6181 BUILDING PERMIT
TOWN - OF QUEENSBURY No. 6181
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Karl Couture
OWNER of property located at 29 Cottage Hill Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a . Addition to detached garage
at the above location in accordance to application together with plot plans and other information hereto filed and-. x
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 29 Cottage Hill Road
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
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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 ( 1 Steel ( ) o
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7. PLANS and Specifications
10 'x20 ' and 8 'x24 ' addition to existing garage
No. per plot plan, specifications and application submitted.
8. Proposed Use
Detached Garage ¢
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6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 80
• (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Ct
town of Queensbury before the expiration date.) 0
9th November 79
Dated at the Town of Queensbury this Day of 19
SIGNED BY A9-41-5/_. for the Town of Queensbury O
Building and Zoning Inspector �'
TOWN OF QUEENSBURY ` (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK Building Inspector)
• Application for •
Application No.
li'!' Permit Issued 19.
BUILDING AND ZONING PERMIT 1',.,.mit I•:xpires. 1�1.
%.oiiiii_ 1)i'strict
1 alit• nl Work%
THREE IV Copies of a PLOT PLAN, Drawn to stele �i�l i,„�c<I I,.
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. showing the actual dimensions of the lot to be built. - itutil:,rkr
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB=
MITTED WITH THIS APPLICATION.
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK . �U �[ 1J��
ANSWER ALL OF THE FOLLOWING.
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- 71819�10i11m1i2I3I4I5I6
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cations, and such special conditions as may .be indicated on the permit.
The owner f this property is: �/, f� // /� �j
q.,_i
The person responsible for •supervision of the work insofar as the uiiditlg Cede and the Zoning Ordinance apply is:
e� (P.O AOORESSF, •
(NAME)E) •
Name of Builder J��•Ai/ Addres • ,
Name of Plumber M--/---e_.) Address
Name of Mason Address
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t Number nit Estimated value of proposed work S -t�`D. (1) .
Name of Village t2 6
Name of Street off, ,`✓'` /4,19'(' Side of:street: north ❑, east ®, south O. west ❑
Nearest Cross Street . . A.i • / • • •L Distance from this, gross street • . . .2 2,0'• • • • • • . . Ft.
Property is north 0,south ,east 111, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0. southwest
(Designate by marking with an "X" in the•correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
One-family dwelling
Addition to a building. Two-family dwelling
O 0
Alteration to a building. family apartment house ❑
❑ Demolition of.a building. Store building ❑
-car attached garage ❑
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Other:
. • 0 Accessory Building ❑
��j� j � .�j One-car.detached.garage , ❑
O Other work. Describe: �l�r'� Two-car detached garage ❑
Private chicken house
• • .— `°/ Private storage building ❑
•Other:
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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
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size of the property, the location, size and setbacks of pr d-
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
f5 ft. x . .I. !t�. . . ft.
Size and use of existing buildings, if any
N a •6-a9 / z Et
i w Size of proposed g 't.x • •, '
height(from grade to ridge) --N. ft.
Front yard Zy`f44' 1 ft.
Side yards � f: 5'ft. and ft.
Rear yard • t 7 ft.
SOUTH If oft corner,setback from side street ft.. .
Note: All distances are net, as measured from street side
line to nearest part of building.:
(OVERT
7-73-M . .
(cont'd.) V.
BUILDING SPECIFICATIONS., .
Kind of construction: Wood frame, fire safe, etc. bLige5.
Will any second-hand lumber be used? If so, for what)
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Material of foundation walls Thickness •
Depth of foundation walls below grade V Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? M terial of roof
If
Size,wood studs x ",spacing . "o.c.,length • ft.
Size, floor beams, 1st floor . . . . . . .• "x, ", spacing V . "o.c., span . ft.
Size, floor beams, 2nd floor x ", spacing "o.c., span ft.
Size, ceiling beams , "x ", spacing "o.c., span ft.
Site, roof rafters or beams " x L ", spacing "o.c., span- / V V 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 an. ;. ilding?
Kind of heating system V Oil btirner or coal?
Will a flue-lined chimney be provided? V . . . . . . . . . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? V D-pth of fireplace hearth
Will a toilet be installed)
Will a kitchen sink be installed and connected to water .uppl,KL,
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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
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I swear that to it; bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.plete statement of all proposed work to be done on the described premises and at all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pvppoed.wor sha 4)e p1ied with, hether specified or not,
• and that such work is authorized by the owner. •
Sworn to before me this Signature <""
OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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