1990-595 BUILDING PERMIT
TOWN OF QUEENSBURY y
No. 90-595
( � { C. _ WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to DANIEL & DEBORAH BLAKE 0
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OWNER of property located at )UJ `.ichigan Av Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition—residence
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
786-788 Michigan Av
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
self
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name (D
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. Demolition 25'x30' Residence as per plot plan and application
8. Proposed Use
Demolition to remove fire-damaged residence and make
room for new residence.
$ 20.00 PERMIT.FEE PAID —THIS PERMIT EXPIRES n/a 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.)
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Dated at the Town of Queensbury this h Day of d 19 g0
SIGNED BY r / , for the Town of Queensbury
Building and Zoni ' nspector
TOWN OF QULBNSBURY
APPLICATION FOR
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DEMOLITION PERMIT
DATED ,1/_:e - , 9 ,94 FEE PAID $p D -_
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: �}/? re %�� „,r,g-/n
P.O. Address: rifg(0--7 c?5 )'Yl;(4-1 jrt ►-N Auer�t TEL. 7 3 e ?C25
Property Location: Tax Map No./?7/ _3 //a
Street number or building lot number
Person Responsible for work S'e /4'
• Address 5-7914444.P Telephone 54.0n e
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL /.1 } l4 Y f � �1 ro40_9( .Y
Previous use of building (circle one)
Resident - Garage - Storage - Business - Other
Have all utilities been disconnected? Gas ✓Electric .vr-Propane c/Water ✓
Size of building(s)
1. ,2 5- ft. x 3n ft. Location on property 98/ Mir.J ,- ,1 Au e
2. ft. x ft. 1{ �'✓'t�4�) (1,f r}l ) 11_9(
3. No. of Stories f
4. Foundation type (circle one) full cellar -awl space)- slab.
Foundation will remain -be remoe'— .
5. Another structure will will not ✓replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE
Owner,owner's agent, ar h hect
Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT G���� /
BAY & HAVILAND ROADS /126
QUEENSBURY, NEW YORK 12804;
TELEPHONE (51 792-5832 "
Y G INSPEWTOR S REPORT
REQUEST FOR INSPECTION__* R, CEIVED f j90
NAME 46_,F i,
LOCATION 7
DATE -Al& PERMIT '# �d,%:S9S
II
(;"'•, APPROVED
y��G!lJl�1� -GY�l! lG � / YES NO
FOOTING/PIERS ; ri
MONOLITHIC POUR FORMS I //
FOUNDATION/DAMP-PROOFING,; A.
BACKFILL APPROVAL I'
ROUGH PLUMBING .I •
FRAMING i' , ' ' '
ELECTRICAL ROUGH-IN P)
INSULATION: y°
FOUNDATION /A
FLOORS 4' 1 _
WALLS /' j
CEILING . /1 • Ii
FINAL INSPECTION:
CHIMNEY HEIGHT IC '
- - ROOFING ' - -- —
SIDING I. �� • •
EXTERNAL PORCH4/STEPS 1. . . .
STAIRS-CLEARAN E & RAILS]
PLUMBING FIXTeRES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS !�
GARAGE FIREPROOFING
DOOR CLOSE '(S) 'IA
SMOKE DETECTORS j} .
FINAL ELECTRICAL INSPECTION. .. . '
FINAL APPROVAL OF CONSTRUCTIO
OK TO I S tJE C/O OR C/C ''
A SIGN 'D CERTIFICATE OF OCCUPANCY MUST BE
OBTAI$ED FROM THE BUILDING DEPA 2TMENT BEFORE
THESBI PREMISES ARE OCCUPIED!
REMARKS: f) ,,
I�l SCOWAr L-�-f A- e- OTf"i 16--
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ARRIVE
DEPART /��
I PECTOR
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