1999-698 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 99698
TAX MAP NO. 114 . -2-8
o �'q-' `S01
EAMAN, ROSELYN
Pen • ton is herebyanted to
�
Owner of property located at 106 DIXON RD.
in the Town of Queensbury,to construct or place a DEMOLITION OF GARAGE
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.
Owner's Address:
106 DIXON RD.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
NELSON GREGG
Contractor or Builder's Address:
73 PITCHER ROAD
QUEENSBURY., NY 12804
Electrical Inspection Agency:
Type of Construction:
DEMOLITION
Plans and Specifications:
Proposed Use:
DEMOLITION OF GARAGE
•
.November 9 2001
$ 2 0 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.)
Dated at the Town of Queensbury this 9 November 19 9 9
Day of•
SIGNED BY-_ %l,-� t.v.1 for the Town of Queensbury
• Code Enforcement Officer
1!s����_ fir,'
Pa D
TOWN OF QVEENSBURY. N
NOV p81999
742 Bay Road
Queensbury, N.Y. 12804-9725 TMV;. EOM t ' i:2.:7,,;;RY
Application for DEMOLITION PERMIT (�
Permit No, C) l ^ (l� 46
Instructions for completing the application Date: I d —u'-9 °j
Fee Paid: 2D, °°
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.
c. location of all utilities.
3. Fee submitted per current fee schedule.
S -ea-----,
C 0 r (Owner of property: I Y �,�� Property Location: , ,, 4� � t�
Mailing Address: Tax Map No. Section 1 l —I , Block ,Lot r
Person responsible for work: \ -e (S k) Telephone No. ?� cb id_S
Mailing Address: l C - Aari
l� U
�1S1 ifk-
Where will demolition material be disposed of? 1/b"Ai cc. ? e1� in af-t/l J
Is there any asbestos withinbuilding 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:
Previous use of building (circle one): residence g• age storage business other
Have all utilities been disconnected? gas , electric , propane , water
Size of building(s): PS
1. lf7 ft. by Cl9-- ft. Location on property (0 i, b( 2(C1 PC Oki' .,
2. ft. by ft., Location on property /
3. Number of stories:
4. Foundation type(circle one): fj�11 cellar crawl space slab
Foundation will REMAIN t/) BE REMOVED
S. Another structure WILL \ WILL NOT , replace this building.
NOTES: ri
S gnature of Applicant: 2, V_ ' i
owner, r• 's agent,architect, contractor "�1
Seaman
NOffV U
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114.-2-8
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Produced by the Town of Queensbury, NY, Planning Department SCALE: One Inch Represents 20 Feet W+E
11/08/1999 S