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7902
BUILDING PERMIT TOWN OF QUEENSBURY No. 7902 n WARREN COUNTY, NEW YORK rt N• tn • PERMISSION is hereby granted to CurtisMayott OWNER of property located at 134 Dixon Road Street, Road or Ave. O in the Town of Queensbury,To Construct or place a A 1 t pratrior to rlwPll in cg (Ri lrn T�nnr) rt.rt' 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 134 Dixon Road Glens Falls, New York H 2. CONTRACTOR or BUILDER'S Name Same H- 0 3. CONTRACTOR or BUILDER'S Address O Same sz 4. ARCHITECT'S Name 5. ARCHITECT'S Address 1✓ W H' hi H W Q rt 6. TYPE of Construction—(Please indicate by X) 0 I-'. O ( )Wood Frame ( ) Masonry ( )Steel ( ) • 0 O rt O 7. PLANS and Specifications Bilco door — walk out per application wL • No. submitted. I-1 o N O H- 8. Proposed Use One—Family Dwelling (Bilco Door added) $1 0_ no PERMIT FEE PAID —THIS PERMIT EXPIRES January 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.) Dated at the Town of Queensbury this 10th Day of June 19 83 ✓r Lp SIGNED BY ��^�'l � /� 1 ; for the Town of Queensbury Building and Zoning InspectidrV TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) • Application No. : Application for Permit Issued I9. BUILDING AND ZONING PERMIT „it Expires. %IInin! District . \ ;doe oc of Work,� • THREE (31 Copies of a PLOT PLAN, Drawn to scale -\i'f "'`'`I I". showing the actual dimensions of the lot to be built It�•n,;�rKs• upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED ©�'itC+l �F QUEENSBURY WITH THIS APPLICATION. � ,.), DATE 0�U ej 1 03 - A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A.M. P.M. ANSWER ALL OF THE FOLLOWING. 7)8)9I10J111111)2J3)4I510 The undersigned hereby applies for a permit to do .the following work which will be done in accordance with the description, plans and specifi 4. - cations, and such special conditions as may be indicated on the permit. . /O.ob cis) The owner of this property is: C v ri5 -N../. /1/ Ayo 7r l 3 / .l7 ix0ei iz'f. G revi l='//s A/y (NA.1E) (P.O.ADDRESS) The person responsible for • supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: D,x -/2. c t'e,,.s 'iv-Xs' 11/, (NAME) (P 0.ADDRESS) Name of Builder Address Name of Plumber Address Name of Mason L'd• 44 Pr Address /y M°4I3'e'y ,aVE • G f A// Lot Number Unit Estimated value of proposed work 3 7J Name of Village Name of Street .' 5c."` R`, Side of street: north 0, east Er;south ❑. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north - ❑,south ❑,east i i, west. 0 from Cross Street If on Corner, which corner, northeast 0, 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 ❑ El 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 ❑ 5,lea ""Pa a R - )'/ss-Ltr 0 `• r- Private chicken house El 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, site and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line.and existing Iuilding(s) in solid line. . Size of property ft. x ft. Size and use of existing buildings, if any F I- st m 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-N (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 C "F c d�a--r� RLO Thickness 1p 1( Depth of foundaiton 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? 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 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 th bard of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.i.pp 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 _ :i : ^yois _ tea: Glen:: �11:: _ _ou' x .'.c.. i. ._-52.l.5 qi. otai:ion is ._ .- uested on doin '; the rollo -7ia:-; : l ) 17:cuvate ? for outside stairwell to 8 ft. depth. 2 ) Excuvate for furnace room. Rei ovtie approximately 8 ft. of existin stone fundation - tion wall. :?urnace room. to be excuvated to ; 4eoth of 3 ft. below --,round l vel. aoom dimensions approx. 9 ft.x 8 ft. 3) ;'our footers. Outside wall to be 10 inch. block, inside well to "He standard 8 inch. block. 4) floor of furnace room to be standard 4 inch,reinforce t by _einforce gent screening-6"x6"x3/16" or 1/4" dia. rods. 5) Interior walls of furnace room to be t►iree(3) tiers nigh. o) • teel door and jam to be used for acess to furnace roo#i.Also- tresh- old. 7) 2.utside stairwell to be coverelby steel (3ilco Type ) covdring. 8) Installation of furnace,ductwork,electrical,fuel oil tank -end fill pipes will be handled by customer. 9) xcuvate for chimmey fundation. Chimney is to be made of 3 3 chimmey blocks with flue liners and to be minium. of 2ii inches above peak of nearest roof. A cap is also to be installed. there shall also be a thimble for attaching 6 inch ; _pe i:beloti•. the .:lain fundation beaky and a clean-out niniun of 1.6 inches below thimble. A fireproof barrier of abse st:os or concrete board shall be between the chimmey blocks and the house clapboards. the chimney she.11 be firmly,, attached to the house. It will be necessary to remove an existing valve shutoff fundation in order to install a chimmey fundation. NOTE: A precast stairwell unit may be installed instead of cinder block and concrete stairs. Osvithsis treated wood for stairs pay be used instead of poured concrete steps. Customer has sketch drewing for this project. • -urti,:, ,. al.ott 1 ...:4 -il..:, , .. ._.: Glens Falls,l, 7 120C1 Phone (518) 793-5:-'15 ci...,Lic ,ytc _ - ic,-;.' --' - . -c7;tir- af•-ri-C- , - ,.. Zt. -.1.. cter 7,-; L 2t. 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