87-157 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-157
WARREN'COUNTY, NEW YORK
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PERMISSION is hereby granted to Priscilla Sanderspree ai
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OWNER of property located at Corner Cleverdale and Mason Roads Street, Road or Ave.
in the Town of Queensbury,To jet or place a Demolition of dwelling - w
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. rat
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11. OWNER'S Address is 29 Pershing Road
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Scott McLaughlin
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name c:
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) p,
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( )Wood Frame ( ) Masonry ( )Steel ( ) 0
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7. PLANS and Specifications
No. 35'x45' dwelling per application submitted.
8. Proposed Use
Demolition dwelling
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 1 19 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) a
15th April
Dated at the Town of Queensbury this Day of 19 87
SIGNED BY -M a-c 4 /0 for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT. 1
/ Application No. i TOWN OF UI* i 5 _ : .'
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awn ®l Queenitur y Permit Issued 19 p f,��
BUILDING and ZONING DEPARTMENT Permit Expires 19 I u I[
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation } ---1Queensbury, New York 12801 t Variance No. 1 APR 1419R7
Site Plan Review No. 1 1b
!BUILDING & CO DEPT. '
3 - _ Approved by:
APPLICATION FOR
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BUILDING AND ZONING PERMIT �_ __.
*. * * * * * * * * * .*. * * *. * * * .* * * * * * * * * * *• * * .*
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 pro erty�eis: / f /dam/f r�flf
P.O. Address e2 9 �er6%rn 6 L,. e `/7 ,y Tel79.31 � f 0
Property Location:C o O C e v le o Re Tax Map No. / /
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Street number or building lot number
Subdivision name (if applicable)
THE PrERSON RESPON BLE FORPRVISION��WORK S BUILDING CODES IS:
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Name 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:
Y 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
*FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
L CATION OF T C RES AFFECTED. ' of water supply and location and configuration
:3- "/S)t � M wh/Ve�** of septic disposal area.
��/�,��®�� ����G���� * COMPLETE INFORMATION REQUIRED BELOW.
7� "* 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) *
No. of stories (habitable space) * Front yard " ' ft Rear 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. 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
y. Business
BUILDING PERMIT APPLICATION CONTINUED -
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 Qbury AFFIDAVIT STATE OF NEW YORK
County off 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 pecified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature
, owner's -g t,architec contractor
day of 19
Notary Public, Warren County, N.Y.
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SPECIAL CONDITIONS OF THE PERMIT: