1999-486 BUILDING PERMIT
vAzvE.•. •$. 0 TOWN OF Q.UEENSBURY. No... .. 99486
TAX MAP NO. 27:.-1-28 . 1 WARREN COUNTY, NEW YORK
C? ' .rtiii
PERMISSION is hereby granted to RYAN•, CATWERINE M_
OWNER of property located at 955 STATE ROUTE 149 Street,Road or Ave.
in the Town of Queensbury,To Constructor,place a ,'. DEMOT.TTTON IIF WARM STAND 'DUB' TO FIRE 'DA
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
955 STATE ROUTE 149.
LAKE- GEORGE,- NY'. 12845
2. CONTRACTOR or BUILDERS Name .
3. CONTRACTOR or BUILDERS Address .
4. ARCHITECTS Name •
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
DEMOLITION ..
1 1 Wood Frame ( 1 Masonry. ( I Steel ( 1
7. PLANS and Specifications
DEMLITION-.OF FARM STAND DUE TO FIRE. DAMAGE AS PER ,APPLICATION
8. Proposed Use
DEMOLITION:.:OF. FARM STAND .DUE TO. FIRE DAMAGE.
2® ... Augus 4 t 2001
$ . PERMIT FEE PAID—THIS PERMITS EXPIRES; 19
Of a longer period is required an application for'an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration.date.)
4 August . 1999:. .
Dated at the Townof Queensbury.this Day of 19
SIGNED BY _ . .724 :1 for the Town of Queensbury
ng and Zoning.Inspector,
TOWN OF QUEENSBURY _.
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT 9
s(p
Permit No. �L�
Instructions for completing the application Date: q -7 9
Fee Paid:)f') o v
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing: C 'f
ED
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which are to be removed. AUG o 4 1999
c. location of all utilities.
3. Fee submitted per current fee schedule. TOWN QF Qul:EN sBuRy
BUILDING AND 00i? .
Owner of property: L l .p i jv t° NI Qy{riFAi Property Location: 42- V /V
Mailing Address: ? ..-S /t_�/,Cie / �" Tax Map No. Section 7 , Block I , Lot c J I
1--eL1 J y 1"rf-c/ /1� /ifs
Person responsible for work: ()c0 l .6 E 2-y i4 YU Telephone No. 'Pi-66Sf
Mailing Address: 4 5,C 3-HI-4-6 Q-f-e /y9
Where will demolition material be disposed of? 116 S I u-IP) )t,'S41 1
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 building(s) located on property described above are to be removed: I 41�I
Previous use of building (circle one): residence garage storage other Sri(em 5'4
i
Have all utilities been disconnected? gas electric P l�', propane , water
Size of building(s): `gy
1. 6 0 ft. by $ O ft. Location on property �•i-r✓ /`7p
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 WILL A.T------1 WILL NOT , replace this building.
NOTES:
Signature of Applicant: vi.,
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