94-525 BUILDING PERMIT
TOWN OF QUEENSBURY No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to l TC_MCC- l,0(1)C-4 f--
OWNER of property located at ex j 6)9< d.sl J, ) , (9• Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ar-noI1 T1 on..-
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
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2. CONTRACTOR or BUILDER'S Name
l m 5 rin
3. CONTRACTOR or BUILDER'S Address
rJi s5cr Dr., q ue c4ib lrci -►)`i,.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
No.
8. Proposed Use
r JE 11)C 11//Cu_ 11- A 3 ' b1 ,
$ <-17C0 Ce PERMIT FEE PAID -THIS PERMIT iliandaCt I q 19 q5
(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 /5" Day of..�dE f2±U)Li.I.'L 19 q'14 k�
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SIGNED BY / for the Town of Queensbury
Building and Z ing Inspector
TOWN OF QUEENSBURY
101141,
APPLICATION FOR DEMOLITION PERMIT
DATE: 9 /-S ?9 FEE PAID: 60, 00
INSTRUCTIONS FOR COMPLETING THIS APPLICATION
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1. All applicable spaces are to be completed.
SEP ,Bd 2. Two plot plans are to be submitted, drawn to scale, showing:
ReCel°$., ,ion on a. Lot boundaries, with dimensions and adjacent roads and streets.
Queen 1 b. All existing structures, indicating which are to be removed.
F31+_ • c. Location of all utilties.
3. Fee submitted per current fee schedule.
OWNER OF PROPERTY: e/yd2 t E ria Cei
P.O. ADDRESS: /?D / & /2&? /2J'f'5 TEL: 6s4"9875'
PROPERTY LOCATION: isd'eAi,44,/ m/'%? - diteohr kezi TAX MAP #: P / / ''f
Person Responsible For Work: /om 401cinf Tel : 79 575,
Address: 0 C 4c6oi'2/;
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? Scei2/c1aA —
4)o.,/e.a-4 ,14 /2,1&4
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One):
esi ence Garage Storage Business Other
Have all utilites been disconnected? Electric ,X Propane x Water X
Size of Building(s) :
1. L729 ft. x 30 ft. Location on property foal/i ead/tzv- -
2. ft. x ft. Location on property
3. Number of Stories: / z AS:id
4. Foundation Type (Circle One): Eon Cellar Crawl Space Slab
Foundation Will Remain Be Removed
5. Another Structure Will o)( Will Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT: C /�7
qua
Own r, Owner' s Agent, Architect, Contractor
�� TOWN OF QUEENSBURY
w� 4%1 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
f'1
DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVE : - 4 '(� '.P
NAME
LOCATION
v
DATE ) '- l4 (4 W PERMITI CI 4 =)(-
TYPE OF STRUCTURE
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 RAILI GS
RELIEF VALVES
FURNACE/HOT WATER OPERAT 'G
INTERIOR TRIM/PRIVAC •O••S
FINISH FLOORS:
BATH/KITCHEN ATERTIGHT
OTHER F •'•S SWEEPABLE
OTHER OORS CARPETED
STAIR 'LEARANCE/RAILINGS
SMO DETECTORS
B. HROOM FANS
:LUMBING 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
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CJ�,Y� TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST F
ORINSPECTION RECEIVED Cl /30 I q't.4
NAME 1l}u 1' I Gt- L
LOCATION (1aArtniby 4)1.---
DATE a 04 14-( PERMIT I
TYPE OF STRUCTURE \`pk4-jT--
RECHECK I APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR F( M
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESRONSIBL
FOR PROVIDING PROTECTIOI FRo;
FREEZING FOR 48 HOURS F( LI; ING
THE PLACEMENT OF THE CONC' TE.
MATERIALS FOR THIS PURPOSFVN SI
FOUNDATION/WALL POUR .
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING'
BACKFILL APPROVAL N
ROUGH PLUMBING
PLUMBING VENT/VENTS;' N 'LACE
PLUMBING UNDER SLAT`
FRAMING:
JACK STUDS/HEAD.':
BRACING/BRIDGI IT
JOIST HANGERS
JACK POSTS/MA 0 BEAM
HEATING ROUGH-
INSULATION: +
FOUNDATION ALIS INTERIOR R-
FOUNDATIO WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILIN R- r
DUCT WiRK OR PIPING IN UNHEATED
SPACES
REMARKS:
k.) t.--‘..A..- 4.‘ ' ‘..-Cr__CL"\---VACilitabz5
VNbC t
ARRIVE 7 120
DEPART 22.
INSPECT
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