1473 BUILDING PERMIT
TOWN OF QUEENSBURY "
No. 1473
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Guy J. Trello
OWNER of property located at MAMINXXXXMIX Ashy Pt. Road Street, Road or Ave. •
in the Town of Queensbury,To Construct or place a Car Port
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
84 Main Street
Hudson Falls, New York
2. CONTRACTOR or BUILDER'S Name
Joe Wells
3. CONTRACTOR or BUILDER'S Address
Elm Street
Hudson Falls, New York
4. ARCHITECT'S Name
Sane
5. ARCHITECT'S Address
Same
6. TYPE of Construction—(Please indicate by X)
IX)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
"°' 10'X24 ' as per plot plans submitted. �c
ro
8. Proposed Use r•t
•
Car Poet,
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$ 2.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 12-1- 19 71
(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 12 Day of October 19 71
SIGNED BY a/f for/he Town of Queensbury
Building and ping Inspector ,�,
/mac/. —4«l S',<
TOWN OF QUEENSBURY
(Space inside block to lx. filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Vl,lication
Permit Issued l'g
BUILDING AND ZONING PERMIT I I.spires ,,,
I..oiinu4 I)i'trict
\ alum of \\'orl .
THREE (3) Copies of a PLOT PLAN, Drawn to scale \l'I'r'"" In
showing the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING --J N NG WORK 1121971
ANSWER ALL OF THE FOLLOWING.
P.M.
A.M.
The undersigned hereby applies for a permit to do the following work i 11I1`LIlI2I3I4I5IG
which will be done in accordance with the description, plans and specifi- 71819 l. I b
cations, and such special conditions as may be indicated on the permit. A
The er oft 's pro rty is:
. . . . . . . Yr 9/ila.4.:,>6/ 117.
A''E) IP 0 ADDP )
The per responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME)
� ) P 0 A RE 1
Name of Builder Ii�!.E � �"� AddressE?. . :�??-L r 47
Name of Plumber Address
Name of Mason Address .
Lot Number �Unit Estimated value of proposed work$ 4 pch'°4
Name of Village
Name of Street dir i / l 'Z Side of street: north 0, east 0, south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east [ I, west 0 from Cross Street
If on Corner,which corner, northeast ❑, northwest ❑, southeast El, 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 ❑
CIAlteration 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 ❑
0 ther work. Describe: Two-car detached garage • ❑
�1I Private chicken house ❑
pC�
Private storage building Cl
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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
luilding(s) in solid line.
Size of property ie) ft. x ��' c1 ft.
Size and use of existing buildings, if any
W . Porn
m Size of proposed building U ft. x Z 4 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.,
Kind of construction: Wood frame, fire safe, etc.2
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? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs "x ", spacing "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 ", spacing "o.c., span ft.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main buialQing 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 chimney 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)
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 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 described premises and that aprovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the work 11 be plied with,whether specified or not,
and that such work is authorized by the owner. �7:-� 2-"`Sworn to before me this Signature �� `OWNER, 'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC,WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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APPP O V ED
DATED i4p -1 2 -7/
BUILDING & ZONING INSPECTOR itieR ?H
TOWN OF QUEENSBURY
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APP1ZOVED
DATED /e - i i - 7/
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