8719 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8719
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Sipowicz Jr.
41 Arbutus Drive 0
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (family room/garagdrt
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. b
:.
1. OVVNER'SAddressis 41 Arbutus Drive n'
Glens Falls, New York N
U
�i
2. CONTRACTOR or BUILDERS Name
Leo St. Louis
3. CONTRACTOR or BUILDER'S Address
6 7th St.
Hudson Falls, New York
n
4. ARCHITECT'S Name
G
C7
5. ARCHITECT'S Address ►i
C
(D
6. TYPE of Construction—(Please indicate by X)
i
Wood Frame ( ►Masonry ( )Steel 1 ►
7. PLANS and Specifications
141xl8t family room and 221x22' two-car
No attached garage per plot plan, specifications ,
and application submitted, tz
8. Proposed Use Fr+N
One-Family Dwelling (family room/garage added)
5. 000OPaido
$ / �a
$ 16. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 1985 N s
tD
'i (If a to period is required an application for an extension must be made to the Building and Zoning A ~longer per' eq pp n9 ng inspector of the )L N
town of O:ueensbury before the expiration date.) }t ►+-
Dated at the Town of Queensbury this 24th Day of August 1984
rt�
1 �
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector p,
1L
fi
m
7 7 c, 5
TOWN OF QUEENSBURY (Space inside block to he filled in by
WARREN COUNTY,PP Permit Issued
NEWj YORK • Building Inspector)
A
location for Application No. ; Iq
BUILDING AND ZONING PERMIT Permit Expires. I I.
"Ionitt . District
\ ;iltu "t Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1'1" "(•cl b
showing the actual dimensions` of the lot to be built Kc•mir)CS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
`, I TOWN OF QUEENSBURY
t p Cl — fl l FA 3)24 l DATE REC : IE; ���Qe !=/A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ��� 5 lyeANSWER ALL OF THE FOLLOWING. � �� •e i `fThe undersigned hereby applies for a permit•to do the following work A. � Fs��x ��)2��j��5g�which will be done in accordance with the description, plans and specifi- '71191 , . i e ,cations, end such special conditions as may be indicated on the permit. s04a 'l tiC.-
The owne> of this property is: .
. �c9 J. . .Zp.� Va\.� . J.'-. . . )/1. .Ar: .: .,�... . . .b.c,'0.c. . G let,.s 'Vc-\\S N
INA.E) IP.O.ADDRESS) I
Thsperson responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . .1 A)?s ,..P�:.... r-.. . . . . .z... .( c.1.....si,$. .0.- c.., . .6.te..�-S. . Fes.\.\s-. .GN • P
(NAME) 'IP.O.ADDRESS)
Name of Builder. . .L o ..S'4• L u \S Address .�''7 S�c ec �&sG� F�1 )S f3, J
'.\y Name Of Plumber Address
Name of Mason l \&c-k C-o-soN..._ Address I ST.Cri41=r1 c. {-1v„cQSCSV• I�ItJ U11'.
Lot Number Unit Estimated value of proposed work S 85.000
Name of Village . . . . vie, t l::3-•\�,t`lc
Name of Street ry00.-A �Q Side of street: north 0, east 0, south 0. west
L r., 1...�� `~
Nearest Cross Street 1 e Distance from this cross street �? v Ft.
Property is north ❑,south ❑,east i i, west' (C from Cross Street
If on Corner, which corner, northeast , northwest ❑, southeast D. 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 .ig
❑ 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:. . /7. .. t!. . 8. . .Form... • • • • • Two car detached garage ❑
HOC) 1 Yt. 4 02 . i ya a / Private chicken house • ❑
Private storage building ❑
l Wo Ca— 4-tta J cik--1- `\ 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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
No.EaH
Show proposed building(s) in dotted line and existing
• -. /P ,�� tluilding(s) in solid line.
Ci` U t' Size of property -<�•L, • • • ft• x ) 'S- ft.
Size and use of xisting buildings, if any
1
y . . . . o. C3-•M. y. .a s.„ L\,��
w ) t
m �m Size of proposed building . . . .��. . . ft.x . . :3 fu. • • . ft.
s
Height (from grade to rrd e) l ft.
C�
Front yard � 0 ft.
t \ Side yards ft. and ft.
Rear and 1j ft.
tiz _ 'f Y
7"!" S UT If on corner,setback from side street . . ..5O 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 �'`-� OC- r �c."''r'-e'
Will any second-hand lumber be sec? i __ If so, for what7
Material of foundation walls Thickness e (-.l
Depth of foundation walls bel v grade 4/if Continuous foundation?
Will there be a cellar? Dv(..) . IfsR material of cellar floor '
Type of roof: Sloped e.o : at? LO QL U Material of roof S h`;�� )Z5
�C.6 "" „ spacing (° l
Size,wood studs '��!-L� "o.c., length • ft.
Size, floor beams, 1st floor .C..D.?11': 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 beam
X. � " spacing 2- e� "o.c., span ft.
Exterior finish . . . .-� . �.-a-r c.— With what material?
Finish of interior walls /i /
If garage is to a attae ed, of what mat is 's wall be weep g g _anfd main bui<1Qi to cc structed?
Is there to be an opening between garage and building? O
Kind of heating system '� L T 1 L (� � Oil burner or coal?
Will a flue-lined chimney be provided? �J. . . . . Depth of chimney foundation below grade
Height of chimney above roof `
Will there be a fireplace? . . d vC/� Depth of fireplace hearth
d?
Will a toilet be installed? -Will a kitchen sink be installed and connected to water supply? . . . . NO
Water supply (public water supply or pump)
Distance of cesspool from any private well •L - feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT .ts
County of Warren
State of New York
I swear that to th bar of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a. fete 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 a propo work shall be co r•lied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before m this Signature �-�''��--F
/� p OWNER. NER'S AGE/N,��HITECT.CONTRACTOR
.3 day of I/`t 1,ti:4. `T 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 _ \ r,
VILLAGE GJ/-..t_) I�
_i G\`: TOWNSHIP {) s,?�'i--d:C Vl:n � . , .COUNTY I. A );, ', t ‘,.]
STREET AND NO.OR - \ROAD AND POLE NO. -i—) I '=, ,-- YTh•A • _ , ,'I f � POLE ND.
BETWEEN WHAT TWO �� %'., i � / .
CROSS STREETS IS
PREMISES LOCATED? 9 i ! i SECTION i BLOCK LOT
OCCUPANT'S ' BUILDING
NAME �' ' _ _ _ OCCUPANCY
OWNER'S NAME'
AND ADDRESS TEL.#
CURRENT
SUPPLIED
BY FROM THEIR OFFICE
BUILDING WORK DEFECTS
IS NEW ID- OLD El IS NEW III ADDITIONAL El REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures MOTORS HEATERS BRANCH OFFICE USE
Lamp Receptacless CIRCUITS
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Eat:h No. Each No. Gauge. INSPECTION
•
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 i % EXPOSED GAS TUBE SIGN
OF WORK - CONCEALED TRANSFORMERS OF VA
• WORK TO BE - (• NUMBER) (CAPACITY)
STARTED COMPLETED ,%h � SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING I --
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW I I OLD 1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS (/
NAME OF -,( -� •- DATE OF �k
APPLICANT "' _ �" -/7 — `'t-�f'7�'31.-�_ APPLICATION ,`i f -- 9,
STREET ADDRESS - •''. ---1./ --'-`�';!" t.% TELEPHONE# �' A 2' 2'�'
CITY OR y / ZIP V LICENSE NO. _
POST OFFICE _ .?/ •'r % // /CODE 2, 7,1 f WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE F.,4/ED FOR EACH SEPARATE BUILDING .
•
TOWN OF'QU•EENSBURY
Building Department
Inspectors Report Date `,/a 7
Location -/% 4/28c)7) ,
Permit No. ? 7 /9 Weather
Remarks
Excatia ti on
Footing Forms
Footing & Piers ,
Foundation J �✓
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
REMARKS
,!
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