1662 BUILDING PERMIT
N.
TOWN OF QUEENSBURY No 1662
WARREN COUNTY, NEW YORK +
0
PERMISSION is hereby granted to Carmela Gilbert
m
OWNER of property located at Pine Street Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ( 2) car garage - mnve house onto property
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
83 Main Street
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
William Palfrey
3. CONTRACTOR or BUILDER'S Address
Federal Hill
Bolton Lndg. New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
k )Wood Frame ( I Masonry ( ) Steel ( ) - - -
7. PLANS and Specifications
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No.34' X24' as per plot plans and specifications submitted enc.
_ _ sewage system. cn
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8. Proposed Use
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Three Car detached garage -move .house onto property-
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$ 19.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 8-1- 19 79
(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 11 Day of April 19 77
SIGNED BY cLo��'�j��v��� the Town of Queensbury
Bu g and Zoning Insp for
TOWN OF QUEENSBURY
(Space inside block.to Ix. filled in by
WARREN COUNTY, NEW YORK Building"Inspector) ..
Application for Application No.
Permit Issued - 19. .
BUILDING AND ZONING PERMIT Permit Expires • 19
/.chili District
. Value of Work S . . . . .
THREE (3) Copies of a PLOT PLAN, Drawn to scale `\1)1 "`rc1 by .
showing the actual dimensions of the lot to be built Remark.. .
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;Y
DATE
/ 2-„°0 1—cep
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 1 Q 1972
ANSWER ALL OF THE FOLLOWING. .
The undersigned hereby applies for a permit to do the following work 1 AM. P.M.
71SI9110'11112I1I213141516t . i i , , ,i a ,which will be done in accordance with the description, plans and specifi- A ,
Acations, and such special.conditions as may be indicated on the permit.
The owner of this property is:
. . ./. e5.•. . ................... . .�7'4L i� ie7� .r'v ! 7//lI (7) ,s-/f. IS. .es71.1tom A.-�. . .V
(NA''AE) (P.O.ADDRESS)
The person responsib'e for •supervision of the work insofar as the Building Code and the Zoning Ordinance ap lv is:
/_ (NAME) / �`p (P.O.ADDRESS) • • • • • • • " ", " " "/" " . c,�
Name of Builder. ffu�11 +`94�� Address i' O4 44 . /////4t Y:lkD ./4 "
Name of Plumber �{ sI Y Address ,l l
Name of Mason ti ''' Address ��
Lot Number Unit . Estimated value of proposed work$ . ie,e40411,0 2
Name of Village 41 JAJS IS`ile L/
Name of Street PI/✓ 1:1 Side of street: north 0, east 0, south 0. west 21
Nearest Cross Street f14/AJ 571- Distance from this cross street /c2.5 Ft.
Property is north. JEI,south ❑,east i 1, west 0 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 Building
❑ Addition to a•building. One-family dwelling . ❑
❑ Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. -family apartment house . . LI
Store building ❑
• -car attached garage
Other:
,��++ • Accessory Building
N Other work. Describe:. .ll12�4 ./100.�� oiti o One car detached garage CI
Two-car detached garage El
, t�/. Private chicken house�� ❑
Private storage building ❑
Other: 1.1,E['f_e CiVe VS.7.27 N4{1-7 6.4A?/95:41 . . .
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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
LU Z. &(Z)ss1 'R D I uilding(s) in solid line./fi
. .. l ..a..>----- ._-_..--..-�-_ Size of property l�% q e . . . ft. x /Y °. :. ft.
- -- ",yd`�`- Size and use of existing buildings, if any.
r ��` w buildingft. ft.
-.. ,I S Height (from grade to ridge) `. ft.
. f OoI. - ,
Front yard ft.
I i.U Side yards ft. and ft.
M 10 1 IV ST. Rear yard ft.
SOUTH If on corner,setback from side street ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.2 z)_1) /7‘i‘<J
Will any second-hand lumber be used? . . . Al b If so, for what2
Material of foundation walls C� /Thickness
Depth of foundation walls below grade 4 �� : c. Det tinuous foundation?
Will there be a cellar? If so, material of cell
Type of roof: Sloped or flat? Material o of
Size,wood studs . . . " x ", spacing /6 "o.c., length S- • ft.
Size, floor beams, 1st floor "x ", spacing "o.c., span 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 "x 6 ", spacing . . . . . . "o.c., span / ft.
Exterior finish With what material?
Finish of interior walls � G`G
If garage is to be attached, of what material is wallioetween garage and main building to be constructed?
Is there to be an opening between garage 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? '
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?
Town of Queensbury AFFIDAVIT
County of Warren ss.
State of New York
I swear that to the best of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete statement of all proposed work to be done o e described premises and tha 11 rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to e p posed wor shall mph er specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER,OWNER'S A ENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By . •
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APP1 OVED
DATED 4- //- 7 z
BUILDING & ZONING I SPECTOR
TOWN OF Q'JEENSBURY
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APPEZOVED
DATED 4-//- ?_
BUILDING & ZONING INSPECTOR
TOWN OF OUEENSBURY
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