1991-816 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-816
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Alice MacLean James
OWNER of property located at Pilot Knob Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition of Single Family Residence
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
Star Route
GlensFalls, NY
2. CONTRACTOR or BUILDER'S Name
Robert J. Martin
56 Montray Rd
Glens Falls, NY
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( I Wood Frame ( ) Masonry ( I Steel ( I
7. PLANS and Specifications
No. Demolition of Single Family Residence as per application
8. Proposed Use
To Rebuild
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES NnvPmher 19, 19 92
(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 Queensbury this Day of NOvember 19 91
SIGNED BY ✓' for the Town of Queensbury
Building and Zori ' Inspector
TOWN OF QUEENSBLRY G' _(3/6
APPLICATION FOR
r`""'' DEMOLITION PERMIT
DATED // /e/9r FEE PAID $ . [ E•..:sE vr:D
n ` 131991
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
& 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".
THE OWNER OF THIS PROPERTY IS: j �� 1 a c LE A N J lvl r_s
P.O. Address: S T. R -Rfl Ll.i E LE::m TEL. / :5(0 -c(
Property Location: Rt ) k v Tax Map No. i q / i /'Zq
Street number or building lot number
Person Responsible for work 1p g R i, 1Y) Rri iY
Address 5 l Nto;v;RAY n( -t, tens e u.s `j_ Telephone . --i3 LOS a.
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL 1�r RP QAK���
Previous use of building (circle one)
Residence - Garage - Storage - Business - Other
Have all utilities been disconnected? Gas Electric . Propane Water
Size of building(s)
1. - ft. x 61, ft. Location on property; ,; k�,,e. ( n
2. ft. x ft. LA-1r- e �'•y
3. No. of Stories
4. Foundation type (circle one) full cellar - rawl space)- slab.
Foundation will remain �- -be removed .
5. Another structure will 1`will not , replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE 0.000_,\11c,, ,`��CI o;ti(to t l.Gn
Owner,owner's agent, arciu chect
Contractor
TO%lN OF QUEENSBURY
3 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
4* " W TELEPHONE (518) 745-4447
"4'' " BUILDING INSPECTOR°S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ///27/1/
NNE J//
LOCATION 4
DATE /7.4?'///*/ PER1ITi 9//
TYPE OF STRUCTURE A 'N 1/ /tU,LC(l/il443.—e,)
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL _FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE _
REMARKS
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APPROVAL
' NI N/Al YES NO
CHIMNEY HEIGHT/LOCATION,:'
B VENT/LOCATION , '
PLUMBING VENT /
•ROOFING A ,f'
SIDING sI
DECK/PORCH/STEPS/RA;I+KINGS
RELIEF VALVES '`
FURNACE/HOT WATER/OPERATING
BASEMENT INSULAT hON/DU,CTWORK
INTERIOR TRIMMIVACY 00ORS
FINISH FLOORS: / `\
BATH/KITCHEWATERTIGH;
OTHER FLOORS SWEEPABLE\
OTHER FLOWS CARPETED \
STAIR CLEAR IVCE/RAILINGS \
HANDICAPPED ACCESS !.
SMOKE DETEC ORS '
BATHROOM FANS/WHOLEHOUSE FANS\
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING_ \
DOOR CLOSERS \
OTHER FIRE SEPARATION \
FIRE/DEMISE WALLS \
DUMPSTER
. SITE PLAN/VARIANCE REQUIREMENTS \.FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
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