7437 BUILDING PERMIT
TOWN- OF QUEENSBURY No. 74 i7
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Palmer
OWNER of property located at West Mountain and Aviation Roads Street,Road or Ave.
fi
in the Town of Queensbury,To Construct or place a 2 Car Attached Garage
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
R. D. #2
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Daniel Valente •
3. CONTRACTOR or BUILDER'S Address
• Route 9N
Lake Luzerne, 'New York cat
4. ARCHITECT'S Name 0
- rt
N.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) F.
IL
({)Wood Frame ( ) Masonry ( )Steel ( ) N
0
7. PLANS and Specifications
24Tx24 ' per plot plan, specifications and o
No. application submitted. p,
8. Proposed Use
Two-Car Attached Garage
� C
}L 0
$10. 0 Feb. 1
.0 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 83 kg
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (Cl II
town of Queensbury before the expiration date.)
rt
Dated at the Town of Queensbury this 12th Day of July 19 82
SIGNED BYE for the Town of Queensbury o
BuiBui di�oning Inspector C:
- .
T0'.1,' N OF 1,UEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspect( r)
Application for Application No. ..
Perm i t Issued 19
BUILDING AND ZONING PERMIT Permit Expires. . 19.
Zoning District ,.
\ illtic ‘,1 Work $ )
OS
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1)1 d bY /
showing the actual dimensions of the lot to be built Rcimil•Kc
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
DATE
REGEfiVE Lin
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. ix.,1 ti L 71 82 igg,
The undersigned hereby applies for a permit-to do the following work
which will be done in accordance with the description, plans and specifi- 71M11.°)1?-)1,4/1-9i*H616
, A
cations, and such special conditions as may be indicated on the permit. 4
.
The owner of this property is:,,.., j
•.Koiri-i-r-ern_ • ‘2.. .- • id_--2._ L,Jc--v-r- pi
(NA,4E) i P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
u 19-66-,---(z.--- (-7_,,,1-- 0 1.1^3 G-t)-( /L-1 6,1—/re...._e_
(NAME) (R 0 ADDRESS)
Name of Builder. 04-e.-(3-7 -/-rz,---- (..z.) ---E--/72,4--74:-L. - Address /74- '''' ''/ /6-7 CA/e2-4-- 6"'' •
Name of Plumber . Address
Name of Mason 14,19-6c.,---).-L-A7---" Address r2A- 9 A-) i'f. ---1/"/ /‘-7
J---- '
Lot Number Unit ./ Estimated value of proposed work S
Name of Village
Name of Street . . . .Q4U4(2'`-1 4(-4-wz) , Side of street: north Erreast 0, south 0. west 0
Nearest Cross Street (....,--f-Crs-A- IMF- (24) • Distance from this cross street Ft.
Property is north Eh-south 0,east ri, west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest Er theast D. southwest
(Designate by marking with an "X" in the correct space.)
• ,
, .
' .
NATURE OF PROPOSED WORK .OCCUPANCY -
El Construction of a new building. Main Building
-g
. One-family dwelling O Addition to a building. .
Alteration to a building. Two-family dwelling 0
• 0 Demolition of a building. -family apartment house 0
Store building II]
• . . . .f. , -car attached garage
. .
Other:
. ' Accessory Building
• • One-car detached garage 0
Li Other work. Describe. .
Two-car detached garage 0
Private chicken house 0
Private storage building 0
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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
W 00- /227/- 2D , twilding(s) in solid line.
1‘
Size of property 1 ft. x 25/ ft.
N f Size and use of existing buildings, if any
il IA
, <
Size of proposed building ft.x . .P.-K. . . . ft.
c5,___I--
.Height (from grade to ridge) ft.
ei( i/ i - Front yard
_--- c.;) C) / ft.
• • Side yards ..." ' ft. and /74 C 7 ft.
Rear yard (.1( ft.
c---'"-
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, a .?. . . . .. .. ....D. . �Lj4y""L
Will any second-hand lumber be used? If so, for what7
Material of foundation walls � c.. . 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 .C-4--' a-e-'`I `�/-1. r
Size,wood studs "x �'l ", spacing . . . "o.c., length ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor �� " x . . 6(", spacing / "o.c., span /2 f ft.
Size, ceiling beams ..../— " x r, ti V P.
spacing 7.� "o.c., span ft.
Size, roof rafters or beams ,� " x eo ", spacing l C "o.c., span r ft.
Exterior finish °°�` �' With what material?
Finish of interior walls. ll�(. .�� ` . . . . . . . . . . Y. `. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall betwe n gar ge an main building to be constructed?
Is there to be an opening between gara e 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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to th iwrof my know)edge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.h. lete statement of all proposed work to be done on the described premises and that ail provisions of the BUILD-
ING CODE,THE ZONIN( ORDINANCE,and all other laws pertaining to the proposed r shall be m 'li with,w er specified or not,
and that such work is authorized by the owner. r
Sworn to before me this Signature
OWN
OWNERS
ENT,ARCHITECT,CONTRACTOR
day of "?..
r 19 Z�
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
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 TOWNSHIP COUNTY
STREET AND NO.OR
ROAD AND POLE NO. . / -'C. _ - l�7 %21/� -�i POLE NO.
BETWEEN WHAT TWO ; y)
CROSS STREETS IS r •
PREMISES LOCATED? - -' (_+ '' .-"7 �/ ') • !f SECTION BLOCK LOT
OCCUPANT'S / / --j BUILDING
NAME OCCUPANCY
OWNER'S NAME
AND ADDRESS
CURRENT
SUPPLIED
BY4'/ /-:J/, FROM THEIR OFFICE
BUILDING / WORK DEFECTS
IS NEW❑ OLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures BRANCH
NUMBER OF OUTLETS
Lamp Receptacles
MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Eaeh No. Gauge
Out-
side
Sub-
base •
Base-
ment
1st Fl.
2nd Fl.
3rd Fl. I,
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 OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS / /
POSSIBLE f, )/( ( C NEW OLD 1-1
s
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS -
NAME OF ') / -- DATE OF
APPLICANT 1 �ri�-' !��' �' / <=� APPLICATION
72
STREET ADDRESS "%lj�-' - / '
CITY OR :,, , ( ZIP LICENSE NO.
POST OFFICE E V �%�-!=-v-.t 64 f2,�' CODE WHEN APPLICABLE
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
. TOWN OF QUEENSBURY
Building Deptartn en,t
Inspectors It Date ?�9./:
Name - /Y 4
Location , - .4-i7c 4/ ., 'i Alf(/ 'r
Permit No. —7'/3 - 1 i,- Weather
Remarks
Excat,ation
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
41
Ext. Porches Z1fVf/ ic1`2417'"'.&
Finished Floor
Interior Trim
Stairs & Railings .-- ei/J riAJ 5
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls'
Ceiling
' }} Building Inspector
0/1 d Yl6 J `v �.._
i �F `ILI
•`J5{1' REMARKS
• /v
TOWN OF QUEENSBURY
Building Department
Name Impeders Re ast Date ,7�--
Name —may f
L cation rnXr_ GC�OS#/I4t7.et,/ J4i- -.
Permit No. P '-� ;� '1 Weather
Remarks
Excatja ti on
Footing Forms
Footing & Piers
- Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing t —
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
Ceiliri
Build114- Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
°Port Date 82-
Name
Location Z./
Permit No. 7 4'37 `Weather
Remarks
Excaira ti on
Footing Forms f 2
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.
Septic Approval
Floors "
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
Valente Construction
��1I!o �lllllqu
W{a Ul�iln., t
Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
30
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