762 BUILDING PERMIT
TOWN OF QUEENSBURY No 762
WARREN COUNTY, NEW YORK
PERMISSION is herebyRobert C. Hay
granted to
Ash Drive a,
OWNER of property located at Street, Road or Ave. .<
Two Car Detached Garage.
in the Town of Queensbury,To Construct or place a :U
at the above location in accordance to application together with plot plans and other information hereto filed and b'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is •
C')
RFD # 1 Lake George,f N.Y. 12845
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address •
Same
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( .l Masonry ( )Steel ( )
7. PLANS and Specifications 1/C►
No.
27' X 28' Two car garage as per plot plan.
8. Proposed Use
Garage
$ 2.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 1970
(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 12 Day of May 1970
SIGNED BY ., —s �j for the Town of Queensbury
Buildi Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in br
WARREN COUNTY, NEW YORK Building Inspector)
Application for :\hhlication No.
Permit Issued Pt
BUILDING AND ZONING PERMIT Permit Expires 19
Zoning District
dint (ol \\•ork S
THREE (3) Copies of a PLOT PLAN, Drawn to scale AP "t"c•d by
showing the actual dimensions of the lot to be built Kem,n l.�
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
id/ / '/
/cj j TOWN OF QUEENSBURY
� DATE I)DATE E 11 V E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Li 2, 0-c7
ANSWER ALL OF THE FOLLOWING. MNY 8 1970
The undersigned hereby applies for a permit to do the following work A.M. P.M.
which will be done in accordance with the description, plans and specifi- 7I M1P11A121 1 2 13I 4 l 5 6
cations, and such special conditions as may be indicated on the permit.
The owner of this roperty is: '
.1 7,/- c-r7• C �; Z Jr-, 2. `, . c A' / �j�/ /Zl`/i
(NA.';E) (P.0.ADDRESS/
The person responsible for •siipervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
S'e `` .e-_ S c?7=c �.
(NAME) (P.O.ADDRESS)
Nam f Builder -r 0 a,• e Address 1, <r h
Name if. umber ` ' � Address //
Name of Mas / Address // 11
Lot Number Unit Estimated value of proposed work$ . .17® t1. 0.0 . . . . . . . . . . . . . . . .
Name of Village / ."-'n (9 mac - n s ,67u Y
Name of Street . . a . .a ,f./ t'. . . . / ✓� I Side of street: north 0, east Q, south 0. west 0
Nearest Cross Str t . . . . . . .e n. ./ .a-A' 2 ir0<? L1 istance from this cross street `�`o o / Ft.
om
Property is mirth Ld,south east 5,west ❑from Cross Street
If on Corner,which corner, north t ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NA URE OF PROPOSE WORK OCCUPANCY
al Construction o new building. Main Building
❑ Addition to a bui ing. One-family dwelling ❑
0 Alteration to a buil g. Two-family dwelling 0
❑ Demolition of a buildi -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:.
Accessory Building
One-car detached garage AI-y-------. ❑
0 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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
e 7--1 2 &-/Ce 46 0 ,( lluilding(s) in solid line.
9) Size of property 3'06 ft. x / 7 r% ft.
(Z Size and use of existing buildings, if any 2 E >e if
�. =•^ /sire) fa ,, i A;0,- ne
`'� ___y W Size of proposed building e2 7 Y ft.x 2? '� ft.
1'"/y � Height (from grade t ridge) -Z/ / ft.
1l� f 4, C 1 5:- } Front yard 16 ft.
" 4r:_ Side yards /.0 ' ft. and / <' ft.
Rear yard 2 C O' 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)
(cont'd.)
BUILDING SPECIFICATIONS4
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?
Wil there be a cellar? If so, material of cellar floor
Type f roof: Sloped or flat? Material of roof
Size,wood studs "x i ", spacing "o.c., length - ft.
Size, floobeams, 1st floor "x,=` ", spacing "o.c., span ft.
Size, floor ears, 2nd floor "tx ", spacing "o.c., span ft.
Size, ceiling ams "x ", spacing "o.c., span ft.
Size, roof rafte or beams . ."x ", spacing "o.c., span ft.
Exterior finish . With what material?
Finish of interior lls
If garage is to be att hed, of what material is wall between garage and main building to be constructed?
Is there to be an openin :between garage and building?
Kind of heating system.. Oil burner or coal?
Will a flue-lined chimney provided? Depth of chimney foundation below grade
Height of chimney: bove r
Will there be a fireplace? \ Depth of fireplace hearth
Will a toilet be,,Xnstalled? '
Will a kitchelsink be installed and.eonnected to water supply?
Water supply(public water supply or pump)
Distanceof 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 bepremises
done on the described and that a 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.
Sworn to before me this Signature ' � Y �., s` 'O*NER,OWN R'S ENT CHITECT,CONTRACTOR
..dayo . 71:( 19��
.7...!..-;?fra"'2,2r
NOTAR BL . N OUNTY, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
Ap p viz.ON, V-D
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1[p OF QUEENSBURI
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TOWN OF QUEENSBU14Y
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