4724 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 4724
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John P. Bruhn s
0
OWNER of property located at Ridge Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwelling (living area)
at the above location in accordance to application together with plot plans and other information hereto filed and CO
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is Star Route • 0
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Mike Manning
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3. CONTRACTOR or BUILDER'S Address tp
Hudson Falls, New York ED
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(7Q Wood Frame ( )Masonry ( 1 Steel ( ) I-0
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7. PLANS and Specifications aH
12' x 16' and 5'8" x 19' per plot plan, specifications (4-.
No.
and application submitted.
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8. Proposed Use
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One-Family Dwelling (additional living area)
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$6.00 PERMIT FEE PAID -THIS PERMIT EXPIRES January 1 19 78
(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.)
Dated at the Town of Queensbury this 21st Day of June 1977 .
SIGNED BY - C' `r_ `. i xx�� for the Town of Queensbury
Buitiing and Zoning Ins►iector E'
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
. Application for k`'1'li`ation No.
pp 1'crnut Issued 19
BUILDING AND ZONING PERMIT I'a,,,yeti Ift
Yoiiin2. District
\ al,uc „I \\'orl.It
THREE 131 Copies of a PLOT PLAN, Drawn to scale \i,l,n f\cd by
showing the actual dimensions of the lot to be built itcindi Kf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- -
MITTED WITH THIS APPLICATION,
TOE°'Yw 3F OUEENSEURY
. . . . . . . .6%-V27
BEGINNING WORK U =J
A PERMIT MUST BE OBTAINED BEFORE ;..i � .: ,.�_.�
ANSWER ALL OF THE FOLLOWING. •
``' 2 l�'f "
. � - (
The undersigned hereby applies for a permit to do the following work A.M. -- F E P.M.
which will be done in accordance with the description, plans and specifi- 7 f 810110111112)11213)41516
cations, and such special conditions as may be indicated on the permit. !
The owner of this property is:_}
(NA 4E1 ,P 0 ADDRESS)
The person responsible for supervision of the work insofar as the Budding Code and the Zoning Ordinance apply is:
: /”.e. . . . . . . . . . . . . . . . . . . . . . . . . . . .
(NAME) (P 0 ADDRESSI
Name of Builder. . . /_ I+r C Al 44-9L1/4.-'e-' Address . /4//c./Sd/u / d S
Name of Plumber. . . J4c,K. ./.-1eL3t:',0 j- .a Address ,/ ovc-. .f*/&. .,.621. doe)4-. Rcl,
Name of Mason. . . . .g>:+I. . .frr°2G-.e2‘C'�) Address . . .G)6 -% 69//t.,. . . . /1•. . - 12ci,
Lot Number UnitS t�Estimated value of proposed work S — Off
Name of Village p 6 /
ou Name of Street . . . . . t' e 411" Side of street: north 0, east 0, south ❑, west
igr
Nearest Cross Street . . . . t.0 Le 1. . tf,1• . . Rd Distance fro,,, thi:•, -ross street ` 61° epitof Ft.
Property is north 1 ,south 0,east i i,west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast C southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main BuildingConstruction of a new building. One-family dwelling X
❑ Addition to a building. ❑
Vr Alteration to a building. Two-family dwelling
-family apartment house ❑
El -f Demolition of a building. Store building n
. . . -car attached garage ❑
Other
Accessory Building
One-car detached garage ❑
❑ Other work. Describe Two-car detached garage ❑
lJ „4" 4_ . ( Private chicken house 0
�TGI�l /` Private storage building ❑
, ''e 2/ Y!/04 /51/2-E/t 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
')%.— Iuilding(s) in solid line.
.- C Size of property . . ./.3 ft. x ./'t 1 ft.
0 T Size and use of existing buildings, if any . . /�•�A'$��•
W
,s. , �10/77" 1 1 to ft.
e 'S r��6 _ ) _ `� Size of proposed building ft.x .
( "1 Height (from grade to ridge) i)-, ft.
Front yard 1 0 3 ft.
Side yards
y 3 ft. and ,2 0 t) ft.
£ / Rear yard y ft.
% SOUTH If on corner,setback from side street ft.
T Note: All distances are net, as measured from street side
' W ; t' -'z line to nearest part of building.
'J ,^ A (OVER)
)
i0 V .� J
7—?3—M 1
fh
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc?. . . . • • • • • • • • • • • • •
Will any second-hand lumber be used? 71 0 If so, for what
Material of foundation walls aajot'v7" b i c•Ki Thickness . . . . /U"
Depth of foundation walls below grade 3 `'�. `' CQ''4/ s s. . . c,c1'f!. 6 Continuous foundation? . . .ye.S . .
Will there be a cellar?c{as . it..Pr4g27. . If so, material of cellar floor . . . 13 it..).e 3}L}NL=
Type of roof: Sloped or flat? Si op e n Material of roof f i Ma;ee,9.4. . . ius/-
Size,wood studs p . "x 6 ",spacing !6 "o.c., length R. ft.
Size, floor beams, 1st floor °L "x /0 ", spacing /4 "o.c., span /7-- ft.
Size, floor beams, 2nd floor "xi ", spacing "o.c., span ft.
Size, ceiling beams
.2 "x /o ", spacing ‘ "o.c., span i 2" ft.
Size, roof rafters or beams -•2 " x �
", spacing /4 "o.c., span . c . .... . . . . ft.
Exterior finish N,atFS//4etdvue F- a 14 Pea)c= vici+Q17 With what material?
Finish of interior walls PH p:e2. . .,. . . .P.e'!.y
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 Not AJ 2 Oil burner or coal? a/
Will a flue-lined chimney be provided? lies • Depth of chimney foundation below grade XSI�:f/.'t'&.
Height of chimney above roof. . . . . . . .3. .F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? CI<S Depth of fireplace hearth
Will a toilet be installed?. .. . . . . . . . . . . . . . Ex .S
Will a kitchen sink be installed and connected to water supply? 6--k
Water supply (public water supply or pump) / ',0
Distance of cesspool from any private well 15' feet
Will drainage system be provided with required traps, cleanouts, and vents? c
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tin ise r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.plete 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 the pro sed work shall be complied with,with,whether specified or not,
and that such work is authorized by the owner. /3 G��.._-�
Sworn to before me this Signature INNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
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21 3 'i
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13 c.
By
4 7)1
TOWN OF QUEENSBURY
Building Department -7
Inspectors Report Date //l 2/! 7
Name •,..j c;/ //1J P.) /- L.//II'
Location 12l D o & /6
Permit No. 4-7 Z 4- Weather
Per Cent
Complete Remarks
Excavation �/�/l
Footing Forms e fro'
Footing & Piers
Foundation
Cement Coat rJ vL/4
Waterproofing i I
Backfill
FinalSurvey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
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
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date , /y /7 7
Name �C, 1ti h 1 u`l pi
Location 1'� a ei c_ !tor,
Permit No. Li `I `f Weather
Per Cent
Complete - Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval7/1(
t
uilding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
/
Inspectors Report D to 6: - "Y) 7, r/"
Name ,,,,/(/7 r1�4 i.,•t�
Location fi','t e t ,' e
Permit No. I ,/ ` Weather /t- ' 1
Per Cent -
Complete Remarks
Excavation x-
Footing Forms /- 1
Footing & Piers // ' J�
Foundation > .� f
Cement Coat
Waterproofing
Backfill
Final Survey
Framing .
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg. 1
Relief Valves
Wall Board .
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures /
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval PProval 7
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//44- : , /(Al
/ Building Inspector
REMARKS
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