1988-560 BUILDING PERMIT . y
TOWN OF QUEENSBURY b
No. 88-560
WARREN COUNTY, NEW YORK
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Adirondack Machine Corp. (Mark Branson)
PERMISSION is hereby granted to
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OWNER of property located at 121 Dixon Rd. Street, Road or Ave.
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. a
1. OWNER'S Address is 0
Same
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2. CONTRACTOR or BUILDER'S Name W
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Same H•
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3. CONTRACTOR or BUILDER'S Address o
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Same •
4. ARCHITECT'S Name
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5. ARCHITECT'S Address M•
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0
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( 1 Steel ( )
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7. PLANS and Specifications B
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No. N.W. end exist.building to' be razed and rebuilt on
existing foundation. Rebuilt size 16' X 25' as per
plot plan and application_
8. Proposed Use
demolition
$ 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
town of Queensbury before the expiration date.)
Dated at the Town of QueensbuJ.y^this\ 29th Day of July 19 88
SIGNED BY / for the Town of Queensbury
Building and Zoning nspector
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own U/ QUeen9Uury ,.
BUILDING and ZONING DEPARTMENT -___ _____ --- - —
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801 IF- ._ - ' -
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Approved I,` .. I�
APPLICATION FOR /j/� �.2 5 998 1 -
BUILDING AND ZONING PERMIT oL . BUILDING a CODE`DEP .
* * * * * * * * * * * * *. * * * *. * * * * * * * * . * *. * * * * * * * * * *::*
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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.
The owner of this property is: ADIRONDACK MACHINE CORPORATION •
P.O. Address 121' Dixon Road, Glens Falls, NY• 12801 Tel. 518-792-2258
Property Location: 121 Dixon Road, Glens Falls, NY 12801 Tax Map No. 95./ 1 / 6
Street number or building lot number
•
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS' REGARDS BUILDING CODES IS:
Mark E. . Branson 121 Dixon Rd, 518-792-2258
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Name 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 * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
X'XAlteration 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
RATION
PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
ATION OF STRUCTURES AFFECTED. N •W.• of water supply and location and configuration
end exist building to be razed. and, of septic disposal area.
rebuilt on existing foundation. * COMPLETE INFORMATION REQUIRED BELOW.
Rebuilt size 16' x 25'
* Size of property ft X ft.
* Existing building(s) Size ft X ft. ' •
*
PROPOSED BUILDING AND USE: *'Existing building (s) Use
Size of new structure ft X f *
Foundation-pier/slab/crawl/partial * Proposed building, distance from property line
(circle one) - *
No. of stories (habitable space) * Front yard ft Rear yard ft
Height (grade to ridge) ft. * Side yards ft and ft
If residential, no. of families * If on corner, setback from side street ft
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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 . "' p
Will a wood stove be installed? / . . , * Permanent occupancy
Transient occupancy
Central Air conditioning? * 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 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 4/86 and-vl
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GUILGIl1C 1'EId•1I'P Al'PLICn'PI011 CONTINUED - .
BUILDING SPECIFICATIONS: .
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? ,If so, -tor what?
Foundation wall.material "Thickness '
Depth, of foundation below grade (to bottom of footing) '
Will_there bo 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 orroof ,-' sloped/flat/shed%other ` . Material.:of roof
Size, wood'.studs _ "X " spacing "o.c. length ft-. - .. '
Joists(,floor beauu), 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? - .
Interior wall finish
If .a garage -is.-to-be attached, describe materials to b.: used.for FIRE. SEPARATION: •
Is there to be an opening between garage and dwelling? If so. will .a Fire-raced
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
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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 A F F I D •A V I. I •
County of Warren STATE OF NEW YORK
I swear that to the .best of 'my knowledge and belief the statements contained '
in this .application, together with the•plans and specifications submitted, area true and
complete statement of all proposed work to be doneio the described premises and that all =
provisions of the BUILDING CODE, '14tE ZONING ORDINAN L, and all other laws pertaining to
the proposed.work shall be complied with, whether ' p cified -t,..and that such work is
d authorize by the owner. ,
SWORN TO BEFORE ME,THIS • -) ' -,.. .
Signature__ • , A 6toa-).. z
. Own. , -owner's a , rc_nitect,contractor . .
.day of 19 .
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Notary Public, Warren County, N.Y. ' ' " . . . ' .
* * * * *' * * *- * *...* * * * * * * * * * * * * *• * * * * '* * * * * * * * * * * * * * * * * *.
SPECIAL CONDITIONS .:0F THE PERMIT: ' , . . • . . • . . -
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