1999-691 TOWN OF QUEENSBURY
T x 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: 99691-8105 Date Issued: Tuesday, March 22, 2022
This is to certify that work requested to be done as shown by Permit Number 99691-8105
has been completed.
Tax Map Number: 308.8-2-35
Location: 35 EISENHOWER AVE
Owner: DONALD GALE JR
Applicant: Clute Enterprises, Inc.
This structure may be occupied as a: Removal (relocation) of manufactured home
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the --_- ::G C
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.
,
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 99691
TAX MAP NO. 120 . -1-60 . 59
Permission is hereby granted to GALE, DONALD, JR.
Owner of property located at 35 EISENHOWER AVE.
in the Town of Queensbury,to construct or place a REMOVE MOBILE HOME
at the above location in accordance to 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.
Owner's Address:
17 TRAVER ST.
GLENS FALLS, NY 12801
Contractor or Builder's Name:
CLUTE -ENTERPRISES, INC.
Contractor or Builder's Address:
13 DAWN ROAD
QUEENSBURY, NY 1.2804
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
REMOVE MOBILE HOME FROM LOT. TO BE MOVED TO MINNESOTA AVENUE AS
PER APPLICATION-SEE PERMIT #99-693
Proposed Use:
REMOVE MOBILE HOME
$ 20 PERMIT FEE PAID THIS PERMIT EXPIRES November 9 2001
(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 Town of Queensbury this 9 Day of November 1999
SIGNED BYE `� ,. for the Towns of Queensbury
Code Enforcement cer
TOWN OF QUEENSBURY,
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT gt
Permit No.
Instructions for completing the application Date: —0 L
Fee Paid: c .Oo
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing: T
a. lot boundaries, with dimensions and adjacent roads and streets. I5 1 D
b. all existing structures, indicating which are to be removed.
c. location of all utilities. E,®1' 4 1 9
3. Fee submitted per current fee schedule.
AND CODE. k /L
Owner of property: Property Location:
Mailing Address: Tax Map No. Section , Block I , Lot (00. S`j
Person responsible for work: L_C c L1 Telephone No. ' 1 3 ?a"a1
Mailing Address:
Where will demolition material be disposed of? 1 I
Is there any asbestos within building to be demolished? Yes / No
If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of:
NAME OF FIRM LICENSE NUMBER
LOCATION WHERE ASBESTOS WILL BE DISPOSED
* A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS.
The following building(s) located on property described above are to be removed: c, rd
Previous use of building (circle one): esidence garage storage business other
Have all utilities been disconnected? gas X' , electric < , propane , water )c
Size of building(s):
1. t`4 ft. by .70 ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): full cellar crawl space slab .J f
Foundation will REMAIN BE REMOVED
5. Another structure WILL WILL NOT , replace this building.
NOTES:
Signature of Applicant:
owner, owner' agent,architect, contractor