7525 BUILDING PERMIT
TOWN OF QUEENSBURY No. 7525
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to T. Elaine Hubert
OWNER of property located at 15 Lupine Lane - Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Two-Car Detached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and l3
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 15 Lupine Lane
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Harvey' s Specialty Shop
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3. CONTRACTOR or BUILDER'S Address ti
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3 Second St. 'n
H.
W. Glens Falls, New York
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4. ARCHITECT'S Name L�
ID
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(x) Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications O
20 'x26 ' per plot plan, specifications and
No. application submitted.
8. Proposed Use (CD
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Two-Car Detached Garage
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$10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 1983
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the >y
town of Queensbury before the expiration date.) L4
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Dated at the Town of Queensbury this 7th Day of September 198 2
SIGNED BY 3-1-Efor the Town of Queensbury
B ilding and Zoning Inspector / f9
TOWN OF QUEENSBURY
(-Space-inside block to Ix filled in by
WARREN COUNTY, NEW YORK K Building inspector)
A lication for Application No. .
pp l'crinit Issued 19.
BUILDING AND ZONING PERMIT Expires• 'g
%.i,iiin, District • •
,
THREE (3) Copies of a PLOT PLAN, Drawn to scale. Al'l"•' `'ci by Z 7/4 .41 .1___
showing the actual dimensions of the lot to be built k�'ma Kf'
•upon, The exact size, end location on the lot of the •
✓
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
UF; N. t I Y
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--3 /Cps• T01tz�isl Or �,� 1"
DATE • RECE, V. ED
•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � , A'�
ANSWER ALL OF THE FOLLOWING. ��'/L1
' ned herebyapplies for a permit. to do the following .work A,ivhl(io ems ✓ `n .
The undersigned PP. ''��1� 3 5°
_ which will be done in accordance with the description, plans and specifi- 718i9114)- }, 1 1 ..4.1 1
cations, and such special conditions as may be. indicated on the permit. -
'The owner of this property.is: T `— /AI lve Ho.6P oil- - f-
1.5 1-i l No 1 a ivy
(NA,,E) (P.O.AD ESSI
The person responsible for •supervision of the work insofar as the Build g:Code and the Zoning'Ordinance apply is:
I��tYve1 1)ec,',(NAUE) hod, 1)aN �7'vey .3 1�kJ 5f��zet a�e,f 6key hulls
N (NA E) c • (P.O ADDRESS) _
ccf ve`�•S S,oec d t 5• •- p . Address:.•-L. ;3 Se6° dC S-I-. IA). Glens Iz,I /S
Name of Builder `J
Name of Plumber Address
Name of Mason ',Address •
-
Lot Number Unit Estimated value of proposed work S ,� 5/5 Ciao 00
Name of Village •
Name of Street G v p i'iv e I e;a e • Side oistreet: north 0, east,'•ID, south ❑. west .0
Nearest Cross Street A v.h Y. 5 P%';ve Distance from this -ross street • 306' Ft.
Property is north 0,south 0,east E,west ❑from Cross Street
If on Corner,which corner, northeast ❑a, northwest ❑, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Busiding ,I
14 Construction of a new building. One family dwelling ❑
❑ Addition to a building. Two-family dwelling 0
❑ Alteration to a building. family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached garage ❑
Other:
Accessory Building .,
•
- One-car detached garage -- •,
❑ Other work. Describe- Two-car detached garage -
Private chicken house -- , •; - -
• Private storage building .- • s' y;
Other: o a cpA 0 0 0 o=a-b c-o`)3J
4 .
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occuclaancyo - • °4
-• 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 building(s)• in dotted line and existing
Iauilding(s) in solid line.
Size of property 2 0 ft. x a O ft
Size and use of existing buildings, if any
a 0 ft.x a-G ft.
s m Size of proposed building
Height'(from grade to ridge) - j ft.
Front,yard ft.
Side yards ft. and - ft.
Rear yard ft.
SOUTH if op 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—N •
(cont'd.)
BUILDING SPECIFICATIONS., it/�I/� t
Kind of construction: Wood frame, fire safe,etc.?. . . • • • • •
Will any second-hand lumber be used? • 4/o If so, for what)
Material of foundation walls (°iV4-pet! 'thickness
Depth of foundation walls below grade S /G 6 Continuous foundation?
Will there be a cellar? A/Q If so, material of cellar floor ,
�• 1 "" is,
Type of roof: Sloped or flat? Material of roof 2;3: ay.4t a(1_ S �i 'ile y/e `'
Size,wood studs I2 'x q ,spacing '2��t' "o.c., length `s . 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 7c'v j2..)1,iy • • . ►''?7.7 ,1X , .", spacing : e1 "o.c., span fir' . ft.
�.;& • /4 Cum././//,/V.re:, . . . With what material?
Exterior finish ���• • • • �.
Finish of interior walls "' it�`�69 -
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 va 1 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.L.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 authorized by the owner. l tc
Sworn to before me this Signature O
OWNER.OWNERS AGENT,ARCHI CONTRACTOR
�.G day of CeuzkL24.— 19.F-2-
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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