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DEMO-0462-2020 Office Use Only DEMOLITION APPLICATION Permit#:D �O (p2- 2(2 J Permit Fee:$ Town of Qucensbury Invoice:#: 742 Bay Road, Queensbury, NY 12804 P:518-761-8256 www.queensbury.net Demolition Location: _1 Orchard Dr Tax Map ID#: 296.10-1-3 **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SU CONTACT INFORMATION: AUG 1 1 2020 • Applicant: TOWN OF QUEENSBURY Name(s): David Brindle m BUILDINGCODES Mailing Address, C/S/Z: _PO Box 4179 Queensbury, NY 12804 Cell Phone: _(_631_)_258-8043 Land Line: _( Email:_david@deancolumn.com • Primary Owner(s): Name(s):_Same as above Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( Email: ►_� Check if all work will be performed by homeowner only • Contractor: Workers' Comp documentation must be submitted with this application Contact Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( Email: **List all additional contractors on the next page Contact Person for Building&Code Compliances 0,\n�\\rru4-- Cell Phone:_( )_ Land Line:_( Email: DEMOLITION INFORMATION: 1. Where will demolition material be disposed?_Inside the pool Demolition Application Revised January 2019 2. Type of structure to be demolished (check all that apply): a. Residence ❑ b. Garage ❑ c. Business ❑ d. Storage Building ❑ e. Other ❑ (describe:_Pool ) 3. What type of utilities are connected to the structure (check all that apply): a. Gas ❑ b. Fuel Oil ❑ c. Propane ❑ d. Electric ❑ e. Public Water ❑ f. Well-Water Pump ❑ g. Public Sewer ❑ h. Other i. 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. 3. Workers' Comp insurance information is required to be submitted with this application. 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: a i Bri SIGNATURE- DATE:_8/11/20 Demolition Application Revised January 2019 8/11/2020 1 Orchard Drive-Google Maps 0,...e\Aelt...1°. Google Maps 1 Orchard Drive Zr r$ '.`�a l''s--a,r i,.t ,y. iS- ,'j ..y' r ..A40 ,11 ¢.�.�, $R Q .+f.'. ,� +t nl?.`� �g.:c,•�L'a'9" ,q +m'j '�•v±r_' �.'`-}',t,�' � ` y ,�.,A... - �v t, � �Y - U. . (dam.{,. w'f4y i 1C q^ f .JT:1:.ti. e?• "'�.' -tr, -. .+' --4,1 - arr2_ 4f..�.4tA:`. (Y. O� f?-''''' `l s ck y 1-- f` eI �4.y- ..'i '` x r a �'r - _ ' i i' `' t 'p ; --,, `r"e-F-v -r ^r... : +4'1� '14` * .o ,.+ • '•••J - dy, , , ! ,:...�t'• .,..n ram' '„5•'".'.'' .%u .a..l{ -. • Jj I� ,,,, . r^ f ,y. _ � - i"a,7 7 ?r ^^,,,p'y^}x y,. > y. w >• a� _w'�,-.K?fr1 irF s'4 • o 7 '/` ?+a _?x T �,.sird+n, . M .r. }�",' '.' F }in `F • j- '�+r3 �b .. At,-:- a''dfi i .... ,i d{S r,.,.}- r! ',. .„, ,,". _..„ t x `�. � i.. 1,� _-.to,+. .@'c . c +ra ..1,-,,--...... .X' .r v 7 fr a r - w.., 6 t' .�`' /' i' "s�` r ` '�= .er K$ - a. r.' i`T ::,.,,�'a' ..... %f'r+aw ,r .writ-...,,,..1; ..- --- . • t• �M a� wrr-.*rt i w i''' l , :.1 +•. } ,• ` ♦. r�X �� I �'i 4�,}^ .� ,` �'� .�, ,ti �_F y, .� y, �}` ��y°:'' .� II r L ,p a •+�' S. r a ,.. � , d1'.'t ..:-&,:i .:' , / ate: s- r';' -1/%,, -- -:-.-,�r -D 1 ''' k 'y``. r; ?� t Yrdn tk/ -. , --- ; fi •,,i>'"�%yy tea_ Y J-,r Sf ���. r .LAN / 4. Y r , .a— ,,,gyp N 1 i •e.M+`"- - tiOt , 0, '�� moo.: ,.-> r. t 44 s•ytt` �" 'S'4� 1 , '� t a . , ( 1chT : lei ardJOnve �_' ,•t' .� ..' A z .".I. �' ,,..:3.0_,,,,,,,-,,,,ri,.. ,-=.1'..' .rya r 't. //' .5'rx '.44. r.; a • '`4, �` -i-; ✓ # x ,f s`y� ...0'„,, .' �. -.7? ` " f tJ ~+ 4 +,,. "7 ti4r *: - `r+c ''� . /rf IF.1 "•k,,,: ik l l<r'� 1 ,r. ,,u �?- $ ;-T,, 5 r • � 'z� ,"t. 1_,,, §i,�+i"` t 'c '4 . a ,. raµ F'e y� " "7� y •. 'y' a Y rfC. t a�v r �nw a tip, v �� z ag'd :�" d y, 'F ;3T * -o.w` P' � '"�'�` $ • //•f ,--. ,. f +tide ', �' Google: �.�*,� •x ,is k :b_ Map data©2020,Map data©2020 20 ft am t f+^ R-ig-t." -.....-"":4„,. -44—`p. i',.. ' *p.'"" ' .` �- R: `lyr 5� = {��; 'rpm..{ � ���:;.s+r _„ps : rEOVE y 1 - - ,,may-" r ` �` row o=QDEENSBt1RY. — .o . .1� � BUILDING& CODES a 'Am, r 1 Orchard Drive -� i 0 OF QUEE ISBURy Queensbury,NY 12804 p q DWG & CODES DEPT. Building TOWN OF OUE`r'SBURY Rene 5wd By: n.A s BUILD _ a EPART Date� ‘F r 17 0 ' 8 ='ii• ourli lit 7;e,rine ,E` f mplia («; • wi ., comma . y. let 1 straed . �-, Directions �Uldil tt�"p!he Inn r 50114edes ere Hance ! `h New York State. e 296.10-1-3 DEMO-0462-2020 Photos Brindle, David 1 Orchard Dr FILE COPYDemolition of in ground pool https://www.google.com/maps/place/1+Orchard+Drive,+Queensbury,+NY+12804/@43.3440336,-73.6723403,85m/data=13m Ill e3i4m5!3m4!1 s0x89df... 1/2