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BOTH-000245-2015 TOWN OF QUEENSBURY f. 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 -- Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000245-2015 Date Issued: Monday, October 31, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000245-2015 has been completed. Tax Map Number: 226.19-2-21 Location: 223 ASSEMBLY POINT RD Owner: Paul Lejuez,Amy Lejuez Applicant: Howland Construction This structure may be occupied as a: Demo of 2 SFD and garage By Order of Town Board �//T'O''''WNN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, )J4 Variance,or other issues and conditions as a result of approvals by the k7 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000245-2015 �� 2015- Tax Map No: 226.19-2-21 REVISED Permission is hereby granted to: Dean Howland For property located at: 223 ASSEMBLY POINT RD RD in the Town of Queensbury,to construct or place 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 Owner Address: 7 Hickory DR Demolition $0.00 Rye,NY 10580 Total Value $0.00 Contractor or Builders Name/Address Electrical Inspection Agency Dean Howland 7 IROQUOIS DR DR Queensbury,NY 12804 Plans&Specifications Demo of 2 SFD and garage PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,October 8,2016 (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 the expiration date.) Dated at the Town of Que�eMj TI , c 015 SIGNED BY: C for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 914.10 , FirAy 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 CommunityDevelopment- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150484 Application Number: A20150484 Tax Map No: 523400-226-019-0002-021-000-0000 Permission is hereby granted to: PAUL LEJUEZ For property located at: 223 ASSEMBLY PT. Rd in the Town of Queensbury,to construct or place 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: PAUL LEJUEZ Demolition AMY LEJUEZ Total Value 4 DALPHINE Dr RYE NY 10580-0000 Contractor or Builder's Name /Address Electrical Inspection Agency HOWLAND CONSTRUCTION INC. Plans&Specifications BP 2015-484 Demolition 2 residences and 1 garage $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 08,2016 (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 the expiration date.) Dated at the T Queers u,7 r/i . :y, October 08,2015 i SIGNED BY , for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received DEMOLITION PERMIT APPLICATION Permit#: 20/S Permit Fee ✓ NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Provide 2 plot plans drawn to scale,sh• • ' adjacent roads/streets. Show all existing structures on property and indicate which are to b olkheiipin atll th oc -` a I utilities Date _JO/7/5 ll OCT 0 7 2015 Ii ion Location Tax Map ID 22- 6.L2_ z- ll TOWN OF QUEENSBURY /4101k44,1 1� � BUILDING& CODES APPLICANT r7U�J1 CflnS ►`- •.ir I CPCIA3kLIixZ. Address _ Z.2?.-pee Address __Z srac . 'Dnvc Phone ---5 = $!$ Phone __3"1/:Z`fl- Zlog`L CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: .lg,a.)t, r Phone: ae 3l$S 1. Person Responsible for Work E7 %AA PvtIC0-►kt 235-568'7 2. Where will demolition material be disposed? 411x- C ci'(( 3. Ail buildings to be demolished require an Asbestos Survey 4. A building substantially damac fire must obtain an Asbestos Removal Permit fr n 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 b) If Yes, our office needs the following information _>c"_ Yes ____ No Name of firm removing the asbestos E/GeCo evt.ron.... Liv 5'6 87 License number of firm 114- 578' Indicate where the asbestos material will be disposed alklavtt cl Rpep r�, At y 6. Structure Information a) Indicate the structure(s)to be demolished 2_ Residence /_ Garage ___ Business iltr Storage Bldg. ___ Other b) Size of Structure //34. c) Number of Stories Z d) Foundation Type e) Foundation Grakot Ski f) Structure(s) 7. Utilities Information a) Indicate utilities for this structure___ Gas ___Electric Propane ___ Public Water ___ Public Sewer On-site well water pump ( a) Have you notified the Town Water Department for public water and sewer disconnect? ____ Yes ____ No NM b) Have all utilities been disconnected? _1Yes ____ No 8. Signature Print Name: 'Ds t*'t it0••�1 � Date __/.0111f Signature: / G Date Co/7./4f- Town of Queensbury Building& Codes • Demolition Permit -December 2014 Executor 1) off p0L OCT 0 7 2015 TOWN OF QUEENSBURY II ANSON BUILDING& CODES GEOLOGIC& ENVIRONMENTAL CONSULTANTS VAN VLEET, LLC Howland Construction BP 2015-484 September 14, 2015 Lejuez 223 Assembly Point Road Mr. Dean Howland Demolition 2 residences, 1 garage Howland Construction 7 Iroquois Street Lake George,New York 12845 RE: Pre-Demolition Asbestos Survey 223 Assembly Point Road FILE COPY Tax ID#226.19-2-21 Town of Queensbury,New York Dear Mr. Howland: Hanson Van Vleet, LLC conducted a pre-demolition asbestos containing material (ACM) survey at the two story, four bedroom, residential structure, located at 223 Assembly Point Road, in the Town of Queensbury, Warren County, New York (Tax ID: 226.19-2-21. The survey is being conducted to determine if any ACM exists within the structure prior to demolition. The owner of record at the time of the survey was Mr. Paul Lejuez. HVV is a licensed by the New York State Department of Labor under license # 05-0220 to perform asbestos inspections, sample collection and surveys. Samples of all types 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 August 20, 2015. A copy of the NYSDOL Asbestos license is attached to this letter. This survey was performed to determine the existence of ACM prior to demolition of the structure. The work included the collection of representative samples of each type of suspected ACM. Methods The asbestos survey was conducted on August 20, 2015. Prior to initiating sampling, an on- site walk-through inspection of the building 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 (ACM). 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 902 Route 146 (518)371-7940 Clifton Park, New York 12065 Fax(518)371-5885 • Pre-Demolition ACM Survey 223 Assembly Point Road Town of Queensbury,NY Page 2 of 4 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 structure with a detached garage. The structure was of wood frame construction on a concrete slab and a concrete block crawl space. The garage on the property was also of wood framed construction on a concrete slab. The year of construction of the house is listed as 1900 according to the county records. A site location map is attached to this letter report. Interior of Dwelling The crawl space contained a water heater and some associated piping. Fiberglass insulation was observed on the water piping. No suspected ACM was observed within the crawl space. Flooring in the building consisted of hardwood flooring in the first floor living room, sheet vinyl in the bathroom and kitchen, and carpet over wood floors in the entire second floor. Sheet vinyl flooring and associated mastic in the kitchen and bathroom was considered suspect ACM. The sheet vinyl was the same color and type and was consistent throughout the kitchen and bathroom. Samples were collected of the sheet vinyl floor and associated mastic in the kitchen and bathroom. Walls and ceilings in the building consisted of drywall with mudded joints and wood paneled walls and ceilings in the first floor living room. Samples of the drywall from the first floor kitchen, bathroom and pantry were collected. Samples of the mudded joints throughout the first floor were collected. The walls and ceilings in the living room on the first floor were wood paneled and were not considered suspect ACM. The walls and ceilings within the three second floor bedrooms were drywall with mudded joints. Samples were collected of the drywall and mudded joints on the second floor. Fiberglass insulation was observed throughout the structure, and was not considered suspect ACM. No other suspected ACM was observed within the structure. Exterior of Dwelling The exterior of the dwelling was sided with wood clapboards. The roofs over the porches had one layer of asphalt shingles with no underlayment. The main roof of the house was metal. Samples of the roofing shingles over the porches were collected. The windows were of aluminum, vinyl and wood framed construction. The window design did not include any window glazing compounds. No other suspected ACM was observed during the exterior inspection of the house. Garage The garage on the property was of wood framed construction with metal siding and roof. Window glazing was observed on all the windows of the garage and was considered suspect ACM. Samples were collected of the garage window glazing for laboratory analysis. Asbestos Containing Material Sampling Results The structures at the property contained select materials considered suspected ACM. Three samples of eight types of suspect ACM were submitted for analysis. The Analytical results are Pre-Demolition ACM Survey 223 Assembly Point Road Town of Queensbury,NY Page 3 of 4 summarized below. The laboratory analytical report and chain of custody are attached to this letter. Table 1 Asbestos Sampling Locations and Analytical Results Sample Type of Material Location Result Approximate No. Quantity S-1A Sheet Vinyl Flooring Kitchen and Bathroom ND NA S-1B Sheet Vinyl Flooring Kitchen and Bathroom ND NA S-1C Sheet Vinyl Flooring Kitchen and Bathroom ND NA S-2A Drywall First Floor ND NA S-2B Drywall First Floor ND NA S-2C Drywall First Floor ND NA S-3A Joint Compound at First Floor Drywall 2.56% Throughout Mudded Joints Chrysotile First Floor Drywall S-3B Joint Compound at First Floor Drywall Positive Stop Throughout Mudded Joints First Floor Drywall S-3C Joint Compound at First Floor Drywall Positive Stop Throughout Mudded Joints First Floor Drywall S-4A Drywall Second Floor ND NA S-4B Drywall Second Floor ND NA S-4C Drywall Second Floor ND NA S-5A Joint Compound at Second Floor Drywall ND NA Mudded Joints S-5B Joint Compound at Second Floor Drywall ND NA Mudded Joints S-5C Joint Compound at Second Floor Drywall ND NA Mudded Joints S-6A Asphalt Shingles House Porch Roofs ND NA S-6B Asphalt Shingles House Porch Roofs ND NA S-6C Asphalt Shingles House Porch Roofs ND NA S-7A Window Glazing Garage Windows 1.6% All Windows Anthophyllite in Garage S-7B Window Glazing Garage Windows Positive Stop NA S-7C Window Glazing Garage Windows Positive Stop NA S-8A Sheet Flooring Mastic Kitchen and Bathroom ND NA S-8B Sheet Flooring Mastic Kitchen and Bathroom ND NA S-8C Sheet Flooring Mastic Kitchen and Bathroom ND NA Conclusions Testing of all suspect asbestos containing materials was performed pursuant to 12 NYCRR Part 56, (Code Rule 56). Materials are considered asbestos containing if they contain 1%or more of asbestos. Pre-Demolition ACM Survey I 223 Assembly Point Road Town of Queensbury,NY Page 4 of 4 I The results of the asbestos survey identified asbestos on the interior of the structure. The joint compound at mudded drywall joints in the first floor of the dwelling was found to contain asbestos. It should be noted that all three samples of joint compound collected at mudded drywall joints in the second floor of the house were found not to be asbestos containing. Window glazing on windows in the garage were also positive for asbestos content. Recommendations The joint compound at mudded drywall joints in the first floor of the house was found to contain asbestos. Abatement by a licensed NYSDOL abatement contractor is required prior to disturbing the materials during the demolition of the structure. Prior to modification or removal, the joint compound at mudded drywall joints in the first floor of the house must be removed by a licensed asbestos contractor, or otherwise in accordance with 12 NYCRR Part 56 and 29 CFR Part 1910. ► Window glazing on windows in the garage were identified as containing asbestos. All garage windows must be removed by a licensed asbestos contractor, or otherwise in accordance with 12 NYCRR Part 56 and 29 CFR Part 1910. If you have any questions regarding this survey, please contact Hanson Van Vleet LLC at (518) 371-7940. Very truly yours, nson Vn Vleet,LLC (it*i/ i 'V James Gironda Geologist/Environmental Scientist NYSDOL Class D Inspector Certificate#07-05263 CC:NYSDOL C ' / .. Canoe / Ri Otey ° Islands / \ 6,0 .„ P(��nt `� c� Middle// Ba YKattskill 1 ss`,.... ) / • •. } / Cleverdaie i Sheldon ey • Polnt �`.. f j Boy • •Itockhurs1 J `N Assembly 0 / • . PDirt `Speaker Heck • .• �; . I L7 • �� ' / !:1 �. Harris s ��• I�' J ,..../.. 1 • IL. j• / �' f i r - . ., • • I� SITE LOCATION I. / 1 •`' • f • Ulama . r n island • , �). . • Dicks�'Istands • �`�, / . ' Happy Fatuity �': sands / - •. iµ ..� .r= -- C ff . 7 329 ^�' 4 r • e r e �� II 1� . 1, -.— - 1 r,"--_-:,- -.,...,\. •,. P -, ` �\ "�.' , fpr�,.i4°'...-. -.. 1r,4i1 ,° \4�� pum a — _ - :1 •,- _fir-: ,,ay8„.....t-,4, -ih-... .z- Voods s• <-- Burnt -. Ir. .. _ Pont . . `° fir, Hill t Dark �, , . Bay .. c1 .c. ; • SITE LOCATION MAP FIG-1 H ANSON WATER SUPPLY & 223 ASSEMBLY POINT ROAD VANVLEET LLC ENVIRONMENTAL CONSULTANTS QUEENSBURY, NEW YORK 902 ROUTE 146 CLIFTON PARK,NEW YORK 12065 (518)371-7940 FAX(518)371-5885 • 9/2/2015 g is-2.warrencountyny.g ovMerrencountyg i smyer.htm?OTD=293 Parcel Information Sheet 226.19-2-21 Warren Co Real Property COMMUNITY Queensbury Wetland Acres 0 TAX MAP ID 226.19-2-21 Percent Wetland 0 IMPORTANT NOTICE AND DISCLAIMER LOCATION 223 ASSEMBLY PT.RD Percent Moderate Slope 0 THIS MAP AND INFORMATION IS PROVIDED AS IS AND WARREN COUNTY MAKES NO WARRANTIES OR FRONTAGE 0 Percent Steep Slope 0 GUARANTEES,EXPRESSED OR IMPLIED,INCLUDING DEPTH 0 Percent Very Steep Slope 0 WARRANTIES OF TI'fI.E,NON-INFRINGEMENT, MERCHANTABILITY,AND THAT OF FITNESS FOR A ACRES 0.3 BEDROOMS 4 PARTICULAR PURPOSE CONCERNING THIS MAP AND PP DESCRIPTION I Family Res WATER Private TIHEINFORMATIONCONTAINEDHEREIN.USER ASSUMES ALL RISKS AND RESPONSIBILITY FOR •• OWNER I Lejue7 Paul SEWER Private DETERMINING WHETHER THIS MAP IS SUFFICIENT FOR PURPOSES INTENDED. LAND VALUE 541800 UTILrnES Electric TOTAL VALUE 768500 HEAT Electric GIS MAPS ARE NOT LAND SURVEYS! NEIGHBORHOOD 101 STYLE Old style This GIS map is computer generated using data acquired by YEAR BUILT 1900 DEED BOOK 3610 the Warren County Planning Deparunenl from various sources and is intended only for reference,conceptual,planning and SQUARE FEET 1136 DEED PAGE 56 presentation purposes.While we work bard to include reliable I data for the stated purposes,this map is not intended for and STORIES 2 SALE DATE August 3,2008 should not be used to establish boundaries,lines,locations of SCHOOL DIST bake George Csd SALE PRICE 825000 objects or to provide any other information ty pically needed or construction,excavation or any other purpose when engineered drawings/plans or surveys are I)required by law;2)required for any legal docum enl or 3)needed to assure accuracy and/or ,het certain standards are incl.Please note'There may be an issue with the scale of the map.We are aware of this problem U 25 50 100 fYl and are working to fir it. MIMIWarren County Real Property'fax-2015 Roll. 10111111111 r� 1"==50 @et 226,19-2-23 -. Supply,Roti: .SLWAc 226,1 ir1in,Patr{ 0.42Ac 226.19-2-22 Cutin,Patrick 0.42Ac 226. 9-2-32 y .='-- 226.19-2-21 Supply,Robert ,-.-' Lejtlez,Paul yr yy ter^,",rte..------ e _- 226.19-2-21 Sty Lejuez Paul a 0.3A c • ,,, -4 'k 2:6.19v-20 -, �� .,..,---'-v. fir, Le) z ,.a�u{ 226.19-2-33 0. 7A Leauez Paul ,P^ `�~ 0.23Ac --` 2266.19-2.20 .----- Lcjuez,Paul x6,19-2- 9 0.27Ac � The G<rfe Gam L 3.66Aa ---- 226.19-234226.19-2-19 Modally Timothy __�-- The Cute Camp LLC 0.14Ac .r- '� 0.66Ac http://gds-2.warrencounty-ty,govAmarrencountygisalyer.htm?OTD=293 1/1 • EMSL Analytical, Inc. EMSL Order: 041526219 • 200 Route 130 North,Cinnaminson,NJ 08077 CustomeriD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://wwrv.EMSL.com cinnasblab{@EMSL.com ProjectiD: Attn: James Gironda Phone: (518)371-7940 Hanson Van Vleet, LLC Fax: (518)371-5885 902 Route 146 Received: 08/28/15 3:15 PM Clifton Park, NY 12065 Analysis Date: 9/11/2015 Collected: 8/20/2015 Project: 223 Assembly Point Road � Test Report:Asbestos Analysis of Bulk Material Analyzed Non Asbestos Test Date Color Fibrous Non-Fibrous Asbestos Sample ID S-1A Description Kitchen-Sheet Vinyl 041526219-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 Brown/Gray Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-1B Description Kitchen-Sheet Vinyl 041526219-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 Brown/Gray Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-1 C Description Kitchen-Sheet Vinyl 041526219-0003 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/12/2015 Brown/Gray Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-2A Description First Floor-Drywall 041526219-0004 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 White 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-2B Description First Floor-Drywall 041526219-0005 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 White 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed initial Report From 09/12/2015 12:04:35 Test Report 198VCM-7.30.0 Printed:9/12/2015 12:04:35 PM Page 1 • EMSL Analytical, Inc. EMSL Order: 041526219 EIVISL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://www.EMSL.conl cinnasblabc@EMSL.com ProjectlD: 1 Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-2C Description First Floor-Drywall 041526219-0006 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/12/2015 White 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-3A Description First Floor-Skim Coat 041526219-0007 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 Tan 97.44%Non-fibrous(other) 2.56% Chrysotile PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-3B Description First Floor-Skim Coat 041526219-0008 Homogeneity PLM NYS 198.1 Friable 9/11/2015 Positive Stop PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-3C Description First Floor-Skim Coat 041526219-0009 Homogeneity PLM NYS 198.1 Friable 9/11/2015 Positive Stop PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-4A Description Secon Floor-Drywall 041526219-0010 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 White 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample iD S-4B Description Secon Floor-Drywall 041526219-0011 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 White 20.00%Cellulose 80.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Initial Report From 09/12/2015 12:04:35 ) Test Report 198VCM-7.30.0 Printed:9/12/2015 12:04:35 PM Page 2 EMSL Analytical, Inc. EMSL Order: 041526219 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CUstomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: http://www.EMSL.com cinnasbiab@a EMSL.com ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-4C Description Secon Floor-Drywall 041526219-0012 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/12/2015 White 15.00%Cellulose 85.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-5A Description Secon Floor-Joint Compound 041526219.0013 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 Tan 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-5B Description Secon Floor-Joint Compound 041526219-0014 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/11/2015 Tan/WhIte 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-5C Description Secon Floor-Joint Compound 041526219-0015 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/12/2015 Tan/White 100.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-6A Description Porch Roofs-Asphalt Shingles 041526219-0016 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 Brown/Black 4.5% Glass Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-6B Description Porch Roofs-Asphalt Shingles 041526219-0017 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 Brown/Black 4.3% Glass Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed [initial Report From 09/12/2015 12:04:35 Test Report 198VCM-7.30.0 Printed:9/12/2015 12:04:35 PM Page 3 .. I j I EMSL Analytical, Inc. EMSL Order: 041526219 200 Route 130 North,Cinnaminson,NJ 08077 CUstomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: If htto://waww,EMSL.com cinnasbtabOEMSL.com ProjectiD: 1 Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-6C Description Porch Roofs-Asphalt Shingles 041526219-0018 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/12/2015 Brown/Black 3.4% Glass Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-7A Description Garage-Window Glazing 041526219-0019 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-7B Description Garage-Window Glazing 041526219-0020 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-7C Description Garage-Window Glazing 041526219-0021 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/12/2015 White inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-8A Description Kitchen-Sheet Flooring Mastic 041526219-0022 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 Brown/Gray Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Sample ID S-8B Description Kitchen-Sheet Flooring Mastic 041526219-0023 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/11/2015 Brown/Gray <1% Glass Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed [Initial Report From 09/12/2015 12:04:35 Test Report 198VCM-7.30.0 Printed:9/12/2015 12:04:35 PM Page 4 EMSL Analytical, Inc. EMSL Order: 041526219 • 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto:/fwww.EMSL.com cinnasblab(a?EMSL.com ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-8C Description Kitchen-Sheet Flooring Mastic 041526219-0024 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed --------------- PLM NYS 198.6 NOB 9/12/2015 Brown/Gray Inconclusive:None Detected TEM NYS 198.4 NOB Not Analyzed Analyst(s) Andrew Coward Brett Poulton Benjamin Ellis,Laboratory Manager or other approved signatory I NOB=Non Friable Organically Bound N/A=Not Applicable VCM=Vermiculite Containing Material -In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing. All samples examined for the presence of vermiculite when analyzed via NYS 198.1. -NYS Guidelines for Vermiculite containing samples are available at htto://www.wadsworth.ore/labcert/elaocert/formsNermiculitelnterimGuidance Rev070913.odf EMSL maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client.Samples were received in good condition unless otherwise noted. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may contain data that is not covered by the NVLAP accreditation. Samples analyzed by EMSL Analytical,Inc.Cinnaminson,NJ NYS CLAP 10872,PA IDN 68-00367 l � (Initial Report From 09/12/2015 12:04:35 Test Report 198VCM-7.30.0 Printed:9/12/2015 12:04:35 PM THIS IS THE LAST PAGE OF THE REPORT. Page 5 , t 1 EMSL Analytical, Inc. EMSL Order: 041526219 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 PhonelFax: (800)220-3675/(856)786-5974 CustomerPO: htto:/twww.EMSL.com cinnasblab(7o EMSL.com ProjectlD: Attn: James Gironda Phone: (518)371-7940 Hanson Van Vleet, LLC Fax: (518)371-5885 902 Route 146 Received: 08/28/15 3:15 PM Clifton Park, NY 12065 Analysis Date: 9/12/2015 Collected: 8/20/2015 Project: 223 Assembly Point Road Test Report:Asbestos Analysis of Bulk Material Analyzed Non Asbestos Test Date Color Fibrous Non-Fibrous Asbestos Sample ID S-1A Description Kitchen-Sheet Vinyl 041526219-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Gray None Detected Sample ID S-18 Description Kitchen-Sheet Vinyl 041526219-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Gray None Detected Sample ID s-ic Description Kitchen-Sheet Vinyl 041526219-0003 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Gray None Detected Sample ID S-6A Description Porch Roofs-Asphalt Shingles 041526219-0016 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB % Glass Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Black None Detected Sample ID S-6B Description Porch Roofs-Asphalt Shingles 041526219-0017 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB % Glass Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Black None Detected Initial Report From 09/12/2015 12:04:46 Test Report 198VCM-7.30.0 Printed:9/12/2015 5:04:40 PM Page 1 • EMSL Analytical, Inc. EMSL Order: 041526219 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax (800)220-3675/(856)786-5974 CustomerPO: w htto://www.EMSL.com cinnasblab(aEMSL.com ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-6C Description Porch Roofs-Asphalt Shingles 041526219-0018 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB % Glass Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Black None Detected Sample ID S-7A Description Garage-Window Glazing 041526219-0019 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 White 1.6%Anthophyllite 1.6%Total Sample ID S-7B Description Garage-Window Glazing 041526219-0020 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Positive Stop(Not Analyzed) Sample ID S-7C Description Garage-Window Glazing 041526219.0021 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Positive Stop(Not Analyzed) Sample ID S-8A Description Kitchen-Sheet Flooring Mastic 041526219-0022 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Gray None Detected Sample ID S-8B Description Kitchen-Sheet Flooring Mastic 041526219-0023 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB % Glass Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Gray None Detected Initial Report From 09/12/2015 12:04:46 J Test Report 198VCM-7.30.0 Printed:9/12/2015 5:04:40 PM Page 2 EMSL Analytical, Inc. EMSL Order: 041526219 EMISL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax (800)220-3675/(856)786-5974 CustomerPO: �+'''^• htto://www.EMSL.com cinnasblab(SrEMSL.com ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non•Fibrous Asbestos Sample ID S-8C Description Kitchen-Sheet Flooring Mastic 041526219-0024 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB 9/12/2015 Brown/Gray None Detected Analyst(s) Michael Garrity Benjamin Ellis,Laboratory Manager or other approved signatory NOB=Non Friable Organically Bound N/A=Not Applicable VCM=Vermiculite Containing Material -In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing. All samples examined for the presence of vermiculite when analyzed via NYS 198.1. .-NYS Guidelines for Vermiculite containing samples are available at htte://www.wadswonh.orallabcert/elaecert/formsNermiculitelnterimGuidance Rev070913.odf EMSL maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client.Samples were received in good condition unless otherwise noted. This report must not bo used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may contain data that is not covered by the NVLAP accreditation. Samples analyzed by EMSL Analytical,Inc.Cinnaminson,NJ NYS ELAP 10872,PA IDN 68-00367 { Initial Report From 09/12/2015 12:04:46 Test Report 198VCM-7.30.0 Printed:9/12/2015 5:04:40 PM THIS IS THE LAST PAGE OF THE REPORT. Page 3 C.- _ ,r _ - = JAMES J GIRONDA CLASS(EXPIRES) D INSP(11/15) v US BE CARRIED ON ASBESTOS PROJECTS • New York State—Department of Labor Division of Safety and Health 11 4,''' '^i_r- ' , .;,-• -0.4%- License and Certificate Unit , ) JA , ••=1,-- • 0•,.-,...., -,;- ••,ir ...-,:i State Campus,Building 121 d r. Albany,NY 12240 ,....... ,4-• ,ri,..,..,,_ ASBESTOS HANDLING LICENSE '*:-- -,, 0 Jte' -'''`i4 -..-. ,...:: . ., . . Hanson Van Vleet, LLC '. i 1,'„_, :- FILE NUMBER: 05-0220 .A 4, 't - \ J • , 0,:::• -' A.-.,,,,i,, LICENSE NUMBER: 28463 '.---e.96-fekv-ikA---A7,-;`. 902 Route 146 . '',',",...-. v .z.v-7.-i.,,:- 1 LICENSE CLASS: RESTRICTED - ;*it.— i Tfsk DATE OF ISSUE: 03/09/2015 '1•-•;,.:, Clifton Park NY 12065, (..:;,: ,..,.r ..ii,),-.-. I EXPIRATION DATE: 03/31/2016 ,...,.., if:,, ..,,.;.1 , YA r,, ,,f,_:',!;,, , 1,4 , i,-.,:- ,i .0'llp 0 ,, ' ,,,MC:.Wv- •.. ,,,' -..,.. f ••1 ,,i4-,--,,,Ip \--4•• • '\ ''.', V.', r"••1 t --i- t ',..• ii-'/•,. V., 'r'.‘ ,rx. ,)!)...A.,.., ,. , 4i• • ,i ,,,,.,\ I,) 1 ik ti'... ,:r.;:li , ,,,,,..: ,... p 1 0. 4,A. nIFI , I;) 7 kir ...,. . ., L Duly Authorized Representative—D Kirby VanVlsiet ---::.:-.,':,'-'4i;;.-- .Nc'iiit4:-. d ', - - ., 4 This license has been issued in accordance with applicable provisions of Article 30 of the Labor I.aw of New York State and of 11 the New York State Codes,Rules and Regliaticutt(12 NYCRR Part 56) It is subject to suspension or revocation for a(1)',I 04, 1 serious violation of state,federal or local)aliis with regard to the conduct of an'asbesto prAject,or(2)demonstrated lack of 7 . responsibility in the conduct of any job involving asbestos or asbestos material. ,... . v., This license is valid only for ttie contractor named above and this license or a photoeppy must be prominently displayed at the asbestos project worksite. ThiS license verifies that all persons employerltiy:the licensee on an asbestos project in New York , State have been issued an Asbestos Certificate,appropriate for tlie„tytie of work they perform,by the New York State Department of Labor. t . 'A--.: .?*-:-..---, _ ,--444-J"'.--,'','t,F.'.•,, A., i : .4,,,, '``",'-'4,'*;Stgalg-tI clr'rA .--44, 4='41'' W. 9 .:;. .---ik;-,, -,. ...:01...... :,,,,,, . . t aii, q i 1 - .7.--,,,,,4 v.,,,,,.. , .4. 1 ,,. —., , a "I tt--2-'7,••, Eileen M.Frank°, Director SH 432(8/12) For the Commissioner of Labor 1