85-308 . _.. : BUILDING PERMIT
TOWN OF QUEENSBURY 85-308
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Leonard Dumoulin
OWNER of property located at Moon Hill Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (sun porch/carport)
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. 0
I�
1. OWNER'S Address is RR #1
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Same
0
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
0
•
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
14'x4 0' per plot plan, specifications and application �,¢
No• submitted. m
• ct
W
8. Proposed Use Fd 0
One-Family Dwelling (sun porch and carport
added) 0 rt'
• 0
SD
o
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 86
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the P) (D
town of Queensbury before the expiration date.) N �,
fr00
Dated at the Town of Queensbury this 24th Day of June 19 85 • N
SIGNED BY /�l �' for the Town of Queensbury v�p
Building and Zoning Inspecto04
F—'
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TOWN OF QUEENSBURY - BUILDING DEPARTMENT
R. D. #1 BAY AND RAVILAND ROADS
GLENS FALLS, NEW YORK
Phone 792-5832
DATE: March 14, 1986
TO: Leonard Dumoulin
RR #1
Ihke George, New York 12845
Our records indicate tat you were issued a building permit number 85-308
on June 24, 1985 for the construction of
addition to dwelling (sun porch/carport)
Our files show that the required inspections are incomplete. If still under
construction please contact this office for an extension of your building permit,
or if completed please contact us so we can take your card out of the active file.
The next required inspection final
FOR ALL NEW CONSTRUCTION TOWN LAq required a Certificate of Occupancy to be
isued by this Department before occupancy. Noncompliance may result in legal
action.
To avoid further delay and possible legal action, contact this office to
make arrangements to update your file.
QUEENSBURY BUILDING DEPARTMENT
•
(Z)Xen h/f
Asst. Building Inspector
TOWN- OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for 'l'1'luation
Permit issued 19.
BUILDING AND ZONING PERMIT ►'ermit Expires i) . 0
Zoning District
THREE (31 Copies of a PLOT PLAN, Drawn to scale \plumed 1"' /14'44
showing the actual dimensions of the lot to be built kcu,i;II Kr.
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
/ et /f TOWN OF QUEENSBURY
DATE ER E EF llIf t
0A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. '-I(-{i', 1 $.c( �s
i
The undersigned hereby applies for a permit to do the following work A.M; /°'W ' P.M.
which will be done in accordance with the description, plans and specifi- 718191101111141.1213}41516
cations, and such special conditions as may be indicated on the permit. ` ' '" ° ` ` ° °
i
The owner of this property is: f.
INA AE IP O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0 ADDRESS)
Name of Builder $ -e.. I c Address Name of Plumber if) . .. (,�,, Address . . . ."I. .....r . .1 . . . • . . • • . _ •
Name of Mason. N 41)r Address
Lot Number.t e...-3..-4 I Unit Estimated value of proposed work$ . ./. 7.0. .0
Name of Village t t-ce-'4-in L..jr c Y
Name of Street . ./Y1 D Q .A. • 14 t •f t• • •t . . Side of street: north 0, east 0, south la. west 0
Nearest Cross Street . . . $ `�. a, Distance from this Bross street 4 6 4 G Ft.
Property is north 0,south ❑,east i 1, west ii from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
K Addition to a building. One-family dwelling
74,
❑ Alteration to a building. Two-family dwelling El
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage Ei
Other work. Describe:. .'•LI./.4,l• • • •Pa .IR•G•J Two-car detached garage ❑
Private chicken house fill
Private storage building ❑
Other: /kr.a Po R
I.
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
il.00t'v -E-i L 4- 4 huilding(s) in solid line.
k` Size of property q 7 ft. x . /•, ., , • ft
Ili 0 Size and use of existing buildings, if any
F
41 J/�'T// <
m Size of proposed building . . . . • • /•7. ft.x "/ ° ft.
Height (from grade to ridge) ft.
iiiill
Front yard ft.
-I : Side yards ft. and ft.
i ft.
Rear yard
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—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . • . . . . . . • • • . • . . .. . . • • . . . . . . . . . . . . . . . . . . . •
Will any second-hand lumber be used? ' J If so, for what?
Material of foundation walls . . . . C_CA C Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? /V 0 If so, material of cellar floor
Type of roof: Sloped or flat? . . i`ti• •'?-�• • • • Material of roof P. 1. `-e-)
Size,wood studs " x ', spacing /C ' "o.c., length. . . . . . . fC
Size, floor beams, 1st floor x ", spacing . / :. . . ."o.c., span . . . ft.
Size, floor beams, 2nd floor (71" x ", spacing �.0 "o.c., span . . . . . . . . . . ft.
Size, ceiling beams._ .?2-"x 4 spacing / "o.c., span ft.
Size, roof rafters or beams "x 4* ", spacing J� "o.c., span ft.
Exterior finish . . With what material?
Finish of interior walls. . ./t!D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 . . . . . .N.o.N 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? N 0 Depth of fireplace hearth
Will a toilet be installed? A) 6
Will a kitchen sink be installed and connected to water supply? ' B
Water supply(public water supply or pump) J3�
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 to 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.i. lete statement of all proposed work to be done on the described premises and that a provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall complied with,whether specified or not,
and that such work is authorized by the owner. t'
Sworn to before me this Signature
OWN OW 'S A ,A C .CON RACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date I jJ
Name puMkOULi.h
Location .M ocsu L' -Lc(- rz,
Permit No. S-3 0 " Weather
r/a r va ober,o,us To ()Arep Remarks
Excavation
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. 1::;//:\\\\‘
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Buildi g Inspector
REMARKS
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