7841 BU WING NG PERMIT
TO N OF C U E SBURY
No. 7841
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
_ Thelma Collins
OWNER of property located at Maine Avenue Street,Road or Ave. W
(roof on trailer) n
in the Town of Queensbury,To Construct or place a Jkl 4-e ation to dwelling O
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Tow ri of Queensbury Building and Zoning Ordinance.
g1
1. OWNER$address is
Maine Avenue
Glens Falls, N. Y.
2. CONTRACTOR or BUILDERS Name
Carlton A. Tucker
t�
3. CONTRACTOR or BUILDER'S Address
32 Lower Warren St.
Glens Falls, New York
4. ARCHITECT'S Name iy
M
6. ARCHITECT'S Address
6, TYPE of Construction—(Please indicate by XI
lg1 Wood Frame ( !Masonry 1 1 Steel l 1 y
7. PLANS and Specifications
roof on 101x45' trailer per application n
No. and specifications submitted.
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8. Proposed Use O ice,,
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One-Family Dwelling (new roof) c
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$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Dec. 1 1983
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the .1
i-�
town of Queensbury before the expirstion date.) F+•
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Dated at the Town of Queensbury this l0th Day of May 19 83
SIGNED BY X for the Town of Queensbury
BuAfingand-koninginspectaf
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TOWN OF QUEENSBURY (Space inside block to befilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application ``
�p Permit Issued 19.-
BUILDING AND ZONING PERMIT Permit Expires. • • 19. '
• /.oni,,;_ District
Value 4rl 11'ot'k%
THREE 131 Copies of a PLOT PLAN, Drawn to scale- . pprn ie`�.d by
showingthe actual dimensions of the lot to be built KOI LIov
upon, Te exact six., and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH.THIS APPLICATION.. '
TOWi`�t OF QUEENSBLJRY
/ oC ��` � � 5//G/85. DATE � E. V E. 0 V E 0
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A PERMIT MUST BE.OBTAINED BEFORE BEGINNING WORK MAY 1 C iQ�S�i
ANSWER ALL OF THE FOLLOWING. ro The undersigned hereby applies for a permit. to do the following.:week • . of �ti � 11 �-eI �ftl.which will be done in accordance with the description, plans and spocifi- ; I, A t.,,-iY.. :.E1- -E : ce ,. ,
cations. and such special conditions as may .bs indicated` on the permit.
The owner f this property is: 7 4 e (m.4 Co//;hs .
(NA•'E) IP.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building;Code and the Zoning.Ordinance apply is:
(NAME) �-- • (P'.O ADOPESSI'
Name of Builder at'44-"' l °' :t''--... . .. Address
Name of Plumber Address
Nettle of Mason ' Address
Lot Number Unit Estimated value of proposed work S cA 0 °a
Name of Village ." ' .' '
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Name of Street / ���' �K Side of.�street: north. 0, east. 0, sotith 0. west. ❑.
Nearest Cross Street C"-- ,(�k`'/ 4/V 4- Distance from this -Toss street Ft
Property is north 0,south 0,east SZP,west 0 from Cross Street..
If on Corner,which corner, northeast ❑, northwest 0, southeast C southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
CD Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ®"
Pi_ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. . .-family apartment house ❑
Store building ❑
-car attached garage ❑
Other: •
Accessory Building
/ ,,-� ' . One-car_detached garage ❑
0 Other work. Describe: •• Two car detached garage
Private chicken house . ❑
Private storage building ❑
• 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 buildings) in dotted line and existing .
ttuilding(s) in solid line.
Size of property G a ft. x / e) ft.
,� Size and use of existing buildings,if any ./.'"? JI...1
w '' r W Size of proposed build g /� ft.x . /�' ft. •
4.
r'-� I Height(from grade to ridge) . ft.
Front yard 3 tr ft.
I' - Side yards . . . . J.1?. . . . . . .Ilk ft. and . f O ft.
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/t'!ci;,. fiN.it Rear yard . . . .3 ft.7
ft.. .
(MUTN Opp corner,setback from side street
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc.'. . . . • • •.• • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • •
Will any second-hand lumber be used? /ti > If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade -- Continuous foundation?
Will there be a cellar? If so,tmAterial of cellar floor
Type of roof: Sloped or flat? . . ,/0p—'•4,-• . . Material of roof -K 4 ` -4,-re l f 2 X
",spacing "o.c.,length
Size,wood studs "x ft.
Size, floor beams, 1st floor "x ", spacing . . , "o.c.,span ft.
Size, floor beams, 2nd floor „ x ", spacing "o.c., span' • ft.
' ", spacing
a
Size, ceiling beams 'x "o.c., span ft.
Site, roof rafters or beams . .v?. . • ."x t ",spacing :L Y "o.c., span . ., .�P .�... . ft.
Exterior finish . . . ./'l,e•7 - / With what material?
Finish of interior walls. . . ..
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? '-
Kind of heating system -4 ? Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chitiiney foundation below grade
--
Height of chimney above roof
A '
Will there be a fireplace? —' Depth of fireplace hearth
Will a toilet be installed? -
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts, and vents? . '
AFFIDAVIT
Town of Queenshury.
County of Warren
State of New York
I swear that to tr, be T 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 described premises and that all_provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini to the p posed work shall be com ' with,whether specified or not,
end that such work is authorized by the owner.
Sworn to before me this Signature . ... .• *`�'��
OWNER.OWNERS AG NT,ARCH! E .CONTRACTOR
. ... ...... . ... ... day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT: — —_
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By
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date / '/ ,/ Y
• Name C ..c's A, 1 •
Location
. Permit No. 7 -/ Weather
<" Remarks
Excatia tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
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Waterproofing
Backfill
• Final Survey •
• Framing •
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Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves t
Wall Board
Ext. Porches
Finished Floor /
Interior Trim
Stairs & Railings /
Cellar Dr. Tile /
\\/:
Concrete Floors \`
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceiling
Bu.ffdfng Inspector
REMARKS
TOWN OF QU•EENSBURY
Building ®epurrtffient
Inspectors Report Date
Name ',0-iL/A/5
' Location � . 'A/ '- 1,4 t/
Permit No. 7 4V !Weather
/VEto Roo A-- Remarks
ExcatYa tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey t, e/ ,—
Framing /
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors 1
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundatidri
Walls
Ceiling
- ‘f4abs.‘,J
Building Inspector
REMARKS