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Home My WebLink About096.09-04-10.000 12/2023r Y -s24 TOWN OF CORTLANDVILLE 3577 Terrace Road, Cortland NY 13045 607-756-7490 BUILDING PERMIT APPLICATION Fee Paid: z3rJ Permit No. A�3 - %2 Application Date: q //112-623 Tax Map No. \�� 7 y�Yl�e��000 Name of Property Owner: C NY M N 1P5 1 Phone t#: Mailing Address& Email Address: Ci%r}% br-.I2Ve1,ey4-�er Nor/y62LAY Application is Hereby Made to (construct, add, modify, etc.) %S t �� ; e-/gr� � kLo 0 at (address) k)S y S /?h L -3 1=.- ! Number of Family Units Basement? / Area (SF) First Floor Area (SF) 1,176 Second Floor Area (SF) Total Area above Second Floor (SF) Size of Building 7 2 1 Size of Lot 7.3 A 1 I O" Setbacks: FrontRear CO' Left Side �D / Right Side Sewage Disposal MO^;-CiP40 Water Suppht "114•c t Fk.re— peofHeat Date of Health Department Approval Builder's Name: Estimated Cost: S OGO Phone Number: OCC Class: Submit drawings showing the location of the building on the lot in relation to the property lines. A set of Building Plans detailing: the foundation, framing, grade and species of lumber, Energy Code Compliance, sheathing, interior walls, stairs, windows and other information that may be necessary to determine compliance with the N.Y.S. Building Codes. All Statements contained herein are true and the work will be performed in the manner set forth in this application in accordance with all codes of the State of New York and all laws, ordinances, codes and regulations of the Town of Cortlandville, New York. Certificate of Occupancy is required upon occupying the premises. The undersigned grants the Town Building Inspector permission to enter upon the premises at all reasonable times for the purpose of making necessary inspections. Inspections require 24- hour notice by theplicant. Adkt�Permi Approv�d �1 43 `Signature of Applicant 'A�,3 Permit Disapproved Date: �/z 3/73 -7�t Llz � ature o nspector � rn `C . Q-esct.o - QX-Ilq 4GA) Signature of Cortlandville Town Clerk Building Permit # D23-12 TOWN OF CORTLANDVILLE 3577 Terrace Road Cortland, NY 13045 607-756-7490 Date Issued:10/23/2023 This notice, which must be prominently displayed on the property or premises to which it pertains, indicates that a BUILDING PERMIT Has been issued to: CNY-Cortland Estates Permitting: Removal of 2 story former office/ rental buildina from Park by owner. At: 1054 Route 13 All work shall be executed in strict compliance with the permit application, approved plans, the NYS Uniform Fire Prevention and Building Code, and all other laws, rules and regulations, which apply. The building permit does not constitute authority to build in violation of any federal, state or local law or other rule or regulation. Soecial Notes (if anv) : Do not proceed beyond these points until countersigned below by the inspector. Footing before pouring concrete Framing before closing Plumbing before enclosina Insulation inspection Footing before backfill Electrical before enclosing_(BY OTHERS) HVAC before enclosing Final lnspection X Permission is hereby granted to proceed with the work as set forth in the specifications, plans, or statements now on file in this department. Any amendments made to the original plans or specifications must be submitted for approval. Permit Expires: 10/23/2024 Issuing Officer: Desiree Campbell/ Kevin McMahon Z TOWN OF CORTLANDVILLE yFW 10Q607-756-7490 CERTIFICATE OF COMPLIANCE Having complied with the provisions of the Local Laws of the Town of Cortlandville and the NYS Fire Prevention and Building Codes as per application type: Demolition, The below named permit holder is hereby granted this Certificate of Compliance. CNY MHPS LLC 90Airpark Drive Rochester, NY 14624 96.09-04-10.000 Building Permit # D23-12 Type of Permit: Demolition Issued on: 10/23/2023 Completed on: 11/15/2023 Description of work: Removal of 2 story former office/ rental building from Park by owner � .'. Y, l c ii hy. By Order of NYS Code Enforcement Officers: Desiree Campbell & Kevin McMahon Town of Cortlandville Building and Codes Department 3577 Terrace Rd. Cortland, NY 13045 Kevin McMahon Phone: 607-756-7490 NYS Code Enforcement Officer Cell: 607-745-0004 Condemnation Order Property Owner: CNY MHPS LLC Date: 10/06/2023 90 Airnark Drive Suite 400 Rochester. NY 14624 Property Address: 1054 Route 13 Cortland. NY 13045 Tax Map Number: 496.09-04-10.000 To whom it may concern, The building located at the above address is unsafe and cannot be occupied due to structural damage and harmful exposures. I have found it to be unsound and a hazard to the public and surrounding properties as it is currently in an advanced stage of disrepair. The current condition of this structure deems itself an immediate and imminent danger to the public, thereby requiring demolition and removal as soon as practically possible. A demolition permit will be required in addition to the asbestos survey, and demo of a property containing asbestos must be performed by a licensed/certified contractor with current liability and Comp certificates provided. Sincerely, Xeur vi JHc"aho-kv Kevin McMahon NYS Code Enforcement 607-745-0004 Demolition Asbestos Sampling Report Locafia i 1054 STATE ROUTE 13 Cortland, NY 13045 Conditions as of; 19 September 2023 Prepared For Property Owner 1054 State Route 13 Cortland, NY 13045 25 September 2023 Asbestos Sampling - 1054 State Route 13 56 Services, Inc. was retained to perform asbestos sampling at the above referenced address on 19 September 2023. In total forty-three (43) collected samples were analyzed for asbestos from accessible areas within the scope of work (AmeriSci Richmond Job #123091689) and only represent conditions as of 19 September 2023. Areas sampled/visually inspected as part of this sampling report include: two family residential structure to be demolished. Any changes to the described scope of work should be additionally inspected for any materials not included in the original described scope of work, prior to disturbance. The purpose of the sampling report was to determine the presence, location and condition of accessible ACM (assumed and asbestos containing materials) in accessible areas within the above referenced location. This sampling report includes the following: • Identification of suspect materials within the described scope of work. • Sampling and analysis of accessible suspect materials within the scope of work - materials to be impacted by renovation/demolition activities. • Identification of the location, approximate quantity, friability and condition of confirmed and accessible asbestos containing and assumed asbestos containing materials (ACM). Only accessible materials in areas to be impacted by renovation/demolition activities were sampled as part of this report. No other areas or materials, including any materials or debris from adjacent structures were sampled. General Conditions Any reported quantities found in this report, if applicable, are field approximations of materials in readily accessible areas only and should be field verified prior to abatement. This report is not designed to serve as a specification for abatement. Please, find enclosed the laboratory analytical results and chain of custody documentation, if applicable. Drawings, if provided, are for reference purposes only and are not to scale. Any materials found within the scope of work and not specifically accounted for with applicable sampling in this report should be presumed to contain asbestos and treated accordingly until sampled and proven otherwise, including but not limited to; below grade materials, sub -flooring under installed existing flooring and materials and insulation within walls and above fixed and suspended ceiling systems, if applicable. Any included laboratory results, if applicable, are submitted pursuant to 56 Services current terms and conditions of sale, including the company's standard warrant and limitation of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted. This report is based on the condition and contents present at the above referenced location at the time of sampling. Any listed asbestos containing or presumed asbestos containing materials should only be handled and/or disturbed by licensed individuals, adhering to both state and federal regulations for abatement. Please note: In the event this structure is to be demolished, this report must be submitted by the building owner to the local Asbestos Control Bureau for the Syracuse District prior to demolition. Please see page 5 of this report for fax number and contact information regarding submission. 56 1054 State Route 13 Asbestos Containing Materials: If applicable, Polarized Light Microscopy (PLM) and, where required, Transmission Electron Microscopy (fEM) revealed asbestos in the following analyzed samples. Also may include assumed Asbestos Containing Materials (ACM). TSI - Duct wrap Transite Roofing Flashing In walls and cavities Fair Friable Exterior Fair Non -friable Exterior - Flat Roof Good Non -Friable Exterior Good Non -Friable 75 SF 950 SF 450 SF 100 SF *Notes on asbestos containing materials: Flashing includes all seam, penetration, patches, and otherwise flashed component. Inaccessible materials. Any materials found within the scope of work and not specifically accounted for with sampling in this report should be presumed to contain asbestos and treated accordingly until sampled and proven otherwise. -� ' • Sampled Homogeneous Materials: 1 Plaster 01 NAD NA 1 Plaster 02 NAD NA 11 Plaster 03 NAD NA 1 Plaster 04 NAD NA 1 Plaster 05 NAD NA 2 Stucco 06 NAD NA 2 Stucco 07 NAD NA 2 Stucco 08 NAD NA 3 Blown -In 09 NAD NA 3 Blown -In 10 NAD NA 3 Blown -In 11 NAD NA 4 Stucco 12 NAD NA rStucco 13 NAD NA 4 Stucco 14 NAD NA 5 Drywall 15 NAD NA 15 Drywall 16 NAD NA 6 Joint Compound 17 TRACE NA 6 Joint Compound 18 NAD NA 7 Compound / Stucco 19 TRACE NA 7 Compound / Stucco 20 NAD NA 7 Compound / Stucco 21 NAD NA 8 Flooring 22 NAD NA 8 Flooring 23 NAD NA 9 Ceiling Tile 24 NAD NA 9 Ceiling Tile 25 NAD NA 10 Ceiling Tile Adhesive 26 NAD NA 10 Ceiling Tile Adhesive 27 NAD NA 11 Window Glaze 28 NAD NA 11 Window Glaze 29 NAD NA 12 Shingle Siding 30 NAD NA ! 1 19 Shopird Road J Homogeneous Material 12 Shingle Siding 31 NAD NA 13 Flooring 32 NAD NA 13 Flooring 33 NAD NA 14 Roofing 34 NAD NA 14 Roofing 35 NAD NA 1 15 Roofing 36 NAD NA I15 Roofing 37 NAD NA 16 Roofing 38 Chrysotile 1.6% ACM I16 Roofing 39 NAD NA 17 Roofing 40 NAD NA 17 Roofing 41 NAD NA 18 Flashing / tar 42 NAD NA 18 Flashing / tar 43 Chrysotile 9.0% ACM 19 Transite - - ACM 20 Duct wrap - ACM Notes: HAN = Homogeneous Area Number PLM = Analyzed by Polarized Light Microscopy TEM = Analyzed by Transmission Electron Microscopy ACM = >1.0% asbestos, assumed asbestos containing FT = Floor tile NAD = No asbestos detected NA = Not applicable PS = Positive stop Ext = Exterior of structure, including roof TRACE = Less than 1 % asbestos - Non -ACM 1054 State Route 13 Transmittal In the event the aforementioned structure is to be demolished and as required by NYS, as per NYCRR 56, Subpart 56-5, prior to demolition: "One (1) copy of this completed asbestos survey shall be sent by the owner or their agent to the local government entity charged with issuing a permit for such demolition, renovation, remodeling or repair work under applicable State or local laws." "The completed asbestos survey for controlled demolition (as per Subpart 56-11.5) or pre -demolition asbestos projects shall also be submitted to the appropriate Asbestos Control Bureau district office" SYRACUSE DISTRICT: Asbestos Control Bureau District Office for Broome, Cayuga, Chemung, Chenango, Cortland, Delaware, Franklin, Fulton, Hamilton, Herkimer, Jefferson, Lewis, Madison, Montgomery Oneida, Onondaga, Oswego, Otsego, St. Lawrence, Schuyler, Seneca, Steuben, Toga, Tompkins Counties: NYS Dept. Of Labor: 450 S. Salina Street Syracuse, NY 13202 (315) 479-3215 (315) 479-3333 (fax) SH4 2(1221) Laboratory Analysis: Paradigm Env. Services 1815 Love Road Grand Island, NY 14072 ELAP LAB ID: 11955 Laboratory Analysis: AmeriSci Richmond 13635 Genito Road Midlothian, VA 23112 ELAP LAB ID: 10984 Laboratory Analysis: ACS Labs, LLC 2491 Grand Island Blvd Grand Island, NY 14072 ELAP LAB ID: 12161 WE ARE YOUR DOL Department suar�r of Labor DIVISION OF SAFETY & HEALTH LICENSE AND CERTIFICATE UNIT, STATE OFFICE CAMPUS, BLDG. 12, ALBANY, NY 12226 ASBESTOS HANDLING LICENSE 56 Services, Inc. P.O. Box 561, Buffalo, NY, 14213 License Number: 29631 License Class: FULL Date of Issue: 05131 /2023 Expiration Date: 05/31/2024 Duly Authorized Representative: Robert Barr This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and of the New York State Codes, Rules and Regulations (12 NYCRR Part 56). It is subject to suspension or revocation for a (1) serious violation of state, federal or local laws with regard to the conduct of an asbestos project, or (2) demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material. This license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York Slate have been issued an Asbestos Certificate, appropriate for the type of work they perform, by the New York State Department of Labor. Amy Phillips, Director For the Commissioner of Labor AMERI SCI September 25, 2023 56 Services, Inc Attn: Robert Barr PO Box 561 Buffalo, NY 14213 RE: 56 Services, Inc Job Number 123091689 P.O. #23-09036 23-09036; 1054 State Route 13, Corhand NY; 13045 Dear Robert Barr: AmeriSci Richmond 13635 GENITO ROAD MIDLOTHIAN, VIRGINIA 23112 TEL:8047631200 FAX:8047631800 Enclosed are the results of Asbestos Analysis - Bulk Protocol of the following 56 Services, Inc samples, received at AmeriSci on Thursday, September 21, 2023, for a 3 day turnaround: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43 The 43 samples, placed in zip lock bag, were shipped to AmeriSci via Fed Ex 8177 5831 2519 B 920. 56 Services, Inc requested ELAP PLM/TEM analysis of these samples. The results of the analyses which were performed under NYSDOH ELAP Lab Certification # 10984 following ELAP 198.4 TEM guidelines are presented within the Summary Table of this report. The presence of matrix reduction data in the Summary Table normally indicates an NOB sample. For NOB samples the individual matrix reduction and TEM analysis results are listed in Table I. Complete PLM results for individual samples analyzed by ELAP 198.1 (friable) and ELAP 198.6 (NOB) are presented in the PLM Bulk Asbestos Report. This combined report relates ONLY to sample analysis expressed as percent composition by weight and percent asbestos. This report must not be used to claim product endorsement or approval by these laboratories, NVLAP, ELAP or any other associated agency. The National Institute of Standards and Technology accreditation requirements, mandate that this report must not be reproduced, except in full without the written approval of the laboratory. This report may contain specific data not covered by NVLAP or ELAP accreditations respectively, if so identified in relevant footnotes. AmeriSci appreciates this opportunity to serve your organization. Please contact us for any further assistance or with any questions. Sincerely, Cory M. Parnell Laboratory Director I Authorized Signatory Boston - Los Angeles - New York - Richmond AMERISCI AmeriSci Richmond 13635 GENITO ROAD MIDLOTHIAN, VIRGINIA 23112 TEL: (804) 763-1200 • FAX: (804) 763-1800 PLM Bulk Asbestos Report 56 Services, Inc Date Received 09/21/23 AmeriSci Job # 123091689 Attn: Robert Barr Date Examined 09/25/23 P.O. # PO Box 561 ELAP # 10984 Page 1 of 8 RE: 23-09036; 1054 State Route 13, Corhand NY; 13045 Buffalo, NY 14213 Client No. / HGA Lab No. 01 123091689-01 1 Location: Plaster Analyst Description: Gray, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 5.0%, Non -fibrous 95% 02 123091689-02 1 Location: Plaster Analyst Description: Gray, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 5.0%, Non -fibrous 95% 03 123091689-03 1 Location: Plaster Analyst Description: Gray, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 5.0%, Non -fibrous 95% 04 123091689-04 1 Location: Plaster Analyst Description: Gray, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 5.0%, Non -fibrous 95% 05 123091689-05 1 Location: Plaster Analyst Description: Gray, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 5.0%, Non -fibrous 95% See Reporting notes on last page Asbestos Present No Total % Asbestos NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. I HGA Lab No. 06 123091689-06 2 Location: Stucco; 1st Liv Asbestos Present No Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 07 123091689-07 2 Location: Stucco; 1 st Liv Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 08 123091689-08 2 Location: Stucco; 1 st Liv Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 09 123091689-09 3 Location: Blown In Analyst Description: White, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Fibrous glass 98%, Non -fibrous 2.0% 10 123091689-10 3 Location: Blown In Analyst Description: White, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Fibrous glass 98%, Non -fibrous 2.0% 11 123091689-11 3 Location: Blown In Analyst Description: White, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Fibrous glass 98%, Non -fibrous 2.0% See Reporting notes on last page Page 2 of 8 Total % Asbestos NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. / HGA Lab No. Asbestos Present 12 123091689-12 No 4 Location: Stucco; 1st Back Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 13 123091689-13 4 Location: Stucco; 1st Back Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 14 123091689-14 4 Location: Stucco; 1st Back Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 15 123091689-15 5 Location: Drywall Analyst Description: Gray, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 16 123091689-16 5 Location: Drywall Analyst Description: Gray, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 17 123091689-17 6 Location: Compound; 1st Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% See Reporting notes on last page Page 3 of 8 Total % Asbestos NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. / HGA Lab No. Asbestos Present 18 123091689-18 No 6 Location: Compound; 1st Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 19 123091689-19 7 Location: Comp / Stucco; 2nd FI Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 20 123091689-20 7 Location: Comp / Stucco; 2nd FI Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 21 123091689-21 7 Location: Comp / Stucco; 2nd FI Analyst Description: White, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -fibrous 100% 22 123091689-22 8 Location: Flooring; 1 st Kit Analyst Description: Beige, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 12% 23 123091689-23 8 Location: Flooring; 1 st Kit Analyst Description: Beige, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 3.8% See Reporting notes on last page Page 4 of 8 Total % Asbestos NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (by NYS ELAP 198.1) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. / HGA Lab No. 24 123091689-24 9 Location: Ceiling Tile Analyst Description: Tan, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 31 % 25 123091689-25 9 Location: Ceiling Tile Analyst Description: Tan, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 24% 26 123091689-26 10 Location: Ceiling Tile Adhesive; 2nd FL Asbestos Present No Analyst Description: Brown, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 44% 27 123091689-27 10 Location: Ceiling Tile Adhesive; 2nd FL Analyst Description: Brown, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 44% 28 123091689-28 11 Location: Window Glaze Analyst Description: Gray, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 7.6% 29 123091689-29 11 Location: Window Glaze Analyst Description: Gray, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 55% See Reporting notes on last page Page 5 of 8 Total % Asbestos NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. / HGA Lab No. Asbestos Present 30 123091689-30 No 12 Location: Shingle Siding Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 40% 31 123091689-31 12 Location: Shingle Siding Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 35% 32 123091689-32 13 Location: Flooring; 2nd FI Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 25% 33 123091689-33 13 Location: Flooring; 2nd FI Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 22% 34 123091689-34 14 Location: Roofing; P Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 25% 35 123091689-35 14 Location: Roofing; P Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 36% See Reporting notes on last page Page 6 of 8 Total % Asbestos NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. / HGA Lab No. 36 123091689-36 14 Location: Roofing; P Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Materia Asbestos Types: Other Material: Non -Asbestos 22% 37 123091689-37 14 Location: Roofing; P Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Materia Asbestos Types: Other Material: Non -Asbestos 60% 38 123091689-38 15 Location: Roofing; F Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Materia Asbestos Types: Chrysotile 1.6% Other Material: Non -Asbestos 52% 39 123091689-39 15 Location: Roofing; F Analyst Description: Bulk Material Asbestos Types: Other Material: 40 123091689-40 15 Location: Roofing; F Analyst Description: Bulk Material Asbestos Types: Other Material: 41 123091689-41 15 Location: Roofing; F Analyst Description: Bulk Material Asbestos Types: Other Material: See Reporting notes on last page Asbestos Present No Page 7of8 Total % Asbestos NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 No NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 Yes 1.6% (NOB by EPA 600/M4-82-020) by Tou Si Anothay on 09/25/23 NA/PS NAPS NA/PS AmeriSci Job #: 123091689 Client Name: 56 Services, Inc PLM Bulk Asbestos Report 23-09036; 1054 State Route 13, Corhand NY; 13045 Client No. / HGA Lab No. Asbestos Present 42 123091689-42 No 16 Location: Flashing / Tar; B Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Other Material: Non -Asbestos 19% 43 123091689-43 16 Location: Flashing / Tar; SF Analyst Description: Black, Heterogeneous, Non -Fibrous, Bulk Material Asbestos Types: Chrysotile 9.0% Other Material: Non -Asbestos 6.7% Page 8 of 8 Total % Asbestos NAD (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 Yes 9.0% (NOB by NYS ELAP 198.6) by Tou Si Anothay on 09/25/23 Reporting Notes: Analyzed by: Tou Si Anothay u i Reviewed by: Cory M. Parnell Date: 9/25/2023 *NAD = no asbestos detected, Detection Limit <1%, Reporting Limits: CVES = 1%, 400 Pt Ct = 0.25%, 1000 Pt Ct = 0.1%; "Present' or NVA = "No Visible Asbestos" are observations made during a qualitative analysis; NA = not analyzed; NA/PS = not analyzed / positive stop; PLM Bulk Asbestos Analysis using Meiji, Model MT 6120 microscope, Serial #1900011, by EPA 600/R-93/116 per 40 CFR 763 (NVLAP Lab Code 101904-0) and ELAP PLM Analysis Protocol 198.1 for New York friable samples which includes quantitation of any vermiculite observed (198.6 for NOB samples) or EPA 400 pt ct by EPA 600/M4-82-020 (NYSDOH ELAP Lab # 10984); CA ELAP Lab # 2508; Note: PLM is not consistently reliable in detecting asbestos in floor coverings and similar NOB materials. NAD or Trace results by PLM are inconclusive, TEM is currently the only method that can be used to determine if this material can be considered or treated as non -asbestos -containing in New York State (also see EPA Advisory for floor tile, FR 59, 146, 38970, 8/1/94). NIST Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the laboratory. This PLM report relates ONLY to the items tested. AmeriSci Job #: 123091689 Client Name: 56 Services, Inc AmeriSci Sample # Client Sample# 01 01 Location: Plaster 02 02 Location: Plaster 03 03 Location: Plaster 04 04 Location: Plaster 05 05 Location: Plaster 06 06 Location: Stucco; 1st Liv 07 07 Location: Stucco; 1st Liv 08 08 Location: Stucco; 1st Liv 09 09 Location: Blown In 10 10 Location: Blown In 11 11 Location: Blown In 12 12 Location: Stucco; 1st Back 13 13 Location: Stucco; 1st Back 14 14 Location: Stucco; 1st Back 15 15 Location: Drywall 16 16 Location: Drywall See Reporting notes on last page Page 1 of 3 Table I Summary of Bulk Asbestos Analysis Results by NYS ELAP 198.4 23-09036; 1054 State Route 13, Corhand NY; 13045 NOB Sample NOB Heat NOB Acid NOB Insoluble HG Weight Sensitive Soluble Non -Asbestos ** Asbestos % by **Asbestos % by Area (gram) Organic % Inorganic % Inorganic % PLM/DS TEM 1 — - NAD NA 1 NAD NA 1 — NAD NA 1 — — NAD NA 1 ---- NAD NA 2 — NAD NA 2 — NAD NA 2 ---- -- - -- NAD NA 3 ---- — — -- NAD NA 3 — — — NAD NA 3 ---- -- — — NAD NA 4 ---- - — — -•-- NAD NA 4 -- — — — NAD NA 4 — — ---- NAD NA 5 — — — --- NAD NA 5 — — NAD NA AmeriSci Job #: 123091689 Client Name: 56 Services, Inc Table I Summary of Bulk Asbestos Analysis Results by NYS ELAP 198.4 23-09036; 1054 State Route 13, Corhand NY; 13045 NOB Sample NOB Heat NOB Acid NOB Insoluble AmeriSci HG Weight Sensitive Soluble Non -Asbestos Sample # Client Sample# Area (gram) Organic % Inorganic % Inorganic % 17 17 6 ---- - - Location: Compound; 1st 18 18 6 ---- ---- Location: Compound; 1st 19 19 7 Location: Comp / Stucco; 2nd FI 20 20 7 -- Location: Comp / Stucco; 2nd FI 21 21 7 .... --- ---- ---- Location: Comp / Stucco; 2nd FI 22 22 3 0.505 49.3 37.8 12.9 Location: Flooring; 1st Kit 23 23 8 0.195 81.2 15.0 3.8 Location: Flooring; 1 st Kit 24 24 9 0.248 63.4 5.4 31.2 Location: Ceiling Tile 25 25 9 0.313 70.4 5.4 24.2 Location: Ceiling Tile 26 26 10 0.383 51.9 3.5 44.6 Location: Ceiling Tile Adhesive; 2nd FL 27 27 10 0.432 51.8 3.5 44.7 Location: Ceiling Tile Adhesive; 2nd FL 28 28 11 0.369 9.4 82.9 7.6 Location: Window Glaze 29 29 11 0.999 14.1 30.0 55.9 Location: Window Glaze 30 30 12 0.850 55.2 4.5 40.2 Location: Shingle Siding 31 31 12 0.546 61.0 3.6 35.3 Location: Shingle Siding 32 32 13 0.498 28.2 46.0 25.8 Location: Flooring; 2nd FI See Reporting notes on last page Page 2 of 3 **Asbestos % by " Asbestos % by PLM/DS TEM NAD NA NAD NA NAD NA NAD NA NAD NA NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD AmeriSci Job #: 123091689 Page 3 of 3 Client Name: 56 Services, Inc Table Summary of Bulk Asbestos Analysis Results by NYS ELAP 198.4 23-09036; 1054 State Route 13, Corhand NY; 13045 NOB Sample NOB Heat NOB Acid NOB Insoluble AmeriSci HG Weight Sensitive Soluble Non -Asbestos ** Asbestos % by ** Asbestos % by Sample # Client Sample# Area (gram) Organic % Inorganic % Inorganic % PLM/DS TEM 33 33 13 0.402 27.9 49.6 22.4 NAD NAD Location: Flooring; 2nd FI 34 34 14 0.441 25.8 48.5 25.7 NAD NAD Location: Roofing; P 35 35 14 0.440 24.9 38.8 36.3 NAD NAD Location: Roofing; P 36 36 14 0.335 27.5 50.1 22.4 NAD NAD Location: Roofing; P 37 37 14 0.648 24.9 14.3 60.8 NAD NAD Location: Roofing; P 38 38 15 0.975 42.7 2.9 52.8 Chrysotile 1.6 NA Location: Roofing; F 39 39 15 0.951 47.9 2.3 49.8 NA/PS NA Location: Roofing; F 40 40 15 0.471 77.2 12.3 10.5 NA/PS NA Location: Roofing; F 41 41 15 0.443 72.9 12.5 14.6 NA/PS NA Location: Roofing; F 42 42 16 0.367 60.0 20.6 19.3 NAD NA Location: Flashing / Tar; B 43 43 16 0.479 75.3 9.0 6.7 Chrysotile 9.0 NA Location: Flashing / Tar; SF Analyzed by: Cory M. Parnell Reviewed by: Cory M. Parnell Date: 9/25/2023 Semi -Quantitative Analysis: NAD = no asbestos detected; NA = not analyzed; NA/PS = not analyzed due to positive stop; Trace = <1%; PLM analysis by EPA 600/R-93/116 per40 CFR 763 (NVLAP Lab Code 101904-0) or NY ELAP 198.1 for New York friable samples which includes quantitation of any vermiculite observed (198.6 for NOB samples) or EPA 400 pt ct by EPA 600/M4-82-020 (NY ELAP Lab # 10984); TEM prep by EPA 600/R-93/116 Section 2.3 (analysis by Section 2.5, not covered by NVLAP Bulk accreditation); or NY ELAP 198.4 for New York NOB samples (NY ELAP Lab # 10984). Analysis using Jeol, Model JEM-100CX II microscope, Serial #156147-247. ** Warning Notes: Consider PLM fiber diameter limitation, only TEM will resolve fibers <0.25 micrometers in diameter, TEM bulk analysis is representative of the fine grained matrix material and may not be representative of non -uniformly dispersed debris, soils or other heterogeneous materials for which a combination PLM/TEM evaluation is recommended; Quantitation for beginning weights of <0.1 grams should be considered as qualitative only. 23- oqo-&( 123091684 56 Services Project Number Lab ID Number Project Address .- - �.�. i� 3%-L•�:�r fir;; Yrr:1 ti81�•" . ; _ F 0 I �I Nr - 0 o� 10S V b-7 0$ 6� to 12 L« 13 ,y 1, Cboits i t z-3 Its - ZT RUSH 48H ®5D Sampling bate (24H if not selected) C- aMJrAAJIZ my Number of Samples Results Due By A Transits I Sm Reno ❑ Additional Notes: Duct �1 S De*el)ne Family ❑ Two Familk Commercial ❑ Roof Only ❑ Addltlonal instructions: Analyze for the following State: ❑ Anafyze PLM then TEM ff negative AND NOB ❑ Pennsylvania Please analyze,as per NYS op ALL analyses if &—Z I ACM ElLouisiana If no other state Is selected ❑ TE'M Analysis only (or as marked above) ❑ West Virginia 'KPosltive Stop per group: A,11 &—,Zmey ❑ Other oeceiv6&mall results to�oL556servir,.P:5),-om ` SEP 2 1 3 sr,d irr►r -. t;;�;: n - ti�ta and rrma .� - 23 - Q " f Q N RUSH 48H (2)5D 56 Services Project Number Lab M her Sampling Date (24H If not selectedo l 0SH S44-6� cw,�l#+Jo NY q 11 Project Address t 7OL4 S Number of Samples Results Due By F 9airiple�,• :�I4f•.; �,�-• 11+I�erial`prrsorl `dorF ` c•� f� 5tili{SfB �OCctti�p.; - �J p • 27 Z 8�� 0 l riV l�l 1 �i�11V -31 3y-R.eo�'�� •p `fb ��- - — -- --,L Nr Translte �4 SO Reno 0 Additional Notes: Duct �? S Demo�One Family ❑ Two Fam,>C-Commercial 0 Roof Only El Additional Instructions: Analyze for the following State: ❑ Analyze PLM then TEM if negative AND NOB ❑ Pennsylvania Please analyze as per NYS '`Q� Stop ALL analysis If 0-01 ACM ❑ Louisiana If no other state is selected ❑ TEM Analysis only (bras marked above) ❑ West Virginia iM--Poshyve Stop pergn7up: A 1 &Tzaa* ❑ Other email results to b�1565ervlces.co Received SEP 3 YU3 Sempled 1 flingrr7'.. BY;. Qate asrci'77tx�e •.::.:'iPgelved By: ra NEW YORK STATE OEPARTMENY OF HEALTH WAMWOgTH CENTER 1Etp�t12001 1 AM Ap110120Ta L• ReNseEM yli ]Op20223 CSknKRFQ OF AFPPAYAL FON 1,WOAANRT OEgV1S1 •z,a....w w.-....wT�aa n+eiryrw.M!IM An n{p. AMER/GA SC/E NCE TEAM NEW YIRN. lNL l/TEABISOTH ST NEW VURx N✓ /MI6 <MeDYAAFWOYEB•tan Fmm.nem'.!Lvm'+My tlr Me FS Sol o ANN NAZARIXN /S WASTE AY. 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