8693 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8693
1 WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to John and Ann Daley
OWNER of property located at 31 Wintergreen 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
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is RD #1 31 Wintergreen Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
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3. CONTRACTOR or BUILDER'S Address
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same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
24 'x28 ' per plot plan, specifications and
No. application submitted.
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8. Proposed Use C7
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Two-Car Detached Garage r'
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 85 r7
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ri
town of Queensbury before the expiration date.)
ID
• Dated at the Town of Queensbury this 15th Day of - August 19 84
SIGNED BY ///GGG(N £li /3.j - for the Town of Queensbury
Building and Zoning Inspect rj
TOWN OF • UEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK • , Building Inspector)
Application for Application No.
Permit Issued. 19. .
BUILDING AND ZONING PERMIT Permit Expires. ►q.
7milii,,,.!. District
aluu „I \Vurk.$
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\P1i1',‘cd bv -A.-A-L.- 0'f
showing.the actual dimensions of the lot to be built Itcma1 Kf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
51: „a-ib li 9 -- — 7 y //47,/tYy 1
Or QUEENSEILLRY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK n J. 0 E 11 Ll y ►[ �---,
ANSWER ALL OF THE FOLLOWING. 1�
herebyapplies forepermit to do .the following work AiJ ,1. n -`
The undersigned pp • • � .,
which will be done in accordance"with'the description, plans and specifi-
cations, and such special conditions as. may be indicated on the permit. L_________.___„...1„. � ;�� r `�7 `r-P°116"
The owner of this property is:
Zott-4N E. ANo CNN oaleY
ROI 31 WeN'i•'LFRCiteir3 Ra- PA .
(NA•1E) (P.O.ADDRESSI
The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS)
Name of Builder. '.0 4.N C= Q 141 - y Address 0 vs.)1 NTC-.R-C2r_e so (?
Name of Plumber Address
Name of Mason To Ick N b D A-1 e_1 Address .-31.4v 1. xs.fT c.z 4-t-e-vo ad
• Lot Number. . . .3 f. . . . . . Unit ' • Estimated value of proposed work 3 rYo O 0
Name of Village re) Lei 14" d f CP v'e,'e_£AJ! 6 u 2
Name of Street .'Al;tun.-2C?rLI;t'bU ea. Side of street: north 0, east 0, south O. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south 0,east [1, west Cl from Cross Street
If on Corner, which corner, northeast E, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
® Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling 0
❑ 'Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
•
Other:
• Accessory Building
• • One-car detached garage '
❑ Oth• er 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.
• 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
CND Foe y•-(/ huilding(s) in solid line.' .
`., Size of property 1 2S + ft. x /SRO r ft.
E C Size and use of existing buildings, if any
-1
� s
p •. W Size of proposed
building 2-'1 ft.x Z3 ft.
1.h ry Height(from grade to ridge) l 2° ft.
eFront yard "of1- ft.
'o - Z Side yards 5 - ft. and /� ft.
P
}-1 I_/L o^n 4 1l-V (6 Rear yard C ft.
SOUTH If on corner,setback from side street /5.- ft. .
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER) - _
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . W v 0.0 - . •...-c_. • • • • • • • • • • • • • • . . . . . . . . . . . . . . .
Will any second-hand lumber be used? NO If so, for what?
Material of foundation walls frX i''' A ) " e/o c-H Thickness
Depth of foundation walls below grade 1‘ I Continuous foundation? 2L48. •"
Will there be a cellar? IV 0 If so, material of cellar floor
Type of roof: Sloped or flat? Lo P`r- .._.• • • • Material of roof T2 v,.$S W vn
Size, wood studs A "x ' ", spacing . . . .J.C,." "o.c., length 5? f• ft.
Size, floor beams, 1st floor . . .W..4 Ale, . . " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor Al n w " x ", spacing "o.c., span ft.
Size, ceiling beams 'v o`'' `L- " x ", spacing "o.c., span ft.
Siie, roof rafters or beams 02 " x y 71fu-S'S ", spacing a I/ "o.c., span y i ft.
Exterior finish HIM;xa.uT, f- 8 c ' ' s,v,.w With what material? , CA,o®d-
Finish of interior walls. . . . . . .1U o w '2... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
N o Is there to be an opening between garage and building? y Zr-,S.
Kind of heating system N O W'i- Oil burner or coal? it) U
Will a flue-lined chimney be provided? N C . Depth of chimney foundation below grade JO 0
Height of chimney above roof pit,w
Will there be a fireplace? AJ O Depth of fireplace hearth NJ D
Will a toilet be installed? - let)
Will a kitchen sink be installed and connected to water supply? N O
Water supply (public water supply or pump) N o
Distance of cesspool from any private well . . . .3 C'° feet
Will drainage system be provided with required traps, cleanouts, and vents? W 0
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr ba r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.i lete 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 1 rtain' ,_
`I rh ed cork shall be complied with,whether specified or not,
and that such work is authorized by the owner. to t pro s ,
Sworn to before me this Signature®e..'..:
OWNER.OWNE- AGENT.ARCHITECT.CONTRACTOR
® day of...al./ 19 lit ri
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS;OF THE PERMIT:
•
By .
BUILDING DEPT.COPY OF-APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT,WHEN REQUIRED.
•
TEMP.# DATE
CITY OR
'VILLAGE / O GL.% /- ) r' � 1't;{ •= ij;• '.. TOWNSHIP COUNTY j j,r rfj.""% li t- FL/
STREET AND NO.OR / --- i
ROAD AND POLE NO. e A ; /le", •,= '• :? r=� ,. 1(f `. POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS �,.�
PREMISES LOCATED? ,- /; - - J r _
� ;r e-r-• �'-=s=.-' fµj I-'`r:._.. 1��� • - - SECTION BLOCK LOT
OCCUPANT'S- BUILDING f
NAME ). f 1•r! }} .' OCCUPANCY y. -� +?� C� �' .J It �'`/
� rS:: pl.' � d t- J 1 tl --
OWNER'S NAME r • _ -
AND ADDRESS ‘Ti., ;-ry TEL #
• CURRENT
SUPPLIED i FROM THEIR /--17 J - • OFFICE
BUILDING � WORK DEFECTS
IS NEW L:_'(� OLD El IS . .NEW aADDITIONAL El REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Lamp Receptacles CIRCUITS
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Celli^g Wall liecep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION •
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
e
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
•
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
- WORK TO BE (NUMBER) (CAPACITY)
• STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF �r_ • } i J.�. ) DATE OF
APPLICANT - �—' »es., 6 +-_ APPLICATION -fir-" ✓ `/ s`_' d
STREET ADDRESS tc) " { 1.-'_' Y!. .•` J` (.. :(•L, i _ ?��..r. TELEPHONE# � -- .'
CITY OR =f' ZIP 1 LICENSE NO. •
POST OFFICE .' r �_ {' ..- Jry;' %j a�,`,' CODES r' - WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building- Department
Inspectors Report Date //�=�
Name ;.}ij/1i/ ,Qf-/rj
/
Location 7-
Permit No. 6';3 Li Weather
4
/�r /y �,1� `'(/ Remarks
�
Excavation d •
Footing Forms •
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing (-X
Siding (?zi
Masonry Veneer •
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim �1
Stairs & Railings ( ,
Cellar Dr. Tile
Concrete Floors Y Plbg. Fixtures Gar. Fireproofing /
Door Closers (�V
Chimney
Water Meter Inst.
Septic Approval
Floors •
Insulation Foundation
Walls
Ceiling
Building Inspector
•
REMARKS
•
1/11/41—
G)'�- 6 c- /'I- /s O
•
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report. Date 9 %2/
Name Z4N ,O z
Location 6.
Permit No. 6.1 3 L./ Weather
•
Remarks
Excatia tion
Footing Forms
Footing & Piers /Q
Foundation
• Cement Coat •
Waterproofing
Backfill
•
• Final Survey
•
Framing •
Sheathing
Roof Felt or •
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor /11
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation • 'Foundation '
Walls
"Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /s/2 9/cYL/
Name TO 61.1 /
Location ' I (_,.) I n�T�r51^e e,, RAJ •
Permit No. X6 j Weather
-C6n ciet Remarks
Excatia ton
Footing Forms 644
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
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
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
7.1
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DATE �- Z Y- 1-
3' DESIGNED BY
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S ro SCALE 1;4" = 1 FOOT
�r S HOME OFFICE • UPPER GLEN ST., GLENS FALLS, NEW YORK • 793-2505
•HAGUE RD TICONDEROGA.585-2818•FOOT OF KING ST,BURLINGTON.862-9601 •5518 SCENIC AVENUE,MEXICO.963-7293
•FOREST&WEST ST.RUTLAND.775.5519•NORTH COMRIE AVE.JOHNSTOWN.762.0074•LAKE COLBY DR.SARANAC LAKE.891 0224
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