1986-219 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-219
WARREN COUNTY, NEW YORK
.303. A- 1 Eugene Corlew
PERMISSION is hereby granted to
OWNER of property located at 24 Boulevard Street,Road or Ave. m
Do
lit ion/garage coin the Town of Queensbury,To�i3l7'8Ef or place a Demo
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.
1. OWNERS Address is 24 Boulevard
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
same
3. CONTRACTOR or BUILDERS Address same
O
C
N
4. ARCHITECTS Name rwt
P.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( )Masonry ( )Steel I I
7. PLANS and Specifications
No. demolition of 20'x20' garage per application submitted. t
0
B. Proposed Use rt
Demolition garage
ao
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 1986 w
pf 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 15th Day of May 19 86
SIGNED BY 1 Ct . bL j for the Town of Queensbury
Building and Zoning Inspector(�fQ1
TO BE COMPLETED BY BLDG. DEPT.
• c Application No.
Awn of Queenitury Permit Issued 19 •WN OF QUEENSESU^"
BUILDING and ZONING DEPARTMENT Permit Expires 19 r, fl 4a
Bay and Haviland Road. R.D. 1 Box 98 Zoning Designation 'L F - L v
Queensbury, New York 12801 Variance No. 1
Site Plan Review No. MAY 51986
Approved by: M. S 2 3 4 S 6
APPLICATION FOR
F
FUILDING AND ZONING PERMIT
* * * * * * * * * * N * M * * * * * Y • * * * * * * * Y * * * * * * * * Y •:::Y
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.
The owner of this property is: 6t/tp (k,1Je4/
P.O. Address ay Anki.://liy ()//reni ity //y Tel. 79../-//4I
' Property Location: Av/3„11:4 ,4a4) Tax Map No. HI / I /3J)
Street number or building lot number
Subdivision name (if applicable) Cent' (;irJ hui
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
( 6.7et? eCcr2efit/ )Y 3,--,,/ ,iz4/1. 7R) — e/91
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 PLOP 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
* whether interior or corner lot. Show location
v FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCT,pRES AFFECTED. * of septic disposal area.
jar op_ 2 6 Y . d i {tiro- milt
Si z e, * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * Existing buildings) 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
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
*
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms One family dwelling
Primaryheatingsystem
* Two_ family dwelling
Type of fuel * _Multiple dwelling / Number of units
No. of fireplaces to be installed permanent occupancy
Will a wood stove be installed? * Transient occupancy_
Central Air conditioning? * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Ranch Contemporary Log cabin If addition, what will use be?
Raised ranch Mansion Duplex
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 car/ 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/H6 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 "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " 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(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of Warren AFFIDAVIT 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 that such work is
authorized by the owner.
7 j'/ ? /4
SWORN TO BEFORE ME THIS -C-aL i-::244. qd l�
Owner, owner's agyht,arcnrtect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By