1991-844 Tra)
BUILDING PERMIT X
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TOWN OF QUEENSBURY
No. 91-844
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Claude Charl eboi s
OWNER of property located at 30 Lower Warren St. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition of Residence c7
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. ?,
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1. OWNER'S Address is 0
18 Roosevelt Avenue
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2. CONTRACTOR or BUILDER'S Name
d
So. Queensbury Fire Dept. (D
3. CONTRACTOR or BUILDER'S Address
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O
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4. ARCHITECT'S Name CD
CD
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
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No. Demolition of 30' x 50' Single Family Dwelling as per plot plan r+
specifications and application 0
8. Proposed Use
0
—I,
Demolition of Single Family Dwelling
$ 20.00 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.)
Dated at the Town of Queensbury this 9th 2 of December 19 91
SIGNED BY i for the Town of Queensbury
_ I � Y
Building and Zo 'i Inspector
TOWN OF QUEENSBURY
�t%67'•1 �GF Qll EENsb
APPLICATION FOR �`" i G
' •
v'=;�> r ' DEMOLITION PERMIT C 6 1991
•
DATED /z— .C-- / 1 FEE PAID $ A)— EpT
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
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: 474 G' p/� .47/"2 L T O / S
P.O. Address: /6 OO S 6�i/Z-/ / pig . TEL. 77z -.j‘?C
Property Location: 3 6 L owg L. co//2.74'4/ 5/ , Tax Map No.//U/ // eze
Street number or building lot number �,
Person Responsible for wor Gt ` 6� cAvi
Address /Ocv) L -/X /MA Telephone
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL G�
Previous use of building (circle one)
Residenc - Garage - Storage - Business - Other
Have all utilities been disconnected? Gas /, Electric J//y Propane, 5 Water /z S
/ / /
Size of building(s)
1. 'G ft. x ca ft. Location on property 36 Co wi /? (� �/ S7
2. ft. x ft.
3. No. of Stories
4. Foundation type (circle one) crawl space - slab.
Foundation will remain ye-5, .- removed 4/0 .
5. Another structure will will not X, replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATUR7:
Owner,owner's agent, archichect
Contractor
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 �i� Chwr% ot3
LOCATION CO G-cA i 1 S7"
DATE 2,42„ PERMIT # 5/ -`741/
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR f
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING\.. /
BACKFILL APPROVAL V /
ROUGH PLUMBING ti I/
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB_ , .
FRAMING: :%
JACK STUDS/HEADERS,' I;
BRACING/BRIDGING 1 t
JOIST HANGERS ,t' /
JACK POSTS/MAINFBEAM J
HEATING ROUGH-IN!/
INSULATION: I
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
8/4 Wag 4e ' -
5""fAA'
ARRIVE
DEPART
INSPECTOR
uWN OF QUEENSb„
C3 ( RECEIVED
l
DEC 1991
& CODE DEPT.
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