DEMO-0078-2018
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-0078-2018Date Issued: Friday, December 28, 2018
This is to certify that work requested to be done as shown by Permit Number
DEMO-0078-2018
has been completed.
303.20-2-50
Tax Map Number:
857 Quaker RD
Location:
BASF Corporation, Hercules Inc
Owner:
Jackson Demolition Services Inc
Applicant:
This structure may be occupied as a: Demolition Only (asbestos report received)
Driveway entrance is 857 Quaker Road
By Order of Town Board
TOWN OF QUEENSBURY
Requirement: Silt fence to be installed down gradient of work/demo site and shall
remain in place until all disturbed areas are stabilized, inspected and approved by the
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: DEMO-0078-2018
Tax Map No: 303.20-2-50
Permission is hereby granted to: Jackson Demolition Services Inc
For property located at: 857 Quaker 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
Owner Name: BASF Corporation Demolition-Commercial $0.00
Owner Address: 227 Oak Ridge PKWY Total Value $0.00
Toms River,NJ 08755
Contractor or Builder's Name/Address Electrical Inspection Agency
Jackson Demolition Services Inc
2754 Aqueduct RD
Schenectady,NY 12309
Plans&Specifications
Demolition Only(asbestos report received)
Driveway entrance is 857 Quaker Road
Requirement: Silt fence to be installed down gradient of work/demo site and shall remain in place until all disturbed areas
are stabilized,inspected and approved by the Town of Queensbury
$ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,March 7, 2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queejl§bury befor e e irati d )
Dated at the To of Qu e ay,March 7,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
DEMOLITION APPLICATION
Permit#: 1E'MO - 001$— 2d��
Permit Fee:
Town orQueen
V
Invoice:#:
742 Bay Road,Queensbury, NY 12804
P:518-761-8256 www.gueensbury.net
Demolition Location: e9 wan - ' Tax Map ID#: 303.20-2-60
**AN ASBESTOS REPORT IS REQUIRED WITH ALL
DEMOLITION APPLICATION SrrlF;EB
CONTACT INFORMATION:
TOWN OF QUEENSBURY
• Applicant: BUILDING&CODES ._
Name(s): Josh Frederick-Jackson Demolition Service,Inc.
Mailing Address, C/S/Z: 2764 Aqueduct Road,s&tenectady,NY 12309
Cell Phone: 518 ) 867-7289 Land Line: 518 ) 374-3366
Email: #rederick@ja&sorWenidition.com
• Primary Owner(s):
Name(s): Herculesl.LC BASF Corporation
Mailing Address, C/S/Z: 5200 EHazer Pkwy,Dublin,OH 43017 227 Oak Ridge Pkwy,Toms River,NJ 08755
Cell Phone:_( ) Land line: _( )
Email:
• Contractor:
Business Name: Jackson Demotion service,Inc.
Contact Name(s): Josh Frederick
Mailing Address, C/S/Z: 2754 Aqueduct Road,Schenectady,NY 12309
Cell Phone:_( 518 ) 857-7289 Land Line: _( 518 ) 374-3366
Email: ifrederick@jacksondemoation.com
Contact Person for Building & Code Compliance:
Cell Phone: _( ) Land Line: _( )
Email:
Demolition Application Revised June 2017
A
DEMOLITION INFORMATION:
1. Where will demolition material be disposed? Finch or Dunn Landfill
2. Type of structure to be demolished:
a. Residence
b. Garage
c. Business
d. Storage Building x
3. What type of utilities are connected to the structure:
a. Gas
b. Fuel Oil
c. Propane
d. Electric
e. Public Water
f. Well-Water Pump
g. Public Sewer
h. Other
1. None x
4. Have ALL utilities been disconnected? Yes x No
ADDITIONAL INFORMATION:
1. Two inspections may be required: an inspection to determine that utilities are disconnected, if
necessary, and a final inspection, after the structure is removed and the site is cleaned up and graded.
2. Twenty-four(24)hour notification is required for inspections.
Declaration:I acknowledge that no structure(s)will be removed from the parcel until the demolition application has
been reviewed and approved by the Town of Queensbury Building&Code Enforcement and Zoning Departments and a
permit has been issued.
I have read and agree to the above:
PRINT NAME: Josh Frederick
SIG NATURE DATE: 2/21/18
Demolition Application Revised June 2017
INSPECTION WORKSHEET (DEMO-009050-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
DEMO-0078-2018Permit
Case Number:Case Module:
Fri Dec 28, 2018Passed
Inspection Date:Inspection Status:
John O'BrienDemolition
Inspector:Inspection Type:
857 Quaker RD303.20-2-50
Job Address:Parcel Number:
Queenbury, NY 12804
Contact TypeCompany NameName
Primary OwnerHercules Inc
ContractorJackson Demolition Services Inc
Granted PermissionJackson Demolition Services Inc
Primary OwnerBASF Corporation
ApplicantJackson Demolition Services Inc
Checklist ItemPassedComments
Building Inspector NotesYES12/28/18 Demolition Approved - Ok to Issue CC !
Okay to Issue Certificate of ComplianceYES12/28/18 Demolition Approved - Ok to Issue CC !
O'Brien, John (Inspector)
Dec 28, 2018Page (1)