6214 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6214
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ernest Kirchof and Elsa Kraft 1-1
Cleverdale Road
OWNER of property located at Street,Road or Ave. rt
in the Town of Queensbury,To Construct or place a Alteration to dwelling (roof)
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 Star Route
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name N
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Randolf Weaver
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3. CONTRACTOR or BUILDER'S Address
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Dean Road
Hudson Falls, N. Y. 12839
4. ARCHITECT'S Name
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5. ARCHITECT'S Address CL
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6. TYPE of Construction—(Please indicate by X) O
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( 1 Wood Frame ( ) Masonry ( 1 Steel ( ►
7. PLANS and Specifications
Alterations to dwelling per sketch and
No. application submitted. (Roof line changed)
8. Proposed Use rr
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One-Family Dwelling
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$ 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 80 0
(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.) Q.J
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Dated at the Town of Queensbury this 12th Day of December 19 79
SIGNED BY - �' - fe'ti for the Town of Queensbury
Building and Zoning Inspector C
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TOWN OF QUEENSBURY (Space inside block to Ix filled in b,
WARREN COUNTY. NEW YORK Building Inspector)
Application No.
Application for Permit 1„tI('d 19
BUILDING AND ZONING PERMIT Pormit Expires lq
r.,iiiin. District
. \ Au ,.l Work,$
THREE (3) Copies of a PLOT PLAN, Drawn to scale ‘1'1 " tql by'
showingthe actual dimensions of the lot to be built li,',,,:��gf
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBurr
l 1).44- k / i. DATIEcf 77' R
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK DEC 1 i 1919
ANSWER ALL OF THE FOLLOWING. au f `,
A.M.
P.M.
The undersigned hereby applies for a permit to do the following work 7IglgilQl11112'112I3I41b16
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 p pert is: /,S A ,�/Y� J �1c)v�.3 )
�h R.5 . &wc / / CIF / v!.S I.�s, .
A , 1 IP O.ADDRESSI
The person responsible for supervision of the work insofar as the Buildipg,Code and the Zoning Ordinance apply is
(P.O ADDR 1 p ` Q'i
� IN1MEl l,�J -e'c.kA4 11 taJ.P-i�'�l
Name of Builder IC, U1 C4 Ot ""e a—U€ Y Address ''S
Name of Plumber Address
. . .
Name of Mason Address / �.-e-
Lot Number Unit Estimated value of proposed work S
Name of Village
Name of Street
ClE er ri a k Rq Snide of street: north ❑, east 0, south ❑, west 0
Nearest Cross Street
Distance front this -ross street Ft.
Property is north ❑,south ❑,east 5,west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast 0. 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 El
❑ Addition to a building. Two-family dwelling 0
[iir Alteration to a building. . . . -family apartment house ❑
El Demolition of a building. Store building 0
-car attached garage ❑
Other:
Accessory Building 0
One-car detached garage ❑
❑ Other work. Describe:. . �"Jev i Gry` Two car detached garage ❑
j iffl f� e n Private chicken house ❑
� Private storage building
S/(e t(/ / .((1 . . . . 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-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
W s m Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUT H if oat corner,setback from side street
ft.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVERT
7-73—M •
(cont'd.)
BUILDING SPECIFICATIONS., /
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Kind of co
nstruction: Wood frame, fire safe,etc.?`. . . . . . ..'�• • • • • . . . . . . . . . . . . . . ' • " ' • . . . . . " • • • . • • • •Will any second-hand lumber be used.? N-!0 If so, for what)
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? /. If0SO material of cellar floor �Q
Type of roof: Sloped or flat? . . .Y.-7 i Material of roof""'"
Size,wood studs / 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 . . . /IS& ", spacing "o.c., span ft.
" ' . . . . . . . .", spacing / 6o "o.c.,span 8 ft.
Side, roof rafters or beams . . . .a.. . . . . . x tea
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 chithney 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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt b<a of my know,ledge 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 co plied with,whether specified or not,
and that such work is authorised by the owner.
Sworn to before me this Signatures— O ;p pyyijER'S AGEN • NItECT. t)NTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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