2013-499 ��` TOWN OF QUEENSBURY
Iwo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130499 Date Issued: Tuesday, January 12, 2016
This is to certify that work requested to be done as shown by Permit Number P20130499
has been completed.
Tax Map Number: 523400-288-000-0001-053-000-0000
Location: 1415 STATE ROUTE 9
Owner: NORTHWAY OUTLETS, LLC
Applicant:
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 (" e440 4 )dtt
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.
0.4 TOWN OF QUEENSBURY
01 . 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130499 Application Number: A20130499
Tax Map No: 523400-288-000-0001-053-000-0000
Permission is hereby granted to:
For property located at: 1415 STATE ROUTE 9
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: NORTH WAY OUTLETS, LLC Demolition
2700 WESTCHESTER Ave Suite 407 Total Value
PURCHASE NY 10577-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
BBL CONSTRUCTION
(TRIBUNE MEDIA PROJECT)
302 WASHINGTON Ave EXT
ALBANY,NY 12203-0000
Plans&Specifications
2013-499
DEMOLITION - garage 32'x 41'
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 25,2014
(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 Quee s ury; drid i • 25,2013
SIGNED BY t for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
DEMOLITION PERMIT APPLICATION Received: OC I ` : 2013
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit No.:
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot ®� ` ��n�
boundaries with dimensions and adjacent roads /streets. Show all existing structures Permit Fee: 0 `�
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities. / �c'D
Date 113 - Z1 - 20 13 Demolition Location • te+« u
Tax Map ID 200_1 — 52 Ash) 7 3
Applicant ont4Gio- iiW LLG Ownertj�L ��M /LULt i�N S�!/IC
Address Suk g7 Address 5 07, bi)ith
autwmogq. iixo 1.1 AL6414,(1. Ny 2C1,
Phone iZ2i- DuftPO Phone ZOO
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Contact Person for Building&Code Compliance: Jb6 0641/ Day Phone: .3&1.-- 152 1
1. Person Responsible for work: I on4 L4 L4il
2. Where will demolition material be disposed? 1 I/L4111 1) t(0& i6vetiQ'l rol
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:
• License number of firm:
• Indicate where the asbestos material will be disposed:
4. Structure Information
a) Indicate the structure(s)to be demolished: residence garage _business _storage bldg. _Other
b) Size of structure: x I
c) Number of stories:
d) Foundation Type: full cellar crawl space /slab
e) Foundation: will be replaced will not be replaced
f) Structure(s): will be replaced ✓will not be replaced
5. Utilities Information
a) Indicate utilities for this structure:
Gas Electric 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
c) Have all utilities been disconnected? Yes 'No
6. Signatures:
Print Name: C�
Signature: ( ('t4it_ Date: IC — 7-0 6
Town of Queensbury Building&Codes Demolition Permit 518-761-8256
Town of Queensbury Building &Code Enforcement cSics
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received:
Name: 1\1m IVU Pl/drid3 Inspected on: '
Location: IA‘ D vA-e.-ci Arrive: • --..�� p.m.
Permit No.: 2d\b "� j� Inspector's Initials:
7
Comments and/or dial r-
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 20 12
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Location Plan _
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N.Y.S. ADIRONDACK NORTHWAY
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