5756 BUILDING PERMIT
TOWN OF QUEENSBURY No. 5756
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Joseph Everidgein
OWNER of property located at 9 Arbutus Drive Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Addition to dwelling (deck)
at the above location in accordance to application together with plot plans and other information hereto filed and N•
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
9 Arbutus Drive
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 tr
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5. ARCHITECT'S Address d
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6. TYPE of Construction—(Please indicate by X).
( 4 Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 8 "x28 ' per plot plan and application submitted.
8. Proposed Use 0'
One-Family Dwelling (deck added)
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6 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 1 19 79 0
(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 2 6t ay of April 19 7 9
SIGNED BY ' r for the Town of Queensbury
Building and Zoning Inspector
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TOWN OF QUEENSBURY t (Space inside block to Ix filled in by
WARREN COUNTY. NEW YORK Building Inspector)
• Application for Application No:
Pp Yrrmit Issued 19. .
BUILDING AND ZONING PERMIT P(.1.1„it Expires. Ig. .
i.,,lhinr District . .
• \ alue 01 Work%
THREE (3) Copies of a PLOT PLAN, Drawn to scale . • .\1i1"-"`e`l by
showing the actual dimensions of the lot to be built 1 cillarKS'
upon, The exact size, and location on the lot of the.
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION,
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OAF QUEENSBURY
6 ® DATEH S V V 1E' DD.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. Pie R '4 b 1979
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The undersigned hereby applies fora permit, to do the following work A.M. �O /
which will be, done in accordance with the description, plans and specifi- 7t81911.014.2)1121314I5I6
cations, and such special conditions as may be indicated on the•permit. .‘ ` '
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The owzef this property is:. )
(NA''(E) IR.O.ADDRESS)
The person responsible for ...supervision of the work-insofar as the Building Code and the Zoning Ordinance apply is:
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�'"(NAME) ' (P.O ADDRESS)
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Name of Builder e''S A - . 1-7 LAddress
Name Of Plumber `
Address •
Name of Mason Address
Lot Number Unit Estimated value of proposed work 3 / 'sa
Name of Village
Name of Street /p
�,t64/1 us (71---"� Side of street: north ❑, east ❑, south ❑. wester
Nearest Cross Street �/7 e_fr ' i9-� T ✓A- - • Distance from this rross street • Ft.
Property is north ' ;-south Cr,east i 1, west ❑from'Cross Street
If on Corner, which corner, northeast ❑-, northwest ❑, southeast D.. southwest
(Designate•by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY .
❑ Construction of a new building. Main Building
DIAddition to a building. One-family dwelling
Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. - • • -family apartment house . ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One car detached garage . El
0 'Other work. Describe 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 building(s) in,dotted line and existing
lluilding(s).in solid line.Q
• Size of property U ft. x Z�� ft.
Size and use of existing buildings, if any •
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at • idSize of proposed building . . . . . . . . ft.x ZB ft.
Height (from grade to ridge) ft.
Front yard g ft.
Side yards / ! • ft. and . . : - a '• • • • • 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
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(cont'd.)
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BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc2 L(/po
Will any second-hand lumber be used? . . .%:rr!2 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
Type of roof: Sloped or flat? Material of roof
Size, wood studs "x - ", spacing "o.c., length •
ft.
Size, floor beams, 1st floor 2 "x ", spacing .2.Y• . "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 "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
Willa 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 th jv,T of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.:.p lete statement of all proposed work to be done on the deac • p i and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws perta ruing to the ropo wor all be mplied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
0 N ,OWNER'S A EN ,ARCHITEC . NTRACTOR
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
Naffie
LoCatio h e
Permit No. S 7 5 eather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt / / iv
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
Building Inspector
REMARKS
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