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1333 BUILDING PERMIT TOWN OF QUEENSBURY No 1333 � WARREN COUNTY, NEW YORK Oq , �. PERMISSION is hereby granted to Jobe Bruenirig ------ o b OWNER of property located ate Cjpo` SL1i1S@t �.alri@ Street, Road or Ave. in the Town of Queensbury. To Construct or place a Addition plus Septic `system 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. [3- OWNERS Address is R. D . 1 Box 242 CONTRACTOR or BUILDER'S Name Same CONTRACTOR or BUILDER'S Address .S'i gLme 4. ARCHITECT'S Name Same 5. ARCHITECT'S Address Same B. TYPE of Construction — (Please indicate by %) 00 Wood Frame ( } Masonry I ) Steel { } 7. PLANS and Specifications No- 160X642 as per plot plans and specifications submitted . 1"t 8. Proposed Use Septic System Addition Living Area $ 45 pO 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 Queensbury before the expiration date_} Dated at the Town of Queensbury this 26 Day of Judy 19 it SIGNED BY +r- L for the Town of Queensbury Buildirg Zoning Inspector - TOWN OF QUEENSBURY ( Spatt, inside blocE V' WARREN COUNTY* NEW PORK Application for �`I'k' ` Mfg 14 BUILDING AND ZONING PERMIT ,f I I Y, IDi.t ri t �~ '~ zo4*IING INSPECTOR THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale \ i '� 'YOW<~1 £3F 43 UEENSBUftY showing the actual dimensions of the got to be built k� c ni.n 1 ,tpon, The exact six&, and location on the lot of the building to be erected or alfered MUST BE SUB- MITTED WITH THIS APPLICATION, ir.-1{�,J,���Iyy�,,VN [] 1= OUEIEpV} c7BUt�`rY DATE } �'� l' " . - - - - - A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � .,,....,fir 'CJ 0L 2 2 7 1 P.M. ANSWER ALL OF THE FOLLOWING. A.M4 Th" undersigned hereby applies for a permit to do the following work 7� 8 �9y1,�g1,12� 1 � 2 � 3 � 4 � 6 16 which will be done in accordance wi+h the description, plans and specifi- R nations, and such special conditions as may be indicated on the permit. l_'h ' owner of ths' s,Farxapert is rNa 1FI - - - IP.O AVDRESS} 'I lie person responsible for supervision of the work insofar as the Building; Code and the Zoning Ordinance apply is: 54rw �5 . . . . . . . . . . . . . . . . . . . . - . � iNAME . . . . . . . - - IP�O. A013RESSI Nani� a€ Builder . . . .. 'G . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . , - - . . . . . . . . - - _ _ . . . . . . . . , tianTe of Plnrnber - - 54"y" . Address . . . . . . . . . . . . . . . . . . . . . . Name of Mason . - . 5/0h �. . . ' - - - . . . . . . - . . . Address . . . . . . . C - -4- ,'�e' ! ,CT 2af 1.01 N timber , r� . Unit ' �. . . . . Estimated value of proposed work $ . . - �. . . . . . .~F7a>v i+:ascse ef._—l►? e .cif � L B1V M - f tom? n?. ,L`� . . . f.! � . . : . . - . . . r. - ?r nod T�a7�r Name of Street . . 1c` CIIV S T . . . " . . . . . . . Side of street: north , east © , south west ❑ INearest Cross Street /7'VVVf_ `n[/G6(l . . . . I . . . . . • . . . Distance from this cross street Propf•rt y is north ❑ , south ❑ , east X , west ❑ from Cross Street If on Corner, which corner, northeast ❑ , northwest ❑ . southeast ❑ , southwest ( Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY construction of a new building. Main Burbling Addition to a building. One-family dwelling Alteration to a building. Two-family dwelling - E:?4�molitinn of a building. - • • • . . . -family apartment !souse Store building -car attached garage i Other: . . - - - . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage az Work . Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage `. ._' Private chicken house L- Private storage building - - Other: . . . . . . . . . . . . . . SPFCIFICATIOVS. 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- NORTH tAl posed buildings, and the location of all existing buildings. �....__.___ Show proposed building(s) in dotted line and existing huilding(s) in solid line. e / // Size of property . . . ✓. . . . . . . ft. x . . _ ! .k? d dit � Size and use of existing; buildings, if any . . . _ . . ve Size of proposed building - ft_ x . . . . . . . . . ft. tl j3 caCaE Height (from grade to ridge) Front yard . . . . ft , fT . . . � � Side yards .1��� -. . ft. and , , . . v�� Et. $U +d5Sr tl9?VE Rear yard .4.q. . £t . SOUTH If can corner, setback from side street . , - . . . . . . . . . - - . ft. Note: All distances are net, as measured from street si,'le line to nearest fart of building. (OVER) r liUILDING SPECIFICATIONS. (cant'd.) Kind Of construction_ Wood frame, fire safe, etc,? . . .�`! ��. .I' r 'c • , , - . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . �' �' , - , • • • • , if so, for what? . . . . . ff. . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . . . `c.`l. i~-� . �? Q.G. ln' . . . . . . . Thickness Depth of foundation walls below grade • - tf'2 . . . . . . . . . . . . . . . . . . . F) . . . Continuous foundation? . Wye— Type . . . Will there be a cellar?I?t�??I*11, . . . . . . If so, material of cellar floor. . -�'✓G/2 7 ` . o . . .C . . , , . . . . . . _ F of roof: Sloped or flat? . . . t r? !?4{'�i . . . . , . . Material o roof . fir? .)" ? '+ E � %7� Gj p �{ i Gz r Size, wood studs 2 y / , h. .. _ . ' ' . . . . . . . . . . . . . . Size, floor beams, 1st floor . . . . x spacing � . . . . . . D.C., length . . . .. . . . . . ft. . . . . . . . ,"?! / spacing . . . . /� �? . o,c,, a Size, floor beams, 2nd floor Z " x / [) . f& .. t l��uf3 ft. spacing , . . . . . : - - "O.c., span , �•s �F& ^` Size, ceiling beamsT exfl't A ?- . . . . . . " a . - . . . f.7r �L. I spacing /� "O.c., span . . . . . . . ft- Sixe, roof rafkers o a s 2 " x . . . .`t�3. . . . . . . spacing "O.c., span . . . . . . . . . . . . . . ft. /Fkrc Pa rs , . . . , . . . Exterior finish - . I''� GtrgL`i�`'i . G - . . , . . .�,� �.0 {' � a? 7� With what material? Finish of interior walls . I . ply . , fijvi.-i `kr P.Z .K- . If garage is to be attached, of what material is wall between garage and main building to be constructed? .se. . . . C crry; 7I~, C<. . . . , . Is there to be an opening�� eet� rage and buildita ? . . . . , . . . . . �`! � - - . . . . . . . . Kind of heating system . . . , . . , . . �� i! Burner or coal? . t a ue4ined chimney be provided . . . C�!�'. . ept O c trnney Oun tton ow gra e , IgT! Height of chimney above roof. .' 41 . . . . . - . I . . . . . . . . . . . . . Will there be a fireplace? .f� . . Depth of fireplace hearth . . . . . . I a toilet be installed? - - . . . � �. . . . . . . . . . . . . . . '. . . . . , . . - . . . . . . . . . . . . . . . . . . . . . .. Will a kitchen sink be installed and connected to water supply? . . .�!"� ✓ . . . , . . . . . . . . . . . . . , Water/supply (public water supply or pump) . . Wi t . . . wt� [, Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . LL . • . .•7. . . . . . . . . . . . . . . . . . . . teat Will drainage system be provided with required traps, cleanouts, and vents? Town of Warren AFFIDAVIT County off Warren saw State of New York I swear that to the bast of my knorrtkx4e and belief the statsmetnta contained in this application, with the and spadBaatiioaa sub- mitted, are a time and complete statement of all proposed work to be dose on the da. inen, sutd that a ovind s of the S[III.D" ING CODE, THE ZONING ORDINANCE, and all other laws pertainins to the he eoml that r a f thead or pot, and that such work is authorised by the owner. Sworn to before me this Signatutm !- At3., .... ..... ? +" 0 NER, OW R•S ENT. ARCHITECT NT#ACTO# ... . . .day of...... .91,e....._... . ...__ 19-77/ - NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By ...... . .. ...... . .. TOWN OF QUEENSOUIRY WARREN COUNTY. NEW YORK Application for A PERMIT TO CONSTRUCT , ALTER OR 'ENLARGE A SEWAGE DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE TOWN OF QUEENSBURY Mail or brine this application to : Building & Zoning Department Queensbury Town Office Building R. D . 1 Bay Road Glens Falls , New York 12801 This application for a Sewage Disposal Permit must be accompanied by a plot plan drawn reasonably to scale showing all dimensions , the size of the lot , the location on the lot of the water supply and sewage system . 1 , Name and mailing address of applicant : 2 . Specific location of property : S STREET AND N' , ER 3 . Application is for : New construction of private dwelling . Alteration or enlar ement of existin sewn e disposal system . 4 . Description of building : a . number of bedrooms bo garbage grinder YES ©R NCo 5 . Topography : 45 `t� S E7 ( flat , ro ing , steep slope , gentle s ope , etc . 6 . a . Nature of soil . ( Describe to a depth of 5 feet if the field is to be used or 10 Feet if leaching pits are proposed , giving thick of various strata such as top soil , clay , loam , sand gravel , rock , etc . ) b . How determined? 7 . a . Soil percolation test made by ( Refer to Part 1119 Bulletin 1 , N . Y . S . Department o Hea th b . Percolation test notes submitted ? YE6 © R NU 8 . Proposed sewage disposal system inicatted on attached plan or sketch ? 6--i2. j C6r`JC 2 t LIF by -T C YES OR NO 440 Ct/ote F'Z a- 9 . Date when construction will commence It is hereby agreed that i. f this aP+ location and attached t ins dated L _ x 2 - � ? ) or any amenc3 ,,- " t or revs ti^ creax , aremadeai n}raccordance�w with the odetails ethereofaasfshowntonssuchwill be approved plans . nst e By : Contractor ; ignature of a is nt a Owner t [FC3 Z`Grf-ev CrAJ � G ! �; t4oyl l 40rt ,y ,