95-106 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95106
TAX MAP NO. 38. -4-6 No.
WARREN COUNTY, NEW YORK
GODNICK, JEFFREY & DEBRA
PERMISSION is hereby granted to
1759 GLEN LAKE RD.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DEMOLITION: RESIDENCE 48 FT. BY 44 FT.
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
R. R. #1 BOX 1759
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
BAY RIDGE VOL. FIRE CO.
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
DEMOLITION
1 1 Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
DEMOL114ION OF 48 FT. BY 44 FT. RESIDENCE AS PER PLOT PLAN
AND SPECIFICATIONS
8. Proposed Use
DEMOLITION: RESIDENCE 48 FT. BY 44 FT .
$ 20 PERMIT FEE PAID —THIS PERMIT EXPIRES March 17 19 97
(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 28 Day of March 19 95
SIGNED BY for the Town of Queensbury
Building nd Zoning Inspector
•
40111 TOWN OF QUEENSBURY ^ ^ �`�ar 4
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APPLICATION FOR DEMOLITION PERMIT V e 4.;
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DATE: 3 311CFEE PAID: 4 (96 , 00 "A
INSTRUCTIONS FOR COMPLETING THIS APPLICATION
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showin :
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: 3 E- F
P.O. ADDRESS: Rat l cr J75q LArs G-Fj.).24,c N0 TEL: WA - '•119' 7
PROPERTY LOCATION: G. EN Lam go;av TAX MAP #: 3Fs / `F /
Person Responsible For Work: gm uoi F;R.G co Tel : 713 -5943
Address: GLEN LArx RcA4
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF?
The following building(s) located on property described above are to be removed:
Previous Use of Building (Circle One) :
�esidence Garage Storage Business Other
Have all utilites been disconnected? Gas Electric ✓ Propane Water
Size of Building(s) :
1. 3 Ej ft. x 44 ft. Location on property CENTE:'L
2. ft. x ft. Location on property
3. Number of Stories: a
4. Foundation Type (Circle One) : Full Cellar Crawl Space Slab
Foundation Will Remain Be Removed
5. Another Structure Will ✓ Will Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT: .
wner, wner' s Agent, Architect, Contractor
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e TOWN bF QUEENSBURY
_ BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
DEPART: 2' INSP:N/46�
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME GOOA) ( *A-ff
LOCATION ff` " 47-01J /n/^
DATE _if/i;S PERMIT,� I `//(y
TYPE OF STRUC URE 4� �N6/0 /e9
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
1 N/A YES NO
CHIMNEY HEIGHT B VEN HEIGHT
PLUMBING VENT
ROOFING 4
EXTERIOR FINISH MOM
DECK/PORCH/STEPS/RAILIN
RELIEF VALVES
FURNACE HOT WATER OPE- Ak
INTERIOR TRIM PRIVA DO0RS
FINISH FLOORS: _
111111
BATH KITCHE AMR_
OTHER FLUiRS SWEEPABLE
OTHER - OORS CARPETED
STAIR LEARANCE/RAILINGS
S 0 E DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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33d
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 "66
INSPECTOR'S REPORT: ARR EPART - I
REQUEST OR INSPECTIO RECEIVED: or
NAME A.
LOCATI 175 °• ri
DATE -3 ` ' S PERMIT N 5/0%
TYPE OF STRUCTURE:
RECHEC APPROVED
��' N/A YES NO
FOOTINGS/PIERS 6 fkL,A
MONOLITHIC POUR FORM
St4/
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO SIBLE FOR
PROVIDING PROTE TION FR6 FREEZING
FOR 48 HOURS FOLLOWING T PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE '' TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE .
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL L
PLUMBING VENT/VENTS IN PLAi4
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS[HEADE'S
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN SEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTER OR R-
FOUNDATION WALLS EXTER OR R-
FLOORS R- --
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
LET
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARt .2O DEPART 2, .r/INT,
REQUEST FOR I SPECTION RECEIVED: 3—(;)_9 q S
NAME
LOCATION _ Cj—LQjy. L &1 f- (e-r)
DATE 3 -h — CI( _) PERMIT N ) —/0(i>
TYPE OF STRUCTURE: � ✓
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 IrLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITX_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN P ACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK ST •S[HEADERS
BRACINe/BRIDGING
JOIST ANGERS
JACK •OSTS/MAIN B
AIR INFILT' ,TION BARRIER
HEATING :IUGH—IN
INSULAT ON:
FOUNDATION WALLS INTERIOR R—
FQUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS
R— -
CEILING R—
DUCT WORK OR PIPING IN -
UNHEATED SPACES R—
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR/` jDEPART/2(1 INT
REQUEST FOR INSPECTIONON RECEIVED: �3-lll`�l 5
NAME -e�� G-cr- n i 0 )r,
LOCATION _ Gievi t FJ,
DATE 3---,.91 - Ci S PERMIT # 61541969
TYPE OF STRUCTURE: 2-41"C)1\\-VSY1 Ci u 2,-.2
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUF\l FORM
REINFORCEMENT Il' PLACE
THE CONTRACTOR I' RESPONSIBLE FOR
PROVIDING PROTE 1\ION FROM FREEZING
FOR 48 HOURS FOLL WING THE PLACE-
MENT OF THE CONCR TE.
1
MATERIALS FOR THIS''.PURPOSE ON SIT
FOUNDATION/WALLPOUR'
REINFORCEMENT IN PLA E
FOUNDATION/DAMPPROOFI G
BACKFILL APPROVAL
PLUMBING VENTLVENTS IN k'L CE
ROUGH PLUMBING •
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS[ EADER`
BRACING BR ',GING M
JOIST HAN RS
JACK POST. MAIN BE. w
AIR INFILTRATIO. BARRIER
HEATING ROUGH N
INSULATION:
FOUNDAT ON WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOOR,S R- -
WALLS R_
CEILING .-
DUCT WORK OR PIPING IN
UNHEATED SPACES •-
1 `�
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