1992-011 BUILDING P''ER.1` 'T MI
TC3Wt4 OF QUEE14SBUR.Y No. 92_iy1l
WARREN OOUN'[Y , NEW Vo"
�r
x
0
BarbaraJ - lY1al1 ane Road or Ave.
to Street,
PERMISSIOPd is hereby yrted .a
located Indiana Avenue
Belk 1 t1 on of Residence hereto
fixed and
OWNER of Property or pVace a w
nstruct her with plot pkar+s and other informs#ion
in the Town of Queen�ury• To f:vo to application to"et zoning ordinance-
location in accordance eensbury Suildirig and
at the above fiance with the Town of Clu
approved and in comp
t OVMr=R•S Address is
7 Indiana AvenueL gOA o
QueensburY- 9
OR or gUi LpE R'S Name r
2. CC)NTRACT �laneY
John Mat
W
OR or S
�tLpER"S Addr� W1
3, CONTRACT
C
4. A'RCIMTEGT•5 Name
7
5. ARC4iYTECT"S Address
f Construction . {Please indicate by
7C1
g, TYPE a
{ 1 Wood 'Frame { 1 Mas 1 Steel
onry { i 3
7_ PLANS and Sp&difieetions
er plot plan specif; cations and
p�ql i ti on of Residence as p
No. ti on
appiica
f3, ProPo"d usa wi I I repl ace thi s building%
Another structure
tilA • tis___--_
PERNY{T FfcE PAIL] — TV11S PERMIT
EXPIRES Wing inspector a# the
rinI is required art application for an extension must be made to the Building and Zo
{tf i -.of QueenstsurY before the expiration dote.) npar 19 92
y ~---
fith O y f
# C7ueensbury this nsbury
Gated at the Town o ! r for the Town of Ouee
Y
SI�NEo ey Building
and Zon nectar
']'D1.VN OF Q UEENSB U RY
APPLICATLON FOR
DEMOLITION PERMIT
WN OF OUEENseURY
FEE PAID $ Cla!
nATrn �i
TION .
INSTRUCTIONS FOR COMPLETING THIS APPLICA JAN 1 4 ��
BUILDING & MODB DEFT.
IV All applicable spaces are to be completed.
20 TWO Plot Plans are to be submitted, drawnto- scale, showing: streets
a. Lot bounder strct res,nns withoind chat ons as to those to be removed
b. All existing
c . Location of all utilities
3. urrent Fee Schedule; Payable to " .
Town of Rueensbury"
Fee submitted per c
THE OWNER OF THIS PROPERTY IS: AR TEL. 7Qc'� ' ����
P.O. Address: �,- t e rUA
Tax Map
Property Location:
:Nell /9 A lot number
Street number or building
Person Responsible for work Telephone
Address
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)
Residence Garage - Storage - Business - Other
Have all utilities been disconnected . 'Gas '�✓
ElectricPropane A/ A W ater w A
r
of building(s) Location on property
{ ft. X �ft•
IF
2. ft. x ft.
3. No. of Stories J
4. Foundation type (circle one) full calla
awl space - slab.
-be remove >, _ M
Foundation will remain u�_
5 . Another structure ill will not , replace this building. Replacement of
structure will require application for Building Permit. Ip1�o VAN
SPECIAL NOTES: ~+ti+
SIGN ATL7R r.
Owner,owner's agent, are iche t
,Contractor
THE NEW YORK, BOARD OF FIRE UNDERWRITERS
SUFREAU OF ELECTRICITY
Al STATE STREET. ALWANY, NEW YORK 12207
•.) . Application No. on fife 1
Date
tI`
THIS CERTIFIES THAT J ) I I the t named an the abode application number in the promisee of
only the electrical equipment on described below and introduced by �icsn
fm) XIV!, ►^ial..I.,: I "i-i111J'1'R `i i.'i.A}!'� , t;i"•i11351 ! ltli . iilll•�i'i17: ;}il1l:`r Ii . .r Black Lot
in thuefollowing location; ❑ g,seement F7 Ise Fl. Sod FI.
Section
was examined on '.F'1 • , I 'a'•+ and found to be in compliance with the National Electrical Cade.
Rl[TilRES RANGES t�Df71CINLi PECKS OVENS DISH WASHERS W. EXHAUSTAMT. FANS
RXTtp1E EFTACLM SOMCHNS IµCANptSCE.MY FU001 SCENT OTHER AMT, K. W. H. P.
CK1TtETS 1 '
F1iTURE APMJANCE FREpERS SPECIAL RRC'►T TIME CWCKS EEII Ytt1T HEATERS MIlITI-CMJikET Dim
DRYERS PJRNACE MOTCIRS SYSTiMt ►Av, wwrn
X. ►. AMT. HO, A- W. O• AMT, AMP- AMT. A1AF'. TRANS. AMT, X. *- t1trJ. OF t$T
AMT. K. W. OIL H. F. GAS
S E R V I C. E
SERVICE DISCONNECT 1tCt,CIF G A. W. G. No. OF WAVIRALS A W. G.
MIRTER TiD• j�a'�' GF Cc CONa. r+G. os twtEc _ G crF NtvrtwL
AMT. AAV- TYPE fifiTllF. / Rw 1 ]W s / sw t r
o"Wit APPARATUS:
1: 1i . ili 1'+?11
1-'X IT 1
AVE BRANCH MANAGER
FAIA
-
Pet
This certificate must not be altered in any mGnmw- return to the Office of the Board if incorrect. Inspectors may be identified by their credentials.
BE ALTERED IN ANY MANNER.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT - - -
T o laxssulty
DE
BUILDING Col
5ots 31 BAY ROAD PARTMENT I804
QUEENSBURY , NEW PORK
TELEMIONE S E CTOi!' s REPORT
Bl1II pI1l6 IriSp
�Ip{ R'ECEIV ED
RE[�l1Ers-[ F'DR'
SAM
LOCATION �f PERMIT I�1 �
DATE
TYPE OF STR CTURE APPROVEDNO
NIA YES
RECHECK
00 I POUR F
MONOLIT"IC
REINFORCEMENT 1IS R OH
CE
111E CONTRACTOR O-MCTI FO1- O�iI116
FOR PROYIDTH6 1!S EiE-
MEZIlf6 FDRt THE COK ON T E
THE MATE.R�U TH1S PURPOS
FOUNDATIO%/WAL-iP pLAC
REINFORCEMENT r- �r
FOIfNDATIONIDAMPROOFING
BACKFILL APPROVAL IN BiNG A�E�� .�
ROUGH PLUTA ^�
PLUMBING VENTI SLAB � -
PLUMBING UN � -FRAMING - flSIH DERS
JACK BR G16RIDGINGST HAS
r.�
J AC K POSrTGS /M BE
RESTOPP ING �^
WALLS
CEILING
FIREWALLS UGH- IN
HEATING R
INSULATION' WALLS I E I
FOUNDA WALLS EXTERIOR R --� -
FOUNDATI0N
FLOORS - --
WALLS �� '~~
CEILINa�~ ED
IPI G N N EA
Duc-r WORx D
SPACES
EMARK =
ARRIVE
DEPART
Tex Map 01- �- 13
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