8165 BUILDING PERMIT
TOWN OF QUEENSBURY
Vf ARREN COUNTY, NEW YORK No. 8165
PERMISSION is hereby granted to John Pyle ti
OWNER of property located at Mason Road, Cleverdale
Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Three Car Detached Garage
at the above.location in accordance to application t p p N
�pp together with lot tans and other information hereto filed and fD
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'SAddressis Mason Road
Cleverdale, New York 12820
2. CONTRACTOR or BUILDER'S Name
Joe Roulier
II �
3. CONTRACTOR or BUILDER'S Address N
Box 391 0
Cleverdale, New York
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4. ARCHITECT'S Name p,
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5. ARCHITECT'S Address C
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6. TYPE of Construction—(Please indicate by'X) M
(xl Wood Frame ( 1 Masonry 1 ►Steel ( ►
7. PLANS and Specifications
No.
22'x3l' per plot plan, specifications and
applicati n submitted.
(Replacing existing garage
8. Proposed Use
Three Carr Detached Garage 1-3
M
M
$ 15_ on PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 84
(If a longer period is required an applicat')n for an extension must be made to the Building and Zoning inspector of the Ft
town of Queensbury before the expirg tion date.)
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Dated at the Town of Queensbury this Day of October 1983 rt
SIGNED BY Q. for the Town of Queensbury su
Building and Zoning Inspector H
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TOWN OF QUEENSBURY
(Space inside block to 1x• filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for Application No. . •
��" Permit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. 1g.
/Awing District � )
• THREE (3) Copies of a PLOT PLAN, Drawn to scale AI'1oo �'<I I" yr`"/'/ Zj f�/�!/
showing the actual dimensions of the lot to be built Itcu,ai)( /�
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
DATE , 1 jL I r,\
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK P`a _l%� L `aLil
ANSWER ALL OF THE FOLLOWING. c�
The undersigned hereby applies for a permit to do the following work I.It/ ��
which will be done in accordance with the description, plans and specifi- 718 9110)111211 213)41516
cations, and such special conditions as may be indicated on the permit.
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The owner f this property ` t
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(ND('E) (P.O.ADDRE ��
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The person responsibi • or supervision-of the work insofar as the Building Codeand the Zoning Ordinance apply is:/
(NAME) / IP 0.ADDRESS)
Name of Builder e.— 4'- • /6-e, Address
Name of Plumber Address -
Name of Mason �,--) `. Address
Lot Number Unit y Estimated value of proposed work S 7, 5 -v-
Name of Village .&e,.-fe•</:9(C._
' Name of Street / ',5.,.•" Side of street: north 0, east 0, south 0. west
Nearest Cross Street . alk /4Z. ,7 • Distance from this cross street ' 'd` Ft.
Property is north �,south ❑,east iii, west 0 from Cross Street
If on Corner, which corner, northeast 0, 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
❑ 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 ❑
Private chicken house • ❑
Private stor e building /— ❑
Other: /: -ce-•�n� c/ ' 7'a7'
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
•
building(s) in solid line.'
,3 Size of property -`' , 0 ft. x 5/�� ft
Size and use of existing buildings, if any
t54 . . t,.- - coo Y3.f
` W Size of proposed building ft.x . . J.t • • • ft.
I. 1 Height(from grade to ridge) �. / ft.
\4.,,• Front yard ,w ft.
Side yards `4,ft. and .G3. ... . ft.
N_ — ,\ Rear yard • ds ft.
SOUTH I. If on corner,setback from side street ft..
e ` 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 constructio :--Wood frame;fire safe, c.2. . . • .
Will any second-hand lumber be used? If so, for what.'
Material of foundation walls Thickness
Depth of foundation walls be ow grade Continuous foundation?
Will there be a •liar? ° If so, material of cellar floor . . . . . . .i . . . .
Type of roof. Sloe. or flat? ` ,Material of roof
Size, wood studs • • " x �" ", spacing r "o.c., length ft.
Size, floor beams, 1st floor ) ", spacing— .....2 i "o.c., span -- ft.
Size, floor beams, 2nd floor
" x .� "'-` ", spacing . . . Y "o.c., span . . . ft.
Size, ceiling beams x ", spacing "o.c., span ft.
Size, roof rafters or beams Z " x ", spacing " "o.c., span . . . . . . . ft.
Exterior finish Ci✓ooer With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main bui.Iding 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 It bhr,r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.,.p•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 to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signal
3 OWNER. WNER'S AGENT.A ITECT,CONTRACTOR
' day of C/< / I9 0
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date 2/ram e d
Name t-X.e;
Location C ��d✓ C�� L�=
. Permit No. o'/i S" Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat •
Waterproofing
Backfill
Final Survey
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
Plhg. Fixtures
Gar. Fireproofing
Door Closers
Chimney -
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
—Ceiling * "
-;2?;
- ' ¶uirrding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Repbct ®ate
Name
Location 14G7itl / L> Ct4=a6 '.vr
' Permit No. iv Weather
`j G�1r Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
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
Plbg. Fixtures / —
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floats
•
Insulation Fotlndatib�
Walls
Ceiling
. 1(,:vjA2—eaeC)
Building Inspector
REMARKS
•
JOE ROULIER
HOME IMPROVEMENTS AND M1 .. ."""".'.7;CE BOX 301 CLEVERDALE, N. Y. 1 LS 3
(518) 656-3544
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AN•rz,ck
JOE ROULJ R
HOME IMPROVEMENTS AN.:',.) ' 4, ' .."."
BOX 301 CLEVERDALE, It .. ;::": .:.0
(518) 656-3544 /e/c.
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