2014-366 `� � TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140366 Date Issued: Thursday, March 10, 2016
This is to certify that work requested to be done as shown by Permit Number P20140366
has been completed.
Tax Map Number: 523400-302-009-0001-001-000-0000
Location: 310 DIXON Rd
Owner: 310 DIXON RD. ENTERPRISE, LLC
Applicant: PAUL & TERI SCHUERLEIN
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 4 /�
1-it
property owner of the responsibility for compliance with Site Plan, , /J1 YYY I(
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
`ON 1" 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140366 Application Number. A20140366
Tax Map No: 523400-302-009-0001-001-000-0000
Permission is hereby granted to: PAUL& TERI SCHUERLEIN
For property located at: 310 DIXON 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: PAUL& TERI SCHUERLEIN
162 PALISADES Rd Demolition
BRANT LAKE,NY 12815-0000 Total value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-366
Demolition of garage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 15,2015
(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; Friday, August 15,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
f
Town of Queensbury Building & __ ,61ficetise0nly
DEMOLITION PERMIT APPLICATION Ab.
o 1 2 2 eiv�d j
NO WORK MAY COMMENCE UNTIL
PERMIT-1:§iISSUED,E. _Pemit.t o.: /q- ,
Fill in applicable
hns and submitcet ) ) t draiiim to nt6 `l �boundarieswith and adjacent roads/streets. Showallexistig uctures 9emiF_ee: t!P
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities.
Date \1a- \ t4' Demolition Location 3‘b-D1 •
TaxMaplD 3nCt.R-t- 12)) 3
Applicant n/// ae
owner �O
Lte.t-1
Address tk ‘r-Nd- Address .O ? u eS
Qvee ns\ou \-4 \ 46o-
jr�T k__JAkeNC,
Phone llah.-aaLk'a Phone S'2 ' 3to5 ' rIR+
Contact Person for Building&Code Compliance: \—\...'Rrc"C C\t1-Ot1E Day Phone: to t'Otc'Zto
1. Person Responsible for work: \-\.YANT• (Mccvne
2. Where will demolition material be disposed? '—C'%' C $5 e._t s._v4 t. .Dt tZ,
3. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begins.
a) Is there any asbestos within the building to be demolished Yes 7, 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 structure(s)to be demolished:_residencearage business storage bldg. _Other
b) Size of structure: x .G`9 sri
c) Number of stories:
d) Foundation Type: full cellar crawl space slab
e) Foundation: will be replaced will not be replaced
f) Structure(s): will be replaced )C will not be replaced
5. Utilities Information
a) Indicate utilities for this structure:
Gas Electric Propane
Public Water On-Site Well Water Pump Public Sewer
b) Have you notified the Town Water Dept.for public water and sewer disconnect? —Yes No
c) Have all utilities been disconnected? —Yes _No
6. Signatures:
Print Name: T `Ph-Ct Cxc on -
Signature: ..Gr1 _ 5t�1� `
P Date: \ .���
Town of Queensbury Building&Codes Demolition Permit 518-761-6256
Town of Queensbury Building & Code Enforcement 47u ws
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received: 3' -101,b
Name: Se hu \°n Inspected on: ,
3 I+1 .�,
Location: n Q-0G61 Arrive: u1�' ACD,p.m,
Z
Permit No.: O 14 — 31g b Inspectors Initials:
Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off
Electric Disconnected
Asbestos Removed/ Documentation
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance
Demolition Inspection_11 2012 ?-1
f
• I eq TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20140366
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
08/12/2014 Miscellaneous Demolition STAFF
Misc 2014-366
demo permit app reed&entered
08/15/2014 Miscellaneous Demolition CRAIG BROWN Staff
Approved 2014-366
zoning approved
08/15/2014 Miscellaneous Demolition STAFF
Misc 2014-366
permit issued
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LANDS N/F OF
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MAI' REFERENCES: o
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MAP OF A PORTION OF THE LANDS OF m q p z
ZENAS W. HEWITT g a N
DATED: OCTOBER 20, 1958 z z a a.
REVISED: SEPTEMBER 11, 1962 a 00
BY: JOHN B. VAN DUSEN }RD
MAP OFA SURVEY MADE FOR
REGINALD HEWITT o o
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BY: JOHN B. VAN DUSEN w
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ELEXANDER J. & MARILYN R. POTENZA ci
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