1990-782 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-782
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to RALPH H. PALMER
r—+
OWNER of property located at 20 Mallory Avenue Street, Road or Ave.
N
01
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.
1. OWNER'S Address is
same
r
2. CONTRACTOR or BUILDER'S Name
self
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address r'
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6. TYPE of Construction— (Please indicate by X) <<
( )Wood Frame ( ) Masonry ( I Steel ( re
)
7. PLANS and Specifications re
No. Demolition 121)(19' Garage as per plot plan, specifications and
application.
8. Proposed Use
Removal to build new structure
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES not applicable-19 ra
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this _ 9th Day of , November 19 90
SIGNED BY for the Town of Queensbury
Building and ZonirSgl' nspector
TOWN OF QUEENSBURY
APPLICATION FOR 1-150e1/1511
✓r_5> r-" ' DEMOLITION PERMIT NOV 8 1990
DATED //emu ° FEE PAID $ BLDG. & CODE DE'P ,
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: A'17,1 ./' Ge41.2/1-'1'
P.O. Address: of U /31 ef G-6 Opt, aG ,�c dy,s, TEL. l - 1/ j
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Property Location: G,v Tax Map No1/7/3/q15-
Street number or building lot number
Person Responsible for work J -?,„5-2.// "-- 61,7"1"-.24------`-'
Address ,2 a 992Lc-2 _ a4 1.( - Telephone 7 5o'Z - I/CV
The following building( , located on the property described above, are
to be removed from that property.REASON FOR REMOVAL t" /9cc 74- GG f /ye4/ /3u./14,�,
Previous use o
of building (circle one)
Residence Garage Storage - Business - Other
Have all utilities been disconnected? Gas Electric 1/ Propane Water
Size of building(s)
1. /02 ft. x / 7 ft. Location on property " G(.67t- c 7 -a 7 J' (_'
2. ft. x ft.
3. No. of Stories
4. Foundation type (circle one) full cellar - crawl space slab.
Foundation will remain -be removed`�" .
5. Another structure will will not , replace this building. Replacement of
structure will require application for Building Permit. c�
SPECIAL NOTES: 7�: ,0�,��!% i� //—,`l0
SIGNATURE 6l/1 a �G C i 'e�L�
Owner,owner' agent, archichect
Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS A)QUEENSBURY, NEW YORK 12804- -
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 7/21:0/W
NAME ��j/jJ 71/, Wil_A/7-1;/1 I
LOCATION ,I�/] )l J/-2 . (j G
DATE ////!f2/q(J PERMIT # - 7a a�
/� , ! APPROVED
�I//- -fee- ) �� AV/g / YES NO
OTING/PIERS
MONOLITHIC POUR FORMS ;;
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL 1
ROUGH PLUMBING 4
FRAMING ) :f
ELECTRICAL ROUGH-IN ' iii 1
INSULATION: 'i 1
FOUNDATION .'1 1
FLOORS. '� il . .
w
WALLS j} li
CEILING ` I
FINAL INSPECTION:
CHIMNEY HEIGHT 14
ROOFING 'f..1
SIDING 1
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RI'LIEF VALVE
INTERIOR TRIM/PRIVCY ;DOORS
FINISHED FLOORS
GARAGE FIREPROOFI G d
DOOR CLOSER(S) 'f.
SMOKE DETECTORS l
FINAL ELECTRICAL INSPECTION ' 0
.FINAL APPROVAL OF CONSTRUCTION
- OK TO ISSUE C/O 9 C/C "1
A SIGNED CERTIFI ATE OF OCCUPANCY MUST BE
OBTAINED FROM T E BUILDING;,DEPARTMENT BEFORE
THESE PREMISES RE OCCUPIED!' .
REMARKS: 944f,v d (j-j7j✓,,i;e e_d__,,
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DEPART )-U J f�' j,.
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INSPECTOR
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I OWN OF QUEENSBURY
RECEIVED
NOV 8 1990 ,•‘;-
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BLDG. & CODE DEPT.
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