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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040073 Application Number: A20040073
Tax Map No: 523400-303-015-0001-005-000-0000
Permission is hereby granted to: GEORGE HAGERTY
For property located at: 287 DIX Ave
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: GEORGE HAGERTY
10 LYNDON Rd Demolition
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-073
DEMOLITION OF GARAGE
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 10, 2005
(If a longer 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 o eensb d sday, March 10, 2004
SIGNED BY for the Town of Queensbury.
IV
Director of Building&Code Enforcement
Permit No. -6�,,
cipplication for Demolition Permit Fee Paif
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for a permit:
Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets.
Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities.
1,
onsxble io Work
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47�S.4.ZJ dc. "l 4 LJ� G I (3 Ly./P-5 LJ 6
Addr� s r �l ® L., f 5V
;Phoie Pad 2?3 L �
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Fa�c�y
OF QUEENSBp�Y
AhIp 2. Location of demolition: �Lk 7 ,d i x AVe, �,s � )(Vy 3. Tax Map No. 31.E
4. Where will demolition material be disposed of? f tq is +'J 4 r4e,4 ' 1 q,J, 1A1 u d Cis
inl bL k.,>_ -1'zc,/vs(Q.-L-L J -t:o eL <'e,� L l y (�_e1V_co-�;S.v(� c/z-
5. Asbestos Information G a�L,,rt r w c,'t a—,
A copy of Asbestos Reinoval Report must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? ❑ Yes 4XNo
If YES, our office needs the following information:
b. Name of firm removing asbestos:
C. License number of firm:
d. Indicate location where asbestos material will be disposed
6. Structure Information
a." Indicate which struc re(s)will be demolished:
Elk'esidence; W,age; ❑storage building; ❑business; ❑other
b. Size of strict e: 10 ft.by 36 ft.
C. Number of stories A
d. Foundation type: ❑full cellar; ❑crawl space; ;slab
e. Foundation: Owill be removed; ❑will not be removed \\
f. Structure(s): ❑will be replaced; ❑will not be replaced •� �� ✓�` � v�WW�
7i/1 .D E/cei l o —&S,3 C[+e h cam,
7. Utilities Information CuN�-t-��V'CTt `L .LCQ D o C��
Indicate utilities for this structure:
0 Vea
[]gas gelectric ❑propane ❑onsite well-water pump
❑public water ❑public sewer 4'3
Have you notified the Town Water Dept. for public water and public sewer disoimect? ❑Yes XNo M10
Have all utilitiesIbeen discoynnneected?] ❑Yes gNo
��n.ei�\.)-V I3 �✓�,!4!�+ t�C� Q�V�l.0�J �.J,./� .1
Signature of Applicant:: Date:
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: /0 am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: 4 2-!` PERMIT#: Cl - 0
LOCATION: �7 — „ DATE: 3
CONEVMNTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in.Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.-38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors
> 10%> 1000 s .ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
'Ceiling Fire Stopping, 3,000 s . ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ram /Handrails Continuous/12 in.Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if reg.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc