2000-387 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $
Building Permit No.
0
TAX MAP NO. 54 . -2-3 2
Permission is hereby granted to CRANNELL, ROF3ERT C.
Owner of property located at pc E RD
in the Town of Queensbury,to construct or place a
at the above location in accordance to application together with plot plans'and other infoixnation hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
5 HEINRICK STREET
QUEENSBURY, NY 12804
Contractor or Builder's Name:
Contractor or Builder's Address:
216 DREAMLAKE RD
-',AIEENSBURY, NEW YORK 12804
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
:EMOLITION OF RESIDENCE AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
$ 2 PERMIT FEE PAID-THIS PERMIT EXPIRES
(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 Town of Queensbury this Day of
SIGNED BY 1.,..\;OLAI 1/42,--ycj for the Town of Queensbury
Code Enforcement Officer
OWN OF QUEENSBURY
742 Bay Road JUN 0 2 2000
Queensbury, N.Y. 12804-9725
(1;-':
Application for DEMOLITION PERMIT
Permit No
= 3(7
Instructions for completing the application Date: ei„ ?-15yv
Fee Paid: ---
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 and streets.
b. all existing structures, indicating which are to be removed.
c. location of all utilities.
3. Fee submitted per current fee schedule.
Owner of property: nit)éC rf acolif i/!//Property Location: // 4'-C AreidgetAfA f
Mailing Address: / ,{, /rev '/� Tax Map No. Section J �, Block ,Lot 8�
YO T7 Lf C /if (`
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Person responsible for work: / 4'/e St. ,a-rY deltr( Telephone No. 7 ? ' 2 7‘2
Mailing Address: 7/ dty Sin 6iriewi,J h.-1 j i'9' /, y
Where will demolition material be disposed of? 75744 ia/d,40'Z
Is there any asbestos within building to be demolished? Yes / No
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): -sid-.• garage storage business other/.712/-s 4/451
Have all utilities been disconnected? gasC/,r;t , electric(,�6 , propane ' . , water�j rf
Size of building(s): a
1. Is ft. by a.) ft. Location on property /0171 1.,E e•.e•
2. /p ft. by A.— ft. Location on property 5-47
3. Number of stories: '
4. Foundation type (circle one): full cellar 3 r..• slab
Foundation will REMAIN �'" B REMOVED
5. Another structure WILL G.— WILL NOT , replace this building.
NOTES:
Signature of Applicant: 44,t 67
owner.owner's agent,architect, contractor
JUN 0 2 2000
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