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8127 BUILDING PERMIT .. TOWN OF QUEENSSURY No. 8127 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Anna and Robert Burns A� OWNER of property located at Ohio A n iA Street,Road or Ave. ¢+ in the Town of Queensbury,To Construct or place a A 1 t ArA a.inn to -dual i+ e) O r r.,r,•� .n," .y. t.• tr, at the above location in accordance to application together with plot plans and other information hereto filed and �i approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 4 rt t. OWNER'S Address is � 849 New Scotland Ave. M Albany, New Ylrk 12208 :3 W 2. CONTRACTOR or BUILDER'S Name John Espinos 3. CONTRACTOR or BUILDERS Address O Thurman, N. Y. 12810 w O 4. ARCHITECTS Name C AI S. ARCHITECT'S Address 6. TYPE of Construction—Misses indicate by X► ( )Wood Frame ( )Masonry ( !Steel ( ) 7. PLANS and Specifications roof on mobile home per sketch, specifications No. and application submitted, S. Proposed Use One-Family Dwelling (Mobile Hone) it M rh sa $ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES —A=il 1 19 O (If a longer period is required an application for an extension must be made to the Buildingand Zoni rtg inspector of the town of Queensbury before the expiration dew.) O rt t3. O N. Dated at the Town of Queensbury this 28th Day of September iqu I-Q' lD SIGNED BY C1 . for the Town of Queensbury Building and Zoning Inspector M TOVIN OF QUEENSBURY - BUILDING DFPARTY..ENT R. D. #1 BAY PND fAVILAND ROADS . GLFNS FALLS, FFV' YC'RK Phone 792-5832 DATE: TO: Our records indicate that you were issued a building permit number—91 .2--/ on 0i4�' Gam. for the construction of ) lo 1 Our files show that the required inspections are incomplete. If still under construction please contact this office for an extension of your building permit, or if completed please contact us so we can take your card out of the active file. Next required inspection a. For all•,new construction Town Law revuires a Certificate of Occupancy to be issued by this Department before occupancy. Noncompliance may result in legal action. To avoid further delay and possible legal action, contact this office to make arrangements to update your file. OUF.FNSAURY FUILDING DFPARTYENT TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK . _ Building Inspector) Application for Application No. . pp Permit Issued 19. . BUILDING AND ZONING PERMIT PiTinit Expires. "timing District • \ Au. of Work THREE (31 Copies of a PLOT PLAN, Drawn to scale .\i�1ru‘c•cl by / J showing the actual dimensions of the lot to be built ltc'm:i,)( upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, 'TOWN OF QUEENSBURY / a7— , i _ 7 qar,,, de3 RDATE ICGQV C D A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SEP 2 61983 , ANSWER ALL OF THE FOLLOWING. M. f j 07) (P P.M. The undersigned hereby applies for a permit to do .the following work 718I911i0111)12)1I2)314I5I6 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner of this property is: p� . T . . ./. v. .1�..). . . r . . . S�...A/j i'.Sq.a7l Jl N D U, .-!.,04.Air �`. f.N. /mil. . `T. . . J?. .:� .�! . . . . . . (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P 0.ADDRESS) Name of Builder. . .J ...t.'1.lNl it 5 P 1 N. 0 Address k N Rt 1=5-7-C 0 7 1 R, Name of Plumber Address • elf U A HA hi i\i"E,: . 1 d,.4".I 0 . . . Name of Mason Address Lot Number.5-Lf5---S-L(EPUnit Estimated value of proposed work'; . . 1. , 6, © 0 Name of Village G�.�=_.F.N•S• •9 .U R y )V Name of Street o h 1 0 1 .U Side of street: north ❑, east 0, south 0. west El Nearest Cross Street (-J Q i / i F Ifi Distance from this cross street c_ 0 0 Ft. Property is north 0,south ❑,east efr,,-west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. 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 W Alteration to a building. Two-family dwelling El ❑ Demolition of a building. -family apartment house ❑ Store building ❑ . -car attached garage ❑ Other: Accessory Building • . One-car detached garage Ei ❑ Other work. Describe Two-car •detached garage ❑ 10 U+ O n tr(o d t (e 11-5-,,�, Private chicken house ❑ 11 Private storage building Cl 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 / O ' ft. x . .62.0 ft. Size and use of existing buildings, if any 1- ,a a t a 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. 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 . (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? N 6 If so, for what? Material of foundation walls Thickness Depth of foundation walls below grade Continuous foundation? Will there be a cellar? t 0 If so, material of cellar floor Type of roof: Sloped or flat? 5 Material of roof Size, wood studs —,-- " x y ", 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( G`aGRRT7Es Z—" x ", spacing yg "o.c., span ft. Size, roof rafters of-beams 2 • ' x o'', s�acxn S 8 "o.c., span ft. Exterior finish �w Z' With whit material? Finish of interior walls If garage is to be attached, of what material is wall between garage and main bui ling 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 01 ba i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.,.plete 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 to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. C R Sworn to before me this Signature OW R OWNE'S AGENT..ARCH ECT,CONTRACTOR C� '' ..� �.� 1 ...9 �.j� day of NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: 7. 3 ,----. 3,,r.. By ^ | | | | ^ -f�-