6615 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6615
// \�J WARREN COUNTY, NEW YORK
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PERMISSION is hereby graanted to Bessie White
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OWNER of property located 3 {> Dixon Road Street, Road or Ave. (D
in the Town of Queensbury,To Construct or place a One—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. �s
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1. OWNER'S Address is N
179 Dixon Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Carl Timpson ~'
3. CONTRACTOR or BUILDER'S Address CJ
F'-
x
R. D. #1
Ft. Edward, N. Y.
4. ARCHITECT'S Name O
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( ) Steel ( )
(D
7. PLANS and Specifications n
12 'x22' per plot plan, specifications
No. and application submitted.
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8. Proposed Use
n
One-Car Detached Garage
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$ 5. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 81
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 23rd Day of Sept • 19 8 0
SIGNED BY /4 uy_ 6? oc for the Town of Queensbury
Building and Zoning Inspect r 'B/'
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TOWN OF QUEENSBURY ' (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
A lication for Application No.
PP Pertnit Is'ued 19.
BUILDING AND ZONING PERMIT Permit Expires. 19. .
/.ut,in. l)i"strict
%isIiu.,of \Ci,1'k I
THREE (3) Copies of a PLOT PLAN, Drawn to scale. ..‘11,1Thetl 1w
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showing the actual dimensions of the lotto be built ltent:,,l(f'
upon, The exact size, and location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION, .
TOWN OF QUEENSBUI
_�� / / 3' DATE R E 6E 0 d E D
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SE e G 31980
ANSWER ALL OF THE FOLLOWING. A.M. Apr, P� (AM.
M,
The undersigned hereby applies for a permit to do the following week 7I819110'11112I1MM I9
which will be done in accordance with the description, plans and specifi ' ' i
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: -
. . .t ssi e: . Guth.ems. . . . ./. .�1.4'yco ci. kw. ., .g/,✓ns Wit//s �l/er� pe- - /l /
(NA'.E) (P.O.A DRESS)
The person responsible for -supervision of the work insofar as the Buildipg;COcie and the Zoning Ordinance apply is:
.Ct W4 C. . .7`I m so n R,Q/ Pr E d cult.ed . Ilk ce .to z/C /i.
eiez
(NAME) • (Pb
Name of Builder. .CA 4-C. flskpso i Address..S i4. `c. .R s. . . . ...10411
Name of Plumber _ Address
Name of Mason Address ,
Lot Number Unit Estimated value of proposed work S .,9 Soo
Name of Village . 'att..`,-!.?LS bury'
Name of Street .X) 1)4c,t4-' R.00-
Side af:eireet: north O, east. ,south O. west ❑.
Nearest Cross Street Distance from this ^ross street Ft.
Property is north ❑,south CI,east i,west 0 from Cross Street,
If on Corner,which corner,northeast ❑, northwest ❑, southeast 0 southwest
(Designate by marking with an "X"in the'correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Buildingqd Construction of a new building. One family dwelling El
Q Addition to a building. Two-family dwelling �
0 Alteration to a building. . . . . . . .-family apartment house �
CI Demolition of a building. Store building ❑
-car attached garage 0
Other:
Accessory Building
• One-car:detached garage 0
0 Other work. Describe: Two-car detached garage
Private chicken house 0
Private storage building
Other:
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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
13uilding(s) in solid line. _
Size of property / 9 7 'ft. x /o 6 ft.
Size and use of existing buildings, if any
i m Size of proposed building . . . •1.a-. . . ft.x . . a. • • . ft.
Height(from grade to ridge) . ft.
Front yard ft.
Side yards /a- ft. and ft.
Rear yard . . . ..�6 ft.
71 SOUTH If op corner,setback from side street ft.. ..
Note: All distances are net, as measured from street side
line,to nearest part of building.
I (OVER)
7-73-M .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction:Wood frame,fire safe,etc.' W•QQ•&
Will any second-hand lumber be used? No If so, for what)
Material of foundation walls a -Lill- L. —1 -S Thickness
Depth of foundation walls below grade '3 & ti Continuous foundation? ✓ '
Will there be a cellar? MC If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof •
Size,wood studs 1-- "x ",spacing 14' "o.c.,length 4- • ft.
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Size, floor beams, 1st floor „x ",spacing ...:; "o.c.,span ft.
floor beams, 2nd floor "x ", spacing , . ,"o.c.,span ft.
Size, .
Size,ceiling beams "x ", spacing "o.c.,span . ft.
Site, roof rafters or beams '}� "x ",spacing "o.c.,span 1 z ft.
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Exterior finish With what material?
Finish of interior walls. . . . . . . . . . . . . . . . • • • . . ... . ' • " " " " • " " ... . • " ' • ' • • "
If garage is to be attached, what material is wall between garage and main building to be constructed?
Is there to be an opening between rage and building? .
Kind of heating system Oil barner or coal?
Will a flue-lined chimney be provided? . Depth of chiiitney foundation below grade
Height of chimney above roof
Will there be a fireplace? th 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?
l AFFIDAVIT
Town of Queenshury
County of Warren •
State of New York
I swear that to to M 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.,. 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 OWNER.CIWNER•S G NT.ARCH ECT.CONTRACTOR
g.3_,,,G( day of 19 'V
NOTARY PUBLIC. WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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TOWN OF Q`1•EENSBURY
Building Department
Inspectors Report Date /o /3o'/80
Name 3ess, cis ,, Te
Location /79 •1D; xon RoacQ
Permit No. (a(0 i Weather
Remarks
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Exca'ation
Footing Forms
Footing & Piers
Foundation
Cement Coat'
Waterproofing
Backfill
Final Survey
Framing f1'` 9S4/ Je`' I i
Sheathing a
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
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Building Inspector
REMARKS
Re a, f
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TOWN OF QUEENSBuRY-
Building Department
Inspectors lieport Date a -36--8()
Name Le% P,SS ) Q.
Location
Permit No. �(4 /6- Weather.
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Remarks
Excat>ation
Footing Forms
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 I
Interior Trim l \
Stairs &Railings f \
Cellar Dr. Tile \
Concrete Floors I
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundation
Walls
Coiling .
Building Inspector
REMARKS
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