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2002-205 � f��� TOWN OF QUEENSBURY s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 � Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020205 Application Number: A20020205 Tax Map No: 523400-239-019-0001-005-000-0000 Permission is hereby granted to: KEVIN MASCHEWSKI For property located at: 26 JOSHUA ROCK 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: ALBERT DARDIS Demolition PO BOX 252 Total Value LAKE GEORGE,NY 12845-0000 • Contractor or Builder's Name/ Address Electrical Inspection Agency KEVIN MASCHEWSKI P.O. BOX 181 LAKE GEORGE,NY 12845 Plans & Specifications 2002-205 KEVIN MASCHEWSKI DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION $20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,April 03,2003 (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 Town,of Qu/ sb ; nesday,April 03,2002 rf SIGNED BY ' =J 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 No. OW(-) -005 Instructions for completing the application Date: Q,-O�. Fee Paid: Z-O. "d 1. All applicable spaces are to be completed. �(11 i ".T ®0 ED 2. Two plot plans are-to be submitted, drawn to scale, showing: a. lot boundaries, with dimensions and adjacent roads and streets. b. all existing structures, indicating which are to be removed. ? n c. location of all utilities. 3. Fee submitted per current fee schedule. TOIL!i; ';!,:: . -"j R'y BUILL Owner of property: gE-Viist frlJ514 i Property Location: Mailing Address: .r�--©: 1 ;G i fj 1 Tax Map No. section 4/ , Block 1 ,Lot Person responsible for work: Yi Gv r r A-'�'1 i Telephone No. LP b `• `DJ 0� Mailing Address: Ai 4 Where will demolition material be disposed of? 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):(rtdence garage storage business other Have all utilities been disconnected? gas IJc7 , electric 1.-10 , propane , water Size of building(s): 1. 40 ft. by 1p6 ft. Location on property 2. ft. by ft. Location on property 3. Number of stories: 2 4. Foundation type (circle one): full cellar crawls slab Foundation will REMAIN BE REMOVED ✓ 5. Another structure WILL l WILL NOT , replace this building. NOTES: Signature of Applicant: owner. owner's agent,architect, contractor Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: AN` i F_ Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE ; am . n: DEPART Notes: (518) 761-8256 Inspector's Initials NAME: 0-6 �. ` PERMIT# 7 007.E LOCATION: 1�C � � INSPECT ON(date): /9-I p—07 TYPE OF STRUCTURE: t'�����r RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours followii = re placement of the concrete. Materials for this purpose on s•e 0 , Foundation/Wallpour ` \� Reinforcement in Place e �j Foundation/Dampproofin, Backfill Approval —� / �� Plumbing Under Slab J Plumbing Vent/Vents in Plate i4)Vk Rough Plumbing Heating Rough-In 7 1111 Insulation Foundation Wa1'siri erior _ Foundation Walls Exterior R Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORbiS\GENERAL INSPECTION REPORT.doc