1987-743 BUILDING PERMIT
TOWN OF QUEENSBURY 87- 743 �
No.
�j j WARREN COUNTY, NEW YORK o
aIC> ' - 1 _ ` ! Howard & Eileen Denison ` "
PERMISSION is hereby granted to i
� 1 i
OWNER of property located at E unny — { greet, Road d or Ave.
in the Town of Queensbury, To Construct or place a
Demolition of barn
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
379 Ridge Rd * o
Glens Falls , N . Y . 12801
o.
2. CONTRACTOR or BUI LDE Fd'S Name °
Same w
m
ro
rs
3. CONTRACTOR or BUI LDER'S Address ty
CD
0
4. ARCHITECT'S Name
t=i
W
6, ARCHITECT"S Address
rt
Cn
C
G. TYPE of construction — (Please indicate by X) °0
r•
fD
ro
# ) Wood Frame { ) Masonry t I Steel I )
7. PLANS and Specifications
No. Demolition of 40 ' x 60 ' part of barn on north, west corner of lot .
As per plot plan and application .
S. Proposed Use
Demolition of barn
a
rc�
0
r•
rt
$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 4
i
{}f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the by
town of Qusenshury before the expiration date_) H
Dated at the Town of Queensbury this 4th bay of November 19 87
SIGNED BY t2 _�4 A^� —for the Town of Queensbury
u}lding and Zoning Inspector
TO BE COMPLETED BY BLDG . DEFT .
// Application No .
f34i�►i Dueell3hul^� I
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 , ki
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation r ; �..-0
Oueensburyr„ New York 12801 Variance No .Site Plan Review No .
NOVr l V �
Approved ; s _ �- F• ,
APPLICATION FOR
FUILDING AND 70NING 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 : co 44pw& of v-,�
P . O . Address ` Tel . . <3 � C78 t C�
Property Location : ' V Tax Map No . y^ / �i / j 2�
Street number or 'building lost number
Subdivision name Cif applicable) r ]GAO ►� t I r t cx � I ='s THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
a 7 l i t F R' --- 1 G7 �'i tom'
Name n 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 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 .010K 6 * of Septic disposal area .
,PA_R-WC` 0 "p - C+` -PL" . r ( rya R-"rl-A_ - * COMPLETE INFORMATION REQUIRED BELOW ,
Size of property ft X ft .
Existing buildings) 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) 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
No , of bedrooms PRIMARY BUILDING -
No . of bathrooms one family dwelling
Primary heating system
Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No . of fireplaces to be installed Permanent occupancy
Will a wood stove be installed?
Transient occupancy
Central Air conditioning? Business
BUILDING STYLES 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- - - - - - .. . . . . . .
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS 'SHEET , TO BE COMPLETED '
Form BPA 4/66 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
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 ) lst . floor "x " spacing "o . c . span ft .
Joists { floor beams} 2nd . floor "X it spacing "o . c . span ft *
Overlays ( ceiling beams ) '"x " spacing "o . c . span ft .
Roof rafters " x of 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 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 fta ino
water supply - Municipal or private well
SEPTIC SYSTEMS _ 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 County of Warren A 1 ��F T b y 1 T I STATE OF NEW YORK
H
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 descr.tbed 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 agen ,
rarcnicect, contractor
day of 19
Notary Public , Warren County , N . Y .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * If
SPECIAL CONDITIONS OF THE PERMIT :
BY.... -------------
____---
La
-i
th CD is Off..,.. V '41
til-
.. f cc". `
44
II 09
je
y0,97 \ /
I
OFF`� �'
n,
f
eLj
Of
t�
1\
U) a 4;
ID
o z /