1988-072 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-72 0
WARREN COUNTY, NEW YORK
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RMISSION is hereby granted to
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1 Rte 9 Lake George Rd. w
OWNER of property located at " g 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. o
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1. OWNER'S Address is George Stark 0
Rte 9 Lake George Rd.
Queensbury, N.Y. 12801 rt
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2. CONTRACTOR or BUI LDER'S Name
A. J. S. Enterprises Inc.
3. CONTRACTOR orBUILDER'S AddressrD
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4 Amy Lane
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
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5. ARCHITECT'S Address cc)
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Demolition of structure 20' x 80' as per application and
plot plan.
8. Proposed Use ro
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Demolition 0
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1, 1g 88
(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 16th Day of March 19 88
SIGNED BY WZr- 4., 0- �.� for the Town of Queensbury
Building and Zoning Inspector
- TO BE COMPLETED BY BLDG• . DEPT. •
TOWN OF QUEaNSEJUr:`:'.
// Application No.own oi Qiaeen3btary Permit Issued 19 ED E N 0 V 1[iBUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 '.:Zoning Designation f/C '-hc FEB _ 1960 " `'"'J
Queensbury, New York 12801 Variance No. 4/4¢
Site Plan Review No. /��� BUILDING & CODED Pr
PV- Approved by: .►` r 2 6`
Lg" \ APPLICATION FOR // ! �it�ry);
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BUILDING AND ZONING PERMIT eh ci- ,/ 51. 0
* * * *. * * *. * * * * * * * * * * * * *. * * * * * * * , * * * * * * * * * *:,* .
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, plane and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: ?-5— 'Z64 �//9 ,�. '
P.O. Address /72�iU27.% 9 /- /44/ [=Lam'%L--� Tel.
Property Location: 5,�-m % •
Tax Map No. /_-/
Street number or building lot number
Subdivision name (if applicable) . .
THE PERSON RESPONSIBLE FOR SUPERVISION of WORK.AS REGARDS BUILDING CODES IS: 7%57''75-6/ •
/3 / ✓Z/ Jft - ./✓✓�C, & fly2y L-/>.iI�'., .,/v.5 �/9zza ) �1t % 7. 1
Name P.O.. Address Tel. No.
Name of builder 5,— - 'Address /-71-,1-7 Tel. ? 757� / •
Name of lumber f f
P �.i �IJ e�/�_ Address ,�h1U So:�- i_�t�G,i .,�ii;v� y"Li�,IC Tel. 7‘ 7•-7 /7 C.
Name of mason•5 r24/4//i 4/7lr j/j -4Address 2-4-/2c' ,f./:e:-.ze,<:j, i✓/r✓ }iu.lie" Tel. -1 r,'r~'�a72
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NATURE OF PROPOSED WORK: * ZONING INFORMATION:
✓ Con TUstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
- 7Addition 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 '
FOR DEMOLITION PERMIT, STATE SIZE AND11)
LOCATION OF STRUCTURES AFFECTED.
µwhether interior or corner lot. Show location
of water supply and location and configuration
St9-i . s �� ,A,7� / * of septic disposal area.
6/�'�7 i I�iJ s� [. ,�Gif1/-2 't/' * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X 2!T ft.
* Existing building(s .Size Z6v ft Xft.
PROPOSED BUILDING AND USE: •
* •Existingbuilding(s) Use
9 i'fIO7 /. I J,�/YTf
Size of new structure /nL/f t X 2E ft * ' '
Foundation-pier/slab craw /partial/full * Proposed building, distance from property line
(circle one) *
* Front yard l:5)(, ft Rear yard (i7j ft .
No. of stories (habitable space) / * Side yards / e9 ft and /'�J(J ft
Height (grade to ridge) / ft.. * If -on corner,f setback from side street /11��,“t
If residential, no. of famil'ies-
No. of rooms(excluding baths) jp - * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No, of bathrooms y _ *• One family dwelling .
Primary heating system �/„e. . Two family dwelling •
Type of fuel �2:ei7?/ T'Y" * X Multiple dwelling / Number of units CCj
No. of fireplaces to be installed /---X;) permanent occupancy
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Will a wood stove be installed? ,N/,t * p y
J * Transient occupancy
Central ,Air conditioning? /�'� _nusiness
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
•Rar ' Contemporary Log cabin * Other
C - � ' If addition, what will use be?
Raised ranch Mansion Duplex *
Split level Old style ,Bungalow *
Cape Cod . . Cottage Other * ACCESSORY BUILDING- ' .
Colonial Row Town House :. "' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * x Attached garage1 ne cam two car/ car
* * * * * * * * * * * * * •* * * * * . Private storage building
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ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION �^ *
-- -/-'ieL)----.-- .
INFORMATION ON BUILDING SPECIFICATIONS, ON RE. RSE SIDE OF 'MIS SHEET, TO BE COMPLETED!
l • 75
Form BPA 4/86 and-vl r.4