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95-015 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 95-015 has been completed. This structure may be used as a Demolition of Storage Shed Location Cleverdale Rd Owner Joseph & Agnes Roulier Tax Map # 17 .-1-1 By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY VALUE No. 95015 TAX MAP NO. 17 .—1-1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ROULIER, JOSEPH & AGNES OWNER of property located at 301 CLEVERDALE RD. Street, Road or Ave. in the Town of Queensbury,To Construct or place a DF..IOLIu'IQ tN at the above location in accordance to application toge er wit 'LOOT 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 BOX 301 CLEVERDALE, NY 12820 2. CONTRACTOR or BUILDER'S Name SCOTT MCLOUGLIN 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 ( 1 Masonry ( 1 Steel ( ) 7. PLANS and Specifications No. DEMOLITION OF BUILDING 20 ' X 20 ' 8. Proposed Use DEMOLITION 20 October 28 97 $ 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 Queensbury before the expiration date.) 23 a ary 95 Dated at the Town of Queensbury this Day of • 19 SIGNED BY for the Town of Queensbury Building and oning I ctor Tom—-[ q- 1 ---- i - II I h. TOWN OF Q UEENS B UR Y I � � APPLICATION FOR DEMOLITION PERMIT t �JAH 1995 DATE: /�)� © o FEE PAID: 0, ,. ,, Received INSTRUCTIONS FOR COMPLETING THIS APPLICATION p Town of BidenDeUry 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 utilties. 3. Fee submitted per current fee schedule. OWNER OF PROPERTY: `--1-_ de �r— P.O. ADDRESS: "Se s. _3o f Z-Ze:...,.4.4j ,t/,/ TEL: .S2.,-fs-e- _3s'yy PROPERTY LOCATION: Zee....-.4 4, /� fe,,, A/. / TAX MAP #: / / Person Responsible For Work: /,, /�oy „; Tel : S(e'-ere-3,yy z— Address: /QZLe� WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? Ste. ,,-T /f 47(6-- 4, -g �<< The following building(.) located on property described above are to be removed: Previous Use of Building (Circle One) : Residence Garage Stora a Business Other Have all utilites been disconnected? Gas ElectricX-s Pro ne water Size of Building($') '3 TY7 ;',',,1 a 1. aIo ft. x a1 o ft. Location on property Zo s 7----j 2. ft. x ft. Location on property s;. 3. Number of Stories: / *.,, r,�, 4. Foundation Type (Circle One): Full Cellar Crawl Space - , Foundation Will Remain X Be Removed X' ' ' 5. Another Structure Will X Will Not , Replace This Building. ^C) Replacement of structure will require application for Building Permit. `1 \ _ NOTES: ,, z, SIGNATURE OF APPLICANT: r Owner, Owner' s Agent, rchitect, Contractor I r- , ke_, 1 5jr4i Oft TOWN OF QUEENSBURY '� BUILDING & CODE ENFORCEMENT iv � 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447('— ARRIVE: 0 ° vQ DEPART: 1• �V IHSP: %/ FINAL INSPECTION REPORT — RESIDENTIAL DATE IN CTION REQUEST RC EIVED: NAME Oc.L./C" / D& LOCATION / /B fC,`Ce 4G�Y ko .. DATE l/ —3—��� PERMIT I j =Q</ 1Y-- TYPE OF STRUCTURE nie FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT'S VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINI DECK/PORCH/STEPS RAI INGS . RELIEF VALVES , FURNACE/HOT WATER '.•ERATING INTERIOR TRIM/PRI A s DOORS FINISH FLOORS: , BATH/KITCHEN IATERTIe T OTHER FLOOR SWEEPABLE OTHER FLO S CARPETED STAIR CLEARANCE/RAILINGS SMOKE 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 4 gatPeP° t ♦ iS�3 i F z7 rt ` ,:k xR N r - - N Y • 1 !NCB: •TA J. BARILI ,; 1 fE M • MINER p, 1 "x` , { 4 k t� 4, 1975' x Y fiK NT ti AGE 217 >�., , . J}'� ` �• .,:g Q It f T r 11 t_]�C\�/ . - ' ` '4 0 •t ,,,}'+.5.. Fyn}i, i .r 3-'�A .a 4 'dµ�Nxy�" 5'rt' R 9 j .t,•„A- _'' 4yr• AREA } .4 ' s r ° .- ::: ` Q.64 ACRES • #1,41,44 :„-t',j -T,A.7. IA- -,• s; ', nw[J�l n f •' I. I v.• t% J r r +t A ,• d 9 ,vY _ - . ":...,‘•:-4"--r.--..:",-.',---le- '-,. -' ', -• .... 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