88-761 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-761
WARREN COUNTY, NEW YORK z
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PERMISSION is hereby granted to William & Yolancdi RrnwPr —'
OWNER of property located at Mesnrl Rd_ C1c vercle1P, WY_ Street,Road or Ave. 00
in the Town of Queensbury,To Construct or place a Dernolitinn of cottage
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
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Box 203
Cleverdale, N.Y. 12820
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2. CONTRACTOR or BUILDER'S Name o
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same
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( ►Wood Frame ( ►Masonry ( 1 Steel ( ►
7. PLANS and Specifications d
No. Demolition of cottage 27' x 32' as per application
8. Proposed Use
Demolition
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1, 1989
(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 QueenslaL(Ay..th s 29th Day of September 19 R8
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SIGNED BY `" J for the Town of Queensbury
Building and Zoning Inspector
�ULLII O ?s4 .L.,lJ144f, Z Liv•- CDT Lt .11E'.
BUILDING and ZONING DEPARTMENT 0 I y
lJ LiBay and Haviland Road, R.D. 1 Box 98 ��
Queensbury, New York 12801 SEP 2 s 1988
'g Approv BUILDING & CODE DEPT.
APPLICATION FOR /0 07
BUILDING AND ZONING PERMIT
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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: /�',==4~ F %'i4-/c7/,-' /32»-✓�x
P.O. Address ,60/ ,2.3 . c_r�/c,ez).,9/.. , �'y /2 e2e) Tel. 6_ r`l t 7
Property Location: �c'7.s �'%,,, ,o/ ' �.,4_,e,,f c) � .c-,T.5/.04 �-e PaXMap No. /4/ f / a
Street number or building lot number
Subdivision name (if applicable) A.' /4_
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
J/J/ .cif ,5• .6 ,-6, ns '7%
Name P.O. Address Tel. No.
Name of builder /c/4- Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
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.* TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Construction of a new building
_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 DEI•IOLITION PERMIT, STWE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
C°'r- E, Woa,Q �erw1c -,7x31�1. * of septic disposal area.
Lo cf,747, SD/f Lves-r,r' EVz..€ e' * COMPLETE INFORMATION REQUIRED BELOW.
LLav cZW-E-Pa!9r7 : 4-J�r Sc T/`o - *P,�oP6e7/ Lids wrr# r���ls ee tv,��. * Size of property
a f t X L o 7 f t. /44342
• g. • g(�) Size ft X ft. ,0,
{ .4 G • * Ex u /f bui'/--' o K
Existing, building (S) Use
PROPOSED BUILDING AND USE: ' /2 t X2 ���<� �� 3� -sx� :�
Size of new structure ft X ft * .6 4.714�.e i`- /6x4¢ (de ,eyr
Fo ndation-pier/slab/crawl/partial/full * Proposed building, distance from pr 'rty line
(circle one) * Front
No. of stories (habitable space) * yard ' ft Rea yard ft
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. ef-bedroomla
One family dwelling
No, of bathrooms
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Primary heating system * PRIMARY BUILDING system ** Typo familyC dwelling Su ''"'° , / 1
Type of fuel Multiple dwelling ./ Number of units
*
No. of fireplaces to be installed ar►
Permanent occupancy
Will a wood stove be installed? * Transient occupancy
Central Air conditioning? *
y
. * Business
BUILDING STYLE, PRIMARY STRUCTURE *• Industrial
Ranch Contemporary Log cabin * • Other - ,1g,��- ,v. oxf" %f5"' 't- `4
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 ) * Attached garage/one car/ two car/_ car
t * * it
I I
" * * * a A * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION $ *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
',arm BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATION:
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. }
/ at-4(... )k
SWORN TO BEFORE ME THIS Signature
7{, Owner, owner's agent,arcni ect,contractor
day of S 19 PMIEt.A S. MottAt .Y
Notary
ResidingPublic. State of new— York•-
Notary Public, Co ur, , N.Y N.Y. Lorr,mis:atorF� �iN•3p 19•.y
A * * ti * At * * * tt 'x x * * X * * * * * * * * * * * * * * * * * * * * * * A * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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By