7852 BUILDING PERMIT
TOWN OF QUEENSBURY 7852
No.
WARREN COUNTY, NEW YORK
cl/ • ( -30
PERMISSION is hereby granted to Thomas and Doris Dickinson
OWNER of property located at I Ridge Road Street, Road or Ave. y
Addition to dwelling (suno
in the Town of Queensbury,To Construct or place a porch) 5
at the above location in accordance to application together with plot plans and other information hereto filed and CD
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is R. D. #1 Box 61
Glens Falls, New York
N-
rn
2. CONTRACTOR or BUILDER'S Name - d
same
3. CONTRACTOR or BUILDER'S Address UI
O
same
4. ARCHITECT'S Name
•
5. ARCHITECT'S Address
(D
0
6. TYPE of Construction— (Please indicate by X) W
( XWood Frame ( I Masonry ( 1 Steel ( 1
7. PLANS and Specifications
10'x24 ' per plot plan and application
No. submitted.
8. Proposed Use0-1
¢'
Ul N-
One-Family Dwelling (sun porch added)
1-0
0
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 1983 n o
(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.)
1-1
Dated at the Town of Queensbury this 18 th Day of May 19 83
SIGNED BY fv/ for the Town of Queensbury
Wi/ Building and ng Insp r
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for .Application No.
1�M Permit Issued 19.
BUILDING AND ZONING PERMIT „it Expires. 19.
/.+,iii„? District
\ ;due ue ++I \Vnrk.t
6.-/
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1'i''+‘c'cl lw 1
showing the actual dimensions of the lot to be built IZc'n►ari$
upon, The exact size, and location on the lot of the • .
building to be erected or altered MUST BE SUB- • _
MITTED WITH THIS APPLICATION.
• -5-3---- /— /Y 'Ma_ DATE TOWN Or" UE. �11f�]SSQ`�°..tf `t�
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK RIF-E ,DC Q u E
ii
ANSWER ALL OF THE FOLLOWING. MA"( ., 7
The undersigned hereby applies for a permit, to do .the following work
which will be done in accordance with the description, plans and specifi- A.iv9.i,/29 ' t949 t•
cations, and such special conditions as may be indicated on the permit. . '71819110.1)12)1i``1314-I516
6 al
The owner of this property is: 4,.
--r-- / , c_.(G/!✓ .o ti h.) c-i•V.I . .., N. C/�.• Ate, 11,.1. . . . I?--e . . . . . .
IBA'�'F) � (P.O.ADDft'ESS)
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
It/6)1113-; A. .b,c<e 0.1 $dN i a I 13 0 `L.1 I 2_,CS,1-.P. ,2-i.� C'/-vY� ./Af(Q ill.,'( ,Z� ;
(NAME) 1 IP 0 ADDRESS)
Name of Builder S-c' d Address
Name of Plumber iU °ir-c_ Address
Name of Mason c �� Address
Lot Number Unit Estimated value of proposed work S /O o°' 9
Name of Village
Name of Street . . . . . f cf .ir4 Side of street: north .ESI, east ❑, south ❑. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east' Ili, west. 0 from Cross Street
_ If on Corner, which corner, northeast [.1, northwest 0, southeast 0, southwest
• (Designate by marking with an "X" in the correct space.)
. NATURE OF PROPOSED WORK •OCCUPANCY
❑ Construction of a new building. Main Buittfing
M.. Addition to a building. . . One-family dwelling a
CI Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
Store building . [I]
• • -car attached garage ❑
Other:
Accessory Building
,... One-car detached garage ❑
Other work. Describe-. � �'D� o 1 Two-car detached garage ❑
SPA ,brze- ) 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-
- posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
l�+ci<c o q a. Ituilding(s) in solid line. .
Size o property
/ / S ft. x /3V
f
ft.
7 Size and use of existing buildings, if any
s C_ W Size of proposed building /O ft.x ft.
'3' / Height (from grade to ridge) . /Z ' ft.
^ Li— . ®/ Front yard + ft.
ft.
ti _I6IYz`�
__,t_-,__,_� r
i�Side yards ft. and
(I t7f;--A------ Rear yard
i ,(�✓,, X.innV
`-L ► SouTN If on corner,setback from side street ft.
-1 LiAA-N‘`..,,'-4� t. 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, etc.?. . . . . . . f.?/.4. . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what7 X 6 "X/0 "
Material of foundation walls C e eAeCel. (3.I.0 Thickness
Depth of foundation walls below grade Continuous foundation?
Will there there be a cellar? N 6 If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof kJ 00 1 I yrt.
Size,wood studs x "If ", spacing 9 "o.c., length /0- ft.
„
Size, floor beams, 1st floor . . . . . . .c;2.-. . . x ", spacing /4 "o.c., span /0 ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams . . . . .1.v.t?N. " x ", spacing "o.c., span ft.
Site, roof rafters or beams 2- "x ", spacing "o.c., span ft.
Exterior finish c c s Cc1/2-1C-.6-4 evAk.—
With what material?
Finishof 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 /II c Ar • Oil burner or coal?
Will a flue-lined chimney be provided? /'o Are-- . Depth of chimney foundation below grade
Height of chimney above roof /v 0-iv
Will there be a fireplace? Etc 0 Depth of fireplace hearth
Will a toilet be installed? /VQ
Will a kitchen sink be installed and connected to water supply? /v 0
Water supply (public water supply or pump) N
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 tr, barof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.,.)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. /_7
Sworn to before me this Signature a
OWNER.OWNERS 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 2/(. 10�
Name ,- f c,<t i.j: r/ •r ,
Location i�► r: = -
Permit No. .>l '"% Weather
C&J ?' Remarks
Excatva tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Venee
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
Ceilin
Building Inspector
REMARKS
TOWN OF QU•EENSBURY
Building Department
Inspectors Report Date 9//r.. a
Name T]1 h1 a s - Do, .3 ,O1 C l<i /1 s (FYI
Location R K o o-e
Permit No. Sz Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey ��
Framing V •
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
1//i/t' � da‘d
Buil ing Inspector
REMARKS
TOWN OF QUEENS UR.Y
Building Department
Inspectors Report Date
Name i It-a ,� as • D i Gk ( 5 o.
Location ((,-,
Permit No. `7 ,Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer \\: ,L/1/ .
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 FOUndati�n
Walla
Ceiling
4-1;0'641.
Building Inspector
REMARKS
TOWN OF QUEENSBURy
Building Department /
Inspectors Report Date -1�(v=
NameLocatione
x / ; z . (51o, n r%/-/c-/csJ?b)
Permit No. ($7,;7 Weather
Remarks
ExcatYa tion
Footing Forms
Footing & Piers LS'
Foundation r
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 d
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
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