8340 BUIL-DING PERMIT •
TOWN OF QUEENSBURY No. 8340 ed
. WARR'EN COUNTY, NEWYORK
m
PERMISSION is hereby granted to - Bruce and Phyllis Conklin -
OWNER of property located at Hewitt Road - Street, Road or Ave.
•
in the Town of Queensbury,To Construct or place a - Patio Deck - N
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
R. D. #1 Hewitt Road
Glens Falls, New York 1-.
•
2. CONTRACTOR or BUILDER'S Name -
Same -
•
3. CONTRACTOR or BUILDER'S Address
Same . •
•
rt
4.'ARCHITECT'S Name
•
rT1
0
•
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) •
)Wood Frame ( ) Masonry (- )Steel- ( )
7. PLANS and Specifications
24 'x14 ' per application submitted. •
•
No. - rd
' !L
rt'
8. Proposed Use - O
One-Family Dwelling (patio deck- added) ' d
$ 10. On PERMIT FEE PAID —THIS PERMIT EXPIRES . October 1 19 84
-(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 6th Day of Marbh 19 8 4. •
SIGNED BY 96,LCiy�J �. for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY '
(Space inside block to be filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
��Iication for Application NO. : .
Permit Issued Iq.
BUILDING AND ZONING PERMIT Permit Expires. • 19.
/.(ii,i11! District
• \ a11i1• nnI Work I l
THREE (3l Copies of a PLOT PLAN, Drawn to scale '\1'I"'"``11 1i`' �/"7
showing the actual dimensions of the lot to be built Rc'1ua1'KS /W
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
S Q — /— 7 , —C —2-Y TOWN OF QUEENSBUI Y�I
/ DATE � V � � '��!! � 1 1
A PERMIT MUST BE OBTAINED BEFORE. BEGINNING WORK �J
ANSWER ALL OF THE FOLLOWING. mpg 6 1984
The undersigned hereby applies for a permit to do the following work ec9 - P
which will be done in accordance with the .description, plans and specifi- A.M.
cations, and such special conditions as may be indicated on the permit. 718 l 1 2 -) , a 1 , , , O , a •
The owner of this property is: e
o/ ii....... .g. . 0..oH/i /y . . P./)%44: S.V;. . . . . . ./?' .G., /.?.T. . . .,. . .‘4.4Ns ,F%G�S
(NA.)E) (P.O.A. . .DDRESSI
The nperrson responsible forA/ •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. 3RK CIC g. . C0/*`NAME et /1A-'/7T J v IP.00ADDREtYf. . . f.4G�r,f
Name of Builder /3iet/C/" Ie. CO//44/w Address
Name of Plumber Address
Name of Mason Address .
Lot Number Unit Estimated value of proposed work 3 ./.d LlJE9e,0.® '/,.6 4 a
Name of Village . . .L .114-4- .5-/5(/.ey
Name of Street /71A (.2/77 JeD Side of street: north fgi, east 0, south 0. west 0
Nearest Cross Street .4VA/iStti. '.SiD4 We/27W Distance from this cross street . . . . aov t Ft.
Property is north ®,south ❑,east 17), west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast U. southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. , One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
Cl Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage • ❑
Other:
• Accessory Building
One-car detached garage ❑
® Other work. Describe:. :Pt77O Pe Gk Two-car detached garage ❑
Private chicken house ❑
Private'storage building ❑
• 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
Ituilding(s) in solid line: •
} `�� ?a f't'o!� Size of property . / 6-0 ft. x / 6-6 ft.
Lt—! UtA)6" Size and use of existing buildings, if any
tn y <
s ti/ `i w Size of proposed building ft.x ft.
I- J Height (from grade to ridge) ft.
Front yard ft.
• Side yards ft. and ft.
Rear yard ft.
•
• SOUTH s 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 .
, (coned.)
BUILDING SPECIFICATIONS., .
Kind of construction: Wood frame, fire safe, etc.?. . . . • ..... •
Will any second-hand lumber be used? . . . . N.0 If so, for what
Material of foundation walls C 47.7G.V T Thickness .8'i.,134-44,c'.(�"X S.7.-, G)
Depth of foundation walls below grade S Continuous foundation?
Will there be a cellar? . . N.D If so, material of cellar floor
Type of roof: Sloped or flat? . . .410MK Material of roof
Size,wood studs
"x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor . .Q.x.G. . . . ."x ", spacing ./ ‘ "o.c., span 1`f / 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 "x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls
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?. . N 6
Will a kitchen sink be installed and connected to water supply? N o
Water supply (public water supply or pump) . . . . RUA,
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•b4 i 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 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.
Sworn to before me this Signature 4-f/L..
OWNER.OWNER AGENT,A CHITECT,CONTRACTOR
day of 19
,
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT: •
if dui
id-, i' et e Vir iffir
•
v "z z .--'iaiIm''llgillggl411111E i
ill
La Lo
Ie le
cove-, '
pi g' V-/ -
By