2002-013 TOWN OF QUEENSBURY
tojo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020013 Application Number: A20020013
Tax Map No: 523400-227-017-0001-020-000-0000
Permission is hereby granted to: MICHAEL GARGIULO
For property located at: 24 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: FIVE OAKS DEVELOPMENT L.L.0 Demolition
391 GREEN CORNORS Rd Total Value
AMSTERDAM,NY 12010
Contractor or Builder's Name/ Address Electrical Inspection Agency
DOMERS GOLDEN PROPERTIES, LLC
7358 WINDING RIDGE Rd
COLUMBUS, GA 31904
Plans & Specifications
2001-013 MICHAEL GARGIULO
DEMOLITION OF SINGLE FAMILY DWELLING(existing camp)
AV 69A-2001 Five Oaks Dev. Michael Gargiulo: Zoning Board
of Appeals approval December 19, 2001.
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,January 09, 2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at tle Tow of en u dnesday,January 09,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725 C/1�o v) -O(3
Application for DEMOLITION PERMIT
Permit No. 3
Instructions for completing the application Date: 1 4/-,G e'C (
Fee Paid:,. . G C
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing: iN
a. lot boundaries, with dimensions and adjacent roads and s
b. all existing structures, indicating which are to be removed. nr,2
c. location of all utilities. j C6 0 h
3. Fee submitted.(\current fee s heto1/4, , ---,-7. 31.3R‘I
Owner of property: cLk.= R' roperty Location: 14+nn I.�r1, L�WArcau\z
Mailing Address: \\c n•5,� \ ‘,c Tax Map No. Section , Block ,Lot
NtAcu\-e..c�.s-e-N , V*\ \\tutu
Person responsible for work: C,vv,,,'k�\ EXc.�.. ,� Telephone No. S t$ - 7cn' (- 1\
Mailing Address: (Q3 \ :, \„>ik\\\\
u,� C-41 I-i ( \ AlWS
Where will demolition material be disposed of? _...04 \\
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 garage storage business other �f\M'
Have all utilities been disconnected? gas %I N, electric , propane WN , water Y
Size of building(s):
1. 3 v ft. by s V ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type(circle one): full cellar rawl spac- slab
Foundation will REMAIN BE '+= , •VED
5. Another structure WILL )4 WILL NOT , replace this building.
NOTES: 1v ��r.4.. \k ""'CNi.4, vteV
Signature of Applican `` /47:.4 .1L �'�t,c ,.,ow agent,arcontractor
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE�7- ELECTRICAL APPROVAL
Permit No. Cert. N 2 / 9 3 9 2 Cut-in Card No.... ii-- j I,,,
Owner //c'67 ,a-'/'9-2 /1t L-a
Location V 6 u A-I-A-) , a 6d G
Insttal`lat' n Consistin of 5 7- Sze. i i /� ESL! T S
W.. / pa' Cif /�itlsj / "azi 4 SZG/� 00/9iUc
Installed By 'S Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin ' s ections at any time, and if its
rules are violated,the Company shall have the right r ke t ' icate
Date g'�6 Z INSPECTOR
Member N.F.P.A.,I.A.E.I.