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2024-0504
Office Use Only `.,>*. ^..:. Permit#: ZBZ1 — 0501- DEMOLITION �'C Permit Fee:4y1 65 n� APPLICATION Town of Qucensbu Invoice • - 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Flood Zone? Y TYPE: :/ N Reviewed By: Demolition Location: 49 Indiana Ave Tax Map ID#: 309.971-43 **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where will demolition material be disposed? 2. Type of structure to be demolished: a. Residence X d. Storage Building L5 C E I n , E b. Garage e. Other: c. Business SEP 1 9 DJG 2024 3. What type of utilities are connected to the structure: TOWN�F a. Gas d. Electric g. Publi• Sewe g UEENSBURy b. Fuel Oil e. Public Water h. None & CODES 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 b the Town of Queensbury Building&Code Enforcement and Zoning Departments and a permit •- •een issued. I have read and agr= - to the above: PRINT NAME: Lar•i W. Clut- . din• ig SIGNATURE: ' /',/ DATE: ?/67•211. I ,G Demolitio Ap• cation Revised May 2024 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Larry W. Clute-DKC Holding, Inc Mailing Address, C/S/Z: 6 Holden Ave, Queensbury NY 12804 Cell Phone: 518-361-2836 Land Line: 518-793-7277 Email: cluteenterprises@gmail.com • Primary Owner(s): Name(s): same 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): Same Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: **Workers' Comp documentation must be submitted with this application** Contact Person for any questions regarding this project: Larry clute Cell Phone: 518-361-2836 Land Line: 518-793-7277 Email: cluteenterprises@gmail.com Demolition Application Revised May 2024 4 18 Blackberry Lane YIU#N C L E A R V U E C IJ E Glens Falls, NY. 12804 D ryan(a�clearvuinspections.com INSPECTIONS TOW OF QUEENSBURY SEP 19 2024 18.832.9213 BUILDING & �CODE�SDEPT. TOWN OF QUEENSBURY Reviewed B : + BUILDINGcaoEs ��. • �OP Da ire- emo ition Asbestos SLirvey ,. ,. ,,,.0...- .... At a e ..,;� ,,.. 1 t t -fit '1 £ • t a_ a �,t At , t . F� 6 1 7 il r L y ..- . Y\r-1":'-','-'''''S--°\ : — - ';''•; f, •' • > •.� r - . .` �{ art j�'z . • ;„r-_,. TOWN OF QUEENSBURY 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. PROJECT NUMBER PREPARED FOR 49 Indiana Larry Clute 6 Holden Ave SITE LOCATION Queensbury, NY 12804 DKC Holding, Inc. 49 Indiana Avenue Queensbury, NY 12804 PREPARED BY Ryan Wild 18 Blackberry Lane Queensbury, New York 12804 309.9-1-43 2024-0504 DKC Holding Inc 49 Indiana Avenue Demolition of residence 49 Indiana Ave, Queensbury, NY July 30, 2024 Executive Summary Asbestos-Containing Material Field Survey Pre-Demolition Survey 49 Indiana Avenue Queensbury, NY I. SUMMARY OF FINDINGS On July 30, 2024, a limited asbestos-containing material (ACM) field survey was conducted on the single family dwelling located at 49 Indiana Avenue, Queensbury NY (Site). The site was inspected to determine the presence of ACM prior to demolition. The ACM survey was performed at the request of the owner's representative, Larry Clute. 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 8 Samples were taken from 4 homogenous materials. Summary Table of Asbestos-Containing Materials Sample Name Section Location Condition Friability Category Color Est.Qty. Analytical Result No Asbestos Detected. 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. The original chain of custody & laboratory analytical reports are located in Appendix D of this report. Page 2 of 8 • 49 Indiana Ave, Queensbury, NY July 30, 2024 INTRODUCTION GENERAL INFORMATION ClearVU Inspections was contacted by the contractor of record to conduct an asbestos 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 noted on the pre-probing plan 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 electrical is active, sampling of electrical will not occur. 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. 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 Page 3 of 8 49 Indiana Ave, Queensbury, NY July 30, 2024 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. 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, OSHA's 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 8 49 Indiana Ave, Queensbury, NY July 30, 2024 Appendix A: ACM Homogenous Area Table Sample Name Section Location Condition Friability Category Color Est.Qty. Analytical Result No Asbestos Detected. Page 5 of 8 49 Indiana Ave, Queensbury, NY July 30, 2024 Appendix B: Tested Negative Homogenous Material Table Sample Name Section Location Condition Friability Category Color Analytical Result 001 Drywall Interior First Floor Good Friable Miscellaneous Gray,Brown 0.0% 002 Joint Compound Interior First Floor Good Friable Miscellaneous White 0.0% 003 Shingle Exterior First Floor Good Non-Friable Miscellaneous Black,Brown 0.0% 004 Shingle Exterior First Floor Good Non-Friable Miscellaneous Tan,Black 0.0% Page 6 of 8 49 Indiana Ave, Queensbury, NY July 30, 2024 Appendix C: All Sampled Materials Table - Sample Name Section Location Condition Friability Category Color Analytical Result OO1A Drywall Interior First Floor Good Friable Miscellaneous Gray,Brown 0.0% OO1B Drywall Interior First Floor Good Friable Miscellaneous Gray,Brown 0.0% 002A Joint Compound Interior First Floor Good Friable Miscellaneous White 0.0% 002B Joint Compound Interior First Floor Good Friable Miscellaneous White 0.0% 003A Shingle Exterior First Floor Good Non-Friable Miscellaneous Black,Brown 0.0% 003B Shingle Exterior First Floor Good Non-Friable Miscellaneous Black,Brown 0.0% 004A Shingle Exterior First Floor Good Non-Friable Miscellaneous Tan,Black 0.0% 004E Shingle Exterior First Floor Good Non-Friable Miscellaneous Tan,Black 0.0% Page 7 of 8 49 Indiana Ave, Queensbury, NY July 30, 2024 Appendix D: Chain of Custody&Laboratory Report Page 8 of 8 i tiatieurofins CAI August 8, 2024 ClearVU Inspections 18 Blackberry Lane Queensbury, NY 12804 CLIENT PROJECT: Larry Clute, 49 Indiana Ave, Queensbury NY LAB CODE: N240245 Dear Customer: Enclosed are asbestos analysis results for Asbestos Bulk samples received at our laboratory on August 1, 2024. 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, 1„.4.1t,.•;:) G - Tianbao Bai, Ph.D., CIH Laboratory Director NVIIA TESTING NVLAP LAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 4 eurofins Cal ASBESTOS ANALYTICAL REPORT By: New York State ELAP Method Prepared for ClearVU Inspections CLIENT PROJECT: Larry Clute, 49 Indiana Ave, Queensbury NY LAB CODE: N240245 TEST METHOD: NYS ELAP METHODS 198.1, 198.4 REPORT DATE: 08/08/24 TOTAL LAYERS ANALYZED: 8 # LAYERS >1% ASBESTOS: 0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 �.� Asbestos Report Summary e u rofi n S By: NEW YORK STATE METHOD CEI PROJECT: Larry Clute, 49 Indiana Ave, Queensbury LAB CODE: N240245 NY ASBESTOS BULK, NEW YORK STATE METHODS Client ID Lab ID Color Sample Description Total Asbestos % 001A N3004 Gray, Brown Drywall No Asbestos Detected.0% 001 B N3005 Gray, Brown Drywall No Asbestos Detected.0% 002A N3006 White Joint Compound No Asbestos Detected.0% 002B N3007 White Joint Compound No Asbestos Detected.0% 003A N3008 Black, Brown Shingle No Asbestos Detected by 198.4 003E N3009 Black, Brown Shingle No Asbestos Detected by 198.4 004A N3010 Tan, Black Shingle No Asbestos Detected by 198.4 004B N3011 Tan, Black Shingle No Asbestos Detected by 198.4 Page 1 of 1 Kati e u rof i n s ASBESTOS BULK ANALYSIS ti. By: NEW YORK STATE METHOD CD Client: ClearVU Inspections Lab Code: N240245 18 Blackberry Lane Date Received: 08-01-24 Queensbury, NY 12804 Date Analyzed: 08-08-24 Date Reported: 08-08-24 Project: Larry Clute, 49 Indiana Ave, Queensbury NY ASBESTOS BULK, NEW YORK STATE METHODS Client ID Layer Number ;1 Lab ID Lab Description Category Color 001A Drywall Friable Gray, Initial Observations: N3004 Brown Cellulose 15% Gypsum 85% Method: Final Results: 198.1 No Asbestos Detectd'd tal Asbestos: No Asbestos Detected.0% 001B Drywall Friable Gray, Initial Observations: N3005 Brown Cellulose 15% Gypsum 85% Method: Final Results: 198.1 No Asbestos Detectd'ebtal Asbestos: No Asbestos Detected.0% 002A Joint Compound Friable White Initial Observations: N3006 Binder 60% Calc Carb 40% Method: Final Results: 198.1 No Asbestos Detectahtal Asbestos: No Asbestos Detected.0% 002B Joint Compound Friable White Initial Observations: N3007 Binder 60% Calc Carb 40% Method: Final Results: 198.1 No Asbestos Detectabtal Asbestos: No Asbestos Detected.0% Page 1 of 5 ASBESTOS BULK ANALYSIS Re e u roll n s By: NEW YORK STATE METHOD CD Client: ClearVU Inspections Lab Code: N240245 18 Blackberry Lane Date Received: 08-01-24 Queensbury, NY 12804 Date Analyzed: 08-08-24 Date Reported: 08-08-24 Project: Larry Clute, 49 Indiana Ave, Queensbury NY ASBESTOS BULK, NEW YORK STATE METHODS Client ID Layer Number l� Lab ID Lab Description Category Color 003A Shingle NOB Black, Initial Observations: N3008 Brown Fiberglass 50%. Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 003B Shingle NOB Black, Initial Observations: N3009 Brown Fiberglass 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 004A Shingle NOB Tan, Black Initial Observations: N3010 Fiberglass 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 2 of 5 • ASBESTOS BULK ANALYSIS � e u rofi n s By: NEW YORK STATE METHOD CD Client: ClearVU Inspections Lab Code: N240245 18 Blackberry Lane Date Received: 08-01-24 Queensbury, NY 12804 Date Analyzed: 08-08-24 Date Reported: 08-08-24 Project: Larry Clute, 49 Indiana Ave, Queensbury NY ASBESTOS BULK, NEW YORK STATE METHODS Client ID Layer Number Lab ID Lab Description Category Color 004B Shingle NOB Tan, Black Initial Observations: N3011 Fiberglass 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 3 of 5 do; eurofins CE 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 4 of 5 tiati eurofins 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): 941,7 Brunilda Gjoka 98.4 Gjoka tee e - 98.1 APPROVED B' /t•uiA"f"c) Tianbao Bai, Ph.D., CI Laboratory Director NVLA TESTING NVLAP LAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 5 of 5 lv"LL(Cr2-45 N3OD1 f— N 3�I 18 Blackberry Lane CLEARVU Queensbury,NY 12804 518.307.0130 INSPECTIONS111140p ryan@clearvuinspections.com Asbestos Bulk Sampling Chain-of-Custody/Sample Record 'Client Name: Date Sampled: r 1c 73a61Q _ 'Proje Description: Paradigm,LLC.JobU Page of .Qer__..Q vrwe-_ ' Project A dress: Sampled by: Date Logged in: /bA4 .4.1iC. , !/cr2th'ry /�/ 4 Pyw,a C ient Contact Name: —r— Client Contact Phone/Email: Results,by: - Logged in by: 5day Lab ID Field ID Sample Description Color Location Condition Quantity Number Number O tkialis 0,1 4 ptyrail , bA,7-c citvid awfi tv 4,1' , to cvvis Oo,L3 ?" % /1 .n. I 13— c'a 4' Oiyi 7- co ,Q„„,e1 ti�/lit•1e 6,1,61 — per^'~ . v wq�C/'! oo? /=wr,,%/1aA 1 ----- -- ` oos4 ,51/2iny/e-/30#Q,)1 La tic Mode- R ocJ Eiar r- 2 (4 ,c11,;)y/e f',o GGye - A-Awl d-•ya 4 4 1 . I Analytical Instructions: .. I Print: I Date: 1. All samples will be analyzed by the appropriate I. L 7 3 -d-y New York State Department of Health methods E Sign: — Time: (198.1,198.4 and 198.6) unless EPA 600/ G O M4/82/020 per 40 CFR 763 and/or EPA 600/ Print: Date: R-93/116 methods are requested. t 5• _. Q r 7-3G�y a s' ign: Time I /23° I Print: Date: CP gi I Cf:916 Sign: Time: '$.:_. CFI, _ i•tii1fl' '7LL�rp..-/ }iCCY..i I!: :-.D CC as® • W=E ==A.,R-'E�`�o YOUR: D O L : oR Deppartment STATE ',of-Laboi' ^ ," DIVISION OF SAFETY&HEALTH LICENSE AND CERTIFICATE,UNIT,STATEPFFICE CAMPUS,BLDG.12,ALBANY,NY 12226 '? = _ ASBESTOS HAN LICENSE ` ( • •— ? '; ;Creative Spaces I I,,;'LLC;,dba,ClearVU'Inspections ` �, ';\'1 1-`., , 1 ',,'f ' .E, J 18 Blackberry Lane,_Queensbury,-NY, 12864 c `‘---- _ . 'i', „ li ' i \ ; ;( f" License--Number: 282890__- r I r li ;i ,;, , 0,, r (.' -- ` - _L=_icense=Class:=RESTRICTED -- ii ili -FIT' • -,„`'_Date of Issue: 01=/26/2024_-- _ - ,•;r^ ; _ . '` ;`I li141Ei�'( \ \;;_°r,:Expiration-D,ate:-:0'1/31-/2025- 171"/ ;:_ / 1,/-'./i; l'I DuIy Authorized,Representative.:-Ryan Wild.=_( ; This license has been issued in accordance;with,applicable-provisions•ofi'Article'30 of the-Labor Law-of New�York'State and of the New York State Codes, Rules and Regulations (12 NYCRR'Part.56) _Iti ubjectto�suspensi'on',or?'revocation_for'1a',(:1),serious violatidn'of state,federal or local laws with regard to they:conduct of;an asbestos'project;:or,(2)'demonstrated:lacktiof'responsibility;in'the conduct of any job involving asbestos or asbestos material / /' I 1 ./•: = .M = `y`+s)s`\.,,.,,.. ,• �' r, This license is valid only for the'contractor named,above'and=this-license-or a photocopy must be'prominently displayed at the asbestos project worksite. This license verifies'-that all persons-employed by th-e-)icensee=on anf.asbestos project,in;New+York State have,been issued an Asbestos •Certificate, appropriate,•-fo'r the type ofl work'�,they perform, by:the.New York State-Department of.Labor. , , "s 1 Y i\ ',,- ,I w"E V _ _ ,- - I, - ,a e l • , \`4,. — , •'_.... t — V'F r , \Ii,1,' _ __ •. - y _ -- - Amy Phillips, Director -_--- =------- -- -- -- -- -- _ 1 .For the-Commissioner of Labor , _` _ ' . _ ,_ SH 432(12/21) • STATE OF NEW YORK DEPARTMENT OF�LABOR ASBESTOS CERTIFICATE 1,Y,S', RYAN_WILD f CIASS(EXPIRES) C ATEC(05/25) D INSP(05/25). H PM (05/25) I PD (05/25) CERT#1 24=6AFF8-SHAB 1' r DMV#11369961E MUST BE CARRIED ON ASBESTOS PROJECTS 1i - uiIielII 11 iN�a IIIIIIII I liii IIIlluIlII III ▪ I F FOUND, RETURN TO: ▪ NYSDOL - LGC UNIT _ a F. h ROOM 161A BUILDING 12 ▪ STATE OFFICE CAMPUS — o �, ALBANY NY I2226 C N ara P°141% I RYAN WILD Real Estate Inspector libat License #16000085839 Blackberry Ln, Queensbury 518 832 9213 • f CLEAR e,/ ryan@cl.earvuinspections.com !! www,clearvuinspecti.ons.com INSPECTIONS NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER � �`: ' ..,1. `:i s Expires 12:01 AM April 01, 2025 »` j�' ''r Issued April 01, 2024 --f ate;t 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 CE/, INC. 730 SE MAYNARD ROAD CARP, NC 27511 is herebyAPPROVED as an Environmental Laboratory for the category ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE All approved subcategories and/or analytes are listed below: • Miscellaneous Asbestos in Friable Material Item 198.1 of Manual EPA 600/M4/82/020 Asbestos in Non-Friable Material-PLM Item 198.6 of Manual(NOB by PLM) Asbestos in Non-Friable Material-TEM Item 198.4 of Manual Asbestos-Vermiculite-Containing Mate Item 198.8 of Manual Serial No.: 69074 Property of the New York State Department of Health. Certificates are valid only at the address shown and must be conspicuously posted by the laboratory. Continued accreditation depends on the laboratory's successful ongoing _-;_..._--• Parcel Information Sheet 309.9-1-43 Warren Co Real Property • COMMUNITY Quecnsbury Wetland Acres 0 IMPORTANT NOTICE AND DISCLAIMER TAX MAP ID 309.9-1-43 Percent Wetland 0 • THIS MAP AND INFORMATION IS PROVIDED AS IS LOCATION 49 INDIANA AVE Percent Moderate Slope 0 AND WARREN COUNTY MAKES NO WARRANTIES OR FRONTAGE 0 Percent Steep Slope 0 - GUARANTEES,EXPRESSED OR IMPLIED,INCLUDING WARRANTIES OF TITLE.NON-INFRINGEMENT, DEPTH 0 Percent M ry Steep Slope 0 MERCHANTABILITY,AND TIIAT OF FITNESS FOR A ACRES 0.2 BEDROOMS 2 • PARTICULAR PURPOSE CONCERNING THIS MAP AND PP DESCRIPTION 1 Family Res WATER Comm/public THE INFORMATION CONTAINED HEREIN.USER AS.SUMESALL RISKS AND RESPONSIBILITY FOR OWNER 1 Eddy,Garrie W SEWER Private DETERMINING mini IER THIS MAP IS SUFFICIENT LAND VALUE 15400 UTILITIES Gas&elec FOR PURPOSES INTENDED. TOTAL VALUE 84300 BEAT Hot air GIS MAPS ARE NOT LAND SURVEYS! • NEIGHBOREIOOD 166 STYLE v Cottage This GIS map is compute•gmerated using data acquired by the YEAR BUILT 1948 DEED 1300K 4077 Warren County Planning Department from various sources and i SQUARE FEET 1008 DEED PAGE 46 intended only for reference,conceptual,planningand STORIES l SALE December3l,1969 presentation purposes.While we work hard to include reliable data for the stated purposes,this map is not intended for and SCHOOL DIST Quecnsbury Un.fr.sd SALE PRICE 0 should not be used to establish boundaries,lines,locations of • • objects or to provide any other information typically needed or construction,excavation or any other purpose when engineered • drawings/plans or survtys are I)required by law;2)required for - any lepti document or 3)needed to assure accuracy and/or that certain standards am met.Please note:There may be an issue with the scale of the map.We arc aware of this pmbhan and am 0 25 50 100 feet working to fix it. N ��IMMIIIIIIIMINMEIMMI 1"=50 feet Warren County Real Property Tar-2015 Roll. J 309.9-1-55 309.9- - . Wells,Jack :9 i-n, hiiley Johnson k. 0.14Ac • 309.91-72 Tucker,Deborah Elci'er 309.9-1.44 0.14Ac Bailey, Michael 309.9-1-56 0.14Ac Daly, John E 0.14Ac • i; 309.9-1-73 _� Rice,Florence 0.21 Ac 309.9-1-43 Edchy,Garrie W • 309.9-1-58 0.2Ac 309.9-1-57 Eddy, Garrie W '� Anastasia,Marcia 0.11Ac 0.1Ac • • " Ii . .-35:4,,A 1.. c.'i 309.9-1-14. 309.9-1-19 ' Ellsworth,Ro Clark,Sandra • Wicks, John J 0.2Ac 0.34Ac