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2011-449 TOWN OFQ UEENSBURY w 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 ��� Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110449 Date Issued: Tuesday, July 01, 2014 This is to certify that work requested to be done as shown by Permit Number P20110449 has been completed. Tax Map Number: 523400-289-010-0001-010-000-0000 Location: 2 JAY Rd Owner: MARY E DELTRY IRREVOCABLE TRUST Applicant: 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 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&Cod: Enfo, ment Planning Board or Zoning Board of Appeals. (7./144P 00/ i/ TOWN OF QUEENSBURY 40111bi WO742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110449 Application Number: A20110449 Tax Map No: 523400-289-010-0001-010-000-0000 Permission is hereby granted to: For property located at: 2 JAY 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: MARY E DELTRY IRREVOCABLE Demolition MEGHAN DELTRY, TRUSTEE Total Value 10 PASHLEY Rd SCOTIA,NY 12302-0000 Contractor or Builder's Name/Address Electrical Inspection Agency CGM CONSTRUCTION, INC 235-0377 91 DEVITT Rd WATERFORD NY 12188-0000 Plans&Specifications 2011-449 DEMOLITION OF RESIDENCE, GARAGE& STORAGE BUILDING $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 28,2012 (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 T o ueen ry,4 / tesday,I September 28,2011 iv ii- SIGNED BY `-� i for the Town of Queensbury. Director of Building&Code Enforcement •-7� ��.7.1(.�C7FICEU, , . „ TAX ._... __.„ „ .............. NLY K MAP NO L PERMIT NO PAID ,r� FEF . 1�7 l `J L� n i Permission is hereby granted to the above named Applicant to demolish the building( �--4Hq M- ---�--•-----. described herein as set forth in the Application below. If, 4 I tJ U L6Le 1 2011 Pirectoi of Building & Codes Date TOWN OF 'QUEEN�SQ�JR�' .. .. . . . . . . .... . . .. .. ......... . . . . . . . " " - BUILD1Nn CODES • - APPLICATION FOR DEMOLITION PERMIT: Fill in applicable spaces and submit two(2) plot plans, drawn to scale, showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities. 610/4 � APPLICANT/BUILDER: ('QM C.ond44chori OWNER: Mier/ few, d- (_#( ke.//). ADDRESS: 9/ l)ev%N ,e,"( Ir✓/ �r ,v y i vy, ADDRESS: z 3-ay CO PHONE NOS. SIJ'- L 3s- -.,. .3"5-673-?-r-i- PHONE: S7d- Z8/-6 e 7, PERSON RESPONSIBLE FOR WORK: Ch,-,:f G. d PHONE: 3G S- 9'7-515— LOCATION OF DEMOLITION: - Z-Ay oapl WHERE WILL DEMOLITION MATERIAL BE DISPOSED? CDvvrl7/ 1„/ask - ASBESTOS INFORMATION: ✓ Is there any asbestos within the building to be demolished? YES NO x ✓ If YES, our office needs the following information: o Name of firm removing the asbestos: o License number of firm: o Indicate where the asbestos material will be disposed: NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s)will be demolished: RESIDENCE x GARAGE x BUSINESS STORAGE BLDG. XC OTHER ,/ Size of structure: 4-8 5- X 2Z ✓ Number of stories: Z ✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB ✓ Foundation: WILL BE REPLACED }C WILL NOT BE REPLACED ✓ StrUCtUres(S): WILL BE REPLACED WILL NOT BE REPLACED UTILITIES INFORMATION: �/ ✓ Indicate utilities for this structure: GAS ELECTRIC JC PROPANE /� PUBLIC WATER ONSITE WELL-WATER PUMP )C PUBLIC SEWER Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO NV/� Have all utiliti been disconnected: YES NO )( �L�� Ca? QUESTIONS T CALL 761-8256 OR EMAIL codesqueensbury.net SIGNAT E OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION,---/ www.queensbury.net_„_ Town Cf Qtiecrtsirrtr,y • Community 1`ei'elopment Office • 742 Bay Roeifi, QIrecitsbitr•If, NY .1;),4()I PP' 4803CAN Demolition Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: cam/. Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspect° s Initials: . . ► NAME: )C) �'I'�4. PERMIT NO.: LOCATION: `5.( ak.1V INSPECT ON: Hi 4 Comments and/or diagram Y N N/A Gas Shut-off Water Shut-off Electric Disconnected Asbestos Removed/ Documentation "Th Property Cleaned Up and Graded Okay to Issue Certificate of Complian Demolition Inspection Report 11 27 12 MOA Parameter List. Copy tab: -------- ---------------------------------------------------------------------------------------- 168.2' Output tab: 20.0' Color/B&W: Bow Margins 17.7' Type of original: Blueprint Top: 8.8 Method: Adaptive Bottom: 8.0 Lightness: 8 Left: 8.8 Saturation: 0 Right: 8.0" Red: B Use Unprn. Area: No Green: 0 Print paper border: No Blue: 0 Quality: Normal Black level: 8 Scan Quality: Custom White level: 255 Print Quality: Normal Sharpen: Off Scan DPI: 308 dpi Blur: 8 Print DPI: 300 dpi Input size: Auto Ink Printer Original: Yes Width: 3#.7 Enhance Cray: No Height: 22.6" Descreening: No Auto Width: Yes Layout: Normal Auto Length: Yes Tiling / Paneling output size: Auto Clue marks: No Width: 34.7" Width: 38.C' Height: 22.6" Length: 50.0" AutoWidth: Yes Overlap: 8.5" Auto Length: Yes Nesting Scale: 188; Optimized: No Ualue: 188.0 ; Spacing: 0.5" SITE STATISTICS TAX MAP PARCEL 289.1-1-10 ZONING: WR DISTRICT SITE AREA: 0.36 ACRES (15,530 of) SITE UTILIZATION EXISTING PROPOSED BUILDING AREA : 1,157 of = 7.59& 2,256 of = 14.5X PAVEMENTS: 1,557 of 10.090 1,397 9f = 9.0X PERMEABLE AREA (75X MIN.) = 12,816 of = 82.590 11,877 of = 76.59& BUILDING HEIGHT = 27'- 6" - (28' MAXIMUM) TOTAL ALLOWABLE FLOOR AREA = 3,417 SF TOTAL PROPOSED FLOOR AREA = 3,322 SF BUILDING SETBACKS REAR: SIDE (NORTH): SIDE (SOUTH): SHORELINE: WATER - NEW WELL IS PROPOSED. C A A I 1 T A 1'1 k.0 r-• I-1 1 ir- r'1 REQUIRED 'EXISTING PROPOSED 30.0' 168.2' 112.9' 20.0' 0.0' 10.5' 20.0' 17.7' 17.7' 50.0' 32.0' 50.0' Printer: HP DJ T1188ps Windows driver: L.L HP Designjet T1188ps ##in Printer profile: HP DesignJet T1108ps Unprintable Area Center Top: 8.2" Bottom: 8.2" Left: 0.2" Right: 8.2" Media width: ".8" Media profile: 1888 Roll: Auto Account: Total Scan jobs: 1684 Print jobs: 7 Copy jobs: 953 Scan area: 13523.1233 sq.ft Print area: 6888.2518 sq.ft Paper area: 9002.6913 sq.ft Total Account: Total Scan jobs: 1684 Print jobs: 7 Copy jobs: 953 Scan area: 13523.1233 sq.ft Print area: 6880.2518 sq.ft Paper area: --------------------------------------------------- 9002.8913 sq.ft ------------------------------------------------------------ 2811-89-02 86:89:53 Setup tab: ------------------------------------------------------------ L.L Scanner: HP DJ T1180 MFP (1394) Units of measure: Inches Load: Center About 4.tCYcOa LLJ Q� C �4L7i Product name: Designjet Scanner System Product version: 6.2.2 Build: Build 28183 Component build: 28183 Scanner model: HP DJ T1188 MFP (1394) Scanner firmware uersion:2-8-3-883 Scanner firmware date: Dec 84 288716:17:18 -PLAN Scale: 1"=20' 9AC1A_1_IA 4 3 9 0 4 � 24 PROJECT 12 LOCATION 13 28 26 14 25 23 15 18 LOCATION PLAN C D W � w� cc 1 C\1 W o CC s a w b w x w w U Date: MAY , 2011 Scale: AS NOTED 49261--1 SHEET 1 OF 3 Q o L.L m F 4.tCYcOa LLJ Q� C �4L7i W O UWJ UJ x � w U W 1.4 U C4 m� O ar0iEf R ��a� m Z V 1 w � q U a w W w x 0 H C D W � w� cc 1 C\1 W o CC s a w b w x w w U Date: MAY , 2011 Scale: AS NOTED 49261--1 SHEET 1 OF 3 O I� C 00 N L.L m 4.tCYcOa LLJ Q� C �4L7i W UWJ UJ Q X4.9 y oS e ", v V 06 m� O ar0iEf R ��a� m Z _Z NJ N O I� C 00 N 4.tCYcOa LLJ Q� C �4L7i by , tr CMZ �_ v; X4.9 y oS e ", v O 3 4'Co. a0o ar0iEf R ��a� 3