2006-780 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060780 Application Number. A20060780
Tax Map No: 523400-3 09-015-0001-06 1-000-0000
Permission is hereby granted to: STEPHANIE SMITH
For property located at: 41 RICHARDSON St
in the Town of Queensbury,to construct or place
at the above location in accordance with 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 Address: STEPHANIE SMITH Tempe of Construction Value
ROBERT SWEENOR Demolition
41 RICHARDSON St Total Value
QUEENSBURY, NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2006-780
DEMOLITION OF STRUCTURE DESTROYED BY FIRE
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, October 30,2007
(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 Tow of Qtlwensb N�o#dV, October 30, 2006
SIGNED BY t`'"f °',? u. ;s for the Town of Queensbury.
.:
Director of Building&Code E l orcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060780 Date Issued: Monday, October 30, 2006
This is to certify that work requested to be done as shown by Permit Number P20060780
has been completed.
Tax Map Number. 523400-309-015-0001-061-000-0000
Location: 41 RICHARDSON St
Owner. STEPHANIE SMITH
Applicant: STEPHANIE SMITH
This structure may be occupied as a:
Demolition
By Oder of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve thef
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals. Director of Building&Code:E or��ment
i
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.OFFICE USE ONL MAN0. PERMIT FEE PAI
,
Permission is hereby granted to the above named Applicant to demolish the building(s) /
described herein as set forth in the Application below.
Director of Building&Codes i
------- Date
APPLICATION FOR DEMOLITION PERMIT.-
Fill in applicable spaces and submit two 2
boundaries with dimensions and adjacent roads lot Pans, ts. Show drawn to scale, showing lot
on the property and indicate which are to be demolished. Indicate then tPlan t es
location of all utilities. Plot plan the
APPLICANT/BUILDER:
OWNER:
ADDRESS:
ADDRESS:
PHONE NOS. / 9,1'�
PHONE:
PERSON RESPONSIBLE FOR WORK:
LOCATION OF DEMOLITION: �/ PHONE:
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? [C-i ei,-
ASBE TOS INFO MATION:
✓ Is there any asbestos within the buildingto be demolished?
YES N0—X—
✓ If YES, our office needs the following information:
o Name of firm removing the asbestos:
o License number of firm:
o Indicate where the asbestos material will be disposed:
NOTE:A copy of Asbestos Re oval Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE
GARAGE BUSINESS_
✓ Size of structure: X STORAGE BLDG. OTHER
✓ Number of stories:
✓ Foundation type: FULL CELLAR______ CRAWL SPACE
✓ Foundation: WILL BE REPLACED � SLAB-
Foundation:
NOT BE REPLACED_ZC '
✓ Structures(s): WILL BE REPL°`CED
-Y— WILL NOT BE REPLACED______
UTILITIES INFORMATION: d
Indicate utilities for this structure: GAS
ELECTRIC PROPANE :�f -7ys
PUBLIC WATER ONSITE WELL-WAT R PUM
&yc-,4� olk-S,4�
PUBLIC SEWER
Have you not led the Town Water Dept. for public water and public sewer disconnect? YES_NO_
Have all/utilities been disconnected: YES NO
QUESTIONS? CALL 761.8256 OR EMAIL
/��_✓!%� codss(Acueensbury not
VISIT OUR WEBSITE FOR MORE INFORMATION
SIGNATURE F APPLICANTyw.aueenaburv.nar
Town of Queensbury- Community Development Office - 742 Bay Road, Q ueensb�
u ury, NY 12804