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1985-165 BUILDING PERMIT TOWN 4F QUEENSBURY No. 85- 165 11 kk WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Louis E . Belis* OWNER of property located at 9 Heinr ick Circle Street, Road or Ave. in the Town of Queensbury, To Construct or place a Add it -on to dwelling at the above location in accordance to application together with plot plans and other information hereto filed and p approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. to 1. DWNER"S Address is 9 Helnrisk Circle � Glens Falls , New York fD l� 2. CONTRACTOR or BUILDER'S Name ~ Oil Donald Carberry ( , 3. CONTRACTOR or BUILDERS Address Box. 507 Bolton Landing , New York � x (D 4. ARCHITECT'S Name F'f N• f7 5. ARCHITECT'S Address L �t I-' (D S. TYPE of Construction -- (Please indicate by M (X ) Wood Frame ( ) Masonry ( ) Steel ( } 7. PLANS and Specifications 121xl6 ' per plot plan , specifications and No. application submitted . a. Proposed Use Pi fD lj Addition to one £ amlly dwelling � H- 0 0 to :3 $ 12 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES December 1 79 85 p (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-) CD Dated at the Town of Queensbury this 2nd Day of May 19 85 �. SIGNED BY � 'f� i +G� for the Town of Queensbury Building and Zoning Inspect TOWN OF QUEENSBURY (.Space inside block io be lillc•d in b% WARREN COUNTY. NEW YORK Building Ins1wctor) AApplication for ., 1111 atiu,l PP P(•rnui Is.uc•d I� BUILDING AND ZONING PERMIT I ctmit 1 _Xpires . In . i'4001i„ I )i%Iri( r . L u I ue r +1 W4 Prl. ' IM THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale Apt ,rq lti vd h\' showingg the actual dimensions of the lot to be built Itc ,,,;, rW upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, r:: .•.° ^a GAF' OUEr'EN5B IRy nai> , L) A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APQ ] ¢' 855 ANSWER ALL OF THE FOLLOWING. ! a Qv 4e The undersigned hereby applies for a permit to do the following work 1 2 3 4 6 which will be Jane in accordance with the descrip#ion, plans and spacifi- .�� .*IM 6' 1 ` 1 ' ) ` 1 " cations, and such special conditions as may be indicated on the permit. The owner of this property is. J8 e I I I . . . . . . . . . . . . . . . . $`/. 1"i/!'!,4 - .G✓ K 4 �. .r �I7 v. a cs r3c jr, OWA .AEI !P o. i%obREssi The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is; oe> .-f A .J G !�G. X. s`� ' {NAMfI Name of Builder . . . ✓� /" A X .�. . !3A:7't?' . . . Address _ 5'A. 4.-c A= d d . . . . . . . . . . . . . . . . . . N r . . . . Address . . . . - . . . _ !- Address - r ' . . . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . 4�- Lot Number . . . - 3 -- . Unit . . . . . , , . . . . . Estimated value of proposed work S - - 0. ' d ; . . . . . . . . . . . . . . . . . . . . . Name of Village . .t y .1=.il .rrS . . t! /r .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ , , . . . . . . . Name of Street - . �% I. � . ✓- `` ZK- , . . . . 'Side of street : north 0, east 0 , south 0 . west i . .,/� frSf. ! .c �c . . . . S r'?+ �`. . . Distance from this ^Toss street �? �? . . . . . . . . . . Ft. Nearest Grass Street Property is north 'go , south ❑ , east itt , west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest ❑ , southeast ❑ . , outhwest (Designate by marking with an "X." in the correct space.) r NATURE OF PROPOSED WORK OCCUPANCY 0 Construction of a new building. Main Building [� Addition to a building. Two-family duelling Two-family dwelling 0 0 Alteration to a building. . . . . . .-family apartment house � 0 Demolition of a building. Store building . - - . -car attached garage O Other: . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage 17, © Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . - , . Two-car detached garage 0��-�-� Private chicken house g g - - • " " " " ' " " Private storage building . . . . . . . . . . . . . . . . . . . . . . . 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_ a+oRTr+ Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . . . /t'� ate. . . ft- x . / Ln . . . . . ft_ size and use of existing buildings, if any . Z . �' .4e. �7>- F !=A *Vk_ •r- Ax- Li . . . tJ.ra [/« . -A .4 - F sal /+. .. . . . . . _ . W W . . ! . Z ft. x . !. .�P. . . ft- is Size of ,proposed building . Height (from grade to ridge) . . . . . . . . . . . . . . ft, Front yard . . . . !c'F c �. . . . . . . . . . . . . . . . . . . . . . ft. Side yards ? . S! : �_ . . . ft. and . . . . . . . . . . . . . . , ft. - • �j- Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. lapUTM If on corner, setback from side street . . . . . . . . . . . . ft. - Note: All distances are net, as measured from street side j line to nearest apart of building. f0V"ER] 7-73 -M (cont'd.) BUILDING SPECIFICATIONfS., Kind of construction: Wood frame, fire safe, etc.? . . .i. +� • {'•'`- � . �fZ ¢ `r'� Will any second-hand lumber be used? . . IV. 0 . . . , . . . . If so, for what? . . . . . .. . . . . . . . . . . . . . d . , . . . . . . . . . . . . Material of foundation walls . . !`� '� . �. �> . . . . . .x ?c �? . . . . . hickness . . ear . 'd. Depth of foundation walls below grade !`Yr. . �� . . . . . . - - - - . . . . . . Continuous foundation? Will there be a cellar? . . mil`. �? _ . . _ . . _ If so, material of cellar floor . . , . . . . . t P Type of roof: Sloped or flat? C ! ' . . . . . Material of roof . . .4 ..* S/F �!g !t. s <f. tf +, . P. .f. d. . . . . r� Sue, wood studs . . . . . . . . . . . . . . . . " x . . . . . . . . . . _ . . ", spacing . . .ld. r& . . . , . . ."o.c., length _ . . . . . '' . . . . ft Size, floor beams, 1st floor . . . . ..a. . . . . . " x . ./. . . . . . . . . . . . . ", spacing , . ,r . (o . . . . - , . "o.c., span . , . . f. ,'.. � . . . . . ft. Size, floor beams, 2nd floor - /. I6 rsC am" x . , ". spacing , . . . . . . . . . . . "'o.c., span . . . . . . . . . . . . ft_ Size, ceiling beams ^.,, x . . .C . . . . . . . . . . . . spacing 4o ,t� f � o.c_, span . . _ ./ 4v. . . . ft. Sized, roof rafters or beams . . . . . . . . . " x . . .fie . . . - , , , . . . ", spacing . . "o.c., span . . . ./. t5 . f. . . . . ft. Exterior finish . . . . . 1 ^6/4 . . 7 ! 47dd !-C"-<j� . . . . . . . . . . . . With what material ? . . . . . . . . . . Finish of interior walls . S f4 . C. d 4 ! <� - . .� or If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . ./ C .C? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . , . . . . . . . , . _ . . . - . . . . . . . . . . . . . . . . , , . , , . . . . . . . . . . . . . . . . . . . is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . _ . . . . . . . . . . . . . . 1 . 1 , . Kind of heating system . . /= A C—�. c 7 . P. t, ':Z . . . . . . . . . . . . . . . Oil burner or coal? . , /: X, ! A�_ .�. Will a flue-lined chimney be provided? . . . . . . . . . . . . . . , Depth of chimney foundation below grade Height of chimney above roof . , . /l,c, [? f^ ( S . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . 4!>. 6-{`, . . . . . . . . . Will a kitchen sink be installed and connected to water supply . . f t?c`.x. ice. . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . . . . 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? . - -/_4/.G nj'. ��. . Town of Queensbury AFFIDAVIT County of Warren State of New 'York 1 swear that to ar. y+ of my icnovOedge and belief the statements contained in this application, toFathez with the plans and specification sub- mitted, are a true and ou.A. fete statement of all proposed work to be done on the described premises and that an his of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be comptied �wfth whether specified or not, and that such work is authorized by the owner. p Sworn to before me this Signature . . . OW NE R R.. C]W"� " 0W NE R.. . . ... . . . 'S AGENT, ARC F11TE£T. C ACT©it day of . . . . . . 19. . . . . . NOTARY Puat.i C, WARREN CoilNTY, Tf. Y. SPECIAL CONDITIONS OF THE PERMIT: $y .. . . _.. . . . . ...... . . . . ._.. . . . .. . . . . . .. . . ._ .. . . . . ._.. . . . . ._ . . . TOWN OF QUEENSBURY Building Department ln"mw* a Report Data: Names 1� O C! i S -- Lrocatiae<__,,,,,,,;cf Permit No. 1Y 3 — ! S' W emahe r Remarks Ejecaoa t3 on Footin Forms pootinq & Piers Foundation Cement Coat Water rao-I Backfill Fines] Survey Framing Shea thin Roof Felt Roofin Siding Masonry veneer Rou h P3 Relief valves Wall, Board Ext . Porches Finished Floor .Interior Trim Stairs & Railin s Cellar pr . Tile Concrete Floors PI . Fixtures Gar . Fire roofin Door Closers Chi One Water Meter Se tic A naval Fl oora _ PC ndatibn Insulation Walls - Ceilln Bui dire Snspect©r REMARKS DO;} TOWN +C..1F QUEE14SBURY Building Dopart.ment 6-a LA 1) {?. Im"ectors Repot Evan Pert Now Weather RemaxJcs Sxca �Ya ti on Footin Forms Footin & piers Founda ti on Cement Coat Water roofi n Ba ckfi 11 Final Surve Framin Sheathingir Roof Felt Rocifingir Siding Nasanrq Veneer Rough Pl Relief Valves Wall, Board Ext . Porches Finished Floor Xntergor Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors Plbcr. Fixtures Gaza Fire root'i n Door Closers Chimne Water Meter Xnst . Se tic A royal Floors Insulation IFOUr4dation Walls -- ,�.firr Ceilin Building Inspector REMARKS -------------- ,T 45 l>z 33 I � LRf' TAX$ GEVLTTF'�Eo 17- T. PR• fosw �-c 48?8' f3 Tr~E v•5• 1.,.TFt:. T�r\.E INSuR.Puc% G.aa. PO •Rc V1 1p 0 Ew`IoRK . 0 �J G SANK oP olr TP"<E N Lvt 46 II pEcJ�-� air. x V NoM6 SAYIN S �vt �� 8 m ,47 3 U 'h E.VEaGR.EEN � f •Trc.VEs ,y 1n MAe►orrn O 40.'�6'. 'L¢- 2G�.-� �. � oa.ve wry h "kAND 8" It$ N.6q'a3'_Lo t67.z6' x L-T 4-7 i AP �F �I �1t>ttfZFt1 GoaN-ct,sJ.' TowH uF QuE.E.9as1 uo tnaflcS„�{CYE`fo0.s. 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