8757 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8,57
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Gloria B. Teele
OWNER of property located at Upper Bay Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Car Attached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and }i
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 1-3
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2. CONTRACTOR or BUILDER'S Name N
Stewart-Bloomer Const. Co.
3. CONTRACTOR or BUILDER'S Address
Burnt Hills, New York
4. ARCHITECT'S Name �
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
16'x22' one-car attached garage per plot plan,
No. specifications and application submitted.
8. Proposed Use H
Garage rt
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ID
$ 5. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 1985 ¢
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 'n
town of Queensbury before the expiration date.) H
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Dated at the Town of Queensbury this 13th Day of September 1984 (D
SIGNED BY /f 4.6% a , , for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be fiUcd in be
WARREN COUNTY, NEW YORK Building Inspector)
Application for .\1'1'I1`ation No.
Permit Is.ued _19.
BUILDING AND ZONING PERMIT 1',..-mit Expires. IR
"mud District
\ o I i ti ,'t \Vurk.$
THREE 13) Copies of a PLOT PLAN, Drawn to scale ti'► ""'c1 l)Y `�j�
showingthe actual dimensions of the lot to be built iui aX l''
upon, The Ie exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
p TOWN OF QUEENSBURY
RECEEIE Di
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SE.F 1 21984
ANSWER ALL OF THE FOLLOWING. A.M. S SO. Fore 4•1:
The undersigned herebyapplies forapermit to do the followingwork 718'9111`BI314I516
9 PP , ,, ,, , I il a a a '
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 this property is:
. . . . . . . . . . - G.Ir i.R. . . .. . . %��
(NA 4E) IP O.ADDRESSt
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
As
(NAME) (P 0 ADDRESS)
Name of Builder. .i. -.0.?o fT g Ipc.YYlQr Cots 0, Address $ ij f` n? Vk,Ms i\v1
Name of Plumber — Address n
Name of Mason 0 o IN I'll C (IA..I Address . . i"U,- 1
Lot Number — Unit Estimated value of proposed work S °. 0 4 C.
Name of Village . . . a .�e RS L- C 1
Name of Street • . .ci R 1 K- • • . Side of street: north 0, east ta, south 0. west 0
Nearest Cross Street .J.,o-athc c'. rsit, Rd. . Distance from this ^ross street 6.4 1 Ft.
Property is north ,F2,south 0,east i 1,west 0 from Cross Street
If on Corner,which corner, northeast ❑, northwest ❑, southeast Q. 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 0
NOAlteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
Store building ❑
. . . .I . . .-car attached garage I
Other:
Accessory Building
One-car detached garage 0
O Other work. Describe: Two-car detached garage
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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
I-
s m Size of proposed building . .1*+1 g. 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-M
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.? 4a:4 . .F r R�
Will any second-hand lumber be used? no If so, for what?
Material of foundation walls n' Thickness
Depth of foundation walls below grade "( Continuous foundation?
Will there be a cellar? Rr+ If so, material of cellar floor
Type of roof: Sloped or flat? S )c l)e— - Material of roof
� . "xI . . . 1.
Size,wood studs ``i ", spacing U ."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 I, �� ", spacing "o.c., span ft.
Site, roof rafters or beams T f o S •r, •'I• • • • spacing "o.c., span ) 61 ft.
Exterior finish 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? . . •4 .
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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt hard my know)edge 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. -�'1
Sworn to before me this Signature OWNER. WNER'S AGENT,ARCHITECT.CONTRACTOR
cL 477 day of $p T 19..2.9
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
,
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 9 7l,Q
Name 4�.
Locatioa /}P P6/ i ./f j /7�9
Permit No. l 7.37 Weather
Remarks
Excavation Footing Forms c"j 711%
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
irt i /4.:11 ,,
B ilding nspector
REMARKS
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