8813 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8813
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to May Titus "<
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OWNER of property located at Piriello Road Street, Road or Ave.
Addition to mobile home En
the Town of Queensbury,To Construct or place a (Carport)
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.
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1. OWNER'S Address is RD 4
rb
Glens Falls, New York N,
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2. CONTRACTOR or BUILDER'S Name F�
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Robert Linendoll
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3. CONTRACTOR or BUILDEB_S Address
Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x) Wood Frame ( ) Masonry ( )Steel 1 )
7. PLANS and Specifications
l21x16 ` per plot plan, specifications and application
No. submitted. 0
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8. Proposed Use
Carport o
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$ 5. 00 -PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 85
(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 16th Day of October 19 84 a
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SIGNED BY �.(s. �n\ for the Town of Queensbury
Building and Zonin Inspector
91J
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
CC Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. lg
%onii»g District
. \ ;iluc•tol Work$ _ ,
THREE (3) Copies of a PLOT PLAN, Drawn to scale
showing the actual dimensions of the lot to be built ltc'i,iur)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. •
• I TOWN OF QUEENSRURY
`�.. �.1 /4,7- /� a',5" /G//S/ /ATE RECIEliWE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT -: ---���E
O t_, i .i_ 5 l9 J4
ANSWER ALL OF THE FOLLOWING. , 0�
The undersigned hereby .applies-for a permit to do the following work �' tF; `tion ands ecifi- is El LI> -4., (,_„_„,,"
a , 16
which will be done in accordance with the description, plansp
cations,.and such special conditions as may be indicated on the permit.
The owner of this,property is:
, n./. . 1-,A-c.s . . . . . :. jZc�/ i,.c-.e//3. .47 . . . (4,465. -bf//.s. . .NJ' /z4'D
(NA''E) IP.O.ADDRESS)
The person responsible for .supervisionof the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS) .
Name of Builder. l.e.-o/Aig; . .(,.,., ,.td a// Address ,zd.y. . ./;�d//a . ./.Ze C-7,vs 7,,es• Arx'
Name of Plumber ,Vo Kr-. Address
Name of Mason. . . . S./)- vi e-- Address
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Lot Number Unit Estimated value of proposed work 5 .3.a e.
a✓N
Name of�lage . . . Lr•„;-•eivsA,.ray,
Name of Street /.<‘✓.4 ao. .e.,/ • Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street . . . .crM./ACTl. . . JZal• Distance from this cross street Ft.
Property is north 0,south a east [1, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑; southeast Q. southwest
- • (Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK •OCCUPANCY
❑ Construction of a new building. Main Building
Er Addition to a building. One family dwelling
El Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house D.
Store building ❑
-car attached garage ❑
Other: . ,:r(; c fc. . /,-:,.,..�
• • Accessory Building
• One-car detached garage ❑
. ❑ Other work. Describe: • J.4- 1C / Two-car detached garage ❑
cover o-tr-t. Private chicken house ❑
Private storage building El
Other: c.a,•rr. ur1:T`
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
f posed buildings,and the location of all existing buildings.
\/ NORTM Show proposed buildings) -in dotted line and existing
. building(s) in solid line. .
Size of property fi 771' ft. x . . . 2-0.6. . . . ft.
3,' Size and use of existing buildings, if any
\ 9j .
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cnl—
w ` rs"5"/ ,g/4v/ W ,- c•%i%-;_; ft.x ft.
s • f . Size of proposed building
N` r6 Height(from grade to ridge) ft.
�� ; �/ .• Front.yard . ' a ft.
Side yards ./ ft. and . . . G.a ft.
Rear yard . . .t-,,i s ,.;vy 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. •
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(OVER)
7-73-M . . .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc. W •d rritk
Will any second-hand lumber be used? M.' If so, for what
Material of foundation walls c-IC Thickness . . .'x /c
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . . .1.46,9 .1 Material of roof
Size, wood studs "x df spacing . . . . ✓.G. . . . . . ."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 "x ", spacing "o.c., span ft.
Size, roof rafters or beams L "x ", spacing 4.. . . . ."o.c., span / ft.
Exterior finish With what material?
Finishof interior walls
If garage is to be attached, of what material is wall between garage and main budding 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 tt•oa r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.•lete statement of all proposed work to be premises on the described prees 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 authorized by the owner. —'
Sworn to before this Signature
19. 1 . N y., "
�l y R.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of r�..0.� W
NOTARY PUBLIC. WARREN COUNTY, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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