6531 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6531
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas and 'Patricia Burke
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OWNER of property located at Mason Road, Cleverdale Street, Road or Ave. g
in the Town of Queensbury,To ROMMIXt or place a Demolition dwelling, boa-I-hnu GP and harm N
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
24 Longwood Drive
Delmar, N. Y. _ 12054 Fl
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2: CONTRACTOR or BUILDER'S Name
Scott McLaughlin
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3. CONTRACTOR or BUILDER'S Address (D
Star Route
Glens Falls, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address • C O
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6. TYPE of Construction—(Please indicate by X) (D (DJ
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( ) Wood Frame .( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
Demolition dwelling., boathouse and barn with
No. attached shed per application submitted.
Dwelling - 1237 . sq. ft.
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8. Proposed Use Boathouse ll'x3 0' o
Barn with attached shed 512 sq. ft. too
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Demolition ct rr
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 80 trn
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(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.) A) Cl
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Dated at the Town of Queensbury this 15th. Day of August 19 8 0 td N
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SIGNED BY (P, for the Town of Queensbury
Buildinging Inspector
TOWN' OF QUEENSBURY (Space inside block to Ix. filled in by
WARREN COUNTY. NEW YORK Building Inspector)
. • Application for .\,)plicaticn, No.
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. i GOWN op QLJEENSBt� ...
Zoiiiiit: District
1;chic• nl Work"I 7 W' E U IV/ l' 3
THREE (3) Copies of a PLOT PLAN, Drawn to scale• '.‘pi tr„t c•c i by /U Q d 1 e-c ''•
showing the actual dimensions of the lot to be built kcm)arkr Ail ! t 79R
upon, The exact size, end location on the lot- of the. A.M.
• building to be erected or altered MUST BE SUB- , . P.M.
MITTED WITH THIS APPLICATION. . : . ,
— I I a I . 1�-puz .AL��
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A PERMIT MUST BE•OBTAINED BEFORE BEGINNING WORK " Lo4uG toe° b 1)2
ANSWER ALL OF THE FOLLOWING. - .
The undersigned hereby applies for a permit to do the following woe* . j�g L w1,,, .. /D -
which will be done in accordance with the description, plans and,specifi-"
cations, and such special conditions as may be. indicated on. the permit. .
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The owner of this p nperty is:
--, Om�-S �- V -r 14?1C} 19- . . . . . . tA .k -.
1 INA':Ei (P.O.ADDRESS)
The person responsible{for •supervision of the work insofar as the.Buil'dipg,Ccide and the Zoning"Ordinance apply is:
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! (NAME) • (P'.O ADDRESS)
Name of Builder • Address- , -
Name of Plumber - Address .
Name of Mason Address .
Lot Number Unit E timated valpe of proposed work$ . `
Name of Village U' -kb A 1-- KE- CA_4.0,aC -, . .1 ,
Name of StreetYf+ . A) k"b Mile af:etreet: north "0, east; C), south ❑.-west ❑.
Nearest Cross Street . •.- -' -' .-6S D Distance from this -ross'street - Ft.
Property is north 0,south •• ,east i l,west 0 from Cross Street
If on Corner,which corner,northeast 0, northwest 0, southeast .rmuthwest
(Designate by marking with an"X"in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY /2 3 i
❑ Construction of a new building. Main Building
El Addition to a building. . One-family dwelling ❑
❑ Iteration to a building. Two-family dwelling ClV Demolition of a building. . • . . " . -family apartment house 0
f r / Store building ❑
eh-- V(w (?�• / -car attached garage 0
Z Other:
a 1Q. . .a 3 To R y Qiv L L;L.t/,,G. 1 2,37 *'t • Accessory Building •
One-car detached garage Li
O Other work. Describe:.00 M:T Et S.r l i ?� v. Two-car detached garage
01-0 b e tN IV ari?nC tf, i) s 1-it .J Private chicken house • . ❑
n Private storage building ❑
-o i+4L SI, -CT 5 1 z- 'Other:
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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, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings:
Show (imposed buildings) in dotted line and existing
13uilding(s) in solid line.
Size of property ft. x ft.
. Size and use of existing buildings, if any
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P W Size of proposed building ft.x ft.
Height(from grade to ridge) _ ft.
. Front yard ft.
Side yards ft. and ft.
Rear yard ft.
'SOUTH . " If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building..
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7-73-M ' ' '
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BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame,fire safe,etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
Will any second-hand lumber be used? 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.
Siie, 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 building to be constructed?
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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 chiihney 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?
Town of Queensbury AFFIDAVIT
County of Warren •
State of New York •
I swear that to tr,•i,4 r of my knowledge and belief the statements contained' ' application,,together with the plans and specifications sub-
mitted, are a true and co.&, lete statement of all proposed work to be done o e described pre and-that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to reposed work a plied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature WNE .OWNER AGE .ARCHITECT.CONTRACTOR.
day of 19.., •
NOTARY PUBLIC.WARREN COUNTY.'N. Y. . .
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SPECIAL CONDITIONS OF THE PERMIT:
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By