19 Pleasant St., Apt. 1 Deleading Notification1
Maureen Davis
From:Jeff Shorter <jshorter@alum.mit.edu>
Sent:Thursday, September 26, 2019 4:24 PM
To:Health
Subject:Fwd: DELEADING NOTIFICATION FORM DELEADING CONTRACTOR
FYI - notice of deleading apartment 1 at 19 Pleasant st.
Jeff Shorter
jshorter@alum.mit.edu
781-698-8162
-------- Forwarded Message --------
Subject: DELEADING NOTIFICATION FORM DELEADING CONTRACTOR
Resent-From: jshorter@alum.mit.edu
Date: 26 Sep 2019 15:15:58 -0400
From: Do-Not-Reply@state.ma.us
To: jshorter@alum.mit.edu
CC: jshorter@alum.mit.edu
Thank you for submitting your Deleading Notification Form DELEADING CONTRACTOR, Please retain this email for your
records.
Confirmation #: 3695124
Submission Date: 09/26/2019 03:15 PM
NOTIFICATION OF DELEADING WORK
The Notification is: Routine Notification
DLS Waiver Number: N/A
House Number: 19
Street Name: Pleasant
Street Type: St
Unit/Apt Number: 1
City: Salem
2
Zip Code: 01970
State: MA
Property Owner/Agent: Jeff Shorter
Phone: 781-698-8162
Owner Address: 7 Bridge St, Lexington, MA 02421
Email: jshorter@alum.mit.edu
TYPE OF DWELLING: Multi-Family Home
Second Property Owner/Agent: N/A
Phone 2: N/A
Owner Address 2: N/A
Email 2 : N/A
TYPE OF DWELLING 2: N/A
Name of Licensed Lead Inspector/Risk: Vendy Tran
Inspector/Risk Assessor License Number: 4085
Date of Inspection: 9/25/2019
Expiration Date: 10/26/2019
==============================================================
CONTRACTOR INFORMATION
Contractor Name: Jeffrey Shorter
Contractor Address: 7 Bridge St
City: Lexington
Zip Code: 02421
State: MA
Contractor Contact Person: Jeffrey Shorter
Office Phone: 7816988162
Cell Phone: 7816988162
3
Email: jshorter@alum.mit.edu
Contractor License Number: DC
Six digit Number: 500150
DC Expiration Date: 09/24/2020
LR/LW Name: N/A
License/Authorization Number : MR
DS/MR six digit Number: N/A
LW/LR Expiration Date: N/A
TYPE OF DELEADING WORK TO BE PERFORMED
Class I Deleading Methods Selected: Making Intact,Replacement,Wet/Dry scraping or wire brushing,
Moderate Risk Deleading Methods Selected:
N/A,
Low Risk Deleading Methods Selected: N/A,
WORK SCHEDULE
Project Start Date: 10/07/2019
Project Completion Date: 11/27/2019
Project Start time: 7:00 AM
Project End Time: 6:00 PM
End of email