1985-273 BUILDING PERMIT
TOWN OF QUEENSBURY No.
WARREN COUNTY, NEW YORK
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PERMISSION is hereb�yl1g'ranted to 'Charles Z ecchini
OWNER of property located at 12 Cedar Wood Drive Street, Road or Ave_ �
in the Town of Queensbury, To Construct or place a Addition to dwe11ing ( screened porch) ~
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at the above location in accordance to application together with plot plans and other information hereto filed and W
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N
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t_ OMMNER S Address is 12 Cedar Wood Drive 0
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Glens Falls , New York
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2. CONTRACTOR or 8U1 LDE R •S Name
Robert J . Martin
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3. CONTRACTOR or BUILDER 'S Address
5 +6 Montray Road c{Dz
Glens Falls , New York.
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4. ARCHITECT'S Name 71
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5. ARCHITECT"S Address M-
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6. TYPE of Construction — (Please indicate by X1
C X1 Wood Frame { ) Masonry l Steel { l
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7. PLANS and Specifications
141x16r per plot plant specifications and
No. application submitted .
8. Proposed Use
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One-Family Dwelling ( screened parch)
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$ 14 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 $ E lQ.
(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.!'
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Dated at the Town of Queensbury this 1 Oth Day of June 19 85
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SIGNED BY
for the Town of Queensbury p,
Building and Zoning Inspector
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TOWN OF QUEENSBURY ISpaee inside block tots Ix• filled irl by
WARREN COUNTY, NEW YORK Building Insrwcoor)
PpI�C�t1a� fOT ppli( aiion Nm
1 P('111111 l %mied
BUILDING AND ZONING PERMIT 1'4 •r111 it V*ipi res l S!
11 ,� iirr�� 1)i,lrirl
\ .II I it- 1 ,1 We 31-k �
THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale \i 'I " ` ""`(!
si+owi . the actual dimensions of the lest to be built Rc nl;ir)(S-
upona The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED pWITH THIS APPLICATION.
��j���lTfJJJ'�jjj]Wjl 1N OF Q U E 7?NS�{{�B iI R"
' F1ATF L ffi �a 19 41 L^- I .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING* p.s u N
The undersigned hereby applies for a permit to do the following work A L 11111
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which will be done in accordance with the description, plans and specifi- 7Ir8 11111"1 41616
cations, and such special conditions as may be indicated on the permit.
The owner of this property is. - - C (:� Q • h ►
c J. ,GGG If r.!✓, - f c / sue' -d //� . �. . . c..
C,4 of? r? !!9 Tx Lead . . . . . . . 1(�" 1 + v e .. . . . . . . . . . . .
fNA ,'P1 fP 0 ADDRESS1
Thhe person responsibie for supervision of the work insofar as the hurl tng Code and the Zoning Ordinance apply is:
�h � !�? t` x �_. . ✓//r1c' !� ! '' ✓ r _aIP. . !f . .G.rsr - �' Iij� ' rc.�s. J .6v.ey . . . . . . . . . _ _ _ _
(NArr(E} �PCY nizoi(Ess1 " r'
ET . .' `:'i'r'4r `�' Address . . .
Nameof Builder . . . . , _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Plumber Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Mason . . . . . Address . . . . . . . . . . . . . . .
dO0 % 0,07
Lot Number . . . . Unit . . . . . . . . . . . . Estimated value of proposed work S e�. . _ _ . _
NameofV*lame . $'/. . 4 .' . . . . At.l�.- J ."vv . . y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Street L 'te �f ?` !' . . . �!�' �? . / Side of street: north ,QJ , east ❑ , south ❑ . west ❑
Nearest Cross Street 7?�C.'"" Distance from this cross street /. 47eGq . . . . . . N 1 .
Property is north 0 , south east L l , west ❑ from Crass Street
If on Corner, which corner, northeast 0 . northwest ❑ . southeast C thwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Mara lxualtlsng
One-family dwelling
2 Addition to a building.
M Alteration to a building. Two-family dwelling Q
0 Demolition of a building. -family apartment house 0
Store building Cl
-car attached garage
Other: . . . . . . . . . . _ . . r . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . Accessory Building
One-car detached garage Cj
F�l 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.
E C Indicate on the plot ,plan street names, the location and
�+ size of the property the location, site and setbacks a{ prxr+
Noe TM h posed buildings, and the location of all existing buildings_
Show proposed building(s) in dotted line and existing
�¢ op� 66�0 0 'buildings) in solid line.
Size of property . . . . . _ . . . ft. x . r c�. . . . . . ft.
stz n sed f existing buildings, if an
. . . .
`m proposed
g . . f y ft. x
is Size of ro sed building ft.
Height (from grade to ridge) . . . . .f'f"' . . . . . . . . . . . . . ft.
3,, Front yard . . . . . . . . . ft.
Side yards f {t. and . ��' '�. . . . ft,
Rear yard . . . . .c !f. . . . . . . . . . . . . . . . . . . . . . . . . . . it,
sourN If on corner, setback from side street . . . . . • • . . . . . - • - ft. .
,Note : All distances are net, as measured from street side
line to nearest pare of building.
tove<a!
7-73-M
(cont'd. )
BUILDING SPECIFICATIONS.,
Kind of construction : Wood frame, fire safe, etc.? . Var • . ./5'"! "`' .``. . " . ,� c ` '• . . . . . . . . . . . . . . . .
willany 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? . . . . . -/r �� . . . . . If so, material of cellar floor . . . . . . . . . . . . . . . . . . . . .
_, . . Material of roof , . .+! ' 67" . - " ��
7 of roof: Sloped or flat. . . . . . . . . . . . . . . . . . .
Size, woad studs - . . . . . . `f . "qfr `1' .?r •�' , . . . . ", spacing . . . . .cif . . . . . . ."o,c,, length . . . . '. .• . . . . . ft.
Size, floor beams, 1st floor . . . . . . . . . . " x - . . - - . . . . . . . '", spacing . . . . / . . _ . . . . "o.c.. span . . . . . fL` . . . . . . . ft.
Size, floor beams, 2nd floor . . . . . . . _ . . "' x . . . . . . . . . . . . . . . ". spacing . . , . . . , . . , . . . . "o_c_, span . . . . I . . . . . . . . . ft.
Size, ceiling beams . . . _ . . . . . . . . . . ' x - . . . . . . . , spacing . . . . . . "o.c., span . . . . .. . . . . . . , . ft.
Site, roof rafters or beams . . . . ,' 7r. . . . . . . " x . . . . .(a. . . _ _ . _ . spacing . . . . ..7. G. "a.c,, span _ . �' 3 •. . . . , ft-
Exterior !2 With what material? ii�-� G "`�. . . . . . . . . . . . . . . . . . . .
Exterior finish . . , - . . . . . . . . . . . . . . . . . . . . . .
Finish of interior walls . . . . . .dyl ¢ ''' . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main bu;ldling to be constructed?
Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . .
Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W I 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? . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . _ . . . . . . . . . . . . . .
Willa toilet be installed? . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . - . - . , - . - - . . . . . . - - . , - . , , . . . , , , . . , . . . , , _ - _ , . . . . .
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 tr, ,icy*rof my knowledge and belief the statements ewn ad n this applieation, toa`* b w aisrmtd ijte Ifitations salt
mit#ed, are a true and cu... lete statement of all proposed work to e n bed #emsses #lut _ provisions �� BUILD-
ING NER, O ER"5 AGE rrtth whether CODE. THE ZONING ORDINANCE, and all other laws t to be
aU
and that such work is authorised by the owner. � �
Sworn to before me this Signature _
E IVT, aitCHITECT, Cl7MTRACTbFI
day of 19. . . .. .
. . . . . . . .
NOTARY PURL)C, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT-.
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TOWN OF QUEENSBURY
Buiid=ag Department
R Date
weaduw
Remarks
_ ExcatYatYon
Foot-in Forms -
Footing & Piers
Foundation
Cement Coat -
Water ofin Back-fill --
Final Survey
Frame:n -
Shea the rs
Roof Fel t -
, Roofers -
Siding -
Masonr veneer Rough Pl b
Relief valves -
Wa11 Board
Ext . Parches
Finished Floor -
Interior Trim
stairs & Railin s i
Cellar Dr . Tile -
Concrete Floors r -
Plbg. Fixtures
Gar . Fire roofin
Door Closers - -
Chimney
Water Meter Snst . --
se ti,c A roval
Floors
Xnsula ti on Founda ti cyst
Walls
Budding Snspectrr
REMARKS
TOWN OF QUEENSBURY
Buildius Department
� "vectors Report Date
LmCatilm
Penavit w`e..th er
Ftema rJrs
Exca�Ya ti on .
FootinW
Footin
Foundat
Cement
Water r -
T
_ Final SSheathiRoof Fe -
Roofin
Sid-in
Masonry Veneer
Rough Pl
Relief Valves -
Wall .board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railings -
Cellar Dr . Tile
Concrete Floors
PI . Fixtures
Car . Fireproofing
Door Closers
Chimney
Water Meter Inst .
Se tic Approval `
Floors
Insulation Foundation
Walls
Ceilin
Z Buildingr Insp _.—
ector
REMARKS
TOWN OF QUEENSBURY
Building Department
NI R t Dateame
Loratioe
Pidel Na Weather
Rema rks
dj
_ Excar}at.xon .�
Footin Fara:s
Footin & Piers
_ Foundation
Cement Coat `
Water roofin
BacXfil.I
Final survey _
Framing
Shea thi n
Roof Felt
} Roofing
Si din
Masonry Veneer ti
Rough PI bg
Relief Valves
Mall Board
B'xt . Porches
Finished Floor µ
Interior Trim
Stairs & Railings
Cellar Dr . Tile
Concrete Floors
P-Ibg. Fixtures f — "
Gar . Fire roofi.n �
Door closers
Water Meter Snsst .
Se* tic A royal
Floors
Insulation Foundation
Walls
Celling `
Building Inspector
REMARKS
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