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5958 BUILDING PERMIT TOWN OF QUEENSBURY No 5958 (Id 1 WARREN COUNTY, NEW YORK 4 PERMISSION is hereby granted to John Marine OWNER of property located at /4/Hillcrest. Avenue Street,Road or Aver N• in the Town of Queensbury,To Construct or place a Addition to dwelling (covered patio) 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 4 Hillcrest Avenue Glens Falls, New York- 2. CONTRACTOR or BUILDER'S Name - - Len Taylor 3. CONTRACTOR or BUILDER'S Address x L.,. Fort Ann, N. Y. n I-I (D' 4. ARCHITECT'S Name En rt • 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications r1• No. 15 'x16 ' . covered patio per plot plan, specifications and application submitted. rt 8. Proposed Use 0 One-Family Dwelling (covered patio) • rj $6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 8.0 `Q (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n town of Queensbury before the expiration date.) O n Dated at the Town of Queensbury this 10th Day of July 19 79 tD SIGNED BY for the Town of Queensbury b Building and✓Zoning Inspector raj 0 • TOWN OF QUEENSBURY (Space inside block to Ix' filled in by WARREN COUNTY, NEW YORK Building Inspector)- Application for Application No. . PP Permit Issued 19. . BUILDING AND ZONING PERMIT Permit Expires. Ig. 7.c,iin. District • • \ !III(' 01 Work,% THREE (3) Copies of a PLOT PLAN, Drawn to scale .\i'I" "ed by showing the actual dimensions of the lot to be built ►tcn,;".►CS' upon, The exact size, and location on the lot of the • building to be erected or .altered MUST BE SUB- MITTED WITH THIS APPLICATION: • ' ' TOWit! OF QUE1=I\ISSURY 7/1/.•°/29 • y 3,iii.i; R E D WORK D A PERMIT MUST BE OBTAINED BEFORE BEGINNINGJUL 1 u 1;1/y ANSWER ALL OF THE FOLLOWING. A.M. The undersigned hereby applies for a permit.-to do the following work 7lglg'1(3�11�12,II2I3I4I IM9 which will be. done in accordance with the description, plans "and specifi- '. ° .° • ' a a . , 5 6 cations, and such special conditions as may be indicated on the permit. The owner of this property is: L e."/ (NA'E.1 _ (P.O.ADDRESS) The person responsible for '.supervision of the work-insofar as the Building Code and the Zoning Ordinance apply is: (NAME) • (P.0 ADDRESS)�ff Name of Builder LE 771/V 12 e ..... . . . . ... . . . . . . .Address PO RP.1. . . /VZ.. .. . . . . . Name Of Plumber' ` Address Name of Mason ffiff L • Address • ���J Lot Number Unit • Estimated value of proposed work i Name of Village Name of Street s �c�-Z� L�/� � Side of street: north 0, east Eg, south 0. west 0 Nearest Cross Street )/�,x�!/�✓ Distance from this r.ross street Ft. Property is north ❑,south ❑,east i i,west 0 from Cross Street If on Corner, which corner, northeast 0, northwest --❑, southeast D. southwest . • (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY - ❑ Construction of a new building. • Main Building LA Addition to a building. One-family dwelling ❑ • Two-family dwelling ❑ ❑ Alteration to a building. family apartment house ❑ El Demolition of a building. Store building ❑ . -car attached garage ❑ Other: . . Accessory Building r) •1 One-car detached garage Cl El Other work. Describer Two-car •detached garage ❑ �� Private chicken house 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing • buildings) in solid line Size of property 7.6 ft. x ./. • . . ft. Size and use of existing /fbuildings, if any Yf t P4/`CO w 12 Size of proposed buildi g 1� ft.x / ft. Height (from grade to ridge) . . , . ft. Front yard 1:---XE---J' ft. Side yards e3 ft. and /P ' ft. l-fIL I- Lfr',5'r AYE' Rear yard 3 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) • 7-73®M . (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, ebc . . . . .. • •". :• :1• • `... . . . . . . . . . . . . . . . . . . . . • • Will any second-hand lumber be used? . i W If so, for what? Material of foundation walls Thickness Depth of foundation walls below grade — j Continuous foundation? Will there be a cellar? . . . . . . . `. . If so, material of cellar floor Type of roof: Sloped or flat? Material of roof Size,wood studs " x !� ", spacing "o.c., length 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 712 S. • • • , spacing "o.c., span ft. Size, roof rafters or beams / " x �r f ", spacing "o.c., span ft. Exterior finish /� l t�J With what material? Finish of interior walls If garage is to be attached, of what material is wall between garage and main buUding 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 State of New York I swear that to it bard my knowledge and belief the statements contained in this application,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 pro^sed wor shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ARCHITECT. ER,OWNER'S AGENT,.ARCHIC CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By . c _ r • C.> 6 C, . . • • - . ® - - LEN 714% ©P CONSTP CT ION °% FQ RT ANN, N.Y, 12827 (IC C.061CRETI FLD°R-n 3 d ' la 1 4 • • /1/0 7- Ta S E.,4-� /-11/'L i Cf E5 r A-,I ,