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2024-0459 L Office Use Only (/j DEMOLITION Permit#: 5� �` Permit Fee:$ ) �Q Town afQce„ APPLICATION Invoice t i�`, d 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Flood Zone? T Reviewed By: /r Demolition Location: -5Eg, TV LAA/E Tax Map ID#: 226 . — 3 —Z **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where will demolition material be disposed? A-0 art) g , ',. 1 2. Type of structure to be demolished: D a. Residence d. Storage Building AU b. Garage e. Other: G 281014 TOWN c. Business BooORQUEs 3. What type of utilities are connected to the structure: `NG C OEs a. Gas d. Electric g. Public Sewer b. Fuel Oil e. Public Water h. None c. Propane f. Well-Water Pump i. Other: 4. Have ALL utilities (water, electric, etc.) been disconnected? Yes No ADDITIONAL INFORMATION: 1. Two inspections are required: '1.) an inspection to determine that utilities are disconnected, and 2.) a final inspection after the structure is removed and the site is cleaned up and graded. 2. Twenty-four (24) hour notification is required for inspections. Declaration: I acknowledge that no structure(s) will be removed from the parcel until the demolition application has been reviewed and approved by the Town of Queensbury Building & Code Enforcement and Zoning Departments and a permit has been issued. I have read and agree to the above: PRINT NAME: Janis T I p4rc SIGNATURE: DATE: N-)242y Demolition Application Revised May 2024 1 -. CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): -Aar Pi^ I v.irS I Mailing Address, C/S/Z: Ht StftCX,l-e Lone, Lo 1%e e t (�r 1�1 y 12T/A Cell Phone: 5V1( SOS- 91 Li(j Land Line: Email: u PCirr-ftSMan I a gnaf t rean • Primary Owner(s): Name(s): j®hn E in and Hc k'r S0 kei ly Mailing Address, C/S/Z: . i'Ylc untC(I n Cr-eti. I24 P hq tt ci`" ii Cell Phone: cog (217 �i (.j' Land Line: i 27O Email: 3elZt llv, 31rd @- gfylCa I o (I off) ❑ 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): ecCjr lOfl(J Marl( �lou►iec�,Jr J Plowcv Mountain Ctn 1m *cy) Contractor Trade: E ava-i-i be J pm-m I Ff-Dr Mailing Address, C/S/Z: SeDi1 a , Cell Phone: c V fin? 2,3 q-7 Land Line: 1 cr Email: vl rintOOO(l -r e. yaoD v & fl) **Workers' Comp documentation must be submitted with this application** Contact Person for any questions regarding this project: d 2f 1 S PI pI k- c Cell Phone: '%05 91 y CP Land Line: Email: JP Off5 rfGtfl 10 0 9inciI 3 Corn Demolition Application Revised May 2024 3ex\uur3. -t-exik\5Lcw6{-,,i0 T.J. Bell & Compa=i n ; ii) _E C 1E 0 V IE 5 Ck\_, -1r Invoice P.O.Box 800 1 AUG.2 8 2024 CDC i'ci, i o .`�. r'i h) Valatie,NY 12184 . TOWN OF QUEENSBUY Phone 518-392-6849 www.asbestoscompan .com BUILDING& CODES Pun',ase Order# Fax# 518-392-5502 asbestoscompany@yah I 1.v, Bill To Date Invoice# JPK Construction '5114/2011 `2064 Albany,NY Phone FAX • 253-7295 Terms Net 15 Project Location BellewoodliarkCottages 1 alie 3eorii,N1r Description Amount Demolition of building#1 with asbestos left in place per proposal#2055A 23,940.00 Demolition of building#2 with asbestos left in place per proposal#2056A 23,940.00 Demolition of building#3 with asbestos left in place per proposal#2059A 17,990.00 NYS Large Project Fee for building#4 2,000.00 Removal of asbestos;containing aterials.forbuilding#5 per proposal#2063 17,950:00 Demolition of building#6 with asbestos left in place per proposal#2057A 23,850.00 Demolition of building#7 with asbestos left in place per proposal#2058A 23,850.00 Demolition of building#8/9 with asbestos left in place per proposal#2061A 32,730.00 Removal'of asbestos containing materials_for building#10 perproposal#2064 16,780.00 ,Demolition of buiiding#11/12 with asbestos left in.place per.proposal#2062A 32,730.00 . Removal of the asbestos roofmg from the south boat slip 3,790.00 Removal of the asbestos roofmg from the north boat slip 3,790.00 Previous Payments -65,210.00 10%Retainage -15,810.00 226.19-3-2 2024-0459 Kelly, John & Helen-Jo 10 Serenity Lane Demolition of residence _ )License#AC-99-0939 Total A42,320.00 Federal ID#14-1438766 T.J.Bell&Co.,Inc.accepts MasterCard/Visa/American Express 3 T.J.Bell&Co.,Inc.is a NYS Certified Woman-Owned Business Enterprise. 9 � fij :i, -'` r - 1 wd:Invoice from I.J. Bell Y Company, Inc. rage 1 of ! From:James Kelly<jpkconstruction@gmail.com> To:JEK3rd@aol.com Subject:Fwd:Invoice from T.J.Bell&Company,Inc. Date:Wed,Jun 22,2011 10:13 pm Attachments:Inv 2064 from T.J._Bell_C.pdf(66K) Hi Johnny&Honey Jo, Attached is the final T.J>Bell billing for the Bellewood cottage asbestos removal. I.asked Dan,if the:NYS^Lat or Dept.issues any certificate;of:.completion;he saidlthey don't issue ally_paperwork on the completed_jobs;;T J:Bell'sfinal billing i_s; proof roof-of completion and�the-inspections`along the way anti-the-final inspection by the State`before the retaining fences wereremoved is `all that is required. Hope all is well,talk soon,Jimmy Begin forwarded message: From:'T.J.Bell&Company,Inc."<asbestoscomnanyvahoo.com> Date:June 20,2011 11:08:51 AM EDT To:jpkconstruction(aornail.com Subject invbice from T.J.Bell&Company,inc. Reply-To:'T.J.Bell&Company,Inc."<asbestoscompany Ovahoo.com> • Dear Customer : Your invoice is attached. Please remit payment at your earliest convenience. Thank you for your business - we appreciate it very much. Sincerely, T.J. Bell &Company, Inc. 518-424-1582 • To view your invoice Open the attached PDF file. You must have Acrobat® Readers, installed to view the attachment. rrA j & Asbestos Project Notification Project Reference Number: 25844694 Type: Initial Notification Status: Notification Received Notification Received: 4/28/2011 Payment Status: Paid in full Number of amendments: 0 Notification Entered By: Jupiter Environmental Services, Inc. Contractor Information FEIN:061598172 Jupiter Environmental Services, Inc. Mailing Address 3 Lynn Court Lincoln Park NJ 07035 Asbestos License Number:28543 Duly Authorized Representative Annabel Pierce, Officer Phone Number: 973-709-0200 E-mail Address: jupiteres@aol.com Project Information Project Start Date: 5/19/2011 Project End Date: 7/19/2011 Project Location County:Warren Worker Compensation Worker Compensation Policy#: , WC Exemption Certificate#: Number of your employees you expect to be on project: Will temporary workers be used? If yes,name of temporary agency: Project Location Building`Name Cotage_Z .� ,. Room or Location: entire structure Bridge ID#: Address Line 1: Bellewood Park cottages/Assembly point Address Line 2: City Town or Village: lake george State: New York Zip Code: • Building Information Current Use: Other Prior Use: Other Approximate Year Built: 1940 Size(sq.ft): 1225 Is this fee exempt project?: NO Reason: Building Representative/Site Contact Name: Jim Kelly Phone Number: 518.253.7295 E-mail Address: Cell Phone Number: Phase Details Phase# Phase Start Date Phase End Date Phase Location Phase Scope Sub-Contractor Details Name: Asbestos License Number: Night/Weekend/Shift Work Details 07:00- 17:00 Mon.-Sat controlled demo of cottage#7 with ACM in place via excavator Party for Whom Work is being Performed First Name: Jim Last Name: Kelly Organization: Apt./Suite: Address Line 1: 241 Assembly point road Address Line 2: City Town or Village: Queensbury Province: State: NY Zip Code: 12845 Country: United States Contract Dollar Amount: $1.00 Variance Information Procedures and Type of Equipment and Ventilation Systems Used 6,000 gal.water tanker used for wet of a controlled demo of existing cottage with ACM in place via excavator Air Monitoring Firm Name: Asbestos License Number: Alpine Environmental Services, Inc. 29095 Laboratory Performing Analysis Name: ELAP Registration Number: Alpine Environmental Services 11740 Type of Asbestos Work Pipe Related: No Siding: No Clean up: No Vessel covering: No Caulking/mastic: No Spray-on insulation: No Roofing/flashing: No VAT: No Demolition: Yes Demolition Ref#: 10A0593 Other-specify: Waste Transporter Name: Jupiter Environmental Services, Inc. NYS DEC or EPA Permit Number: NJ-494 Phone Number: 518.435.0700 Apt./Suite: Address Line 1: 17 Warehouse Row Address Line 2: City Town or Village: Albany Province: State: NY Zip Code: 12205 Country: United States Landfill Name: Senneca Meadows Phone Number: 315.539.5624 Apt./Suite: Address Line 1: 1786 Salcman road Address Line 2: City Town or Village: Waterloo Province: State: NY Zip Code: 13165 Country: United States Type and Amount of Asbestos Containing Material Friable linear feet: 0 Friable square feet: 3380 Non-friable linear feet: 0 Non-friable square feet: 1300 Fee Total linear feet: 0.0 Total square feet: 4680.0 Total Fee: 2000.0 Project Fee Schedule If the notification was submitted prior to 4/7/09,the actual project fee is one half of the amount shown on the fee schedule Linear Feet: Fee Square Feet: Fee 0-259 feet: $0 0- 159 feet: $0 260-429 feet: $200 160-259 feet: $200 430-824 feet: $400 260-499 feet: $400 825- 1649 feet: $1000 500-999 feet: $1000 1650 or more feet: $2000 1000 or more feet: $2000 Remarks EPA Notification of Demolition and Renovation Operator project# Postmark Date Received Notification# I. TYPE OF NOTIFICATION (0=Original R= Revised C= Canceled): 0 ' II. FACILITY INFORMATION (Identify owner, removal contractor and other operator) OWNER NAME: Jim Kelly Address: 241 Assembly Point • City: Queensbury State: NJ Zip: 12845 Contact: Jim Kelly Tel: 518.253.7295 REMOVAL CONTRACTOR: Jupiter Environmental Services, Inc. Address:..3..Lynn Court City: Lincoln Park • ' State: NJ Zip: 07035 ' Contact: Pane Repic Tel: 973-709-0200 OTHER OPERATOR:. Address: . • City: . •State: Zip: Contact: Tel: III. TYPE OF OPERATION (D=Demo, 0=Ordered Demo, R=Renovation, E=Emer. Renovation): R IV. IS ASBESTOS PRESENT? (Yes/No) Yes V. FACILITY DESCRIPTION (Include building name, number and floor or room number) Building.Name: Cottage 7 • Address: Bellewood Park Cottages - City: Lake George State: NY .•County: Warren • Site Location: Cottage 7 Building Size: , # of floors: 1 Age in Years: 1940 • Present Use: Vacant Prior Use.: Cottage VI. PROCEDURE, INCLUDING ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT THE PRESENCE OF ASBESTOS MATERIAL: • Bulk Sampling • VII. APPROPRIATE AMOUNT OF Nonfriable Asbestos Indicate Unit of ASBESTOS, INCLUDING: • Material Not to be Measurement Below RACM Removed 1. Regulated ACM to be removed To Be 2. Category I ACM not removed Removed Cat I Cat II UNIT 3. Category II ACM not removed Pipes LnFt: Ln m: Surface Area Joint SqFt:3,380 Sq m: ' compound - ! Vol RACM Off Facility Compound - CuFt: Cu m: VIII. SCHEDULED DATES ASBESTOS REMOVAL (mrn/dd/yy) Start: 05/16 /11 Complete: 05/30/11 IX. SCHEDULED DATES DEMO/RENOVATION (mm/dd/yy) Start: 05/16 /11. Complete: 05/30/11 JES N141 (1/99) page 1 of 2 Continued on page two • Notification of Demolition and Renovation (continued) X. DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK,AND METHOD(S)TO BE USED: 6,000 gal water tanker on site with controlled demo with ACM in place via Excavator and placed into lined trailers. XI. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS OF ASBESTOS AT THE DEMOLITION AND RENOVATION SITE: Asbestos to be removed by wet methods in accordance to NYS Industrial code rule 56.11.5 Xll. WASTE TRANSPORTER#1 Name: Jupiter Environmental Services, Inc. Address: 17 Warehouse Row • City: Albany State: NY Zip: 12205 • - - - -Gontact-Person: -Scott - —... Tel:--518:435:0700-- WASTE TRANSPORTER#2 Name: Address: City: State: Zip: ' Contact Person: Tel: XIII. WASTE DISPOSAL SITE • Name: Seneca Meadows Address: 1786 Salcman rd. City Waterloo State: NY • Zip: 13165 • • • Telephone: 315.53915624 • • XIV. IF DEMOLITION ORDERED BY A GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY BELOW: Name: . . Title: Authority: . . Date of Order(mm/dd/yy): Date Ordered to Begin(mmldd/y.y): XV. FOR EMERGENCY RENOVATIONS • . Date and Hour of Emergency (mm/dd/yy): • Description of the Sudden, Unexpected Event: • • Explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable • financial burden: • XVI. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OR PREVIOUSLY NONFRIABLE ASBESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER. If it crumbles, it will be contained and treated as friable. • XVII. I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF THIS REGULATION (40 CFR PART 61, SUBPART M)WILL BE ON-SITE DURING THE DEMOLITION OR RENOVATION AND EVIDENCE THAT THE REQUIRED TRAINING HAS BEEN ACCOMPLISHED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS H URS. 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November 2010 Bellewood Park Cottages Assembly Point Lake George,New York Non-Asbestos Containing Materials Tested: Roofing shingles Small Outbuilding: Asbestos Material Found: Roll roofing and roofing/flashing cement Non-Asbestos Containing Materials Tested: None Tennis Court Asbestos Material Found: None Non-Asbestos Containing Materials Tested: Asphalt Building#1: Asbestos Material Found: Linoleum(bedroom) Presumed Asbestos Materials: joint compound, 9-inch floor tile, linoleum under sink, sink coating,window glazing compound, caulking at siding joints, caulking at chimney, roll roofing, and roofing/flashing cement Non-Asbestos Containing Materials Tested: Linoleum(kitchen floor) Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, concrete pier, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels,and carpet adhesive Building#3: Presumed Asbestos Materials: joint compound, 9-inch floor tile, sink coating, window glazing compound, caulking at siding joints, roofingtflashing cement • Non-Asbestos Containing Materials Tested: Linoleum under sink (kitchen), and linoleum(bath) Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, concrete pier, mastic to 9-inch floor tile, caulking at bath wall panels,adhesive to bath wall panels, carpet adhesive, textured paint and roofing shingles Building#4: Presumed Asbestos Materials: joint compound, 9-inch floor tile, sink coating, linoleum under sink, window glazing compound, caulking at siding joints, caulking at chimney, roll roofing, and roofingtflashing cement Page 2 • 1145 Central Avenue Albany, New York 12205 Phone: (518)453-0145 Fax: (518)453-0175 Bellewood Park Cottages • November 2010 Assembly-Point Lake George,New York Non-Asbestos Containing Materials Tested: Linoleums (kitchen), vapor barrier behind wood paneling, fiberboard ceiling panels, ceramic tile, grout to ceramic tile, mortar to ceramic tile, and adhesive to ceramic tile • Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall • panels, carpet adhesive, and vapor barrier to fiberglass insulation Building#6: Asbestos Material Found: 9-inch floor tile,and window caulking . . Presumed Asbestos Materials: joint compound, sink coating, linoleum under • sink, window glazing compound, caulking at siding joints, • caulking at chimney,roll roofing,and roofing/flashing cement Non-Asbestos Containing Materials Tested: Linoleum (kitchen), and fiberboard ceiling panels Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels, carpet adhesive, and vapor barrier to fiberglass insulation Building#7: Asbestos Material Found: Roofing/flashing cement Presumed Asbestos Materials: joint compound, 9-inch floor tile, sink coating, • linoleum under sink, window glazing compound, caulking at siding joints,caulking at chimney,and roll roofing • Non-Asbestos Containing Materials Tested: Linoleum (kitchen) Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, • hearth stone mortar, stone foundation mortar, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels, carpet adhesive, and vapor barrier to fiberglass insulation • Building#8/9: Presumed Asbestos Materials: Joint compound, 9-inch floor tile, sink coating, window glazing compound,caulking at siding joints, roll roofing, and roofinglflashing cement Non-Asbestos Containing Materials Tested: Vapor barrier behind wood paneling 1 Page 3 1146 Central Avenue Albany,New York 12205 Phone:(518)453-0146 Fax: (518)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Any suspect materials found during demolition/renovation activities that are not listed in this report should be considered asbestos containing materials until tested and determined otherwise. General Asbestos Containing Material "Asbestos containing materials", as defined by the United States Environmental Protection Agency (EPA), is any material containing more than 1% asbestos as determined using the method specified in Appendix E, Subpart E, 40 CFR Part 763, Section 1, Polarized Light Microscopy. Bulk samples Were collected in accordance with USEPA ASHARA protocols for number and types of samples. Materials easily crushed or pulverized by hand pressure are considered friable. Materials:wfth a bituminous or resinous binder that are not easily crushed or -- - - - pulverized by hand pressure are considered.bound mateleaOs Organically analyzedd using B) Friable and non-friable materials, excluding organically Polarized Light ' Microscopy (PLM). Non-Friable Organically Bound samples were analyzed using Transmission Electron Microscopy (TEM): All samples were analyzed by EMSL Analytical (ELAP 11506: Manhattan Lab). Conclusion The following materials were found to be asbestos containing or presumed to be asbestos containing materials at the Bellewood Park Cottages located on Assembly Point in Lake George, New York: Building#1 4: : Asbestos Material Location Substrate Quantity Friability Condition '^t Joint compound Thfoughout Drywall • 3,370 sf Friable Damaged 4`:17 9-inch floor tile Kitchen and Bath Wood 108 Non-friable Damaged I Kitchen under Metal 5 sf Non friable Good • • Linoleum :Sink East Center Carpet 9 sf Non-friable Damaged Bedroom t. Sink coating Kitchen Sink Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged ound ✓ comp Exterior at Caulking at Siding Joints in Wood Wood 4 sf Non-friable Good ;� Siding 1 Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimney Roll roofing,and Roof under --- roofing/flashing Metal Wood 1,245 sf Non-friable Good cement Building#2 • Asbestos Material Location Substrate Quantity Friability Condition Joint compound Throughout Drywall 3,370 sf Friable Damaged r: Kitchen and t 9-inch floor tile Bath Wood 108 Non-friable Damaged Kitchen under I Sink,in and on Metal/Wood 8 sf Non-friable Good Linoleum Cabinet I East Center / Carpet 9 sf • Non-friable Damaged Bedroom ,,� Sink coating Kitchen Sink Metal B sf Non-friable Good Page 5 1146 Central Avenue Albany, New York 12205 Phone:(518)453-0146 Fax:(516)453-0175 i Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged i7.:///' coin ound EXterior at Caulking at Siding Joints in Wood Wood 4 sf Non-friable Good Siding 7-.7::.:,:,,,,. Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimney Roll roofing, and Roof under Wood 1,245 sf Non liable Good roofing/flashing ,Metal cement _ . • Building#3 1 Conditiona Asbestos Material - Location - - Substrate .Quantity Friability _. Joint compound Throughout Drywall 1,290 sf Friable Damaged Kitchen and 9-inch floor tile Bath Wood 68 sf Non-friable Damaged Linoleum Kitchen under Metal 5 sf Non-friable Good Sink } Sink coating Kitchens Steel 16 sf Non-friable Good Window glazing Exterior Wood/Glass 14 sf Non-friable Damaged compound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non friable Good Siding Roofing/Flashing :Roof Roofing 3 sf Non-friable Good Cement Shingle Building.#4 . Asbestos Material Location Substrate Quantity Friability Condition Joint compound Throughout Drywall 3,190 sf Friable Damaged 9-inch floor tile Bath Wood 42 sf Non-friable Damaged Linoleum Kitchen under Metal 5 sf Non-friable Good Sink r Sink coating ' Kitchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged 4 compound Exterior at `r Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good •' Siding Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimney Roll roofing,and Roof under roofing/flashing Metal Wood 1,160 sf Non friable Good V cement Building#5 Condition Asbestos Material Location Substrate Quantity Friability Joint compound Throughout Drywall 3,360 sf Friable Damaged Kitchen and Wood 96 sf Non-friable Damaged 9-inch floor tile Bath Linoleum wtchen under Metal 5 sf Non-friable Good Sink Sink coating Kitchen Metal 8 sf Non-friable Good Page 6 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (518)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Window glazing Exterior Wood/Glass 11 sf Non-friable Damaged compound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good Siding Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimney Roll roofing,and Roof under roofing/flashing Metal Wood 1,310 sf Non-friable Good cement • Building#6 .. Asbestos Material Location Substrate Quantity _ Friability Condition Joint compound Throughout Drywall 3,370 sf ' Friable Damaged • - - 9-inch floor tile Bath Wood 46 sf Non-friable Damaged Kitchen under Metal 5 sf Non-friable Good is Linoleum ; Sink Sink coating Kitchen Metal 5 sf Non-friable Good ,; Window "'`'4 caulking/glazing Exterior Wood/Glass 10 sf Non-friable Damaged compound ;` Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good I ;Siding Exterior Caulking at Wood/Brick 1 sf Non-friable Damaged Chimney ° Roll roofing,and 'y; Roof under roofing/flashing Metal Wood 1,225 sf Non-friable Good cement {,-1 Building#7 • i Asbestos Material Location Substrate Quantity Friability Condition Joint compound Throughout Drywall 3,380 sf . Friable Damaged -1:' 9-inch floor tile ;Bath Wood 44 sf Non-friable Damaged '� Kitchen under i c Linoleum Metal 5 sf Non-friable Good Sink Sink coating Kitchen Metal 8 sf Non-friable Good �'', Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged I� compound 1: Exterior at • • :, Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good Siding Caulking atsf Non-friable Damaged ��'� Chimney Exterior Wood/Brick 1 9 Roll roofing,and ROof under ,;54 roofing/flashing Metal Wood 1,225 sf Non-friable Good cement ..l 1 Building#8!9 '.„'° Asbestos Material Location Substrate Quantity Friability Condition 44 Joint compound Throughout Drywall 5,100 sf Friable Damaged `l Kitchens and �j 9-inch floor tile ;Baths Wood 202 sf Non friable Good • 1; '3 Page 7 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (518)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York - Kitchen under Metal 5 sf Non-friable Good Linoleum Sink Sink coating Kitchens Steel 16 sf Non-friable Good Window glazing Exterior Wood/Glass 12 sf Non-friable Damaged corn.ound .i i \*),,,,j Exterior at Caulking at Siding Joints in Wood Wood 10 sf Non-friable Good Siding Roll roofing,and Wood 1850 sf Non-friable Good roofing/flashing Roof cement - Building#10 Asbestos Material Location Substrate Quantity Friability Condition Joint compound Throughout Drywall 2,640 sf Friable Damaged Kitchen and Wood 97 sf Non-friable Damaged 9-inch floor tile Bath Linoleum Kitchen under Metal 5 sf Non-friable Good Sink Sink coating Kitchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 8 sf Non-friable Damaged compound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non friable Good ',Siding Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimney _ Roll roofing,and roofingfffashing Roof Wood 965sf Non-friable Good cement Building#11112 Condition l Asbestos Material Location Substrate Quantity Friability Joint compound Throughout Drywall - 5,100 sf Friable Damaged1. Kitchens and �1 9-inch floor tile Baths Wood 202 sf Non-friable Good Linoleum Kitchs sunder Metal 5 sf Non-friable Good Sink coating Kitchens Steel 16 sf Non-friable Good Window glazing Exterior Wood/Glass 12 sf Non-friable Damaged compound Exterior at `^ Caulking at Siding Joints in Wood Wood 10 sf Non-friable Good G 'Siding Roll roofing,and roofing/flashing i Roof Wood 1850 sf Non-friable Good cement Tennis Court • Friability I Condition IAsbestos Material Location I Substrate Quantity ` None • I Page 8 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (518)453-0175 • II . I . I Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Small Outbuilding Condition Asbestos Material Location Substrate Quantity Friability Roll-on Roofing and Roof Wood 25 sq ft Non-friable Good RoofingMashing Cement Covered Boat Slips i Asbestos Material Location Substrate Quantity Friability Condition �f North Slip Wood 312 sq ft Non-friable Good Flat Roof Roll-on Roofing South Slip Wood 312 sq ft Non-friable Good Flat Roof .._ _ According to 12 NYCRR 56, the building owner (or owner's agent) is required to transmit this asbestos inspection report to any local government permit issuing agency (i.e. building department)for any demolition,renovation or remodeling. In addition, if this inspection Is for the purposes of demolition, the building owner (or owner's agent) is also required to transmit this inspection report to the Asbestos Control Bureau, New York State Department of Labor. This inspection report is required to be displayed on site during all related construction work. Disturbance/Abatement of any asbestos containing materials, as well as air monitoring, must be performed by a NYS DOL licensed contractor, in accordance with state and federal regulations (NYS DOL ICR 56 and US EPA 40 CFR). If Alpine Environmental Services can be of further assistance on this matter,please contact our office at(518)453-0146. • • Sincerely, Alpine Environmental Services,Inc. ' .•i Brian Gould NYS Dept.of Labor Asbestos Inspector Enclosures: Results, NYSDOL Handling License(s), NYSDOL Handling Certificate(s), NYSDOH ELAP License(s) Page 9 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax:(518)453-0175 „,x ,v4Ab , 3h..�,RN(i.� mot .. .'�,^:'^Y},•�.�5r TT.. Sa.,'Yl GEkli�' 'F'^.. • • F '. : .,q ,a. .,.. .vat: . ' „op:NEVi�YRRK`STATE oDEPi 1 TMENT P'L OR g '4'o < .. 4=, 'DI�/ISIO• OF. ET`(''AN= I `'fH ,�'� F:'K:lµ� . =' /1 • •ir"Art”,eICENSENO C6 +i(�l �fiE l NITr . a * ;. • ;%" 2t TEC/}I�IPUS'4I } F, W a, NG'12 '. . i.. .� .r;10 :?' ALB z', ,. 4�: p� k ,. , `;� ` •r ,-ASBESTOS`H• ANDLING LICE1�5�; 1 ,.:• „; • u, ii.''t i„ejs ./:fs% F.t i•' �t'it iS:L. Sti; ' ,phi:: . '': * ."ip �9.: �j4't� ..i - ,t at,' S4.y,:,- „. .. 'Vet- _. •fi ,+r dam. i{ytir: `y i. w ...y y?,kt• ,,,* ,r .. '.;�:, , • Jupiter:Fni lron;teantaI Se rv'ic;,.,'}`i`nc. , .,My.s�. -•, ' r • ,: ;� 14 ^s °_ ;. ,l�, rx..'i'. �; i" t .-; PILE NIJIUIBER:> Dw;`Is, i : �� v.� fit' f ;;,1`• d ,C�.: -.. .<' Nsi,i ' t;;y §S::y"3,�.i' :..'t'',:' '`v.''' ::y •i;`ut,'..tr2..';. �,y' '�;, �$•^.._ ;s�:' t `'�s:.,n:. • 3 L nn ;ou,> ` 5s'F '�:.,:. .'�fi �r,d � _- ', • >L." Y ;,1:�-�;�:;�> �Y �;�4 , , ' �•=;�:�v���=" ' :LIGENSE:.CL,ASS: EUL ':•�=�:�' � .;�,.E:i"''• . .�5�' •irk` ,: - .' •` }: ' '. • '. .<wlt m. .-,.•DATE.OF':ISSUE: 02/.17/2Q311 : e .. Aal Lincdir I %N gl• 7.035 6.?' . �:l�,•'s • .'' 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'",e u�ati ? ;, , '▪0' . ,., ...;'. : e ,,: '. ;4,_f,,gw...,,Rii.'fl'1=.:N R;Pat S1r).sis7s .ectto.'sus�' nsionorrevocaGQn or.:a:(1).:jk� /}`�. • se Ioti>trio anon o tate, federal• o al yark s:,'t g r1 to tie c rkd t esto 'prdj...t or'(2)demo`hrateei a k ..:,' • r of it:.:i•,-1-fh�. on dud of an �n aiv'in , -syor,asbe} 1�at•km�xT ' �': i` i, s 4:� p.y . . %,•,,::•„ --x`?hYi."�', ".Kty,,d1. i ,:lid ^r ----,?° � ,a� y r ,G;.'}' ;�•. •,1J: 1„'+�1rr"���?l..l�:.�. .:wey A�i�_,a,. ,rr .;3 Thi:•,'ce,s▪e is:`�a[;d:on0w,.for`t"e contractor na it d` bioVe and:tbI i ense.0'�a.pliofo.0.o .must ' dlni "fi tl dis la e•.at :'o. ashe •s pro ect,s,!o ksifg 'Chi v tise,verifies.that a.1l' ersons.empIoyed;n •the•liceisee on:a&sb'est� roj ';p."',-.,,erg Y k.. State FI!6eei a$ied•an'- estos Certificate,•app opr ntj I)e,tYieidI w k-they pei form;.by.t ew Yo k ate ` Departmo•t o ii'or 'ta,. ry * _,,,._.., . ' , ' -met '.V,� • �� Y> v ; ., ,Y law fly 1:;: • C • .. _ . . ''k'�l$cy,3i•'.''�Y hs';Y+�L.,TM»t '...c".'�, ,�l�"Yi'll .'..${ • • - '.Maureen A.Cox,Director =: SH432(407) I F;OR THE COMMISS ONER OI':LABOR NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF SOLID &HAZARDOUS MATERIALS PART 364 WASTE TRANSPORTER PERMIT NO. NJ-494 NMI Pursuant to Article 27,Titles 3 and 15 of the Environmental Conservation Law and 6 NYCRR 364. PERMIT ISSUED TO: PERMIT TYPE: JUPITER ENVIRONMENTAL SERVICES, INC. 0 NEW 3 LYNN COURT ■ RENEWAL LINCOLN PARK, NJ 07035 0 MODIFICATION CONTACT NAME: ANNABEL PIERCE EFFECTIVE DATE: 08/31/2010 COUNTY: OUT OF STATE EXPIRATION DATE: 08/30/2011 TELEPHONE NO: (973)709-0200. US EPA ID NUMBER: AUTHORIZED WASTE TYPES BY DESTINATION FACILITY: The Permittee is Authorized to Transport the Following Waste Type(s)to the Destination Facility listed : Destination Facility Location Waste Type(s) Mill Seat SLF Bergen,NY Non-Hazardous Industrial/Commercial Asbestos , Petroleum Contaminated Soil Sludge from Sewage or Water Supply Treatment Plant MINERVA ENTERPRISES INC WAYNESBURG,OH Asbestos Seneca Meadows LF Waterloo,NY Non-Hazardous Industrial/Commercial Asbestos NOTE: By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the.Environmental Conservation Law, all applicable regulations, and the General Conditions printed on the back of this page. ADDRESS: New York State Department of Environmental Conservation Division of Solid&Hazardous Materials-Waste Transporter Program 625 Broadway, 9th Floor Albany,NY 12233-7253 AUTHORIZED SIGNATURE: l � r/ r Date: F �=�,C,.�;''Z,.� y c PAGE 1 OF 2 This permit is soot valid Lai( the effective date listed on the permit NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF SOLID &HAZARDOUS MATERIALS allPART 364 llamaWASTE TRANSPORTER PERMIT NO. NJ.7494 NEW Pursuant to Artide 27,Titles 3 and 15 of the Environmental Conservation Law and 6 NYCRR 364 PERMIT ISSUED TO: PERMIT TYPE: JUPITER ENVIRONMENTAL SERVICES, INC, o NEW 3 LYNN COURT IN RENEWAL LINCOLN PARK, NJ 07035 ❑MODIFICATION CONTACT NAME: ANNABEL PIERCE EFFECTIVE DATE: 08/31/2010 COUNTY: OUT OF STATE EXPIRATION DATE: 08/30/2011 TELEPHONE NO: (973)709-0200 US EPA ID NUMBER: AUTHORIZED VEHICLES: The Permittee is Authorized to Operate the Following Vehicles to Transport Waste: (Vehicles enclosed in<>'s are authorized to haul Residential Raw Sewage and/or Septage only) • 13(Thirteen) Permitted Vehicle(s) NJ TBW61D NJ TFX82W NJ THC73Z NJ THC74Z • NJ THC75Z NJ THD16A NJ THD26A NJ THD40C • NJ THD41C • NY 13554PB NY 69111JS NY 70814JU • NY AV78646 End of List • • PAGE 2 OF 2 „�� TOWN OF QUEENSBURY 1 ' Community Development Office 742 Bay Road, Queensbury, NY 12804-5902 March 25, 2011 Daniel Bell, Vice President T.J. Bell and Company, Inc. P.O. Box 800 Valatie, NY 12184 RE: Buildings One, Two, Three, Six, Seven, Eight, Nine, Eleven, and Twelve Dear Dan: This letter will reference that I did inspect the cottages located off Lake Parkway in the Town of Queensbury for demolition. An inspection of the buildings revealed that several of the buildings are showing signs of structural collapse and severe damage from water, ice and snow. As this would put the workers at risk who would be removing roofing materials and flooring materials, it is my strong suggestion that the buildings be totally demolished, as allowed under the New York State Labor Law, to avoid any worker injury that could occur during the removal of asbestos. I trust this will answer all your concerns. If not, please don't hesitate to contact me. Sincerely, TOWN OF QUEENSBURY David Hatin, Director Building and Code Enforcement DH/mg "Home of Natural Beauty ... A Good Place to Live ” Jupittr 17 Warehouse Row,Albany NY 12205 Tel: (518) 435-0700 Fax: (518)435-0702 Environmental Services, Inc. info@Jupiteres.com www.jupiteres.com NOTIFICATION TO OCCUPANTS ASBESTOS REMOVAL PROJECT Location: Cottage# 7-Bellewood Park Cottages Bay Parkway, Assembly Point Asbestos Material: Controlled Demo with ACM in place Approx. 3,380 sq. ft. of joint compound Approx. 44 sq. ft. 9x9 tile Approx. 5 sq. ft. of linoleum Approx. 8 sq ft sink coating Approx. 10 sq. ft window glazing Approx. 3 sq. ft. caulking at siding Approx. 1 sq. ft. caulking at Chimney Approx. 1,225 sq. ft. of Roofing Material Date: 5/ 16/11 —5/31/11 Contractor: Jupiter Environmental Services License No: 00-1142 Air Monitor: Alpine Environmental Services, Inc Address: 1146 Central Ave Albany,NY 12205 Laboratory: Alpine Environmental Services, Inc Address: 1146 Central Ave Albany,NY 12205 12NYCRR56-1,8(e) MAY/12/20110T1U 01 : 19 AM JUPITER ALBANY FAX No. 5184350702 P. 001/001 Gm Jupiter 17 Warehouse Row,Albany, NY 12205 Tel:(518)435-0700 Fax: (51 B)435-0702 Environmental Services, Inc. info@Jupiteres.com • May 12,2011 www.jupiteres.com Attention. 1) NYS D.O.L—Jason Pensabene—Sr.Industrial Hygienist—518.485.8054 • 2) Administration office for Emergency dispatch at Warren County Sheriff.-518.743_2519 3) North Queensbury Building &Codes Department—Dave Hatin--Director-518.745.4437 4) North Queensbury/Lake George Fire House—Chief Jeff Baertschi—518.656.3008 . . 5)_ .North.Queensbury_Rescue.Squad-518,65.6.9525 To Whom It May Concern: My name is Scott Latza and I work for Jupiter Environmental services,Inc..We are a demolition/asbestos abatement contractor hired by TJ.Bell&company,inc.for the owner John Kelly at 241 Assembly point rd. Queensbury,NY 12845 to demo the.existing Beliewood Park Cottages at the end of Assembly Point road on Bay Parkway next to Crossover Lane—Honeysuckle Lane. Dig safely has been called and the Pre demolition Ticket No.is—05091-008-012.The Demolition Ticket No.is— 05091-008-013.Water/Sewer has been contacted and I was informed there is no conflict.i talked with Laura King on May 8th at 10:55 am. ' The Demolition permits have been submitted to the code and compliance department and have been approved. The permits Numbers are as follows;P2.0110191,P20110192,P20110193,P20110194,P20110195,P20110196, • and P20110197 • • We will be mobilizing Monday May 16th 2011 and will be doing some final set up prior commencing the razing of Cottages;1,2,3,.6,7,8/9,and 10/11.We have brought in a 6,000 gal Water tanker for the duration of the demolition for dust control and wet methods_ • This will be an active Asbestos Abatement project until further Notice_Please make all Emergency response personnel aware. The onsite contacts are as follows: Jupiter Environmental Services, Inc. -Project Manager—Scott Latza-Cell(518)810.2847 Jupiter Environmental Services, Inc. —Site Super.—Shaun Boles-—Cell(518) 844.9270 If you have any questions please do not hesitate to contact me Kind regards, Scott Latza • Jupiter Environmental Services,Inc. 518.435.0700 office 518.435.0702 fax 518.810.2847 mobile scott@jupiteres.com Ff. Bay Par kway Af 14.446'44" E rot -n 60.05, E 75 oo- 14 46-44- E 75, of --------------- f. Oz n'2 Z. .......... 0 ZJ 'bn M x ch r+ �Q ® I f`s rQ 'fifilf r. N nRf ool, vt Ifo' fill > % ,mp.1 4.. At I-ID z r 2.-9-1 AIlH9 Mega H19" W&te" 43 Vlr'nu U,t