2002-942 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020942 Application Number: A20020942
Tax Map No: 523400-226-0157-0001-009-000-0000
Permission is hereby granted to: MTCHAF,T, GARGIUT,O
For property located at: 14.0 LAKE pky
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. Type of Construction Value
Owner Address: THOMAS C SHERMAN
on
40 GREAT RING Rd Total Value
Total Value
SANDY HOOK, CT 06482-1652
a
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-942 ****EROSION CONTROL MEASURES ARE TO BE INSTALLED ALONG SHORELINE
SIDE OF HOME PRIOR TO DEMO
DEMOLITION residence and all structures on property as per plot plan and regulations.
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 15,2003
(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 To o eens � Z!ember 15,2002
SIGNED BY � for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT Permit No.
.y
Instructions for completing the application Date: 1��11 62-
Fee Paid:
7 -,,
I. All applicable spaces are to be completed. -i*r
2. Two plot plans are to be submitted, drawn to scale, showing: E: VP
a. lot boundaries, with dimensions and adjacent roads and streets. Nft Ae
b. all existing structures, indicating which are to be removed. Nov 2 200z
c. location of all utilities. TOVVIV fVhE
3. Fee submitted per current fee,schedule. 8Q1LQg&'S8QRy
�"` ��SICFOD�Ue�
Owner of property: �0-vl�t?Cs Ci Ji 4roperty Location:
Mailing Address: Tax Map No. Block Lot
Person responsible for work: Telephone No.
Mailing Address: e,W,t� �c
W11 \-&0VQ
Where will demolition material bedisposed of?
Is there any asbestos within building to be demolished? Yes 1 No
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.
Thefollowing building(s) located on property described above are to be removed:
Previous use of building (circle one): (residence) ga storage business other
Have all utilities been disconnected? gas electricpropanelA h water
Size of building(s): j `` _
ft. by S13
ft. Location on property
2. NS ft. by lb ft. Location on property 00��'s C04TUL,
3. Number of stories:
4. Foundation type(circle one): full cellar ra I space slab
q M
Foundation will REMAIN BI E Y
5. Another structure WILL WILL NOT replace this buildins,
NOTES: MCOLLV-p AAA
.............
51.�Kbr4� ;tog OP
Signature of Applicant: 40
owner, 'Ooe''s ar..ow n gonrarchitect, coruractor
MAP REFERENCES:
MAP OF A SUVEY MADE FOR
DAVID M. THILL
DATED: SEPTEMBER 6, 1995
BY: VAN DUSEN & STEVES
LAKE GEORGE ASSEMBLY
BY-., ERNEST L.H. MEYER
DATED: JUNE 1914
FILED: DECEMBER 7, 1914
MAP BOOK 1, PAGE 11
MAP OF A SURVEY MADE FOR
THOMAS & SUSANNE IRISH
DATED FEBRUARY 14, 2002
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
DEED REFERENCE:
THE CONNECTICUT BANK
AND TRUST COMPANY, N.A.
TO
THOMAS C. SHERMAN
DATED DECEMBER 29, 1989
IN BOOK 781 PAGE 75
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LANDS OF
DANIEL & CAROL MARGOLIS
1268/62
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AREA � r�
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/ 18,170 sq.ft.
I x 0.42 acres ` IRF = IRON ROD FOUND
iz 8. f IRS \//I CIRF = CAPPED IRON ROD FOUND
o IPF = IRON PIPE FOUND
33' •III UTILITY POLE
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�I HEREBY CERTIFY THAT THIS NAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TID 1W PERSONS
o IRS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
1 AND LENDING INSTITU110H LISTED HEREON.
j/ CERTIFICA110NS ARE NOT TRANSFERABLE TU ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
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Steves
Land Surveyors, LLC
169 HavUand Road Queensbury, New York 128
[518) 792-8474 New York Uc. No. 60135
LANDS OF
JOHN F. HOFFMAN
642/1092
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Map of a Survey made for
MICHAEL GARGULIO
Town of Queensbury, Warren County, New York
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CERTIFIED
DATED: OCTIOBER 1%
1 1 10-30-021 ADD CERTIFICATIONS
NO. I DATE I DESCRIPTION
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COMPANY
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.LLS NYS 50135
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GARGUUO C-762
DWG. NO. 02305