98-572 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 98572
TAX MAP NO . 128 . - 2 - 3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HARRINGTON r MERRILL &
OWNER of property located at 63 MASS • AV-E ' Street. Road or Ave.
in the Town of Queensbury, To Construct or pleas 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. OWNEWS Address is
HELEN 63 MASS , AVEa
QiUEENSHURY , NY 12804
2. CONTRACTOR or BUILDERS Name
HARRINGTONr MERRILL
3. CONTRACTOR or BUILDER'S Address
4. ARCHMCT S Name
S. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by XI DEMOLITION
1 1 wood Frame i 1 Masonry f I Steel 11
7. PLANS and Specifications
DEMf�7oITION OF SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICAT ONS
B. Proposed Use
DEMOLITION OF SINGLE FAMILY DWELLING
20 September 17 2000
S PERMIT FEE PAID -- THIS PERMIT EXPIRES 0 19
{If a longer period is required an application for an extension must be rnede to the 13ulid5ng and Zoning inspector of the
town of Queonstwnr before tew expiration date.l
17 September 1998
Dated at the Town of Queensi:LvildLingend
Day of 19
SIGNED BY 1% for the Town of Queensbury
Line Inspector
TOWN OF QUEE.NSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No.
Instructions for completing the application ate-
Fee Paid:, 42, C9e>
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 utilities. ,CEP /
3. Fee submitted per current flee schedule. ]
/� , r 1 ,� f tyiA1
Owner of property: Ate trill /'�- f. Ale.,�_�] �+ property Location: I aSS 1r *--
Mailing Auldress: L5 ,"fie ZVV r-r • Get. u -'JL - ,. .._ Tax Map No. section Jr�.�'' Shock , ''�, Lnc q
S3l_is 4 1%&"JE i r " gn �d 1 /s7 Li y
Person responsible for work: ,§'�. to' � Telephone No. „7 � „S' �,f.3 .•'�'
Mailing Address: .S
Where will demolition material be disposed or L21yr y cp�[y rn i t r v x
Is there any asbestos within building to be demolished? Yes ! / No 4 "
If YFS, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of-
NAME of FIRM LICENSE NUMBER
LOCATION WHERE ASBES M wILI. BE DISPOSED
* A COPY OF ASBESTOS REMOVAL REPORT MUST BE FaXD 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) residence garage�-" storage business other
Have all utilities been disconnected? gas __.. ',-electric ✓'" , propane water
Sine of bui Iding(s):
I . ft. by �i _'eft. Location on propertyi 3
2. ft. by ft_ Location on property
3, Number of stories: n ) .. I�
4. Foundation t circle one). full cellar crawls a slab J
Foundation will REMAIN 60•'
5. Another structure WILL WILL NOT , replace this building.
NOTES:
F
Signature of Applicant: oe
owrxr. owrrcr's agent, enh� - t, crnrractor
TOWN GF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
( 518 ) 745 - 4447
ARRIVE : IZ &L3 ' DEPART: pw
FINAL IN N
SPECTIO RBpO
DATE INSPECTION REOUEST RECEIVED ;
NAME
LOCATION
DATE � ' -�' PERMIT
TYPE OF STRUCTURE
FOOTINGS HACKFILL FRAMING_ PLUMBING
INSULATION
N A YES NO
. CH MNE "H "" "VENT H IG
F UMH NG VENT F'I3C URES
R ING
T R O FINI H
EA NG OT E
E IEF VALVES
LOO S
FOUNDAT N I SULAT
INT IOR S'T IRS RAI INGS
I S O K OOM NC SURE
I E E I E WAL S PENET ION
� FIRE DAMPERS
C I ING FIRE S O P N
RE DOORS LflS R
i
EXIT HAR WARE
6HIT STAI �S(�ArLS
PLAT fl ELEVATOR
AN I AP E A C SS
4AffQk9APJP.4Q--aATliS
AN I 7APPfib P RKIN
IN L EL CTRICAL
SITE P AN V I NC R
F N U EY P T P ,N+��I R
K O
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 781-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED ,% .2r, PERMIT # �+
NAME
LOCATION
SCHEDULE INSPECTION ON
/,�N _ PM ANYTIME
APPROVED
NIA YES ! NO
EXITS P- -
STAISLE WIDTHSEXITSIGNS -EMERGENCY LIGHTFIRE EXTINGUISHERFIRE ALARM SYSTEFIRE SPRINKLER SYFIRE SUPPRESSION HOOD INSTALLATIO — -
INTERIOR FINISHES
STORAGE: ----
CLEARANCE TO SPRINKLERS ^-
CLEARANCE TO HEATING UNITS -- —
REQU#RED SIGNAGE f
,owe HIMNEY
Iwl2, }DSTOVE ---- ...— .----- -- --- -
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: -
OK T( THIS DATA
ry
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iwsPstrp.vue PEC
2� -- - SEP y 1998
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