2002-924 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&.Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020924 Application Number: A20020924
Tax Map No: 523400-309-011-0002-03 1-000-0000
Permission is hereby granted to:
For property located at. 7 LUZERNE 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. T"e of Construction Value
Owner Address: KEITH CAVAYERO Demolition
12 ROLLINGBROOK Dr Total Value
SARATOGA SPRINGS,NY 12866
Contractor or Builder's Name/Address Electrical Inspection Agency
CURTIS DYBAS
19 DEFR RI TN
LAKE CTFORGF-NY 12945-0000
Plans&Specifications
2002-924
DEMOLITION of an 864 sq ft residence and a 400 sq garage,e�rWlot plan and specification..
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 07,2003
(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 r72Z:r ty, No 07,2002
SIGNED BY W the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY'
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT L- d2' 2 ' .
Permit Na.
Instructions for completing the application Date:
Fee Paid:
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. CE I V E LrJ%
b. all existing structures, indicating which are to be removed. RE0`6
c. location of all utilities.
3. Fee submitted per current fee schedule. OrT 1 -1 2002
7%5 . A JR TOWN OF OUEENSBURY
Owner of property: v'iUfu b-222 fol 44 I aQ?
Property Lmation.. :2 0 E
OAZ-C,C0 L'#10 301-I
Mailing Address: (V Tax Map No. section Block )-, Lot
Person responsible for work: kZA Ik eA&•jz`4W Telephone No.
Mailing Address-
Where will demolition material be disposed of.) L46A, L—AUCEILL,
Is there any asbestos within building to be demolished? Yes No LJJek-�AVJ
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): Cresidenc) storage business other
Have all utilities been disconnected? gas electric propane water
Size of building(s)-
1. ft. by ft. Location on property L-46f!
2. ft. by 20 ft. Location on property
3. Number of stories: Aalf"
4. Foundation type(circle one): 11 cellar crawl space slab
Foundation will REMAIN BE REMOVED 1)(
5. Another structure WILL one):
NOT replace this building.
NOTES:
Sig
nature of Applicant: �.Axj
owner, owner's agent,archiled contractor
Off we Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time`.'-.-` '
Dept. of Community Development Request received. Meet:
Building& Code Enforcement At time:
742 Bay Road ARRIVE Notes:
Queensbuq, AT 12804 VE //)/J am/pm: DEPART am/pm
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: INSPECT ON{date): 2/nL
TYPE OF STRUCTURE:
Q
RECHECK
N/A YES NO COMMENTS
Footings/Pie'rs
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
-Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
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- Olillej gi s 60AI
Ceiling R-
Duct work or piping in rAl
. unheated spaces R- C/o S
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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