94-142 F3
BUILDING PERMIT
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TOWN OF QUEENSBURY No. 94-142 0
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to KATHY M. GOWER
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OWNER of property located at Assembly Point Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition—Residence
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
PO Box 913
Bennington VT 05201
2. CONTRACTOR or BUILDER'S Name
Keith Harris
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) ro
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications sa
Demolition of 20 'x60 ' Single Family Dwelling as per
No. plot plan and application.
8. Proposed Use
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To make room for new single family dwelling. See BP# 94-108
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$ 20 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 22 19 95
(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 22 / Day of A ril 19 94
SIGNED BY / P for the Town of Queensbury
Building and oning In ctor
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` TOWN F QUEENSBURY
APPLICATION FOR DEMOLITION PERMIT
DATE: 21-/2_2/94- FEE PAID: AV—
INSTRUCTIONS FOR COMPLETING THIS APPLICATION ' '
e 4'1 1. All applicable spaces are to be completed. C off(9�
c id os bu y k)
2. Two plot plans are to be submitted, drawn to scale, sh 'ng: 'At
a. Lot boundaries, with dimensions and adjacent roads
b. All existing structures, indicating which are to be re
c. Location of all utilties.
3. Fee submitted per current fee schedule.
OWNER OF PROPERTY: j 'A 1-fti 1 Co ��e
P.O. ADDRESS: PQ N Co laid -1cjru--1 05Zv1 TEL boz 44 a_z_3 R
PROPERTY LOCATION: TAX MAP #: '7• / 1 / Zo
Person Responsible For Work: );, ,-rz.,. Tel :
Address: PI � &N,%��2�1 L
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? N4cyus- -1 1,.,
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One) :
12esidence Garage Storage Business Other
Have all utilites been disconnected? Gas Electric Propane Water As uF -5 /7p4
Size of Building(s) :
c xu L
1. 6reer ft. x L2 ft. Location on property
2. ft. x ft. Location on property
3. Number of Stories: I
4. Foundation Type (Circle One): Full Cellar Crawl Space Slab
Foundation Will Remain Be Removed
5. Another Structure Will ✓ Will Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT:
Owne , Owner' Agent, Architect, Contractor
7/-20
TOWN OF QUEENSBURY
531 BAY ROAD
ijk„' QUEENSBURY, NEW YORK 12804
1"==ig TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,40,
NAME `1C!7�f'�'
LOCATION j �� ed
DATE /!�,%�/ !PERMIT# P41 f46
TYPE OF STRUCTURE 1
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING /
DECK/PORCH/STEPS/RAILINGS • /
RELIEF VALVES i
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED '
STAIR CLEARANCE/RAILINGS'
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
54/t/ch'e &)4,2
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