2005-878 T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050878 Application Number: A20050878
Tax Map No: 523400-289-019-0001-010-000-0000
Permission is hereby granted to: WILLIAM CRAIG
For property located at: 12 HAVILAND 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: WILLIAM& GINA CRAIG Demolition
10 D PAR PI Total value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-878
DEMOLITION OF GARAGE &BREEZEWAY
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, November 10, 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 rsd y/ ber 10, 2005
SIGNED BY °�. for the Town of Queensbury.
Director of Building&Code Enforcement
Pernnt No.
Application for Demolition Permit Fee Paid - a�
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.
1.
A licant . Owner, y' P Person"Res""`onsiinle for Work
-2,
°Address
12 R.AUlt 4,Vd iQ- i
7Y8-- 1JC�
Phone, -741 L— 3c Lt.3 (AY)
2. Location of demolition: JZ HAI c A JD l�- � 3. Tax Map No.
4. Where will demolition material be disposed or. W k 5[� A4A-14141 eAA Ehj-7 4oRcZ�',
5. Asbestos Information
A copy of Asbestos Removal Report must be filed with our office before demolition be RECEIVED
a. Is there any asbestos within the building to be demolished? ❑ Yes 0b U 3 2005
If YES, our office needs the following information:
TOWN OF QUEENSBURY
b. Name of firm removing asbestos: ,,rr� BUILDING AND CODE
C. License number of firm: TOWN OF QUl —
d. Indicate location where asbestos material will be d r` Ar�:+mahtg s`
A-
n �e ainstr; as zi �c:BilnQ
6. Structure Information plans and y1�L'c,ifliQfl: 12 in "
compliance V1,4t,the Building CC"
a. Indicate which structure(s)will be demolished:
of NQ, y`y''0rlc Mate.
❑Residence; [garage; ❑storage building; ❑business; Nother 3ZL--C 2—'A-V
b. Size of structure: ft.by i ft. g( 12, k"z✓v
C. Number of stories i
d. Foundation type: ❑frill cellar; ❑crawl space; slab
e. Foundation: will be removed; ❑will not be removed
f. Structure(s): will be replaced; ❑ �
-W,qrcd1get9 ': ?;'"'` Y
7. Utilities Information B 1_4 6 I_D I�I(j & �7 E PT.
, .
Indicate utilities for this structure: REV I EW ED B _
❑gas lectric ❑propane �Xonsite wwll� atep-pun �—
ublic water Hpublic sewer
MIT .T r3� Dlsc�.✓.�iirc�cr.
Have you notified the Town Water De t, for public water and public sewer disonnect? ❑Yes Fkf�o
Have all utilities been disconnected? I'es ❑No (/-4U— re $
0eowol:�,1���
Signature of Applicant: Date: j/ 3—,,
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NOV 0 3 2005
TOWN OF QUEENSBURY
I BUILDING AND CODE
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