90-503 BUILDING PERMIT
TOWN OF QUEENSBURY >
No. 90-503
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to NORTHERN DISTRIBUTING CO INC O
OWNER of property located at Corinth Rd Street, Road or Ave. w
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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
PO Box 315 Corinth Rd z
Queensbury NY 12804 O
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2. CONTRACTOR or BUI LDER'S Name x
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address Z
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel
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7. PLANS and Specifications
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No. Demolition of 20'x 40' Residence as per plot plan.
8. Proposed Use
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Demolition of safety hazard for further construction on lot.
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$ 20 00 PERMIT FEE PAID —THIS PERMIT EXPIRES E-gbruary 2 19 91 0�
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �d
town of Queensbury before the expiration date.) (p
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Dated at the Town of Queensbury this 2nd D�of 19 go
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SIGNED BY ` / n for the Town of Queensbury
Building and MningInspector
TOWN Or QULENSBUIZY 2
APPLICATION FOR II// JJ
DEMOLITION PERMIT AUK 11990
DATED /���. -�- ��%� FEE PAID $ �U ��U ING CODE DEp-r
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
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 & streets
b. All existing structures, with indications as to those to be removed
c. Location of all utilities
3. Fee submitted per current Fee Schedule, payable to "Town of Rueensbury".
THE OWNER OF THIS PROPERTY IS: �/2T�/EE'�(J ,Q/5� G'b. ,L•UG
P.O. Address: /-'0 XOX 3����,�/,(1771 / 10,, r LYd y� TEL.
Property Location: 6ellv771 644 Tax Map No.13K/
Street number or building lot number
Person Responsible for work ��/✓ � i/!S
Address �� r'JOj� 3/s e6leIVI-11 1&o4ol Telephone
The following building(s), located on the property described above, are
to be removed from that property. / l
REASON FOR REMOVAL
Previous use of building (circle one)
Residence - arage - Storage - Business - Other
Have all utilities been disconnected? Gas Electric .Propane Water
Size of building(s)
l. Zp ft. x yf� ft. Location on property
2. ft. x ft.
3. No. of Stories OWE
4. Foundation type (circle on<Culi_;cellar - crawl space - slab.
Foundation will remain removed
5. Another structure will will not-,Z1 replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE
Owner,owner's agent, archichect
Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME4`L/
LOCATION
DATE %(� �l9lj PERMIT # 9D JD3
APPROVED
YES INO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL r'
ROUGH PLUMBING %
FRAMING /
ELECTRICAL ROUGH-IN ' t l
INSULATION: %
FOUNDATION /
FLOORS `
WALLS 1
CEILING r!
X FINAL INSPECTION: I
CHIMNEY HEIGHT
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ROOFING PM f
SIDING i
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILSt)
PLUMBING FIXTURES/RELIEF?°,VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING r
DOOR CLOSERS)
SMOKE DETECTORS I �'
FINAL ELECTRICAL INSPECTION 'r
_FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED1
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REMARKS:
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ARRIVE
DEPART
INSPECTOR
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