8648 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 648
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Gerald Lyons
OWNER of property located at 20 Bonner Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (enclosed 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 20 Bonner Drive (11
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Norman Ouellette
3. CONTRACTOR or BUILDER'S Address
28 Lake Avenue
Glens Falls, New York
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4. ARCHITECT'S Name O
(D
hi
5. ARCHITECT'S Address
H.
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6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
16'x12 ' per plot plan, specifications and
No. application submitted.
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8. Proposed Use 0
One—Family Dwelling (enclosed porch added) m o
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 85 p
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q H-
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24th Day of July 198 4
SIGNED BY aci, a• s_,e, ram for the Town of Queensbury
Building and Zoning Inspecto( 6>
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEWa YORK Building Inspector)
lication for Application No. :
PP Permit Issued 19.
BUILDING AND ZONING PERMIT P.•rniit Espires. 17.
/oiling District
. \ aloe ol Work'
THREE (3) Copies of a PLOT PLAN, Drawn to scale d -
showing the actual dimensions of the lot to be built. kcnlarkf'
upon, The exact size, and location on the'lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
i 7/j, I Tovviv op QUEENSBURY
• DATE � • 6I VIE .�;
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ',
ANSWER ALL OF THE FOLLOWING. JUL 2 0)984
The undersigned hereby applies for a permit to do the following work A.M. Lv- • e- ' 1P
which will be done in accordance with the description, plans and specifi- . .7l8!9t1O11)1221 41314i616,
cations, and such special conditions as may be indicated on the permit. I• " ° c r--s-•-a _A-_A a__8a
The owner of this eL party is:
1 ., G-�/�ff// �y��N5 22A? �L op Avni/1/ix 4`4/5- flLLS
. . .
(NAWE) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. .4/.04/ 1H"'ty ,0vFLLe-T. V •--/5,ez /91}6,. . . . . . -Grwf. / am:GGS. . . . . .
(NAME) (P 0.ADDRESS)
�/
Name of Builder. l v G'2. /91 0 OE L 44Tl1: Address o L-92('6 adz .6--Z,E,[j'$ f/-iy,CS
Name of Plumber ' - Address
Name of Mason. 4/04./7'/9/7--- ou664L7.-7- Address 2 i7 -/.9J«. .� . . .6,-. c... .ez . f,""etS
Lot Number. . .P..0 . . . . Unit• Estimated value of proposed work I (5• 4O " •
Name of Village tib by5 8U'4 y ,.
t
Name of Street 40IV/116X PR I✓f Side of street: north X, east 0, south O. west ❑ •
Nearest Cross Street -IE5 . ✓72./�• . • • I•0./c P• • • • . Distance from this cross street /6'496 Ft.
Property is north 0,south Or,east i 1, 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
0 Addition to a building. . . . . One-family dwelling 0
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑ .
-car attached garage ❑
/ /� n / L Other:
�T'i in ��!�-C!7 Accessory Building
• One-car detached garage ❑
(] 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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
1uilding(s) in solid line. /
Size of property . . ./ Ga • • • • • . ft. x . P-00 ft.
Size and use of existing buildings, if any . / i .i
. /_ /
i w Size of proposed building . . . /.V.. . . ft.x . . /. . . . . ft.
i i/
Height(fromgradetorage) . . ./."1. .@. • • • • • • • • • • • ft.
Front yard 0 Il S F%'.0-C/ ft.
• Side yards -0/ ft. and PO/ 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., ff�� �
Kind of construction: Wood frame, fire safe, etc.?. . 00%.. . . .f. ./9: . . .�
Will any second-hand lumber be used? tt �C`�• • . If so, for what2 I(
Material of foundation walls �} , G
L thickness if
Depth of foundation walls below grade / / • N i'/ / oo ,t4-5 Continuous foundation? —
Will there be a cellar? ��_ If so, material of cellar floor
Type of roof: Sloped or flat? S4-VI D (If, Material of roof ., �� 1/�/1-5 ., len th.G.S
Size, wood studs „ "x �� ", spacing �(o/� "o.c., length. . . .D.. .• . ft.
", spacing / "o.c., span . . ./0. .
�—" x ', spacing . . ."o.c., span
Size, floor beams, 2nd floor �� / ,� ft.
Size, ceiling beams " x �� ", spacing /� /� "o.c., span j / ft.
Size, roof rafters or beams o� . . . . " x ", spacing A�P "o.c., span . . 67 ft.
Exterior finish /94-Urll itid 5,(61;4/G- 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
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; b i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.i.plete 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 pertain' the proposed k shall plied with,whether specified or not,
and that such work is authorized by the owner. /' J
Sworn he oe me this Signature
/ ! •
OWNER.OWNER'S AG ARCHITECT.CONTRACTOR
day of 19.� /
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.
TEMP.# DATE
•
CITY OR ,
r VILLAGE �•.. / i' - '/ C. ( TOWNSHIP Y. COUNTY ✓'ji•.'.^ .'-
STREET AND NO.OR 1
C t r'✓
ROAD AND POLE NO. — ( � /e/�/F :1 r/�
� �!. i POLE ND.
BETWEEN WHAT TWOC '1 PREOSSMISES LOCATED?
SS EETS IS /`�!�i<— j/t� j/ / (�/T�SECTION % BLOCK LOT
PREMISES s..� �OCCUPANT'S BUILDING
p _ „ � , / BUILDING /
NAME F7/fi f (j�i�/�'1(-r°i' L Y U9L r OCCUPANCY 4-f 0/27 7
OWNER'S NAME
AND ADDRESS 7'--;'! ,:.; TEL.#
CURRENT
SUPPLIED 11
BY r�j�1 :„� �- � f�}�'af7/=?Y%' /�_- FROM THEIR OFFICE
BUILDING ��----�� WORK DEFECTS
IS NEW / OLD❑ IS NEW 12.1 ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attaeh't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Eaeh No. tag No. Gauge INSPECTION
•
Out-
side
Sub-
base
Base-
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 I ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOF„Q- GAS TUBE SIGN
OF WORK CZr0NCEALEQ) TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD ri
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 d 0,,e 1 0 CJ�L,. DATE OF •
•—�///
APPLICANT v' f`l•�Ilj - APPLICATION // 0
STREET ADDRESS ' �� L-- /9 'L f-' • TELEPHONE# :1- (.1 .{-I D
CITY OR 4 / ` ZIP LICENSE NO.
POST OFFICE L�� `-" ��- ( s � !' CODE ) Ui WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date '7 -(-0��'`�
-Name 014 z/-�L() L.Vo,)S/
Location p no 4u4I r D.'=
Permit No. It-)4/ Weather
Remarks
Excatiation
Footing Forms
Footing & Piers L94k—
Foundation ✓ r
Cement Coat
v ti
Waterproofing
Backfill
Final Survey
Framing ✓ C7 •
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 �r
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building I Sp ctor
REMARKS
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