2001-575 •
��� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
•
BUILDING PERMIT
Permit Number: P20010575 . Application Number: A20010575
Tax Map No: 523400-296-015-0001-004-000-0000
Permission is hereby granted to: RICHARD H PURDY
For property located at: 69 COUNTRY CLUB Rd
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: RICHARD H PURDY Demolition
69 COUNTRY CLUB Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency •
MICHAEL BLACKMERE
4 NOVA LA
OUEENSBURY,NY 12804
Plans &Specifications
2001-575 WILLARD E. TYLER NEW OWNER
DEMOLITION OF GARAGE AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,August 02,2002
(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 . i f Que sb ty; ; 'h , sday,August 02,2001
SIGNED BY ( �4 for the Town of Queensbury.
Director of Building&Co.e.Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT �
Permit No. 6'0
Instructions for completing the application Date: 7�,-)-i-t--‘,?-e0/
Fee Paid: , °v
1. All applicable spaces are to be completed. ���I��
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. J U L 2 7 2001
3. Fee submitted per current fee schedule. TOWN OF QUEENSBURY
BUILDINf A D,CODE
Owner of property: c Property_Location: f ` ', r'4'' at 0 f I iffiFeI''
Mailing Address: / C Tax Map No. section ! , Block ,Lot g /G24-Cil
7Person responsible for work: Telephone No. �,� J
•
Mailing Address: �) .
(, / Z.876 165
Where will demolition material be disposed of? f���1'ti 64:&C,116-0iC
- '�"oe•/ l/U
t •
Is there any asbestos within building to be demolished? Yes / No 't/
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 L .garage _ storage business other
Have all utilities been disconnected? gas , electric , propane , water ( jjzzk )
Size of building(s):
1. r r ft. by jh ft. Location on property jee...ashfre&A l -
2. ft. by ft. Location on property I
3. Number of stories:
4. Foundation type(circle one):_ full_celil r crawl space tilt
CFoundation will__-REMAIN. 1.."14 BE REMOVED
5. Another structure WILL WILL NOT , replace this building.
NOTES:
Signature of Applicant: G�,� �2� i�G �
owner, owner's agent,architect, Jontractor
4111111
TOWN OF QUEENSBURY
} '-+ �1 BUILDING & CODE ENFORCEMENT
f ' 742 BAY ROAD
/��, QUEENSBURY NY 12804
( (518) 761-8256
!
ARRIVE: DEPART: INSP:�
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTION//REQUEST RECEIVED:
NAME J e&
LOCATION � 6M/724'
DATE J PERMIT Nl`
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
QQ N/A YES NO
CHIMNEY HEIGHT B VENT HEIGHl1
PLUMBING VENT
ROOFING
EXTERIOR FINISH --
DECK/PORCH/STEPS/RAILIN:S
RELIEF VALVES
FURNACE/HOT WATER OPERATINe
INTERIOR TRIM/PRIVACY DOOR•.
FINISH FLOORS: 111111
BATH KITCHEN WATERTIGHT_
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
11111111
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN VARIANCE RE*.
FINAL SURVEY PLOT PL
OK TO ISSUE C/O O•06----A 6
690, p(t6/6---
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SURVEY REFERENCE.' "MAP OF LANDS TO BE CONVEYED TO ROBERT,t4. PURDY. ET. _1L. '
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DATED.'5-/6-90 BY.'COULTER & :ticCORM.4CK,L.L.S.
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