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BOTH-000460-2016 TOWN OF QUEENSBURY at 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (5 18)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000460-2016 Date Issued: Monday, June 12, 2017 This is to certify that work requested to be done as shown by Permit Number BOTH-000460-2016 has been completed. Tax Map Number: 309.10-1-47 Location: 79 MAIN ST Owner: Robert Goodwin Applicant: Russ Faden This structure may be occupied as a: Demolition of 2-story structure 2,006 sq. ft. Russ Faden is leasing this parcel from Bob Goodwin(future purchase of property By Order of Town Board is possible). TOWN OF QUEENSBURY Cross Ref.Site Plan Review PZ-0073-2016 and Special Use Permit PZ-0068-2016 n Issuance of this Certificate of Compliance DOES NOT relieve the ►/ �V� 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 BUILDING PERMIT Permit Number: BOTH-000460-2016 Tax Map No: 309.10-1-47 Permission is hereby granted to: Russ Faden For property located at: 79 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: Robert Goodwin Demolition $0.00 Owner Address; 292 Hendricks RD Total Value $0.00 Bolton Landing,NY 12814 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Demolition of 2-story structure 2,006 sq. ft. Russ Faden is leasing this parcel from Bob Goodwin(future purchase of property is possible). Cross Ref. Site Plan Review PZ-0073-2016 and Special Use Permit PZ-0068-2016 $ 30.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,July 15,2017 (Ifa 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 01jU-eNkb;P 4 We s 20,2016 SIGNED BY; for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only �� 1 8 201 Permit#:Received DEMOLITION PERMIT APPLICATION NO WORK MAY COMMENCE UNTIL PERMIT I5 ISSUED Permit Feel Provide 2 plot pians drawn to scale,showing lot boundaries with dimensions and adjacent roads f streets. Show all existing structures on property and indicate which are to be demolished. Indicate the location of all utilities Q Date ___3_11_kL&__ Demolition Location Tax Map ID _ OG APPLICANT S5 OWNER Address _ g__ Li2 i4+,n r-- ------- Address Address Phone . !4"� g b, 7J ....... Phone �Q---------- CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ______ u S g_.. Gn ___ Phone: 1. Person Responsible for Work D n 0 rCoy v4a/1 2. Where will demolition material be disposed? 3. All buiidings_to be demolished require an Asbestos Sur" 4. Any building substantlalfydamaged 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 afore demolition begin NO a) Is there any asbestos in the building to be demolished Yes No 0 b) If Yes,our office needs the following information Yes —__— No 0 Name of firm removing the asbestos 2 License number of firm 0 Indicate where the asbestos material will be disposed 6. Structure Information s } a) Indicate the structure(s)to be demolished _ZResidence ___ Garage ___ Business N Storage Bldg. Other c O b) Size of Structure c) Number of Stories 0N Ln d) Foundation Type o � vy � e) Foundation f) Structure(s) 7. Utilities Information a) Indicate utilities for this structure Gas _ Electric ___ Propane Public Water ___ P __ ublic 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: ————— — — --------------------- Date ---} a! -���----- Signature: ___-- -- ---- --__— ____ Date Town of Queensbury Building& Codes • Demolition Permit - December 2014 Page 1 of 1 FIS� COPY y I } FEE r i ii. . •• :.:ti A�r rR]. ''���r� ].L a s �Yy •1 l ;�'i}'7+¢f��"��+v ��Si�� �„ ���t �� `C��,y��,�� _ I 'istss a. _h�L'c� 'F� � •u2 w � ���+ i��.i��/ � � �rt..,y 7�"y�p� r s swx w ` y �}r► _.r rc4'fir-'+."'�4's r,fi:` ,� w i • 0.i A �- •s.A°��} s.,P.A '�f j � �¢y�A - �� i _ � - . .bf.,��u .�7�1x�..�_'.{'..4Lr�'r". ..,.�.AY�...]i;�.s:•s*...�t�.w Z�:.r. .. -- ., - �.'. � ,.... TOWN OF QU N 13UILDING & O Reviewed B Date: http://parcelsearch.queensbury.net/RPSImages/Rel2014/5234003 09010000104700000000... 7/18/2016 RPS Property Description Report Page 1 of 3 ueensbury 1i•u'1'+irk 309.10-1-47 * 79 Main S1 Parcel Information: p Parcel Location I jProperty C1 ISchool. District Ward 309.10-1-47 79 Main St J=F83 - Converted Res IoLieensbury Un.fr.sd WARD 4 Owner Information: Owner Owner Ad 1L.Q. Box Owner Address Line 3 Robert Goodwin 1636 JFBolton Landing NY 128140636 Roxanna Goodwin 636 Bolton Landing NY 128140636 2016 Assessment Values: (Previous Assessments) _I Parcel Assessed Land Value Assessed Total Value Uniform % Full Market Value 309.10-1-4746,400.00 159,700.00 11100.0% 159,700.00 19 Images: IJ K, IM R^ r I Ir 1�IVi Nn R r IIr - lMN It nnniiieee it m { IMM 1F saw nv LUJ 1 �' }f •YS�=.arw• MM ry r R Image Date: 1/27/2011 Ima a Date: 8/25/2014 Sales Information: O Sale Sale Net Cond. Arms Land Tot. Value Prior Date Price Sale Book Pa Sale T e Code Lett, TOSe TOS Owner Q5- Land Govt Goodwin, 30-0$ 700A0 700.00 3570 207 Only Agency No 37,800.OQ 134,600.00 Robert 05- Land Subst Goodwin, 30-08 700.OQ 7Q0.00 3570 207 Only change No 37,8QO.Q0 134,600.00 Robert n 0.00 0.00 1258 28$ ]Relatives No21,OOOAO 130,500.00 F----] http://parcelsearch.queensbury.net/RPS_INF02.ASP?printkey=309.10-1-47 7/18/2016 RPS Property Description Report Page 2 of 3 03- 1 ILand & I oodwin, 26-02 L—]u Building uLIu�J Cobert da. Site Information: l] Site Nbad Site Nbljd NNW Road Entry Zoning Code Sewer ater Utilities Desire T e Ratin Tune Type Code 408-Exit Comm/ Gas& Inter I 18 - Main Private ublic Elec E1E:1=E]Inspec MS 0 Land Information: L7- Site# Land # Type I+r{fnt =D�)th Acres Sc� Ett 1O 1-Primary 1 10 10.15 0 l =2 04-Residual IE:=10 0.09 0 Residential Building Information: J Commercial Building Information: n Bldg Section Boeck Model Yr Gross 1311 oall A Wall Wall C # # Built Floor Perim /a 113% E]EIE 2 sty Str/off/apt E1E]E1E:1[E1E:1L1 load sup Improvements Information: t] Site# Struct Code Dim 1 Dim 2 S FTMlConstr Grade 110verall Cond Yr Built 1�RP2-Porch-covcrd ®® 100 l®Average Normal 1975 I IFC 1-Shed-machine I©®320 EAverage Normal 111975 RPI-Porch-open/deck [0 J� 18 ®Average Normal ILZ5 _Jjj Special District Information: l7 S]2ecial District Units Taxable EMOO1-Emergency medical ljo 1159700 FP007-Fire protection 0 =1159700 LBOO1-Crandall library dst 10 1159700 LT007-W.queensbury light 110 1159700 SE020-West Qby Sewer Dist 112.94 0 WT013-Queensbury water 0 1159700 Exemption Information: J Permit Information: J Permit Number IlPermit Date IlLernlit Use Cost Estimate http://parcelsearch.queensbury.net/RPS_INF02.ASP?printkey=309.10-1-47 7/18/2016 RFS Property Description Report Page 3 of 3 IP20050221 05-04-05 JjSign (Better Way Realty) 110.00 P20050222 05-03-05 IBetter Way Realty Certificate of occupancy 110.00 P96-2066 09-17-96 Sign 0.00 P93-012 01-20-93 Interior Alterations IF0.00 P92-742 Certificate of occupancy 0.00 The information in the 4) RPS database is maintained by the Town of Queensbury Assessors Office The information provided ort this website is for GENERAL REFERENCE PURPOSES ONLY and.should not be relied upon in lieu of referring to officially adopted Town Codes, Local Lmvs or other documents available in Town Nall. http://pareelsearch.queensbury.net/RPS_INF02.ASP?printkey=309.10-1-47 7/18/2016 HMM Engineers • Planners e Architects J U L 1 8 206Malta Ridge Professional Building Harlan-McGee of North America g f S 4000 Silver Beach Road • Malts, New Pork 12020 CERTIFICATION This is to certify that the Asbestos Inspection Program for the building located at 79 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 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. July_ 12, 2016 Ernest . a r, P. Date 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 Professional Stam ''�� �'` 44� 309.10-1-47 BOTH 460-2016 _Q) A4 Russ Faden E 79 Main Street Demolition 6- 05N Phone: (518)584-1300 Fax: (518) 584-1374 Email: info@harlan-mcgee.com EXECUTIVE SUMMARY NARRATIVE The building is located at 79 Main Street in Queensbury, New York. This report and inspection dealt with an abandoned residence. No windows were in place. 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 present in the window caulk. 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 present. Respectfully Submitted, 'A K_ E st J. Gai or, P E. 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It is subject to suspension or revocation for a(1) serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving:asbestos or asbestos material. 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 the licensee on an asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State Department of Labor. Eileen M. Franko, Director SH 432(8112) For the Commissioner of Labor NEW YORK STATE DEPARTMENT OF HEALTH .- VV.VSWQR-TH CENTER Expjrqsj2!Q1 AM.April-01 --2017 JsQ&6Aprl ERT OE-APPROVAL -TO RVVERWCE CERTIFICATE OF-WAIDVAL FOR LABORA and pursuant Wid Public,h &sa;e—dinecc-o*rd-a'n-'ce with Writ to section 50 NY Lab Id No: 10709 ADIRONDACK-ENVIRONMENTAL SERV/CES 314 NORMPEA.RL...-STREET, -ALBANY;= Y 12207LT z7is-,hbreby APPROVED-as an_EnvironMe Ob &oratft forthe qdtdgqry ENVIRONMENTAL ANAL-Y-SES--SOLIE!AND HAZARDOUSUMASTE All q&Rvtd;sUpca(egojEs-and1jdr�jafytes,a- fi8led eIa i 7 _Nliscelianeau s n thibie-MaReM. AsbestfsF item 198.1 df Manual _r- 7- -EPA 6001M41821020 Asbestos ln;1t6Wrneble Material-PEM aemm-198.6 of-manual(NOB by PLM)7 Asbastos.!CNon-Frikbrafmaterial-TEM Item 988 of Manual Lead-[OiFaInt EPA 60100 Sargpla -pration Methods EPA 3050B f '-7 z :Lz L:V7 -:7 77 Serial No.:539-82-�i -7i; property-bifM&NeWYork State Depattrn--f6f,Health.!Cerfificates ar&-VbIId7i6nIy at-ths-address shoWil,ffiujj6'e consplcuouslyposted;%nd are pqnted-on-iRuW�wr, C6fitl6Ued1dcrediIatIondopeiW urged to call(518)485-5576 to on sucl- 7-VartIcIpation In the Progrebr-09mumers-are - verify� �qssfqt ongoing - ujq jjFqvjjrls aedrallillonistatus. PiO 1 of 1