93-128 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 71-4?"-.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to /2Ij6".4/AE'.4 . j13,e,e3r9•Q/9-
OWNER of property located at C'L.flli-�[� Street,Road or Ave.
in the Town of Queensbury,To Construct or place a int>L/770✓
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
2. CONTRACTOR or BUILDER'S Name
- / '/at/7GS �-
1-6wi 1-?d e'onsfrzecio.)
3. CONTRACTOR or BUILDER'S Address
1 jr /-40 .5 fzt r/0-
4uee/'2s 6 y /VV
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
40
4t" )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
—r»,0///7or) v ?6' .r3 ' 5ede/Ice c1,7d
No. p 'y.7l�f /7 Ia ) £fr?d C[pp/'caiiem,
8. ProposedKe
Usk rYLOYttf #1^
$ a0,n PERMIT FEE PAID —THIS PERMIT EXPIRES /9/Ri1- 2 3 19 954
(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 Day o /9PA2 [- 19
SIGNED BY for the Town of Queensbury
Building and Zoni nspector
4111116. UETOWN OF �C2 ENSB UR Y
APPLICATION FOR DEMOLITION PERMIT
w OF QUEENS,
DATE: 4,i,e, 03 ,'9 FEE PAID: AO RECEIVED
INSTRUCTIONS FOR COMPLETING THIS APPLICATION APR ' 1993
1. All applicable spaces are to be completed.
& CODE DEPT.
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 utilties.
3. Fee submitted per current fee schedule.
OWNER OF PROPERTY: `' ,L`,htz ,; gxL/A4 ;71eAz
iev
P.O. ADDRESS: TEL:
PROPERTY LOCATION: �'L� 9� TAX MAP #: / S
Person Responsible For Work: Trm.0E _)L, ,,M2 Tel : 7.r3-6 7
Address: 8&x/wo s.77,,c i ��<.�,�-�� iv i ec 4
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? o 14.4,E de..),,A/ry
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One) :
Residences Garage Storage Business Other
Have all utilites been disconnected? Gas Electric X Propane Water
Size of Building(s) : f/a ' fc /6)4a.'6.140,w- r ei . ' -`'. 4, r'"" /4"E'll")
1. 2 4 ft. x 38 ft. Location on property
2. pi ft. x 20 ft. Location on property
3. Number of Stories: E A
4. Foundation Type (Circle One): Full Cellar Crawl Space) Slab
Foundation Will Remain Be Removed
5. Another Structure Will )( Will Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES: p
SIGNATURE OF APPLICANT: /.� 1cz,9/444,tel
Owner, 6wner' s Age nf Architect, Contractor
TOWN OF QUEENSBURY
531 BAY ROAD
.A11
QUEENSBURY, NEW YORK 12804
NON— TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ,//iii'/ �C, .
LOCATION C/,.c, '/ i;'
DATE 0 /17.9 PERMIT! g3-al
TYPE OF STRUCTURE 4 _ )
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ QDROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION _WOSTOVE/FIREPLACE _
REMARKS
' APPROVAL
N/A YES NO
_°
CHIMNEY HEIGHT/LOCATION f'
PLUMBING VENT ,-
B VENT/LOCATION
ROOFING
SIDING
DECK/PORCH/STEPS/RAI4INGS 1
RELIEF VALVES i '.
FURNACE/HOT WATER OPE'ATIC
BASEMENT INSULATION/D . T IRK
INTERIOR TRIM/PRIVACY $0'RS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPAB '
OTHER FLOORS CARPETEI •
STAIR CLEARANCE/RAILIS
HANDICAPPED ACCESS
SMOKE DETECTORS f
BATHROOM FANS/WHOLEH6USE FA
ALL PLUMBING FIXTURdS OPERAT, G
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATAON
FIRE/DEMISE WALLS/
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: L 3 i
4_,_ ,,x, ,_ ga.4,e
ARRIVE -3'2.°
DEPART J /V
INSP OR
tfiffe Gq0P-647
60'
9e)
2 -1 /1.)
96.1 IV OF QUEENSbL
RECEIVED
APR 1993
& CODE DEPT.
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5,444,4,71 ce.-77,06.4 life 9 5 r
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