88-507 BUILDING PERMIT 9
TOWN OF QUEENSBURY No 88-507 fcs
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Caroline Mitchell
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OWNER of property located at 323 Ridge St. 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.
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1. OWNER'S Address is I"
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2. CONTRACTOR or BUILDER'S Name Q
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ► Masonry ( 1 Steel ( 1 -
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7. PLANS and Specifications
No. 12' X 12' shed as per plot plan and application
8. Proposed Use
Demolition
$ 10.00 PERMIT FEE PAID -THIS PERMIT EXPIRES February 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 14th Day of July 19 88
ail,grtffA`� for the Town of QueensburySIGNED BY
Building.n: Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
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t c� � Application No.
_awn u� Quc�c�it fiurJ Permit Issued 19 TO '
BUILDING and ZONING DEPARTMENT Permit Expires 19 d , ._
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,%
Queensbury, New York 12801 Variance No. JUL ����
Site Plan Review No. tJ
e,4 i d Approved b • BUILDING .
APPLICATION FOR J�� �j
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BUILDING AND ZONING PERMIT � o
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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: F:4-4/2 pl'vte_ //lelic/h./7
P.O. Address .3a 3 k r15� Si- ac,'e 4 S ,e,frz Tel.
Property Location: cSCw,e_ �Qq / Tax Map No./0, /,3 / Agt
Street number of building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Nance P.O. Address Tel. No.
Name of builder Address Tel.
Name of plumber. Address Tel.
Name of mason Address Tel.
NATURE 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
*
SIZE AND *
I'OR�L'MOLI`1'ION I'ERMI�I,� STATE SIZE interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
/c2 x,IR She=d as Pe 2 *
''P/o I- 712/4,7 * COMPLETE INFORMATION REQUIRED BELOW.
* 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 space)
Height (grade to ridge) ft. * Side yards ft and 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 * One 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? * —
Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
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
k * * * * * * * * * * * * * * * * * Private storage building
!ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ * ,•
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 md-vl
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IUILDING PERMIT APPLICATION CONTIPNUED -
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 Material of roof
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " 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 " spacing 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.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
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 specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signatur Jv--� --)11. 1Lks
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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