97-248 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No 97248
TAX MAP NO. 13. -2-24 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MORRIS, EVELYN A.
OWNER of property located at CLEVERDALE RD. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a DEMOLITION OF CAMP
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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
(THOMAS ) 409 NORTH POLE RD.
MELROSE, NY 12121
2. CONTRACTOR or BUILDER'S Name
VANDUSEN, PETER
3. CONTRACTOR or BUILDER'S Address
227 SCHOOLHOUSE ROAD
WEST LEBANON, NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
DEMOLITION
l )Wood Frame ( 1 Masonry ( )Steel 1
7. PLANS and Specifications
demolition of camp as per plot plan specifications
8. Proposed Use
DEMOLITION OF CAMP
$ 20 PERMIT FEE PAID —THIS PERMIT EXPIRES May 27 19 99
(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.)
27 May 97
Dated at the Town of Queensbury this Day of
19
SIGNED BY for the Town of Queensbury
Buil ing and Zoning Inspector
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT O /
Permit No `+ C'
Instructions for completing the application Date: 1f/'
Fee Paid:
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing:
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which are to be removed.
c. location of all utilities.
3. Fee submitted per current fee schedule.
Owner of property\; Yl p(licr 1\00.r ri 5 Property Location: trey
Mailing Address: `l O° r)t~4Y' p 6LE, Tax Map No. Section , Block ,Lot
rt. ►\31
Person responsible for work:PekK Telephone No. —(1 Si
Mailing Address: -) Seel its- .&.4. . ILO
rvi a 119
Where will demolition material be disposed of?
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
* 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 \f)J) , electric If)", , propane Irv/ , water
Size of building(s): `�
1. 4l ft. by 5a ft. Location on property A YU�C
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): full cellar crawl spa slab
Foundation will REMAIN B OVED t'
5. Another structure WILL WILL NOT , replace this building.
NOTES:
Signature f Applicant:
,,. -- owner. owner's agent,architect, contractor
I.
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TOWN OF QUEENSBURY
OW
1ei1 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256 ARRIVE: J �/J
3, IO ,!`
DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS ION REQUEST RECEIVED:
NAME \� _l____-
LOCATION ag
DATE d•" - ( PDOO PERMIT I 7r_��
TYPE OF STRUCTURECO.An L\i 6Vm Call
FOOTINGS FOUNDATION BACKFILL FRA ING
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/RAILINGS
RELIEF VALVES
FURNACE/HOT WA3R. OPERATING
INTERIOR TRIM/PRIVADOOR
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILIN
SMOKE DETECTORS
BATHROOM FANS
PLUMBING 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
TOWN OF QUEENSBURY
AIL BUILDING & CODE ENFORCEMENT
t 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INS
FINAL INSPECTION PO
!i PIPTIS TPASs -
DATE INSPECTION REQUEST RECEIVED:
NAME HoRRI6
LOCATION _CLOE 4 E. RD
Z "c57"' 1
DATE ,"- 9 PERMIT #
TYPE OF STRUCTURE DEMD OF aRMP
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINI
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 REO.
FINAL SURVEY PLOT PLAN,
,IIF REQ
OK T2—W �.i:E� N(//(
Q4(), c c- 1 eL 11 7(.s
P`� k.x..) (5 8)761-8256
; '"&?TOWNFGEENSBURY"` T n
BUILDING & CODE ENFORCEME
742 BAY RD., QUEENSBURY NY 12804�
INSPECTOR'S REPORT: ARC 'Lj/DEPARtE3.- N
REQUEST FOR INSPECTION RECEIVED: 1
NAME ‘', e,1
LOCATION
DATE 5'J' -el PERMIT I 7_a t/
TYPE OF STRUCTURE: ' inc
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
f _
THE CONTRACTOR IS RE SIBLE FOR
PROVIDING PROTE TION M FREE INe
FOR 48 HOURS FOLLOWING HE P E
MENT OF THE CONCRETE. - ,
MATERIALS FOR THIS PUR OSE ON ITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE 1- -
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS I ' PLACE _
ROUGH PLUMBING _
PLUMBING UNDER SLA'
FRAMING:
JACK STU, /HEADERS
BRACING/:RIDGING
JOIST H, GERS _
JACK POTS/MAIN BEAM
AIR INFILTRATIoN BARRIER
HEATING ROUGH IN
INSULATION:
FOUNDATI' WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- -7
WALLS R-
CEILING R-
DUCT WO•K OR PIPING IN
UNHEATrD SPACES R-
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ND: MAY 1 9 1997
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BUILDING AND CODE
BATHE Y P/N
? FENCE POST
ELas per MAP REF Ne 2
W. J. ROURKE, ASSOCIATES
*< a Se* Licensed Land Surveyors
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10264 Saratoga Road
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SOUTH GLENS FALLS NY 1,)80'
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