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DEMO-0629-2021 Office Use Only -flE�O 0 b?.c', Z02 DEMOLITION APPLICATION Permit#: - Permit Fee: $ /1 (off Invoice#: "4lrb T 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Flood Zone? Y N Reviewed By: Demolition Location: Tax Map ID#: 37 Howard St. Queensbury, NY 12804 Tax Map ID 301.20-1-24 **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS" DEMOLITION INFORMATION: 1. Where will demolition material be disposed? Hiram Hollow Transfer Station 100 Washburn Rd. Gansevoort, NY 12831 2. Type of structure to be demolished: a. Residence X d. Storage Building❑ E C E 0 V E b. Garage © e. Other: D c. Business❑ AUG 2 4 2021 3. What type of utilities are connected to the structure: - a. Gas❑ f. Well-Water Pump ❑ TOWN OF QUEBNSI3 BUILDING&COD A b. Fuel Oil 2] g. Public Sewer❑ S c. Propane ❑ h. Other Utilities marked were previously connected. d. Electric © i. None © All utilities are currently disconnected e. Public Water 4. Have ALL utilities (water, electric, etc.) been disconnected? ' Yes® 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: Larry Clute - Preside Owner - DKC Holdings, Inc. SIGNATURE: DATE: Demolition Application Revised December 2020 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Larry Clute - President/Owner - DKC Holdings, Inc. Mailing Address, C/S/Z: 6 Holden Ave. Queensbury, NY 12804 Cell Phone: Land Line: 618-793-7277 Email: cluteenterprises@gmail.com • Primary Owner(s): Name(s): Larry Clute - President/Owner - DKC Holdings, Inc. Mailing Address, C/S/Z: 6 Holden Ave. Queensbury, NY 12804 Cell Phone: Land Line: 618-793-7277 Email: cluteenterprises@gmail.com ©Check if all work will be performed by property owner only • Contractor: (List all additional contractors on the back of this form) Contact Name(s):Larry Clute - President/Owner- Clute Enterprises, Inc. Contractor Trade:General Contractor Mailing Address, C/S/Z: 6 Holden Ave. Queensbury, NY 12804 Cell Phone: Land Line: 618-793-7277 Email: cluteenterprises@gmail.com "Workers' Comp documentation must be submitted with this application" Contact Person for any questions regarding this project: Cell Phone: Land Line: 518.793-7277 Email: cluteenterprises@gmail.com Demolition Application Revised December 2020 Nationalgrid 300 Erie Boulevard West Syracuse,New York 13202 DATE 8/19/2021 RE: Service Removal for Building Demolition. This letter is to confirm that, per your request,National Grid has confirmed electrical service and meters have been removed from 37 Howard St., Queensbury. The work was processed on work request#30436658. If you have any questions or need further assistance, please feel free to contact us at 800-260-0054. Sincerely, Lydia Styb ESR3 Customer Connections UNY nationalgrid D E CC"E I G 2 4 20' TOWN OF C,QUEENSBUOY BUILDING U'tg '0 Kate Deck From: Clute Enterprises <cluteenterprises@gmail.com> Sent: Wednesday,August 25, 2021 7:06 AM To: Kate Deck - Subject: Re: Demolition, 37 Howard St Kate, nn,,//��'' n '' II The trailer at 37 Howard is goinIN'teN u�ed9P EIS U s Trucking. BUILDING & C � . Thanks, Reviewed By, 5 Larry Date: .a S� � , On Tue, Aug 24, 2021 at 2:53 PM Kate Deck<KateD queensbury.net>wrote: Good afternoon, FILE COPY I am processing the demolition permit for the manufactured home at the above referenced address and wanted to cobfirm how the home will be removed from the parcel. If it is going to be demolished on-site, an asbestos report will need to be received by this office before a demolition permit can be issued. If it is going to be removed in one piece from the site, no.asbestos report is needed. Please let me know the process of removal so I can make note on the file. Thankyou! KATE DECK, OFFICE SPECIALIST Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 (518) 761-8256 www.gueensbur. 70WN OF QUEENSBURy BUILDING DEP 301.20-1-24 DEMO-0629-2021 Based oTMENT n our limited examination,conf lla;,` With our comments shall not be onslrceol DKC Holdings indicating the full co�ptStar e Plans and speCldf�fr CoG� 37 Howard St tvew Y with the B Removal of manufactured home 1