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1999-019 BUILDING PERMIT !0 1 TOWN OF QUEENSBURY VALUE $ No. 99019 TAX MAP NO. 53.-1-4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to HARRIS, KEITH OWNER of property located at MUD POND RD. Street.Road or Ave. in the Town of Queensbury,To Construct or place a DEMOLITION OF SINGLE FAMILY DWELLING 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. OWNERS Address is 219 PICKEL HILL RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name HARRIS, KEITH 3. CONTRACTOR or BUILDERS Address 4. ARCHITECTS Name 5. ARCHITECTS Address - 6. TYPE of Construction—(Please indicate by X) DEMOLITION 1 )Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications DEMOLITION. OF SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use DEMOLITION OF SINGLE FAMILY DWELLING 20 February 1 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 1 February 1999 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury ui ding and Z n ng Inspector TOWN OF QUEENSBURY �_. 742 Bay Road Queensbury, N.Y. 12804-9725 Application for DEMOLITION PERMIT ` Permit No. qctp _ �" 0) 1 Instructions for completing the application ® Date: I -` �.o�.t1 1. All applicable spaces are to be completed. ; . - . I 2. Two plot plans are to be submitted, drawn to scale, showing: a. lot boundaries, with dimensions and adjacent roads and streets. JA N 2 6 �99� b. all existing structures, indicating which are to be removed. c. location of all utilities. TOWN OF QUEENSSURY 3. Fee submitted per current fee schedule. BUILDING AND BURY Owner of property: /.11 //41 f Property Location: f' Li ,1J Mailing Address: 2-i% f9iiir/e ///// A4// Tax Map No. Section .3 , Block / , Lot Y' 61J(5,Gi5/3NA, /11 V./2-S'eV Person responsible for work: red/ Telephone No. -717.77 Mailing Address: c1,,�.•- Where will demolition material be disposed of? 5'®7T 71/4,-/es"} ''c Is there any asbestos within building to be demolished? Yes / 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. The following building(s) located on property desc i bed above are to be removed: Previous use of building (circle one): residence garage storage business other Have all utilities been disconnected? gas .GCS , electric .f5 , propane ,-/t°f , water 7e5 Size of building(s): 1. a'l ft. by 7(.) ft. Location on property 2. ft. by ft. Location on property ' 3. Number of stories: l 4. Foundation type(circle one): full cellar crawl space slab Foundation will REMAIN BE REMOVED 5. Another structure WILL WILL NOT , replace this building. NOTES: i�M/t 610,1,,L Signature of Applicant r, owner's agent,architect, contractor GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive/rnv am/pm Depart am/pm Inspector's Initials OA NAME: tee t 44 > PERMIT# - I LOCATION: mix, let DATE : 3 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for jj yy�� providing protection from freezing CG,�s GJ • for 48 hours following the placement of the concre . Materials for this urpose on site Foundation/Wall Reinforcement in P1 Foundation/Dampproo Backfill Approval Plumbing Under Slab Plumbing Vent/Vents ' 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/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive y j/3o am/pm Depart am/pm Inspector's Initials -c,- /k NAME: V--e%ill )-c r), S PERMIT# LOCATION: DATE : 3 5 " TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form _ �, ,2/3 �, ��n� Reinforcement in Place ru r� The contractor is responsible for providing protection from - mg Eve ke` sh Y- /�� // pevd ` for 48 hours following the • acement p%cedi IA. Ce% h, G^, of the con te. Materials for purpose o site C;r�4 Foundation/Wall uL Reinforcement in Place Foundation/Dampproo. i g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents n Place Rough Plumbing Heating Rough-In Insulation Foundation Wails 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/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 :>ay Road Queensbury,NY 12804 Arrive pl'`f(am/pm Depart am/pm Inspector's iti NAME: � /7.; PERMIT# LOCATION: 4d I P, , DATE : 3 TYPE OF STRUCTURE: cm d RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form � Reinforcement in Place �JfG e� no S�f� 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- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping