8219 •
BUILDING PERMIT .
TOWN OF QUEENSBURY
No. 8 219
WARREN COUNTY, NEW YORK
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PE ISSION is herebygranted to O
C� e wood Properties
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OWNER of property located a Glenwood Avenue Street,Road or Ave. 00
in the Town of Queensbury,To Cow place a Demolition dwelling, garage, shed by
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at the above location in accordance to application together with plot plans and other information hereto filed and• O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ro
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1. OWNER'S Address is P. O. Box 599 cr.
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'Glens Falls, New York cn
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name (p
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5. ARCHITECT'S Address >1
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( I Steel ( )
7..PLANSandSpecifications demolition of one family dwelling 22 'x35 '
garage 12 'xl8 ' and shed 12 'x20 ' per
No.
o application submitted.
8. Proposed Use
Demolition ddwelling,.. garage and shed K o
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$ 1 0- 00 PERMIT FEE PAID —THIS PERMIT -EXPIRES ' : June 1 19 84 p,
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(If a longer period is required an application for an extension-must be made to the Building and Zoning inspector of the ,i
town of Queensbury before the expiration date.) . (D
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Dated at the Town of Queensbury this 1 of Day of November - 191)3 ~'
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SIGNED BY Ct t a' c� for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY •
(Space inside block to be tilled in by
WARREN COUNTY, NEW. YORK Building Inspector) •
Application for Application No. ;
Permit Issued 19.
BUILDING AND ZONING PERMIT I'.•rmit Expires. lg.
7.niiinL_ District
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THREE (31 Copies of a PLOT PLAN, Drawn to scale '\1'I) "c(cl I"•
showing the actual dimensions of the lot to be built kcnca(rKs
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
/ _' / -- /J�' f�I�'3 TOWN OF QUEENSBURY(� p(` ` / ! DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKi-liiiIDEVVET
d+IJ�Y 1983 ANSWER ALL OF THE FOLLOWING. Qaci r -e FIJioThe undersigned hereby applies for a permit to do the following work p,,.M. ` „4 9which will be done in accordance with the description, plans and specifi- ?f 8I91011112)112} i41516cations, and such special conditions as may be indicated on the permit. 1iThe owner of this property,is:j/cn /� /�-t` °E S /4 • / S
(NA`4E) (P.O.ADDRESS)
The person res, nsibie f rsupervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
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(H,ME) (P.0 ADDRESS) ,
Name of Builder Address
Name of Plumber Address '
Name of Mason Address
Lot Number Unit Estimated value of proposed work S
Name of Village f
Name of Street �L��W'2?Dnn A- 4/e Side of street: north 0, east 0, south �. west ID
Nearest Cross Street .Rs-I, Distance from this cross street Ft.
Property is north ❑,south ❑,east i i, west 1Zi from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY •
❑ Construction of a new building. Main Building
❑ Addition to a building. - One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
g Demolition of a building. -family apartment house ❑
Store building ❑
• -car attached garage Cl
. . Other:
• Accessory Building
• < < One-car detached garage ❑
0 Other work. Describe:. . . x-S:: . �:/ �?•/•
Two-car detached •garage ❑
..(5/0,6t/C r X 3„s C�,�,f'/�c'C Private chicken house ❑
iAv/i �=" W6 / A / PrOthere'storage building ❑
jd c t72 Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
Indicate on the plot plan street names, the location and
. - size of the property, the location, sire and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
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I uilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
F F-
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s w Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
. line to nearest part of building.
(OVER)
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7-73—N
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . • • . • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •
Will any second-hand lumber be used? If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
" x ", spacing "o.c., length
Size, wood studs ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
" gi ac p s n x
Size, ceiling beams ', "o.c., span ft.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt ba r of my know,Iedge and belief the statements contained in,this application,together with the plans and specifications sub-
mitted, are a true and co.,.pplete statement of all proposed work to be done od a described premises and that an provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining toh pro _ sed work I be com 'lied j with hether specified or not,
and that such work is authorized by the owner.
.... .. .. ✓� ' ./.� ��E�
Sworn to before me this Signature 0ER,OVG1 ER'S AGENT,ARCHITECT,C NTRACTOR
day of 19 //
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By