1988-553 BUILDING PERMIT
H
TOWN OF QUEENSBURY
• No. 88-553
WARREN COUNTY, NEW YORK
30-z0
Charles M. VanGuilder •
PERMISSION is hereby granted to
Cor. Howard St. Ext. & Sherman Ave.
OWNER of property located at Street, Road or Ave. N.)
Storage Shed tv
in the Town of Queensbury,To Construct or place a 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.
1. OWNER'S Address is 15 Union St.
Glens Falls, N.Y. 12801
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2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address
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Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address •
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6. TYPE of Construction—(Please indicate by X) tn
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(KA Wood Frame ( 1 Masonry ( 1 Steel ( )
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7. PLANS and Specifications •
No. 10' X 12' as per plot plan, letter and application En
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8. Proposed Use
Storage Shed
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 29th Day of July 19 88 m
SIGNED BY for the Town of Queensbury
a.
Building and Zonin Inspector
_lama Ol Queniuraj
BUILDING and ZONING DEPARTMENT ' •F I
Bay and Haviland Road, R.D. 1 Box 98 i'"I - l`� j 1 _
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Queensbury, New York 12801 - _ 1---'
ate- JUL �.
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1, 3 APProved ,.
1 Qu.E• Dl _ E r�EPT.•
`w3 1P ICATION FOR • d/1 t �, e-( l . _
BUILDING AND ZONING PERMIT G/'
* * . - * * * * * itit ,.* * * .* * * * * * it * itit * * * * * * it * * * it #,»
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: &//52.e4e / �, V;4-4/ L_(/C�/L.d-P - --
P.O. Address /� /J/,y10/ii 577--A.e P-_/- �Z-eo?1_s-- 'r LG S',4 /2 ' % Tel. -7 . L. ?-3
Property Location: ��/e e,i #c) 2'.�S?; Cjrj -itisio e' en- 'Tax Map No. / /
Street number or building lot number
•
Subdivision name (if applicable) .
'T1I PERSON. RESPONSIBLE F R SUPERVISION F WORK AS ARDS BU LDING ,CODES IS:
( 4-e5-a /4"// El/LC/(�le /�� /U,r/C&Le,��4LL //may/; / . '79.��.3._
Name P.O. Address Tel. No.
Name of builder i��'�J—� Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel. •
NATURE OF PROPOSED WORK: * ZONING INFORMATION: •• -
Construction of a new building * TWO PLOT PLANS 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 (Aescribe)57u2AL6C s,,4aL' * set-back dimensions from property lines. Give
niU/17-J-ritcP,L f L-ndeV9Ard Alguec✓ e/e•e * 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
* of 'septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW. •
* Size of property S Z ft X tG) ft.
* Existing building(s1Size l/„ ft X .J ft.
PROPOSED .BUILDING AND•USE: *-Existing •,uilding (s) Use ,4z 6 51v,f,1-Ce •
Size of new s ructure f6 ft X/2t . * ithet --4 12CazZ4l/v6 -
Foundation` 'slab/crawl/partial/full * Proposed building, distance from property line
�x��/<Uc��P(,�circle one) * Front yard .4 ft Rear yard FS� ft
No. of stories (habitable space) * Side yards 5 - ft and 3 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 familydwelling
Primary heating system * .
*: Two family dwelling - •
Type of fuel . * ' Multiple dwelling /Number of units
•
No. of fireplaces to be installed Permanent occupancy
Willa wood stove be installed? * Transient occupancy
Central Air conditioning? * iar�c y •
. * Business __ --_ __ _ _ _
BUILDING STYLE; PRIMARY STRUCTURE * Industrial �'& /off
Ranch Contemporary Log cabin * 7 Other ' c /et .�eQ/ CTh'41') G"L/e
If addition, what will use be?
*
Raised ranch Mansion Duplex . . . .
Split level Old style x ow *
Cape Cod Cottage Cx her * ACCESSORY BUILDING-
Colonial Row ' Town House • * Detached garage/one car/ two car/ car,
57`Gjil6e ( CIRCLE ONE PLEASE ) eq( * Attached garage/one car/ two car/ car
* * * * * * * * * * * * I * * * * * rivate storage building-,
ESTIMATED MARKET VALUE OF Other
* O• • `:7r-aZ G e y,--/e cd ;;Ae, 26 e1 /'
CONSTRUCTION $ 6 tYLY writ ei-, x/fe_ ,-e2ty (s li/e64//9Sd)
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, -TO BE COMPLETED!D
Form BPA 4/86 md- at //z/h/e,g/tve,e_ dZe//cz /v
zi°i z�� / s 7ti4/1--n*04-e /wive, 192 RT A$7)
BUILDING PEIMIT APPLICATION COIN'PINUED -
BUILDING SPECIFICATION' 1
Type of construction,_ od frame,fire safe etc. _ _�j- --- - - -
Will any second-hand or ungraded lumber be used? If so, for what? /7 v
y�, 4 re v .S'{T/Zel i/�Pa
Foundation wall material,Za5'e' LeliaiV/-504- Thickness r ?C ,? / '4.-4
Depth of foundation below ade (to bottom of footi ) �v1rj- Jade/f (Ww4/c/l e , 4'
Will there be a cellar? Heated or unheated? Floor sq. footage / 3 sq ft -,t,e,e,e-0
a Will there be a basement? /A' Will any portion be use�as living space? //76 %%
(If so, what portion? sq.ft. - - Type of use? S7-02/3 (,�' /yam;Y
`type of roof - sloped/flat/shed/other rMaterial..of roof '�L/q Jon. L 97 •5,Avcres S-b•Av -z.
Size, wood studs ,....._ "x " spacing /4 "o.c. length 7 ft. . . t
Joists(floor beaus) 1st. floor ,� "X (;. " spacing /,(', "o.c. span/O ft. • •y
Joists (floor beams) 2nd. floor "X " spacing "o.c. span , ft.
Overlays(ceiling beams) .. - "X If " spacing ,/(. "o.c. span /d ft.
Roof rafters Z. "X 1,C_-" .spacing Ilv-.o..c.--span 9 _ r-t. _ -__ _ _ - _-- - . •_--
Roof trusses(pre-engineered)A't pacing ( "o.c. span/d ft. • 73eieLef
Exterior wall finish 11/ -- 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? //4 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 �/4l�.--- •
SEPTIC SYSTEM/V 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 -- � _-- - --- - "-- _ g._,,,2,.
---- _ ---
SWORN TO BEF�'ORE ME THIS Signatu _ ?���-4� �L - •
wner owner's eyrt ercnitect,contractor
day of 19 ---- - - -- --- -- - ------ - - - - -
Notary Public, Warren County, N.Y. •
* * * * * * * * * * * •* * * *- * * * * * * * * * * * * *
SPECIAL CONDITIONS..OF THE PERMIT:
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