Loading...
23.3502A.02.20.23.report Office Use Only DEMOLITION APPLICATION Permit#:DEMO-0028-2023 _ Permit Fee:$165.00 Town of Queens Invoice#: 1 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Flood Zone? Y viewed B Demolition Location: 1 Juniper Drive, Queensbury Tax Map ID#: 278.20-1-16 **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where will demolition material be disposed? Casella 2. Type of structure a demolished: a. Reside ✓ d. Storage Building❑_ b. Garage e. Other: c. Business ✓41v 3. What type q�ilities are connected f. Well Water Po the . ✓ FuelTn Oil . Public Sewer b ue g � c. Prop h. Othe s d. Elec i. None e. Public Water 4. Have ALL utilities (water, electric, etc.) been disconnected? Yes W1 No F ADDITIONAL INFORMATION: 1. Two inspections are required: an inspection to determine that utilities are disconnected, 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: PRINT NAME: Michael P. Cristo Jr. SIGNATURE: DATE: 1/25/2023 Demolition Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): M. Cristo Inc. Mailing Address, C/S/Z: 2425 Kraft Rd., Castleton, NY 12033 Cell Phone: 518-365-2307 Land Line: N/A Email: mcristoinc@gmail.com • Primary Owner(s): Name(s): Fred Champagne Mailing Address, C/S/Z: 1 Juniper Drive, Queensbury, NY Cell Phone: 518-926-8544 Land Line: N/A Email: Kainjef@gmail.com ❑ Check if all work will be performed by property owner only • Contractor: (List all additional contractors on the back of this form) Contact Name(s): M. Cristo Inc. Contractor Trade: Demolition (NYS licensed asbestos contractor 29047) Mailing Address, C/S/Z: 2425Kraft Rd., Castleton, NY 12033 Cell Phone: 518-365-2307 Land Line: N/A Email: mcristoinc@gmail.com **Workers' Comp documentation must be submitted with this application** Contact Person for any questions regarding this project: Michael Cristo Cell Phone: 518-365-2307 Land Line: N/A Email: mcristoinc@gmail.com Demolition Application Revised June 2022 1/25/23,3:17 PM Town of Queensbury Interactive Mapper _ Town Of Queensbury Interactive Mapper - 1�� ��` Q) ,1li ,,,/ V `1 `AJ A� '""" -i 581:178.10-i-19 � Lilli SBL 273.20-1-14 OVINE R'BRENDEIJ S DOS O:NNER:JOSEPH CRAVER Selected Parcel: 278.20-1-16 — � urnper r OWNERMAIL4 Queensbury, NY ZIPCODE 12804�QT Ann 2 � e RPS Report *" ryF V. .+�SS+ap S8L:173.20-1:16Y___ W'` - gip,,... ., •p"J.-'' a 'r., 3 � - •-� , - -. BL:178 S .20-1.21 +�'' O'rJVER:FREDERfCK�CfiA,i}PAGVE -«� ',M"!WaF'ry�.»;-.•. i CAROLrANN ODEL SBL: �Q, ! �►f. L. (OI%VER.IUCHELLE K:,fN . ' 0 ��• ,�.�t=,,- fit,:- a '•- i �,• t"f r r i•. �'�ic} '+ 1•-� # SUNNYSIDC•fjU1N• • �� w SBL:239.3-1;SG� 'fit - ' O':/VER:BETTYLYN,4'EiFISH S8L:289.5-1-47 k ,,w •,,,I` •+a—.,•.,y �3 Oi"RJERi HEAL FfSH S '239.5•7;:A SB 289:8;1.51 L 4:""/NERER HARE T091AS L:'Win.�•-1.1 .�•"A TOWN OF QUE BUILDING & o T: FILE r✓�PY 0 zoo 40ft Reviewed B Date: https://gbygis.queensbury.nettwebapp/default.html?pid=278.20-1-16 U 1/2 THIS PLAN TO DE ON PROJECT SITE AT ALL TIItJ1ES FOR THE TOW N OF QUE Y DURATION OF CONSTRUCTION BUILDING & Reviewed B .�- � STATE OF NEW YORK DEPARTMENT OF LABOR Date: STATE OFFICE BUILDING CAMPUS ALBANY, NEW YORK 12240-0100 Variance Petition of File No. 23-0128 Paradigm Environmental, LLC Petitioner's Agent on Behalf of DECISION Mr. Fred Champagne Cases 1-3 Petitioner ICR 56 . in re Premises: Condemned Chapel 1 Juniper Drive Queensbury, New York 12804 Controlled Demolition of Condemned Structure The Petitioner, pursuant to Section 30 of the Labor Law, having filed Petition No. 23-0128 on February 7, 2023, with the Commissioner of Labor for a variance from the provisions of Industrial Code Rule 56 as hereinafter cited on the grounds that there are practical difficulties or unnecessary hardship in carrying out the provisions of said Rule; and the Commissioner of Labor having reviewed'the submission of the petitioner dated January 31, 2023; and Upon considering the merits of the alleged practical difficulties or unnecessary hardship and upon the record herein, the Commissioner of Labor does hereby take the following actions: Case No. 1 ICR 56-8.4 (b) Case No. 2 ICR 56-9.2 (d) (1) 1 ti i Page 2 of 5 File Number 23-0128 Case No. 3 ICR 56-11.5 (c) (2, 7) VARIANCE GRANTED. The Petitioner's proposal for the controlled demolition of structurally unsound structure in accordance with the attached 8-page stamped copy of the Petitioner's submittal, is accepted; subject to the Conditions noted below: THE CONDITIONS 1. The condemnation letter that indicates the building/structure is ordered to be demolished due to being structurally unsound and in imminent danger of collapse from the municipality or other AHJ/CEO must be submitted with the emergency notification request or 10-day notification. 2. A copy of the AHJ/CEO letter shall be posted at the work site. Full-Time Project Monitor: 3. A full-time independent project monitor (PM) shall be on site and is responsible for oversight of the abatement contractor during all abatement activities to ensure compliance with ICR 56 requirements including but not limited to ICR 56-3.2(d)(8) and variance conditions. 4. In addition, the PM shall ensure that no visible emissions are generated during abatement activities. If visible emissions are observed, work practices shall be altered according to the PM's recommendations. 5. The PM shall perform the following functions during asbestos abatement projects in addition to functions already required by ICR-56: a. Inspection of the interior of the asbestos project work area made at least twice every work shift accompanied by the Asbestos Supervisor. b. Observe and monitor the activities of the asbestos abatement contractor to determine that proper work practices are used comply all applicable asbestos laws and regulations. C. Inform the asbestos abatement contractor of work practices that, in the PM's opinion, pose a threat to public health or the environment, and are not in compliance with ICR-56 and/or approved variances or other applicable asbestos rules and/or regulations. d. Document in the Project Monitor Log observations and recommendations made to the Asbestos Supervisor based upon the interior/exterior observations of the asbestos project made by the PM. Page 3 of 5 File Number 23-0128 e. Duties specified in variances issued for the project. 6. The PM shall alert the local District Office of the NYSDOL Asbestos Control Bureau whenever, after the PM has provided recommendations to the Asbestos Supervisor, unresolved conditions remain at the asbestos project site which present a significant potential to adversely affect human health or the environment. 7. The PM is not onsite to direct the abatement workers in their work. That is the responsibly of the Contractor's designated Supervisor. The ultimate caliber of work performance and quality of the completed project is the responsibility of the contractor who performs the work. 8. The PM is not responsible for enforcing Local, State, Industry, or Federal regulations, rules or codes which are not directly applicable to the contracted asbestos abatement activities. These would include, but not limited to, fire codes, electrical codes, building codes, wage rates schedules, etc. While the PM is not responsible for enforcement of these items, the Contractor is still responsible for compliance with such requirements as applicable. 9. The PM is responsible for any duties specified in his/her contract with the Owner. Work Practices: 10. Demolition work shall comply with ICR 56-11.5 except as modified by this variance. 11. For areas where compliance with the twenty-five feet barrier/fence requirement isn't possible, the areas shall be cordoned off to the maximum distance possible, and a daily abatement air sample shall be taken at the reduced barrier. 12. Pending results from additional material sampling of debris, at a minimum demolition debris shall be treated as and disposed of as RACK Perimeter Air Sampling: 13. In addition to the requirement of Subpart 56-4.9(c), air monitoring shall be conducted daily at the perimeter of the work area. 14. A minimum of two upwind air samples shall be collected. The samples shall be spaced 30 degrees apart from the prevailing wind direction. Page 4 of 5 File Number 23-0128 15. A minimum of three downwind samples shall be collected. The samples shall be equally spaced in a 120-degree arc downwind from the source. 16. If more than one shift daily is required to accomplish the work, air monitoring within the work area during abatement shall be performed on each shift. 17. This sampling shall also be conducted in the future when the site undergoes final cleaning and debris loadout. Soil/Earth/Dirt Cleanup: 18. After demolition debris has been removed, the site shall be inspected. Any required cleanup shall include all visible asbestos or suspect asbestos debris. Soil removal shall meet ASTM 1368 (latest edition), Section 9.1.1-9.1.5 inspection criteria. 19. No pieces of ACM shall be present on top of the soil. 20. Visibly contaminated soil or soil suspected of being contaminated shall be removed down to the level where no visible contamination is observed. 21. The Project Monitor shall write in the .project log that the area has been cleaned and has passed a visual inspection. Preparation of Waste Transfer Equipment: 22. Trailers or other equipment used to haul bulk demolition materials offsite do not need to be doubled lined as required by ICR 56-11.5 (c) (11). 23. Demolition debris shall be adequately wet during handling and loading into trailers or other equipment. 24. Debris shall be secured to prevent movement during transport. 25. Such trailers or other equipment must be made air, dust and water-tight prior to leaving the site. Final Clearance: 26. After removal and cleanings are complete an authorized and qualified Project Monitor shall visually inspect the work area as per ICR 56-9.2 (e). If the area is determined to be acceptable and the most recent daily abatement air sample (including perimeter air samples) results meet 56- 4.11 clearance criteria, the final dismantling of the site may begin. All other Page 5 of 5 File Number 23-0128 applicable provisions of ICR 56-4 shall be followed for the duration of the abatement project. 27. Usage of this variance is limited to those asbestos removals identified in this variance or as outlined in the Petitioner's proposal. In addition to the conditions required by the above specific variances, the Petitioner shall also comply with the following general conditions: GENERAL CONDITIONS 1. A copy of this DECISION and the Petitioner's proposals shall be conspicuously displayed at the entrance to the personal decontamination enclosure. 2. This DECISION shall apply only to the removal of asbestos-containing materials from the aforementioned areas of the subject premises. 3. The Petitioner shall comply with all other applicable provisions of Industrial Code Rule 56-1 through 56-12. 4. The NYS Department of Labor Engineering Service Unit retains full authority to interpret this variance for compliance herewith and for compliance with Labor Law Article 30. Any deviation to the conditions leading to this variance shall render this variance Null and Void pursuant to 12NYCRR 56- 12.2. Any questions regarding the conditions supporting the need for this variance and/or regarding compliance hereto must be directed to the Engineering Services Unit for clarification. 5. This DECISION shall terminate on May 7, 2023. Date: February 7, 2023 ROBERTA REARDON COMMISSIONER OF LABOR By � .cQ 151MI&L Edward A. Smith, P.E. Professional Engineer 2 (Industrial) PREPARED BY: Edward A. Smith, P.E. Professional Engineer 2 (Industrial) REVIEWED BY: Edward A. Smith P.E. Professional Engineer 2(Industrial) ^�o�nit►,, New York State Department of Labor Division of Safety and Health - Engineering Services Unit Building 12, Room 159 ` = 's State Office Campus Albany, N.Y. 12240 Petition for an Asbestos Variance To apply for an asbestos variance the Project Designer must: • Complete all of the information on pages one and two of this asbestos variance request. Please type or print. • Sign and date page two of the certification and all of the attachments. • Send two copies of the petition and all attachments,with your$350 fee, to the address at the top of this page. o Make your check or money order payable to the Commissioner of Labor. • Optional: To speed up the process you may include a self-addressed, stamped, express-mail envelope. 1 a. Is this petition related to a safety or health emergency? x Yes No b. If yes,explain: 2a. Name of Petitioner, (Property Owner): Mr.Fred Champagne b. Street Address: 11 sunnyside North C. City: Queensbury d. State: NY e.Zip: 12804 f. Telephone Number: ( ) - g. Fax Number: ( ) - h. Petitioner's Federal Employee Identification Number(FEIN) 3a. Petitioner's Agent(Asbestos Contractor) Firm Name: Paradigm Environmental,LLC. b. Street Address: 3 Neptune Road-Suite A-18E C. City: Poughkeepsie d. State: NY e. Zip: 12601 f.Telephone Number: ( ) - g. Fax Number: 4a.Asbestos Contractor License No.130569 b. Name of Firm: Paradigm Environmental,LLC. 5. Building Description: a.Affecting premises known as:single-Family Residential b.These premises are situated on the North, South, East, West side of Street, Ave, Road. c. County of Warren d. Street Address: 1 Juniper Drive e. City Queensbury f. State: NY g, Zip 12804 h. Is building occupied? Yes x No i. Current function of building:Fire-Damaged Residential to be Demolished j.Approximate area(square feet) of building: k. Number of stories or height in feet: I.What is within 25 feet of all four sides (North, South, East, West) of building?i.e. sidewalk, alley, land, another building, etc.: 6. Order To Comply or Notice of Violation. Attach copy. a. Issued to: Owner Asbestos Contractor Operator Other b. Name on Order or Notice: c. Date issued: d. List the Industrial Code Rule(ICR) citations given on the Order to Comply or Notice of Violation: 7. If a variance has been granted previously for work closely resembling this project list: a.Variance number: b. Date variance granted: SH 752(0208) 1 Note: Add a separate typed or printed page for each work area and work procedure. Sign and date each page. B. Work Area Description Table: Attach additional tables and scale drawings of work area and pictures, as needed. Work Exterior Work/Room Type of Quantity of Condition of Friability of Type of Containment Area or Area Asbestos ACM ACM(level of ACM (full,2-layer tent,single Designation Interior Dimensions Containing damage) (non-friable layer tent, open-air,etc.) Material ACM or friable Entire Structure - - - >160 ft2 Damaged Friable+Non-friable Open-Air 9. ICR 56 Relief Sought: List the individual sections of ICR 56 for which relief is sought,for each work area or method used. Provide sufficient detail in an attachment. See attached 10. Hardship Description: What is the hardship, (e.g. Limited room for decons,exhaust ducts must be longer than 25 feet, all surfaces are contaminated and cannot be plasticized)for each work area or method used? Provide sufficient detail in an attachment. Include condemnation letter or EPA Approval letter if applicable.See attached 11. Proposed Abatement Method Description for each work area or method used. Include scale drawings and pictures as necessary. Lack of sufficient detail will delay issuance of variance decision. a.Will proposed abatement methods render non-friable ACM material friable? Yes No b.What proposed abatement method, increased engineering controls and detailed procedures will be used to compensate for the relief being sought?(i.e. Increased negative air rate, negative pressure glovebag, negative pressure glovebox, high temperature glovebag, intact component removal,etc.)Include sufficiently detailed procedures to complete the proposed work. See attached Project Designer Certification I request that the Commissioner of Labor issue a variance from the requirements of Industrial Code Rule(ICR)56. This request is based on the information in this application and the attached documents. I certify that the information contained in this petition is true and accurate. I understand that if a variance is granted it may be withdrawn by the Commissioner: • if any of the information provided in this petition is found to be inaccurate or • if there are violations of Article 30 of the New York State Labor Law or New York State regulations. I give the Commissioner of Labor permission to provide all of my companies records for Unemployment Insurance (U.I.) reports and contributions to employees of the New York State Department of Labor. This includes information about withholding, wage reporting, U.I. returns, U.I.registration, New Hires, and all records of U.I. delinquencies. This information may only be used for government purposes regarding the licensing and certification of this company as required by Article 30 of the New York State Labor Law and the regulations of the New York State Department of Labor, and for monitoring the company's compliance with Article 30 and ICR 56. 12 a. Project designer name(print): Jack Kunicki b. Project Design Asbestos Contractor firm name: Paradigm Environmental, LLC. c. Street:3 Neptune Road -Suite A-18E d. City: Poughkeepsie e. State: NY f Zip: 12601 g. Phone: ( 315 ) 771 - 3738 h. Designer certificate number: AH94.06821 i. Expiration Date: 11 /30 /2023 j. Design Firm Asbestos Contractor License Number 130569 k. Expiration Date: 04 /30 /2023 13 a. Project designer signature: A4_41z� b. Date: 01 /31 /2023 SH 752(0208) 2 790 Watervliet-Shaker Road PARADIGM - Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.naradigmenv.com State of New York-Department of Labor Division of Safety and Health Engineering Services Unit State Office Building Campus Albany,New York 12240 Tuesday,January 31", 2023 Dear Commissioner: Paradigm Environmental, LLC. (PARADIGM), acting on behalf of and as an agent for Mr. Fred Champagne is requesting a variance from the requirements of the Labor Law. I have enclosed in this packet: a typed application(NYS DOH-752), a check payable to the Commissioner of Labor for $350.00, and a detailed explanation of the grounds for this variance and means for securing the public safety and health with regard to this variance. Commencement of the work is dependent upon approval of this variance request. The project in question is located at 1 Juniper Drive, Queensbury, New York 12804. This is a single-family residential building built in 1957 that has been condemned due to fire damage. The provisions of ICR 56-11.5 shall be followed for all friable and non-friable controlled demolition cleanups and removals, except as modified by this variance. The foundation will be cleaned and remain:The Project Monitor will make the final decision on decontamination. Notification to the Department of Labor for asbestos removal will be submitted by the licensed asbestos abatement contractor. In the event that the amount of asbestos to be removed is expected to exceed that specified herein, the Department of Labor will be notified immediately. The purpose of this variance is to expedite the removal of the following asbestos-containing materials: ACM ACM Approximate Condition Description Location Quantity Whole Building-Controlled Exterior 1,680 square feet Significantly Damaged Demolition In order to allow for the asbestos abatement to be performed in a safe and timely manner, on behalf of Mr.Fred Champagne,PARADIGM is requesting that the following work practices be followed: Page 1 of 5 790 Watervliet-Shaker Road PARADIG- K Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(Phone) www.paradionenv.com Proposed alternatives to ensure the safety of the public and of those associated with the project: ICR 56 Relief Sought 1. ICR 56.9.2(d)(1) Final Clearance Air Samnlin : Due to the nature of the work the final set of daily air samples shall be used for clearance. 2. ICR 56.11.5(c)(2):Regulated Abatement Work Area:Adjacent roads or existing buildings which exist within 25 feet of the building may not be plasticized. 3. ICR 56-11.5(c)(7):Debris:Non-suspect material such as brick,block,concrete or stone to be segregated, cleaned and treated as non-ACM. Non-friable organically bound materials may be disposed of as non-RACM (construction and demolition debris). 4. ICR 56.8.4(b):Use of wet methods shall be suspended when temperatures are below 32°F. Hardship Description 5. Demolition can be performed in such away to allow segregation and cleaning of materials such as brick,block,concrete,stone,etc.to allow such materials to be appropriately treated as non-ACM. 6. It is inappropriate and wasteful of our limited landfill space to fill it up with non-suspect "hard fill" materials, when there is a means to segregate and clean these materials for use for fill. 7. We believe that segregating and cleaning the non-suspect materials would not violate the spirit of ICR 56, adequately protect human health and the environment, and to help preserve our nation's limited landfill space. 8. We believe that the alternative work methods requested herein provide equivalent protection to human health and the environment and meet the spirit of ICR 56. 9. If abatement activities occur when the temperature is below 32°F the use of wet methods shall be suspended in accordance with the requirements of NESHAPs. Page 2 of 5 _ P A R A ® 1 --G=-M 790 Watervliet-Shaker NYork Road Lathamrn,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.naradigmenv.com Proposal-Wet Methods 10. Use of water shall only be suspended when temperatures are below 32°F. 11.ACM shall be removed in as large as possible sections and using methods to minimize asbestos disturbance. 12. During these periods,the temperature in the are shall be recorded at the beginning,middle and end of the workday and records will be available for inspection. 13.All required air monitoring/sampling still applies. 14. Decontamination of non-porous salvageable materials must be performed using wet methods. Proposal-Abatement/Demolition 15.The notification for any demolition performed as an abatement project due to the building being condemned, shall include a copy of the condemnation letter from the official of competent jurisdiction attached to the project notification mailed to the Department of Labor and a copy of the condemnation letter shall be posted at the work site as per ICR 56-11.5(b)(1). 16.A full-time project monitor shall be on site to monitor asbestos abatement contractor work methods whenever the asbestos abatement contractor is performing abatement work. 17. Demolition of the structure shall occur in accordance with ICR 5641.5 as modified herein. 18.The entire controlled demolition area of the work site shall be considered the regulated abatement work area and shall be enclosed within a barrier or fence that defines the regulated areas. The active demolition areas, cleanup areas, decontamination system enclosures/areas, staging areas and waste dumpster/trailer areas shall be cordoned off at a distance of twenty five(25)feet,except where physical restrictions limit the barrier distance (e.g. property boundary, roadway, or other right-of way, neighboring building/structure, etc.) and the regulated abatement work area shall remain vacated except for certified workers until satisfactory clearance air monitoring have been achieved or the abatement work is complete. The intent of this barrier/fence is to define the regulated area at the work site, alert the public to the asbestos work and associated hazards, and to prevent unauthorized entry onto the work site. Four-foot high orange construction fence or snow fence is acceptable for the barrier. Page 3 of 5 PAR AD I G= M � 790 Watervliet-Shaker Road Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.naradigmenv.com 19. If the owner of an adjacent building within twenty five (25) feet of the outermost limit of the disturbance area does not allow openings to be sealed as required, the asbestos abatement contractor's supervisor shall document the issue within the project log and have the affected building owner sign the log confirming that the owner will not allow the asbestos abatement contractor to seal the openings in the building as required.In addition, a daily abatement air sample shall be included outdoors within ten feet of the affected portion of the adjacent building. 20.When active abatement work, including building demolition, sorting the debris, and loading the containers or trucks for removal is occurring, air sampling shall be performed as per ICR 56-11.5(a). 21. Suspect non-friable materials, such as wood roof deck, wood roof structure and roofing materials will be mechanically or manually sorted and shall be disposed of by appropriate legal means as non-friable asbestos construction&demolition debris. 22. Non-suspect materials such as wood structural members,brick,block, concrete,stone, etc. may be mechanically or manually sorted and cleaned. Upon passing a project monitor inspection they may be disposed of by appropriate legal means and used on site or transported off site for use as "hard fill" or C&D. 23. Non-suspect materials such as steel may be mechanically or manually sorted and cleaned. Upon passing a project monitor inspection they shall be disposed of by appropriate legal means,such as recycling. 24. The separated suspect non-friable materials and non-suspect materials will be washed off with water to clean residual suspect materials from the non-suspect materials.Wash water will be controlled as per 56-11.5 (c) (10). 25. Material containing non-friable asbestos containing material shall be disposed of by appropriate legal means as non-friable asbestos containing C&D. 26. Non-suspect materials that have been segregated,cleaned,inspected by the project monitor and determined to be free from suspect materials shall be treated as non-asbestos material and removed from the site for disposal by appropriate legal means. 27. Trailers, or other equipment, used to haul bulk demolition materials offsite do not need to be doubled lined as required by ICR 56-11.5 (c)(11). Page 4 of 5 790 Watervliet-Shaker Road PARA- D1,G-_.-.M -- Latham,New York 12110 ENVIRONMENTAL SERVICES 518.782.1466(phone) www.naradiemenv.com 28. Relief requested ICR 56-9.2(d): In lieu of post-abatement clearance air monitoring in compliance with ICR56-9.2(d), the most recent daily abatement air samples collected during removal and cleaning operations in the regulated work area, shall be used for comparison with ICR 56-4.11 clearance criteria. If you have any questions or need any additional information, please do not hesitate to contact me at 845.462.1466.Thank you for your prompt attention to this matter. Submitted by: Jack Kunicki Paradigm Environmental, LLC. Page 5 of 5 Town of Queensbury Building& Codes Enforcement 742 Bay Road, Queensbury, NY 12804-5902 P:518-761-8256 www.oueensbury.net January 23,2023 Fred&Barbara Champagne 1 Juniper Drive Queensbury, NY 12804 Dear Mr.&Mrs. Fred Champagne, Your single family home was involved in a fire on Sunday December 18,2022 which has left the structure unsafe and in need of being demolished and removed from the property as soon as possible. The structure is unsafe and could collapse at any point due to what remains of the structure being exposed to the elements,which will lead to further destruction and decay of the structure. An Asbestos Report from a licensed asbestos inspector and variance to demolish the structure from New York State Department of Labor(NYS DOL)will be required prior to demolition. A demolition permit must be filed along with all asbestos reports and NYS DOL paperwork with the Town of Queensbury prior to demolition. The structure must remain secure until the structure is removed, please contact our office as to the timetable to demolish the structure.We would expect the structure to be removed over the next 60 days.Please use this letter to allow an expedited permit from NYS DOL to remove the structure in its entirety. Should you have any questions, please do not hesitate to contact me.Thank you for your anticipated cooperation. Sincerely L John 0 rien Director of Building and Code Enforcement Town of Queensbury FPPF Nationalgri 3 00 Erie Boulevard Wost SYracuse, New York 13202 -(HIS PLAN TO BE ON P Fred Champagne PROJECT SITE AT ALL TIME I I Sunn side N ��J�►T141\I O� �®ItiISTRUCTic�l�! Sunny side NY 12804 DATE 2/2/2023 RE: Service Removal for Building Demolition. .This letter is to confirm that, per your request, National Grid has-confirmed electrical service and meters have been removed from 1 Juniper Dr., Queensbury. The work wG processed on work request #30733188. If you have any questions or need further assistance, please feel free to contact us at 800-260-0054. Sincerely, Lydia Styb ESR3 Connections UNY 8 tV7 1 Customer Conn ---�-� ) ` FEES �° � nationalgrid 23 L TOWWPJ 0;-,� Fu 1� Y � � UILUtrvr ,K t i i i 790 Watervliet-Shaker Road Latham, New York 12110 518.782.1466 (phone) www.paradigmenv.com Client:Client Project Number:Sampled by: Project Description:Paradigm Job Number:Sampling Phase: Project Location:Date Sampled:Date Received at Lab: Client Name:Client Contact:Date Analyzed:Date Reported: 1 18923 3.57 540.0 1927.8 <0.001 <7.006 2 18924 3.57 540.0 1927.8 <0.001 <7.006 3 18925 3.57 540.0 1927.8 0.002 7.643 4 18926 3.57 540.0 1927.8 0.002 8.917 5 18927 3.57 540.0 1927.8 0.002 10.828 6 18928 3.57 540.0 1927.8 0.002 10.191 7 18929 3.57 540.0 1927.8 <0.001 <7.006 8 18930 3.57 540.0 1927.8 <0.001 <7.006 9 18931 3.57 540.0 1927.8 <0.001 <7.006 10 18932 3.57 540.0 1927.8 0.002 8.280 FB1 18933 NA NA NA NA <7.006 FB2 18934 NA NA NA NA <7.006 Analyzed by:Date:Approved by: Date: Mr. Fred Champagne Single-Family Residential Controlled Demolition - 23.3502A Phase Contrast Microscopy (PCM) Airborne Fiber Analysis Michael Wyman/Paradigm Abatement (IIB) NIOSH 7400 Method, Issue 3, June 14, 2019, Counting Rules "A" 1 Juniper Drive, Queensbury, New York 12804 Sample Number LAB ID Number Outside Building within 10' of Perimeter - Upwind 3 Sample Description Monday, February 20, 2023 Tuesday, February 21, 2023kainjef@gmail.comMr. Fred Champagne Analyzed by NYSDOH ELAP #12138 Disclaimer:All Air Samples are Collected and Analyzed in Accordance with the NIOSH 7400 A Counting Rules Method.Please note that Phase Contrast Microscopy (PCM) Analysis using NIOSH 7400 is a means of analysis for fiber counting.This method is not specific for the analysis of airborne asbestos fibers.The analytical results presented in this report and the laboratory procedures used are considered to be accurate and reliable for the samples analyzed.This report may not be reproduced without the written approval of Paradigm Environmental,LLC.(PARADIGM)and then only in full.All analysis is performed using an Olympus CH-2 Microscope (SN 4A0289)."NA "=Not Applicable.Please note that final flow rates are corrected against a primary calibration.Fiber counts outside the 100–1300 fiber/mm²range shall be reported as having “greater than optimal variability” and as being “probably biased.” Relative Standard Deviations:As per NISOH 7400 A Counting Rules Method,PARADIGM is required to report estimated laboratory inter-counter precision:Inter-Counter 5-20 fibers = 0.319; 21-50 fibers = 0.282; 51-100 fibers = 0.195 (as of 01.31.23). Mr. Mark Ling - Technical Laboratory Director Tuesday, February 21, 2023 Tuesday, February 21, 2023 Total Time (minutes)within 10' of Personal Decon Average Flow Rate (l/m)Air Filtered (liters)within 10' of Perimeter - Downwind 2 Inside Work Area 2/21/2023 within 10' of Perimeter - Downwind 3 within 10' of Perimeter - Downwind 4 within 10' of Perimeter - Upwind 1 within 10' of Perimeter - Upwind 2 Field Blank Field Blank within 10' of Perimeter - Downwind 1 Ms. Rebekah Viran - Analyst 2/21/2023 Fiber Density (f/mm2)Fiber Concentration (f/cc)page 1 of 1