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6289
BUILDING PERMIT TOWN OF QUEENSBURY No. 6289 WARREN COUNTY, NEW YORK V n rr PERMISSION is hereby granted to Robert Lilly N. N OWNER of property located at Lot 10 Sherman Island Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Car Attached Garage 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 R. D. #2 ' Glens Falls, N.Y. 2. CONTRACTOR or BUI LDER'S Name Pliney Tucker o . rt N 3. CONTRACTOR or BUILDER'S Address O R. D. #2 Glens Falls, N. Y. 4. ARCHITECT'S Name H I--' 5. ARCHITECT'S Address ti �L :d O 6. TYPE of Construction—(Please indicate by X) (A Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. (D per application submitted. o m I n 8. Proposed Use h One-Car attached garage for One-Family Dwelling >1 rt rt w $ 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 1980 _ R� (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.) A) ri a Dated at the Town of Queensbury this 16th Day of April 1980 _J m SIGNED BY A'6g-L �`C!� " J'l) `�9� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY ) (Space inside block to Ix- filled in by WARREN COUNTY. NEW YORK Building Insfx-cu►r) Application for r APPlication No. Permit lsmied 19. . BUILDING AND ZONING PERMIT l:xpirc�- ICJ. . District Vahle nl THREE (3) Copies of a PLOT PLAN, Drawn to scale. \pp1-q vd In showing the"actual dimensions of the lot to be built Id(.m:u-�' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 10 / TOWN OF QUEENSELJ" DATE E Q A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK D ANSWER ALL OF THE FOLLOWING. APR 161980,E The undersigned hereby applies for a permit, to do the following..wodc A.M. � PM. which will be done in accordance with the description, plans and specifi 71 8 1 9 i10)11112�112'3 4 5 6 e ■ ■ e ■ ■ ■ ■ ■ , e cations, and such tpecial conditions:as may .be indicated on the ,permit. . The owner of this property . . . . . .��. . . . -.�!ls? /J �•�- r ,st �s<< I �- L (NA:lE) . . . . .� •a. (P.O.ADDRESS) The person responsibie for supervision of the work insofar as the Buildi;)g;Code and the Zoning Ordinance apply is: / . . . . . . .�. .1,/.co.� � ��-.c�,e.•.�. .l�s ./�.�.z: .1�f t.?j s.ro�; �c�,-. �?G�?�.J�>`:�l�P:•�U.�l�?�'� (NAME) IP.O AODRESSi Name of Builder. . . . . .. e-r. S. 4�� ! . . . . .Address— . . . . . . . . . . . . . . Name of Plumber. . . . . . . . . . . . . . . . . . . . . . . . . . . ,address . . . . ... . ... . . . . . . Name of Mason. . . . . . . . .v1't . �9 s/ �!.�. . . . .Addrem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . :. . . Lot Number. . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work$ A.S� �? . Name,of,Village . . . . . . . . . . . . . . . . . Name of Street . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . 54de of.etreet: north ❑, east• ❑, south ❑. west ❑ Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . Distance from this -ross street . . . . . . . :. . . . . . . . . . . . Ft. Property is nirth 0,south ❑,east i,,west ❑from Cross Street If on Corner,which corner,northeast ❑, northwest ❑, southeast C rouhwest (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 ❑ ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. . • • . . . .-family apartment house 13 . Store building ❑ f'. . .-car attached garage Other: . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car.detached garage . Cl `� 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,site and setbacks of pro- WORTH posed buildings,and the location of all existing buildings. Show Oroposed building(s) in dotted line and existing l;uilding(s).in solid line. Size of property . . . . . . . . . . . . . . ft.' x . . . . . . . . . . . . ft. Size and use of existing buildings,if any.. . . . . . . . . . . . . . N - N . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . . . . . . . . . . . . . . . . W t W . . .-Z �h.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.?. . . . . . . ., �` r. . . . . . . . . . . . . . . . . . . . . . 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 . . . ./.,b. . . . . . ."o.C., length. . .t . .... . . . . ft. Size, floor beams, Ist 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. Siie, roof rafters or beams . . .v- . . . "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 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 chiitu 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 Queenshury � AFFIDAVIT County of Warren State of New York I swear that to It; b r,Iof my knowledge and belief the atatements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,. lets statement of all proposed work,to be done on the described prerutses and that an provisions of the'BUILD- ING CODE,THE ZONINORDINANCE,and all other laws pertaining to the proposed work @hall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ....... ��'! r�rt .. . .j."-�—��c -� OWNER.OWNE S AGENT.ARCHITECT.CONTRACTOR ....... . . .. . ... ... .. ........day of..................................................19........ . ................. .................... NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: