95-268 BUILDING_, 1?ERMIT :
VALUE ; TOWN ` OF QUfE-NSB,URY -
TAX =HAP N0 __ .23.=-1-29.L 1NARREN COUNTY, NEW YORK _
GILLIS:L L.,�,' RAE.:
PERMISSION.is hereby granted to
LOCKHART RD. E.& W.
OWNER of property located at.-. Street,Road or Ave.
_ - DEHOLITON,
-in the Town of Queensbury,To Construct or place a' =
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
LAKE GEORGE; W;Y. 12845
2. CONTRACTOR or BUILDER'S Name
` -SA S"-,;.-'s :�``ti=,»- .G=r =. tiwsr"_•`:}t.s€t z"x-<ri,•i iir.M4,,:'.<:=w J.
ili
3. CONTRACTOR or BUILDER'S Address
4..ARCHITECT'S-Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
DEMOLITION '
(- 1 Wood-Frame ( ) Masonry (' )Stee(
7. PLANS and Specifications
DEHOLIQION -OF, 35' B .150' POULTRY: HOUSE AS .PER. APPLICATION
8. Proposed Use
DEHOLITON
$ PER MITFEE-PAID_—THIS PERMIT E-XPIRES' _ Hay 3® 19 97 -
(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.) -
31= Ha 95
Dated at the Town of Queensbury this - - Day of y 19
SIGNED BY for the Town of Queensbury
Building and 2onind Inspector bE
i
C r�
TOWN OF Q UEENS B UR Y. I AY 66199
&�QUEENSBURY
APPLICATION FOR DEMOLITION PERMIT :; ,.,,,,,�;;�;�AND CODE
DATE: a g ,j FEE PAID:
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 per current fee schedule.
OWNER OF PROPERTY:
P.O. ADDRESS: BOr -e, A, �K TEL- ��d68-��9
PROPERTY LOCATION;Zp o TAX MAP
--------------------------------------------------------------------------------
Person Responsible For Work:,2 Tel
Address:
--------------------------------------------- - ----------------------------- --
WHERE WILL DEMOLITION MATERIAL BE DISPOSED 0i 41
a
-�- --
The foling building(s) 1 cated on property described above are to be removed:
Previous Use of Building (Circle One) :
Residence Garage Storage Business Other �U�J�' �q se.-I
Have all utilites been disconnected? Gas Electric- Propane Water
Size of Building(s) :
1 ft. x /,6 0 ft. Location on property ,9 Z'0 7C� �,�is� e e/U`ei
2. ft. x ft. Location on property
3. Number of Stories. l-��
4. Foundation Type (Circle One) : Full Cellar Crawl Space ab
Foundation Will Remai n .pis Be Removed l" o j e�5
5. Another Structure Will es Will Not Replace This Building.
Replacement of struc re will re 're application for Buil ing
�
Permit.
NOTES: o O d
SIGNATURE OF APPLICANT: XQ�
Owner, Owner' s Agent, Architect, Contractor
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INSP: ~
FINAL INSPECTION REP
DATE INSPECTION REQUEST RECEIVEED;
NAME
LOCATION
DATE 2--q, ! 1 PERMIT #
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
A YES NO
CHIMNEY "B" VENT/HEIGH/ TL ---
PLUMBING VEN FIXTUR S
ROOFING
EXTERIOR FINISH
HEATING HOT WATE
RELIEF VALVES
FLOORS
FOUNDATION INSU ATION
INTERIOR STAIRS RAILINGS
STOCKROOM ENCLOSURE
FIRE DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE .
FINAL SURVEY PLOT PLAN IF RE
OK TO lS
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURRY NY 12804
INSPECTOR'S REPORT: AR ffT- DEPART I�o IN
REQUEST FOR INSPE IO RECEI D:
NAME
LOCATION
DATE IT # `ago
TYPE OF STRUCTURE: u
RECHECK PPROVED
N A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB FOR
PROVIDING PROTE TION FROM FR EZING
FOR 46 HOURS FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON WE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS IN PLA E
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEAJJERS
BRACING/BRIDGI G
JOIST HANGERS
JACK POSTS MA N BEAM
AIR INFILTRATION BAR IER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALL INTERIOR R-
FOUNDATION WALL5 EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
4KC�
�j' C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRjf/r DEPART A?f INT�
REQUEST INSPECTION TION IVED: -
jq
F ^t
NAME Jk
LOCATION
DATE -(('-LMPnERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBL FO
PROVIDING PROTE TION FROM FR EZI G
FOR 48 HOURS FOLLOWING THE P CE
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON TE
FOUNDATION WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS IN PLA E
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDSZHENDERS
BRACING BRIDGING
JOIST HANGERS -A
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
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