1992-094 BUILDING PERMIT
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TOWN OF QUEENSBURY �
No. 92-024
WARREN COUNTY, NEW YORK c
PERMISSION is hereby granted to Guido Passarel 1 i eu
OWNER of property located at Round Pond Road Street. Road or Ave. .
in the Town of Queensbury, To Construct or place a
Demol i ti on of 2 seasonal cottages
at the above location in accordance to application together with plot plans and other information hereto filed and
a Dueensbury Building and Zoning Ordinance. fy
approved and in compliance with the Town of
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INNER'SAddressis
Same CONTRACTOR or BUILDER'S Name
Clifford A. Goss
3- CONTRACTOR or BUILDERS Address
RD#1 Sox 1266
Berquist Rd C
Ft An n Ct
4. ARCHITECT'S Name -p
CI
C1.
CS
F7. PLANSand
HITECT'S Address
J.
E of Construction - {Please indicate by %)
J.
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Y Wood Frame I ) Masonry ( ? steel ( i
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Specifications � ^'
Demolition of 2 seasonal cottages as per plot plan specifications o
No, e'I'
and application
8_ Proposed Use
Reason for removal Town Requested
$ 20_00 PERMIT FEE PAID — THIS PERMIT 'EXPIRES
(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-)
Dated at the Town of Oueensbury this 3T'.�t Day of . January 1992
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SIGNED BY for the Town of Clueensbury
Building and Zon . 1 nsipector
To Ole . IJEENS B Ly RY
/APPLIiCA4TIUN FOR `
• �'� DEMOLITION PERMIT .71
DATIii? -
r FEE PAID. . . _
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
1 . All applicable spaces -are to be completed.
2. TWO Plot Plans are to be submitted,.drawn to scale, stWwInV
a: Lot boundaries with dimensions and adjacent. � & streets
b. All: existing, strMtktr , with indications as to .t -to be removed
C. Location of a.11'utilit
3. < '1?e+ submitted per current Fee Schedule. payable to. '"T`arvvfi'-of tueen�stfu►ry".
TIIB OWNER OF THIS PROPERTY It9s
P.O. Address: ��-... .,
Property Location: Taz MapN ,i P + 4
11 ree . n0iftber orbuUlalng lot number -- A
Person. Responsible for 'work _fr C
Address ice— n )e t* 6 4 r +• 2 Q . lr" le`phon
The following building($), locs:t the property dtscr3bwcl .strove,. are
to be removed from thsit :pr* arty:* "
REASON FOR REMOVAL
Previous use of building (circle one) Pk I
Residence - Garage Storage Business - Other
Have all utilities been dtscotgiecte l? Gas Electric .v Propane V wader �
si ze .of buildings)
I. .— fto x o' +L 'ft. Location on property. ' „
3: No. of Stories
+'
4. Foundation. type (circlerone) ull cellar crawl space - stab.
Fer�ndation will restrain removed
5u. Another structure will will not ;r reface this butilding: Replacement of
} structure win require a`1spliCation or Building Permit.
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`6"CIAL NOTFAS: ..
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sIGNATITRl
rONOWWF4iilrS` Etct
ti Contrail for
TOWN OF QUEENSSURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
OTELEPHONE * NEW 0{ 5 8 ) 7 45-4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED ^
NAME NIL
LOCATION R
DATE
TYPE U PERMIT
RUCTURE
RECHECK l cc . l.) N/A � YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES SIBLE
FOR PROVIDING PROTECTI FROM
FREEZING FOR 48 HOURS F LOWIN
THE PLACEKENT OF THE CON RETE
MATERIALS FOR THIS PURPO 0 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE _......
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VEN S IN P CE
PLUMBING UNDER SLAB
FRAMING :
JACKSTUDS/HEADERS
._ ...�
BRACING/BRIDGING
JOIST HANGERS _������
JACK POSTS/MAIN BE
HEATING ROUGH- IN
INSULATION :
FOUNDATION LL N E I R-
FOUNDATION WALLS kXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK R I iNG IN UNHEA7ED
SPACES
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R EMA KS
ARRIVE ,o/ �
DEPART -�
61 INSPEC R
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