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DEMO-0630-2023
G.1 ' Office Use Only / DEMOLITION APPLICATION Permit#: t ram,® 0 (a O - 2026 I*, Permit Fee:$ 1 QT Town of Queensbury Invoice#: 742 Bay Road,Queensbury,NY 12804 c 2 *••_Zone? Y N Reviewed By: kg P:518-761-8256 www.queensbury.net L, [_ p / SEP� 19 ?023 Demolition Location: 0 8Q i' , ,�,h- _ a • s ID #:25 — — :��e B.IL;NG . i.SBU.Y AN ASBESTOS RE _ e UIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where will demolition material be disposed? ly9 C4-P PlkoT- 2. Type of structure to be demolished: a. Residence d. Storage Building b. Garage e. Other: JC CA NO p y c. Business 3. What type of utilities are connected to the structure: a. Gas f. Well-Water Pump b. Fuel Oil g. Public Sewer c. Propane h. Other d. Electric X i. None e. Public Water 4. Have ALL utilities (water, electric, etc.) been disconnected? Yes No ADDITIONAL INFORMATION: 1. Two inspections are required: an inspection to determine that utilities are disconnected, 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. 3. Workers' Comp insurance information is required to be submitted with this application. 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 to the above: PRINT NAME: PAt-12.G K g EG,4-A/17 SIGNATURE: DATE: /Z1/Z`3 Demolition Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): PnTR'G ye- 15 ELANt7 Mailing Address, C/S/Z: 79 Sc i, e-t 1 rot IL, 6214e42,16 bury hey Cell Phone: 5I8'2,60-2.gW Land Line: $ /k'792- 2..G30 Email: ?bGla.nr(top Q CA CL.Ca, ' • Primary Owner(s): Name(s): PgAsi A.tr i $ ' F-;5A A- 6/30ne= C1r1 Mailing Address, C/S/Z: 7D. goy' y2 row atkeG,vstir - V/ /280,f Cell Phone: Land Line: Email: ❑ Check if all work will be performed by property owner only • Contractor: (List all additional contractors on the back of this form) Contact Name(s): I$ 7 Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: **Workers' Comp documentation must be submitted with this application** Contact Person for any questions regarding this project: 7,/}-Tri'GI J3 eE 4L"2 Cell Phone: Pr- .02�i6 Z-WV Land Line: 57g 77Z- 2�3® Email: P/CG`mnIigo, Q 2/.Cot Demolition Application Revised June 2022 • , ® n nF p� �''N -,,,,R4 , 0 L., ..310_00-2 c''. . Asbestos Survey r.ev►,..„ c.k ,a, ,,_------ :':„...,, ..v: Dunhams Bay Fish and Game 2080 Ridge Rd Queensbury, N.Y.12804 Inspection date:7/17/2022 h as �, ,,a �j E�� . tr7 ?.:_ yi ;_� fi ;a „ . ------- -,•:t , TOWN 0 et ; BUILDING DEPARTMENT liance • Based on our limited examination,comp with our commenatnsSh d soecifications a can indicating the p Codes of full compliance with the Building New York State. Tom Callahan ITC Inspections , FILE COPY 1 Knolls Dr ` Queensbury,NY 12804 cell# 518-832-9750 253.-1-19 DEMO-0630-2023 Dunham's Bay Fish &Game Club 2080 Ridge Rd Demolition of canopy Summary of inspection At the request of Dunhams Bay Fish and Game Club an asbestos survey was performed at 2080 Ridge Rd Queensbury, NY. Scope of the Inspection/Survey is to determine if the covered area of the gun range contains any asbestos prior to demolition. While due diligence was performed no suspect materials were discovered in the area that is targeted for the demolition.The construction materials were limited to wood and a metal roof. Things to note THIS REPORT SHOULD BE MADE AVAILABLE TO ANY NEIGHBORS. THIS REPORT SHOULD ALSO BE READILY AVAILABLE AT THE LOCATION OF THE DEMOLITION/RENOVATION FOR ANY TRADES PEOPLE ENGAGED TO CARRY OUT REPAIRS OR DEMOLITION OF THE PROPERTY. Conclusion A copy of this report should be kept at the work site. . • A copy of the sample analysis is attached to this report. ,- ;--- . .4 :,...-'' • .. .. ..• k •, si . ....,,,,,,,-4 ,--C it-,,.•-.4.- '''"...- --,...--4.-,it",,,,•- - - '''-!"-?..47,1..'W. -,-- ..1,tak"• l'-':,,. .:4, ,7r- New York State,iirDeP:ertment:eft-abet4-- Division of Sagity 4ndIjOallh; -:6:-.-;-' '"."~5 License and eittgicathOle IV: • -v State ClOiaPea*Itgit 12' ...,,,:Z.,•••• -,,, - ---c'A --I•,:zt..•,....._ /. .,:...1.,.. Albany ify 1 6 2240 ...v.:v.- ,;,...., ::---.•:- yt-4-54.'?:- -,-;?`• ..',. .s--t.,.. --vt.:-, ....,34-' ;,...0:,-,_ , ---4:::-.g4-.,:s- . ,,el*"..4•;.,2,- ,,,-,,..,,,,, ,14••-•,,,...:,.- - !..)-r-: ,,.„..- ;-,i., ..,_:::..--._ .,-4,-•..,1,i,,, ,‘ et-I:ASBESTOS HANDLING LicEasw, 4.-0,--.-,,,,.-,..---,,• •••,:•., .4"..4. „...„.„..1.-- ....,,,. • ... ,•,- - - -...,;:,- I-temps:M.CatiAanidtiii TO inspecitiatCq.7"'„1'7;7.-t-.''' _(-:.isiit=-,,..'4"';FILE NUMBER: ititi.. 09425 -,6- •-:7- --,•,_---.4,..,-,..,,,g7-.P ..4 41t- ';5-----zi.--1.-? - -LICENSE NUMBERnOSVW1?Art,'-'-'11. '1 Knollslinive 4Q- 'i'q'i;-aiAtz;'rfi LICENSE CLASS:.RESTRICTED t!--•- L't.;•-•-4: - ,,,,.„ :„.1.,.. DATE OF ISSUE 01/21/422. ... . ..,._. ...,.. ,QiiefitiaburiANY 128a4 .-&.': ..C:3.1--'' i-. - F.t EXPIRATION DATE 01/3112023 „., ..,,i,,t•-, •,---- • - -i-..-1-, ...• .....,ri---&,"=",-- - %.3.-%'-4 -,-T, .,_ .;;; rprj ^'P,', ,..;'7,'"?.. 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Septic \ Pad I Tank A/C LP 1 II I \ I I � I \� LP II l f { I I LP II II 0 It Gra vel II II Parking Lot ` p II I LP LP I { I L-___ 66.6 Split Rail Fence Proposed - 130.,3'�- i a "Iron Rod Found (held) Lands Now or Formerly of J. Michael Blackburn Book 655 Page 216 253.-1-18.2 The subject parcel was split off from the remaining lands to the north by (Book 655Page 216). The description in this deed called .fora straight line from set iron pipes at the east and western limits of the parent parcel. We ha ve recovered these pipes are part of this survey. The hatched are represents an overlap created bya subsequent subdivision of the remaining lands to the north (map ref. 2) which puts an angle point in this line from an erroneous iron rod found 4.7 south of the true property line. S7603430"E 1468.48' (meas. = 1468.9) Lands Now or Formerly of J. Michael Blackburn Book 655 Page 216 256.-1-18.3 -100'Setback- ----------------------------------------------------------------------------- �_ ----------------------------------------------- ---------------------------------------------------------------------------------------- t r / t / Retaining Wall / - Building 3tor I oncrete Wall r „ / Iron Pipe Found N76034'30" W 370.60' a Book 637Page 498 I Book3.59Prge77 / r Edge of Woods �Bumz l Concrete Wall - r t I o Shooting Trap Pshootin, Trap Ama =z0.17Acres+PIO OSe4l a r Awning 24OW2 Sholing Trap r Feet = 2880 f l / r I / Well Shooting Trap --- Burm / Existing245'x 11' i Sq. Feet = 2695 f c 100'Setback l 1 v ------ ------ 110.8'+ ,I / r ' II i PI , r Lands Now or Formerly of A a+uzing 24OW2' II 1 / / Existing 245x11' ' William & Sandra Stark t 6�f I t Book 6323 Page 252 -'2� -_---------------- ------- ' 33.5't proposed j _ Gra vel - l 253. -1-22 �. ?7.2f__ -__ --------- _ J '� Edge of Woods o I / N75°5220" W 157.17(meal. 1576) `-1 "Iron Prpe Found I t I Jt I sped Iron Rod Found I (disturbed) /r o ZONINGREQUIREMENTS.' /Iron Pipe Found vQi Lands Now or Formerly of 0 Larry J Harris III tv Book 3834 Page 282 a` 100. -1-30 I Zoned..................................LC-10A i l LotSize.......................... ...... 10 acre I r Minimum Lot Width .... ..... 400' I t t Minimum Setbacks I Shed r' Front..............................100' tSide................................100, I Rear................................100, I t \Ditch Line I / (Zoning data is shown for informational purpose only. It is the I / 1 responsibility of the Owner/Builder to verify all zoning I requirement and setbacks) I Lands Now or Formerly of ` l' r w i i Karen Sommer tt DEED REFERENCE.• Book 676 Page 477 c r 253. -1-20 v II 1' 1. Conveyance to Dunhams Bay Fish and Game Club, Inc, by deed dated February 1. Boundary information shown hereon was compiled from an actual field survey conducted on Apri127, 2023. 2. North orientation and hearing base per Deed Reference 3. J Warren County tax parce1253. 4-19. 4. Thelocation of underground improvements or encroachments, ifany exist, or as shown hereon, are not certzhed There may he other underground utilities, the existence of which are unknown. Size and location ofall underground utilities must be verified by the appropriate authorities The Underground facilities Protec-Live 0rffdmza1i'on must be notified prior to conducting test borings, exc.-a vation and construction. 5. This survey was prepared without the benefit of an up to date abstract of title. 6 Reproduction or copying of this documentmay be a violation of copyrightlaw unless permission of the author and/ or c. opyrightholder is obtained 7. A copy of this document without a proper application of the surveyors embossed seal should he assumed to he an unauthorized copy. 6 ,Capped Iron Rod Found (N49 52TV, P to the comer) 12,1957, filed m the Warren County Clerks Office m February 20,1957in Book -- �l .36.3 of Deeds at page 126. I 1 -- _ 2 Conveyance to Dunhams Bay Fish and Game Cluh, Inc, by deed dated L-------------- --- 10015etback 5'e tember 24 1956 filed in the Warren Count Clerks Office on Se temher27 Stream i �/z N78°11'40" W 723.36' / Remains of Wire Fence r Lands Now or Formerly of r Randall & Joan St um voll r f Book 614 Page 181 KRISTIN M. DARRAH DATE REVISIONS RECORD/DESCRIPTION 253. -1-21 050803 DRAFTER I L1. _ ORIZED A 7ERATKON OR ADL= -N TO THIS DOCUMENT IS A � : -ATION OF SECTION 7209 SLB= SION: -F THE NEW YORE �_,TE E_ 'ATION LAW. 0 2023 Darrah Land Surveying, PLLC APPROVED.- KVD DR4FTED.• RJT CHECKED. • KUD PRO% Na. M1 SCALE: 1W -------------- DA7F: 05/03/200 1956in Book 359 of Deeds at page 77. 3. Conveyance to Dunhams Bay Fish and Game Club, Inc, by deed dated November 17,, 1980, filed in the Warren County Clerks Office on February 18, 1981 in Book 637 of Deeds atpage 498. MAPREFERENCES.- 1. Map entitled 'Map of Lands of Dunhams Bay Fish & Game Club, Inc" prepared by Wayne R. Raymond, L.S., dated August 19,1992, property of Dorm h Land Surveying, PLLC. 2. Map entitled 'Map of a Survey made for j Michael Blackburn'; prepared by Van Dusen & Steves, dated lastrevised December29, 2005, fled in the Warren County Clerks Office on February 1, 2006 as map number B-334. PREIIMINARYREVIEW Map of a BoundarySarvey Lands Now or Formerly of Dunhams Bay Fish & Game Cluh, Inc. TOWN OF QUEENS,6URY WARREN COUNTY, NEW YORK N Darrah Land Surveying, PLLC 59 Lake Avenue, Lake Luzerne, New York 12846 Voice: (518) 798-4692 or (518) 654-9416 23061-1 SHEET 1 OF 1 PROJNO.• 23061 "Wilk