DEMO-0168-2023 `•a
i .
71.
Office Use Only
j DEMOLITION APPLICATION
Permit#: p— O 1 (Qb•2o23
Permit Fee:$ l 1QD-
Tavn of Queensbury
Invoice#:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.aueensbury.net Flood Zone? Y Reviewed B
Demolition Location: It Tax Map ID
**AN ASBESTOS REPORT IS REQUIRED WITH ALL
DEMOLITION APPLICATION SUBMISSIONS"
DEMOLITION INFORMATION:1. Where will demolition material be disposed? V,)oske Mcancicue meA . �lr-vASV00c�-
2. Type of structure to be demolished:
a. Residence ✓ d. Storage Building vl
b. Garage e. Other:
c. Business
3. What type of utilities are connected to the structure:
a. Gas f. Well-Water Pump
b. Fuel Oil g. Public Sewer
c. Propane ✓ h. Other
d. Electric ✓ i. None
e. Public Water
4. Have ALL utilities (water, electric, etc.) been disconnected? Yes ✓ No
ADDITIONAL INFORMATION:
1. Two inspections are required: an inspection to determine that utilities are
disconnected, 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: ' hn \_S
SIGNATURE: DATE:
Demolition Application Revised June 2022
i
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant: r1
Name(s): e ^; c s rtu Lk\�c- 0-C Zo 'SA �S
Mailing Address, C/S/Z: �A(o Ko�\c\ c'. ccLce C-ieriqe
Cell Phone: .15a8- 5,99-1QQA Land Line: /A
Email: 'Cr, ccyyn
• Primary Owner(s):
Name(s): c\oA S-k(,cetx W6c&-A
Mailing Address, C/S/Z: 103 11i ox?\ar) c\ C cyccge\ NC au 51r0
Cell Phone: Sit CW Cffl- qMG Land Line:
Email: SA(xcnu. w6 0 ca�nca�\ cc�W`n
Check if all work will be performed by property owner only
• Contractor: (List all additional contractors on the back of this form)
Contact Name(s): --)oi-\n he 5�\. Gir(," Ct�s e,,�� I�yrvv� 1 ki�\�3c s
Contractor Trade: Gle(\C-EQ� Cc'o-�Vo4c�'c
Mailing Address, C/S/Z: _1i(� ci \crccxce . \Q9VA5
Cell Phone: 51%s- S. A-`1C�G�`l Land Line:
Email: -cf. Ccm
**Workers' Comp documentation must be submitted with this application**
Contact Person for any questions regarding this project: 5-�cyy\') S
Cell Phone: 1,5\9'S- 50,-`100A Land Line:
Email: e '<nu coy o c r , corn
Demolition Application Revised June 2022
j l
L5
2 C E O V Blackberry Lane
CLE
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learvuins ections.com
INSPECTIONS APR 172023 ; 8.832.9213
TOWN OFOUEENSBURY BILE ����
BUDDING & CODES
Pre-Demolition Asbestos Survey
TOWN OF QUEENSBURY
BUILDIN CODES DEPT.
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PROJECT NUMBER PREPARED FOR m rn
10181 Stacey Wright N 3 O
Surveyed Buildings: 11 Sperry Road 90 0
Garage, Northwest Shed, Northeast Queensbury, NY 12804 6 0cri
Shed,Southeast Shed, House 0 00
PREPARED BY ! iI
SITE LOCATION Ryan Wild
N
11 Sperry Road 18 Blackberry Lane W
Queensbury, New York 12804 TOWN OF QgSlgR6lgM, New York 12804
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Executive Summary
Asbestos-Containing Material Field Survey
Single Family Dwelling with(4)Outbuildings
Recently renovated home with marjor structural issues.Older sheds&garages on site.
11 Sperry Road
,Queensbury, New York, 12804
I. SUMMARY OF FINDINGS
On November 25,2022,an asbestos-containing material (ACM)field survey was conducted at 11 Sperry Road located
in Queensbury, New York(Site).The site was inspected to determine the presence of ACM in preparation for
demolition.The ACM survey was performed at the request of Stacey Wright.
A summary of asbestos-containing materials is provided in the following table. However,this report should be read in
its entirety, including detailed information that is contained in other sections and appendices.A total of 30 samples
were collected from 10 suspect homogenous materials.
Summary Table of Asbestos-Containing Materials
Sample ID Space Name Numerical Result Material Category, Friability
No Asbestos Detected.
***Electrical was on during the survey and electrical insulation was not sampled***
Following the introduction,a table of ACM grouped by homogeneous areas is included in Appendix A of this report.A
table presenting those materials sampled which did not contain asbestos can be found in Appendix B of this report.A
complete listing of all suspect materials sampled is provided in Appendix C of this report.A photographic log is
provided in Appendix D of this report.The original chain of custody&laboratory analytical reports are located in
Appendix F of this report.
Page 2 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
INTRODUCTION GENERAL INFORMATION
ClearVU Inspections was retained by Stacey Wright to conduct a pre-demolition survey.All methods and procedures
employed in this survey were done in accordance with NYSDOL(New York State Department of Labor),OSHA
(Occupational Safety and Health Administration),and USEPA(United States Environmental Protection Agency)
regulations and protocol.
The information contained in this report has been collected in accordance with existing regulations. If this document
is to be utilized for bidding quotations, it cannot be held binding and must be field verified by those contractors
submitting bids.
PURPOSE
The purpose of this survey was to identify,document,and measure specified asbestos-containing materials in this
building,which may be disturbed during renovation/demolition/rehabilitation activities.Samples were collected of
suspect accessible asbestos-containing building materials.Should any materials be encountered that are not
identified in this report,they should be assumed asbestos containing until a representative number of samples are
collected to document these materials as non-asbestos containing.
LIMITATIONS&SCOPE OF SERVICES
Provide a visual inspection of all accessible building components to determine the presence of suspect materials.The
inspector physically assessed,quantified and conducted bulk sampling as required of suspect ACM (Asbestos
Containing Materials)which were accessible or exposed.This report represents the locations and quantities of ACM
(Asbestos Containing Materials) present as well as all sampled materials that tested negative for the presence of
asbestos and their locations. Bulk sample analysis was performed by a participating New York State Department of
Health Environmental Approval Program (NYSDOH-ELAP)certified laboratory.Buildings where power is connected,
electrical wire sheathing could not and was not sampled.
SAMPLING METHODOLOGY
During the visual inspection process,an inventory of suspect materials similar in appearance and composition was
created and grouped into homogeneous sampling areas.A homogeneous area is defined as a surfacing,thermal or
miscellaneous material that is uniform in texture, age,and appearance.A representative bulk sampling plan was
created in accordance with current USEPA(United States Environmental Protection Agency) requirements and
guidelines. Bulk samples were then collected of suspect ACM (Asbestos Containing Materials)to identify the presence
of asbestos.
There are a number of materials,which rarely contain asbestos and are not specifically addressed in this report.Such
materials include but are not limited to metal,glass, rubber,cinderblock and mortar.
LABORATORY METHODOLOGY
The friable bulk samples were analyzed by Polarized Light Microscopy(EPA Interim Method:Appendix A to Subpart F
40CFR Part 763)at magnifications ranging from 10x to 400x,and New York State Department of Health ELAP Item
Number 198.1 (Polarized Light Microscopy Methods for Identifying and Quantitating Asbestos in Bulk Samples).The
estimated phase abundances are provided in weight percent and are accurate to within 10 to 15 percent of the
amount reported.These methods are sensitive to the detection of asbestos to less than one percent.
Page 3 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
All non-friable organically bound(vinyl flooring,caulking,etc.) bulk samples were analyzed by New York State
Department of Health ELAP Item Number 198.4(Transmission Electron Microscopy Method for Identifying and
Quantitating Asbestos in Non-Friable Organically Bound Bulk Samples). NOB samples were first reduced by the
Gravimetric Matrix Reduction Method to determine if greater than one percent of material remained. If greater than
one percent of the NOB material remained by weight,the sample was analyzed by Polarized Light Microscopy by New
York State Department of Health ELAP Item Number 198.6 to determine if it contained greater than one percent
asbestos.
In accordance with New York State Department of Health regulations, Polarized Light Microscopy is not consistently
reliable in detecting asbestos in non-friable organically bound materials,and in cases of a negative result TEM analysis
is performed.This method is sensitive to the detection of asbestos to less than one percent by weight.A material is
considered asbestos containing if it contains more than 1%asbestos.
NYSDOL and USEPA regulations define asbestos containing material as containing greater than one percent(1%).
Materials found to contain asbestos at concentrations of less than one percent(<1%) by weight are classified as
containing trace amounts of asbestos. It should be noted,OSHXs definition of"asbestos containing"does not have a
one percent(1%)cut-off,therefore, asbestos that is present in percentages less than one percent(<1%)continues to
be covered by OSHA Construction Standard 29 CFR 1926.1101.
Eurofins CEI-Lab ID#12048,completed the analysis.
WARRANTY
The field and laboratory results reported are considered sufficient in detail and scope to determine the presence of
accessible and/or exposed asbestos-containing building materials.The findings contained within this report have been
gathered in accordance with existing regulations and industry protocol.
This survey and analytical methods have been used to provide information regarding the presence of suspect interior
asbestos-containing building materials existing at the time of the inspection.This report is limited to the information
available from the client at the time it was prepared. It is possible that conditions may exist which could not be
identified within the scope of the survey or which were not apparent during the site visit.
Page 4 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Appendix A:
ACM Homogenous Area Table
Material Id I Material I Space Name .Section Name I Friability I Current Condition I Result I Quantity
There are no homogenous materials for this project that are assumed or have tested positive containing asbestos
Page 5 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Appendix B:
Tested Negative Homogenous Material Table
'Material _ Material Material Space Section Result
Category Id Name Name
Miscellaneous 001 001-Vinyl Flooring Foyer House Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 002 002-Gypsum Wallboard System Kitchen House Tested Negative by Lab
(Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
Miscellaneous 003 003-Ceiling Tile,Lay In Kitchen House Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 003 003-Ceiling Tile,Lay In Living House Tested Negative by Lab
Room (No Asbestos Detected)
Miscellaneous 004 004-Ceramic Tile with Grout Bathroom House Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 005 005-Caulk,Window Exterior House Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 006 006-Masonry Block(CMU) Exterior House Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 007 007-Masonry Block Mortar Exterior House Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 008 008-Masonry Block(CMU) Garage Garage Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 009 009-Masonry Block Mortar Garage Garage Tested Negative by Lab
(No Asbestos Detected)
Miscellaneous 010 010-Roofing,Composite Shingle roof Northwest Tested Negative by Lab
Shed (No Asbestos Detected)
Page 6 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Appendix C:
All Suspect Materials Sampled
Sample ID Space Section Material Analytical Regulatory Result
Name Name Result
001A Foyer House Multi-layer Parent Material
001A- Foyer House 001-Vinyl Flooring 0% Tested Negative by Lab
Flooring (No Asbestos Detected)
001A-Mastic Foyer House 001-Vinyl Flooring 0% Tested Negative by Lab
(No Asbestos Detected)
001B Foyer House Multi-layer Parent Material
001E- Foyer House 001-Vinyl Flooring 0% Tested Negative by Lab
Flooring (No Asbestos Detected)
001B-Mastic Foyer House 001-Vinyl Flooring 0% Tested Negative by Lab
(No Asbestos Detected)
002A Kitchen House Multi-layer Parent Material
002A- Kitchen House 002-Gypsum Wallboard System 0% Tested Negative by Lab
Compound (Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
002A-Tape Kitchen House 002-Gypsum Wallboard System 0% Tested Negative by Lab
(Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
002A- Kitchen House 002-Gypsum Wallboard System 0% Tested Negative by Lab
Wallboard (Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
002E Kitchen House Multi-layer Parent Material
002E- Kitchen House 002-Gypsum Wallboard System 0% Tested Negative by Lab
Compound (Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
002E-Tape Kitchen House 002-Gypsum Wallboard System 0% Tested Negative by Lab
(Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
002B- Kitchen House 002-Gypsum Wallboard System 0% Tested Negative by Lab
Wallboard (Wallboard,Joint Tape,and Joint (No Asbestos Detected)
Compound)
003A Living House 003-Ceiling Tile,Lay In 0% Tested Negative by Lab
Room (No Asbestos Detected)
003B Kitchen House 003-Ceiling Tile,Lay In 0% Tested Negative by Lab
(No Asbestos Detected)
004A Bathroom House Multi-layer Parent Material
004A-Grout Bathroom House 004-Ceramic Tile with Grout 0% Tested Negative by Lab
(No Asbestos Detected)
004A-Mastic Bathroom House 004-Ceramic Tile with Grout 0% Tested Negative by Lab
(No Asbestos Detected)
004A-Tile Bathroom House 004-Ceramic Tile with Grout 0% Tested Negative by Lab
(No Asbestos Detected)
004E Bathroom House Multi-layer Parent Material
004B-Grout Bathroom House 004-Ceramic Tile with Grout 0% Tested Negative by Lab
(No Asbestos Detected)
004B-Mastic Bathroom House 004-Ceramic Tile with Grout 0% Tested Negative by Lab
(No Asbestos Detected)
004B-Tile Bathroom House 004-Ceramic Tile with Grout 0% Tested Negative by Lab
(No Asbestos Detected)
Page 7 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Sample ID Space Section Material Analytical Regulatory Result
Name Name Result
005A Exterior House 005-Caulk,Window 0% Tested Negative by Lab
(No Asbestos Detected)
005B Exterior House 005-Caulk,Window 0% Tested Negative by Lab
(No Asbestos Detected)
006A Exterior House 006-Masonry Block(CMU) 0% Tested Negative by Lab
(No Asbestos Detected)
006B Exterior House 006-Masonry Block(CMU) 0% Tested Negative by.Lab
(No Asbestos Detected)
007A Exterior House 007-Masonry Block Mortar 0% Tested Negative by Lab
(No Asbestos Detected)
007B Exterior House 007-Masonry Block Mortar 0% Tested Negative by Lab
(No Asbestos Detected)
008A Garage Garage 008-Masonry Block(CMU) 0% Tested Negative by Lab
(No Asbestos Detected)
008B Garage Garage 008-Masonry Block(CMU) 0% Tested Negative by Lab
(No Asbestos Detected)
009A Garage Garage 009-Masonry Block Mortar 0% Tested Negative by Lab
(No Asbestos Detected)
009E Garage Garage 009-Masonry Block Mortar 0% Tested Negative by Lab
(No Asbestos Detected)
010A roof Northwest 010-Roofing,Composite Shingle 0% Tested Negative by Lab
Shed (No Asbestos Detected)
010B roof Northwest 010-Roofing,Composite Shingle 0% Tested Negative by Lab
Shed (No Asbestos Detected)
Page 8 of 12
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Appendix
• • Log
All Location Photos
J � �
11I'
l
HOUSE
f' c
NORTHWEST SHED �J
GARAGE
Page 9 of 11
rn
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
NORTHEAST SHED ��pp
n� •� '€+��s,a� � 7 f
SOUTHWEST SHED
Page
,
10 of 11
Stacey Wright,11 Sperry Road,Queensbury,New York,12804
Appendix E:
Chain of Custody&Laboratory Report
Page 11 of 11
�'��" o II 1 I l II II IIIII I II I IIlI 111!I I III •
CtEaRVU BT8 E M U
11StitiitSS• Chain of Custody
_v - tJi.+.` °d`k•:.':Ati;A?° .,t!t.. :.iv SLtC'.f".v.' .... ^v',:;i�-�v
ClearVU Inspections
Project: 10181
18 Blackberry Lane
Queensbtuy,New York 12804 Site Location: 11 Sperry
11 Sperry Road
Queensbury,New York 12804
EUROFINS CEI9 c5u%.i Sampled By:Ryan Wild(ryan@clearvuinspections.com)
SAMPLES ACCEPTED Reporting By:Ryan Wild(ryan@clearvuinspecbons.com)
W Purpose:Pre-Demolition
Laboratory Notes Turn Around Time Request
- - 'k�'.l.."if�.'�ES%5`• J:... ^5".•^:;'1` ..?4 , ... ',.;3:::'1: - _ - . ..G'ti.�. ..x,c Sri" ..:\S.Vk:!:.+•'X!:R�.. �iatSti:Cr:::. aY:
i Stop after first positive for each HM 3 Day
Samples
Iva
Sample Sample ID Material Floor/Section Space Analysis
NY ELAP 198.1 &
001A 001 -Vinyl Flooring House Foyer 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
00113 001 -Vinyl Flooring House Foyer 198.4 PLM&TEM
where applicable
002-Gypsum Wallboard System(Wallboard, NY ELAP 198.1 &
002A Joint Tape,and Joint Compound) House Kitchen 198.4 PLM&TEM
where applicable
002-Gypsum Wallboard System(Wallboard, NY ELAP 198.1 &
002B Joint Tape,and Joint Compound) House Kitchen 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
003A 003-Ceiling Tile,Lay In House Living Room 198.4 PLM&TEM
where applicable
ClearVU Inspections-Chain of Custody For Stacey Wright
11 Sperry-10181 1 of 3
Sample ID Material Floor/Section Space Analysis
NY ELAP 198.1 &
003B 003-Ceiling Tile,Lay In House Kitchen 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
004A 004-Ceramic Tile with Grout House Bathroom 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
004B 004-Ceramic Tile with Grout House Bathroom 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
005A 005-Caulk,Window House Exterior 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
005B 005-Caulk,Window House Exterior 198.4 PLM&TEM
A0where applicable
NYELAP 198.1 &
006A 006-Masonry Block(CMU) House Exterior 198.4 PLM&TEM
where applicable
NYELAP 198.1 &
006B 006-Masonry Block(CMU) House Exterior 198A PLM&TEM
where applicable
NYELAP 198.1 &
007A 007-Masonry Block Mortar House Exterior 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
007B 007-Masonry Block Mortar House Exterior 198A PLM&TEM
where applicable
NY ELAP 198.1 &
008A 008-Masonry Block(CMU) Garage Garage 198.4 PLM&TEM
where applicable
NY ELAP 198.1 &
008B 008-Masonry Block(CMU) Garage Garage 198A PLM&TEM
where applicable
NYELAP 198.1 &
009A 009-Masonry Block Mortar Garage Garage 198.4 PLM&TEM
where applicable
CiearVU Inspections-Chain of Custody For Stacey Wright
11 Sperry-10181 2 of 3
Sample ID Material Floor I Section Space Analysis
NYELAP 198.1 &
009B 009-Masonry Block Mortar Garage Garage 198A PLM&TEM
where applicable
NYELAP 198.1 &
010A 010-Roofing,Composite Shingle Northwest Shed roof 198.4 PLM&TEM
where applicable
NYELAP 198.1 &
010B 010-Roofing,Composite Shingle Northwest Shed roof 198.4 PLM&TEM
where applicable
U —<7 11.25.22 15:00
Sampled By Date Time
CS .:()D
Received By Date Time Received By Date Time Received By Date Time
�±Cr 11.25.22 17:30
Relinquished By Date lime Relinquished By Date Time Relinquished By Date Time
Analysis By Date Time
CIearVU Inspections-Chain of Custody For Stacey Wright
11 Sperry-10181
3of3
eurofins
S'
CEI
December 2, 2022
ClearVU Inspections
18 Blackberry Lane
Queensbury, NY 12804
CLIENT PROJECT: 10181
LAB CODE: N220339
Dear Customer:
Enclosed are asbestos analysis results for Asbestos Bulk samples received at our laboratory
on November 28, 2022. The samples were analyzed for asbestos using polarizing light
microscopy (PLM) and / or transmission electron microscopy (TEM) by New York State ELAP
approved methods.
Sample results containing >1% asbestos are considered asbestos-containing materials
(ACMs) per EPA regulatory requirements. The detection limit varies with the method chosen
for the analysis. Eurofins CEI is accredited by the New York State Department of Health
(NYSDOH) Environmental Laboratory Approval Program (ELAP), certificate#12048.
Kind Regards,
Tianbao Bai, Ph.D., CIH
Laboratory Director
NV(A
TESTING
--NVLAP LAB CODE-101768-0-------
730 SE Maynard Road - Cary, NC 27511 - 919.481.1413
aeurofins
I CEI
ASBESTOS ANALYTICAL REPORT
By: New York State ELAP Method
Prepared for
ClearVU Inspections
CLIENT PROJECT: 10181
LAB CODE: N220339
TEST METHOD: NYS ELAP METHODS 198.1, 198.4
REPORT DATE: 12/02/22
TOTAL LAYERS ANALYZED: 30
# LAYERS >1% ASBESTOS: 0
730 SE Maynard Road • Cary, NC 27511 • 919.481.1413
Asbestos Report Summary
�•� e u rof i n s By: NEW YORK STATE METHOD
C CEI
PROJECT: 10181 LAB CODE: N220339
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Lab ID Color Sample Description Total Asbestos%
001A N5538A Beige Vinyl Flooring No Asbestos
Detected by 198.4
------------------- -------------------------- - - - -----------------
N5538B Yellow Mastic No Asbestos
Detected by 198.4
001B N5539A Beige Vinyl Flooring No Asbestos
Detected by 198.4
------------------------------------- ---- --- - - ------ ------- ---
N5539B Yellow Mastic No Asbestos
Detected by 198.4
002A N5540A White Joint Compound No Asbestos
Detected.0%
---- ------------------------------P-------- - - - ------------------
N5540B White Joint Tape No Asbestos
Detected.0%
N5540C White Gypsum Wallboard No Asbestos
Detected.0%
002E N5541A White Joint Compound No Asbestos
Detected.0%
----------------------------------P----------- ------------ ------
N5541 B White Joint Tape No Asbestos
Detected.0%
----- - - ----- ----------------- -- --- --------- - - ---- -- ------ -----
N5541 C White Gypsum Wallboard No Asbestos
Detected.0%
003A N5542 Beige,White Ceiling Tile No Asbestos
Detected by 198.4
003B N5543 Beige,White Ceiling Tile No Asbestos
Detected by 198.4
004A N5544A White Ceramic Tile No Asbestos
Detected.0%
-
------------ ----------------------- --- ------ - - -----------------
N5544B White Grout No Asbestos
Detected.0%
-- --- -- --------------------------- ------------ - ------------------
N5544C White Mastic No Asbestos
Detected by 198.4
004B N5545A White Ceramic Tile No Asbestos
Detected.0%
----------------------- --------------------- - - ------ ---------- -
N5545B White Grout No Asbestos
Detected.0%
-- ------------------------------------------ - - - ------------------
N5545C White Mastic No Asbestos
Detected by 198.4
Page 1 of 2
Asbestos Report Summary
®� e u rof i n s ' By: NEW YORK STATE METHOD
1 CE!
PROJECT: 10181 LAB CODE: N220339
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Lab ID Color Sample Description Total Asbestos
005A N5546 White Window Caulking No Asbestos
Detected by 198.4
005B N5547 White Window Caulking No Asbestos
Detected by 198.4
006A N5548 Red,Gray Masonry Block No Asbestos
Detected.0%
006B N5549 Red,Gray Masonry Block No Asbestos
Detected.0%
007A N5550 Red, Gray Masonry Block Mortar No Asbestos
Detected.0%
007B N5551 Red, Gray Masonry Block Mortar No Asbestos
Detected.0%
008A N5552 Red,Gray Masonry Block No Asbestos
Detected.0%
008B N5553 Red,Gray Masonry Block No Asbestos
Detected.0%
009A N5554 Red,Gray Masonry Block Mortar No Asbestos
Detected.0%
009B N5555 Red, Gray Masonry Block Mortar No Asbestos
Detected.0%
010A N5556 Black,White Shingle No Asbestos
Detected by 198.4
010E N5557 Black,White Shingle No Asbestos
Detected by 198.4
Page 2 of 2
ASBESTOS BULK ANALYSIS
e u rof i n s l By: NEW YORK STATE METHOD
! CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
001A 1 NOB Beige Initial Observations:
N5538A Vinyl Flooring Cellulose 50% Matrix 50%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
N5538B 2 NOB Yellow Initial Observations:
Mastic Cellulose <1% Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
001E 1 NOB Beige Initial Observations:
N5539A Vinyl Flooring Cellulose 50% Matrix 50%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 1 of 11
ASBESTOS BULK ANALYSIS
lie u rof i n s I By: NEW YORK STATE METHOD
i CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
---- -- -- - ----- - - -- ------ ------------- ----- ----- --
N5539B 2 NOB Yellow Initial Observations:
Mastic Cellulose <1% Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
002A 1 Friable White Initial Observations:
N5540A Joint Compound Binder 60%
Calc Carb 40%
Method: Final Results:
198.1 No Asbestos Detect(Tobtal Asbestos: No Asbestos
Detected.0%
N5540B- 2 Friable White - - Initial Observations:
Joint Tape Cellulose 100%
Method: Final Results:
198.1 No Asbestos Detect(Tbtal Asbestos: No Asbestos
Detected.0%
--- - - Friable White - -N5540C 3 Initial Observations:
Gypsum Cellulose 15% Gypsum 85%
Wallboard
Method: Final Results:
198.1 No Asbestos Detect6fttal Asbestos: No Asbestos
Detected.0%
Page 2 of 11
ASBESTOS BULK ANALYSIS
e u rof i n s I By: NEW YORK STATE METHOD
CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
002B 1 Friable White Initial Observations:
N5541A Joint Compound Binder 60%
Calc Carb 40%
Method: Final Results:
198.1 No Asbestos Detect(Ebtal Asbestos: No Asbestos
Detected.0%
N5541 B 2 Friable White Initial Observations
Joint Tape Cellulose 100%
Method: Final Results:
198.1 No Asbestos Detect(Tibtal Asbestos: No Asbestos
Detected.0%
-N5541C 3 Friable White Initial Observations:
Gypsum Cellulose 15% Gypsum 85%
Wallboard
Method: Final Results:
198.1 No Asbestos Detect6TcOtal Asbestos: No Asbestos
Detected.0%
003A Ceiling Tile NOB Beige, Initial Observations:
N5542 White Cellulose 60% Matrix 20%
Fiberglass 15%
Mineral Wool 5%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 3 of 11
ASBESTOS BULK ANALYSIS
e u rof i n s By: NEW YORK STATE METHOD
I CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
003B Ceiling Tile NOB Beige, Initial Observations:
N5543 White Cellulose 60% Matrix 20%
Fiberglass 15%
Mineral Wool 5%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
004A 1 Friable White Initial Observations:
N5544A Ceramic Tile Silicates 70%
Binder 30%
Method: Final Results:
198.1 No Asbestos Detect(Tcbtal Asbestos: No Asbestos
Detected.0%
N5544B 2 Friable White Initial Observations:
Grout Binder 80%
Calc Carb 20%
Method: Final Results:
198.1 No Asbestos DetectETibtal Asbestos: No Asbestos
Detected.0%
Page 4 of 11
ASBESTOS BULK ANALYSIS
tiff e u rof i n s I By: NEW YORK STATE METHOD
CE0
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
N5544C 3 NOB White Initial Observations:
Mastic Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
004B 1 Friable White Initial Observations:
N5545A Ceramic Tile Silicates 70%
Binder 30%
Method: Final Results:
198.1 No Asbestos DetectETibtal Asbestos: No Asbestos
Detected.0%
N5545B 2 Friable White Initial Observations:
Grout Binder 80%
Calc Carb 20%
Method: Final Results:
198.1 No Asbestos Detect67obtal Asbestos: No Asbestos
Detected.0%
-N5545C 3 NOB White Initial Observations:
Mastic Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 5 of 11
ASBESTOS BULK ANALYSIS
®� e u r®fins By: NEW YORK STATE METHOD
CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
005A Window Caulking NOB White Initial Observations:
N5546 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
005B Window Caulking NOB White Initial Observations:
N5547 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
006A Masonry Block Friable Red, Gray Initial Observations:
N5548 Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos Detectd'(btal Asbestos: No Asbestos
Detected.0%
Page 6 of 11
ASBESTOS BULK ANALYSIS
e u rof i n s l By: NEW YORK STATE METHOD
1 CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Clierit ID Layer Number ,
Lab ID Lab Description Category Color
006B Masonry Block Friable Red,Gray Initial Observations:
N5549 Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos Detectd'ebtal Asbestos: No Asbestos
Detected.0%
007A Masonry Block Friable 'Red,Gray Initial Observations:
N5550 Mortar Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos DetectETcbtal Asbestos: No Asbestos
Detected.0%
007B Masonry Block Friable Red, Gray Initial Observations:
N5551 Mortar Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos DetectET(Otal Asbestos: No Asbestos
Detected.0%
Page 7 of 11
ASBESTOS BULK ANALYSIS
e u rof i n s I By: NEW YORK STATE METHOD
I CEI
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID ` Layer Number
Lab ID Lab Description " Category Color
008A Masonry Block Friable Red,Gray Initial Observations:
N5552 Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos Detectd6tal Asbestos: No Asbestos
Detected.0%
008B Masonry Block Friable Red,Gray Initial Observations:
N5553 Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos Detectd'ibtal Asbestos: No Asbestos
Detected.0%
009A Masonry Block Friable Red,Gray Initial Observations:
N5554 Mortar Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos DetectET(btal Asbestos: No Asbestos
Detected.0%
Page 8 of 11
ASBESTOS BULK ANALYSIS
e u rof i n s By: NEW YORK STATE METHOD
CE6
Client: ClearVU Inspections Lab Code: N220339
18 Blackberry Lane Date Received: 11-28-22
Queensbury, NY 12804 Date Analyzed: 12-02-22
Date Reported: 12-02-22
Project: 10181
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number-
Lab ID Lab Description ',Category Color
009B Masonry Block Friable Red,Gray Initial Observations:
N5555 Mortar Silicates 70%
Binder 30%
Paint <1%
Method: Final Results:
198.1 No Asbestos Detect(Tcbtal Asbestos: No Asbestos
Detected.0%
010A Shingle NOB Black, Initial Observations:
N5556 White Cellulose 55% Matrix 45%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
010B Shingle NOB Black, Initial Observations:
N5557 White Cellulose 55% Matrix 45%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 9 of 11
eurof ins
ICEI
LEGEND
Non-Anth = Non-Asbestiform Anthophyllite
Non-Trem = Non-Asbestiform Tremolite
Calc Carb = Calcium Carbonate
NOB = Non-Friable Organically Bound
SM-V = Surfacing Material Containing Vermiculite
GLOSSARY OF TERMS
Inconclusive- No Asbestos Detected
PLM is not consistently reliable in detecting asbestos in floor coverings and other NOB
materials. Currently, quantitative TEM must be used to determine if this material can be
considered or treated as non-asbestos containing.
Inconclusive-CR
Conflicting Results: Sample yielded 1% or less asbestos as determined by gravimetric
reduction and TEM analysis but had protruding fibers identified as asbestos during
preliminary examination -further sampling and analysis needed.
Inconclusive-Trace (type of asbestos)detected at 1% or less
Asbestos identified at 1% or less by the 198.6 method, and 0 asbestos points out of 400 (or
more) nonempty points were counted. Further testing by TEM using NYS 198.4 method is
required.
Trace asbestos detected at less than 1%
For methods 198.1 and 198.8, NYSDOH defines trace as samples where 0 asbestos points
out of 400 (or more) nonempty points were counted, but did contain asbestos positively
identified by PLM.
Trace asbestos detected at less than 1%
For method 198.4 NYSDOH defines trace as asbestos detected at 1% or less.
REGULATORY LIMIT: > 1% by weight
730 SE Maynard Road • Cary, NC 27511 - 919.481.1413 Page 10 of 11
tiff eur®fins
CEI
DISCLAIMERS:
Reported asbestos content verifiable only as the percentage of asbestos in residue submitted to
laboratory. Samples with inconclusive results must not be interpreted as being non-ACM.
This report relates only to the samples tested or analyzed and may not be reproduced, except in full,
without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding
the accuracy of client submitted information in preparing and presenting analytical results.
Interpretation of the analytical results is the sole responsibility of the customer. Samples were received
in acceptable condition unless otherwise noted. This report may not be used by the client to claim
product endorsement by NVLAP, NYSDOH or any other agency of the U.S. Government.
Information provided by customer includes customer sample ID, location, volume and area as well as
date and time of sampling.
ANALYST(S):
S4-�'q
tee e- 98.1
Partima Poudel AEFarya- 198.4
APPROVED B)
Tianbao Bai, Ph.D., Cl
Laboratory Director
0
HV(A
TESTING
-NVLAP--LAB CODE-101768-0-----
730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 11 of 11
` N,ew York State—Department=of.Labor,,
x Division of-Safety and Health
License and Ceitifcate,Uhiti ,f
l� S , State Campus,'Build'ing 12 3
Albany,.NY._12.240
✓
`.1 ` -a ASBESTOS HANDLING LICENSE-,, f
Creative_Spaces II, L-LC dba ClearVU Insk cece tions a 'FILE NUMBER:
LICENSE NUMBER_, 282890'f
18-Blackberry Lane LICENSE CLASS: RESTRICTED-
DATE OF ISSUE: 01/28/2022 ';y
! ;Queensbu�ry�NY 12804. r $ >� ` ( � EXPIRATION;DATE: 01/39%2023 -
....,!I .l .,:eL„f_�..� — �3�7'°� _ ��._ � ��•�)F 'j~� �a }� }f
it �i,
D610uthorized,Representative 'Ryan'Wild
:icy !• ,� sT: �';".• ";-..., j.-�',},
1 . '`.�'-µP� ,� Y P3,,
This license l as been issued in accoi'dhncelw>th�applicalile=provisions;of_=Article 5#Wthe Labor Law of New York=�Sfa`te and of,, t
E .r.' ; -
the New York-State:Codes,Rules and Regulations(12 NYCRRPart 56) Itis.§ubject to suspension or revocationifor a(1)
� ',l s' '� ytFf f ? ! r t
senous violation of state,federal or local laws witliregard-to the conduct of ansasbestos project,or(2)demonstrate'd.lackof
y ,, �� �� }i .y, airnro a ? :•—.,
res onsibili inthe,o d t aft. xs'ffi."t,,' ' l
p ty on uc of any job,involving;asbestos or asbes`tos`matenak
._• i'� !�-s,
This licehse is'valid only,for thecontractor named:above and='thisrlicense or-a, ',dopy must b6� m nently displayed'at1the
asbestos project�w_.orksite This.license verifies thatjall;per�sons�empioyedby the lic�see on an=asbestos:proj6ct in New York
State have b'eeifassued an Asbestos Certificat`e;•appiopriate for the,ty�e of work tliey perform,by the`New YokkjState`
Department of L'abor. .
1 f ti i ! ✓
` �,� j' �f/ r'�„`a. �M` }.f✓'/�. `A' 'tfP is
Amy Phillips,Director
SH 432(8/12) For the Commissioner of Labor
STATE OF NEW Ydkk DEPARTMENT OF LABOR; 3
-ASBESTOS'CERWICATE; F„
s Y�
RYAWP=INII D ;
C.ATEC(05/23)1.,0:-IN5P,,,(05/
H,PM' (05/23)'I PD
t'. �..
-CFRTW 21;- -428
DMu#-T736996.18
t MUST BE CARRIED ON ASBE_STOS:PROJECTS
P
' nnuun mi m�ma�,i mom;
it 1 1 1 111 l 1.111111111 IP I III
IF FOUND RETURN TO:'
.EYES BRO NYSDOL - L&C UNIT
G�
a HAIR BRO, ROOM 161A BUILDING 12
HGT 6' 03" STATE OFFICE CAMPUS
_o
AT:iiaNv NY 12240
D c
•-
al�Estate Inspect
License #16000onni
Blackberry
CLEAR y U -• p •
INSPECT 1 O N S
- NEW YORK STATE DEPARTMENT OF_HEALTH
- WADSWORTH CENTER
Expires 12:01 AM-April701, 2623
Issued April 01, 2022=
CERTIFICATE OF APPROVAL FOR LABORATORY-SERVICE
Issued in accordance with and pursuant to-section 502 Public Health Law of New York State
DR. TIANBAO BAI= _ - NY Lab Id No: 12048-- -
EUROFINS CEI, INC. -
730 SE MAYNARD ROAD _ =
_- CARY, NC 2751-9
is hereby APPROVED as an'Environmental Laboratory in conformance with the
National-Environmental Laboratory Accreditation Conference Standards(2016) for the category _
ENVIRONMENTAL ANALYSES POTABLE WATER
- All approved analytes are listed-below.
Miscellaneous --
Asbestos _ EPA 100.2
Serial No.: 64945
Property of the New York State Department of Health.-Certificates are valid only at the address
shown,must be conspicuously posted,and are printed on secure paper. Continued accreditation depends
_ -on successful ongoing participation in the Program. Consumers-are urged to call(518)485-5570 to
_ y,z
verify the laboratory s accreditation status.
Page 1 of 1
NEW YORICSTATEDEVAktMENT OW HEALTH
WADSWORTN*CENTER
01 AM fth'101 0234-.
expirek02: ...
-Issued.A IiI 6i,2022
P
CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE
Issued In a=rdiihce with and pursuant to section 502 PLibliq HOalth Law of Now York-Stath
DR.'TIANBAO ff' NY Lab Id No:12048.--.
EUROFINS CEI,INQ
730-SE MAYNARD ROAD
-CARP,, NC 276ff A FY
.1s.-herebyAPPROVED'as an:-Environmontal1oboiatory.br the category-
ENVIRONMENTAL ANAE YSE9SOL1D AND-HAZARDOUS WASTE--
All approved subcategoriesrgnd(bj�_-,enaiytlqs are listed below.
Alsbellaheous
Asbest6s lin'Friable Material.- J 'Item 198.1 of Manual
-.EPA COO/M4/82/020
Mbegtds Ifi-Non-FrIable Materfal-PILM �-Item of Whual(W3 by PLM)=
Asbastos-In Non-FrWble Material-TEM Item 198.4 of Manual
Asbeiffis=-Veffniculite-Contain—iiig Mitedal item 198.8 of Manual
Serial No.-!A4946
Property of-the New York State b P"rimentbfHeal—OL-CertMeaWsCr6Vafld6ffyatthe'addrOSS=
sham.must be.conspldwusly posted, secure posted; are printed an paper. Continued accreditation depends successful.ongoing-pa-EWpa n In the Proqram.�tinsuffiers are urged to"L(518"-85-WMW.
vqdfy 048100ratorys at_. r"tup.
of
SITE LOCATION MAP
Not to Scale
Lands Now or Formerly of
ZONINGREQWREMENT5.-
Zoned ................................... Waterfront Residential
LotSize................................2acre
Minimum Lot Width. ........
190
Minimum Setbacks
Front..............................30'
Side................................25'
Rear................................30'
(Zoning data is shown for informational purpose only.
It is the responsibility of the Owner/Builder to verify
all zoningrequirementand setbacks)
Silt fence to be installed as noted.
Installation must be completed & lrgx)cted
to beginning demolition.
Please contact this office to schedule an
inspection of the site gdz to any demolition.
3rdct aFrA%IL
1. Boundary information shown hereon was compiled from an actual field
survey conducted on March 27,, 2023.
2. North orientation and beaning base perMap Reference 1.
3. Warren County taxparcel 316.9-1-8. 1.
4. The location of underground .improvements or encroachments, d any exist or
as shown hereon, are not certified. There may be other underground utilities,
the existence of which are unknown. Size and location of all underground
utilities must be verified by the appropriate authorities. The Underground
Facilities Protective Organization must be notified prior to conducting test
botIngs, excavation and construction.
5. This survey was prepared without the benefit of an up to date abstract of
title.
6. Field data capture tookplace with an accumulated snow cover of8" to 2:
Every effort has been made to prepare a complete plotting of the conditions
7. Reproduction or copying of this document may be a violation ofcopyright
law unless permission of the author and/ or copyrightholderis obtained
8. A copy of this document without a proper application of the surveyors
embossed seal should be assumed to be an unauthorized copy.
9. Property corner monuments were not placed as apart of this survey unless
otherwise noted.
10. The edge of water shown per actual field location at the time of the field
survey. The area is subject to the change due to natural causes of the edge of
water.
DEEDREFERENCE.-
1. Conveyance to Stacey Wright & Timothy Wright by deed dated
November 30, 2022, filed m the Warden County Clerks Office on
December 9, 2022in Book 6729 of Deeds atpage 100
MAPREFERENCES.-
1. Map entitled 'Map of a Surveymade forMarria Parker; prepared by
Van Dusen & Ste ves, dated last revised August23, 2018, filed m the
Warren County Clerks Office on August 26,2018.
"ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED
SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S
ORIGINAL WORK AND OPINION."
Ma2Nail Found
N8400258"E 2900'
Lands Now or Formerly of
yNancy
P. Humane
IPF
Book 970 Page 276
316.5-1-7
Edge of Woods
//\�=-7 1 ! �� �,\ 1 + 1 It' I ` \ ` \ \ \ \\ \ / ! ,' �� .' / CIRF
\ \ (\� / t \� \ \ \ + + 1 1 \ 1 \ \ �> �, / , �/ (vds)
i, , i�
LEGEND
\ ��lI\\ \\\\,-\ \ , v
\
PROPERTYLINE I,%
- - ADIOINERSPROPER7YLINE \
ar, a+r OVERHEAD WIRE \ \
Co.) V77L17YPOLE
@o IRONPIPEFOUND (IPF) \
@a CAPPEDIRONRODFOUND (QRF) \
O CORNER
w g S87.2821 "E 9674'
`���\+\��►,\\ii\\++`��,`���\\`�i�\\I���\�`��it`\\'\��\o �� .
„E 1403 147t
N78 \\\\ \\ U cover Woods \ �.
10
'-Wood Framed
House i \\
\`\\ (to be removed)
\\``�\ \\
\�\\ porch I \ \\
\\ \\\\\ \ \\\\ \\\\ \`\` \`\ \\;• '= Area =/�.31 Acrest `1I
\`\�-193.7 (toberemotied)
\�\\\\\,\ n S \�\ .So Arote 10
de \ \
\\ \\ \\\ \\\\ \\\\ \\\ \t \\ IMo° It
252 +Along Shore
\\ \\\\\ Carport !
N1900236"W 1
249.24'(tieline) I\\\\\\�\\\\ \\\ \\\\\\\ \\ �; ���� �z��-
0 30 60 90
KRISTIN M. DARRAH DATE REVISIONS RECORD/DESCRIPTION
050803
Lands Now or Formerly of
Valen tin o & Curtis
Book 6604 Page 140
316.5-1-6
/ Lands Now or Formerly of
Christopher Thomas & Anne Evans
r
r
I
r
r
I
I
I
DRAFTER 1 UNAUTHORIZED ALTERATION OR
ADDITION TO THIS DOCUMENT IS A
VIOLATION OF SECTION 7209
SUBDIVISION 2 OF THE NEW YORK
STATE EDUCATION LAW.
® 2023
Darrah Land Surveying, PLLC
APPROVED.•KMD
DRAFTED.- RJT
CHECKED.- KMD
PRO1.. NO.- 23093
SCALE: 1 "--30'
DATE: 0313012023
Book 6206 Page 1
316.5-1-5
Map of a Boundary & Topograhpic Survey
Lands Now or Formerly of
Stacev Wrioht & Tim othv Wrizht
TOWNOFQVEENSBURY
N
WARRENCOUNTY, NEW YORK
Darrah Land Surveying, PLLC
59 Lake Avenue, Lake Luzerne, New York 12846
Voice: (918) 798-4692
or (518) 654-9416
23053-11
1 SHEET 1 OF 1
PROJNO.23053--1