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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: P20150143 Application Number: A20150143
Tax Map No: 523400-309-009-0001-075-000-0000
Permission is hereby granted to: CHRISTOPHER& DONNA MCKINNEY
For property located at: 53 CONNECTICUT Ave
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: CHRISTOPHER& DONNA MCKIM
54 CONNECTICUT Ave Demolition
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-143
Removal of existing Mobile Home (being hauled to Argyle,NY-this mobile home will not be destroyed or
dismantled on site). A newer model mobile will be placed on the parcel under a separate building permit.
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 07, 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 ueensb ;41 r!i . ay 07,2015
4
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
4l) Received
DEMOLITION PERMIT APPLICATION Permit#: G,1, - /K3
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee 50 .T'
Provide 2 plot plans drawn to scale,showing lot undarie5 witb_;dimensions and;edj4ent roads/streets. Show all existing structures
on property and indicate which are to be dem I • ii• `• e the kation of ell j tiIit'es
Date 7 /3 MAY 0,7ammol.itl cation I-3 L'co t 1e L•V 0i (v-L
Tax Map ID TOWN OF QUEENSBURY
BUILDING&CODES /I
APPLICANT . j '('\C.
am` __ \fn
\ OWN Gki hn 7
Address _�j f_L,_Cc s Lc_,;L CLQ Address
--_61==e,-1.. Li`l /W l7 'e`/
Phone ____,j,_/_E-7Ky ra_IL Phone
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: /111 /Ley Phone:
1. Person Responsible for Work M C,K►kin e
2. Where will demolition material be disposed? AroY� I/
3. All buildings to be demolished require an Asbestos Survey T
4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor
5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin o
a)
a) Is there any asbestos in the building to be demolished ____ Yes _✓ No 4m.2_ jti 46 ob) If Yes,our office needs the following information ____ Yes ____No jai =
Name of firm removing the asbestoso Z
N IA �
License number of firm �n E CD-
5
Indicate where the asbestos material will be disposed = o g'
m
6. Structure Information m > > Q
0 0
a) Indicate the structure s)to be demolished _X Residence ___ Garage ___ Business >,Q E ,
��\\,\R\. ,\r\ovct\ C',c ",ice ---Storage Bldg. ___ Other (14,3b! ie n a .v •_
b) Size of Structure 5 ,r-f-, b./
i Y'► Y c
U O O A
c) Number of Stories Ohe 2 c = -
d) Foundation Type ►��P �I . 0 o
rnc7Y-C� c I�.��tz'�XS -c co aa)i 2
e) Foundation U in -o a
f) Structure(s)
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? ...2 _ Yes ____No
b) Have all utilities bee disconnect d? /�"__ Yes ____ No
8. Signature ` ,..A.-•j 7G' / t ---`1--\.
Print Name: __ �. \i\;:,;10._ lam 7 6%$
�-- � Date __
Signature: Date
Town of Queensbury Building& Codes - Demolition Permit -December 2014
Town of Queensbury Building &Code Enforcement
Office No. (518)761-8256
Demolition Inspection Repoli
Inspection request received:
Name: Inspected on:
Location: Arrive: 7a.m./p.m.
Permit No.: Inspector's Initials: '
Comments and/or diagram
Y N NIA
YyoC5t►\g� �._..�
Gas Shut-off
Water Shut-offY
Electric Disconnected V Y1SLNkY
Asbestos Removed/Documentation �>� -
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance
Demolition Inspection_112012
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received: 5`-i'V2—�
Name: L �� Inspected on: 51--1'\-2-043
Location: 5J l o n ukk- Arrive: l a.m.1 p.m.
Permit No.: J-1�J Inspector's Initials:
Comments and/or diagram
Y N N/A
Gas Shut-off ‘71/
Water Shut-off
Electric Disconnected .t.77
Asbestos Removed / Documentation
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance
ce—eNt18•11 )
PO ---.1>71\AC)73
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Demolition Inspection_11 20 12
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Reviewed BY: .aw'faiffil
BUILDING & Clot' - friiliir:1"--
Date: