1986-517 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-517
(-- 0\ ` 1 /1 Ci\ WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John Wm. Cornell
OWNER of property located at off Hall Road, Glen Lake Street, Road or Ave.
in the Town of Queensbury,T0:6011SIM or place a Demolition — camp
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.
C
1. OWNER'S Address is Rt. 40 Box 2048
Hartford, NY 12838
Cj
2. CONTRACTOR or BUILDER'S Name 0
rf
0
same
H
3. CONTRACTOR or BUILDER'S Address
0
rh
4. ARCHITECT'S Name x
w
H
H
0
5. ARCHITECT'S Address W
H
CD
U
6. TYPE of Construction—(Please indicate by X)
w
( )Wood Frame ( ) Masonry ( )Steel ( ) CD
7. PLANS and Specifications
.demolition camp 24'x34' per application submitted.
No.
8. Proposed Use
Demolition camp 5
N•
rt
N.
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 ri
5
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ny
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 26th Day of August 19 86
SIGNED BY // n"d for the Town of Queensbury
Building and Zoning Inspector{
J �� TOWN OF QUEENSBURY (Space inside block to lx tilled in by
�� WARREN COUNTY, NEW YORK Building Inspector)
AIication for .\1)Pli(ation
�!' Permit Is,tu•d 19.
BUILDING AND ZONING PERMIT Permit Expires. 19.
�� C
%cinin; District
THREE (3) Copies of a PLOT PLAN, Drawn to scale \l)PI )"'`1 b`
showing the actual dimensions of the lot to be built Remarks" �
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB- - _
MITTED WITH THIS APPLICATION.
MOLcrlis uf VA''`cy DATE 9�1.�� ']I taJ I El _ td �� �l_
/ RK-- L
A PERMIT MUST BE OBTAINED BEFORE BEGINN O
ANSWER ALL OF THE FOLLOWING. AUG ) 8 1986
The undersigned hereby applies for a permit to do the following work A.M. (7✓c' AP JD
which will be done in accordance with the description, plans and specifi- 758i9p Q)l'IZ2)1.)2)3 41516
cations, and such special conditions as may be indicated on the permit. . ' ` ` `
The owner of this property i s: �/ 4e)
.o n . .i. ,iila'v eo, 11 &/ ?O V? f/,d4rd//
iv/ /2-8"3
(NA`AEI (P.O.ADDRESS)The person responsible for •supervision 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$
Name of Village °Lk))'t O Q.c,Legrish.afed g%Cn h-aK t?
Name of Street d PP 1-16.I 1 tVcaA Side of street: north 0, east ❑, south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east i)i, west. ❑from Cross Street
If on Corner, which corner, northeast D, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
•
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Builting
❑ Addition to a building. , One-family dwelling a
❑ Alteration to a building. Two-family dwelling
Demolition of a building. -family apartment house ❑
Store building ❑
• -car attached garage ❑
Other:
.7-4 K c {Zct-Y44 3Le J 1 Vi - . r-1'l, ,-f f ieS Accessory Building
• One-car detached garage ❑
O• ther work. Describe Two-car •detached garage ❑
Privhickuse . ❑
•
•
Privateate c storageen bhouilding ❑
Other:
ZONING SPECIFICATIONS. Fill in fo
rnewding, o dition to existing building, or a change of occupancy.
- Indicate on the plot plan street names, the location and
size of the property, the location, size and setbacks of pro-
' posed buildings, and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
k)/ . 1tuilding(s) in solid line.
. Size of property �7'3 ft. x /se ft
,' L N Size and use of existing buildings, if any
a n
, W Size of proposed building . ft.x . ft.
° Height (from grade to ridge) ft.
• Front yard ft.
m ,/ Side yards ft. and
ft.
. w. L
Rear yard ft.
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. .
•
(OVER)
..
7-73-M • .
(coned.)
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 ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Siie, 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<Iding 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 th bd,j i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.c.�lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING 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. n
Sworn to before me this Signature l . .b'd-yQ� t�'f OWNER.OWNER'S AGENT,A CHIT4Pr,CvO OR
of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By .