7427 BUILDING PERMIT
TOWN OF QUEENSBURY No. 7427
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to George Evertsen 1-1
OWNER of property located at Reardon Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a Two—Car Detached Garage n
at the above location in accordance to application together with plot plans and other information hereto filed and rt
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (gyp
1. OWNER'S Address is 17 Sidney St.
Waterford, N. Y.
2. CONTRACTOR or BUILDER'S Name
Len Taylor
3. CONTRACTOR or BUILDER'S Address
Patten Mills Road
Fort Ann, N. Y.
4. ARCHITECT'S Name O
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X1 Wood Frame ( ) Masonry ( 1 Steel ( ► 1-3
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7. PLANS and Specifications C')
29 'x26' per plot plan, specifications and n
No. application submitted. a
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8. Proposed Use (U
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Two—Car Detached Garage11
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 83
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a) .
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 6th Day of July 1982
SIGNED BY S, a� , . j ^yam for the Town of Queensbury
Buildi and Zoning Inspector L �r/V�\
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for '1'I'li`ati"'t No.
Pc•rmit Issued 19
BUILDING AND ZONING PERMIT l'ennit Expires. IVY
%(n'in District
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THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'I'n"c11 by
showing the actual dimensions of the lot to be built Itcm. i KS 11.- L .4
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 , k> L 1 1 �._-
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ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work t.1 /0 c .,
which will be done in accordance with the description, plans and specifi- 7' ; ?s r ''i l -''i 3) t
tl s � , ' 1 i T R ' i, e t
cations, and such special conditions as may be indicated on the permit.
The Gne�of this proyerty
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The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
LE N te
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AME) IP 0 ADDRESS)
Name of Builder S A 6'1 1.5 Address
Name of Plumber Address
Name of Mason S' A mr L Address _
Lot Number Unit Estimated value of proposed work$ s c3 G a , a 0
Name of Village . . . . . . t.v.C.C N. 5 f3 0 i sl
Name of Street /i' (+QP` N f?P / Side of street: north 911, east ❑, south O. west 0
Nearest Cross Street re fer f1 i c G. . . . re 0, Distance from this ^rocs street . . . . . .A.l Ft.
Property is north ❑,south ❑,east c54, west 0 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
XConstruction of a new building. Main Building
❑ Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-cac detarhp� Sara Li
❑ Other work. Describe 1`wo-car detached gars e
mate c. is en ouse
Private storage building ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
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Indicate on the plot plan street names, the location and
p 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
E. j . P O V P. l;uilding(s) in solid line.
Size of property ft. x ft.
tV Size and use of existing buildings, if any
V ►-
s m Size of proposed building ft.x �(e ft.
Height(from grade to ridge) . . . . '�, . . ft.
Front yard ft.
Side yards ft. and ft.
Rear yard 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)
7-73-M
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . .\' . r< P • Rk .^1 .�
Will any second-hand lumber be used? (Il6 If so, for what
Material of foundation walls C. 6 (l( e (p E. 7 ,r'% Thickness
Depth of foundation walls below grade ART'.C- l'3 a et R Continuous foundation?
Will there be a cellar? IVO If so, material of cellar floor Type of roof: Sloped or flat? . . . . 57/ 2 Material of roof . . . .A rifFef 4 L 7` .9/ ,n/ d L S
Size,wood studs "x ", spacing "o.c., length • ft.
" ", spacing
Size, floor beams, 1st floor x "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
"x '
Size, ceiling beams ", spacing 'o.c., span ft.
"x ", spacing
Siie, roof rafters or beams "o.c., span ft.
Exterior finish /-'/ ( / j C Q`' With what material?
Finishof interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, .f what material is wall between garage and main b ilding to be constructed?
Is there to be an opening betwee :rage and building?
Kind of heating system it burner or coal?
Will a flue-lined chimney be provided. )pth of chimney 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 connected to wat supply?
Water supply(public wa upply or pump)
Distance of cess rom 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 it b�,t,i of my knowledge and belief the statements contained in this application,together with the .Ians and specifications sub-
mitted, are a true and coa,pp fete statement of all proposed work to be done on the d 'bed premises and that a I provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propo work shall be com • th,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature i
.OWN R'S A NT,Ai, ITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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