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91-712
BUILDING PERMIT i ( TOWN OF QUEENSBURY -f No. 91-712 WARREN COUNTY, NEW YORK John McCall and Paula Rainis PERMISSION is hereby granted to 0 OWNER of property located at Cleverdale Road Street, Road or Ave. w in the Town of Queensbury,To Construct or place a Demolition-Fire Damaged Cottage 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 65 Cleverdale Rd Cleverdale NY 12820 f) cs 2. CONTRACTOR or BUILDER'S Name Q' McGuire Trucking 0 3. CONTRACTOR or BUILDER'S Address Buttermilk Falls Rd W Fort Ann NY 12827 4. ARCHITECT'S Name —' 0) 5. ARCHITECT'S Address c-) tp 6. TYPE of Construction—(Please indicate by X) ( I Wood Frame ( ) Masonry ( )Steel ( ) 0 rD 7. PLANS and Specifications No. Demolition of fire damaged cottage as per plot plan and application. 8. Proposed Use To remove fire damaged structure CD a 0 $ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES n/a 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.) -5 CD Dated at the Town of Queensbury this Day of October 19 91 0_ a SIGNED BY (GC%' ,%l� ' for the Town of Queensbury ccOD Building and Zoning Inspe r 0_ 0 c+ ct !D TOWN OF QUEENSBURY APPLICATION FOR 5/1'1-5> DEMOLITION PERMIT 1111110 DATED I DM/ FEE PAID $ 2 TOWN OF RED(:VED sBUR'Y INSTRUCTIONS FOR COMPLETING THIS APPLICATION. OCT 4 1991 1. All applicable spaces are to be completed. BLDG. & CODE DEPT. 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 Queensbury". THE OWNER OF THIS PROPERTY IS: l P.O. Address: j`t. - s- cl., ‘cc. krck,,:-.. ,_ .\Z Q�. (.'\t'v r r 4,:5_L IA TEL. bsS- !~ ""3 4 6 Property Location:C . (r ACk..,(- K & . Tax Map No. J / .9/?6. Street number or building lot number Person Responsible for work MC ( k.,d (. Y\ i _i Address & .r°.iii t lc CeAs ,,:(. (.c.' .--(b(k i?c 0 N1 Telephone (Jj -7 5 9 y The following building(s), located on the property described above, are to be removed from that property. REASON FOR REMOVAL . --".":i f '4)(`,-r� C'. —,,.- (AitCri.D0 Previous use of building (circle one) Residence - Garage - Storage - Business - Other Cc AA(.c(: f ''c f_e `)LI t.j t 3 Have all utilities been disconnected? Gas ')Electric e, Propane Water 7/- Size of building(s) 1. ft. x ft. Location on property 2. ft. x ft. 3. No. of Stories i 4. Foundation type (circle one) full cellar �`yp awl space,- slab. Foundation will remain -be removed y 4 . 5. Another structure will will not , replace this building. Replacement of structure will require application for Building Permit. SPECIAL NOTES: SIGNATURE "'',,.-` �,, �. e11/f :-, Owne owner's agent, archichect Contractor v � � Oaf if\ r afro t\©v-sc," cl) 72, CtrAkoy-/ • / z-e_64 Z` d-ee z-- - y , 411 a )S-- /36 y yi rly ) 6,„.2„.t/tejeo<24 /Liyz