1999-009 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 99009
TAX MAP NO. 127 . -5-3 WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to CLARK, ROBERT R.
OWNER of property located at 67 OHIO AVE. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a_ DEMOLITION OF SINGLE FAMILY DWELLING
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. OWNERS Address is -.
92 VANDUSEN ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or,BUILDERS Name •
CLARK, ROBERT •
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name . •
5. ARCHITECTS Address
•
' 6. TYPE of Construction—(Please indicate by X)
DEMOLITION
( )Wood Frame ( 1 Masonry ( )Steel- ( 1 •
7. PLANS and Specifications
DEMO1i TION. OF SINGLE FAMILY DWELLING AS PER APPLICATION
8. Proposed Use ,
DEMOLITION OF SINGLE FAMILY DWELLING
20 January 13 2001
• $ 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.)
13 January 1999
Dated at the.Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
0q t Application for DEMOLITION PERMIT /�
ite Permit No, —009
Instructions for completing the application Date: " —
Fee Paid: o t
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing: RECEIVED
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which are to be removed. JAN B1999
c. location of all utilities.
3. Fee submitted per current fee schedule. TOWN OF QUEENSBURV
BUILDING AND CODE
r_
Owner of property: ;qO 6 L2 T P e L 4/ l e Property Location: (p/( /;2(/�,�
Mailing Address: 9',Z (��Q�-�l(,�S'/f-�iZ Tax Map No. section f 2 7 Block S ., Lot 3
ocitz�tsi,r4„ y /`( yRcely.
Person responsible for work: Re hefiT 12 CL/,z e(C, Telephone No. 773"-i
Mailing Address: C72 1/4fIJuSL-t-( G
a,r trr_w`s' y •
Where will demolition material be disposed of? 4,1T t,[ r
Is there any asbestos within building to be demolished? Yes / No 17
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 y , electric �� S propane , water
��' iY�S
Size of building(s): /�
1. g Y ft. by 3 6 ft. Location on property (� 7 /c/,, O Ie./4. (ter'
2. ft. by ft. Location on property
3. Number of stories: 9
4. Foundation type (circle one): full cellar crawl space slab
Foundation will REMAIN • BE REMOVED
5. Another structure WILL t-f 0 WILL NOT , replace this building.
NOTES:
Signature of Applicant:
owner, owner's agent,architect, contractor
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ill
Queensbury,NY 12804 Arrive to am/pm Depart am/pm
Inspector's Initials
NAME: C PERMIT# " r.)(37
LOCATION: Qhx, DATE : .2
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form 5bpkt d 5,4fe,
Reinforcement in Place
The contractor is responsib -
providing pro -. 'on fro , freez'u g
for 48 hours ollowing e place. ent
of the concret:
Materials for this on site
Foundation/Wallpo
Reinforcement in P1._
Foundation/Damppre Ii ng
Backfill Approval
Plumbing Under Si...
Plumbing Vent/Ven , in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wa f s Interior R-
Foundation W. is Exterior R-
Floors R-
Walls R-
Ceiling R-
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