6681 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6681
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Mohican Grange #13 0 0
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OWNER of property located at Sunnyside Road Street,Road or Ave. 0
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in the Town of Queensbury,To Construct or place a Addition to Grange Hall (entrance)
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. D
1. OWNER'S Address is R. D. #1
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Rodney Stevenson
3. CONTRACTOR or BUILDER'S Address
Star Route
Glens Falls, New York
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4. ARCHITECT'S Name N
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5. ARCHITECT'S Address N
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6. TYPE of Construction—(Please indicate by X)
1 1 Wood Frame ( ) Masonry ( 1 Steel 1 1
7. PLANS and Specifications
14 'x15' cover over rear entrance per
No. plot plan, specifications and application
submitted.
8. Proposed Use N•
Grange Hall (covered entrance added)
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$ 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 t981
(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.)
N
Dated at the Town of Queensbury this 31 Gt Day of October 19-8 0 x
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SIGNED BY for the Town of Queensbury
Buildi and Zoning Inspector
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /2—/—$d
Name C n* j
Location 'S/,
!-
Permit No. G�6 1 Weather
Remarks
Excatia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing ✓ v Wo
Backfill ✓ �� �6 [-!
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor r
Interior Trim
Stairs & Railings \\)(1
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling
)1A(Z2
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors R Date. 1/-7Rei
Name �Lie�xelc�� 2 --
Permit No. (J to(e 81 Weather
Remarks
Excalation
Footing Forms
Footing & Piers
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
Ceilin
c
Building Inspector
REMARKS
TOWN OF QUEENSBURY t (Space inside block to lie filled in b,
WARREN COUNTY. NEW YORK Building lnspectew)
Application for �''`''i`Jti N
PP Permit issued 19.
BUILDING AND ZONING PERMIT ►...rmit Expires 1q
/. 'iiinti 1N trict
%Ale►rI )Fork,j
THREE (3) Copies of a PLOT PLAN, Drawn to scale k1►1"•'"`'`1 b
showing the actual dimensions of the lot to be built k►cmai Ks
upon, The exact size. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
5 r K
I �' I _ � TOWN OF'(QUEEN SEU...
HATE L� p V E
3
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ERJ ��c.v
ANSWER ALL OF THE FOLLOWING. !OCT 3 1 198
The undersigned hereby applies for a permit to do the following work A.M. P.M;
which will be done in accordance with the description, plans and specifi-
cation:, and such special conditions as may be indicated on the permit. • • •"• •- -• -•- • -•Jt
The owner of this property is:/ , . .
l e- J.-( f C�<i/t !` v % :7 ,c;' i :}`',`.G zl e. LI— k G el c . •` .� %V
INA'E1 t 4 (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Buildij .Code an Zoning Ordinance the apply i>:,
. d . _. (NAME) 'J
)P.O. AODRE�SSt
Name of Builder. •,1,1 A .L ./ 0.6:k W. . . ---, !.: i fit X is Address ' fie^ r J t'"
Name of .... . .Plumber. . . .'i- .-•4.. Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S 3 ery
Name of Village ') `
Name of Street . • •>.i !s• •x• • 1 _ . • • • . . • • • • • Side of:�etreet: north O. east ❑ south ❑. west
r4 ✓ l i
Nearest Cross Street�l tr':Id•('Y1•�'�•� !•ct -�. • � •�`• Distance from this ^roes street �- �.
t f'1't.
Property is north (,south 0,east 5,west 0 from Cross Street.
If on Corner,which corner, northeast V, northwest I), southeast C southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building 0
14,1 Addition to a building. One-family dwelling Two-family dwelling 0
0 Alteration to a building. , • . . -family apartment house ❑
❑ Demolition of a building. Store building ❑•
. . . . -car attached garage ❑
Other:
Accessory Building
One-car detached garage 0
0 Other work. Describe. Two-car detached garage 0
Private chicken house 0
Private storage building 0
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
huilding(s) in solid line.
Size of property ft. x ' ft.
-- Size and use of existing buildings, if any-
al .. W Size of proposed building � `,- it.x �` ft.
Height(from grade to ridge) ft.
1—, ft.
Front yard -
Side yards �':. ft. and v ft.
n Rear and it.
SOUTH If on corner,setback from side street —. " ft..
Note: All distances ore 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.?. . I.if.. .t d. . . . . • „• • , • „ . . , . .
Will any second-hand lumber be used? ,a; `r If so, for what?
.� k.- ,_ _ � _ s -- Thickness
Material of foundation walls . . . :".: . f. ..
Depth of foundation walls below grade Continuos foundation?
Will there be a cellar? �-`� If so, material of cellar floor���` F �' 4 / /7 `t
Type of roof: Sloped or flats . . • ' • • Material of roof r'I
Size,wood studs x spacing99 "o.c.,length F ft.
Size, floor beams, 1st floor
"x . . . :j spacing .. , . ., . "x . . . . ."o.c.,span l_ ft.
Size, floor beams,2nd floor "x ",spacing "o.c.,span ft.
Size,ceiling beams "x - - ", spacing "o.c.,span . . . v. . . . . ft.
Sire, roof rafters or beams - "x ",spacing "o.c.,span ft.
�� L.< ✓`. -. - With what material? . .'::J:- . • 0
Exterior finish � �Finish of interior walls '-'l/ r/ /4/ �. k. � .
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 chiihney 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) V i
Distance of cesspool from any private well , feet
Will drainage system be provided with required traps,cleanouts,and vents? Jr
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr. iais t of my know,1ed`e and belief the statements contained in this application,together with the plans and specifications sub.
mitted, are a true and coa.plete statement of all proposed work to be done on the described promises and that all of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pe n to the p posed work shal be specified or not,
and that such work is authorised by the owner. /
Sworn to before me this Signature OWN' WNERS ENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
awn o ueenJ u,N IllitV l'il
1111
QUEENSBURY TOWN OFFICE BUILDING
SAY AND HAVILAND ROADS, R. D. 1
GLENS FALLS. NEW YORK, 12801
FIRE MARSHAL TELEPHONE: (518) 792-5832
1I POLICE DEPT. 793-2555
HIGHWAY DEPT. 793-7771
919ii igtHIkTIHOT(6I81L
.W.d ,W,V
TO: Mr. Russel Harris _
� ROY C]
FROM: N.W. Bodenweiser, Fire Marshal "'rteSN33[1O 40 NMOJ.
SUB: Inspection of premises on March 6, 1981
Grange Hall on Ridge Road
DATE: March 6, 1981
Addition at rear of premises is proper in accordance with Town
Fire Prevention Code, with the following exceptions :
1. Lighted exit sign must be installed on doorways leading
from main basement and first floor to new egress .
2. Lighted exit lights - one with two (2) directional
arrows would be permissible at the main exit on the
front wall in the basement, indicating exit either side.
•
cc: Steven Lynn, Building Inspector
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SETTLED 1763 . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE
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