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2001-638 TOWN OF QUEENSBURY ` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 IT* Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010638 Application Number: A20010638 Tax Map No: 523400-240-006-0001-014-000-0000 Permission is hereby granted to: DAVID & JANE HOPPER For property located at: 35 HANNEFORD Rd 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: DAVID & JANE HOPPER Demolition C/O BALMORAL MOTEL Total Value 444 CANADA St LAKE GEORGE,NY 12845 Contractor or Builder's Name/ Address Electrical Inspection Agency JACKSON DEMOLITION 374-3366 2754 AGUEDUCT Rd SCHNECTADY,NY 12309 Plans & Specifications 2001-638 DEMOLITION OF SEASONAL RESIDENCE AS PER APPLICATION; Area Variance application applied for ZBA, month of September 2001 to rebuild dwelling. $20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,August 28,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town wn of Que sbury; Tuesday,August 28,2001 SIGNED BY for the Town of Queensbury. Director of Buil &C e Enforcement TOWN OF Q UEENSB UR Y 742 Bay Road , Queensbury, N.Y. 12804-9725 Application for DEMOLITION PERMIT 4,-A3g' Permit No. 1�' Instructions for completing the application Date: --a-C3CD 1 FeeAi, ,g oa 1. All applicable spaces are to be completed. 2. Two plot plans are to be submitted, drawn to scale, showing: •.. a. lot boundaries, with dimensions and adjacent roads and streets. AUG b. all existing structures, indicating which are to be removed. 2 2 �0O' c. location of all utilities. 3. Fee submitted per current fee schedule. TOW BU G�NENs8uR�o j D CODE Owner of property: 44-fip.er, De t�1(X e ijCto _Property Location: ditiiit 1 Mailing Address: 3.5. 4I Ghei6ard all. Tax Map No. Section /9 , Block / ,Lot g Qt,eertssuvia Ny Ia,$Oy Person responsible for work: J 4..S0 h De4710J i l"t art Telephone No. S j k-37 y-3 3 44 Mailing Address: 2 7 S4 oe c1.0 G1 A. SJ.�tr ie y t N u ! 3 9 q Where will demolition material be disposed of? In CS A SI7-e- VT; SS ii r 4ertic ml 14. 1 JjJ/0 Is there any asbestos within building to be demolished? Yes / No ,k 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 d ve are to be removed: Previous use of building (circle one) residence garage storage business other Have all utilities been disconnected? gas , electric , propane , water Size of building(s): 1. 3 C, ft. by S ) ft. Location on property, c 4i4htl e4or4i V 1. 2. ft. by ft. Location on property 3. Number of stories: 4. Foundation type (circle one): full cellar ,awl space slab Foundation will REMAIN B REMOVED X 5. Another structure WILL \( WILL NOT , replace this building. NOTES: Signature of Applicant: Q4,,, ed.ir owner. owner's age t, rchitect, contractor TOWN OF BUILDING &BUILDINGAlai 742 QUEENSBURY ROAD RCEMENT QUEENSBURY NY 12804 (518) 761-8256 / ARRIVE: / 5INSP. ,DEPART; ()ALP FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING OloteL DATE INSPECTION REQUEST RECEIVED otel, apt. Compile NAME _ LOCATION DATE ) +7j PERMIT $ 04 • TYPE OF STRUC URE FOOTINGS BACKFILL FRAMING INSULATION_ PLUMBING YES NO CHIMNEY °B" VENT/HEIGHT PLUMBING VENT FIXTURES ROOFING EXTERIOR FINISH HEATING HOT WATER - RELIEF VALVES 11111 FLOORS - FOUNDATION INSULATION INTERIOR STAIRS RAILINGSfall - STOCKROOM ENCLOSURE FIRE DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS CLOSERS Ei EXIT DOOR HARDWARE EXIT STAIRS RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS - HANDICAPPED PARKING - FINAL ELECTRICAL SITE PLAN VARIANCE RE . Mil FINAL SURVEY PLOT PLAN IF RE. OK TO ISSUE C[O OR C C z Aillik TOWN OF QUEENSBURY �� c BUILDING & CODE ENFORCEMENT `-f,_i O 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: �, INSP: C '' FINAL INSPECTION REPORT DATE INSPECTION REQUEST RECEIl,(hotel,Dotel, apt p x) NAME f` LOCATION �` DATE tg PERMIT;1► /. • TYPE OF S RUCTURE �%" FOOTINGS BACKFILL FRAMING PLU BING_ INSULATION - YES NO CHIMNEY/_."_BL VENT HEIGHT PLUMBING VENT FIXTURES ROOFING EXTERIOR FINISH HEATING HOT WATER - ili RELIEF VALVES -Aft FLOORS �=6111 FOUNDATION INSULATION- -- INTERIOR STAIRS RAILINGS - STOCKROOM ENCLOSURE 1, FIRE DEMISE WALLS PENET• ONiiiill______ FIRE DAMPERS A almollil CEILING FIRE STOPPING FIRE DOORS CLOSERS t - EXIT DOOR HARDWARE EXIT STAIRS RAILS PLATFORM ELEVATOR II- HANDICAPPED ACCESS - HANDICAPPED BATHS -EN HANDICAPPED PARKING - FINAL ELECTRICAL SITE PLAN VARIANCE RE FINAL SURVEY PLOT PLAN IF RE• - OK TO ISSUE C[0 OR CSC____ -- Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: /il'(fO Building& Code Enforcement Meet: At time: jQ 742 Bay Road Queensbury, NY 12804 ARRIVE am/p : DEPART liar( am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# G b r - ( 3 T LOCATION: 3 5 _ 1 INSPECT ON(date): (l41-0Q Z.- TYPE OF STRUCTURE: °l LG ► C� . RECHECK —. Prt_ - ctZmzo 17-0r C a N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement o( of the concrete. Materials for this purpose on site Foundation/Wallpour__ Reinforcement in Place Foundation/Danipproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing • Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- _ Floors R- Walls It- 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\Buitding.Codes.Inspect on.FORMS\GENERAL INSPECTION REPORT.doc