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DEMO-000006-2017 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: DEMO-000006-2017 Date Issued: Friday, August 25, 2017 This is to certify that work requested to be done as shown by Permit Number DEMO-000006-2017 has been completed. Tax Map Number: 289.10-1-31 Location: 9 HEMLOCK RD Owner: Holly Dansbury,Michael Dansbury Applicant: McAvinney Builders LLC This structure may be occupied as a: Demo only of Detached Garage 216 s.f. Asbestos Survey received By Order of Town Board TOWN OF QUEENSBURY 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 12804-5904 (518)761-8201 .. Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: DEMO-000006-2017 Tax Map No: 289.10-1-31 Permission is hereby granted to: McAvinney Builders LLC For property located at: 9 HEMLOCK 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 Tvpe of Construction Owner Name: Holly Dansbury Demolition-Residential $0.00 Owner Address: PO Box 278 Total Value $0.00 Bolton Landing,NY 12814 Contractor or Builder's Name/Address Electrical Inspection Agency Hiram Hollow Regeneration 100 Washburn RD Gansevoort,NY 12831 Plans&Specifications Demo only of Detached Garage 216 s.f. Asbestos Survey received $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,January 31,2018 (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 oueensbJ/fesu ,J ,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use 0" Received ___________________ DEMOLITION PERMIT APPLICATION Permit#: _:.n -(P-:.2--�a _$3© NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee -�rll--Q►tigl_L3� Provide 2 plot plans drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on property and indicate which are to be demolished. Indicate the location of all utilities Date _0 ki l Demolition Location Tax Map ID tWi_10_I_$I APPLICANT 1416VOv&,1' F,L4 LXZ01 (.G OWNER M_"tL� Ido_ x 01'4�wwr Address -hsj Lbafw-f=_LAX,----_ Address J'¢_(.p•1G �LGI✓ L� __—_—_—_ JebY&-� ��.�:C_L i ro. Phone —& -1`11 2----------- Phone ilt—1?L lo0 -------------- CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: t7i[� P1I S------------- Phone: 4fo_56—OLL 1. Person Responsible for Work VI f AjtJ e 2. Where will demolition material be disposed? ) � vJ 3. All buildings tope 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 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) Number of Stories OL. i d) Foundation Type e) Foundation f) Structure(s) \JQDO fOrZ)}..A 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 b) Have all utilities been disconnected? __ Yes ____ No 8. Signature Print Name: �i�.-- — — LLJS:.= --------------- Date ------ Signature: _ _ — — ---------------------- Date --- �-- Town of Queensbury Building&Codes - Demolition Permit - December 2014 TOWN OF QUEENSBURY BUILDING & CO S PT. Reviewed By: LAL� t Profia�sional's Cfwica "^EnV1YOtletl�YKa1 TBytl�x,�., 1675 North Commerce Parkway, Weston,Florida 33326 Tel:(954)384-4446 Fax: (954)384-4838 Toll Free:(800)4TOMOF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination,compliance with our comments shall not be construed as indicating the pians and speafications are in full compliance with the Building Codes of Certificate of Asbestos PL�Analysis (This report contains data that were produced under subcontract by EHS NVLAP Lab Code#101882-0) Prepared for: DAVID MCAVINNEY Phone Number: 518-668-9630 Fax Number: N/A Email Address: mcavinneybldrs@yahoo.com Test Location: DAVID MCAVINNEY 9 HEMLOCK RD m "� b • 2-0 t QUEENSBURY,NY 12804 E C E 0 V E Sample Number: 1010094-1,2 D V Pro Lab COC#: 1010094 JAN 2 b 2017 Date Analyzed: 1/24/2017 TOWN OF QUEENSBURY Report Date: 1/26/2017 BUILDING &CODES Asbestos Results: SEE ATTACHED DATA SHEET AND LAB RESULTS k Erika Piechowski, Technical Manager Carlos Ochoa, Quality Control Manager Pr+�afeesionalIs Choice '-Rgwlronmental Testing" Samples analyzed by this test method are subject to the inherent limitations of light microscopy.This report cannot be used by the client to claim product endorsement by NVLAP or any agency of the U.S.Government.This report shall not be reproduced,except in full,without written permission from PRO-LAB/SSPTM,Inc. If you have questions or comments,please contact PRO-LAB at(800)427-0550 (*Please see attached datasheet) 1675 North Commerce Parkway, Weston,Florida 33326 Tel: (954)384-4446 Fax: (954)384-4838 Toll Free: (800)427-0550 Certificate of Asbestos PLM Analysis 1010094-1 GARAGE ROOF 1010094-1 GARAGE ROOF Samples analyzed by this test method are subject to the inherent limitations of light microscopy.This report cannot be used by the client to claim product endorsement by NVLAP or any agency of the U.S.Government.This report shall not be reproduced,except in full,without written permission from PRO-LAB/SSPTM,Inc. If you have questions or comments,please contact PRO-LAB at(800)427-0550 (*Please see attached datasheet) AmeriSci Richmond Ac 13635 GENITO ROAD MCR/SCI MIDLOTHIAN,VIRGINIA 23112 TEL:(804)763-1200-FAX:(804)763-1800 PLM Bulk Asbestos Report Environmental Hazards Services, Inc. Date Received 01/24/17 AmeriSci Job# 117011753 Attn: Howard Varner Date Examined 01/26/17 P.O.# 17-01-02820 7469 Whitepine Road ELAP# 10984 Page 1 of 1 RE: 10-3788; David McAvinney; 9 Hemlock Rd; Queensbury, NY Richmond, VA 23237 12804; 1010094-1, 1010094-2 Client No. / HGA Lab No. Asbestos Present Total % Asbestos 1010094-1 117011753-01 No NAD Location: (by NYS ELAP 198.6) by David W.Ralbovsky on 01/26/17 Analyst Description: Black/Green,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-Asbestos 39.5% Comment: Heat Sensitive(organic): 19.7%;Acid Soluble(inorganic):40.8%; Inert(Non-asbestos):39.5% 1010094-2 117011753-02 No NAD Location: (by NYS ELAP 198.6) by David W. Ralbovsky on 01/26/17 Analyst Description: Black/Green, Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-Asbestos 41.2% Comment: Heat Sensitive(organic): 18.6%;Acid Soluble(inorganic):40.2%;Inert(Non-asbestos):41.2% Reporting Notes: n I I/n Analyzed by:David W.Ralbovs Date I� 'NAD=no asbestos detected, OLIfecNon Limit<1%,Reporting L' S=1%, Pt t=0.25%,1000 Pt Ct=0.1%;'Present"or NVA="No Visible Asbestos"are observations made during a qualitative a ysis;NA=not analyzed; NAPS=not analyzed/positive stop; PLM Bulk Asbestos Analysis by EPA 600/R-93/116 per 40 CFR 763(NVLAP Lab a 101904-0)and ELAP PLM Analysis Protocol 198.1 for New York friable samples which includes quantitation of any vermiculite observed(198.6 for NOB samples)or EPA 400 pt ct by EPA 600/M4-82-020(NYSDOH ELAP Lab# 10984); CA ELAP Lab#2508;Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar NOB materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that can be used to determine if this material can be considered or treated as non-asbestos-containing in New York State(also see EPA Advisory for floor tile,FR 59,146,38970,8/1/94). NIST Accreditation requirements mandate that this report ust not be red d d ex ept in full without the approval of the laboratory. This PLM report relates ONLY to the items tested. Reviewed By' 7 A ' M i_re ATTENTION. PRIG',.TO Iliihtt„i�,:1,.::...,;„nr,,::n!c,ilf,:,: � 5�°3a` �3� �• lr� SBa°3�`2a�,.E � COMMi;NCING ANY SITE'WOMII PLEASE READ AND UNDERSTAND Town of Queensbury Planning Board ` THIS COMPLIANCE LETTER! ( � RESOLUTION-Grant Approval SITE PLAN PZ 251-2016 MICHAEL&HOLLY DANSBURY r�� Aran of claccnrbnry Tax Map ID:289,10-1-31/Property Address:9 Hemlock Road/Zoning:WR �- in 1 f t Community Development Office - The applicant has submitted an application to the Planning Board for Site Plan approval pursuant to Article 9 742 Bay Road Queensbury,NY 12804 of the Town zoning Ordinance for forAPPlicant proposes 572 s •fL attached garage and 148 aq•ft,addition for Compliance Letter kitchen areato an existing 1,012 sq.R.(footprint),1,782 sq.ft,(filoor area)home.The garage will have a loft 1 area for storage and stairs inside garage for access. Project includes kitchen expansion and renovation for a December 27,2016 master bedroom on main floor. Pursuant to Chapter 179-13-010 of the Zoning Ordinance, expansion of I L� nonconforming structure in a CEA shall be subject to Planning Board review and approval. TO: Applicant Name: Michael&Holly Dansbury Location:tion: 9 Hemlock Road Pursuant to relevant sections of the Town of Queensbury Zoning Code-Chapter 179-9-080,the Planning I Tax Map Number: 289.10.1.31 Board has determined that this proposal satisfies the requirements as stated in the Zoning Code; I RG: File Number: • AreaVarlancePZ252-2016 � ���>� L to i ZIIA Meetlug Date: December2l,2016 As required by General Municipal Law Section 239-m the site plan application was referred to the Warren County Planning Department for its recommendation;' File Number: Site Plan PZ 251-2016 PB Meeting Date: Decomber 22,2016 The Planning Board has reviewed the potential environmental impacts of the project,pursuant to the Siatrl Environmental Quality}review Act(SEQRA)and adopted a SEQRA Negative Declaration-Determinatiot A � 0,2i /N Your project,after review and consideration by the Zoning Board of Appeals and Planning Board was approved of Nan-Significance j-I.. (resolutions attached). The Planning Board opened a public hearing on the Site plan application on 12122x1016 and continued thy -1 7 � G y f 1�����Q✓ '1_ Additional requirements are as follows: public hearing to 12/22/2016,when it was closed, 1, Post Approval-Engineering Review ` I Submit 2 poples of the.revised prase to the Planning Office- The Planning Board has reviewed the application materials submitted by the applicant alai all comments ff t ,� ' I copy is for the record file I copy to be forwarded to the Town Engineer by the Planning Office for their review made at the public]leering and submitted in writing through and including 12122/2016; 1,)jjJ�g �/� 1 %• ; ` .r r t�a3 Ll and comment. The Planning Board determines that the application complies with the review considerations and standards 2, Fin@I Approved Plgps set forth in Article 9 of the Zoning Ordinance for Site Plan approval, lihl3� llaori'don1911 Ion o£;Jte above'engineeri � rgvi6%copythisComptianee Leller'and Planning Boetd Resoldtion,onto - [ the firial'aontoved lileliand submit S ive copies to the planning Office for the Zoning Administrnbor'sapproval- MOTION TO APPROVE, SITE PLAN PZ 251-2016 MIICHA1uL$HOLLY DANSBURIC:Inttaduced ,fi r � (�`� \4 One(1)copy will be returned to you in order to be posted on the project site.Please note that complete final plana by Paul Schonewolf who moved for its adoption; �' Ara must be submitted-this includes site plans,submitted survey,elevations plans,ate. ,l1�IrLOf.1F'fl�1�L ♦ fit Per the draft provided b staff conditionedupon on the following conditions: Please Note: Attaching compliance letter to the final approved plans is not sufficient-it must be copied ONTO the P Y P /' `` 0vl✓ � � plans to avoid separation during handling 1) Waivers requestrg anted: a} Rnginecring Fees are to be paid upon receipt;no final signatures will be given on the plans unfit all engineering 1 es t letter t Adherence erence o the items outlined in the follow-up eer senwith this resolution. fees have been paid. b) a) If applicatioti wall referred to engineering,then engineering sign-off required prior to sitwature of 3. Post Approval-Conlact Brucg Frank-Code ConmIlance Officer Zoning Adii-imistrator of the approved plaits; �!I� ' Once the approved'plans have been submitted to the Planning Office you must contact the Code Compliance Officer b) Final approved plans,in compliance with the Site Plan,must be submitted to the Community Q ��'' 1;11\/i 20�N�1 � for pre-construction meeting before any work is started,and at any lime during the site development should any pevelopmrjrt Department before any further review by the Zoning Administrator or Bui.'ding and r ® t& constraints,concerns ar questions arise, 'Mr.Frank will monitor the site development throughout the project for Codes perq0iinol; - 1 M Silt fence to be installed as noted. compliance with your approval;however,see item 4. J C�i i J.�('{u�iy'Yry'�`/ >� ��rInstallation y be In �� page I oft �� "�1 - 'lr�� 6 d1i � iii )� .""� ' Tom- to beginning demolition.page Loft I ✓�,_3SWL Noe- '6�E110 Phone; 510,761•Ur20 t NX: 516,749.44371742 any Read,rlucoushury,NY 126041 www,yUce_its_butyt;:! l V `7i _ Contact . gip. ��, Lc t 0AT-t> � � � 0 1a/EL� L�� Iln pe tijr, f thio 51t pjIp I to any dam -���� _ . . 1'D2•tq�8 "�C�'`�..16- i } p c) The applicant must meet with Staff after approval and prior to issuance of Building Permit Clg !1 QI�OG i�'i LL/ � �� � (' I :--..� - n Contact Bruce Frank,Code Compliance Officer at 761-5226• � t and/or the beginning of any site work; (� b) Applicant may apply for a building permit unless the proposed project requires review,approval or permit from d) Dimensions and setbacks to be noted on the site planlsurvcy,floor plans and elevation for the the Adirondack Pork A ono ,Lake George Park Commission or other State agency or department. existing roc g y g g y p g tt15 and proposed rooms in the building site improvements, e) Subsequent iti"rince of further permits,including building permits is e perdcnt on compliance with" 4.As-built niers and/or Certification meet be sub;nitted to this office for review and approval prior to the issuance of--- this and al bier condiaens of this resolulion; Final sign-off from lila Zonir:g<i�ar,rnent and/or a Car iriwx of Occupancy- f) As-built phula to certify that the site plan is developed accLrdm_ g r�i`; approved pians to be`provided r — - I prior to issuartea of the certificate of occupancy; i a) Irthere are no modifications or changes from the approved plan provide a certification from the project Resolution t4 he laced on final lane in its entire and legible. g) P P entirety gi = designer. _ �1�I f'Ip�tG }/1 �D�.'7� '}l /��i.X� '7�-Y�-t✓I...�� b) If there aw minor modifications or changes from the approved plan provide revised site plans with certification Motion seconded by Brad Magowan.Duly adopted this 22'day of December,2016 by the following vote: �� - r; 1 that the changes are acceptable from project designer. 1%tis rnn� Ge,do%nl%nl%y,nil/»'Oved nllntilristl'ntivCly '�Rx 1J' AYES: Mr.Magowan,Ml•,Ford,Mr,Ferone,Mr,Traver,Mr,Schonewolf,Mr,Deeb, Mr,Himsinger ` c) If those are major modifications or changes from the approved plan provide revised site plans with certification that the changes am acceptable from project designer. Thrs lvl/llykelj rcryrriru rc-rrppral•n!Gy tLe d'lnnnhrg NOES: NONE �• 5. Reercpdon Fee i $650 per lot/dwelling unit is payable with submission of Building Permit(Informational). - Notes: The approval is for one(1)year from the date of approval. You may request an oxtons ion of approval before IV* one(1)year time frame has expired If you have not yet applied for a building permit or commenced significant site IV* work. Subsequent Issuance offurther permits,Including building permits is dependent on compliance with this and all i Y other conditions of oris resolution. ' This office will be performing necessary inspections related to Site Issues,not Building Code issues,throughout the M duration of the project. Completion of and continued compliance with all details and conditions of op proved are required ------ _....--..._-.. ----------------- V -_.---..__. ----.•-_-_... in order to receive and maintain approvals. Please contact the Building&Codes office at 518-761-8256 for their requirements regarding submission of a building � � _�Q_�-,_'� .�CJ�D J�L .IG J(� 1IJ r4L ”W�v. t;/r•. �!��...,. permit. D -r q r 1 /� /� /� 1 ,+�' I n (V 5incera - - - lkl/��nt,./�.J...� _l�.Vr V.fJ�. �t�..I✓�l�`!(JV{r✓�._I�TJ..�f.�.��.V N ..�� o JA.1\1 11 2T,7 —1�4�f.I,OG�. ..rL,On® � �o��.l�. ��..__G2l�i:�fgf�U..t2`�1.1J'°� 12th g 1�1�12 :.c�.OI/I�..�t� I�EQ�II,r�..� . , I� ® . i DiarectorofPlanning&Zoning 1t7V�Il"� 1= (UEENSBURY I ` /�,r , ++ r p ,�� y,.� j I� Zoning Administrator 131J3L�41a9 ' I�ES = �L�OZ Li\t. �./D i� =./�I/i/.t{.y_Li�/`Cti.�S «c ` - O r, r ''` Looi2_U� l,o>s _ _lo_ `� /as �; ' � � � p� ��'• °�� _. � OR E.A � r � �7 �3� U I T ° p ., ��,, ��, � ► LDA - >liii 1TOWN Of tJ i i a LK_WWF- 15wJ \ ONO 60.4 r � rp O 1° rco , t. -)PPT, V L i'�E!'►�_. l,Dhi3 T v 0 ra t ` 0 70 iv� �l BY: : -;�- - Ji,�-0 P, �l_ :....... 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