2013-355 `eTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130355 Date Issued: Tuesday, October 29, 2013
This is to certify that work requested to be done as shown by Permit Number P20130355
has been completed.
Tax Map Number: 523400-303-016-0001-058-000-0000
Location: 446 DIX Ave
Owner: MARSHALL PROPERTIES LLC
Applicant: MARSHALL PROPERTIES LLC
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, sr 1
Variance, or other issues and conditions as a result of approvals by the ���D---iLLre✓✓ctor of BuildingCode nforcement
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: P20130355 Application Number: A20130355
Tax Map No: 523400-303-016-0001-058-000-0000
Permission is hereby granted to: MARSHALL PROPERTIES LLC
For property located at 446 DIX Ave
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: MARSHALL PROPERTIES LLC Demolition
1115 DD{Ave Total Value
HUDSON FALLS NY 12839-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-355
DEMOLITION 2 story house & garage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,August 05,2014
(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 nsbu �j M .,�. •- st 05,2013
/
SIGNED BY C,I \ for the Town of Queensbury.
Director of Building& Code Enforcement
07/3112013 15:34 Community Development (FAX)5187454437 -- ` P.002/002
r r ' �= i,1, 1
Town of Queensbury Building & Codes office use o 0 A. gil -- 1
DEMOLITION PERMIT APPLICATION Received:
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit No: / 3- 355
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot - „p
boundaries with dimensions and adjacent roads/streets. Show all a isting structures Permit Fee: .3 D
on the property and indicate which are to be demolished. Indicate on the plot plan the Pol
location of all utilities. 11
� 113 9
Date Demolition Location l�� n rk Obi
Tax Map ID / ELL
r 1 any -LLL' /
Applicant 4 t, V r I .e +ALL Owner nkiJr t`1;l l VVrz , LLL
Address 1, ) . 'i At Address 11) U IP( int-,
"...44A - s 1 IS 1 tg_confa
I is nx I Z�1
Phone I `1� �L ho/nrep' C n l/5 LgZI 1
Contact Person for Building&Code Compliance: l I f� 1. T ra VST v Day Phone:�4 `—S -
1. Person Responsible for work: I Ir I Q"e& C
2. Where will demolition material be disposed? C I +nitn CO f 1 l y ). 0 r cQf i I !
3. Asbestos Information: The Asbestos Removal Report must be filed with our o ce be are demolition begins.
a) Is there any asbestos within the building to be demolished Yes No
b) If Yes,our office need the following information:
• Name of firm removing the asbestos:
• License number of firm:
• Indicate where the asbestos material will be disposed:
4. Structure Information �/
a) Indicate the structures to be deinolishedlresidencK garage _business _storage bldg. _Other
b) Size of structure: 1-151 x3 b
c) Number of stories:e—
d) Foundation Type: _full cellar crawl space _slab
e) Foundation: _will be replaced will not be replaced
f) Structure(s): will be replaced _will not be replaced
5. Utilities Information
a) Indicate utilities for this structure:
Gas Electric Propane
Public Water DC On-Site Well Water Pump Public Sewer
b) Have you notified the Town Water Dept.for public water and sewer disconnect? _YesPC No
c) Have all utilities been disconnected Yes No ..-
6. Signatures: - _
Print Name: �.
Signature: Date: vl 1 ` 1T
Town of Queensbury Building&Codes Demolition Permit 518-761-8256
" a',�
Demolition Inspection Report ()
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:3 c 9 )am/pm
742 Bay Rd., Queensbury,ppNY "" 0�
12804ppInspector's Initials: , . .
NAME: R)C4Ai S\QQI PERMIT NO.: >' 355
LOCATION: Utz Pc-J INSPECT ON:
Comments and/or diagram
Y N N/A C —r lbw 1-{-r2 1TerYab
Gas Shut-off
72—fl-33' k
Water Shut-off
to
Electric Disconnected IL a
Asbestos Removed/ Documentation
Property Cleaned Up and Graded
i
Okay to Issue Certificate of Compliance
Demolition Inspection Report 11 27 12
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DIX
AVENUE
TOWN OF QUTEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compl'arn�
with our comments shall t be construe TOWN OF QUEENSBURY
indicatingg the plans and apetations 1 n
I
phance. win) the Uuilding Code, of
New York State. BUILDING & Co ES f
Reviewe y:
Date:
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LANDS N/F OF
BURCH
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