8570 BUILDING,
. PERMIT
TOWN OF QUEENSBURY No. 8570
WARREN COUNTY, NEW YORK �
PERMISSION is hereby granted to Dr. and Mrs. Douglas M. Petroski
oo r ge DrIve a
OWNER of property located at Lot 10 Northwest Village Street,Road or Ave.
in the Town of Queensbury,To Construct or place a :Addition t0 dwelling (solar room) W
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the To n of Queensbury Building and Zoning Ordinance.
W
1. OWNER'SAddnm is NOlrthwest Village m
Glens Falls, New York to
2. CONTRACTOR or BUILDER'S Name
Gabriel R. .Armando m
I �
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3. CONTRACTOR or BUILDER'S Address 7C'
Northwest Village
G1 ns Falls, New York
4. ARCHITECT'S Name
I,
6. ARCHITECTS Address i (0't r
I t�
z
6. TYPE of Construction—(Please indicate by X) {�
Fi
ct
IX)Wood Frame 1 ►Masonry ( )Steel ( )
fD
m
7. PLANS and Specifications rt
101x2o' per plot plan, specifications and
No. application submitted. w
N
F,
8. Proposed Use
XQ
fD
One-Family Dwelling
$ 14. 0o PERMIT FEE PAID—THIS PERMIT EXPIRES •Tsnuiar�l 19$�_ `w w
(if a Ion 0 Q'longer period is required an application for an extension must be made to the Building and Zoning inspector of the 7-j.F,,,
town of Queensbury before the expiration date.) W rt.
Dated at the Town of Queensbury this 14 th Day of June 19 8 4 0 �
/q rt
� 0
SIGNED BY N. for the Town of Queensbury `� p,
Bui ing and Zoning 1 r t
N
tQ
TO.- ` N OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
Alication for Application No.
pp Permit Issued 19.
BUILDING AND ZONING PERMIT Expires. 19
'holing District
\ ;doe oe of \Vnrk,%
THREE (31 Copies of a PLOT PLAN, Drawn to scale •\I'1"."‘cd by M4—Z.
showing the actual dimensions of the lot to be built Itc•marKS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TORWN OF 0LfrEisigS Lmxt
9 - 3 -/o jlk';- � , ; , �'
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,JE�I 1 ,, '
ANSWER ALL OF THE FOLLOWING. AM, J •c3\S
The undersigned hereby applies for a permit to do .the following work, 71� �i jk'.1`1t
which will be done in accordance with the description, plans and specifi- m a - d c lido i„�, �
cations, and such special conditions as may be indicated on the permit. g /�I'
-
• /D O cc y l a s kh - P-el"'k-o 5 It( �°�
The owner of this property is:
. V .e .,- . �).,.�c7?� ��.1. . f W -7 -r� 02 1 -. C644 - rG�//r /Z8o/
(NA`4E •. G . . . (P.O.ADDRESS) ,
The person responsible foo •supervision'of the work insofar as the Building Code and the Zoning Ordinance apply is: -
. . nA ? .4.4i..wte '.0. ,. ./-c/7 GT'T. //�" C j. G4'r �C4r,,a//zIe/
i � � t (NAME) (P.O.ADDRESS)
Name of Builder. - /J<-/C- ... Address /a,'C-
Name of Plumber '6`4C. Address
Name of Mason /Ja//✓eZ 5CC/4(riO2<TC/1 Address 6-�� T /3ir✓i'.� w-6 C'6Uit/rA-
Lot Number /'' Unit Estimated value of proposed work 3 1 tWO'°O
Name of Village
Name of Street 4o44/O6- �/d/UGC Side of street: north 0, east 505 south ,1 . west 0
Nearest Cross Street -57bed-Vd io,ee- ,, , Distance from this cross street 2 k. — Ft.
Property is north 0,south ❑-,east X,west ❑from Cross Street .
If on Corner, which comer, 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 Building
Addition to a building. ' . One-family dwelling
❑ Alteration to a building. _ Two-family dwelling ❑
❑ Demolition of a building, -family apartment house O.
Store building ❑
-car attached garage ID
Other:
Accessory Building
One-car detached garage ❑
ID Other'work. Describe: Two car detached garage ❑
c5 /c1 Y P d d t r; Private chicken house ❑
. o ` oZ 0 I. Private storage building Ell
l x - 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 •
1Show proposed buildings) in'dotted line and existing
6'
ei/ocV/e/O6 1/�/c huilding(s) in solid line.'
Size of property.: . •
. . l/
/5— ft. x . . . . Z.-:?.• ft.
v 30X 70
Size and use of existing:buildings, if any
y1 . . ./2c-,5./44 �.. . .l/=:' � �. . . . . . . . . . . . . . .
s :IC Size of proposed building /� ft.x . . . . �?. . ft.
~,�,;' Height(from grade to ridge) ig. . . ft.
PS-it t Front yard . . 5D ft.
ZS) iti Side yards - /d ft. and ZO ft.
/1/O ,e. 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 .
(cont'd.)
BUILDING SPECIFICATIONS.,
•
Kind of construction: Wood frame, fire safe, etc.s ��� ,dkj6r
Will any second-hand lumber be used? N, If so, for what?
Material of foundation walls . . `e' /GeC4YG <� Thickness 8'
-- Depth of foundation walls below grade D Continuous foundation? .
Will there be a cellar? . . . /.ved. . . . . . . . If so, material of cellar floor
Type of roof: Sloped or flat? -5-L°,60 Material of roof .(1 J/ I6 -'C
Size,wood studs "x ?` ", spacing ../C "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 e. . " x /0 ", spacing � "o.c., span /Z. ft.
Size, roof rafters or beams ar'ffC-.YJ .•1 /efc� 5- ",.spacing "o.c., span ft.
Exterior finish . l/e - ' With what material?
Finish of interior walls 5 f2ZZJ2D
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 buildinC
Kind of heating system -5:5�A`7, lw/J/'' Gr: fl C'4; ("' Oil burner or coal?
Will a flue-lined chimney,be provided? . 1t°10/1"67. Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? b Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply? etia
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,ham,r of my knowledge and belief the statements contain in this application,together with the lane and specifications sub-
mitted, are.a true and co,,.•lete statement of all proposed work to be do eon d —bed premises and that a rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining e po or complied ,whether specified or not,
and that such work is authorized by the owner.
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 .
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILLAGE c' ,,�� etf TOWNSHIP s
GR�L-.Z'f�.•re,4"e'/P� COUNTYSTREET AND NO.OR
ROAD AND POLENO. /p 4'r/-r.>ag/e/.¢EGG—
f/�/,iL'' POLE NO.
BETWEEN WHAT TWO
CROSS EMI STREETS IS / 5.vC- /��G f
PREMISES LOCATED? ��7 Q/ .J - �v/ SECTION BLOCK LOT / t�J
OCCUPANT'S BUILDING � /AJ
NAME se1r21: , fc=17� 56l/ OCCUPANCY O, . /4/
OWNER'S NAME AND ADDRESS � 6 C,7+✓4 'tJ t A :r>r r Q 1
CURRENT / J
SUPPLIED '# .1/� 1/4//f4V/ FROM THEIR *L(affS ,,�PeL OFFICE
BY /� /'!��Fly
BUILDING WNEW❑ OLD 11!I REMODELED ❑ IS NEW
NEW ❑ ADDITIONAL REMOVED DEFECTS ❑
✓ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS
Loca •
-
tion
Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No. A W.G. NO WATTS
Wall Recept'Is EachEachGauge EACH
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK ,CA .4 /170�/ __s� CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED ,_ COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS OF SIGN
BUILDING ,,.( , !„+/C-7/ .TJ,✓J/= .
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE Wit C�e6 NEW OLD ri
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR.APPLICATION MAY BE RETURNED.
APP ICANT F / DATE OF / r
APPLICATION (,p -� / f g5/
STREET ADDRESS G//)a.t�,.:?//J e- �./(/tr-
CITY OR f yl ZIP —LICENSE NO.
POST OFFICE l-(_- a' l/ / fV j CODE,4 y /` WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QU'•EENSBURY
Building Department
Inspectors Report Date '? i i 3/$
Name Do 0 l4 s P 73^d S K j
Location "LoT' IC No rw e sT Y? II a5 idodd
Permit No. $' -7 a Weather Dhl V�.
a� /�rm a Kc�°J C°"T Remarks
Excatva tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing " oo t •
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
Floors
Insulation
Foundation
Walls
"Ceiling
•
(j7 _
• Building Inspector
REMARKS
TOWN OE'QUEENSBURY
Building Department
Inspecters Report 'Date 6, /i.` / cf
Name Oa, p L1724)A B C i'
Location 1A�7,n b a'(A .�
. Permit No. r:4/ U Weather
,Y. "X) Remarks
ExcafYa ti on
Footing Forms ✓ /4
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
::\;CC:e
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
Floors
Insulation Foundation
Walls
Ceili�ig '
Building Inspector
• REMARKS
13Y• TRN DATE 1:›—11-84 SU BJ E CT.SW—.&.2. ( .01-2. .o.t.i SHEET NO. I OF. 2,
_;
CHKD. BY DATE .1).2:ci.,MRS- D., I, P.sT.E.o.z.K.1 JO Et NO
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,, ,-e---,N- GABRIEL R. ARMANDO ,.
•;.°.-'1,.. .1,--,,,,&-: NORTHWEST VILLAGE
GLENS FALLS, NY. 12801
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DATELtA17.84 SUBJECT SP L kia N7)1241°11 SHEET NO . OF
OF e
CHKD. BY DATE DE.A../1ARSA.M.. hy,.. Wrg0 S.141. JOB No. .84.071
CGABRIEL R. ARMANDO
J NORTHWEST VILLAGE
4:•''.4.i'-. GLENS FALLS, N.Y. 12801
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