2001-374 TOWN OF QUEENSBURY
Veo.%1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010374 Application Number: A20010374
Tax Map No: 523400-012-000-0002-005-000-0000
Permission is hereby granted to: EDWARD & LINDA GILLIS
For property located at: 148 CLEVERDALE Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: EDWARD & LINDA GILLIS Demolition
140 CLEVERDALE Rd Total Value
CLEVERDALE,NY 12820
Contractor or Builder's Name/ Address Electrical Inspection Agency
MCGUIRE TRUCKING
Plans & Specifications
2001-374
DEMOLITION OF SINGLE FAMILY DWELLING AND SHED AS PER APPLICATION
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,June 07,2003
(If a bnger period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To n o ueen ry T s; •y,June 07,2001
SIGNED BY 4 for the Town of Queensb
ury.
Q ury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
(It
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761- 6 —
ARRIVE: DEPART: �' Vv INSP: (',
FINAL INSPECTION REPORT
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME-){JJy-lr.i\ rsc 1 \ \1 n
LOCATION C*(��7 4 t),==.) Lt
DATE ce k) 0' PERMIT # ')) 3 L/
7
• TYPE OF STRUCTURE, )1\( j' .() /�=fi j
FOOTINGS BACKFILL FRAMING ',' PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION I ULA ON
INTERIOR STAIRS/RALINGS
STOCKROOM ENCLOSURO
FIRE/DEMISE WALLS 'ENETRATION
FIRE DAMPERS
I
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
to/
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
1'�wiA1 BUILDING & CODE ENFORCEMENT
` $1 �42 BAY ROAD /
QUEENSBURY NY 12804
(1 (518) 761-8256
ARRIVE: DEPART: )2I INSP:\3
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME L _L)l�L�l I'J
LOCATION
DATE r PERMIT #
TYPE OF STRUCTURE )
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILIN S
RELIEF VALVES
FURNACE/HOT WATER OPERAT G
INTERIOR TRIM/PRIVACY DO S
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS 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
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No. `1
Instructions for completing the application Date: —
Fee Paid:
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing: .
PD
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. Uo Q
0
3. Fee submitted per current fee schedule. §,,:
Owner of property: kc/wr4RO Jt nc{t9 G/AS Pt.perty Location: / L/O Cie liof d t I E R
Mailing Address: /4- D C f eVercY ec / 6-1 Tax Map No. secaonk , Block a,Lots
gdeekisbvey AJL(
Person responsible for work: 2 C_(L /V I C j 01 re.. Telephone No.
Mailing Address:
Where will demolition material be disposed of? ! C( /' /0 fr1 C� P/y/(-'h r
y
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:
Previous use of building (circle one): ,(ess Bence) I garage ) storage business other
Have all utilities been disconnected?, gas electric , propane , water
4 /e chi-, c, lc (f/O f
Size of building(s):
1. ft. by ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): ,fu11 cell . . slab
Foundation will REMAIN BE REMOVED
5. Another structure WILL X' WILL NOT , replace this building.
NOTES:
Signature of Applicant:
owner.owner's agent,architect, contractor