number of stones? 2 f. Method of heating? Combination hydronic/mini splits Fireplaces or Woodstoves Yes Number of each 1 g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction Residential i. Is construction within 100 h.of wetlands? Yes X No. Is construction within 100 yr. floodplain_Yes X No j. Depth of basement or cellar floor below finished grade 811 k. Will building conform to the Building and Zoning regulations? X Yes No. I. Septic Tank_ City Sewer X Private well City water Supply X SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS �/A//G/�E``//N''}}TT'OR CONTRACTOR APPLIES FOR BUILDING PERMIT properly as Owner of the subject Kevin Schnell hereby authorize to act on m If, ' relative to authorized by this building permit application. Ju we Signature.1`15.4r// Data I. as Owner/Authorized Agghes ements and information on the foregoing application are true and accurate,to the best of my knowledge and Sig 'es of perjury Prin C — ig r/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Co struc0on Supervisor: Not Applicable Nome wL- "Off. Kevin R Schnell (LiveWell Home Improvement) —� License Number 33 Laurel Mountain Road West Whately 01039 CS109600 Atltlres Eviration Date 10/19/2019 Sig to Telephone 413-634-3000 _ --siatCoiatractigic Not Applicable LiveWell Home Improvement Compam lienor Registration Number 33 Laurel Mountain Road West Whately 01039 181146 Address Expiration Date Telephws 413-6344000 4/11/2019 SECTION 10-WORKERS,COMPENSATION INSURANCE AFFIDAVIT(M.G.L»c.152,§25C(S)) Workers Compensation insurance affidavit must be compteted and submitted with this application.Failure to provide this 8 fideVA will result in the denial of the issuance of the building permit. Si ned Affidavit Attached Yes....... X NO...... City of Northampton w - Massachusetts F C 1 DEPAFP!ffi'NT Or BUILDING IXSPBC!r1WS 7 212 N stz t + taanicipal a¢ilding Nosthaopton, ta\ 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion impmvement,removal,demolition, or construction of an addaion to any pre-existing ownerwccupied building containing at least one but not more than fourdweiting units.—or to structures which aro adjacent to such inside cia or building'be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work: Residential Remodel and Addition Est.Cost._�250.000 _ Address of Work: 33 Laurel Mountain Road West Whately 01039 Date of Permit Application: 611812018 1 hereby certify that: Registration is not required for the following reason(s): N/AWork excluded bylaw(explain):_ , N/Aob under$1,000.00 NlAowner obtaining own permit(explain):_ N/A Building not owner-occupied IAOther(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 06/18/2018 LiveWeli Home Improvement 181146 Date Contractor Name HIC Registration No. OR: Notwithstanding the above n rcE,I/ ply for a building permit as the owner of the above property: Date jOwnreiNarneandSignature f City of Northampton =5 ..... ... C � ✓.' -" Massachusetts IIL c .. !� PARD GP aGILpIRG INSPBOTIOSS 212 main St t +Nmicipal Building 9 Nor[naegaton, M 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40. 554, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 15 Franklin Street Northampton MA 01060 (Please print house number and street name) Is to be disposed of at: (PIprint Perna alnp location of it Or will be disposed of in a dumpster onsite rented or leased from: Amherst Trucking Company (Company Name and Address) S' r Appiicant or Owner Date J i I for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the uWing Department as to the location where the debris will be disposed. _ ` _ _ �� ���1 �� � �' � « r• -'� -- � ��„ i ti r� x ' { � �� _ VJ C �T ® DATE IMMNoffiri A�RGF CERTIFICATE OF LIABILITY INSURANCE 0]Ip912018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the caHificate holder is an ADDITIONAL INSURED,the policY(iea) must be endorsed. N SUBROGATION IS WAIVED,subject to the terms sod Compounds Of Rte Polley,aerlain Policies may red dere an endglS2nlent. A statement On this oerltlReate does di comes rights to We certificate bolder in Our;of such endorsement(s}. PRODUCER N9 Valerie Carred WHALEN INSURANCE AGENCY PtN4.Nu.Ead,.t413;5B&COq. _. JL EMAIIEAbi00 Va enO(�Wha OPIBSUlanCe com 71 KING ST — Ia.- N!F-1W0R16COVER4GE HMCo NORTHAMPTON MA 01060 Iasasen A'., AMGUARD INSURANCE CO _ 42390 IN'OREO .. IHSUREa9 _. _ LIVEWELL HOME IMPROVEMENT LLC INaURERe_ ...... .. _ .�—_ 33 LAUREL MOUNTAIN ROAD msuRERR- -- WEST WHATELY MA 01039 IxsuRER F' COVERAGES CERTIFICATE NUMBER: 2893M REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CDMMERGNLDExCRALiJANUiY LIM111T5 SHOWN MAY HAVE BEEN REDUCED HY PAID CLANS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. _ — ._ M l AULI. E%P FEE rypEOFIN9URAXCE PtlLILYXUMBER DO M LIMIT9 I EACXff..(.'URRS AMA E b�GBEG CLAIMS ANDE �OCCUR r VREMIS (E SEn EXP IPn5NIA SGEN'L AGGREGATE LIMITAPrPLI ESVERY _ POCKY�JECT �_ L� PXGOUCTa,4GYMP10PAGG I S -- _ OTHER OMa E INCL MIT t AViOMOBREl U01L1TY {P EaM1 ANY AUTO ;801LY INJURY(Per Pelem) S �- OaL owXEU scHEDmeo N/A BODE NJURY Per -dent) E AVIOS AUTOSMUSN'T .?ROPERrYDMtAGC �... MREO RCS AIDS"M S UMBaELLA toes O'-,Cua EPGiOCCtwR c S _ EXCEee LIAO _ CLAIM or NIA AGGREGAIE $ _ MED, RETCURM S _ S WDRIQRSCGMPNISATNXi /\ STP TE ER H AXD EMPLOYERYLISINIIIY Ix ANYPROPRIEUTIARTXEwExEILII's t�.EACH nccrosm S 100,000 YIN A DEFICEwMEMaenexaur,Eov NA WA MIA R2WG964GP1 041USI2018 04/O:d2019 ET.o1sEAaE-EAeMPLOYEf a 100,000 iMa+tM«Ymnm — - o RIPTION oPERArIorvS ndlow n.L.olsePSE- VYUMH a 500,000 NIA r£S SPRONDFOP CHNOBJa/L«ARMINSIME.M.ueORDRUASSAPAIDUAR- rnardivel.m fi baaWtXA4amm�APacrinfpneM) Workers'Compensation benefits will be raid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B, m authorization is given to pay claims for benefits to employees In states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This centimeter of insurance shows the policy in force on the date Flat this certlfcate was issued(unless the,expiration dale on the above policy precedes the issue date of this certificate efinsuranoe), The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verifcabon Search tool at wwwmass9ovh.MtwakersmmpBnsaibntinrestigatiar>°!. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SAYS THEREOF, NOTICE Ali BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Building Inspector Main Street -4Unw�oREPRCHE Ai E Northampton MA 01060 Danie IS Crmvlay.CPCU,Vee President–Ressldme Worst–YVCREMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(20141011, The ACORD name end logo are registered marks of ACORD The Commonwealth of Massachuselys Department of Industrial Accidents I Congress Street,Suite 100 Boston,AL4 02114-2017 www.massg"Idia U,kricess'Compossisation Insurance Affidavit:Builders/Contractors(Eimtriciens/Plumben. TO BE FILED WITH THE PERhffMNG AUTHORITY. Amil' ant information Please Print Length, Name(B,sinviston amounionindividiw):LiveWell Home Improvement LLC Address:33 Laurel Mountain Road West Whately = City/State/Zip:01039 _ Phone#:413.634-3000 Are you ao employer?Check the appropriate boa: Type of project(required): l-Qlamaemployawan 5 empluyeex CfidlaM/m ion-times* 7.gNewosmstructioa 2❑lamasoleproprietororpar ipmdhavenoemploymr Aingformcin g. nr Remodeling are,capacity.[No workers'comp install required.) 31-11 sm.bomce.&,,.It wedcniwV is.walkers'camp.awemee required)' 4. I+y Demolition 10©Building addition 4.❑1amehomeot emasson Nook Iwill enauethaz ala mnoac+om eiNw ham wurkvs'asmpeasution iraumrac or aro mk 11.2]Electrical repairs Or additions proprietors wish no employees, 12.gl Plumbing repairs or additions 5 Q l ams recalls vivencm and i lave how evess owwamws iisW.Nemtec6N saes_ 13.O Roof repairs These suby:rmaacmm hem employees and have workers'comp.imomnce t 6 Qwearea),mxd al and IGmTxvshaveexamsed Heir p inefesemgionper M(3Lc 14 []! Otiler Siding, windows I52,Ci(4),and we have no empioytts_p'lo workers mmPinsumnwraluird.J 'Any illorwoot Nat checks Dox al must also fin out the section below showing Heir wohers compensation policy information. t Homeowners who suhmi<Nix eRidavit inNceting rFay medomit an work and then hire outside rnnnactorsmust submit anew affidavit iMimtingauch. tCanoston,Net cheek this box must anaclu.N on additional sheet showing nae name of Ne cub-ommoctors and state whether or not ease comms hum employees. IfNevilly osesorshove empbyees,dregmustpmvidetheir workers'comp.(sic,manus, 7 man employer that is providing workers'compensatton insurancefor my employees. Below a thepo(icy andjob site information. Insurance Company Name:Whalen Insurance Policy#or Self-ins.Lic.#:R2WC964601 Expiration Date:04/0512019 Job Site Address 15 Franklin St Northampton City/Staw/zip:,01060 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a.criminal violation punishable by 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 against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. L do hereby t s and penalars of perjury Bear the iaforarmton pravtded above it true load Correll. S'JuJi urs'_ P e#:41 4.3 _..�.... _..... Official use Du oat write in this urea,to be completed by city or m,ra offtetat. Cab or Town: ^, Perm WL"Bw#._. ._ Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,Cityflowo Clerk 4. Electrical laspeetor 5.Plumbing Inspector b.Other Contact Persue: phone le tiff eurofins CEI ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for Forbes & Wheeler, Inc. CLIENT PROJECT: 15 Franklin Street, Northampton, MA 01060; WMDC-18- B3286 LAB CODE: B18-6206 TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORT DATE: 07/04/18 TOTAL SAMPLES ANALYZED: 34 # SAMPLES >1% ASBESTOS: 1 TEL: 866-481 -1412 www.ceilabs.com tiff eurofins Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY CEI PROJECT: 15 Franklin Street, Northampton, MA LAB CODE: B18-6206 01060; WMDC-18-83286 METHOD: EPA 6001 R931116 and EPA 600 1 M4-821 020 ASBESTOS Client ID Layer Lab ID Color Sample Description % 01A Layers B69086 Brown Floor Paper Cover None Detected - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Layer2 869086 Green Canvas None Detected 01B Layer B69087 Brown Floor Paper Cover None Detected - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Layer2 669087 Green Canvas None Detected 02A 869088 Gray Paper Underlayment None Detected 02B 869089 Gray Paper Underlayment None Detected 03A 869090 Gray,White Drywall/Mud &Tape None Detected 03B 869091 Gray,White Drywall/Mud&Tape None Detected 04A B69092 Gray Window Glazing None Detected 04B B69093 Gray Window Glazing None Detected 05A 869094 Tan Sink Caulk None Detected 05B 869095 Tan Sink Caulk None Detected 06A 669096 Gray Mortar None Detected 066 869097 Gray Mortar None Detected 07A B69098 White Plaster Skim Coat None Detected 07B 869099 White Plaster Skim Coat None Detected 07C 669100 White Plaster Skim Coat None Detected 07D B69101 White Plaster Skim Coat None Detected 07E 869102 White Plaster Skim Coat None Detected 08A 869103 Gray Plaster Base Coat None Detected 08B 869104 Gray Plaster Base Coat None Detected 08C 869105 Gray Plaster Base Coat None Detected 08D 869106 Gray Plaster Base Coat None Detected 08E 869107 Gray Plaster Base Coat None Detected 09 869108 Gray Sink Undercoating None Detected 10A 869109 Gray Asphaltic Roof None Detected 10B 869110 Gray Asphaltic Roof None Detected 11A B69111 Black Roofing Felt Underlayment None Detected 11B 869112 Black Roofing Felt Underlayment None Detected 12A B69113 Black Asphaltic Roof None Detected 12B 869114 Black Asphaltic Roof None Detected Page 1 of 2 ti} eurofins ASBESTOS BULK ANALYSIS CEI By: POLARIZING LIGHT MICROSCOPY Client: Forbes & Wheeler, Inc. Lab Code: B18-6206 650 Dwight Street#1337 Date Received: 07-02-18 Holyoke, MA 01041-1337 Date Analyzed: 07-04-18 Date Reported: 07-04-18 Project: 15 Franklin Street, Northampton, MA 01060; WMDC-18-83286 ASBESTOS BULK PLM, EPA 600 METHOD Client lD lab Lab NON-ASSE INDS COMPONENTS ASBESTOS Lobito D"crlptbn Attrlbui Fibrous Non-Fibrous % 01A Floor Paper Cover Homogeneous 100% Cellulose None Detected Layer 1 Brown 869086 Fibrous Bound - - _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - _ - - . Layer 2 Canvas Homogeneous 75% Paint None Detected B69086 Green 25% Binder Non-fibrous Bound 01B Floor Paper Cover Homogeneous 100% Cellulose None Detected Layer 1 Brown 669087 Fibrous Bound - - _ _ _ _ _ _ _ _ _ _ _ _ _ . Layer2 Canvas Homogeneous 75% Paint None Detected B69087 Green 25% Binder Non-fibrous Bound 02A Paper Underlayment Homogeneous 100% Cellulase None Detected 869088 Gray Fibrous Bound 02B Paper Underlayment Homogeneous 100% Cellulose None Detected 869089 Gray Fibrous Bound 03A Drywall/Mud 8 Tape Heterogeneous 15% Cellulose 70% Gypsum None Detected 869090 Gray,White 10% Calc Caro Fibrous 5% Paint Bound Page 1 of 7 .ti Asbestos Report Summary tiff eurofins By: POLARIZING LIGHT MICROSCOPY i CEI PROJECT: 15 Franklin Street, Northampton, MA LAB CODE: B18-6206 01060, WMDC-18-63286 METHOD: EPA 6001 R931 116 and EPA 600 / M4-821 020 ASBESTOS Client ID Layer Lab ID Color Semple Description % 13A 869115 Black Tar/mastic MMEMW- 13B B69116 Sample Not Analyzed per COC 14A Layer 1 869117 Black Asphaltic Roof Shingle None Detected - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - La er2 869117 Black Tar None Detected 148 Layer 1 869118 Black Asphaltic Roof Shingle None Detected - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - La er 2 869118 Black Tar None Detected 15A 869119 Black Felt Paper Underlayment None Detected 15B 669120 Black Felt Paper Undedayment None Detected Page 2 of 2 ti•} eurofins ASBESTOS BULK ANALYSIS CEI By: POLARIZING LIGHT MICROSCOPY Client: Forbes &Wheeler, Inc. Lab Code: B18-6206 650 Dwight Street#1337 Date Received: 07-02-18 Holyoke, MA 01041-1337 Date Analyzed: 07-04-18 Date Reported: 07-04-18 Project: 15 Franklin Street, Northampton, MA 01060; WMDC-18-B3286 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributa Fibrous Non-Fibrae % 03B Drywall/Mud &Tape Heterogeneous 15% Cellulose 70% Gypsum None Detected B69091 Gray,White 10% Calc Card Fibrous 5% Paint Bound 04A Window Glazing Heterogeneous 85% Binder None Detected B69092 Gray 15% Paint Non-fibrous Bound 04B Window Glazing Heterogeneous 85% Binder None Detected B69093 Gray 15% Paint Non-fibrous Bound 05A Sink Caulk Homogeneous 100% Caulk None Detected B69094 Tan Non-fibrous Bound 05B Sink Caulk Homogeneous 100% Caulk None Detected B69095 Tan Non-fibrous Bound 06A Mortar Heterogeneous 85% Silicates None Detected 869096 Gray 15% Binder Non-fibrous Bound 06B Mortar Heterogeneous 85% Silicates None Detected B69097 Gray 15% Binder Non-fibrous Bound Page 2 of 7 .fi ASBESTOS BULK ANALYSIS e rofi ns ti• CEI By: POLARIZING LIGHT MICROSCOPY Client: Forbes & Wheeler, Inc. Lab Code: B18-6206 650 Dwight Street#1337 Date Received: 07-02-18 Holyoke, MA 01041-1337 Date Analyzed: 07-04-18 Date Reported: 07-04-18 Project: 15 Franklin Street, Northampton, MA 01060; WMDC-18-83286 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibil NonFibi % 07A Plaster Skim Coat Heterogeneous 25% Calc Carb None Detected 869098 White 65% Silicates Non-fibrous 10% Paint Bound 07B Plaster Skim Coat Heterogeneous 25% Calc Carb None Detected 869099 White 65% Silicates Non-fibrous 10% Paint Bound 07C Plaster Skim Coat Heterogeneous 25% Calc Carb None Detected B69100 White 65% Silicates Non-fibrous 10% Paint Bound 07D Plaster Skim Coat Heterogeneous 25% Calc Garb None Detected B69101 White 65% Silicates Non-fibrous 10% Paint Bound 07E Plaster Skim Coat Heterogeneous 25% Calc Carb None Detected 869102 White 65% Silicates Non-fibrous 10% Paint Bound 08A Plaster Base Coat Heterogeneous 2% Cellulose 85% Silicates None Detected 869103 Gray 3% Hair 10% Binder Fibrous Bound Lab Notes: No wood Lather present. 08B Plaster Base Coal Heterogeneous 2% Cellulose 85% Silicates None Detected B69104 Gray 3% Hair 10% Binder Fibrous Bound Lab Notes'. No wood Lather present. Page 3 of tiff eurofins ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY CEI Client: Forbes & Wheeler, Inc. Lab Code: B18-6206 650 Dwight Street#1337 Date Received: 07-02-18 Holyoke, MA 01041-1337 Date Analyzed: 07-04-18 Date Reported: 07-04-18 Project: 15 Franklin Street, Northampton, MA 01060; WMDC-18-63286 ASBESTOS BULK PLM, EPA 600 METHOD client 10 Lab - Lab NON-ASBESTOS COMPONENTS ASBESTOS Labor Description Attributes Fibroes NonFfbroee % 08C Plaster Base Coat Heterogeneous 2% Cellulose 85% Silicates None Detected B69105 Gray 3% Hair 10% Binder Fibrous Bound Lab Notes: No wood Lather present. OBD Plaster Base Coat Heterogeneous 2% Cellulose 85% Silicates None Detected B69106 Gray 3% Hair 10% Binder Fibrous Bound Lab Notes. No wood Lather present. OBE Plaster Base Coat Heterogeneous 2% Cellulose 85% Silicates None Detected B69107 Gray 3% Hair 10% Binder Fibrous Bound Lab Notes'. No wood Lather present. 09 Sink Undercoating Homogeneous 100% Binder None Detected B69108 Gray Fibrous Loose 10A Asphaltic Roof Homogeneous 25% Fiberglass 50% Tar None Detected B69109 Gray 25% Gravel Fibrous Bound 10B Asphaltic Roof Homogeneous 25% Fiberglass 50% Tar None Detected B69110 Gray 25% Gravel Fibrous Bound 11A Roofing Felt Heterogeneous 70% Cellulose 30% Tar None Detected 869111 Underlayment Black Fibrous Bound Page 4 of 7 ASBESTOS BULK ANALYSIS vti e u rofi n s By: POLARIZING LIGHT MICROSCOPY CEI Client: Forbes &Wheeler, Inc. Lab Code: B18-6206 650 Dwight Street#1337 Date Received: 07-02-18 Holyoke, MA 01041-1337 Date Analyzed: 07-04-18 Date Reported: 07-04-18 Project: 15 Franklin Street, Northampton, MA 01060; WMDC-18-63286 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lob NOWASSESTOS COMPONENTS ASBESTOS Lab ID Description Atbibull Fibron Non-Flbroue % 11B Roofing Felt Heterogeneous 70% Cellulose 30% Tar None Detected B69112 Underlayment Black Fibrous Bound 12A Asphaltic Roof Homogeneous 30% Cellulose 70% Tar None Detected B69113 Black Fibrous Bound 12B Asphaltic Roof Homogeneous 30% Cellulose 70% Tar None Detected 869114 Black Fibrous Bound 13A Tar/mastic Homogeneous 15% Cellulose 83% Tar 869115 Black Fibrous Bound 1313 Sample Not Analyzed B69116 per COC 14A Asphaltic Roof Shingle Heterogeneous 30% Fiberglass 45% Tar None Detected Layer 1 Black 25% Gravel 869117 Fibrous Bound - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Layer 2 Tar Homogeneous 100% Tar None Detected 869117 Black Fibrous Bound 14B Asphaltic Roof Shingle Heterogeneous 30% Fiberglass 45% Tar None Detected Layer 1 Black 25% Gravel 869118 Fibrous Bound Page 5 of 7 tiff eurofins ASBESTOS BULK ANALYSIS CEI By: POLARIZING LIGHT MICROSCOPY Client: Forbes &Wheeler, Inc. Lab Code: B18-6206 650 Dwight Street#1337 Date Received: 07-02-18 Holyoke, MA 01041-1337 Date Analyzed: 07-04-18 Date Reported: 07-04-18 Project: 15 Franklin Street, Northampton, MA 01060; WMDC-18-83286 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Dsscdptim Atbibutn Flbrous Non-Fibrous % - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Layer2 Tar Homogeneous 100% Tar None Detected B69118 Black Fibrous Bound 15A Felt Paper Heterogeneous 70% Fiberglass 30% Tar None Detected 869119 Underlayment Black Fibrous Bound 15B Felt Paper Heterogeneous 70% Fiberglass 30% Tar None Detected 869120 Underlayment Black Fibrous Bound Page 6 of 7 tiff eurofins CEI LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 600/ M4-82 /020 REPORTING LIMIT: <1% by visual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Points REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBS) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBS analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested Or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP Or any other agency of the U.S. Government. ,�// � /�' ANALYST: APPROVED BY: ,,,/ /// Y ette Nkunde-Bose Tianbao Bai, Ph.D., CIH Laboratory Director NVLA�o TESTING NVLAP LAB CODE 101768-0 Page 7 of 7 Eurofins E0^ CHAIN OF CUSTODY LA65 {K 730 SE Maynard Road•Cary,NC 27511 Tel:866481-1412', Fax 919181-1442 C Forbes 8 Wheeler Client#'. 23687 Address: 650 Dwight Street, #1337 Job Contact Stephen W. Niec Holyoke, MA 01041 Email: sniec@forbeswheeler.com Tel. 413-221-8233 Pmjw Name. i5 Franklin Sued.vomramplon.MA 01060 Fax 866423-6355 Pro ID#: WMDC-18-B3286 IPO. #: B3286 { PLM BULK 35 Samples EPA600 ❑ ❑ ❑ ® a. ❑ ❑ P T COURT 400 EPA 600 ❑ C3 13 C3 E3 13 PLM POINT COUNT 1000 EPA 600 ❑ ❑ ❑ ❑ ❑ ❑ Pun ORAVIMCTRIC cr•A eoo D ❑ ❑ ❑ O PLM GRAV w POINT COUNT EPA 600 ❑ ❑ ❑ ❑ ❑ PCM AIR NIOSH 7400 ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR AHERA ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR EPA Lewl II ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR NIOSH 7402 ❑ ❑ ❑ ❑ ❑ ❑ TEM BULK CHATFIELD ❑ ❑ ❑ ❑ ❑ TEM DUST WIPE ASTM D6480-05 ❑ ❑ ❑ ❑ ❑ ❑ TEM DUST MICROVAC ASTM D575"3 ❑ ❑ ❑ ❑ ❑ ❑ TEM OUAUTATrOE CEI LABS ❑ ❑ ❑ ❑ ❑ ❑ OTHER. ❑ ❑ ❑ ❑ ❑ ❑ tfii�! , J, 11118111114M LEAD PAINT EPA SVA46 70008 ^❑ ❑ ❑ LEAD WIPE EPA S11,646 70008 ❑ ❑ ❑ LEAD SOIL EPA SW64870008 ❑ ❑ ❑ LEAD AIR NIOSH 7082 ❑ ❑ ❑ OTHER ❑ ❑ ❑ REMARKS. 0 STOP AT IST POSl,l,IVF. (between A and B...samples) (6 AcoeptSamples O Analyze All Samples ❑ Repo Samples M. Carralero, Sept. Lane Labs I*'r 6/18/18 S. Niec 6/18/18 S. Niec 6/29/18 Federal Express Drop box EL Call W confkm RUSH sna"is. Samples vAIl W dispoa W of 30 drys aftm analysis Oeurofins C� p_ I ZI r '�;2 V6RsC CM P "I P." T31 Forbes & Wheeler BULK SAMPLE CHAIN OF CUSTODY SUPPLEMENT Project #: WMDC-18-83286 Date(s) Collected: Facility: 15 Franklin Street, Northampton, MA 01060 6/18/2018 MATERIAL MATERIAL DESCRIPTION LOCATION SAMPLE ID 1 CIA Floor Paper Cover Green Canvas on wood Rear Porch 2 015 Floor Paper Cover Green Canvas on wood Rear Porch 3 02A Gray Paper Undena ment wood clapboard Rear Porch 4 02B Gray Paper Underla meat wood clapboard Exterior rear section 5 03A D wall Seam Ta a 1F Foyer 6 03B D wall Seam Tae IF Foyer 7 04A Window Glazing, Wood Sashes White 1F Foyer 6 04B Window Glazing, Wood Sashes White 1F Kitchen/Eat-in Area 9 05A Sink Caulk White 1F Bathroom 1d OSB Sink Caulk White IF Bathroom 11 06A Ceramic Floor Mortar Gray 1F Bathroom 12 06B Ceramic Floor Mortar. Gray IF Kitchen/Eat-in Area 13 07A Plaster Skimcoat White 1F Kitchen/Eat-in Area 14 07B Plaster Skimcoat White IF Kitchen/Eat-in Area 15 07C Plaster. Skimcoat White 2F Chimney Room 16 07D Plaster Skimcoat White 2F Bath 17 07E Plaster. Skimcoat White 2F Hall Closet 18 08A Plaster Basecoat Gray, Wood Lathe 1F Kitchen/Eat-in Area 1s 08B Plaster Basecoat Gray, Wood Lathe IF Kitchen/Eat-in Area 20 08C Plaster. Basecoat Gra Wood Lathe 2F Chimney Room 21 08D Plaster Basecoat Gray. Wood Lathe 2F Bath 22 OBE Plaster Basecoat Gray, Wood Lathe 2F Hall Closet 23 09 Sink Undercoat Gray 1F Kitchen/Eat-in Area 24 10A Aspahaltic Roof Flat Black LS Exterior Porch 25 10B As ahaltic Roof Flat Black Ll Exterior Porch 26 11A Roofing Felt Paper Underla men[ L2 Exterior Porch 27 11B Roofing Felt Paper Underla ment L2 Exterior Porch 29 12A Asphaltic Roof Bottom 1-3 Black Exterior Porch 29 12B Asphaltic Roof Bottom 1-3 Black Exterior Porch 30 13A Tar Mastic Black Exterior Flat Roof Penetration 31 13B Tar Mastic Black Exterior @ Chimney 32 14A lAsphalt Roof Shingle/Tar. Black Foyer Roof 33 148 jAsphalt Roof Shin le ar Black Foyer Roof 34 15A iFeit Paper Underla ment Black Foyer Roof ❑ Analyze All samples ® USE FIRST POSITIVE STOP METHOD between A B samples of same material number ASBESTOS INSPECTOR: Page: 1 of 2 M. Carralero , SLL ��lT l.� Lic. No. AI900719 BP� - V) 0� Forbes k Wheeler BULK SAMPLE CHAIN OF CUSTODY SUPPLEMENT Project #: WMDC-18-83286 Date(s) Collected: Facility: 15 Franklin Street, Northampton, MA 01060 6118/2018 MATERIAL SAMPLE ID MATERIAL DESCRIPTION LOCATION 35 15B Felt Paper Underla men[ Black Foyer Roof 36 XXX 35 Samples submitted xxxxx 37 38 39 40 41 42 43 44 45 46 47 48 49 60 51 52 — 53 54 55 56 57 58 59 60 61 62 63 64 65 fib 67 ❑ Analyze All samples ® USE FIRST POSITVE STOP METHOD between A B samples of same material number Page: 2 of 2 ASBESTOS INSPECTOR: M. Carralero 2 , SLL 0 r— Lic. No. A1900719 tiE..finsCEI LABORATORY REPORT eurofins P„oSEss;ardRoad, an(91,4ClC511442 LEAD IN PAINT CEI Client: Forbes & Wheeler, Inc. C18-0521 650 Dwight Street#1337 Lab code: 9 Received: 07-02-18 Holyoke, MA 01041-1337 Analyzed: 07-05-18 Reported: 07-05-18 Project: 15 Franklin Street, Northhampton, MA 01060; WMDC-18-L3286 ANALYSIS METHOD: EPA SW046 70008 LAB ID PPM(4919) CONCENTRATION CLIENT ID %BY WEIGHT 01 PB CA65610 45 0.0045 02 PB CA65611 270000 27 Reviewed By: z�(h-✓1'w Tianbao Bai, Ph.D. Laboratory Director This method has been validated for sample weights of 0.020g or greater. When samples with a weight of less than that are analyzed those results fall outside of the scope of accreditations. The analysis of composite wipe samples as a single samples is not included under AIHA accreditation. Minimum reporting limit is 10 pg total lead. Sample results denoted with a "less than' (<)sign contain less than 10.0 pg total lead, based on a 40ml sample volume. Lead samples are not analyzed by Eurofins CEI Lead samples are submitted to an AIHA ELLAP accredited laboratory for lead analysis of soil, dust, paint, and TCLP samples. Laboratory results represent the analysis of samples as submitted by the client. Information regarding sample location, description, area, volume, etc., was provided by the client. Unless notified in writing to return samples, Eurofins CEI discards client samples after 30 days. This report shall not be reproduced, except in full, without the written consent of Eurofins CEI. REGULATORY OSHA Standard: No safe limit. LIMITS Consumer Products Safety Standard: Greater than 0.06% lead by weight. Federal Lead Standard/ HUD: 0.5% lead by weight. LEGEND pg = microgram ppm = parts per million g =grams ml = milliliter Pb = lead wt=weight End of Report Page 1 Eurofins Or CHAIN OF CUSTODY CC IL 730 SE Maynard Road•Cary,NC 27511 Tel 866481-1412,Fax 919481-1442 vii .S Corripany Forbes 8 Wheeler Client 23687 Address: 650 Dwight Street, #1337 Job Contact Stephen W. Niec Holyoke, MA 01041 Email, sniec@forbeswheeler.com Tel. 413-221-8233 Pro Name: I5 Fmnklin Strew,Nodhampton.MA 01060 Fax 666423-6355 lProjwlD#-. WMDC-I8-L3286 1po a: L3286 3 41wa PLM BULK EPA6DO ❑ ❑ ❑ ❑ ❑ ❑ PLM POINT COUNT 400 EPA600 ❑ ❑ ❑ ❑ ❑ ❑ PLM POINT COUNT 1000 EPAEW ❑ ❑ ❑ ❑ ❑ ❑ PLM ORAVIMCTmc crA wo O 0 ❑ O O PLM GRAV w POINT COUNT EPA BDO ❑ ❑ ❑ ❑ ❑ PCM AIR NIOSH 7400 ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR AHERA ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR EPA Level 11 ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR NIOSH 7402 ❑ ❑ ❑ ❑ ❑ ❑ TEM BULK CHATFIELD slow ❑ ❑ in ❑ ❑ TEM DUST VAPE ASTM D6480-05 ❑ o ❑ ❑ ❑ ❑ TEM DUST MICROVAC ASTM D5756r03 ❑ ❑ ❑ ❑ ❑ ❑ TEM QUALITATIVE CEI LABS ❑ ❑ ❑ ❑ ❑ ❑ OTHER. ❑ ❑ ❑ ❑ ❑ ❑ E1li0R . 7 g t'i 2Sam les EPA SW84870008 ® C3 ❑ EPA SV44670DOS ❑ ❑ ❑ LEADSOIL EPA SVS4870DDB ❑ ❑ ❑ LEAD AIR NIOSH 7082 ❑ ❑ ❑ OTHER. ❑ ❑ ❑ REMARKS: 0 Analyze All Samples Accept Samples Q Reject Samples S. Niec ! 6/29/18 Federal Express Drop box EL 1 4Call to confirril RUSH analysis. Sampan w01 be dispowd of 30 dyJ attar anayau VERSION CCDC.0112.1R.LD Cwtawr COC Papa 1 (;! 71.0521 LEAD COAT'Nf3S I` NTORY MAIM Facility: 15 Ranklin Street,Northampton,MA 01060 Inspect Date: 61182018 Inspector: S. Niec Client: Western Mass Demolition Corp.,Westfield, MA 01085 Report Date: Project it:WMDC-18-1-3286 Residential ® Commercial❑ Target Housing OY ON Child-Occupied OY ON Year Built: 1900 SAMPLE CODES: - SUBSTRATE TYPE: CONDITION: B=Baseboard HR=Hand Rail STC=Structural Column B=Brick I=Intact CR=Chair Rail NP=Newel Post STM=Structure Misc C =Concrete D=Defective CL=Ceiling P=Piping W=Wall CB=Concrete Block F=Flaking D=Door RD=Radiator WA=Window Apron G=Gypsum Board C=Cracking DC=Door Casing S8=Stair Ballusler WL=Wall Lower M=Metal DB=Debns DJ=Door Jamb SR=Stair Riser WC=Window Casing P=Plaster OTHER: DW=Duct Work SRC=Stair Rail Cap WSL=Window Sill PA=Paneling ND=None Detected E=Equipment SS=Stair Stringer WSH=Window Sash T=Tile BDL=Below Detection Limit FL=Floor STB=Structural Beam WU=Wall Upper W=Wood H=Homogeneous RL=Railing SD=Siding TR=TriMFlashing O=Other AS=Assumed LCP STANDARDS: MDPH Dangerous Lead Level=1 mglan2 or 0.50%dry welght• ' CPSC Ban:Lead-Containing Paint=0.009%D Wei Mar 90 m ID/COLOR/COMMENTS LOCATION Sample Subspace Condition RESULTS Code Type (%WeigM/AAS or AS) 01P1b White Paint, Interior Interior,Throughout Ceiling 8 Walls CUW P" I 02Pb Beige Paint,Exterior Exterior Clapboard SidingSD W I 1 04 Forbes Wheeler Table of Contents AJJJJ , CWtfStQD 39 Spuce Sfieet'east caa e; .,MAD,023`FAX Ct 525805TEL 4131525 2332 M,9.2018 Steve Nice Fades&Rhe'la"lac. P.O.Box 1331 Holyoke,MA 01041 Project Location. 15 prank l in St,Northamplon. MA Client Job Number Project Number wMDC-18 T3286 Labotztory Work Order Number 1 8F 1529 Enclo,d are resole ofanalywc for 4nmple,ireeivcd bythe laborautp on lune 29.2018. 1Cyon have anp questions concerning this report.please feel free to cornu l me. Sirwe^�re^,A1v1N��^' JeVVV in.I_Iiopmn Project Manager r-757- 1 of 11 Table of Contents Table of Contents Sample Summary 3 Case Narrative 4 Sample Results 5 I81,151_9-01 5 Sample Preparation Information 6 QC Data 7 TCLP-Metals Analyses 7 8207170 7 Flag/Qualifier Summary S Certifications 9 Chain ofCustody/Sample Receipt 10 Page 2 of 11 Table of Contents cmatid ANALYTICAL LSBORATORY 39 Spruce Street•East Longmeadow, MA 01028•FAX 4131525-6405-TEL 4131525-2332 !.rhes d a Feeler Ine. 110.Be.I Ii REPORT UATE: 7 3p18 H.IIakJ1A 01 Uil PLRCIIAS'p OROER Nf:MRER. ATTIN SleeeKlec PROIFCI NU,MBER'. RN1DC-18Ti'_96 AMAIN I ICAL S'1_MNARI' WORK ORDER NUMBER'. 18P I5'9 The rtvulleifanalysssp-hnmed.L the rr,lessubmlvd In he CON fret A..11111.1 Ish.ml.n are chard in th,report. PROIECT I OCJ ION 15 Yrenklin SL\urpampton.MA pIL1.0SAMPLE: IAB ID- MATRIX SAMPI P UESCRPTON TFS) SUB OITBmId'mp Vtntenals [Sri 12,101 PmdnaSolid SW-8466010C-0 Page 3 of 11 —`(& Table of Contenfe 4�A N 39 Spruce SHaet'East tmgmcaaaw. MA 0102A'EAX 4f 31525640.5'TEC..4133262332 CASE N ARRAOI E S1:11>UR4 iil eelutled resnfb�uc wlfmu-0e6ned lobwswry quailnronvol M+jsarix ankxv IimM Belau wmMrvleea�lified 1nl6arepm2 SW-84660100D SW-8466010NR For NC.Nqulx 846 W100 and SW-846 6WON arc Poll—ed.and for A ohiamaln9 mnho0s 1141610100 and SI h'461020A we fllowcd. IenIhC1M1 ll,11a lmeV aho -e epeulfwll'f a hmmrwnmd Tamar¢perf didernry dlmti wrap lohe apµnncd veNadolog, 1—d h'aducunui.11d ihil brnW up quip afiha d'iJak lminetll :1 „Me fn oM'.... lh A 1-01111d.1 Ih, tioihe hi nLnx Am r 1©F aM(al o�_ubnrrceamt eomPleie_ �11•Ca V1�l 'IiEngmi i'ro,ieri Manager Pa e4of 11 O Table of Contents MION9 ANRLmC 1 ORATORY 39 Spruce SVee[•East Longmeatlow,MA 01028'FAX 413I525E405TEL 413/525-2332 Pr11111 tvllun' SFmnkliu Sl.,Amh—pmn.NA Sunlple De.....1mc WA1,J,, IBPI1'19 M.m Receisred'. 6,'42018 Field Sample 4: 01I/Building,Materials Sm—I,ID: 18F152401 Stan DmeTmr 6 Id 10181130'.00AM Saumlcllxnx' Pwc,,,1d1 in DateTme. 6 18,208 P'10 U0'M TCLP-Metab Analyses Date Date/Time Analyte Result, RL Units Dilmion Hai Ne1M1od Prepared Analyzed A-Mi LwA 027 0-010 mg9. 1 SN-8466010C-D 7398 71 18 14 07 QNVk Page 5 of 11 Table of Contents ANA IG LABORATORY _11 39 Sprvce Street'East Longmeatlow, MA 01028-FA%4131525 W5-TEL 4131525-2332 Sample Extraction Dow Prep method:Se,8463010A Sw-X46601OC-D Lexrh0cs were-1—ne nn lrvxmw per 5w-&16 Int In D.ten 8207089 Imb Numher Field 1111 Daeh Initial lm Ll Fiml lml.l Date I8F11210111111 FoundingAlaerrkl D20]190 10.0 100 O7t0318 Page 6 of 11 Q) Table of Contents A R TIKAL I ABOfUTORY 39 Spruce Street'East Longmeadow, MA 01028•FAX 413I525b 05'TEL 413/525-2332 OR ALM CONTROL TCIT-310a1sA orl,see-Oualiry Cunlml Reporting Spike Source °.REC RPU ler.e Result Limit tripslevel Rr'.It ',.RF,( lut a RPD LLnii Net,, Bunch B207170 Ser 846 3010A Monk(8207170 BLK0_ Prepared'.07,M 18 Anah,0'.0705'18 Lead ND 0-010 myL ICS[B20719RBSU Prepared.07,03;18 AnalYxed 07,0018 Lead 0583 DVIU ttetl. 05110 107 80120 LKS Dup B20717m&SDII Prepared 07 O3,18 Analsrsd-07,Or,18 Lead 0.506 0-010 m99. ILSOU 101 ND CO o—_ 20 Merix Spike(R207170 MSI) _ Seurce:ISF1529-61 Prepared 07,'11318 Amlyvcd.07105,18 LcuJ 0742 0010 "'1 4500 0 16 94.8 75-195 Page 7 of 11 Table of Contents nRALrncnL lAeatArolrve 39 Sprvce Street'East Longmeadow.MA 01020'FAX 413/525E405TEL 413/525-2332 FLACIQDALIFIER St'MARY ' QC remit is omxide of established limbs t aside rewrery Gndtsesnblahedforddticultmmpeand - j Ride RPD ltrn,eawbgshed 6t dlRicuh compound_ Data exceeded tion r ,h mended u, eelatan les el SD but Detecmd RI. Repolne[ mn is at the lost of,antitudon l WQl DL Detection Limll m the lower tint ofdemdimi detenined bit the MDL study MCL lluxiumin Contaminant Ioel Pertenlum cries and relative pearnt diftrences I RPDsI are determined til'thexoflwme usingnduva Ia We cwealarait wnsh hills nm been summed. No results haze been blank subtracted unless specified in the case nnrtmive e"hou Page 8 of 11 Table of Contents ANALYTICAL IABOnATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/529-8405TEL 4131525-2332 CERTIFICATIONS Cervi,d A-Mrs ineluded in this Report Analyte Cerliraatinns S I4'-246 601 dC-D m Woo r Lead N YCT,MEFC.NH.V% TheION-T EST Eivi...r—cal Laboratory TYruesunderWeSri—'m,certifications end acered.t.h-s'. Code Description Nmnber Expires AIHA AIHA-LAP LLC-15017025-2005 190033 d3 12030 MA Mr—husetuOFF M-MAI00 0630_019 CT Cont-hrul Department of PuhhIc Health PH-0569 0930/2019 NY Nur,Yod Stale Depanmcnl of Health I08SrNELAP . 111019 NHS lew Hampahiref dmnmemal Lab 2SS16NFIAP 1`5'019 Iii Nil.&W rd lkPunmmt of llr.hT IAOr0H3 1230,'2018 NC Forth Cumllna Dr, of Nater QuAIN 652 12/31:2018 W le,Terse}DEP MA007 rTh MP M 101201, FL Florida DepanmenmfHeslN 6591017 NLLAP 06/308019 YT Vemmol DepamnenmfHCWib Leud Laboratop' LL015036 07901019 NE Sime at Maine ?0110?8 0N9r2019 vA Commmiw 111,of59Omia .160'12 11,1T1018 NH-P New Hompshire Emlronmentau ah 21171PLAP 09,62918 VT," Vumon Departmenmf Hcnllh DnnkiO,Nater Y `11h 06921019 N, DNI NOMCarolina DepanmemotH®Idt 15703 0711^W8 Page 9 of 11 VT— i SQA{ http://wev conterhabs mm Do,K 381 Rev 1 03242017 40 CHAIN OF CUSTODY RECORD 39 Spruce Street page—I--ol_t_ con-test Phone:913-5253332 East Longmeadow,MA 01028 .... rv..voa..rn. Fax:413-525-WS Email:infa@comettlabs.Com 7-Day U10 Day El it i 'OC of Containers Forbes a Wheeler,Inc. Doe Date: 'Preservation Code Micros, P.O.Box 1337MLrP.Lr,,.k,, O ' ` eudher Code Phone: 413 221-8233 -Day ❑ 3 Day ❑ g ANALYSIS REQUESTED 15 Franklin St -Day ❑ 4�Day ❑ w O Field Illtered Pro)xt Location: 15 Franklin StM O Lab to Filter Pmjx[Number: WMDC-18-T32Fonnar PDF rO ,E%CEL ❑ Project Manager: Stephen NixO'er " ' ' ' COmTest Quote Name/NumberCLP Like Dala Pkg Required: ❑ O Field Filtered! Invdce Recipient: Porbes&WhEmail To: Bn1ECCO3f0rne$y+heeler.COm O Lab lD Flter SamPlcd By: S.W.Nle, Fax To B: 066 421-6355 con.Test ClientSamdem/pp5[iip[M &glmm�g EM4q Compod[e GreE rPatrG Carty.. Z 'Matrix Codes: Work Ordere Date/Tune Oate/Time Cotle' Cede G GW=Ground Water 6/10/2018 %18/1018 WIN-Waste Water 01T I Bullding Materials n90 u:30 % SOL LIM % DW- Drinking Water A=At, S=Soil SL=Sludge SOL=Solid 0-Other(please define) 'Preservation Codes: I Iced H=HCL M e Methanol N -Nitric Acid 5-Sulfuric Acld B= Sodium Bisulfate X=Sodium Hydroxide T-Sodium Thiosulfate Comments: 0=Other(pleas,, Please use the following codes to indicate possible sample concentration define) Freezer Bag_ 45%Interior white paint and plaster/wood lath,rellings and waits,35%exterior beige paint/wood clapboard width the Conc Cade column above: siding;in white paint wood parch clapboard siding vMoff-white exterior mm wood. H High;M-Medium;L Low; C-Clean; U-Unknown 3 Container Codes: A=Amber Glass Rid'eq ' by: tore) Dat ITime: G-Glass ❑ MA MCP Required P=PSterile lastic S = bd R ived (signature) Da elTi/p e // T� MCP ce.xxcanon Form Renmree c y_ya1 ,m q/ �/IP/(/ CT RCP Requlretl C�1 ����f® S-Summa Canister AMALtt+n tAecwATCNr T=Tedlar 8a Relinquished by (si aturel Date,lime: RCP cernxcanon Fnrm 0.equtree g m.ur+daLta�a.aaln 0=Other(please define) T owed by:(ngoaturel Date/Time: Ma wale Ow Requnen m Q w PWCID p <a t0 inquished by:(signature) Dateffma, P!J5 Entity Other PCB ONLY ❑ Government Q Municipality ❑ MWRA ❑ WRTA ❑ Chromatogram ❑ Soxmet O eive0 by.(zigwture) Date/Time: ❑ Federal ❑ 21 J ❑ School ❑ AIHA 2AP,LLC ❑ Non Spender M ❑ City ❑ Brownfield ❑ MBTA m w Table of Contents ANALYTICAL LABORATORY -< Doc#271'Rev 8 2017 Login Sample Receipt Checklist-(Rejection Criteria Listing -Using Acceptance Policy)Any False Statement will be brought to the attention of the Client-State True or False Client f Received By Date ' \ Time ,0.)0 How were the samples In Cooler No Cooler --r On Ice No Ice - received? Direct from Sampling Ambient -T Melted Ice Were samples within By Gun# Actual Temp-, Temperature?2-6°C P7 By Blank# Actual Temp- WasCustodySealIntact? 1 Were Samples Tampered with? A 4a Was COC Relinquished ? Does Chain Agree With Samples? -y Are there broken/leaking/loose caps on any samples? T= Is COC in ink/Legible? T Were samples received within holding time? Z Did COC include all Client T Analysis Z_ Sampler Name -T pertinent Information? Project -7 ID's -T Collection Dates/Times -( Are Sample labels filled out and legible? Are there Lab to Filters? T-- Who was notified? Are there Rushes? V- Who was notified? Are there Short Holds? 1- Who was notified? Is there enough Volume? T Is there Headspace where applicable? Lk7�1 MS/MSD? IF- Proper Media/Containers Used? 1' Is splitting samples required? (- Were trip blanks received? F=- On COC? F Do all samples have the proper pH? Acid uc)k Unp- 1 Liter Amb. 1 Liter Plastic 16 oz Amb. HCL- 500 mL Amb. 500 mL Plastic 8oz Amb/Clear Meoh- 250 mL Amb. 250 mL Plastic 4oz AmblClear Bisulfate- Col./Bacteria Flashipoint 2oz Amb/Clear DI- Other Plastic Other Glass Encore Thiosulfate- SOC Kit Plastic Bag Frozen: Sulfuric- Perchlorate Zi lock Unp- i Liter Amb. 1 Liter Plastic 16 oz Amb. HCL- 500 mL Amb. 500 mL Plastic 8oz Amb/Clear Meoh- 250 mL Amb. 250 mL Plastic 4oz Amb/Clear Bisulfate- Col./Bacteria Flashpoint 2oz Amb/Clear DI- Other Plastic Other Glass Encore Thiosulfate- SOC Kit Plastic Bag Frozen: Sulfuric- Perchlorate Zi lock Comments: Page l l of l l ASBESTOS-CONTAINING MATERIALS INVENTORY MATRIX Facility: 15 Franklin Street, Northampton, MA 01060 1 F/2F Rear Section Only) Survey Date: 6/18/2018 Project#: Client: Western Mass Demolition Corp., 50 Medeiros Way, Westfield, MA 01085 Report Date: 7/4/2018 W MDC-18-83286 CH-Chrysotile Asbestos ND-No Asbestos Detected PC Point Count AS-Assumed, no sample CR-Crocidolite Asbestos AM-Apposite Asbestos F-Friable H-Homogeneous KEY: NA-Not Applicable NF Non Friable PR-Previous/Hlsloical Data X Sample Location COND(Condition): DA-Damaged DE-Deteriorated SD-Significant Damage IN-Intact E-Exposed/Uncovered DB-Debris EPA Categories: I= Nonfnable ACM, packings,gaskets, resilient,Floor covering, and asphalt roofing products 11=All other Nonfriable ACM,excluding Category I RACM -Friable, Regulated Asbestos Samplei MATERIAL LOCATION SMPLE On, COND EPA Lab COMMENTS ID Number DESCRIPTION/TYPE LOC Cat. Results 13A Tar/Mastic, Black Exterior Flat Roof Penetration X <3 SF IN 1 2%CH Penetrations only 13/H Tar/Mastic, Black Exterior @ Chimne X/H <3 SF IN I H/2%CH Base of Chimney/Flashing Notes: H=Similar materials to those identified herein that are located in other rooms are homogeneous, where indicated,and no additional samples were collected in those locations if no sample number is listed. Survey of only the list and 2nd floor of Rear Section to be demolished only. Demo/Reno Operation Description: 1st and 2nd Floor of Rear Section to be demolished only. Sampling Methodology: Bulk sample collection and analysis included modified stale-of-the-art survey practices.Sampling locations were selected that are representative of the homogeneous areas by a random selection method,and in locations that minimized the disturbance of building materials,or in already damaged areas,where applicable,or at select locations evenly distributed throughout the areas,or on different floors(where applicable),or by a random selection method described in USEPA 1960a(for surfacing materials),except as otherwise noted. Description of facility and locations(s/sabjetl to DemoReno: 1_9 ri 2M floor of Rear Section to be demolished only. Some older circuit switch gears in circuit breaker panels may contain asbestos ("iransite").Some terminal boards and blocks were made of ebony asbestos or Bakelite. Prior to the mid-1980s, arc chutes were composed of asbestos-containing plastic molding compound. Refer to the NON-ASBESTOS BUILDING MATERIALS list for a list of non-asbestos(negative)and non-suspect materials. Refer to the attached Asbestos Laboratory Report from the independent analytical laboratory. INSPECTOR: Marco Carralero MADLS Lic. No. A1900719 ?�7 FORBES&WHEELER♦ 650 Dwight Street.#1337♦ Holyoke,MA 01041 Analysis by:Earners CEI Labs •730 SE Maynard Road • Cary,NC 27511 T:413-221-8233 ♦ F:866423-6355 NVLAP Code: 101768-0 ♦ CTDPH Lic.#:PH-0271 Page 1 of 8 Forbes &Wheeler NON-ASBESTOS BUILDING MATERIALS 15 Franklin Street, Northampton, MA 01060 (1 F/2F Rear Section Only) i e: 7/4/2018 WMDC-18-83286 Locale L MATERIAL DESCRIPTION LOCATION Sample ID Collected Cinder blocks, mortar, brick, and cement foundation Throughout NS Fiber lass, Foam Glass, and Rubber TSI Throughout NS Slate Roof, Nailed, No Adh./Tar Observed Exterior Roof Upper NS Floor Paper Cover, Green Canvas on wood Rear Porch X Gra Paper Underla menL wood clapboard Rear Porch X Gra Paper Underla menL wood clapboard Exterior rear section X Dr all/Seam Tae 1F Fo er X Window Glazin , Woad Sashes, White 1F Fo er X Window Glazin , Wood Sashes, White 1F Kitchen/Eat-in Area X Window Glazing, Wood Sashes, White Throughout 1 F/2F Rear Section H 05A/B Sink Caulk, White 1 F Bathroom X 06A Ceramic Floor Mortar, Gray 1F Bathroom X 06B Ceramic Floor Mortar, Gray 1F Kitchen/Eat-in Area X 07A Plaster, Skimcoat, White 1F Kitchen/Eat-in Area X 07B Plaster, Skimcoat, White 1F Kitchen/Eat-in Area JH 07C Plaster, Skimcoat, White 2F ChimneyRoom 07D Plaster, Skimcoat, White 2F Bath 07E Plaster, Skimcoat, White 2F Hall Closet 07/H Plaster, Skimcoat, White Throughout IF/2F Rear Section O8A Plaster, Basecoat, Gray, Wood Lathe 1F Kitchen/Eat-in Area 08B Plaster, Basecoat, Gra Wood Lathe 1F Kitchen/Eat-in Area F08CPlaster, Basecoat, Gra , Wood Lathe 2F Chimney Room Plaster, Basecoat, Gra , Wood Lathe 2F Bath Plaster, Basecoat, Gra , Wood Lathe 2F Hall Closet X Plaster, Basecoat Gra , Wood Lathe Throu hout 1 F/2F Rear Section H Sink Undercoat, Gra 1F Kitchen/Eat-in Area X As ahaltic Roof, Flat Black, L1 Exterior Porch X Roofin Felt Pa er Underla menL L2 Exterior Porch X As haltic Roof, Bottom L3, Black Exterior Porch X As halt Roof Shin le/Tar, Black Fo er Roof X Felt Paper Underla menL Black Fo er Roof X 2 of 8 Forbes r$;Wheeler NON-ASBESTOS BUILDING MATERIALS 15 Franklin Street, Northampton, MA 01060 (1 F/2F Rear Section Only) Re ort Date: 7/4/2018 WMDC-18-83286 Locale MATERIAL MATERIAL DESCRIPTION LOCATION Sample SAMPLE ID Collcwted Notes: N/S or NS Not Suspect as containing asbestos perjudgement of Inspector. PerIJS EPA(Control Number A960020) 2 As per 40 CFR§763.86(6)(4), bulk samples are not required to be collected from any homogeneous area where the accredited inspector has determined that the thermal system insulation is fiberglass foam,glass rubber,or other non ACBM. H =Similar materials to those identified herein that are located in other rooms are homogeneous,where indicated, and no additional samples were collected in those locations if no sample number is listed. Paints and coatings on walls and ceilings and other surfaces were included in the bulk material samples of drywall,plaster,and other suspect ceiling and wall surfaces.and thus the laboratory results are reflected in those material samples for such coatings. If the laboratory results indicate asbestos in the painbcoatings layer,they will be reported on the Asbestos-Containing Materials Inventory as separate homogeneous areas/materials.Textured Ceiling Paint(i.e.,"Popcorn")are always sampled seprately as a homogeneous area-------------. It is recommended, but not required, that samples of negative"Special Case' building materials 8 other Non-Friable Organically Bound (NOB)materials be further analyzed by destroying the interfering matrix materials and isolating any asbestos fibers that may be present and analyzed by Transmission Electron Microscopy(TEM). Refer to the survey limitations section for inaccessible areas and other materials not inspected or sampled. Refer to the atlached�Asbestos Laboratory Report from the independent analytical laboratory. M. Catalano ASBESTOS INSPECTOR: Lic. No. AI900719 r r Gia FORBES k WHEELER • 650 Dwight Street,#1337 ♦ Holyoke,MA 01041 L 413-221-8233♦ F 866­423L6355 . wwwJ.1di swheelencom Analysis by Eurofins CEI Labs ♦ 107 New Edition Court ♦ Cary,INC 27511 ' NVLAP Code: 101768-0'MADLS Lic.#'.AA000168 3 of 8 Forbes &1,Wheeler LEAD COATINGS INVENTORY MATRIX Facility: 15 Franklin Street,Northampton,MA 01060(1 F/2F Rear Section Only) Inspect Date: 6/18/2018 Inspector: S. Niec Client: Western Mass Demolition Corp.,Westfield, MA 01085 Report Date: 7/4/2018 Project#:WMDC-18-1-3286 Residential 0 Commercial ❑ Target Housing ZY ❑N Child-Occupied DY ON Year Built: 1900 SAMPLE CODES: SUBSTRATE TYPE: CONDITION: B= Baseboard HR= Hand Rail STC= Structural Column B= Brick I= Intact CR=Chair Rail NP= Newel Post STM =Structure Misc C -Concrete D= Defective CL=Ceiling P = Piping W=Wall CB= Concrete Block F= Flaking D=Door RD= Radiator WA=Window Apron G=Gypsum Board C=Cracking DC= Door Casing SB=Stair Balluster WL=Wall Lower M = Metal DB= Debris DJ =Door Jamb SR= Stair Riser INC=Window Casing P = Plaster OTHER: DW= Duct Work SRC=Stair Rail Cap WSL=Window Sill PA= Paneling NO= None Detected E= Equipment SS=Stair Stringer WSH =Window Sash T=Tile BDL= Below Detection Limit FL= Floor STB = Structural Beam WU=Wall Upper W=Wood H = Homogeneous RL= Railing SD=Siding TR=Trim/FlashingO=Other AS=Assumed LCP STANDARDS: MDPH Dangerous Lead Level= 1 mg/cm2 or 0.50%dry weight` CPSC Ba' n: Lead-Containin Paint=0.009% Dry Weight or 90 Flom ID/COLOR/COMMENTSLOCATION Sample Substrate Condition RESULTS Code Type (%Weight/AAS or AS) 01 Pb White Paint, Interior Interior, Throughout Ceiling&Walls CLEW PNy 0.0045 02Pb Beige Paint, Exterior Exterior Clapboard Siding SD W I 1 27 4 of 8 Forbes ,Wheeler LEAD COATINGS INVENTORY MATRIX Facility: 15 Franklin Street,Northampton,MA 01060(1F/2F Rear Section Only) Inspect Date: 6/18/2018 Inspector:S.Nie; Client: Western Mass Demolition Corp.,Westfield, MA 01085 Report Date: 7/4/2018 Project#: WMDC-1 8-13286 Residential a Commercial ❑ Target Housing DY ON Child-Occupied OY RIN Year Built: 1900 SAMPLE CODES: SUBSTRATE TYPE: CONDITION: B= Baseboard HR=Hand Rail STC =Structural Column B=Brick I = Intact CR=Chair Rail NP=Newel Post STM =Structure Misc C =Concrete D= Defective CL=Ceiling P= Piping W=Wall CB=Concrete Block F=Flaking D =Door RD =Radiator WA=W Indow Apron G -Gypsum Board C =Cracking DC= Door Casing SB=Stair Ballusler WL=Wall Lower M= Metal DB= Debris DJ= Door Jamb SR=Stair Riser WC=Window Casing P= Plaster OTHER: DW= Duct Work SRC=Stair Rail Cap WSL=Window Sill PA= Paneling NO=None Detected E= Equipment SS=Stair Stringer WSH =Window Sash T=Tile BDL= Below Detection Limit FL=Floor STB=Structural Beam WU =Wall Upper W=Wood H = Homogeneous RL=Railing SD= Siding TR=Trim/Flashing O=Other AS=Assumed LCP STANDARDS: MDPH Dangerous Lead Level= 1 mg/cm2 or 0.50%dry weight* 1, CPSC Ban: Lead-Containing Paint=0.009% Dry Weight or 90 ppm ID/COLOR/COMMENTS LOCATIONSample Substrate Condition RESULTS Cotle Type (%Weight/AAS or AS) Notes: OSHA Lead Construction Standards(29 CFR 1926.62)applies to all coatings with detectable levels of lead(other than NO or BDL U.S.OSHA does not consider any method that relies solely on the analysis of bulk materials or surface content of lead to be acceptable for safely predicting employee exposure to airborne lead,and thus OSHA requires employers to perform an initial determination by monitoring workers'exposure(initial air monitoring)unless the employer has objective or historical data that can reliably demonstrate that no employee will be exposed to lead at or above the action level during any process,operation,or activity). Paint with less than the CPSC Limit may be considered"leatl-free'by the CPSC but OSHA standards above may apply. -_-._ _..... _ �. `Childhood Lead Poisoning Prevention Program(CLPPP)and the Massachusetts DLS Deleading and Lead-Safe Renovation(RRP)regulations(454 CMR 22.00)do not likely apply since such RRP regulations do not apply to office buildings, stores,schools, and other commercial buildings, unless a renovation is taking place in a 'child-occupied facility"that is located in such buildings.As the expected purpose of the work(demolition)is not to achieve a Letter of Compliance pursuant to 105 CMR 460.760(D),a residential lead inspection is not likely required. Lead-based paint debris generated by contractors and residents in residential properties is not subject to hazardous waste regulations.Waste characterization via TCLP should be conducted using the Demolish 8 Test method by obtaining representative samples of the demolition debris to be sent for TCLP analysis.At least one sample should be obtained per container(e,roll-off)of debris generated. Note that the hazardous waste regulations specifically allow the use of"knowledge of process"in lieu of anal tical sampling in order to characterize a wasteas current Industry practice allows for the demolition and disposal of building materials known or assumed to contain lead-con Wining paint as non-hazardous C&D sold!waste without TCLP testing for lead.This practice occurs based on the common knowledge present within the building demolition industry that buildings with relatively small amounts of painted surfaces will, In almost all instances, be effectively diluted by the clean portions of the demolition waste stream(eg.,concrete, brick,mortar,sheetmck,wood, metal,etc.). Yellow highinghted results indicate Dangerous Levels of Lead,where applicable._ _ Coated/painted surfaces listed above may contain other RCRA 8 metals. Inspected by: S.Niec,CHST•Forbes 8 Wheeler Analysis by AIHA ELLAP accredited laboratory via Eurofins CEI Labs 650 Dwight Street,41337, Holyoke,MA 01041 730 SE Maynard Road• Cary, NC 27511 5 of 8 Forbes &Wheeler Pre urinary Waste Chattracterization Tordi Characteristic Leachina Procedure TCLP Extraction Facility: 15 Franklin Street, Northampton,MA 01060(1F/2F Rear Section Only) Date: 71412018 Year BuilC 1900 Inspector: S. Nil Client: Western Mass Demolition Col 50 Medeiros Way,Westfield,MA Residential El Commercial ❑ Project#:W MDC-18-T3286 01085 Sample Type: Simple random, representative composite aliquot Sample Method: Composite Sample and Demolish Test Method: SW-8466010C-D NA: Not applicable, Not"Hazardous Waste" MAX. LIMIT: 5.0 mi-EPA Resource Conservation and Recovery Act(RCRA)Regulations 40 CFR parts 261 Sample# Material Description Composition "GSE Results(mg/I 45%interior while paint and plaster/wood lathe ceilings and 01T 01T I Building Materials walls; 35%exterior beige paint/wood clapboard siding, 10% NA 027 SW white paint wood porch clapboard siding andoR-white exterior trim wood. Notes: Exceeds Ni therefore"Hazardous Waste"HW SW Below MCL therefore"Solid Waste"(eg,not hazardous)SW lead-based paint debris generated by contractors and residents In residential properties Is not subject to hazardous waste regulations.Waste characterization via TCLV should be conducted using the Demphsh&Test named by obtaining representative samples Side demolition debris to be sent for TLLP onall At least one sample should be obtained per container(e.g.roll off)of debris gencated. Note that the hazardous waste regulations specifTally allow the use or"knowledge of process"In lieu of analytical sampling In order be characterize a waste.as current industry practice allows for the demolition and disposal of building materials known or assumed to Contain leadremainingpaint as non hazardous C&D solid waste without TCLP testing for loadThispractice occurs based on the common knowledge present within the building demolition industry that buddings with relatively small amounts of painted surfaces will,In almost all Instances,be effectively diluted by the clean portions of the demolition waste stream R, ,concrete,brick,mortar-sheeud,kr wood,metal,eto) According to the MADEP Guidance May 2001,lead-based paint residues generated from paint removal activities conducted by contractors and residents In residential properties is not subject to hazardous waste regulations. Sampling using appropriate methods detailed in the RCRA Waste Sampling Draft Technical Guidance,EPA530-D 02-002,August 2002,and the U S.EPA Region 2 Technical Assistance Document for Complying with the TC Rule and Implementing the Toxicity Characteristic Leaching Procedure(TCLP), EPA-902-3 94 001, Revised May 1994. Very Small Quantity(VSQG)Generators may be able to bring the waste to a community hazardous waste collection,or a MA licensed treatment,storage or disposal facility,or permitted recycling facility,by prearrangement 'Generator Very Small Quantity Generator(VSQG)less than 100 kg(220 In)a calendar month Status Small Quantity Generator(SQG) > 100 kg<100D kilograms(2,205 Is,)a calendar month Estimate: Large Quantity Generator ROG) >1,000 kilograms(2,2051b-)a calendar month By:S.Nim,CHST• Forbes&Wheeler Analysis by Con-Test Analytical Lab• 9 Spruce Street'East Longmeadow,MA 01028 650 Dwight Street,#1337, Holyoke,MA 01041 Massachusetts DEP License/E edification#M-MAt00I AIHA-LAP,LLC-IS017025:2005100033 6 of 8 Forbes& Wheeler HAZARDOUS MATERIALS INVENTORY MATRIX Facility: 15 Franklin Street, Northampton, MA 01060(1 F/2F Rear Section Only) Year Built: 1900 Inspector: S. Niec, CHST Client: Western Mass Demolition Corp., 50 Medeiros Way,Westfield, MA 01085 IRpt Date: 7/4/2018 liaroject#: WMDC-18-B3286 U-Universal Wastes D- DEHP's F- Freon/CFC's S-Sulfuric Acid (Auto Batteries) H -Household Hazardous Waste(HHW) R-Non-Ionizing Radiation Source C -Compressed Gas/Liquids N -NiCad (Nickel-Cadmium) Hazmat M -Mercury-Containing O-Oil-Hydraulic Liquid/Lubricants A-Acid BL-Batteries-Lithium Categories: P-Polychlorinated Biphenyls(PCB's) WG-White Goods OFC-Oil-Filled Capacitors BA-Batteries,Alkaline, Mercury PC -Photo Chemicals-Silver/Sulfites SH-Sodium Hypochlinte(Pool Chem.) V-Volatile Organic Compounds WT-Wood Treated(CCA), Creosote L-Lead -CRT's HM-Heavy Metals E-Electronics, Mercury.Lead,Lithium MW-Medical Waste/Biohaz. MATERIAL LOCATION QUANTITY Hazmat COMMENTS DESCRIPTION/TYPE category Ceramic Sinks, Tubs, Toilets 1F/2F Kitchen/Baths Various Rec leables Rec leables Oven, Stove, Garbage Disposer (Motor), Dishwasher, IF Kitchen 1 EA WG Refrigerator Smoke Detectors 1F/2F Throughout 2 EA R PCB-Contamin ProductsN/A ' UNK NA' Unlikely due to age of const. Circuit Breaker Panel • Bath House 1 Each HM / L Lead, Silver Page 7 of 8 Forbes C Wheeler HAZARDOUS MATERIALS INVENTORY MATRIX Facility: 15 Franklin Street, Northampton, MA 01060 (1F/2F Rear Section Only) Year Built: 1900 Inspector: S. Niec, CHST Client: Western Mass Demolition Corp., 50 Medeiros Way,Westfield, MA 01085 Rpt Date: 7/4/2018 Project#: W MDC-18-B3286 U - Universal Wastes D-DEHP's F- Freon/CFC's S-Sulfuric Acid(Auto Batteries) H-Household Hazardous Waste(HHW) R- Non-Ionizing Radiation Source C-Compressed Gas/Liquids N -NiCad(Nickel-Cadmium) Hazmat M-Mercury-Containing O-Oil- Hydraulic Liquid/Lubricants A-Acid BL- Batteries- Lithium Categories: P-Polychlorinated Biphenyls(PCB's) WG-White Goods OFC-Oil-Filled Capacitors BA-Batteries,Alkaline, Mercury PC-Photo Chemicals-Silver/Sulfites SH -Sodium Hypochlinte(Pool Chem.) V-Volatile Organic Compounds WT-Wood,Treated(CCA),Creosote L-Lead -CRT's HM-Heavy Metals E-Electronics,Mercury,Lead,Lithium MW- Medical Waste/Biohaz. MATERIAL LOCATION QUANTITY Hazmat COMMENTS DESCRIPTION[TYPE I Category White Goods include: Appliances employing electricity,oil, natural gas or liquefied petroleum gas.These include refrigerators,freezers, dishwashers, clothes washers, Notes: clothes dryers,gas or electric ovens and ranges, and hot water heaters.They are banned from disposal at solid waste facilities in Massachusetts and must be delivered to a recycling facility that accepts them.Coated/painted surfaces may contain RCRA 8 metals. `Circuit Breaker Panels should be removed prior to demolition and sent to a Scrap Metal/Recycling Facility. See also VSQG comments below. Some older circuit switch gears may contain asbestos("transits"). Some terminal boards and blocks were made of ebony asbestos or Bakelite. Prior to the mid-1980s,arc chutes were composed of asbestos-containing plastic molding compound. In accordance with the MADEP solid waste regulations 310 CMR 16.00 and 310 CMR 19.000,the following materials and items are prohibited from disposal and/or transfer for disposal in Massachusetts:asphalt pavement, brick&concrete,cathode ray tubes, clean gypsum wallboard,ferrous&non-ferrous metals, glass&metal containers, lead acid batteries,leaves&yard waste, recyclable paper, cardboard &paperboard, single resin narrow-necked plastics, treated & untreated wood &wood waste,while goods(large appliances),whole tires(banned from landfills only; shredded tires acceptable). The scope of work did NOT include inspection or testing for: PCB's in Caulk and Joint Sealants, paints and coatings potentially containing RCRA 8 metals, Mold/Fungi, Radon, Urea-formaldehyde Foam Insulation (UFFI), Pigeon &Bat Waste, below ground, or dl and hazardous material releases or threats of releases(310 CMR 30.000 or 40.0000). ' Before demolition of buildings or components built and/or renovated between 1929 and 1979, remove all the following products that may contain PCBs: Transformers and capacitors, Electrical equipment including voltage regulators, switches, re-closers, bushings,and electromagnets; Oil used in motors and hydraulic systems; Old electrical devices or appliances containing PCB capacitors; Fluorescent light ballasts; Cable insulation;Thermal insulation material including fiberglass, felt,foam, and cork;Adhesives and tapes; Oil-based paint; Caulking and joints sealants (1950 to 1978); Plastics; Carbonless copy paper; Floor finish. Very Small Quantity(VSOG)Generators may be able to bring the waste to a community hazardous waste collection, or a MA licensed treatment, storage or disposal. Very Small Quantity Generator(VSQG)less than 100 kg (220 Ib.)a calendar month _ Small Quantity Generator(SQG) > 100 kg< 1,000 kilograms(2,205 It.)a calendar month Large Quantity Generator(LQG) > 1,000 kilograms(2,205 In.)a calendar month Interior and Exterior stored items to be salvaged not included (i.e., equipments, machinery,tools, drums,etc.) InsLEpedionlinventory limited to only planned renovation/demolition areas. FORBES I W HEER♦ 650 Dwight Street,#1337♦ Holyoke,MA 01041 Tel:413-221-8233•Fax:866-423-6355• www.forbeswheeleccom Page 8 of 8 Forbes chi Wheeler 6/2 912 01 8 Northampton,MA Residential Property Record Card Northampton, MA : Residential Property Record Card ( Back tO Search Rescks I [Start a New Star 11 Heip wtth Printing 1 Search For Properties Parcel To Name street Name FRANKLIN ST r 59arch Reset Parcel to Card Map-Block-Lot Location Zoning state class Acres 31A-033-001 1 15 FRANKLIN ST 101. mire 0.228 Owner Information Property Picture` Beekman Eric Montague &Faith FOS$ ��` ♦ �`'� 15 Fraekiln St Northampton MA 01060 4 Deed information `b Book/Page: 1793/246 Sale Date: n/a Dwelling Information Living Units: 1 state: Conventiooai story Height: 2 Exterior Wall: frame Attic Living: Part Finish Basement' Fuli Year Built: 1900 Ground Floor Area: 1253 Unfinished BSMT Area: 1173 Fin BSMT Living: 0 Tot Living Area: 2314 Rec Room: 0 x 0 Tot Rooms: 8 Bedrooms: 4 Full Baths: 2 Half Baths: 0 Mas Mme Place LJ i Frame Fire Place 0 Heating Type: Basic Valuation Land: $251,900 Building: $229,200 Total: $481,000 Sales History Document No Date Price Type Validity Permit History Date Purpose Price Out Building Information Type Qty year sizes size2 Gerage.Wd/C0 1 1920 1 252 Building Sketch htipl/www-northemplon.univers-cp comlview propedy_R.php?aceount_no-31A-033001&series-card-1 112 15 Franklin Street, Northampton, MA 01060 (1F/2F Rear Section Only) Report Date: 7/4/2018 WMDC-18-83286 20 8 F 8 14 'C 14 6 10 261.51F /B 8 12 O 11F[ Wood Dock 80 L 144 11 3 4 FAIFtfB 6B 21 17 22 6(29/2018 Northampton, MA:Residential Property Record Card 20 Desaipto/Aroa B F A.FA/2F1t6 681 sgft B:1 5F1/B 6 t4 `D 280 s1 14 16 C'1 Fr/B 10 212 sti t 261.51 8 12 D:1Fr 280 1Fr Wood Dec80 zg ft /! E:OFP B 132 sg1t 29 F,OFF 7 160 soft 3 G'.Waotl Deck 4 144 sglt FA/2Fr/B 681} 21 17 22 2C E Notice The ilormatior dol veren:rLOUCh this nC-line d,r1b11e 15 prOe'tled In the 11'It of open 3<CC 55 to (1P2rn'M1'ten t of,o,tt00 3ntl 15 Intended ax an entranced xer,i, anc a r,,onn Ce for otlzens of Northampton. MA. The pic,inIt5 of tini5 dateuose {6T, Big Rcom 4dudlos, a^tl NOrtha oon, MA ass000 no 0ahill:g Icr a,Error of omis5lon in t'fe Infcrmanorl provided here. Currently All Values Ate Finalized For Fiscal Yr 2017. Ccroments this,cry Ke sh.WC ce c,re,I,dtc.jsa2f n no hal, n .Sso_os dILI yFR00i11 http./Ivm'w.ncrthampton.Louvers-cit,carnr iew property_R.phpPacwunt_oo=31A-033-001&series card=t 2/2 tiff eurofins CEI July 4, 2018 Forbes & Wheeler, Inc. 650 Dwight Street#1337 Holyoke, MA 01041-1337 CLIENT PROJECT: 15 Franklin Street, Northampton, MA 01060; WMDC-18-83286 CEI LAB CODE: B18-6206 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on July 2, 2018. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos-containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. If you have any questions, please feel free to call our office at 919-481-1413. Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director HVIF TESTING NVLAP LAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 7/20/2018 City of Northampton Mail-15 Franklin St AClIbi Of Louis Hasbrouck<Ihasbrouck@northamptonma.gov> ordiaunibi 15 Franklin St 1 message Louis Hasbrouck<Ihasbrouck@northamptonma.gov> Thu, Jul 19,2018 at 3:48 PM To: office@livewellhomeimprovement.com Cc: David Gardner<dgardner@northamptonma.gov> Kevin, I looked at the plans for 15 Franklin St. I made a few notes: a couple structural questions and a smoke/co on the 3rd Floor (see attached). I do need more information about changes to the"envelope". Northampton zoning considers any expansion,whether vertical or horizontal. I can't tell whether the rear section of the house is getting taller, and whether the sunroom is getting bigger.There's some conflicting information on the permit application about setbacks. Let me know about any increase in the envelope, and what the actual existing setbacks are at that part of the house. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax 15 Franklin plans-notes.pdf 3482K https://mail.google.com/mail/ca/ul0/Tui=28ik=ec5fl9a57e8jsver-_39iBll6ZTU.en.Bcbl=gmail_fe_180712.09_p58view=pt&q=in%3 enth20158gs=tm... 1/1