91-711 BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 91-711
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Lewis & Joan Stone 00
OWNER of property located at Lake Parkway, Assembly Point Street, Road or Ave. -�
in the Town of Queensbury,To Construct or place a Demolition of Residence & Garage
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 —�-i
19 Powerhorn Way c)
Berkely Heights NJ 07922 m
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2. CONTRACTOR or BUILDER'S Name CD
Fuller Construction Co N•
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3. CONTRACTOR or BUILDER'S Address 0
9 John Clendon Rd =
Queensbury NY 12804
4. ARCHITECT'S Name
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5. ARCHITECT'S Address R"
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6. TYPE of Construction—(Please indicate by X) oi
X 1 Wood Frame ( ) Masonry ( I Steel ( ) n
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7. PLANS and Specifications 2
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emolition of 24'x36' Residence and 20')(20' Garage as per plot plan,
and application.
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8. Proposed Use =
Demolition for rebuilding purposes.
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$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES n/a 19 o
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ci'
town of Queensbury before the expiration date.) 0
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Dated at th Town of Queensbury this 4th Day of October 19 91
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SIGNED BY ��/GL2- /�_ for the Town of Queensbury m
Building and Zoning In ctor n
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TOWN OF QULBNSBURY
APPLICATION FOR TOWN OF QUEENSBURY
RECEIVED
DEMOLITION PERMIT
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OCT 41991
DATED `0 — /�� FEE PAID $ jJ —
BLDG. & CODE DEPT.
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
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 & 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: LL7.u/5 40- 4v Sr3
S j70 P 4 j L-t -{
P.O. Address: $ -/eic C?LJ ( ) I G I±T3 N/ C9Z Z TEL. 9De•-• VA
Property Location: z /-X � acagy 5 /3L e Tax Map No. g / l / 9
Street number or building lot nurhber
Person Responsible for worIXLL Ce T; -755.P///L�c� mac,
A ddressT ,60A) Qe. 63vi Telephone 2 0 3 a
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL 7
Previous use of building (circle one)
Resider - Garage Storage - Business - Other
Have all utilities been disconnected? Gas Electric Propane Water
Size of building(s)
1. Z 4' ft. x 6 ft. Location on propertys U
2. z o ft. x 2-o ft.
3. No. of Stories 2—
4. Foundation type (circle one) full cellar - crawl space - sla
Foundation will remain -be removed X
5. Another structure willX will not , replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE
Owner,o s agen , r hect
• Contractor A