6980 BUILDING PERMIT •
TOWN OF QUEENSBURY
No. 6980
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Richard Brennan
OWNER of property located at Upper Bay Road Street,Road or Ave. n
in the Town of Queensbury,To Construct or place a Garden Shed — Addition to dwelling (deck)a
at the above location in accordance to application together with plot plans and other information hereto filed and n
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. o
1. OWNER'S Address is poi
R. D. #1 Box 266
Lake George, New York 12845
2. CONTRACTOR or BUILDER'S Name
Byron Rist General Contractor
3. CONTRACTOR or BUILDER'S Address C
R. D. #1 1-0
Lake George, New York
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4. ARCHITECT'S Name A�
0
0
5. ARCHITECT'S Address ¢
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( 1 Masonry ( )Steel ( ►
7. PLANS and Specifications
12'x20' garden shed and 10'x22' deck added to
No. dwelling per plot plan and application submittec.
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8. Proposed Use ¢'
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One-Family Dwelling (deck and garden shed)
0
a
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$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 1g 82 0
(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.) (D
N
Dated at the Town of Queensbury this 6th Day of July 19 81 H-
SIGNED BY e for the Town of Queensbury
Bui ing and Zoning Inspect G
n
TOWN OF QUEENSBURY t (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspectm)
Application for Application
No.
'
PP Permit Issued 19.
BUILDING AND ZONING PERMIT 1'c'imii Expires 1ft
%.14iin ti District
. \;iluc• of Work,%
THREE (31 Copies of a PLOT PLAN, Drawn to scale \1)1".'"ccl by
showing the actual dimensions of the lot to be built RiniaiKS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
• . Of c EENSSU
o?e_ ,2_ Ls. 3 716151
E rP1 E ii V i-- ii
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK N
,,° ,, 1961
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
The undersigned hereby applies for a permit to do the following work 81� t , 1.1110141011
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 tills rraperty is:
+� . c�-�d�. . .v":4A",.-._0.•,�. �'-1, .l 04 . a..6- 1- -it-e. .a-?c> . -e C./�'r?O
zr'1I
t �{P.0 ADDRESS)
(NA''EI
The person responsible for supervision of the work insofar as the Buiidipg Code and the Zoning Ordinance apply i.:
13 4u�.c!—, '. .P'.l> (P.O A DRESS)
(NAME)E)
Name of Builder. :1,.-.W. t.�t. . . .&•iii-k,._. L-LAttr- Address S'"- -e
Name of Plumber. . . .,,e,l0 nra Address
Name of Mason ./ULN.16- Address
Lot Number Unit Estimated value of proposed work$ t,.51 0
Name of Village . . .GI• x b.
Name of Street . . . 2 .P1. • .t.ism Side of street: north Least 0, south ❑. west CI
Nearest Cross Street. ' *- \ Distance from this -Toss street ih. i 4 t I Ft.
Property is north B south ❑,east i i,west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast O. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building _/
Construction of a new building. One family dwelling i��
Addition to a building. Two-family dwelling CD
❑ Alteration to a building. , . . -family apartment house ❑
El Demolition of a building. Store building ❑
-ear attached garage
` A. Other:
S'.h,_ :�((c. . .-+. .0 ,,,.4,�,_ - Accessory Building
One-car detached garage El
0 Other work. Describe: •
Two-car detached garage
Private chicken house L
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
tluilding(s) in solid line.
Size of property ZcR v ft. x 'k'<3 c? ft.
e
Size and use of existing buildings, if any .. X b Z
ri .._/ -5-
iwjl..Q r-Qw. ... . .. �.4d' •.`f 1y;-
.
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc.' 0.0.-0.CVi-V`"'",.-
Will any second-hand lumber be used . . . . ATO If so, for wharf
Material of foundation walls . . . . ."T.gAA?4sr �•
• • 45 Thickness A��
.�
Depth of foundation walls below grade . . 8 Continuous foundation? . ,N,U
Will there be a cellar? . . . .C) If so, material of cellar floor
Type of roof: Sloped or flat? lt Material of roof . . .$p.4 0..l:f. s In.c,.
Size,wood studs ell "x 4 ",spacing 4 "o.c., length tr 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 ,rV
rS „ x ,', spacing . . . 04 k "o.c.,span `2,.1 ft.
Size, roof rafters or beams t "x ", spacing "o.c.,span ft.
Exterior finish . . . . T.1-•l(. •P `l With what material?
Finish of interior walls. . . AN-
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 chittiney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed? . ,N.0
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump) At Q-A)0.
Distance of cesspool from any private well "14-A141 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, Jaca i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co,,,. lets statement of all proposed work to be done on the described premises and that a visions 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 F,9WN `<�'�I ECT,
N INNERS AGENT,ARCNI CON ACTOR
day of 19 (/
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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