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5869
BUILDING PERMIT TOWN OF QUEENSBURY No. 5869 � L4 ` ,3 . WARREN COUNTY, NEW YORIC ; PERMISSION is hereby granted to Carter A . White OWNER of property located at 26 Jerome Avenue Street, Road or Ave. m rt to dwelling (li.vi.ng area.) (1)dition in the Town of Queensbury, To Construct or place a Ad y at the above location in accordance to application together with plot plans and other information hereto filed and ,j approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ' H= F2CONTRACTOR ER'S Address is 26 Jerome Avenue m Glens Falls . N . Y. or BUILDER S Name Gus LaFond 3. CONTRACTOR or BUILDERS Address Oakwood Drive South Glens Falls : N . Y. ch sty 4. ARCHITECT=Nanw H tD 3» m 5. ARCHITECT'S Address t3 c r6 6. TYPE of Construction — (Pleats indicate by X) be 1 Wood Frame I } Masonry 1 I Steel 1 1 7. PLANS and Specifications R. l6 ' x26 ' per plot plan, specifications and application a., No. submitted . 1 CI B. Proposed Use + } O one-Family Dwelling (additional living area) Q m H 1-+ Jan . I 19 80 ,ts $ 16 . DO PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueansbufy before the expiration dats.l llth ,Tune 19 79 Dated at the Town of Queensbury this Day of PSIGNED 6Y 00. for the Town of Queensbury Building and oning I nspector TOWN OF QUEENSBURY (Space inside block to be filled in be WAIRREM tCOUNTY. NEW YORK Building; In:sp['clorl A lication far l, ,j)iitatit,it No - Application 1'a•I trrll ls,nttir# IrT BUILDING AND ZONING PERMIT l', .i„i;t 1 .shireti _ Ic1 THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale \ Iil ,rr .� t•tl In shawvi . the actual dimensions of the lot to be built it< 'zl;Irl,4' 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 OUEENSBLIRY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. 01 : 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. cans ands ecifi- cations, and such special conditions as may be ndicat on the permit. � ` 1 ' The owner of this prct rty is- CA .n, 2. . . .# . .LE1ti .j,"rE. . . . . . . 2, 4 - - J.eRa #4C A - . +� - �: . . . . . . . . . . . . . . . . . . . . INA {E! IP Q. A6bi4essi The person rjesponsible for supervision of the work. insofar as the Building Code and the Zoning Ordinance apply is: �..'7 t•'t c?'-. ,•�VIA 4-. G_.. c -r V-cr . �. �- . . . . � . . . . . . . . - _ _ . . . . . . . . /+ INAMEI op 'a' ADDR ESSY Marne of Builder . .1"rf S. . L a Fa 'Y,,V6 . . . . . . . . . . . . . . . . . . Address �r,'+.l! Name of Plumber - . . �" . . . . . . . Address /^rtle��5'®.ti -15M M'LL"5'. . . . . . . . . . . . . . . . . . . Marne of Mason - . .C�us - �i"t. + �' -. . . . . . . . Address Lot Number . . . . - Chit . . . . . . . Estimated value of proposed work S . . . . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . , . . - - . . . Name of Street . . .!0G • Side of street: north Cl. east ❑ . south Q » west ' Nearest Cross Street . . zeA !"� • • ' r'�' '�"R� t' � Distance from this �ross street . . . . . . *.**4Pl yA9. . _ . . . 'Ft Properly is north Et, south Q , east i , west ❑ front Cross Street If on Corner, which corner, northeast 0 . northwest O , southeast Q . southwest (Designate by marking with an "X" in the correct space.l NATURE OF PROPOSED WORK 04CCUPANCY 0 Construction of a new building. Main $ua ding d One-fa,Xdig '�. Addition to a building. 11e X Two-fng © Alteration to a building. partment house 0 Demolition of a building. Store 0 hed garage Other-. . . . . . . . . . . . Accessory Building 01 One r dc!tyhed garage 0 0 Other work. Describe; . . . . . . . . . . . . . . . . . . . , . . . . . . . . Twa-ca ached garage private 'cken house I . . . - . . . . . , . . . . . . . . . . . . . Priv a sto a budding 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 hoilding(s) in solid line. .�+ p Size of property . fever I. . . . - . . . ft. x .fit p. r . . . . ft. ? Size and use of existing buildings, if any • • • - Size of proposed building . . . . . ft. x . . . . . . . . . . ft. _ Height (from grade to ridge) . . _ l � .j- ft. Front yard . ft. S� Side yards . . . . , ft. and . . . . . . . . . . . . . . . ft. Rear yard itt., SOUTM If on corner, setback from side street . . . . . . . . . . . . . . . . 7 Note: All diseateces are tret, as measured from street side lime to nearest part of building. (OVER) 7, 73_M (cont'd.( BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? &104. . d 0 . . . . _ e ,�'y VX � -. . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . Al. ?� d • . . . . , iF so, for what? . . . . . . . . . . . . . . . . . . . . Material of foundation walls .Gt7@v C/?e ` 19 . �• - • • €°t r1 • - • �`• • .19 • • • • • . Thickness . . . . Depth of foundation walls below grade . . . le,'. . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . Continuous foundation? Will there be a cellar? . Lr/.I ... .�+f+'<. If sa, material of cellar floor . . . . . . . . �. . Type of roof: §Lo4wA or flat? _ , . , , . . . . . . . . . . . . . Material of roof . ./9 f'! � F . _ . . . /4/ •� 5 Size, wood studs . . . . . . . . . . . . . . . . _ "" x . . . . . . . . . . . . . "', spacing _ /. o. . . . . . . . "o.c., length . _ °� 'r . .• . . . . . it. Size, floor beams, Ist floor . . . . . _ . . 1. "" x . l.Na. . . . . . . . , . . ", spacing . /.tor. . . _ _ _ . . . . "o.c., span . . /..I* . . . . . . . . . Ft_ Size, floor beams, 2nd floor . . . - . . . . " x . . . `... . . . . . . . '", spacing . . . . . . . . . . . . . . "o.c., span Size, ceiling beams - - . . . . . . . . . . JL . . " x . . . . . . . . ' spacing J .(r. . . . . "o_c_, span . . /. . . . . . _ . . . ft, Sine, roof rafters or beams , , , . . . . .�Z . . " x . . !c. . _ . . . . . ", spacing . . /.40 - . , , . , , . . "o.c„ span , .✓. 6 . . ft_ Exterior finish. - - .0 ct 4 O.P+ >!-:Q !rC_, . . . . . . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . . . . . .-1'- S !+! a. ./C y , y . . . . . . . . . . . . . . . . . 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 buildi ? _ . . , ;T . . . , , . . . . . . . . . . . . Kind of heating system , . ? C. . . . . . . I. . . 1 4 . . . . Oil burner or coal? _ Will a flue-lined chimney beprovided? Y"�4K7J3 - Depth of chimney foundation below grade . . . .�. '". . . . . . . Height of chimney above roof. . . . . . `�f�'P . ry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . _ . . . . . . _ . . . . . Will there be a fireplace? . . . . ' .,�fy? .`.'. . . . . . . . . . . . . . . Depth of fireplace hearth . . S , .` . . . . . . . . . . . . , , . . Will a toilet be installed? . . . . . . e/•�"x.•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . ?4'*. , . , . . . . - . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) r!7FOC:rev. . . Distance of cesspool from an rivate well d`*. . , . , , . r' r'"" !�+!C . . oT Pam" y P r'Sr' 'e, +,m�c�`- , ,. .- •,�' . . .�'�'-+e.�. . .. .. •. • feet Will drainage system be provided with required traps, cleanouts, and vents? . . . .Y~. 7t .' . . . . . . . . _ . . Town of Queensbury AFFIDAVTIT County of Warren State of New York I swear that to tr bca tt of my knin0edge and belief the state nu owstained in chit application, together with the altar and specifications. ad mitted, are a true and o pa. lete statement of all proposed wont to he done on the deseribed pes ntses and that an provisions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws Parisi ni o the prapaadd work shall be oompikd with, whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature OWNER. OWNER'S AGE T, A GIZIAi f• C -- - ACTt7R . . . .. . . I day of. . .. -. . dl4-ed . . .. . . . .-. ... 29. .7? -. . . . . . ;TE� ,,zi � . . .. . . .. . . . . . . . . . . NOTARY PT..FBLIG. v4ANIEN ICOUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: Iiy .. . . . ... . . ..... . . ... .. .. . . . .. .. . . . . . . .... . . .. .. . . . .. .. .... .. . ... .. . . ... . . . . . ... . ..... . . . .. f td ! r ,Rd Ai a. i-47T y "{ , _ . . . ddd . : � n . . • . a 1. Rd eLL . v/-:- ue .., ,_ dd 4M. d . . . . •.i Z I ':i 1. 37, ' 1'" !F C tx n f! 4y w i`.. • • / ,,,�'��y Id .r o S s , �' LL L . .:Rd A• .i e/ `. 1 , ti' .X k't f.^ .. V a �. h n s. •i '.L V •dw /Il T.'. VL! r.. _ ' '. i'T i!� T'.�} .,.i }' - `• ..�._ r d.. c'T S Q ri x t I :i rx r 'Bi fg 3C;T •1 ¢� $ :3 C.CIA n s^' g rid t . C? w 3 Ey�ri og r' EY 3[ is +l51 r $ IR r w 3 :E .. S1[# Lg f F7 Z F `A1 if TD A .:. ,r•r /�('7 tr%Ci:.3��y"3 ; 'V` fY ! 7i 1R t3 i� e"1 r)Cr x' SR . _ . . L I .. Halt ° f it ri � Sa :c7V +epY hgA �: XS [� g ,t s"+sC rt ?$ . n i r� tt a r-1 <z rr ! ^. u ILt t r;- sI r n tr � w t w Z' !lam ` R 3 1.7.IR1 r n k +Ek }, 11 .# -,,1 A C' x :� f: - }. IR r :? _ •Y 1 w •: . . .�.. '' A IIt if r'.. !" , i. ? i. ,.• .Y �. : .-s k_ •1 fT ; ,.x Ad" r , •1 N .y�. !-: /z� rs ; '� :b i A _ . r` .„ `! �' P. i"' i :'._ `4 rx ri i! ^> r- . 1r. r.!J �:'"•w '�'-'S�-.'�' S _ - "-. ::, d K 'l S:r it m 21 R+ R 'S At o kL it . .a .; r• k ^� n '. P n' f: sty ?i s • F Rd le SUild!WA P rxst,tat P'cr'x�it N� Excatpa ti on Remyrlrs FQatsn & Piers Cement Coat - ,Wa ter roo.f'ir.c _tea c1C-f.i l 7 F z rra I .Survex Sz -in g r'9asonr tieneer Rau h pi Re.Zi e f Val waIJ1 Board �'orche_s F i ni Shed P _ + door Zntearzar Trim Stairs Ra . Cel.Za.r pI , z Zin 2'ile ncre to PI F'Zoors Fixtures Gar . ite raofi nc �7oor F C Z oser� --- se tic A - --� S-i4-n I.J�y .�- THE NEW YORK BOARD OF FIRE UNDERWRITERS � BUREAU OF ELECTRICITY �I� y� 41 STATE STREET, ALBANY, NEW YORK 12207 Dnte �� i.�7 1' • Application No. on file '.'?c': '�g 'JT u _� ..�. .,� „ �.., THIS CERTIFIES THAT only the Blectrical equipment as deer bed below and introduced by hue`ap�.plicant Medan the above liedI number in the premises of "� . Lrt ft.t Xl�LP4�!. rr7RALi ?[? s elf � f� +� ' #n thefallow#n� location; ❑ Basement 1)KIst FT. ❑ 2nd Fl. 'ti`S.�I�� Section Block Lot was examined an 8 E]0/79 andfomnd to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OWNS DISH WASHERS EXHAUST FANS S OUT S AGLES SWFTCHES 4WCANDII IENT FLU $C1!W I A,MY K. W. AMT. K. W. AMT. K.W. as DRYERS FURNACE MOTORS FUTURE "PI FEEDERS SFECIAL REC"FT TWIE CLOCKS I UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. dL H. P. GAS H. P. AMT, NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P- SYSTEMS AMT.� WATTS NO. OF FEET SER%fKz DISCONNECT NO. OF S E R Y I C E AMT. AMP. TYPE iEYQUIP 1 le' 2W 1 ,i1' Tw S R 3W 9 A' AW ' GptR�COND. CIF C Cam. NO. OF HiAEG OF lu?4E NC. CV NEUTRALS CF NEUTTIMI. OTHER AWARATU& �.�i P Iry � � stre�ct W-7�now Vorm ' BRANCH MANAGER Per COPY FOR BUILDING DEPARTMENT* THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER* dr TOWN OF +QUEENSBURY Building Department Inspectors Report Date Name Location Per-nut No. X'(n !z weather Par Crane Mate .d..+snr:ss Excavation Footing Forms Footing & Piers Foundation Cetaent.. Coat Water roMfin Backfill Final Survey Framing S heathing Felt Masonry Rough Hi Relief Valves Wall Board Ext. Porches Finished Floor interior Trim Stairs & R&Uings Cellar Dr. Tile Concrete Floors Plh . Fixtures Car, Fire roofin Door Closers chimney Water Meter Irm. Septic Approval Buildiuw fnspactror REMARKS /¢7�4:'S efvi rvj TOWN OF QUEENSBURY Building- Department Inspectors R" at Date " / Name Location Permit No. -_ . x_ n- r !Q Weather Per C..t complete A=Mftrh+ Excatration Footi Forms FOOtinff & Piers Foundation Ce t Goat Waterproofing Backfill -Final Sury Fmmiaa Shea Roof Felt Roofing Sid" 1lfawn [r*rt r Hough Plb . Rough Ht Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & R,ailin Cellar Dr. Tile Concrete Floors Plb1L Fixture* Gar. Fireproofing Door Closers Chimney Water Mnter Inge Se is A ral Sw �+Ni lrtrpector REMARKS i' i � r 1 , r ) po M1 M1 ` y 4 _ d - y *;p lq ., fh )1 Il - k-. :r .:ql. 1 — .b b t Tl�v.rl :d f � ,,�'�,,�.!i.�_.a S �,.,n,I l�N-t,2 mer �p.�.v-�.... 5.�!'-sG" .lam �-- .� •�.5 5 kkk A r°lrni r �f ! Y'� 4 L �? � 4 �.. Z. i'j /}�'v�' ^!,� � Aoki, Diu (� +✓o,� Env /L +�,2 .�► wL S .s e wc AIS4'G of AeOOW / s7 y re P C7&V/ A qr .. "' /1!© se sip 43 ed G I i I i { J } - 4 �.c 2 .r �-.. a+':-'as. tRs}%.. -t, bI.rk . - .S.•£� .... I .r r ..,. ._.... . _.