6635 •
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6635
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Gordon J. Palmer 0
n
OWNER of property located at Luzerne Road Street,Road or Ave. P
in the Town of Queensbury,To Construct or place a Alteration to 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. Fri
1. OWNER'SAddressis R. D. #t3 Luzerne Road
Glens Falls, New York n
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address ti
same
n
4. ARCHITECT'S Name N
O
- W
IZ
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(x)Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications
raise garage roof 22' and put breezeway roof rt
No. l.0'x24 ' between house and, garage per plot plan,
• specifications and application submitted. t
ri-
ff) N-
8. Proposed Use M O
N
One-Family Dwelling
▪ rt
ao
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 81 . o N
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the • H.
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2nd Day of October 19 80 •
SIGNED BY /v for the Town of Queensbury
Building end Zoning Inspe or
)/6r, c e $e yt /2 /17///
TOWN OF QUEENSBURY ' (Space inside block to he filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application No.
1'crmn Issued 19.
BUILDING AND ZONING PERMIT l'i.rmit Expires. lg. . , '
-- Zoning. District
iilut. of Work%
THREE (3) Copies of.a PLOT PLAN, Drawn to scale. .‘1'1"' ed by
showing the actual dimensions of the lot to be built kenr11.Kf
upon, The exact size, and location on the lot of the ,
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. . • ' .
t .. 1— II / bli /6 .
TOWN OF QUEENSEIUHY
DATE Fp E G O) E fri)
' A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 0�I IW
ANSWER ALL OF THE FOLLOWING. . 198
The undersigned hereby applies for a permit to do the following wen* A.M7Ia�9�10�11�12�11213,41b�6
which will be done in accordance with the description, plans and specifi- .� , . , .
cations, and such special conditions as may.be indicated on the permit. i •
.
The owner of this property i : tf- 1 1.. ,cam
C,0 act • - aA > eC 9� 3 � e..:he 9a. c -F
(NA'%F) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Buildip g.C.ode and the Zoning Ordinance apply is:
co O c a o h e '1.„e • (P.O AODRESS)
(NAME)
Name of Builder Address ' .
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S �i d 06
Name of Village . . . .Q.u-.a e. hS. .(>&.c
Name of Street . .1-.(A z.es' t`e Q ) Side of:street: north 0, east. IZI. cnith O. west ❑
Nearest Cross Street.,. . B.U-C .-)‘ j Distance from this ^ross street Ft.
Property is north south st i i,west ❑from Cross Street•
If on Corner,which corner,northeast 0, northwest 0, southeast C southwest
• - . (Designate by marking with an"X" in thecorrect space.)
NATURE OF PROPOSED WORK •OCCUPANCY
ponstruction of a new building. Main Building �/
One-family dwelling
ddition to a building. Two-family dwelling El
LLJ' Alteration.to a building. . . . . . . .-family apartment house
❑ Demolition of a building.
Store building El
• -car attached garage i L
Other:
Accessory Building
One-car detached garage El
Q Other work. Describe- I\p-1S "E G'-it es A G-E' k 0 0 c Two-car detached garage
V2 /
,P v T FREEzEtA.mv R p o c Private chicken house 0
Lr, Private storage building
El
.9 'r.��?L,F . . . /16,. = A 0 ar:d- 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-
posed buildings,and the location of all existing buildings:
NORTH i Show proposed building(s) in dotted line and existing
Wilding(s) in solid line `n)
Size of property VI ft. x . . . .a 1). ft.
Size and use of existing buildings, if any
F .
sn
. m Size of proposed building / 0• '• ft.x . . ft.
' Height(from grade to ridge) . ft.
Front yard ,6 a ft.
Side yards �". .x ftin ft.
Rear yard . 6/ ft.
7 SOUTH 1 If CO 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,etc.?. . .W.Pi.ob
Will any second-hand lumber be used? /4 .) If so, for what?
Material of foundation walls -'' ''?. ,--''' '•'-' 1'1. ,—) t_t ''', _ , Thickness •
Depth of foundation walls below grade --•.;X ,Y7 f,e' •
/ntmuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? \'• Material of roof '''-" ,-,
. -
Size,wood studs 49-- "x ' "g spacing . . . ..Z . "o.c.,length 49 ft,
Size, floor beams, 1st floor "x , ,,.,spacing .. , "o.c.,span ft.
Size, floor beams,2nd floor ,, ",spacing , . "o.c., span . • ft.
Size, ceiling beams "x ", spacing • "o.c.,span ft.
6 ",spacing / ."o.c.,span /2---*" ft.
Size, roof rafters or beams ›— "x
Exterior finish . With what material?
• Finish of interior walls. . . ... . . . . . . . . . . . . . .
If garage is to be attached .f what material is wall between garage and main building to be constructed?
• ..
Is.thereto be an opening bet -en garage and building?
•
_ Kind of heating system ' . Oil btinter or coal?
Will a flue-lined chimney be provi. -.) . 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 connec •d to wa -r supply?
Water supply(public water supply or p - p)
Distance of cesspool from any private w 1 • feet
Will drainage system be provided w" required•traps,cleano ,and vents?
•
AFFIDAVIT '. .
Town of Queensbury / . •
• County of Warren . •
State of New York . ,
I swear that to th•be-a-Tof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.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 proposed work shall be complied with,whether specified or not,
and that such work is authorised by the owner.
• Sworn to before me this Signature
day of 19
OWNER.0 t E AGENT.ARC TE T.CONTRACTOR ,
f •
. . . . .
NOTARY PUBLIC. WARREN COUNTY. N. Y. -
SPECIAL CONDITIONS OF THE PERMIT:
. .
. .
•
- .
• . .
. .
• .
• . .
•
• .
. .
, - •
, .
)
. . .
' . .
_. •
. ,
• •
By
•
. .
• ,
• .,
•
•
•
Gordon J. Palmer
•
R. D. #3 Luzerne Road
•
Glens Falls, New York
Acconaincy PamIt M,.D. 6635 •
alteration to dwelling at Luzerne Road. •
:ciao
A n(feq? applicglon th
call Vto 1..).:-F,83 yul
12117,57: 2.ny
• OUT.LriThl
Step an F. Lynn
•
•
. .
MilxViTRri'rn A19.4,!••117.21vila,E=mumaie •
i
E
I .
' ! i l ` - �--