2000-758 " TOWN OF QUEENSBURY
ON742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000758 Application Number: A20000758
Tax Map No: 523400-012-000-0003-021-000-0000
Permission is hereby granted to: DOMERS GOLDEN PROPERTIES, L.L.C.
For property located at: 22 GUNN Ln
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: DOMERS GOLDEN PROPERTIES, L
22 GUNN Ln Demolition
LAKE GEORGE, NY 12845 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
JAMES GARGIULO
391 GREEN CORNERS Rd
AMSTERDAM,NY 12010
Plans & Specifications
2000-758
DEMOLITION-HOUSE & GARAGE
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 10, 2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before the expiration d.te.)
Dated at the Town of Qu sb ;�i ue •. A l er 10, 2000
SIGNED BY for the Town of Queensbury.
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit o. 0 " 1 5 8'
Instructions for completing the application Date: �j Y °1?/?' )
Fee
1. All applicable spaces are to be completed. �
2. Two plot plans are to be submitted, drawn to scale, showing: f f"
a. lot boundaries, with dimensions and adjacent roads and streets. C�
b. all existing structures, indicating which are to be removed.
c. location of all utilities.
3. Fee submitted per current fee schedule.
Owner of property: 41.ier,i eoziew.I g-azJa7-c la Property Location: 67l4114 '4),¢-,L4=
Mailing Address: 3 / GIB- 1 ev. 'e Tax Map No. Section/ , Block 3 ,Lot 02
Person responsible for work: t7rA'w'-s 44,e0 Telephone No.
Mailing Address: ,. y/Ode -.v Z.' floe' -'
/2-43 ,
Where will demolition material be disposed of? /T/4'57 .* ✓ tip I
Is there any asbestos within building to be demolished? Yes / No
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):- reside garag- storage business other
Have all utilities been disconnected? gas , electric , propane , water Les
Size of building(s):
1. 44) ft. by 461:7 ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type (circle one): full cellar , ravel space-, slab
Foundation will REMAIN BE REMOVED X
5. Another structure WILL )( WILL NOT , replace this building.
NOTES:
Signature of Applicant. ? s4"
owner, owner's agent,architect, contractor
ci
IOW TOWN OF QUEEN‘BURY-4 67-3- cai
BUILDING & CODE ENFORCEMENT
& rea
742 BAY ROAD
QUEENSBURY NY 12604
C (518) 761-8256 Dei-145--
ARRIVE: /63) DEPART: INSPCD1-
FINAL INSPECTION REPORT - RESIDEr TM
DATE I SPECTION REQUEST RECEIVED: it) 4)1771)
NAME 7.--pit, 4:14, \1-J
LOCATION c?,)
.1.1"\L 4-a."-.9......., ,
DATE PERMIT lr
TYPE OF STRUCTURE / /1,-6CA-CACP---- bmtse Ke.r....,
FOOTINGS FOUNDATION BACKFILL F* . IN
ROUGH PLUMBING SEPTIC INSULATION • ---
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES , NO 1
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/ST:PS/RA . NGS
RELIEF VALVES
FURNACE/HOT WATE* OPERATINe
INTERIOR TRIM/PRIV'CY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIG'
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 PL / ...
OK TO ISSUE C/O OR C
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