6166 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6166
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to C. R. Bard
OWNER of property located at Bay Road Street, Road or Ave.
in the Town of Queensbury,To&onctockor place a Demolition of Dwe 1 1 i ng
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
P. O. Box 78.7
Glens Falls, N. Y.
2. CONTRACTOR or BUI LDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name P.)
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( 1 Masonry ( )Steel (
I,
7. PLANS and Specifications
No. Demolition of dwelling and two sheds (10 'x20 and 8 'x8 ' )
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8. Proposed Use 0
Demolition 0
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 80
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r'
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 1st Day of November 19 7 9
SIGNED BY tiJ ,Jf� for the Town of Queensbury
Buil ng and Zoning Inspector ,
y .
TOWN OF QUEENSBURY ( (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application No.
PP Permit Issued 19
BUILDING AND ZONING PERMIT Pciiiiii Expires ►R
/c,iiii,� District
. ‘ Am. „, V ,k,
•
THREE 131 Copies of a PLOT PLAN, Drawn to scale \N 1"" t d by
showing the actual dimensions of the lot to be built 1ti'm mild'
upon, The exact size, and location on the lot of +he
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
I 3 /o l3 3 TOWN �( �J
OF QUEEN7 SE,,,.
lUf`= 1 — CRATE IA Il
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. OCT 3�1 1979
i' Y
The undersigned hereby applies for a permit to do the following work 4�A.M. / "` p.�jj,
which will be done in accordance with the description, plans and specifi- 71819110 I11I12�1I 2)3141516
cations, and such special conditions as may be indicated on the permit.
The owner of this Aro2erty is:
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(NA'IE) �. (O.ADDRESS)
The person responsible for supervision of the work insofar as the Buildipg.Code and the Zoning Ordinance apply is:
(NAME) IP.O ADDRESS)
Name of Builder Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$
Name of Village
Name of Street . . . .i'XA1 V 0 Side of street: north 0, east ❑, south 0. west 0
Nearest Cross Street
Distance from this -ross street Ft.
Property is north 0,south ❑,east i l,west 0 from Cross Street
If on Corner, which corner, northeast U, northwest 0, southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. One family dwelling
Addition to a building. Two-family dwelling 0
❑ Alteration to a building. -family apartment house ❑
') 1Demolition of a building. Store building ❑
-car attached garage ❑
Other:
Accessory Building
n One car detached garage ❑
❑ Other work. Describe: "?•/l• r�'11• - - • • Two-car detached garage
Private chicken house ❑
p Private storage building ❑
e e 3,4 e 4 / di)( -7 ej/ f' Fix i?. 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
Ituilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
m 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 op corner,setback from side street ft.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M •
ti
(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
Size,wood studs "x ",spacing "o.c., length • ft.
Size, floor beams, 1st floor "x ", spacing . . , "o.c.,span ft.
Size, floor beams, 2nd floor
"x ", spacing "o.c.,span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Site, 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 building 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 chiihney 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 to ye;r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all}rovisiona of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining roposedk shall be complied with,whether specified or not,
and that such work is authorised by the owner.
Sworn to before me this
SignatureOWNER.0 R' AGENT,ARCHITECT.CONTRACTOR
day of 19
4)
NOTARY PUBLIC. WARREN COUNTY. N. Y. /47/, ourz.-/ i5Op
SPECIAL CONDITIONS OF THE PERMIT: t 5G/- )57
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By