87-160 BUILDING PERMIT
TOWN OF QUEENSBURY No 87-160
WARREN COUNTY, NEW YORK t_1
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PERMISSION is hereby granted to Lake George Ventures, Inc. m
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OWNER of property located at Lockhart Mountain, Top of the World Street, Road or Ave. m
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in the Town of Queensbury,To Oilf&fM or place a Demolition (3 buildings) rt
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is RD #1 Box 1390 �
Lake GEorge, New York 12845
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address o
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) rt
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( )Wood Frame ( ) Masonry ( )Steel ( ) :i�
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7. PLANS and Specifications a
Demolition - Chalet #1 3360 sq. -ft.
No. Chalet #2 3360 sq. ft.
Mountain Store 2044 s . ft.
8. Proposed Use per plot and application submitted.
Demolition 3 buildings t
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 87 d
(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.)
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Dated at the Town of Queensbury this 16th Day of April 19 87 �•
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SIGNED BY
Q< �CJ� for the Town of Queensbury oa
Building and Zoning InspectorCn
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TO BE COMPLETED BY BLDG. DEPT:
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c� Application No.
Down o QueenJLry Permit Issued 19 CC)V�IN OF QUEENSDLiy',tiy
BUILDING and ZONING DEPARTMENT Permit Expires 19 D 0
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No.
Site Plan Review No. ; APR 16
Approved by:
E3UILDING & CODE DE
APPLICATION FOR
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.
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The owner of this property is: rq � (�p��jyo� �i�C � � �GJD�Y `NL/Z
P.O. Address 70/ ;Scj-v� oqo i-'G/l,_ (a��,r�e Ay /28� Tel. �lb
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Property Location: J�(,��lC�7� / U7iL�7/A1,r /, ' Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
k. �zzd -),>�p/ a,�X4 /39(1 Ia-k- bfz:L�f- A)y,z � 4j�,�,'s
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:
_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 whether interior or corner lot. Show location
AND *
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
n� 0� * of septic disposal area.
cc/Pf I`/ C5ee 330
l -ff"Z y:' f: t,,' `:;Et,?CQ1AlSt-,ETE!t-±NFORMATION REQUIRED BELOW.
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04/y i5'f property ft X ft.
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* 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) * Side yards ft and ft
If residential, no. of families
Height (grade to ridge) ft. * If on corner, setback from side street ft
,
No. of rooms(excluding baths) " ' * OCCUPANCY INFORMATION
No. of bedrooms * PRIMARY BUILDING -
No: of bathrooms
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 bar/ two car/ car
* * * * * * * * * * * * * * * * * * 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 and-vl
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 fix " spacing "o.c. length ft.
Joists(floor beams) lst. floor "X To spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X spacing "o.c. span ft.
Overlays(ceiling beams) "X It
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(indluding adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of bury
County off Warren A F F I D A V I T STATE OF NEW YORK
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 th t such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature _ ____ _ _ _ _ _ _____
r-� Own , owner's a nt irect,contractor
_ day of 19 C) I
TAMNO WILLIAMS
tI&4940M. fof Co rod, .
Saratoga County
Notary Public, rren County, N.Y.
�� Expires dune A �9 �
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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