2012-407 TOWN OF QUEENSBURY
`la 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120407 Date Issued: Monday, January 26, 2015
This is to certify that work requested to be done as shown by Permit Number P20120407
has been completed.
Tax Map Number: 523400-316-009-0001-003-000-0000
Location: 5 BOSS Rd
Owner: CHERYL DANIELS
Applicant: CHERYL DANIELS
This structure may be occupied as a:
Demolition�� U('�/ �1_ By Order of Town Board
,J- TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, a
21
Variance, or other issues and conditions as a result of approvals by the
Directo •
Planning Board or Zoning Board of Appeals. : ".' : & .de :�'c: dent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120407 Application Number: A20120407
Tax Map No: 523400-316-009-0001-003-000-0000
Permission is hereby granted to: CHERYL DANIELS
For property located at: 5 BOSS 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. Tyne of Construction Value
Owner Address: CHERYL DANIELS
5 Demolition
BOSS Rd
Total value
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
MLB CONSTRUCTION
1 STONE BREAK Rd
MALTA,NY 12020-0000
Plans&Specifications
2012-407
Demolition of Single family dwelling
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 17,2013
(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 of Queensbury; Wednesday,October 17,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
q I rm r' rrra ri'. 9 7 1 l;
3i( • I -t'j OFFICE USE ONLY [y H �-
TAX MAP NO. PERMIT NO. /OP-Yd PEE PAID
r
Permission is hereby granted to the above named Applicant to demolish the building(s) L AUG 2 0 2012
described herein as set forth in the Application below.
Obvrt VI ..LLJL CPISSURY
Director of Building&Codes Date BUILDING&CODES
APPLICATION FOR DEMOLMON PERMIT: k rh — Y 'L6&4
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, howing lot
boundaries with dimensions and adjacent roads / streets. Show all existing structures , p(>7^ry
on the property and indicate which are to be demolished. Indicate on the plot plan the-4_;, ,jer
location of all utilities.
; polderToiG on
APPLICANT/BUILDER:0)1%3@i( ? an e�S OWNER: .S��-n@ �'0�"
ADDRESS: i0 R(13e LA,tle 1Oliy AU Hanot/ ADDRESS:
PHONE NOS.-1U-g1a4 c a(oo_ 1i(o9 PHONE:
PERSON RESPONSIBLE FOR WORK OIL 0(1 A/s j tCt &/ PHONE:
LOCATION OF DEMOLITION: S , -c-c IR�4
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? . R A nn .
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES NO
✓ If YES, our office needs the following information:
o Name of firm removing the asbestos:
o License number of firm: •
o Indicate where the asbestos material will be disposed:
NOTE:A copy of Asbestos Removal Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE)< GARAGE BUSINESS
STORAGE BLDG._ OTHER_
✓ Size of structure: X
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE X SLAB •
✓ Foundation: WILL BE REPLACED $ WILL NOT BE REPLACED t-J'I £ ak'Me.(
✓ Structures(s): WILL BE REPLACED y WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC PROPANE
PI IRI IC %A/ATCD X
Town of Queerisbury Building & Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received:
Name: (\ Inspected on:
Location: J ig ds s Rd Arrive: aII -
Permit No.: / a-4D'? Inspector's Initial . .47
Mo9arrz_ ce /
J Comments an an i/or diagram
Y N N/A
Ste- l <(--m 7
Gas Shut-off til&Lc)cSQ rar ?Erni C?
Water Shut-off Cl0 i_l o-4 / d -(4-I'y
Electric Disconnected
Asbestos Removed /Documentation
Property Cleaned Up and Graded f
Okay to Issue Certificate of Compliance
(fAe %e" Anme7
1 Ulr V
3c14C4A 1
Demolition Inspection_11 2012
MAP REFERENCE:
MAP OF A SURVEY OF LANDS OF
CHERYL DANIELS
DATED AUGUST 29, 2012
BY CHARLES I. NACY
DEED REFERENCE:
SANDRA L. ALLEN
TO
CHERYL DANIELS
DATED MARCH 28, 2005
IN BOOK 1437 PAGE 314
Li
z
J
K
a
3
x
x
O U
30
D us
lL
Sieves
Layid Surveyors
169 Haviland Road Queensbury, New York 12804
;518) 792-8474 New York Lie. No. 50135
w
z
r•7'+
tia
19'i.
LANDS N/F OF
LINDA CONTI
�D59'16"E
�6.
AREA tl peLeCrwc` _
14,020 SQ. FT. ox
° e
0.32 ACRES cxi
aCOO �,LS C) o
63.00
1�
A180 °S1 �511W N
i
i
i
I
'11114U1NOR1tED ALIERAnIXi ON AognCN 10 A SURWY
NAP SCARING A LICENSED LINO SURWYORS SEAL IS A
NOLANgi OF SECTON 7309. SUE-DM&ON 3. OF THE
NEW TORN STATE EDUCATION LAW.-
'oNr OWIES FR. 1NE ORIGINAL OF THIS WRAY
NM -ED
W'" AN
ONIWNAL CE THE LAND SUMYORS
SEAI SN ALL EE CONSIDERED TO BE VALID TRUE LWEV
•Ie"RCA"ONS INDICATED HEREON 9GNIFY THAT
TIIS yIRAY WAS PREPARED IN ACCCWDPNCE WIN THE
"hI.NG CODE OF PRACTICE FOR LAND SJRVEYCRS ALWTED
BY 111E NEW YCWN STATE ASSMATCN DF PROFESSIONAL
LAND SERV ORS. SND CERTMATIONS SHALL NUN ONLY
TO RIF. PERSON FOR WION THE WRIEY 15 PREPARED. AND
ON NIS BFNW TO TIE TITLE CWPANY, CAVERNMENTAL
ADEN^Y AND IENBING INSTITVITICH LISTED HEREON, AND
TO
INE AiVCNET:s W THE LENDING INSTIrvTCN.-
LANDS N/F OF
SHANE RO.S.S
i Silt :erase f.. be installs;! as noted.
t irsta!lat on muat be completed & inspected
pr c_r tc buy nrting demolition.
�4l-Bti2b
Fleas contact this Oct- to schedule :n
tr >°_I�ct an o` "ie site Mor to any demolition.
S80°5y'7611E
100
STORY 'I
WOOD FRAME
HOUSE I '
27.6 �
DECK
STO
I' \
DRIVE
� r
` o
104.00
N807_127
EXISTING CONDITIONS PLAN
Map made for
Cheryl Daniels
Town of Queensbury, Warren County, New York
316.9-1-3
FRONT 30'
SIDES 20'
SHORELINE 50'
PERMEABLE 750
FLOOR AREA RATIO = .22
EXISTING LOT STATISTICS:
BUILDING 984 SQ. FT.
PORCHES/DECKS 558 SQ. FT,
DRIVE 163 SQ. FT.
COVERAGE 1705 SQ. FT.
?.29. NON PERMEABLE
NO. I DATE I DESCRIPTION
WNER/APPLICANT
,'HERYL DANIELS
5 BOSS ROAD
=NSBURY NY, 12804
q2
liazel atr i LP
Scale 1'=20'
S-1
0
SHEET 1 OF 2
DANIELS C-2627
DWG. NO. 12083
a
0
rE�
i
ZONING INFORMATION:
ZONED WR (WATERFRONT RESIDENTIAL) f ,
MIN. LOT SIZE 2 ACRES !
✓�
MIN. LOT WIDTH 150'
MIN. SHORELINE 150'
MQ
w
SETBACKS:
FRONT 30'
SIDES 20'
SHORELINE 50'
PERMEABLE 750
FLOOR AREA RATIO = .22
EXISTING LOT STATISTICS:
BUILDING 984 SQ. FT.
PORCHES/DECKS 558 SQ. FT,
DRIVE 163 SQ. FT.
COVERAGE 1705 SQ. FT.
?.29. NON PERMEABLE
NO. I DATE I DESCRIPTION
WNER/APPLICANT
,'HERYL DANIELS
5 BOSS ROAD
=NSBURY NY, 12804
q2
liazel atr i LP
Scale 1'=20'
S-1
0
SHEET 1 OF 2
DANIELS C-2627
DWG. NO. 12083