1375 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1375
WARREN COUNTY, NEW YORK
W
PERMISSION is hereby granted to J. Gardines Harris gyp,.
bl
OWNER of property located at Assembly Point Street,Road or Ave.
in the Town of Queensbury,To Construct or place a cellar under camp
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
Assembly Point - Box 190 - Lake Gevge, New York
2. CONTRACTOR or BUILDER'S Name
Same as owner
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by XI
( I Wood Frame (X) Masonry ( I Steel ( )
7. PLANS and Specifications
Existing building 22x40; to place a cellar under
No
' camp as per plot plans and specifications submitted.
8. Proposed Use
Cellar `si
rt
•
$6.00 PERMIT FEE PAID—THIS PERMIT EXPIRES 11-1- 19 71
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24 Day of Angus t 19 71
SIGNED BY ..,¢2 he Town of Queensbury
��%� Building and Zoning Inspect ( i( 1, t
TOWN OF QUEENSBURY p i
WARREN COUNTY, NEW YORK "BUi ; `4piNviii-,4
Application for DATED ion
A Dion
Permit Issued ® ' I''.
BUILDING AND ZONING PERMIT Penult Expires. !I . it
z" 501219ING & ZONING INSPECTOR
\ dill(' '>I \TOWN OF QUEENSBURY
THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'I,r"`cd by
showing the actual dimensions of the lot to be built IZcmarks
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
ECEPVE
DATE d ®OFes-p_izo U
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 4t �,AUI 23 1971
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
The undersigned hereby applies for a permit to do the following work 71819110111112111213141516
11 . 1111111 . 1,
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is.
- &AA DiNi/@ jj/9/eiei.s A5s(istb1/ 17- 80 o lake' 4okl /
(NA 4E) IP O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
""1 6,1 po/ t .& 449.t'tIS --Sitni2— AS Abu VL—
(NAME) (P.O.ADDRESS)
Name of Builder Address
Name of Plumber Address
Name of Mason Address
Lot Number UnitEstimated value of proposed work$ 2 6 U 0 .
Name of Village AS5e MLy"7--
Name of Street Roof no - rhi1 S iPE" Side of street: north ❑, east $l, south ❑. west 0
Nearest Cross Street Distance from this cross street --- Ft.
Property is north 0,south ❑,east i ,west 0 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
igl Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house El
Store building El
-car attached garage ❑
�/ S �C'>�.�t jj Other: 5"A4141R-P° ciIV e ,�LiA j'
L E,�L t)R /- Accessory Building
One-car detached garage ❑
0 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, sire and setbacks of pro-
NORTH , posed buildings,and the location of all existing buildings.
NORTH
1
Show proposed building(s) in dotted line and existing
luilding(s) in solid line.
Size of property ft. x b ft.
yd0 / existing buildings, any 412x z/a
k — Size and use of if
1- ,.. L.
6—coR/4 C 14'11P
s 1(od 9. N fi ee(s Size of proposed building ft.x ft.
8A7. Height(from grade to ridge) ------ ft.
Front yard ft.
) Side yards ft. and ft.
, Rear yard ft.
SOUTH t 1 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.? L L e
Will any second-hand lumber be used? �� <- If so, for what?
Material of foundation walls /0 ,(jLdc K., Thickness
Depth of foundation walls below grade -3 Egntinuous foundation?
Will there be a cellar? y s If so, material of cellar floor e'r
24146y-
Type of roof: Sloped or flat? Material of roof
Size, wood studs �`� "x ", spacing "o.c., length ft.
Size, floor beams, 1st floor J . . . . "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.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish iN a.0 With what material?
Finish of interior walls
If garage is to be attached, of what material is iv between garage and main building to be constructed?
Is there to be an opening bee en garage an building?
Kind of heating system G�� }�d Oil burner or coal? 612 — liv 7A' /Z-Z,7LK°r-
Will a flue-lined chimney be provided?„,. y . . . . . . . . . Depth of chimney foundation below grade
Height of chimney above roof 6 d
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 knowledge 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 pertain' to proposed work shall be co plied with,whether specified or not,
and that such work is authorized by the owner. r
Sworn to before me this Signature .... ....
OWNER.OWNER'S AG ,ARCHITECT,CONTRACTOR
day of C `' -V I9-7/
NOTARY PUBLIC.WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
A, A412_AA,_--0 •
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BUILDING & ZONING INSPECTOR
TOWN OF QUEENSBURY
71
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