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24D-077 (6) BP-2023-1598 215 KING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-077-001 CITY OF NORTHAMPTON Permit: Demo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1598 PERMISSION IS HEREBY GRANTED TO: Project# 2023 CANOPY DEMO Contractor: License: Est.Cost: PETER LARIVIERE CS-075833 Const.Class: Exp.Date: 06/03/2025 Use Group: Owner: LLC HESS RETAIL STORES Lot Size (sq.ft.) Zoning: HB Applicant: EARTHWORK INDUSTRIES, INC Applicant Address Phone: Insurance: 6 HIGH ST UNIT 4 (508)643-4430 WCV00972712 PLAINVILLE, MA 02762 ISSUED ON: 11/17/2023 TO PERFORM THE FOLLOWING WORK: REMOVE CANOPY AT FUEL ISLAND -DEMO ONLY 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ICTIOri Fees Paid: $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner File #BP-2023-1598 Z OK APPLICANT/CONTACT PERSON:EARTHWORK INDUSTRIES, INC 6 HIGH ST UNIT 4 PLAINVILLE, MA 02762(508)643-4430 PROPERTY LOCATION 215 KING ST MAP:LOT 24D-077-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $50.00 Type of Construction: REMOVE CANOPY AT FUEL ISLAND -DEMO ONLY New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: )( Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Perrnit DPW Storm Water Management Demolition Delay I / I 1/)(10/g3 Sign ure of Building Official I 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. titlilt1VL ._) N O V 1 4 2023 BUILDING INSPECTIONS The Commonwealth of Massachusetts AMP TON.MA 01060 Office of Public Safety and Inspections Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number&-2 7 -1.573 Date Applied: Building Official: SECTION 1:LOCATION 215 King Street Northampton,MA 01060 Former Speedway Convenience No.and Street City/Town Zip Code Name of Building(if applicable) 24D-077-001 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here ❑or check all that apply in the two rows below Existing Building❑ Repair 0 Alteration 0 Addition 0 Demolition fxI (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No El Is an Independent Structural Engineering Peer Review required? Yes 0 No G� Brief Description of Proposed Work:- '4 . . .: - y' xiaxfg:Buil andii utilities to t'1in r- SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ❑ E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2 0 I-3 0 I-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ IIA ❑ IIB 0 IIIA ❑ IIIB ❑ IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Licensed Disposal Site Public El Check if outside Flood Zone 0 Indicate municipal CIA trench will not be p Private 0 or indentify Zone: or on site system CIrequired 0 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Hess Retail Stores LLC 539 S Main Street Findlay,OH 45840 Speedway/7-Eleven POR 711 LOC 0148 Dallas,TX 75721 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Sam Kramer Speedway/7-Eleven 917 -504 -4043 937- 504 -4043 samuel kramer@7-11 corn Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Earthwork Industries,Inc. 6 High Street,Unit 4 Plainville MA 02762 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here ro Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Earthwork Industries,Inc. Company Name Peter Lariviere MA CS-075833 Exp.06.03.2025 Nam6 of Person Responsible for Construction License No. and Type if Applicable 6 High Street,Unit 4 Plainville MA 02762 Street Address City/Town State Zip 508-641- 4430 SOS - 737 - 0697 larivierepetergyahoo.com Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes El No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building Canopy Removal $ 15,650.00 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$ . 3.Plumbing $ t- 00) 4.Mechanical (HVAC) $ Note:Minimum fee=$ " (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 15,650.00 (contact municipality)and write check number here S.7(0(9 SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true a a urate to th st of my knowledge and understanding. Peter Lariviere Project Manager SOS -237 - 0697 Please print and sign name Title Telephone No. Date 6 High Street Plainville MA 02762 larivierepeter(iiyahoo.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: 7. f(1(lr i 1 y �3 11 Name Da#e City of Northampton -qM etbt'7 w,W P Ye% "�� Massachusetts r� a � DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building f ti; Northampton, MA 01060 "+E. ,ax" 4. CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Casella Waste Systems,686 Main Street,Holyoke,MA The debris will be transported by: Name of Hauler: Casella Waste Sytems Signature of Applicant: T7eP�a4"' Date: 11/10/2023 The Commonweal'', of.11assuc'hte.cetts l Department of Industrial Accidents I Congress Street.Suite 101.3 itur Boston.MA 02114-2017 wovirserur.4's.goridia Workers't'nosprosation Insurance ttlydavit:BuiIderrrCantrsrctnrdEkrtriritm 'Plurnhrrs. '10 BE 10.1.11'1►ITH 111E PL N% l"fl E1(: tl THO11.111. Antillean,Infornratiaa Ph ise Print Ixeiht► Name titularies.%Org tr atictn.Individual): Earthwork Industries,Inc. Address: 6 Hizh Street,Unit 4 City/S1aleaip Plainville, MA 02762 Phone#'1: 508-643-4430 Art rims ttrr ayttMlrytee!i'brrk the arooprode hos; TT pc of project(required): t.®i ant a enµ,lu}-a with 1° „>Knp 1431.cee(WI midair pad Lin i.• 7. NcA t anlstrurtion 2.1 1 I ant a xtie]tick,rgew a t r pcw7mt mad bexX gat canpl n'ara.Kryrkwte bur gmnn )4. 3 Remodeling r Jaty earwacat. p4t4s NLMltCra care. 1` Irdraire lA 3.:1 ant a tutcn w1Ra[doing aid in*rtr}eelf.(Nu ateaikaam'rcwttp,omwraaue Impatn ill t '• ®Demolition i fJ I ant a 8latrwcvtMnrr and its oil he hieing oueara utrs Ito eatncltaet'ea M vmk r n faypJurpteR):I WinI(1❑I iallllirl�addition elnt.wrc taut a1I eameraetors edger hat r wamka h-c tnapvwwww t it artnwratttcx to aao:tole I I a Electrical repairs or additions rlrttprnam.*J I,rk.cstrirkltros. 12 Plumbing rcpaus or additions ' 1 ram a p ntl.-saU 4:L1mg aewin aatJ I bower 6 n d ihe!yatbi.undaca,rs aloe;auttli d sheer. e,e wt,c1:1n sascwors baae errrynlaycr+an l lathe%utters':Amp.roa+wr:ttace." l Roof repairs 4 CI Other 60 We are 8 tnagri r gory anti ats LYriki rs i1:J\l'etti'rriset1 ihi r r ,1 o r.K (4.ouption per?i c'. I ------- 1:i"_i lt'-1 t,out Kc iw*e LK,emtrloyt<ce.iNtc,xJotilem,"[+atop.instwamcr reytrtrat.l oho),apptieang that lw ks hua R1 mtna atxt told mat the secrwrt&AM Ain*ielF lbc'nr wttrite>r.'e+arnpert►atton pcltacy iatiurvu:uatrJ,. I.Harlow%goer.%ha eiJdwtait dws ar rtttr4it wabnrtily racy inn doinic aft Nutk and the*Ihbe cad blde caetaracrer>moor>uMrw[a mob attidah it nnlir-.rynv star b. truntracaun that taro tbi be,w oupaw attached en Aidatiunat.heti u Moue Bios alone ui the yu c+etrnwrurs WSJ ware a^ltti^titer to not[luauc roud¢.how ��npL.rarr,. t[tlae.114.-e ulrrxrtai bave eropht}JC:-.t11,. n u-i prva tdr odic. x-0r1,3:Th •u sr,1n.,11..muuulael. I am in,employer that is providing worker.$'campen,.aarion in.aarance for my employees. Below is the policy and job.tire information. inaurarftic Contpany Ni ::rte Atlantic Charter Insurance Policy#or Sell laltc.Lie.#: WCV00972712 Expiration Date: 08/13/2024 Job Site Address:215 King Street CitytSWteiZip:Northampton,MA 01060 Attach a copy of the workers'compensation pulley declaration page(shwa hog the pulley number aid capiratina date). Failure w sal rare coverage as required under 111UL c. 152,$25A is a criminal violation punishable by a tine up to 5I.50It1,00 :motor ur one-year imprisonment.as well as civil penalties in the form ofa STOP WORK ORDER and a tine of up to S250.00 a day against the violator.A copy of this litatt»nl may be forwarded to the OtTiec of Investigations of the DIA for insurance coverage verification. I do hereby terrify ander the pains and penalties of',trine,'that the information provided above it tine and correct Srrr>rrturr: �� � Ditk.- 11/10/7021 Phone#: 508-643-4430 lmidld one only. Do not write in Chit,maw„ere he completed by city of gown official ('itv or Toon: rental.irrusc Issuing.totborit, icircle enel: 1. Board of Health 2.Building Ile partrnrot 3,City'!I"nwn('krk 4.Electrical Impeder 5.Plumbing Inspector 6.Other 'ulnae!Persoir___ Phone 4: -,,, Gas Station - 4 Column Canopy Removal Plan Site: Speedway 215 King Street Northampton, MA A preliminary survey and testing of the canopy construction materials will be conducted prior to demolition to confirm there are no asbestos or lead containing materials requiring specialized removal and disposal. A confirmation report and laboratory data will be provided prior to Demolition. The site shall be secured by temporary chain link fence to keep general public out of the construction work zone. All work shall comply with current local and OSHA safety regulations. Work tasks shall be performed in compliance the site specific health and safety plan. Including but not limited to Fall Protection, Hot Work, Lock Out Tag Out, Excavation and Overhead work policies. Boom and scissor lifts shall be utilized for all work to be completed at height. The electrical feeders powering the canopy will be de-energized by a MA license electrician. All associated electrical breakers will be removed from service. Light fixtures will be removed and properly disposed of. The fire alarm system interface shall be properly disconnected and fire suppression system will be disarmed, removed and recycled from atop the canopy. The fire suppression canisters will be removed via a properly weight rated boom/crane truck. Next the light metal (tin) fascia and deck panels will be physically disassembled and stripped from the canopy steel frame. This will be accomplished by a combination of workers un- securing and cutting the fascia & deck, A properly rated excavator with hydraulic grapple thumb will be utilized in addition to remove fascia and deck as needed. Upon completion of fascia and deck removal the steel canopy frame will be disassembled. The frame consists of steel cross beams , purlins and 4 columns. The cross beams and purlins will be disassembled in reverse order of assembly from top to bottom. The beams and perlins will be properly secured and rigged to the ground level via properly rated hydraulic machinery, wire rope, chain and shackles. Lastly the four remaining steel columns will be rigged, cut and lowered to ground level. The concrete column footing will be excavated, broken and removed from the ground. Footing voids will be filled and compacted with structural gravel. All canopy materials will be properly recycled and disposed of off-site. I trust this information addresses your concerns. Please free to contact me with any questions or comments relative the dismantling processes or procedures described within. "", EARTIND-01 TUMAMAHESHWARI ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE(M `---"� 11/2/202YYY) 2023 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dacey Insurance Agency PHONE FAX 1350 Division Rd.,Suite 101 (A/c,No,Ext):(401)398-8020 (A/C,No):001)398-8017 West Warwick,RI 02893 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Nautilus Insurance Company 17370 INSURED INSURER B:Arbella Protection Insurance Company 41360 Earthwork Industries,Inc. INSURER C:Atlantic Charter Insurance Company 44326 6 HIGH ST Unit#4 INSURER D: PLAINVILLE,MA 02762-1115 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ECP2031863 4/26/2023 4/26/2024 PRDAMAGE ToS(Ea RENoccurreTED nce) $ 100,000 EMISE MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO 1020125752 1/27/2023 1/27/2024 BODILY INJURY(Per person) $ 20,000 OWNED X AUTOpSULED BODILY INJURY(Per accident) $ 40,000 X AUTOS ONLY X AUUTOS ONLY PROPERTY accident DAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE FFX2031864-13 4/26/2023 4/26/2024 AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N WCV00972712 8/13/2023 8/13/2024 X STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ A Pollution Liability ECP2031863 4/26/2023 4/26/2024 CPL 1,000,000 A Commercial Package ECP2031863 4/26/2023 4/26/2024 Rented/Leased 220,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance to support Drain Layers and Installers Permit NOTE:Town of Andover,MA,Board of Health is included as Additional Insured w/respect to the Commercial General Liability,Pollution Liability,Auto Liability and Umbrella Liability as required by contract.The Umbrella Liability is written on a"following form"basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF ANDOVER C/O BOARD OF HEALTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 36 BARTLET STREET,TOWN OFFICES Andover,MA 01810 AUTHORIZED REPRESENTATIVE • I WOLK.I (A AC +4 /65 ckok j ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: 11/10/2023 Address: 215 King Street Building Use: Fuel Service Station Owner: HESS Retail Stores( eedw y/7-Eleven) Phone: AECOM Consultant 978-905-2228 539 S Main St Owner's Address: t motay,OH UTILITY CUT OFF (Signature of Authorized Representative of Utility Department required) As required by the Massachusetts State Building Code (780 CMR), a permit to demolish shall not be issued until a release from the utilities is obtained, stating that their respective service connections and a•purtenant equipment have been removed or sealed an. • •• -• •n a safe manner. - - . • remain" Eversource(Gas) N/A Accessory/Outbuilding Only Signature Title National Grid (Electric) N/A Accessory/Outbuilding Only Signature Title DPW(Water) N/A Accessory/Outbuilding Only Signature Title DPW(Sewer) N/A Accessory/Outbuilding Only Signature Title DPW(Storm water) N/A Accessory/Outbuilding Only Signature Title DPW(Tree Warden) N/A Accessory/Outbuilding Only Signature Title DPW Director N/A Accessory/Outbuilding Only Signature Title Historic Comm. Review N/A Accessory/Outbuilding Only Signature Title Health Department N/A Accessory/Outbuilding Only Signature Title ASBESTOS REMOVAL All residential, commercial and institutional buildings are subject to Massachusetts Department of Environmental Protection (MassDEP) asbestos regulations at 310 CMR 7.15. Therefore, owners and/or operators (e.g. building owners, renovation and demolition contractors, plumbing and heating contractors, flooring contractors, etc.) need to determine al asbestos containing materials (ACMs), both friable and non-friable, that are present at the site, and whether or not those materials will be impacted by the proposed work, prior to conducting any renovation or demolition activity. Examples of commonly found ACMs include, but are not limited to, heating system insulation, floor tile and vinyl sheet flooring, mastics, wallboard, joint compound, decorative plasters, window glazing, asbestos containing siding and roofing materials and fireproofing materials. Failure to identify and remove all ACMs prior to its being impacted by renovation or demolition activities, can result in significant penalty exposure, and higher clean-up, decontamination, disposal and monitoring costs. A DOS certified asbestos consultant must be contracted to determine if asbestos is present and whether removal/repair is necessary. If the building is a state owned facility, contact DCAM and DOS. DOS provides a list of licensed asbestos abatement contractors and consultants. You may wish to inquire if a contractor has any history of violations. Only DoS licensed and DOS certified asbestos abatement contractors and consultants may be hired to perform asbestos related work in Massachusetts. Received by: Derek Franklin Project Manager Print Name //�� Title DQA-eA�2c2d;eli p 11/10/2023 Signature Date