application Office Use Only
+� ��a --- Permit#: lr�^'�.(�, 075, —2CY
DEM 1 1 IEPFHAA� AP'110 `
Permit Fee:$ S 10 ,OC)
Towzi of Queen DEC
sbury 11�f 13 201
Invoice:#: 7 Z(n('2
742 Bay Road,Queensbury, NY 12894 TOV'VPJ O
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P: 518-761-8256 www.gueensburyi-net DJ1!► f0� ��y
Demolition Location: lg5q S el 9 Tax Map ID#:
0
**AN ASBESTOS REPORT IS REQUIRED WITH ALL
DEMOLITION APPLICATION SUBMISSIONS**
CONTACT INFORMATION:
• Applicant:
Name(s): J7
Mailing Address, (/S/Z: s S
Cell Phone: (_S)f ) 7gb-7b SZ Land Line: ( -.Q ' ) 7 93
Email: / j') ken as e (P Q 17MAJGu L�,�� I�/�' (,l.J/ , Gan--)
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone:_( L Land Line: _( )
Email:
SI Check if all work will be performed by homeowner only
• Contractor: Workers' Comp documentation must be submitted with this application
Contact Name(s): !Da-n.'r ACa, %• A , J 6 CLI?G
Contractor Trade:
Mailing Address, C/S/Z: P1) (��b,c
Cell Phone:_( ) Land Line: _ -6-jF ) yVoF-*JQD.
Email:
"List all additional contractors on the back-of this form
Contact Person for Building & Code Compliance: �g4A d
Cell Phone: _( j ) 70(.c --)b SZ Land Line: _( S�F-7q3 -3190
Email:
L`
Demolition Application Revised February 2019
r
1.
DEMOLITION INFORMATION: I�..L/
1. Where will demolition material be disposed?� sr 2) , A v s Lyn c1`
2. Type of structure to be demolished:
a. Residence
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 7
e. Public Water
f. Well-Water Pump
g. Public Sewer
h. Other
L None
4. Have ALL utilities been disconnected? Yes No j
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.
3. Workers' Comp insurance information is required to be submitted with this application.
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: �,( /�d . f/mob LIT
SIGNATURE: (,/ rf.I� DATE: / /.3 /9'
Demolition Application Revised February 2019
1
JAN J 4 2020 k AIR SAMPLE DATA REPORT
EN1!IROHaE:NT6G SERN(CE5
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O��DID i- C?7��1� �
CLIENT: IUT Lli7 W&C"i P OdECT:- f s INK) PROJECT# AC)-`L'T,-!a7 A J
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PLC. ADDRESS:MASLs 'h(GLl+ 1 agr-P4--!_,crf' t AjJ,? LAM S f i
ROTAMETER#: 11[ht WORKAREA: kj-,V COLLECTED BY:t'z_PUOW3,
ABATEMENT
CONTRACTOR: DATE COLLECTED:0-II'-�Q
CONTRACTOR l
SUPERVISOR: QUANTITY: 1 A'CK,`--C:. r-RIIA,Rt_P
Circle One �PCIVI N TEM Circle One BACKGROUND 'PRE UR1N.-"FINAL QC
-- WrIAL '"^a
SAMPLE LOG START STOP TOTAL FLOW TOTAL FIBERS FIBERS FIBERS/
NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME FIELDS /mm= cc DC
FLOW (LITERS)
(LIMIN).
s`" O
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5 I Z
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REL-INQUISHE%BY: RECEIVED BY: DATE: TIME: Comments: FB Ave.= fibers/1.00Fields
1 2. t `�+J+F �vie!S rho ' vSwf q5
/
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47 S S /���� C{Cove�YrC� �v'1ry$ VoJlbycQ
LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: START STOP
TIME: TIME:
tom_ -hsa 1/IS holaBYS IcK DAVFY 1 �3 to oQ3o l 01Z
*Below the limit of Detection [ ]**>50% Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
icrosco a Used: Olympus CH2.7L:0215(Field Area=o.o075eemm°), Nikon 131-545(FleldAma=o.0oeo12mm=)
Standard Deviation L # i Standard Dev L # !Standard Dev Log# /Standard Dev
NYS DOH ELAP#11740'.Analytical method used:NOSH 7400 A Rules,Issue 3:29 Apol 2019,revised 14 June 2019.
Doc,#ASDR-a24,Rev.5,10114%.
Lab RSD:5-20 fibers(Low),20.5-50 fibers(Medium).>50 Fibers(High).. Nick Davey,Lab QA/QC Officer
Limll of deteedon is 7.00 flmm2;Fibendoc has been c�dculated after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that If samples are
collected by the client,results can be verified by Alpine through Vmm2only and relate only to the Items tested.
Samples received in good c ondltion and meet lab acceptance c4teda unless otherwise noted.
Report may not be reproduced,except in full,without written,permission of Alpine Environmental.
BDL=Below Detectable Limits \ Craig Petreikis,CIH,Lab Director,Report Date
QC_ Signed_ Scanned_ DOL_
438 New Kamer Road 0 Albany, New York\i`2205•Phone:(518)250-4047•Fax(518)250-4353 Page t of
555 '•. .w3 .ATE O YORK Department
I i a
OPDORNNITY. -
j of labor ; I
r r Andrew M.Cuomo,Governor
Ro erta L.Reardon,Commissioner
FILE Copy
November 5, 2019
Alpine Environmental Services
436 New Kamer Road ; 288.12-121 DEMO-0793-2019
Albany, NY 12205 Kenny, David
i
RE: File No. 19-1424 1454 State Rte 9
t Dear Sir/Madam: Demolition of commercial building
I
_
STATE OF NEW YORK
DEPARTMENT OF LABOR
DIVISION OF SAFETY AND HEALTH
The attached is a copy of Decision, dated, 11/4/2019,which I have compared with the
original filed in this office and which I DO HEREBY CERTIFY to be a correct transcript
of the text of the said original.
If you are aggrieved by this decision you may appeal within 60 days from its issuance to
the Industrial Board of Appeals as provided by Section 101 of the Labor Law. Your
appeal should be addressed to the Industrial Board of Appeals, State Office Building Campus,
Building 12, Room 116, Albany, New York, 12240 as prescribed by its Rules and
Procedure, a copy.of which may be obtained upon request.
WITNESS my hand and the seal of the
NYS Department of Labor, at the City of
i
Albany, on this day of 11/4/2019.s ,
I
Edward A. Smith, P.E.
Professional Engineer 2 (Industrial)
STATE OF NEW YORK
DEPARTMENT OF LABOR
STATE OFFICE BUILDING CAMPUS
ALBANY, NEW YORK 12240-0100
Variance Petition
ik Of
File No. 19-1424
Alpine Environmental Services,.Inc
Petitioner's Agent on Behalf of DECISION
Case(s) 1 - 3
1454 State Route 9, LLC
Petitioner ICR 56
in re
Premises: Clarion Inn & Suites
1454 State Route 9
Lake George, NY 12845
Removal of Vermiculite & Rolled Roof/Vapor
Barrier Using Controlled Demolition
i
I
The Petitioner, pursuant to Section 30 of the Labor Law, having filed Petition
No. 19-1424 on October 30, 2019 with the Commissioner of Labor for a variance
from the provisions of Industrial Code Rule 56 as hereinafter cited on the grounds
that there are practical difficulties or unnecessary hardship in carrying out the
provisions of said Rule; and the Commissioner of Labor having reviewed the
submission of the petitioner dated October 23, 2019; and
Upon considering the merits of the alleged practical difficulties .or
unnecessary hardship and upon the record herein, the Commissioner of Labor
does hereby take the following actions:
I
i
' Page 2 of 5 File Number 19-1424
Case No. 1 ICR 56-11.5(c)(2,7)
Case No. 2 ICR 56-8.9(g)
Case No. 3 ICR 56-9.2(d)(1)
vARIANCE GRANTED. The Petitioner's proposal for controlled demolition
removal of various ACMs, quantities as stated in the attached proposal, at the
subject premises in accordance with the attached 3-page stamped copy of the
Petitioner's submittal, is accepted; subject to the Conditions noted below:
THE CONDITIONS
1. As written with modifications as noted.
2. A full time independent project monitor shall be on site and responsible for
oversight of the abatement contractor during all abatement activities to
ensure compliance with ICR 56 and variance conditions and to ensure that
no visible emissions are generated. If visible emissions are observed,work
practices shall be altered according to the project monitor's
recommendations.
a. The Project Monitor shall perform the following functions during
asbestos abatement projects in addition to functions already required
by ICR-56:
b. Inspection of the interior of the asbestos project work area made at
least twice every work shift accompanied by the Asbestos Supervisor;
c. Observe and monitor the activities of the asbestos abatement
contractor to determine that proper work practices are used and are in
compliance with all asbestos laws and regulations;
d. . Inform the asbestos abatement contractor of work practices that, in the
Project Monitor's opinion, pose a threat to public health or the
environment, and are not incompliance with ICR-56 and/or approved
variances or other applicable rules and/or regulations;
e. Document in the Project Monitor Log observations and
recommendations made to the Asbestos Supervisor.based upon the
interior/exterior observations of the asbestos project made by the PM.
3. The PM shall alert the local District Office of the NYSDOL Asbestos Control
Bureau whenever, after the PM has provided recommendations to the
Asbestos Supervisor, unresolved conditions remain at the asbestos project
site which present a significant potential to adversely affect human health
or the environment.
Page 3 of 5 File Number 19-1424
Secure the Work Site
4. The entire controlled demolition area and all surrounding portions of the site
to be utilized for demolition cleanup,staging areas and regulated abatement
work areas, shall be enclosed within a barrier or fence. The intent of this
barrier is to define the restricted area at the work site, alert the public to the
asbestos work and associated hazards, and to prevent unauthorized entry
onto the work site.
5. Signage in accordance with the requirements of ICR 56-7.4(c) shall be
posted on the exterior of the work site boundary fence/barrier, to warn the
public of the asbestos hazard.
Establishment of Regulates!Areas
6. The regulated work areas, decontamination units, airlocks, and durtipster
areas shall be cordoned off at a distance of twenty-five feet (25') where
possible, and shall remain vacated except for certified workers until
satisfactory clearance air monitoring results have been achieved or the
abatement project is complete. These areas shall have Signage posted in
accordance with Subpart 56-7.4(c) of this Code Rule. For areas where
twenty-five feet isn't possible, the areas shall be cordoned off as practical,
j and a daily abatement air sample shall be included in the vicinity of the
i barrier.
I ' Controlled Demolition Removals
7. The provisions of 56-11.5 shall be followed for all vermiculite and non-friable
controlled demolition removals, except as modified by this variance.
6. Decontamination system enclosures and .area' s shall be constructed and
utilized as per the requirements of 56-7.5(d) and 56-11.5.
9. Uncertified personnel shall not be allowed to access any regulated
.abatement work area, with the exception of waste hauler truck drivers.
These truck drivers will be restricted to their enclosed cab,while temporarily
in the regulated work area for waste transfer activities only. All equipment
operators utilized for demolition or removal activities within the regulated
work area must be certified in compliance with ICR 56-3.2.
10. No dry disturbance or removal of asbestos material shall be permitted.
i
11. Wastewater shall be confined within the controlled demolition area
Page 4 of 5 Pile Number 19-1424
12. All demolition debris, structural members, barrier components, used filters
and similar items shall be considered to be asbestos containing
materials/asbestos contaminated waste and treated accordingly.
Perimeter Air Sampling:
13. In addition to the requirement of Subpart 56-4.9(c), air monitoring shall be
conducted daily at the perimeter of the work area.
14. A minimum of two upwind air samples shall be collected. The.samples shall
be spaced approximately 30 degrees apart from the prevailing wind
direction.
15. A minimum of three downwind samples shall be collected. The samples
shall be equally spaced-in a 180-degree arc downwind from the source.
16. If more than one shift daily is required to accomplish the work, air monitoring
within the work area during abatement shall be performed on each shift.
Preparation of Waste Transport Equipment:
17. Dumpsters/trailers used to haul non-friable ACIVI materials_ do not need to
be doubled lined as required by ICR 56-11.5 (c) (11).
18. Such trailers must be made air, dust and water tight prior to leaving the
site.
19. The contractor shall observe, at a minimum, the following waiting
(settling/drying) periods: Demolition-2 hrs.
20. In lieu of post-abatement clearance air monitoring in compliance with ICR-
56-9.2(d), the most recent daily abatement air samples collected during
removal and cleaning operations in the regulated work area, shall.be used
for comparison with ICR 56-4.11 clearance criteria. .All other applicable
provisions of ICR 56-4 shall be followed for the duration of the abatement
project. ,
21. After removal and cleanings are complete and a:rninimurn.drying period has
elapsed, an authorized and qualified Project Monitor shall determine if the
area is dry and free of visible. asbestos debris/residue. If. the area is
determined to be acceptable and the most recent daily abatement air
sample results meet 56-4.1.1 clearance criteria, the final dismantling of the
site may begin.
22. Usage of this variance is limited to those asbestos removals identified in
this variance or as outlined in the Petitioner's proposal.
9
t
s
Page 5 of 5 File Number 19-1424
.i,
is
In addition to the conditions required by the above specific variances, the
Petitioner shall also comply with the,following general conditions:
GENERAL,CONDITIONS
1. A copy, of this DECISION and the Petitioner's proposals shall be
conspicuously displayed at the entrance.to the personal decontamination
enclosure.
2. This DECISION shall apply,only to the removal of asbestos-containing
materials from the aforementioned areas of the subject premises.
3. The Petitioner shall comply with all other applicable-provisions of Industrial
Code Rule 56-1 through 56-12,
4. The NYS Department of Labor Engineering Service. Unit retains full
authority to interpret this variance for compliance herewith and for
compliance with Labor Law Article 30, Any deviation to the conditions
leading to this variance shall render this variance Null and Void pursuant to
I 12NYCRR 56-12.2. Any questions regarding the conditions supporting the
l,I
need for this variance and/or regarding compliance hereto must be directed
to the Engineering Services Unit for clarification.
5. This DECISION shall terminate on November 30, 2020,
Date: November 4, 2019
ROBERTA L. REARDON
COM P.
S OVER OF LABOR
By
Edward A. Smith, P.E.
Professional Engineer 2 (Industrial)
PREPARED BY: Ravi Pilar, P.E.
Professional Engineer 1 (Industrial)
REVIEWED BY:Edward A. Smith, P.E.
Professional Engineer 2(Industrial)
f
1454 Rt.9,Lake George,NY
PETITION PROCEDURES FOR ALTERNATIVE WORK PRACTICES � �'4
�+
1454 Rt. 9,Lake George,NY
West Wing—2,000 sf Ver-miculite Insulation(perimeter block galls f5t fl
o
o
r
2,750 s#'Rolled RoofamiglVapoa Barrier(between. I"&2"`'floors)
The work to be performed includes demolition of cinderblock walls and.hidden roof containing asbestos.
a The upper second. floor portion of the building will be demolished as a non asbestos project without 1
disturbing:the asbestos items on the first floor(prior to the asbestos portion).
Answer to Questions 9&1.0
There is hardship with complying with the .provisions of the New 'York State Department of Labor's
Industrial Code Rule 56 due to the location of the asbestos.
There is vermiculite within.the cinderblock voids on the first floor and a second floor was built on top of
the roofing of a former.one story building. These asbestos items ca'nnot feasibly be removed prior to
demolition.
We are specifically requesting relief from the following items of the Industrial Code Rule 56,
Case# 1 ICR 56-4.8(a) Area Air Sample Analysis Results—General'Requirements
We are requesting relief from the requirement to turn around air sampling results from samples
collected on a Friday within forty-eight hours or less. Many laboratories do not have weekend hours.
Also we are requesting relief froth the requirement to post air sample results on non-work days.
Case#2 ICR.56-11.5 Demolition with Asbestos In Place
Alpine proposes that the contractor follow 56 115, demolition with asbestos in.place, with a couple
modifications. The second floor does not contain asbestos and will be demolished as a non asbestos
demolition, but performed by an asbestos abatement contractor. We are requesting approval to
subsequently demolish the first story with the asbestos containing materials still in place as a
controlled demo, following 56 11.5. In addition, it may be infeasible to cordon off the building to a
25ft distance. We request that the contractor tape off,using asbestos barrier tape and OSHA signage,
25 fl around.the building, or as much.as possible, and notify adjacent building occupants, informing
there of the pending asbestos disturbance, and offer to cover any windows and doors within 25ft of
the subject building, Building will be cordoned off, and asbestos certified workers with a licensed
abatement company will perform all demolition.
Case#3 ICR 5".9(g) 'Trailers and Dumnpsters
Since first floor demolition waste is to be placed in the waste trailers/dumpsters using excavators or
other heavy equipment,it is impractical to use hard topped durnpsters.Dumpsters will be open topped
during the workday to allow placing waste materials inside. A.temporary hard top will be placed on
the waste trailer/dwnpster during non-work hours.
In order to perforni the asbestos removal.work in a manner to protect the safety and health of the public,
we are proposing to perform the asbestos removal work as detailed in the following work procedure.This
variance petition reflects the necessary work changes needed to accommodate these circumstances.
1
i
! Q
.. A. i
1454 Rt.9,Lake Ge}t�ivy.
e
s
PROPOSED PROCEDURES(Answer to Ouestion 11)
Part 1• Materials Addressed: Asbestos Containing Materials-Removal as fart of Demolition
1] - The top second floor will be demolished as a non asbestos project,but performed by the asbestos
abatement contractor, Chainsaw, or similar, will be used to separate the building from the
attached structure to remain. All material from upper portion will be treated as non asbestos, if
cuts disturb asbestos then the noa asbestos portion will cease R entire demolition will become
asbestos project.The asbestos project monitor will not be on site for the non-asbestos demolition.
Subsequently, the entire demolition area at the work site shall be considered the regulated
abatement work area and shall. be enclosed within a barrier (asbestos caution tape & asbestos
signs) to prevent unauthorized entry. The active demolition area shall be cordoned off at a
distance of twenty-five (25) feet, except where physical restrictions limit the barrier distance
(property boundary, roadway/right-of-way,. building/structure). The regulated abatement work
area shall remain vacated except for certified workers until the abatement project is complete.
i
2] For areas where compliance with the twenty-five(25)foot barrier requirement isn't possible,the
areas shall be, cordoned off to the maximum distance passable and a daily abatement air sample
Shall be included at the reduced barrier.
3] Signage in.accordance with the requirements of ICR 56-7,4(c) shall be posted on the exterior of
the work site boundai3,fence/barrier to warn the public of the asbestos hazard.
4] Personal decontamination system enclosures shall be constructed and used per the requirements
of.ICR 56-7.5(d). Equipment deeontambiation areas shall be established and used per ICR 56-
11.5(c)(4,5).
5] Entry/Exit of all persons and equipment shall be through one (1) designated and controlled
"access way" in the barrier or fence, which shall provide an.adequate and appropriate means of
egress from the regulated work area,
6] Non-certified personnel shall not be allowed to access any regulated abatement work area, with
the exception of waste transporter truck drivers.These drivers will be restricted to their enclosed
cab, while temporarily in the regulated work area for waste transfer purposes only. Other
workers will don ppe as required by OSHA 29 CFR 1926,1101,
71 No dry disturbance or removal of asbestos containing; materials shalt be allowed. Wastewater
shad be confined within the controlled demolition area. Wastewater shall be collected by means
of trenching,ditches, or berms made of solid absorbent material or similar method. Disposal.of
;., wastewater collected shall be in accordance with all applicable laws,regulations,etc.
s] All demolition debris, used filters, and similar items shall be transported and disposed of by
appropriate legal methods. Structural members, steel components„ and similar, non-asbestos-
components, shall be fully decontaminated,when.feasible, as per ICR 56,prior to being:treated
as salvage or disposed,
91 The contractor will use chainsaw,or similar,non hepa equipped,to separate the building from the
attached structure to remain. Demolition waste shalt.be wetted prior to,during and subsequent to
its collection and removal.]:log nozzles or similar equipment shall be used to perform the wetting.
191424
1454 RG 9,Lake George,NY
Piles of waste not actively being addressed shall be covered with at least one(1) layer of six(6)
mil non-fire-retardant polyethylene.
10] All asbestos containing/contaminated waste shall be placed in hard-wall closed containers.
11] Asbestos waste trailers/dumpsters shall be open top.
12] Building demolition will take place in a methodical manner utilizing excavators with grapple or
thumb attachments.
i
13] Final clean-up and clearance procedures shall comply with ICR 56-9, except only one stage of
cleaning is to be performed. The slab will be cleaned off and remain following clearance.
14] The surface below the equipment decontartunation area,and debris piles shall be scraped/cleaned
and any residual asbestos contamination shall be removed and disposed of in accordance with all
applicable,laws,regulations,etc.
15] In addition to the requirements of ICR 564.9(c), air monitoring within the work areas shall be
conducted daily as per ICR 56-11.5. If more than one daily shift is required to accomplish the
work,air monitoring shall be performed on each shift.
16] Daily abatement air monitoring shall be required only on days when abatement or support
activities such as ACM disturbance or cleaning activities are performed.
17] In lieu of post abatement clearance air monitoring in compliance with.ICR-56-9.2(d), the most
recent daily abatement air samples collected during removal and cleaning operations in the
regulated abatement work area,shall be used for comparison with ICR 564.11 clearance criteria.
i
18] After removal and cleanings are complete, an authorized and qualified Project Monitor,
independent of the Abatement Contractor, shall determine if the area is dry and free of visible
asbestos debris as per ICR 56-9.1(d)(1). If the area is determined to be acceptable, and the most
recent daily abatement air sample results meet ICR 56-4.11 clearance criteria,final dismantling of
the regulated abatement work area may begin.
S-.
3
ki
Ike:Variance Invoice
. Tue 11/5/2019 12:25 PM 9L
i . From: Craig Petreikis
i To: admin@cla.rionlakegeorge.com
Cc: Laura,Michael Balzano
I:
Hello,
Attached is the approved variance. Call with any questions.
Craig
On Thu,Oct 24,2019 at 2:03 PM admin@clarioiilakegeorge.com<admin@clarionlakegeorge.com>wrote:
Hi Craig—Laura Kohls asked me to let you know that we mailed you our check#18228 for$1,000. last night at 4:30
i PM at our Queensbury post office, so it is on it's way to you.. We would appreciate it if you could please begin the
variance process for us.
i
Thank you.
'( Helen Williams, Bookkeeper
i .
i Courtyard Marriott, Lake George
Claoion Inn and Suites
! Adirondack Outlet Mall
Adirondack Hospitality Management
i
j 1454 State Route 9, Lake George, NY 12845
518-793-3196
i
i
t
J
1 From: "Laura" <lakohls@aoi.com>
Sent: Tuesday, October 22, 2019 4:25 PM
To: "Craig Petreikis" <craigp@alpineenv.com>
' Cc: admin@clarionlakegeorge.com
Subject: Re: Variance Invoice
i
Craig-check is being written this afternoon.Just 1?Looks like attachments were duplicated?
i Thanks,Laura
�r=
Sent from my Phone
>On Oct 22,2019,at 2:23 PM,Craig Petreikis<craigp@alpineenv.com>wrote:
Lf >
> Hi Laura,
i >
1 >I spoke with your father this morning and agreed to write a variance for the demo work at the Clarion.Attached is
our invoice. Please let me know when the check is mailed and we will submit the variance right away.Thanks.
>_
>
>Craig Petreikis, PE, CIH,
j >Director of Operations
>Alpine Environmental.Services, Inc.
>438 New Karner Rd.
>Albany, New York 12205
>(518)250-4047,ext.313
>cell(518)227-1430
><I_1924774AA_1454StRte9_$1000 VAR_10222019.pdf>
><I_1924774AA_1454StRte9_$1000_VAR_10222019.pdf>
i
t
i `
j Craig Petreikis,PE,CIH,
Director of Operations
Alpine Environmental Services,Inc.
438 New Karner Rd.
Albany,New York 12205
(518)250-4047,ext.313
cell(518)227-1430
Attachments:
19-1424_1454Rt9_Pilar_Exp 11302020.pdf
'r
_ New-York State'-�`Department-of;Labor- ,
+ Division4fl feiyandHealth,K
License and C&dhcatetUnitl
State Campus;Building 12 t
Albany,NY_1224b
.-ASBESTOS HANDLING LICENSE--
Dans-Hauling&;Demo;'Inc. z- `_ ; FILE NUMBER: 06-0395
v ?:u ''" '`'' LICENSE NUMBER", 29514 _
P.O. Boz'409 -_ ?', ! LICENSE CLASS: FULL• '',;
DATE OF ISSUE: 07/3172019;r' t
Wynantsklll, NY 12t r G f jL r` r f EXPIRATION;DATE: 08/31/2020
_
.�� �)� V ,
j - .
f � ,�
4111
Duly.Authorized Representative:1 Daniel Wolfe �� !
'>< �
This'license�hasbeenissuedinaceordance,with',applicable`provisionsofArtic1660ofthe4a,OrLawofNewYork•Stateandof r
the New Codes,Rules,'andRegulations(12NI'CRRPartS� It s+subjecttosuspensionorrevocationfora(1)
s enous violation o,fstate,federal or local laws with regard_torthe conduct of au asbestos project,or(2)demonstrated_lackof
responsibihtym the conduct ofany Job mvolvmgasbestosorasbestosmatenal
This,licens6 is',-valid only fortfie contractor namedaboVeand th>s`license or a photocopy.musfte r6minently displayed at-the
asbestos projectworksite..Thisacenseverifies tha--A:4persons,employedby the licenseeon an asbestosproject in-New York
State have been issued an Asbestos Certificate;appropriate for;the type of workth6v perform,by the New York State
Department ofLalior. --- -A
.a
_ -- --EileenM.Franko, Director
SH 432(8/12) ---�` - Forthe CommissionerofLabor