1016 BUILDING PERMIT
TOWN OF QUEENSBURY No 1016
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Irene Trackey
OWNER of property located at Michigan Ave. Street, Road or Ave. m
in the Town of Queensbury,To Construct or place a Storage building.
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
Same
A
2. CONTRACTOR or BUILDER'S Name
N•
Raymond Deyette
3. CONTRACTOR or BUILDER'S Address
CD
Michigan Ave.
Glens Falls, N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( ) Wood Frame (X) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 10 ' X 10' as per plot plan.
8. Proposed Use
Storage Building.
$ 2.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 , 19 71
(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 12 Day of November, 19 70
SIGNED BY for the Town of Queensbury
Building an omng Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for :application No. . . . • .
Pe-ni i c. ISf.
BUILDING AND ZONING PERMIT h� - �tov i �g�a
Zonnr; vi
District
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\l'1 ` 't j
" - .INSKG°�`'
showing the actual dimensions of the lot to be built lip 1LDlt $�`Z�ON1 gyp;
upon, The exact size, and location on the lot of the _ ( QI�
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
DATE HEIEHE -3
i
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NOV 1 0 1970
ANSWER ALL OF THE FOLLOWING. P.M. •
A.M.
The undersigned hereby applies for a permit to do the following work 71819110111112111213141519
which will be done-in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The Owner of this property is:
; 71=/1. 7R 9 c «T - - .K(//1<1 57— T . --;ai /2D /1/f '
(NA'4E) (P.O.ADDRESS)
The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
-.e/7.Y.✓a!/..P. . .Y.g.rT . . . . . .7.vich'/<�."A.vl/: . ./ -k . . . .o-/c4/�s . .F�9 4_
�- s
(NAME) (P.O. DDRESS)
Name of Builder 0. Y.,t...-7 7 Address ..//eI' , 1" 1.t1 G/'
Name Of Plumber ----.... Address
//
Name of Mason '/ Address
Lot Number Unit, Estimated value of proposed work$ ./. Q tz—Lt
Name of Village -
Name.of Street 4/�l`f/471t41 . . ,j/4:- Side of street: north 0, east ❑, south ❑, west ,R"
Nearest Cross Street .t44 ,!L 4-.2._. . . . , -vw. . . . . . . . . . . . Distance from this cross street 9 a . Ft.
Property is north F4,south ❑,east I I,:west ❑from Cross Street
If on Corner, which corner, northeast Li, northwest ❑, southeast ❑, southwest • :.,
(Designate by marking with an "X" in the correct space.)
•
• NATURE OF PROPOSED WORK OCCUPANCY
0 Construction of a new building. Main Buil-ding
❑ Addition to a building. One family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑.
• Other:
' Accessory Building
� DD One-car detached garage ❑
Other work. Describe: / 7t .��i-t=t '�60(� . —Two-car detached garage ❑
I�. 12,4944,r1)1A51 �e �d� d+a rivate 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-
Iuilding(s) in solid line.
_ • Size of property ft. x ft.
Size and use of existing buildings, if any . .e...-5.-. .
,ao! , i_ k)��y-iill
W ,opt a .
$ , m Size of proposed building . . ./.O. . . . . ft.x . . . ID ft.
°'
Height,(from grade to ridge) /0 ft.
,Qae, • -
Front yard 6— ft.
Side yards 3ft. and 447 ft.
lditVjelii/.1r9Rear yard Jam• 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., v,�.-.�j
Kind of construction: Wood frame, fire safe, etc .0 Grl�
Will any second-hand lumber be used? . .,. . . . If o, for what7
Material of foundation walls eP/YI' & Thickness
Depth of foundation walls below grade j // Continuous foundation?
Will there be a cellar? ✓1t-(2 so, material of cellar floor _ ,+
Type of roof: Sloped or flat? . � • Material of roof — V . . . .
Size, wood studs "'x ', spacing "o.c., lengt 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 p&. "x ( ", spacing /cp "o.c., span . . . . 6. . .?. ' ft.
Exterior finish With what material?
Finish of interior walls If garage garage is to be attached, of what material is wall between garage and main buiXing 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 on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertainin the proposed or all be coin.1. • with,whether specified or not,
and that such work is authorized by the owner. �''��
Sworn to before me this Signature
1/yy�� 0 NER,OW ER' • ARCHITECT,COTRAC OR
(�.. ,, .day �' 197° N--�
NOTA PU LIC, W EN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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. . TOWN OF QUEENSBURY
RECEAVIE. 0
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A.M. ,.M.
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