2000-429 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 0 Building Permit No.
TAX MAP NO. 4 4 . - 18
Permission is hereby granted to
Owner of property located at
in the Town of Queensbury,to construct or place a - - -
at the above location in accordance to 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.
Owner's Address:
Contractor or Builder's Name:
Contractor or Builder's Address:
HAi-OLL .iARRI:.) RE')
ZUEENSBURY, NY 12804
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
DEMOLITION OF RESIDENCE AND GARAGE AS PER APPLICATION
Proposed Use:
DEMOLITION OF RESIDENCE
:Tune 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 ,\ C7k, ! \\ l4'v1 for the Town of Queensbury
Code Enforcement Officer
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT `l
Permit N/o. (}
Instructions for completing the application Date: rn l l G G
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. J U N 1 9 2000
Owner of property: (L)1 Il f Ain fir 21-1 1 Property Location: . . 21-RC, `-,
Mailing Address: ;2`-/ 1=C�,S1/4- wc,z_to, 1,jV Tax Map No. Section 4.1y , Block -2 , Lot /P
Person responsible for work: i 9/ 21A- �`, Telephone No.
Mailing Address: iY(� x-NC -\
Where will demolition material be disposed of? d't"L-t ri'-a ) ij L
Is there any asbestos within buildinE 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): residence garage_) storage business other
Have all utilities been disconnected? gas , electric , propane ;/f?j, water
Size of building(s):
1. 26 ft. by 3 V ft. Location on property
2. a`7` ft. by ft. Location on property
3. Number of stories: 02._
4. Foundation type (circle one): full cell craw e slab
Foundation will REMAIN -REM V
5. Another structu WIL , replace this building.
NOTES:
Signature of Applicant:
owner. owner's agent,a " cI, contractor
v------,
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riPr,FWP-D LANDS N/F OF
MICHAEL ASPLAND
, :
/ 675/533
JUN 1 q 2000
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