2000-295 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
ICWY�a)I'S- County of Warren (518) 761-9256
VALUE $ 0 Building Permit No. 2000295
TAX MAP NO. 107 . -1-1
Permission is hereby granted to HAYES, MICHAEL & JAMIE
Owner of property located at QUAKER RD.
in the Town of Queensbury,to constructor place a DEMOLITION OF COMMERCIAL BUILDING
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:
QUAKER ROAD
.QUEENSBURY, NY 12804
Contractor or Builder's Name:
I.B.S . SEPTIC
Contractor or Builder's Address:
2 LOWER WARREN STREET
QUEENSBURY, NY 12804
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
DEMOLITION OF BUILDING AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
DEMOLITION OF COMMERCIAL BUILDING
20 May 10 2002
$ PERMIT FEE PAID-TMS 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 Que'ensbury his 10 Of May 2000
SIGNED BY "')t, *—, ay
for the Town of Queensbury
Code Enforcement Officer
TOWN OF QUEENS BURY,
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No o b—
Instructions for completing the application Date: -c)
Fee Paid: C�-
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. RECEIVED
b. all existing structures, indicating which are to be removed.
c. location of all utilities. SAY 0 ����
3. Fee submitted per current fee schedule.
TOWN OF QUEEWSURY'
1 l a 4 BUlUp�9G, 1 1�C
Owner of Property' ��,�i,� jCJ1..G �� 1 ,`Y�1 Property Location: [� ,f--r
3 /
Mailing Address: ' „',�14 n,.,f �'S"fi �� Tax Map No. section�Bloek Lot
1, r,
Person responsible for work: __,,,��J��� ,, t ��e,,"�1C9 al 4 Telephone No.
Mailing Address: 2,
Where will demolition material be disposed afl � t� �jtJlsc�-Z�jy1 �yty
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 one): residence garage storage Ines other
Have all utilities been disconnected? gas electric /, propane , water
Size of building(s):
1. ft. by 0 ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type(circle one): full cellar cra 1 spac slab
Foundation will .REMAIN OVE
5. Another structure WILL ri'' W eplace this building,.
NOTES:
Signature of Applicant: 51—
owner,owner's agent,architect, contractor