8146 BUILDING " PERMIT
TOWN OF QUEENSBURY No. 8146
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Charles Fas acht
OWNER of property located at west Mountain Road Street,Road or Ave.
in the Town of Queensbury,To Constructor place a Addition to dwelling (enclosed Porch)
at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER'S Address is R. D. #2 NN
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name W
Earl. Persons
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3. CONTRACTOR or BUILDER'S Address.
P. 0. Box 492
Warrensburg, N, Y.
4. ARCHITECT'S Name
N
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5. ARCHITECT'S Address sr
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6. TYPE of Construction—(Please indicate by X)
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IK:kWood Frame 1 )Masonry 1 )Steel ( ) a
7. PLANS and Specifications
l2 t'x24 t per plot plan", specifications and
No. application submitted.
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8. Proposed Use
"One-Family Dwelling (.porch) 0 0
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$ 14. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May l �g 84Pi
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O (D
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 6th Day of October" sg 83
SIGNED BY for the Town of Queensbury
Building and Zoning Inspacto
TOWN OF QUEENSBURY - BUILDING DFPARTMENT
R. D. #1 BAY A':D PAVILAND ROADS
GLFNS FAILS, FFV' YORK
• - Phone 792-5832
DATE:
TO: ,CQ,� /L
Our records, indicate that you were issued a building permit
number on 1W
for the construction of
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 %is so we can take your card out of the active file.
Next required inspection
For all new construction Town Law rewires 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.
OUE£NSRURY BUILDING DFPARTMENT
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
�plication for Application No. .
Permit Issued Iq
BUILDING AND ZONING PERMIT Permit Expires. Ig.
7.onin4 District
. \ Glue of Work'
THREE (3) Copies of a PLOT PLAN, Drawn to scale \I1)1o‘ec1 hy '
showing the actual dimensions of the lot to be built_ IZc•niiil')Cc
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
.1 DI 5-- :2_ -35 . (52c1- S-7: d&3.
. DATE REGEFVS U)
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK „07-0 CT, 5 � ��
ANSWER ALL OF THE FOLLOWING. �;
AM; / , d� �° �pcs
f P.M.
The undersigned hereby applies for a permit to do the following work ${{ T u1�Iz�.Q�8�4�5�G
which will be done in accordance with the description, plans and specifi- ',�!_, { , 1-- c '
cations, end such special conditions as may be indicated on the permit. .
The owner of this propert is: F4 S h ct C h.7-
� ,
--�C1:O.,-fie.S . (N . 5�:�.cST (P.O.1 AD/DRESS)
•
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. - .0.\ . . .,.. \,`. .-S7. 'P ..S 4 'e. - A ) ` -c- Y,._\J•V,.a-w.- v. . .
(NAME) , P RE
Name of Builder • , ��4-'c'S L`r •Address . v.
Name of Plumber `— Address
Name of Mason- • .R. •.G s Addres .
_
Lot Number . is s Unit • • - 3 o Estimated value of proposed work i I )'�d v a
Name of Village .C• -- --s---.c.' �
Name of Street e-`�•1 . . •y��i"`. Q".,- • Side of street: north ;gj, east ❑, south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east i i, west. ❑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
4 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:. .>( a x' ) Two-car detached garage ❑
Private chicken house El
a .s.e . . �--
Private storage building
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
- r Indicate on the plot plan street names, the location and
l 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
huilding(s) in solid line. / (/, , .-
Sizemi of property / �� ft. x ft.
Size and use of existing buildings, if any'.c ' d•
}
m Size of proposed building . . . ./ • • • ft.x =.2 '/ ft.
,-t Height (from grade to ridge) /3 ft.
1- )ee Front yard �r ,3 ?�/'V� ft.
Side yards
a 9 ft. and ,3 'yam ft.
Rear yard, 420 -r` .2 c" 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.? . `r'• �
Will any second-hand lumber be used? .... . . . . . If so, for what?
Material of foundation walls . . Thickness
Depth of foundation walls below grade . .•rg Continuous foundation?
Will there be a If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof . . .'cr \
Size,wood studs . . C. • • • "x ", spacing . . ./.6 "o.c., length V • ft.
Size, floor beams, 1st floor " x ", spacing / "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
" x 4. . . . . ."o.c., span / -. ft.
Size, ceiling beams ", spacing . . . . . . p
Size, roof rafters or beams "x ", spacing C( "o.c., span / a- ft.
Exterior finish • • . . . r" . 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 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 tl: io r 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 afl.provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' to the proposed work a be complied vOth,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .... .(j�—r. r.-.•..
NER.OW ER' ES HITECT.CONTRACTOR
day of ( 19 5-3AG
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By •
TOWN OF QUEENSBURY
Building Department
Inspectors Report ---> Date C9et7 4". / � cVr.
Name
Location �N✓! st° 4i - f ,
c.� VO'Y.-f 1t.. �„__.cam
. Permit No. e/1:4 Weather
) Remarks
Excavation
Footing Forms
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
•
Framing •
Sheathing
Roof Felt
Roofing 'V U
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board V_ sk--
Ext. Porches V. &I<,
Finished Floor ./ ,k,
Interior Trim if )1.
Stairs & RailingsV
Cellar Dr. Tile
Concrete Floors ',t G%lk.._•
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney OPC--'
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building I/ra'pector
REMARKS
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