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1962 BUILDING PERMIT TOWN OF QUEEN '.SBURY No. 1969 WARREN COUNTYr NEW YORK PERMISSION is hereby granted to lh„ + „ t j}ri crw Street, Road or Ave- OWNER of property located at - ,7.- Ar in the Town of Queensbury, To Constructor place a 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. FC04ETRACTOR ddress is us Dfive alls , New York OR or BUILLIER'S Name aylor i]FI or BUILDER'S Address att Street Falls , New York 4. ARCHITECT'S iName S. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) {x) Wood Frame { I Masonry { I Steel ( I 7. PLANS and Specifications No].8t X22f as per plot plans submitted * S, Proposed Use attached garage $ � ryry PERMIT FEE PAID — THIS PERMIT EXPIRES19— (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of QueensburV before the expiration date.) Dated at the 'Town of Queensbury this ) Day of August 19_7.2-- for the Town of Queensbury SIGNED BY Bui and Z ing Inspector 7 OWN OF '(:QUEENSIBUR. if � iypace inNicle block IcD ix' hiled it, b�' `MA itEN COI. N i Y. NEW Y RK � f3iiildinft �c In• �•s txs� 1 Application for � 1� [fkAl4t ,fl ti(>. Ifl BUILDING AND ZONING PERMIT , t , [ . . . . . Lis� ,rr1„ tt THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale showing the actual dimensions of the lo+ to be built 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 OLJEENSBURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK AUG 1 1972 ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work 71g1g11p111112� 1 2 3 4I5 6 which will be done in accordance with the description, plans and specifi- _e f a f + a , cations, end such special conditions as may be indicated on the permit. The owner of this property is: J� y -� 7 /3 u �u _V ,f.? ,G 11 1 . . . . . . . I . .� e+1C,• .5�. - I . . . . - :P C1 A[.SGPE$SI supervision of the work insofar as the Huildinf Code and the Zoning Ordinance apply is: The person responsibiz for Natne of fluilder r9.�f . I. U '�"'-. . . . . Address . } 1. _ . .� ! Name of Plumber , . . _ Address Name of Mason Address Lot Number , ./c�, t. - . . . . Unit . . . . . . . Estimated ti alue of proposed work $ Name of Village . . . v. jg� V. , s . t? . ,qf G x u E . re Name of Street _ VI - . . . . . . Side of street' north 1] , east ❑ . south (] , west ❑ m .9 .v' . / �/�'. Distance from thi. cross street . . . .Cr eIC)' . - . . . rt Nearest Gross Street . . . . 6i . • . . 1 . . 1 . Property is north 1p , south ❑ , east i+ , west ❑ from Cross Street If on Corner,11 which corner, northeast 0 , northwest ❑ . southeast ❑ . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY IDMain Building Construction of a new building, 0ne.family dwelling 0 0 Addition to a building. -rwo-famiiv dwelling © Alteration to a building. . . -family apartment house Q ❑ . Demolition of a building. Store building Q I- . -ear attached garage Other: . . . . . . . . . . . . . . . . . . . . . . Accessory Building one-car detached garage � © Other work. Describe: , . . . . . . . . , Two-car detached garage Private chicken house Q . . . . . . . . . . . . . . . . . . . . . private storage building . . . . . . . . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of ofrcupancy Indicate on the plot plan street names, the location and size of the property, the location, siiae and setbacks of pro- posed buildings, and the lomtien of all existing buildings. MORTII Show proposed building(s) in dotted line and existing huilding(s) in solid line. 3 Size of property . . . . . . . . . . . . . . . Ft. x . . . Size and use of existing buildings, if any . . • • . • . . • . . . . N L c�G c. . r . . . . . . . . . _ ft. Size of proposed 6ftsilcg . . . !i.` . . - . ft. x . a Height (from grade to ridge) . . . . . . . . t. Front yard . . . . . . • . . . Side yards . . . . . . . . I . . . . . . ft. end . . . . . . . . . . . . . . . ft. Rear yard it. If on corner, setback how aide street. . . . . . . . . . . . . . . . ft. - . SOUTH Note: All distances are tart, as eseesured ftom sttwt side line to nearest part of bu±Idstsg. tOVlwY ' BUILDING SPECIFICATIONiS4 (contd.) Kind of construction : Wood frame, fire safe, etc.? . - '. , c', ,�-? . , _ .��� G !¢ 'tr7 '�5" Will any second-hand lumber be used? .c - . . If so, for what? . . I . . . . . . . . . . . . . . . . . I ` - . . . Material of foundation walls , . 2 .. , _ . . . . . . . . . . . . ' ' . . . � . . . . _ . 3 Thickness , _ . 1Z . _ ,sp`F x 4r � ' ,z Depth of foundation walls below grade . _ _ . . /`� f'4o . . ! �? ' . , . . . . . Continuous foundation? w. '/� s . . . Will there be a cellar? . . . . , v . . . . . . If so, material of cellar floor . , . Type of roof: Sloped or flat? . . . , SLra fr`d . . . . . . Material of roof . . .S r �, ! q� . . . . . . . . . . . . . . . . . . . . . . Size, wood studs . , , , , x . . . . . . . . . . . . . : . ", spacing . . . . . . . . . , . . . .rio.c., length . . , . , _ , . , . ft. Size, floor beams, 1st floor , . . . . . . . . . . . " x . . . . . . . . . . . . . ", spacing , . . . . . . . . . . _ . . O.c., span Size, floor beams, 2nd floor . . . . . . . . . _ . " x . . . . . _ . _ I d spacing , . . . . . . . . . . . _ o.c., span . . . . . . . . . . . . . . fE. Size, ceiling beams . . . . . . . . . . . . . . . . . . " x ", spacing "ox., span . . . . . . , . . . . . . . tt. Site, roof rafters or 'beams . . . . . . . . . . , . " x . . . . . . . . . . . . . . ", spacing . , "n-c., span . . . . . . . . . . . , . . it. Exterior finish . . . . . . _ . _ _ . _ With what material? Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall bet een arage and rain building to be constructed? Ismthere o an opening between garag and building,? . . . . � o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . V. [?. C. . . . . . . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . 4 . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Torn of Queensbury AFFIDAVIT County of Warren ss State of New York I swear that to the beat of my know,ledge and belief the stataments contained in this application, with the ,sad mitied are a true end complete state eat of all pnnweed work to be done on the de c tibed e a ���s sts6- ING CODE, THE ZONING ORDINANCE, and Al other laws pertaining to the proposed work Aou be compiled � °p � I;�If.IA and that such work is authorised by the owners / + Oea+ Swot to before me this Signature . . . 1 yam:{- Q#` - . . . . '✓' N S AGENT, �� - _. . . . .. . . day of. . . . . . . . .. . . . .. . . .. ... . . 6Y 0 ER' A1tCN1'TECT, CONT YtAC7CM R . . . . . . . . . . I9. . . . . . NOTAItY PUBLIC. WARRRN COUNTY, N, Y. SPECIAL CONDITIONS OF THE PERMIT: By .... .. ...... ...,........ ........ ....-. .. ..._....,..... ...... ..._.............................................. 1 f 2 4 �a qIY p T� i DAM - BUILDING & ZONING INSPECTOR E TOWN OF QUEENSBURY 4 APPQ,. 0VED DATED � / �7z - 94 - - � BUILDING & ZONINO INSPECTOR TOWN OF QUEENSSURY C' P P P,,,. O V L4 DATED �-r BUILDING & ZONING IN PECTOR TOWN OF QUE£NSBURY .f 1 t . t I t