2014-072 ea TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140072 Date Issued: Thursday, February 25, 2016
This is to certify that work requested to be done as shown by Permit Number P20140072
has been completed.
Tax Map Number: 523400-308-012-0001-016-000-0000
Location: 5 EAST Dr
Owner: HAROLD HERMANCE JR
Applicant: HAROLD HERMANCE JR
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the / ) 4 'St
property owner of the responsibility for compliance with Site Plan, �•f/
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
`�i 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140072 Application Number: A20140072
Tax Map No: 523400-308-012-0001-016-000-0000
Permission is hereby granted to: HAROLD HERMANCE JR
For property located at: 5 EAST Dr
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: HAROLD HERMANCE JR Demolition
5 EAST Dr Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
•
Plans&Specifications
2014-072
DEMOLITION of garage built without a permit -variance would be needed to keep the garage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,March 24,2015
(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 Tow of Qu sbu • d.. •• ch 24,2014
SIGNED BY � , for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
DEMOLITION PERMIT APPLICATION Received:
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUE: AR 2Perm114: I)1`1O1%
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot `' ^ / ,
boundaries with dimensions and adjacent roads I streets. Show all existing structures Permit Fee: dam. (J I ilii.1
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities.
Date `G f ` Demolition Location &— .EQS' Oa-
.
Tax Map ID 3ot ,0 -1-115 '
�c.
Applicant I )L-rOL4e J w4<u. .« Owner Oe �d- `1-le
5 CC- •
Addresstr lJ?r'c- Address
C;, e hi n ,
Phone 7613-2) 9& U Phone
Contact Person for Building&Code Compliance: 7 CI4fl p. Day Phone:
1. Person Responsible for work: 94011061 -Lto I S h{t-3 -
2. Where will demolition material be disposed?
3. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begins.
a) Is there any asbestos within the building to be demolished Yes No
b) If Yes,our office need the following information:
• Name of firm removing the asbestos: h 0
• License number of firm:
• Indicate where the asbestos material will be disposed: �nj
4. Structure Information T^""� Add-on
a) Indicate the structure(s)to be demolished:_residence X garage _business _storage bldg. _Other
b) Size of structure: I a x
c) Number of stories: / / -
d) Foundation Type: full cellar crawl space ')C slab t71 I I (na�'�'. 11(9
e) Foundation: will be replaced will not be replaced
f) Structure(s): _will be replaced X will not be replaced
5. Utilities Information /, e Oft,cr
a) Indicate utilities for this structure: i�,r
h,,-c G+ r f' r6wpJ N
Gas >OElectnc v Propane
Public Water On-Site Well Water Pump Public Sewer
b) Have you notified the Town Water Dept.for public water and sewer disconnect? Yes /No / ( � y!, ✓
c) Have all utilities been disconnected? _Yes 1 No uS; p r t-,k C Ac/-n C�f7Qc N 11:3r"�t j'"�'�j
6. Signatures: (J (J j1 �e� V
Print Name: �avQ/d an'wnvtc.e ll
Signature: is ,K NA•_ Date: 3- e-1 -/V
Town of Queensbury Building&Codes Demolition Permit 518-761-8256
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received: -
Name: ikeuNAANCe Inspected on: z — ZS 1 i
Location: FJ-.f c&r a_xv Arrive: = lie .a
Permit No.: V 1-Z— Inspector's Initials: �
/Fr
Comments and/or diagram
Y N N/A per* 6\14_, (1-03/4 , S tc�l �,c
Gas Shut-off ✓
‘Dar. -, at� \s< nd,--w-Iccke¢1
Water Shut-off J
Electric Disconnected
Asbestos Removed I Documentation
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance
Demolition Inspection_11 20 12
I
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46' 10' 14' • 12'
1sWD/UnfB RP4 RG1 RG1' yyy,,,```��� 11
First Floor 240 fta 336 ft2 288 ftp,
1248 ft' N ry '1 N
N
F,rRcJnpy
RP2
to24, 144 ft2
PER _ . -
I HAVE PERSONALLY MEASURED THE DISTANCE TOWN OF QUEF 4,,.)p` R
FROM THE PROPERTY LINES TO THE BUILDING & C9Dr_/ OE
�*,PfROPOSED STRUCTURE(S) OR SIGN(S) Reviewed By:
V �'e6t7aZs1y Date: _______,/ frail.
SIGNATURE DATE
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