1988-164 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-164
WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to Boulevard Auto Sales
2 Boulevard u'
OWNER of property located at Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Demolition
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. OWNER'S Address is
IXHIRMINNYR Mark Scarincio
1 Boulevard
Glens Falls, N.Y. 12801
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2. CONTRACTOR or BUILDER'S Name
Walter Scarincio
3. CONTRACTOR or BUILDER'S Address rt
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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1 )Wood Frame ( ) Masonry ( I Steel ( ) w
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7. PLANS and Specifications
No. Demolition of 40' x 70' structure
8. Proposed Use
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 20th Day of April 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector /(_.
_ TO BE COMPLETED BY BLDG. DEPT. TOWN OF G'ti9�'-' ,,
�] / Application No. LC ` 1!7
. _lown oi Queeniburl� Permit Issued 19 '1 l
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 • Zoning Designation APR 1 198®
Queensbury, New York 12801 Variance No. ECfILpING &.C®DE IDEPT
O Site Plan Revi No.�J Approved y: • . ill`` APPLICATION FORqe) -
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BUILDING . AND ZONING PERMIT - i
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--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.
he owner of this property Yis: .
P.O. Address • CZ. r u// Tel. S-3
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roperty Location: •
Tax Map No. ��� / �/
. Street number or buil ing lot number
Subdivision name (if applicable) -
THE PERSON ESPONSIBLE _VISION OF WORK AS REGARDS BUILDING CODES IS:
Name -P.O. Address Tel. No.
Name of builde Zvi L , _. Address • Tel. k"', /5---%l4 cZ,9/
Name of plumber Address Tel.
Name of mason Address Tel. .
NATO 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,
7—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
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• FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. ,Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
� 70 * of septic disposal area. -
� * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ftX •, ft.
* Existing building(s) Size ft' X • ft.
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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 •
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(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
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No. of bedrooms
* PRIMARY BUILDING -
No. of bathrooms *• One family dwelling
Primary heating system * Two family dwelling
Type of fuel /No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
* Transient occupancy
Central Air conditioning? Business
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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 $ *
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INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
.BUILDING PERMIT4APPLICATION CONTINUED -
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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? •
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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 AFFIDAVIT 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_--_
Owner, owner's agent,architect,contractor
day of 19 -
Notary Public, Warren County, N.Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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