2013-590 TOWN OF QUEENSBURY
woo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130590 Date Issued: Thursday, June 16, 2016
This is to certify that work requested to be done as shown by Permit Number P20130590
has been completed.
Tax Map Number: 523400-315-008-0001-005-000-0000
Location: 93 EAGAN Rd
Owner: JEFFREY& KATHY EDWARDS
Applicant: JEFFREY & KATHY EDWARDS
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
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&CodeEnforcement
Planning Board or Zoning Board of Appeals.
'064 TOWN OF QUEENSBURY
431 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130590 Application Number: A20130590
Tax Map No: 523400-315-008-0001-005-000-0000
Permission is hereby granted to: JEFFREY& KATHY EDWAR.DS
For property located at: 93 EAGAN 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: JEFFREY& KATHY EDWARDS
Demolition
93 EAGAN Rd
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-590
Demolition of 2-story cottage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 30,2014
(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 Tow of Qt.) nsb ; f I , , : •cember 30, 2013
aiv
SIGNED BY f .� 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 ISSUED Permit No.: / 3-592)
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot ufl
boundaries with dimensions and adjacent roads I streets. Show all existing structures Permit Fee: 3?
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities.
Date 11-) 3l0 -
Demolition Location /r� Cnky
n
Tax Map ID 5� ( � �,��'—Qn� CWOr'v - -b D
Applicant :' / ' a1)CfJ
Owner C�1( r 4-4 , ottwij
Address 13 ,, /tel Address 3 /-9°(/‘
Phone 1°13 qt//' 11 Phone • 5/ 7T3 3 (PI / t
7
/'/) / /�y
Contact Person for Building&Code Compliance: J(�l't ��(1/C.�OrJ Day Phone: �,j- Y '2'
1. Person Responsible for work: left avef
2. Where will demolition material be disposed? Ai %cj✓1 a//CO
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 X 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 Z(>
c) Number of stories: 2—
d)
d) Foundation Type: full cellar X crawl space slab
e) Foundation: will be replaced X will not be replaced
f) Structure(s): will be replaced X will not be replaced
5. Utilities Information
a) Indicate utilities for this structure:
Gas X Electric Propane
Public Water X On-Site Well Water Pump Public Sewer
b) Have you notified the Town Water Dept.for public water and sewer disconnect? Yes X No rIU/fa
c) Have all utilities been disconnected? Yes _No
6. Signatures: [ . '`
Print Name: `1 \ W JJ3O1
Signature: -t Date: 1 3 o �3
I
Town of Queensbury Building&Codes Demolition Permit 518-761-8256
' Town of Queensbury Building & Code Enforcement Si7k0A.5
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received:
Name: 'et.`v'lGIy-c1 S Inspected on: _____Lkt
Location: 1- .'D .iC' 1�n-ck Arrive: a.m.I p.m.
Permit No.: 2-0l�i — -i O Inspector's Initials:
Comments and/or diagram
Y N N/A
Gas Shut-off 7/ k‘ry-R, Ce- C 0 itaCf
Water Shut-off
Electric Disconnected
—ral -----
Asbestos Removed / Documentation / 1)1/ZO`k ?12,EA7g'
Property Cleaned Upand Graded
P Y
Okay to Issue Certificate of Compliance
Demolition Inspection_11 2012
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
Inspections per Permit
Permit# P20130590
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
12/30/2013 Miscellaneous Demolition STAFF
Misc 2013-590
permit app rec'd&entered
12/30/2013 Miscellaneous Demolition BRUCE FRANK Staff
Approved 2013-590
zoning approved
12/30/2013 Miscellaneous Demolition STAFF
Misc 2013-590
permit issued
12/30/2013 Final Inspection Demolition CHARLES DYER Staff
Partial 2013-590
water&electric disconnected
Once structure is completly gone&cleaned up CC will be issued
Demolition Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:f /', ' am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: -4
NAME: -- E c4 co q i c,S PERMIT NO.: / 3--6'6
LOCATION: q-? e--.)T,1 Rd- INSPECT ON: (`243 ' t2
Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off /
Electric Disconnected V
Asbestos Removed/ Documentation
Property Cleaned Up and Graded
Okay to Issue Certificate of Complianc /
1, ,C-- ele..— \AiltA44 1-1-1-4)-)C-11-4-4'
CP `�
Demolition Inspection Report 11 27 12
I tip, ` /t Area=1.591 acres // �qto
S N IIDAI' /
/ /
/ / MAP NOTES
•
/ /
/ 1. Boundary information shown hereon was compiled from map reference 1.
/ / Topographic data shown hereon from an actual field survey conducted on September
/ 8,2012 Improvements shown hereon from an actual field survey conducted on
I / November20,2013.
�,.,
�� / /
3 2 North orientation and bearing base per map reference 1.
l ill
3. Warren County tax parcel 315.8-1-5.
,), )‘P
/ Wood Frame Residence /
/ (to be Removed) / 4. The location of underground improvements or encroachments,if any exist,or as
/ shown hereon,are not certified. There may be other underground utilities,the
/ existence of which are unknown. Size and location of all underground utilities must
/ / be verified by the appropriate authorities The Underground Facilities Protective
/ / Organization must be notified prior to conducting test borings,excavation and
I / construction.
I / 5 This survey was prepared without the benefit of an up to date abstract of title.
/ /
/ / 6. Elevations relative to an assumed datum.
/ / 7. Horizontal coordinate and elevation units are U.S.survey feet.
I /
/ / 8. Reproduction or copying of this document may be a violation of copyright law
/ / unless permission of the author and/or copyright holder is obtained
of / 9. A copy of this document without a proper application of the surveyor's embossed
tea\f. I DEED.sith*Ryieg.assumed to be an unauthorized copy.
10.0
` JI 1. Conveyance to Jeffrey and Kathy Edwards by deed dated September 24,2003,
filed in the Warren County Clerks Office on October 16,2003 in Book 1346 of
Deeds at page 33.
`-'U MAPREFERENCES.•
•
sO�� 10 0 1. Map entitled'Map of a Survey made forJeff Edwards'';prepared by Van
p� z��
C� Dusen&Sieves Land Surveyors,dated June 29,2006.Copy supplied by client.
y �Z W ?• C 1
AOM41 A DI$OOOJOIT s A
4.:",.. •\.A\N titAii7 . �%� DATE REVISIONS /DE IPTION 0180Ein 'MOOS Of_ « Map of a Final Survey
�Q',�' r . � 720
Land+Now orFormerly d
_ ¢ ,'...-
i, �. j '—20jefhey&Kathy Edwards
Surnrifrp.MC
I: ' APPROVED:KND TOWN OF QUEENSBURY WARRFJV Cm�UN1Y NSW YORK
1. 1, .1' 11� (*r DRAFTED:KND
` '? �'�K6Jl Darrah Land Surve PLLC
\cl l t `r l'� �� rzam e. .;I1.1 63 Elm Street Glens Falls,NewYork 12801 12029 2
P, Q r'� p•' Voice:(518)9984692 Fax•(518)7t3-0601 SHEET 1OF1
'*tv:sry i�wiw '4 �a scalE:T'tiw' Wevertow>Z.NewYork 12886(518).251-2211
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ruorn�s� \ ,.. ` + „- Rod Found • 80\ q
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ZONINGREQUIREMEN7S• - 7�� /Electric& \ :•.•
-98_ L/ ..� CableLines
Zoned WR(Waterfront Residential) // ,�P 6% ,9p. ` Iron Rod
Lot Size .2 acres �/ r� fb� Found in
Minimum Lot Width 150' -- /< 4 Pavement
Minimum Setbacks / J ��, / / i•
9s /
Front 30' / \ //
Side 20,
I — 7` 7// //1\\
Rear 30' / Covered / / j-9q� \ Conc.Porch \// / /�, \
�� l0:� 14.25' ////
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92, , / �� 6 0� / /perCent�aZtor
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11 t r? • rb1Y` 1� t �/_ ///////
t l�j 7 I `b /fec. / / / ////o—
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/Wood A'! ;'"'Meter / / / ////
/Deck& s� / //://// ///Exishn Steps 6 /. , % / ///
Drilled Well --..,,,. '� j // ///
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Lands Now or Formerly of it / /1 .-:.--- /// ///
Alicia C. Constantino, Trustee �J ,w wo°/ I/1/ , ,,5".s,\,,.
e;� / (r I l l l/Wood Frame Garage
Book � 1 � 0 ))//\'e� \� / I111i`111I (moi)
740 Page 91 O• ry ))/ / \ / 1 ,H 4 H I
, b l \\\ Lands Now or Formed of
318.8-1-8 & 7 ,1` 4. 4� / //f jrir Wood �\\,\
I I�1�1I Y
/ //// / Stairs \\1 I 1 I1 David L. Bogue & Brian Bogue
PERMIT PLAN „� 1// / � / \\\ I
1 " / •
I HAVE PERSONALLY MEASURED THE;DISTANCE _ 4z7/ 1 I 1! Book 1350 Page 178
FROM THE PROPERTY LINES TO TH / 7a— / �/ 315.8-1-4
0/
.00nancr�n CTRI I('TI IPF-1S1 nR ;IGN('. / ry .