96-118 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 96118
TAX MAP NO. 115. -1-9 No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PITNEY, MARGARET
9 BARBER AVE.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DEMOLITION OF 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
9 BARBER AVE.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
CIFONE CONSTRUCTION
3. CONTRACTOR or BUILDER'S Address
PO BOX 685
GLENS FALLS NY 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
DEMOLITION
( ) Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
DEMOLTTION OF RESIDENCE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DEMOLITION OF RESIDENCE
$ 20 98
PERMIT FEE PAID —THIS PERMIT EXPIRES April 15 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 th's 15 Day of April 19 96
SIGNED BY 7tfor the Town of Queensbury
"Iding and Zoning Inspector
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT _(:)._tv�'
Permit No. C
Instructions for completing the application Date: 1-1 —/2--'
Fee Paid: C
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 utilities.
3. Fee submitted per current fee schedule. APR 1 r- 1996
Owner of propert /
y: N�1(}.r \F Pi-
Owner Property Location: 9 130v"6c;t- 6-Ur
,.J (-)
Mailing Address: 9 130.4c r a Tax Map No. Section'15 , Block 1 ,Lot
Ci 0 Cx,....s tab v—r II.X 12190 Lf
Person responsible for work: C1 w e Y i - Co Telephone No. c -t9 2-Li Z
Mailing Address: ID.0) Bo — G F LI
Coe Fe,dt s Hy ijo 1
Where will demolition material be disposed of?
Is there any asbestos within building to be demolished? Yes / No .
If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of:
NAME OF FIRM LICENSE NUMBER
LOCATION WHERE ASBESTOS WILL BE DISPOSED
* A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS.
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 utilities been disconnected? gas '�/ , electric , propane , water .Y.
Size of building(s):
1. ,./.___'-- ft. by ,-' ..' ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): full cellar crawl space slab
Foundation will REMAIN BE REMOVED
5. Another structure WILL WILL NOT , replace this building.
NOTES:
1
Signature of Applicant:._.
owner. owner's agent,architect, contractor
` 10 TOWN OF QUEENSBURY
, 1 _ BUILDING & CODE ENFORCEMENT
f 742 BAY ROAD
�/' �101 � QUEENSBURY NY 12804
(518)745-4447
I
ARRIVE: 1,r DEPART: IUSD: t
-Z(11----
FINAL INSPECTION REPORT - RESIDENTIAL ^ L
DATE INSP CTION REQUEST RECEIVED: 1,) ---ZZ.-7- I{
NAME \ I IrcULk-t1 T!'IL
W,;k4-
( 5
LOCATION (1 QfT\iL7J2J\
DATE L4"— 2-3-i PERMIT I4T6 11
—"?
TYPE OF STRUCTURE '
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A _ YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILING
RELIEF VALVES
FURNACE/HOT WATER OPERATIN
INTERIOR TRIM/PRIVACY DOOR
FINISH FLOORS: •
BATH/KITCHEN WATERT HT .
OTHER FLOORS SWEE ABLE a
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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C e/4 A
TOWN OF QUEENSBURY �s
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARI ' ✓DEPART VVV ` ✓iNT
REQUEST F INSPECTION RECEIVED:
NAME 1NN-9-11/4 -41e...A,
LOCATION
DATE L "' PERMIT # ile
TYPE OF STRUCTU: JY ..Cy1-, 1'
RECHECK c .•5 d 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 TH*S PURPOSE OK SITE
FOUNDATIONLWALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL -_
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING -
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDSLHEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-