1986-057 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-57
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Paul Smith
Connecticut Ave.
OWNER of property located at Street, Road or Ave. ,.ty
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in the Town of Queensbury,To CinKtttia or place a Demolition of a dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and c'
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
Box 241 Conn. Ave.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address 0
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same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( ►Steel ( )
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7. PLANS and Specifications
demolition of a dwelling 16'x28' per applicatior
No.
submitted. rt
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8. Proposed Use
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Demolition of a dwelling
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10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 1 19 86 Cfq
(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.)
Dated at the Town of Queensbury this 6th Day of March 19 86
SIGNED BY )2/0.7d Q �,� for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to lx. filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for .‘I►I►liratie►tt
. Yorinit 1s.iied 19. .
BUILDING AND ZONING PERMIT ii....11►i1 I•.shire.. I0. •
'timing District
.alu.• iii Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale .‘11111'1"i'el h'
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showing the actual dimensions of the lot to be built Ite narks'
upon, The exact size. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. - - , .
. J02 T* ...?//,,V g 6 DATE A• / C=a 6 °1!
A PERMIT MUST BE OBTAINED BEFORE BEGINNING. WORK :1--;t ;
ANSWER ALL QF THE FOLLOWING. - ; (IVI 'c . d•
Tl._ _h;r by a 1' -f:tr--G 9 t to de-the_fd!owin work
`__ �n�-➢iR�ilPsiy'iiQv ,v�o..r :.pp.:CC ..,.. p rP1:i. y- - -- -. ,which will b• done in accordance with the description, plans and specifi- 'I l.t ) �:i itigl T6
n®e ,e . ., p: I i .s e o a
cations, and such special conditions as may be indicated on the permit.
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The owner of th,4 property is:
/Ue S � (/� �/� UG�`ti` Du''�,`'� 46e•i J/1 co-4 GGf,i,e.. 2.e/e. .1 �/
IIOA'4EI IP O.ADDRESSI
The person ponsibie: su rvision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) IP 0 ADDRESS)
Name of Builder Address '
Name of Plumber Address
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 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east c i,west 0 from Cross Street
If on Corner,which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ,1(1
❑ Alteration to a building. Two-family dwelling 0
Demolition of a building. -family apartment house ❑
Store building 0
-car attached garage 0
Other:
• Accessory Building
• One-car detached garage 0
❑ Other work. Describe Two-car •detached garage 0
p en:N . 6 d W y Private chicken house Cl
J , Private storage building 0
a d ' x A 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 location and
• size of the property, the location.sire and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
ltuilding(s)"in solid line.
Size of property Y D . . . . ft. a / ft
Size and use of existing buildings, if any
1-
y. N
• r W
Size of proposed building It.x ft.
Height(from grade to ridge) ft.
Front yard ' ft.
Side yards ft. and ft.
Rear yard ft.
7 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.
. (OVEnl
7-73-M •
(cont'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 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
Size, floor beams, 2nd floor " xPa ft.
spacing , . ."o.c., span ft. -
Size,ceiling beams "x " spacing "o.c., span
Siie, roof rafters or beams "x spacing "o.c.,spanpft
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 budding to be constructed?
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 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 AFFIDAVIT •
County of Warren
State of New York
I swear that to tt b`r j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i. lete statement of all propoied work to be done on the described premises and that all provision®of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be on plied with.,whether specified or not.
and that ouch work is authorised by the owner.
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Sworn to before me this Signature'.
OWNER.0 G NT.A CHIT .CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y. •
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