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2011-196 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110196 Date Issued: Friday, February 08, 2013 This is to certify that work requested to be done as shown by Permit Number P20110196 has been completed. Tax Map Number: 523400-226-019-0003-005-000-0000 Location: HONEYSUCKLE Ln Owner: JOHN & HELEN JO KELLY III Applicant: JOHN &HELEN JO KELLY III This structure may be occupied as a: Demolition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, �`G( Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110196 Application Number: A20110196 Tax Map No: 523400-226-019-0003-005-000-0000 Permission is hereby granted to: JOHN&HELEN JO KELLY 111 For property located at: HONEYSUCKLE Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JOHN&HELEN JO KELLY III Demolition 75 MOUNTAIN CREEK Rd Total Value POUGHQUAG,NY 12570-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-196 demolition of cottage 8/9 $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 12,2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow - eensb T urs ay,May 12, 2011 �r SIGNED BY !',,7 a`Fr' 9 for the Town of Queensbury. h . Director of Building&6de Enforcement �i n J —� OFFICE USE ONL eTI + TAX MAP NO. sss PERMIT NO. FEE PAID, D E C E n Permission is hereby granted to the above named Applicant to demolish the building(s) described herein as set forth in the Application below. MAY 09 2011 + Director of Building&Codes Date TOWN OF + QUEEN$QURY G DES APPLICATION FOR DEMOLITION PERMIT: Fill in applicable spaces and submit two(2) plot plans, drawn to scale, showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on the property and indicate which are to be demolished. Indicate on the -plot plan the location of all utilities. APPLICANT/BUILDER: ?!!, rt C=11Jup(1c�a�at��Jfi�� t�.-iOWNER: 130 r bIlk ADDRESS: t.7 L'i�4i,� d- roa.c� �Jb. .12u�;ADDRESS: 2 z' 1, PHONE PHONE: S 1 d 2 PERSON RESPONSIBLE FOR WORK: PHONE: LOCATION OF DEMOLITION: '+' I 'i J / �! WHERE WILL DEMOLITION MATERIAL BE DISPOSED?-S—A.w.-`u/ x (~/ a /ct, Z! ASBESTOS INFORMATION: ✓ Is there any asbestos withi he building to be demolished? YES NO ✓ If YES, our office needs the following information: ��--- o Name of firm removing the asbestos:< ;,r�,• �u,s�;n�rrme�,J f� ;2vserS 1-�r o License number of firm: o Indicate where the asbestos material will be disposed: SeMG-C-A NOTE: A copy of Asbestos Removal Reno rt must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s)WIII be demolished: RESIDENCE GARAGE BUSINESS STORAGE BLDG. OTHER`•6-Ae E- ✓ Size of structure: X I.Tap J ' ✓ Number of stories: ✓ Foundation type: FULL CELLAR CRAWL SPACE SLABG�25 ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP PUBLIC SEWER Kim/. Have you notified the Town Water Dept.for public water and public sewer disconnect? YESA- NO Have all utilitie been isconnected: YES NO QUESTIONS? CALL 761-8256 OR EMAIL codespgueensburv.net IGN TURE OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION www.oueensbury.net Q-71 Town of Q7teensbiti y - Comm n ilty Developnien.t Office • 742 Bay Road, Qiieensbiwy, NY 12804 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins n requ r i Queensbury Building&Code Enforcement Arrive:" S60 a rt: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: VEUL� ERMIT#: — LOCATION: — d INSPECT ON: TYPE OF STRUCTURE: C,t:�)2 Framing Y N WA COMMENTS: Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly F—H by F-D C—L E- 0U- 12"O.C. . Headroom 6 ft. 8 in. Stairwells 36 in, or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side's inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/Wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Foms-01.13U3uiiding&CodesUnspection FormsU=nming Firestopping Inspection ReporLdoc Revised January 7,2148 r -- -" C 2055 OV E•rz L A ns E C?.,,c n� ;�9•a --- r7 (lJo7 P ° Fc�o,4',LAN4¢E n ,. ETii OTY of VJO \HC, Z,91x91 _. �v 9 > / p izt - ^ Y7' l O I 7I4 w,f•PO i 3 N�a ]°: Its° Ga{ .. •�, �o. 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E: ��,wOF NEq,�o O� Asbestos Project Notification Project Reference Number: 25844609 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: iupiteres@aol.com Project Information Project Start Date: 5/16/2011 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 Li�clin a ro 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: Buildinq Information Current Use: Other Prior Use: Other Approximate Year Built: 1940 Size(sq.ft): 1850 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# I Phase Start Date Phase End Date Phase Location Phase scope Sub-Contractor Details Name: Asbestos License Number: Ni ht/Weekend/Shift Work Details Mon. -Sat.07:00- 17:00 controlled demo of condemned cottages with ACM in Place 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 qalvwater tanker used for wet method during a controlled demolition 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: L; 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: 5100 Non-friable linear feet: 0 Non-friable square feet: 2100 Fee Total linear feet: 0.0 Total square feet: 7200.0 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 i EPA Notification of Demolition 'and Renovation Operator project# Postmark Date Received Notification# �. TYPE OF NOTIFICATION (O=Original R= Revised C=Canceled): O ��. FACILITY INFORMATION (Identify owner, removal contractor and other operator) i 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. - -Add ress:--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: TYPE OF OPERATION (D=Demo, O=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 8/9, I' Address: Bellewood Park Cottages City: Lake George State: NY County: Warren Site Location: Cottage 8/9 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 i I 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-1 ACM not removed Removed Cat.1 Cat II UNIT 3. Category II ACM not removed Pipes LnFt: Ln m: Surface Area Joint SgFt:5,100 Sol m: i I compound I Vol RACM Off Facility Compound CuFt: Cum: Vill. SCHEDULED DATES ASBESTOS REMOVAL (mm/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 XII. WASTE TRANSPORTER#1 Name:. Jupiter Environmental Services, Inc. Address: 17 Warehouse Row City: Albany State: NY Zip: 12205 - - . _....--Contact Person:--Scott ..__._.. - ----....----- -- --- -- - - -- --- -Tel---51-8:435.0700--- ---.... ---- 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: 315.539.5624 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(mm/dd/yy): XV. FOR EMERGENCY RENOVATIONS Date and Hour of Emergency(mm/dd/yy):escri Description of the Sudden, Unexpected Event: Explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden: XV1. 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 ACCOMPLISFLED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HO S. (Required 1 year after promulgation) Si ture of Ow ner/O erator Date XVIII.I CERTIFY THAT THE ABOVE INFORMATION IS RRECT. :(Sign re of Owner/Operator) ( ate) JES N141 (1/99) page 2 of 2 4� EJ • ••. pews S'OV ryR • LANL' I - - •<. Ta.aGuuo:a a u ocsai � il�1 ., r � 1� �` -8 nx +a•le '�elei 9 �9rr�1f• -r( 3• *Y J �a J•1D••o�te N ' � ' .•fir j `1 ;'• ,'�{Q� F '.�."": :y". 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Qlr•1'.v N::••!••1/•.ir?• LfTf r.� . ,1 1 - i Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Non-Asbestos Containing Materials Tested: Roofing shingles Small Outbuilding: Asbestos Material Found: Roll roofing and roofinglflashing 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 roofinglflashing 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, roofinglflashing 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 tie, 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 roofinglflashing cement Page 2 1146 Central Avenue Albany, New York 12205 Phone: (518)453-0145 Fax: (518)453-,0175 Bellewood Park Cottages November=O Assembly-Point Lake George,New York • i 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 the 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 Asbestoss 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: Roofinglflashing cement Presumed Asbestos Materials: joint compound, 94nch 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#819: Presumed Asbestos Materials: Joint compound, 9-inch floor tile, sink coating, window glazing compound, caulking at siding joints, roll roofing, and roofing/flashing cement Non-Asbestos Containing Materials Tested: Vapor barrier behind wood paneling Page 3 1146 Central Avenue Albany,New York 12206 Phone:(518)453-0146 Fax: (518)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,Newyork Any suspect materials found during demolitionlrenovation 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;with a bituminous or resinous binder that are not easily crushed or - pulverized by hand pressure are-considered.Non-friable.Organically Bound (NOB). Friable and non-friable materials, excluding organically bound materials were analyzed using Polanzed Light" Microscopy (PLM). Non-Friable Organically Bound samples were analyzed using Transmission Electron Microscopy (TEM)i 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 Asbestos Material Location Substrate Quall.11' Friablli Condition Joint com ound Thtou hout D all 3,370 sf Friable Dama ed 9-inch floor the Kitchen a Bath nd Wood 108 Non-friable Damaged Kitchen under Metal 5 sf Non-friable Good Sink Linoleum- East Center Bedroom Carpet 9 sf Non-friable Damaged Sink coatin Kitchen Sink Metal 8 sf Non-friable Good Window glazing Exterior WoodlGlass 10 sf Non-friable Damaged com and ;..;, Exterior at Caulking at Siding Joints in Wood Wood 4 sf Non-friable Good Sidin Caulking at Exterior. WoodlBrick 1 sf Non friable Damaged Chimne Roll roofing,and Roof under Wood 1,245 sf Non-friable Good -- roofing/flashing ;Metal cement Buildin #2 Asbestos Material Location Substrate Quant Friabe' Condition Joint compound Th'rou hout D all 3,370 sf Friable Dama ed 9-inch floor file Kitchen and Wood 108 Non-friable Damaged Bath Kitchen under Sink,in and on MetalMDod 8 sf Non-friable Good Linoleum Cabinet East Center Carpet 9 sf Non-friable Damaged Bedroom l Sink coati n Kitchen Sink Metal 8 sf Non-friable Good Page 5 1146 Central Avenue Albany, New York 12205 Phone:(518)453-0146 Fax:(518)453-0175 I Bellewood Paris Cottages November tot 0 Assembly Point Lake George,New York Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged corn ound Exterior at 4 sf Non-friable Good Caulking at Siding Joints in Wood Wood Siding Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimne Roil roofing, and Roof under Wood 1,245 sf Non-friable Good roofingiflashing Metal cement Buildin #3 Friabili Condition Asbestos Material - Location - Substrate Quanti Joint com ound Thi-ou hout D all 1,290 5f Friable Dama ed Kitchen and Wood 68 sf Non-friable Damaged 9-inch floor the Bath Kitchen under Metal 5 sf Non-friable Good Linoleum .Sink x Sink coatin Kitchens Steel 16 sf Non friable Good Window glazing Exterior WoodlGlass 14 sf Non-friable Damaged com ound Ecterior at Caulking at Siding Joints in Wood Wood 3 sf Non finable Good °Sidin RoofinglFlashing Roof Roofing 3 sf Non-friable Good Cement Shin le Buildin .#4 Asbestos Material Location Substrate Quanti Fr Condition Joint com ound Tlirou hoot D all 3,190 sf Friable Dama ed 9-inch floor file Bath Wood 42 sf Non-friable Damaged Kitchen under Metal 5 sf Non-friable Good i Linoleum : Sink '•a Sink coati Kitchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 10 sf Non-liable Damaged com ound Ekterior at j Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good Sidin Caulking at Exterior WoodBrick 1 sf Non-friable Damaged Chimne Roll roofing,and Roof under roofing/flashing Metal Wood 1,160 sf Non-friable Good 1 cement Buildin #5 Asbestos Material Liocation Substrate Quanti Friabili Condition Joint com ound Throu hout D all 3,360 sf Friable Damaged IGtchen and Wood 96 sf Non-friable Damaged 9-inch floor file Bath Kitchen under Linoleum Metal 5 sf Non-friable Good Sink Sink coat rig Kitchen Metal S sf Non-friable Good Page 6 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (51B)453�175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Window glazing Exterior Wood/Glass 11 sf Non-friable Damaged com ound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good :Sidin Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimney Roll roofing,and Roof under - roofinglflashing Metal Wood 1,310 sf Non-friable Good cement Buildin #fi .. Asbestos.Material Location Substrate Quanti Friabii Condition Joint com ound TFirou hout D all 3,370 sf Friable Dama ed 9-inch floor file : Bath Wood 46 sf Non-friable Dama ed Linoleum Kitchen under Metal 5 sf Non-friable Good l ; Sink Sink coatin Kitchen Metal 5 sf Non-friable Good Window 3. caulking/glazing Exterior Wood/Glass 10 sf Non-friable Damaged com ound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good :Sidin X` Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimne Roil roofing,and .z? Roof under Wood 1.225 sf Non-friable Good roofing/flashing Metal cement Buildin #7 Asbestos Material Location Substrate Quanti Friabili Condition Joint com ound Throughout D all 3,380 sf Friable Dama ed 9-inch floor file ; Bath Wood 44 sf Non=friable Dama ed 1r` Kitchen under Linoleum Metal 5 sf Non-friable Good Sink Sink coatin Kitchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/G1ass 10 sf Non-friable Damaged com ound F�cterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good :Sidin Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimne Roll roofing,and Roof under roofinglflashing Metal Wood 1,225 sf Non-friable Good a cement �1 Building#819 r1 Asbestos Material Location Substrate Quanti Friabtli Condition Mr Joint com ound Ttirou hout D all 5,100 sf Friable Dama ed 9-inch floor file Kitchens and Wood 202 sf Non friable Good Baths Page 7 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (51 B)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Kitchen under Metal 5 sf Non-friable Good Linoleum :Sink j Kitchens Steel 16 sf Non-friable Good Sink coatin - Window glazing Exterior Wood/Glass 12 sf Non-friable Damaged com ound Exterior at 10 sf Non-friable Good Caulking at Siding Joints in Wood Wood S{din Roll roofing,and Roof Wood 1850 sf Non-friable Good roofing/flashing cement Buildin #10 ; Asbestos Material Location Substrate Quant' Friablli Condition t Joint com ound Thl ou hoot D al{ 2 640 sf Friable Dama ed Kitchen and Wood 97 sf Non-friable Damaged 94nch floor file :Bath Kitchen under Metal 5 sf Non-friable Good Linoleum Sink Sink coatin l(itchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 8 sf Non-friable Damaged com ound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good ;Sidin Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimne _ Roll roofing,and Wood 965sf Non-friable Goad roofinglflashing Roof cement Buildin #11/12 ` Asbestos Material Location Substrate Quanti Condition Joint com ound Throu hoot D all 5,100 sf Friable Dama ed r� Kitchens and Wood 20Zsf Non-friable Good .' 9-inch floor the 'Baths Kitchen under Metal 5 sf Non-friable Good t_ Linoleum Sink Sink coatin Kitchens Steel 16 sf Non-friable Good Window glazing Exterior WoodlGlass 12 sf Non-friable Damaged com ound ` . Exterior at Caulking at Siding Joints in Wood Wood 10 sf No Good Sidin ` Roll roofing,and Wood 1850 sf Non-friable Good roofing/fiashing ; Roof cement Tennis Court Asbestos Material Location Substrate Quan ' Friabili Conditron ` None --` Page 8- i 1146 Central,Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (518)453-0175 I II Bellewood Park Cottages November 2010 Assembly Point Lake George,New York — Small Outbuildin Asbestos Material Location Substrate Quanti Friabil Condition Roll-on Roofing and Roof Wood 25 sq ft Non-friable Good Roofing/flashing Cement Covered Boat Sli s I Asbestos Material Location Substrate Quan " Friabil' Condition 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/Abatemenf 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. n j1:;.rli 1.1.1 Brian Gould NYS Dept.of Labor Asbestos Inspector Enclosures: Results, NYSD:OL Handling License(s), NYSDOL Handling Certificate(s), NYSDOH ELAP License(s) Page 1146 Central Avenue Albany,New York 12205 Phone:(518)453-0146 Fax:(518)453-0175 n�F J�S.A Y ,s7`4'Fyy 1k""tSk nY�' dmµ,'�yy.'ti. ;� SYz u'3£tm `act ' tit fir <zr Nt=V11��gRK:STATE "DEPI�RT EN lit=L'� OR pIWIS10N OF NF.-lj,(ANQ)i � Eg LIi3ENSE'At�D C6I�tI SIC�! is NITS'.' R 'i#� STATE CATJIPUS BI NG 12 3� 1& r a ,i, ALPAt�X�N 12240 t� 5 ' ►SBESTOS HANDLING l.ICEIS m- Jupiter rp FnVlronental Services fnc , � � FILE NUMBER dD114 � 3 a �n` �Y� f tCEfvSE NUMBER 2$543 k °� K 3 Lynnrourt �} ` gar LICENSE.CLASS: FUL(pL r ( TY`S'i F pip ¢,y._ �,, �' :,r> DINE OF;:ISSUE: 02/17�y�31 R Llnclp EXPIRA f'I�N DA!E 02l2$ 0.� ; PI:'; s{" 1 .t.. -x•: r `G `r�,. { .e3stirL``^ •t +•' ��x R.}�'� `�& }1�'• � z t•;r jtka�(jl y'r;/ -�,t'".��'al"�"�`.�':,,.��",.•'�� ,.{ 5"-=''� �2 `� �i' Ar W. sue`iww: ;#q�z z`u �M;i ,Y 41 25, t i \g !: `} •r DulyrAuthorizedFtepresentafivek 0.nna el-� 3fier F 1 ,4w. ', u fa( ''2 j Y to i� Y;r ri°_ n"t "'•,^g#•; . .'�.�' ',[r�v b ?y •:e a t,� # -.1 wJd t.d 1•i�l"l'\'ter p'+ Fr ' a ai. kM r � t F%'•::r,:r,7rlt 4!) p� t .t SY L'i ,a,�� 4Trhis 1t�„t se} a��u�en isgtgd to aced c� nce�with �c�ile �_� bil o 'A t��" Q'nffhe Lays"nr Law of New for ` tate'and o W. . e.Nel t )iYYSta(0 Codes,Rules ,c'itegttlafi l� 5 l �{ N RR Pat155) it i s ect:tp sus ettsjon or revocatiiont�or a(1) sot E�o ahot o xtate,fc,ieral jai ya ;s_t'"k rye ict�fire c rid ot ' N�esto� roe.t,or Z demosrate k o ,5, •� t'P it ( )' ', r ',tt�;b�i��y to t�tr.•,�;onduct of an �tgvolvm,��.as��tos-or•asbe��5 tr ✓r ttti!a"rgr�; '�s tetjr7j This�S;tcv.; se�sFa1�3^on�rfor tie c�ontra�tor naX� bbe ancthisJtense o` aniof%opy must h $p7oAnttly d�splaa atir. asbE4 s;hro ect#I o iSsit O&Fhi��;ec se verifies thatea ,,ersons em to ed;b t 'e licensee on a iasbests s�ro `. p e Yo k.. n Y J$. a State tt`te. ee .tsuued angtestos.Cert�ficate,ap�?op� jtol�e tieoorC'they petform,:by tewYokate: f Depar=niett_ofTti�iir �_ " s BUYS �`�,. ,ti";(tiipx• 3,5 '�'a -Kyt ,�f y-� .^ 4}l, -+x�i fi ''� is J 101 ON �w Ol d 'AM, 21 RE, .aY.w� � .. •'; Maureen A.Cox,Director SH 432(4-07)' .. ,, . . � . FOR THE COMM1$SIONER OF:LABOR NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF SOLID&HAZARDOUS MATERIALS PART 364 AM WASTE TRANSPORTER PERMIT NO. W749-4 Pumantto Article 27,,Tiiles 3 and 15 of the Environmental Conservation Law and 6 NYCRR 364. low PERMIT ISSUED TO: PERMIT TYPE: JUPITER ENVIRONMENTAL SERVICES, INC. El NEW 3 LYNN COURT m RENEWAL LINCOLN PARK, NJ 07035 0 MODIF]CATION 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 Types)to the Destination Facility listed Destination Facility Location Waste Type(s) Mill Seat SLF Bergen,NY Non-Hazardous I,ndustrial/Commercial Asbestos Petroleum Contaminated Soil Sludge from Sewage or Waiter Supply Treatment Plant MINERVA ENTERPRISES INC. WAYNESBORG,OH Asbestos Seneca Meadows LF Waterloo,NY Non-Hazard6us 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.icable regulations, and the General Conditions printed on the back of this page, ADDRESS: Now York State Department of Environmental Conservation Division of Solid &:Hazarclous Materials w Waste Transporter Program 625 Broadway, 9th Floor Albany,NY 12238-7253 AUTHORIZED SIGNATURE: Z_Z'Z? a'4_V.L/�,-- Date: d ll_2�fC..� PAGE 1 OF 2 NOTIC: E This Pei-Mit is not valid until the '-ffbctive date-listed on the permit _I ;,,, NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF SOLID &HAZARDOUS MATERIALS PART 364 AM`III/ WASTE TRANSPORTER PERMIT NO. NJ.-494 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. ❑ NEW 3 LYNN COURT ■ 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 TBW61 D 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 QUEENSEURY 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 " jupi �er 17 Warehouse Row,Albany NY 12205 Tel: (518) 435-0700 Fax:(518)435--0702 Environmental Services, Inc. into@Jupiteres.com www.jupiteres.com NOTIFICATION TO OCCUPANTS ASBESTOS REMOVAL PROJECT Location: Cottage# 8/9 -Bellewood Park Cottages Bay Parkway, Assembly Point Asbestos Material: Controlled Demo with ACM in place Approx. 5,100 sq. ft. of joint compound Approx. 202 sq. ft. 9x9 tile Approx. 5 sq. ft. of linoleum Approx. 16 sq ft sink coating Approx. 12 sq. ft window glazing Approx. 10 sq.ft. caulking at siding Approx. 0 sq. ft. caulking at Chimney Approx. 1,850 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/12/2011/THU 01 : 19 AM JUPITER ALBANY FAX No. 5184350702 P. 001/001 i1wPieteir 17 Warehouse Row,Albany, NY 12205 Tel: (518)435-0700 Fax: (51 B)435-0702 Environmental Services, Inc, info@Juptteres.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.—528.743.z519 3) North Queensbury.Building&Codes Department—Dave Hatin--Director-518.745.4437 4) North Queensbury/Lake George Fire House-Chief Jeff Raertschi-518.656.3008 5)_ .North.Queensbury.Rescue.Squad-51.8..65.6.952.5 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 T.J.Bell&company,inc:forthe owner John Kelly at 241 Assembly point.rd. Queensbury,NY 12845 to demo the.existing Bellewood 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--05091-008-022.The Demolition Ticket No.is— 65091-008-013.Watee/Sewer has been contacted and I was informed there is no conflict.I talked.with tAura King on May 8u'at 20:55 am. The Demolition permits have been submitted to the code and compliance department and have been approved. The permits Numbers areas follows;'P20110191,P203.10192,P20116193,P20110194,P20110195,P20110196, and P20110197 We will be mobilizing,Monday May,le 2011 and will be doing some'flnal 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. r The onsite contacts are as follows: Jupiter Environmental Services, Inc. -Project Manager-Scott T.atza-CeU(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