95-360 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95360
TAX MAP NO. 13. -3-28 No.
WARREN COUNTY, NEW YORK
CHANESE, ALBERT & MARTHA
PERMISSION is hereby granted to
CLEVERDALE RD.
OWNER of property located at Street, Road or Ave.
DETACHED 1—CAR GARAGE
in the Town of Queensbury,To Construct or place a
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
CLEVERDALE ROAD
CLEVERDALE, NY
2. CONTRACTOR or BUILDER'S Name
MATTHEWS, JOHN
3. CONTRACTOR or BUILDER'S Address
BOB 1154 RD 1
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
1—CAR GARAGE
)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
DETACHED 1—CAR GARAGE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DETACHED 1—CAR GARAGE
$ 25 9?
PERMIT FEE PAID —THIS PERMIT EXPIRES July 6 19
(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 10 Day of July 19 95
SIGNED BY for the Town of Queensbury
Building and o mg Inspector S"
Department of Community Development Reviewed By: ....3
Building & Code Enforcement �Bu�i ding Insp ctor
Town of Queensbury Vigil,
iPermit No. CV� J — 3�742 Bay Roa O°
Queensbury, New York 12804 Fee Paid $ c -
(518) 745-4447 Building Permit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
Applicant: 4,1,1u C pp. tvwcfri.14.0 ^ Owner: 4( ccorues 4
Address: �V t 9-(44 ‘tc 0- Address: 3'( d h'►'ti 1'Ta--V Av`e Gb8 t 3
Phone # ( 7(3 ) rs -S361 • Phone # ( ) 7. - 38
Property Location: C 'eue <_
Tax Map Number -_ (3 / 3 / aSt
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family tting
Residence / Commercial Two Family Dwe IRECEIVED
no change to exterior size Family D e ing
Office JUN .26 1995
L7Other Work (describe below) Mercantile 1
Manufacturing
I/ Other TOWN OF QUEENSBURY
BUILDING AND CODE
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 257i If ADDITION, what will use
sq. ft . of new addition be? :
2nd Floor sq. ft .
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
L/ Detached Garage Q 2 car
TOTAL FLOOR AREA: 25 2- SQ. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
1 2_ FEET X Z k FEET
Foundation Type: AtowollTNtc- SLh'C, Will any second-hand or ungraded
Number of Stories : i lumber be used? If so, for what?
(habitable space only) No
Height (grade to ridge) : H feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies ) /6/4
to be installed: 65 Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible fpr supervision of w k as regards to building
codes i s : t/DKu /`.-41 A--1T r€ .'5 ' gadok 1
Na Addresss Phone
Builder: J� & m.73-44.S eocI' l Rot A c_ /1- foC�-5`�.dy
Plumber:
Mason:
Electrician:
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actua location of project on premises .
Signature: '1% �� .�„' ,
(own: , owne ' s agent,' architect, contractor)
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