85-499 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-499
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mark Nemith (Wa 1 fred cnrp_ ) (1)
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OWNER of property located at Assembly Point Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Additions to dwP 1 1 i ncj
at the above location in accordance to application together with plot plans and other information hereto filed and N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r-h
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1. OWNER'S Address is P. O. Box 669 sZ
Latham, NY 12110 c�
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2. CONTRACTOR or BUILDER'S Name
John C. Mason
3. CONTRACTOR or BUILDER'S Address
P O Box 8 6 ui
Cleverdale, New York
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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)
()4 Wood Frame ( )Masonry ( )Steel 1 1 '
7. PLANS and Specifications 20'x27 ' addition, 20'x25' addition and
No. 12'x24 ' 6" deck per plot plan, specifications
and application submitted. (Brown House)
8. Proposed Use
One—Family Dwelling (additions and deck)
$ 18. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 1986
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 6th Day of September 1985
SIGNED BY ,r` /7,6 for the Town of Queensbury
Building and Zoning Inspecto �� N
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TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19.
BUILDING AND ZONING PERMIT ".,),ire, 19
% n olg. District
. ‘aloe„( Work' _'
THREE (31 Copies of a PLOT PLAN, Drawn to scale AM."'" ►l `" z/g,,
showing the actual dimensions of the lot to be built 1:(lumr)CS
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
3 U0- - 1-1% GE E D
ATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK N�SE P 5 i 5
ANSWER ALL OF THE FOLLOWING. •�t+/g'
A.M.
The undersigned hereby applies for a permit to do the following work r/18I91] ` 11 •)`r3141516,
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:
Walfred Corporation ( c/o Mark Nerni,th). . . P.O. . Box. .66.9. La.tham,. . NY. . . .12110
(N4 it) (P O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Box NY• .(P'1 S)
(NAME)
Name of Builder John A. Mason Address .P..O.. .Box• .8.6 • Cloverdale, NY• " • 12820
.. it II �� 11 II �� 11
Name of Plumber Address
" II I,Name of Mason Address " 4 " ,, 1t II
Lot Number Unit Estimated value of proposed work$ f 000a bo
Name of Village
Name of Street .A52m1b1•Y. . Roi,tit . Road Side of street: north la, east 0, south 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east _[1, west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast D. southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK • OCCUPANCY
❑ Construction of a new building. Main Building
1 Addition to a building. One-family dwelling 0
❑ Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage 0
❑ Other work. Describe Two-car •detached garage ❑
.02, (• /3-it t r-, 1--)/ — kie-;;,,, ,4 L/ , Private chicken house ❑
Private storage building ❑
C(.0, x h ' ,,/ it d ; 7-7,,, .— /1-r o ,: / t. e Other:
ZONING SI'ECIPICATIONS. 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
tuilding(s) in solid line.
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Size of property . ft. x ft• .
Size and use of e i tbuildings if an �.
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'a Size of proposed building . .t. ✓• • • . ft.x ft.
Height(from grade to(Liti e) 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
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . .
Wood frame
Will any second-hand lumber be used? . . . .No. If so, for what?
Material of foundation walls . Concrete .b.lock Thickness B"
Depth of foundation walls below grade 4 ' 0" Continuous foundation? . .yes
Will there be a cellar? . . . .No If so, material of cellar floor
Type of roof: Sloped or flat? . s.loped. Material of roof asphalt shingles
Size, wood studs 2 "x 4 ", spacing 16 "o.c., length 8 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 ' ,(ice . • (66 �7 "o.c., span ft.
Siie, roof rafters or beams "x , spacing "o.c., span ft.
Exterior finish Siding With what material? Wood.
Finish of interior walls z" S/•A
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 elec . Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?. .. .yeS. . . . . . . . . . . . . . . . .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? yes
Water supply(public water supply or pump) well
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? yes
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr. A, c of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.:, lete 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 compli with whether specified or not,
and that such work is authorized by the owner.
Sworn to hefor 41 Signature
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1 (,�. OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 5--A z/96
Name f9a,QLf 5t) Co RP 7ive'i i ii
Location 5E.~.6• 5. /)%
Permit No. 15'` y? Weather
/0 .2,-irp Alpo/am/Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches L�
Finished Floor
Interior Trim v
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building nspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /Agiii*
Name /•1/.4L, 5 Z 55"o (NEIuzf')
Lo
cation�t No.'15_5 E'ni,FL Y p
455- J--91 Weather
Remarks
Excatva tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing .
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors ��� �`
Plbg. Fixtures (//
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
G
I
Building Inspector
REMARKS
a,1j M °l.!"
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date it 3/'S---
Name /(/+�M(nt- 1U4tf26o Co 1f1g.
Location 4 3 4A4 5 V Pot*rr
Permit No. s $9 Weather
4V o crr o,.cl Ta /)u/6-GL{,U6 Remarks
Excavation f,
Footing Forms
Footing & Piers /
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings /// K
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceilin
Building Inspector
REMARKS