91-293 BUILDING PERMIT
TOWN OF QUEENSBURY X
No. 91-293
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Nancy & James Hagan N
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OWNER of property located at Cleverdale Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition
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. a+
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1. OWNER'S Address is
Box 303
Cleverdale, NY 12820
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2. CONTRACTOR or BUILDER'S Name
Same e�
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3. CONTRACTOR or BUILDER'S Address �
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4. ARCHITECT'S Name CD
5. ARCHITECTS Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
No. Demolition of 2 buildings each 14' x 22' as per application
8. Proposed Use
To reduce number of buildings an d place another structure
$ 20_00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 14, 19 92
(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 14th Day of May 19 91
SIGNED BY for the Town of Queensbury
Building Zoning Inspector
TOWN OF QUEENSBLIRY
APPLICATION FOR �/
_✓,;_>> DEMOLITION PERMIT
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DATED 5//0/q/ FEE PAID $ j0 1 Cri
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
TOWN OF OUEENSBUFO
RECEIVED
1. All applicable spaces are to be completed.
2. TWO Plot Plans are to be submitted, drawn to scale, showing: MAY 101991
a. Lot boundaries with dimensions and adjacent roads & streets
b. All existing structures, with indications as to those to be remove�I�QG. & CODE DEPT.
c. Location of all utilities
3. Fee submitted per current Fee Schedule, payable to "Town of Queensbury".
THE OWNER OF THIS PROPERTY IS: A 4A4-1 y.:3 airc/ \JAiinv_s #A h.4 IP/
P.O. Address: /'i_, it 3 U, cibi„,,,e (ia /e m/ /,5-,qa TEL. 174f-&s --362 6.
Property Location: j,ST,D,ga ��,n�/ / c*, 07%t�,ci,�,,�,i/a�,.jA./e Tax Map o./„Z / 3 / 3
Street numbei"or building lot number
Person Responsible for work VAS,., Lrs'- f/A 6'44,/
Address Stf),./ Telephone ,'0,,14 .e
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL `?Fa qe« d, A./,:fizi a,yr c•i.%.;7,.„ /0/t,.€ 5-
Previous use of building (circle one)
Residence Cdarag- Storage - Business - Other
Have all utilities been disconnected? Gas Electric/ 4 Propane Water A�� -
Size of building(s)
1. !41 ft. x `�j 2 ft. Location on property
2. /9 ft. x 'z- ft.
3. No. of Stories /
4. Foundation type (circle one) full cellar - crawl space - slab.,�I
Foundation will remain -be removed . ,S'✓:. .efil y i 0 u/f
5. Another structure will ✓will not , replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE ;� , , ,
Owner er's agent, archichec
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TORN OF QUEENSBURY
';` j OAD
QUEENSBURY,BNEW AY RYORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED /
MANE L ) Le loci/ ` i
LOCATION ` Via' ,! It,i.
DATE i// 7/Q/ PERMIT# 9/-2l/
TYPE OF STRUCTURE r i t .p 6.tt y- ' N
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUt ING :FINAL ELECTRICAL SEPTIC
INSULATION WON/STOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES _ NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT /
ROOFING
SIDING
DECK/PORCH/STEPS/RILINGS
RELIEF VALVES
FURNACE/HOT WATEW OPERATIN
BASEMENT INSULATON/DUCTWO
INTERIOR TRIM/PR VACY DOORS
FINISH FLOORS:
BATH/KITCHEN/WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS; CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED AC ESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: .f
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CLEVERDALE ROAD
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