21 Pleasant Street, #1 Deleading Notification
Thank you for submitting your Deleading Notification Form DELEADING CONTRACTOR, Please retain this
email for your records.
Confirmation #: 9646140
Submission Date: 06/25/2020 07:49 PM
NOTIFICATION OF DELEADING WORK
The Notification is: Routine Notification
DLS Waiver Number: N/A
House Number: 21
Street Name: Pleasant
Street Type: St
Unit/Apt Number: 1
City: Salem
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
Subject: DELEADING NOTIFICATION FORM DELEADING CONTRACTOR
Resent-From: jshorter@alum.mit.edu
Date: 25 Jun 2020 19:49:24 -0400
From: Do-Not-Reply@state.ma.us
To: jshorter@alum.mit.edu
CC: jshorter@alum.mit.edu
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: 6/24/2020
Expiration Date: 10/26/2020
==============================================================
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: 781-698-8162
Cell Phone: 781-698-8162
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: Covering,Hand sanding or machine sanding using a sander
equipped with a HEPA filter vacuum to feather edges and prepare substrate for repainting or
sealing.,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: 07/05/2020
Project Completion Date: 08/15/2020
Project Start time: 7:00 AM
Project End Time: 6:00 PM
End of email