1989-425 13lJ1LDING PERMIT
V F+ENSBVR ■ O. od Agri Mi
TOWN
OF
>�
YORK
WARREN COUNTY. NEW tiles
ranted to Street. Road or Ave•
PERMISSICIN is hereby 8
ovvNER of Property located at
nstruct pr place a lot plans and other information heretfl filed and
of QueensburY• �° I+cation to with P Ordinance_ �
in the Town accordance to aPP Building and Zoning ac+
at the above location in acx f Queensbury
approved and in compliance with the Town a Ln
r
t . Oyi/PLER'S Address is �
P . 0_ B0x 7'"Q
Ballston Spam N .y .
c
2. CONTRAC fOR or 6U1 LpER'S Name
r
L
Self
3. CONT ACTOR or BUILDER'S Address j
sage
4. ARCHITECT'S Narr1e
5. ARCHYTECT'S Address
eases i
6_ TYPE of Construction — ]Plndite by X I Steal 1
l I ~d Frame { } Masonry
PLANS and Specifications
and garage as per plot plan and
7. so, x zoo two story dwelling foundati
No .
shed including
on
application to be demoli
p}, PlOposed Use
Dem0l i ti on
T"IS PERMIT EXPIRES ning Inspector Of the
FEE PAID — Zo
')Il PERMIT a to the 13uiiding and
is reQuired an aPpli'�tion far an extension must be read
(if a longer Parjod More the expiration data.]
town of O.esnsb�+ry }g_�____
D aY of
Dated at the Town of Queensbyx � for the Town of QueensburY
SIGNED BY Building and
oninginsPector
atVN 0F QU
TOWN OF QUEENSB URY ED1VSB'tJR
APPLICATION FOR JUN 9 , 1989
DEMOLITION PERMIT at-00
DATED - - FEE PAID $ � � -
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".
THE OWNER. OF THIS PROPERTY ISO Cl� sr�" � y-
P .O. Address: t`C1 471� ca se e .' - Vic+ TEL.
Property Locations V { ,o u, 4 '-� Tax Map No. ILL
Street number or building lot number
Person Responsible for work
Address Telephone
The following buiiding(s), located on the property described above, are
to be removed from that property, � ` ( ;
REASON FOR REMOVAL Psi,- • �c� � -► �c�v 'car - ��u•+ c `
Previous use of building (circle one)
Reside Garag - Storage - Business - Other
Have all utilities been disconnected? GasElectric Propane Water
Size of building(s) T � 11� �
1 ., ,S'Tft. xY" o ft. Location on property. �O
2 * fto x ft.
3 . No. of Stories :)
4. Foundation type (circle one) <1 celj crawls ce - slab.
Foundation will remain -be removed`—.
S . Another structure will will not , replace this building. Replacement of
structure will require application 716rtBuilding Permit.
SPECIAL NOTES:
SIGNATU R ��`
Own r,owner's a chichect
Contractor
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