1999-434 BUILDING PERMIT .
VALUE $ 200 : TOWN ;OF QUEENSBURY No. 99434
TAX MAP NO. 28 .-1-28 WARREN COUNTY,.NEW PORK
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PE M S ON is herebyy-ggrr_antted to . COUNTRYMAN, FRANK & NANCY .
OWNER of property located at 1323 BAY RD. Street,Road or Ave.
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in the Town of Oueensbury,To Construct or place a RESIDENTIAL ALTF.RATTON
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 Oueensbury Building and Zoning Ordinance.
1. OWNERS Address is .
. P.O. BOX 4506 ' .
.QUEEN S BURY, NY: 12 8.0 4,:. ' •
2. CONTRACTOR or BUILDER'S Name .
COUNTRYMAN, • FRANK ... •
3. CONTRACTOR or BUILDERS Address • .. •
4. ARCHITECT'S Name
5. ARCHITECT'S Address .
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6: TYPE of Construction—(Please indicate by X)
• ' . . RESIDENTIAL ALTERATIONS .. -
( )Wood Frame ( )Masonry ( I Steel 1 )
7. PLANS and Specifications . . ' . .
• 112 Nmq-. f.t. ALTERATION (RELOCATE'.GARAGE DOORS TO GABLE -END AS
PER APPLICATION
8. Proposed Use .. •
•
RESIDENTIAL ALTERATION: •
4.', ,., . 19• July: 19 . 2001
$ PERMIT FEE PAID -THIS PERMIT EXPIRES
(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.) • . • •
19:,- •. July;. ..19 • 1999:
Dated at the Town of Queensbury this Day of.
SIGNED BY for-the Town of Queensbury
. Building and Zoning Inspector .
BuildingPermit Application
Town of Queensbuty - Dept. t f Community Development, 742 Bay Road, Qmeensbu,y, NY 12804 1761.8256/
BUILDING & . CODE CNFORCEAII N7' .
NOTICE Requirements prior to issuanceilk
A permit must be obtained before of this pet'ntit: PERMIT FILE NO. d�1�
beginning construction. No Inspections
will be made until applicant has received n Zoning Board Action PERMIT FCC PAID$ ,,s
a VALID BUILDING PERMIT. All Arco /Uec RECREATION FE r /
applicants' spaces on this application
MUST be complete: atld.limo signature El Planning Board Action tF
of the applicant must appear on the 1i1sV11sIVliU /1}'
S. / Subdivision /Other 'Boarding Jing Imperr
�t tplication form. tn�.4 p., J Recreation Fee 1'nymcut
Applicant:' "19/311/1/ v/111rAyJt'f1iii/ Owner:
•
• ' Address: /3e y Di�-� Address:
� 1Q
•
Phone # ( ) 2 -?-1q phone # ( ) .
Property Location: •
• Subdivision Name: Tax Map Number.. _�9 /_ I /��
•
Section Mick Ini
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ �C
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFOfl?JATION:
Alters o Building: Pri k*ry Building '-
dance commercial !/ Single Family Dwelling
_P--- eel t ercial Two Family Dwelling
no cnangeto exterior size Family Dwelling
Other Work (describe below) Office
Mercan ' ,� -�
R D t i 4c- D is -��,0J ManufadUh ag I�-
Other
GROSS 'AREA OF PROPOSED STRUCTURE: JUL 1 3 1999
lot Floor If ADDxTzoN Wl'i ruse .i iii3uR fte
end .FloorP r
— sq• IL• . of new addiL�i eti— el c
sq. ft.
Other Floors sq. ft.
-
(not unfinished cellar or basement) I
ACCESSORY BUILDINGS: .
0 1,-A.R ica,1-.6 P. 1(4-5 (Z(z) T £ ' Detached Garage 1, 2 car DNS
TOTAL 'FLOOR. AREA: SQ. FT. Attached Garage 1 2 ca
sx 1 Private Storage Ilu.t_ ing
SIZE OF NEW STRUCTURE:
1a-1VA7 Commercial Storage Building
FEET X FL�L�'l' / Other
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Foundat Type: ` Will any second-!rand or ungraded
' Number of ries: lumber be used? II no, for what?
(habitable spa nly) _ _
L:
Height (gra .o . ge) : feet . �IXPG BA'1'ING met:
Number fireplaces /or ,woodstove (circle w ' ch applies)
to installed: Electric 1 as / Wood
Forceli t Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : P, WIl et w<ttVt li✓. 7f3--- ti ef3 ' .
• Nato Addresss Phone •
. Builder: .
Plumber:
Mason: .
Electrician: .
DECLARATION: Please sign below filter you have carefully read the statement.
To the best of my knowledge 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 noted, and
that such work is authorized by the owner. Farther, it is understood (hat I/we shall submit prior to a
Certificate of Occupancy''or Certificate of Compliance being issued, an AS BUILT PLOT !'LAN by
a licensed survey r; drawn to scale s t win= actual location of project on premises.
Signature: f
(owner, owner's ages , architect, contractor) ..
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