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2002-363 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FON Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020363 Application Number: A20020363 Tax Map No: 523400-239-007-0001-037-000-0000 Permission is hereby granted to: JOSEPH & CAROL SCRIVO For property located at: 189 ASSEMBLY PT. Rd 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: JOSEPH& CAROL SCRIVO Demolition 15 DOGWOOD Ct Total Value MAHWAH,NJ 07430 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2002-363 DEMOLITION OF SINGLE FAMILY DWELLING AND GUEST CABIN. MAIN HOUSE TO BE REMOVED, GUEST CABIN TO BE REMOVED ONCE NEW HOME COMPLETED $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 17, 2003 (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 he To of en ury• Friday, May 17,2002 SIGNED BY for the Town of Queensbury. Director of Building& ode Enforcement TOWN OF QUEENSBURY RECEIVED 742 Bay Road MAY 0 9 2002 Queensbury, N.Y. 12804-9725 Application for DEMOLITION PERMIT TOWN OF QUEENSBURY EP!PF,1(-; 1:,01-)copE 6 Permit-No. _ d Instructions for completing the application Date: 01_v Fee Paid: 0_ S U 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 and streets. b. all existing structures, indicating which are to be removed. c. location of all utilities. 3. Fee submitted per current fee schedule. 5 cg Ci v0 Owner of property: -="1"" 1 j®�- i CARD(_, Property Location: 18 9 $!1 M L7 p, ' Mailing Address: IS ©e 6 woabCie V Tax Map No. SectionZ39,, Block 74,Lot 37 /144N(An ki/ AlsT. O7Y Person responsible for work: Me,C/Q L'�t'..S A STeurcTo / Telephone No. 2 S! 3 6 /9' Mailing Address: rq SS CQun r.W ?T 19 !t/OO Tk i-,e,Sk.., AI 4. /ZS '3 Where will demolition material be disposed of? 1464 S h MAMA Gf M,�,A)T Is there any asbestos within building to be demolished? Yes I No V If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of: NAME OF FIRM LICENSE NUMBER LOCATION WHERE ASBESTOS WILL BE DISPOSED * A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS. The following building(s) located on property described above are to be removed: Previous use of building (circle one) residence garage storage business other Have all utilities been disconnected? gas , electricE5 , propane , water yes Size of building(s): 'F..MOVE. dU O VJ 1. 3 5 ft. by 44.G ft. Location on property APPAKANI INC-St el A S EA413 L1/ PT ROAb ,z...6 MoV E.- 2. $ ft. by 3 ft. Location on property RE,{a R. D 19 Pe..0 P Ems'"t{ ES 10 e pg..i m)t Q7 j $iOt s E FT 2 COMP r/ Number of stories: 4. Foundation type(circle one): full cellar crawl space slab_ / )F Mom} �a'05C Foundation will REMAIN BE REMOVED �/ 5. Another structure WILL ✓ WILL NOT , replace this building. $ EC P 4,M t r.F!C,E NO 2 00z a 2! teE44 0 ve,D NICE NOTES:AV /10 la lQ 86 P ,vevo,6J(163T C461� /t'1/VQ.E4CO be 4,d/j€coitiP Tri3 , /CSSignature of Applicant: //GE ` Ate. Xl e eL(� ��eiZillC27112.f owner. owner's agent,architect, contractor COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. NC 79318 Cut-in Card No.2,4062, -37 ai vo Dwner Location ifs"ce-m-,8 4.--Y PT ,2/3• c_S-Ste ez# /2-er--872 74) Installation Consisting of 6,0 J piQ y 6-12, (1)AL-1#24 P0,0 cc,2,5to.)ô er; P 44-42'( /(ye f----ku s-xx_046e-s c9=ao SeXtridg-' ' 6-e4 6'617(.1), Installed By 67- Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is -:ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making i ections at any time, and if its te rules are violated,the Company shall have the right to r e this cat 11-73 Da INSPECTOR Member N.F.P.A.,I.A.E.I.