8164 BUILDING PERMIT
TOWN OF C' UEENSQURY No. 8164
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to nan f aa1 rugrhee r G
OWNER of property located at N f- n to Street,Road or Ave.lei_.q ha—T1r iye M
in the Town of Queensbury,To Construct'pr place a Addition to dwelling (.sun roO[n) �
at the above ration 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. V
N
1. OWNER'S Address is #1
K
R.
Gleihs Falls, N. Y.
2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDERS Address z
O
Same
N.
4. ARCHITECTS Name
C
K
5. ARCHITECTS Address
C
tD
6. TYPE of Construction—(Pleas indicate by
( *Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
12 t x3 q I per specifications and application
No. submitted.
8. Proposed Use
� a
One-Family Dwellingli (sun room added) H
rt
o H.
$ 10. 00 PERMIT FEE PAI —THIS PERMIT EXPIRES May 1 19rt
_$� O
(If a longer period is required an appiicati Dn for an extension must be made to the Building and Zoning inspector of the W
town of Queensbury before the expire ion date.)
M
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Dated at the Town of Queensbury this Day of (]c tab -r 19__g3_—
�Q �.
SIGNED BY Q' ,�,� for the Town of Queensbury
Bui ing and Zoning Inspector
''';''''TOWN OF QUEENSBURY .
(Space inside block to he filled in bv
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
pip Permit Issued - 19.
BUILDING AND ZONING PERMIT Perini( Expires. 19.
. imiling District 1
. \ ;clue „1 \Work%
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1,1" "e`1 I'\•
A
showing the actual dimensions of the lot to be built R(•nm:ii $ �
upon, The exact size, and location on the lot of +he •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
.17Z S. - �0 -3 r G 1 i d l p DATE y°�'-r�` IE 0 .a 11 1'1 E I=
A PERMIT MUST BE OBTAINED BEFORE. BEGINNING WORK I.1it L)
ANSWER ALL OF THE FOLLOWING. Mr-t 11983`r-E Pt f/
The undersigned hereby applies for a permit..+o do +he following workI, E� �(}111y � i�i�lcl.lb'6
which will be done in accordance with the description,. plans and specifi- . , B. .-t �! ..I ) ,!a 10 .
cations, and such special condi+io s may be indi a d on the permit. .
The owner of this pro y is:
(NA'i.E) • (P.O.ADDRESS(
The person responsible for :su ,rvision of the work insofar as the Buildin Code and the Zoning Ordinan • lv is:
(NAME) (P.0.ADDRESS)
Name of Builder • 5--G^---`--C) Address •
Name of Plumber . - Af�-'--a. 2 Address .. .
•
Name of Mason .,..)G.,- -.— (2)— Address
Lot Number Unit Estimated value of proposed work S g,!) 6
l
Name of Village 1
Name of Street / J --,.• • • • • •—• • .D))• • • • Side of street: north. 0, east 0, south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north • ❑,south ❑-,east iii, west ❑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 _ El
Two-family dwelling El
IAlteration to a building. • -family apartment house E.
DI of a building:
Store building I ❑
-car attached garage ❑
Other:
• ;'Accessory Building,
One-car detached'garage ❑
❑ Other work. Describe: ' _- . Two-car detached garage ❑
$u Rd d 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 building(s) in dotted line and existing
• huilding(s) in solid line.' . . rc_�
. • Size of property . . ft. x ft.
• Size and use of existing buildings, if any . . .- •yG
F
h
x m Size of proposed building e- 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 .
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?.,. . .
Will any second-hand lumber be used? . . . wf so, for- hat
Material of foundation walls �c`�! Thickness
Depth of foundation walls below jode Continuous foundation?
Will there be a cellar? If so, is erial of cellar floor
Type of roof: Sloped or flat? . ... . ' . . 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 ", spacing "o.c., span ft.
Size, roof rafters or beams "x ",.spacing J . . . ."o.c., s
Exterior finish j9'4^~ With what material? . .J j crr�,
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 tt;-bda 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.l.p•lete statement of all proposed work to done.,on the described m, an 11 ions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' tlIe reposed work�ehh 11 th, ther specified or not,
and that such work is authorized by the owner. � \ ) v
Sworn to before me.this Signature �^
OWNER,OWNER'S AGENT,ARC ITECT'CN A
day of 19 '
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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•
•
•
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By
c5fivzurooct ogee, eo ljo'iation
BUILDERS & DEVELOPERS
R. D. 1, GLENS FALLS, N. Y. 12801
DANIEL R. BARBER, Pres. Tel. (518) 798-4252
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SI v ui7ooct ogee, Co/2ozation
BUILDERS & DEVELOPERS
R. D. 1, GLENS FALLS, N. Y. 12801
DANIEL R. BARBER,Pres. Tel. (518) 798-4252
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