2014-577 TOWN OF QUEENSBURY
FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140577 Date Issued: Wednesday, March 23, 2016
This is to certify that work requested to be done as shown by Permit Number P20140577
has been completed.
Tax Map Number: 523400-315-006-0001-037-000-0000
Location: 3 FOUNDERS Way
Owner: CYNTHIA & MICHAEL SUPRENANT
Applicant: CYNTHIA L MORRIS
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
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.
1� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140577 Application Number. A20140577
Tax Map No: 523400-315-006-0001-037-000-0000
Permission is hereby granted to: CYNTHIA L MORRIS
For property located at: 3 FOUNDERS Way
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: CYNTHIA L MORRIS
Demolition
3 FOUNDERS Way
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
CIFONE CONSTRUCTION CO. INC. PO
MATT CIFONE 361-0626
GLENS FALLS NY
Plans&Specifications
2014-577
DEMO 14'x 14' storage bldg.
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 14,2015
(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 u sbury• //F , s ovember 14,2014
SIGNED BY -------�N • �' ', for the To of Queensbury.
Director of Building& Code Enforcement
Tai in of Queensbury Building&Codes ofl;ce Use only
DEIVIOLI11ON PERMTAPPLICATION Received.
NO V'UORK MAY CONNENCE UN I1L PERMT IS ISSUI-I ) Remit No.: I <1." S7 7,
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, shoving lot oG /J
boundaries with c n ensicns and alacent reads/streets. Shaw all existing structures Perrrit Fee:
on the property and indicate which are to be demolished. Inchoate on the plot plan the
location of all utilities.
Date 10/22/14 Demolition Location 3 Founders Way Queensbury, NY
Tax Map ID 315.6-1-37
Applicant Cif one Const. Co. Inc. owner Cynthia Morris Suprenant
Address PO Box 684 Address 3 Founders Way
Glens Falls, NY 12801 Queensbury , NY 12804
Phone (518)- 792-9242 Phone (518)- 743-1884
Contact Person for Building&Code Compliance: Matt Cif one Day Phone: 361-0626
1. Person Responsible for work: Matt Cifone
2. nere will demolition material be disposed? Cassella Waste
3. Asbestos Information: The Asbestos Rerroval Report mist be filed with our office before demolition begins.
a) Is there any asbestos within the builcing to be demolished Yes Nb
b) If Yes,our mice need the following information:
Nacre of firm removing the asbestos:
License number of firm
Indicate where the asbestos rwiterial will be disposed:
4. Structure Information
a) Indicate the structure(s)to be demolished:_residence _garage business (st blorage�dg. Other
b) Size of structure: 14' x 14'
c) Number of stories: 1
d) Foundation Type: full cellar crahl space slab
e) Fourxiation _ 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
Gras V Bedric Propane
Public Water On-&te\kell Alter Purrp Public Sewer
b) I-lave you notified the Tom Water Dept for public water and sewer disconnect? Yes Nb NA
c) Have all utilities been disconnected? Yes Nb
6. Signatures:
Print Nacre: Matt Cifone
Signature: �T` Date: 10/22/14
Torn of Queensbury Bullring&Codes Demolition Permit 518-761-8256
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received: "5)'2/2-}2
Name: Inspected on:
Location: t3 \AY•)C Ai- Arrive:c
w � � �p
Permit No.: 20 1� ' `3 Inspector's Initials: m
Comments a o/or diagram
Y N N/A
Gas Shut-off
Water Shut-off
Electric Disconnected
Asbestos Removed 1 Documentation
Property Cleaned Up and Graded \
Okay to Issue Certificate of Compliance
Demolition Inspection_11 2012
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20140577
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
11/14/2014 Miscellaneous Demolition CRAIG BROWN Staff
Approved 2014-577
zoning approved
11/14/2014 Miscellaneous Demolition STAFF
Misc 2014-577
permit issued
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MAP REFERENCES:
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DATED JUNE 20, 1985
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MAP OF SECTION 6
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BEDFORD CLOSE
DATED MARCH 29, 1989
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MAP OF A SURVEY
OF SEPARATE PARCELSTOBE CONVEYED TO
NORTHERN HOMES, INC:
-
AND TO
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KATHY NAATZ
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DATED JUNE :4, 1985
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'
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TO
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