2005-301 TOWN OF QUEENSBURY
742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050301 Application Number. A20050301
Tax Map No: 523400-311-005-0001-011-000-0000
Permission is hereby granted to: JOHN TYMINSKI JR
For property located at: RIVER 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. Type of Construction Value
Owner Address: JOHN TYMINSKI JR
P Demolition
O BOX 246
Total Value
FT. EDWARD,NY 12828
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2005-301
DEMOLITION OF GARAGE
GARAGE COLLAPSED
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, May 20,2006
(If a longerperiod 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 T Quee ry; i y, May 20, 2005
SIGNED BY for the Town of Queensbury.
Director of Building K Code nforcement
24- )()D-__DC1
Permit No _
Application for Demolition Permit Fee Paid 0"-qV. >
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for hermit:
Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets.
Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities.
1.
APltant OwzYr: P. son Res .risibleofr, "
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2. Location of demolition: 3. Tax Map No.
4. Where will demolition material be disposed of? 'SJ-P�t--A --tv
5. Asbestos Information
A copy of Asbestos Removal Report must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? ❑ Yes �No
If YES, our office needs the following information:
b. Name of firm removing asbestos:
C. License number of firm:
d. Indicate location where asbestos material will be disposed,
6. Structure Information
a. Indicate which structure(s)will be demolished:
❑Residence; Narage; ❑storage building; []business; ❑other
b. Size of structure: ft.by ft. c:fk{L E: L (�Cot� Psf�
C. Number of stories 1
d. Foundation type: ❑full cellar; ❑crawl space; [slab
e. Foundation: ❑will be removed; will not be removed
f. Structure(s): ❑will be replaced; will not be replaced RECEIVED
7. Utilities Information MAC hT5
Indicate utilities for this structure: ')4Ilk TOWN OF QUEENSBURY
BUILDING AND CODE
❑gas ❑electric ❑propane ❑onsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes ❑No
Have all utilities been disconnected? ❑Yes ❑No
t� Date: J� C U
Signature of Applicant: ����