1990-810 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-810
WARREN COUNTY, NEW YORK /07
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PERMISSION is hereby granted to Brenda L. Nichols
OWNER of property located at Mi nnesota Avenue Street, Road or Ave.
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.
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1. OWNER'S Address is
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2. CONTRACTOR or BUILDER'S Name
Aruin Jabot
3. CONTRACTOR or BUILDER'S Address
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PO Box 549
Lake Luzerne
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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CU ( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
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o. Demolition of a 20 x 50 Building as per plot plan specification
and applicatinn
8. Proposed Use
Reason for removal - FIRE
$ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES N/A 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
N Dated at the Town of Queensbury this 0th Day of November 19 90
SIGNED BY �ll� �� for the Town of Queensbury
0_ Building and Zoningiol nspector
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TOWN OF QUEENSBURY
APPLICATION FOR
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DEMOLITION PERMIT
41110
i OWN OF QUEENSBURY
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DATED //-30 j(� FEE PAID $ , r EC WED
NOV 3 0 1990
INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
BLDG. & CODE DEPT.
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 IS: c3r--e c., L N t Ch a ( S
P.O. Addressed i 1 TEL. 69 6 3 s.6 a'
Property Location: rn r N N ,e s z i c a ti <_ Tax Map No/027/ 2 /
Street number or building lot number
Person Responsible for work t2u k ti Ck.k o�
Address Po IS o /9 ' a‹.Y L�L. Telephone
The following building(s), located on the property described above, are
to be removed from that property.
REASON FOR REMOVAL r�
Previous use of building (circle one)
Residence Garage -'Storage - Business - Other
Have all utilities been disconnected? Gas Electric )C Propane X Wate
Size of building(s)'
1. 0 ft. x 5-D ft. Location on property
2. ft. x ft.
3. No. of Stories
4. Foundation type (circle one) full cell. rawl space slab.
Foundation will remain -be remove• .
5. Another structure will will not , replace this building. Replacement of
structure will require application for Building Permit.
SPECIAL NOTES:
SIGNATURE ajt
Owner,ownerts agent, archichect
Contractor
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v I OWN OF QUEENS-PI!RV
NOV 301990
BLDG. & CODE DEPT.
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