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2012-275 TOWN OF QUEENSBURY 417 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 dabb Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120275 Date Issued: Tuesday, January 28, 2014 This is to certify that work requested to be done as shown by Permit Number P20120275 has been completed. Tax Map Number: 523400-302-005-0001-094-000-0000 Location: 538 AVIATION Rd Owner: GOLUB PROPERTIES INC Applicant: TYREE SERVICE CORP 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 ' /I property owner of the responsibility for compliance with Site Plan, ' k/1.1 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: P20120275 Application Number: A20120275 Tax Map No: 523400-302-005-0001-094-000-0000 Permission is hereby granted to: TYREE SERVICE CORP For property located at: 538 AVIATION Rd 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: GOLUB PROPERTIES INC Demolition ATTN: NEIL CHAMBERS Total Value BOX 24 501 DUANESBURG Rd SCHENECTADY,NY 12306-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2012-275 Demolition of Canopy Only $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 05, 2013 (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 Town Quee ury /}Tuey . 15,2012 /n! , SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement i Q TAX MAP NO 04.5-1 " 1_'PERMIE UOSE ONLY/ - 5 FEE PAID f I 1 Permission is hed to abo a na A licant to demolish the building(s) • ! described herertr3 sh inAp catio el i! Director of Building&Codes Date • il 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 I 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.c APPLICANT/BUILDER:—Yee `Jr i V ICc (G(p • OWNER: Luk C',1 ADDRESS: I 1\10(-1-V1v\1Ca\l LCxnCf (--a± e -v-\ , N`J ADDRESS: <50-2_ Har pe r Dr t NieI R-YairntoiN( PHONE NOS. •51p).- 1 Lo-3200 PHONE: (C0001) 410 c-1Cr-Cn Ki PERSON RESPONSIBLE FOR WORK: L1ern t- c(- Pn pp PHONE: (C,93 1 ) :300 LOCATION OF DEMOLITION: 558 A V t cit t o n gC3 .C1 , Cc ueen3br y , N`! i 2 ECi'4 WHERE WILL DEMOLITION MATERIAL BE DISPOSED? EQSi51 CAC 3C (C , {"k\(.\ I oc + A-nn ASBESTOS INFORMATION: / Is there any asbestos within the building to be demolished? YES NO )( no-i c.. DpItco.bie ✓ If YES, our office needs the following information: o Name of firm removing the asbestos: o License number of firm: o Indicate where the asbestos material will be disposed: NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s)will be demolished: RESIDENCE GARAGE BUSINESS STORAGE BLDG. OTHER % - CGnc.p . G'niy +1 Size of structure: X 11 1 ✓ Numbed of stories: 1 - Crop ) ✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB (1-DU1-1 ym)J C'nij) ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED k ✓ StrUCtUres(S): WILL BE REPLACED WILL NOT BE REPLACED UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC x PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP PUBLIC SEWER Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO .x. -- rlcifi apfhcc.bie Have all utilities been disconnected: YES X NO QUESTIONS? CALL 761-8256 OR EMAIL \.____\/ 7 ocodes(a�queensbury.net 1_11.I�.t f.4 f 6 i SIGN `TURE OF AP L CANT VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net CITown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Demolition Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,lNY 12804 Inspector's Initials: I CJ NAME: u \1> Pr.-0 1 ,rk l E PERMIT NO.: LOCATION: 5 INSPECT ON: Comments and/or diagram Y N N/A Gas Shut-off �) Water Shut-off 0/tri-(‘ Electric Disconnected \ (L Asbestos Removed/ Documentation Property Cleaned Up and Graded Okay to Issue Certificate of Compliance Demolition Inspection Report 11 27 12 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 Al lb Inspections per Permit Permit # P20120275 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 05/31/2012 Miscellaneous Demolition STAFF Misc 2012-275 permit app rec'd 06/05/2012 Miscellaneous Demolition STAFF Misc 2012-275 permit entered 06/05/2012 Miscellaneous Demolition STAFF Misc 2012-275 permit issued-fee paid 01/28/2014 Miscellaneous Demolition STAFF Misc 2012-275 status slip issued-FOIL request A`R D® CERTIFICATE OF LIABILITY INSURANCE 05 DlY 05/31/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-212-994-7100 CONTACT Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX (A/C.No.Ext): (NC,No): 250 Park Avenue E-MAIL 3rd Floor ADDRESS; New York, NY 10177 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: INSURANCE CO OF THE STATE OF PA 19429 INSURED INSURERS: GREAT DIVIDE INS CO 25224 Tyree Service Corp INSURER C: 208 Route 109 INSURER 0: Suite 100 Farmingdale, NY 11735 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 27413078 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSFL WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD)YYYY) LIMITS A GENERAL LIABILITY GL6988504 01/31/1 01 31 13 / / / / EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) S 10,000 X Includes Product PERSONAL BADV INJURY $1,000,000 X Liability) GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 X I POLICY PST P1 LOC $ A AUTOMOBILE LIABILITY CA 1707488 01/31/12 01/31/13 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ A X ANY AUTO CA 1707489 01/31/12 01/31/13 ( person) $ BODILY INJURY Per ALL OWNED SCHEDULED BODILY INJURY(Peri ) $ AUTOS , AUTOS accident) NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per accident) A UMBRELLA LIAB X OCCUR BE 19700126 01/31/12 01/31/13 EACH OCCURRENCE S 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE S 10,000,000 DED RETENTIONS $ AWORKERS COMPENSATION WC 021417721 J WC STATU- OTH- AND EMPLOYERS'LIABILITY 01/31/11 01/31/13 X TORYIIMI7S FR YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE WC 021417720 01/31/1 01/31/13 E.L.EACH ACCIDENT $ 1,000,000 OFFICEFUMEMBER EXCLUDED? N/A A (Mandatory in NH) WC 021417724 01/31/1 01/31/13 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s B Pollution CCP0154396210 01/31/12 01/31/13 OCC. / Agg. 5MM/10MM DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Queensbury THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 742 Bay Road AUTHORIZED REPRESENTATIVE Queensbury, NY 12804 USA �i 'op��— — ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD tmullaney 27413078 ITEM /J COMPONENT OTY TYPE N 82N.i----028,00"W I UNDERGROUND STORAGE TANK 1 12,000 GALLON DW STEEL — — 2 UNDERTOt0UN0 STORAGE TANK I 6,000 CALLON OW STEEL 3 UNDERGROUND STORAGE TANK 1 4,000 GALLON OW STEEL CO — 160.0 4 DISPENSER 2 3 PRODUCT.SINGLE HOSE EACH SIDE — 0 5 DISPENSER I SINGLE PRODUCT.SINGLE HOSE EACH SIDE 6 DISPENSER CONTAINMENT&SHEAR VALVES 3 SUMP ' ICZis. 7 TANK MONITORING SYSTEM1 OMNTEC I8CANOP( 19 FUETING ISLAND1 4'-0'K 28'-0'-DOG DONE STYLEI 10 FUELING ISLAND _ I 2'-D'K 6'-0' I II TANK SUMP AND STEEL COVER 33, FRP SUMP 12 GASOLINE FU. I IRON PRODUCT-W/SPELL DULCET a MECH.FILL LNRER 13 GASOL1HE Fll 1 LOW PRODUCT-W/SPU.BUCKET&MECH.FILL uUITER TSI CASOIINIE F11 T DIESEL PRODUCT-W/SPILL BUCKET&MECH.FAL UMBER ® I 15 VAPOR RECUVEITY 1 STAGE I w/SIRLL BUCKET 16 SUBMERSIBLE TMTK PUMP 3 W/MECHANCAL UNE LEAK DETECTOR 17 TANK VENT LINE 2 SWFRP I LEi 181ANK YEAR RISER 2 2'DWNEIER 00 19 PRODUCT UNE 3 SWFRP STING E 20 TANK MAT I CONCRETE ON y�0�, 21 DRIVE MAT 1 CONCRETE ONfty BUILDING 22 INTERSTITIAL MONITORING PROBE 3 I O J®v 23 TANK MAT 1 CONCRETE ® 24 ABOVE GROUND TANK 1 AST 280 GALLON FUEL OIL TANK ® J Q �, © 25 HIGH LEVEL A1ARM I HIGH LEVEL ALARM FOR UNDERGROUND TANKS cryo 1 41, I 11 I gam• I 'I 21 ® ' .�I V mi O I Tf i '' j CI ED '1 II ° IJ O' r I I II ,Il ®/ V �� p 33 c C � 5 6 � < — i `� O O p 19 Co m © )w N �D r Todr,,. J`I.-I'Y iN_.41t\Y 8 O 6 4D m 1a I o O Z Pt Ii r;; ,r')I S 0 36'00"F (D Z a o Cl- ^ -71. -F KM;TANK ANI)PIPING SYSTEM HAS BEEN U, " INSTALLED IN COMPLIANCE WITH 711E NYS ID SIG' , 90 ^ STANDARDS FOR NEW AND SUBSTANTIALLY ATT� r/�T 6O OO' Z COW c MODIFIED PETROLEUM STORAGE FACILITIES, y jA+YI ON C NYCRR PART 614. ROAD �1, m �► Division of Environmental Engineering SITE PLAN - '+;-"- r e oro vo�� et try GCC II PETROLEUM MARKETING INC. ,..164k, Ism Nama,taod Tur olo OC Em,Meadow.New,ort„g3. _ Vol..,0 58874 ��� �® '�``�� ' rte.o 538 AVIATION ROAD 30 20 10 0 30 60 90 120 150 C\ QUEENSBURY, NEW YORK 12804 GRAPHIC SCALE I”=30'-0" i- To.1.00 No. Cranna Nom.' AS-BUILT Der May 17, 2007