95-163 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95163
TAX MAP NO. 20. -1-14 No.
WARREN COUNTY, NEW YORK
PELTIER, DONALD & JANE
PERMISSION is hereby granted to
RIDGE RD.
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a DEMOLITION OF STORAGE SHED
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.
1. OWNER'S Address is
STAR RTE. ,RIDGE RD.
QUEENSBURY, N.Y. 12804
2. CONTRACTOR or BUILDER'S Name
SAME AS ABOVE
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
DEMOLITION
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
DEMOLIION OF STORAGE SHED AS PER APPLICATION
8. Proposed Use
DEMOLITION OF STORAGE SHED
$ 20 97
PERMIT FEE PAID —THIS PERMIT EXPIRES April 9 19
(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 20 D y bf April 19 95
SIGNED BY for the Town of Queensbury
Building and Z n Inspector
C y
TOWN OF QUEENSIR
0 � _ . . E 3Y
APPLICATION FOR DEMOLITI PERMIT --
DATE: 47(// 7 f s 9 /
FEE PAID: � ) 'l 3
INSTRUCTIONS FOR COMPLETING THIS APPLICATION
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. n.
OWNER OF PROPERTY: A-Lb lQ tL .Zeyt; APR 81995
P.O. ADDRESS: 1/ O D TEL: 6 ___`' =?'- :" BL' ,,
PROPERTY LOCATION: TAX MAP #: i / / /
Person Responsible For Work: D6rukar A l LA- Tel :
Address: � CO R'c/ E /0
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? s` oil AC • Zola
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One):
Residence Garage CStorage__,) Business Other
�o tlLlf�S'
Have all utilites been disconnected? Gas Electric Propane Water
Size of Building(s) :
1. / Y ft. x it/ ft. Location on propertyo2l/6d k-e 2 //j9
2. ft. x ft. Location on property
3. Number of Stories: /
4. Foundation Type (Circle One): Full Cellar Crawl Space Slab No N '
Foundation Will Remain Be Removed
5. Another Structure Will k Will Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT: -
Owner, Owner s Ag�, Architect, Contractor
TOWN OF QUEENSBURY
40111V- BUILDING & CODE ENFORCEMENT
iAm 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: /1 DEPART: ! L.' INSP: J
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSS CTIONJ REQUEST RECEIVED:
NAME / G L 776 44)
LOCATION Z4v Wit'ae; Rio
i Q�j �j�z�
DATE ///45 �� PERMIT I / /`?
TYPE OF STRUCTURE oanoH/ -
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE _
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERAT G
INTERIOR TRIM/PRIVACY 100 S
FINISH FLOORS:
BATH/KITCHEN WATE'TIGHT
OTHER FLOORS SW'EPABLE
•
OTHER FLOORS ARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
y