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94-602 BUILDING PERMIT TOWN OF QUEENSBURY No. 94-602 'ti WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John Brock OWNER of property located at Cleverdale Street, Road or Ave. tV I—' in the Town of Queensbury,To Construct or place a Demolition 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 Same o 2. CONTRACTOR or BUILDER'S Name O Same 3. CONTRACTOR or BUILDER'S Address O 4. ARCHITECT'S Name ID Q., H fD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( )Masonry ( 1 Steel ( 7. PLANS and Specifications No. Demolition to structure as per plot plan specification and application 8. Proposed Use Demolition m 5 0 $ 20 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 12 19 95 r� r- (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 1 Day of ctober 19 9 4 SIGNED BY for the Town of Queensbury Bui • Zo ' n ctor 01111a4 ge"........6:204).., TOWN OF QUEENSBURY 1S:CV ,,'O ,�� �# APPLICATION FOR DEMOLITION PERMIT p e a� os6°e 6Q, DAT .: e Ar FEE PAID: v2U,00 . 0°�°2 :' ' INSTRUCTIONS FOR COMPLETING THIS APPLICATION 4:1 , '11 applicable spaces are to be completed. �'� ,A � . Two plot plans are to be submitted, drawn to scale, showing: _ � :>4� ` 4 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. c- ,•; OWNER OF PROPERTY: `1 C/,/i(,) 4, ,19.'9c ez c P.O. ADDRESS: 50.,}' 6.-4/ TEL: ‘,S7,‘"f�00. PROPERTY LOCATION: C.CVE4717.444- ti,j/ TAX MAP #: 13 /A._/.2/ Person Responsible For Work: JZ'/(,v ,8'4 /i- Tel : d5e7 405 Address: < //zs'/r 74L., ,t217 - , -�- WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? St.Ciel c The following building(s) located on property described above are to be removed: Previous Use of Building (Circle One): Residence Garage 6o7;ae Business Other Have all utilites been disconnected? Gas Electric 1 Propane Water Size of Building(s) : 5E.- 12e,_ G• ,D - F.2 i 1. ft. x ft. Location on property 2. ft. x ft. Location on property 3. Number of Stories: / 4. Foundation Type (Circle One): Full Cellar Crawl Space (Slab Foundation Will Remain Be Removed — ' 5. Another Structure Will 'Will Not , Replace This Building. Replacement of structure will require application for Building Permit. NOTES: SIGNATURE OF APPLICANT: j O�i�, w Owner s Agent, Architec , Contractor TOWN OF QUEENSBURY 101,1N BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 IV :: DEPART: INSP: jaU FINAL INSPECTION REPORT - RESIDENTIAL DATE INS ECCTTION !EQUESTREECCEIVED: '" � i (p NAME `�� �� v"-" N LOCATION 1���C �( \ (\� �1 n VoolC\ DATE - PERM T !CIO- -t0oL TYPE OF STRUCTURE /r.N. -N FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/ EIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCH STEPS RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATIN INTERIOR TRIM/PRIVACY D RS FINISH FLOORS: BATH KITCHEN W RTIGHT OTHER FLOOR SWEEPABLE OTHER FLOORS CARPETED \v// STAIR CLEARANCE/RAILINGS 4OKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. 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