2002-067 1�` TOWN OF QUEENSBURY
cow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020067 Application Number: A20020067
Tax Map No: 523400-239-019-0001-001-000-0000
Permission is hereby granted to: JOHN & DIANE MATTHEWS
For property located at: 18 CEDAR POINT
in the Town of Queensbury, to construct or place
at the above location in accordance with 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. Type of Construction Value
Owner Address: JOHN & DIANE MATTHEWS Demolition
3219 STATE RTE 9L Total Value
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-067
DEMOLITION OF GARAGE AS PER APPLICATION
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,January 30,2003
(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 • ref Quee bury; Wednesday,January 30,2002
SIGNED BY for the Town of Queensbury.
Director of Buildin &C e Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT �(07
Permit N
Instructions for completing the application Date: — 3---
Fee Paid:
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showin
ecelvED
a. lot boundaries, with dimensions and adjacent roads and streets
b. all existing structures, indicating which are to be removed.J4ii $ n
c. location of all utilities.
3. Fee submitted per current fee schedule. TOWN OFFUft.Ofir; I .�tNSS
s URY
--T�-� --..'4D CO
Owner of property: Z.r« i A j-r rt/Icc.> Property Location: 0'4d )°T
Mailing Address: ?2(et /er qt.- Tax Map No. Section , Block ,Lot
44tf-,, gr ei 6
Person responsible for work: 7,,, ipp rrrrK4c.S Telephone No. ft i-,0,tyjcz 3
Mailing Address: 3 2(i ,'e r /t_
0-e,.e 4 A.4 ei
Act
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Where will demolition material be disposed of? -Pv.4,0005 00.4, --
Is there any asbestos within building to be demolished? Yes I No X{
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:
Previous use of building (circle one): residence garage storage business other
Have all utilities been disconnected? gas , electric , propane , water A/Pt 6
Size of building(s):
1. 2.4i. ft. by J4 ft. Location on property 37 /14115-5 n
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): full cellar crawl space slab
Foundation will REMAIN BE REMOVED x-
5. Another structure WILL 'x WILL NOT , replace this building.
NOTES: ,� /
Signature of Applicant:)t14'/
))"owner, owner's agent,architect, contractor
TOWN OF QUEENSBURY
illak
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: •g'?INSP:
FINAL INSPECTION REP T
COMMERCIAL MULTIPL UNELL 0
(hotel, motel a t. plex)
DATE INSPECTION� � REQUEST RECEIVED: _
NAME j( `'N1 A r .
LOCATI Q-
DATE S 6 3 PERMIT H y�
TYPE OF STRU TUBE 17h'��.c) f GaNy.,
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FOOTINGS _BACKFILL FRAMING PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
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