1993-104 BUILDING PERMIT
TOWN OF QUEENSBURY 93-104
No. co
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to ROBERT AND CONNIE ACKLEY ^'
OWNER of property located at Corner Rhode Island & South Avenues Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition
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 '<
RD#4 Rhode Island Av
Queensbury NY 12804 0
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2. CONTRACTOR or BUI LDER'S Name
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Ivan Bell
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3. CONTRACTOR or BUILDER'S Address
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2 Lower Warren St
Queensbury NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications ' je 0_
Demolition of 25'x34' Sign cfeat44 dwelling as per plot plan and QO
appl ica Iron. o
8. Proposed Use
To make room for new doublewide mobile home
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES na 19 a
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.) J,
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Dated at the Town of Queensbury this 15th Day of April 19 93
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SIGNED BY /tdJ for the Town of Queensbury
ing and Zoning Inspector
,.`01110b.,:, . TOWN OF QUEENSBURY
/'' , APPLICATION FOR DEMOLITION PERMIT
02 DATE: I/ / S/ �'/3 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, 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: !�
P.O. ADDRESS: RD1'-i 1R\\off - -do, (me ,. QU 9-EL: 13-2
PROPERTY LOCATION: TAX MAP #: /2a/$ / /12-
Person Responsible For Work: Zr'/Pa1" LW' Tel : 79 $1 Lill
Address: 45 /-arAi-t,v' Weirs^-c-vi, 0. 04/
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? O by Ou vvp CV
The following building(s) 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 j o Electric140 Propane Water h o
Size of Building(s) :
1. a?_3- ft. x 3 9( ft. Location on property
2. ft. x ft. Location on property
3. Number of Stories: 1
4. Foundation Type (Circle One): Full Cellar Crawl Space Slab
Foundation Will Remain Be Removed x°
5. Another Structure Will mill Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
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SIGNATURE OF APPLICANT: 19 T O # , GVy rJ C'.I 'U:1l, u,c-
Owner, Owner Agent, Architect, Contracto
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TOWN OF QUEENSBURY , ,`
BUILDING & CODE ENFORCEMENT ��
531 BAY RD., QUEENSBURY NY 12804
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INSPECTOR'S REPORT: ARj7 Z DEPART/0_2-5INT Jet"
REQUEST F R INSPECTION RE RIVED:
NAME /�CV,
& KUheE&r
LOCATION Rath 46 '4 ) /
DATE PERMIT 1I
TYPE OF STRUCTURE: "' oaa#0.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL /
PLUMBING VENT/VENTS IN PLACE ,
I
ROUGH PLUMBING J�
PLUMBING UNDER SLAB
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FRAMING: /
'JACK STUDS HE
BRA GING
JOIST HANGERS
JACK POSTS MAIN BEAM ..
AIR INFILTRATION BAR .ER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- - --
WALLS R- - -
CEILING R- -
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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TOWN OF QUEENSBURY
531 BAY ROAD
; +t1- QUEENSBURY, NEW YORK 12804
{ — TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR, INSPECTION RECEIVED
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NAME 'l L! ( v, (Itt P�
LOCATION � �
DATE (p/11/9 PERMITO p3�D
TYPE OF STRUCTURE 4,6�j vu)---1a 4
RECHECK •
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS 441 e.eP 4s/93
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION e`
PLUMBING VENT
ROOFING I d'
SIDING ( I
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES p 1
FURNACE/HOT WATER OPERATING/
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTI;GWT
OTHER FLOORS SWEEPABLEk
OTHER FLOORS CARPETED
STAIR CLEARANCE/RA,ILINGS�1
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE F'�NS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING II
DOOR CLOSERS' 1,
OTHER FIRE/SEPARATION•
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL \
OK TO ISSUE C/O OR C/C
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COMMENTS:
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