1992-154 BUILDING PERMIT
TOWN OF QUEENSSUR.Y 92_ 154
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Timothy Rousseau
OWNER of property located at g Sargent Street Street, Road or Ave.
in the Town of Oueensbury, To Construct or place a Demolition of Garage
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.
r
OWNER'S Address is
ame CONTRACTOR or BUI LOERS Name
Same
3_ CONTRACTOR or BUILDER'S Address
4. ARCHITECT`S Name
S. ARCHITECT'S Address
6- TYPE of Construction — (Please indicate by X)
( ) Wood Frame { I Masonry 4 1 Steel ( Y
7. PLANS and Specifications
No, Demolition of 13 ' x 201 Garage as per plot plan specifications
and application
a_ Proposed Use
Another structure will replace this bldg .
$ 20 nn 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.)
Rated at the Town of Oueensbury th' y
I
SIGNED BY for the Town of Oueensbury
wilding;andon I nspector 7
TOWN OF QUEENSB +URY FOWN of QUE oSBUH .
APPLICATION FOR DEMOLITION PERMIT
APR 16 1992
DATE : FEE PAID : oac� Y �- DEPT,
INSTRUCTIONS FOR COMPLETING THIS APPLICATION 9 2
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 and streets .
b . All existing structures , indicating which are to be removed .
c . Location of all utilties .
3 . Fee submitted per current fee schedule .
OWNER OF PROPERTY : ,•-3/1'�442 �-,/, ;��y,�l'3�
P . O . ADDRESS : 4 3 Z,- TEL :
PROPERTY LOCATION : TAX MAP
- - - - - - - . . . . . . .. . . . . . . -- - -- - - -- -.r--- -- - --- - --- - --- - - - --- - - -- - -- - - - -- . . . .. .. . . . . .
- --
Person Responsible For Work : ,r Mas s is &,A i t Tel : 72 494mw45- L_
Address : " 7 ��, �^✓� ]'r
. . .. . .. . ... . . .. . . .. . . . ... . .
WHERE WILL DEMOLITIONMATERIAL BEDISPOSED OF ? f5 1.,> �+,��,, gu
- -
The- following- buildings ) located on property+ described above are to be- removed :
Previous Use of Building ( Circle One ) :
Residence Garage Storage Business Other
Have all utilites been disconnected ? Gas Electric Propane Water
Size of Building ( s ) :
I . ft . x C3 ft . Location on property
2w fto x f t . Location on property
3 . Number of Stories : T ""
4 . Foundation Type ( Circle One ) : Full Cellar Crawl Space f Saab
Foundation Will Remain Be Removed
5 . Another Structure Will >< Will Not , Replace This Building .
Replacement of structure will require application for Building Permit.
NOTES :
SIGNATURE OF APPLICANT -
Owner , Owners Agent , r ect , Contractor
� f
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE (518 ) 745-4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE__. {- _PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECT ON
FROM
FREEZING FOR 48 HOURS FOLLOWI
THE PLACEMENT OF THE NCRETE
MATERIALS FOR THIS PU O5E ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMP ROOF
ING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN LA E
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS _.
BRACING/BRIDGING
JOIST HANGERS _..
JACK POSTS/MAIN BEAM
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS INT RI R-
FOUNDATION WALLS EX ERIO R-
FLOORS R-
WALLS R-
CEILING
DUCT WORK OR PIPI G IN UNH -TED
SPACES
REMARKS :
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