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4993 BUILDING PERMIT TOWN OF QUEENSBURY No. 4993 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Dr. Berwyn Mattison OWNER of property located at Brayton Lane Street,Road or Ave. in the Town of Queensbury,To Construct or place a . T9 cid j I 0 Y1 *7 ('+ 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 v • Lake George, New York N O 2. CONTRACTOR or BUILDER'S Name Wesley Benware • 3. CONTRACTOR or BUILDER'S Address Kattskill Bay, New York ^� > H Na) . 4. ARCHITECT'S Name c+ a) b� 5: ARCHITECT'S Address O (D H. c+ 6. TYPE of Construction—(Please indicate by X) • * )Wood Frame ( ) Masonry ( I Steel ( 1 7. PLANS and Specifications No. 5%' x 16' per plot plan, specifications and application submitted. <+ H. 8. Proposed Use - O One-Family Dwelling c-F 0 Qr • $6,Dp PERMIT FEE PAID —THIS PERMIT EXPIRES M June 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 1-" town of Queensbury before the expiration date.) C) Dated at the Town of Queensbury this 15th Day of November 19 77 SIGNED BY // ..�.4• ...� '- ' t'' 'ter,)\�,J� for the Town of Queensbury Building andZoning'Inspector AGlice sear /2 — /7— / = DatA • December 17 1981 Dr. Berwyn' Mattison R. D. #1 Lake George, New York Isx3cord!nq to ::-A2r Nc:). addition to dwelling • A Aew call )et 7 Y2qm1I ,Tny qrtc.:ot:Lono nulLuoiG Y.;3:ENT Stephen F. Lynn • • , • • • ' • TOWN OF QUEENSBURY (Space inside block to {x filled in bv WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. 1'rrnin Issued 19. . BUILDING AND ZONING PERMIT Permit Expires. . Ig. Zoning District . \ ,blue n1 work THREE (3) Copies of a PLOT PLAN, Drawn to scale \►'1"'"c'c► by showing the actual dimensions of the lot to be built 1LeiuurKf upon, The exact size, and location on the_lof of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSBURY DATE n E 0 E l �IM E D A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NOV 1 4 1977 ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A.M. P.M: ll2 1 2 3 4 5 which will be, done in accordance with the description, plans and specifi- ' ,7 1,g 1 ,g 110112)1 1 2 1 3 14 I .1 ems. . ) cations, and such spacial conditions as may be indicated on the permit. 1 , The owner of this property is:, . . . . . . . . .9 ?, . . .R. . : iz. w . t . N . . .Al .):). . 4'.Q.ju. . . . . . . . � .I `v.-)- L. ;y. . . J?1:; / V ,/. (NA`,E) / (P.O.ADDRESS) The person responsible for supervision of the work-insofar as the Building Code arid the-Zoning Ordinance apply is: (� j L_c.`/ A:- Doi'/ y )( 1-i-Ier /r 13 it (NAME) J� (P.O ADDRES) Name of Builder r'`J S ! l`/ s" Address c r Name of Plumber 1V Q .N 1=4 ' . • • Address Name of Mason ,S f1 i', . Address Lot Number Unit Estimated value of proposed work. / G 4 6c'-4i Name of Village �� = �1- �' r P 7 .. Name of Street . . . . .2.IA y Te r\f ,L /`/r Side of street: north 0, east ®, south ❑, west 0 Nearest Cross Street . .AU.G ! ••i(3•4.•Y PT-. R u n D Distance from this cross street Ft. Property is north 0,south 0,east [-I,west. 0 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 OCCUPANCY ❑ Construction of a new building. Main Building �}_ Addition to a building. . One-family dwelling Two-family dwelling ❑ ❑ Alteration to a building. -family apartment house ❑ El of a building. Store building ❑ r. . • -car attached garage 0 Other: • Accessory Building . • One-car detached garage ❑ ❑ Other work. Describe• Two-car detached garage ❑ Private chicken house ❑ Private storage building ❑ Other: ZONING SPECIFICATIONS. Fill in for new building, or.addition to existing building, or a change of occupancy. �c • • Indicate on the plot plan street names, the location and r - size of the property, the location, size and setbacks of pro- IN, J posed buildings,and the location of all existing buildings. I NORTH Show proposed building(s) in :dotted line and existing Iuilding(s) in solid line. ~� fs� ft. x % J- ft •`�� 1 Size of property , Size and use of existing buildings, if any - (cont'd.) BUILDING SPECIFICATIONS., .✓ ) ? - /vL. Kind of construction: Wood frame, fire safe, etc.?. . . . . . . 1.. . '. . . r--. ./ A. . .. . . .b..' Will any second-hand lumber be used? /V o If so, for what? Material of foundation walls ip 1).4 '' c g.. Thickness Depth of foundation walls below grade 3 ' G " Continuous foundation? . . VA'.S'. Will there be a cellar? . . . /\`. c If so, material of cellar floor Type of roof: Sloped or flat? . . ,L.c. p.a. '' Material of roof . . . . .•b 5.). J/.�.L, er:. .J.l. /./.q.,-.L,- =.r'. . _ Size,wood studs `2. "x ", spacing / L "o.c., length. . .']. C . . . ft. Size, floor beams, 1st floor Z . "x ", spacing . . . ./.✓ , "o.c., span /' ft. Size, floor beams, 2nd floor " x spacing "o.c., span ft. Size, ceiling beams 1.r. . . . . " x .Cs ", spacing / L "o.c., span / L ft. Site, roof rafters,or beams --- " x L ", spacing . . . .[ .... . . . . . ."o.c., span / (- ft. Exterior finish L., c u f? 1- v A, With what material? r\,‘ '9, i'c: iv 17" 4:- Finish of interior walls ��`{ j9 I. y L,,, ' n 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 chimney foundation below grade ---- Height of chimney above roof ^--- Will there be a fireplace? --- Depth of fireplace hearth Willa toilet be installed?. . . .r--- Will a kitchen sink be installed and connected to water supply? h/ c 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? AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tt; 1.a of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.c.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 proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. �J Sworn to before me this Signature vj/�."--(L 7 4/ ��'y" 2"�V --<---" OWNER,OWNER'S AG T.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY..N. Y. SPECIAL CONDITIONS OF THE PERMIT: 32- I 1.1.1 , /6" "4---4-----7-4/ i -7- 1NJ' i 1. , ',-- •,:i . .. 1..0 .. •_ . , --- • . • \-) .( 1 )1 I I) ;i1 • • i . • • 1 c Ell; P 1 p t tt r 1 I -11 CL , o R1_ F� CPp f7,,, a; N — — --. _ _ I G. t= zb L,. 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