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BOTH-000461-2016 TOWN OF QUEENSBURY at 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000461-2016 Date Issued: Monday, June 12, 2017 This is to certify that work requested to be done as shown by Permit Number BOTH-000461-2016 has been completed. Tax Map Number: 309.10-149 Location: 75 MAIN ST Owner: Russ Faden Applicant: Russ Faden This structure may be occupied as a: Demolition of 2 story structure 1,888 sq. ft. New Owner as of July 15,2016 is Russ Faden By Order of Town Board Cross Ref. Site Plan Review PZ-0073-2016 and Special Use Permit TOWN OF QUEENSBURY PZ-0068-2016 ^ n Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 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 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BU I LDING PERMIT Permit Number: BOTH-000461-2016 Tax Map No: 309.10-149 Permission is hereby granted to- Russ Faden For property located at: 75 MAIN ST 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 Owner Name: Russ Faden Demolition $0,00 Owner Address: 29 Liz Ann DR Total Value $0.00 Saratoga Springs,NY 12866 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Demolition of 2 story structure 1,888 sq.ft. New Owner as of July 15,2016 is Russ Faden Cross Ref. Site Plan Review PZ-0073-2016 and Special Use Permit PZ-0068-2016 $ 30.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,July 14, 2017 (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 of ueens ry; 4u IV J ,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office use oni Received _ DEMOLITION PERMIT APPLICATION JUL 18 2016 Permit#: NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUEDPermit Fee Provide 2 plot plans drawn to scale, showing lot boundaries with dimensions and adjacent roads /streets. Show all existing structures on property and indicate which are to be demolished. Indicate the location of all utilities 1 Date ---7 F �?_ Demolition Location _ 7 _-- Tax Map ID _9.—Lo fir+ — J�) !r, �a 1� APPLICANT _ J S S—_ e.,y__--_.--- (. OWNER Address _.G . _ Li 2 / r1►—p w_------- Address --------------------------- _ �rctcY_1a 6 --------------------------- Phone S ---3 K2H--------- Phone ezl ------- Phone: CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ____ ----- �tJ S� I. Person Responsible for Work Ytina r, „ 4 JIV5Q 2. Where will demolition material be disposed? 3. All buildings to be demolished require an Asbestos_Sur_v_ey 4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor 5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin a) Is there any asbestos in the building to be demolished —___ Yes ____ No Q b) If Yes, our office needs the following information ____ Yes ---- No Name of firm removing the asbestos License number of firm ? Indicate where the asbestos material will be disposed b. Structure Information a) Indicate the structure(s)to be demolished _✓Residence Garage Business _-- Storage Bldg. _-- Other N b) Size of StructureS c C c) Number of Stories mm `C d) Foundation Type E cl) e) Foundation o D f) Structure(s) 7. Utilities Information a) Indicate utilities for this structure __ Gas ___ Electric ___ Propane Public Water ___ Public Sewer _-- On-site well water pump a) Have you notified the Town Water Department for public water and sewer disconnect? ____ Yes ———— No b) Have all utilities been disconnected? _ Yes No 8. Signature Print Name: ---- 5� �_ --------------------- Date Signature: ———— — — -------- -------- Date __— Town of Queensbury Building & Codes - Demolition Permit - December 2014 Page Io11 FILE COPY yy r� a t :ti r•�W 4.f �i.y"�i r�r �': � _ > ,ti ��� �h Y+.r+'#i`�Fy� ["��Y't�,la xr�� f. �L• 'v y, ss TOWN OF QU S BUILDING & 0 Reviewed BY. pate http://parcelsearch.queensbury.net/RPSImages/Rel20l4/523400309010000104900000000... 7/18/2016 RPS Property Description Report Page 1 of 3 � I if uensbury 309010 -1-49 " 75 Main St -A-1 Parcel Information: Farce! lPropertv Class School District 309.10-1-49 75 Main St 0.46 220 - 2 Family Res Queensbury Un.fr.sd WARD 4 Owner Information: I Owner Owner Address J11.0. lox Iress Line 3 Robert B Goodwin 636Balton Landing NY 12814 2016 Assessment Values: (Previous Assessments) Parcel Assessed Land Value 1JAssessed Total Value IlUniform % JIFull/Market Value 309.10-1-49 21,400.00 1 126,300.00 11100.0% 1126,300.00 Images: V fY IIR+ 1 lma a Date: 1/27/2014 Image Date: 8/25/2014 Sales Information: -� Sale Sale Land o#. Prior Date Price price 13onlc Paye �e Code Len. Value Value Owner TOS TOS 11 69 500.00 69,500.00 964 155 Land & one FJE,200-0069,500.00 Davignon, 7-95 Building � O Bernard 3oe Site Information: Site Nbad Sewcr Water Utilities Site N1)hd Nbad Road Ent Zonin # Code Desire Ty-�e Ratim j1pe T e Code �� ��� http://parcelsearch.queensbury.net/RPS_1NF02.ASP?printkey=309.10-1-49 7/18/2016 RPS Property Description Report Page 2 of 3 195- 1 Strips Comm/ Comm/ Gas& Typical Suburban Average Improved Inter MS Busy public public Elec nspec Res Land Information: I] bite # Lan_d_# T �e Front Depth Acres S Ft 1 D I-Primary 66 305 �® Residential Building Information: J Site# Bldg Stale # Stories lExt Wall Mat Yr Built # ICita # Baths # 1/2 laths #Bedrm #Firepl =Old Style L`_____J Alum/vinyl D Site# 1FIc2pe F uei TypeCentral Air smt T e Overall Cord Caustr Grade SFI,A I' Hat Air Gas o Partial ormal jAverage 1902 Commercial Building Information: Improvements Information: Site# Struct Code Dim 1 Dim 2 S FT ®Constr Grade Overall Cond Yr Built RG4-Gar-l.0 det 24 ®TAverage 1191 I t' IRP2-Porch-coverd l� 222 1Q Average Normal 1911 RP6-Porch-up cov ®I` J��1_=!Average Normal191 I 1=[F—CI-Shed-machine ID =T Economy Fair J= . Special District Information: IJ S eeial District Units Tapable EM00I-Emergency medical 0 126300 FP007-Fire protection 0 126300 LBODI-Crandall library dst 0 1126300 LT007-W.queensbury light 110 1126300 SE020-West Qby Sewer Dist 115 110 WT413-Queensbury water 0126300 Exemption Information: Permit Information: I ermit Number Permit Date ermit Use Kost Estimate P91-252 05-06-91 Septic Alteration 0.00 The information in the 0 RPS database is maintained by the Town of Queensbury Assessors Office http://parcelsearch.queensbury.net/RPS INF02.ASP?printkey=309.10-1-49 7/18/2016 RPS Property Description Report Page 3 of 3 Theinfoonationprovidedon this website is for GENERAL REFERENCE l'URPOSES ONL)'and should not be relied upon in lien of referring to officially adopted Town Codes, Local Laws or other documents available in Town Hall. http://parcelsearch.queensbury.net/RPS_INF02.ASP?printkey=309.10-1-49 7/18/2016 14( JUL 18 Mr, HMEngineers • Planners ® Architects Harlan-McGee of North America Matta Ridge Professional Building 4000 Silver Beach Road b Malta, New York 12020 C ERTIJFICATION This is to certify that the Asbestos Inspection Program for the building located at 75 Main Street in Queensbury, New York has been conducted in accordance with the requirements of the New York State Attorney General Asbestos inspection Guidelines; the New York State Department of Labor, Asbestos industrial Code Rule 56 (12NYCRR Part 56); and the requirements of the Building Code of New York. The data presented in this report is accurate to the best or my knowledge. I am a registered professional engineer licensed by the New York State Education Department, a registered Asbestos Abatement Designer licensed by the New York State Department of Labor, and; have a minimum of thirty Five years of design: and analysis work experience in building systems. I am free from financial interests, which may conflict with the proper performance of my duties. July 12, 2016 ,Q E ai�or, P.E Date o �r�if cv Firm Name: Harlan-McGee of North America Address: 4000 Silver Beach Road = Malta,New Fork 12020 10 Telephone: (518) 584-1300 m Fax: (518) 584-1374 New York State License Number 059460 New York State Department of Labor AH 94-03601 °' p (ll v) New York State Department of Labor 64388 o L C) 4 N :_5 E Professional Stamp. o,' a� >:r7°urs } :�� LJ 4 ; �FIrSs � Phone: (518)584-1300 Fax: (518)584-1.374 Email: info@harlan-mcgee.corn EXECUTIVE SUMMARY NARRATIVE The building is located at 75 Main Street in Queensbury, New York. This report and inspection dealt with an abandoned residence. The type of construction is that expected for older residential buildings. OBJECTIVE The objective of this inspection was to determine the presence of asbestiform minerals in suspect bulk samples. If these minerals are detected, they are identified and quantified. Identification is made as to which mineral and/or minerals are present from the Serpentine or Amphibole groups. These include Chrysotile, Amosite, Anthophylite, Crocidolite,Actinolite and Tremolite. SITE INSPECTION and MATERIAL ANALYSIS Members of the staff of the Harlan-McGee of North America physically inspected each room or habitable space of the structure. Additionally, all accessible areas were inspected. Bulk samples of suspected insulation, mortar, wall/ceiling material, roofing and any other suspected asbestos laden material was collected. Bulk material samples were initially examined and grossly described. All remaining suspect material is then studied under plane-polarized light and orthoscopic illumination to determine refractive indices along specific crystallographic axes and antisotropism. These studies involve immersing the sample in known refractive index liquids and qualitatively determining the mineral types by refractive index, morphology, signs of elongation, birefringence characteristics, and extinction angles. With this information, the mineral type is ascertained. A petrographic point counting technique is then applied to the sample under investigation to quantitatively outline a percent composition of mineral fiber in the matrix of the bulk sample. This counting involves representative sections of the entire material if it is homogeneous. If the entire material under study is heterogeneous, each strata of the sample that can be isolated as a homogeneous section, is considered and treated separately. RESULTS OF ASBESTOS INSPECTION Members of the staff of Harlan-McGee of North America conducted the Asbestos Inspection. !Material samples were collected by the inspector on the basis of professional knowledge of building materials and known areas of usage for asbestos material. It has been determined from both on site inspection and laboratory analysis of the bulk samples taken during the inspection that asbestos material is not present. CONCLUSION It has been determined from both on site inspection and laboratory analysis of the- balls samples taken during the inspection that asbestos material is not present. Respectfully Submitted, r kne6_S_S_t_111j__ . ailor, E. July 12, 2011fr-- EJG/gpv 75 a U i U o U o U fs. V z V V Z V r'r 0 cn PF o a v v J2 m CD to y wco w N ? P 0 z zi V b rn r] h o 6A N co O Lo Y3 N N m N >- 06 U U U U NX Q� Q7 N N G] co �. 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