building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: DEMO-0029-2019
Tax Map No: 309.7-1-54
Permission is hereby granted to: HHHN
For property located at: 26 WESTERN AVE SOUTH
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
Type of Construction
Owner Name: Hudson Headwaters Health Network Demolition-Commercial $0.00
Owner Address: 9 Carey RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Orion DES
8D Petra LN
Albany,NY 12205
Plans&Specifications
Demolition of SFD
asbestos report received
$ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,January 28,2020
(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 Queensbury; Monday,January 28, 2019
SIGNED BY: Li�s 4 45(----
for the Town of Queensbury.
Director of Building&Code Enforcement