2000-080 BUILDING 'PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 2 0 o 0 o R o
TAX MAP NO. 40 . -1-36
Permission is hereby granted to O'KEEFFE, MARY K.
Owner of property located at 169 MANNI S RD.
in the Town of Queensbury,to constructor place a DEMOLITION OF RES IDFNCE
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zomng Ordinance.
Owner's Address:
49 HORICON AVE.
GLENS FALLS, NY 12801
Contractor or Builder's Name:
WALLACE CONTRACTING
Contractor or Builder's Address:
104 KICKERVILLE RD
LONG LAKE, NY 12847,
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
Proposed Use:
DEMOLITION OF RESIDENCE
$ 20 PERMIT PEE PAID-THIS PERMIT EXPIRES March 14 2002
(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 this 14 Day of March 2000
of
SIGNED BY �X� 1 � WE-UIT�. for the Town of Queensbury
Code Enforcement Officer
TOW OF QUEENSBURY
742 Bay Road
QuIeensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT Permit No.j'�—
Instructions for completing the application Date:
Fee Paid:
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. RECE'NED
c. location of all utilities.
3. Fee submitted per current fee schedule. MAR 0 9 2000
Ry
Owner of property: :! ,kk� Property Location- K jk 3zV2- CAE
Mailing Address: 5'k CS -1 K\i-L Tax Map No. section Block Lot
UQ'kes��7&u-sq
Person responsible for work: CDAYTIZA' M i MO Telephone No.
Mailing Address: lot+ t(j%WaQ'
2nfQRg J—hk Q P SA ZqLt
Where will demolition material be disposed of?
Is there any asbestos within building to be demolished? Yes 1 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 Va-IERE ASBESTOS WILL BE DISPOSED
A COPY OF ASBESTOS REmovAL Ruou MUST BE FILED wITH THIS DEPARTMENT BEFORE DEMOLITION BEG
The following building(s) located on property described above are to be removed:
Previous use of building (circle one f-1�esidence garage storage business other
Have all utilities been disconnected? gas electric propane water
Size of building(s):
1. ft. by ZQ-ft. Location on property��k�' r M VT-
2. ft. by ft. , Location on property
3. Number of stories:
4. Foundation type(circle one): full cellar crawl space slab
Foundation will REMAIN BE REMOVED �
5. Another structure WJLL--3�. WILL NOT replace this building.
NOTES:
Signature of Applicant: QnV0
owner,owner's agent,architer-
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