2002-229 TOWN OF Q UEENSBURY.
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020129 Application Number: A20020229
Tax Map No: 523400-302-009-0001-001-000-0000
Permission is hereby granted to: PAUL-&TERI SCHUERLEIN
For property located at: 310 DIXON 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. Time of Construction Value
Owner Address: PAUL &TERI SCHUERLEIN Demolition
13 HEINRICK St
QUEENSBUR.Y,NY 12804 Total Value
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Contractor or Builder's Name/ Address Electrical Inspection.Agency
CIFONE CONSTRUCTION
PO BOX•684
GLENS FALLS.NY 12801
Plans &Specifications
2002-229
DEMOLITION DUE TO FIRE DAMAGE AS PER APPLICATION
demoliton of garage
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$20.00' PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,April 09,2003
(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' "6wn of a bu esday,April 09,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Cade Enforcement
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FILE No.643 04/03 '02 PM 12:46 ID:TOWN OF QUEENSBURY FAX:518 745 -4437 PAGE 1
TOWN OF QUEENSBU Y � lr
742 Say Road
Queensbury, N.Y. 12804-9725
Application for DPMOLIT ON' FERMrr 1I
Per it No.
Inetmedons for completing the applicatioun 1~taue:
Feaa F'atd:C;% T
I. All applicable spaces are to be cornpletexi,
;2. Two plot plena are to be submitted, drawn to scale, showing:
it. lent boundaries, with dime ions and adjacent roads and atautat.
b. all existing atructures, indicating which era to be removed.
e. location of all utilities.
1, Fees submitted par cw=t fie schedule.
Owner of property: rn J ��ue,Y�ei t'l _,, Property Location. 3\0 71 XO-N �1
Mailing Address: �_ lAt_lv x K_� Tact Map No aeration Black ILM
._,
l?asrson respwtttible for waalCs t k-pV)xe Ova s-t 1-:1-11.3C Telephone No.-I
Mailing Address: po
Wberb will demolition material be disposed tsfl
Is there any asbestos within building to be demolished? Yes I No
If YES,name of firm removing "bestos from structure, license number, and where asbestos will be disposed of:
NAME of PfiW LICENSE NUMMM
LOCCA11ON WHM ASf3MOS Wlba,.BE DISPOSED
* A CfQPY e5P A9BIt3Ti75 Rf?MOVAL REPORT MUST BE FILED WITH THIS DPPAttTMEh'T BEFORE DEMOUTiOPt BIu3IN5.
The fallowing building(s) located on property described above are to be removed:
Previous use of building (circle one): residence garage storage business otlwr �
Have all utilit3eeK been dieconnectezi? gaff_ eslexitrie ,propane water
Size of building(s):
I ft. by Location an property ..,�_..
2, _tl. 8y h. Location on property
3;. Number of stories:,
4:, Foundation typ6(circle one): full cellar crawl space lab
i, 'Foundation will REMAIN�_ BE REMOVED
5. Another structure WILL X— WILL NOT replace this building,
NOTES:
Signature! of Applicant:
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Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request receive Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE_17� am/pm Notes:
(518) 761-8256 Inspector's Init
NAME: PERMIT#
LOCATION: t 11p,ca," INSPECT ON(date):
TYPE OF STRUCTURE: S,
RECHECK
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 place nt
of the concrete.
Materials for this purpose on site
FoundatioilfWallpouL
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval C6 ti NAbvj,��
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 R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing____
Jack Studs/Headers
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
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