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8414 BUILDING PERMIT TOWN OF QUEENSBURY 8414 No. WARREN COUNTY, NEW YORK y w PERMISSION is hereby granted to James and Pamela VanGuilder OWNER of property located at 9 Luzerne Road Street, Road or Ave. in the Town of Queensbury,To (km t or place a Demolition house and garage ¢' ro at the above location in accordance to application together with plot plans and other information hereto filed and 3 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H 1. OWNER'S Address is Sv 9 Luzerne Road Glens Falls, New York 0 I✓ 2. CONTRACTOR or BUILDER'S Name same • I-I 3. CONTRACTOR or BUILDER'S Address • same 4. ARCHITECT'S Name to r s✓ 5. ARCHITECT'S Address - N II (D rd 6. TYPE of Construction— (Please indicate by X) 0 IZ ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications demolition house 20 'x25 ' and. garage 22 'x13 ' No. per application submitted. t7 8. Proposed Use 5 Demolition house and garage (t 0 $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 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.) N N Dated at the Town of Queensbury this 20th Day of April 19 8 4 SIGNED BY - s-2/)/ 2 pC/ for the Town of Queensbury Building and Zoning Inspector l W N TOWN OF QUEENSBURI( (Space inside block to be filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. PP Permit Issued 14- BUILDING AND ZONING PERMIT Permit Expires. IQ %()Iiinl..; District • \ Ate I Work `-1 iivr�t•c i\ lh�• � THREE (3) Copies of a PLOT PLAN, Drawn to scale . i 1 ' /2- showing the actual dimensions of the lot to be built llcniarKS 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 QU£FNS®URY EGE11VE E DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR �. 6 I'Jd4 ANSWER ALL OF THE FOLLOWING. A.M. P.M. 18,9Il�ll� , 1234b6 The undersigned hereby applies for a permit. to do the. following work �, e 1 II 3 1 I 1. I, which will be done in accordance with the description, plans and specifi- J. cations, and such special conditions as may be indicated on the permit. S la" The owner of this pro rtm is: / 1 / J ii 5. . .o f-Ia •. .(jt �l:"w.l o4.ei •�o Z. itL.P . . ./40. �4- s (NA"4E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P 0 ADDRESS) Name of Builder Address Name of Plumber" Address Name of Mason Address Lot Number Unit Estimated value of proposed work S Name of Village Name of Street Side of street: north 0, east 0, south O. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north 0,south 0,east iii, west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. 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 Li [Y Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage ❑ Other: Accessory Building •—'-- One-car detached garage ❑ Other work. Describe �� Two-car detached garage ❑ i., .0 Private chicken house ❑ Y Private storage building ❑ du5�- .,2di(dsl il gcira)r-2 c) <21Y /3 ' 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 huilding(s) in solid line. Size of property - ft. x ft. Size and use of existing buildings, if any I.- in y 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.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? 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 " 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 " x ", spacing "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 buiRling 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 it bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.,.p•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 OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By TOWN OF QUEENS-BURY Building Department Inspectors Report Date ( 'Y • Name ,7, rs ,';,,-'Y-h Location 9' Li., , Permit No. g y/( Weather Remarks Excatia ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing 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. A Septic Approval Floors Insulation Foundation Walls • Ceiling • • • Building Inspecto REMARKS