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DEMO-000532-2017 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-000532-2017 Date Issued: Monday, September 10, 2018 This is to certify that work requested to be done as shown by Permit Number DEMO-000532-2017 has been completed. Tax Map Number: 227.17-1-11 Location: 12 SHORE ACRES RD Owner: LRD, LLC Applicant: Cifone Construction Co. Inc. This structure may be occupied as a: Demolition Only(residential) By Order of Town Board TOWN OF QUEENSBURY j Issuance of this Certificate of Compliance DOES NOT relieve the 4d) 4 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 g ..r Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: DEMO-000532-2017 Tax Map No: 227.17-1-11 Permission is hereby granted to: Crandall Excavating For property located at: 12 SHORE ACRES 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 Tyne of Construction Owner Name: LRD,LLC Demolition $0.00 Owner Address: 321 Broadway Total Value $0.00 Saratoga Springs,NY 12866 Contractor or Builder's Name/Address Electrical Inspection Agency Crandall Excavating 63 WOODCHUCK HILL RD Lake George,NY 12845 Plans&Specifications Demolition Only(residential) $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 7,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of rij urs S 7,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Tj(� V PUCATION Permit#:De G(X�5�1�' ' ��1-7 ))t L, 1E Permit Fee:$ SO -b Town of Queensbury B 742 Bay Road, Queensbu L80�4UG 2 5 2017Invoice:#: �� •lP:518-761-8256 www. u SUILDING&ENSBURY ODES l( Demolition Location: 12 Shore Acre's Tax Map ID#: 227.17.1 **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** CONTACT INFORMATION: • Applicant: Name(s): Cifone Construction Company Mailing Address, C/S/Z: PO Box 684, Glens Falls NY 12801 Cell Phone: ( 18 ) 361-0626 Land Line: 5( 18 ) 792-9242 Email: Office @cifone.com • Primary Owner(s): Name(s): LRD, LLC Mailing Address, C/S/Z: 321 Broadway, Saratoga Springs, NY 12865 Cell Phone: _( 804 ) 667-9524 Land Line: _( ) Email: lacredis@gmail.com • contractor: Business Name: Crandall Excavating Contact Name(s): Chris Crandall Mailing Address, C/S/Z: 63 Woodchuck Hill Rd Cell Phone: _( 518 ) 470-4694 Land Line: _( 518 ) 793-0431 Email: digcrandallinc@roadrunner.com Contact Person for Building & Code Compliance: Matt Cifone Cell Phone: _( 518 ) 361-0626 Land Line: J518 ) 792-9242 Email: mcifone@cifone.com Demolition Application Revised June 2017 DEMOLITION INFORMATION: 1. Where will demolition material be disposed? Fort Ann Transfer 2. Type of structure to be demolished: a. Residence X b. Garage c. Business d. Storage Building 3. What type of utilities are connected to the structure: a. Gas b. Fuel Oil c. Propane d. Electric X e. Public Water f. Well-Water Pump g. Public Sewer h. Other Lake water i. None 4. Have ALL utilities been disconnected? Yes No X ADDITIONAL INFORMATION: 1. Two inspections may be required: an inspection to determine that utilities are disconnected, if necessary, and a final inspection, after the structure is removed and the site is cleaned up and graded. 2. Twenty-four (24) hour notification is required for inspections. Declaration: I acknowledge that no structure(s) will be removed from the parcel until the demolition application has been reviewed and approved by the Town of Queensbury Building& Code Enforcement and Zoning Departments and a permit has been issued. I have read and agree to the above: PRINT NAME: Matthew Cifone A -— cam" SIGNATURE: DATE: Demolition Application Revised June 2017 227.17-1-11 DEMO-000532-2017 LRD, LLC. 12 Shores Acres Road Demo Only (asbestos report recvd) ANSON GEOLOGIC & ENVIRONMENTAL CONSULTANTS AN VLEET, LLC March 18,2016 Date: Of 1 C Mr. Daniel Davies AUG 2 8 2U17 ` Davies-Davies &Associates Real Estate LLC L t ! P.O. Box 201 T 0*N OF QUEENS ' w Cleverdale,New York 12820 ` RE: Pre-Demolition Asbestos Survey 12 Shore Acres Town of Queensbury,New York FILE COPY Dear Mr. Davies: Hanson Van Vleet, LLC conducted an asbestos containing material (ACM) survey of the residence at 12 Shore Acres in the Town of Queensbury, Warren Country New York, Tax ID: 227.17-1-10 (See Figure 1). 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 February 29, 2016. 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 structures 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 one story, three bedroom, one bathroom, residence, approximately 1000 square feet in size. The structure was of wood framed construction, on concrete piers with an asphalt shingled roof. 902 Route 146 (518)371-7940 Clifton Park, New York 12065 Fax(518)371-5885 S 1 Pre-Demolition Asbestos Survey 12 shore Acres Tax ID:227.17-1-10 Queensbury,New York March 18,2016 Page 2 of 3 The exterior was sided with vinyl siding. All exterior trim was wood or aluminum. The windows were vinyl framed, with no window glazing. The roof was asphalt shingles with a tar paper fabric underlayment. The interior construction consisted of T & G pine walls and ceilings throughout the great room. The three bedrooms and bathroom had drywall walls and ceilings. All floors were ceramic tile or carpet. Suspect ACM materials identified on the exterior of the structure included: one layer of asphalt roof shingles and the associated underlayment. Suspect ACM materials identified in the interior of the structure included drywall and mudded joints associated with the drywall. Bulk samples were collected of 1)asphalt roof shingles,2)tar paper underlayment, 3)drywall,4) mudded joints. Asbestos Containing Material Sampling Results 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 12 Shore Acres,Town of Queensbury,NY Sample No. Type of Material Location Approximate Quantity Result (square feet) SA-12-1A Asphalt Shingle Roof NW Corner Roof NA ND SA-12-1B Asphalt Shingle Roof NE Comer Roof NA ND SA-12-IC Asphalt Shingle Roof SE Corner Roof NA ND SA-12-2A Tar Paper Roof Underlayment NW Comer Roof NA ND SA-12-2B Tar Paper Roof Underlayment NE Comer Roof NA ND SA-12-2C Tar Paper Roof Underlayment SE Comer Roof NA ND SA-12-3A Asphalt Shingle Roof West Center Roof NA ND SA-12-3B Asphalt Shingle Roof SW Comer Roof NA ND SA-12-3C Asphalt Shingle Roof NW Corner Roof NA ND SA-124A Tar Paper Roof Underlayment West Center Roof NA ND SA-12AB Tar Paper Roof Underlayment SW Corner Roof NA ND SA-124C Tar Paper Roof Underlayment NW Corner Roof NA ND Conclusions Materials are considered asbestos containing if they contain I % or more of asbestos. No asbestos containing materials were identified within the residence at 12 Shore Acres, Town of Queensbury, Warren County, New York. No asbestos abatement is required prior to demolition of the structures. Pre-Demolition Asbestos Survey 12 shore Acres Tax ID:227.17-1-10 Queensbury,New York March 18,2016 Page 3 of 3 If you have any questions regarding this survey,please contact us at(518) 371-7940. Very truly yours, Hanson Van Vleet, LLC � e/ z l�- Kirby Van Vleet NYSDOL Class D Inspector Certificate#07-05263 CC: NYSDOL Attachments Ak BMSL Analytical, Inc. EMSLOrder: 041605288 200 Route 130 North,Cinnaminson,NJ 08077 CUstomerlD: HANS22 Phone/Fax (800)220-3675/(856)786-5974 CustomerPO: 12 Shore Acres htto://www,EMSL.com cinnasblaba.EMSL.com ProjectiD: Attn: Kirby Van Vleet Phone: (518)371-7940 Hanson Van Vleet, LLC Fax: (518)371-5885 902 Route 146 Received: 03/03/1610:15 AM Clifton Park, NY 12066 Analysis Date: 3/16/2016 Collected: 2/29/2016 Project: Shore Acres Test Report:Asbestos Analysis of Bulk Material Analyzed Non Asbestos Test Date Color Fibrous Non-Fibrous Asbestos Sample ID SA-12-1A Description NW Bedroom Closet-Drywall 041605288-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable 3/1 612 01 6 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 SA-12-1B Description NW Bedroom Ceiling-Drywall 041605288-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable 3/16/2016 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 SA-12-1C Description NE Bedroom Ceiling-Drywall 041605288.0003 Homogeneity Homogeneous PLM NYS 198.1 Friable 3/16/2016 Brown/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 SA-12-2A Description SW Bedroom Ceiling-Joint Compound 041605288-0004 Homogeneity Homogeneous PLM NYS 198.1 Friable 3/16/2016 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 SA-12-2B Description NE Bedroom Ceiling-Joint Compound 041605288-0005 Homogeneity Homogeneous PLM NYS 198.1 Friable 3/16/2016 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 Initial Report From 03/16/2016 22:49:08 Test Report 198VCM-7.30.0 Printed:3/16/2016 10:49:08 PM Page 1 EMSL Analytical, Inc. EMSL Order: 041605288 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax. (800)220-3675/(856)786-5974 CustomerPO: 12 Shore Acres httw//www.EMSL.com cinnasbiab OEMSL.com ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos _Test Color Fibrous Non-Fibrous Asbestos Sample ID SA-12-2C Description NE Bedroom Ceiling-Joint Compound - 041605288-0006 Homogeneity Homogeneous PLM NYS 198.1 Friable 3/16/2016 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 SA-12-3A Description West Center Roof-Shingle 041605288-0007 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 3/16/2016 Black/Green 9.8% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 3116/2016 Black/Green None Detected Sample ID SA-12-38 Description SW Corner Roof-Shingle 041605288-0008 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 3/16/2016 Black/Green 21.8% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 3/16/2016 Black/Green None Detected Sample ID SA-12-3C Description NW Corner Roof-Shingle 041605288-0009 Homogeneity Homogeneous PLM NYS 198.1 Friable _ Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 3/16/2016 Black/Green 13.0% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 3/1 612 01 6 Black/Green None Detected Sample ID SA-124A Description West Center Roof-Roof Tar Paper 041605288-0010 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 3/16/2016 Black 21.2% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 3/16/2016 Black None Detected Sample ID SA-12-48 Description SW Corner Roof-Roof Tar Paper 041605288-0011 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 3/16/2016 Black 19.8% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 3/1 612 01 6 Black None Detected Initial Report From 03/16/2016 22:49:08 Test Report 198VCM-7.30.0 Printed:3/16/2016 10:49.08 PM Page EMSL. Analytical, Inc. EMSL Order: 041605288 200 Route 130 North,Cinnaminson,NJ 08077 CustomeriD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: 12 Shore Acres htto://wvAV.EMSL,com clnnasblab0EMSL com ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID SA-124C Description NW Comer Roof-Roof Tar Paper 041605288-0012 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 3/16/2016 Black 11.5% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 3/16/2016 Black None Detected Analyst(s) Anel ens Daniel Frisker Debbie Little Benjamin Ellis,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 Vermiculite containing samples are available athttp:/Avww.wadsworth_orgAabceNelaoceNformsMermiculitelnterimGuidance ReV070913.1)df 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 ELAP 10872,PA IDN 69-00367 Initial Report From 03/16/2016 22:49:08 Test Report 198VCM-7.30.0 Printed:3/16/2016 10:49:08 PM THIS IS THE LAST PAGE OF THE REPORT. Page OrderID: '041605288 EMSL Analytical,Inc. Asbestos Bulk Building Material 200 route 130 North Chain of Custody Cinnaminson,NJ 08077 L.INC. EMSL Order Number(Lab Use only): PHONE:1-800-220-3675 aMSL ANAlYY1CAO ` �M*�'• 'rn•*^AO�� � Cr'\T) FAX:(856)786-5974 Hanson Van VleetLLC EMSL-Bill to: Same M Different Company: , If Bill to is Different note instructions In Comments" Street:902 Route 146 Third Party Billing requires written authorization from third party City:Clifton Park State/Province:NY Zi /Postal Code:12065 Count .United States Report To(Name):Kirby Van Vleet Telephone#:518-371-7940 . Email Address: kvanvleet@hansonvanvlet.com Fax#: 518-371-7940 Purchase Order:12 Shore Acre Project Name/Number:Shore Acres Please Provide Results: ax J mall ail U.S.State Samples Taken:NY CT Samples: CommercialfTaxable 171ResidentialifTax Exempt Turnaround Time AT Options*-Please Check 3 Hour ❑6 Hour I Ll 24 Hour I ❑48 Hour I Ll 72 Hour I ❑ 96 Hour I ❑1 Week I JK2 Week *For TEM Air 3 hr through 6 hr•please call ahead to schedule.*There is a premium charge for 3 Hour TEM AHERA or EPA Levet 11 TAT. You will be asked to sign an authorization form for this service. Ana6rsisconmiplatedineccordance with EMSL's Terms and Conditions located In the Ana isal Price Guide. PLM-Bulk(reDortina limit) TEM-Bulk ❑PLM EPA 600/R-931116(<1%) ❑TEM EPA NOB-EPA 600/R-93/116 Section 2.5.5.1 ❑PLM EPA NOB(<1%) ®.NY ELAP Method 198.4(TEM) Point Count ❑400(<0.25%)❑1000(<0,1%0) ❑Chatfield Protocol(seml-quantitative) Point Count w/Gravimetric❑400(<0.25%)❑ 1000(<O.1%) ❑TEM%by Mass-EPA,600/R-93/116 Section 2.5.5.2 ❑ NIOSH 9002(<I%) ❑TEM Qualitative via Filtration Prep Technique 14 NY ELAP Method 198.1 (friable in NY) ❑TEM Qualitative via Drop Mount Prep Technique ® NY ELAP Method 198.6 NOB(non-friable-NY) - Other ❑ OSHA ID-191 Modified ❑ ❑ Standard Addition Method LN Check For Positive Stop-Clearly Identify Homogenous Group Date Sampled: 2 ZQ �A. Samplers Name: Ki(� �/Ctc�V�� Samplers Signature: vim, K�.�� Sample# HA# Sample Location Material Description AJ U-:1 aP' ged troc„"., c.e.1'l Dr w aj-P, Vt s - w C caQ/ itn cmc/rK 1• eo Ci SO-/z-34 foL /Za 5(A qr� /z- 3!3 _ S w co Ato Client Sample#(SSR^ f Z- i - .36-1z- Lf C Total#of Samples: Relinquished(Client): Aae vim- GAJ Date: L Time: /jO:ZD 41,,nj. Received(Lab): Date: 3 ' Time: CommentsanVat,LL Instructions: Fad m Hanson Van lest,LLC,902 Route 146.ClAton pa NY,12065,Untied States (- -/ AtlenGon:Kilby Van Meet Phone:518.3 71-7940 Email: a vieet@hansonvanvletcom Purchase Order `,y, (CAA�LL4 ` / N Lit Page 1 of pages n, nF 7 0r'ZierID:- 041605288 EMSLAnalytical,Inc. Asbestos Bulk Building Material 200 Route 130 North Chain of Custody Cinnaminson, NJ 08077 EMSL Order Number(Lab use only: PHONE: EM6L ANALVTICA4 INC. 1-800-220-367586-59 '"'°""''°""•"'°°"°"""'°�'° Fnx: (856)786-59744 DO Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Sample# HA# Sample Location Material Description 5.4 2-3 c-- /l7 ( --) Cc tL&I /10 d e2 0A 6i'- 20 54. /z- y13 S U-) do 6 -er— m _ tr TommentslSpeciai Instructions: 9i11To"Hanson Van Vteet,LLC,902 Route 148,Dillon Park.NY,12065,United States Ahenbon.Kirby Van Vast Phone:518.371.7940 Email:kvanvleet@hansonvandet.com Purchase Order. Page '? ofa pages New York State,' Qep rt ent of Labor i i Division oftS�f,, And�I alth!' s License and l3ert��icalcunib State Campus Bull ng12t Albany,NY 12240 lk ASBESTOS HANDLING LICENSE Hanson Van Vleef LLC s » FILE NUMBER: 05 0220., Y a ( 63 , LICENSE CLASS: RESTRICTED. 902 Routg 146 ,, , 1i . DATE OF ISSUE: 03/09/2015 Clifton Park, NY 120 c !. ,'' i° .;) EXPIRATIQN DATE: 03131/2016 V, ),lJ: Duly Authorized kepresentative•' Kirp�/Va j�f Titis'license b s egn issued in ac pt' a(icq' id lieA 3�e• r'ovl§�oi� `o Al e' 0'�if the L pbr Law of New YQik'State and of j the New YQrk`Stat©,Codes,Rules(aii¢! egt} t>o �I2 NYRR Pate SG) �t is sect tb su e�nsion or revocaf�on`for a(1) ' set tour v►o ttott of state,federal or 1,ca� a s t. ggat pjbe conal�ct of a s iesto pr� ct,or(2)demotis�tated lack of tespotisibil ty if the conduct of any'101 an olvt gasbgs 'tit telta]F y t}� i 1 t i t1�4 �i� . j f. j This license is valid only for�t}h,e conhactor�tSrited abo a and this]ibense dr a p$oto�opy must be prominently displayedJat the asbestos pt oleo wotkstte;;Th s l cepse vertfittis that a►I. prisons employ.4d b the licenliee on an asbestos pt o�gct m New Yo>yk State Have been,issu6d an Asbestos Certificaapptnp►'latg fot the.,type of- ork they perform,by tl}e New Yolk.State Department of Labor. 1.4 F • ; � is `Eileen M.Franko, Director SH 432(8112) For the Commissioner of Labor STATE Of r�lr.W YORK DrTARTMEN1 0F LABOR ASBESTOS CERTIFICATE I' K VANVLEET CLASS(EXPIRES) D INSP(04/16) I c ( T 2,c) „% i� ,i c, s l)���{. a i_ ��i_ .',ir MUST BE CARRIED ON ASBESTOS PROJECTS 1 �I I 'IIII�I�IIIIIII�f I � 1F FOUND RETURN 1'O: j ®_ EYES ELU NYSpOL ®a°i ROOM 161A BUILDING 12 � r, HAIR GRY cq®cq HG`I' 5' 10n .STATE OFFICE CAMPUS 0 �I ®" ALBANY NY 12290 N I ®o iI `® I I C- OARTIN Environmental Services, Inc. 1710 Erie Boulevard, Schenectady,New York 12308 Phone:518-372-8200 Fax: 518-372-9900 CGUVJ ...-."°' August 25'x', 2017 2 g 201? y LRD LLC �" r r , 321 Broadway B 3y Saratoga Springs,NY 12866 Dear Ms. Devine, This letter is to inform you that all of the asbestos containing materials identified in the Hanson VanVleet Pre-Demolition Asbestos Surveys have been removed from the two story brick residential structure located at 12-24 Shore Acres Rd. in Queensbury,NY. All removals were performed in accordance with local, State, and Federal Regulations and satisfactory final air clearance results were achieved on August 22,2017. Should you have any further questions or concerns regarding this matter please feel free to contact me directly. Respectfully, Jason G. Frasier Project Manager Martin Environmental Services, Inc. 1710 Erie Blvd. Schenectady,NY 12308 Office: 518-372-8200 Fax: 518-372-9900 Mobile: 518-424-8445 Email:jfrasier ,martin-env.com ?ltiQ 3bn, IS 1 �S)3 �nd OdN1G � idl; !"�3NlI A183dO�Jd 3H1 WO�d ri14 rf � Ad]AVH I 7- J- Ripley \ ttri q¢ Point •'�� 1 t }!�{ C) Mi d d l e lBay Kattskill Bay ' f � .i ..,fig ;', � ���'• .,-d--�,... / Cleverdale i Sheldon Paint ! q w Sandy 3a{/ ;Rcxkhurst le' N Assembly_ oint beck Harris 1 Bay Happy family : #— islands i ­71 - 4 ` . 1 , BMd/;� Brayton, 1>t t „� 1�North E3 U rr1 t _ ch. iii r3 Hill I AUG 25 2017 M € e � a � F SITE LOCATION MAPiN OF OUEENSBURY 6 FIG-1 12 & 24 SHORE ACRES, CLEVERDALE H aNsoN 111 r% pp<dmATER gUPPLY & --rNVIROlaiF-PYTAL.CPtiiULTANTS VANVLEET, LLC 902 QUEENSBURY, NEW YORK ROUTE 146 CLIFTON PARK,NEW YORK 12065 (518)371-7940 FAX(516)371-5885 - - - Q �w _ - - - - M Hees ap Re re 4 R . L end: � � Deed References: U - Le . O IPF=Iron Pipe Found - �`"� - Tax Parcel:227.17-1-10 Map Of A Survey Of A Portion Of The - r I k Fred G. Fielding Estate Known As The O CIRF= Capped Iron Rod Found { A 1 a Lupe Ow -, - "Gunn Farm" - Q me' en Noir: o MMF=Marble Monument Found � To - Q O C/RS= Capped Iron Rod Set/To 8e Sef Steven Lupe Owen, et a1. Made For "" < lie To Those _ = 1. tine 8 1985 ��._--,-tr F. he Rights Of The Pub .J Dn Richard Fielding �w p Excepting And Reserving t R g Lan{�s Lying Within The Bounds Of Cleverdale Road, -Stone Wall lc Dat Dated:December 5, 1951 --� + o-- = W �n,� Book 671, Page 561 &_:' LA o - Praxis Lines Run to Apparent Centerline Of Cloverdale Road Property = Utility Pole i By:John B. Van Dustin c� lr�- ,>a v Ha f ng A Right-Of-Way Width of 50 Feat(25 Eifher Side Of Centerline). ��z 'D 1> C ij x}c =Light Pole Tax Parcel;227.17-1-11 Ma OfA Survey Of The Fielding Estafe - `� , t �'°" r`�g' o Qs = Septic Manhole Cover . ,Ralph H. Schoenherr p '- Made For ' ' _ 1 I Q Ellzabeth'C, Schoenhen t`% o 0.0 = Trees. To Dr. Richard Fielding Dated:March 1952 Amelia Lupe Owen By;John B. Van Dusan 6l r w°, . = Shrubs 'r - J. I Dafed:November 21, 1984 -. �„-, M - ` Book 666, Page 538 Map ®f Lands Of l.f.- ; - Q _ ` ==j �� a Ralph H. &Elizabeth C. Schoenherr ----""` " r-- Uj Vertical Datum:NGVD23 w �.. <����_ . x ' - By:Rayedmond J. Buckley r csIt . i I - 1. .- .--gam - I �, Map Of A Portion Of The Lands Of _ / � Y . b Ra &Jean Nelson CIRF / a Y / . / o i ----, ---/ � I r Revised.August 20981980 / ` _-- . ' -- ---' -- � _ � - I% By:John B. Van Dusen . � w Map Of A SurveyMade For Chiseled"x"On .— ' i' LANDS N/F OF '4 . 42' Nall Found I'llLANDS N/F OF Dr. Colgate Phillips 0,42'North Of lane Boulder �' — ERPRISES LLC INWALD,ENTERPRISES, LLC Dated:December 23, 1980 r� 1�''-" �j° INWALD ENT - �j, 3380/213 7 Y � f 3486/252 B John B. Van Dustin ti o ® ��, -GIBS _.>s 1 PC •- 1 J� House Corner - . I . l ... _ _ . Pd,okAer9 k 1 ` oOGk Clear Dy 6.5' Ad�Olner'9 Wood iouse Corner Vexed pp° - jy Frame House r year a, 7.T IRF--\ L 0 P Go S -MMF 4'P/C Dran . �w,a 44 20'Maple Ill _.. �� CIRF h 4"Pvc Dram (Center)o.5a S70 37'26"E t 25 ° - ®' +� 0,3 Nott . North or tine ,/ IPF �' I \ � - - 'd Of lane =%=?",,,---:.., `I • • ' 261.59' _ v r,�� m , �-+' House Corner . f .a ,') ;-- � ' ° 'O2"E ` - ��, Clearey6.4' o �. art �Z . q _ __. - S703754EN57 34 ! 1� Cir t 'r 47 9.25' / w . 93.72'. • 1 • ' r rte" t C{RF Drainage Ditch/ I * 0 ,�L� Ae � $ - I M 8't I/2"IPF7F ------ . (), �y P 0 o6 ° I 1.x.'4 Mean HLA KEigh Water. 320.20' I 0 I.-4 W, , m 114.51' • 25'Setback A a / 9null Trees and Brush `� r . 25'Setback • . ti (3 lii • • �- - C t ---- ____ ._ _ i a�� / 0 / Crushed StoneJGravel _ _ ' -- --_._. --_._ .� E dock �f,� '.A' / � / - -.__-' 3roken asphalt LO i I / / CO '' ' C (0 . , .. 1 28't Alon Shore d� / 0 . 2 g \ / / • / 1. p lei �\ \� P =C4 f Tie Line , -,, \ PROPOSED TOTAL MERGED - - 211.91 ' Area / ), = r 123,871 t sq. ft. I .(*:� - . I I,— . . '1� Q*I i'T• /. k T^��• •l \, cz . �,rG--� 2.84± acres / / "i- 1, �� I � . . '�- - I (:yam. ` i w Landscaping / _ - �y. 0 I X I r g� jj�,; I 0 . I -� . . X . .:- � I . �,-/ (:) . . I . 9 : / ,� �., 'i Porch ' 7-1-11 m ® �o b" � ', 11 , obse .ti1. % �_ I. ' % rax Parcel: 227. 1 - ( ` « s �ye� _- O / - 1. _ - . - - er q � �t L t . .. amu— • - b r p :' VN' ° ^` aC tick _ `" Vd 3 t • - ,,•, t S- . _i / ( , �_ Z d� o Walt , ,s s R t_ x.-i^ , �' / p t` ' , gtone/Masonry a -•,,- : M. g 3 > W m - A 0� a -. F �i `. s _ °Ci :, I ° �� .r dear 1 } l.::I / _ _ ,js �» _.s.. 0 - ro ? m �� 1� - .1� . Z� -6 1 � � I . . � . � I � - �I r , I 0 � -I ,, * ) � 1, I I . -L � �� . , � .I - 11� � / � 0 . - � I I-1 � - � I - . %'mow I0 , - ! W I I DOC �=: ,. Slate Stepping Stones I i C/ \I \ / f ,I • ` a . k 1.� "' IL � _ c \' ' • tis.pdT nr, j ° 25.0 �✓ , I S Y �\ • - I Dock r Deck 3 ; r I , O(D tot -• % j 0 � ;' " •. - I'll 11 1,16 Potable i 7. �� L ° 6 I Water Line\ i+f. ,:. :..!r�,,zt' 0 - _ t��rr6 Covered I f .1-: �* :0 ���' .I 0 I dock l.1 j , f Porch :,��-r— . _e—vx- f I � I I I . ", 0 ; -, 00 * I I , (j - - (L) , �( M 1� C �/ ...... -..--—-. Pirej I 1® ' 0 a+ r 0 1 .,1.-. O . i I -' - " L I � 1 1 - . I� � •- Pit - ' , I 1, . '; � ��, " -- , � -— ........ -,� _ _ z r . � II, D 3� L N � � � 1, , I � �:.L,- 1% .I , L, ,� I -.I I I ,—�..— -, VL -� - I r . I I I I I �, rr L � r,. ' -�:. . I �r :11 7 Ir — _,. ��-.——,- ----- -- . ---- --,. —/ I . 1. . I \!�� : / / (j n ,� � 'f' ———i:D �d � .I .I �I ;.I - �I ... �.. ��- c -.� I ,��I I I ,---� TO�y� r I - ��i, _ 1` y nRE y I -' _--...._... --._�, °' tl� - - . � I I . '. '� � , % i . ,, 1 " �r r _._.. -- PLACE - . ............._� 1 -, ,w,// /\ _ ,tr x l _.. _,.• ..._ E �/ --l.. . �, . / s �\ . �` _ i . 11 ,. a _._.. _.. l0 _- -- VJ 11. 1 ' 7 u .. _ f„ } Potable f`Jr a Q 1 1` / �I/ Water L ne %tt, r Sto C $ �� i 25 5etbac r Wood Frame t7ou u C1 4'Verit Pipe \--'_.,^--- � m I4 ,�✓ - - I 11, � � - I - I/ . � - 0 � I • -- • y I. t - - . - -- ,I - , I �, � ,�t I P 4 1/2" IPF I� • -- �� � I* I AWL • r + � . �� Propane i — — — / Tax Parcel: 227- 17-1-10 - �n _ / g� ; I6 V_ .1 I o 756 _ Crushed Stone/Gravel �` 3®$,$2' °` 5 SMF N '" N57 .4gf, �_' A �� MMF l r°^�hw. 5torageArea p °`S9;1Ta" N72°0�36pW , I - , - -- — I I � / . r ry 1/2 IRF - 900.30 � C �- �i Overhang \ € 1. Over by 0.50 `-�` IRF 11 ar IJ64"3/'UU nW --____.• --� t F CIRF 7 � o - - �<„� ww.rsmz. N Mrn ' CIRF O CIRF {”IPF MMF ' k - ad - Puel Cover C Joiners wood � . - . - Frame House + .. Y J_ �_ , .� - % i — r ---•�— ---- _ Date JULY 1a, 209 / / J _ .--- '� BCaI® '1°x20' m . . % 1. . . . . -, , I , I ) -------- --� � "�,,---'i�r�i�� '. I Crushed Stone/Gravel D -- rwe J 11 Lands N/F Of. — 1/2° IPF i- . . / - — — Z] � . James J. &Joan E. Meyer :1 i clRe � CIRF OF 1., 4467/241 SHEET 1 4 O fl D. 11 _ . , . DWG, NI 11O. 0 62401.1�11" 111.1 LRD 1 I I'll - . , 'S . _ I . . " . `� 4 • . I. - _ . . . . . . . I . I . � . I � i . . . I . . . . . . . . . I i * I I . I . . . I I I - I