1620 BUILDING PERMIT.
TOWN OF QUEENSBURY No 6416
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Gertrude Henry
OWNER of property located at 12 Westland Ave. Street, Road or Ave.
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_ in the Town of Queensbury,To Construct or place a Addition to dwelling (porch)
1-1
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.
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1. OWNER'S Address is
12 Westland Avenue
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
William A. Deuel
3. CONTRACTOR or BUILDER'S Address
7 Sweetbriar Lane ~v
talons 'alls-, N y_
4. ARCHITECT'S Name
N
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5. ARCHITECT'S Address •
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6. TYPE of Construction—(Please indicate by X) CD
( Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
10'x12 ' per plot plan, application submitted.
No.
8. Proposed Use
One-Family Dwelling. (porch added)
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 81
(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.) rt
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Dated at the Town of Queensbury this 2 5th Day of June 19 80
SIGNED BY /c�_1c�� E , for the Town of Queensbury
Building and Zoning I spe for
X) I 1
v'1 /�1 I U ^ 'Ld 'Q'�•1L�t
Expired •► Plo 1 lc@r aSertr IZ-
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TOWN OF QUEENSBURY (Space inside block to he tilled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for °''`'"`a``""
PP Permit issued 19.
BUILDING AND ZONING PERMIT 1.4•rmit Expires. IC. .
%urcin District
\Any ail \Vcn•k$
THREE (3) Copies of a PLOT PLAN, Drawn to scale- '.\1'1"•c"`•`( I')' '
showing the actual dimensions of the lot to be built. ItelUarKf'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION, . •
t j — / — o? 5 3$ . . A4ve-,/7A TOWN (OAF QUEENSEUR,
DATE E V, E 11 V D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. JUN 2 51980
The undersigned hereby applies for a permit to do the following work A.M. i° 6` FC-e- t1 ,d
which will be done in accordance with the description, plans and specifi- 7I8I9I10I11I12i1I2I3i4I.5I6
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
1ifs:.. 0 "5. . . �f evil / 1r�I'�qc . .( f/r. • M5./ -A. '9.c..
INA•._) IP. ADDRESS
The person responsible for •supervision of the work insofar as the-Buil:ding:Code and the Zoning Ordinance apply is:
• • .01/i/ •/r t9.7. . / •. E?r- G./ 9 Sir;?.,ri�.�• ( O e. . �fy/V. ?. . .( '1!!S.•J 9//s. .NI .
(NAME) • AODRESSN
Name of Builder. . . :.$. 6II•`e Address• . S 44 `E
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S . / 7 70e c7O
Name Of Village . . .0'. .iw A f .4,it"� •, ... . ,. . •
Name of Street . .AA. T 4 22 • . ., /.(4er Side of:etreet: north 0, east, 0, south' 0. west- Q.
Nearest Cross Street . .//.)f V.M
kg-. ..'� Distance from, this ^ross street . dNe0l", Y./'• . • Ft.
Property is north ®,south 0,east [1,west- 0 from Cross Street.. .
If on Corner,which corner,northeast 0, northwest 0, southeast w southwest
(Designate by marking with an "X"in the-correct space.)
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NATURE OF PROPOSED WORK • OCCUPANCY
El
Main Building
Construction of a new building. One-family dwelling
. � Addition to a building. Two-family dwelling CDAlteration to a building. . , , , . . .-family apartment house ❑
El Demolition of a building. Store building ❑
-car attached garage 0
Other:
- Accessory Building
One-car detached garage " ❑
❑ Other work. Describe. Two-car detached garage
Private chicken house 0
Private storage building CI
6' Y /2 l 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-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
itiilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
w •
w < �41
m d) •
Sue of proposed building M ft.x / Z- ft.
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Height'(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If op corner,setback from side street ft.. ..
7
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVERT
7-73—M . .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . wooa Fer:oz;
Will any second-hand lumber be used? . . . .A/C? 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 II x ", spacing "o.c., span ft.
Site, 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 chiiiiney 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
State of New York •
I swear that to tr; barof my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.plete statement of all proposed work to be done on the described premises and that a revisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied ,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER.OWN 'S AGENT,ARCHITECT.CONTRACTOR
day of 19..,.....
. .
NOTARY PUBLIC,WARREN COUNTY. R. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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