2002-444 I& TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020444 Application Number: A20020444
Tax Map No: 523400-227-013-0002-004-000-0000
Permission is hereby granted to: JAMES DTCTCCIO
For property located at: 6 GUNN Ln
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: MERLE FOGG JR
Demolition
COUNTRY KNOLLS Total Value
153 WOODALE Dr
BALLSTON LAKE,NY 12019
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2002-444
DEMOLITION OF SINGLE FAMILY DWELLLING AS PER APPLICATION
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 10,2003
(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 Tortrth
Queen ury; onday,June 10,2002
SIGNED BY 'C , 1 �f/ for the Town of Queensbury.
or ,Director of Buildin•I`&Co:!Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No. 62_ )
Instructions for completing the application Date: 3- 3O/0'Z
1. All applicable spaces are to be completed. I\TE.11
2. Two plot plans are to be submitted, drawn to scale, show nic
CE
a. lot boundaries, with dimensions and adjacent roads and streets. C�� j
b. all existing structures, indicating which are to be removed. IA�� 3 0 20 02
LI tit
c. location of all utilities.
3. Fee submitted per current fee schedule. TO' aF o FE ODEUR
Owner of property: kte„c Q/OCc al - Property Location: ] &UPI h 1-41-/1-Q_
l�/- � / OR7 /3-02 "
Mailing Address: 1a / Wore I l E l /� Tax Map No. Section , Block ,Lot
1.41C C7r-Ortj c rzirvsS
Person responsible for work: CtNte5 C)t(,iC-CG/o Telephone No. (18) 745= fr/Z
Mailing Address: h'I
Where will demolition material be disposed of? (it/4S /Nt c-h i lib+-Pir�
Is there any asbestos within building to be demolished? Yes / No
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 I garage storage business other MO g,k. Heave
Have all utilities been disconnected? gas , electric , propaneX , water
Size of building(s):
1. 3 r ft. by /0 ft. Location on property
2. /<) ft. by /0 ft. Location on property
3. Number of stories: /
4. Foundation type (circle one): full cellar crawl space slab
Foundation will REMAIN BE REMOVED
5. Mother structure WILL WILL NOT , replace this building.
NOTES:
Signature of Applicant:
r. owner's agent, rc tect, contractor
-1
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE\'-2)am/ P RT I'.31am/. Notes:
(518) 761-8256 Inspector's Initia s
NAME: PERMIT# l
LOCATION:( � ;�� �� c�; � INSPECT ON(date):
TYPE OF STRUCTURE: S--- ,r.,^ .1.-1-1 G --1
RECHECK
N/A .I�^� I �?
YES NO (---)MM\ ENTS
Footings/Piers c
Monolithic Pour Form
Reinforcement in Place ;c1 1/V0 i e( .�r�l
The contractor is responsible for �\ j ��
providing protection from freezing l!J
for 48 hours following the placement
of the concrete.
y)
Materials for this purpose on site
Foundation/W allpour
Reinforcement in Place l Foundation/Dampproofing Q��� \ /
Backfill Approval Plumbing Under Slab r, /��
Plumbing VentNents in Place « "
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour_
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
TOWN OF QUEENSBURY
/fft BUILDING & CODE ENFORCEMENT
i4t13 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-825
NJ
ARRIVE: DEPART: /1N)INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED•
NAME 0
LOCATION tO C';0c\'� }
( )
DATE ) 0 C1 PERMIT II � '
TYPE OF ST CTURE lTh.0�
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 REQ
OK TO ISSUE C/O OR C/C
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