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2005-680 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050680 Application Number: A20050680 Tax Map No: 523400-301-008-0002-037-000-0000 Permission is hereby granted to: RICHARD & TERESA HACKETT For property located at: 416 AVIATION 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: RICHARD & TERESA HACKETT 416 AVIATION Rd Demolition QUEENSBURY, NY 12804 Total value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-680 DEMOLITION OF DETACHED GARAGE $20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, September 02, 2006 (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 Q eensb JF41 ay 02, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Permit No d Application for Demolition Permit Fee Paid Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 Notes: Instructions/Requirements for a permit: 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. I. t; ©sA ' nS . isibl Cu'x Y ` y 1 b v rarro,�, (:coo ¢ k �Itoge Faxs 2. Location of demolition: It 16 3. Tax Map No. Cu r 4. Where will demolition material be disposed or. RIe7r7l 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: - OResidence; rage; ❑storage building; ❑business; Mother b. Size of structure: 2 ft.by a v ft. C. Number of stories d. Foundation type: ❑full cellar; ❑crawl space; [glab e. Foundation: ill be removed; [Qwill not be removed f. Structure(s): will be replaced; Qwill not be replaced-- 7. Utilities Information Indicate utilities for this structure: ❑gas Melectric []propane ❑onsite well-water pump ®public water Mpublic sewer Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes ❑No Have all utilities -been disconnected? Ryes QNo Signature of Applicant: t C ,-( r-' Date: An O j