1991-650 BUILDING PERMIT -
TOWN OF QUEENSBURY
No. 91-650 - , o
WARREN COUNTY, NEW YORK -
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PERMISSION is hereby granted to Kay Kuebler ro
OWNER of property located at 32 MeadOWbrook Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition of Residence & Garage
at the above location in accordance to application together with plot plans and other information hereto filedand c
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. fD
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1. OWNER'S Address is -
109 /Eggleston St u,
Corinth, NY 12822 ^'
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2. CONTRACTOR or BUILDER'S Name
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Robert Shaw
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3. CONTRACTOR or BUILDER'S Address
Palmer Rd a
Gansevoort - -
4. ARCHITECT'S Name - - p
B
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) - N
• ( )Wood Frame '( ) Masonry ( )Steel ( ) - -
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7. PLANS and Specifications .
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No. Demolition of Residence & Garage as per application
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8. Proposed Use - fD
Demolition — uninhabitable V
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 13, 19 92
(If a longer period is required an application for an extension must be made to the Building and,Zoning inspector of the V -
town of Queensbury before the expiration date.) -
Dated at the Town of Queensbury this 13th Da of 19 91
SIGNED BY a for the Town of Queensbury
Buil ing and Zoning ctor
TOWN OF 9 ;ENSBLJRY 9/-6_7:2)
:» APPLICATION FOR
r; DEMOLITION PERMIT ((' F E
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BATED -I -9 FEE PAID $ e � { F?d.,i <,% 'ti^1 , `" I
L SEP 1 1991 ..a
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
BU LD NG & CODE DEPT.
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".
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HE OWNER OF THIS PROPERTY IS: P'?tv,lt) M24rid_c Atid
:O. Address• �!� ( - ,/e. 57�� .5�. oo le"/ 1 l /0 / rL TEL. 65-�- , S/ 7 l
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Property Location: ,3,R ea.10/AA Ij f'0 d lE 1 D� Tax Map No. /08/ / /
Street number or building lot number ���
Person Responsible for work R a b e4'-+ $ )1,2 k)
Address RQ. lM r R ,1 i✓sQ J vvv'/' Telephone -7 y 6_ Y-3?
The following building(s), located on the property described above, are
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to be removed from that property. �/ �
REASON FOR REMOVAL (A ) a 44� /9�Ct..A
Previous use of building (circle one)
esidence Garage Storage - Business - Other
Have all utilities been disconnected? Gas Electric . Propane Water
Size of building(s)
1. ft. x ft. Location on property
2. ft. x ft.
3. No. of Stories
4. Foundation type (circle one)( ull cellar - crawl space - slab.
Foundation will remain X -be removed .
5. Another structure will will not X , replace this building. Replacement of •
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE
Owner,owner s agent, archichect
Contractor
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
3� •s"� TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME `/Gi eu.e11i
LOCATION �°c� n,?CIria-te//'✓Lp`D`t /91UC.
DATE/` .6/q1 PERHIT# q/-6,SD
TYPE OF STRUCTURE f&'yym'D vrvade
��
RECHECK /
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FIRE MARSHAL APPROVAL (COMMERCIEAL STRUCTURE)
FOOTING FOUNDATION BACKFI,LL _FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION _WOODSTOVE/FIREPILACE _
REMARKS ,/, /�� „ 0.2k
APPROVAL
' % N/A YES NO
CHIMNEY HEIGHT/LOCATION \',"
B VENT/LOCATION ,;`u
PLUMBING VENT I y;
ROOFING '
SIDING i
DECK/PORCH/STEPS/RAILrINGS \
RELIEF VALVES
FURNACE/HOT WATER OPERATING \
BASEMENT INSULATION/DUCTWORK \
INTERIOR TRIM/PRIVACY DOORS \
FINISH FLOORS: '$�
BATH/KITCHEN WATERTIGHT ,a
OTHER FLOORS SWEEPABLE ',
OTHER FLOORSfi,CARPETED 'k
STAIR CLEARANCE/RAILINGS '\
HANDICAPPED ACCESS `x
SMOKE DETECTORS
BATHROOM FANS,/WHOLEHOUSE FANS \
ALL PLUMBING FIXTURES OPERATING a,
GARAGE FIREfPROOFING_
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER \
SITE PLAN/VARIANCE REQUIREMENTS i�.
FINAL ELECTRICAL
OK TO ISSUE C/0 OR C/C \
COMMENTS:
." .1,441 ../..164,t, „2„,01,4,..e."_, • \
ARRIVE
3 iie
DEPART 1 0 � l
T
tf� TOWN OF QUEENSBURY
531 BAY ROAD
Icy,? QUEENSBURY, NEW YORK 12804
<�► !. TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ear 4%-eif-
LOCATION �Z ,� �
DATE ��/��C/ PE, ITS �f 1k57
TYPE OF STRUCTURE
RECHECK GC__.
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAIL''INGS
RELIEF VALVES '
FURNACE/HOT WATER OPERATING I
BASEMENT INSULATION/DUCTWORK/'
INTERIOR TRIM/PRIVACY DOORS/
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT),
OTHER FLOORS SWEEPABLE,/
OTHER FLOORS CARPETED/
STAIR CLEARANCE/RAILINGS \
HANDICAPPED ACCESS if ti,
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS \
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOF/NG
DOOR CLOSERS u
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS ;.
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS I
FINAL ELECTRICAL
OK TO ISSUE C1/0 OR C/C
COMMENTS:654e414")/
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,
010, 4/-
ARRIVE ,
DEPART_
INSPEC�i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NANE \ 0 ehI _eAr ) �C
LOCATION a e_c )C� L)'S- c )
C
DATE 1 PERMIT # � L05 0
TYPE OF STRUCTURE v �t-;,,� 0-6
RECHECK /'l&' ck5&APPROVED
1 /A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE+ !
FOR PROVIDING PROTECTION FROM I
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SIFE
FOUNDATION/WALL POUR 1 I
REINFORCEMENT IN PLACE a ,1
FOUNDATION/DAMPROOFING h 6
BACKFILL APPROVAL
ROUGH PLUMBING Il
PLUMBING VENT/VENTS IN PLACED
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS / q
BRACING/BRIDGING /
JOIST HANGERS I VI
JACK POSTS/MAIN BEAM j 1
FIRESTOPPING
WALLS I
CEILING
FIREWALLS I 1,
HEATING ROUGH—IN 'X_
INSULATION:
FOUNDATION WALLS INTER 1OR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS \ R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,eoca/e4 _44 G0/
ARRIVE 1/
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DEPART ,�t�
INSPEC 'AR
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