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7918 BUILDING PERMIT TOWN OF QUEENSBURY No. 79113 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Arthur and Colleen Johnson OWNER of property located at Box 471 , pj ne-0,1 n upsd Street,Road or Ave. in the Town of Queensbury,To Construct or place a Alteration to Mobile Home (roof) at the above location in accordance to application together with plot plans and other information hereto filed and y, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. �t r* 1. OWNER'SAddress is Box 471 pinello Road K Glens Falls, New York w a 2. CONTRACTOR or 81.1I LDER'S Name (� O same N r ID M 3. CONTRACTOR or BUILDER'S Address �:l G same 0, ca 4. ARCHITECT'S Name O 5. ARCHITECT'S Address b M 6. TYPE of Construction—(Please indicate by X) 1 J F-' O (]9 Wood Frame ( )Masonry ( )steel ( 1 W O Iv 7. PLANS and Specifications W new pitched roof en existing mobile hone No. per application submitted. 8. Proposed Use Mobile Hate Dwelling 0 tr $10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Jan. 1 19 84 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ta town of Queensbury before the expiration date.) '.ti tfi Dated at the Town of Queensbury this 21st Day of June 1%3 N rt 0 O SIGNED BY for the Town of Queensbury O ilding and Zoning 1 Ff1 rt O TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW. YORK . . Building Inspector) Application for Application No. : Permit Issued - 19. BUILDING AND ZONING PERMIT 1'..'-,„it Expires. Ig. 7"nin_ District _ THREE (31 Copies of a PLOT PLAN, Drawn to scale -\I'1n-"" b`' showing the actual dimensions of the lot to be built Itc.'ttarks— r // upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. r ` H iOWN OF= QUEENSBURY /117 — /— d I DATE l�I A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK W E -U ANSWER ALL OF THE FOLLOWING. .J UN :2 0 198 • The undersigned hereby applies for a permit to do ,the following work ,s,2. G which will be done in accordance with the description, plans and specifi- A.M. P.M. cations, and such special conditions as may be indicated on the permit. 7181Q11011)12)11213141516 Y Y Y Y r r 1 1 r t Th own r of this propert G ' ohTh Ut m ° I-1AS.0 A �. .Co 1.i e e h 4 z0 Y7/ ;•AJ-t (N 4E) (P.O.ADDRESS) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: r— (NAME) IP.O.ADDRESS) Name of Builder Address Name of Plumber Address ' Name of Mason Address Lot Number Unit Estimated value))of proposed work S . . . I e , Name of Village . . .1�.�r.�.Q.)-1 S �c(.�, 5- )V/ • f.l. Name of Street j1.17./A - ,` b , y- f] Side of street: north 0, east 0, south- 0. west El Nearest Cross Street . . 'D.1' )ii . 1g C� Distance from this cross street Ft. Property is north 0,south ❑,east i i, west. 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest . (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction•of a new building. Main Building Addition to a building. One-family dwelling 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 ❑ ❑ Other work. Describe Two-car detached garage El . e ir , -,1-1 ,7�/ "cao/ �G Private chicken house ❑ Private storage building • WIi 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, size and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing • huilding(s) in solid line. Size of property • ft. x ft. t •Size and use of existing buildings, if any eJ, s m Size of proposed building ft.x ft. Height (from grade to ridge) ft. kS Front yard ft. r i. Side yards ft. and ft. ��itig: u} v Rear yard ft. SOUTH If on 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 . (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . OOP" Will any second-hand lumber be usecliii 419 If so, for what? Material of foundation walls Thickness Depth of foundation walls below grad Co9ttinuous foundation? Will there be a cellar? If so, material of cellar floor 17G .� P.0C'e; e - Type of roof: Sloped or flat? ��� C Material of roof Size, wood studs "x ", spacing "o.c., length • ft. Size, floor beams, 1st floor " x ", spacing "o.c., span ft. Size, floor beams, 2nd floor " x spacing "o.c., span ft. Size, ceiling beams . . . . . . x . .fj '', spacing 2 o.c., span /jl-� ft. Siie, roof rafters or beams /7"x , spacing "o.c., span ft. Exterior finish With what material? Finishof interior walls If garage is to be attached, of what material is wall between garage and main buiAing to be constructed? Is there to be an opening between garage and building? Kind of heating system Oil burner or coal? Will a flue-lined chimney be provided? . Depth of chimney foundation below grade Height of chimney above roof 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? Town of Queensbury AFFIDAVIT County of Warren State of New York - I swear that to th bard i of my know,Iedge and belief the statements contained in this application,together with the plane and specifications sub- mitted, area 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 pertaining tcyi e pro shall be co pl with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature nn OWNER.OWNER B G ARCHITECT.CONTRACTOR day of ‘ �4� 19..�tf._j NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • • By TOWN OF QUEE sBuR Building. Department Inspectors r..ep� Date 6'"7 -ey Name itr'yj/ L.ocati Af Ati c= .� /20 Permit No. '7 i .,1 Weather. Remarks Excavation Footing Forms • Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey / , , Framing /,,O RriAcv 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 Plbg. Fixtures ��� Gar. Fireproofing Door Closers _______ Chimney . Water Meter Inst. Se tic A roval Floors Insulation Foundation Walls Ceiling I �� 1 B61-ld1ng-Ihspector REMARKS . . . . . . . . . . . . . . . . . . . . ., . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ------ . . . ,. 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