920 BUILDING PERMIT
o
TOWN OF QUEENSBURY "
No. 920 4
WARREN COUNTY, NEW YORK F"'
La
PERMISSION is hereby granted to John Cornell o
OWNER of property located at Hall Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place an Addition to garage
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.
1. OWNER'S Address is
Hartford, New York 12838
2. CONTRACTOR or BUILDER'S Name
Same
x
m
I—,
3. CONTRACTOR or BUILDER'S Address
XI
—�— 0
W
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
Noll' X 20' as per plot plan.
8. Proposed Use
Garage Addition
2.00 November 1,
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 70
(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 25 Day of August 19 70
ZSIGNED BY p' for the Town of Queensbury
Buildi and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for :\l)plicatiun No.
Permit Issued I'r.
BUILDING AND ZONING PERMIT Permit Expires IS).
%"wing District
\ Am.uc• of \\'urk ,
THREE (31 Copies of a PLOT PLAN, Drawn to scale \►'l)"o) v(1 b
showing the actual dimensions of the lot to be built Itenuu k,
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. • •
7`11``45 f g /J7O TOWN OF QUEENSBURY
DATE
E G. U.,V
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK [A, E
ANSWER ALL OF THE FOLLOWING. i J
. * 181970
The undersigned hereby applies for a permit to do the following work
which will be done in accordance with the description, plans and specifi- A.M. P.M.
7 91 1112 2 3 4 5 6
cations, and such special conditions as may be indicated on the permit. , �, �,�,� , ,� � ,�, �, �
The owner of this roperty is:
. .11'1.A.n .i.e. .. ...Q.h.1 . .v . :'`J.4 r 1cEn. . . . vr.`ne //
(NA"E) (P.O.ADDRESS)
The person responsible for s supervision of the work insofar as the Building Code and the ZoningOrdinance apply is:
��/� Al G 6 i "e // AZA1/e �e if'7 if )/ / e'3,
(NAME) (P.O.ADDRESS)
Name of Builder '` Y Address
Name of P1t.b,,r.,_ . _____ ._, '.t. r. Address
Naliawaidditeon Address 6 f,
Lot Number - Unit Estimated value of proposed work$ a-
Name of Village
Name of StreetG �� �c cc cii Side of street: north ❑, east ❑, south ❑, west
Nearest Cross Street Per? 4-11-< 1t,p.a.r-/ Distance from this cross street . . . Y,�..,,,,:/e, Ft.
Property is north ❑,south ❑,east i.I, west N,from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK 1 ,Ct OCCUPANCY
❑ Construction of a new building. 1 Main BuiYding
❑ Addition to a building. 0 family dwelling El
Alteration to a building. o family dwelling El
El Demolition of a building �G�a -family apartment house El
d. \ -Q c6 Store building ❑
���' � car attached ara e El
\ Other:
*CI .0 Accessory Building
L�O One-car detached garage ❑
(] Other work. Describe: Two-car detached garage ❑
,9.Pp�� 7-p e 4t,e/yyb-- Private chicken house ❑
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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
buildings) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any:
Size of proposed building . . . l7. . . ft.x 2' ft.
Height (from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
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)
(cont'd.)
BUILDING SPECIFICATIONS., �f
Kind of construction: Wood frame, fire safe, etc.? � `
�0 0 +"
Will any second-hand lumber be used? If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? AI 0 If so, material of cellar floor
Type of roof: Sloped or flat? . . . 61v)-,e cf Material of roof asp/N.1f
Size, wood studs ) "x 'I ", spacing / <0 "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 "x .c ' ", spacing /6 "o.c., span . . . . . ..0 ft.
Site, roof rafters or beams e2 "x .6. ", spacing /. "o.c., span . . . . 2Q ft.
Exterior finish h Cy i, el f y With what material? W OG`
Finish of interior walls ii °''cf /fa r7 el 1 '1 J
If garage is to be attached, of what material is wall between garage and main bui.l ding to be constructed?
Is there to be an opening between garage and building?
Kind of heating system n 0 vl �._ 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? F) C Depth of fireplace hearth
Will a toilet be installed? Y S
Will a kitchen sink be installed and connected to water supply? . . . .X eS
Water supply(public water supply or pump) pia no p
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? �/.e.S
Town of Queensbury AFFIDAVIT //
County of Warren SS.
State of New York
I swear that to the best of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete 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 proposriL,ed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. d
ff,, ) ���� /,Sworn to before me this Signature owNER,W ER's AGVENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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