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2009-404 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 k,r jm .t IFICAT'E OF COMPLI-A-N- C...r Pernut Number. P20090404 Date Issued: Tuesday, November 30, 2010 This is to certify that work requested to be done as shown by Permit Number P20090404 has been completed. Tax Map Number. 523400-290-005-0001-048-000-0000 Location. 1099 RIDGE Rd Owner.. ELIZABETH MILLER Applicant: ELIZABETH MILLER This structure may be occupied as a: Demolition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DUES NOT relieve the t owner of the responsibility for compliance with Site Plan property P ty P 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 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090404 Application Number. A20090404 Tax Map No: 523400-290-005-0001-048-000-0000 Permission is hereby granted to: ELIZABETH MILLER For property located at: 1099 RIDGE 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: ELIZABETH MILLER 1071 RIDGE Rd Demolition QUEENSBURY,NY 12804-0000 Total value Contractor or Builder's Name 1 Address Electrical Inspection Agency Plans &Specifications 2009-404 DEMOLITION OF RESIDENCE -permit is being issued with the understanding that a new pole barn may not be erected without a principle structure(house) on the property first-no inspections on pole barn without issuance of a house permit $20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 04,2010 (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 To Queens ry; , i y, September 04, 2009 SIGNED BY 'F , r. r. for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY o TAX MAP NO. PERMIT NO. FEE PAID i ii _ ,_.._._......._............:.__..... .,.,. `� Permission is hereby granted to the above named Applicant to demolish the building(s) I s; z`,: described herein as set forth in the Application below. s Director of Building&Codes Date 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. APPLICANT/BUILDER:(f6.2cw, iL OWNER: '_' •-?A'A' NA/ ADDRESS: /0 ADDRESS: PHONE NOS. l -t7 � - �tl�'ai�%4 PHONE: PERSON RESPONSIBLE FOR WORK: —PHONE: c ��_ PHONE: LOCATION OF DEMOLITION: ` 1 WHERE WILL DEMOLITION MATERIAL BE DISPOSED? t.J&_4 i%ta.•.4. P► L'Tt ASBESTOS INFORMATION: ✓ Is there any asbestos within the building to be demolished? YES NO ✓ if YES, our office needs the followiig 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'tr ust be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s)will be den olished: RESIDENCE ✓ GARAGE BUSINESS STORAGE BLDG. OTHER ✓ Size of structure: .3 6 X to ✓ Number of stories: Z vlI 6( UN ✓ Foundation e: FULL CELLAR y" CRAWL SPACE SLAB type: � ✓ Foundation: WILL BE REPLACED t/_ WILL NOT BE REPLACED ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED ° UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ._ ELECTRIC_ PROPANE PUBLIC WATER ONSITE WELL-WF;rER PUMP / PUBLIC SEWER Have you notified the Town Water Dept. for public,,rater and public sewer disconnect? YES NO N1A ir..1--- 20 n m ti -n A tt, it CD � i 3 S m H 9r' a �x. O � o n c ..F a Ln 4 �..c © ^i•qy �-- o S r�i ..F (! c } v a c� `71 DE \_ 'CUPi <j 7 P 9 _ P^1 0 x RIDGE R0AD r Oneida Corners ti ;u3ea8efp aye uo y3}ai}as saaue}s. ayl _sea uos�ad aney I}ey}juasaidai osie 1'UDWn30p sfyj uo uMoys --DID'saoual'saaa}'spam'sasnoy se vans sloofgo lie '}e aauapina MOS I"Pq m'paesasgo,3o uaas aney i„ h t�._nT �l