DEMO-000011-2017 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-000011-2017 Date Issued: Wednesday, February 1, 2017
This is to certify that work requested to be done as shown by Permit Number DEMO-000011-2017
has been completed.
Tax Map Number: 302.9-1-37
Location: 1 HAROLD HARRIS RD
Owner: Sharon Sears,Richard Sears
Applicant: Richard Sears
This structure may be occupied as a: Partial Demolition of Pole Barn as a result
of a fire 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, �-Dj 4 4 t
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-000011-2017
Tax Map No: 302.9-1-37
Permission is hereby granted to: Richard Sears
For property located at: 1 HAROLD HARRIS 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
Tyne of Construction
Owner Name: Sharon Sears Demolition-Commercial $0.00
Owner Address: PO Box 133 Total Value $0.00
Glens Falls,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Partial Demolition of Pole Barn as a result of a fire
Asbestos Report Received
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,January 17.2018
(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 ex 'ration date.)
Dated at the Town o ueensb �T ue ary 17,2017
4j)
SIGNED BY: /� for the Town of Queensbury.
Director of Building&Code Enforcement
-- - . ..-v ,vwl I V i Yueenspury comm Dev
Town of Queensbur�r Building & Codes (FAX)518��s aa�a P.oa2roos
Office u—s,�a Only
DEMOLITION PERMIT APPLICATION Received
Permtt --------
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_
2e PT-
NO WORK MACOMMENCE UNTIL PERMIT IS ISSUED permtt Fee �(
i
Provide 2 plot plans drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets.
on property and Indicate which are to be demolished, Indicate the location of all utilities
Show all Misting structures
Gate %�i L�r
-- - ----yr`__ Demolition Location _- 7"
Tax Map 10
APPLICANT
Address — '" --� ---- OWNER
-j---- --
--- -- Address
–,�
Phone —_______..r.w.w_ _=
ww.
------ Phone ------
CONTACT PERSON FOR BOLDING&CODES COMPLIANCE:
------- ----
— ------Phone:
1. Person 050onslble for Work ---------
2. Where will demolitio aria!be
disposed?
3. AN bulldlnos to be demolished rooulre an snn
stns Survev
4• An b Udinsubstantial! dame ed by fire must obtain an Asbestos Removal permit from the De rtment of Labor
5. Asbestos information: The Asbestos Removal Report must be filed with our office before d9molitton begin
a) Is there any asbestos In the building to be demolished __
--Yes =..No
b) If Yes,our office needs the following information
Name of firm removing the asbestos ----Yes ----NO
License number of firm
Indicate where the asbestos material will be disposed
6. structure information
a) Indicate the structure(s)to be demolishedr
Residence --L--1G --- Business
Storage Bldg. Other
b) Size of Structure
c) Number of Stories
d) Foundation Type
e} Foundation
f) Structure(s) mf
7. 1 jjjtes!nf_ or_ m_atior► T`' /
a) Indicate utilities for this structure_j_Gas _ _ tectric
___On•slte well water pump ––_Propane _,-_'public Water __–Public Sewer
a) Have you notified the Town Water Departme'ntlor public water and sewer disconnect? _
b) Have 811 utilities n di onnected? _moi-_ Yes — ---Yes No
5i
8, ature No
l ti
Print Name: •p -7 _
Signature _ J --------— Date 1 ,� U ---------
------------------
bate ,.U4�
Town of Queensbury Building&Codes•Demolition Permit-December 2014