2015-365 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150365-42219 Date Issued: Monday, September 26, 2016
This is to certify that work requested to be done as shown by Permit Number P20150365-42219
has been completed.
Tax Map Number: 309.7-1-41
Location: 26 HOLDEN AVE
Owner: Joe Gross
Applicant: Joe Gross
This structure may be occupied as a: Demolition Only of SFD
By Order of Town Board
TOWN OF QUEENNSSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
1E44
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150365 Application Number: A20150365
Tax Map No: 523400-309-007-0001-041-000-0000
Permission is hereby granted to: JOSEPH P GROSS
For property located at: 26 HOLDEN Ave
in the Town of Queensbury,to construct orP lace
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JOSEPH P GROSS
27 SILVER Cir Demolition
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-365
Demolition of SFD, asbestos report received
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 03, 2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before th expiration da .)
Dated at the T wn of e n rye/ rsday, September 03,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
DEMOLITION PERMIT APPLI IC C �er� Zc�l `3 �
-----P�r- e 306:
NO WORK MAY COMMENCE UNTIL PE t SUED
AUG 142015
Provide 2 plot plans drawn to scale,showing lot bound r ith dimensions and ad'ace roads /streets. Show all existing structures
on property and indicate which are to be demolished. dic• •�r; ii Y c ej,I=• 1 c7t,id#tY 1
BUILDING&CODES __,_• .2h /�
Date ,11_� :_ 3 Demolition Location i u Nkl
Tax Map ED =1_n_^,4 .0 •
APPLICANT J,b` S
�"�_5�L`�" OWNER A'YY1 rG A`J
Address M.Slie5ti = C, tg r Address
Phone Gj _ _ _&ao? Phone
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Riu� ---4t
_ �` e`�• Phone: -1
1. Person Responsible for Work ..
2. Where will demolition material be disposed? A l liitim Ilmotz -{'b ri�1 4a s-A.
3. All buildings to be demolished require an Asbestos Survey l`�
4. Any building substantially damaged by fire must obtain an Asbestos movai Permit from the Department of Labor
5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin
a) Is there any asbestos in the building to be demolished ____ Yes _"/No Flatterr 1 ge (VoNag
b) If Yes.our office needs the following information ____ Yes ____ No YY) Ou..)11E. Rge.-fa:
Name of firm removing the asbestos •IE ( -i-"t\, '.
License number of firm
Indicate where the asbestos material will be disposed
6. Structure Information
a) Indicate the structure(s)to be demolished Residence ___ Garage ___ Business
___ Storage Bldg. ___ Other
b) Size of Structure xc
c) Number of Stories t'i'A-
d) ,
Foundation Type tt,le /' m A0Nr�,.(
e) Foundation
f) Structure(s) (, ' b WCICAOs ilOPYY1QC)
7. Utilities Information / /
a) Indicate utilities for this structure _ZGas _VElectric ___ Propane _Public Water ___ Public Sewer
___ On-site well water pump
a) Have you notified the Town Water Department for public water and sewer disconnect? V Yes ____ No
b) Have all utilities been disconnected? ____ Yes ____No
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8. : ::e:
ig '-
----1 * :`` N -- 4. I'll41" A F 'a 6_
Signature: __ r / _ S Atil / /
ir Date
Town of Queensbury Building&Codes - Demolition Permit -December 2014
•
Copy
FILE COPY ]
ANSON
WATER SUPPLY& ENVIRONMENTAL CONSULTANTS
VAN VLEET, LLC
TRANSMITTAL
DATE: July 23, 2015
TO: Mr. Joe Gross
JP Gross Properties, LLC
C/O Gross Electric
27 Silver Circle
Queensbury,New York 12804
PROJECT: Pre-Demolition Survey, 26 Holden Avenue, Queensbury,NY
WE ARE TRANSMITTING THE FOLLOWING:
DESCRIPTION COPIES DATE
Asbestos Survey Letter Report 3 7/23/15
REMARKS: •
: 119
Tow
BUILDING & A
AidReviewed By�
FROM: Kirby Van Vleet Date: . q f
BY: KV
CC: NYSDOL
902 Route 146,Clifton Park,New York 12065 phone(518)371-7940—fax(518)371-5885
ANSON
GEOLOGIC & ENVIRONMENTAL CONSULTANTS
VAN VLEET, LLC
July 23, 2015
Mr. Joe Gross
C/O Gross Electric
27 Silver Circle
Queensbury,New York 12804
RE: Pre-Demolition Asbestos Survey
26 Holden Avenue
Queensbury, NY
Dear Mr. Gross:
Hanson Van Vleet, LLC conducted an asbestos containing material (ACM) survey of the
residential structure at 26 Holden Avenue, Queensbury, Warren County, New York. The
property is on the west side of Holden Avenue. The property is identified as tax parcel 309.7-1-
41. HVV is authorized by the New York State Department of Labor under license # 05-0220 to
perform asbestos inspections, sample collection and surveys. Samples of each type of suspected
asbestos containing material (SACM) were collected. All samples were collected by a NYSDOL
licensed Class D Inspector, in accordance with 12 NYCRR Part 56, (referred to as Industrial
Code Rule 56) and 29 CFR Part 1910. The sampling was conducted on July 9, 2015. A copy of
the NYSDOL Asbestos license is attached to this letter.
Methods
Prior to initiating sampling, an on-site walk through inspection of the structure was performed in
accordance with Subpart 56-5(e) of 12 NYCRR Part 56. Building plans were not available for
review. Based on the site inspection, sampling of materials was performed to evaluate for
suspect asbestos containing materials (SACM). Bulk samples were collected following standard
sampling procedures. The samples were placed in double sealed sample bags and delivered by
Federal Express to EMSL Analytical for analysis under formal chain of custody procedures.
Friable type materials were analyzed by Polarized Light Microscopy (PLM) via the NY State
ELAP 198.1 method. Non-organically bound (NOB) materials were analyzed by PLM via NYS
method 198.6 NOB. If the NYS method 198.6 NOB was inconclusive, the NOB materials were
then analyzed by transient electron microscopy (TEM)via NYS method 198.4 NOB.
Inspection Results
The inspection revealed a two story abandoned and gutted wood framed residential structure
totaling approximately 846 square feet. According to the Warren County Real Property office,
the structure was constructed in approximately 1927.
The structure was wood framed, with wood clapboard siding, wood trim and a metal roof on a
concrete and stone foundation. There was no access to the area beneath the structure within the
902 Route 146 (518)371-7940
Clifton Park, New York 12065 Fax(518)371-5885
Pre-Demolition ACM Survey
26 Holden Avenue
Queensbury,New York
Page 2 of 2
foundation. The structure was abandoned with all windows boarded up. Most windows were
missing, but the remaining few windows were glazed wood framed type.
The interior had been previously gutted by others. All interior walls, wall coverings, ceilings,
plumbing and heating materials had been removed. Approximately 100 square feet of sheet
linoleum remained on the first floor and approximately 200 square feet of sheet linoleum
remained on the second floor. The sheet linoleum was loose. There was no mastic or
insufficient mastic to analyze.
Suspect ACM materials identified included: window glazing, sheet linoleum on the first floor
and sheet linoleum on the second floor. Bulk samples were collected of: 1) sheet linoleum on the
first floor; 2) sheet linoleum on the second floor; and 3) window glazing.
Asbestos Containing Material Sampling Results
Fifteen samples of five types of suspected ACM were collected for analysis for possible asbestos
content. A minimum of three samples of each type of suspected ACM was collected. The
samples and results are summarized in Table 1 below. The Analytical results and chain of
custody are attached to this letter.
Table 1
Asbestos Sampling Locations and Analytical Results
26 Holden Avenue, Queensbury,NY
Sample Type of Material Location Approximate Quantity Result
No. (square feet)
S-lA Sheet Linoleum Flooring Second Floor 200 <1%Anthophyllite
S-1B Sheet Linoleum Flooring Second Floor 200 ND
S-1C Sheet Linoleum Flooring Second Floor 200 ND
S-2A Sheet Linoleum Flooring First Floor 100 ND
S-2B Sheet Linoleum Flooring First Floor 100 ND
S-2C Sheet Linoleum Flooring First Floor 100 ND
S-2A Mastic First Floor 100 ND
S-2B Mastic First Floor 100 ND
S-2C Mastic First Floor 100 ND
S-3A Window Glazing First Floor North Side NA ND
S-3B Window Glazing First Floor North Side NA ND
S-3C Window Glazing First Floor South Side NA ND
Conclusions
No asbestos containing materials were identified in the structure. The Analytical results and
chain of custody are attached to this letter.
If you have any questions regarding this survey,please contact us at(518) 371-7940.
Very truly yours,
Hanson Van Vleet, LLC
(4,74
Kirby Van Vleet
NYSDOL Class D Inspector Certificate# 92-04899
CC: NYSDOL
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FIGURE 1: SITE LOCATION MAP FIG-1 HANSON WATER SUPPLY &
26 HOLDEN AVENUE ENVIRONMENTAL CONSULTANTS
QUEENSBURY, NY VANVLEET, LLC
902 ROUTE 146 CLIFTON PARK,NEW YORK 12065 (518)371-7940 FAX(518)371-5885
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