1011 BUILDING PERMIT
TOWN OF QUEENSBURY No. 1011
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Clifford & Helen Gunther
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OWNER of property located at Ash Drive. Street, Road or Ave. c?D
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in the Town of Queensbury,To Construct or place an addition. G•
at the above location in accordance to application together with plot plans and other information hereto filed and cD
approved and in compliance with the Town of Queensbury Building and Zoning Ordinances-r,
1. OWNER'S Address is O
H
RD ## 1 �'-
Lake George, N.Y. to
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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m
6. TYPE of Construction—(Please indicate by X)
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( 1 Wood Frame (X) Masonry ( 1 Steel ( 1
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7. PLANS and Specifications
No. As per plot plan. •
•8. Proposed Use
Living area.
$ 2.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1, Tg 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 5 Day of November, tg70
SIGNED BY , for the Town of Queensbury
Buildi nd Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be tilled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for APPlicatiu "
,,Pert t 0\ E I'1
BUILDING AND ZONING PERMIT Permit Expires . Nov 4 WO 19
Z(DA strict ._
• \ aloe ofwork . .u.,2/s/,�y�
THREE 13) Copies of a PLOT PLAN, Drawn to scale .‘1)1"."` ' '
showing the actual dimensions of the lot to be built ltemarlBUlLDEN.G.&.ZQ.NENG I SP1iG ®`F
upon, The exact size, and location on the lot of the Tovai OE QUE=ENSWAY
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION. .
TOWN OF�(p�QUEENSBURY
DATE D E V E 11 VI E I
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J 11 ei o�
ANSWER ALL OF THE FOLLOWING. f.i(.''! (. 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- 7I8I9I10i11I12i 1 i 2 i 3 i 4I5I6J
cations, and such special conditions as may be indicated on the permit.
The owner of tliisnpropert is:
L. i. 4 .1. O.i'd F /
/. e. ten. .Cu.n ftitev- / '? / g,. e. .a.ea.),� .�. v f� i .
(NA"E) (P.O. os
The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . .3.Luf 'e_lin 50, ry, ,e.
(NAME) (P.O.ADDRESS)
Name of Builder CD.0...) Yl 4e \r' Address
Name of Plumber 11 ff ` Address i/
Name of Mason. O b.e C - t1. CJ r Address . # a-.[\e-. G e.b'(` y
y
Lot Number Unit Estimated value of proposed work S ,
Name of Village
Name of Street . . o..S.h.J2.t: )U Side of street: north 0, east ql, south ❑, west ❑
Nearest Cross Street . GTE'T'e r 0. k- Rd • Distance from this cross street . ./ L-6-6 . . .! Ft.
Property is north 0,south f&east i , west 0 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
El Construction of a new building. Main Bui-ding
Addition to a building. One-family dwelling A
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage El
Other:
' Accessory Building
One-car detached garage ❑
CI Other work. Describe:
Two-car detached garage ❑
Private chicken house El
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
\,,C,'.1i) n iti a kp_ .Qd luilding(s) in solid line. o� r
s! t Size of property os..1 . . . ft.
er=
t J. . ft. x
t► <S° g /77---> Size and use of existing buildings, if any
t;) •�
I
' x 1,0 /
(�ye _ �� m Size of proposed building . .02.L . . . ft.x . ., 8. . . . ft.
ifs Height (from grade to ridge) .c .oZ ft.
747 Front yard . . 5 O X 3.,,13#
ft.
jj p �
Side yards I f ft. and / T ft.
Rear yard / /7 V J X 3. 50 ' 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 SPECIFICATIONS., J • l- , _/
Kind of construction: Wood frame, fire safe, etc.?. . . . .�?.Q. S.O.1."1.G.•- 1^ -PC (et. f7-U L..4.I(y� .'. . .(�J.D.Q.LI
Will any second-hand lumber be used? n 0 If so, for what?
Material of foundation walls a I 0.e ITThickness g ''
Depth of foundation walls below grade 3 I Continuous foundation? . . 8
Will there be a cellar? `i es, If so, material of cellar floor . . .0 b b.C.h. ..-1
Type of roof: Sloped or flat? .S f U p. d Material of roof .t d o.O.d 9 5 11 t .O Cq•I L°.S. . . . . . .
Size, wood studs . . , "x ", spacing . . . /6 .� . . . ."o.c., length �/ g ft.
•
Size, floor beams, 1st floor .. . . . " xg ", spacing u "o.c., span . . . . I.7• . . . . . . ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams 1... . . . "x Co ", spacing I 1p "o.c., span 1 ft.
Size, roof rafters or beams . . . "x ", spacing I Li "o.c., span I .g ft.
Exterior finish . ,Q/O. C / / With what material?
Finish of interior walls /g-.S T e k' 44, r' d
If garageis to be attache 0, of what material is wall between garage and main building to be constructed?
Is there to be an opening betweegn garag and building? . . . . 770
Kind of heating system . . . .CG !.� C -rr I C_ Oil burner or coal?
Will a flue-lined chimney be provided? . . nu Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? (VO Depth of fireplace hearth
Will a toilet be installed? Li e.
Will a kitchen sink be installer(and connected to water supply? T ()
Water supply (public water supply or pump) p m p
Distance of cesspool from any private well 6 feet
Will drainage system be provided with required traps, cleanouts, and vents? H.
E.S
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 on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining the pro sed wor s ll be mplied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .. . .... . ....
OWNER,O NER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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TOWN OF QUEENSBURY
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1 '1,i_rv, ' 1970
A.M. P.M.
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