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96-552 BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY 96552 TAX MAP NO. 13. -1-16 No. WARREN COUNTY, NEW YORK KLADIS , ANGELA & ROBERT PERMISSION is hereby granted to - 50 MASON RD. OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a DEMOLITION OF RESIDENCE 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 BOX 81 MASON RD. CLEVERDALE , NY 12820 2. CONTRACTOR or BUILDER'S Name CRANDALL, CHRIS 3. CONTRACTOR or BUILDER'S Address R. D . #1 , BOX 1376 LAKE GEORGE , NEW YORK 12845 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) DEMOLITION ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications DEMm1I'a.ITION OF RESIDENCE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use DEMOLITION OF RESIDENCE 20 September 17 98 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (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.) 17 September 96 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury Building and oning Inspe 'or TOWN OF QUEENSBURY 742 Bay Road Queensbury, N.Y. 12804-9725 • Application for DEMOLITION PERMIT `551 Permit Nor Instructions for completing the application Date: \ I l 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: Q,1 tf yea'!"I/ Di$ Property Location: ,03at' Of1I) Mailing Address: "9P,dok c/ / /,-' u/r,1c911s0 Tax Map No. Section , Block / ,Lot Person responsible for work: 'P ('S .A Chris ad,I Telephone No. 5 C -615 7I CG Mailing Address: Cr / ' G��4 II( /_r lr u h �V' a koo„/chrf. lI 41) Q 6RY 1996 Where will demolition material be disposed of? t- SEP Is there any asbestos within building to be demolished? Yes / No ,� TOWN l CUB D mot, iL BUILC�Ii�JC: AND CODE^ If YES, name of firm removing asbestos from structure, license number, an where asbestos will be disposed of: NAME OF FIRM „NiNLICEN NUMBER LOCATION WHEItg.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):t r side is 'garage storage business other Have all utilities been disconnected? gas , electric / , propane , water Size of building(s): p �+ 1. 7/ ft. by 7`/ Vey/ ft. Location on property � y/ 2. cz. ft. by o2 7 ft. Location on property fca lr�C 3. Number of stories: a. 4. Foundation type (circle one): crawl space slab Foundation will REMAIN BE REMOVED t/ 5. Another structure WILL v' WILL NOT , replace this building. NOTES: Signature of Applicant: owner, owner's agent,architect, contractor TOWN OF QUEENSBURY `r `;, _; BUILDING & CODE ENFORCEMENT t <t°' 742 BAY ROAD QUEENSBURY NY 12804 • "+"�� (518) 761-8256 ARRIVE: 9. 4 ✓ DEPART: • INSP: (/ FINAL INSPECTION REPORT - RESIDE TI + � J DATE INSPECTION EQUEST REC•IVED: ��1) '\T9! NAME ^� ' LOCATION r ^ r/�➢ DATE s �� 4!/ PERMIT f� ��1 � TYPE OF STRUCTURE fflJ.,Oiiiii I FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT B V T HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS • FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN k OK TO ISSUE C/O OR C/C /it& Ulf�r7I F9' t .w , - . w .- .r: .. .• - - ! ,.- • r a : _. ... , i R > I '..", M, ?. , ... ... ..- r - .. ,c. >� " , , , •,t .. k ...+: ; w r ",„ ,,. - 4' },...s.. .. ... .. .::. . : .. .",.. ,,.. .. 1..,. 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