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BOTH-000357-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000357-2016 Date Issued: Friday, July 15, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000357-2016 has been completed. Tax Map Number: 290.9-1-5.1 Location: 24 Sunnyside RD Owner: Lynne Fish Applicant: Lynne Fish This structure may be occupied as a: Demolition of remains of wooden shed per D.Hatin,no asbestos report is required By Order of Town Board TOWN OF QUEENSBBURY�J Issuance of this Certificate of Compliance DOES NOT relieve the � I /J (/ property owner of the responsibility for compliance with Site Plan, (G(Y✓�✓� llxxx V Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)76t-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000357-2016 Tax Map No: 290.9-1-5.1 Permission is hereby granted to: Lynne Fish For property located at: 24 Sunnyside 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 Owner Name: Lynne Fish Demolition $0.00 Owner Address: 17 SiTNNYSIDE RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name f Address Electrical Inspection Agency Plans&Specifications Demolition of remains of wooden shed per D. Hatin,no asbestos report is required $ 30.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, June 10, 2017 (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 oury; ed a June 15,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes office use only Received ------------------- DEMOLITION PERMIT APPLICATION Permit#: � � 4C� NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee �O -n �- - __v--___ 42 Provide 2 plot pians 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 t Farm CA Date 1_ � � Demolition Location ��C! + 114- Tax Map ID _Lag p Q, iQQCn2 'r"( , civ __L__L__� � JI APPLICANT ___ OWNER ___ Address � _SI.f\ 1 _S? _ Address ___)< Phone ---Zt° - S 1-7----------- Phone ---—c------ - `, -------- CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: _______________________________ Phone: __________ 1. Person Responsible for Work 2. Where will demolition material be disposed? 3. All buildings to be demolished require an Asbestos Survey 4. Any bulldlnq 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 a) Is there any asbestos In the building to be demolished ____ Yes _ No b) 1f Yes, our office needs the following information ____Yes ____ No A)N 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 ___ Storage Bldg. Other b) Size of Structure c) Number of Stories Q NE d) Foundation Type e) Foundation Cam e y- A';F,c- f) Structure(s) ( � 7. Utilities Information a) Indicate utilities for this structure ___ Gas ___ Electric ___ Propane ___ Public Water ___ Public Sewer ___ On-site well water pump L10 N Imo._ 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 1 Print Name: ----- ------------------- Date ---- Signature: ------- - --- - ------------------ Date ....�L1n� -a o 1 Town of Queensbury Building& Codes - Demolition Permit - December 2014 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL i nk-�t)rj'+• ).G k to Permit No........................................Cert. N O 44823 Cut-in Card No..................................... Owner.......V.�....J. 7J..1ve.-.................................................................................... ....:..!..... ................ Location.—L-7- .D....�c_A''�i``.' "�ff����.11L�r-..v�.Y. ............................a h.. .. ....................... Installation Consisting of.7 .. W/rC ���6f�..�S,C. `-45..0..1 ... t�'.....r° it1 Z...........��, ..If?-1 :....................................... ......................................�............................................................................................................................................. InstalledBy...... �T.';W6........................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making i ns at any time, and if its rules are violated,the /Company shall have the right to re o his c ifi�caattee. Date.. �1 .'1....�r.................. INSPECTOR.......... .. ...t ...../rr ...................... Member N.F.P.A.,I.A.E.1. Google! >ps .e 4wk ■S l ec4,7 w Isf ��#4y1 �} � 4 ►r x ry f i'.k �S-4 tri•i°- r �„ �" iy � ,NFY rhe . 4'' _, k`J b� } . ;4r r "• V ,�r!c �d1::.h fir= �'�`" •`. F. � f . -` _ - � .�' `� ■ ��._� f - .x 'OM1 n t i n "1ns�� y Imagery(D2016 DigitalGlobe,New York GIS,Map data @2016 Google SO ft `e `-tet � N© TOWN OF Q EE ' BUILDING & CO Reviewed B . 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