2014-140 e TOWN OF QUEENSBURY
Foys742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140140 Date Issued: Monday, April 28, 2014
This is to certify that work requested to be done as shown by Permit Number P20140140
has been completed.
Tax Map Number: 523400-239-020-0001-004-000-0000
Location: 10 DUNHAMS BAY
Owner: DUNHAM'S BAY BOAT CO INC.
Applicant: DUNHAM'S BAY BOAT CO INC.
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
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: P20140140 Application Number: A20140140
Tax Map No: 523400-239-020-0001-004-000-0000
Permission is hereby granted to: DUNHAM'S BAY BOAT CO INC.
For property located at: 10 DUNHAMS BAY
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: DUNHAM'S BAY BOAT CO INC. Demolition
10 DUNHAMS BAY Rd Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-140
DEMO - remove roof on gas dock due to ice damage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 25,2015
(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 Town f Que sbu ; /J Fr' y,/,i d_ 25,2014
fVJ
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes officelul elonii_ L" i� ° v
. DEMOLITION PERMIT APPLICATION Receivetill
429141
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED PermitNo.:
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot I TOWN urrt.tuc iva �Rr
boundaries with dimensions and adjacent roads I streets. Show all existing structures PermitE_ee Dui (J '
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities. '' � aa
Date -1')-`\,\`-1 Demolition Location \ v �k nC Ann t f txl
Tax Map ID
Applicant Y v".. _ `Q t _'ttowner to v
Address \C> v r-\ m o f>� �`� Address \ t QV Ckb,r l`/\ �V '
Phone \-t 5S- Q-AU Phone 5lb- - $si- t! P>)
Contact Person for Building&Code Compliance:� CG >. 1 Day Phone: -3 G //
{ ) (�C-2
1. Person Responsible for work: J. G C� A_Cj C`< S
2. Where will demolition material be disposed? I SD
3. Asbestos Information: The Asbestos Removal Report must be filed with ourbefore 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
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 y�
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: qtr IA 7nb
/ l 1
Signature: �l�r N Date: 4 ` 2 ") )� C
Town of Queensbury Building&Codes Demolition Permit 518-761-8256
f,- ►dad ► ice
Demolition Inspection Report
Office No. (518) 761-8256 Date Inspec(ion request received:
Queensbury Building &Code Enforcement Arrive: /ha) am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804nn `
Inspector's Initials: ,
NAME: U) U v.'nQM SCtiir PERMIT NO.: I �7 '� /0
LOCATION: /O C) t k_s` ,_AGs.,m n1 INSPECT ON:
Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off /7
Electric Disconnected V //
Asbestos Removed/ Documentation ✓
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance
/
4,r �rr,I J fo i /c/ �l-c/mit A D-
Quted-P
Demolition Inspection Report 11 27 12