2003-684 TOWN OF QUEENSBURY_
i .
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761,$256
BUILDING PER811T
Permit Number: P20030684 Application Number:- A20030684
Tax Map No: 523400-295-010=00.02-007-000-0000
Permission is hereby granted to: NANC;Y ONETf I,
For property located at: 15 BONNER Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with 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. Type'of Construction Value
Owner Address: KENNETH&MARY COLLYER
15 BONNER Dr Demolition
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
01JEST BUILDERS
72 FOURTH St
GLENS FALLS_ NY 12801-0000
Plans&Specifications
2003-684
DEMOLITION OF RESIDENCE AS PER PLOT PLAN SPECIFICATIONS
$20,00 PERMIT FEE PAID:THIS PERMIT EXPIRES: Wednesday,August 25, 2004
(if a longer period is required,an.application for an extension 'rust be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T wn o ;t4ry
ugust 25, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
(�. nLl
Permit No.
Application for Demolition Permit Fee PaiK;-)
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804(518)761-8256 Notes:1
Instructions/Requirements for a pemit:
Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets.
Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities.
1.
A
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Address -72 25
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2. Location of demolition: 3. Tax Map No.
4. Where will demolition material be disposed or CL) Ann
S. Asbestos Information
A copy of,4sbestos Removal Repot t must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? E]Yes �No
If YES, our office needs the following information:
b. Name of fin-n removing asbestos:
C. License number of firm:
d. Indicate location where asbestos material will be disposed
6. Structure Information R E D
a. Wicate
which structure(s)will be demolished: AUG 1 9 2003
Residence; F-1garage; E]storage building; E]business; Mother
b. Size of structure: ft.by 25- ft. TOWN OF QUEENSBURY
C. Number of stories
d. Foundation type: lZfull cellar; F-1crawl space; 0slab
e. Foundation: 11 be removed; will not be removed
f. Structure(s): will be replaced; Flwill not be replaced
7. Utilities Information
Indicate utilities for this structure:
as lectric Rpropane Flonsite well-water pump
public water Rpublic sewer
f/.CyYes RNO
Have you notified the Town Water Dept. for public water and public sewer disonnect'
Have all utilities been disconnected? Yes RNo
Signature of Applicant, 7Z/)7 U5 — Date:
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RECEIVED
AUG 1 9 2003
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TOWN-OF QUEE
RECEIVED
JUN 101991
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