2014-597 TOWN OF QUEENSBURY
WOO742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140597 Date Issued: Monday, December 28, 2015
This is to certify that work requested to be done as shown by Permit Number P20140597
has been completed.
Tax Map Number: 523400-301-012-0003-001-000-0000
Location: 32 COTTAGE HILL Rd
Owner: MICHAEL & KAREN LEFEBVRE
Applicant: MICHAEL & KAREN LEFEBVRE
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
e:/ -
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.
0.h* TOWN OF QUEENSBURY
vrily 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140597 Application Number: A20140597
Tax Map No: 523400-301-012-0003-001-000-0000
Permission is hereby granted to: MICHAEL& KAREN LEFEBVRE
For property located at: 32 COTTAGE HILL 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: MICHAEL&KAREN LEFEBVRE
32 COTTAGE HILL Rd Demolition
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
MAC TATRO
49 BENNETT Rd
518-321-4009
OUEENSBURY NY 12804-0000
Plans &Specifications
BP 2014-597 DEMOLITION of carport
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,February 03,2016
(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 burl{;/ Tu a nary 03,2015
SIGNED BY "V for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes se Onk
DEMOLITION PERMIT APPLICATION NOV ]. 7 2c 1
eceived:
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit No.: i /1
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot 4 crP•I
boundaries with dimensions and adjacent roads I streets. Show all existing structures Permit Fee: 30 L
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities. 1, 2 /,
Date l I' b T Demolition Location 3 z 2-` 7 It r/
Tax Map ID 30/ . /2 - 3
Applicant 044-t_ /4/ Owner ave-A) L - ebh<-
Address 9 f&4' Address 3 - davi C.14,„ %'//
Aix/ ,5o'
Phone 3?1- 't' Phone -S4-330- `7/7k
Contact Person for Building&Code Compliance: Day Phone:
1. Person Responsible for work: V'L . 1 aJr)
2. Where will demolition material be disposed? /6/1'1-cut. 6 I/O".)
3. Asbestos Information: The Asbestos Removal Report must be filed with our offjpe before 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: //i0
• Indicate where the asbestos material will be disposed:
4. Structure Information
a) Indicate the structure(s)to be demolished:_residence _garage _business storage bldg. Other ge 'Por t
b) Size of structure: 45' x 2-2-
c)
-ic) Number of stories: I
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 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: m
Print Name: /V/A c.
Signature: 1-1 4_ Date: / / /
Town of Queensbury Building&Codes Demolition Permit 518-761-8256
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256
Demolition Inspection Report
Inspection request received:
Name: - RJbWZ) Inspected on:
Location: J - Ci3kfit y. W Arrive: f — a.m p.m.
Permit No.: 2019Inspector's Initials:
77.
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
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Demolition Inspection_11 20 12
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