872 BUILDING PERMIT
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TOWN OF QUEENSBURY No 872
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WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to David & Mary Clements
OWNER of property located at Bennett Road Street, Road or Ave. a
90
in the Town of Queensbury,To Construct or place a Garage
at the above location in accordance to application together with plot plans and other information hereto filed and v
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RD # 2
Glens Fall;. New York
2. CONTRACTOR or BUILDER'S Name w
CD
Same
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3. CONTRACTOR or BUILDER'S Address • c+
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address n7
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6. TYPE of Construction—(Please indicate by X)
•
( XWood Frame ( ) Masonry ( )Steel ( ) "C
•
7. PLANS and Specifications Detached garage
No.24' X 24 As per plot plan.
8. Proposed Use
Garage
$ 2.00 PERMIT FEE PAID -THIS PERMIT EXPIRES September 30, 19 70
(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 Quee bury this 27 Day of July 19 70
SIGNED BY ✓ r gip ) for the Town of Queensbury
Building a oning Inspector
TOWN OF QUEENSBURY _
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued Irr
BUILDING AND ZONING PERMIT Permit Expires I .
%c:,ning District
• . Value of Work S
THREE (3) Copies of a PLOT PLAN,-Drawn to scale Approk ed 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. .
7 /2 3/76 TOWN OF QUEENSF'URY
DATE ((� �1/j
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK v
l'L P�1D �,
ANSWER ALL OF THE FOLLOWING. JOE. 2 31970
The undersigned hereby applies for a permit to do the following work
which will be done in accordance with the description, plans and specifi- A.M. P.M.
cations, and such special conditions as may be indicated on the permit. 7M911CI1I12I -P 3I4I5 6
The owner of this property is: -
Da,�;6/ G. ¢ /fa.ry e. • C/emen�� ,ee02 ,d�eKKef.�' - /eus..//.s. / l,(
(N“E) (P.O.ADDRESS).
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . .•?QGtil.r..3. . .0( . .e kek.w,K��... . . . . . . . . . . . . . . . . . . . . . . . . !.D' 4 .<?..,(efg/, ,4�,g7ekS.��ll�`.it/ t i
(NAME) (P.O.ADDRESS)
Name of Builder Address
Name of Plumber Address -
Name of Mason Address
Lot Number Unit, Estimated value of proposed work$ e0ci
Name of Village . .Zei c n . .el a()ec.'s..6 Q 91 -
Name of Street ✓' "e' 4f " Side of street: north 0, east ❑, south ❑. west J
Neatest Cross Street . .'7 ,Lc61...6'0 A eft Distance from this cross street . .4-3 4 Ft.
Property is north RI,south ❑,east 0,_west El 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
El Construction of a new building. 1 Main Building
® Addition to a building. \ n One-family dwelling ❑
❑ Alteration to a building. • ,,,e ' Two-family dwelling ❑
❑ Demolition of a building.cc).„. ) �� -family,apartment house ❑
Store building ❑
i -car attached garage ❑.Vs. tb- . 3 ,...,----- .
QC�� Other:
�
�. -,�-: n,., c� Accessory Building
o' s i �\'° � One car detached garage
❑
l� Other work. Descr
�� • f�lL�'� �,-„. g g-
�' � '�r' Two-car detached garage
0\`9`� . z�a
„ �' Private chicken house • ❑
V ' Private storage building ❑
Other: •
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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
luilding(s) in solid line.
. \a r
Size of property 2 36 ft. x . / .5 S. ft.
S4e e ,
Ses-la \ Size and use` of existing buildings, if any
3 m Size of proposed building 2 47 ft.x f 2 V ft.
.n6 �, Height(from grade to ridge) /0- ft.
Front yard C� / . ft.
. rrDD / Side yards . . . .,..0/ ft. and /d e c' ft.
go;st-7
j e.K Kd Rear yard . . . . l a C f 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.?. . a 4 Pro-me
Will any second-hand lumber be used? k/eS If so, for what? Pr wtac9 c/ .s keeri
• Material of foundation walls . . �'cs�ere?� ¢ C¢ato.rrc;,�" 8(c,x Thickness /2//�
Depth of foundation walls belo}v grade / Continuous foundation?
Will there be a cellar? O If so, material of cellar floor
Type of roof: Sloped or flat? S pep Material of roof . .OJ.o Ft-. .�6i p.�SiTa K .� u �e..S
Size, wood studs . . . . ..<? . .K. . . . . . "x •. . . ", spacing / G "o.c., length F • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor "x ", spacing "o.c., span V ft.
Size, ceiling beams -2 "x . t; ", spacing .3�. "o.c., span 2 ft.
Size, roof rafters or beams .2 . "x ", spacing l6 / /
//�� /� p g "o.c., span T � ft.
Exterior finish . /t H'l i rt rvi �i.<4;t With what material?
Finish of interior walls. . . . /.[! .e jz e
If garage is to be attached, of what material is wall between garage and main buiAing 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?
AFFIDAVIT
Town of Queensbury
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 on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro sed 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,OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of/ 19>0
NOTARY UiBLIC.WAR EN OUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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