5376 BUILDING . PERMIT
TOWN OF . QUEENSBURY No. 5376
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to John A. Win slow
OWNER of property located at )Iuzerne Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Two-Car Detached Garage •
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.
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1. OWNER'S Address is ~
R. D. #3 Luzerne Road o
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Same •
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3. CONTRACTOR or BUILDER'S Address {p
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Same
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4. ARCHITECT'S Name
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�2.
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) • O
(x)Wood Frame ( ) Masonry ( )Steel ( ) a)
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7. PLANS and Specifications
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24' x22' per plot plan, specifications and application
No.
submitted. n
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8. Proposed Use Q'
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Two-Car Detached GarageDi
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$ 6.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 79
(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.)
Dated at the Town of Queensbury this 3rd Day of August 19 78
SIGNED BY a fie 2 for the Town of Queensbury
Building d Zoning Inspector
, -3
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application No. .•
• Application for
1'crmit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. lg.
7.(JIIinD District
. \ i l uc nl \\'ork,
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\i'►"•""•c1 ►','
showing the actual dimensions of the lot to be built hcn,m KS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
3/71 TOG.JN OF QUEENSBLJRY
' l DATE D E 4 V Ei 1
D BEFORE BEGINNING WORK G . !.,i zO
•
A PERMIT MUST BE OBTAINED . ., , .,,
ANSWER ALL OF THE FOLLOWING. i I`-' `� '`�,.
The undersigned hereby applies for a permit to do-the following work A.M.•
P.M.
which will be done in accordance with the description, plans and specifi- 7I8I9I1OI11I12I1I2I3I4I5IG
� l � a c s t i t � � 6,
cations, and such special conditions as may be indicated on the permit.
The owner f this prope
j,drty er,ty1 is:.
;(NA. E) (P.O.ADDRESS)
The person responsible.for, 'supervision of the workinsofar as the Building Code and the Zoning Ordinance apply is:
`� ,��1 .
(NAME) (P.O ADDRESS),
G✓ N•a. Address fl p f"5
Name of Builder • �G✓ . .
Name Of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work 3 - G 4t5VC/
•
Name of Village ;
Name of Street
�y e w.. gel Side of street: ngirth ❑, east south `'a, west 0
sa' v.-'' • z• W,,sgr•W.�''Y. . . A.V. . . . Distance fro;n this r.soss street c- Rs'.R 0 Ft.
Nearest Cross Street . 'tt s •
Property is north , ,south 0,east X, west 0 from Cross Street!,,
If on Corner, which corner,-northeast ❑, northwest •❑, southeast�f 1. southwest
. (Designate by marking with an "X" in�the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. . Main Buslding _
❑ Addition to a building. One-family. dwelling
0 Alteration to a building.
Two-family dwelling J�"
0 Demolition of a building. .-family apartment house ❑
Store building ❑
-car attached garage ❑
Other: .
. Accessory Building
One-car detached garage 0
❑ Other work. Describe: t/l-wo-car detached garage X
Private chicken house • ❑
Private storage building ❑
'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
4/i2e ti � building(s).in solid line. •
•Size of property S ft. x
1 ,.
• ', ' ;.....-,r ,.
i . °P 8 "'�� C Size and use of existing buildings, if any .ti.ts l...--2K 31
r:
R�'�'
s .;\ ` w Size of proposed building . . • . Z•�• • ft.x . .��V ft.
Height (from grade to ridge) k"-- ft.
Front yard -30' ft.
Side yards Jo'.' ft. and 0 ft.
ni i 1 1 L ' V Rear yard ' 02/ ft.
SOUTH If on corner,setback from side street 60
Note: All distances are net, as measured from street side
. . line to nearest part of building.,
• (OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
A Kind
-
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . .r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? tY . . . . If so, for what?. . . .?.4? . . . .... . . .
Material of foundation walls C K Thickness
Depth of foundation walls below grade Continuous foundation? 8
Will there be a cellar? If so, material of cellar floor,
Type of roof: Sloped or // Nits,rial of roofX:plyoed -1- dee/
wood Size, studs 't •
"x XcL- ", spacing A "o.c., length 8 • 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 "o.c., span ft.
Size, roof rafters or beams . . A L;14 " x 6 ", spacing "o.c., span ft.
Exterior finish '.. -c-tqc ,",=1, v 47- With what material? Cc/4a 2.-,-ac
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main buislding to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal? 4"-J
Will a flue-lined chimney be provided? /11-6 . Depth of chimney foundation below grade f'
6,
Height of chimney above roof /V
Will there be a fireplace? iv•c• Depth of fireplace hearth fr
Will a toilet be installed? Aid
Will a kitchen sink be installed Sand connected to water supply? iv 0
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? ,NO
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to to :04,4rof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /3 /2
d
Name IV,4t,a,v-r c )
Location /c,z del
Permit No. 6-3-7(a Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
.Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding � tel
Masonry Veneer
Rough Plbg.
Rough Htg.
•
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
•
ll_44.144
fit)StAlkW439-
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TOWN OF QUEENSBURY
Building- Department
Inspectors Report Date /0/G- 7P-
o
Name ��( �.,,, .g.",..«7 J o hi '
Location L U Z • (Z d
Permit No. 5 3 '7 G Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
.Final Survey 0
Framing ��
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /r5 •
Nate s Oh� h,/)
Location /f,._7 12,?
Permit No. 5 7(✓ Weather
Per Cent •
Complete Remarks
Excavation
Footing Forms L—
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing /
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
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