Loading...
DEMO-000743-2016 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: DEMO-000743-2016 Date Issued: Monday,November 14, 2016 This is to certify that work requested to be done as shown by Permit Number DEMO-000743-2016 has been completed. Tax Map Number: 308.6-1-65 Location: 48 WARREN LN Owner: Michael LeBlanc Applicant: Michael LeBlanc This structure may be occupied as a: Single-wide mobile home to be removed in entirety.No demolition to be done. Single-wide to be replaced with double-wide By Order of Town Board mobile home. TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the n property owner of the responsibility for compliance with Site Plan, ZU7 X// Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enfo cement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 OL Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: DEMO-000743-2016 Tax Map No: 308.6-1-65 Permission is hereby granted to: Valued Homes For property located at: 48 WARREN LN 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 Owner Name: Michael LeBlanc Demolition-Residential $0.00 Owner Address: 34 WARREN LN Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Valued Homes 1572 Route 9 Fort Edward,NY 12828 Plans&Specifications Single-wide mobile home to be removed in entirety.No demolition to be done. Single-wide to be replaced with double-wide mobile home. $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 3,2017 (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 o ueens n AThu y er 3,2016 SIGNED BY: (AY7K(/ /VJ for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received _ DEMOLITION PERMIT APPLICATION Permit#: NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee Provide 2 plot plans drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on property and indicate which are to/ Demolition Location demolished. Indicate the location of all utilities Date _l 2,�_t L ro _ _�___ Tax Map ID _ -JO�C_6_I/-(P� _ APPLICANT ____L�C �LC��l2 �/1 L OWNER --_-_-_-_-_-_-_-_-_-_-_-_-_-_--_-_-_--_-_-_-_-_-_ Address .�L�Zile�Q,QQ„` Address �n S'h V-&--- --------------------------- Phone --- -Q-S.(--Z------------- Phone --------------------------- CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: _______________________________ Phone: 1. Person Responsible for Work Valued 7b PS 2. Where will demolition material be disposed? 41eR — 3. All buildings to be demolished require an Asbestos Survey 4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor 5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin a) Is there any asbestos in the building to be demolished ____Yes ____No b) If Yes,our office needs the following Information __-- Yes ____ No Name of firm removing the asbestos License number of firm Indicate where the asbestos material will be disposed 6. Structure Information a) Indicate the structure(s)to be demolished Residence ___ Garage ___ Business __Storage Bldg. Other b) Size of Structure D D c) Number of Stories d) Foundation Type e) Foundation f) Structure(s) 7. Utilities Information a) Indicate utilities for this structure --- Gas Electric ___ Propane Public Water ___ Public Sewer _- On-site well water pump a) Have you notified the Town Water Department for public water and sewer disconnect? ____Yes -___ No b) Have all utilities been disconnected? ,-)L Yes _ __No 8. Signature Print Name: —---------- Date ----------- ------- -- Signature: - - - --- --------------- Date _ ¢Z�t ------ Town of Queensbury Building & Codes - Demolition Permit - December 2014 � y 4 . �H"VEP,r: �yL',':�: ell y f SIGNAi RE. ' S i s � • F � p , D� 4^ i