5340 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 5430
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William Smith
OWNER of property located at Rhode Island Avenue Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to dwelling (porch roof) H
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. W
1. OWNER'S Address is
5
Rhode Island. Aven fi
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name
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In
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5. ARCHITECT'S Address ¢'
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6. TYPE of Construction—(Please indicate by X) (D
(x) Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
8 ' x 4 ' porch roof over existing steps and
No. land per plot plan, specifications and
application submitted.
8. Proposed Use �y
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One-Family Dwelling (porch roof) 't
os r+
n Imo-
$ 2. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 79 H
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the fi
town of Queensbury before the expiration date.) O 0
0
Fri R+
Dated at the Town of Queensbury this 31st Day of August 19 78
()
SIGNED BY /.`� . :7� y
� •� for the Town of Queensbury
�•
wilding and Zoning Ins ctor 111
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/
TOWN OF QUEENSBURY (Space inside block to Ix fillcd in by
WARREN COUNTY, NEW YORK Building Inspector)
Alication for Application No. .
PP Permit Issued 19. .
BUILDING AND ZONING PERMIT l'ori„it Expires. 19.
i. i'iinc District
\ aliu ()I Work%
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THREE (3) Copies of a PLOT PLAN, Drawn to scale A1'I o) c'd by
showing the actual dimensions of the lot to be built kcilliti.Kr
. upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. . '
TOWN OF QUEENSBURY
;gi:5.,: 3/J / 97 e
E H 0 � � V n
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK AUG 3 i 1978
ANSWER ALL OF THE FOLLOWING. .Z o r-e -e.
The undersigned hereby applies"for a permit.•to do the following work . A.M.
which will be, done in accordance with the description, plans and specifi- 7I$I9I I11I12)1I2 3141516
cations, and such special conditions as may be indicated on the permit. A
The owner of this property is: ,
. ., .. J. ft/4.Ari.
qtt' 6. 1 'h. . . . . .� die. .. S/q/Y.9'. . .i7�e�. : .: N. . .F. . yJ. 7�gof
(N '•.E) IF-0.ADDRESS) /
The person responsible for '.supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
,elf/t' ary/ swift- t
(NAME) ' (P 0 ADDRESS),
Name of Builder Lc./e.�(•/• .q•fs1. $. �Al! '74
r Address
Name of Plumber' ' • Address .
Name of Mason ' Address
00
Lot Number Unit Estimated value of proposed work 5 /'L
Name of Village /
Name of Street /Fh D d - 5 /q it it(/e • Side of street: north 0, east 0, south ❑, west ❑
Nearest Cross Street 1- i,e Z C r✓t' ,?'- Distance frog,! this r.ross street Ft.
•
Property is north Lam;south La,east i 1, west grrrom Cross Street
If on Corner, which corner, northeast Li, northwest ,isoutheast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. �
❑ Addition to a building. . One-family, dwelling
•Two-family dwelling ❑
131 Alteration to a building. -family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached garage ❑
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Other:
j,trj.r e. �? CI[,` ` O `s Accessory Building
One-car detached garage ❑
0 Other work. Describe: J l'\/ st' h) Two-car detached garage
/ i u ; 3 + ��Pam. 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 building(s) in dotted line and existing
13 t Fuilding(s) in solid line.
. G: Size of property ' f'- , ft. x /D ft.
t'st- g /l y
, 1 c Size and use of existing buildings, if any �3 ,
i 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
(cont'd.)
BUILDING SPECIFICATIONS., -
Kind of construction: Wood frame, fire safe, etc.?. . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what?
Material of foundation walls e >G L. t • t Thickness
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? . . S./.d. - • • . • • . . Material of roof fiSr l j` .r.!1 S F .pt/ ef.�y+�
Size,wood studs CO 14 41ha b S ", 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 ", spacing - "o.c., span - ft.
Siie, roof rafters or beams 2 " x ", spacing /(p "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 bui<1Qing 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 ttr.oa of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.e.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 such work is authorized by the owner. _ �d`
Sworn to before me this. Signature .. L OWNER, WNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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