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86-795 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-795 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Philip and Anne Kent OWNER of property located at Luzerne Road Street,Road or Ave. in the Town of Queensbury,To Camtmct or place a Demolition storage building 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. d 0 w 1. OWNER'S Address is Box 888 RD #3 w a. Luzerne Road o Queensbury, NY 12801 v m 2. CONTRACTOR or BUI LDER'S Name 0 same rt 3. CONTRACTOR or BUILDER'S Address r G N 4. ARCHITECT'S Name (D �S 0 5. ARCHITECT'S Address p 6. TYPE of Construction—(Please indicate by X) C (D ( )Wood Frame ( ) Masonry ( )Steel ( ) H 0 N 7. PLANS and Specifications rY N demolition of building destroyed by fire — 40'x80 per 0 No. application En 0 8. Proposed Use r�l Demolition storage building a F P OQ $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1987 (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 12th Day of November 19 86 SIGNED BY ►/ for the Town of Queensbury Building and Zoninij Inspector TO BE COMPLETED BY BLDG. DEPT. �] Application No. _town o/ QueenjLry Permit Issued 19 OF�� 1 BUILDING and ZONING DEPARTMENT Permit Expires 19E 0 V E Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance N NOV i l Site Pla Review No c� �' Approv 1�2f �41A APPLICATION FOR t P ( && BUILDING AND ZONING PERMIT 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 be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the'Permit. ---------------------------------------------------------------------------------------------- The owner of this property is:/"?4IL,1P P.O. Addres;�QQ'IC �p J,�Jc���Z�2�F� I7 Tel.7q�-3 �J 1 Property Location:, g K`�, _UZC�1� ��, Tax Map No.�'3 / 2 /t0- Street number or building lot number 0,2- Subdivision .name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of builder Address Tel. Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSEDIWORK: 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) sbt-back dimensions from property lines6 Give street and number or lot number and indicate J FOR DEMOLITION PERMIT, STATE SIZE AND whether interior or corner lot. Show location L ADEMOTION OF ST PERMIT, URES AFFECTED. of water supply and location and configuration of septic disposal area. © D C Z COMPLETE INFORMATION REQUIRED BELOW. bq Size of property ft X ft. Existing building(s) Size ft X ft. . . . . . . . . . . . . PROPOSED BUILDING AND USE: Existing building(s) Use . . . Size of new structure ft X ft . . . . . . . . . . . . . . . . . . . . . . . . Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) Front yard' ft Rear yard ft No. of stories (habitable spade) Side yards " ft and ft Height' (grade to ridge) ft. If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) OCCUPANCY INFORMATION No.' of bedrooms No. of bathrooms PRIMARY BUILDING - Primary heating syste One family dwelling m �. Two family dwelling Type of fuel No. of fireplaces to be installed Multiple dwelling / Number of units Will a wood stove be installed? Permanent occupancy Central Air conditioning? Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial •BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of, construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used ,as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Materialcof roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) lst. floor "X it spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X spacing "o.c. span ft. Roof rafters "X Itspacing o.c. ,span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated, door, enclosure, and self-closing device be-'provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. W separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F ' I D A V I T County of Warren 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, ar_e 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 specified or not, and that such work is authorized by the owner. SWORN ,TO BEFORE ME THIS Signatur ___ Owner, owner's age t,arcnir-ect,contractor day of 19 Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: