2002-1046 TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20021046 Application Number: A20021046
Tax Map No: 523400-239-007-0001-006-000-0000
Permission is hereby granted to: DAVTD BROWN
For property located at: 29 KNOX 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: DAVID BROWN
Demolition
7 SADDLE BROOK Dr
Total
Value
SARATOGA SPRINGS,NY 12866
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-1046
DEMOLITION OF RESIDENCE AND STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 02,2004
(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 Queensbury; Thursday,January 02,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY DEC 30 2002
742 Bay Road • TOWN
Queensbury, N.Y. 12804-9725•
Application for DEMOLITION PERMIT A .
Permit ` o — t* _
Li cp.
Instructions for completing the application Date: Id d 6
Fee Pai..1 , 0.
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.
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Owner of property: I-1I2_, ' H Di \AQ 12420,4i Property Location: 10aaJO CR0�64(970p,, iJ"
Mailin Address: 4N0(9, (way., QZ. Tax Map No. section 2QU k O,7
.Lot
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Person responsible for work: CO O. 1 tD./A • Telephone No. OW
Mailing Address: Oeee, Iut.-1 ��Q� r7� �/
LAILL ��t .t��'P-e t LIT' 1964c. _31.67
Where will demolition material be disposed of? L4IJrP i LL''
Is there any asbestos within building to be demolished? Yes / No `f
If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of:
NAME OF FIRM LICENSE NUMBER
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LOCATION=WHERE ASBESTOS WILL BE DISPOSED
* I 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 storag3' business other
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s):
1. 10 ft. by `ji j ft. Location on property Ce1.4i
2. 10 ft. by ft. Location on property 215 C� "}
3. Number of storm: t7t.J I
4. Foundation type(circle one): Ce..1.0 crawl space
Foundation will REMAIN BE REMOVED
5. Another structure WILL )( WILL NOT , replace this building.
NOTES:
Signature of Applicant:
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