871 BUILDING PERMIT
tD
TOWN OF QUEENSBURY °
No. 871
WARREN COUNTY, NEW YORK
QO
PERMISSION is hereby granted to Guy & Mary Trello
tu
OWNER of property located at Assembly Point Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to a building
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.
1. OWNER'S Address is
Main Street
Hudson Falls, N.Y. 3,
m
ua
2. CONTRACTOR or BUILDER'S Name N
Archie Roberts a'
3. CONTRACTOR or BUILDER'S Address 0
Martindale Rd.
Glens Falls, N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
00 Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
N°. 24' X 24' as per plot plan.
8. Proposed Use
Roof over patio.
2.00 September 30, 70
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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 23 Day of July 19 70
SIGNED BY for the Town of Queensbury
Building nd Zoning inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in b‘
WARREN COUNTY, NEW YORK Building Inspector)
Application for :Application No.
Permit Issued l(i.
BUILDING AND ZONING PERMIT Pcrmit F.xpires 10
Zoning District
\ aluc of \\'ork S
THREE (3) Copies of a PLOT PLAN, Drawn to scale \11"."`"1 1w
showing the actual dimensions of the lot to be built Rcmar'L.
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. .
TOWN OP QUeENSBURY
DATE A 011
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J U L 3 2 1970
ANSWER ALL OF THE FOLLOWING. A M. P.M.
The undersigned hereby applies for a permit to do the following work 71M1011111A?-1213 4I I6
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. 1
Thwner of this property is: • ,
• zti , a m _
(NA.'''F) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . . . .L.. .'1..-. . , . . . . . . . . . . . ?. . . . . . ,.jJ.'-: .L, f-J L 3 I. f 1-C'''';•;4'. r• _ ,.. i 'i•.',>r. e
(NAME) (P.O. RESS'�wf
f'- l
Name of Builder. C:�'z Address 0/ '. .ar. ". --fit - g
Name of Plumber Address
Name of Mason Address
Lot Number Unit Est}mated valu,. of propose w rk$ L l r
Name of Village /� f
Name of Street ,- Side of street: north ❑, east ❑, south ❑. west 0
Nearest Cross Street . . . . . r` :..':'. f. . . .r` , Distance from this cross street . i 1*--- Ft.
Property is north A,south ❑,east i i, west ❑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
❑ Construction of a new building. Main Building
Addition to a building. One-family dwelling IK
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. • , • • • • •-family apartment house ❑
Store building ❑
-car attached garage ❑
--I Other:
Accessory Building
One-car detached garage ❑
O Other work. Describe• Two-car detached garage ❑
Private chicken house ❑
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
building(s) in solid line.
� Size of property /'' ft. x .,i" ft.
Size and use of existing buildings, if any
i- k ._
L.---- Size of proposed building . . .Ai ft.x . .,?,f. . . ft.
�pm Height (from grade to ridge) / ft.
Front yard . . . ./ ft.
Side yards t ft. and ft.
1 il 7y, / Rear yard .1 .r.{!'=.<, ty 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.,
Kind of construction: Wood frame, fire safe, etc.7
' `
Will any second-hand lumber be used? . . If so, for what
Material of foundation walls d .:�. �'"" Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? . . jj . . If so, Taterial of cellar floor
Type of roof: Sloped or flat? ,' t. . .�%.1. °1 . . Material of roof
Size,wood studs �,XA7 "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 ' "x t . .", spacing . . ./ f 4 "o.c., span . ( ft.
Siie roof rafters or beams ! . . "x . . . .I ' `"" spacing�, � �. . , s acin "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 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 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 ss.
State of New York
I swear that to the best of my know)edge 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 to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature < , �'
ONER,OWNER'S ARCHITECT,CONTRACTOR
/ say t 19 '.
NOTA P LIC,WAR COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
AP Pk OV ElY
AL 23 14�
DATED �.. ...
BUILD'1 G & ZON '!G !'d: ?_CTOR
TOWN OF QUEENSBURY
By
. )
+ nt )71 7::(e" ° TOWN OF QUEENSBURY
/7 ,t7d,_ RECIE11VIE -
_4,:.....-
JUL 3 2 1970
A.M. P.M.
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