86-017 BUILDING PERMIT
TOWN OF QUEENSBURY 86-17
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael J. Stevens
H.
OWNER of property located at Pilot Knob Road Street, Road or Ave. w
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in the Town of Queensbury,To Construct or place a Addition to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and cn
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
P. 0. Box 2202
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address N.
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Same rt
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4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications 18'x23'10" per plot plan, specifications and application
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submitted and Var. 1049 granted 1-15-86. CD H.
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8. Proposed Use N.
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One—Family Dwelling (rebuild retaining wall and add deck) °R °
4 a.
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5.00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19 86 vo
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p,
town of Queensbury before the expiration date.) CD
Dated at the Town of Queensbury this 20th Day of// January 19 86
SIGNED BY 77.4.„ �' �`'���"� for the Town of Queensbury
Building and Zoning Inspector ��
TOWN OF QUEENSBURY
H__(Spaceace inside block to Ix filled in by,
WARREN COUNTY, NEW. YORK - Building Inspector)
Application for on No. .
sued _19. .
BUILDING AND ZONING PERMIT pires. I�1.
istrict
\\'nrk$THREE (31 Copies of a PLOT PLAN, Drawn to scale •
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• . .�j� J — / �77 � TOWN OF QUEENSBURY
DATE
. CEIVE D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK `""
ANSWER ALL OF THE FOLLOWING. j 1�1� 17 :9 '
The undersigned hereby applies for a permit•to do .the following work 5-,CMG .
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which will be done in accordance with the description, plans and specifi- Alt
cations, and such special conditions as may be indicated on the permit. • , 104 11)2
13)4016
A A,The owner of this property is: - f``
tl ic-h ftQ- ...- 5 • S 1-6 v 61 J S .(J,O t Go g-a o a Gt,e w.. S. . FR L�--S. Ii!,INA•1E) (P.O.ADDRESS)
The person responsible for -supervision"of the work-insofar as the Buildingin Code and the Zoning Ordinance apply is: l
&I 1 (-Ai fy'� �S T"- U e J S PO (3 0 v 02 a-a P G L e t)S /'i`3 1--/- s /`,
(NAME) (P.O.ADDRESS) - /
Name of Builder PI► G h.9- C_ L. • .S r-�U...'`'S. . • • • • .Address C 0 6a Y as o a- G L•-.e S �t3�s fry
Name of Plumber Address
Name of Mason •5 et n'1• --e-- • Address S 6 Yh
Lot Number Unit ' • Estimated value of proposed work 3 . . O. .* -
Name of Village . . +-•A 0:e... . '.}�.e, °rz g-e,
Name of Street /��1 LOT- t1 �-b %3 Ra19" 0 Side of street: north 0, east 0, south O. west 171
Nearest Cross Street J} u 1 e- ? L. R,`1 7 Distance from this cross street . . . /d /Il t L4 Ft.
Property is north - Q,south ❑,east i 1,west. 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑; southeast 0. southwest
• (Designate by,marking with an"X" in the correct space.) .
. NATURE OF PROPOSED WORK OCCUPANCY .
❑ Construction of a new building. Main Buittl.ing
0. Addition to a building. , . . One-family dwelling ••
❑ Alteration 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 Other work. Describe- " Q4 t LI t"''7 0 Two car •detached garage ❑
2 42,-1-pf,cv,bu 1 w 4,LL_ W c r ,f, e, u., . Private chicken house • ❑
Private storage building • II
' .OtP.C-kC 8NT't? p Other: .w , h.te..G.ic d"i Tap.
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 buildings) in`dotted line and existing
• • l�uilding(s) in solid line.• . I.
_� Size of property "D ,1 .I Sp t ft. x . .a.QQ ft.
' ,e-C/ o-d C Size and use of existing buildings, if any -
Fl-m 1 L,l Ho o us e 0 t,1 e ._2 -t°U
1- Q -3 E
" 3 t'i 1;
� d `f f W- . . .1. 2.1. . . ft.x .� 3/.l d ft.
it � a Size of proposed building � ,�
`, $ Height(from grade to ridge) . . . ..� .� ft.
P Front yard �. ¢ / ft.
t c' ft. and 1• "D ft.
Side yards . . . I
Rear yard - l D • 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)
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.7 LJ c,0 0 OR m e p e c k
Will any second-hand lumber be used? . . . A.. .(,� If so for what3 -
Material of foundation walls ' !� ^'1 i O W L.1L C- I1 Thickness S5'n
Depth of foundation walls below grade T•1<3e 2 S Continuous foundation? . . .a5
Will there be a cellar? y S If so, material of cellar floor . . C.p n,c. �
Type of roof: Sloped or flat? . ... . i T. . . . . Material of roof . . . (t?.0.>3.tr3 2.2, . .9-f.l.�l� � f.3,e..,.
Size,wood studs �. "x . . . .(. ", spacing . . . . �. "o.c., length • ft.
Size, floor beams, 1st floor . . . .a " x ! �. ", spacing / G "o.c., span p / 65 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 . . . . . . 5.h e J ' With what material? .C e.O.e ✓. C by f313, -{2, S
Finish of interior walls L..., .0
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? i — 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 /. 0
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 tt• bca i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.i. lete 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.
Sworn to before me this Signature ..... v.. ...
0 NER.OW ER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By