1999-670 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 99670
TAX MAP NO. 54 . -2-7 . 21
cam- COUGHLAN, GEORGE III
Permission is hereby granted to
CHESTNUT RIDGE RD.
Owner of property located at
in the Town of Queensbury,to construct or place a DEMOLITION OF BARN
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 Zoning Ordinance.
2 7IICAOBs1) LANE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
SWEET, JAMES
Contractor or Builder's Address:
PO BOX 25
FT EDWARD, NY
•
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
•
Plans and Specifications:
DEMOLITION. OF BARN. AS PER APPLICATION
Proposed Use:
DEMOLITION OF BARN
•
20 October 26. . 2001 •.
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(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.)
26 October 1999
Dated at the To of Queensbury this Day of
SIGNED BYdEi1V1. for the Town.of Queensbury
Co Enforcement Officer
., TOWN OF QUEENSBURY
742 Bay Road .
Queensbury, N.Y. 12804-9725
Application for DEMOLITION (
PERMIT C-7�J—' i6
Permit No. �
Instructions for completing the application Date:
Fee Paid: �j) a✓
1. All applicable spaces are to be completed. `� "
2. Two plot plans are to be submitted, drawn to scale aho. g��^ c' C �
a. lot boundaries, with dimensions and adjacent db d"sfree�tss 1 l= .'
b. all existing structures, indicating which are to be remoYed. 1/
c. location of all utilities. OC I 2 2 1999 k,— �5
3. Fee submitted per current fee schedule. ellZ5
TOWN Off'O.0:7:-E _i, iDURY
Owner of prope •F 10 COIL ell k 1 II Property LLoc.ation: & dA g2' 4z_
Mailing Address: a„ 14)1 C iSV) " ;_ a ,,_' , x Map No. Sectio 17 , Block a ,Lot I 'I/6v/
0
Person responsible for work: �' t = Telephone No.
Mailing Address: c7O O)t, a S
r00(4— Wr7D IVY t Qxag
Where will demolition material be disposed of? il(di'I � diS�5,�frt fe L )( ,
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: .7-� nL
Previous use of building (circle one): residence garage storage business other � I-1
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s): r
1. 3 'ft. b r�� ft. Location onproper r/
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 WILL NOT , replace this building.
N TES:
Signature of Applicant� `�—( L/d _
am
owner, is agent,architect, co r
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