2000-774 TOWN OF QUEENSBURY
742 Bay Road, Quemsbwy, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
CERTIFICATE OF COMPLIANCE
Permit Number: P20000774 Date Xssued: Thursday, June 27, 2002
This is to certify that work requested to be done as shown by Permit Number P20000774
has been completed.
Tax Map Number: 523400-308-008-0002-026-000-0000
.Location: 15 DAWN Rd
Owner: VENDEE MORTGAGE TRUST
Applicant: SECRETARY OF VETERANS AFFAIRS LOAN GUARANTEE
This structure may be occupied as a:
By Order of Town Board
Demolition TOWN OF QUEENSBURY
Director of I
e ' i i d nfo
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & +Codes (518) 761 -8256
BUILDING PERMIT
Permit Number: P20000774 Application Number: A20000774
Tax. Map No: 523400- 120-000-0001-061 -022-0000
Permission is hereby granted to: SECRETARY OF VETERANS AFFAIRS
For property located at: 15 DAWN 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: SECRETARY OF VETERANS AFFA Demolition
LOAN GUARANTEE DIVISION Total Value
245 W HOUSTON St
NEW YORK, NY 1 00 1 4-4805
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
2000-774
DOUBLEWIDE MOVED TO WARRENSBURG
S20a00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 10, 2002
(If a longer period is required, an application for an extension must be made to the code Enforcement Officer
of the Town of Queenshuly before the expiration date.)
Dated at the Town of Q nsb ; f
ue y ctober 10, 2000
SIGNED BY 4 for the Town of Queensbury.
Director of Building & Code Enforcement
TOWN OF QQUEENSBURY
742 Say Road
Queensbury, N.Y. 12804-9725 2000
Application for DEMOLrrION PERMIT
Permit No 7i
lnstructions for completing the application
Fee Paid: �-
1. All applicable spaces are to be completed.
2. Two plot plans are to be submittedt drawn to scale, showing:
a. lot boundaries, with dimensi<ms and adjacent roads and streets.
b, all existing structures, indicatirtg which era to be removed,
c* location of all utilities_
3. Fee submitted per current fee schedule. proA
Owner of property: --Ge-' =aaq— 5. '-- I— IY Location- - (7L
Mailing Address: l� ��u��.. i Tax Map No. Section 2 c� , Block _. Lot (CA
Person responsible for work: �C ' ''ti �._� Telephone No.
Mailing Address:
Where will demolition material be disposed ofr
Is there any asbestos within building to be demolished? Yes 1 No
If YES, name of Firm removing asbestos from structure, license number, and where asbestos will be disposed of:
NAME OF FIRM LICENSE NUMBER
LOCATION WHERE ASBESTOS WILL BE DISPOSED
A COI"Y OF ASBESTOS REMtOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEdvtOL nON BEGINS.
Tile following building(s) located on property described above are to be removed:
Previous use of building (circle one); onresittoxice garage storage business other
Have all utilities been disconnected? gas � electric : propane water
Size of building(s):
1 . _ ft. by ft. Location on property
2. ft. by ft- Location on property _
3_ Number of stories: t
4. Foundation 1,%,W (circle one):
Foundation will REMAIN BE REN40VED
5. Another structure WILL _� WILL NOT replace this building.
MOTES:
Signature of Applicant.
owner, envner's a 'hit.rct, comraccor
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD s
i
QUEENSBURY NY 12804
(518) 761-825
ARRIVE : DEPART : INSP :
FINAL INSPECTION REPORT
W (hotel. motel. apt. complex)
DATE INSPECTION REEST RECEIVE ;
NAMEl( -
LOCATION }
DATE PERMIT I f
TYPE OF STRUCTUREV� _ {'(y�1y('�,.��1_+ n"3'
FOOTINGS BACKFILL FRAMI�Q"G" "�Li.1�16'It•R.;�"'` VYL h
INSULATION (��y
w/A� INS NO
CHIMNEY/ '" B " VENT/HEIGHT__
PLUMBING VENT,f FIKTURES
ROOFING
E�XTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOOR
FOUNDATION INBULATION
INTERIOR 'STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENE $ATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS(CLOSERS
EXIT DOOR kiARDWARE
EXIT STAIRS RAILS
PLATFORMIELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO .
FINAL SURVEY PLOT PLA IF RE
OK TO ISSUE C O OR C C