85-011 BUILDING PERMIT
TOWN OF QUEENSBURY 85-11
No.
WARREN COUNTY, NEW YORK
- PERMISSION is hereby granted to Walfred Associates (Mark Nemith)
Assembly Point Road Cu
OWNER of property located at Street,Road or Ave.
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Addition to dwg• (extension ofdeck)
in the Town of Queensbury,To Construct or place a_ a
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.
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1. OWNER'S Address is O
P. 0. Box 669
Latham, New York 12110
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2. CONTRACTOR or BUILDER'S Name
John A. Mason
3. CONTRACTOR or BUILDER'S Address
P. 0. Box 86
Cleverdale, New York
4. ARCHITECT'S Name cn
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) ,C1
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( )Wood Frame ( ) Masonry ( )Steel ( ) ¢
7. PLANS and Specifications
extension of existing deck per plot plan and
No. application submitted.
8. Proposed Use
Dwelling
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$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 1 19 85 o
(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.) O
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Dated at the Town of Queensbury this 16th Day of January 19 85
SIGNED BY 1a a. Azia for the Town of Queensbury
Building and Zoning or
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Insprctorr)
Application for .\I>p►ication
t'M Permit Issued 19
BUILDING AND ZONING PERMIT l',•rt„it Expires. 19
7.,,nin;; Distri(t
\;Iloc „I \Vnrk
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i,(,r,),ed by
showing the actual dimensions of the lot to be built RcInm X
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
I . . .Jan. 14 ,. .19 8 5 . . . REGEHE
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. �it'i. i
The undersigned hereby applies for a permit to do the following work A.M. 11819V1.0111213141516
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which will be done in accordance with the description, plans and specifi- $ � 1 I I . . 1,
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
Walfred Associates P.O._ . .Bo.x• 66. . . Latha n Aa,x,, 12110
INA`:E1
The person responsible for supervision of the work insofar as the Budding Code and the Zoning Ordinance apply is:
John A. Mason P.O. Box 86 Clev.er..dale., . .NY. . . .12.82.0
(NAME) IP 0 ADDRESS)
Name of Builder. . 17.oh.r1• A.. .Mason Address .Saone. .as• above
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S 5 , 000 . 00
Name of Village . . . A $.embl.y. point
Name of Street . . . .AS S.mk11Y. Point. .Roa.d Side of street: north I7, east 0, south 0. west 0
Nearest Cross Street Crossover RQad Distance from this cross street 500. Ft.
Property is north to,south ❑,east .ii, west ❑from Cross Street
If on Corner,which corner, northeast ❑, northwest 0, southeast Q, southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK • OCCUPANCY
Main Building
Construction of a new building. One-family dwelling i0
ElAddition to a building. Two-family dwelling ❑
El Alteration to a building. family apartment house ❑
❑ Demolition of a building.
Store building ❑
-car attached garage El
Other:
Accessory Building
One-car detached garage Ei
rff Other work. Describe: EXte.ns.io.n. .of Two-car detached garage • ❑
existing deck Private chicken house ❑
Private storage buildin '..--) ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing bus dr g, a chat o occupancy.
Indicat' o. of pla eet names, the location and
, size of ,. pr..erty, the 1. ti•n, site and setbacks of pro-
posed buil.' gs,and he 1. ion of all existing buildings.
NORTH Show proposed buil.'7; ) in dotted line and existing
huilding(s) in 'd li
Size of prope t ft. x ft.
Size nd u xisting buildings, if any
I-
N N
s m Size oposed building ft.x ft.
Heigh (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.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, f a -
Material of foundation walls \.
Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? s;material of cella oor
Type of roof: Sloped or flat? . �' . . Material of
Size, wood studs • acing "o.c., length • ft.
Size, floor beams, 1st floc "x S ', spacing "o.c., span ft.
Size, floor beams, 2nd fI " x " spacing "o.c., span ft.
0
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams 'x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .g . . . . . . . . . . . . . .g
If garage is to be attached, of what matey s wall between garage and main bui Qin to be constructed?
Is there to be an openin bet een g rage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chi y provided? • Depth of chimney foundation below grade
Heightof chi ney a ve f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will ther e a firepl e? Depth of fireplace hearth
Willa tot et installed?
Will a kitc en si be installed and connected to water supply?
Water supp ublic 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 bcj i 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 complied with whether specified or not,
and that such work is authorized by the owner. .�—.,1. . /
Sworn to before me this Signature i r .. —-
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
Lt=; day of ��l;; i ,� '. 19.
1 NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By