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BOTH-000459-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 at Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000459-2016 Date Issued: Thursday, August 4, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000459-2016 has been completed. Tax Map Number: 309.10-1-48 Location: 77 MAIN ST Owner: Russ Faden Applicant: Russ Faden This structure may be occupied as a: Demolition 2-story structure 1,416 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 Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, G•�yyr(/ �d 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 Nam"' Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000459-2016 Tax Map No: 309.10-1-48 Permission is hereby granted to: Russ Faden For property located at: 77 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 50.00 Saratoga Springs,NY 12866 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Demolition 2-story structure 1,416 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 ury; Wu; a ,J ,2016 SIGNED 13Y: fir the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received _ _ DEMOLITION PERMIT APPLICATION JUL 18 20l Permit#: e=:_K5122_0L IR NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee fi_aU-.2� .�.(_c 13_�( Provide 2 plot pians 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 Date ___7 /u �,��___ Demolition Location __-- Tax Map ID ?2a _Lq. APPLICANT - S�_ J3------------ OWNER,/ Address _ S•___ __ --Address -------------------,._____-- _ ,2t? s c_ ce� �r_t�,c`t✓_!? b6 --------------------------- Phone1�a Phone -------------------------.._ CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: u 5 _ oresPhone: _ �= 314& 1. Person Responsible for Work 2. Where will demolition material be disposed? Nohow 3. All buildiings_to_be demolished require an Asbestos Survey 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 `4 b) If Yes, our office needs the following Information ____ Yes ____ No CO Name of firm removing the asbestos Lnd- License number of firm 7- Indicate Indicate where the asbestos material will be disposed ~ O 6. Structure Information m a) Indicate the structure(s)to be demolished ___ Residence ___ Garage Business -__ Storage Bldg. Other b) Size of Structure 00 N c O c) Number of Stories _ d) Foundation Type Q O e) Foundation Q Q) f) Structure(s) M' 7. Utilities Information a) Indicate utilities for this structure Gas Electric ___ Propane Public Water _!_f 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 &. Signature I Print Name: ---- -- -- - --------------------- Date _7 --- Signature: ---- -- ------------- ------- Date _- J ----- Town of Queensbury Building& Codes - Demolition Permit - December 2014 ..l3D whi ONO& r, .J ye •i,...` `? ti�7+ie�":1.7 PI �: :tt .,.__ ,.,..,..,.._ ..:�._r`. !t'i l: !':c?=' ('j l•ir.:i}.'.= i��L•`':i'"� !. :'•! ?..�1s.,+illw,`..;,7 `T{r� Nrr{(.AI1 CJA t,55a;?.i,' ' , as7 f t' a 1 ...,. y .� can � r Molar ... _ .}t t ...� .4. r,� ✓r i-! .1'>:1'.i �it G:9} ,.Jlf:. .. r :'�`..,})'..' EtJ:iJ I G=.. +�Rr� '('s. y;i.JS}J( is a _ {lsY.'.ti:. •:1,; .pis fi]Si�. -. .ils c. :s Y rvq -{.L1i} � c ..,. ....'"...k,._.-_ :''liibilt: .,.,, s,._.,...,.... ...._..__.... .__..L. ' .... .:.R....,. ..3.5s.��kd S'i'rf.�•. 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C1C1(•`_'li4a fU:`21?35L° iCl .�is{ Page 1 of 1 FILE COPY f ..... �.... ... �� �+J h]i- Sid FI J Y fir_,�I•f �� 1� ''fit}�ay��1"; '�`"` 9 �•P.ar '� 3'. j ��g, a'. � .f3-,.k �yi �� a+'3i"{�Gi � � .:rte -_ l►s. � ,�''1.�!:r '`� �� e�Si�� 3 r4�Lua=� �'+. � p„tir���� �, , ..-'x—'�`;.e:.1� � ♦ll''i� :�:t "�' ��,�J��I,�1�i �:Y�1 �3s: ` .¢..i e�� "����"}.`.,Uk'• H,Kt'�J a� ,��'�"��*=_c��'r'..'�"s�+.— �"I �..�; - ��y,�_ _ G�'�'�a.��.)p'� ���.rt �.��l�S�MI+� C.."i�v1!*i'`/"�•}.;Y ikiw��SC+'h�3 �+...�nt tit�.K �,'."f•". �YNs M1. -.: !� '.�.�+ K 7.r ply�i�,�,�' TOWN OF QUE L BUILDING & C D Reviewed By* Date: http://parcelsearch.queensbury.netWSImages/Rel2014/523400309010000104800000000... 7/18/2016 RPS Property Description Report Page l of 3 Muc.ensbury J 309.10-1-48 * 77 Main St Parcel Information: , Pay cel Location Acres [Prol2erty Class School District Ward 309.10-1-48 77 Main St 0.42 83 - Converted Res (7�oeensbtny Un.fr.sd WARD 4 Owner Information: weer Owner Address 11P.O. Box Owner Address Line 3 Robert B Goodwin J1 1636 JjBolton Landin; NY 12814 2016 Assessment Values: (Previous Assessments) ED ParcelAssessed Land Value JlAssessed Total Value uniform % JIFull Market Value 1309.10-1-48 1166,200.00 178,100.00 100.0% 1 178,100.00 Images: Il Image Date: 1/27/2014 linage Date: 8/25/2014 http://parcelsearch.queensbury.net/RPS 1NF02.ASP?printkey=309.10-1-48 7/18/2016 APS Property Description Report Page 2 of 3 Image Date: 112/201.5 Sales Information:Net Land U Sale Sale le Bool Pdt real Cond. Carie Arras Sa 'value Tot. Value Priar Date Price TOSPrice e'en° TOS Uwner Goodwin 10 0.00 0.00 5056 $$ Land& Relatives 0 58,700.00 128,300.00 Estate, 10-14 Building Roxann G Goodwin 10- 0 00 0.00 5056 $g Land& Buyer--Seller No 58,700.00 128,300.00 Estate, 10-14 Building Roxann G Site Information: PJ Site Nialyd Site NUlid Nblid Road E-ntry Zoning # Code Sewer ater Utilities Desire I'I e Matin U)c Code E]FO8--E�7xi! Private Comm/ Gas& Inter MS 18 -Main ublic lee lInspec Land Information: Site # band # Type Frant I) Acres Sq I t 01-Primary 1©0 0.21 2 7 04-Residual E--- .0 0.21 Residential Building Information: 17 Commercial Building Information: �] Site Bldg Kection I 11-1—ilt r Gross 131d� Wall A all all C # Boeck Model Floor Perim Sfories a✓o / % 1 1 1 2 sty Str/off!�IHI�EIEIEIE] 0 ❑0� Load sup Improvements Information: http://parcelsearch.queensbury.net/RPS INFO2.ASP?printkey=309.10-1-48 7/18/2016 RPS Property Description Report Page 3 of 3 Site N Struet Code IlDim t Dim 2 S FT ®ConstrGrade OveraI1 Cond r Built RG4-Gar-1.0 det ®0�264 1�Average I�lormal l 975 [F-7]RP2-Parch-coverd �_-___J 1�Average =Formal 1975 =JRP4-Porch-enclsd " k 35 EAverage ormal 1975 =RP4-Porch-enelsd =ElAverage ormal l 975 _, Special District Information: S ecial District Units Taxable EMOO I-Emergency medical 110 1178101 FP007-Fire protection 110 1178100 L13001-Crandall library dst 110 11178100 LT007-W.queensbury light 110 =1178100 SE020-West Qby Sewer Dist 114.02 110 WT013-Queensbury water 178100 Exemption Information: 13 Permit Information: Permit Number IlPermit Date Permit Use Cost Estimate P20020208 05-08-02 Wall sign 0.00 P20020179 03-26-02 Certif Cate of occupancy 0.00 The information in the 0 RPS database is maintained by the Town of Queensbury Assessors Office The information provided on this website is for GENERAL REFERENCE PURPOSES ONLY and should not be relied upon in lieu of referring to officially adopted Town Codes,Local Laws or other documents available in Town Hall. http://parcelsearch.queensbury.nedUS_INF02.ASP?printkey=309.10-1-48 7/18/2016 I '1 /V[ajA JULMEngineers e Planners e Architects Harlan-McQee of North America Malta Ride Professional Building 4_00ki�ifve.7-Beach Road o Malta, New Y:ark 12020 CERT01ICATION This is to certify that the Asbestos Inspection Program for the building located at 77 Mair: 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 Made of New York. The data presented in this report is accurate to the best of 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. f July 12, 2016 Ernest ai r, P.E. Dare Firm Name: Harlan-McGee of North America Address: 4000 Silver Beach Road Malta,New York 12020 Telephone: (518) 584-1300 Fax: (518) 584-1374 New York State License Number 059460 New York State Department of Labor AH 94-03601 New York State Department of Labor 64388 >� jar NE14/ 309.10-1-48 BOTH 459-2016 Professional Stamp: Russ Faden ` �_ £°sN 77 Main Street Ukj lel . Demolition 11 = It �E �z ti.,l�o 05{35�� O+Cl=SS1��Q ° Phone: (518)584-1300 Fax: (518) 584-1374 Email:info@harlan-mcgee.com EXECUTIVE SUMMARY NARRATIVE The building is located at 77 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 bulk samples taken during the inspection that asbestos material is not present. Respl,fully Submitted. 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State Campus,Building 12' Albany NY 12240 ASBESTOS HANDLING LICENSE.:_ Harlan-McGee of North"America FILE NUMBER: 12-64388 LICENSE NUMBER:"64388 4000 Silver Beach Road LICENSE CLASS: RESTRICTED DATE OF ISSUE: 01/28/2016 MaIta,_NY 12020 EXPIRATION DATE: 01!31{2017 r Duly Authorized Representative Emest Gatlo61r This license has tzeen issued in ae(ordance with a�plic3ble provisions of At icte 0 of the Labor Law of New Xprk State'and of: the New York State Codes,Rules acid Regulations t 12 N ,. R Part 56)z It is subject to suspension or revocation for a(1) serious vilotation of'state,federal ox local laws with regard to the conduct ofan asf estoS project,or(2)demoo§.trated.lack of responsibility in theconduct of any jot%' v lvin asbestos or,as mafezial int,4 & , This license is vaUid only far the contractor named above aiia this license a{`a photoi must be promuiently displayedjat the asbestos project worksite; This license verifies that alf persons employed by ttie licisee on an asbestos'<project anIew Yqi k State have been issued au'Asbestos Certificafe,apliropriatte for t}a type o£work.they perform,by the.New York State Department of Labor. Ask a" ww Eileen M.Franko, Director SH 432(8/12) For the Commissioner of Labor P NEW-YORK STATE VE AWTUENT OF HEALM. Z'S WAP CENTER 77- ra T Y �� _ - Y _ _ . E ;0j AMIAf ed] -Of_ _7.-_ n ftD6d -M _.7 :C M-T A_dERT1F16&EdF.:APP.RO17AL FOR LABORATORY- issued in acconiance with and pursuant to section 50fAu@EWadh_Law of Npw.-Ybrk.S1at67 -k __NYLaib Id No:10709 MR7-PX' UL BAT 4:t7� VIR-00NAL 9ERY-ig :7 ADIRONDACKOffi M� gq lkP_ 314 NORT- KOEA RLSTREE1. z Z We N Y I YN�P.' Ll.rptutvf a ary -Is--hirebyAPPROVEI)z&Ot?,EnVirOnm8 L o r th el Ce t Opry YS _ Q MDH2t&VIRONMENTAL ANA ? 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