7426 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7426
WARREN COUNTY, NEW YORK t7
(-'-
PERMISSION is hereby granted to David and Melanie Swinton ¢'
OWNER of property located at Upper Bay Road Street,Road or Ave. p,
in the Town of Queensbury,To Construct or place a Addition to dwelling (screened 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.
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1. OWNER'S Address is
R. D. #1
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name
Ken Mattson
3. CONTRACTOR or BUILDER'S Address
64 Blind Rock Road
Glens Falls, New York
4. ARCHITECT'S Name
C
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5. ARCHITECT'S Address by
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6. TYPE of Construction—(Please indicate by X1
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( 1 Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
10'x16 ' per plot plan, specifications and application
No. submitted.
8. Proposed Use O'
One-Family Dwelling - screened porch added En H.
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 83 O
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a
town of Queensbury before the expiration date.) PO CD
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Dated at the Town of Queensbury this 6th Day of July 19 82 n E.,-
1/4/SIGNED BY di for the Town of Queensbury
Bu ng and Zoning Inspector
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 p,.)mit Expires. 1q.
Zoning District
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THREE (3) Copies of a PLOT PLAN, Drawn to scale \I'I"""`c d by
showing the actual dimensions of the lot to be built It<")a)•Kir
upon, UGC = '
The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
2t- 1 — r )-- `ice '1OWs; € ,r OU €d 's._�# R,.
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK D- E 0 E brl \\LI E IF1
ANSWER ALL OF THE FOLLOWING. Li)
r " 'The undersigned hereby applies for a permit to do the following work 9p ��
which will be done in accordance with the description, plans and specifi- A.i . /0 p.M.
cations, and such special conditions as may be indicated on the permit. P 7181911011 t" 1)2 _(ti
•y, •t. i , , s i , , i , , i
T e owner of this property is: . ��}-f� _i
` (NA`AE) (P D.ADDRESS)
The rson res sibie for supervision of the work insofar as the Bu ding Code and the Zoning Ordinance apply is:
+ '�\A .,C- -.� 6,4 >Lt N0 te.- . 6.-f" I,--1 '( ,
(NAME)l, A (P 0 ADDRESS)
Name of Builder. . L • • • •! \ Address L(W) 'k- `3L . 6'" , RA,
Name of Plumber l .)4t; Address
Name of Mason LLt. - T, LA,i' Address . . . rW'1.r-lS..).C-,. °.,- : - 6, • u'-'l ,
Lot Number Unit Estimated value of proposed work S Z-7 f %
Name of Village . . . . (....) &.la-‘k
Name of Street . .0. `(".. . • . r 2 Side of street: north 0, east 0, south 0. west
Nearest Cross Street t L-i44. . . .R\t-L- Distance from this cross street . . . . . . im-,.i. • . . . .,
11,0
Property is north A,south 0,east i i, west 0 from m 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
A Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage ❑
0 Other work. Describe Two-car detached garage ❑
Private chicken house ❑
Private storage building ❑
Other: `'4,1zu%-}cam 1-4:-''".Gkr
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
Iwilding(s) in solid line.
Size of property 'I 1 ft. x ) ° ft
Size and use of existing buildings if any
.- I ;A a ,
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. . Size of proposed building 10 ft.x (U ft.
Height(from grade to ridge) 10 ft.
).-- Front yard ti ft.
4 Side yards I ( ft. and I ' L' ft.
al' Rear yard 2-5 ft.
SOUTH If on corner,setback from side street tom '"` 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 use d? vw If so, for what
Material of foundation walls r'`x:s4..46.., Thickness 06
Depth of foundation walls below grade '3'-�„ Continuous foundation? . . . .
Will there be a cellar? "' If so, material of cellar floor
Type of roof: Sloped or flat? . .�.�'��
Material of roof �t2 w - `"�i\-'LW, •t f t R t �:•. .l -'
" x 4- ",spacing . . . " "o.c., length 0`
Size,wood studs ft.
Size, floor beams, 1st floor . . .C.v.htC-, "x .6�l'r" ", spacing "o.c., span ft.
Size, floor beams, 2nd floor i(' - " x ", spacing "o.c., span ft.
Size, ceiling beams
v-..,.•.+2-- "x ", spacing "o.c., span ft.
Site, roof rafters or beams 2-- "x e ", spacing i "o.c.,span f G ft.
Exterior finish � `'-1 ‘v-\C‘> With what material? . .i(4ynt t.-w� 0--
Finish of interior walls 4: '1ni'� i-6 ?`-"c-'
If garage is to be attached, of what material is wall between garage and main building to be constructed?
t
Is there to be an opening between garage and building? -----
Kind of heating system . . . .h-+?'4.-,-- Oil burner or coal?
Will a flue-lined chimney be provided? . c•' • Depth of chimney foundation below grade
Height of chimney above roof. . . . . . ' . . . . . . . . . . .P . . . p
y
Will there be a fireplace? tr De th of fireplace hearth
Will a toilet be installed? • '-
Will a kitchen sink be installed and connected to water supply? Lam'
Water supply(public water supply or pump) F t`\`
Distance of cesspool from any private well LS_ ` feet
Will drainage system be provided with required traps, cleanouts, and vents? is—N--
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt M Iof my knowledge and belief the statements contained in this application,tocether with the Diana and specifications sub-
mitted, are a true and co.,.plete 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 proposed rk a I be;complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature �'4' T. `CHITEC
OWNER.OWNER'S AdENT•ARCHITECT,CONTRACTOR -
day of 19
NOTARY PUBLIC, WARREN.COUNTY, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
Building Department
lnapeetpr Report Date 7- 9`49`�-
Location
Permit No. ells Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
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,
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
l'41Q.1443
Building Inspector
REMARKS
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