2015-261 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
IVO
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150261 Application Number: A20150261
Tax Map No: 523400-289-007-0001-018-000-0000
Permission is hereby granted to: PETER& MICHAEL ROZELL
For property located at: 54 REARDON Rd
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: PETER& MICHAEL ROZELL Demolition
THOMAS HEINZELMAN Total Value
47 REARDON Rd
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-261
Demolition of House 41 ft. by 23 ft. (One-Story Seasonal Residential Structure). Asbestos Materials
Removal Confirmation in file and dated June 17, 2015 from Alpine Environmental Services.
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 19, 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 expirationradat:.)
Dated at the To n of ens �1 ,.iii ay,June 22,2015
SIGNED BY V ` for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes. -- office Use Only
i3 ° `1ik Received ' /1 L..
DEMOLITION PERMIT AP I@Permit #: a0/ --,20 /
I I ATION Q
NO WORK MAY COMMENCE UNTIL OE MIT IS ISs DZO15 i. Permit Fee 2M-1—
Provide 2 plot plans drawn to scale, showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures
on property and indicate which are to be demolished. Indicate the location of all utilities
> f
Date L_,1 Li_1 ,__ Demolition Location 1[_L Z.I2C1 __1 _
Tax Map ID I :1 _` -1(.6
APPLICANT ,TC./ /CO ze2 L OWNER ./FTer, 7r�
h " 2 A 7 ,2 ni>e aNi 2,
Address __1 _1�e�_.l�.IL Z� Address __1 1.� 1�
Phone __, 1 =3,G�-dZ'1 Phone ____.,,D,, --:;)6'i-o•F‘1
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: 11;21 26° -IC 21 Phone: 3L_070
1. Person Responsible for Work /-,7-P ?/C /i
2. Where will demolition material be disposed? C
3. All buildings to be demolished require an Asbestos Survey
4. Any building substantially damaged by fire must obtain an Asbestos R oval Permit from the Department of Labor
5. Asbestos Information: The Asbestos Removal Report must be filed ith our office before demolition begin
a) Is there any asbestos in the building to be demolished __ _ Yes _X_ No
b) If Yes,our office needs the following information ____ Yes ____ No r.
Name of firm removing the asbestos CO (73
License number of firm 0
Indicate where the asbestos material will be disposed \V c ID J Q 1D F I _ N
6. Structure Information 11:::-,e_ VEL Lt DEQ—P-�.� � Cali
m (1)
a) Indicate the structure(s)to be demolished Residence ___ Garage ___ Business N
___ Storage Bldg. ___ Other - C/) tj-
b) Size of Structure ' / 0 4) 2
c) Number of Stories l O
03
d) Foundation Type ZOcX 0 Q
.
Ce :
e) Foundation > (<7-5 N - -0
f) Structure(s) ,� O E N
o� SP�
7. Utilities Information a 0 CC
a) Indicate utilities for this structure ___ Gas _ Electric ___ Propane ___ Public Water ___ Public Sew—
___ On-site well water pump
a) Have you notified the Town Water Department for public water and sewer disconnect? ____ Yes ____ No A'S
b) Have all utilities been disconnected? _ Yes ____ No
8. Signature 4eZe—l----7-7- _
Print Name: 1 e Tee_ j / Date _. - f 1-C
Signature: ___.l, c "'- ��'�%� Date __,(.L i--/.5
Town of Queensbury Building & Codes • Demolition Permit - December 2014
Peter Rozell BP 2015-261
54 Reardon Road
From: Craig Petreikis craigp@alpineenv.com B E
Subject: Clearance letter Demolition One-Story Seasonal
Date: June 17,2015 at 10:21 AM Residential Structure -
To: Pete Rozell peterozeli@gmail.com
Cc: Brian Gould BrianG@alpineenv.com
Hi Pete,
Attached is our clearance letter. A revised invoice including the inspection and the clearance letter is to follow in a little bit. Thanks.
Craig Petreikis,PE,CIH,
Director of Operations
Alpine Environmental Services, Inc.
438 New Karner Rd. � '' i_a
Albany, New York 12205 FILE COPY
„C a 1 �6 L4
(518)250-4047,ext.313 D 1
cell(518)227-1430
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TOWN OF QUEENSSURY
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ENYtRNNNERIAL SERVICES / ,
TOWN OF QUE. 11. �:,��
June 17th,2015 BUILDING &
:
viewed By �iJ� .
Reviewed
Peter Rozell Date:
47 Reardon Road
Queensbury.New York 12804
Re: Asbestos Materials Removal Confirmation at:
One Story Seasonal Residential Structure
54 Reardon Road
Oueensbury,New York
Pete,
As requested, Brian Gould, NYS! Asbestos Project Monitor, visited the site at the
above address on June 16th.2015 for the{ rpases of verifying the removal of asbestos
containing materials previously identified in the asbestos pre-demolition inspection
performed in May 2015,Alpine Project Number#15-17432-A.
The asbestos materials identified during the pre-demolition inspection, namely: gaskets
in a gas heater,insulation on heater exhaust duct,and glazing compound in doors and a
window.were observed to have been completely removed from the building.
If Alpine Environmental Services can be of further assistance on this matter, please
contact Craig Petreikis at our office at(518)250-4047,ext.313.
Sincerely,
Alpine Envlronmentd Services,Inc.
"73N414 Q-111'X'Ll.' 141
Man Gould
NYS DsparWrtt of tabor Asbestos Proisct Monitor(#95-02582)
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Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256 a HO
Demolition Inspection Report
Inspection request received: I I?)\ 2.C.,A`_-5
Name: 41 Inspected on: 8'vk''2-04S
Location: 51 r k k\✓Cj 1 '`Q• Arrive: _ a. i./p.m.
Permit No.: 2Q tc3— 2-ko i Inspector's Initials: i A
Comments and/or diagram
Y N N/A
Gas Shut-off
Pis. k\ IS Nr�►��o ®N
q-c R..Grt. 81 'Ave pi�vE'WA1
Water Shut-off I
Electric Disconnected
e-e-\-- - 5,0 k —tic° /
Asbestos Removed / Documentation e".717----
Property Cleaned Up and Graded
...._..y
Okay to Issue Certificate of Compliance
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Demolition Inspection_11 20 124
—• �a�.—u rvu6lRT
BUILDING & C p
Reviewed By:
Date:
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination, compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
FILE COPY
Peter Rozell BP 2015-261
54 Reardon Road
Demolition One -Story Seasonal
Residential Structure