2003-1005 TOWN OF.QUEENSBIURY
742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)-761-8256
BUILDING PERMIT
Permit Number: P20031005- Application Number: A20031005
Tax Map Na 5234QQ-302-0,Q5-0001-052-012-0000
Permission is hereby granted to:; AFTAR-R.14ATTI
For property located at: AVIATION 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 die NYS Uniform Building Codes aiid-the Queen§bury.Zoning
Ordinance. Type of Construction ue
Owner Address: AFTAB BHATTI f
6 JACQUELINE Dr Demolition
Total Value'• -
-QUEENSBURY,NY 12804-0000
Contractor or Builder's Name'/Address. Electrical Inspection Agency
Plans&Specifications
2003-1005 DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$2000 PERMIT FEE PAID-THIS-PERMIT EXPIRES: Wednesday,December 22,2004
(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 To ueens tl y,December 22, 2603
SIGNED BY • t for the Town of Queensbury.
Director of Building ,Code forcement
Permit Ncl�
Application for Demolition Permit", Fee Paid
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for a Rqrmit:
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 demolition5R] _U RC), 3. Tax Map No. S
4. Where will demolition material be disposed of?
5. Asbestos Information E,I VF-Ell%
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A copy ofAshestos Removal Report must be filed with our office before demolition begihVo ,2 2 )nni
a. Is there any asbestos within the building to be demolished? ❑Yes l FF N-S 113 V Ry
10 AtJD CODE
If YES, our office needs the following information:
b Name of firm removing asbestos:
C. License number of firm:
d. Indicate location where asbestos material will be disposed
6. Structure Information
a. Indicate which structure(s)will be demolished: k(LACNAb
F-JResidence; E]garage; E]storage building; E]business;'Other
b Size of structure: 111444 ft.W—
C. Number of stories—f 0
d. Foundation type: Dfull cellar; Flcrawl space; ab
e. Foundation: ill be removed; F�will n?tbe removed
f. Structure(s): twill be replaced; 11 not be replaced
7. Utilities Information
Indicate utilities for this structure:
F-1gas Delectric []propane Flonsite well-water pump
Rpublic water F-1public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? E]Yes []No
Have all utilities been disconnected? ❑Yes ONo
Signature of Applicant: Date: