The URL can be used to link to this page

BOTH-000137-2016 TOWN OF QUEENSBURY ro 742 Bay Road,Queensbury,NY 12804-5904 (51$)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: 130TH-000 1 3 7-20 1 6 Date Issued: Monday, April 18, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000137-2016 has been completed. Tax Map Number: 289.13-1-18 Location: 29 BIRCH RD Owner: Paul Sheehan Applicant: Paul Sheehan This structure may be occupied as a: Demolition of SFD with attached shed and enclosed porch structure By Order of Town Board Asbestos Report Attached in Documents TOWN OF QUEENSBURY Applicant has recently purchased property from William Chase Structure will not be replaced as per Paul Sheehan, Applicant. Issuance of this Certificate of Compliance DOES NOT relieve the owner of the responsibility for compliance with Site Plan property P tY P y 4 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 I2804-5904 (518)761-8201 i Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000137-2016 Tax Map No: 289.13-1-18 Permission is hereby granted to: Paul Shechan For property located at: 29 BIRCH 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 tiled and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: Paul Sheehan Demolition $0.00 Owner Address: 29 Birch RD Total Value $0.00 Lake George,NY 12845 Contractor or Builder's Name 1 Address Electrical Inspection Agency Plans&Specifications Demolition of SFD with attached shed and enclosed porch structure Asbestos Report Attached in Documents Applicant has recently purchased property from William Chase Structure will not be replaced as per Paul Sheehan,Applicant. $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 11,2017 (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 6e sbt )4;Ited s a ffi�tM6,2015 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only DEMOLITION PERMIT APPLICATION r NO WORK MAY COMMENCE UNTIL PERMIT IS IS "Permit Fee _____ MAR Provide 2 plot pians drawn to scale,showing lot boundaries with mens ns ets. Show all existing structures on property and Indicate which are to be demolished. Indicate the loca 1 I BUILDIN CODES Date _ s ,» �tv Demolition Location Qq jJtiYCL Z_ �___ Ly4-Kc C�'� ' }zFr�S Tax Map ID �, ,r,�__) rV�1 APPLICANT a --- OWNER r____ Address _---f------ Address _ }.YG}�_�t�x='`�------_--- Phone --- ------------ Phone CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:-.7 ------- ane: Ph � _----------- ------------ —.. __�...._ 1. Person Responsible for Work a "CC.S 2. Where will demolition material be disposed? 3. All buildings to be demolished require an Asbestos Survey 4. Any building substantially damaged by fire must obtain an Asbestos Removal 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 b) If Yes, our office needs the following Information ____ Yes No Name of firm removing the asbestos ,/ _ a-m1 w a. Uy 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 �� c c) Number of Stories -� d) Foundation Type e) Foundation f) Structure(s) 7. Utilities Information a) Indicate utilities for this structure ___ Gas _%t� Eiectric 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 -A__ No NA b) Have all utilities been disconnected? _ Yes ____. No 8. Signature Print Name; _ --_ — `i_ --------_-----_--- Date -- l�IL _ �_-- ---------- ———— Date _�I — —------ Town of Queensbury Building& Codes . Demolition Permit -December 2014 oa 289.13-1-18 BOTH 137-2016 Paul Sheehan Aipi ni 29 Birch Road �f] (� DEMOLITION SFD with attached shed& enclosed( MAR ch ��V E ENVIRDNMINTAI SERVICES REPORT OF 15 20]6PRE-DEMOLITION ASBESTOS INSPEC ONN 0 U EN RYUILDING& CODEs Location of Inspection: 29 Birch Rd. Queensbury, NY r f- Performed For: Paul Sheehan TOWN OF 29 Birch Rd. QUEENSBURY Queensbury, NY 12845 BUILDING & $ PT. Reviewed By: / Date of Report: December 29, 2015 Date: Date(s)of Inspection: December 17, 2015 TOWN OF QUEENSBURY BUILDING DEPARTMENT Project Number: 15-18349-A Based on our limited examination,compliance with our comments shall not be const.=ued as indicating the plans aild s�ecif;cations are in full compliance with the wilding Codes of Material or New York State. Area Inspected: Entire structure Asbestos Materials: None Found FILE COPY Non-Asbestos Materials Tested: Wood floor vapor barrier, linoleum, drywall, brick mortar, window glazing, shingled roof vapor barrier, roof shingles Inspection By: Alpine Environmental Services, Inc. 438 New Karner Rd. Albany NY, 12205 www.AloineEnv.com Inspector(s): Matthew Fiore Senior Industrial Hygienist NYSDOL Asbestos Inspector(Cert. #04-04675) 438 New Karner Road 0 Albany,New York 12205•Phone:(518)250-4047 December 2015 29 Birch Rd. Queensbury,New York Scope and Purpose This report is intended to document an asbestos inspection of 29 Birch Rd. Queensbury, New York for the purpose of demolishing the structure.The inspection was performed on December 17, 2015. "Asbestos containing materials", as defined by the United States Environmental Protection Agency (EPA), is any material containing greater than 1% by weight of asbestos. Friable samples (samples easily crushed/pulverized by hand pressure), were analyzed via Polarized Light Microscopy (PLM) and Non- Friable samples (samples not easily crushed/pulverized by hand pressure), were analyzed via Transmission Electron Microscopy (TEM) by EMSL Laboratory of New York, New York, a New York State Department of Health Approved Laboratory (FLAP #11506). As of April 2011 the NYS Department of Health requires that ceiling tiles be analyzed by TEM if they contain cellulose. Structure Description The structure inspected is a two story wood building supported by concrete footings. The interior walls and ceilings were mostly wood. Drywall with no joint compound was present in the bathroom and 1st floor bedroom. The floors are wood. Vinyl linoleum flooring was present in the kitchen and bathroom only. A fire place was present for heating. Only non-insulated piping was observed. The electrical wiring was observed to be plastic coated. No window caulk was observed.The roof was pitched and consisted of asphalt shingle. Results of Asbestos Inspection TABLE 1.Asbestos Containing Materials—29 Birch Rd. Queensbury, NY Homogeneous *Estimated *Estimatedple Area Location Substrate Condition Dimensions Quantity Friable=# None Found *Dimensions and Quantities are estimates only and should be field verified by the contractor. TABLE 2. Non-Asbestos Containing Materials— 29 Birch Rd. Queensbury, NY Non-Asbestos Materials Locations Sample#'s Vapor Barrier Kitchen Floor 03-01, 03-02 Linoleum Kitchen, Bathroom 04-01, 04-02 Drywall Bathroom, 1st Floor Bedroom 01-01, 01-02 Brick Mortar Chimney, Fireplace 02-01, 02-02 Glazing Windows 05-01, 05-02 Vapor Barrier Roof 06-01, 06-02 Roof Shingles Roof 07-01,07-02 Conclusion According to 12 NYCRR 56, the building owner (or owner's agent) is required to transmit this asbestos inspection report to any local government permit issuing agency (i.e. building department) for any demolition, renovation or remodeling. Page 2 of 3 439 New Karner Road•Albany,New York 12205•Phone:(518)250-4047 December 2015 29 Birch Rd. Queensbury,New York In addition, if this inspection is for the purposes of demolition,the building owner(or owner's agent) is also required to transmit this inspection report to the Asbestos Control Bureau, New York State Department of labor. This inspection report is required to be displayed on site during all related construction work. Disturbance/Abatement of any asbestos containing materials, as well as air monitoring, must be performed by a NYS DOL licensed contractor, in accordance with state and federal regulations(NYS DOL ICR 56 and US EPA 40 CFR). If I can be of any further assistance to you on this matter, please contact me at(518) 250-4047 Ext 315. MattF@AlpineEnv.com Sincerely, Alpine Environmental Services,Inc. Matthew Fiore(#04-04675) NYS Department of Labor Asbestos Inspector Enclosures:Sample Results,Alpine's Handling License, Inspector Certificates and EMSL ELAP Certificate Page 3 of 3 438 New Karver Road•Albany,New York 12205•Phone:(518)250-4047 EMSL Analytical, Inca 5MSL Order: 031540668 307 West 38th Street New York, NY 10018 Customer ID: ALP150 Tel/Fax: (212)290-0051 /(212)290-0058 Customer PO: 40. � http://www.EMSL,com I manhattanlabt7a emsl,com Project ID: Attention: Alpine Environmental Services Phone: (518) 250-4047 438 New Kamer Road Fax: Albany, NY 12205 Received Date: 12/18/2015 10:21 AM Analysis Date: 12/21/2015 Collected Date: 12/17/2015 Project: 15-18349-A/29 BIRCH ROAD/QUEENSBURY, NY Test Report:Asbestos Analysis of Bulk Material Nan-Asbestos Analyzed Test Date Color Fibrous Non-Fibrous Asbestos Sample ID 01-01 Description 1ST FLOOR BEDROOM 1 RYWALL e3154066s-o001 Homogeneity Homogeneous PLM NYS 198-1 Friable 1 2/2 112 01 5 Brown/Gray 12.00°! Cellulase 60.00% Gypsum None Detected 28.00% Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID 01-02 Description BATHROOM 1 DRYWALL 031540668-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable 12/21/2015 Gray 5.00% Cellulose 60.00% Gypsum None Detected 35,00% Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOS Not Analyzed Sample IA 02-01 Description FIRE PLASTER/MORTAR 031540668-0003 Homogeneity Homogeneous PLM NYS 198.1 Friable 12!2112015 Gray 35.00% Gypsum None Detected 20.00% Non-fibrous(other) 45.00% Quartz PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID 02-02 Description FIRE PLASTER/MORTAR 031540666-0004 Homogeneity Homogeneous PLM NYS 198.1 Friable 12/2112015 Gray 20.00% Ca Carbonate None Detected 35.00% Non-fibrous(other) 45.00% Quartz PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Initial Report From:1212112015 1 3:49:57 Asbestos IV&-i.65 Printed 12/2112015 1:49:58PM Page 1 of 2 EMSL Analytical, Inca EMSL Order: 031540668 307 West 38th Street New York, NY 10018 Customer ID: ALP150 Tel/Fax: (212)290-0051 1(212)290-0058 Customer PO: http://www.EMSL.com/manhattanlab@emsl.com Project ID: Test Report:,Asbestos Analysis of Bulls Material The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods. The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Sample Receipt Date: 12/18/2015 Sample Receipt Time: 10:21 AM Analysis Completed Date: 12/21/2015 Analysis Completed Time: 11:22 AM Analyst(s): Emily Myinf PLM NYS 198.1 Friable(2) Yolanda Chow PLM NYS 198.1 Friable(2) Samples reviewed and approved by: /'�,/� James Hall,Laboratory Manager or Other Approved Signatory NOB=Non Friable Organically Bound NIA=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 Vermicufite containing samples are available at http://www.wadsworth.orgllabcerUelapcerUfbrms/VermiculiteinterimGuidance_RevO70913.pdf 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 bean 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.New York,NY NYS FLAP 11506 Initial Report From:1212112015 13:49:57 AsbestosiO -i.65 Printed 12/2112015 1:49:581"M Page 2 of 2 OrderID• 031540668 Aivxj,%+ L mxv u VAuxjvA,%u,cert Ices, Inc. rr J t 1• phone:(5 18)250-1447 438 New Karner Rd. Albany,NY 12205 L �' email: MattF@AlpineEnv.com CHAIN OF CUSTODY Client: Alpine Environmental Services Project:. 29 Birch Rd. Queensbury NY Project Number: 15-18349-A Contact: Matthew Fiore Sampled By: Matthew Fiore Phone: 518-250-4047 Date/Time Collected: 12/17/2015 Turnaround Time: 72 hr P.O.Number: Log Sample Sample Sample Analysis Results No. No. Location Material 01-01 1st Floor Bedroom Drywall NYS Stratified PLM 01-02 Bathroom Drywall NYS Stratified PLM 02-01 Fire Place Mortar NYS Stratified PLM Stop at First Positive 02-02 Fire Place Mortar NYS Stratified PLM r� Disposition of Samples: Accept Reject Explain Comments: Relinquished By: R c ived By: Date: Time:'= ' - ('241-ph C/ Page 1 of 1 J 13 EMSL Analytical, Inc. EMSL Order: 031540672 307 West 38th Street New York, NY 10018 Customer ID: ALPI50 Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO: http://www,EMSL.com/manhattanlab@emsl.com Project ID: Attention: Alpine Environmental Services Phone: (518)250-4047 438 New Karner Road Fax: Albany, NY 12205 Received Date: 12/18/2015 10:21 AM Analysis Date: 12121/2015 Collected Date: 12/17/2015 Project: 15-18349-A/29 BIRCH ROAD i QUEENSBURY, NY Test Report:Asbestos Analysis of Bulk Material Non-Asbestos Analyzed Test Date Color Fibrous Non-Fibrous Asbestos Sample ID 4-01 Description KITCHEN/LINOLEUM 031540672-0003 Homogeneity Heterogeneous PLMNYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS 12/22/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB 12/2212015 White None Detected Sample ID 4-02 Description BTHROOMI LINOLEUM 031540672-0004 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 1212212015 White <1.00% Glass Inconclusive:None Detected TEM NYS 198.4 NDB 12/22/2015 White None Detected Sample ID 5-01 Description WINDOWS/GLAZING 031540672-0005 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 12/2212015 White Inconclusive:None Detected <1%Residue, TEM NYS 198.4 NOS 12/2212015 White None Detected Sample ID 5-02 Description WINDOWS/GLAZING 031540672-0006 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOS 12/22/2015 Green Inconclusive:Nene Detected TEM NYS 198.4 NOB 12/22/2015 Green None Detected Sample ID 6-01 Description MAIN ROOF/VAPOR BARRIER 031540672-0007 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 12/22J2015 Black <1.00% Glass <1.00% Chrysotile <1%Residue. TEM NYS 198.4 NOB 12122/2015 Black <1.00% Chrysotile Initial Report From:12/22/2015 01:23:07 Asbesios I98-1.65 Printed 12/22/2015 1:23:07AM Page 1 of 3 EIVISL Analytical, Inca EMSL Order: 031540672 307 West 38th Street New York,NY 10018 Customer ID: ALP150 Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO: M http://www.EMSL.com 1 manhattanlab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Material Non-Asbestos Analyzed Test Date Color Fibrous Non-Fibrous Asbestos Sample ID 6-02 Description KITCHEN ROOF 1 VAPOR BARRIER 034540672-0008 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 1212212015 Black <1.00% Chrysotile <1%Residue. TEM NYS 198.4 NOB 12122/2015 Black <1.00% Chrysotile Sample ID 7-01 Description MAIN ROOF/SHINGLE 031540672-0009 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 1212212015 Black 2.90% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 12/22/2015 Black None Detected Sample ID 7-02 Description KITCHEN ROOF/SHINGLE 031540672.0040 Homogeneity Heterogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 12122/2015 Black 3.80% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 1 212212 0 1 5 Black None Detected Initial Report From:12122/2015 01:23:07 Asbesros198x-9.65 Printed 12/22/2015 1:23:07AM Page 2 of 3 EMSL Analytical, Inc. EMSL Order: 031540672 307 West 38th Street New York, NY 10018 Customer ID: ALP150 Tel/Fax:(212)290-0051 1(212)290-0058 Customer PO: - http://www.EMSL.com I manhattanlab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Material The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods.The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Sample Receipt Date: 12/18/2015 Sample Receipt Time: 10:21 AM Analysis Completed Date: 12/21/2015 Analysis Completed Time: 12:01 PM Analyst(s): Sears Scales PLM NYS 198.6 NOB(8) Sean Scales TEM NYS 198.4 NOB(8) Samples reviewed and approved by: ,lames Hall,Laboratory Manager or OtherApproved Signatory NOB=Non Friable Organically Bound NIA=Not Applicable VOM=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 196.1. -NYS Guidelines for Vermicufte containing samples are available at http://www,wadsworth.orgllabcerUelapcerUforms/VermiculiteinterimGuidance_RevG70913.pdf 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 anatyzed by EMSL Analyfical,Inc.New York,NY NYS ELAP 11506 Initial Report From: 12/22/2015 01:23:07 Asbestosl98.r-165 Printed 12/22/2015 1:23:07AM Page 3 of 3 OrderID: 031540672 'services, Inc. Phone:(5 18)250-4047 438 New Karner Rd. Albany,NY 12205 email:MattF@AlpineEnv.com CHAIN OF CUSTODY Client: A112ine Environmental Services Project% 29 Birch Rd. Queensbury NY Project Number: 15-18349-A Contact: Matthew Fiore Sampled By: Matthew Fiore Phone: 518-2504047 Date/Time Collected: 12/17/2015 Turnaround Time: 72 hr P.O.Number: Log Sample Sample Sample Analysis Results No. No. Location Material Q3-01 Kitchen Flooring Vapor Asbestos Stop at Barrier NYS Protocol First Positive 03-02 Kitchen Flooring Vapor Asbestos Barrier NYS Protocol 04-01 Kitchen Linoleum Asbestos Stop at NYS Protocol First Positive 04-02 Bathroom .Linoleum Asbestos NYS Protocol 05-01 Windows Glazing Asbestos Stop at NYS Protocol First Positive 05-02 Windows Glazing Asbestos NYS Protocol 06-01 Main Roof Vapor Asbestos Stop at Barrier NYS Protocol First Positive 06-02 Kitchen Roof Vapor Asbestos Barrier NYS Protocol 07-01 Main Roof Shingle Asbestos Stop at NYS Protocol First Positive 07-02 Kitchen Raaf Shingle Asbestos NYS Protocol t..' j. Disposition of Samples: Accept Reject Explain Comments: Relinquished By: R#4eived By: Date: Time: C Page 1 of 1 /. L o P/r,-- New York State—Department of Labor Division of Safety and Health License and Certificate Unit State Campus,Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Alpine Environmental Services, Inc. FILE NUMBER: 00-0320 LICENSE NUMBER: 29095 438 New Karner Road LICENSE CLASS: RESTRICTED DATE OF ISSUE: 07/10/2015 Albany, NY 12205 EXPIRATION DATE: 07/31/2016 Duly Authorized Representative—Craig Petreikis: This license has been issued in accordance with applicable pravisioris of Article30 of the Labor Law of New York State and of the New York State Codes,Rules and Regulations(12,NYCRjt Part 56).'It is subject to suspension or revocation for a(1) serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or.asbestos material.. This license is valid only for the contractor named,above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an-asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State Department of Labor. Eileen M.Franko, Director SH 432(8/12) For the Commissioner of Labor STATE OF NEW YORK-DEPARTMENT OF LABOR ,— ta: p_Er..:;QS CERTI FI CA i E MATfNEW ! FIORE UASS(EXPIRES) C ATEC(03/16) D iRSP(03116) H PM (03116) t fV# .a.1 E063 : ,%,,UST BE CARRIED ON ASBESTOS PROJECTS IF FOUND RETURN TO; v EYES BRO NYSDOL - L&C UNIT mi U, Bch-", HAIR BRO ROOM 161A BUILDING 12 �C HOT 5' 07" STATE OFFICE CAMPUS vN ALBANY NY 12250 m'o c+� NEWNORK STATE DEPARTMENT OF HEALTH. WADSWORTH CENTER 71i Explress.12.01-/QUI A00 IZ1 0'16 Issued April 01,2415 CERTIFICATE OF APPROVAL FOR LABORATORY SERIII, ,,IP Issued to acewdanoe wO and pursuant to sec0an 502 Pubtta Health Law of NewQ MR.JAMES HALL NYLabeld fib. JMB £MSEANAL.YTICAI.1AAC 307 WEST 38TH STREET NEW YORK W. 40- " 1 hrftreby APPROVED as an Envlronrrental Laboratory for the categm y ENVIRONMENTAL ANALYSES AIR AND,EMISSIONS Ad approved subcategories and/or analytes are llsW below. Metals 1 L y Lem.T11-1-l'.�k� �.Vit Fl 7082 e. mimnancous AsbWou 40CFR 763 APX A No.til YAMATE,AGARwAI_GISS NMH 7402 IN"'` `kIb8H7400ARULES S li of l `ts.: 52402 Frapert�Cd rha�l�avi►'Yarts sta�.�eP�rtmeM of F�tif�'� Ca aye,va�q,onS�st.,{!� shm%num be OWvp1m=*Post4 mW we P on some p*w,_ Iffiy01FQ8mfti on eliecessfill ongotlq pa14ic1 fra'On"ttf8 P�0$tat�t. 0mom a we mqW b dW(518)48546" ve*the� e a1 sffibus pap I Of 1 aee,A'r:d 5 i loll $ `e h, r 61 1 Sk &3 '' - ' # die d I,li PP Ca ed Iron Rod _ I g I Found } I III I l r �I I h. i 1 I I I MAPNOTES 1 V I I 1. Boundaryinformation shown hereon was compiled from DEED REFERENCE. Lands NOW of Formerly ofMa References l-3 and a 1 j p an actual fled survey conducted i r during August,20.15, L Conveyance to William 1.Chase and Peters Mandeville-Chase t 51 r by deed dated March 1�`OSSI 8,I-M filed in the Warren County v ti I i' „ r; 4 2. North orientation and bearing base per lllagnetic2015. Clerks Office on March 23,1992in Book 847ofDeeds atpage ( { r 1155,1., ' o� �r i � (' �`y '9'��e . �I �➢��'I'y,' � I ��i6 I i '. 4� �, ' 317 a Capped Book 132 fl P 5 Pae 35 ", � ;"sal 'rs � ,'��a 131 al ��y ' �;;p 1� '• , I � In} t P Iron Rod Face ofRetainrn - g _ - 3. Warren County taxparce1289.13-.1-1b'. g - E Wa110.4'South of Found 289.13-1-15 MAPRF.PEXENCFS Property Line at 4. The location of undergroundirproverzrentsor Shed Face d{1a15I, �I t�lrl 'lg i +f Shefl - - - - - -- - - - ' exist, - - - • encroachments,Ifanyorasshawnhereon,arenot I't'�II a, ! I' I I' ^& certified. There rTtay be other underground utilities,the 1- Map entitled'Map ofa Survey made for PauIIL Sheehan" k,q,F, - - p ! 1 existence of which are unknown- Size and location ofall prepared by VanDusen&Steves Land Surveyors;dated Au ust BriCl-Retainin End of.Sp!lt XailFence l.7 - g I v, it 1 g Wall under ound utilities must be v zifie b 27,2012,unfired,Co rovided b client. „ q - South,ol•Pfoperty Line verified y the appropriate PYP _ Y I ! Wooden Shed 5.0' authorities. The Underground Facilities Protective i South ofProperty Litre Organization must be notified prior to conducting test 2 Map entitled'Map of a Surveymade for Phinney Design 5;90028100,E borings,-excavation and construction. Group,prepared by VanDusen&Ste ves Land Surveyors, ` l } dated October 14,2013,tudded,Copyprovided by client. `s ^•/ 131.57' Capped 5. This survey was prepared without the benefit of an up to ►�r'''l Iron Rod date abstract of title 3. Map entitled'Map of lands offohn B.Storm `;prepared by err - �°' , c �4`geofyy Edge of Sad La Found Meyer Baaversand 9shley,dated September12,1931,unfired- Co rovided b client. = oo`fs 5 y -- 24'West of - - Reproduction or copying of this document be a PYP Property Line violation of copyrightlaw unless permission of the author and J or copyright holder is obtained. - Additional Deed Parcel to be Is to I William Chase&Peter i' , I yy'O I lVlan[IEville-Chase - 7. A co aftlu's documutt withouta ro Iication of PY PP�aPP f '? - _ } � 1F e This Parcel was Erroneously h'Xcluded the surveyor's embossed seal should be assumed to be an i =,�- E rP from Deed Reference 1, which Described - - - unauthorized copy - - - �l all of the Lands ofFranc'es Storen Chase Ms Chase was an Heir of.the Last i \ Recorded Owner of tht 'Parcel Loretta S13°4039"W a; k L-890 3 '\ Storen per Book 188 of Deeds ttt page 593. 81.14' . \ Ch=N00033V5'E 87.77 Lands Now or formerly of Edge ofPlanter Mackey i ®\\ \ v 2.4'West of �lE ' Po rY.L ine Iron PipeBook 5085 Page 78 Found r { � •., 289.13-1-17 f: aGz ed Iron Rod toneh'et t. PP \ \ aillrn� I ! Found f?2`Nortfi \ DEED PARCEL SII .,x ofPropertyLine 11'0P"6' } s s \ \ Edge of watershown actual field location � i \ Pro ert LiiteperBook5085ofDeeds atpage78 g P i € I );4t. I �'� --- Y Line pertl�a sbat time of original field survey. The water Ca ed PReference2 i" pl' 2 0' p - botmdrrry is subject to change due to natural "` \ h& R°d sf'lrtli'ai1Fe causes and ma or may not represent the actual i ped \ 6 k;'. "- rrc Iron Rod Y Y P Found� -- •�..-.�._.- �,._ __ _ - __ •- - e -litlzitoft{tle.--- _. _ TO.IAL AREA 0.54f acres - / - 58501538'T - --- -—— — - I 144.68' Stone Re10irrh7 ,; /� DEED � 5� � :Wall `�" _ p\ _ a PARCEL I �fi�° 5 Crass �� Frame - . `w;; •0 I I : �z. \ GLEN i':, 3 t ' \ \ Parking Stone/ q t c4 ' las ?' I Iron Pipe Area 4 1 t Concrete fi Gravel \ Found S 4t Concrete - - _ 'Steps Walkway Blacktop Corner/ WoodenJ1 tY LAKE 7 25 encroaches by 1.0' Dock ^ ' I 4 S I 1! tone , tStone t;l> - - - \\\\ Ston e Blacktop , 5 5 Re taizing 289.i -]-1 8 BOTH 137 2 O1RetaRetaining N83o0844 W Rod WalDriveway Wal! PdUI Sheehanu14506 `fio29 Birch Road DEMOLITION SFD with attached shed&en it closed porch520°01'46W 62.43' t ea �n� N C 1 t �IY>Jl - Lam 110s Blacktop Lands Now. Former/y of : It�- �O � ) 1 !(11 (li.#., Cl 1,��Jci , .... i j fr , - I 5 a d -, s • _ - EC Corner clear - 3d'i� ll.� ° J �- °° - - - - - I i !"! ,_1._1 11Oc1c) �rl.L VIIIJ� I, b 04 � r Y 3�1�1VI,�f(_i]'n'i 011r W31,11 A11VWr:,'Ed I/N11 l 1 1 Sheehan Piz, NV (-J I J-ld I IM11; rJMAR 15 I -_Book 4522 Pae 77 �a,� I 9 t II - 289.73 1-20 T 1 OF G�UE g N an 1 I j IronPipe - r. BUI'LOI�� R{ (I i found �D +�5 KRISTIN M. DARRAH \ GATE REVISIONS -RECORD/DES > DRAFTER UNAUTHORIZED ALTERATION_OR Map ]�(/� p 05Q803 _ l,. . Ma of a �'oundar' Sarve ADDITION TO THIS DOCUMENT ISA � Y VIOLATION OF-SECTION 7209 l' I a SUBDIVISION 2 OF THE NEW YORK La11CISNOFN 01 FOIIIZEII Of } y 1,1 STATE EDUCATION LAW. w 11 I f I l I( , i 1' _ j ',s I yj " ,F�, t - I e - - - N (t/`//- _ - - - _ _ _ - - - - - - 1j�31II I p S I +€i } 'II 1 ih t } r �t ®� "- - - - - .. gp ` !kkkk lQi { Ik �j- _ _ 2015_ W llla_ m J:-=Chase car-Peter S. Mandeville-Chase '.�c , - 1� i' 4' } ,•,t¢ I- k^ - v - - - , - C 1 } a Mp,RIF`6" O fl•' "a�i �# 1 � t - t Darrah Land Surveying, PLLG 66 TOW APPROhED.-KMD NOF UEEN$BLIRY j Q WARREN COUNTY,NEW YORK _ '( 01 DRAFTED.• KMD � 6� U� �r artTalz Land Surveying, PLLC I II I' CHECKED D DC 11 1 1 I , I ' I w I i r � t ' I I , a ospso 3764 North Shore Road,Hall ,NY 12835 J�' PROJ.NO. 15037 Y "ONLY BOUNDARY SURVEY MAPS WITN'I'HB SURVEYOR'S EMBOSSED �Q C Q S IlO1CL''(J�ZB 79c4 462 �FI�ET 1 OF I ! 1 SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S '�N SCALE: 1"Z0' f 1 I "f ORIGINAL WORK AND OPINION. , I I 1 � t DATE. 9/21/15 S' 1 L r��J _ - , , PROjNO. 15037 � r��..� .� � llf � p1 • 1;;11 �I f I�i "I �„I � }Irl!-.P, fl c I' I,� I °I .fit �:'I� `5