7548 BUILDING PERMIT
TOWN OF QUEENSBURY No. 7548
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert and Norma Malcolm
OWNER of property located at 19 Heinrick Circle Street, Road or Ave. -- a
in the Town of Queensbury,To Construct or place a Addition to dwelling (solar system) i
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 19 Heinrick Circle Z
Glens Falls, New York o
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2. CONTRACTOR or BUILDER'S Name
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Harold Ea Rist II
Mechanical-Electrical Systems Inc. 0
3. CONTRACTOR or BUILDER'S Address
21 Bay St.
Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address I'
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6. TYPE of Construction—(Please indicate by X) ('
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( )Wood Frame ( 1 Masonry ( 1 Steel ( 1 a
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7. PLANS and Specifications
installation of solar domestic hot water
No. system per application submitted.
8. Proposed Use
One-Family Dwelling (add solar domestic hot water system)
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$ 10- 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 83 rat P) 0
(lf 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.)
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Dated at the Town of Queensbury this 91 st Day of SPpi-PmhPr 19 8 2 en
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SIGNED BY 5 X y 1 for the Town of Queensbury N
Building d Zoning Inspector
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TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19.
BUILDING AND ZONING PERMIT 1,,.,.. tit Expires. 1g
/.o in District
Am. nt %V rk,$
THREE (31 Copies of a PLOT PLAN, Drawn to scale ‘i)1+r,"+11 IW
showing the actual dimensions of the lot to be built Rc,I.,.. r
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 Sep- w,bQr '18Z TOWN QUEENSBURY
ELGE _ VE,
+ , Dart
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. S E P , -,01982 • Q
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The undersigned hereby applies for a permit to do the following work A.M. / 4"f` et` VM. t
which will be done in accordance with the description, plans and specifi- 7$81l 61 1?)1?}1)213)4l 51 s
8 ea Res
cations, and such special conditions as may .be indicated on the permit.
The owner of this property is:
Robet-\ 4 • Norm?, Mc3Ia)m 19 Neihrtc .. C1rcie� oeelsbu -y, N.Y ?fOZ.
(NA.4EI (P.O. 1DDRCSI The person responsible for supervision of the work insofar as the BuildijtgX',ode and the Zoning Ordinance apply is:
Nato Id E • ts+ M --Et-cc 2t3ay S--•i C-(e.s Fa(s N.Y. izec)i) � 1 t
(NAME)
)P.O ADDRESS)
Name of Builder 1'1tC1-I- EL-EC sYs-resiSf iNC. Address. .2'1 B'AY STitECr / C3tE /s f/1t,4s
Name of Plumber ��RpY B • Ao LbE t' �� ,�
Address
Name of Mason Address
Lot Number lei Unit Estimated value of proposed work S . 4) 4782.00
Name of Village . . . . . .Qv.eer4S u r y ,
Name of Street . . . i eiv\rtCL C ')rC(e Snde of,etreet: north O, east @, south 0. west 0
Nearest Cross Street D ►)c.0n Oat' Distance from this -ross street 300 Ft,
Property is north 0,south Beast i,, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast C southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
LAddition to a building. One-family dwelling CE -
❑ Alteration to a building. Two-family dwelling ❑
0 Demolition of a building. . . . . .-family apartment house El
Store building ❑
. . . . . .-car attached garage ❑
Other:
Accessory Building
Ir.�S►f�t.l_�RpN 6F One-car detached garage El(1' Other work. Describe: Two-car detached garage ❑
SOLAT. .Ot t 11(_ H3-01- u)I-T-EK Private chicken house ❑
Private storage building ❑
$fSTEIM• 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-
NORTH posed buildings,and the location of all existing buildings.
ta�tNtztl K C t1zCl�£ Show proposed building(s) in dotted line and existing
l uilding(s) in solid line.
-111i ' Size of property ft. x ft.
dig FaoNT 4111111
PPP
— ,w Size and use of existing buildings, if any
ti ' 0 4 4 CD
w Size of proposed building ft.x ft.
A Height(from grade to ridge) ft.
IIP' e z Soo' , Front yard ft.
Side yards ft. and ft.
Rear yard ft.
T N If op 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.,
Kind of construction: Wood frame, fire safe, etc.?. . . . • • • . . . . . . . . . . . . . • • • • . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • •
Will any second-hand lumber be used? If so, for what)
Material of foundation walls Thickness
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
Size,wood studs "x ",spacing "o.c.,length • ft.
Size, floor beams, 1st floor " x ",spacing . . , "o.c.,span ft.
"o.c.,span
Size, floor beams, 2nd floor " x ", spacing ft.
Size, ceiling beams "x ", spacing "o.c.,span ft.
Size, 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 chititney 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 Queenshury
County of Warren
State of New York
I swear that to tr, A',j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. 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. Cr.�J , ,:�
Sworn to before me this Signature �--�
Z OWNER.OWNER'S AGENT,ARCHITECT. ONTRACTb.
17 . ..da of... ....SQ p� �� 19.-6.Z GERTRUDE M. JOSEPH
Notary•Public,State of New York
N P I WARE LINTY, N. Y. Warren County #57 2003185
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SPECIAL CONDITIONS OF THE P MIT:
By