DEMO-0674-2021 Office Use Only
DEMOLITION APPLICATION
Permit#: 1 —MQ� 0 (off--2021
Permit Fee: $
Town of Queen bury
Invoice#:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Flood Zone? Y N� Reviewed By: 1J �
Demolition Location: 32 Homer Ave Tax Map ID#: 302.8-1-31
*AN ASBESTOS REPORT IS REQUIRED WITH ALL
DEMOLITION APPLICATION UMISSIONS-**
DEMOLITION.INFORMATION:
1. Where will demolition material be.dispo ?
2. Type of structure to be demolished:
a. Residence® d. Storage Building❑ SEP
b. Garage ❑ e. Other: TOM/ ® ����
c. Business ❑ gU�D-Q 81&1(3 ���sBU
COp RY
3. What type of utilities are connected to the structure: FS
a. Gas ❑ f. Well-Water Pump ❑
b. Fuel Oil ❑ g. Public Sewer
c. Propane ❑. h. Other
d. Electric i. None ❑
e. Public ater®,
4. H!ave ALL utilities (water,electric, etc.) been disconnected? Yes® 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.
3. Workers' Comp insurance information is required to be submitted with this application.
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: rn
PRINT NAME: (� V/�f ��i�V�C �G/2 1J
SIGNATURE: DATE:
Demolition Application Revised January 2021.
CONTACT INFORMATION: PLEASE-PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line
Email:
• Primary Owner(s):
Name(s):Judith Pontiff.
Mailing Address, C/S/Z: PO-Box 108, Glens Falls,NY 12801
'Cell Phone: Land Line' -
Email:
❑ Check-if all.work will be performed by property owner only
Contractor:-(List all a ditional.contractors on the-back of this form)
.Contact Name(s): r►l �"�'`
Contractor Trade: `�/�►201, �.�
Mailing Address, C/S/Z: . ����,e �/ �f nCn�d��l - IVY /2/9$
Cell Phon • L� Line:-.
Email: ,,ff 07
Ai��TiR��Q�L/1> �Jer�/ii ,�0,9•
**Workers' Comp d.o�umentation must be submitted with this application**
Contact.Person for any questions regarding this project: ��sbroa►s`�
Cell Phone: // . Land
1/Line:
/� f3�—Ct'f1Ga
Email: Ca•n
Demolition Application Revised January.2021
P 0 Box 1024
Sdeneelad�,'Al!'12301
918 346-6374 Phone)
Environmental flssociates ln : '(818).346-4062,(Pax)
�EXCEEDlNC`OUR CLIENTS EXPrcrdr/ow OP Exetti et' www4speclrum:cam
March 21,2022
Mr.John O'Brien
Town of Queensbury
742 Bay Rd.
Queensbury,NY 12804
(518)761-8253
j ohnonqueensbury.net
RE: Demolition- 32 Homer Ave
Spectrum Project Number: 21-394
Asbestos Air Sampling Report
Dear Mr. Hatten:
Spectrum Environmental Associates,Inc. (Spectrum) is providing this final report and attached
documentation for the above referenced asbestos project. The scope of work performed by the
abatement contractor involved the removal of asbestos containing materials from the following
area(s):
• ~1,800 sf of debris from structure per variance 21-0841 (3-16-22)
New York State Department of Labor Industrial Code Rule 56.4-11(a)states"The PCM clearance
air sample results shall be considered satisfactory when every clearance air sample demonstrates
an airborne concentration of fibers of less than 0.01 fibers per cubic centimeter, or the established
background level(s),whichever is greater."
New York State Department of Labor Industrial Code Rule 56-9.1(d)(1)requires a final visual
inspection be performed by a New York State Certified Asbestos Project Monitor who is
appropriately trained and independent of the asbestos abatement contractor prior to the collection
of the Clearance Samples. This was performed by Spectrum and the associated documentation is
attached. The final visual inspection is to confirm that all have been removed and that the work
area has been properly cleaned.
Therefore, based on the final visual inspection(s) passing and the final air samples that were
collected and analyzed on this project having met the New York State requirements,the scheduled
removal area(s) are considered clear and may be re-occupied.
Attached you will find the following documents:
• Final Report(s)of Analysis with Air Sampling Chain of Custody(s)
• Sample Location Drawing(s)
• Project Monitor Final Visual Inspection(s)
• Licensing and Certification(s)
• Site Specific Variance (if applicable)
Environmental Consulting&Management Services•Health&Safety Training•laboratory Services
The following Exceptions should be noted as related to this project:
• Tuesday 3-15-22: no air samples taken due to problems with demolition contractor's
equipment.
This report, if duplicated, should only be done so in its entirety including all attached documents
and only with permission from the client. Spectrum is required to provide a copy of any project
related documentation to the NYSDOL or other enforcement agency if requested.
If you have any questions concerning the collection and/or the analytical results presented in this
report,please do not hesitate to contact our office at(518) 346-6374.
Respectfully Submitted,
ifekwt(Tatfay c-
Robert J DeRuyter
VP of Operations
Cc: file
Attachments: Final Report(s) of Analysis with Air Sampling Chain of Custody(s)
Sample Location Drawing(s)
Project Monitor Final Visual Inspection(s)
Licensing and Certification(s)
Site Specific Variance (if applicable)
P.O.Box 1024
` RV Schenectady.NV 12301
��/ (S 18)348-6374(P)
En ronmental CRwelates, Inc. (518)346-4062(F)
'EXCEEDING ODR.CLIBNTS EXP.L'CT9TIONS OF EXCELLENCE.' www.4spedmm.com
NIO DOH thud 7 0#A Rules)
FINAL REPORT OF PCM ANALYSIS Pa Pagel
oft
NIOSH Method 7400(A Rules) ge 1 of 2
CLIENT: Town of Queensbury_. PROJECT NAME:Demolition—32 Homer Ave. PROJECT#:21-394
742 Bay Rd,
Queensbury,NY 12804
Client Date Date Date Result Density
Lab I.D. Sample# Work Area Location/Description Sample Type Collected Received Analyzed L.O.D. f/cc f/mmZ)
01729 1 Controlled Demo Field Blank 03/14/22 03/15/22 03/15/22 1.3
01730 2 Controlled Demo Field Blank 03/14/22 03/15/22 03/15/22 0.0
01731 3 Controlled Demo Personal
sonal Decon(Remote) Phase IIB 03/14/22 03/15/22 03/15/22 0.002 BDL 0.0
IN
01732 4 Controlled Demo Waste Decon Out Phase IlB 03/14/22 03/15/22 03/15/22 0.002 BDL 2.5
01733 5 Controlled Demo Perimeter 1 OWA Phase IIB 03/14/22 03/15/22 03/15/22 0.002 BDL 0.6
01734 6 Controlled Demo Perimeter 2 IWA Phase IIB 03/14/22 03/15/22 03/15/22 0.002 0.008 35.0
01735 7 Controlled Demo Perimeter 3 OWA Phase IIB; 03/14/22 03/15/22 03/15/22 0.002 0.009 38.2
01736 8 Controlled Demo Perimeter 4 Upwind Phase IIB 03/14/22 03/15/22 03/15/22 0.002 BDL 1.9
01737 9 Controlled Demo Perimeter 5 Upwind Phase IIB 03/14/22 1 03/15/22 03/15/22 0.002 BDL 0.6
01738 10 Controlled Demo Perimeter 6 Phase IIB 03/14/22 03/15/22 03/15/22 0.002 BDL 0.6
01739 11 Controlled Demo Perimeter 7 Phase IIB 03/14/22 03/15/22 03/15/22 0.002 0.016 68.2
01740 12 Controlled Demo Perimeter 8 Phase IIB 03/14/22 03/15/22 03/15/22 0.002 0.003 12.1
01741 13 Controlled Demo Ambient Phase IIB 03/14/22 03/15/22 03/15/22 0.002 0.003 10.8
Microscope:Olympus CX43 Phase Contrast Field Area:0.00785 mmz From'=fibers per Square Millimeter flee=fibers per cubic centimeter
L.O.D.=Limit of Detection(7 9mm2) L.O.Q.-Limit of Quantification OVL=Overloaded with particulate or fibers OVLBL=Fibers exceeds QC limit
Analyst: Analyst: Disclaimers: Laboratory Director,
�, - •h,:� NIOSH Method 7400 is used for estimating asbestos concentrations,but cannot differentiate between asbestos and other fibers.
J'9'J'.Pkp] r��'%n to NIOSH Method 7400 has an established range of 100 to 1300 flmms;any results outside this range are potentially blued
Labomt6rvI iston(Sr): Laboratory Precision(Sr): Reported Analytical Results are Based on Sample Data Provided by the Client.
5-20 Obersl100 fietda:-0.27 5.20 fibers/I00 fields=0.43 Analytical Results Dependent on Field Blanks Submitted with Samples.
>20.50 fibcrs/100 fields=0.61 >20-50 fibadI00 fields=0.12 Attached Chain of Custody indicates analyst and shall be considered part of this final report.
>50-100 fibcrs/1001066-0.24 >50-100 fiberdI00 adds=0.19 Katallna Li
Environmental Consulting & Management Services • Health & Safety Training • Laboratory Services
P.O.Box 1024
Schenectady.NV 12301
S- PECTRVA (518)346-6374(P)
En drionmental Rssociates, inn (518)346-4062(F)
'EXCBEvtYaVOR CLIENTS EXPECT4nvAFS OF EXCELLENCE.' www.4spectrum.com
NIO DOH thud 7 0#A Rules)
FINAL REPORT OF PCM ANALYSIS Pa e 2 of
NIOSH Method 7400(A Rules) Page 2 of 2
Client Date Date Date Result Density
Lab I.D. Sample# Work Area Location/Description Sample Type Collected Received Analyzed L.O.D. (Ne) (f/mm2)
01811 15 Controlled Demo Field Blank 03/16/22 03/17/22 03/17/22 0.0
01812 16 Controlled Demo Field Blank 03/16/22 03/17/22 03/17/22 0.0
01813 17 Controlled Demo Personal Decon In Phase IIB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 0.6
01814 18 Controlled Demo Waste Decon Out Phase IIB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 1.3
01815 19 Controlled Demo Perimeter 1 IWA Phase IIB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 1.3
01816 20 Controlled Demo Perimeter 2 OWA Phase IIB/IIC 03/16/22 1 03/17/22 03/17/22 0.001 BDL 0.0
01817 21 Controlled Demo Perimeter 3 IWA Phase I9B/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 0.0
01818 22 Controlled Demo Perimeter 4 Upwind Phase HB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 0.6
01819 23 Controlled Demo Perimeter 5 Upwind Phase IlB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 1.9
01820 24 Controlled Demo Perimeter 6 Downwind Phase IIB/IIC 03/16/22 1 03/17/22 03/17/22 0.001 BDL 2.5
01821 25 Controlled Demo Perimeter 7 Downwind Phase IIB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 3.8
01822 26 Controlled Demo Perimeter 8 Downwind Phase IIB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 0.0
01823 27 Controlled Demo Ambient Phase IIB/IIC 03/16/22 03/17/22 03/17/22 0.001 BDL 1.3
Microscope:Olympus CX43 Phase Contrast Field Area:0.00785 mms 17mm2=fibers per Square Millimeter 17ce=fibers per cubic centimeter
L.O.D.—Lima of Detection(7#arm) L.O.Q.-Limit of Quantification OVL=Overloaded with particulate or fibers OVLBL=Fibers exceeds QC limit
Analyst: Analyst: Disclaimers: Laboratory Director,
NIOSH Method 7400 is used for estimating asbestos concentrations,but cannot differentiate between asbestos and other fibers.
r g2c:J: NIOSH Method 7400 has an established range of 100 to 1300 Omm';any results outside this range are potentially biased.
Labomt6ly islon(Sr): Laboratory Precision(Sr): Reported Analytical Results are Based on Sample Data Provided by the Client.
5-20 fibers/100 fields:-0.27 5-20 5bers/100 fields-0.43 Analytical Results Dependent on Field Blanks Submitted with Samples.
>20.50 fibes/100 fielder 0.61 >20.50 tibers/100 fields=0.12 Attached Chain of Custody indicates analyst and shall be considered part ofthis final report.
>50.100fibenoofielde.—Oa4 >50-100 fib.Wl 00 field.-0.19 Katalina.Li
Environmental Consulting & Management Services • health & Safety Training • Laboratory Services
024Af
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P. Box 1
Sdtenectadp.NV12301
301
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R Environmental flssociates, Inc. (518)34B-4082(Fax)
'EXCEEDING ODR CuENTs&PReTRTIoNs or ExcEERENCE' tvww.4Speclram.com
AIR SAMPLING CHAIN OF CUSTODY 01_oa=tn
PROJECT INFORMATION SAMPLE TYPE 'TYPE OF ANALYSIS TURNAROUND
Project#: 21-394 Date Collected: 3-14-22 O Phase IB(Background)®PCM-NIOSH 7400 O RUSH
Job Site/Building: 32 Homer Ave Queensbury NY 0 Phase IIA(Prep) O TEM-NIOSH 7402 O 12 Hour
Room/Work Area: Controlled Demo ®Phase IM(Removal) O TEM-AHERA A 24 Hour
Rotameter#: H-8 Calibration Date: 12-28-21 O Phase IIC(Clearance) O Other 11.48 Hour
Lot#: 27141 Collected By: Christopher Patti p Air Quality O Other
SAMPLE IDENTIFICATION
Lab ID Sample Pump Location Pump Pump Rate Rate Time Air L.O.D. Adjust Result F/mm=
No. No. No. On Off PM M Volume Count
NAE-Negative Air Exhaust firma hr.= On Off Nrn Liters /too Me
`0, Z� 1 Field Blank --- --- --- --- -- -- -- 1.C) -- t.3
1 �f1 2 Field Blank --- --- --- --- --- --- -- O.tJ --- 0,Q
�
3 Personal Decon(Remote)IN 10:00 15:30 5 5} 1�31 3b0 16S-0 0.001 o.o
S 1 57, 4 Waste Decon OUT 10:01 15:31 5 5
Z-0 4Z.S
Z 11+ 5 Perimeter I OWA 10:02 15:32 5 5 0
3 p.S �
6 Perimeter 2 IWA 3 10:03 15:33 5 5 f�34 z�.5
7 Perimeter 3 OWA 10:04 15:34 5 5
30.0 o.00q
1 3 b 8 Perimeter 4 Upwind 10:05 15:35 5 5 1.5 4 u ),q
3�
9 Perimeter Upwind 10:06 15:36 5 5 0 6
Ol l J 0 10 Perimeter 6 10:07 15:37 5 5 pry.S
1
11 Perimeter 7 10:08 15:38 5 "5
12 Perimeter 8 10:09 15:39 5 5 1 O.pu3 f Z.
13 Ambient 10:10 15:40 5 5 $,,s 6•bp�a t t7-cb _
ADD`itT1oNAL LNFo CnAil i or CUSTODY
Report Results to: Relinquished: Christopher Patti Date: Time:
Phone/Fax: Received: Date: is Time:
Comments: Sample Log-in: ILL- Date Time:
Sample Prep: �K& Date:? U, Time:
Analyzed: K= Date: Time:
QA/QC Review: Y,L Date:,ELL Time:
NOTE:SpednimEnulrorunevfo/Aswclafes,I=utilizes laboratories that meet the req uirem ents setforth byAHERA 40 CFR 763.90(i)(2)(H).
Rotameters are calibrated against a Defender 510 Primary Flmv Meter manufactured by BIOS International Corporation.
Environmental Consulting&Management Services • Realth&Safety Training • Laboratory Services
s P.O.Sox ion Schenectady.NY 12301
� (318)348-8374(Phone)
R Environmental Asociates, Inc. (518)34640e2 ffi") '
'EXCEROINC ORR CAIRNTS EXPECTRTIONS OF EXC664BNCe' WRW4spedMW com
AIR SAMPLING CHAIN OF CUSTODY ou e,aozoi
PROJECT INFORMATION SAMPLE TYPE TYPE OF ANALYSIS TURNAROUND
Project#: 21-394 Date Collected: 3-16-22 p Phase IB(Background)9 PCM-NIOSH 7400 O RUSH
Job Site/Building: 32 Homer Ave Queensbury NY O Phase IIA(Prep) O TEM-NIOSH 7402 O 12 Hour
Room/Work Area: Controlled Demo R Phase IIB(Removal) O TEM-AHERA 9 24 Hour
Rotameter#: H-8 Calibration Date: 12-28-21 ®Phase IIC(Clearance) O Other 0 48 Hour
Lot#: 27141 Collected By: Christopher Patti p Air Quality O Other
SAMPLE IDENTIFICATION
Lab M Sample Pump Pump Pump Rate Rate Air Adjust s
No. No. No. Location On Off M Time Volume L.O.D. Count Result F/mm
NAE-Negative AirExhaust hymn hrrmM On OH' Min Liters /100 FPec
7 it
15 Field Blank --- --- ' -- ---
--- -----
16 Field Blank --- --- --- --- --- --- ---
RI r cil 3 17 Personal Demn IN 07:30 16:45 4 4
l0 9?Wv .00) o018DLOo
Q) 18 Waste Decon OUT 07:31 16:46 4 4
igl�4 55s 22za1 1.6 1�3
A� f 19 Perimeter 1 IWA 07:32 16:47 4 4
3 20 Perimeter 2 OWA 07:33 16:48 4 1 4 JS55 2v
(a ���' 21 Perimeter 3 IWA 07:34 16:50 4 4 5
VUZq
Q^V 6 -61
0 r$t p 22 Perimeter 4 Upwind 07:35 16:51 4 4
L 10 5 222`I 6,5 o�
23 Perimeter 5 Upwind 07:36 16:52 4 4 q
Q of 5Z) o
+ �pj 24 Perimeter 6 Downwind 07:38 16:53 4 4
,5. ,5 s o a e
�gLl 25 Perimeter 7 Downwind 07:39 16:54 4 4
� 5
to 26 Perimeter Downwind 07:40 16:55 4 4
SsS 222v 1000 deb
27 Ambient 07:41 16:56 1 4 1 4 �W ! 3
ADDITIONAL LNFO CHALK OF CUSTODY
Report Results to: Relinquished: Christopher Patti Date: 3-16-41 L Time:
Phone/Fax: Received: k4_ Date:_,,�/1,?/_ZT- rime:
Comments: Sample Log-in: LLL Date:. 31i?ltz Time:
Sample Prep: r'( Date 3 r��,�� Time:
Analyzed: c5 Date: 9//7122 'Time:
QA/QC Review: %� Date: 3/n/yL Time:
NOTE:Spedrara6ntfior en/o/9ssadales,/ac.utilizes laboratories that meet the requirements set forth byAHER.4 40 CFR 7 63.9 0(1)(2)(ii).
Rotameters are calibrated against a Defender 510 Primary Flow Meter manufactured by BIOS International Corporation.
Environmental Consulting&Management Services - Health&Safety Training - Laboratary Services
21-394 (3-14-22 thru 3-16-22)
Demolition - 32 Homer Ave
Phase 1113 &IIC- NTS
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(578)046-0374(Phone)
EnvirenmenigR1se ates;Inc. (518)346-4002(Par)
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Final Visual Clearance Checklist
Project Name: Date:
32 Homer Ave Queensbury NY 3-16-22
Work Area: Project Number:'
Controlled Demo 21-394
Materiaf Removed: Quantity Removed: -
Demo D3ebris 1800'sq
Project Monitor: Certificate Number:
Christopher Patti 04-06597
Procedure or Activity Yes No N/A
Critical Barriers Intact ✓
Negative Air Machines Running. ✓
All Gross Material Removed From Work Area V
Length of Waiting Period Observed
Visible Debris Present
All Bags and misc.equipment/tools has been removed
Visual Inspection per ICR 56.9.1(d)
"In accordance with ICR 56-9.1 (d)the project monitor has 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 has observed the scope of the
abatement as per the provided contract documents,and for the presence of
visible dust,debris,or residue is apparent on any surface within the work area."
Date of Inspection: Time of Inspection:
3-16-22 15:30
Visual Inspection clear per ICR 56.9,1(d)
Supervisor Logbook Signed ✓
Sampling Conducted in Accordance with ICR 56-9.2(d)or Site Specific Variance
Pre-Sampling Agitation(5 minutes per 1000 ftZ of floor space)
On Going'Agitation (1-20" Fan per 10,000 ft3) _
Your signature certifies that the aforementioned listed items are in compliance with all state&
federal rules and regulations
Signature: Date:
3-16-22
Environmental Consulting&Management Services • Health&Safety 7iraining • Laboratory Services
;P.0;Bo.Y 1024
Schenectady,NV 12301
-SPEC 'T- R,V, Af (518)346-6374(Phone)
Environmental. ISsoclates, Inc. (518)'34s-�aoa2(Fax)
'EXcupme ODRV.Liurs EXPECTATIONS OP EXCELLE W wwua4spe4ctrum com
State of New York— Department of Labor
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License and Ceitificate l9nit�
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Albany,tNY 12240�`
"'ASBESTOS HANDLING LICENSE .
-
Spectrum Environmental Associates,1,n �j' FILE NUMBER: 9920129`
LICENSE NUMBER: 29081 F
P.R Bo.,01024 r 1 LICENSE CLASS: RESTRIC"TED
DATE OF ISSUE: 02/02/2,022 w.
SchenectadyvNY 1230:1 �4,�',sa' EXPIRATIQN DATE: 02/28%2023 1.
Du y uthorize Repres ntati e*, V�l I am Massmann
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Tkis'license has been issued in ac or cejryith licable rouision`s`o€Article 30 of the Labor Law of New YorkState and o
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the New Yoik�State Codes,Rules and Re aho s`112-NY,CRR Part 5.6):-Iis bject to suspension or revocationrfor a(1)
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serious violation of state,federal or focal laws wtth'regard•to•the conduct of an asbestos pro ect,or(2)demon trated,lack of
responsibility in thexonduct of any o�m p1%, as es�os'o asb'�sfos mate final:
This license n'tis��valid'only for a contractor named;a�ol e and thisyhcense or.Y.o apY mustbe prdmmently displayed�at th'e
asbestos project Worksite,'.l •license verifies thatall pTerssoo ns-empll yeK1 If d.by the licezlsee on an-asbestosoproj Al
`ct m New York
State have been issued an Asbestos Certificate,appropriate fc r-ih fi e Ahey perform,by the4New York ate
Department o Labor.
Amy Phillips,Director
SH 432(8/12) For the Commissioner of Labor
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Page 1 of 1- i -2
P.O.BaX 1024
` E Schenectady.NY 12301
SPECTRvi" (518)346 6374(Phone)
Environmental associates, Inc. (518)348-4062(Fax)
EXCEZOINC OUR CLIENTS EXPECT(ITIONS OF EXCELLENCE* www.4spedruln.cam
PROPOSAL FOR ASBESTOS INSPECTION SERVICES
Contact: Mr.David Hatten Date: June 14,2021
Client: Town of Queensbury Project: Pontiff Property
Address: 742 Bay Rd. 32 Homer Ave.
Queensbury,NY 12804 Queensbury,NY 12804
Phone: (518)761-8253 E-Mail: daveh@queensbury.net
Spectrum Environmental Associates;Inc.(Spectrum)appreciates the opportunity to provide you with a
proposal to provide asbestos related service as discussed. Based on the information you provided,we
have prepared the following cost estimate for your consideration.
SCOPE OF WORK: If needed,Spectrum shall provide an EPA and NYS DOL Certified Asbestos
Designer to determine the extent of relief needed from ICR 56. Spectrum shall prepare and submit a site
specific variance to perform the work with relief from certain requirements of ICR 56 as required for this
type of project. Spectrum shall then provide the required project/air monitoring oversite required by the
conditions of the regulation and site specific variance. Spectrum shall provide a draft RFP for completion
by client. Spectrum can then forward RFP to qualified contractors and have reply's sent to client directly.
ESTIMATED COST: Spectrum has prepared the following cost estimate for your consideration. Final cost
will be based on the unit prices and actual time and number of samples needed to properly comply with
the NYS regulations concerning asbestos.
Item Unit Cost Total Cost
Variance Preparation by NYS Asbestos Designer- 1 $1,000.00 $1,000.00
NYS DOL Variance Fee- 1 $350.00 $350.00
COST FOR VARIANCE: $1,350.00
Additional Services as Needed
Provide RFP draft for use to bid project $250.00 $250.00
Daily Monitoring Rate w/equipment and expenses $480.00/day $480.00
PCM Air Analysis per ICR-56—13 per day $ 15.00 ea. $195.00
Travel $75.00/day $75.00
Final Monitoring Report/Admin Fee- 1 $250.00
ESTIMATED COST FOR DAILY PROJECT MONITORING:$750.00
Site Requirements:
• A confirmation of the scope of work must be provided prior to submission of the site specific
variance to the NYSDOL.
• Contractor must notify Spectrum 10 days in advance(same as NYSDOL requirement)to confirm its
availability to schedule. Schedule changes require 24 hour notice.
• Owner/Abatement Contractor shall provide electrical power and allow use of the site as needed to
perform the scope of work in accordance with all state and federal regulations. If Spectrum is
.required to provide a generator,an additional$100.00/day will be charged
Environmental Consulting&Management Services • health&Safety Training • Laboratory Services
• As required by ICR 56,the contractor's supervisor must perform his own final inspection and be on-
site to accompany Spectrum during its required Project Monitor Visual Inspection.
• If air sampling results are above 0.01 f/cc,NYS ICR 56 requires that the results be sent to the
Asbestos Control Bureau immediately(same business day)which may result in an inspection from
the NYS DOL.
• Spectrum shall not be responsible for the means,methods,techniques,sequences and
procedures employed by the contractor in the performance of their contract,and shall not be
responsible for the failure of the contractor to carry out the work in accordance with the
contract documents. Regulations clearly hold the supervisor/contractor responsible for
compliance and completeness of the scope of work. If the contractor elects to work overtime or
weekends or does not complete the work in a timely manner,additional costs may be incurred.
Spectrum would like to thank you for the opportunity to present our proposal for asbestos consulting
services. If you have any questions regarding our proposal or pricing,please feel free to contact me at
518-346-6374 or rmartin@4spectrum.com.
PROPOSAL ACCEPTANCE AGREEMENT AND PAYMENT TERMS:
1. Proposal shall remain valid for thirty(30)days from date prepared.
2. Spectrum accepts cash,checks and all major credit cards. Return Check Fee-$35.00.
3. Client agrees to pay Spectrum for all work performed,upon presentation of invoice,the sum(s)
stipulated in the'attached proposal. The Client's obligation to pay is in*no way dependent upon
the Client's ability to obtain financing,payment from third parties,approval of governmental or
regulatory agencies,or on the Client's successful completion of the project.
4. Invoices not paid within thirty(30)days of invoice date are subject to a 1-1/2%per month late
payment fee. In suit to collect fees under this agreement,the client agrees to pay all of
Spectrum's collection costs,court costs, interest,and reasonable attorney's fee. "
5. In the event any invoice is not paid within thirty(30)days, Spectrum reserves the right to suspend
services under this contract.
6. Client agrees to indemnify and defend Spectrum from any liability, loss cost or expense in
connection with the Services,including attorney's fees,claimed for property damage,bodily
injury,including death,or other injury or loss except such as is caused solely by the negligence or
willful misconduct of Spectrum,its employees,or agents.
7. Spectrum shall not commence work on this project until an executed copy of this agreement has
been received(including deposit)and approved.
8. This agreement represents the entire agreement between the parties and may not be altered except
in writing signed by both parties.
Acceptance
Respectfully Submitted,
ha;;
;; Xk- Name:
Ronald F.Martin Jr.
Operations Manager Sig at .
nationalgrid
February 14, 2022 D 8 4 202Z
WN OF�U&CCD S'-
Via Email: daveh gueensbury.net
iohno gueensbury.net
Re: National Grid GSR #: 30529087
Service Address: 32 Homer Ave, Queensbury
This letter is to advise you that the natural gas service line to the above location was
physically disconnected on February 9, 2022.
The service has been retired at the property line, therefore, there is-no live gas to the
building as of February 9, 2022.
If you feel that the location where the service was terminated (as stated
above) will interfere with your planned excavation, please contact us
immediately and do not start excavation.
New York State law requires anyone planning underground excavation work to'notify
local utilities by calling "811 or 800-962-7962. This confirmation letter of disconnect
does not relieve the excavator of making this"811"call.
Respectfully,
�e�i%�'ZeQQ4ryt
Debi Melsom
Gas Connections UNY
Phone: (518) 603-4015
Email: debra.melsomCaD-nationalgrid.com
1125 Broadway,Albany,NY 12204