8197 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 8197
0
PERMISSION is hereby granted to_ Comile D. •
R=Audjl S
m
OWNER of property located at Sunn S id P d
Y Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alt rat+an to dwelling (enclose porch) m
at the above location 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. G
a
I. OWNER'S Address is BOX 290 Hewitt Road
Glens Falls, New York n
2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDERS Address
Same
td
fv
4. ARCHITECTS Name ry.
O i
a
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
(xl Wood Frame ( )Masonry ( )Stool
7. PLANS and Specifications
121x8 ' enclosed porch per application and
No. specifications submitted.
8. Proposed Use FJ
One-Family Dwelling n Fj
1-i rt,
Ow
� o
$5, 00 PERMIT FEE PAID—THIS PERMIT EXPIRES _ may 1 fg 84 r
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the K
town of Queensbury before the expiration date.) (� Q+
Dated at the Town of Queensbury this 28th Day of October ig 83 M
N
N•
SIGNED BY /1'1 <<' Q. N for the Town of Queensbury
Building end Zoning I nspector
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 Permit Expires. lfl.
'lolling District
. \ aloe o1 Work I
•
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'In."'t•d It\• . r!)s'
showing the actual dimensions of the lot to be built ltt'i,(a('Kc
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 QUEF_NSBUR`t
cf5-6 — / — 62j17. />f( FS RECE 11 VE D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT 2, '1 1(3d3
•
ANSWER ALL OF THE FOLLOWING. A. S'Dr'3 Y I-0e P.M.
m a i ls 1- 7
The undersigned•hereby applies for a permit. to do the following work 1 ! I i 11) 22)33)4s, •5 16
which will be done in accordance with the .description, plans and specifi- m
cations, and such special conditions as may be, indicated on the permit. .
The owner of this property is: . •
a e n,/e ✓2- . e ic),9 v czi s if {�cr X oZ 9a /dew<G`f 2.,E9
(NA`4E) (P.O.ADDRESS) '
The person responsible for :supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
•
(NAME) (P.O.ADDRESS) / •
Name of Builder O e rn i/e_ �2 N/9 v c • Address 1 ' s 7� leo�}cl 34,x�rrGg�c!
Name of Plumber . /V. Address •
Narne of Mason N Address _
• Lot Number Unit " Estimated value of proposed work I Ot.7 co°• o e.
Name of Village
Name of Street .£."15 f 2AAt Side of street: north 0, east 0, south 0. west g.
Nearest Cross Street Distance from this cross street Ft.
•
Property is north ❑,south ❑,east 'i i, west: 0 from Cross Street •
If on Corner, which corner, northeast '❑, northwest • ❑, southeast LII. 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
IS Alteration to a building. Two-family dwelling CI
❑ Demolition of a building. ,-family apartment house ❑
Store building • ❑
• -car attached garage ❑
• Other:
Accessory Building
.. One-car detached garage LI
® Other work. Describe- Two car detached garage ❑
Q L.es e J //tJ 1"o✓tGIi 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
. I3uilding(s) in solid line.
,
IT0 Size of property ./� /00 ft. x ft.
2 �l.ufi4t
tQ��a�-, �Oi�' s Size and use of existing buildings, if any
in in
2,0 t----ZIP: W• Size of proposed building . . /.�. • . . ft.x . . . X . . . . . ft.
I. •- Height(from grade to ridge) /0 ft.
201 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-TM1 •
(cont'd.)
BUILDING SPECIFICATIONS., .
Kind of construction: Wood frame, fire safe, etc.' co 0 o c1 Fr, -n.z
Will any second-hand lumber be used? do If so, for what'
Material of foundation walls ae,A°�"''r 46oalcS. Thickness 8"
Depth of foundation walls below grade e ' " Continuous foundation?
Will there be a cellar? N(119 If so, material of cellar floor
Type of roof: Sloped or flat? S 2 o p' Material of roof
Size,wood studs 4 "x L/ ", spacing . . . . /C. "o.c., length • ft.
Size, floor beams, 1st floor a. " x G ", spacing / a' "o.c., span . . . . 153 ft.
Size, floor beams, 2nd floor '' 'g- " x ", spacing 6 "o.c., span ft.
02 " x ci , spacing p
Size, ceiling beams "o.c., span g ft.
Size, roof rafters or beams c- "x 6 ", spacing /6 "o.c., span /0 ft.
Exterior finish S44'1.._73 With what material?
Finish of interior walls .h cG'F 12-0,c4
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? Ai
Kind of heating system !tea--A..,e_, Oil burner or coal?
Will a flue-lined chimney be provided? A'° "c' . Depth of chimney foundation below grade
Height of chimney above roof wa i"
Will there be a fireplace? it,a'E- Depth of fireplace hearth
Will a toilet be installed? - >i)m''c
Will a kitchen sink be installed and connected to water supply? N 0 J7e.
Water supply (public water supply or pump) /' '-- -
Distance of cesspool from any private well . . . .Ayi.e. feet
Will drainage system be provided with required traps, cleanouts, and vents? #0/'4-
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York
I swear that to tt vas j of my know,Iedge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.,.j lete statement of all proposed work to be done on the described premises a that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work call com tied with,whether specifi or not,
and that such work is authorized by the owner. { fP
Sworn to before me this Signature
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
TOWN OF QUEENSBURY
Building Department
inspectors Report Date 1ii ti/?f
Name 14.-U ,
Location �-! 5 / 2� 5-iii u Ir ram' )
Permit No. `Ti 7 Weather
F1 W 4-c T 5 P Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding 1/ OA
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board ✓ OK
Ext. Porches
Finished Floor V
Interior Trim ✓ &/-
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floor
Insulation Foundation
Walls
Ceiling
aco
Building/./nnspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors RTmt Date I/ 'lc' 3
Nauae ;
Location • ,
Permit No. y r q-7 Weather
Remarks
Exca$ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey f� Li
Framing / /r, •
Sheathing V
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. \\I
7
Relief Valves
Wall Board
Ext. Porches \
Finished Floor
Interior Trim \
Stairs & Railings V
Cellar Dr. Tile
Concrete Floors 7`
Plbg. Fixtures \,
r
Gar. Fireproofing //
Door Closers
Chimney /
Water Meter Inst. 0
Septic Approval
Floors
Foundation
Insulation Walls
'Ceiling
S:e:)1
B ilding(_ns ector
dal
REMARKS
e
I I
Y
rl
\\\\:\x„
•
ii