DEMO-000625-2017 TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: DEMO-000625-2017 Date Issued: Thursday, June 7, 2018
This is to certify that work requested to be done as shown by Permit Number DEMO-000625-2017
has been completed.
Tax Map Number: 289.11-1-29
Location: 7 GLEN HALL DR
Owner: Frances Hannan, William Hannan
Applicant: William Hannan
This structure may be occupied as a: Demolition of portion of dock per Area
Variance approval conditions by Zoning Board of Appeals By Order of Town Board
Z-AV-56-2017 removal of a 9 ft. by 13 ft. 3 in dock extension TOWN OF QUEENSBURY
no asbestos report needed per J.O'Brien
Issuance of this Certificate of Compliance DOES NOT relieve the /J
property owner of the responsibility for compliance with Site Plan, �d
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 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: DEMO-000625-2017
Tax Map No: 289.11-1-29
Permission is hereby granted to: Morgan Gazetos
For property located at: 7 GLEN HALL 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
Owner Name: Frances Hannan Demolition-Residential $0.00
Owner Address: 2 Sage CT Total Value $0.00
Clifton Park,NY 12065
Contractor or Builder's Name/Address Electrical Inspection Agency
Morgan Gazetos
57 Chapman ST
Ballston Spa,NY 12020
Plans&Specifications
Demolition of portion of dock per Area Variance approval conditions by Zoning Board of Appeals
Z-AV-56-2017 removal of a 9 ft.by 13 ft.3 in dock extension
no asbestos report needed per J.O'Brien
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 18,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensb beforjthee rDated at the Town o Queens /We October 18,2017
SIGNED BY: YVYYY for the Town of Queensbury.
Director of Building&Code Enforcement
- Office Use Only
DEMOLIT Permit#: UIV 6ZS- t 7
Permit Fee:$ jU L
loGcn oF(Zurrn.,hurt'
OCT 0 3 2017 Invoice:#: a360
742 Bay Road, Queensbury, NY 12804 1 H
P: 518-761-8256 www.gueensbury.net TOWN OF QUEENSBURY
BUILDING&CODES
Demolition Location: G L0J / Tax Map ID #: Z$y_ 1 _2
**ANS ESTOS REPORT IS RE ALL
DEMOLI ONS**
CONTACT INFORMATION:
• Applicant:
Name(s): wlAVO t.�Atil
Mailing Address, C/S/Z• 7- CI-- CU 1:�-T-6P .4rL111 - IJ
Cell Phone: ( 519 ) `') tt (' y? Land Line: ( 6-1 Y
Email: LK) �\0.Y\ Yl a v\ V1 u0- r✓ GO ry�
• Primary Owner(s):
Name(s): 5 �
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
• Contractor:
Business Name: '?/ �AZe-r"S
Contact Name(s): �� St
Mailing Address, C/S/Z: ►L1 AY50N Z>pL ' 1 2-
Cell
Cell Phone:_( 151..f_) U 0 -- a % "((� Land Line: _( )
Email: m 6 0 1 h 0 1✓N a4-11
61
f '' () M v>�&A-N G g Ze-1-b 5
Contact Person for Buildin _&IIIlompliance:
Cell Phone: ( � Land Line: _ --
Email:
WI d ✓ Wh 10 U'I S I�Ot ✓"OL
Demolition Application Revised June 2017
k
DEMOLITION INFORMATION:
1. Where will demolition material be disposed? 7AK� i2dYi►� �Vto�( '1
2. Type of structure to be demolished: '
a. Residence
b. Garage
c. Business
d. Storage Building D be jk ,
3. What type of utilities are connected to the structure:
a. Gas
b. Fuel Oil
c. Propane
d. Electric
e. Public Water
f. Well-Water Pump
g. Public Sewer
h. Other
i. None
4. Have ALL utilities been disconnected? Yes Nory
ADDITIONAL INFORMATION:
1. Two inspections may be required: an inspection to determine that utilities are disconnected, if
necessary, and a final inspection, after the structure is removed and the site is cleaned up and graded.
2. Twenty-four (24) hour notification is required for inspections.
Declaration: I acknowledge that no structure(s)will be removed from the parcel until the demolition application has
been reviewed and approved by the Town of Queensbury Building& Code Enforcement and Zoning Departments and a
permit has been issued.
I have read and agree,#o the above:
I
PRINT NAME:
SIGNATURE: DATE:
Demolition Application Revised June 2017
R THE 15TAN05
EP MNALLY M
LINE THE
FR
HE PRO 289.11-1-29 DEMO-000625-2017
-
L
OP RU: URV(S) ION(S)
TED:jUARCH 8, 2004 Hannan, Frances & William
6411-� 0
UE
ADJOINER'S 7 Glen Hall Drive
NATURE `ATE
HOUSE Demolition of Dock
A41MO,
h.
T CO"o'v'
OOQ
\N
V
OK�
-"'-IRF
AREA
10,856 sq� ft.
PUMP H0U5f S-(Ogl(
0.25 acres
FILE COPY
N
QV
E!"* VtOCJC W-1
0 \NP
AL
A
LOCATION OF ORIGINAL DOCK
bb
so
-(y) N ✓
025 0 a p0 0
10
(D Po551BLE
WELL 'fF5
POINT 1 5 \ �
�7T�