8222 BUILDINC PERMIT
TOWN OF QUEENSBURY
.". No. 8 2 2 2 G
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dr. Alfred wi 7 1 Af•t rh
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OWNER of property looted at 356 Ridge Rclad Street,Road or Ave. a'
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in the Town of Queensbury,To Construct or place a Addition
at the above location in accordance to application together with plot plans and other information hereto filed and M
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. fi
1. OWNER'S Address is
356 Ridge Road
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Robert Borgersen
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3. CONTRACTOR or BUILDERS Address In
Kinds Road �
SariLtoga Springs, New York a
4. ARCHITECT'S Name M
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b. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by',X)
( )Wood Frame ( )Meaonry ( )Steel ( 1
7. PLANS and Specifications O'
enclosed porch per application submitted. rt
No. f+.
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8. Proposed Use rt
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One-Family Dwelling/office (porch) Q,
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$ 10. 00 PERMIT FEE PAID—THISPERMIT EXPIRES Jurie 1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the \,
town of Queansbury before the expiration date.) h0ii
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Dated at the Town of Queensbury this 0th Day of November 103 n
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SIGNED_ BY c r Q� for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
AIication for Application No. :
pP Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. ►g
/A,i,i„g. District
\ aloe c'l \Vicerk,f
THREE (31 Copies of a PLOT PLAN, Drawn to scale '\l'1"'c"`11 by ro��-
showing the actual dimensions of the lot to be built llcn►arKi
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
/ DATE [IA E 0 E 11 V E '
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Kb. NOV 9 1983
ANSWER ALL OF THE FOLLOWING. A.M. ie, ` t.M.
The undersigned hereby applies for a permit to do the following work 7 I£ t ;i O)1i12j112,3)41516
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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: /7'/f i-•2 f 60; //e7 -
. . . . . ..7 r: . ..kY.uJ <.-. . t . . . . . . . .'• . . . . . . . . . . �'.G. . K.i`.�l� .,.. J.-W., .oG�t Ests) F(lls�.IV�. . . . . . . . . . . . .
(NA' El
The person r sponsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
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60 cf^ /30 !^ Y` S-�& la 1. d Sq.Pct oqA. 5;"t^!lvj CV y
(NAME) y
' � (p.FJ ADD ESS)'
Name of Builder. R, o h.G 1`1- 13 0 s^y t^f e.n Address . .f l l K�f ��� fw w a f°�ft S� r e imy 5,.l1r (J
Name of Plumber Address
Name of Mason Address
Lot Number Unit ,_ Estimated value of proposed work I 3/�c-
Name of Village f ft- t^5 ��--II(s
Name of Street . . RZ.t.�4' .e 5 Side of street: north C�', east El, south 0. west 0
Nearest Cross Street v a. if� '-' Distance from this rross street l O a Ft.
Property is north ► ,south ❑,east [1,, west. ❑from Cross Street
If on Corner, which corner, northeast "❑, northwest ❑, southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Bonding
Ilii" Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
A rm Aar attached garage , ❑
Other: c'('o(r$ 0--ri c.-c-
• Accessory Building
One-car detached garage
0 Other work. Describe: et) c/o s ) 1) Two-car detached garage ❑
1 o r a 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
• R11)66 ALP - huilding(s) in solid line.
Size of property • ft. x ft.
dSize and use of existing buildings, if any
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it Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
sS 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) .
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7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.' 1.1'44) fkd41 1fC
Will any second-hand lumber be used? IV6 If so, for what2
Material of foundation walls �1 / L — Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? fVL If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size, wood studs .2-X " x la ", 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.
Site, roof rafters or beams " x ", spacing "o.c., span ft.
Exterior finish btic .vim` e' - '— With what material?
Finish of interior walls �iu1/1
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 It vvj T of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.:.pp 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 pertain' to proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. pertain'
Sworn to before me this Signature
OWNER7coniNvfs AGENT.ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBUR.Y
Building Depa.rtffient
Inspectors Rem Date / gh'`f
Name kQ' -: �.t1 !(e- rr
Locates
Permit No. '2-2- 2— `" Weather
�,�L , Remarks
it1 —po n,C. {f
Excat>a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt 4
Roofing
Siding (J
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim IIIIIIIIV
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney Water Meter Inst.
Septic Approval
Floors
Insulation Foundation Walls
Ceiling
:-\--
ui1 ng Inspector
REMARKS
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