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1985-033 BUILDING PERMIT TOWN OF QUEENSBURY No 85_ 33 WARREN. COUNTY, NEW YORK G-VVVPCCEERRMISLS•IION is hereby granted to Daniel Valente C7 OWNER of property located at "Pylb Rn ti t fr 149 Street, Road or Ave. + i In the Town of Queensbury, ToCglpt or place a Demolition ( part of dwg . /3 sheds ) C at the above location in accordance to application together with plot plans and other information hereto filed and Qy approved and 1n compliance with the Town of Queensbury Building and Zoning Ordinance. F` ri• 1 . OwNE R'S Address is fE3 Rt . 9N Box 167 Lake Luzerne , New 'York 2. CONTRACTOR or BUI LDER'S Name same 3. CONTRACTOR or BUILDER'S Address ` O 0 rt- (D 4. ARCHITECT`S Name tiD 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) C1 ( Y Wood Frame { Y Masonry 1 Y Steel { 1 0 Faq r 7. PLANS and Specifications rt- demolit .jon rear section of dwelling 221xl8r and FA- 0 No. 3 sheds per zpplication submitted . *tl 8. Proposed Use W +-1 Demolition +* 0 1-h l0l 00 act . l 19 85 $ PERMIT FEE PAID — THIS PERMIT EXPIRES ,O (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.) 11 1st March 19 85 � Dated at the Town of Queensbury this Day of SIGNED BY f�c tom ' for the Town of Queensbury Building and Zoning Inspect 04 iA TOWN OF QUEENSBURY !Space inside block to ]w filleld in by WARREN +COL3NTY. NE'W YC)FCIC Buildings; lnspectorl pplicatic,(, No. Application for PcI mil is-"wd =9 BUILDING AND IUNIN6 PERMIT h"% luil Expires /t ,11614 1)i•.trirf \ also ikf WEprl. $ .\ pplil% 4-d b� THREE 13 ) Copies of a PLOT PLAN. Drawn to scale !� 111 rhowingg the actual dimensions of the lot to be built upon, The exact size. and location on the loft of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN CIFc !.� 6AiE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK g . dv ANSWER ALL OF THE FOLLOWING. � �g, Id 11213141516 for a p d ermit to do the following work 71819 :� , The undersigned hereby applies . . . . which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner of this property i/s:� • / /' 'J '� . . - . t�'c ?` . . . . . . -. The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i+: . - - - - -- . . . . . (f4 . . . ' , . . . . . - . . . . . . . . . - . . . . IbO AQORE55} . - - . AME) / ,�f` � r� i ,, J G ,Gy?T , ?-�- [�..� Gr . . . Address - d . . . . t. . . . . . . . . . . . . . . . . . . . . . Name of Builder . (� / . . . . Address Name of Plumber . . . . . . . . . . , . . . . . . . . . - - . . . . . . . . . . . . . . . . . . - . . - . . . Name of Mason . . . . . . . . . . . . . . . . . . . - Address . . . . . . . Lot Number . . . . . . . . - . . - Unit Estimated value of proposed work S . . . . . . . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . . - ' Name of Street . . . . , - . . . . . . Side of street: north 0. east © , south C3 , west ❑ -7 : . . . , . . . . Nearest Cross Street . . . . �G ?` . . . c . . . . . . . . Distance from this ^rosy street . . . :a:- G� }t . Property is north 0 . south , east L i . west 0 from Cross Street If on Corner,11 which corner, northeast 0 , northwest 0 , southeast L, , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED 'FORK OCCUPANCY Main ByA$ing Construction of a new building. One-family dwelling 1� Addition to a building. Twa-family dwelling Alteration to a building. . . -family apartment house Demolition of a building. Store building 0 . . . . . , . . -car attached garage Other: Accessory Building r— . . . I�J . . . . .. One-car detached garage C] Other work. Describe Two-car detached garage Private chicken house Private storage building 0 Other: . . . . . 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 locution and size of the property, the location. size and setbacks of pro- posed buildings, and the location of all existing buildings. MORTM Show proposed building(,) in dotted line and existing huilding(s) in solid line. Size of property . . . . • . . . . . • • • . . ft. x ft, Size and use of existing buildings, if any . . . • . • r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e . _ . ft. x . _ , . . . . . . . ft. Size of proposed building - . 14eig=,ht (from grade to ridge) . . . . . . . . . . . . . . . • . . . . ft. Front yard ft, . . . . . . . . . . . . . . . . Side yards - . - . . . ft. and ft_ Rear yard . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . ft, 1r-- If on corner. setback from side street . . . . • - #t. SOUTH Note : All distances are net, as measured from street side line to nearest Evart of building. (OVER) 7 I'73 , m (eont'd.) 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 . . . . . . . . . . . . . . I . . . . . . . . . . - . . . . . . . . _ . . . . . - . , . . . 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 . . . . . . . . . . . . . . "a.c., length Size, floor beams, 1st floor . . . . . . . . . . . . . , ", spacing . . . . . . . . . . . . . . "o.c., span . . . . . . _ . . . . . , ft. Size, floor beams, 2nd floor , - . - , . . . " x spacing . . . . . . . . . . . . . . "o.c., span . . . . . r . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . spacing - - "o.c., span . . . , . . . . . . _ , . . ft. Size, 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 bui,)ding to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . • - - . . . . . . . I . . - Oil burner or coal? . . . . . . . . . . . . , . . . _ . . _ . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney 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 AFFIIDAVI'T County of Warren State of New York I swear that to tt jbwy j of my knowledge and belief the atatements contained in this replication, tooether with the ptam and specimr"tion zabs nutted, are a true and cu.,. lete statement of all proposed work to be done on the described pretts�scs and wfl ;ens of tha gIJILI? Ind CURE, THE 2UNIN� ORDINANCE. ,and all other tows pertaining w �r k s �� ��� specified or noc and that such work is authorised 6y the owner. � Sworn to before me this Signature . . . . . OWNER, C7WNER'S AGENT, ,hRCHITE CT. CON TR AC T01i - I day of. d. .. . . .. . . .... . . .. . . . 19 P . . .. . . . . . . .. . NOTARY PUBLIC, WARREN COUNTY, N_ Y, SPECIAL CONDITIONS OF THE PERMIT! By . ._ . _.. . .. .. . . . ..... . . . ... . .. . . . . . . . . . . .. .... . .__ . . . .... . . .