7115 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7115
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Clarence Conklin
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OWNER of property located at Jay Road, Glen Lake Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Car Detached Garage N
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. g
1. OWNER'S Address is R. D. #1
Lake George, N.Y.
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 ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications 18 ')(22' per plot plan, specifications and
application submitted and Variance No. 726 granted o
No. September 16, 1981. N .
8. Proposed Use A�
One-Car Detached Garage
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$5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 82
(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.) G�
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Dated at the Town of Queensbury this 18th Day of September 19 81
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SIGNED BY � �� for the Town of Queensbury
Building and Zoning nspect r
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TOWN OF QUEENSBURY t (Space inside block to Ix' filled in by
• WARREN COUNTY. NEW YORK Building Insrx.ctow)
Application for .application No. :
Permit Issued 19.
BUILDING AND ZONING PERMIT r.t Expires 'c1
/4)1'1111_ District ,�}
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h�� mil��t „I Work f�l, �C��rC�'
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THREE (3) Copies of a PLOT PLAN, Drawn to scale ltt•�t,;� l(f'
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showing the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. OWN OF QUEENSBURY
"743 - - 3 q DATE
/ MEGEIIVEI
AUG 1 1981 •
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 2
ANSWER ALL OF THE FOLLOWING. A.M. AS11'a t ;r 11 3
f. '. 3 41516
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The undersigned hereby applies for a permit to do the following work • •rI-
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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: r Pr' pa.di
.C.�. I?.e_. v. - A N o /VA( C• C o A ,v /{)<').,�: I -2- , g. .0-- v.� (-:�---- Ak
INA''E1 IP.O.ADORES 1
The person responsible for supervision of the work insofar as the Buildipg.Code and the Zoning Ordinance apply is:
. .-.4--.dZ N. G . . . . 0 e.V• k y / �, `3�ivF. . . j1.. .6 .6,. �! .
(NAMEI (PO AODRESSI
Name of Builder. . . .,-K5 n�./.....• C-- A 6 0 it 1:; -• Address . . . -°`�.,= A- A-b e i/ C-.
Name of Plumber Address Nettie of Mason e5.A . G - "-.' . Address —
Lot Number Unit Estimated value of proposed work S .c;Li 4 �I
Name of Village I
Name of Street I ✓AT t=- /?a2 .L. . 0t'`-� J l'Side Of street: north 0, east 0, south O. west A
Nearest Cross Street Distance from this -ross street Ft.
Property is north 0,south 0,east n,west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest 0, southeast C. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building• Construction of a new building. C N.2 A CC.. One family dwelling ❑
❑ Addition to a building. Two-family dwelling CI
❑ Alteration to a building. , . . -family apartment house ❑
❑ Demolition of a building. Store building 0
-car attached garage 0
Other: -
Accessory Building
((�� ' ) / One-car detached garage
❑ Other work. Describe:. .( ..t&.rt . •V•" . 1. c . Two-car detached garage g
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p.r 4tzr q'i&/8', Private chicken house 0
Private storage building
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
t' ri Indicate on the plot plan street names, the location and
,tc. • =a _ >�� t-,� size of the property, the location, size and setbacks of pro-
a\? A -.; posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
buildings) in solid line. N'`7 6-- q ' 3 /
6 �4 °\ Size of property • 8� � ft. x e4'7 ft.
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0 Size and use of existing buildings, if any S a-
ILA QUI ,))', r._vf s-',1 ----- ) ,4 (. lfi Y:0-6 Fel' 0 II AlZ ".
� ` :! b l 1 a Size of proposed building . . . �,t . . ft.x .1-Z' ft.
t Height(from grade to ridge) l�Ltitd ft.
;_ ' • 4. Front yard kii r ' ft.
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{ Side yards . / 4 ft. and ft.
I ___.--------/-___.--------/ Rear yard - Al I ft.
R If op corner,setback from side street ft.
1.. , of) Note: All distances are net, as measured from street side
r line to nearest part of building.
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7-73-M
(cont'd.)
BUILDING SPECIFICATIONS., . .
Kind of construction: Wood frame,fire safe,etc ) ,dg:. P. . . . , .. . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? N O If so, for what? / •
Material of foundation walls Thicituessei . I Pda•i-. . . . .f .
Depth of foundatiOn.Yialls blow grade A t-/- / - 3 Ad C.,,t Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . . *S.2„..F, . . Material of roof . . .12 P.ea,e, ..... .4
Size,wood studs /.z:// ",spacing • • ."0.c,length. . . 3'.< . . . . . 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.
Side, roof rafters or beams " 7fi V55 5", spacing — "o.c., span ...2 2. 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-linect chimney be provided? . Depth of chithney 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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to it /maul my knowledge and belief the statements contained in this application,together with the platy 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 all 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 authorised by the owner.
Sworn to before me this Signature
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By