1013 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1013
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dr. John B. DeLong t7t3
CJ
OWNER of property located at Ridge Road. Street, Road or Ave. cp
r
in the Town of Queensbury,To Construct or place an addition.
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
Same
r*
2. CONTRACTOR or BUILDER'S Nameko
Ruggles Construction Co.
n.
3. CONTRACTOR or BUILDER'S Address •
5 Wincrest Dr.
Glens Falls, N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame X()Masonry ( )Steel ( )
7. PLANS and Specifications
No. 22 X 25' as per plot plan.
8. Proposed Use
Living area.
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1, 19 71
(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.)
Dated at the Town of Queensbury this 9 Day of November, 19 70
SIGNED BY for the Town of Queensbury
/ Building a oning Inspector
/11101(
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for :Application No.
Permit *tart '� i.
BUILDING AND ZONING PERMIT Permiti s (�
/caningry��D�;yi�str ict .�O. V. . 9 y[�. . 191
THREE (31 Copies of a PLOT PLAN, Drawn to scale .\1)1'",`"-I by
showing the actual dimensions of the lot to be built Rciii.. �& LON1 G {,;SnECfQR
upon, The exact size, and location on the lot of the U11-C{N UE�jg�RY.
building to be erected or altered MUST BE SUB- TOWN OF
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
lE 6 E,13 E rni
DATE J l� 7-6AA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �J���JJJ��uu i++� 1970
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
The undersigned hereby applies for a permit to do the following work 7f 819110111112111213141616,
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:
-0. .. . . )4"1�N3�).b.ELa./4 . . . . . . .itp.cri_. . .K.'f? . 'L.rz.�) 3. . . .Fit. fi. ,
IP.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . .+1 .0.. 6 CZ- a 1 a kl 1 hr c.�,-.s 2. . .t.? ,�• ( / ri t<..d fry j'f a
(NAME) (P.O.ADDR'ESS)
Name of Builder. ./'C).1. e/o 5 CO/.4, .r.. . .^u . .Address As. . 4.A9 Q r 12--
Name of Plumber. . . . n.-. . S 1a. .17(cf sera !..1 Address
19.s:-.4r. . .t—.41/_j
Name of Mason. . . .A. . .).5.. .i.•� ht'.✓.�.4'.f-Z r�. Address ,-. _ (l Z ✓ 1`"e4%/I
Lot Number Unit Estimated value of proposed work$ / S.7.V. C --_
Name of Village 't..r.A) . . 0 Q
Name of Street . . . . . I.0 .75 /. .I . Side of street: north 0, east g, south 0, west ❑
Nearest Cross Street . . . .C. J'.O.p,3:;N / Distance from this cross street . . . ,"�f,e,..s.t.'i . Ft.
Property is north ❑,south j4,east i i, west ❑from Cross Street
If on Corner, which corner, northeast ❑, 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
K. Addition to a building. One-family dwelling ti4
❑ Alteration to a building. Two-family dwelling Cl
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
(] 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, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
• Show proposed building(s) in dotted line and existing
(,.-0 if 2 Al Iuilding(s) in solid line.
Size of property . . . .-V.G,. . . . . . ft. x .3 b 1-- ft.
Size and use of existing buildings, if any .!c{S 4 0 z,tre'aZ.
W t
W Size of proposed building - Z ft.x . . . ..4 a . ft.
Height(from grade to ridge) / 7 ft.
Front yard / I. ft.
Side yards . . . .7.4? . . . . . . ft. and -�-4 ft.
( L)A,t i7,4 Rear yard Z/-1^ 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)
41
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . .t L13 CAS
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.
Size, floor beams, 2nd floor "x ", spacing "o.c., span 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 chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a 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 ss.
State of New York
I swear that to the best of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete statement of all proposed work to be done n the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining e pro or. hall be .implied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .... .. .... '... . ♦
O NER. •� ER'S j T.ARCHITECT.CONTRACTOR
day of 19
-- NOTARY PUBLIC,WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By