8383 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8383
WARREN COUNTY, NEW YORK
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1-1ham PERMISSION is hereby granted to Robert Sellin q it
OWNER of property located at Peggy Ann Road Street, Road or Ave. tD
in the Town of Queensbury,To Construct or place a Two-Car Attached Garage/porch
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 RD 2 Box 189A
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
ro
same
3. CONTRACTOR or BUILDER'S Address
same 0
4. ARCHITECT'S Name
sy
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( I Masonry ( )Steel ( ) _
N
7. PLANS and Specifications
24 'x32 ' garage, 9 'xl1 ' porch per plot plan n
No. specifications and application submitted.
1-1
8. Proposed Use (�
rl-
Two-Car Attached Garage/porch
• (D
10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 K
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the P
town of Queensbury before the expiration date.) 4
(D
Dated at the Town of Queensbury this 6th Day of April 19 841-1
p
� ,per
SIGNED BY C (/: ,V for the Town of Queensbury 'Y
Building and Zoning Inspecto g
TOWN OF QUEENSBURY • • (Space inside block to he filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for •\1�1)►ication No. .
�� Permit Issued 19.
BUILDING AND ZONING PERMIT Th.niiii Expires. . lg.
'toying District /
• \ aloe of Work,f /� /
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'1" `c'cl h�• �/ -
showing the actual dimensions of the lot to be built Itc�niar)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.
Cj a.— C 2 7/s/ TOWN OF QUEENSBURY
DATE 1MUllV
E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A1,�
ANSWER ALL OF THE FOLLOWING. J� 1984 �r
A.M. /0� /' e e {I
The undersigned hereby applies for a permit to do the, following work 7I8�9I1ry1�1�II2I314�5�6.
which will be done in accordance with the description, plans and specifi- , ,t ,0, a
cations, and such special conditions as may be indicated on the permit.
T owner of this property I ,� a ���u �,� ��
. cp.b.1=. .)-: . . . . L G G //U 9 k A - �' 3 Y ,Y/I/ /QJ
(NA':E) (P.O.ADDRESS)
• The person responsible for supervision of the work'i sofar as the Building Code and the Zoning Ordinance apply is:
0 Lijkie-y-- 0 F Pre-P417 - s/i/w2:- As.
(NAME) _ j(Pa.ADDRESS �Q ,�/ j'� /
Name of Builder. ��dsb L �6 G 2 //� i.,P Address . ./.- �,c/. . /! /i •,/`•gG
Name of Plumber nn _ [ Address �/
Name of Mason. .L A.V • • • • •OS�! C I Address P/.�l L . .W.0 9.CI. . . . D R
Lot Number Unit Estimated value of proposed work S .V ele Q
Name of Village y /�
Name of Street ./7 • 4�/Lr• •./•4�L Side of street: north L�1, east 0, south 0. west ❑
C y— Distance from this cross street /5�° Ft.
Nearest Cross Street . .G�i,.�EcS.�• • • m'•
Property is north • ❑,south ❑,east ,, west 0 from Cross Street
Pe Y �,/
If on Corner,which corner, northeast. ❑, northwest Off, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
•
NATURE OF PROPOSED WORK- OCCUPANCY
X Construction of a new building. Main Building
. ❑ Addition to a building. - , One-family dwelling (Nt
❑ Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. -family apartment house ❑
Store building ❑
• . -car attached garage ❑
• Other:
FA/6/ 4)5 -d PO )^C Accessory Building
� One-car detached garage ❑
(, .g Other work. Describe:.,/ c�.Q • RJ•� Two-car detached garage ❑
p „j `0� Private chicken house ❑
V `� �/ 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
-. - building(s) in solid line.
`,
Q Size of property /5 o u ft. ,S 1`1° ft.
2�
Size and use of existing buildings, if any
y /OX /i
N
la 5-s n In m Size of proposed building A Ll ft.x .-.9... • • • ft.
la 04
Height (from grade,to ridge) I47 1 ft.
Front yard . . .7Z a. ft.
Side yards . . .�.e/ ft. and G-/Z, ft.
-Y /j/�f -1 1(L Q d _ Rear yard ' 3/ ft.
SOUTH If on corner,setback from side street . . . .7 . . . • . . . 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., ��,,®® i .safe, • !``fit • • • • • • • • • • • . . . . . . . . . . .
Will any second-hand lumber be used? At 0 If so, for what? ll
. C—N 7— Thickness /6 "
Material of foundation walls ,� �,
Depth of foundation walls below grade .l Continuous foundation? . . . .
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? �.�.Q�G:�• • • • Material of roof . . . (.000.4.���'}/1J . . .
Size, wood studs " x ", spacing . . .l, "o.c., length ft.
Size, floor beams, 1st floor "x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing f "o.c., span ft.
Size, ceiling beams 2.. . . " x 4 ", spacing /d "o.c., span . . . ./' ft.
Size roof rafters or beam . . . " x . . f] ", spacing /Z I r "o.c., span ft.
crrc-.r. l �nn,/ -
tgm finish S✓f - - . lL�c.k. . . . • � f�`•jT. . . . . With what material?
Finish of r walls. . . ., -.TE:Al
If garagR g-tt atgached, of what material is wall between garage and main buiRling to be constructed?
Is there to be an opening between garage and building? . . ./t'.0
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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt o4 i 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 a provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain! pro sed shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OW ER.OWN 'S NT•ARCH T.CONTRA TOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By . .
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL:NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
•
CITY OR { • (_/ / ,'
/VILLAGE / � !. .< 4i�:(i TOWNSHIP (j _i..'rc :_.r;`-t,/ COUNTY /! 1(../.;c:''.:.;.,r,--\
STREET AND NO.OR ! /!),. 1� - .i7 ,- ,-• :
ROAD AND POLE NO. fJ /j - !`f7--)X f c--tV' . . _. .. ✓ (�f.',',,,,' :' ! 4,C... r' / POLE NO.
BETWEEN WHAT TWO'_ .,
CROSS STREETS IS / ) `-
PREMISES LOCATED? !/;Y •.,-,/ -- .f - /"i:ri /.,-]f�/ SECTION BLOCK LOT
OCCUPANT'S v // -•� / BUILDING {NAME /9 -2-V_,.'%%) --Z:'--l'-_-� .-...,C• •7 ! OCCUPANCY -C/(_.ii2Lc,!_,,-\
OWNER'S NAME r ;j _ //� /—' f� r//
AND ADDRESS r',/.i- �i. /r/a: '.•Y%-.:.hr(7/.7- ') / ---: �=i tea°// (✓:'- 22,-? . S_e,"
CURRENT ,' - - ,r //'
SUPPLIED ./ /1,• - / .
By 4 ..!it/,.i'"Ir: i •'/(.. %!oz.,:<'( FROM THEIR OFFICE
BSUILDING NEW OLD❑ REMODELED ❑ ISORK" NEW,N1 ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS
Loca •
-
tion Side Attach't H.P. Watts A W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
Out- - -
side
Sub •
-
base
Base- L
ment
1st FL
•
-
2nd Fl. '
3rd Fl. .
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: • DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS - WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN .
SERVICE - MAKER -
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS n
POSSIBLE NEW I 1 OLD
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF `- 41 / DATE OF f///jf`/
APPLICANT - • -''- •_ ,! - /-:•'♦y.-..,c -, • '1 fs,-::-V1.• APPLICATION '• (1
.. y%
STREET ADDRESS . .f' 1
CITY OR T % ✓/ 1 7" �Ji ; ZIP / "� J/ LICENSE NO. .
POST OFFICE-. /•�:./t- "^.! ix.i X 1 - /t/ , CODE l r=el t' WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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