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2004-502 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20040502 Application Number: A20040502 Tax Map No: 523400-309-011-0002-025-000-0000 Permission is hereby granted to: JOHN& CRYSTAL HOLC ONM For property located at: 13 LUZERNE 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: JOHN& CRYSTAL HOLCOMB 32 LEXINGTON Ave Demolition Total Value GLENS FALLS, NY 12801-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-502 DEMOLITION OF SINGLE FAMILY DWELLING $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, duly 09, 2005 (If a longer period is required;an application for an extension must be made to the code Enforcement Officer of the Town of beforea expiration date.) Dated at the�*M04kry w aAW my 09, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Permit No.006 C1- 50 Application for Demolition Permit Fee Pai(�_��7 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. to 'I'ersan.8es"'onsibleor'W© �"Nalate Address ��-�r�✓x�z� Yoe as s � 4'Pho (~ 2. Location of demolition: 3. Tax Map No. 4. Where will demolition material be disposed of? 5. Asbestos Information A copy of-Asbestos Removal Report must be filed with our office before demolition begins. a. Is there any asbestos within the building to be demolished? ❑Yes 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. hidi6alpw1fich structure(s)will be demolished: Ulireo-sidence; ❑garage; ❑storage building; ❑business; Mother b. Size of structure: ft.by ft: C. Number of stories d. Foundation type: ull ar; ❑crawl space; ❑slab e. Foundation: Vifl 1 emoved; ❑will not be removed f. Structure(s): be replaced; ❑will not be replaced RECEIVED 7. Utilities Information JUN 2 $ 2004 Indicate utilities for this structure: TOWN OF;OWENSBURY as �ectric ❑propane ❑onsite well-water pump BUILDING-AND,CODE is water ❑public sewer ',' Have you notified the Town Water t. f public water and public sewer disonnect? e_ 1[-]No Have all utilities been disco in.nec ? s Signature of Applicant: Date: Framing /Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: i Queensbury Building&Code Enforcement Arrive: am/pm \ Depart: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �] fTlu NAME: b L0, 8 PERMIT#: r Uzi LOCATION: -;z-, (—(,�2—&K Z% INSPECT ON: TYPE OF STRUCTURE: Framing Y N `N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. I I �} Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 't/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Bui]ding.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 MAP REFERENCE: _ MAP OF A TOPOGRAPHIC SURVEY MADE FOR W & T ENTERPRISES Z 0 DATED: AUGUST 28, 2001 a REVISED: OCTOBER 31, 2001 U BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC W 0 MAP OF A SURVEY OF LANDS OF CANANDA DRY BOTTLING CO. OF MECHANICVILLE INC. DATED: DECEMBER 9, 1966 BY: JOHN B. VAN DUSEN LANDS N/F OF W CURTIS INDUSTRIAL PARK, LLC Q 0 0 Z IRS ut 4 CO N83°52' 10"E N 210.88 N tnt ti O IR5 IRS LEGEND: 0 0 a O IPF = 'IRON PIPE FOUND a 0 ,,, O IRF = IRON ROD FOUND O IRS = IRON ROD SET/TO BE SET r cQ- = UTILITY POLE 00 • m� Qs = SANITARY MANHOLE V t° LANDS N/F OF 1.4 LANDS N/F OF Co WING N 2 82004 SPRING O Ul QUEF a G IS N R 1my � BUILDING C 0 IRS S Er REVIEWED B DATE H T 1� � N r I C N 4 _�g_ � of r ^ oo K ---------------- LANDS N/F OF 590958 N \ HUNT 114.:sa' $ E"M O F� `�Qx��tsosQ�Y�P IPF \ 0 Oo 1 STORY \ D wo WOOD HOUSRAME - m 73.22' \ O APPROXIMATE HIGHWAY BOUNDS 0-F N IRS 0-4 46.68, CO \\ \ M N81°48'o�„w \ � CQ o a 68. 12 N81°00,49,,w \ c c \ � z ,.� LUZvr-IO E5O R 49•�OAD IRS c , z MAGNETIC REACTIONCQ V 1 -� 0) OIRF �� rn CO Date-APRL 26, 2004 Scale r- 20' S- 1 SHEET 1 OF 1 D800 DWG. NO. 04076 1'17-9-29.1/309.11-2-25