DEMO-000058-2017 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-000058-2017 Date Issued: Wednesday, May 31, 2017
This is to certify that work requested to be done as shown by Permit Number DEMO-000058-2017
has been completed.
Tax Map Number: 240.5-1-32
Location: 2599 State Rte 9L
Owner: Harold Halliday,Lyn Halliday
Applicant: Harold Halliday
This structure may be occupied as a: Demolition of 22 x 22 st storage building
Wood structure w/metal roof,No asbestos report needed By Order of Town Board
TOWN OFQUEENSSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the r
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: DEMO-000058-2017
Tax Map No: 240.5-1-32
Permission is hereby granted to: Harold Halliday
For property located at: 2599 State Rte 9L
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
Tvce of Construction
Owner Name: Harold Halliday Demolition-Residential $0.00
Owner Address: 2599 State Rte 91, Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Demolition of 22 x 22 s.f.storage building
Wood structure w/metal roof,No asbestos report needed
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 3,2018
(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 Q ensbury; Jrk4f:or
SIGNED BY: � he Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Buil (� p �p ffice use Only
U E U V E ecelved
DEMOLITION PERMIT A u AT OC�N ermit
NO WORK MAY COMMENCE UN M1 19iSaUtaO�� ermit Fee _ 36<_ _________
TOtNN OF
Provide 2 plot plans drawn to scale,showing lot bDQift! '4d�'a ent roads /streets. Show all existing structures
on property and Indicate which are to be demoli's'ftgr—hniicate t Illti s [� a /q�
Date �_oC�_�7--- Demolition Location �S,f _ki46e „+�0
— --------------
Tax Map ID ______________
APPLICANT __�hwto__ _—_--- OWNER _ /J�lwe0 = �yN Aylio.#`/_
Address _259 R/o�c_jCa/►� Address
✓Q@NSl;v
--- --- -----
Phone -------- Phonne __/8__260 _ //g?_---------
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: ___JA
_ � Phone:
1. Person Responsible for Work 6/0'4
2. Where will demolition material be disposed? Inpoxd6 Ir or 06 ep!�AV 4A
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 —_K No 0/1/1 y7,1(q Worn iwe)AL
b) If Yes,our office needs the following information ___ Yes ____ No A04,/ co F 1we/hin f
Name of firm removing the asbestos ,U A
License number of firm /� A
Indicate where the asbestos material will be disposed �/ R
6. Structure Information
a) Indicate the structure(s)to be demolished _ _Residence —__ Garage ___ Business
_ XStorage Bldg.___Other
b) Size of Structure
c) Number of Stories
d) Foundation Type 0000 F100A
e) Foundation /t10/t/L
f) Structure(s)
7. Utilities Information NoNe
a) Indicate utilities for this structure---Gas Gas ___Electric ___Propane ___ Public Water ___Public Sewer
N
___On-site well water pump D(y e—
a) Have you notified the Town Water Department for public water and sewer disconnect? ____Yes _ _No
b) Have all utilities been disconnected? ____ Yes ____No QANI,
8. Signature
Print Name: --- -- 4--J`— Q ------------ Date ---
Signature: _________ Date ----------------
Town of Queensbury Building& Codes - Demolition Permit - December 2014
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