6641 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6641
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to R. Case and Margaret A. Prime w
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OWNER of property located at Hiland Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
Addition to dwelling (greenhouse)
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. iv
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1. OWNER'S Address is R.D. #1
Glens. Falls, New York
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2. CONTRACTOR or BUILDER'S Name
ro
Gus LaFond N.
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
12 'x16' per plot plan, specifications and
No. application submitted.
8. Proposed Use
One-Family Dwelling (greenhouse added) err,.
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$ 14. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 81•
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the v N
town of Queensbury before the expiration date.) I-'
Dated at the Town of Queensbury this 8th Day of October 19 80
SIGNED BY J� V 4/..r.10-,2) for the Town of Queensbury
Buildingning Inspector i
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building inspector) -
Application for Application
pp Permit Issued 19.
BUILDING AND ZONING PERMIT 1'i•rmit Expires. ICJ. '
. Zoning. District
;AIcue of .Vcrrk,1
THREE 13) Copies of a PLOT PLAN, Drawn to scale- API"' c'`I bY•
showing the actual dimensions of the lot to be built It ma l-Kr
upon, The exact.size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED -WITH THIS APPLICATION.
5(y"^ �- �I /0 — e- 8,0
DATE ) G H `:
I 'MAIN OF QUEENSBURV
�, a
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK QC I e 1980 a( �I
ANSWER ALL OF THE FOLLOWING. ate, r=e�e M.
The undersigned hereby applies for a permit. to do the following wodt A7I8I9 �-;1;t 3I4�5��
which will be done in accordance with the description, plans and specifi- .A �_ -
cations, and such special conditions as may be. indicated on the permit.
The owner of this property is:
. . . . . 1. Cvsq%.°.,, (!fir �.� et;, .�..mer. . .F'.I. z..•-•)•d•.\1 1 L
' (NA''E) IP.O.ADDRESS) .
The perso responsibie for supervision of the work insofar.as the Buildi))g:Code and the Zoning Ordinance apply is:
Oltp-r a..r.p . -Fr.s,0„2__
(NAME) . (P.O ADDRESS)`
Name of Builder G-�5 rA e AO Address-
Name of Plumber n"^e- Address
Name of Mason 3c^',1SL°s Address _D
Lot Number Unit Estimated value of proposed work S L, S
Name of Village
Name of Street
� ;���.. '�� Side oletreet: north 0, east. ❑,south 0. west In
Nearest Cross Street rJE,,{"^"k 1,0,,,e- - Distance from this -ross street . .To rS'\9-7.. . . . . . • • • • Ft.
Property is north 'L,south ❑,east L i,west 0 from Cross Street,
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If on Corner,which corner, northeast 0, northwest 0, southeast 0 southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
El
Main Building
Construction of a new building. One-family dwelling )14
Addition to a building. Two-family dwelling ❑
0 Alteration to a building. • . , , , . .-family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached garage 0
Other:
S6.�e-�,.-,���),,t5 Accessory Building
• One-car.detached garage ❑
❑ Other work. Describe' Two-car detached garage 0 .
Private chicken house 0
Private storage building 0
• Other: V
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-
posed buildings,and the location of all existing buildings.
NORTH , Show proposed buildings) in dotted line and existing
liuildingts) in solid line.
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Size of property .1, "`e i`4 any C°1.tt. x ft.
Size_and use of existing buildings,if any
korne._w3tL,,ubpe, &ax3,
i w Size of proposed building JP.- ft.x . . . . go . .. ft.
Height(from grade to ridge) _ A ft.
Front yard ft.
Side yards . . .1/.,, .. . . . . . . ft. and
ft.
Rear yard ft.
SOUTH If on corner,setback from side street ft.. ..
Note: All distances are nee, as measured from street side
line to nearest part of building.. ,
(OVER)
7-73—M
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- (coned.) . .
BUILDING SPECIFICATIONS.,
A i i
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Kind of construction: Wood frame, fire safe,etc.) t,eAc ,--
,
Will any second-hand lumber be used?.. . . .Plc?.t.,. . . . . . If so, for what? .
,Material of foundation walls $*". .X. 1 Vs!Al? \p\bc- —, •rhicknesi
,
Depth of foundation walls below grade k) fl- ' Continuous foundation?
Will there be a cellar? r" . , A If so, material of cellar floor
Type of roof: Sloped or flat? Skor2 Material of roof •
Size,wood studs . . . . . . .tw".•47";. . . . . . ."x ' ",spacing "o.c.,length ft.
Size,floor beams, 1st floor ,Ac-10 „x. ,„,spat* .. , ,, "o.c.,span ft.
Size, floor beams,2nd floor va-u1--- "x '• . ", spacing , "o.c.,span . . . .. . . . . ... . . ft.
• • Size, ceiling beams , Mn)--- 9,x ", spacing - ' "o.c.,span ft.
Size, roof rafters or beams ii ,, x g" ", spacing 9- fi- "o.c.,span a ft.
eilet 1 el I.-A ie-ID Cei9
Exterior finish With what material?
Finish filp,rrior walls. . . . . . . . . . . . . . . .Y. .
If Wr-lige is to be attached, of what material is wall between garage and main building to be constructed?
. . .. 111414"
. ... . . . L. . . . . . r . . . . . . . ... . ..; . 0;_. . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . .-.•. . . . . . . . . . : . . . . . . . . . '
Is there to be an,iipeningi tWeenIaltigi'and building? j*,2-6
, .
Kind of heating system '.50\o-c Oil barner or coal? .eV-5.47,1 .6-.-0-e-r c2-
Will a flue-lined chimney be provided? 11''° Depth of chitiumay foundation below grade - • .
Height of chimney above roof
Will there be a fireplace? -No Depth of fireplace hearth
Will a toilet be installed)
Will a kitchen sink be installed and connected to water suppix?
.,.. rs
Water supply(public water supply or pump) 0 na- -11'Crle-- .tri.'' \"6"°-'" --r-c .m.:-...a-1. (,,,Lq „..,...1,L. (...,..0 .
., ,)
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
State of New York ' • . . .
I swear that to tt barof my knowledge and belief the statements contained in this ipplication,.together with the plans and specifications sub-
mitted, are a true and co.i.plete 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 proposedAwork elialle complied with,whether specified or not,
and that such work is authorised by the owner. . 1,,Le-AL.A. (1'-'-it.
Sworn to before me this Signature
A j—, 10.“---- WNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
Q . dayof ,
A .
5-, 19 .
. . . .
NOTARY PUBLIC. WARREN COUNTY. N. Y. . ._
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SPECIAL CONDITIONS OF THE PERMIT:
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /0 ` a - .,
-Name
Location /ff e•/,,t),..A Az
Permit No. Vo LFf Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat •
Waterproofing
Backfill
Final Survey /
Framing • i
Sheathing
Roof Felt \ °
Roofing
Siding \ /
Masonry Veneer.
Rough Plbg.
Relief Valves /
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs•& Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney •
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
j
Building Inspector
REMARKS
• (-42,64, 6 cee /....6e,ts-Le... •
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TO OF UEENSBU* If
Building Department
Inspectors Report Date •16��/° e)
Name (� 14 P_ •
- . Location Ait /rG , .' A1..%e
- . Permit No. a6 .17 Weather
• Remarks
Excat,ation
Footing Forms ti /�- •
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding •
Masonry Veneer •
Rough Plbg.
Relief Valves
Wall Board i
•
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door. Closers
Chimney
Water Meter Inst. •
Septic Approval
Flddrs
Insulation Fdiiridatidri
Walls
• Ceiling
Building Inspector
• REMARKS
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