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1163 BUILDING PERMIT TOWN OF QUEENSBURY No. 1163 WARREN COUNTY, NEW YARK 'a 6 • l ` G- PERMISSION is hereby granted to Robert Wemmitt H OWNER of property Ioca Luzerne Road Street, Road or Ave. in the Town of Queensbury, To Constructor place an addition to one family dwelling 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 Luzerne Road Glens Falls , New York 2. CONTRACTOR or BUILDER'S Name Same as owner 3. CONTRACTOR or BUILDER'S Address 2 4. ARCHITECT'S Name L=J a a S. ARCHITECT'S Address 6. TYPE of Construction -- IPlease indicata by X) (X) Wood Frame [ ) Masonry [ ) steel I ) 7. PLANS and Specifications Addition of one bedroom 15x20 ' to a one family N° " welling er the submZLtted plans and specifications no addlJonal sews e 8. Proposed Use Bedroom IJC7 fi+ CL r-I $ 6 - CC PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 , 1971 0 (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") CL i_L He Dated at the Town of Qu sbury this th Quay of May 1971 � He O SIGNED BY for the Town of Queensbury � Bulldi and Zoning inspector TOWN OF QUEENSBURY ( Space inside Mock In be fillc•rl in bi WARREN COUNTY, NEW YORK Building lnspec'iiw) Application for %pplication Ncr. . . . . . . . . . . . . Pc°rmir Isslrod . . . . . . . . . I r BUILDING AND TONING PERMIT I,r rmil Fxpire+ . . . . . . . . _ . . . . . 14i fr irrinY I)i%%I ri('I a l I e nl W4 )I'I. THREE 1 3 1 Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the lot to be built kL�•nr,rrl . upon, The exact size, and location on the lo+ of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN OF OUFFINISSURY . . . . . . DA-rE. 14; A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MA ( 1971 ANSWER ALL OF THE FOLLOWING. A.M. P,ryl, The undersigned hereby applies for a permit to do the following work 7 $ 9, 1 . , a . 4 . i0`111121 1 1 2 ` 3J41516 which will be done in accordance with the description, plans and specifi- 1 wetions, and such special conditions as may be indicated on +he permit. *1 Ihz owner of this prpmrty is: / . . . . . . . . . . . . . 0b er " .Z Yr: !�? .�� - - . , . . . . . . . Xerrel, 2 . Rr)d JL . . fix: t . Fta" ��� fNP IV) MID Ab ESSY f'he person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: INAMEY - - . WO. ADDRESS) - - . Name of Builder . . . . . . . . . . . . . . . . . . . . . . . . " " . . . . . Address . . . . . " . . . . . . . . - . . . . " . . . . . . . . . . . . . . . . . . Narne of Plumber . . . . . . . . . . . . . . . . . . . . " " . . . . . . . . . . . Address . . . . . . . . . . " " . . . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . - , . . . . . " . . . . . . . . - - i.ot Number . . . . . . . " " " . . Unit . . . . . . . - , . . . Estimated value of proposed work f . . . . S Nameof Village . " . . . . . . . . . . . . . . . . . . . .` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . . �L�C/ Y .11. Q 7 Side of street_ north 0 , east /r[& south © . west fl Nearest Cross Street . . . KGt.rt 5,54-Vx . ,f C- . . _ . . . , . . . . Distance from this cross street . ./. y2 t i3r0perty is north © , south 0 , east r` , west El from Gross Street :f on Corner, which corner, northeast 0 , northwest Cl , southeast El . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY i Construction of a new building. Main BuRding 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 One-car detached garage [ Other work. Describe: . Two-car detached garage f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house . Private storage building Other. , , . . . . . . . . . i=" v ,N•.:s 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- ; l NORTrs posted buildings, and the location of all existing buildings- Show proposed building(s) in dotted line and existing ltuilding(s) in solid line. i Size of property . . . . 2.0. 0 . . . . ft. x . . d~' .Q.Q ft. { Size and use of existing buildings, if any I iry. . . . . . . . " . . . .r7 . . . : w r Size of proposed hxtrLdistg . . . . . . / . . ft. x ft" Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. j Front yard . . . . . . . . ft - Side yards . . . . . . . . . . . . . . . ft_ and . . . . . , . . . . . , . . . ft_ Rear yard . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street . . f . . . . , f a!Note: All distances are net, as measure ram street side line to nearest part of building. IOYER7 ai.DING SPE.CIFICATIONS., and of construction : Wood frame, fire safe, etc.? . _ _ . � !' 'y L•. . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . t.l' lit anr- second-hand lumber be used? &- . , , . . If so, for what? . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . r . . . . . . . . . 't i t<�rial of foundation walls . . . , 'S . �� Thickness . . . . . . . . . . . . . . . . . . . . . �-wnth of Foundation walls below grade Continuous foundation? . . . . . . . . i ' l there be a cellar? . . . .All X i . . If so material of cellar floor , . . . . . . . . . . . . . . . . . . . . . . . . . 1, , w (if roof: Sloped or fiat? . . Material of roof 7o - .� a `� lze, wood studs - �X x .'V- " x . . . . . �/ . �� . . . . ", spacing '�- . . . . ."a�eng'tlt . G-�. � . . . . ft. /,� zi ' r ' Sve, floor beams, Ist floor ! G? . . . . , " x . . . - . . .e. . . . . . . ", spacing . . . /.�t . . , . . . . ."o c„ span . , f� - - . . . . . _ . ft. size, floor beams, 2nd floor . . " x spacing . . . . . . . . . . . . "o,c., span ft. size, ceiling beams . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . _ _ "o.c., span . . _ _ . . . . . . . . . . ft. 5iie , roof rafters or be,..�a.m,.rys . . . . . . , x . . . . " x .r ", spacing r . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . . . ft_ Exterior finish - - - . eG- z -� r n : . d c �c. . . . . . . . . With what material? - . . . . . . . . � . . . . . . . . . . . . . . . . . . . . Viil Y5h (if interior walls . _ - - . . . A . . . . . . . A . . . A . . . . . . . . . . . . . . . -If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , Is 1 here to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . , . . . , . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . Ifetghtofchimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . - I . . . . . . , , . . . . . . . . _ . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 :;+:n of Queenshury AFFIDAVIT '(' unty of Wan � S5, 'iprsti of New Yorle J I swear that to the bestof arty knowAr edge and 'belief tho eLatemente contained in dais application, together with the plats aad rations sub- vaitted. are a true and complete statement of an proposed want to be done on the described premtaes and that all previaiors of the BUILD- 1 NG CODE, THE ZONING ORDINANCE, and all other laws partaining to the proposed work shall becom#1lad witd, whether specified or n044 and that such work is authorized by the owner. y� ru:'+rn to before me this Signature UW N'ERV . O f - .----- --- day . . . . . . .. . of.. . . . . .. . . .... . . .. . . . . .. . . .... . . .... . . . .... . . 19. . .. -. . . NOTARY Pus L. C. WARREN COUNTY, N. y. t .CIA1, CONDITIONS OF THE PERMIT. By ... . . ..... ...... ....._. .....- .... .. PF� ope7 I � I � � I f I Appp, OVED DATED BUILDINGTOWN OF QUEENSBURY Y �4 c� E3 ROOF FRAMING FLOOR FRAMING 6- rww�wv— FOUNDATION WAIL �z a t 40 c +tom I~ in,}