1989-012 BUILDING PERMIT �
TOWN OF QUEENSBURY
No. 89 - 12
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Birney Willard
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OWNER of property located at tp +�.{ Massachusettes Avenue . .— Street, Road or Ave. i+
in the Town of Queensbury, To Construct or place a Demolition ~
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
Same �
2. CONTRACTOR or BUILDER 'S Name
W
Same
to
3. CONTRACTOR or BUILDER'S Address *gyp
x
Same
4, ARCHITECT'S Name
Cf]
5. ARCHITECT'S Address to
n
'LC
CJ3
6- TYPE of Construction — (Please indicate by X) H
H
( } Wood Frame I ) Masonry { ) Steel I 1
Cl7
7. PLANS and Specifications
201 x 34 ' one story structure and foundation to 7a
No. he removed as per plot plan and application .
8_ Proposed Use
Demolition
1:7
$ 20 ' 00 PERMIT FEE PAID - THIS PERMIT EXPIRES August l 19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the y
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 18th Day of 'i9 January 89
SIGNED BY for the Town of Oueensbury
Building and Z ning Inspector
TOWN OF QUEENSBURY Ig �r- 3
APPLICATION FOR
DEMOLITION PERMIT
f�''i 7,,�'�5�9 '
DATED FEE PAIL} $ C;
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".
/ 1.
THE OWNER OF THIS PROPERTY IS: i /
P.O. Address: C>oc ,/ z� TEL. I
Property Location: A�Co A d'A00;` Tax Map
Street number or building lot number
Person Responsible for work < *4 f / /�
Address cif Telephone ;7� ✓
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL -A Z� ,/� C7' GiG// /�
Previous use of building (circle one)
Residence Garage - Storage - Business -- Omer
Have all utilities been disconnected? Ga _ �Electric��ropane Water ►
Size of building(s) /],, +0
1 ��ft. x , g " ft. Location on property ` +' A sus 4 '`�
2. fts x ft.
3. No. of Stories
4. Foundation type (circle one) full cellar - crawls slab.
Foundation will remain -be removed 4Z " - .
5. Another structu will >ill not , replace this building. Replacement of
structure will require application Tor Building Permit.
SPECIAL NOTES:
SIGNATUR
Own ,owner' gent rehichect
Contractor
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