2002-313 ��` TOWN OF,QUEENSBURY
s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020313 Application Number: A20020313
Tax Map No: 523400-226-015-0001-004-000-0000
Permission is hereby granted to: THOMAS & SUSANNE IRISH
For property located at: 162 LAKE Pky
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: THOMAS & SUSANNE HUSH Demolition
3 BISHOPS Ct Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
' PRECISION CONSTRUCTION
8 CONNER DRIVE
SOUTH GLENS FALLS. NY .
I
Plans &Specifications
2002-313
DEMOLITION OF SINGLE FAMILY DWELLING AND GARAGE AS PER APPLICATION'
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,April 29,2003
(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 the of Que sbury; onday,April 29.,2002
W V :i --
SIGNED BY for the Town of Queensbury.
Director of Bulls . & I e Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT2)
Permit No. • %V d-- (3
Instructions for completing the application Date:
Fee Paid: t
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.
/6216,4 c way
Owner of property: ' 5"ft 54.5U1hut,-- Z/S`f Property Location: 64,-,e—a g,e.—/U t/. I2iV
Mailing Address: CcwW_ Tax Map No. Section l , Block / ,Lot/
4 J7 iV i2 aa6 - 15 - off
Person responsible for work-{��c�S f'ON ,/..giu ir��/o Telephone No. '7 — 2-93
Mailing Address: C6 tiNvti .3n_
4.4
Where will demolition material be disposed of? WA- 6c_ .�6-u d� ,,- �v�iz.�/3-►�� %lfPy
Is there any asbestos within building to be demolished? Yes / No G
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 garag) storage business other
Have all utilities been disconnected? gas , electric V<propane , water
Size of building(s):
1. 6 S ft. by .3 t ft. Location on property r��ti!
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type(circle one : full cell crawl space slab
Foundation will REMAIN BE REMOVED
5. Another structure WILL WILL NOT , replace this building.
N TES: pEoce p2-05/b �j{ L-� e rNs�t�[�, �
Signature App ant: 12-A 0 it To 9 e-bel a Li 1 o k\i
Iter's a eng 1_tre 'uct, contractor
TOWN OF QUEENSBURY
r` ' BUILDING & CODE ENFORCEMENT
' 'St ', 742 BAY ROAD
�� QUEENSBURY NY 12804
' "'Y`°`'' (518) 761-8256
ARRIVE: DEPART: / i/tINSP:
v -
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION\" REQUEST REECEIVED: �1
NAME ✓C �,C5�f1r1C y(1EI( S(�\ (QG
LOCATION \ `.9, . 1 ,rk(k
DATE ) )C{ 013 PERMIT H ( J3 c3.y 1 3
TYPE OF STR CTU2E o/`n,o),3 cO Y ` oss2
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_ Q_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
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 REQ.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
C46631ita IA il •
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. No 82 4 83 Cut-in Card No.2,0
OL-313
Owner / ' ..t72i 5. //—
Location../6c 1-13-,ee1/ / 4).)` e2L.46,--Ike'
Insta 5cirgri.d(rat,67 Re-ce-P ,c c.,/ re5
lla'on Consisting of
1 ,
A el foi;w66-- ,£),/tu cx-e97,aso sf,frytp
) / p
q F---4-4,5, Snoct-i,--6.-5., e 7724-Au,
Installed By 9 si..1.4e/c_
Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued i:
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 makinla.pections at any time, and if it;
rules are violated,the Company shall have the right t r ke thi • ficate
if-Z-1--- Z.' fr nAtealta--
Date INSPECTOR '
Mwrnhar NFPA 1 AFT
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