1993-143 BUILDING PERMIT
TOWN OF QUEENSBURY No. C4_,43
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to • lC H A-RD 1/1/, f3F}PP
OWNER of property located at ()G 1).E41 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DEP101...I i7 — aS i•JD NCE
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
<{D O4n/ 8D
aL1E�n1Sr3LtRc� Ny i iO /
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
"r)--)cL i nD74 of 1QESi'D We
No S<3 Z ' As PER, A-PPLIL TIOnf,
H. Proposed Use
`REmoV4i. or- I.I.WSi4Fe:- -5ilaLta-TUkE
$ 2,o(04 PERMIT FEE PAID —THIS PERMIT EXPIRES //4- 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 Da of. APRIIr. 19 C'
SIGNED BY
� � � for the Town of Queensbury
Building and Zo ing spector
, .
, �: TOWN OF QUEENSBURYAPPLICATION FOR DEMOLITION PERMIT
/1/7-/-
DATE: -1,l/9 3 FEE PAID: PO—
..4 OF UE NS L.
INSTRUCTIONS FOR COMPLETING THIS APPLICATION RP f�EWED
1. All applicable spaces are to be completed. APR . . 1993
2. Two plot plans are to be submitted, drawn to scal-el h8 in
a. Lot boundaries, with dimensions and adjacent roans sQWts.
b. All existing structures, indicating which are to be removed.
c. Location of all utilties.
3. Fee submitted per currentl fee schedule.
�1
OWNER OF PROPERTY: r�G A l�r 3 LFI PP
P.O. ADDRESS: O Qq Q'e/h TEL: 79 9?
PROPERTY LOCATION: (7.7 2 ,I a ,:hr 1/ TAX MAP
Person Responsible For Work: y,l ,�fj/9/2 Tel : 7"',f 9J 9 L'
Address: 1/O 7 09 a4n-7 Pc) �1eefr1f GGt ll
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? on f
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One) :
. sidence� Garage Storage Business Other
Have all utilites been disconnected? Gas Electric X Propane Water X
Size of Building(s) :
1. ft. x -54 ft. Location on property L.cr7,-/ s,
2. ft. x ft. Location on property
3. Number 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.
NOTES:
SIGNATURE OF APPLICANT:
; Owner, Owners Age' , A tect, Contractor
G i s i C4-CA4 F/Rk- CA) Tb aeJEiV. 5/3/Q3
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR 1NSPEECTI i' RECEIVED
MAME
LOCATION_CX 't Inc
DATE y ) PEIT i CT3-1 2'
TYPE OF STRUCTURE }g, '' ife ' tlr4
RECHECK APPROVED
j N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROA
FREEZING FOR HOURS FOLLONING
THE PL. •.CEfIENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN RLACE
PLUMBING UNDER SLAB I
FRAMING:
JACK STUDS/HEADERS g•'
BRACING/BRIDGING_ L—
JOIST HANGERS 1'
JACK POSTS/MAIN BEAM1
HEATING ROUGH-IN /' 1
INSULATION: ,�'° ' 9
FOUNDATION WALLS INTERIOR R--
FOUNDATION/WALLS EXTaRIOR R-
FLOORS / j R-
WALLS ;% 1 R-
CEILLNG R-
DUCT WORK OR PIPING TN UNHEATED
SRACES
REMARKS:
LA a- 40
)O OIts L( ( . 1 1(64A K-L'
Lifs1,,ihu iv& 7'c3 A-1 (U J Al
LL l .� V
ARRIVE
DEPART / ,/4'�- ✓"
INS EC R