1428 B BUILDING PERMIT &
TOWN OF QUEENSBURY Na. 1428 $ * �
WARREN COUNTY, NEW YORK * �
Y•
PERMISSION is hereby granted to Cm Ft. pi..„ Ru
un
OWNER of property located at 27 L.L1 ine Lane Street, Road or Ave. M
H
in the Town of Queensbury, To Construct or place a Dwelling ( One -Farm lY )
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
16 Greenway Drive
Glens Falls , New York
2. CONTRACTOR or BUI LDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address
Same `
6. TYPE of Construction — (Please indicate by X)
()o Wood Frame { ) Masonry ( ) Steel
G
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7_ PLANS and Specifications Y
fD
No.241X.40 ' as per plot plans and specifications submitted .
S. Proposed Use m
One - Family Dwelling and garage in basement .
$ 36 00 PERMIT FEE PAID — TF(IS PERMIT EXPIRES 72
3 - 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 21 Day of Sepiiamber 19 7
SIGNED BY the Town of Oueensbury
uildingand oning I or
TOWN OF QU EENSBURY ISpace inside block to be lilkc•tl in bt
WARREN COUNTY, NEW YORK Building
it�pc ctc�
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Application for ,>�.,l.m� St t �► � �, V
.. I�S .
BUILDING AND ZONING PERMIT 1' '"�' ,ryr�y�q; p t} 1971
A'iliT,A ��iswict ,+,�' EP .1
THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale tl �l ,r{ ,. scl h� .
showringg the actual dimensions of the lot to be built K� -Il'o' 1LDING N N%PECTOQ
upon, Tlta exact size, and location on the lot of the -OWN OF QUEENSBURY
building to be erected or altered MUST BE SUB_
MITTED WITH THIS APPLICATION,
j TOWN C{�S�F QUEENS
SBURY
A PERMIT MUST BE OBTAINED BEFORE BEG INNING WORK 1l{S+
ANSWER ALL OF THE FOLLOWING. �5 L d' 2 1 1971
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- q ` 81g11 i011`121112I3j41616
cations, and such spacial conditions as may be indicated on the permit.
Theo er o t pr ty ,i� _ r f f'� t
�e 1. j6 45 ;� '�S'S'' Al . . !41,o?;v ,/ . . c�W � /.•�
(NA .F! /• fP.O. ADDRESS)
The person responsibie for supervision of the work insofar as the Buildi g Code and the Zoning Ordinance apply is:
• iNAME1 Ip�O- ADDRESS}
1r Address . . . . . . . .
Name of Builder . . . . . . . . . . . . . . . . . . .
Name of Plumber . . . . . . . r.` . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , , Address . . . . . . . . . , , . - . . . . , , . . . . . . . . .
rl
Nathe of Mason .,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . .
Lot Number . , . 6. � . _ . . Unit . . . . . . . . . . . . Estimated value of proposed work $ . . / V . . . Q Cy
Nameof Village . . /. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Streefif L+ +t4 f u • - •'� !4'' . . . . . . . . . . . . . . . Side of street: north ❑ . east ❑ , south ❑ . west ❑
Nearest Gross Street . . . . . . . . . . . . . . . . . . . . . . . . _ . . . - . . . . . Distance from this cross street . . . . . . . . . , _ . . . . . . - - . Ft.
Property is north ❑ , south ❑ , east i i , west ❑ from Cross Street
If on Corner, which corner, northeast Lf , northwest ❑ , southeast 0 , southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
CK Construction of a new building. Main Building
f� Addition to a building. One-family dwelling
Cl Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house
Store building 0
. -car Aviached garage l�
Other: *944 ? . . . . . . .
. . . . . . . . . . . . . . . . . '. . . . _ . . . . . . Accessory Building
One-car detached garage
�] Other work. Describe: . . . . . . . . . . . . . Two-car detached garage 0
Private chicken house
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1�
Private storage building
. . . . . . . . . . . . Other: . . . . . . . . p . . . . . . . . . . . . . . . .
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-
KORTH posed buildings, and the location of all existing buildings.
��J Shaw proposed building(s) in dotted line and existing
1juilding(s) in solid line.
Size of property . . . . . A7 0 . • . - ft. x ft.
Size and use of existing buildings, if any . . . . . . . . . . . . . .
s W Size of proposed building . . . . . ft,, . . .y. D. . . . ft.
Height (from grade to ridge) . . • . . . . • . . . ft.
Front yard 3. . . . . . . . . . . . . . . ft.
. . . . . . . . . . . . .
Side yards . . . . . .a '�t . . . . . . ft. and . . . . . `3. . . . . . . ft.
Rear yard . . . . . . . . . . /f V$< . . . . . . . . . . . . . . . . . . . ft,
SOUTH � � If on corner, setback from side street . . . . . - ft-
No fe: fill s are net, as measured from s tree e side
fine to nearest
part of building.
{OVER}
{cont'd.J
BUILDING SPECIFICATIONS.,
Kind of construction, Wood frame, fire safe, etc.? , �/r4:_^
Will any second-hand lumber be used? . . . . . . , . If so, for what, . . . . . . . . , . .
Material of foundation walls . . . . . . . . . . . . . :C OAe t^.f +! . *' . Thickness . . .
4 .
Depth of foundation walls below grade .A. . . . . . . . . . . . . . . . . . . . . . . . . . . Con inuous foundation? . . ,f" .
W ill there be a cellar? . . . . . 1) es'( . If so, material of cellar floor Crt3,�?rcip �,
. . . . . . . . . . . . . . . . . . . . . .
Type of roof: Sloped or flat? . . . . . /✓, ?> . . . . . . . Material of roof . . . . . ,�XO40 r`?"`f
Size, wood studs . . . . . . . . . .2 . , . . . . . . . '" x . . . . �i! . . . . . . . . ", spacing . . . . . /. . , . _ . "o.c., length . . . . . _ ft.
Size, floor beams, 1st floor . . . . . . . . . . " x . . . . � . . . . . . . '", spacing . . . . _ . !'.ta. . . . . "o.c., span . . . . . !' 2 . . . . . 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 - . . . _ . . s acin r. . .' . .
jam' /'� c / spacing o.c., span . . . . .. �i` , , . . . . ft.
Exterior finish . . . . NF . , , r r With what material? � Slrv�/.i! • . , _ .
Finish of interior walls . . . . . . . . . f.? . . . . , . 3'�"J' '
If garage is to be attached, of what material is wall between garage and main buij4ing to be constructed?
Is there to be an opening between garagre 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? . .- �.-F? 1S; , , , , . . •. .
Will a kitchen sink be installed and conne�c-ted to water supply?
Water supply (Public water supply or pump) . . . . .¢? 4tyl/? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Distance of cesspool from any private well / %3 J feet
Will drainage system he provided with required traps, cleanouts, and vents? . . . . . . . P J
Town of Queensbury AFFIDAVIT /
County of Warren ss.
State of New York
I swear that to the beat of my know,tedgr and belief the statements oo ed in this application, together with the�p.r,l1•�a�ns and specifications sub-
mitted, are a true and complete statement of all proposed work z do a on the described premasea that a" provisions of the BUILD-
ING CODE, THE ZONING ORDINANCE, and all other lawn pe ini a no ae[] work shall V th. w er specified or not,
and that such work Z authorised by the owner. � �
Sworn to before me this Signature
--- OWNER, OWNER .. . - ENT... .,- HITECT. CONTRACTOR -._.
. ... .. .... .. . . .. . . . . . . . . . .... . . . ... ..day of_. . . .... . . .... .. .... . . . 19.... . . ..
NOTARY PUBLi C. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT.
By
11
BUILDING AND ZONING DEPARTMENT
February 13 . 1975
Mr . Peter Coffey
Maynard . O' Connor and Smith
P . O . Box 957
Schenectady . New York 12301
Dear Mr . Coffey :
Enclosed please find copy of Inspection slip
made by me on March 30 . 1973 at 27 Lupine . Town
of Queensbury Building Permit ##147SB .
At the time of this inspection the septic
system being installed met with my approval .
Of course . I have no way of guaranteeing
that changes may not have been mode since or
that due to foreign materials being introduced
into the system its efficerncy has been curtailed .
If we can be of service in the future please
feel free to call on us .
Sincerely .
Harold E . Boynton
Asst . Building Inspector
Town of Queensbur*
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