DEMO-000570-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
- Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: DEMO-000570-2017 Date Issued: Thursday, October 5, 2017
This is to certify that work requested to be done as shown by Permit Number DEMO-000570-2017
has been completed.
Tax Map Number: 240.5-1-31.23
Location: 2585 State Rte 9L
Owner: J& D Marina LLC
Applicant: J&D Marina LLC
This structure may be occupied as a: Demolition of Garage
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,
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: DEMO-000570-2017
Tax Map No: 240.5-1-31.23
Permission is hereby granted to: J&D Marina LLC
For property located at: 2585 State Rte 9L
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: J&D Marina LLC Demolition-Commercial $0.00
Owner Address: 2546 State Route 9L Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Demolition of Garage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 13,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ofeensb �edn s a em er 13,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
S
Office Use Only
DEMOLITION APPLICATION Permit#: Delw)—00615-741 �]
�F Permit Fee:$ 3tf'•(-2�
Invoice:#: �zZ-3
742 Bay Road, Queensbury, NY 12804 SEP 0 8 2011
P: 518-761-8256 ww�v,queens_bu_rv,net
Demolition Location: 2585 Route 9L, Queensbury, NY Tax Map ID #: 240.5-1-31.23
DEMOLITION APPI .I.-JR."ATION SUBMISSIONS'
CONTACT INFORMATION:
• Applicant:
Name(s): J&D Marina
Mailing Address, C/S/Z: 2546 Route 9L, Queensbury, NY 12804
Cell Phone: _( Land Line: 518 ) 656-3636
Email: lonnychase@gmail.com
• Primary Owner(s):
Name(s): SAME
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Email:
• Contractor:
Business Name: SAME
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
Contact Person for Building & Code Compliance: Lonny Chase, J&D Marina
Cell Phone: _( 518 ) 669-5259 Land Line: —( 518 ) 656-3636
Email: lonnychase@gmail.com
Demolition Application Revised June 2017
DEMOLITION INFORMATION:
1. Where will demolition material be disposed? Landfill
2. Type of structure to be demolished:
a. Residence
b. Garage X
c. Business
d. Storage Building
3. What type of utilities are connected to the structure:
a. Gas
b. Fuel Oil
c. Propane
d. Electric
e. Public Water
f. Well-Water Pump
g. Public Sewer
h. Other
i. None
4. Have ALL utilities been disconnected? Yes X No
ADDITIONAL INFORMATION:
1. Two inspections may be required: an inspection to determine that utilities are disconnected, if
necessary, and a final inspection, after the structure is removed and the site is cleaned up and graded.
2. Twenty-four (24) hour notification is required for inspections.
Declaration: I acknowledge that no structure(s)will be removed from the parcel until the demolition application has
been reviewed and approved by the Town of Queensbury Building&Code Enforcement and Zoning Departments and a
permit has been issued.
I have read and agree to the above:
PRINT NAME: Lonny Cha-
SIGNATURE:
haSIGNATURE: DATE: 09/08/2017
C'17
Demolition Application Revised June 2017
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SCHODER RIVERS PROJECT TITLE J&D MARINA, LLC DRAWING NO.
`'Tl ASSOCIATES BOAT STORAGE BUILDING AT 2585 STATE RTE. 9L
Consulting Engineers, P.C. SHEET TITLE SITE DEMOLITION PLAN
Evergreen Professional Park D—�
453 Dixon Road,Suite 7, Bldg. 3 EXISTING BUILDING
Queensbury, New York 12804
(518)761-0417,FAX:(518)761-0513 Prof. No.: 75-903 Date: 9/7/2017 Scale: AS SHOWN
Drawn By: SRA Chk. By: CBS Modifies Dwg. No.: -
Ambient Environmental, Inc.
Comprehensive Building Science Solutions
J SEP 0 8 2017
;VFS/.!'JSCenified llBE _ rs
I.SB:4 EDIVOSB&DBE
September 7,2017
Mr.Lonny Chase
J&D Marina
DBA Castaway Marina
2546 Route 9L
Queensbury,NY 12804 240.5-1-31.23 DEMO-000570-2017
Ph. 518-565-3636 J & D Marina
thalia@casawayinarina.com 2585 State Route 9L
Re: Asbestos Project Monitoring Demolition of Garage Only
Garage
2585 Route 9L
Queensbury,NY
Ambient Project No.: 170830AA
Dear Mr.Chase:
Ambient Environmental Inc. (Ambient)was retained by J&D Marina to preform Project/Air Monitoring
of the garage at 2585 Route 9L in Queensbury,New York.These Services were conducted September 6,
2017 through September 7,2017.
Ambient Environmental Inc.provided New York State Certified Project/Air Monitors Throughout the
project who,in addition to preforming air sampling and inspection's.Also monitored the Contractors
compliance with all applicable local,state and federal asbestos regulations. Asbestos removal was
performed by ORION Demolition&Environmental Services,LLC license#90965
The scope of work consisted of the removal of the following asbestos containing materials:
Material Quantity Removed Location of Removal
Tan Flooring adhesive 352 SF Work area 1
Wall Black adhesive 34 SF Work area 1
Interior Window Glaze 5 SF Work area 1
Attached please find the asbestos clearance air results,visual clearance form, field log,personnel and
company certifications.
If you have any further questions,or need additional information,please do not hesitate to contact me
directly.
Sincerely,
C.D.Wolford
Operations Lead
828 Washington,Avenue,Albany,NY 12203 1 Phone 518.482.0704 1 Fax:518.482.0750
Web:www ambient-env corn
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Ambient Environmental, Inc.
Comorehensive Buildinu Science Solutions AIR MONITORING DATA Pa of
82B Washington Avenue,Albany,NY 12203-1622 TURNAROUND TIME
PH:518-482-0704 1 FX:518-482-0750 ..._
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- Ambient Environmental, Inc.
Comprehensive Building Science Solutions r
A'PSG%'JS Certified Jim.
A-SBA EDWOSB
ASBESTOS FINAL VISUAL CLEARANCE DOCUMENTATION
Client Name: C.0,SA C�,ge,Y Date:
Project Monitor: �T N- C�: 0 4,�,?'1��, Project No.:
Project Name: Z95
MATERIAL QUANTITY LOCATION
ROOM/AREA
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In accordance with ICR 56-9.1(d) and ASTM E1368, 1 r.c�( 1,crti�`�e , asbestos
license no. ���, hereby certify that I have visually inspected the work area (all surfaces
including pipes,beams, ledges, walls, ceiling and floor,decontamination unit, sheet plastic, etc.)
accompanied by the asbestos abatement contractor's supervisor,and have observed the scope of the
abatement as per the provided contract documents,to be complete and no visible dust,debris,water, or
residue is apparent on any surface within the work area.
Project Monitor: / / Date:
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Project Monitor: \c ��,r�.e'�'�,� Date:
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828 Washington Avenue Albany,NY 12203 l Phone:518.482.0704 ; Fax:518 482.0750
Web:www.amb:ent-env.com
Ambient Environmental, Inc.
AComprehensive Building Science Solutions
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New York State 4 Aepartment of L Wt
` Division of Safety and Health
License and Certificate Unit 4
M State Campus,Building 12 '
Albany,IVY
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ASBESTOS HANDLING LICENSE
Ambient Environmental; -FILE NUMBER: 06-0549
LICENSE NUMBER 29608r t� r,�
828 Washington Avenue LICENSE CLASS. REST#�ICfiEQ ff ,
DATE OF ISSUE: 07/26/24:37
Albany, Y,,12203 EXPIRATION DATE: 07/31/2018
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Duly Authorized Representative Joella Vii c si:
This license has been issued in accoidance with applicable provisions of Article 30 of the Labbr Law of New Yerk State and oft'`
the New York`State Codes,Rules andRegulations(12 NYCRIt Part 56). It is subject to suspension or revocation fora(l)
serious violation ofstate,federal or3dcal laws with regard to the conduct;9f an asbestos project,or{2)demonstrated'lack Qf
responsibility in the�onduct of any 3915 involving asbestos or asbestos matena]
This"('cense is;valid ony for the contractor named above and this license or a photocopy must be.prominently displayed at t1,te
asbestos project worksite.,This license verifies that all persons employed by the licensee on an asbestos project an New YQ3k
State have been isstied an Asbestos Certificate,appropriate for the type of work they perform,by theNew York State
Department of Labor
CN
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Eileen M.Franko, Director
SH 432(8/12) "''" For the Commissioner of Labor
December 10,2014
Fite ID:50543
N's loelia V&usi
Ambient Environmental Inc.
12 Coivir Avenue
Albany,NY 12206
Dear t.'s.)oella Viscusi.
The New York State Department of Economic Development,Division of h9inority and Women's Business
Development(Dl' W8D)has determined that your firm,Ambient Environmental Inc,continues to meet
eligibility requirements for re-certification,pursuant to Executive Law,Article 15 A and ShYCRR Section 140
through i45 of the Regulations
Therefore,we are pleased to inform you that your firm,has once again,been granted status as a Women
Business Enterprise(WBE} Your business will continue to br-listed in the State's Directory of Certified
Businesses with codes listed on the following page.
This Certification remains in effect for a period of gener�hy three(3)years from the date of this letter or until
such time as you are selected again,by this office for re-certification.Any changes in your company that affect
ownership,managerial and/or operational control, must be reported to this Office within thirty(30)days of such,
changes;including changes to company name,business address,telephone numbers,principal
products/services and bonding capacity.
The CenificaiiOn status i,nut intended to imply that New York',talc guarantees your company's capabil,ty to
perform on contracts,not does it imply that your company is guaranteed Any State business
'hank you fcr your cooperation On Lehalf of the State of New York,i wish you Jule in your business endeavors,
particuiarlp those involving State agencies.
Sincerely,
Bet:c:•Yee
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Ambient Environmenta;,Inc
12 Colvin Avenue
Albany,NY 12200,
Re: DBE CERTIFICATION NOTICE
Dew Nils.Viscusi,
•f he Ncu'Yorj State Department of Trensponcation. (N)'SDOT), z Certifying Partner in the
Nm Ycrk Stare L'rificd Ccilification Program.. (NYSUCP), is pleased to info.-m you that
yore firm meets the e"igibility criteria estzblished by the.U.S. Department of Transportation
Disadvemagu' Busiacss Enterprises re.gulatior., codified at 49 CFR, Tan '46,and ties beca
CFRTI EPj as a Disadvemaged Business Enterprise(BOE) wiLh Olc 1\KYSUCP.Your firm,
is cenifmd to provide the servires fisted below:
Area of Service:FnvironmeaW&Sanlfation Consulting Services
1\'ATCS:
541620 1'.miror:rnwGl Consulting Services
NrVSDOT Codes:
OBOB Ah Qaalit}
08DE NIoise
0€0N I-vardOoS'Wazc(JAsbcstosrl.cad
YvU, firm is e!) 'bit ((% znk: i rate !:s c DB � 'r' OT M n <
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' r'K snd CW C.rS�}'k`.:d:\:��•.-� K.f rartSP;it'afJt:ri
Autho:ity'crlta!:ly zssisttd pro ects u; the identified eervice Grecs.
Your firm's cea.:rig:_Ii ,, stags iwith the SYSUCP u'iiite^:L:^.,effective
c ecvc: for ;<s ionf as yr;nr
.n.- con:ir;�_s t(7 mcc' Eli DP Cwi:!fK:alO:i cl i)ility:t:^::i:cmc,!ts 4'1d the ow'l:e c,.,., d
c:Gaft!L•: of Oft fm,]:. 0004. "}rich:els :certif!Ution was glawed,ha:,n::;cizrlget°. tiowcvef,
a!1.1hi.l; -.:? aG;-FVt:!SE!( C!c'.f.C!t�S:S r.C!L'CC, a mw :;?
rita'i;7t!:r: rbo Oke!f- ric4t• bet:: cr :"1;,Ci ;.r, y,clLn f'C'C7nomiC
awnri-6b:P Cr Comm!, III. uhc cvcri! 111z" O'cic Z!C chu-gc:, p:tL-sc be 1:6-ised 1,11k, vau w
Ye.quimd ic jlo!if) thc NYSDOI, w,a)1it. 3V t12y" ci an)' LhafigCZ, M 'VOIJ: bi;S :ICSS'
oWnersh;p,com"o' c-Ptnatious Xxludint aedl:mi,iclephora,-narnbri,bj!iTlts� .ct:s
aud, capEbillitics 1.2il-10,2c to ednm" tc, .1hr'st. Itcuirtmem.s Mr') rcsui, IT; the rrmoval 01 D-.PE-
canificaricw.
)'O-U,' firm U-04 be i1WILdC4 in the INYSUCF, Directory Q-11
Which wiN
indicate uric.ty)c of work that gout firm has been certified to pem,form,
please Flult 1112( any of the:Ccnifyir�g partner, of the NYSUCP reserves uht Tight to review
ycu, finn'.. cenif.luaim., elqibilily pyiu to your firra's,participation on E fedcally P.Ssisled
project fc, their Pftrcy w M Pny tiyr.r thm it is elortc-mince, th-lal s-,jc.-.h recvPluarion is
%WFUTantee.
As L newiv DBE highwey wid bridge curisti-liction CC),-'Ilacloi, you are eligible 10
receive it fice one.-yes.- whscrip!icn it.) Bid Express (Bid-Xi. Bid-X Js e Web-based
wbscripykml Servia- 11:2!1 Provides [cr Vie u'ccironic submission of cow-act }ids by
contractors for NYSDO'r contmm To lcm-P more zbout the fevarr—c and bcnrr,-!s or Bid-X,
pimse contact NYSDOT Offict of Civil Rif)aLti E,,j OCR-SBN@do!maic-ny.us
I-tutherrrim, ,s a ne-wily certified DBE you should be &m.,arr tt2i lbe. U.S. Srm!.' Business
Admin:stration (SBA) ran guamntcr bonds for conurim up to S2 riilioli, coveting bid•
perforinwice and payment bonds fo., sruall and cint!giag cciamtois who c2mu. obtaii-,
sL,.-cty bonds through regular commercif-0 channels To learn more about the. Surety Bond
C;j3w&,jttt Prograir, please cal; 800-t;-ASK-SBA (800.1327-5%22; of Nisif
(>L!m L L.bo!f P i
We Etc picumd to have you as a partIcAr.firlIt in the NYSUCII et d wish you rnu&�can ss.
S1101116 vm,112.Vc an) ucwions, plusse entai! or UL 455
Sinctrely,
DBE Cc-
, .. nificalic."
Offic-e•of Audi!
AMBIENT ENVIRONMENTAL, INC.
NEW YORK STATE DEPARTMENT OF LABOR
ASBESTOS LICENSE
Jack Sharkey
Front of License
STATE OF NEW YORK-DEPARTMENT OF LABOR "-
ASBESTOS CERTIFICATE
JACK M SHARKEY
CLASS(EXPIRES)
C ATEC(07118) H PM (01/18)
MUST BE CARRIED ON ASBESTOS PROJECTS
LI Hliltl!!Ifilq:lll t{t H
Back of License
- Illl�llillllllllll11111IIIfl
_ IF FOUND RETURN TO:
G EYES HAZ NYSDOL - L&C UNIT
c HAIR RED ROOM 161A BUILDING 12
HGT 5' 09" STATE OFFICE CAMPUS
ALBANY NY 12240
=r
Codes:
A- Asbestos Handler F-Operations and Maintenance
B- Restricted Handler G- Supervisor
C- Project Air Sampling Technician H-Project Monitor
D- Inspector—R III 1- Project Designer
E- Management Planner J- Allied Trades
NEW YORK STATE DEPARTMENT OF HEALTH
WADSWORTH CENTER, -
Expires 12:01 AM April 01,2018
.. Issued April 01,2017
CERTIFICATE OF APPROVAL:FOR LABORATORY SERVICE
Issued in accordance with and pursuant to section 502 Public Health taw of New York State
MS. TEILAH MORRISON NY Lab Id No:41917
RESPONSE LABS
828 WASHINGTONAVE.
,ALBANY, NY 12203
is hereby APPROVED as an Environmental Laboratory for the category
ENVIRONMENTAL ANALYSESA/RAND EMISSIONS
A#approved subcategories andlor analytes ars listed below.
Miscellaneous
Finers NIOSH 7400ARULES
Serial.No,: 56272
Property or the New York State Department of Health. Certificates are valid only at the address
shown,must be conspicuously posted,and are printed on secure paper. Continued accreditation depends
on successful ongoing participation in the Program.Consumers are urged to call(5 18)485-5570 to
verify the laboratorys accreditation status. „
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