2001-757 TOWN OF QUEENSBURY
ok 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010757 Application Number: A20010757
Tax Map No: 523400-226-015-0001-003-000-0000
Permission is hereby granted to: ENGLERT.WN LIVING TRUST
For property located at: 166 LAKE Pky
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: ENGLERT WN LIVING TRUST Demolition
20 WORDEN Rd Total Value
SCOTIA,NY 12302
Contractor or Builder's Name/ Address Electrical Inspection Agency
KRAFT CONSTRUCTION
RAY KRAFT
Plans &Specifications
2001-757
DEMOLITION OF RESIDENCE AS PER APPLICATION
$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 Queensbury before the expiration date.)
Dated at the Town of Que sbury; e esday, October 10,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
th(tUtiVtu
TOWN OF QUEENSBURY OCT 0 9 2001
742 Bay Road TOWN OF QUEENSBURY
Queensbury, N.Y. 12804-9725 BUILDING AND CODE
Application for DEMOLITION PERMIT
Permit NG. J`
Instructions for completing the application Date:
t,
Fee Paid: �
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 and streets.
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: L✓/gLT£R t=N g c„ER T Property Location: /(o(. LAKE 139RKW9y—I$$t m n Uy P
Mailing Address: ;Z® Lk)o f OEII RID Tax Map No. Section /S , Block / ,Lot .3
$ c.o T►A Ivy ra.3o 2—
Person responsible for work: R y CRAFT• Caat/ST Telephone No. (,5-6 3(062— 7 IA-0 €4 7
Mailing Address: t;L£A v ER 4041-E R
ci. cAilERD/}t-G Ny lag2o
Where will demolition material be disposed of? �Olt 1 t-614-6- 6 j
l
Is there any asbestos within building to be demolished? Yes / No r/ .
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): esidenc• garage storage business other
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s):
1. 32 ft. by V3 ft. Location on property C.EwrE.R
2. ft. by ft. Location on property
3. Number of stories: ,
4. Foundation type (circle one): full cellar drawl space slab
Foundation will REMAIN BE REMOVED
5. Another structure WILL ✓ WILL NOT , replace this building.
NOTES: N n R7N &ti e. /sl3r/Ry F ILL-- t c az-D 6 AS AN 6,. ecisr 7c-goal/ To THE
Signature of Applicant: (N(/A „�
owner, owner's agent,a chitect, contractor
.,, TOWN OF QUEENSBURY
e ,. , BUILDING & CODE ENFORCEMEN
,, • ' 742 BAY ROAD
t
a, , QUEENSBURY NY 12804
`� (k.W,3 (518) 761-8256'
ARRIVE: DEPART: ; /5 INSP: v12- `-
FINAL INSPECTION REPORT
CIIM7teI--AL -T41I1,TIPLE DWELLING
(hotel, motel, apt. comply)
DATE INSPECTION REQUEST RECEIVED:
NAME ' £r, Q y\
LOCATION I �Q� a ek) e , VkNt�DATE b V PERMIT # C--) - 1
• TYPE OF STRUCTURE �JQ/Yh0 I eS i (Q i cQ_
FOOTINGS __BACKFILL_ FRAMING UMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH (-\
\
HEATING/HOT WATER
t
RELIEF VALVES FLOORS FOUNDATION INSULATIONINTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATI N
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
i .
91
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