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5859 - BUILDING PERMIT- . ., - TOWN OF 'QUEENSBURY No.. .5859 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Pliney Tucker OWNER of property located at "L-_.'U7—I 0 Sherman Island Road Street,Road or.Ave. in the Town of Queensbury,ToConstruct or place a-One—Family Dwelling at the above-location in accordance to application together with. plot plans and other information hereto filed and ro N 'approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ' (D 1. OWNER'S Address is - k< R. D. #2 Glens. -Falls, - N. Y. x (D 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same ' 4. ARCHITECT'S-Name 5. ARCHITECT'S Address In N 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel- ( ) ¢ O 7. PLANS and Specifications 26 'x54.18" per plot plan, specifications and application No. submitted including sewage .system and .one-car attached 8. Proposed Use One-Family Dwelling _ $5. 00 C/0 -Paid �J $ 76. 0-0 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 - 19 80 (D (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 7th at the Town of Queensbury this Day:of" '• June 19 79 - � SIGNED BY. ny 4 for the Town of Queensbury ((DD Bdflding and Zoning Inspecto F-r TOWN OF QUEENSBURY (Space inside block to he filled in b%- WARREN COUNTY, NEW YORK Building Inspecjor) Application for Application No. 1'rrmil Is,11ed BUILDING AND ZONING PERMIT I'ermil Expires. ,g ;:A,,,i„-, District THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'I"-"`ed lit_' showing the actual dimensions of the lot to be built upon, The exact size, and location on the lot of the . . . . building to a erected or altered MUST BE SUB- . . . . . . . . . . . . MITTED WITH THIS APPLICATION. DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKt ! _ ANSWER ALL OF THE_ FOLLOWING_ . A.M. P.M. The undersigned hereby applies for a permit to do the following work 7�d�9i10i11�1��1J2i3(4���$ which will be. done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. `i < The owner of this property is: --i `r. . . . /� '�. .�l.Gr.l.Sir rcJ. J "4�.C4'✓Ni4' ��%r '�/ ` l fNA"c) IP.O.ADDRESS) The person responsibie for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . . . . ln`�. `? . .si: =. �u (NAME) (PO ADDRESS) Nameof Builder. 4�,.? . . . .Address . . . . . . . . . . . . . . . . . . . ... . . ... . . . . . . . . . . . . . . . . . Name of Plumber. ��'.r f�?. ' . , . !'9.5.!`r:�!7-C..4:r.c'. . : . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason. . . .. . . . . .Address . . . . . . . . �j . . . . . Lot Number. . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work s G. Name of Village . . . . . . . . . . . . . . . . . . . . . . , Name of Street //. .�� ��� ��+...�: .�•- � . t4s?, Stde of street: north ,II, east ❑, south ❑, west ❑ Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance this rosy street . . . . . . . . . . . . . . . . . . . . Ft. Property is north ❑,south ❑,east i 1,west ❑from Cross Street If on Corner, which corner, northeast ❑, ncirthwest ❑, southeast D, -outhwest _.(Designate b_y_marking with an 'A" in the correct space.) NATURE OF PROPOSED WORK ' OCCUPANCY Construction of a new building. Main Bulling ❑ 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 L 7 C] 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. Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- N - - _ _ posed buildings,and the location of all existing buildings. Show proposed building(s)-iti dotted -line -and-existing 4pilding(s) in solid line. Size of property ft, x ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 w Size of proposed building . . . . . . ft.x Height (from grade to ridge) . . . ... ... . . . . . . . . . . . . . . ft. Front yard . . . .. . . . . . . . .. �'�. . . . . . . . . . . . ft. (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . � .�= • • • /• ` • • • • • • . • •.. . • . . . . . . . . . . . . . Willany second-hand lumber be used? . . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .� . . . . . . . . . . Material of foundation walls . . . . . j./. ;. . . . . . . . . • • • • • • • • • • • • • • • • • • • • • • Thickness . . . /��. �. . . . . . . . . . . . Depth of foundation walls below grade . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . .. ... . . . . Will there be a cellar? . . . /'e. .5• • • • . If so, material of cellar floor :. . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or at? . . /• • • . Material of roof . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size,wood studs . . • . • • • • • • •�• • . . . . . ,,x r'—/ . . . . . . . .", spacing . . . . ., ."o.c., length. . . . . . . . ft. Size, floor beams, 1st floor . . . .D . . . . . .. x . . . . . . spacing . . . . ./.cf! . . "o.c., span . . . . _ . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . . . .. x . . . . . . . . . . . . . . .", spacing . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . "x . . . . ..�_/. . . . . . . . ', spacing "o.c., span . . .j6 . . . . . . ft. Siie, roof rafters or beams . . . . . . . . . " x . . . . . . . .", spacing . . . . . . ."o.c., span . . . . . . . . . ft. Exterior finish With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls. . . ,/_r'V. -&'_9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? :.- 'Y:cam.- •�./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . - . - . - .. . . . ._-.__. . . . . . - Isthereto be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . Kind of heating system . . • '. • • • • • • , • • • • • • • Oil-burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? C�. . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . Willthere be a fireplace? . . . . . . . . . . . : . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Willa toilet be installed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will,a kitchen sink be installed and connected to water sup ly? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or,pump) . . . . . .fI ��. .�r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . 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 th anea r of my knowledge and belief the statements contained in this application,together with the plane and specifications sub- mitted,,are a true and co,,, 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 pertaini a proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Swom.to before me this Signature ....�. .. ._-9 :. J L. ..�.......�,_,. --.. c= .. — ........ ... r—. ` OWNER.Oyu ER'S AG NT.ARCHITECT`C NTWep4c,IR .. .4:......................dayof..... j.•C..Z%'.%t�......�...............19... ... ................................ .. --- - ^-NOTARY-PU B LI C,_WARREN COUNTY..N. Y. SPECIAL CONDITIONS OF THE PERMIT: riee y I l f - l Li �l II� TOWN OF UE N BU Y Building Department Inspectors Report Date Name .. Location Permit No. S"I Weather Remarks Excai ja ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Ba ckfi l l 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 I __ Water Meter Inst. Septic Approval Floors insulation Foundation Walls Ceilir2 Building Inspector REMARKS THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW YORK 12207 Date ..,c Application No.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Ft. Section Block Lot was examined on ! I> ,. and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS IR INCANDESCENT1 FLUORESCENT yAP841 AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS OIL ' H.P. GAS H.P. AMT. ,. NO. A.W.G.; .,AMT. AMP. AMT. AMPS. TRANS. AMT. H P SYSTEMS AMT- WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I: 2W 1.0 3W 3 0 3W 3,0.4W NO:OF CC.COND. A.W.G. NO. HI-LEG A•W G• NO. NEUTRALS A.W.G. EQUIP• PER!8' OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: BRANCH MANAGER Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOW OF QUEENSBURY Building Department Inspectors Report Date NameCrc, r- Location Permit No. Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey �. Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Ht . Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Mg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS 0G�G/ o TOWN OF QUEENSBURY Building- Department Ins ors Report Date Z- /g-7 1 Name Location Permit No. 5 R Sal y Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backffll _Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plb . Rough Ht . Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors lb .Fixtures Gar.Fireproofing Door Closers Chimne Water Meter Inst. e tic A proval Bu 'ng Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectora�gport. Namn u Date '� Location <A Y';'44'21 Permit No. s; P -6-cf Weather Per Cent Remarks Complete Excavation Footing Forms Footing & Piers Foundation Cement Coat ! Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer OK Rough Plbg. Rough Ht . Relief Valves Wall Board Ext.Porches Vol Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floor Plh .Fixtures Gar.Fire roofin Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS V051