1987-179 BUIL [ INC PERMIT
TOWN OF QUEENSBURY No. 87�179
' l WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George and Bertha Finch
OWNER of property located at 2 Newcomb St . Street, Road or Ave.
ro
0
in the Town of Queensbury, To CKMAM or place a Demolition of a dwelling *i
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. p
R•
1. OWNER'S Address is 40 Luzerne Road W
Queensbury , New York 12801 rt
rt
w
2. CONTRACTOR or BUILDERS Name r+•
same
3, CONTRACTOR or BUILDER'S Address
tv
2
4. ARCHITECT'S Name
n
C}
El
tY
ro
5- ARCHETECT^S Address
rr
6. TYPE of Construction — (Please indicate by X)
( ) Wood Frame i ) Masonry 1 ) Steel I 1
7. PLANS and Specifications �y
to
No. demolition of dwelling 16tx30t per application d`
H
Y•
i-M
8_ Proposed Use n
Demolition of dwelling,
E
(n
$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 T8 87
{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 data,)
Dated at the Town of Queensbury this —7 ,��20th Day of �, April 19 87
SIGNED BY /! J a-e - +/�/.rf2, , for the Town of Queensbury
Building and Zoning I nspector �7�
�J TO BE COMPLETED BY BLDG , DEPT ,
_JaWn C► // Application No .
�uQen3hur
BUILDING and ZONING DEPARTMENT Permit Issued 19 # TOWN OF QUEENSBURY
Permit Expires 19 ra nrr
Bey and Haviiand Road, R. Q. 1 Box $$ Zoning Designati IE�� ILvl1
Oueensbury, New York 12801 Vari ce No . �� ILLLJJJf7iii 1111
S ' Plan Re ew N - APR 2 Ua9BT ��
A O
APPLICATION FOR BUILDING & CODE DEPT.
BUILDING AND ZONING PERMIT
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 .
--l---......
The owner of this property is : ,/ -_
aoo
P . O. Address .St- GF 5 AjCr ^4wr.:ir3 4
Property Location :_, �j� �rx .�
Tax Map No .
Street number or building' lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
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 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 existin+g ' or proposed and indicate all
C7ther work (describe) set-back dimensions from property lines . Give
street and number or lot number and indicate
FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location
LOCATION OF STRUCTURES AFFECTED.
- of water supply and location and configuration
12 ff /bra 2 , r. Z-- of septic disposal area .
444^s * COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft X ft .
Existing building ( s) Size ft X ft .
PROPOSED BUILDING AND USE : " .
Existing building ( s ) Use
Size of new structure ft X ft
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
(circle one )
No . of stories (habitable space ) x Front yard ft Rear yard ft
Height ( grade to ridge ) f.t . Side yards ft and ft
If residential , no . of families x If on corner , setback from side street ft
Now of rooms ( excluding baths ) OCCUPANCY INFORMATION
No. of bedrooms x
No . of bathrooms PRIMARY BUILDING -
Primary heating system One family dwelling
Type of fuel _Two family dwelling
NO - of fireplaces to be installed * Multiple dwelling / Number of units
Will a wodod stove be installed? Permanent occupancy
Central Air conditioning? Transient occupancy
BUILDING STYLE PRIMARY STRUCTURE Business
�. Industrial
Ranch Contemporary Log cabin Other
Raised ranch Mansion Duplex If addition , what will use be?
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 4/86 md-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING S'P'ECIFIC4TIONS :
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) lst . floor sq " spacing "o . c . span ft
.joists ( floor beams) 2nd . floor x '� spacing "o . c . span ft .
overlays ( ceiling beams ) "X No spacing O . C . span ft .
Roof rafters " x is 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 , 5EPARATION :
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 -
Depthof 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 A F F I D A V I T STATE OF NEW YORK
County of Warren
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 .
SWORN TO BEFORE ME THIS signature �C__r"_"-t�..- -_._ ____________..._...
Owner , owner ' s agent . archa.teet , contractor
day of 19
Notary Public , Warren County, N . Y ,
SPECIAL CONDITIONS OF THE PERMIT :
H