8678 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8678
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Walter Dclmbek
OWNER of property located at Lot 3 Stephanie Lane Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Two—Car Attached rarraQg.
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.
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1. OWNER'SAddressis Lake George, New York rt
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2. CONTRACTOR or BUI LDERS Name �
Lee Horning
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3. CONTRACTOR or BUILDERS Addraw
8 Webster Avenue
Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address W
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B. TYPE of Construction—(Plesse indicate by X)
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( K Wood Frame ( )Masonry ( )Steel ( ► N
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7. PLANS and Specifications W
201x22' per plot plan, s
No. P specifications and application M
submitted.
8. Proposed Use
Two-Car Attached Garage
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10. 00 March 1 n
$ PERMIT FEEPAIq—THIS PERMIT EXPIRES 19 85 �
K.
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 7 th Day of August 1g 8 4 n
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SIGNED BY ¢'
for the Town of Queensbury �
Bui ing and Zoning Inspecto
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TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW. YORK • Building Inspector)
Application for Application No.
Permit Issued. I9.
BUILDING AND ZONING PERMIT Perini! Expires. ►g.
Zoning. District
• \ aluc' nl Work.$
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1"' c•cl by !�6'" -
showing the actual dimensions of the lot to be built llc'niarkr
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,C��"
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ;,�)L '{Y /1 .
ANSWER ALL OF THE FOLLOWING. a
The undersigned hereby, applies for a permit.,to do .the following work AA, /v / o '
which will be done in accordance with the description, plans and specifi- .71Milit l,1)12i1-R3I41W
cations, end such special conditions as may be indicated on the permit. f
The ow r of this, arty is: . 6 e K
4t.O> t l Ei -` . t�-i v�^ 6'i L ��1 � trO l f� t /./ iJ l 76
(NA`4E) (P.O.ADDRESS) •
The person responsible or 'supervision of the work insofar a the Building C de and the Zoning Ordinance apply is:
1�02 ,,� . . . . . . . . . . . . . .6 .. �� '.ram LG..riS. F - , s�
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(NAME)9 1P.0.ADDRESSI
Name of Builder L 6.E.. G" 02`�r. .c..., Address S/4"�`-
Name Of Plumber Address
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Name of Mason Address
Lot Number Unit Estimated value of proposed work 3 4, '2"°
Name of Village . . .C.Dc)t%i=-.I"S PC 2` ' _
Name of Street . .c f'ld//'q^rtce Aesi� Side of street: north 0, east 0, south 0. west
Nearest Cross Street CW2,.j-d j id 1?c, Q Distance from this cross street •S60 Ft.
Property is northsouth ❑,east. 17), west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. southwest
. (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY "
❑ Construction of a new building. Main Building
Zr---.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 El
Other:
Accessory Building
One-car detached garage ❑
Other work. Describe:. • . .*?• • ..... Two-car detached garage• ❑
„"�/��� 74�D ��,2 4 Private chicken house ❑
/7 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, sire and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
luilding(s) in solid line.
. Size of property l a c' ft. x G 0 ft.
Size and use of existing buildings, if any . .24 •9-2. . . •
w 2.. . . . ,.E t a k-4Ci=
s W Size of proposed building . . .a C). . . ft.x . 2-.= . . . . ft.
Height(from grade'to ridge) l ( ft.
Front yard Q-2 I ft.
Side yards 1 0 ft. and ft.
Rear yard l'-
t 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-'n .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?/ 0600
Will any second-hand lumber be used? N1.0 If so, for what7
Ltd Thickness
Material of foundation walls do -t C
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor /
�Type of roof: Sloped or flat? "`�. i'Z Material of roof
Size, wood studs "x ", spacing 24 "o.c., lengthC.9 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 1 2 ", spacing . . . :2.� "o.c., span a2o2 ft.
/
Exterior finish With what material? . . C�OI.-o.2..l.0i4
Finish of interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If gars a is to be attached, of what material is wall between garage and main budding 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 D4 j of my knowledge and belief the statements contained in this application,ttoog�eeffhheer.with the plans and specifications sub-
mitted, area true and co.a.�lete statement of all proposed work to be done on the,.described prenfises,�nd that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied 'tit whether specified or not,
and that such work is authorized by the owner. / !y..•-.--.
Sworn to before me this Signature
OWNF. rO NE SAGENT.A HITECT.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.
TEMP.# DATE
CITY OR
VILLAGE TOWNSHIP (..L .=_v ,%.L2 ' COUNTY a
STREET AND NO.OR (---
ROAD AND POLE NO. ...:I 7(-`O.--,. _` -rj,-.1= POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS I1
PREMISES LOCATED? ,-,.7 r --r_i :G'-' ."7 !,LJ-r'• ''-✓.- I .,, SECTION BLOCK s LOT
OCCUPANT'S r BUILDING 7 G_ Qiv l'`•
NAME `/'\1� - -- OCCUPANCY C-- _ -- J., OC
--f r Z. C G{.yG. ---1
OWNER'S NAME / 1i
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AND ADDRESS /L.- 1 : Z 1 -:D : Z.i.SIG,_ CI:::t=C.:,7`` r J'-.-- TEL.# / <-� CD
CURRENT .�-
SUPPLIED �`\ ,/ / f ,:' FROM THEIR (--y l --i 1/-)CL OFFICE
BY a�t! ''SC"/:y r1f t, f Ci..l r^,t r-e- �<-�
SUILDING WNEW OLD❑ IS
NEV.-a'''. ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No,of Fixtures& BRANCH
NUMBER OF OUTLETS
No. Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attach'2 H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Eaeh No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base- -
ment
1st FI. / / / / i d_.
2nd FI:
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 i-EXPOSED j GAS TUBE SIGN
OF WORK -"-CONGEALED TRANSFORMERS OF VA
WORK TO BE ���� (NUMBER) (CAPACITY)
STARTED - ?- Cr COMPLETED—, 1`�%t SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS - '
BUILDING iy;!1.1 f`,%c•,- , OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
- POSSIBLE i),. G✓- 1' G:q NEW r1 OLD
AV'�\DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PP'-- \E AND ADDRESS
/ \ I_.,^:- _ r DATE OF r-r-, .. .� ''-t':
��- - APPLICATION .--L -
\\ ( _ 1.f A—, _ !+ il.,- }' TELEPHONE# f/G'- �`>Ji 'i
` �'--- ! --,i t- Ni .--- CODE I L„- WH I EN APPLOICABLE
\CEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
h.n f--or e P. 74.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date cr/,P/rJ
Name /A}a l te,-
Location Lo r 3 _ST"e�,n�)7; e cry,
. Permit No. 0/., `7s. ' Weather
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Remarks
Excat a tion
Footing Forms r r _f ii.. 5
Footing & Piers (/,t
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
Floors
Insulation
Foundation '
Walls
Ceiling
Building Inspector
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REMARKS
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