1987-155 BUILDING PERMIT
TOWN OF +QUEENSBURY 87-155
WARREN COUNTY, NEW YORK
( p � � -
PERMISSION is hereby granted to Walter Uombek
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Meadowbrook Ito ad Street, Road or Ave. �`
OWNER of property located at m
mini Storage Building "f
in the Town of Queensbury, To Construct or place a '�
ion hereto filed and
at the above location in accordance to application together with plot plans and other informat er
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. M
[4. AACHITECT`S
ER"S Address is Lakeshore Drive
Lake George , New York 12845
NTRACTOR or BUILDERS Name
Glens Falls Insulation CO .
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NTRACTOR or BUILDER S Address
9 Marton Ave * O
Glens Falls , New York
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0
Name £sCHITECT'S Address
6. TYPE of Construction — [Please indicate by XI
] Wood Frame f i Masonry ( I Steel ( S
7. PLANS and Specifications
No.
20 ' x140 ' per plot and application 0
Building B on plot plan to
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8. Proposed Use *l
Mtnl—Storage w
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od
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November 1 87
48 . CIO 7g
$ 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 Oct
town of Queensbury before the expiration date-)
Dated at the Town of Queensbury this 14th Day of
APri l l9 87
SIGNED BY for the Town of Queensbury
Building and Zoning inspector
isJ 131? CUMPLL.TUD by tij'06 . DL:L i' . i
Application No .
osur! (i uP�n 3 aura Permit Issued 19
i, UILOING and ZONING DEPAATMENT 'permit Expires_ 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 variance No . 4IZZr4 APR �+7V!
Site Plan Review No .
KG4 " 15 � SC � tLe�"+IT � 7C7 Approved bCye 'L
BUILDING & CODE DEFT:
APPLICATION FOR
PUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING .
vhe 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
svjj c a_al conditions as may be indicated
y�o�n-y the Permit .
,'t .. r-,:rrs�!r of this prar�er ti4F-2C :L T1 l--.. 1 l� ��G ~�-SC��� 3"� �4� �R____^"'^—'--_" ......
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€1 . ; . Address �- )"( Cy 2.C. —� #� l lf� _ Tel .
Pr ,perty Location : ci1 R ocyr. 7 a29 " Tax asap No . ==/ a?
Street number or building lot number
Lwidivision name ( i£ applicable)
Tii , . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
� <!5ZLEus s ' :5L) -Oa_ r10 0'j C .6 , q' � la (.a 1--7-
Name y P. O . Address Tel . No * ^
CJn iie of builder Pri4 E Address Tel .
Nai+k(: of plumber Address Tel .
N.atiLe of mason -_V' _ _ Gu 1 Z) _Address 'kApgs i "Po,—LT &) _ Tel .
NA [ URE OF PROPOSED WORK : * ZgNING INFORMATION :
_/'�[_ onstructian of a new bu4:;
9 * A PLOT 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 ov 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
Fr i< DEMOLITION PERMTT , STATE ST7:P AND z of water supply anti location and configuration
LO 'ATION OF STRUCTURES AI FECTED. * of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft X ft .
* Existing building ( s) Size ft X ft .
Pk, ,POSED BUILDING AND USE ,
Existing buildings ) Use ?�
Si.-. e of new structure c2in ft Xrdoft
Co .,ndatian-pier slab rawl/partial/full * Proposed building , distance from property line
circle one )
No . of stories (habitable. space) * Front yard �� ft Rear yard cx:� +!f> ft
rie i ljlkt ( grade to ridge ) ft , * Side yards ? [ ft and c=. 2 CQ ft
It residential , no . of families * If on corner , setback from side street ft
No . of rooms ( excluding baths ) OCCUPANCY INFORMATION
No - of bedrooms
T * PRIMARY BUILDING -
No . of bathrooms * One family dwelling
Prtniary heating system * Two family dwelling
1yE .c of fuel -- * Multiple dwelling / Number of units
No , of fireplaces to be installed
will a wood stove be installed? * Permanent occupancy
Ce, ktral Air conditioning? � * Transient occupancy
usuness
BU ! !- DING STYLE , PRIMARY STRUCTURE * _trial
R.:,. ,ch Contemporary Log cabin * _ Other
tta L Liud ranch Mansion Duplex * if addition , what will use be . -- _ - - —_-
31.+ iiL level Old.. style Bun alow ' / �s
Cal Pe Cod Cottage C7ther * ACCESSORY BUILDING- A A
Cc, t c.r, ial Row 'Town House * Detached garage/one car/ two car/ car
{ CIRCLE ONE PLEASE ) * Attached garage/one car/ two car! car
* * * * * * * * * * * * * * * Private storage building
E : i LMATED MARKET ... Y VALUE
OF �Other
Cc44STRUCTION ✓ /7 J.L4�pA
�N 93 6V0 Enre9gHAtv
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S:i.IC-1'Pf FAT.T.%:
JP : :1 + 1ATION Or BUILDING SPECIFICATIONS , ON REVERSE
EVFRSE SIDE
DE OF THIS S F ET , TO BE12
\Y a�vvF.axtoti- co.
�V/ GLENS FRLLS•
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------------------- _"----. DATE...-----......-- SU93JECT__...-'-----'-•-••-----__-------------'-.....•-------------------- SHEET NO-----------------OF---.-
HKO. BY.... .._. ........ DATE:.......... _ ........----------._-------------- JOB NO..._._...-----..-
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