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1985-676 BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 676 WARREN COUNTY, NEW PORK PERMISSION is hereby granted to Alison LaRock OWNER of property located at 35 5 Lu z er ne Road Street. Road or Ave. O in the Town of Queensbury, To Construct or place a Addition tCy dwcl ( chimney for furnace) x 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. O F2. CONTRACTO NER'S Address is 0 Luzerne Road x Glens Falls , New York R or BUILDERS Name Northern Comfort t' lV 3. CONTRACTOR or BUILDER'S Address 117 Lower Dix Ave . Glens Falls , New York cD 0 4. ARCHITECT'S Name ill 5_ ARCHITECT'S Address 6. TYPE of Construction — (Plesse indicate by X$ I I Wood Frame i ) Masonry I ) steel 11 7. PLANS and Specifications 'ems' No. construction of shi_mney for wood furnace 9' per application submitted . �C B. Proposed Use 1 li Addition to One-Family Dwelling - chimney o a 0 $ 15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 19 86 � • f.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 baf ore the expiration dated C� Dated at the Town of Queensbury this 15th Day of November 19 85 m SIGNED BY ` r/� ? e? for the Town of Queensbury Building and Zoning Inspector TO'IAI►N OF Q►UEENlSBURY L e inside block UP he fillt,d in by Bttilcling In%ptYtrirl DIE butsw WARREN C.DUt4Ti Y. mE:W YORK + No. Application for wrl ��► ,ires . l!9 BUILDING AND ZONING PERMIT ,Cop'l�s of PLOT PL I., Drawn to scale showingthe actual dimensions of the lot to be built The exact size, and location o U ofi of fihe bu�ciin to be erecteAPPLIC:I►TION Tt]V1 N OF Q1.IEr=r.}l::� P'J ", y UJ nwiF U A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT � � � ANSWER ALL OF THE FOLLOWING. /fr� ems' �/ e*f� lies for per+nit to do the following work A M: r �i r� The undersigned hereby ape ` p lane ands •cif(- 71819j11 . 1 4 which will be done in accordance with the descri tion. p p cations, and such special cotidition6 as may be indicated on the permit. 6 fd e � I The owner [/}f` this property i}s.:}� / y} . f . 7. f f. 'ti--t' . / ,Y. .". . , w�...Y. 1. - . - - . IP D. ADCfRE551 IMF_4rl The person responsible Eor Supervision of the work iinsofar as the Building Grade and the Zoning OrdinancC apply n: ^'� r F' . ]-f l� `J - { . / •''.t,�.,e L':, . .r, ..3 . . ,ry 1��.. . , .�i-�i+.,.3 =- 1'�C3. Fes. ,7. ! l�4 . . �c 4 • E �3. S . . . - ./a;' )- 1P o AflDRESS) . . . . . . . . Address . - Name of Builder . . . . . . . . . . . , . . . . . . , . , . - - . . . . . . . . Address . . . . . . , . . . - . . . Name of Plumber . . � . . . . I. 1 �. c fi.- . . . I -XAVE . . - Address . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . Lot Number . . . . . . , . . . - . unit . . . , . . . . . . . . Estimated value of proposed work S ,_�> +.JFJ t� . Name of west Cl O South ❑ . 'Village - Side of street: north ❑. east Name of Street ,7 r ' . . . . G�. . . . . . . . . . . . . . . . Nearest Gross Street . .5 .- :&-p'�t .. . . . .0 !e r- I Distance from this ^rocs street . . �' property is north 'kL] , south 0 , east t i , we �t ❑ from Crass Street � , r�r„ 0-Ca Lf .r, which corner, northeast northwest 0 . southeast southwest (Designate by marking with an '•X,, in the correct space.i OCCUPANCY OF PROP(7SED WORK Main 8iuilding C3 Construction of a new building. One-family dwelling CS Addition to a building. Two-farnify dwelling C� Alteration to a building. -family apartment house 0 Demolition of a building. Store building -car attached garage Other: - . . . . . . . . . . , . . . . . . . . . . . . . . Accessory Building n L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . one-car detached garage 0 �` CaN `+i 4�f .Ti t .O d l. . ( �` . . S wa car detached garage 0 Other work. Describe: .. . . . - . r private chicken house },,,j kr-4 .� .}:t7. . . private storage bud 'rag Other: . . . . ZONING SPECIFICATIONS. Fill in for new building. or addition to existing building, or a change of occupancy- ZONING location and Indicate on the tplott p thelan ion sitame e d o[ prro- size of the prope y. posed buildings, and the location of all existing buildings. N©tRYM Show proposed building(s) in dotted line and existing huilding(s) in solid line. --- ft. x----�-r`�---".Ti. Size of property - . . . . . . . Size and use of existing buildings, it any . . . . . . rt. w E Size of proposed building . . . . _: rt. a Height (from grade ridge) . • • • • ft. Front yard . . . . . . . . . . . . . . . - ft. Side vards . . . . . . . . . . . ft. a ft. lam' V '� f1.vG A�L� Rear yard rt. . aourw ~� If on corner, setback from side street street side •.� Note : All distances are xes, as »aaasured frp line to nearess part of building. 4 iOvlRl 7.r.73" M V f BUILDING SPECIFICATIONS, (cont'd,) Kind of construction. Wood frame, fire safe, etc,? . Will any second-hand lumber be used? . - . .� . . . - . . . Material of foundation walls Ii so, for what? . . . - . . . - . . . . . . . . . Depth of foundation walls belanw grade . . . . : — - . . ' . . . . . . 'Thickness . . . . . . . . . . . . . . . . . . . . . • . . o • • Continuous foundation? . . . . . . Will there be a cellar? . . . . . . . . . - . _ . . . If so, material of cellar fluor . . . . . ype of roof. Sloped or fl ? . . . . . • . , . . . . . . . . . . . - Material of roof . - . . . . . . Size, wood studs . . . " x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, floor beams. 1st floor . . . • . spacing . . . . . . . . . . . . . ."o.c., Ian . ft. Size, floor beams, 2nd flotir . . . . . spacing . . , . . . . . . . .. o»c., span . . . . . . . . . . . . . ft. Size, ceiling, beams . . . . . . , . ,•. SpaClRg . . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . - . . ft. ' x . . . I . . . . . . . . . . . ". spacing .. Site, roof rafters or beams . . . . . - . . . ' ft. . . . . , .. o-�•. span . . . . . . . . . . . . . , spacing . . . . . . . . . . . . . . •,o.c., span . - . . . . Exterior finish • - - . . . . - ft. . . . . . . . . . . . . . Wit at material? - . . - . . . Finish of interior walls . . . . . . If garage is to be attache what material is wall bet n . . . . . . . . . . . . . . . . . . . . . . . . . garage and main huuQing to be constructed? . . Is there to be an Opening between garage at, building? . . . . . . . . . » Kind of heating system . . 1 )4, �s Y� .w. � k - _7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined of chimneybe > !`' `- G 1?- • � , . , Height of chimney above roop . . . . 2. r7 t� . S Depth. . . . pDepthchimney foundation below grade . . 15- . . . :N LR Will there be a fireplace? Depth of fireplace_ hearth . . . . . . , Will a toilet be installed? - .' . . • � . . . . .~---r-.__... - . . . . . . . . . . . . . . . . Will a kitchen sink be installed and con ed to water su 1 . . /~ r . . . . . . . . . . . . . . . . . . . Water supply (public water supply amp} pp y Distance of cesspool from any p to we]I . . . . . . . Will drainage system be provi ed with aired tra feet required cleanouts, and vents?`. . . . Town of Queensbury A>�I'"IDAVIT . . . . . . CountY of Warren State of New York 1 ■weir to tr. /va'iuf my lcoa�ylstEa■ tat the aratatttanta otRitaittat! is rhia a mitred. are ■ true d ou... ate abtemeat all propoaad work b be Jana on ilia ppiicatiatt, together with fha and apsdfiealiott■ atb- ING CODE, THE lNt OiiDINA . rind all other laws �rt� ptrnnitea and that w!t od the $1III x► and that such work io aut by Pertaining w the proposed work sheli � Sworn W before me tliia K trgAied r spathe B or not, 'Sit:iiature -. `"'h--'c•�... s+w . . . Y OWNER. OWRER•S AGENT. ARGitITECT, l:ON7R AC TQR... . . . ... _ - • of .. . _ . .. . . 19. . NOTARY Pita LIC, WAitRGN . .. . aauNrr. N. Y- SPECIAL CONDITIONS OF THE PERMIT: gY .. .. ... . . ....... ...... i