2000-734 '44- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000734 A20000734
Application Number:
Tax Map No: 523400-008-000-0001-005-000-0000
Permission is hereby granted to: BEVERLY C TOBIN
For property located at: 196-200 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: BEVERLY C TOBIN Demolition
'37 SOUTH MANNING Blvd
ALBANY, NY 12203 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
•
Plans & Specifications
2000-734
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 28,2002
(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 Tow of Qu nsb ; hur ay September 28, 2000
SIGNED BY for the Town of Queensbury.
Director of Building 84 ode forcement
TOWN OF QUEENSBURY
742 Bay Road =
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT C% J W ��
Permit No.
41
Instructions for completing the application Date: C `c2 6 - a0
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: Beverly C . Tobin Property Location: 19 6 L ak e P ar kw ay
Mailing Address: 37 South Manning B lv d . Tax Map No. section 8 , Block 1 ,Lot 5 +
Albany, New York 12203 8 1 27
•
Person responsible for work:. },, Telephone No.
•
Mailing Address: �a f=a G' °� �' •`1
Where will demolition material be disposed of? Unknown sEp 2 E 2000
Rf .
Is there any asbestos within building to be demolished? Yes / No x _: _ .u.
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): residence garage storage business other
Have all utilities been disconnected? gas , electric x , propane , water x
Size of building(s):
1. 60 ft. by 2 8 ft. Location on property
2. ft. by ft. Location on property
3. Number of stories: 2
4. Foundation type(circle onefull cellacrawl spaces slab
Foundation will REMAIN BE REM ED x
5. Mother structure WILL x WILL NOT , replace this building.
NOTES:
Signature of Applicant:
owner. ow r s agent,architect, contractor
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: . DEPART: INS : I
FINAL INSPECTION REPO T
Cn cn^IAL D
(hotel, motel, , t. complex)
DATE INSPECTION R?: AdEQUEST RECEIVED:
NAME I�/V lC�1J 1 (-
LOCATION \\ O �Lx7=.-e.i._CAIS 0 (4C
DATE LO 01- PERMIT # — D
TYPE OF STRUCTURE jty-N'\ d 1, N`• Znr-N,
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT _
PLUMBING VENT/FIXTURES �1
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER /
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILIN, S
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENE ' TION
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 REO.
FINAL SURVEY PLOT PLAN', IF REQ
OK O
)11
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road 7) /j
Queensbury,NY 12804. Arrive am/pm Departpm
Inspector's Initials
NAME:` ).J\1-QJ1 I PERMIT# d C]� 7
LOCATI G. I CLO O-- i DATE
TYPE OF STR CTURE: �C
RECHECK
N/A YF,6 NO COMMENTS
mgs/Piers I ,/ 1
Monolithic Pour Form \
Reinforcement in Place
The contractor is respo ible for
providing protection fro freezing
for 48 hours following t e placemen
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppr on
Backfill Approval 1
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In 1
Insulation 1
Foundation Walls Interior R-
Foundation Walls Extern r R-
Floors
Walls :
Ceiling
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
TOWN OF QUEENSBURY
11!)
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: ° INSP:A
P--6
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME
LOCATION \° /, \!]
DATE — 2-( 'J 0VO PERMIT # ) /
TYPE OF STRUCTUREFjcl-NE)
FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT l�c
ROOFING I '�
' EXTERIOR FINISH ' �\
DECK/PORCH/STEPS/RAILfNGSA.
1
RELIEF VALVES 14 \\
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: 9
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE k /
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS / C.
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
\JX- \ -c(-)Z). &U-12^/ a-X;CX))/VYL9 ' -si
k KC)