97-657 BUILDING :' PERMIT
1 i .
,...,.
- TOWN. OF QUEENSBURY
VALUE -'s e - - :: - - ,..-... .97657--..::':::::-.4
TAX: MAP- NO: 6:....3-27%, WARREN COUNTY, NEVV YORK '
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PERMI 10 kl is e y granted to ROULIE R 4 RGIHIS
OWNER of property located at 301 BRAYTON LANE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application toget er witn p ot p ans and ot er in cirmation nereto Tiled an
approved and in compliance with the Town of0ueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
p;to..i:i -.13cor. 301
r.:- C LEV:2 RDALE-;-,' NY: 12 820
2. CONTRACTOR or BUILDER'S Name
- - ROUL IER .40E
1"
3. CONTRACTOR or BUILDER'S Address
BOX-1,-. 301
•.g•teliEVERDAiitivITY,,,,,,t. .:. .
4: ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction-(Please indicate by X),
( 1 Wood Frame ( )Masonry ( )steePEIRLITION
7. PLANS end Specifications_ 1 '
DEtiodzzolv-er,SINGLE FAMILY DWELLING AS PER _PLOT-. PLAN SPECIFICATIONS
-:
8 Proposed Use - -:-• - i
$' ..D0194ITI,ONtiOrISINGLE, FAMILY:.DWELLING
r4114WtitViiftieiiAlii.gtnllt61.IVS**.,
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1 ,
town of Queensbury before the expiration date.) - I
1
Dated at the Town of Queensbury this'7.-4PR:4114.00:i*DOWizieft7474,,:4,Nti.trent147i,r.ki ,aiarAg:A:, ::;;.9701',:-WW1i,IX;i-iii:g,,:,,d,;:
ko ": "
SIGNED BY - Al)-(00_ f , A ...------. for the Town of Queensbury
But ing arid Zoning In-rctor ;
• "
, ,
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT 91.:J±TIO___P
-c "]
Permit No.
Instructions for completing the application Date: 3 -
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.
b. all existing structures, indicating which are to be removed. 1
c. location of all utilities. ! !l' ` i , /
3. Fee submitted per current fee schedule. O�, �3 �
'f Q SH
llti\l .��
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Owner of property: toA v '' Property Location: t' r� �'ik�v
Mailing Address: / 3 e _?cJ/ Tax Map No. Section , Block ,Lot
(� ��L 3.5-5/
Person responsible for work: Telephone No. 77.3 — d V 3 i
Mailing Address: ZS,.- 3 c /
Where will demolition material be disposed of? '.'/" /`L•a�/r���.� .�o,��� n�
Is there any asbestos within building to be demolished? Yes / No }l
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): residence garage storage business other
Have all utilities been disconnected? gas , electric �� , propane , water
Size of building(s):
1. .3 c ft. by. 3 ft. Location on property " -,
2. ft. by ft. Location on property
3. Number of stories: /
4. Foundation type (circle one): full cellar crawls ace slab
Foundation will REMAIN B REMOVED
5. Another structure WILL }X WILL NOT , replace this building.
NOTES: n
Signature of Applicant: Gb,i�f Q �.&U/ISLA
owner, owner's agent,architect, contractor
5174- VS
TOWN OF QUEENSBURY
e
BUILDING & CODE ENFORCEMENT
, 742 BAY ROAD
x£z`•v� • QUEENSBURY NY 12804
(516)745-4447�
ARRIVE: DEPART: ( r 1 `�SI':4toe__—
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPE ION REQUEST RECEIVED:
NAME 0/94"1�a
LOCATION 179
DATE Zyy/• PERMIT 0 f7~66
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
,N/A YES ; NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
, ROOFING ,
EXTERIOR FINI i
DECK/PORCH/STEPS LING
RELIEF VALVES
FURNACE/HOT WATER OPERATI G
INTERIOR TRIM/PRIVACY DOOR
• FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
1
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED •
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
, DOOR CLOSERS
FINAL ELECTRICAL /
SITE PLAN/VARIANCE REO:
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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