98-379 BUILDING PERMIT
VALUE s 0 TOWN OF QUEENSBURY No. 98379
TAX MAP NO. 9. —1-18 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to POLONSKY, JOSEPH & NANCY
OWNER of property located at 98 BAY PARKWAY Street,Road or Ave.
in the Town of Oueensbury,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
2 ROSLYN ST.
ELLENVILLE, NY 12428
2. CONTRACTOR or BUILDERS Name
BROWN, CRAIG
3. CC/T ti ANTIUrI�O�AD Address
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) DEMOLITION
1 Wood Frame 1 1 Masonry ( 1 Steel 1 1
7. PLANS and Specifications
DEMOJITION OF RESIDENCE AS PER APPLICATION
8. Proposed Use
DEMOLITION OF RESIDENCE
20 July 1 2000
$ PERMIT FEE PAID—THIS PERMIT EXPIRES t9
(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.)
1 July 1998
Dated at the Town of Queensbury this Day of 19
SIGNED BY ZL;
for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No. 9 .i % `(
Instructions for completing the application Date: CI- () 21,
Fee Paid: 7'
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. J U N ,2 9 1998
Owner of property: �d f A Pc)Jr'fProperty Location: av--fokyf 'l R , ('
Mailing Address: /1 Tax Map No. section q, Block 1 ,Lot [r
!
Person responsible for work: eoulj. Telephone No.
Mailing Address: �.7( `/'/4/Tvejy(vj/uov/e/
V V I / /vr
Wh will demolition material be disposed of? C C' QL41`1 /l/'J Ga-c / //
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
Size of building(s): C441 CAI" ' -hj
1. 36 ft. by ft. Location on property
2. ft. by ft. Location on property
3. Number of stories: Z-
4. Foundation type(circle one): full cellar lerelib slab
Foundation will REMAIN MOVED
5. Another structu WILL NOT , replace this building.
NOTES:
Signature of Applicant: 0/1/1A"
owner's agent,architect, contractor
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road `;'
1 - -L
Queensbury,NY 12804 Arrive am/pm Depart ' /pm
Inspector's Initials 1--
7C)
NAME: o c +�nJ ,L�� PERMIT# 0 1
LOCATION: y /a _4f.•: DATE : ',93 IJ i 1 i
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place .)' '(1' ',.t2.) i` V-
The contractor is responsible for
providing protection from freezing
for 48 hours.following the placeme
of the concre` .
Materials for this urpose on site
Foundation/Wallpo /
Reinforcement in Pl
Foundation/Dampproofing,;
Backfill Approval '`'---'
Plumbing Under Slab
Plumbing Vent/Ven 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
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
TOWN OF QUEENSBURY
w47 � BUILDING & CODE ENFORCEMENT
1 0X 0 742 BAY ROAD
QUEENSBURY NY 12804
(! (518) 761-8256
ARRIVE: DEPART: I� ) INSP:
DATE INS CTION REQUEST RECEIVED: g
NAME
LOCATION /
DATE "/ l - PERMIT II
TYPE OF STRUCTURE -'?Y`C' • r
FOOTINGS FOUNDATION BACKFILL F ING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
• CK PO'CH STEPS RA LINGS
RELIEF VALVE
FURNACE/HOT WATE: OPERATING
INTERIOR TRIM/P'IVACY DOORS
FINISH FLOORS:
BATH/KITCHE ' WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
pm CLOSERS
- ELECTRICAL U
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C