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93-359 1/rm.: . ` TOWN OF QUEENSBURY '; ),' . ie,..* ,--,-,- APPLICATION FOR DEMOLITION PERMIT (;; ,/' DATE: —/"' 7-5>3 FEE PAID: , _ts --� INSTRUCTIONS FOR COMPLETING THIS cLI TION1ifti��`�^A ' v. clt 1. All applicable spaces are to be comp fried. 0g e' 2. Two plot plans are to be submitted, 'awn Ge` � :ll shq! ng: a. Lot boundaries, with dimensions . .,7c adja<<:0', 1' •dst d streets. b. All existing structures, indicati �`,hich :Ye tos,8- removed. c. Location of all utilties. 'sate 3. Fee submitted per current fee schedule.OWNER OF PROPERTY: 7� P4 Zd4 Z-Z-,- 61/21)/// C- P.O. ADDRESS: /d2& 6 3 TEL: 77 7' 2 2— PROPERTY LOCATION: /41() /// ' _ 6?/,0,9—e TAX MAP #: /3 / / /,. / Person Responsible For Work: C6r /, 6m /21/6/1— ?e,! Tel : Address: WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? &t egiv,c/w7 The following building(s) located on property described above are to be removed: Pre / se of Building (Circle One) : Residence Garage Storage Business Other Have all utilites been disconnected? Gas Electric Propane Water Size of Building(s) :. We /— Lvt 1/9/93 Aiiii,72— , 1. 34( ft. x ft. Location on property ,' /R) le7eSE //to 2. ft. x ft. Location on property i/�-y 3. Number of Stories: / 4. Foundation Type (Circle One): Ful Cellar Crawl Space Slab Foundation Will Remain t. Be Remo 5. Another Structure Will V Will Not , Replace This Building. Replacement of structure will require application for Building Permit. NOTES: SIGNATURE OF APPLICANT: Owner, Owner' s Agent, Architect, Contractor vsr'a TOWN OF QUEENSBURY ��s BUILDING & CODE ENFORCEMENT A � tk�+F 742 BAY ROAD '/ � QUEENSBURY NY 12804 ^* `„tip (518)745-4447 :-71VE: DEPART: INSP: N."' FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST R.CpE VED: I 9 (17 NAME ���\�� ✓ C/ 'LOCATION \c) DATE - - ( PERMIT # 9 -7)5(21 TYPE OF STRUCTURE ` FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATIN 0 INTERIOR TRIM/PRIVACY DOO S FINISH FLOORS: \ ,✓/ BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS 4OKE DETECTORS \\_jBATHROOMFBANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C/C R .I - -- + '.. / 3 '""'� • -/ ' '',,R :,1 , 4 : i r ; . . ' y 0 Se f n pip€ nnona irrenf' - f ! • = Fd, i-on Pipe ,nonzeinen t. - ' ! ;il'i' - 487/Zf/1 = 'Iced book Page sot . . • • 1 R 1; ® = JafIAlas. Per. record map of Rip/ey's Pourt - ,} 4, 1 I i k _ .. ; ,Scale, /"--,40' �'- , iAli :11i;, ' , )''. • •. , - , . • .ii: 4 1 i .,..,.,_ ., .I. .. . : : . ____. ____ I ;i � U . . 1 G.Abbo tt 6 .z fectfro,�, r,P ,to -rope /...ne ; 49,Z/326 • icdl lid fl -i . r.+-- S88 40E - /68..Z9 4911 : itty . w( /c -moo I i 27 • z7 ,etain/ny Wa// `` i l_��- l • G t 'I ., I - ;i u � + - c a > o v V iii,. • A 1$- . A I / t• - 4a . r.3 Yee/ •-'em S - ' Tc sh-re /ins S. Eny/a,9der • 11,CL'1% ' 364/34/ ii -tig ' �s.5 iill ..,,,,, . z� j S/iP �1 ry geOP7/1/‘ ' ' [-Jo ---------_ ______ 1 1 • S.E. Corner of clot+("j • 1ein a parcel of land oituai;ea in - ny p ,,,-o ,-r, cc ��� thee �'owit-"oi "2]© .nE3i? ,l1Y'y -0✓71i-ity=-= - --�--�"_ — . rn ' ':arron, and i"tato of liew :-."or!-. cV I. o co I 1 • 1 i - cl(,O LAND:to - ; • REF iai+ i j.-d ' t ; - ,# t '!°:14Jt. ,6 c `,P'. ' . r „4 e ; ? . ': " ` h � l3 " oj r y GevJSCd ✓N/, I 9 70.: �a.,+. 9,FI 4' it� ,: '• ( ;44s1 _ 8 LAn rew . . t ne, Lana ftturveyr, : C -" ervi ? , Y. Tune l)7�