5390 • BUILDING PERMIT
TOWN OF QUEENSBURY No. "190
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Charles 1 _ Dunn
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OWNER of property located at 23 Lynnfield Drive Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Add•i f on to dwelling (enclosed patio) o
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 23 Lynnfield Drive
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Dave Fuller
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3. CONTRACTOR or BUILDER'S Address
South Glens Falls, N. Y.
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4. ARCHITECT'S Name ~
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5. ARCHITECT'S Address N
6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel ( 1 ¢
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7. PLANS and Specifications H
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No. 12 'x24 ' per plot plan, specifications and
application submitted. rt.
8. Proposed Use 5:1[
One-Family Dwelling (enclosed patio added) H
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$ 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 78
(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.)
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Dated at the Town of Queensbury this 10th Day of . August 1978
SIGNED BY ,' l� X..1-6t. _ for the Town of QueensburyBuildinging wing Inspectorrt
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TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application No.
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Application for• Permit ls:,uOd 19. .
BUILDING AND ZONING PERMIT Permit Expires. 1g. .
/Amine District
\ ;iloc01 Work,
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'1> ")“e(l by
showing the actual dimensions of the lot to be built ltcillar)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.
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DATE ✓, ,F.' A y E I I "
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK f,, 1 ;,)
ANSWER ALL OF THE FOLLOWING. P.M.
The undersigned hereby applies for a permit., to. do. the following work 1. A.M. gt10)11112,1I213I4�5�d
which will be. done in accordance with the description, plans and specifi- d
cations, and such special conditions as may be indicated on the permit. A,
The owner of this property is:. .
. ( , 0 (i(v-6,i a 3 l-x/vMj ,e7-I) I) 2,. a u rvs /3 v yr y A.//'
(NA''(E) (P.O.ADDRESS) .
The person responsible. for . .supervision of the work:insofar as the Building Code and the.Zoning Ordinance apply is:
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(NAME)) , (P.O ADDRESS)'
Name of Builder Address CoG L``k' / %-c r-
Name of Plumber Address
Name of Mason Address ,g'
Lot Number •Unit - Estimated value of proposed work S . .f. .0 .7.5-
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Name of Village . . .6.R v L t 7u S 0 o'2 y
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Name of Street x, y plN 1-- -L l p f Side of street: north ca., east ❑, south ❑. west ❑
Nearest Cross Street P /lvt%IJJ73 1 Distance from this ri-oss street . .-.I O.° Ft.
Property is north ❑,south -CI,east i , west• ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Cl. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
y4, Addition to a building. One-family dwelling
Two-family dwelling 0
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❑ Alteration to a building.. , , • , , . —family apartment house ❑
❑ Demolition of a building.
Store building ❑
-car attached garage 0
. Other:
• Accessory Building
• One-car detached garage ❑
❑ Other work. Describe: f- C L 0 s _ f�(c) 7 0 Two-car detached garage
Private chicken house ❑
Private storage building 0
-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 buildings) in dotted line and existing
l;uilding(s) in solid line.
Size of property ( J ft. x �� ft.
Size and use of existing buildi�s if any
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0 1 3 . Size of proposed building . . .1? . . . ft.x 2 �'. ft.
Q __, Height (from grade to ridge) 7 ft. .
`� Front yard 3 U 1 ft.
Side yards 3 0 ft. and Y ft.
L- P 'LZ I) . Rear yard - 7 L• r 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, etc.?. . . . . .`t'?.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • . . • . . . . . . . . .
Will any second-hand lumber be used? /V ° If so, for what?
Material of foundation walls U c-- 'D C-K Thickness 8-
1 Y
Depth of foundation walls below grade o2 Continuous foundation? C-----3-
Will there be a cellar? . . . . t.U:. . . . . . If so, material of cellar floor
Type of roof: Sloped or flat? 5 I< "'i 7) Material of roof . . ./A-c( Fi./4 L
Size, wood studs 2 -1 " xV ", spacing i 4, "o.c., length. .4. . .•Y. . . . 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 --9-. "'x (A ", spacing "o.c., span / ft.
Size, roof rafters or beams Z " x 6 ", spacing l t' "o.c., span / L ft.
Exterior finish 5 "t=1"7Y With what material?
Finish of interior walls v P��V
If garage is to be attached, of what material is wall between garage and main building 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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt-bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co..p Iete 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 authorized by the owner. E ,gG J
Sworn to before me this Signature
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY„N. Y.
SPECIAL CONDITIONS OF THE PERMIT: -
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By
TOWN OF QUEENSBURY
Building Department
Inspectors /Report Datel"/�^.?
Name/17�c, J
Location? X7�1 viZ a/e
Permit No. s 3 9 a Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
RWall
Valves
Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
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