8814 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8814
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Franklyn Bushey
OWNER of property located at Upper Ridge Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (replace 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
Star Route
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
m
4. ARCHITECT'S Name
. a
0
5. ARCHITECT'S Address
0
a
6. TYPE of Construction—(Please indicate by X) o
(x)Wood Frame ( ) Masonry ( )Steel ( ) - -
7. PLANS and Specifications
10 'x20' porch per plot plan, specifications and
No. application submitted.
8. Proposed Use H
rt
One—Family Dwelling (porch replaced) o•
o
rt.
bo
$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 85 O
Ina
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 16th Day of October 19 8 4 .
SIGNED BY Gd c{- /9jsyx� for the Town of Queensbury
Building and Zoning Inspector(//
TOWN OF QUEENSBURY
(Space inside block to he filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. .
Pc rtnit Issued 19. .
BUILDING AND ZONING PERMIT Perini! r.xpires. IfJ.
/.(mi„t District
\ a l uc• nl Work I
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pl""`c•c1 1ty A�--•.--‹. c-- a .6„
showing the actual dimensions of the lot to be built Itt•i„arKS'
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 TOWN op s-tCFfiENSti 11 ,.,
;.. 1 - 1 - 12. .R_ /6 1 1 -1kri
DATEli E D. LE II y E �'zi)
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ''(� ' IJ04
ANSWER ALL OF THE FOLLOWING. A.M; ,� rit re. _
The undersigned hereby applies for a permit to do the following work �{- e_-,_-q-1, ,1, i ,,A121 , o
16
which will be done in accordance with the description, plans and specifi- `
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
•/f��.✓/l//�/.'. : rssAgf!. . . . . . . .�°�i? ?4 /mooX0s C �'/,./.r ,'//S 'y /z-ee/
(NA.1E) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
f7? 'S4��
/ (NAME) (P.O ADDRESS)
Name of Builder `i' -?-3 d45: / CSel."---.) Address . 5 2' ?/ 2€ k. 7�C C-f /00/
Name of Plumber "1-1R Address
Name of Mason i✓.'9 Address _
Lot Number it Unit Estimated value of proposed work I
Name of Village 0Ce".e-e. s ✓ Y
Name of Street . . . . e..A • . Side of street: north ❑, east ❑, south O. west ❑
Nearest Cross Street . . . .X.r / /,' Distance from this cross street . .. 4.A7y./.es`. . .
Propertyis north XI,south ❑,east i i, 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
. , Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building El
-car attached garage ❑
C��.u-r,,-J v) .� ` &� Other: g
AccessoryBuildin
• One-car detached garage
0 Other work. Describe• Two-car detached garage • ❑
Private chicken house Cl
•
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
94- ltuilding(s) in solid line.
Size of property ft. x ft.
i .
Size and use of existing buildings, if any
P
s
Size of proposed building ft.x ft.
4Height (from grade to ridge) ft.
elFront yard ft.
' Side yards ft. and ft.
`L/ /1\ _ 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 .
(coned.)
BUILDING SPECIFICATIONS.,
Ge74. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�
Kind of construction: Wood frame, fire safe, etc.?. . . . . . dc . .
Will any second-hand lumber be used? . . . .n/a If so, for what'
Material of foundation walls Thickness ff,or
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 ' 0! -, .Ale 7 /
Size, wood studs ,2 X•/ • •"x ", spacing /G'/ "o.c., length • ft.
Size, floor beams, 1st floor /✓.4. •
" x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor s✓4 " x ", spacing • "o.c., span ft.
Size, ceiling beams a Al!? "x ", spacing /G "o.c., span ft.
Size, roof rafters or beams a A • . "x ", spacing /F r "o.c., span . . . .. !9'1/ ft.
Exterior finish ...5 m e 4-5- /c,cr.,..4-4--c With what material? S''��•✓�r'l
Finish of interior walls ,h/At.
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? /1
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof /✓g
Will there be a fireplace? /V 4- Depth of fireplace hearth
Will a toilet be installed? -it7/9'
Will a kitchen sink be installed and connected to water supply? . . .'729
Water supply (public water supply or pump)
Distance of cesspool from any private well /a/.9 feet
Will drainage system be provided with required traps, cleanouts, and vents? /1-/i4
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to u; jle-j 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. fete 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 pe ing to the proposed ork shall be complied 'th,whether specified or not,
and that such work is authorized by the owner. 4/
Sworn to before me this Signature : .
0 N WNE�... ARCH E .CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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