1988-175 BUILDING PERMIT � y
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TOWN OF QUEENSBURY No. 88_175
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WARREN COUNTY, NEW YORK zo
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PERMISSION is hereby granted to Lewis Smith
OWNER of property located at4 Massachusetts Ave. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DEmolition of Shed
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. N.
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1. OWNER'S Address is
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2. CONTRACTOR or BUILDER'S Name
XXV? Same
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name W
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
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No. Demolition of 12' x 15' shed as per plot plan, and application.
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8. Proposed Use H.
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Demolition
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19 88
(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 22nd Day of April 19 88
.
SIGNED BY /CGr a . ,60.47Ai for the Town of Queensbury
Building and Zoning Inspector /uu
TO BE COMPLETED BY BLDG. DEPT. (� l"_� l_ I \'! Ll I iji�] Application No. ,, !
/ottin o� QueenilUry Permit Issued 19 APR 2,,� 1988
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation • BUILDING & CODE DEPT.
Queensbury, New York 12801 Variance No. r-�
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i Site Plan Review .1/el'�1. - /0
IV Appr ve. 41, ;id Pe•es,� /0
A/� APPLICATION FOR • f .*/ •
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PUILDING 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.
The owner of this property is: ! 50.) 5 .5-f4 /' .
P.O. Address 30 7 MA.c S, OI Ux • Tel• 7(9, 9 ga
Property Location: 7 3 soo /.:z -3 -/O - r l S r2 20 Roth I.�cT..-/sci/-5 Tax M
Sap 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 SLrJ I Address Tel.
Name of plumber A) t•, ,,, F7 Address Tel.
Name of mason - G k. F 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 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
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED.
�� V / 5 �. ti� of septic disposal area.
i_____
* COMPLETE INFORMATION REQUIRED BELOW. •
* Size of property ' O ft X /i s" ft.
* Existing building(s) Size g- ft X /if ft.
•
PROPOSED BUILDING AND USE: * TLC/L. r�u`
Existing building (s) Use
Size of new structure :,?i7 ft X,27 ft *
.Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) * Front yard ft Rear yard •2 0 ft
No. of stories (habitable space) / * Side yards ft and Sp ft
Height (grade to ridge) ly g' ft. * If on corner, setback from side street ft
If residential, no. of families 5/
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
*
No. of bedrooms
N o al r. * PRIMARY BUILDING --
No. of bathrooms N 0Ai F* x One family dwelling
Primary heating system 0 o NF * Two family dwelling
Type of fuel A.,o,J * Multiple dwelling / Number of units
No. of fireplaces to be installed ,trxiii Permanent occupancy
Will a wood stove be installed? u * Transient occupancy
Central Air conditioning? _,,,) o
* 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 Othe * ACCESSORY BUILDING- .
Colonial Row Town House * }< Detached garage/one. car/ two car/ 2., car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
$-:-_2r1.D.0_a_
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form BPA 4/86 and-vl
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