91-643 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-643 -
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to THEODORE HANS w
OWNER of property located at Gunn Lane, Cleverdale Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition-Si ngl P family dwelling
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
PO Box 96
Cleverdale NY 12820
2. CONTRACTOR or BUILDER'S Name
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Scott McLaughlin Contr. o
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3. CONTRACTOR or BUILDER'S Address
Star Route
Queensbury NY 18204
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. Single family dwelling as per plot plan, application.
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8. Proposed Use
Demolition for rebuild
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$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES n,a 19
(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.)
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Dated at the Town of Queensbury this 9th .Dn of September 19 91
SIGNED BY (01. for the Town of Queensbury
Building and Zoning Inspector a.
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TOWN OF QUEENSBURY
��` APPLICATION FOR 0 1 r "' `: ut•a
f' W k fl ;r;
__v,;, > DEMOLITION PERMIT z,
•s oo SEP 91991
DATED 9 — 9/ FEE PAID $ ZQ —
{'L DG. & CODE DEPT.
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
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 & streets
b. All existing structures, with indications as to those to be removed
c. Location of all utilities
3. Fee submitted per current Fee Schedule, payable to "Town of Queensbury".
THE OWNER OF THIS PROPERTY IS:�(4i6bC) Z M , 4- Mlq G A RE( F., 44 I\S
P.O. Address: /30 7( 6 C( g f2. 4C. E, /NI, TEL. 67 �LP -3 oo ci
Property Location: O+G/' / ,1- ', TaxMapNo. _
P y C� �� l`�N / /
Street number or building lot number
Person Responsible for work ! if A ` "5-L (( (I ( COM A-,
Address 9G- SPA- Q- 6t$IJ5 ir*-6,1Slephone
The following building(s), located on the property described above, are
to be removed from that property. ,
REASON FOR REMOVAL /J 1A) /4-0,AA F- si F OV4T7 it1 S
Previous use of building (circle one)
Reside ,iStorage - Business - Other
Have all utilities been disconnected? Gas Electric . Propane Water
Size of building(s) "�
1. ft. x ft. Location on propertyy9UA/1,1 L-AAPI
2. ft. x ft. 0 L S V542. D A-t N,
3. No. of Stories
4. Foundation type (circle one) full cellar -.----;;---,slab.
Foundation will remain -be removed .
P building. P
5. Another structure will will not , re lace this Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNAT /01/60
Owner,o e s agent, archichect
Contractor
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 019A/
NAME ,trd9riu2-�i
LOCATION ,'{ --
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DATE �44 PERMIT# f
TYPE OF STRUCTURE i& 2y�'
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
WA! YES1 NO
CHIMNEY HEIGHT/LOCATION ,
B VENT/LOCATION
PLUMBING VENT ; .
ROOFING
SIDING °`
DECK/PORCH/STEPS/RAIL NG$
RELIEF VALVES
FURNACE/HOT WATER OPE TING
BASEMENT INSULATION/. TWORK
INTERIOR TRIM/PRIVA ' DOORS
FINISH FLOORS: `
BATH/KITCHEN WAfiERTIHT
OTHER FLOORS SWEEPAB E
OTHER FLOORSL ARPETE
STAIR CLEARANC,f/RAILING
HANDICAPPED ACCESS
SMOKE DETECTORS k
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OP ATING
GARAGE FIRE PROOFING
DOOR CLOSERS ,
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: --� /
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DEPART
INSP
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