7718 BUILDING PERMIT
TOWN OF QUEENSBURY No. 7718
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Vera Bro.e and Leo Blair
OWNER of property located at Indiana Avenue Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alt. to trailer roof
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
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1. OWNER'S Address is
R. D. #3 Indiana Avenue o
Glens Falls, N. Y.
2. CONTRACTOR or BUILDERS Name t
John Espinos o
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3. CONTRACTOR or BUILDERS Address. a
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Henry Wescott Road
Warrensburg, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address :3
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6. TYPE of Construction—(Please indicate by X) ,b
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I )Wood Frame ( )Masonry ( 1 Steel ( ► :D
7. PLANS and Specifications
new roof on trailer per specifications and
N° application submitted.
B. Proposed Use
One-Family Dwelling (roof on trailer)
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I $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 83
19 Nr
(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.)
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Dated at the Town of Queensbury this Znd Day of February dJ3 3 0
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SIGNED BY for the Town of Queensbury
130111ding and Zoning
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TOWN OF QUEENSBURY • (Space inside block to{x• filled in by
WARREN COUNTY. NEW YORK - • • Building Inspector)
• A i Application No.
• PPlicaton for
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires.. ' • _ 19. .
' ,hint. District
X aloe of Work$ %�" '�
THREE 131 Copies of a PLOT PLAN. Drawn to scale . .\pp %cll•by
showingthe actual dimensions,of the lot to be built 'kent u•Xf t� x--r-, �� Ps [ct zn •
upon, Te exact size,. and location on the lot of the •
building to be erected or altered MUST 8E SUB- `
MITTED WITH THIS APPLICATION. • . •
2-Alas TOWN OF QUEENSBURY .
J t 7 __ II - II, ) . . .Jar .uanY. 28, . 19a3 . . . . REAMED
DATE
A PERMIT MUST BE-OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. 19 3
The undersigned hereby.applies for a permit to do the following..work . •• A.M.. •
which will be done in accordance with the description, plans and•specifi- 711C f31111F11..1 I3I4;I. 16
cations, and such special conditions as may.be indicated.on the permit. •
The owner of this property is:
Verb., Broe.and. .Leo. Blair:. RD•3• • Indiana. Ave.. West• Glen • Falls_ N.Y�
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(NA rc) no.o:ADAREds.)
The person responsible for •supervision of the work insofar as the.Buildipg:Code and the Zoning Ordinance apply is:
John Espinos Henry Wescott Road, .Warier burg,.N...X.
(NAME) • (P.O ADDRESS)
Name of Builder John Espirio$ Address • . .Same. as•above
Name of Plumber n/a Address
Name of Mason. . .n•%a Address
Lot Number 127-11-11•-.2Unit Estimated value of proposed work S 2,870..0.0
Name of Village West-Glens Falls
Name of Street Indiana.4W.0. Side af.atreet: north ' east. 0, south ❑;west ❑_
Nearest Cross Street Corinth Road Distance from this ^ross street . . . 2.00 .ft • Ft.
Property is north ig,.south El,east f ,west 0 from Cross Street.
If on Corner,which corner,northeast 0, northwest ❑, southeast C southwest
(Designate by,marking with an"X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY •
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❑ Construction of a new building. Main Building
. El Addition to a building. One-family dwelling LC
Two-family dwelling 0
®X Alteration to a building. Trailer Roof family apartment house ❑
❑ Demolition of a building.
Store building ❑
-car attached garage 0
Other: •
Accessory Building
One-car detached garage . ❑
❑ Other work. Describe. Two-car detached garage
Private chicken house 0
Private storage building 0
• 'Other: '
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names,the location and
size of the property, the location,site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
• tAilding(s) in solid 1•ine.
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Size of property ft. a ft.
Size and use of existing buildings,if any '
F I- •
i m Size of proposed building ft.x . •.• ... . . . . . ft. •
Height(from grade to ridge) . ft.
Front yard ft.
• Side yards ft. and . ft.
• ' Rear yard ft.
SOUT H If opt corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73-M •
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(cont'd.)
BUILDING SPECIFICATIONS., See Attached Roof Plan
Kind of construction: Wood frame, fire safe,etc.?. . Wood
Will any second-hand lumber be used? . .n./a If so, for what?
Material of foundation walls n/a Thickness
Depth of foundation walls below grade . .n/a Continuous foundation?
Will there be a cellar? . .n/.a If so, material of cellar floor
ysloped 5/12 wood frameing galvanized. metal_ roofing
Type of roof: Sloped or flat. Material of roof
Size,wood studs n/a "x ",spacing "o.c.,length • ft.
Size, floor beams, 1st floor .n/.a "x spacing .. , "o.c.,span ft.
" spacing o.c. an ft.
Size, floor beams,2nd floor . . n/a x ", span
Size, ceiling beams n/a "x ", spacing "o.c., span ft.
Site, roof rafters or beams 2 "x . . . . 6. . . . . . • • •", spacing 24 . . . ."o.c., span 10f t. &15f t. . ft.
Exterior finish Gables and knee walls With what material? . Texture .171 1. . . . . . . . . , • . . •
Finish of interior walls. n/a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
/a
Is there to be an opening be/t
ween garage and building? n/a •
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? n/a . Depth of chitimey foundation below grade
Height of chimney above roof n/a
Will there be a fireplace?, , Depth of fireplace hearth
Will a toilet be installed? n/a
Will a kitchen sink be installed and connected to water supply? n/a
Water supply (public water supply or pump) - n/a
Distance of cesspool from any private well n/a feet
Will drainage system be provided with required traps,cleanouts, and vents? n/a
AFFIDAVIT •
Town of Queenshury
County of Warren
State of New York
I swear that to tr, oea i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. lete statement of all proposed work to be done on the led peemn nd that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the •ro • work e lmpled_witthh,whether specified or not,
and that such work is authorized by the owner. /
Sworn to before me this Signature ....... ... ... ... '. ....... .. ..
' OWN'R. - .CONTRACTOR
day of t 19 •
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NOTARY P IC.WARREN COU TY, N.
SPECIAL CONDITIONS OF THE PERMIT:
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