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Subject: Demolition Permit
Date: Thu, 21 Jan 2010 15:45:41 -0500
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<P style=3D"tab-stops: center 3.25in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN><B><SPAN style=3D"FONT-SIZE: 16pt; mso-bidi-font-size: =
12.0pt">CITY=20
OF ONEIDA, NEW YORK<O:P></O:P></SPAN></B></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: -3in; MARGIN-LEFT: 3in; tab-stops: -1.0in"=20
class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt">Examined:___________________<SPAN=20
style=3D"mso-tab-count: =
2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN><SPAN=20
style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN>Approved: ________________________<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: -2.5in; MARGIN-LEFT: 2.5in; tab-stops: -1.0in"=20
class=3DMsoNormal><SPAN style=3D"FONT-SIZE: 12pt">Bldg. Permit#=20
________________<SPAN style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN><SPAN=20
style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN>Disapproved: ______________________ <O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 2in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: =
12pt">____________________________<O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 2in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt"><SPAN=20
style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>Code =
Enforcement=20
Officer<SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp; </SPAN><SPAN =

style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 2in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"tab-stops: center 3.25in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN><B><U><SPAN=20
style=3D"FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt">APPLICATION FOR =
BUILDING=20
PERMIT - (DEMOLITION</SPAN></U></B><U><SPAN=20
style=3D"FONT-SIZE: 12pt">)</SPAN></U><B><SPAN=20
style=3D"FONT-SIZE: 12pt"><O:P></O:P></SPAN></B></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 4in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">_______________________<O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 4.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><SPAN=20
style=3D"mso-spacerun: yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN>DATE<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"tab-stops: center 3.25in" class=3DMsoNormal><B><SPAN=20
style=3D"FONT-SIZE: 16pt"><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;=20
</SPAN></SPAN></B><B><U><SPAN=20
style=3D"FONT-SIZE: 12pt; mso-bidi-font-size: =
16.0pt">INSTRUCTIONS:</SPAN><SPAN=20
style=3D"FONT-SIZE: 12pt"><O:P></O:P></SPAN></U></B></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><O:P></O:P></SPAN></P>
<P style=3D"tab-stops: -1.0in list 1.0in" class=3DQuicka><SPAN=20
style=3D"FONT-SIZE: 12pt">1)<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN><SPAN style=3D"FONT-SIZE: 12pt">This application must be =
completely=20
filled by typewriter or ink and submitted in triplicate to the Code =
Enforcement=20
Officer for approval.<O:P></O:P></SPAN></P>
<P style=3D"tab-stops: -1.0in list 1.0in" class=3DQuicka>&nbsp;</P>
<P style=3D"tab-stops: -1.0in list 1.0in" class=3DQuicka><SPAN=20
style=3D"FONT-SIZE: 12pt">2)<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN><SPAN style=3D"FONT-SIZE: 12pt">The work covered by this =
application=20
may not be commenced before the issuance of a Building=20
Permit.<O:P></O:P></SPAN></P>
<P style=3D"tab-stops: -1.0in list 1.0in" class=3DQuicka>&nbsp;</P>
<P style=3D"tab-stops: -1.0in list 1.0in" class=3DQuicka><SPAN=20
style=3D"FONT-SIZE: 12pt">3)<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN><SPAN style=3D"FONT-SIZE: 12pt">Upon approval of this =
application,=20
the City Clerk will issue the Building Permit to the applicant.<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>Such permit shall be kept on =
the=20
premises throughout the progress of the work.<O:P></O:P></SPAN></P>
<P style=3D"MARGIN-LEFT: 0.5in" class=3DMsoNormal>&nbsp;</P>
<P style=3D"MARGIN-LEFT: 0.5in" class=3DMsoNormal><B><SPAN=20
style=3D"FONT-SIZE: 12pt">APPLICATION IS HEREBY MADE</SPAN><SPAN=20
style=3D"FONT-SIZE: 12pt"></B> to the Building Dept. for issuance of =
Building=20
Permit for demolition purposes pursuant to the New York State Building=20
Construction Code for the construction of buildings, additions, or =
alterations,=20
or for removal or demolition of building as herein described.<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>The applicant agrees to comply =
with all=20
applicable laws, ordinances and regulations.<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal>&nbsp;</P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt">NAME=20
OF=20
APPLICANT:________________________________________________<O:P></O:P></SP=
AN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">(STATE WHETHER APPLICANT IS OWNER, LESSEE, =
AGENT OR=20
DEMOLISHER)<O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal>&nbsp;</P>
<P style=3D"TEXT-INDENT: 2in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt"><SPAN=20
style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN><B>(Circle one)<O:P></O:P></SPAN></B></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">ADDRESS/TEL#:=20
_______________________________________________________<O:P></O:P></SPAN>=
</P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal>&nbsp;</P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt">NAME=20
OF OWNER OF=20
PREMISES:________________________________________<O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal>&nbsp;</P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">ADDRESS/TEL#=20
:_______________________________________________________<O:P></O:P></SPAN=
></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P><SPAN=20
style=3D"FONT-FAMILY: 'Times New Roman'; FONT-SIZE: 12pt; =
mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; =
mso-fareast-language: EN-US; mso-bidi-language: AR-SA">
<P><BR style=3D"PAGE-BREAK-BEFORE: auto; mso-break-type: section-break"=20
clear=3Dall></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal>&nbsp;</P>
<P class=3DMsoNormal><B><SPAN style=3D"FONT-SIZE: 12pt">Application for =
Building=20
Permit (Demolition)<SPAN=20
style=3D"mso-spacerun: =
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN>Page 2</SPAN><SPAN style=3D"FONT-SIZE: 12pt"></O:P></B></P>
<P class=3DMsoNormal>&nbsp;</P>
<P class=3DMsoNormal></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">LOCATION WHERE PROPOSED WORK WILL BE =
DONE:<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>( STREET &amp;=20
NO.):<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: =
12pt">_________________________________________________________________<O=
:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">INSIDE FIRE DISTRICT?<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>YES_____ NO_____ ZONE:_______=20
WARD______<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"MARGIN-LEFT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">ESTIMATED COST<B>**</B> _______________=20
FEE$_________<B>(PAYABLE UPON FILING THIS =
APPLICATION)<O:P></O:P></SPAN></B></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt">DOES=20
PROPOSED CONSTRUCTION VIOLATE ANY ZONING LAW, ORDINANCE =
<O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt">OR=20
REGULATION?=20
_____________________________________________________<O:P></O:P></SPAN></=
P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN =
style=3D"FONT-SIZE: 12pt">NAME=20
OF COMPENSATION INSURANCE =
CARRIER:_______________________<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: =
12pt">___________________________________________________________________=
___<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt">POLICY NO. ___________________ DATE OF=20
EXPIRATION:_________________<O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P style=3D"MARGIN-LEFT: 0.5in" class=3DMsoNormal><B><SPAN=20
style=3D"FONT-SIZE: 12pt">**COST FOR THE WORK DESCRIBED IN THE =
APPLICATION FOR=20
BUILDING PERMIT FOR DEMOLITION INCLUDES THE COST OF ALL WORK IN =
CONNECTION=20
THEREWITH, EXCLUSIVE OF THE COST OF LAND. **<O:P></O:P></SPAN></B></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><B><SPAN=20
style=3D"FONT-SIZE: =
12pt">__________________________________________________________________<=
O:P></O:P></SPAN></B></P>
<P style=3D"TEXT-INDENT: 1.5in" class=3DMsoNormal><B><SPAN=20
style=3D"FONT-SIZE: 12pt">DESCRIPTION OF WORK TO BE=20
PERFORMED:<O:P></O:P></SPAN></B></P>
<P style=3D"TEXT-INDENT: 0.5in" class=3DMsoNormal><SPAN=20
style=3D"FONT-SIZE: 12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
12pt"><O:P></O:P></SPAN></P>
<P class=3DMsoNormal><SPAN style=3D"FONT-SIZE: =
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