DEMO-000162-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: DEMO-000162-2017 Date Issued: Friday,April 28, 2017
This is to certify that work requested to be done as shown by Permit Number DEMO-000162-2017
has been completed.
Tax Map Number: 302.10-1-7
Location: 677 GLEN ST
Owner: Price Chopper
Applicant: Gralan Corporation/Citizen's Bank
This structure may be occupied as a: Removal of Citizen's Bank from Price
Chopper By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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
Q— W 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: DEMO-000162-2017
Tax Map No: 302.10-1-7
Permission is hereby granted to: Gralan Corporation/Citizen's Bank
For property located at: 677 GLEN ST
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
Tyne of Construction
Owner Name: Price Chopper Demolition-Commercial $0.00
Owner Address: 677 Glen ST Total Value $0.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
Removal of Citizen's Bank from Price Chopper
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 18,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensb re the expt/ya/{ion
/date
.)
Dated at the Town of eensbu ) (/ /puesd 8,2017
SIGNED BY: (�Vjl' �V 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 UN I Fff11M JEU61) Permit Fee Qr UU-------
DIS `"'
Provide 2 plot plans drawn to scale.showing to ries with qi err�io anlic,
nt roads/ streets. Show all existing structures
on property and indicate which are to be demos ndiAhellaG6Yibf as
Date I _
—1-5���-�--- TOWN OF QUEEIDbSSIi1f3NLoc 3tion
BUILDING& CODES /y/7
Tax Map ID ---`—�Z VrY ! (
-- — n /y, /}� / �jHICj 7
APPLICANT /lir /!I��[l�� I� C�� OWNER8��
Address 1 D1 is _IZI________777 Address
Phone ` L7�t .h.CD¢lfe_ a?'/q(� PhoneB!� � '�n•
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE:
1. Person Responsible for Work
2. Where will demolition material be disposed? E '�
3. All buildings to be demolished reguire,an Asbestos Survey
4. Any building substantially damaged by fire-must obtain an Asbestos.Removal Permit from the Department of Labor
S. 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. x Other "ViWK IW)4
b) Size of Structure
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 utili ' s been discon to ____Yes ____No
8. Signature
Print Name: [j�=f _ �[� ------------ Date _
Signature: ---------------------------------------- Date
Town of Queensbury Building& Codes •Demolition Permit - December 2014
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OWN OF QUEENSBU 1Y m 30 01
UILDING DEPARTME IT
Based o our Ilmlted exaftation c mplianoe jDESK.
with our mmenls shall n ti n trued asindicati the plans ands ti s are in MANAGER'S
full co liance with the uil in odes of OFFICEILINew rk State. ® -------- -------- --- ---------
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TOWN OF Q.0 BBUiLDING & -Revi--wed By: wDate: ' I o 60 MOcna03 - - Vd2S��j A2
D ALIGN �� " �l: 04
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_ 302.10-1-7 DEMO-000162-2017
w x i FLOOR PLAN AS �dCE�L� o2�b� GralanCorp./Citizen's Bank
677 Glen Street
IN d Al.1 SCALE: 1/4" = V-011 Removal of Citizen's Bank from R Chopper
� Z
PHONE �• FAX
(518)792-3826 (518)745-8117
Gralan Corporation
MARTIN D.GRAY
10301 STATE RTE.149
W.FORT ANN,N.Y.12827-9729
CONTRACTORS
May. 12. 201112: 35P MD[A No. 8458 P. 2/3
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�erty�s that the electrical wiling to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Price Chopper Date- 04/25/2017
Occupant: Old Citizens Bank Area 1st FI Location-
Old Upper Glen Street
Occupancy- Queensbury,Warren Co. NY
p Non-Residential
Applicant F �
Pembrook Electric Co. Inc.
42 Old Karver Road
Albany, NY 12205 ,
L J
Joseph A.Holmes
No. _000877208381EL..
Equipment:
1 -Switch; 6-Receptacles;5-Fixtures
D EC U. V1E �I
NiAY 1.5 20171 U
TOWN OF OUEENSRURY
BUILDING& CODES� .
pErno - 1 b 2--zQ
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This caniecate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the Use,occupancy or ownership
inspection. No warranty Is expressed or implled as 10 the mechanical salary.ate• of the property indicated above.this certificate shall be immediately null and void.
tienoy or£ansae of the equipment for any oaniculer purpose. This ceNflcate shall In the event that this eertlfieate becomes Invalid eased upon dict above conditions,
ha valid for a period of one year from the above noted date. Should the electrical lois Certllrcete may be revalidated upon reinspeetlon by Middle Department
system Io whim This tertiritate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspeCion must tie submitted to Middle
ed to,the introduction of additional electrical equipment andlor the replacement W Department Inspaelion Agency, Inc. to Initiate the Inspealon antl revalidation
any of the Components inslaUed es of the above holed date,this terfrficate shall be process. A tea will ba charged for thi9 service.