2013-249 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: P20130249 Date Issued: Tuesday, January 05, 2016
This is to certify that work requested to be done as shown by Permit Number P20130249
has been completed.
Tax Map Number: 523400-296-014-0001-007-000-0000
Location: 78 MONTRAY Rd
Owner: GRAYSON PROPERTIES LLC
Applicant: GRAYSON PROPERTIES LLC
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 the4
property owner of the responsibility for compliance with Site Plan,
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 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130249 Application Number: A20130249
Tax Map No: 523400-296-014-0001-007-000-0000
Permission is hereby granted to: GRAYSON PROPERTIES LLC
For property located at: 78 MONTRAY 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: GRAYSON PROPERTIES LLC
1004 CHESTNUT St Demolition
MECHANICVILLE,NY 12118 Total value
Contractor or Builder's Name /Address Electrical Inspection Agency
JOE ZENNAITER
22 HEMO St
MECHANICVILLE NY 12804-0000
Plans& Specifications
2013-249
DEMOLITION - lot 7
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 10,2014
(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 Queens ury; on , ne 0,2013
for the Town of Queensbury.
SIGNED BY Q ury
Director of Building&Code Enforcement
............................. ...
OFFICE USE ONLY
TAX MAP NO PERIT NO, 13-a 12 FEE PAID'
Permission is hereby granted to the above named Applicant to demolish the buildin�(S)
described herein as set forth in the Application below, 2013
Director of Building&Codes pate
...........
APPLICATION FOR DEMOLITION PERMIT.-
Fill in applicable spaces and submit two(2)plot plans,drawn to scale,showing lot
boundaries with dimensions and adjacent roads/streets. Show all existing structures
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities.
APPLICANTIBUILDER: �01:',� OWNER: r a4�,l
ADDRESS: 1� LC ADDRESS:
PHONE NOS. 92/9 6, PHONE: &9'�
PERSON RESPONSIBLE FOR WORK7.-L&I.- Z-&+y,4j,,Ar?-<j— PHONE:
LOCATION OF DEMOLITION: 7 /o('62
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? d9 15:j-),4
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES— NO
✓ If YES,our office needs the following information:
o Name of firm removing the asbestos:
o License number of firm:
o Indicate where the asbestos material will be disposed:
NOTE.A copy of Asbestos Removal Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished*. RESIDENCE v- GARAGE_ BUSINESS_
✓ Size of structure:—l4/ X 9'0 STORAGE BLDG OTHER.
✓ Number of stories: (
✓ Foundation type: FULL CELLAR CRAWL SPACE,„_ SLAB
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED Y
✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC 'r PROPANE_
PUBLIC WATER ONSITE WELL-WATER PUMP Y PUBLIC SEWER
Have you notified the Town Water Dept.for public water and public sewer disconnect? YES X NO—
Have all utilities been disconnected: YES 4—, NO_ QUESTIONS? CALL 761-8256 OR EMAIL
codosft aensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
WwwqU00nSburvnet
OF APPLICANT
Town of Queensbury-Community Development Office 742 Bay Road, Queensbury,NY 22804
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received:
Name: Inspected on: 12
Location: uj Arrive: a. p)
Permit No.: 2=013-TiffO24 q Inspector's Initials:
Comments and/or di gram
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 ,
Demolition Inspection Report
Office No. (518) 761-8256 Date Inspection reques ei
Queensbury Building &Code Enforcement Arrive: 2_=oD am p` Z= 15 a pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials-
NAME: C`z 1 Srr�1 rt)PIC' - PERMIT 0.• <3
LOCATION: �,� '-1 '� 7�1 :n E't-� INSPE
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Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off
Electric Disconnected
Asbestos Removed/ Documentation
Property Cleaned Up and Graded G Vv Nt
'c 5\� `i'-1 F�O O�-
Okay to Issue Certificate of Compliance VE
--�---
Demolition Inspection Report 1127 12
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