8458 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8458
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Barbara and Jack Howe t
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OWNER of property located at 9 Moorwood Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (screened porch) R'
at the above location in accordance to application together with plot plans and other information hereto filed and sy
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. IZ
1. OWNER'S Address is 9 Moorwood Drive
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name ()
Gordon Hayes
3. CONTRACTOR or BUILDER'S Address
Bentley Road
Hudson Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address 0
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 16'x16 ' per plot plan, specifications and
application submitted.
8. Proposed Use
One-Family Dwelling (screened porch added) a
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES • D er-_PrO ber ) - 19 R4
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D 0
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 3rd Day of May 19 84
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SIGNED BY ikad U • for the Town of Queensbury vLcl
Building and Zoning Inspecto
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
pPlication for Application No.
Permit Issued 19.
BUILDING AND ZONING PERMIT 1'priuit Expires. 1g.
Y,"nitt; District
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THREE (31 Copies of a PLOT PLAN, Drawn to scale '\1'1tt() c•(l IW
showing the actual dimensions of the lot to be built ItcntarkS"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
7 — . t / 6/Py 1SORW OF �� {}n SI���Y
DATE i ((F t \yJ Y
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK IIVn �( 11J)
ANSWER ALL OF THE FOLLOWING. !-\, Za b 19
The undersigned hereby applies for a permit:to do the following work / c) P .cp.,4
which will be done in accordance with the description, .plans and specifi- 1712 1 2 3 4I5�a
cations, and. such special conditions as may be indicated on the permit. A.M.�gglgl1 ''' ` °� °� '
The ownerrQf this property is: . i.
(NA•;c) (P.O.ADDRESS( •
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS) j ��(1 ^,
Name of Builder. . . :—h�0,`� S Address :I .r"`! �.`, �'`_�_ �c'l..-CAS.
Name Of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work i . 3al>
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 ❑,south ❑,east iii, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
E Addition to a building. , " . One-family dwelling ---
0 Alteration to a building. Two-family dwelling ❑
El Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
t�t 1.-Lv,,_ may- <SGO_,..„, Q e'D'r` Accessory Building
One-car detached garage
El Other work• . Describe:. , 1( ( Two car detached garage ❑
Private chicken house ❑
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Private storage building El
• 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.
Size of property • ft. x ft.
Size and use of existing buildings, if any
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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.,
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Kind of construction: Wood frame, fire safe, etc.. . . . . .
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Will any second-hand lumber be/�used? . . :, . . . . . . . . If so, for what?
Material of foundation walls . .(�-ri-.tir=4.--4--.‹ 0Thickness
Depth of foundation walls below grade �� Continuous foundation? . ..CAS.
Will there be a cellar? . . . . 45. . I fjo, material of cellar floor P
Type of roof: Sloped or flat? 12-6-u Material of roof
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Size,wood studs P y "x ", spacing "o.c., length b • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor G " x ", spacing ` �� "o.c., span ft.
Size, ceiling beams 1r. " x , spacing y "o.c., span /6 ft.
. " x . ..0 ", spacing A tel ` l6 ft.
Side, roof rafters or beams . . . . ` "o.c., span
Exterior finish With what material?
Finishof interior walls
If garage is to be attached, of what material is wall between garage and main bui1Qing to be constructed?
Is there to be an opening between garageand 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 tt bci i of my know,ledge and belief the statements contained i 's 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 th descri premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p po wor shall be complied with,whether specified or not,
and that such work is authorized by the owner. -, f`i/ ..--
Sworn to before me this Signature
ER. R'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date CI-D-0r
Name 9
Location J/e\ !n_/ 4f9
Permit No. `74= r, Weather
4J4-L a-00 117 aAJ Remarks
Excat)a tion
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 /I
Concrete Floors C w
Plbg. Fixtures
Gar. Fireproofing \\\
Door Closers
Chimney
Water Meter Inst.
Septic Approval
loons
Insulation FOUndatiOn
Walls
'Ceiling
d13,19C----
Build-lhg Inspector
REMARKS
�U L�- -oralnb �I'�
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TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date Si
-1 17
Name 10
Location - ct I'Yy n ton e i
. Permit No. 5 b' Weather
Remarks
Excavation
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.
Septic Approval
Floors '
Insulation Foundation
Walls
Ceiling
4 -77--e-2
Buildin Inspector
REMARKS
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