2013-039 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: P20130039-39651 Date Issued: Tuesday, November 17, 2015
This is to certify that work requested to be done as shown by Permit Number P20130039-39651
has been completed.
Tax Map Number:
Location: 375 Big Bay Road
Owner: Rosemary & William Threw
Applicant: Rosemary & William Threw
This structure may be occupied as a:
By Order of Town Board
Demo only TOWN OF QUEENSBURY
Demolition of 2 buildings due to fire damage
Issuance of this Certificate of Compliance DOES NOT relieve the 4
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
A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130039 Application Number: A20130039
Tax Map No: 523400-309-017-0001-013-000-0000
Permission is hereby granted to: ROSEMARY& WILLIAM THREW
For property located at: 375 BIG BAY 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: ROSEMARY&WILLIAM THREW
21 EAGAN Rd Demolition
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-039
Demolition of 2 buildings due to fire damage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, February 04, 2014
(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 b /,1Mi.
s a/ • nary 04,2013
SIGNED BY J for the Town of Queensbury.
Director of Building&Code Enforcement
TAX MAP NO.��(,I ~/-1,3 ERMIT NOE ONLY/3_b3�—FEE PAID. 1-2
Permission is hereby granted to the above .med Applicant to demolish the build'ng(s) FE �� 2013
described herein as set fo • ' - . •nbelow.
Director of Buildir"- at
APPLICATION FOR DEMOLITION PERMIT:
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot
boundaries with dimensions and adjacent roads / streets. Show all existing structures
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities.
APPLICANT/BUILDER: L J. tl' wt 'j-11ce int OWNER: L.) / /I•r4- -4
ADDRESS: �� ;c ed ADDRESS: 3-7-5 / Li (2 a
PHONE NOS. (. 15- C7�`7(, PHONE: 67/51
- CU l c
PERSON RESPONSIBLE FOR WORK:-S err-U� !J r(t A M -1-144 -J PHONE: Ce/5 - (J31
LOCATION OF DEMOLITION: 3 ) `J I3C1, �d
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? T17
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
✓ TORAGE BLDG. V OTHER
Size of structure: /Z-5 x "'ex CZ built)
✓ Number of stories: /
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB ✓
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED 7 3.O
✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED -Te), D
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC i✓ PROPANE
PUBLIC WATER r/ ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YESINO_
Have all utilities been disconnected: YES ✓NO
QUESTIONS? CALL 761-8256 OR EMAIL
codes(c�queensburv.net
/// VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.not
/`IGNATURE OF APPLICANT
.. Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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