666 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6 6 6
WARREN COUNTY, NEW YORK
4\ 1- \ -m
PERMISSION is hereby granted to Robert Allan
OWNER of property located at 7 Centennial Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations
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. _ )11:1o,
1. OWNER'S Address is
7 Centenial Drive
Glens Falls , N.Y.
2. CONTRACTOR or BUILDER'S Name Finch Pruyn Sales Inc.
27 Glen Street, Glens Falls , N.Y.
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications Add Dormer to Roof
No.
8. Proposed Use
Added living space
$ 10.00. 70
PERMIT FEE PAID —THIS PERMIT EXPIRES February 1, 19
(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 8th Day of December 19 69
•
SIGNED BYr�%®trr/ �i for the Town of Queensbury
LeRoy Phillt'p Building�and Zoning Inspector
TOWN OF QUEENSBURY ' '
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building s (!ctor)
Application for - - Application No. a
, permit Issued e .c. . .y) . . . I47'
BUILDING AND ZONING PERMIT -permit Expiresc-ac...,, . . . . b197d
Zoning District c,/
• • Value cif Work S �Y /
THREE (3) Copies of a'.PLO_I PLAN, Drawn to scale gill"c'cl w ' ��
• showing the actual dimensions of the lot to be built R ma •.,..
upon, The exact size, and location on the lot of the I" WW-e-
building to be erected or altered MUST BE SUB- i/�
MITTED WITH THIS APPLICATION.
'
11/18/69 TOWN C QUEENSBURY
DATE Fla IE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ' 6,-er ,U
ANSWER ALL OF THE FOLLOWING. lit-`' c I9 U9
The undersigned hereby applies for a permit to do the following work - - : -- -A.f, -- ----_ _ _ _ P.M. _
which will be done in accordance with the description, plans and specifi- 819110
�17 �.!2 3 ti
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
. Robert. .Al.lan . . . . . . . . . . . . . . .7. :Gex�terinial Drive, Glens Falls, New York 12801
(NAME) (P.O.ADDRESS)
The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Robert J. Dorey, 27 Glen Street, Glens Falls, New York 12801
(NAME) (P.O.ADDRESS) .
Name of Builder. . .Finch, Pruyn. Sales, Inc. Address 27 Glen Street, Glens Falls, N.Y.
Name Of Plumber Address
Name of Mason Address
Lot Number. . . .#? . . . . . Unit, Estimated value of proposed work$ 1800.00
Name of Village Town of Queensbury -
Name of.Street Centennial Drive Side of street: north er, east ❑, south ❑. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east [//,;west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
• NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Build ng
❑ Addition to a building. One-family dwelling Eil
® Alteration to a building. Two-family dwelling ❑
' ❑ Demolition of a building. -family apartment house ❑
Store building . ❑
S€E l;r-i'. 1`i . 301
-car attached garage ❑
Other:
Dormer Shell Accessory Building
• One-car detached garage ❑
0 Other work. Describe: Two-car detached garage ❑ '
Private chicken house • ❑
Private storage building El
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-
NORTH-_._ —- - -__- -posed buildings,and the-location of-all existing buildings. —
- v
l Show proposed building(s) in dotted line and existing
uilding(s) in solid line.
Size of property . ft. x ft.
4 Size and use of existing buildings, if any
y v` rr•7 y
/ m Size of proposed building ft..x ft.
Height (from grade to ridge) ft.
,\� Front yard ft.
Side yards ft. and ft.
Rear .yard ft.
SOUTH If on corner, setback from side street ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
a
(cont'd.)
BUILDING SPECIFICATIONS., -
Kind of construction: Wood frame, fire safe, etc.? Wood Frame
Will any second-hand lumber be used? . . . .NQ. . . . . . . . If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . . .Slop.e Material of roof . . . .Bui l -up .A.sphalt
Size,wood studs . . 2. .x. .4 "x ", spacing . . . . 16" - "o.c., length 7 '6". 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 2 x 6 "x ", spacing 16" "o.c., span 14 ' - ft.
Exterior finish Clapboard With what material? Colorlok
•
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main bunting to be constructed? -
Is there to be,an opening between garage and-building?-
Kind of heating system 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 --
Will a toilet be installed?
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 vent's?' -- -
Town of Queensbury AFFIDAVIT •
County of Warren Ss.
State of New York •
I swear that to the best of my knowledge and belief the statements contained in this.application,together with the plans and specifications sub-
mitted, are a true and complete statement of all proposed work to be done on the desc}bed premises and that all provisions of the BUILD- -
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini goo t e propo work shall be-complied 'th;Whether specified or not,
and that such work is authorized by the owner. JJ
Sworn to before me this Signature
OWNER,OWNER'S G NT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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