DEMO-0641-2023 Office Use Only
DEMOLITION APPLICATION Permit#: 10 - 9 -20 7
Permit Fee:$ 1 la5
Town of Quccsiury (2 Z I
Invoice#:
742 Bay Road,Queensbury,NY 12804e-Atki\
P:518-761-8256 www.queensburv.net Flood Zone? Y Reviewed By:
1 IZe°� ` _ I ,7 Q(n �l _Z�
Demolition Location: 1 I;Q ve Tax Map ID#: D •'I + G � l 1 )
v(0. t‘— 1-7,r
**AN ASBESTOS REPO T IS REQUIRED WITH ALL
DEMOLITION APPLICATION SUBMISSIONS**
`DEMOLITION INFORMATION: See, akiaLLec .f2.Ae(fSTy (96 `aw--" 0 A
1. Where will demolition material be disposed? v(11,5M ( Ast " Nr 1 '1 A-t "1/y
2. Type of structure demolished: 5� I
a. Residen d. Storage Building ec�
b. Garage e. Other: pc.
c. Business D E I IE I V E
3. What type QIlities are connected to the structure:
a. Gas L__ f. Well-Water P OCT ) Q 1023
b. Fuel Oil g. Public Sewer TOWN OF
c. Propan h. Other--1BUILDING&EENSBURY
d. Electric I. None CODES
e. Public Water
4. Have ALL utilities (water,electric, etc.) been disconnected? Yes No l 1
q�28
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: Rf LVIuw S'c� hevmev tir-Eh
SIGNATURE: DATE: 11°I Oil✓
Demolition Application Revised June 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• (Applicant: i (1_ /1 I j LLP „ Rick SdletentattlifYilNames): SLlrtp,rini,Q,v ntf Wi -P9,�olP�yi a5�- }fig ,,� , (�
Mailing Address, C/S/Z: 536 Ct72p� V 12, `-"
Cell Phone: 5J�g- 1- 27Z3 Land Line: 5' ig�Q -060— c- G - I I le
Email: CS clnev�hnt,clncvvl @ Sc l�+errwzz�lnw'n (iw (di��i, c_crvh
• Primary Owner(s):
Name(s): SAS
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
❑ 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): CMcw les catCcl n\ew- EcCCIVa, „.3 �v.c .
j�C
Contractor Trade: � civ0111\ (�P,ovl j n,,
Mailing Address, C/S/Z: 51-f li Sect fc,n fre.,05 W /2.8&9
Cell Phone: 5k9) -,Stok 114 Land Line: 518- - 931
Email: f ona." •Gawp
**Workers' Comp documentation must be submitted with this application**
Contact Person for any qpestions regarding this project: /tlaki eV
iiititini
Cell Phone: 5-/- (f I - 272,3 Land Line: Same'
Email: RscJierrh€.vher- & sae-vmevhrrh ho . WW1
Demolition Application Revised June 2022
nationaigrid
300 Erie Boulevard West
Syracuse,New York 13202
October 5,2023
MAUREEN DENNIS
RE: Service Removal for Building Demolition.
MAUREEN DENNIS,
This letter is to confirm that,per your request,National Grid has confirmed electrical
service and meters have been removed from 60 WALKER LN QUEENSBURY,NY.
The work was processed on work order#30865502 and meter#2751352 has been
removed. If you have any questions or need further assistance,please feel free to contact
me at 315-468-7513.
Sincerely,
Mary Landers 1E C E I W E
Customer Fulfillment
nationaigrid OCT 10 2023 J
TOWN OF QUEENSBURY
BUILDING&CODES
. -
1
illattilAill•J.STSVIDis, denoted,Cadged NYS Abaft*
*
.t„�;T- , .;i aTMi"'.�` ••I,f�,a, P.O.hem
�,,, . is)6564270
y��1. • GNUS kik Nee(dt T23oT
r, • •
. ;; - '
.
c DECCIVIE
• TOWN OF QUEENSBURY 1111 OCT 10 2023 •
Reviewed TOWN OF QUEENSBURY
y BUILDING&CODES' •
Date: 1.... 1.13,kZ._t5
ib Wham It May Ccnoern, .
•Please be advised that I bevel Insert the property on the dose Indicated on the enclosed nowt and taken•
random samples as required. I hate%nt the semples to a Plow**State approved labotietory for .
Send upon my biped/ion combined with the to baritoty test wits for the ironies taken from the subject prop. •
erty item were no asbestos containbre mate/leis(ACM's),found on the sut ject properly or Identified In the saw
pies tested by the laboratory. Accordingly,It le my and nding that,suited to any and ail applicable sates or
poste and regulations lithe time of the enclosed test report,the property comer may proceed with remodeling or
demollon as the owner sees lit
A
•
Thank you, . _
.f./
,f ,_._ .-27r7
TOWN OF QUEENSBURY
Michael I ilevena BUil_DING DEPARTMENT
License MOW: $ ' •• 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.
296.11-1-24 DEM0-0641-2023
4.l Schermerhorn Residential Holdings
Eno. 60 Walker Ln
• Demolition of residence, pool & shed
a
Michael J Stevens
Licensed Asbestos Inspector
PO Box 2202 Glens Falls, NY
12801
•
MIKE STEVENS
RE: Pre-Demolition Asbestos Building Survey REPORT
60 WALKER LANE
QUEENSBURY NY
12804
Dear MR SCHERMERHORN
Please find the attached Pre-Demolition Asbestos Building
Survey Report completed for the Property Located at:
60 WALKER LANE QUEENSBURY NY 12804
If you have any questions or require additional information,
please feel free to contact:
Mike Stevens @ 518-656-3270
Sincerely,
Michael J. Stevens
Pre-Demolition Asbestos Building Survey
60 WALKER LANE
QUEENSBURY NY 12804
INTRODUCTION
ON SEPTEMBER13 2023 MR RITCH SCHEMERHORN 536 BAY RD
QUEENSBURY NY 12804 retained: Michael J. Stevens to preform an
asbestos survey of the property located at 60 WALKER LANE
QUEENSBURY NY 12804
The BUILDING is located AT 60 WALKER LANE QUEENSBURY NY
12804 IS A 2 STORY structure of approximately 1990 square feet on a
2 PLUS ACRE LOT(construction date is approximately 1960 according
to County records). ThE STRUCTURE consists OF WOOD FRAME
construction AND ASPHALT SHINGLE ROOF
The purpose of this survey was to complete a pre-demolition asbestos
survey in accordance with Industrial Code Rule (ICR) 56.At the request
of the client destructive sampling techniques( i.e. breaking through
sheetrock walls, removing tiles, etc.) were utilized.
The remainder of this report describes building inspection procedures,
a summary of the results, conclusions and recommendations. A site plan
and building specific sampling locations are depicted.
Michael J. Stevens assumes no responsibilities for the implementation
or enforcement of the procedures, work practices, engineering controls,
or other asbestos-control methods recommended, required or
mentioned in this document.
PRE-DEMOLITION ASBESTOS SURVEY
60 WALKER LANE
QUEENSBURY NY
12804
Background Information:
Buildings) Location:
60 WALKER LANE
QUEENSBURY NY
12804
Party Performing Survey: Michael J. Stevens
PO Box 2202, Glens Falls, NY 12801
Laboratory Used For Sample Analysis:
Amerisci New york
117 East 30th Street
New York, New York 10016
NYSDOH FLAP Laboratory ID # 11480
OWNERS INFO MIKE STEVENS
PO BOX 2202
GLENS FALLS NY
12801
Pre-Demolition Asbestos Building Survey
60 WALKER LANE
QUEENSBURY NY 12804
SEPTEMBER 13 2023
LABORATORY RESULTS
60 WALKER LANE
QUEENSBURY NY 12804
Please Reply To:
==` AmeriSci New York
MER/SC/ 117 EAST 30TH
B/'l� NEW YORK,NYY1001616
TEL(212)679-8600• FAX:(212)679-3114
LABORATORY ELECTRONIC TRANSMITTAL
To: Michael Stevens From: Bo Sun
Michael J. Stevens AmeriSci Job#: 223092099
Fax#: Subject: ELAP-PLM/TEM 5 day Results
Client Project: 60 Walker; 60 Walker Lane, New
Email: mikesoldcars@gmail.com York
Date: Thursday,September 21,2023 Number of Pages:
Time: 10:08:31 (including cover sheet)
Comments:
NOTE:Attached report is to be considered preliminary until final review with accompanying analysis summary letter is issued.
CONFIDENTIALITY NOTICE: Unless otherwise indicated,the Information contained in this communication is confidential information
intended for use of the individual named above. If the reader of this communication is not the intended recipient,you are hereby notified that
any dissemination,distribution or copying of this communication is prohibited. If you have received this communication in error,please
immediately notify the sender by telephone and return the original message to the above address via the US Postal Service at our expense.
Samples are disposed of in 60 days or unless otherwise instructed by the protocol or special instructions in writing. Thank you.
Certified Analysis Service 24 Hours A Day•7 Days A Week Competitive Prices
visit our web site-www.amerlsci.com
Boston•Los Angeles•New York•Richmond
•
,
AmeriSci New York
117 EAST 30TH ST.
AME?I SCI NEW YORK,NY 10016
tom.
TEL:(212)679-8600• FAX:(212)679-3114
PLM Bulk Asbestos Report
Michael J. Stevens Date Received 09/16/23 AmeriSci Job# 223092099
Attn: Michael Stevens - Date Examined 09/20/23 P.O. #
PO Box 2202 ELAP# 11480 Page 1 of 7
RE:60 Walker; 60 Walker Lane, New York
Glens Falls, NY 12801
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
#1 223092099-01 No. NAD
Location:Family Room Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#2 223092099-02 No NAD
Location:Family Room Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#3 223092099-03 No NAD
Location:Family Room Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#4 223092099-04 No NAD
Location:Living Room Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#5 223092099-05 No NAD
Location:Living Room Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 2 of 7
Client Name:Michael J. Stevens
PLM Bulk Asbestos Report
60 Walker; 60 Walker Lane, New York
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
#6 223092099-06 No NAD
Location:Living Room Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#7 223092099-07 No NAD
Location:Kitchen Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#8 223092099-08 No. NAD
Location:Kitchen Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#9 223092099-09 No NAD
Location:Kitchen Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#10 223092099-10 No NAD
Location:Bath Room Floor-Vinyl Tile (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 3.1%
#11 223092099-11 No NAD
Location:Bath Room Floor-Vinyl Tile (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 2.3%
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 3 of 7
Client Name:Michael J. Stevens
PLM Bulk Asbestos Report
60 Walker; 60 Walker Lane, New York
Client No. ! HGA Lab No. Asbestos Present Total % Asbestos
#12 223092099-12 No NAD
Location:Bath Room Floor-Vinyl Tile (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 3.6%
#13 223092099-13 No NAD
Location:Second Floor M Bedroom Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#14 223092099-14 No NAD
Location:Second Floor M Bedroom Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#15 223092099-15 No NAD
Location:Second Floor M Bedroom Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#16 223092099-16 No NAD
Location:Second Bedroom Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#17 223092099-17 No NAD
Location:Second Bedroom Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 4 of 7
Client Name:Michael J. Stevens
PLM Bulk Asbestos Report
60 Walker; 60 Walker Lane, New York
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
#18 223092099-18 No NAD
Location:Second Bedroom Wall&Ceiling-Compound (by NYS ELAP 198.1)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#19 • 223092099-19 No NAD
Location:Second Floor Bath Floor-Vinyl Flooring (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 3.8%
#20 223092099-20 No NAD
Location:Second Floor Bath Floor-Vinyl Flooring (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 3.4%
#21 223092099-21 No NAD
Location:Second Floor Bath Floor-Vinyl Flooring (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:White, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 3.9%
#22 223092099-22 No NAD
Location:Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 24.4%
#23 223092099-23 No NAD
Location:Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 29.5%
See Reporting notes on last page
1 ' 1
AmeriSci Job#: 223092099 Page 5 of 7
Client Name:Michael J. Stevens
PLM Bulk Asbestos Report
60 Walker; 60 Walker Lane, New York
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
#24 223092099-24 No NAD
Location:Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 41.4%
#25 223092099-25 No NAD
Location:Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 27.3%
#26 223092099-26 No. NAD
Location:Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 27.3%
#27 223092099-27 No: NAD
Location:Roof Under Layment-Asphalt Paper (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 0.4%
#28 223092099-28 No NAD
Location:Roof Under Layment-Asphalt Paper (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material •
Asbestos Types:
Other Material: Non-fibrous 0.5%
#29 223092099-29 No NAD
Location:Roof Under Layment-Asphalt Paper (by NYS ELAP 198.6)
by Bo Sun
• on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous,30%
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 6 of 7
Client Name:Michael J. Stevens
PLM Bulk Asbestos Report
60 Walker; 60 Walker Lane, New York
Client No. ! HGA Lab No. Asbestos Present Total % Asbestos
#30 223092099-30 No NAD
Location:Roof Under Layment-Asphalt Paper (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 31.5%
#31 223092099-31 No NAD
Location:Insulation/Fiberglass-Paper Backing (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black/Brown, Heterogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 16.3%
#32 223092099-32 No NAD
Location:Insulation/Fiberglass-Paper Backing (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black/Brown, Heterogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 10.5%
#33 223092099-33 No NAD
Location:Insulation/Fiberglass-Paper Backing (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black/Brown, Heterogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 9.2%
#34 223092099-34 No NAD
Location:Insulation/Fiberglass-Paper Backing (by NYS ELAP 198.6)
by Bo Sun
on 09/20/23
Analyst Description:Black/Brown, Heterogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 12.6%
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 7 of 7
Client Name:Michael J. Stevens
PLM Bulk Asbestos Report
60 Walker; 60 Walker Lane, New York
Reporting Notes:
Analyzed by:Bo Sun p����-r Reviewed by:Karol H.Lu
Date:9/20/2023
*NAD/NSD=no asbestos detected;NA=not analyzed;NA/PS=not analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite;
(SM-V)=Surfacing Material containing Vermiculite;PLM Bulk Asbestos Analysis using Olympus,Model BH-2 Pol Scope,Microscope,Serial#:229915,by
Appd E to Subpt E,40 CFR 763 quantified by either CVES or 400 pt ct as noted for each analysis(NVLAP 200546-0),ELAP PLM Method 198.1 for NY
friable samples,which includes the identification and quantitation of vermiculite,or ELAP 198.6 for NOB samples,or EPA 400 pt ct by EPA 600-
M4-82-020(NY ELAP Lab 11480);Note:PLM is not consistently reliable In detecting asbestos in floor coverings and similar non-friable organically bound
materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that can be used to determine if this material can be
considered or treated as non asbestos-containing in NY State(also see EPA Advisory for floor tile,FR 59,146,38970,8/1/94)National Institute of Standards
and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the Iab.This PLM
report relates ONLY to the items tested.RI Cert AAL-094,CT Cert PH-0186,Mass Cert AA000054,NJ Lab ID #NY031.
END OF REPORT
AmeriSci Job#: 223092099 Page 1 of 3
Client Name: Michael J. Stevens •
Table I
Summary of Bulk Asbestos Analysis Results
60 Walker; 60 Walker Lane, New York
Sample Heat Acid Insoluble
AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "Asbestos%by
Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM
01 #1 — — — — NAD NA
Location: Family Room Wall&Ceiling-Compound .
02 #2 — — — — NAD NA
Location: Family Room Wall&Ceiling-Compound
03 #3 — — — — NAD NA
Location: Family Room Wall&Ceiling-Compound
04 #4 — — -- — NAD NA
Location: Living Room Wall&Ceiling-Compound
05 #5 — — — — NAD NA
Location: Living Room Wall&Ceiling-Compound
06 #6 — — — — NAD NA
Location: Living Room Wall&Ceiling-Compound
07 #7 — — — — NAD NA -
Location: Kitchen Wall&Ceiling-Compound
- 08 #8 — — — — NAD NA
Location: Kitchen Wall&Ceiling-Compound -
09 #9 — — — — NAD NA
Location: Kitchen Wall&Ceiling-Compound
10 #10 0.157 62.1 34.8 3.1 NAD MAD
Location: Bath Room Floor-Vinyl Tile
11 #11 0.189 63.0 34.7 2.3 NAD NAD
Location: Bath Room Floor-Vinyl Tile
12 #12 0.168 63.1 33.3 3.6 NAD NAD
Location: Bath Room Floor-Vinyl Tile
13 #13 — — — — NAD NA
Location: Second Floor M Bedroom Wall&Ceiling-Compound
14 #14 — — — — NAD NA
Location: Second Floor M Bedroom Wall&Ceiling-Compound
15 #15 — — — — NAD NA
Location: Second Floor M Bedroom Wall&Ceiling-Compound
16 #16 — — — — NAD NA
Location: Second Bedroom Wall&Ceiling-Compound
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 2 of 3
•
Client Name: Michael J. Stevens
Table I
Summary of Bulk Asbestos Analysis Results
60 Walker; 60 Walker Lane, New York
Sample Heat Acid Insoluble
AmeriSci HG Weight Sensitive Soluble Non-Asbestos **Asbestos%by **Asbestos%by
Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM
17 #17 - - - - NAD NA
Location: Second Bedroom Wall&Ceiling-Compound
18 #18 - - - - NAD NA
Location: Second Bedroom Wall&Ceiling-Compound
19 #19 0.166 62.6 33.6 3.8 NAD NAD
Location: Second Floor Bath Floor-Vinyl Flooring
20 #20 0.194 61.9 34.7 3.4 NAD NAD
Location: Second Floor Bath Floor-Vinyl Flooring
21 #21 0.181 63.3 32.7 3.9 NAD NAD
Location: Second Floor Bath Floor-Vinyl Flooring
22 #22 0.296 25.4 50.2 24.4 NAD NAD
Location: Roof Shingle-Asphalt Shingle
23 #23 0.383 24.6 45.9 29.5 NAD NAD -
Location: Roof Shingle-Asphalt Shingle
- 24 #24 0.380 21.0 37.7 41.4 NAD NAD
Location: Roof Shingle-Asphalt Shingle -
25 #25 0.442 22.3 50.4 27.3 NAD NAD
Location: Roof Shingle-Asphalt Shingle
26 #26 0.395 23.9 48.8 27.3 NAD NAD
Location: Roof Shingle-Asphalt Shingle
27 #27 0.244 94.4 5.2 0.4 NAD NAD
Location: Roof Under Layment-Asphalt Paper
28 #28 0.170 95.0 4.5 0.5 NAD NAD
Location: Roof Under Layment-Asphalt Paper
29 #29 0.420 24.3 45.7 30.0 NAD NAD
Location: Roof Under Layment-Asphalt Paper
30 #30 0.372 22.1 46.4 31.5 NAD NAD
Location: Roof Under Layment-Asphalt Paper
31 #31 0.099 72.3 11.4 16.3 NAD NAD
Location: Insulation/Fiberglass-Paper Backing
32 #32 0.111 86.5 3.0 10.5 NAD NAD
Location: Insulation/Fiberglass-Paper Backing
See Reporting notes on last page
AmeriSci Job#: 223092099 Page 3 of 3
Client Name: Michael J. Stevens
Table
Summary of Bulk Asbestos Analysis Results
60 Walker; 60 Walker Lane, New York
Sample Heat Acid Insoluble
AmeriSci HG Weight Sensitive Soluble% Non-Asbestos **Asbestos%by *•Asbestos%by
Sample# Client Sample# Area (gram) Organic% Inorganic Inorganic% PLIWDS TEM
33 #33 0.100 84.2 6.6 9.2 NAD WAD
Location: Insulation/Fiberglass-Paper Backing
34 #34 0.079 82.7 4.7 12.6 NAD NAD
Location: Insulation/Fiberglass-Paper Backing
Analyzed by:Karol H.Lu Reviewed by:Karol H.Lu
Date:9/21/2023
**Quantitative Analysis(Semi/Full);Bulk Asbestos Analysis-PLM by Appd E to Subpt E,40 CFR 763 or NYSDOH ELAP 198.1 for New York friable samples or NYSDOH ELAP 198.6 for New York NOB samples;
TEM(Semi/Full)by EPA 600/R-93/116(or NYSDOH ELAP 198.4;for New York samples).Analysis using Hitachi,Model H600-Noran 7 System,Microscope,Serial#:600-27-6.NAD=no asbestos detected
during a quantitative analysis;NA=not analyzed;Trace= <1%;(SOF-V)=Sprayed On Fireproofing containing Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quantitation for beginning
weights of<0.1 grams should be considered as qualitative only;Qualitative Analysis:Asbestos analysis results of"Present"or"NVA=No Visible Asbestos"represents results for Qualitative PLM or TEM
Analysis only(no accreditation coverage available from any regulatory agency for qualitative analyses):NVLAP(PLM)200546-0,NYSDOH ELAP Lab 11480,NJ Lab ID #NY031.
Warning Note:PLM limitation,only TEM will resolve fibers<0.25 micrometers in diameter.TEM bulk analysis is representative of the fine grained matrix material and may not be representative of non-
uniformly dispersed debris for which PLM evaluation is recommended(i.e.soils and other heterogenous materials).
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. Pray
Pre-Demolition Asbestos Building
Survey
60 WALKER LANE
QUEENSBURY NY
12804
Conclusions & Recommendations
Conclusions
Based on the completion of the survey, No regulated asbestos materials
(>1%) were identified at the site based on materials sampled.
Recommendations
Based on the results of this survey, Mike Stevens has the following
recommendations at this time.
• Prior to any demolition activities, a copy of the asbestos survey
should be provided to the demolition contractor and local
asbestos control board.
• Maintain a copy of this asbestos survey with the property.
• If un-assessed suspect ACM is identified during demolition
activities, retain an asbestos building inspector to sample the
material(s).
• One copy of the asbestos survey report should be immediately
transmitted by the building owner as follows:
1) One copy of this report must be immediately transmitted by the
building owner, or their agent, to the local government entity
charged with issuing a permit for such demolition, renovation,
remodeling or repair work under applicable NY Stat laws.
2) The completed asbestos survey for controlled demolition (as per
Subpart 56-11.5) or pre-demolition asbestos projects shall also be
submitted to the NEW YORK STATE DEPARTMENT OF LABOR
•
1
Pre-Demolition Asbestos Building Survey
60 WALKER LANE
QUEENSBURY NY 12804
Summary Of Results
A material is considered by the EPA to be Asbestos-containing if at least
one sample collected from the homogenous area shows asbestos
present in an amount greater than 1%. Based on review of the
Laboratory results, none of the submitted friable and non-friable ACM
samples analyzed contain asbestos.
Survey
Building Inspection Procedure
Mr. Michael J. Stevens, a New York State Certified Inspector (
Certification #72900) conducted an asbestos survey of the building(s)
on JUNE 14 2023 which included both the interior and exterior
portions of the BUILDING
Mr. Stevens visually inspected the residence for suspect asbestos
containing materials (ACMs). The roof of the residence was accessed
with a ladder. Methodologies used were generally consistent with
USEPA publications: "Guidance for Controlling Asbestos Containing
Materials in Buildings" (June 1985) and "Asbestos in Buildings:
Simplified Sampling Scheme for Friable Surfacing Materials" (dated
October 1985). The documents were used for their asbestos survey
concepts, such as identifying homogenous materials, quantifying
materials, and evaluating friability(potential to crumble with hand
pressure) and condition (good, damaged or significantly damaged).
Over 3,000 products are currently known to contain asbestos.Although
no comprehensive list of ACMs exists, Mr. Stevens utilized the USEPA's "
Sample List of Suspect Asbestos-Containing Materials" as a general
guide to identify and document suspect ACMs within the building, In
addition, in some cases, Mr. Stevens utilized their experience and the
knowledge obtained through training courses to identify suspect ACMs.
Mr. Stevens inspected all spaces of the building, including storage
rooms, utility rooms, and crawl spaces.
During the survey,the inspector classified each suspect ACM as one of
three types: 1) surfacing material applied by spray or trowel, 2) thermal
insulation on pipes, tanks, boilers and related features, 3) miscellaneous
not classified as surfacing material or thermal system insulation. The
inspector touched all assumed or suspected materials on all surfaces,
including walls, ceilings, structural members, and mechanical
equipment, to determine their friability, or the extent to which the
material, when dry, may be crumbled, pulverized, or reduced to powder
by hand pressure. In addition, the inspector assessed the condition of
each suspect ACM and classified the material as either 1) good 2)
damaged 3) significantly damaged. A suspect ACM is considered in good
condition if there are no visible signs of damage, is considered damaged
if the material contains less than 25% localized damage or less than
10% distributed damage and is considered significantly damaged if the
material contains greater than 25% localized damage or greater than
10% distributed damage.
It should be noted that in accordance with the Occupational Safety and
Health Administration (OSHA), Asbestos Construction Standard 29 CFR
1926.1101, any thermal insulation, surfacing materials, floor tiles,
roofing felts and shingles found in buildings constructed no later than
January 1, 1981 are presumed ACMS
To arrive at a preliminary evaluation of ACM, Mr. Stevens considered
the following in its assessment: 1) location of the ACM; 2) condition of
the material, such as damage and severity of damage; 3) accessibility to
building occupants; 4) the potential for disturbance; 5) known or
suspected causes of damage; and 6) preventative measures that might
eliminate the likelihood of future damage.
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NOTES SEPTEMBBER 13 2023
STRUCTURE IS A 2 STORY BUILDING
ASPHALT SHINGLE WITH UNDERLAYMENT
VINAL SIDING OVER SHEATING
MAN DOORS ARE METAL NO GLAZING FOR THE GLASS
FIBERGLASS INSULATION WITH PAPER BACKING
REPLACEMENT WINDOWS NO CALK
ALL WIRING WIRING UPDATED
AGE OF STRUCTURE POSTED AT 1950
ALL DRAIN AND WATER PIPES ARE PLASTIC OR COPPER
HARDWOOD FLOORS OVER SHEATING
HOUSE COMPLETLEY RE HABBED IN THE PAST 20 YEARS
HOT WATER HEATING SYSTEM
PORCH IS BARE WOOD UNFINISHED