88-323 BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 88-323
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Freda Tierney
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OWNER of property located at Cleverdale Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Demolition
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. m
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1. OWNER'S Address is
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Same
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2. CONTRACTOR or BUILDER'S Name
William Tierney
3. CONTRACTOR or BUILDER'S Address
Upper Font Grove
Slingerlands, N.Y. 12159
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4. ARCHITECT'S Name N
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SL
O.,
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) r~j
N.
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( )Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
No. Demolition of part of building totalling 252 sq. ft. as per
plot plan and application.
8. Proposed Use
Demolition
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 89
(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.)
Dated at the Town of Queensbury this 2nd Day of June 19 88
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SIGNED BY a6r JJ / ' �---` for the Town of Queensbury
Building and Zoning Inspector
•iv BE COMPLETED BY BLDG. DEPT. .,�-�!„
I. Queeni1ur1
TON Off' QUE7 1
}ou/n o� Application No.Permit Issued 19 C '
BUILDING and ZONING DEPARTMENT
Permit Expires 19 -�4►
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation MAY 1" 1988
Queensbury, New York 12801 Variance No. 4IZc4- - /34-6--
Site Plan Review No. 9.4.014.1.p & ODE,PEPT
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PP 77 `��� E�
APPLICATION FOR • ` 'G�3
BUILDING AND ZONING PERMIT seiofik- - . -__o- 9a
a * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ::*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
e done in accordance with the description, plans and specifications submitted, and such
pecial conditions as may be indicated on the Permit.
he owner of this property is: F/i ea% /Tee-er -ee-
.O. Address C ; �/ �'�/'/` L ,/( �!o0QO. Tel. 6,5,3S".S-2.
roperty Location: ;f,2/ Tax Map No. / /
Street number or building lot number
ubdivision name (if applicable)
HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
g'//(am // ee.ve y - ()j),or F,vt�i�ae:s/,4 N44v,/! ,(/k' (sG • .7S-6—Z) / , _
Name P O. Address
{Z/5 Tel. No.
one of builder T Address Tel.
me of plumber Address Tel.
sme of mason Address Tel.
NTURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
.!Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
_Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
)R DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
XrATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
1 p n * of septic disposal area.
-Irmo 6./i'On/ 0 r �� ", t o` eid *
1n{r, /l, s, 2 S`'Z �� / * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property GD ft X 2Zt2 ft.
* Existing building(s) Size ZG ft X 391 ft.
:OPOSED BUILDING AND USE: * CMa,'Ai rR,f A1
� ' O•ve YLt'fi s/OP."4-�i ice.
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* Existing building(s) Use �(•5/ AWC C
ze of new structure Zy ft X 2G ft. *
mndationOP/slab/crawl/partial/full * Propose building, distance from property line
(circle one) ** Front yard � ft Rear eyard AS' ft
of stories (habitable space)
sight (grade to ridge) Z/ ft. * Side yards �' ft and Z v ft
residential, no. of families / * If on corner, setback from side street ,$4,44. ft
. of rooms(excluding baths) 5 * OCCUPANCY INFORMATION
i. of bedrooms 3 *
• of bathrooms * PRIMARY BUILDING -
imary heating system ,vpve, * ✓One family dwelling
pe of fuel * Two family dwelling
'✓�fl * Multiple dwelling / Number of units
. of fireplaces to be installed O
11 a wood stove be installed? y o * Permanent occupancy
ntral Air conditioning? ,1/0 * Transient occupancy
* Business
ILDING STYLE, PRIMARY STRUCTURE * Industrial
nch Contemporary Log cabin * Other
ised ranch Mansion Duplex * If addition, what will use be?
lit level Old style Bungalow *
pe Cod of Other * ACCESSORY BUILDING-(-F,rs 6 dj>
lonial Row Town House * Detached garage/one car/ two car/ Z_. car
' ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
k * * * * * * * * * * * * * * * *_Private storage building
STIMATED MARKET VALUE OF * Other
INSTRUCTION $ �Q (x)G) *
FORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
......, nnr A /oc ...a_..,
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BUILDING PERMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS:.
Type of construction, wood frame, fire safe,etc. (./oad ic/14,y _.
Will any second-hand or ungraded lumber be used? If so, for what? /I/DA/e
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Foundation wall material co vcre fe Thickness p oh
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Depth of foundation below grade (to bottom of footing) '
Will there be a cellar? AA) Heated or unheated? /✓/q Floor sq. footage 4//'T sqft
Will there be a basement? NO Will any
portion be used as living space? 4/Q
(If so, what portion? — sq.ft. - - Type of use? —
• Type of roof - sloped/flat/shed/others n a Material. of roof 4...rAxJ--
Size, wood studs Z "X . " spacing G "o.c. length 8' ft. .
Joists(floor beams) 1st. floor z "X /O " spacing /6 "o.c. span /3 ft.
Joists (floor beams) 2nd. floor Z "X /0 " spacing /6 "o.c. span /3 ft.
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Overlays(ceiling beamsLf/9 ."X " spacing "o.c. span ft.
Roof rafters 2_ "X Ku—spacing /G o.c. span 67 ft.
Roof trusses(pre-engineered) spacing ,v19 "o.c. span/v4•ft.
Exterior wall finish li i.e4v bew Of what material? / 4/e.
Interior wall finish %L " / (15- Pelf h oe K)
If a garage is to be attached, de scribe materials to be used for FIRE SEPARATION:
4/4 .
Is there to e an opening between garage and dwelling? AM If so will a Fire-rated
door, enclosure, and self-closing device be provided? //441.
Will a flue-lined chimney be installed? 4/v. Height above roof . f,d2/41, ft.
Depth of chimney foundation below grade /y7,q,ft.
Depth of fireplace hearth//W,F ft. - in.
Water supply - Municipal o private well ,2,4,P Pdrg P - U,r�D
SEPTIC SYSTEM _ Distance from ANY private well(includifig adj ininyr properties 40' ft.fa,l. -ke
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury ??
County of Warren A F F '1 DAVIT STATE OF NEW YORK
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done ,on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specifie or not, and that such work is •
authorized by the owner.
SWORN TO BEFORE ME THIS Signature �4- y1_ _ -- //f> ,)
Owner, owne s agen ,arcn ,Lect,contractor
day of 19
Notary Public, Warren'County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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