1985-124 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 124
` WARREN COUNTY, NEW PORK
James riper ,p
PERMISSION is hereby granted to to
�[ � Meadowbrook Road street. Road or Ave. kid
OWNER of property located at +�-''"'
r-
in the Town of Queensbury. To Construct or place a
Addition to dwelling { enclosed poX ch} ro
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 143 Meadowbr ook Road
Glebs Fallsr NeW York
w
2. CONTRACTOR or SUI LDER'S Name
same
W
S�+
a
3_ CONTRACTOR or BUILDERS Address ,
ti
same 00
x
4. ARCHITECT'S Nanw
0+
5. ARCHITECTS Address
6. TYPE Of Construction — (PI�ss indicate by x)
(X) wood Frame ( ) Masonry ( ) SteelPi
( ) ^^ y
7. PLANS and Specifications
10 r x15 ' per plat plan , spec if 31 3.ons and 0 �.
No. t,�
application submitted - is5..�.
rt
*+� 0
a. Proposed Use
One-Family dwelling ( enclosed parch added ) n O
t:rro
November in 19 $
$ 10 . 00
PERMIT FEE PAID — THIS PERMIT EXPIRES
(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 axpi rat ion date.)
Dated at the Town of Oueensbury this
16 t lz Day of April 1 g 8 5
for the Town of Clueensbury
SIGNED By Building and Zoning Inspector
TOWN OF +QUEENSBURY (,Space inside block to he filled in b%
Building insfres•lorl
WARREN t;OUN'TI NEW YORK \I ,plsx' lti<1!i No.
Application for 1'cl-1110 s!,rIru(A
Bllllf)lNG AND ZQNINf? PERMIT /, ,Ilell 1)i. lriel "
\ ;bile• e +l \\'( .1•l• I
THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale 11c0I11.lo. c .
showin the actual dimen sizes andsions of the lot to be built
t of the
bildl to re beerected or Q altered cation o MUST n the IoBE SUB-
MITTED WITH THIS APPLICATION., Tc:rlVN OF QUEENSSURY
_ _ . . . nAir
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK rlr }' •7-e '1 -
ANSWER ALL OF THE FOLLOWING. r/� pppp /4�1t1 �+y�++411213141516
The undersigned hereby applies for a permit to do the following work
which will be clone in accordance with the description. plans and specifi-
cations. and such special conditions as may be indicated on the permit.
The ow t is property
ff)�,� frryi,I�' .C. _ !� ' 1. rr�''' E!F'-' . ?r)1�. . . ! .
. �� �- .�„l'1!'T•�b�. . - IP O. AD4RESSI
fN A`A E1
pervision of the work insofar as the Building Code and the Zoning Ordinance afaply is.-
The person responsible for su
{P oAor ,4pi7R£55} .
Address , . . . . .
Name of Builder , . -
- . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . .
Nanie of Mason . . . . . . . . . . . . . . . . . . . . . . . . .
Estimated value of proposed
work S -
Lot Number . . - . . . . Unit . . . . . ro
Pp°'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Naive of V+Hage . , C G K 5
C7 . west
. Side of street. north ❑ , east �routh
Name of Street . . r''/��hdoe, 2 '+7d!�. . '¢ . . . . . . . . . . . . . f�
Nearest Cross Street
[, :fO, �� . . . . . . Distance from this gross street Y�
Property is north , south ❑ , east i . west ❑ from Cross Street
If on Corner, which corner, northeast ❑ . northwest ❑ , southeast ❑ . southwest
(Designate by marking with an "X" in the correct space.)
OCCUPANCY
NATURE OF PROPOSED WORK main Btsslding
Construction of a new building. O"e-family dwelling
Addition to a building. Two-family dwelling
Alteration to a building. -family apartment house
0 Demolition of a building. Store building
- , , . . - . . -car attached garage
Other: �
Accessory Building
. . . - . . . One-car detached garage �
• • . . . • Two-car detached garage
❑ Other work. Describe: . . • • • - • Private chicken house
. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . Private storage bidding
Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
of occupancy.
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building. or a change
Indicate on the plot plan street nerves, the location and
size of the propertyt the location, size and setbacks of Pro-
posed buildings, and the locatst dotted line existing buildings.
NORTH Show proposed building(:)
lyuilding(s} in solid line.
/ .00 . . . . . ft. x . . , �?3. � . . . ft.
Size of property • "
Size and use of existing buildings, if any . . . . . . . . . . .
20 AP,
w m size of proposed building . . . . 'c' . . . ft. is . . . . . . ft.
e ft.
Height (from grade to ridge) . . . • • . .
411 . ft.
Front yard . . . . . . . . . . . . . . .
Side yards
ft. and . . . . . . . . . . . . . . . ft.
ft.
Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. .
sov r rr If on corner, setback from side street . • . . . . ,
Nate: All distances are net, as measured from street side
line to nearest part of building.
(qV ER1
(cont'd. )
BUILDING SPECIFICATIONS.,
Kind of construction : Wood frame, fire safe, etc.? . . . . &?o'.al - �
Will any second-hand lumber be used? . . . .eP<< . . . . . . . If so, for what? . . . . . . . . . . . . . ��
Material of foundation walls . . , . , - CG' ''7t�. . . . . . - Thickness . . . S ' _ . . .
. . _ . - - . . .
Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . , . . .
Will there be a iG'.+?. . . . . . . . If so, material of cellar floor .
T of rao£ Slo a ar flat.
YPe p . . . , Ma rial of roof . . . .Ae'�4O�' S '. . . . . . . . . . . . . . . . . . . . .
Size, wood st " . . t'G !mac . . . . . . . . . . . . . . .
. . x . . . . . . . . . . . . . . . "', spacing "o.c., length . . . . . . . . . . ft.
Size, floor beams. Ist floor . . . . . . . . . " x , . . . . . . . . . . . . ", spacing . . . . '%'� . . . . . "o.c_, s an � ft_
p
Size, floor beams, 2nd floor . . . . . . _ . . x - . , , �`-�. . . . . . . ", spacing . . _ . "o.c_, span . . . . . --. . . . . ft.
Size. ceiling beams _ . _ . . . . . . . . , , ' x . . . . - . . . . . . . " ,
spacing 2 P g . . , . . O.C. span . . . . . . . . . . . . . . fit.
Site, roof rafters or be s .F �. .0 . . . , " x/ , . . . . . . �';r . . . . ", spacing . . . 4 . .2 "o_c. span . . . . . . . . . . . . .
Exterior finish . . �CYx �l Fjr. , . ,S . With w t material ? . . .
r. l
Finish of interior walls . . . . f.,�!'?. +�' . . . I"�. 'q.
If garage is to be attached, of what material is wall between garage and maim building to be constructed?
s there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ail burner or coal? . . . . . .
Will a flue-lined chimney be provided? . . . . . . . . . . . . . Depth of chimney foundation below grade . . , . .
eight of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be afireplace? . . . . . . . . . . . . . . . . . . . . . . . . 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, eleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr. A,-.j*+oi my knowledge and belief the statements contained in thin application, together with the plrus and specificatkm@ sub-
mitted, are a true and co.,, lete statement of all proposed work to be dom anp���bed premKirat
that a0Gov tans of the BUILD-
ING CODE, THE ZONING ORDINANCE, and all other laws vx r4Cli with w ishet>ter specifted or trot,
and that such work is authorized by the owner. !
Sworn to before me this Signature . . . �✓T± + + -
'S AG HITECT. CONTRACTOR -. . . ... . ..
dayof . . . .... . ... .. ... . .. .. . . . . . . . .. . . .. .. . . .. . . . .. . . 19 . . .
NOTARY PUSE.JC, WARREN COUNTY, N. y.
SPECIAL CONDITIONS OF THE PERMIT;
By ._ . _. ... . . . ... . . . .. . . . . . . .. . . .. .. .. . . . ... . ....... . ...
TOWN OF QUEEN58URY
Suildins D 10PUrtmcat
'!� /
ED
Inapeotars Repoet Date ��
Name Gt 3
ub abao
P it No. w eathew
Rema rks
Excat7,a ti on
Footin Farms °
Footing 6 Piers
Foundation
Cement Coat
waterlDroo-r-InIz.. f
Backfill
Final Surve
Franan
Sheathin
Roof Felt
Roof!n
Sidin
masonry veneer
Rou h Fl
Relief valves
wall Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar pr . Tile
Concrete Floors
pl Fixtures
Gar . Fire roofin ----~--"`"
poor Closers
Chi=e
Fvater Meter Inst .
Se tic A roval
Floors
p•ouY� fation �_...•_
Insulation walls
Ceilin
f i.4r'
Building Inspector
,REMARKS