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2011-191 TOWN OF QUEENSBURY IF47.0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110191 Date Issued: Friday, February 08, 2013 This is to certify that work requested to be done as shown by Permit Number P20110191 has been completed. Tax Map Number: 523400-226-019-0003-006-000-0000 Location: HONEYSUCKLE Ln Owner: JOHN E KELLY III Applicant: JOHN E KELLY III This structure may be occupied as a: Demolition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the (3j 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&Co e Enfo,ement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110191 Date Issued: Friday, February 08, 2013 This is to certify that work requested to be done as shown by Permit Number P20110191 has been completed. Tax Map Number: 523400-226-019-0003-006-000-0000 Location: HONEYSUCKLE Ln Owner: JOHN E KELLY III Applicant: JOHN E KELLY III This structure may be occupied as a: Demolition 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&Co a Enfor ement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110191 Application Number: A20110191 Tax Map No: 523400-226-019-0003-006-000-0000 Permission is hereby granted to: JOHN E KELLY III For property located at HONEYSUCKLE Ln 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. Tve of Construction Value Owner Address: JOHN E KELLY III HELEN-JO R KELLY Demolition 75 MOUNTAIN CREEK Rd Total Value POUGHQUAG,NY 12570-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-191 demolition of cottage 1 $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 12,2012 (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 To f>Qu1eensb llur day, May 12,2011 SIGNED BY 1/,, , B� for the Town of Queensbury. f Director of Building&Code1&nforcernent ' L' OFFICE USE O •Y SIC-1E o TAX MAP NO. I •� I PERMIT NO. '� I I I`. FEE PAIDt r12? Permission is hereby granted to the above named Applicant to demolish the building(s) MAY 0 9 2011 described herein as set forth in the Application below. r r r , Director of Building&Codes Date ; ;T01NN:OF QUEENSBURY r r BUILDING&CODES ; r APPLICATION FOR DEMOLITION PERMIT: Fill in applicable spaces.and submit two(2) plot plans, drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities. 1 APPLICANT/BUILDER: 'JV L'1 ,l� ;OWNER: 1411 id ADDRESS: 1,7 .tl ✓. 12W5 ADDRESS: PHONE NOS. ,5:,a PHONE: 1�S O1�tr� PERSON RESPONSIBLE FOR WORK: y ;. PHONE: LOCATION OF DEMOLITION: WHERE WILL DEMOLITION MATERIAL BE DISPOSED?S-g -c(} "// .nr, •� 1L1 'i" /cr l! ASBESTOS INFORMATION: ✓ Is there any asbestos within t building to be demolished? YES NO ✓ If YES, our office needs the following information: o Name of firm removing the asbestos:4. ,L o License number of firm: �—IlsJ L)73 o Indicate where the asbestos material will be disposed: SC VG, 4/ NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s)will be demolished: RESIDENCE GARAGE BUSINESS ii STORAGE BLDG. OTHER ✓ Size of structure: X �iZ U ✓ Number of stories: ✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB / Gc2-5 ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC X, PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP PUBLIC SEWER Kim- Have you notified the Town Water Dept.for public water and public sewer disconnect? YES NO Have all utilitie been isconnected: YES__ NO � QUESTIONS? CALL 761-8256 OR EMAIL codesAgueensbury.net IGN TURE OF APPLICANT' VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensburv.net T671711 of Qlieerisbuq • Colmiltiliitly DeVelopnient Office • 742 Bay Road, Queeiisbi-wf, NY 12804 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection ived: Queensbury Building&Code Enforcement Arrive: part: am/pm 742 Bay Road, Queensbury, NY 12MM Inspector's Initia NAME: - E MIT LOCATION: Ij NuC I PECT ON: TYPE OF STRUCTURE: Y N WA COMMENTS: Framing Attic Access 22"x 30" minimum Jack Studs/Headers G V3 f G Bracing/Bridging Joist hangers1 Jack Posts/Main Beams Exterior sheeting nailed properly 17 O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. ' Notches I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gagge 8 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in caft min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. A 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Forms-01.13r13uilding&Codeslinspection FormsTraming Firestopping Inspection ReporLdoc Revised January 7,2008 CE055 OV E•R LANE - ar^ Fc.o.G¢auq¢t wc.�.� aKTxz - .-_ Y • I oats D.,u P 7b o P 5Y7. « .. /n]i�'r�(� 1/��1 �3 f3 � Yi/%+uYic✓n J 3 ti!°o eso•'r,:�� iE,a. 'y.` �'_Ip• WN 9� � vs•rrvs' g ' : 2 i<-✓.f�� eu \l FiN+C.S Me:w�u�a•� .Q <ao' �" 4 sc`r i✓->G'-oJ_w b.�S L43 i°I - u;P>rnr'aY /� . 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'��41,c:1::.>: ,. .. - ."��*I�r��s:. -,_ 9ie'/."ii7 FJ W 0 r MAY/12/2011/THU 01 : 19 AM JUPITER ALBANY FAX No. 5184350702 P. 001/001 f 71 ter 17 Warehouse Row,Albany, NY 12206 Tel.(518)435-0700 Fax: (618)435-0702 Environmental Services, Inc. info@duplteres.com May 12,2011 www.jupiteres.com Attention; 1) NYS D.O.L.—Jason Pensabene—Sr.Industrial Hygienist—518.485,8054 2) Administration office for Emergency dispatch at Warren County Sheriff.—518.743,2519 3) North Queensbury Building &Codes Department—Dave Hatin-Director-518.745.4437 4) North Queensbury/Lake George Fire House-Chief Jeff Baertschi—618.656.3008 5)- .North.Queensbury-Rescue.Squad-51.8..65.6.9525 To Whore It May Concern: My name is Scott Latza and I work for Jupiter Environmental services,Inc.:We are a demolition/asbestos abatement contractor hired by T.J.Hell&company,inc.for the owner John Kelly at 241 Assembly point rd. Queensbury,NY 12845 to demo the existing Bellewood Park Cottages at the end of Assembly Point road on Bay Parkway next to Crossover Lane—Honeysuckle Lane. Dig safely has been called and the Pre demolition Ticket No.is-05091-008-012.The Demolition Ticket No.is— 05091-008-013.Water/Sewer has been contacted and I was informed there is no conflict.I talked with Laura King on May Sei at 10:55 am. . The Demolition permits have been submitted to the code and compliance department and have been approved. The permits Numbers areas follows;P20110191,PZ0110192,P20110193,P20110194,P20110195,P20110196, and P20110197 We will be mobilizing Monday May 16a'2011 and will be doing some final set up prior commencing the razing of Cottages;1,2,3,6,7,8/9,and 10/11.We have brought in a 6,000 gal Water tanker for the duration of the demolition for dust control and wet methods_ This will be an active Asbestos Abatement project until further Notice. Please make all Emergency response personnel aware. r The onsite contacts are as follows; Jupiter Environmental Services, Inc. -]Project Managex-Scott I at=-Cell(518)810.2847 Jupiter Environmental Services, Inc. -Site Super.-Shaun Doles--Cell(518)844.9270 If you have any questions please do not hesitate to contact me Kind regards, Scott Latza Jupiter Environmental Services,Inc. 518.435.0700 office 518.435.0702 fax 518.810.2847 mobile scoff@Juplteres.com Asbestos Project Notification Project Reference Number: 25844653 Type: Initial Notification Status: Notification Received Notification Received: 4/28/2011 Payment Status: Paid in full Number of amendments: 0 Notification Entered By: Jupiter Environmental Services, Inc. Contractor Information FEIN:061598172 Jupiter Environmental Services, Inc. Mailing Address 3 Lynn Court Lincoln Park NJ 07035 Asbestos License Number:28543 Duly Authorized Representative Annabel Pierce, Officer Phone Number: 973-709-0200 E-mail Address: iupiteres@aol.com Project Information Project Start Date: 5/18/2011 Project End Date: 7/19/2011 Project Location County: Warren Worker Compensation Worker Compensation Policy#: WC Exemption Certificate#: Number of your employees you expect to be on project: Will temporary workers be used? If yes,name of temporary agency: Project Location V�iQing Name: Cottage 1 Room or Location: entire structure Bridge ID#: Address Line 1: Bellewood Park cottages/Assembly point Address Line 2: City Town or Village: lake george State: New York Zip Code: Building Information Current Use: Other Prior Use: Other Approximate Year Built: 1940 Size(sq.ft): 1245 Is this fee exempt project?: NO Reason: Building Representative/Site Contact Name: Jim Kelly Phone Number: 518.253.7295 E-mail Address: Cell Phone Number: Phase Details Phase# Phase Start Date Phase End Date Phase Location Phase Sco e Sub-Contractor Details Name: Asbestos License Number: Ni ht/Weekend/Shift Work Details Mon.-Sat.07:00- 17:00 controlled demo with ACM in place via excavator Party for Whom Work is being Performed First Name: Jim Last Name: Kelly Organization: Apt./Suite: Address Line 1: 241 Assembly point road Address Line 2: City Town or Village: Queensbury Province: State: NY Zip Code: 12845 Country: United States Contract Dollar Amount: $1.00 Variance Information Procedures and Type of Equipment and Ventilation S stems Used 6,000 gal water tanker used for wet method of a controlled demo of existing cottages with ACM in place via excavator Air Monitoring Firm Name: Asbestos License Number: Alpine Environmental Services, Inc. 29095 Laboratory Performing Analysis Name: ELAP Registration Number: Alpine Environmental Services 11740 TVpe of Asbestos Work Pipe Related: No Siding: No Clean up: No Vessel covering: No Caulking/mastic: No Spray-on insulation: No Roofing/flashing: No VAT: No Demolition: Yes Demolition Ref#: 10A0593 Other-specify: Waste Transporter Name: Jupiter Environmental Services, Inc. NYS DEC or EPA Permit Number: NJ-494 Phone Number: 518.435.0700 Apt./Suite: Address Line 1: 17 Warehouse Row Address Line 2: City Town or Village: Albany- Province: State: NY Zip Code: 12205 Country: United States Landfill Name: Senneca Meadows Phone Number: 315.539.5624 Apt./Suite: Address Line 1: 1786 Salcman road Address Line 2: City Town or Village: Waterloo Province: State: NY Zip Code: 13165 Country: United States Type and Amount of Asbestos Containing Material Friable linear feet: 0 Friable square feet: 3370 Non-friable linear feet: 0 Non-friable square feet: 1500 Fee Total linear feet: 0.0 Total square feet: 4870.0 Total Fee: 2000.0 Project Fee Schedule If the notification was submitted prior to 4/7/09,the actual project fee is one half of the amount shown on the fee schedule Linear Feet: Fee Square Feet: Fee 0-259 feet: $0 0- 159 feet: $0 260-429 feet: $200 160-259 feet: $200 430-824 feet: $400 260-499 feet: $400 825- 1649 feet: $1000 500-999 feet: $1000 1650 or more feet: $2000 1000 or more feet: $2000 Remarks EPA Notification of Demolition and Renovation Operator project# Postmark Date Received Notification# �.TYPE OF NOTIFICATION (O=Original R= Revised C= Canceled): 0 ��. FACILITY INFORMATION (Identify owner, removal contractor and other operator) OWNER NAME: Jim Kelly Address: 241 Assembly Point City: Queensbury State: NJ Zip: 12845 Contact: Jim Kelly Tel: 518.253.7295 REMOVAL CONTRACTOR: Jupiter Environmental Services, Inc. ---------. _._...... ress:..3-.._ynn..._.ou ...-.-------------------•-----------..-. __..-------------------------------------------------- ------- -- ---- City: Lincoln Park State: NJ Zip: 07035 Contact: Pane Repic Tel: 973-709-0200 i OTHER OPERATOR: Address: City: State: Zip: Contact: Tel: TYPE OF OPERATION (D=Demo, O=Ordered Demo, R= Renovation, E=Emer. Renovation): R IV. IS ASBESTOS PRESENT? (Yes/No) Yes V. FACILITY DESCRIPTION (Include building name, number and floor or room number) Building Name: Cottage 1 Address:-Bellewood Park Cottages City: Lake George State: NY County: Warren Site Location: Cottagel Building Size: #of floors: 1 Age in Years: 1940 Present Use: Vacant Prior Use: Cottage VI.- PROCEDURE, INCLUDING ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT THE PRESENCE OF ASBESTOS MATERIAL: Bulk Sampling i VIA. APPROPRIATE AMOUNT OF Nonfriable Asbestos Indicate Unit of ASBESTOS, INCLUDING: Material Nof to be Measurement Below i RACM Removed 1. Regulated ACM to be removed To Be 2. Category I ACM not removed Removed -Cat I Cat It UNIT 3. Category 11 ACM not removed Pipes LnFt: Ln m: Surface Area Joint SgFt:3,380 Sq m: corn ound Vol RACM Off Facility Compound CuFt: Cu m: Vill. SCHEDULED DATES ASBESTOS REMOVAL (mm/ddlyy) Start: 05116 /11 Complete: 05/3.0/11 IX. SCHEDULED DATES DEMO/RENOVATION (mm/dd/yy) Start: 05/16 /11 Complete: 05/30/11 JES N141 (1199) page 1 of 2 Continued on page two G Notification of Demolition and Renovation (continued) X. DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK,AND METHOD(S)TO BE USED: 6,000 gal water tanker on site with controlled demo with ACM in place via Excavator and placed into lined trailers. XI. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS OF ASBESTOS AT THE DEMOLITION AND RENOVATION SITE: Asbestos to be removed by wet methods in accordance to NYS Industrial code rule 56.11.5 XII. WASTE TRANSPORTER#1 Name: Jupiter Environmental.Services, Inc. Address: 17 Warehouse Row City: Albany State: NY Zi : 12205 ---- ......Contact Person:-Scott-• WASTE TRANSPORTER#2 Name: Address: City: State: Zi Contact Person: Tel: XIII. WASTE DISPOSAL SITE Name: Seneca Meadows Address: 1786 Salcman rd. City Waterloo State: NY Zip: 13165 Telephone: 315.539.5624 XIV. IF DEMOLITION ORDERED BY A GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY BELOW: Name: Title: Authority: Date of Order(mm/dd/yy): Date Ordered to Begin (mm/dd/yy): i . XV. FOR EMERGENCY RENOVATIONS Date and Hour of Emergency(mm/dd/yy): Description of the Sudden, Unexpected Event: -Explanation-of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden: XVI. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OR PREVIOUSLY NONFRIABLE ASBESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER. If it crumbles, it will be contained and treated as friable. XVII. I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF THIS REGULATION (40 CFR PART 61, SUBPART M)WILL BE ON-SITE DURING THE DEMOLITION OR RENOVATION AND EVIDENCE THAT THE REQUIRED TRAINING HAS BEEN ACCOMPLIS ED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HO IRS. (Required 1 year after promulgation) Si t re of Owner/0 erator Date i XVIII.I CERTIFY THAT THE ABOVE INFORMATION IS ORk9CT aA (Sign re Owner/Operator) Date) JES N141 (1/99) page 2 of 2 TOWN OF QUEENSBURY Community Development Office 742 Bay Road, Queensbury, NY 12804-5902 March 25, 2011 Daniel Bell, Vice President T.J. Bell and Company, Inc. P.O. Box 800 Valatie, NY 12184 RE: Buildings One, Two, Three, Six, Seven, Eight, Nine, Eleven, and Twelve Dear Dan: This letter will reference that I did inspect the cottages located off Lake Parkway in the Town of Queensbury for demolition. An inspection of the buildings revealed that several of the buildings are showing signs of structural collapse and severe damage from water, ice and snow. As this would put the workers at risk who would be removing roofing materials and flooring materials, it is my strong suggestion that the buildings be totally demolished, as allowed under the New York State Labor Law, to.avoid any worker injury that could occur during the removal of asbestos. I trust this will answer all your concerns. If not, please don't hesitate to contact me. Sincerely, TOWN OF QUEENSBURY David Hatin, Director Building and Code Enforcement DH/mg "Home of Natural Beauty ... A Good Place to Live " egq�gn KM� x+hr ..1-3'�'t+l t'4Wl ��^y�`5, , C6 $fUI NfELGN� K # 1T2, W � L OR� 'ENSEA�r'` ;Nip A f ��; � T E DI P1�1TIC ;, TATE CAMPUSr ,} � 3 S ? )�F` AL¢ NAY !4Y 122464 U <,, . A` P s. � "r F.�'►SBESTOS HANDLING I.ICES 081 Allw mW d r< _ �7 acu r y € Jupiter FnVirongje�ntalSetvlc 'Inc �,:� K r$�'�lk FILE NUMBER01143 �` _ UCEN E�NUMBER $54k3OKA � 3 t{s tr ^ pourt DATE OFISSUE: 02/1fn LICENSE:CLASS FULLyn ; 7s 02/28/ 2LInAnr 70 3 . 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S��..ttk..c ` *��1 k 'L , { i 'F 1 '' ` 3 . jc - x1" `�' rs' \1 s tk =i3 its 11 J i r. ,h 0f ?Sk l �< k4 ; fi iv�l. 1 3#St; N sir IOWA A. �^?S A }�l5 E5��*y"�gJ Il J � � I f♦ k � ' �{{E �`N5� 3 my A tthar ze Representativeik4Ahnat�e{Rhe' . f �a � j t g x �r 1 , s� �..�i§ _ _'! f *E-a jij!f Ii:?•, r ' , { Je r+i3 Lsi .fq i «' pert' slr'.` i T " 11 6,0-Viki& of=A t'c`�e' tVbfthe L nor Law ofNew. �M8156 d.of,- �his 1�„�seiha�>u�ert issuFd to aco franceiivithp - r t 4 e Ne ,X � ta Codes,Rules °dtegalat� ; ,1�NCR2 Aait_ ) ft iss ect to sus, ttsion or revocti�nor:a(1) f set;ot� a�o atio c� Mate, fe.Jeral �al darks t rc+t t e e nd � ag:��}r 1 "estop pro�:�stt,or(2)demo �trate� Eck" � r arty*isil ty� tlj�aonduct of an3 � ti�n�yci..lvm s Rid or asbe 6 Vn*` �a1 ' s,Z� a bf� S x�)i Ala"."ti+F dF ial e Ak This s,Ya�ttd oni for tie contractor na�(nbo e anct>�tsJtense ox. photapy mustni i�itly displa ® atfi asbE��,us pro ectl�o ssrtbs hi se verifies that I( ersans employed1 the l�ceitsee on;al asbest s�ro� ,.eve Yank_. State 1~M�YEe:beers fed attn` l�esto�Certificate,aptt`op► tole taeotC-they perform;by tS")�T�ewYo�Sate. Depark.11 t of 14gor v� . Ki. }� kv `�� ..a i r4�a ' £ ti � x e � ,r ate, Vy3 u V. . ,BATc a py- -0 � a x k e g Maureen A.Cox,Director SH 432(4-07) FOR,THE COMMISSIONER.OF LABOR NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF SOLID&HAZARDOUS MATERIALS PART 364 WASTE TRANSPORTER PERMIT NO. .Nj-..49_4 Pursuant to Article 27jKles 3 and 15 of the,Environmental Conservation Law and 6 NYCRR 364 NOW .PERMIT ISSUED TO: PERMIT TYPE.; JUPITER ENVIRONMENTAL SERVICES, INC. El NEW 3 LYNN COURT m RENEWAL LINCOLN PARK, NJ 07035 0 MODIFICATION CONTACT NAME: ANNABEL PIERCE CE EFFECTIVE DATE: 08/31/2010 -COUNTY: OUT OF STATE EXPIRATION DATE: 08/30/2011 TELEPHONE NO: (973)709-0200 US EPA M NUMBER: AUTHORIZED WASTE TYPES BY DESTINATION FACILITY: The Permittee is Authorized to Transport the Following Waste Type(s)to the Destination Facility listed Destination Facility Location Waste Typo(s) Mill Seat SLF Bergen,NY Non-Hazardous Industrial/Commercial Asbestos Petroleum Contaminated Soil ............ Sludge from Sewage or Water Supply Treatment Plant ... MINERVA ENTERPRISES INC. WAYNESBURG,OH Asbestos Seneca Meadows LF Waterloo,NY .Kon-Hazardous Iriftstrial/Commiarcial Asbestos NOTE: By acceptance of this permit,the permittee agrees that;the permit is contingent upon strict compliance with the Environmental Conservation Law, all applicable regulations, and the General Conditions printed on the back of this page, ADDRESS: New York State Department of Envirbrirnental Conservation Division of Solid&Hazardous Materials Waste Transporter Program '625 Broadway, 9th Floor Albany, NY 12238-7253 �2 , AUTHORIZED SIGNATURE: � ate: PAGE 1-OF 2. NOTICE This pp-"M't is nOt valid until the, 6'ffGCtjV0 date listed on the poll-1-nit +lj, • NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF SOLID 8,HAZARDOUS MATERIALS PART 364 AM WASTE TRANSPORTER PERMIT NO. NJ-494 - Pursuant to Article 27,Tilles 3 and 15 of the Environmental Conservation Law and 6 NYCRR 364 PERMIT ISSUED TO: PERMIT TYPE: JUPITER ENVIRONMENTAL SERVICES, INC. ❑ NEW 3 LYNN COURT ■ RENEWAL LINCOLN PARK, NJ 07035 ❑ MODIFICATION CONTACT NAME: ANNABEL PIERCE EFFECTIVE DATE: 08/31/2010 COUNTY: OUT OF STATE EXPIRATION DATE: 08/3012011 TELEPHONE NO: (973)709-0200 US EPA ID NUMBER: AUTHORIZED VEHICLES: The Permittee is Authorized to Operate the Following Vehicles to Transport Waste: (Vehicles enclosed in—'s are authorized to haul Residential Raw Sewage and/or Septage only) 13.(Thirteen) Permitted Vehicle(s) NJ TBW61 D NJ TFX82W NJ THC73Z NJ THC74Z NJ THC75Z NJ THD16A NJ THD26A NJ THD40C NJ THD41C NY 13554PB NY 69111JS NY 70814JU NY AV78646 End of List PAGE 2 OF 2 jupi 17 Warehouse Row,Albany NY 12205 Tel: (518) 435-0700 Fax: (518)435-0702 Environmental Services, Inc. into@Jupiteres.com www.jupiteres.com NOTIFICATION TO OCCUPANTS ASBESTOS REMOVAL PROJECT Location: Cottage# 1 -Bellewood Park Cottages Bay Parkway, Assembly Point Asbestos Material: Controlled Demo with ACM in place Approx. 3,370 sq. ft. of joint compound Approx. 108 sq. ft. 9x9 tile Approx. 14 sq. ft. of linoleum Approx. 8 sq ft sink coating Approx. 10 sq.ft window glazing Approx. 1 sq. ft. caulking at siding Approx. 1 sq. ft. caulking at Chimney Approx. 1,245 sq. ft. of Roofing Material Date: 5/ 16/11 —5/31/11 Contractor: Jupiter Environmental Services License No: 00-1142 Air Monitor: Alpine Environmental Services, Inc Address: 1146 Central Ave Albany,NY 12205 Laboratory: Alpine Environmental Services, Inc Address: 1146 Central Ave Albany,NY 12205 12NYCRR56-1,8(e) @3 �, U" - n-C!-. - eri eY•.ip:ua. 1 'S ' 1: I _ _ - T..aG4wVis . u or..Li •s1,1 .. / � T. _` �8 etr-•r+o,+we. ,ivly 'a�ay _ .P a PL+,.rr1 -1( - 9i L•.hn y J / fN•n'� .� nib � � � {. ca!� "" i �'' w;� �' +'..%.h;� ..,n.. :y.. 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I I - . t Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Non-Asbestos Containing Materials Tested: Roofing shingles Small Outbuilding: Asbestos Material Found: Roll roofing and roofingfflashing cement Non-Asbestos Containing Materials Tested: None Tennis Court: Asbestos Material Found: None Non-Asbestos Containing Materials Tested: Asphalt Building#1: Asbestos Material Found: Linoleum(bedroom) Presumed Asbestos Materials: joint compound,-9-inch floor tile, linoleum under sink, sink coating,window glazing compound, caulking at siding joints, caulking at chimney, roll roofing, and roofingfflashing cement Non-Asbestos Containing Materials Tested: Linoleum(kitchen floor) Presumed Non-Asbestos Containing Materials- Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, concrete pier, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels,and carpet adhesive Building#3: Presumed Asbestos Materials: joint compound, 9-inch floor tile, sink coating, window glazing compound, caulking at siding joints, roofingfflashing cement Non-Asbestos Containing Materials Tested: Linoleum under sink (kitchen), and linoleum(bath) Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, concrete pier, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels, carpet adhesive, textured paint and roofing shingles Building#4- Presumed Asbestos Materials: joint compound, 94nch floor tile, sink coating, linoleum under sink, window glazing compound, caulking at siding joints, caulking at chimney, roll roofing, and roofing/flashing cement - Page 2- 1146 Central Avenue Albany, New York 12205 Phone: (518)453-0145 Fax: (518)453-0175 s Beliewood Park Cottages November 2010 Assembly-Point Lake George,New York ' I Non-Asbestos Containing Materials Tested: Linoleums (kitchen), vapor barrier behind wood paneling, fiberboard ceiling panels, ceramic tile, grout to ceramic tile, mortar to ceramic tile, and adhesive to ceramic file - Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels, carpet adhesive, and vapor barrier to fiberglass insulation Building#6: Asbestos Material Found: 9-inch floor tile;and window �caulkmg - - - - - - - -- - Presumed Asbestos Materials: joint compound, sink coating, linoleum under sink, window glazing compound, caulking at siding joints, caulking at chimney,roll roofing,and roofing/flashing cement Non-Asbestos Containing Materials Tested: Linoleum (kitchen), and fiberboard ceiling panels Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels, carpet adhesive, and vapor barrier to fiberglass insulation Building#7: Asbestos Material Found: Roofingfflashing cement Presumed Asbestos Materials: joint compound, 94nch floor tile, sink coating, linoleum under sink, window glazing compound, caulking at siding joints,caulking at chimney,and roll roofing Non-Asbestos Containing Materials Tested: Linoleum (kitchen) Presumed Non-Asbestos Containing Materials: Drywall, fireplace brick mortar, hearth stone mortar, stone foundation mortar, mastic to 9-inch floor tile, caulking at bath wall panels, adhesive to bath wall panels, carpet adhesive, and vapor barrier to fiberglass insulation Building 0819: Presumed Asbestos Materials: Joint compound, 9-inch floor tile, sink coating, window glazing compound, caulking at siding joints, roll roofing, and roofinglflashing cement Non-Asbestos Containing Materials Tested: Vapor barrier behind wood paneling - Page 3 1146 Central Avenue Albany,New York 12205 Phone:(518)453-0146 Fax: (518)453-0175 I o Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Any suspect materials found during demolitionlrenovation activities that are not listed in this report should be considered asbestos containing materials until tested and determined otherwise. General Asbestos Containing Material "Asbestos containing materials", as defined by the United States Environmental Protection Agency (EPA), is any material containing more than 1% asbestos as determined using the FR Part 763, Section 1, Polarized Light method specified in Appendix E, Subpart E, 40 C Microscopy. Buik.samples Were collected in accordance with USEPA ASI-IARA protocols for number and types of samples. Materials easily crushed or pulverized by hand pressure are considered friable. Materials;with a bituminous or resinous binder that are not easily crushed or - -- - pulverized by-hand pressure are-considered-Non-friable-Organically.Bound (NOB). Friable and non-friable materials, excluding organically bound materials were analyzed using Polarized Light Microscopy (PLM). Non-Friable Organically Bound samples were analyzed using Transmission Electron Microscopy (TEM)i All samples were analyzed by EMSL Analytical (FLAP 11506: Manhattan Lab). Conclusion The following materials were found to be asbestos containing or presumed to be asbestos containing materials at the Bellewood Park Cottages located on Assembly Point in Lake George, New York: Building#1 Asbestos Material Location Substrate Quan' Friabili Condition Joint co ound Thfou hout D all 3,370 sf Friable Dama ed Ktbhen and Wood 108 Non-friable Damaged y 9-inch floor the 1 Bath Kitchen under Metal 5 sf Non-friable Good Sink Linoleum East Center e Carpet 9 sf Non-friable Damaged Bedroom Sink coabn Ktchen Sink Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged com and Eiderior at Caulking at Siding Joints in Wood Wood 4 sf Non friable Good Sidin Caulking at Exterior Wood/Brick 1 sf Non friable Damaged Chimney ;. Roll roofing,and Roof under -- roofingiflashing ,Metal Wood 1,245 sf Non-friable Good cement Buildin #2 Asbestos Material Location Substrate Qua nt Friabel' Condition Joint com ound Tt*ou hout D all 3,370 sf Friable I Damaged r Kitchen and Wood 10B Non-friable Damaged 9-inch floor tile Bath Kitchen under Sink,in and on MetalANood 8 sf Non-friable Good Linoleum Cabinet East Center Carpet 9 sf Non-friable Damaged Bedroom Sink coatinciKitchen Sink Metal 8 sf Non-friable Good � Page 5 ' 453-0146 Fax:(518)453-0175 1146 Central Avenue Albany, New York 12205 Phone:(51 S) i 9ellev+aod Paris Cottages November 2010 Assembly Paint Lake George,New York Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged com ound Exterior at sf Non-friable Good Caulking at Siding Joints in Wood Wood Sidin Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged Chimne Roll roofing, and Roof under Wood 1,245 sf Non-friable Good roofingiflashing Metal cement Buildfn #3 Friabili Condition Asbestos Material -- Location - Substrate- Quanta Joint D all 1,290 sf Friable com ound Throu hoot Dama ed Kitchen and Wood 68 sf Non-friable Damaged 9-inch floor file Bath Kitchen under Metal 5 sf Non-friable Good Linoleum Sink Sink coatin Kitchens Steel 16 sf Non-friable Good Window glazing Exterior Wood/Glass 14 sf Non-friable Damaged com ound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good `Sidin Roofing/Flashing Roof Roofing 3 sf Non-friable Good Cement Shin le Buiidin 44 Asbestos Material Location Substrate Quanta Friabili Condition Joint com ound Throu hoot D all 3,190 sf Friable Dama ed 9-inch floor file Bath Wood 42 sf Non-friable Damaged Kitchen under Metal 5 sf Non-friable Good i Linoleum : Sink s Sink coatin Kitchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 10 sf Non-friable Damaged corn ound Exterior at 'f Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good -Sidin Caulking at Exterior Wood/Brick 1 sf Non-friable Damaged . Chimne Roll roofing,and Roof under roofing/flashing Metal Wood 1,160 sf Non f o riable God 1 cement Buildfn #5 Asbestos Material Location Substrate Quanta Friabili Condition Joint com ound Throu hoot D all 3,360 sf Friable I Damaged Kitchen and Wood 96 sf Non friable Damaged 9-inch floor tile Bath Kitchen under Metal 5 sf Non-friable Good Linoleum Sink Sink coatin Kitchen Metal 8 sf Non-friable Good Page 6 1146 Central Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (518)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Window glazing Exterior Wood/Glass 11 sf Non-friable Damaged com ound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non friable Good :Sidin Caulking at Exterior Wood/Brick. 1 sf Non-friable Damaged Chimne Roll roofing,and Roof under Wood 1,310 sf Non-friable roofing/flashing Metal Good cement Buildin #6 k Asbestos Material Location Substrate Quanti Frfabil Condition Joint com ound Throu hout D all 3,3, . Friable Dama ed 9-inch floor file 'Bath Wood 46 sf Non-friable Dama ed Kitchen under Metal 5 sf Non-friable Good Linoleum - Sink Sink coatin Kitchen Metal 5 sf Non-friable Good Window caulkinglglazing Exterior Wood/Glass 10 sf Non-friable Damaged r` com ound }` Elderior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good J Siding Caulking at Exterior WoodlBrick 1 sf Non-friable Damaged Chimne Roll roofing,and Roof under roofinlflashing Wood 1,225 sf Non-friable Good cement Metal Buildin #7 Asbestos Material Location Substrate Quanti Friabili Condition Throu bout D all 3,380 sf Joint com ound T Friable Damaged 9-inch floor tie 'Bath Wood 44 sf Nori-friable Dama ed �..,, 4" Kitchen under Linoleum Sin Metal 5 sf Non-friable Good k Sink coatina Kitchen Metal 8 sf Non-friable Good Window glazing Exterior Woo ass 10 sf Non-friable Damaged com ound 1.: Ekterior at Caulking at Siding Joints in Wood Wood 3 sf Non-friable Good Sidin Caulking at Exterior WoodBrick 1 sf Non-fri Chimneable Damaged Roll roofing,and Roof under i roofing/flashing :Metal Wood 1,225 sf Non-friable Good =';I cement .1 1 Buildin #819 Asbestos at Location Substrate Quanti Friabili Condition f Joint com ound Throu hout D all 5,100 sf Friable Dama ed Kitchens and Wood 202 sf Non friable Good 9-inch floor tie ,Baths Page 7 1146 Central Avenue Albany,New York 12205 Phone:(518)453-0146 Fax: (618)453-0175 Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Kitchen under Metal 5 sf Non-friable Good Linoleum :Sink j Sink coatin Kitchens Steel 16 sf Non-friable Good Window glazing Exterior Wood/Glass 12 sf Non-friable Damaged com ound F�teiior at 10 sf Non-friable Good Caulking at Siding Joints in Wood Wood Sidin Roll roofing,and Roof Wood 1850 sf Non-friable Good roofingifashing cement i Buildin 410 Asbestos Material Location SD s a�Ie Qu640 sf condition Damabed Joint corn ound Thiou hout Kitchen and Wood 97 sf Non4able Damaged 9-inch floor tile Bath Kitchen under Metal 6 sf Non-friable Good Linoleum Sink Sink coatin Ktchen Metal 8 sf Non-friable Good Window glazing Exterior Wood/Glass 8 sf Non-friable Damaged com ound Exterior at Caulking at Siding Joints in Wood Wood 3 sf Non friable Good Sidin Caulking at Exterior Wood/Brick . 1 sf Non-friable Damaged Chimne _ Roll roofing,and Wood 965sf Non-fiiable Good roofingifiashing Roof cement Buildin #11112 Asbestos Material Location Substrate Quanti Friabili Condition Joint com ound Ttrou bout D all 5,100 sf Friable Da ma ed !� Kitchens and Wood 202 sf Non-friable Good 94nch floor the ;Baths Kitchen under Metal 5 sf Non-friable Good Linoleum : Sink `+ Sink coatin Kitchens Steel 16 sf Non-friable Good Window glazing Exterior Wood/Glass 12 sf Non4able Damaged com ound Exterior at Caulking at Siding in Wood Wood 10 sf Non-friable Good Joints * :Sidin Roll roofing,an i I Wood 1850 sf Non-friable Good roofingifashing ; Roof cement Tennis Court Asbestos Material Location Substrate Quan ' Friabi{i Condition ` None —` Page 8. i 1146 Centrai'Avenue Albany,New York 12205 Phone: (518)453-0146 Fax: (518)453-0175 I • Bellewood Park Cottages November 2010 Assembly Point Lake George,New York Small Outbuildin Asbestos Material Location Substrate Quanti Friabil Condition Roll-on Roofing and Roof Wood 25 sq ft Non-friable Good Roofingtflashing Cement Covered Boat Sli s I Asbestos Material Lo�'Ocif tion Substrate Quan ' Friabil' Condition No Slp Wood 312 sq ft Non-friable Good Fl Roil-on Roofing South Slip Wood 312 sq ft Non-friable Good Flat Roof .._ . According to 12 NYCRR 56, the building owner (or owner's agent) is required to transmit this asbestos inspection report to any local government permit issuing agency (i.e. building department)for any demolition,renovation or remodeling. In addition, if this inspection Is for the purposes of demolition, the building owner (or owner's agent) is also required to transmit this inspection report to the Asbestos Control Bureau, New York State Department of Labor. This inspection report is required to be displayed on site during all related construction work. Disturbance/Abatement of any asbestos containing materials, as well as air monitoring, must be performed by a NYS DOL jicensed contractor, in accordance with state and federal regulations (NYS DOL ICR 56 and US EPA 40 CFR). If Alpine Environmental Services can be of further assistance on this matter,please contact our office at(518)453-0146. Sincerely, Alpine Environmental Services,Inc. ' Brian Gould NYS Dept.of Labor Asbestos Inspector Enclosures: Results, NYSD.OL,Handling License(s), NYSDOL Handling Certificate(s), NYSDOH ELAP License(s) —• Page 9 • 1146 Central Avenue Albany,New York 12206 Phone: (518)453-0146 Fax:(518)453 0175