96-241 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 96241
TAX MAP NO. 16 . -1-31 No.
WARREN COUNTY, NEW YORK
GRILLO, ROBERT
PERMISSION is hereby granted to
SEELEY RD.
OWNER of property located at Street, Road or Ave.
DEMOLITION OF DETACHED 2—CAR GARAGE
in the Town of Queensbury,To Construct or place a
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
SEEYLE ROAD
CLEVERDALE, NY. ,
2. CONTRACTOR or BUILDERS Name
CALLAHAN, SHAWN
3. CONTRACTOR or BUILDER'S Address
BOX 137 .
KATTSKILL ='-BAY, NY 12844
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) DEMOLITION
1 1 Wood Frame ( 1 Masonry ( 1 Steel (
7. PLANS and Specifications
DEMOIT.ION OF' A DETACHED 2-CAR GARAGE AS PER PLOT PLAN SPECIFICATION
8. Proposed Use
DEMOLITION OF DETACHED 2-CAR GARAGE
. 20 -. ..
$ PERMIT FEE PAID —THIS PERMIT EXPIRES May 27 19 98
(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.)
_..27 May 96
Dated at the Town of Queensbury this Day ,f 19
SIGNED BY for the Town of Queensbury
Buildin and Zo rn Inspector
TOWN OF QUEENSEURY
742 Bay Road
Queensbury, N.Y. 12804-9725
•
Application for DEMOLITION PERMIT (� �
Permit No.
Instructions for completing the application Date:
Fee Paid: J(O �_�-
1. All applicable spaces are to be completed. {' `gip
2. Two plot plans are to be submitted, drawn to scale,
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which areto be removed. ;! MAY 21 1996
• c. location of all utilities.
3. Fee submitted per current fee schedule. ';'a T `'�E t;zn CODE
Owner of property: 1Z 0 e C`\c' C-c e\lO Property Location:
Mailing Address: .7 F Co I t LA or AV ti Tax Map No. Section , Block ,Lot
S'-krAentl =5kerri1�) a/. /03/
•Person responsible for work: S ,a t„` ; I la 1.c Telephone No. t /r) 911//9 9
Mailing Address:" Ro x )3 7
K -j-f5k; I) [3s' k),v. 9 q
Where will demolition material be disposed of? r
U
Is there any asbestos within building to be demolished? Yes / 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
"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 storage business other
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s):
1. 24 ft. by 30 ft.. Location on property Res('
2. ft. by ft. Location on property
3. Number of stories: d
4. Foundation type(circle one): full cellar crawl space slab
Foundation will "REMAIN _ BE REMOVED ' /
5. Another structure WILL WILL NOT , replace this building.
NOTES:
• Signature of Applicant:
owner, owner's agent,architect, contractor