2003-273 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030273 Application Number: A20030273
Tax Map No: 523400-316-013-0001-015-000-0000
Permission is hereby granted to: RONALD & SALLY BRTC-rCTS
For property located at: 49 BIN Dr
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. Twe of Construction Value
Owner Address: TOSI-BRIGGS
Demolition
49 BARDIN Dr
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
PETER WF,TDMAN
26 AMF,THYST Dr
OT JFF,NSBT JRY_NY 12804
Plans&Specifications
2003-273
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 15,2004
(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,May 15,2003
SIGNED BY' for the Town of Queensbury.
fV irector of Buildin &Co Enforcement
Permit NOQ /
Application for Demolition Permit Fee Pai
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.
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2. Location of demolition: '-i� drr�� V� 0'r 'I V -- 3. Tax Map No. _
4. Where will demolition material be disposed of? Et7 -�
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 CKNo
If YES, our office needs the following information:
b. Name of firm removing asbestos:
C. License number of finm:
d. Indicate location where asbestos material will be disposed
6. Structure Information
a. Indicate which structure(s)will be demolished:
FWesidence; ❑garage; ❑storage building; ❑business; ❑other
b. Size of structure: ft.by ft.
C. Number of stories
d. Foundation type: ❑full cellar; ❑crawl space; ®,slab
e. Foundation: will be removed; ❑will not be removed
f. Structure(s): will be replaced; ❑will not be replaced
7. Utilities Information
Indicate utilities for this structure:
❑gas `electric ❑propane ❑onsite well-water pump
public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? &Yes ❑No
Have all utilities bee connected? ( Yes ❑No
Signature of Applicant: �' �' l� Date: /3 03
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