95-192 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95192
TAX MAP NO. 13. -3-28 No.
WARREN COUNTY, NEW YORK
CHANESE, ALBERT & MARTHA
PERMISSION is hereby granted to
CLEVERDALE RD.
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a DEMOLITION OF RESIDENCE AND GARAGE
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
54 HAMILTON AVE.
FORDS, NJ 08863
2. CONTRACTOR or BUILDER'S Name
CRANDALL, CHRIS
3. CONTRACTOR or BUILDER'S Address
R.D. #1, BOX 1376
LAKE GE+ORGE, NEW V 1284s
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
DEMOLTION OF RESIDENCE AND GARAGE-- PER- PLAT PLAN AND
SPECIFICATIONS :
8. Proposed Use
DEMOLITION OF RESIDENCE AND GANAG8
$ 20 PERMIT FEE PAM—L- -M PERMIT`EXPIIIES April 24 19 97
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 8 Da of May 19 95
SIGNED BY for the Town of Queensbury
Building and ing Inspector
.6 � OF U
TOWN Q EENSB U
APPLICATION FOR DEMOLITION PERMIT RECEIVED
A ' R 145
607
DATE: G✓�� FEE PAID: 4
; ! DINC •ND CODE
INSTRUCTIONS FOR COMPLETING THIS APPLIC' s '
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 utilties.
3. Fee submitted per current fee schedule.
OWNER OF PROPERTY: Ai (, 4i y j t ,
P.O. ADDRESS: ,54/ ` ,'/,(.j,1 ,4 . fT32'!5 Ntl O8 &3 TEL: qog _ L
PROPERTY LOCATION: Gkr-(761,S6LIC_, TAX MAP #: I3 / -/ o? '
Person Responsible For Work: (//11 fL5/eyile " 0r;,'y,.4el : A3-044_3/
Address: ,O/ &A Z3710
WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF?
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 utilites been disconnected? Gas Electric Propane 1/ Water
Size of Building(s) :
1. ft. x ft. Location on property
2. ft. x ft. Location on property
3. Number of Stories:
4. Foundation Type (Circle One): Full Cellar Crawl Space /Slab <54'�c
/
Foundation Will Remain / Be Removed i
5. Another Structure Will 1/ Will Not , Replace This Building.
Replacement of structure will require application for Building Permit.
NOTES:
SIGNATURE OF APPLICANT: d 2
Owner, wner s Age t, Architect, Contractor
RECEIVED
APR 2 81995
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