92-729 BUILDING PERMIT
TOWN OF QUEENSBURY 92-729 0
No.
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to ROBERT & CHERYL EVANS
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OWNER of property located at Mason Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition of residence
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
PO Box 288
Cleverdale NY 12820
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2. CONTRACTOR or BUILDER'S Name -S
Chris Crandall
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3. CONTRACTOR or BUILDER'S Address
RD#1 Box 1376
Lake George NY 12845
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. Demolition of 40'x40' residence as per plot plan and application.
8. Proposed Use
to make room for new structure
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$ 20,00 PERMIT FEE PAID —THIS PERMIT EXPIRES n�a 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
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9th November 9q2
Dated at the Town of Queensbury this of 19'
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SIGNED BY for the Town of Queensbury
Building and Zoni nspector
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:...t_ viiw ..' TOWN OF QUEENSBURY -VkiN O ..r�,c . . �►I
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V ."_. " APPLICATION FOR DEMOLITION PERMIT
N O V 9 199Z
DATE: 4/, , FEE PAID: j „1 coDC T.
INSTRUCTIONS FOR COMPLETING THIS APPLICATION
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 utilties.
3. Fee submitted er current. fee schedule.
OWNER OF PROPERTY: / ene �/ iC S.
P.O. ADDRESS: tD G.f' 2. �0 ( "/�G �Ikle /� /��EL: b 5��--.5:YU
PROPERTY LOCATION: TAX MAP #: %.4 / / / /Y
Person Responsible For Work: Tel
&a. fltij Tel l 3 07�
Address: Art/ kr! / ZM -dv-i-C/ /1' /2 8-y
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? -----7//4,,/,1,IL/6-,7)1__..e
The following building(s) located on property described above are to be removed:
Pre i e of Building (Circle One) :
Residence _ Garage Storage Business Other
Have all utilites been disconnected? bas ' Electric 2s Propane Water j
Size of Building(s) :
1. "i/, ft. x `7 U ft. Location on property %2/i0/a/�
2. ft. x ft. Location on property
3. Number of Stories: 2,_ �-----..,x
4. Foundation Type (Circle One 4 Full Ce1ta-r� Crawl Space Slab
Foundation Will Remain r i Be Removed
5. Another Structure Will , Will Not , Replace This Building.
Replacement of structure wi11 require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT: r //
Owner, : ' n is Agent, Architect, Contractor
TOWN OF QUEENSBURY
531 BAY ROAD
°,1#w��,+•'' QUEENSBURY, NEW YORK 12804
's Y ;- TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION
yy RECEIVED
NAME H (? 9( &tiVx,—)
LOCATION (/4.41,L
DATE ///i';?//P_ PERMIT# ft47a$
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TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ OOROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WDSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION / /
PLUMBING VENT ( /
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES 1
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVAq DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS _
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
61
ARRIVE
DEPART
I PECTOR