2000-077 •
BUIL-DING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 2000077
TAX MAP NO. 16 . -1-4
Permission is hereby granted to RYAN, MARK
Owner of property located at 2 8 ROCKHURST RD.
in the Town of Queensbury,to construct or place a DEMOLITION OF SINGLE FAMILY DWELLING
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:
6 MOCKINGBIRD COURT
WATERFORD, NY 12188
Contractor or Builder's Name:
RYAN, MARK
•
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
Plans and Specifications:
DEMOLITION OF, SINGLE FAMILY DWELLING AS PER APPLICATION
Proposed Use:
DEMOLITION OF SINGLE FAMILY DWELLING
$ 20 PERMIT FEE PAID—THIS PERMIT EXPIRES March 30 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 Queensbury this 3 0 Day of March 2000
SIGNED BY ,‘Lue___I, for the Town of Queensbury
Code Enforcement Officer
TOWN OF QUEENSBURY fir
742 Bay Road
Queensbury, N.Y. 12804-9725 MAR 0 9 2000
Application for DEMOLITION PERMIT
VCrinitCN LAbEaR Y07-7
Instructions for completing the application Da�e�f L ' ""''r°...•_,
Fee Paid: 2 0
, 00
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: /274 1f` g(4-r Property Location: 2e J c4 ncit5/
(6a
Mailing Address: �Q /k O c Klifr9 4/°r, c( Tax Map No. section /( Block / ,Lot
AzY (2(er Person responsible for work: ` 7/1, k /Yr4 Telephone No. 578 2 3,1ad'8
Mailing Address: �p /d7 o ck/ivcy, /?�
r.ex41-eer0/1 tiY /2/Ic-
Where will demolition material be disposed Of? 3�i vie.Jt /tf,' V(
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 on . residence garage storage business other
Have all utilities been disconnected? gas , electric ✓ , propane , water
Size of building(s):
1. /�i / o� �cie
d ft. by 2 ft. Location on property l �
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type(circle one): full cellar 4.14211M slab
Foundation will REMAIN .- OVED
5. Another structure WILL )e' WILL NOT , replace this building.
NOTES:
Signature of Applicant:
ner's age rchitect, contractor