92-359 BUILDING PERMIT
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TOWN OF QUEENSBURY "
No. 92-359 A'
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Haanen Engineering c
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OWNER of property located at 253 Bay Road Street, Road or Ave. IV
in the Town of Queensbury,To Construct or place a Demolition of Garage
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Al
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48 Mi ncrest Drive
Queensbury, NY 12804
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2. CONTRACTOR or BUILDERS Name �,
Mike Haanen i
3. CONTRACTOR or BUILDER'S Address la
4. ARCHITECT'S Name N
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5. ARCHITECT'S Address a
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( ) 0
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7. PLANS and Specifications -4,
No. 16' x 24' Demolition of Garage as per plot plan specifications i
and application a
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8. Proposed Use
Demolition of Garage
Another structure will not replace this building
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 22, 19 93
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this Da f June. 19 92
SIGNED BY ? for the Town of Queensbury
Building and Zoning I or
0111a TOWN OF U .
Q EENS B UR Y
wm f GOWN OF QUEENSBUh
�jj``� APPLICATION FOR DEMOLITION PERMIT RECEIVED
DATE: 6/18/92 FEE PAID: $20Alp 19 1992
INSTRUCTIONS FOR COMPLETING THIS APPLICATIt 4_DG. & CODE DEPT.
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing:
a. Lot boundaries, with dimensions and adjacent roads and streets.
b. All existing structures, indicating which are to be removed.
c. Location of all utilties.
3. Fee submitted per current fee schedule.
OWNER OF PROPERTY: Donna L, Haanen
P.O. ADDRESS: 48 Wincrest Driver Queensbury, NY TEL: 793-0383
12804
PROPERTY LOCATION: 253 Bay Road, Queensbury TAX MAP #:/6 7/ )/
Person Responsible For Work: Mike Haanen Tel : 793-7444
Address: c/o Haanen Packard Machinery, 253 Bay Road, Queensbury
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? Town Landfill
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One) :
Residence rage Storage Business Other
None Present
Have all utilites been disconnected? Gas Electric Propane Water
Size of Building(s):
1. 16 ft. x 24 ft. Location on property See attached Site Plan
2. ft. x ft. Location on property
3. Number of Stories: 1
4. Foundation Type (Circle One): Full Cellar Crawl Space Slab'
Foundation Will Remain Be Removed X
5. Another Structure Will Will Not x , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT: ((/
Owner, Owner s Agent, Architect, Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Ma (dinr/X,21In.�r
LOCATION 5:' t; l i 4
DATE___a_7 t- �1 PERMIT # 9 �f
TYPE OF STRUCTURE 4,9-2-e p iri4Ale
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PUtPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PWE
FOUNDATION/DAMPROOP4pG
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS! IN PLACE
PLUMBING UNDER SLAIN
FRAMING:
JACK STUDS/HEAD S
BRACING/BRIDGIN
JOIST HANGERS
JACK POSTS/MAIM/ BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WAL S INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS ' R-
CEILING R-
DUCT WORK OR ;PIPING IN UNHEATED
SPACES
REMARKS:
44e0-'r C /1
ARRIVE
DEPART
______ IN
'OWN OF
RECEIVED
JUN 19 1992
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