1989-654 BUILDING PERMIT
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TOWN OF QUEENSBUR'Y No 89- 654
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ralph Bardin w
OWNER of property located at D 1 : '—•'` ^- �Ltln Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Demolition
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.
t. OwNE R'S Address is
Same
2. CONTRACTOR or BUILDER 'S Name d
Keith Harris
3. CONTRACTOR or BUILDER'S Address
S
Pickle Hill Road
Queensslbury , N . Y . 12604
4, ARCHITECT'S Name
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5. ARCHITECT'S Address
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B. TYPE of Construction — (Please indicate by X)
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( I wood Frame ( I Masonry I I Steel ( I w
T_ PLANS and Specifications
No. B6xxxxfi9X Demolition of a 301 x 65 ' 1 �5 story dwelling as per plot
plan and application .
S. Proposed Use
DEMOLITION
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$ J20 On PERMIT FEE PAID — THIS PERMIT EXPIRES March 1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
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town of Clueensbury before the expiration date.( �
Dated at the Town of Queensbury this 16th pay of August 19 89
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUE.ENSB URY
�- .AiPPLICA.TIAN FOR Re Q ED sauRY
-
,; DEMOLITION PERMIT
r } AUG 1989
DATER FEE PAID $ Rl'oG.
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 & streets
b. All existing structures, with indications as to those to be removed
c. Location of all utilities
3, Fee submitted per current Fee Schedule, payable to "Town of Queensbury",
THE OWNER OF THIS PROPERTY IS:
P.O. Address*. ,{ • .s 1,-,ke. !0, ra i. 2-.s v * I t4 TEL. '7! g / r1 `� 2
Property Location. Ao,.U�a, , Tax Map No. /./
Street number or building lot number
Person Responsible for work s2�_,�_� '
Address a �.� - .--1� / ' +' Telephone. �1
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL
Previous use of building (circle one)
widen -- Garage -- Storage - Business - Other
llave all utilities been disconnected? Gas Electric Propane Water
Size of building(s)
I . 30 ft, x t1a 45,�_ft. Location on property f Y" , �cf� lyx /
2. fto x ft. 1rY1 15� s La. r .�
3 . No. of Stories f
4. Foundation type (circle one) full cellar _A� 1 Spac slab.
Foundation will remain -be removed
5 . Another structure will will not , replace this building. Replacement of
structure will require application TW Building Permit.
SPECIA14 NOTES:
SIGNATURE
Owner, ner's l. . ent, ar .. " chect
Contractor
TOWN OF QUEENSBURY
.BUILDING AND CODES DEPARTMENT
BAY & HA VILAND ROADS
QUEENSBURY, NEW YORK 1280eE
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR SNSPECTZ N RECEIVED
NAME
LOCATION
DATE PERMIT ##
PROVED
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NO
FOOTING/PIERS
MONOLITHIC POUR FO S _....... ......
FOUNDATION/DAMP—PR PING
BACKFXLL APPROVAL _
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH--TN'
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INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST S
STAIRS—CLEARANCE Co ILS
PLUMING FIXTURESJRE E VALVE
INTERIOR TRIMIPRXVACY`% RS
FINISHED FLOORS -
GARAGE FIREPROOFING
DOOR CLOSER (S)� ---
FINAL APPROVAL OF CON TRU ION
DETECTORS
FINAL ELECTRICAL INSP TI • N
Ox T4 ISSUE C/o ()R C C
A SIGNED CERTIFICAT OF OCC�PANCY MUST BE
OBTAINED FROM THE UILDING 2�3EPARTMENT BEFORE
THESE PREMISES AR OCCUPIEDI'
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REMARKS:
C o
ARRIVE
DEPART
INSPECTOR
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