8239 BOIL DING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 8239
PERMISSION is hereby granted to
OWNER of property located at
CI evorda I 1P
Road Street,Road or Ave.
in the Town of Queensbury,To f or place a nemcl1 i t i ran of tlyss7 7 lilt! _ ..:
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the To n of Queensbury Building and Zoning Ordinance, bd
K
1. OVVNERS Address is M'
Cleverda e, New York 12820
2. CONTRACTOR or BUI LDER S Name
3. CONTRACTOR or BUILDER'S Ad dream
C]
I--
0
4. ARCHITE M
CT'S Name ►'i
a
a
(D {
5. ARCHITECTS Address
a
6. TYPE of Construction—(Please indicate by X)
1 )Wood Frame 1 1 Masonry ( )Stool ( 1
7. PLANS and Specifications
No. demolition of one family dwelling 26 rx56 t per d
a plication submitted.
8. Proposed Use 0
H-
Demolition of dwelling
a
0
$ 10. 00 PERMIT FEE PAI6—THIS PERMIT EXPIRES 'Feh- 1
1984 c,
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) f�D
Y
Dated at the Town of Queensbury this 118 th Day of November 19 83
SIGNED BY Y/'1�Build
�n ���for
the Town of Queensbury
nd Zonin
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Alication for Application No.
�� Permit Issued 19. .
BUILDING AND ZONING PERMIT ► yrmit Expires. ►q.
'holing District
. • \ al lu• n1 Work,4(
THREE (3) Copies of a PLOT PLAN, Drawn to scale \11l11''"e<I In•
showing the actual dimensions of the lot to be built Iten arlo- '
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
•
/(74- /- '. )--- i,117l 8 3 H E 0 1E 11 Y E jr-
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NOVa 7 198;3 /
uP
ANSWER ALL OF THE FOLLOWING. ' A. ; 10 •— �Z{- �V!
cI
ghereby appliesP Tdii866g 101112 1,2131415i6
The undersigned fora ermit- to do .the followingwork .® t-._B_a_Al �, . ,�. , , , , ,
which will be done in accordance with the .description, plans and specifi-
•
cations, and such special conditions as may be indicated on the permit. `
•
The owner of this property is: /A
goj<re7` e)��/,1sJ ' C �eCl ZE) .V'.
(NA' E) (P.O.ADDRESS)
The person responsible for -supervision of the work insofar as the Building Code'and the Zoning Ordinance apply is:
RoZ421 D ,g/'/4) , 54,-rrG -
(NAME)/ IP 0.ADDRESS)
Name of Builder A.'/ . . Address
Name of Plumber Address
•Native of Mason
m Address
Lot Number Unit • Estimated value of proposed work S .
Name of Village
Name of Street C " nZ,,*,`1 Side of street: north 0, east ❑, south / . west. '
Nearest Cross Street . ,"° D" Distance from this cross street 3,06Ft.
•
Property is north - fit,south ❑',east Li, west -❑from Cross Street
If on Corner, which corner, northeast ❑, 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. . . dwelling IX
One-family • 0
❑ Alteration to a building. Two-family dwelling
ys Demolition of a building. family apartment house ❑
Store building ❑
-car attached garage • ❑
. Other:
• Accessory Building
• /� One-car detached garage Li
❑ Other work. Describe:. . l/ s� Two-car detached garage ❑
4 "'U aca �x 0/ - Private chicken house ❑
Private storage building El
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 buildings) in'dotted line and existing
huilding(s) in solid line. f
' Size of property. 96 ft. x 2 7 ft.
Size and use of existing buildings, if any
•� . .. 1-
N I
i w Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard ft.