1988-627 BUILDING PERMIT H
TOWN OF QUEENSBURY 88-627
No.
WARREN COUNTY, NEW YORK z
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1 Glenn Gregory
PERMISSION is hereby granted to
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OWNER of property located at q Lug Rd. am Cr1v\ 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.
1. OWNER'S Address is
RD4 — Box 11 — Luzerne Rd.
Glens Falls, N.Y. 12801 0
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2. CONTRACTOR or BUILDER'S Name 0
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3. CONTRACTOR or BUILDER'S Address `4
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications 0
No. 10' X 14' shed as per application and plot plan rt
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8. Proposed Use
demolition of shed
$ 10.00 $ PERMIT FEE PAID —THIS PERMIT EXPIRES March 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 Queensbur is 2nd Day of, August 19 88
SIGNED BY for the Town of Queensbury
uilding and Zoning nspector
. . . . . . . . ..TOWN OF QUEENS s�
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BUILDING aria ZONING DEPARTMENT-
Bay and Haviland Road; R.D. 1 Box 98 AUG 9 8
Quaensf,ury. New York 12801
BUILDING & CODE DENT.
Appr. .y; BmO -- 1p
• APPLICATION' FOR \� ''� �i Be /v
BUILDING AND ZONING PERMIT . . CRc
* * * .* * . * * * * * * * *. * * * * * it *... * it * * -* it .* it * it * it * it * * *::*
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.
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The owner of this property is: �f.J 4J �J �-- �p-M/tL�c/11) �` �,cli/f2 L/
P.O. Address V P ct po Y l( L-(1z,P211e ( ' r,,�fs r'lews F4l4' ti . Tel. ,7 y' _c �
Property Location: L(/Z�'2/VJC� ' ( ,(/. (n�s 6j/(S JlJ ^ T'x Map. No.42 /O
- Street number or building lot number
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' Subdivision name (if applicable) .
TII1: PERSON RESPONSIBLE FOR SUPERVISION OF WORK As REGARDS, BUILDING CODES IS;
Name. P.O. Address Tel. • No..
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Name of builder 'C/LcW -e-(2- •- • .- Address • Tel. -
•Name of -plumber Address Tel.
Name of mason - • Address . - - Tel. .
NATURE OF PROPOSED WORK: , ZONING INFORMATION:
Construction of a new building, •* TWO PLOT PLANS 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
FOR DLMOi:I'1'ION PERMIT, STATE SIZE AND • • * whether interior 'or corner lot. Show location
LOCATION OF 1RUCI'LJ1tL' AFFECTED. * .of water supply and location and configuration -
Aroryi 5te . 2.P-- * of-septic disposal area.
42 (to Pile'A. ' ' / ' * COMPLETE INFORMATIONI REQUIRED BELOW.
. - * Size of property l00 -� .— ft X /000 -ft.
* Existing building(s) Size ft x 00 ft. .
PROPOSED •BUILDING AND USE:
. ' *'Existing building (s) Use by�Q/�', ',-
Size of new tructure ,Z(.7 ft X 5('ft *
pi9/slabicrawl/partial/full *Proposed building, distance from property line .
(circle one) r Front yard 3d4 ft Rear yard Q ' ft
No. of stories (habitable space)
Height (.grade to ridge) lG �/8 / ' ft. * Side yards ac) ft- and— 60 o- + ft
If residential, no. of families * if on corner, setback from side street ft
No. of rooms(excluding baths) * . • OCCUPANCY . INFORMATION
No. of bedrooms
No. of bathrooms. - * PRIMARY BUILDING
Primary heating system
*,• ljOne family dwelling . -
Type of fuel *' Two family dwelling
No. of fireplaces to .be installed • * ..Multiple dwelling / Number of units
Will a wood stove. be installed? w Permanent occupancy
Central. Air conditioning? �'—i * .Transient occupancy
Business-
BUILDING STYLE, PRIMARY STRUCTURE . ,' Industrial
Ranch . 'Contemporary Log cabin *. Other'
Raised ranch Mansion . Duplex * If addition, what will u:;u be?
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• 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 ) * Attached garage/one car/ two car/. car.
* * * * * * • * * * * * * * * * * * Private storage building',
ESTIMATED. MARKET VALUE OF .'* +other 'Vo( pi4,L11/ -SA(7.4 7If
CONSTRUCTION • it$.�_�LL�1.C1_Ulz • -
INFORMATION ON BUILDING SPECIFICATIONS,' ON REVERSE SIDE .OF•THIS SHEET, TO BE COMPLETED!
' Form BPA 4/8G and-vl '
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATION:.
Type of construction, wood frame, fire safe,etc. (A) o'O' c/Z4 at 42._.
Will any second-hand or ungraded lumber be used? If so, for what?
.Foundation wall material • Thickness •
Depth of foundation below grade (co bottom of footing) 1,.% & '-! ! 1 (e,2,-.S
Will there boa cellar? ✓VD Heated or unheated? Floor sq. footage sq ft
Will there be a basement? kJ () Will any portion be used_ip.s living space? Il/O
(If so, what portion? sq.ft. - - Type of use? 51,02 .
Type of. roof - slopod/flat/shed/other'/a va Material. of roor • ���-(i�4tiie l .
Si. ,e wood Studs 244 "X 1.(�' " spacing 1I i "o.c. length /6?'-/y/it. I .
• Jai ts(floor beaus) lac. floor "X " spacing "o.c. span ft. .-
Joi:;ts(floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beaus) ' "X " spacing "o.c. span ft. - •
Roof rafters "X /, " Spacing " o.c. span r;W ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish PRe PA i in/�P ' Of what material? 9,1dli4NI 7 c
Interior wall finish NJ 0/ aJ C.-
If a garage is to be attached, describe materials co be used for FIRE SEPARATION: . .
. Is there to be an' opening between garage and dwelling? If so will a fir.:-raced
door, enclosure, and self-closing device ba. provided?
Will a flue-lined chimney be installed? Haight above roof tt•
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.
(A separate application is necessary for any repair or new installation of septic system)
'town of Queensbury STATE OF NEW YORK
County or Warren A F F :I D A V . I T •
• 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 co be dona 'on 'the described premises and that all .
provisions of the BUILDING CODE, '1U1 ZONING ORDINANCE, and all ocher laws pertaining to
the proposed work' shall be complied with, whether specified or not, and that such work .is
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authorized by the owner.
SWORN TO BEFORE ME THIS - Signature-- _ _Lr-- -•a- +----- ---- --
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Owner, owne 's ag t,ardnUCect,c ltrae r .
dray or 19 .
Notary Public, Warren Comity, N.Y. .
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SPECIAL CONDITIONS OF THE PERMIT: • •
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