2002-860 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020860 Application Number: A20020860
Tax Map No: 523400-301-007-0002-020-000-0000
Permission is hereby granted to: CI.I JTF FNTFRPRTSF,S_TNC.
For property located at: 280 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 the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: RICHARD BRAUNS
PAMELA BLACKMER Single Demolition
9 OLD FORT Rd Total Valueily Dwelling
FT. EDWARD,NY 12828
Contractor or Builder's Name f Address Electrical Inspection Agency
CT,TJTF,FNTFRPRTSFS INC.
13 DAWN Rd
OT JFFNSBT JRY.NY 12804
Plans&Specifications
BP 2002-860 DEMOLITION of single family dwelling as per plot plan and specifications. Single family
dwelling will rebuilt. In addition,property needs an Area Variance for new construction. AV will be
reviewed at November 2002 Zoning Board of Appeals Meeting.
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 15,2003
(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 Tow o 5;p
T s y, October 15,2002
4
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit
Instructions for completing the application Date:Fee Pai oCr
1. All applicable spaces are to be completed. Z j 200
2. Two plot plans are to be submitted, drawn to scale, showing: 2
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.
Owner of property: �.,�-a _ � k J Se— Property Location: �fi�s � _.(� VV r
Mailing Address: L3 � ZC-9- Tax Map No. section , Block ,Lot
Person responsible for work: LGA_r y-- Telephone No. --)"7
Mailing Address: \3 C>mot^ (zi
Where will demolition material be disposed of? -S���t 7r
Is there any asbestos within building to be demolished? Yes / No
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
A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS.
The following buildings) 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):
I. \') ft. by (CC) ft. Location on property
2. ft. by ft. Location on property
3. Number of stories: 1
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 Applic t:
owner s agcnt,a tact, contractor
V
CNJ
c, t:..
cv
L;
L .
li