5940 BUILDING PERMIT
TOWN OF .QUEENSBURY
No. 5940
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WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Donald A. McKinney •
OWNER of property located ate`/ JMontray Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (porch) �7
O
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.
1. OWNER'S Address is 31 Montray Road '✓
Glens Falls, N. Y.
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name •
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5. ARCHITECT'S Address
O
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6. TYPE of Construction—(Please indicate by X)
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X )Wood Frame ( ) Masonry ( I Steel ( 1
7. PLANS and Specifications
No. 8 'x14 ' 6" porch per plot plan, specifications and
application submitted.
8. Proposed Use
One—Family Dwelling (porch)
¢
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$ 6. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 80 n o
(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.) O
Dated at the Town of Queensbury this 29th Day of June 19 79 .
SIGNED BY BLi f ((610 for the Town of Queensbury
-1
lding and Zoning In t-ector
TOWN N OF QUEENSBURY ( (Space inside block to lx filled in by
WARREN COUNTY. NEW YORK • Building Inspector)
• • Application for •
Application No. .
pp Permit Issued 19.
BUILDING AND ZONING PERMIT l'vt'niit Expires. ►g.
/.(J}b11L District•
\ al He "1 Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale \1'1"" ) d ►"•
showing the actual dimensions of the lot to be built lzemarKg'
upon, The exact size, and location on the lot of the. .
building to be erected or .altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
/ iTM7?cf?d Ct tQia}SUR{!
1 P DATE , / x +IIItN
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J 'NI 2 8 1979
ANSWER ALL OF THE FOLLOWING. p, 0
A.M.;
The undersigned hereby applies fora permii, to do,the following work7181914412411213141616
which will be, done in accordance with the description, plans and specifi-" ...,_,_: r!_! -I. ° se 0 e s.
cations, and such special conditions as may be indicated on the permit. ,
The owner of th. oGty is:. — 7 / . I74 //,/ L/ .J
''//�� �, 7 ;1/-27/1" N U �!vP DRESS,. /r/✓��Zc ..z/ /
77 (NP.`.E) ,,
The person responsible for -.supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) •(P.0 ADDRESS)•
Name of Builder " /./it: •,• Address
Name of Plumber ' ' ' Address •
Name of Mason Address
r �/.
Lot IVumber. . .j•Q. Tr. . . Unit/ Estimated value of proposed work 5 (0. 6 6 . •
Name of Village Ob._
Name of Street mac'• Side of street: north 0, east • ' ,south 0. west 0
Nearest Cross Street . . �,,, Distance from this doss street 0,0 Ft.'
Property is north 0,south pEC east c i,west 0 from Cross Street •
If on Corner, which corner, northeast ❑a, northwest ❑, southeast Q. southwest
(Designate by marking with an "X" in the:correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
El Construction of a new building. Main Building
❑ Addition to a building. . . One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling El•
El Demolition of a building. . . . . . . .-family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
• One-car detached.garage ❑
0 'Other work. Describe: Two-car detached garage
f�f/ cG c;"�,� t -r Private chicken house • ❑
. . . . . . . . . �. .� i
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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH
Show proposed building(s) in dotted line and existing
l;uilding(s).in solid line.• /
Size of property f e, 6 ft. x .� d e ft.
Size and use of existing buildings, if any
vi in
s m Size of proposed 0. .
g . . . . . . . ft.x .14 ft.
Height (from grade to ridge) , . . ft. .
Front yard . .S 2,---- ft.
Side yards 2-2— •- ft. and . . : . t ft.
• Rear yard OZ 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) • .
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?�. . . . . . . . Q� . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/�
Will any second-hand lumber be used? 0 If so, for what? /l
Material of foundation walls t= k ��. N S�T114ness
L
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? Material of roof
", spacing
Size,wood studs "x "o.c., length �S` 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 Z� "x �� "o.c., span ft.
Size, roof rafters or beams 2,-- " x . f t , spacing / 6 "o.c., span ft.
Exterior finish With what material?
Finishof interior walls
If garage is to be attached, of what material is wall between garage and main building 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 vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt;•b r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coupp 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 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
OW ER.OWNER'S AGENT.ARCHITECT. NTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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