97-615 BUILDING 4'rPERMIT
TOWN OF QUEENSBURY Na
VALUE $ 0 97615
TAX MAP NO. 8.-1-3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HOGAN, MICHAEL & M.
OWNER of property located at 1 R8 LAKE PARKWAY Street,Road or Ave.
in the Town.of Queensbury,To Construct or place a DEMOLITION OF S TTLGial r 2SM.fL Y OWELL�'NG
at the above location in accordance to application together with plot plans and other in ormatlon hereto I an
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is.
MARTHA: 1378 BRAEWICK DR.
MORGANTOWN, WV 26505
2. CONTRACTOR or BUILDERS Name
CIFONE CONSTRUCTION CO. INC.
3. CONTRACTOR or BUILDERS Address
PO BOX 684
GLENS,.-FALLS, NY 12801
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
DE(MOLITION:
( )Wood Frame ( 1 Masonry ( 1 Steel
7. PLANS and Specifications
DEM0412TION OF 32' X :40 SINGLE FAMILY DWELLING AS PER_ .APPLICATION- .. ,_
8. Proposed Use
DEMOLITION OF SINGLE FAMILY DWELLING
$ 20 , PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.betore the expiration date.)
Dated at the Town of Queensbuury fhls 22` ' Day of '� =October- �:� .xa_wlgra,: 9Z ::1 a
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
•
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT Permit No. q-7 - f p f 5
Instructions for completing the application Date:
Fee Paid: 011 o O
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.
�F . .� .
b. all existing structures, indicating which are to be removed. �9g7
c. location of all utilities. OCT 11
3. Fee submitted per current fee schedule. tl�`f
gld_D►N pi3D GODE
Owner of property: .A,MILS MCMl t f �,,t Property Location: V c` , N,,ttgti,g'
Mailing Address: % 1 i ",s,; c VpLL Tax Map No. Section 8 , Block l ,Lot"5
Person responsible for work: NIrC1 rl( Telephone No. 1 grZ, r �_
Mailing Address: c-r) , (
Where will demolition material be disposed of? MCG.PC,KU T) 05*-/V9
Is there any asbestos within building to be demolished? Yes / NoX
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
Have all utilities been disconnected? gas , electridy( , propaneC , water�j
Size of building(s):
1. ft. by AO ft. Location on property \ to P'kyk_4,(,4s,4
2. ft. by ft. Location on property
3. Number of stories: t
4. Foundation type(circle one): full cellar crawl space slab N O "&
Foundation will REMAIN \-,J(' BE REMOVED
5. Another structure WILL X WILL NOT , replace this building.
NOTES:
Signature of Applicant: 1,�
owner. owner's(set,architect, contractor
� TOWN OF QUEENSBURY
4 BUILDING & CODE ENFORCEMENT
it 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INSP• rt r
FINAL INSPECTION REPO
DATE INSPECTION REQUEST RECEIVED:
NAME HOG:;0
LOCATION 1 :0 LAAAE, R 1=N4
DATE 5 q9 PERMIT # 7"1015-
TYPE OF STRUCTURE Qe..frko O - �5V
FOOTINGS _BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES411111111
{`
FLOORS \\
FOUNDATION INSULATIO
INTERIOR STAIRS/RAIL,NGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS •ENETRATION
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
GC��� OUT
OK TO
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ` p
742 BAY RD., QUEENSBURY NY 12804 '. •_,.;
INSPECTOR'S REPORT: ARR , ED PART ' TcJ
ei
REQUEST FOR INSPECTION RECEIVED: / (7) C-97
NAME raSCCr
` �Q�'t.(-)�_-9LOCATION 1 S3 ),L P ( I�'r W CL.
� LI
DATE O'-• PERMIT g 7 4 i
TYPE OF STRUCTURE: c::, 10_ArYN \
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS - _
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR; IS RESP•,NSIBLE FOR
PROVIDING PROTE ION F'OM FRE'ZING
FOR 48 HOURS FOLL INe- THE P "°CE-
MENT OF THE CONCRET
MATERIALS FOR THIS PUR-OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING - -
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R- _
WALLS R-
CEILING R- -
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
FROM : EAST END GIRARD CIFONE PHONE NO. : 518 792 3086 Oct. 20 1997 09:5GAM P2
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