98-656 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 98656
TAX MAP NO. 6 . -1-5 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SHAFFER, JOHN & MARIE
OWNER of property located at 87 ASSEMBLY PT. RD. Street.Road or Ave.
in the Town of Queensbury,To Construct or place a DEMOLITION OF RRSTDWNCE AND GARAGE
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.
t. oEfayixicK CIRCLE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
SHAFFER, JOHN
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
I I Wood Frame I Masonry ( I Steel I I
7. PLANS and Specifications
DEMOLITION OF RESIDENCE AND GARAGE AS PER PLOT PLAN AND SPECIFICATION
No.
8. Proposed Use
DEMOLITION OF RESIDENCE AND GARAGE
20 October 23 2000
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 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 OueensburY before the expiration date.)
23 October 1998
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT 0P �Permit No.
Instructions for completing the application Date:
Fee 13a4i, are..)1----'
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: J D I i✓ S A.L-Er er Property Location: k? A t:r t,+4.f y rho,`1,-t dt
Mailing Address: 13 1 e i n e.. k C'c c 1 e Tax Map No. Section , Block ,Lot
Qt.LF Pet SAc, c i/ -Y.
J ,
Person responsible for work: Telephone No.
Mailing Address:
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): esidence arage storage business other
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s):
1. if 2- ft. by '1-2._ft. Location on property I-L 9
2. Lo ft. by I \r ft. Location on property trr A e n 4
3. Number of stories: l I)
4. Foundation type (circle one): full cellar crawl s slab
Foundation will REMAIN OVED x
5. Another structure WILL X WILL NOT , replace this building.
NOTES: pSignature of Applicant:
C.
,�owner. owner's agent,a aect, contractor
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: R ( 1
Building& Code Enforcement
742 Bay Road
Quecnsbury,NY 12804 Arrivear;y:� ! ,art,- ;pant _
Inspector's Initials_
NAME: } i/' PERMIT#
LOCATION: r,, TE : 7 951
TYPE OF STRUCTURE: JP.f hz
RECHECK /
?WA. ehel et
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form l e d 'S
Reinforcement in Place ( U
The contractor is responsible for 716td, 41 3
providing protection from freezing
for 48 hours following the placemcn
of the concrete.
Materials for this purpose on site
Foundation/Wal 1pour_
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab _
Plumbing Vent/Vents in Place
Rough Plumbing
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-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers Z:)1
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam___
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
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