8329 .BUILDING PERMIT
TOWN OF QUEENSBURY 832Q
No. •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Skinner c
. x
OWNER of property located at 33 Briwood Circle (Forest Park Street,Road or Ave.
Mobile Home Court)
in the Town of Queensbury,To Construct or place a Alteration to mobile home (roof)
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 33 Briwood Circle
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Jack' s Mobile Home Service
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3. CONTRACTOR or BUILDER'S Address 0
to
Pitcher Road 0
Glens Falls, New York r-r o
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4. ARCHITECT'S Name
Fi
. N.
;g f�
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5. ARCHITECT'S Address - ~
F,.(D
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6. TYPE of Construction—(Please indicate by X) 5
. N
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications rfrt
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build peak roof on existing mobile home per
No. application submitted.
8. Proposed Use
One-Family Dwelling (Mobile Home)
Oct
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 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 0 0
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 21st Day of February 19 84 O
//G=Gty d s O SIGNED BY
for the Town of Queensbury P.
Building and Zoning Inspe••• - ~
N
TOWN OF QUEENSBURY
(Space inside block to Ix. filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for . Application No.
l'rrmit Issuced 19.
BUILDING AND ZONING PERMIT l'yrmit Expires. . . 19.
7.(iiiing District -
illoc "1 Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1'1".""'`1 h �S -
showing the actual dimensions of the lot to be built lzem.irKr
upon, The exact size, and location on the lot of the
building to be' erected or altered MUST BE SUB •
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MITTED WITH THIS APPLICATION.
i' l/ TOWN OF' QUEENSBURY
(J DATE REDMED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ad it 1;;64
ANSWER ALL OF THE FOLLOWING. , AA.gr/0 .d v `r&peip,m.
The undersigned hereby applies for a permit.:-to do the following work 7Ia ■ a r e 19�1i 11)1 ) 11�■ 1°M1
e a
which will be done in accordance with the .description, plans and.specifi-
cations, and such special conditions as may be indicated on the permit. 1
The owner of this property is: . -
J//'ra IL)e1L 33 T -rc, cc (4 C, rcrlp 6', r—. ei y /z :t ,. :
(NA`AE) )P.O.ADDRESS) jyt e•) r r 0 tt i ,IP' (a 1
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
-N(.. --P: c: bt'Itry 72, raf}Pic 2oA- d ilFKI FAl? J , R • y•
(NAME) / (P.O ADDRESS)
Name of Builder.:370...C.S..04.011. j .+:-. .-44•, " t�J 1 ...3.e. .e`c'G. . . .Address 7.1'414e e:4 4 (' 1. .< 3 Fill)J, at . `J •
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed.work S 3 b 0-0
Name of Village & u P e " J h,4 /)y
Name of Street . .7. ,.t. .4 O. • . . .C.t.e?.('.1P. . . . . . . . . . . . . . . . Side of street: north 0, east ❑, south 0. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, 'southwest
. (Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY "
E Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling lk
Q' Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached_garage ❑
Other: •� Alt, o-a P•
• Accessory Building
• _ . One-car detached garage ❑
CI Other work. Describe:T`k 1.*.. • •fe• ..• • •?•O•t. r• •
Two-car detached garage ❑
- Private chicken house ❑
,� X''' �'r`r` a'�' !V' ' )4� 'n 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
building(s) in solid line.' .
Size of property ft. x ft.
Size and use of existing buildings, if any
•
it
w Size of proposed building ft.x ft.
Height(from grade to ridge) ft:
Front yard ft.
Side yards ft. and ft.
Rear yard • 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 •
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . .. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •
Will any second-hand lumber be used? IA- I) If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
T]J
Type of roof: Sloped or flat?.. . . . �4.1 ;. .e. . . . Material of roof . . fy .0 A A.; S:4 !rt.G (4,
Size,wood studs " x ", spacing "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 cr. ", spacing- "o.c., span — ft.
Size, roof rafters or beams x ", spacing o.c., span . . . ./..L . . . . ft.
Exterior finish With what material?
Finishof 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?
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•bey of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.�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 shal be mplied with,whether specified or not,
and that such work is authorized by the owner. .7
Sworn to before me this Signature '— 11
OWNER.OWNER'S AGEN .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 Date 2i 2 2-/?y
Name 5 iAU /U&1
Location C'
Permit No. j 3 a— Weather
Remarks
Exca{ra ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey 0//":1
1 J�
Framing � ( 1
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall 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
Floors
Insulation Foundation
Walls
Ceiling "
uilding nspector
REMARKS