772 BUILDING PERMIT
TOWN OF QUEENSBURY 772
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to J. Polonsky & Charles Craft
OWNER of property located at Cleverdale Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Aluminum utility 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
2 Terrie Street
Ellenville, New York 12428 c,
2. CONTRACTOR or BUILDER'S Name ro
O
Owners z
3. CONTRACTOR or BUILDER'S Address 7ti
C')
4. ARCHITECT'S Name
rri
5. ARCHITECT'S Address
H
6. TYPE of Construction—(Please indicate by XI
( )Wood Frame ( )Masonry ( I Steel ( ) Aluminum
7. PLANS and Specifications
No.
14'x16' Aluminum utility building
8. Proposed Use
Addition to a building
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 1, 19 70
(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 3rd Day of June 1970
AO a
SIGNED BY ', for the Town of Queensbury
Buildi /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 I't.
BUILDING AND ZONING PERMIT Permit Expires IO1
Zoning District
\ a l uc of Work S
THREE (3) Copies of a PLOT PLAN, Drawn to scale ,'PI "`"1 by
showing the actual dimensions of the lot to be built Renur{.,
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
i / /' /J76 !'OWN OF QUEENSBURY
/"/ / DATE E ►I FI 3
A PERMIT MUST BE11 V E A'e .e,„.„.)
OBTAINED BEFORE BEGINNING WORK MAY 16 1970
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work A.M. P.M.
which will be done in accordance with the description, plans and specifi- 7I8I9I1 liAlA 1I2I3I4I5I6
cations, and such special conditions as may be indicated on the permit. A
._— 1Th of t s pre rty/<��LI _LJ ( '/61AJy ' .7� /t /'!e ',f ./%/•KV/ / �/ /
(1-VIP
(NA'E) IP 0.ADDRESS)
The person resppmsibie for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS)
Name of Builder J4- C Address
Name of Plumber Address
Name of Mason Address ,41
Lot Number / nit Estimated value of proposed work$ 42.1 c G
Name of Village �-+ u- "- /Gib'
Name of Street . . . .C-r(iC/'Cl 4 47 Side of street: north ❑, east ❑,A9mth ❑, west
Nearest Cross Street �ee( � t:"el/ Distance from this cross street 5Q
��� � Ft.
Property is north (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
Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
CI Othe w rk. Desc ibe: //7/4/27/2//12 One car detached garage ❑
/���� �> ���,� Two-car detached garage ❑
C� / 4/ 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.
G �� `l �r Show proposed building(s) in dotted line and existing
Iuilding(s) in solid line.
Size of property L J ft. x � ' ft.
l _ I1 A
Size and use of existing buildings, if any
in
w Size of proposed building . ./7`-. . . . ft. x / ft.
% )'f"/ Height (from grade to ridge) ft.
A34,../.4,- - 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)
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.? l Gli9l� ��'
Will any second-hand lumber be used? If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? 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 ", spacing "o.c., span ft.
Site, roof rafters or beams "x ", spacing "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 knowledge and belief the statements contained in this application,together with the lans and specifications sub-
mitted, are a true and complete statement of all proposed work to be done on the described premises and that provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p po work by oom ' 'th,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature OWNER,OWNER'S AGENT, CHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
APP .I' .. VFD
DATED s-1 9-70
B DING & ZONING LECTOR
TOWN OF QUEENSBURY
By
C. O. DATE
ENG
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