96-614 BUILDING PERMIT
TOWN OF QUEENSBURY No 96614
VALUE $ 0
TAX MAP NO. 41. —1-14 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PETROSKI, DOUGLAS & DEBRA
OWNER of property located at
FITZGERALD RD. 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.
I. OWNER'S Address is
RD 2 BOX 356 B WEST MT RD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
BARBER, D. R.
3. CONTRACTOR or BUILDER'S Address
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
DEA 9LITION OF RESIDENCE . VARIANCE ISSUED FOR NEW CONSTRUCTION
OF SINGLE FAMILY DWELLING
8. Proposed Use
DEMOLITION OF RESIDENCE
October 3 19 98
$ 20 PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
3 October 19 96
Dated at the Town of Queensbury t is Day of
ti for the Town of Queensbury
SIGNED BY
gu.( • oning Inspector
f
TOWN OF QUEENSBURY 19 '
742 Bay Road 96
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No. 07(,,,• :. ./(/
Instructions for completing the application Date:
Fee Paid: 6_i
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.
Owner of property: e...,.,."'W_ Property Location: 7 ` /X0,44
Mailing Address: ?di X Tax Map No. section V i" , Block / ,Lot / ,,ia iv>/:
Person responsible for work: �4,�'--' Telephone No. 2 k- C/o c o
Mailing Address: //`1 l,L zL-Xed RP
i
17.1121. .
Where will demolition material be disposed of? / �G
Is there any asbestos within building to be demolished? Yes / No X'
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:
t
Previous use of building (circle one): residence garage storage business other
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s):
1. R.(ft. by if.Oft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): Ilµell r crawl space slab
Foundation will REMAIN BE REMOVED
5. Another structure WILL WILL NOT , replace this building.
NOTES:
Signature of Applicant: `\ --P —
owner. owner's agent,architect, cont ctor
(518) 761-8256
TOWN OF QUEENSBURY (PIO
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 128044`
INSPECTOR'S REPORT: ARP//f/6 DEPART GfANT-106
REQUEST FOR INSPECTION RECEIVED:
NAME -PC.ike k l
LOCATION T -//2 < 4-L
DATE /2-1 fg 1" PERMIT #
TYPE OF STRUCTURE: E lv��
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN L CE
THE CONTRACTO IS RE PONSIBLE 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
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING -
PLUMBING UNDER SLAB _ _.
FRAMING:
JACK STUDS/HEADERS
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-
`-JEU' o i0-0(1-4L ic0
44T-/047.
(518) 761-8256
glighTOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY12804
INSPECTOR'S REPORT: AR/� ✓, PART[ 44
REQUEST FOR SPECTION RECEIVED:NAME ` �„�S tt
LOCATION l 0 +`'0
DATE �/ 7/j{c� PERMIT I 15 ` 4% , I
TYPE OF STRUCTURE: 6 0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS _
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB FOR
PROVIDING PROTE TION FR FRE ING
FOR 48 HOURS FOLLOWING THE PLA E-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
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-
Ntt /U
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
I / G
INSPECTOR'S REPORT: AR ._ DEPARov IN'
REQUEST FO IINSSPECTION RECEIVED:
NAME 6T,e5"
LOCATION / J ''�v►✓
DATE .c)/3 /dq� �`�41 PERMIT I5 6/14
TYPE OF STRUCTURE: A610 V.
RECHECK APPROVED
N/A_ YES . NO
FOOTINGS/PIERS
MONOLITHIC POUR ORM
REINFORCEMENT N PLACE
THE CONTRACT I RESPONSIBLE FOR
PROVIDING P TE ON FROM FREEZING
FOR 48 HOUR FOL WING THE PLACE-
MENT OF THE CONC ETE.
MATERIALS FOR THIS PURPOSE ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
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-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 i(/
INSPECTOR'S REPORT: ARR//'/[IDEPAR • INT JI '
REQUEST FOR RIINSPECTION
� RECEIVED:
NAME _ ! v r//�2-05�/ p /J
LOCATION / //G/los7�-/ AO
DATE /d���4 PERMMIIT # y 64 -
TYPE OF STRUCTURE: Ov61
RECHECK APPROVED
N/A YES NO
FOOTING 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 S TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOIS'ING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
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-