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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150225 Application Number: A20150225
Tax Map No: 523400-303-020-0002-028-000-0000
Permission is hereby granted to: KYLE P LA FOUNTAIN
For property located at: 27 BOULEVARD
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: KYLE P LA FOUNTAIN Demolition
KATIE E. GROSS Total Value
27 BOULEVARD
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-225
Demolition of garage/storage building
NOT a result of a fire
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 03,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; W•dnesday,June 03,2015
SIGNED BY glik,r-i hi I _' / for the Town of Queensbury.
D' ector of Building : r ode forcement
Town of Queensbury Building & Codes Office Use Only
Received
'
H Permit #: z2,13,1_5-22-S'
DEMOLITION PERMIT APPLICATION �
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED' Permit Fee
Provide 2 plot plans drawn to scale,showing lot boundaries with dimehsions and adjacent roads/streets. Show all existing structures
on property and indicate which are t be dQ olished. Indicate Me:Location of all utilities
f�W'JIV �..:. •
BUILDING &CODES
Date _ ,lZ��s Demolition Location NCLYed
Tax Map ID 303.7 0-,2-Z2
APPLICANT 2-7�c5vle.1/4/�rc� G��conOWNER 2-1 CNE,,_, 42.,e..-s @�41.2SAsbv4:.7._
Address "'"( `2`•bCti Address ^ tZtscp-i
Phone S (5 C,5s3^6rr73 Phone _ca -LS3 - , '-77
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Phone:
1. Person Responsible for Work Ky cA_E- cover-e 4)
2. Where will demolition material be disposed? `re-A SFR
3. All buildings to be demolished require an Asbestos Survey
4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor /if/ Ur.bifiruck
5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin
a) Is there any asbestos in the building to be demolished ____ Yes _\-/-No /t`46_,5h. earl.) Mie„;
b) If Yes,our office needs the following information ____ Yes ____ No
Name of firm removing the asbestos
License number of firm
Indicate where the asbestos material will be disposed
6. Structure Information
a) Indicate the structure(s)to be demolished ___ Residence ___ Garage ___ Business
_torage Bldg.___ Other
b) Size of Structure la x /6
c) Number of Stories
d) Foundation Type r-i-.
e) Foundation A6/7-e_
f) Structure(s) rr�
7. Utilities Information
a) Indicate utilities for this structure ___ Gas ___Electric ___ Propane ___ Public Water ___ Public Sewer
On•site well water pump
a) Have you notified the Town Water Department for public water and sewer disconnect? ____ Yes ____ No
b) Have all utilities been disconnected? ____ Yes ____ No
8. Signature
Print Name: _&/‹._ G g crL'n Date
Signature: _ —y Date
Town of Queensbury Building& Codes• Demolition Permit - December 2014
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received: 1 t ? 3 I
Name: --E1 xnya,11r} Inspected on: ,
Location: _ Arrive: ,r�� p.m.
Permit No.: Inspector's Initials:
Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off
Electric Disconnected
Asbestos Removed / Documentation
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance
Demolition Inspection-11 2012
Town of Queensbury Building & Code Enforcement
Office No. (518)761-8256
Demolition Inspection Report
Inspection request received:
Name: Inspected on: b`-I?-5Z1IS
Location: 2 C'JJKNec.VC Arrive: 02,0 . a.m./p.m.
Permit No.: is 2-2-5 Inspector's Initials: CD,
Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off
Electric Disconnected
Asbestos Removed/Documentation
Property Cleaned Up and Graded r/
Okay to Issue Certificate of Compliance d
Demolition Inspection_11 2012
1NDS OF
JENNIE VAN GUILDER
14-744 )
Over
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SIR 0.226-t ACRES
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N 880-00.-30" W
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LANDS OF RICHARD MCGILL
7.57-22 )
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Garage
CES:
to Clifford E.'Harriman, Town of
185.00'
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LANDS REPUTEDLY
WILLIAM d ELIZABETH HOGAN
r L. 448 p.401 1
105.00' \ - l�,
Former Northeast Corner Of
Parcel Conveyed From Sadie
Sullivan To James6 Anna
Mccogney, Nov. 29, 1929
(L.181 P.534 )
LANDS OF
ARTBO PEAL TY PARTNERSHIP
( 642-1108
Map Ref. N° 3
105.00
oWN OF Q
BUILDING &
Reviewed By
Date: f
BURY
BUILD NG N OFDEPAUEERTMENT
Based on our limited examination, compliance
with out comments shall not oe construed as
indicating ppans an
s 9 s are in
full oomp a Codes -1
New York Std -
FILE COPY
CERTIFICATION
I hereby certify to Steven A. Perry, Jr., First
National Bank of Glens Falls, its successors and/or
assigns and TRW Title Insurance of New York, Inc, that
this map has been prepared in .accordance with the
existing code of practice for Land Surveyors adopted by
the New York State Assoc. of ,Prpfessional Land
Surveyors.
05/16/91 William J. Rourke LS 49098
MAP OF SURVEY
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