1963 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1963
WARREN COUNTY, NEW YORK
c)
PERMISSION is hereby granted to U.S.C. Div, J.C. R. Bard Inc .
1-1
OWNER of property located at 966 Ray Road Street, Road or Ave. CZ
in the Town of Queensbury,To Construct or place a Demolition
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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.
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1. OWNER'S Address is
266 Bay Road o
Glens Falls, New York x'
12801
2. CONTRACTOR or BUILDER'S Name Cri
Carl Wilk
3. CONTRACTOR or BUILDER'S Address C)
Same as above.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel. ( )
N
0'
7. PLANS and Specifications
No.
° 40'X60' as per application
8. Proposed Use
Horse Barn demolition
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 12-1_ 19 72
(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 1 Day of August 19 72
SIGNED BY for Town of Queensbury
ilding and Zoning Inspector 1/
TOWN OF QUEENSBURY
(Space inside block to Ix. Idled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for \I'1'li`ation
PP Permit ksiied Icy. .
BUILDING AND ZONING PERMIT 1 enni' Expires Pt.
%c,nin_ I)',trict
THREE 13) Copies of a PLOT PLAN, Drawn to scale \I'l cm u r1 h .
showing the actual dimensions of the lot to be built iteni:irt.
upon, The exact size, and location on the•lot of the
building to be erected or altered MUST BE SUB- . } e
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MITTED WITH THIS APPLICATION. D
!aU i J
DATE 1972
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A.M. P.M.
ANSWER ALL OF THE FOLLOWING.
71819110111112111213141516
The undersigned hereby applies for a permit +o do the following work A,,
which will be done in accordance with the description, plans and specifi- ;
cations, end such special conditions as may be indicated on the permit.
The owner 91 this rope ty is: e .
u c..-. O,,,,-: ? C, 6,r✓:4 ��✓/L r 2 G ce b' , J;/ . . . . . .!... . ? ✓ �4/
(NA'.E) 1 tP ADDRESS),
The person responsible f.or,,n supervision of the work insofar as the Building Code and [lie Zonin 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 . . /A 1 Side of street: north 0, east 0, south ❑. west ❑
Nearest Cross Street . . . .(. . . --Q..4./ / c Distance from this cross street Ft.
Property is north 0,south ❑,east i i, west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
El Construction of a new building. Main Wiling
0 Addition to a building. One-family dwelling ❑
❑alteration to a building. Two-family dwelling ❑
W" Demolition of a building. -family apartment house ❑
Store building . ❑
-car attached garage El
Other:
• Accessory Building
, ��— One-car detached garage ❑
Other work. Describe: Two-car detached garage 0
Private chicken house • ❑
Private storage building El
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, sire and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH
Show proposed building(s) in dotted line and existing
building(s) in solid line.
1 Size of property ft, x ft.
Size and use of existing buildings, if any
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a is Size of.psc posed building 40 ft.x 6 rJ ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
7 SOUTH If on corner,setback from side street ft:. ..
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Note: All distances are net, as nsaastured from street side
line to nearest part of building.
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: ooryV d frame fare safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand l�sed? 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 bunting 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 chimney 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 sS
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 sub-
mitted, are ■ true and complete statement of all proposed work to be done on the described premises and that all lions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro sed work shall be compiled with,whether specified or not,
and that such work is authorized by the owner. 4 ( �f
Sworn to before me this Signature .... //i�A'!
OWNER.OWNERS AGENT,ARCHITECT,CONTRACTOR
day of 19 •
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NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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