1986-174 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-174
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to rgaret W. Schroeder and others
OWNER of property located at Cleverdale Road Street.Road or Ave. H
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in the Town of Queensbury,To Construct or places Alt. to camp (enclose porch for bedroom) rt
at the above location in accordance to application together with plot plans and other information hereto filed and F,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNERS Address is SbbS Lydius St.
Schenectady, New York 12303 m
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2. CONTRACTOR or BUILDERS Name
same
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3. CONTRACTOR or BUILDER'S Address w
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address so
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6. TYPE of Construction—(Please indicate by X)
(od Wood Frame ( )Masonry ( )Steel (
7. PLANS and Specifications
enclose existing porch to make bedroom per plot plan,
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specifications and application submitted. w
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B. Proposed Use H.
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Summer Camp sr
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$ 5.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 19 86 'o
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 28th Day of April 19 86 hi CD
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SIGNED BY71/67--eifor the Town of Queensbury 0
Building and Zoning Inspector B9
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- TOWN OF QUEENSBURY Space inside block to lie filled in By
WARREN COUNTY. NEW YORK Building Insperior)
Application for Apph(alion No. •
P.rum Issued 19
BUILDING AND ZONING PERMIT l rnlil ,spires. 19
/moue. District _
Lille. ,l \\nrk
[f \p1,n,,.d by
pA/e' TNREEgF Ii Coties of a PLOT PLAN, loDrt o be scale lt..m,IrKt
showing Me actual dimensions of the lot to built
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 1 t 1986
ANSWER ALL OF THE FOLLOWING. -. �e *IC�
The undersigned hereby applies for a permit fo do the following work 7. 9 i rL 3 4 6I8;
which will be done in accordance with the description, plans and specifi- I, I ,l •I •IrI. Ia
cations, and such special conditions as may be indicated on the permit. .
The owner of this property is:
t c ',r4l/ SCHRocoex', I i.i 2.4arn.a LithicorS444-4 /d. I✓Hectec
INA Ael IP O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
INEMEI IPO ADDRESS)
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Name of Builder.( 'tJG Address�
Name of Plumber Of A Address Name of Mason Owner-- Address r l-Lia,.s.S. .-.. �I -Yai 12363.
t Number Unit Estimated value of proposed work 3 f SZUOr 00
Name of Village . . CL 4.S ?C r�.E'4. to r.
Name of Street . .Cc.CXC .g9'LE ea.vp Sidet of street: north ❑. east �, south ❑. west 0
Nearest Cross Street /�
µ5pq/ .�OAd Distance from this cross street y'O F1.
Property is north le,south 0,east i1, west *from Cross Stree
If on Corner, which corner, northeast D. northwest D. southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
en * & �aceg9+ Le..) aa3t-►W lye— Z -r9
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
❑ Construction building.f a new building. One-family dwelling �ysetser
❑ AdditionAlteration to a Two-family dwelling of P� 0
O emol of building. -family apartment house 0
❑ Demolition a building. Store building 0
. -car attached garage D
Other.
• Accessory Building
One-car detached garage G
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❑ Other work. Describe t,v to IN4 txI%riN§ Two-car detached garage 0
-� Mate. �� ' cs, Private chicken house ❑
�e��A/ IMF-tea ❑
� �r'S -- `` Private storage building
�yy�voM k O %L . . 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-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
huilding(s) in solid line
C Size of property Ic ft. x . .20.0. . . . . ft.
keSize and use of existing buildings if any
e . . . . i$. x 34 ScrnrNes 'Cc—c. . .
d . . 7 ft x /o ft.
� u Size of proposed building
till Height (from grade to ridge) ft'
4 Front yard -34 1 X 4>/D ft.
C Side yards .9 ' ft. and v14.177.S.Z' ft.
Pcj•HOSY/iy Rear yard C4 X f/G ft.
7 SOUTH If on corner,setback from side street ft
Note: Al! distances are net, as measured sured fro street side
line to nearest part of building.
(OVER)
7-73-N
(coned.) •
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. .44..OLo i enic
Will any second-hand lumber be used? . . . R!O . . . . . . . If so, for what?
Material of foundation walls . . .84,0ce Thickness
Depth of foundation walls below grade . . . .G" Continuous foundation?
Will there be a cellar? /v0 If so, material of cellar floor
Type of roof: Sloped or flat? . ..SAQeCo Material of roof
Size, wood studs "x ",spacing "o.c.,length ft.
Size, floor beams, 1st floor "x ",spacing "o c, span ft.
Size, floor beams, 2nd floor "x ", spacing "o c., span ft.
Size, ceiling beams "x ", spacing "or., span ft.
Siie, roof rafters or beams "x spacing "o.c., span ft.
Exterior finish TCX.4Ze !// With what material?
Finish of interior walls. . .P.4A44/4-74 j . . . . . . . .. . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
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Is there to be an opening between garage and building?
Kind of heating system e.4E.G.t24 G. .3. cc.e Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof ere/ii
Will there be a fireplace? �'� Depth of fireplace hearth
Willa toilet be installed?. . . . . . . . . .fL� . . . . . . . .
Will a kitchen sink be installed and connected to water supply? . . . 4.44
Water supply(public water supply or pump) A/At
Distance of cesspool from any private well 'Y'4 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 tz bee rof my hoarded"!end belief the statement:,eon ined i ' application, th the .. .• and specifications sub-
mitted, are a true and cu...pplete statement of all propoeed work to be ne on • dam• • .arm i of the BUILD.
INC CODE,THE ZONING ORDINANCE,and all other laws pertaini the .posed ark .. whether specified or not,
and that each work is authorized by the owner.
Sworn to before me this Signature .
OWNER. • RISE ' .AR • T.CONTRACTOR
_ .. day of. . . .. . 19
NOTARY N :LIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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