96-026 Tax Map # 13.-1-25,26 BUILDING PERMIT
TOWN OF QUEENSBURY Na 96-026
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mahycuc Am,'i a.eeh
OWNER of property located at Mai an Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1V ema•P i_t ion 2 Ganagm
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
2. CONTRACTOR or BUI LDER'S Name
Chn L tophen Cnandate
3. CONTRACTOR or BUILDER'S Address
63 Woodchuck HU/ Rd
Lake George, NV 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) - - -
7. PLANS and Specifications
No.
Demo.P i on o.6 2 garage ad pen p-eot plan zpec 1.6icat .0VL1
8. Proposed Use
No otiheA. ztnuctuna w.i,et rceptace these buLP.cUngz.
$ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 9, 1�8
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 9th Day of Febnuany 1996
SIGNED BY _____ t^�P for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY ` -- `
742 Bay Road
Queensbury, N.Y. 12804-9725 FEB 05 t9bo
Application for DEMOLITION PERMIT
Permit Now
Instructions for completing the application Date: J
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:yI(,� yr' • r -1 eh Property Location: 42)ri7
Mailing Address: Tax Map No. Section /�7 , Block ! ,Lot c 5 0I4. p
(Jevercka ro�t,may 1
Person responsible for work: ('.ii ph•er-C--') Cr(,U')Ckli/ Telephone No. 7 3 d'13 04/0)
Mailing Address: ( , W oc �uLt-k- �71, -Rd
T 7 -�7 0�(():3
ke y s
•
Where will demolition material be disposed of? !!G./vei 40 �p r4-i�n Loc c !o/J
•
Is there any asbestos within building to be demolished? Yes / No X
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 S, propane , water
Size of building(s):
1. ft. by ft., Location on property ri ems,(
. 2. ft. by. ft. Location on property Nauir .1/ 4'
3. Number of stories: t
4. Foundation type (circle one): full cellar crawl space Z
Foundation will REMAIN BE REMOVED
5. Another structure WILL WILL NOT , replace this building.
NOTES:
Signature of Applicant. •
owner. owner's agent,architect, contractor
'V'
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 A ``
INSPECTOR'S REPORT: ARFO'A DEPART ,. '1NT4"'�
REQUEST FOR INSPECTION RECEIVED:
NAME 4 Aj t 4 G- t (��¢�
LOCATION T/N,,A4-5c3N / 7
DATE -' l /5f' 4 PERMIT It
TYPE OF STRUCTURE: 06.ilk0
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO -IDLE FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING T E PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS* ON SIP
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE S
FOUNDATION DAMPPROOFING Ai
BACKFILL APPROVAL -
PLUMBING VENT/VENTS IN 'LACE
ROUGH PLUMBING;
PLUMBING UNDER SLA
FRAMING:
JACK S" DS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSUL ATION: ��
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- - ---
WALLS R- -
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
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