1987-721 BUILDING PERMIT y
TOWN OF QUEENSBURY No. 87- 721 �
{{D ,,�� ` WARREN COUNTY, NEW YOR K �
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PERMISSION is hereby granted to Jack & Venus Webb _
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OWNER of property located at `- Street, Road or Ave. olo
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in the Town of Queensbury, To Construct or place a Demolition of shed n
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_
t . OWNEWS Address is
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2. CONTRACTOR or BUI LDE R'S Name
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT`S Name
S. ARCHITECT'S Address
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6. TYPE of Construction — {Please indicate by X1
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( I Wood Frame { 1 Masonry ( 1 'steel ( I
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7. PLANS and Specifications
No- Demolition of shed per plot plan and application .
a. Proposed Use Demolition of shed on one family dwelling property tv
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$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES May i ' 19 88
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(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the En
town of Gueensbury before the expiration date.) 1::-
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27th October 18 87 0
Dated at the Town of Queensbury -this
Day of
SIGNED BY ._�y�., for the Town of Queensbury
Building and Zoning Inspector ,,.[' _
TO BE COMPLETED BY BLDG . DEPT .
Application No . I rWry j_s . ; C> _.
C� JJ 19
�lOtur! C)� ttee►� 36t�r1 Fermis Issued
Permit Expires_ 19.— �--- @' i� �' i+ s ��
BUILDING and ZONING DEPARTMENT Zoning Designation OCT
Bay and Havifand Road, R.D. 1 BOX 98 variance 41 I,,8
pueensbury, New York 12801 Site P n Review o -
y kr 4 (. FAT
Appro d //7 _
APPLICATION FOR
BUILDING AND ZONING PERMIT
work which will
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION *� tcdo the�ol,owiR ALL ng
THE FC?LLf7WIN
lies for a Building specifications submitted , and such
The undersigned hereby applies lens and
be done in accordance with b-thend scr3-Pticatedon the Permit . -___- „_____ _______- -"
Special conditions as may _____________ _
......________ ; I
. � �L'� r r—
The owner of this property is * Tel
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P . O. Address 'Pax Map11
Property Location : or building lot number
Street number
subdivision name ( if applicable}
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS RFf'ARDS BUILDING CODES IS :
Tel . No .
P . O . Address Tel .
Name
Address Tel .
Name of builder Address Tel .
Name of plumber Address
Name of mason
* BONING INFORMATION : ..-
NATURE OF PROPOSED WORK :
A PLOT PLAN ML7s'P BE PREPARED AND SUSMXTTED .
'" drawn reasonably to scale and attached hereto ,
_Construction of a new building all buildings .
Addition to a building * showing clearly and distinctly indicate- all
* proposed and
Alteration to a building whether existing or p ro arty lines . Give
� (no change to exterior dimens ' ns}
set-back dimensions from p per and indicate
�gth�eoilr�-- o (describe) �r * street and number or lot numb
�.��..— '� whether interior or corner lot . Show location
of water supply and location and configuration
FOR DEMOLITION PERMIT . STATE SIZE AND * ly
LOCATION OF STRUCTURES AFFECTED . .,_ _, * of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW
ELO ft .
f t X�
Size of property £t .
* Existing building ( s) Size�ft X------.-----
*
PROPOSED BUILDING AND USE : * Existing buildings ) SSe
* property line
f ft t X distance from
Size of new structure arti.al/full Proposed building . ft
Foundation-pier/slab/crawl/P ft Rear yard
(circle one) Front yard ft
ace} ft and ft
Side yards
No , of stories (habitable sp — —ft . * I £ on corner , setback from side street __,_.
Height ( grade to ridge}
if residential : now of families, _�_� OOCUPL�NNc Y INFOh'MATION
Lao . of rooms (excluding baths) �
No . of bedrooms PRIMARY BUILDING -
One family dwelling
No . of bathrooms Twwo, family dwelling dwelling
Primary heating system * Number of
Type of fuel Multiple /
* Permanent occupancy
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No . of fireplaces o be installed„__ .,_ i
Will a wood ent occupancy
stove be installed" �__� * TransBusiness
Central Air conditioning? Industrial
PRIMARY STRUCTURE * -- ---
BUILDING STYLE, * Other
Contemporary Log cabin If addition , what will use be?
Ranch
Raised ranch Mansion Duplex
Bungalow Split level. Old style * ACCESSORY BUILDING-- car
Cottage Other Detached garage/One car/ two car/,_,�.__— car
Cape Cod * two car/
Row Town House * one car/ --
Colonial Attached garage/
( CIRCLE ONE PLEASE } * gri.vate storage building
* * * * * * * * * * * * + * * * other
ESTIMATED P ARKET VALUE OF * --
CONSTRUCTION $ _ l _ - � TO BE COMPLETED !
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET .
Form BPA 4/B6 and-vl
BUILDING PERMIT APPLICATION
CONTINTJED -
BUILDING SPECIFICATIONS *
7'YPe of construction , wood frame , fire safe , etc .
Will any second-hand or ungraded lumber
be used ; so , for what ?
Foundation wall material
Depth of foundation below grade; (to bottom of footing)
ness
Will there be a cellar ?
Will there be a basement? Heated ar unheated?
Will an -- -�--Floor sq . footage
( If so, what portion? Y PoYtion be used as living
s�1 ft
sq . ft . _ 9 space .
Type of roof - sloped/flat/shed/other Type of use?
Size , wood studs rix is Material of roof
.joists ( floor beams ) 1st . floorspaczngx "o . c . length op ft .
.joists ( floor beams ) 2nd . floor spacing "o . c , span ft .
Overlays (ceiling beams ) xpacing ,t span ft .
Roof rafters 'ox �� Jr'� spacing "o . c _ span ft .
Roof trusses p Spacing o . c . span ft .
( re-engineered) spacing +' Q
Exterior wall fini . (sh Span ft .
Interior wall finish Of what material ?
If a garage is to be attached , describe materials to be used for FIRE SEPARATIONS
Is there to be an opening between garage and dwellin e
door, enclosure , and self-closin g ' If so will a Fire-rated
Will a flue-lined chimney be; installed?e be provided?
Depth of chimney foundation below grade`—� Height above roof
Depth of fireplace hearth ft .
Water supply ft . in .
iply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well ( including adjoining(A separate application is necessary for an g propertiesft .
Y repair or new installation of septic system)
Town of Queensbury
County of �'xrren A F F I D R V I T
STATE OF NEW YORK
I swear that tea the best of my knowledge and belief the statements contained
in this applicat.ian , together with the plans and specifications submitted
complete statement of all proposed work to be
provisions of the BUILDING CODE ne on are a true and
the described premises and that all
the proposed work shall be complied withxNwhe rAriTCE , and all other laws
authorized b s ecified or not Pertaining to
y the owner . , : and that such work is
SWORN To BEFORE ME THIS
Signature
day of 19 - err owner ' s agent , arcnitect , contractor _
Notary public , Warren County . N . Y .
SPECIAL CONDITIONS OF THE PERMITS
By
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