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2000-898
TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 1 2 804-5 902 (518) 761-8201 ,r Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit N [gym ber: P20000898 _ lication Number: A20000898 Tax Map No: 523400-061 -000-0001 -004=000- 000 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 69 COUNTRY CLUB Rd Demolition QUEENSBURY, NY 12804 Total Value Contractor or Builder's Name / Address Electrical Inspection Agency MICHAEL BLACKMERE 4 NOVA LA OUEENSBURY. NY 12804 Plans & Specifications BP 2000-898 DEMOLITION - RESIDENCE only (39.5 ft. by 19 ft.) 69 Country Club Road ji $20A0 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, December 04, 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 To QfQiucen ury a d , December 04, 2000 7 SIGNED BY for the Town of Queensbury. Director of Building Code nforcement TOWN OF QUEE.NSBURY 742 Bay Road Queensbury, N .Y. 12804--9725 Application for DEMOLITION PERMIT p? Permit No Instructions for completing the application Date: Fee Pai . I . All applicable spaces are to be completed. �, f 2. Two plot plans are to be submitted,, drawn to scale, showing: NO t a. Sot boundaries, with dimensions and adjacent roads and streets. ©N ' � ,�r b. all existing structures, indicating which are to be removed. T©lgr C. location of all utilities. ,, ,QI&V 04P O 2Q00 �3. Fee submitted per current fee schedule. Owner of Intt3 /G.�f.4 l2 Tc,c h' ytl Property Location: Mailing Address: e'e cam. �goemp _ 'Tax Map No. Soction Block/, Fit Person responsible for work: /"t J/G H.St +� 5Lr_..� r �? Telephone No. Mailing Address: r} oeyo IrR- Z. .�66f Where will demolition material be disposed oP A49/ ,oels" 4,g Is there any asbestos within building to be demolished? Yes 1 No If YES, name of firm rernoving asbestos from structure, license number, and where asbestos will be disposed of: NAN M OF FIRM LICENSE NUMBER LOCATION WHERE ASBESTOS WILL BE DISPOSED ' A Copy OF ASBFSTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMEhTr BEFORE DEMOLITION BEGINS. The following building(s) located on property described above are to be removed: Previous use of building (circle one): garage storage business other Have all utilities been disconnected? gas electric .X(LS , propane � _s , water __�!',�s Size of building(s): 1 . 3S'.S" ft. by ft. Location an property ja� ,Fie.rx+.-i ,�e,sap W- 2, ft. by ft. Location on property 3. Number of stories: 4. Fat.irtdation type. (circle one): full cellar crawl space slab Foundation will REMAIN BE REMOVED e GLy 5. Another structure WILL WILL NOT replace this huildinz=. NOTES: Signature of Applicant: owner. owner's agent, amhitart, con for GE VERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury ` DepL of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road C% Qrueensbury, NY 12804 Arrive am/pm DepartE Inspector's Ioitials NAME: P'ERMIT # � LOCATION: � TYPE OF STRUCTURE_ RECHECK p, NIA YES NO COMMENTS Monolithic Pour Form Reinforcement in Place The contractor is responsible for - providing protection from freezing for 48 hours following the placement of the concrete_ Materials for this purgaw on site Foundation/Wallpour Reinforcement in Place Foundatio7ID: Baclsftll Approval Plumbing Linder Slab Plumbing VentfVents in Place J -� Rough Plumbin Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls E3 R- Floors R � Walls R- Ceiling R- Duct worm or pipin in unheated spaces R- 1J Proper Vent, Attic V t FrarninA Jack StudvUeaders Bracing/Bridging, Joist Hangers Jack Posts(Main Beam Air lufiitration Furrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 37 4 hour Flrestoppl ROW RECEI \Iror- NQV 2 2 ZUuU Tow;v of QUEENSL. - BUILDIN AN CCU �; - TOWN OF QUkS%JRY BUILDING & T. olf REVIEWED SY DATE too i Sieirway C.,.,h4 cl-J, �aacv