99-690BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury, NY 12804
County of Warren (518) 761-8256
VALUE $ 0
TAX MAP NO. 127.-1-13
Permission is hereby granted to
Owner of property located
CLUTE, LARRY
62 MINNESOTA AVE.
Building Pertnit No. 99690
m the Town of Queensbury, to construct or puce a REMOVE MOBILE HOME
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:
13 DAWN AVE.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
CLUTE ENTERPRISES, INC.
Contractor or Builder's Address:
13 DAWN ROAD
QUEENSBURY, NY 12804
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
REMOVE MOBILE HOME FROM SITE AS PER APPLICATION
Proposed Use:
REMOVE MOBILE HOME
20 November 9 2001
$ 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 th�iss99 Day of November
SIGNED BYt t �-P l (L1 ti` for the Town of Queensbury
Code Enforcement Officer
1999
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMrr
Instructions for completing the 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 and streets.
b. all existing structures, indicating which are to be removed.
c. location of all utilities.
3. Fee submitted per current The schedule.
Permit No.
Date: Fee Pai : (,
P' o V Q 1999
Owner of property: r ` 1 �� i Property Location t-- t "-Ez� Aic -
Mailing Address:
Tax Map No. semm Q0 , Black ( , L t %33
Person responsible for work: Telephone No. �dt S77
Mailing Address:
Where will demolition material be disposed oV
Is there any asbestos within building to be demolished? Yes— / No
If YES, [tame 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
* I A COPY OF ASBESTOS RE movAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLMON BEGINS.
The following building(s) located on property described above are to be removed: Previous use of building (circle one): idence garage storage business other _
Have all utilities been disconnected? gas _ , electric _ , propane _ , water
Size of building(s):
1. 1 L1 ft. by —10 ft. Location on property
2. _ ft. by _ ft. Location on property
3. Number of stories: 1
4. Foundation type (circle one): full ellar crawl space
Foundation will REMAINBE REMOVED
5. Another structure WILL WILL NOT _
NOTES:
lab
, replace this building.
Signature of
owner, o ?,s apfg, amhihxt, as mir