754 BUILDING PERMIT
TOWN OF QUEENSBURY 754 3.
No. m
WARREN COUNTY, NEW YORK
Fred H. Alexy 1-1
PERMISSION is hereby granted to CB
o.
Cleverda le
OWNER of property located at Street, Road or Ave. X
•
in the Town of Queensbury,To Construct or place a n addition —
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
Box 52
Cleverdale, N.Y.
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2. CONTRACTOR or BUILDER'S Name 0
John Mathews l\'
0
3. CONTRACTOR or BUILDER'S Address (D
C
Lake George, N.Y. K
a.
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4. ARCHITECT'S Name R>
Same
5. ARCHITECT'S Address
Same
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications 20' X 23' as per plot plan.
No.
8. Proposed Use
Living space.
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 30 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 5 Day of May 19 70
SIGNED BY a✓ ` _ for the Town of Queensbury
.,,,,,,A7
Buil and Zoning Inspector
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK (Space inside block be filled in by
Building� Inspector)
Application for :Application No.
Permit Issued ISt.
BUILDING AND ZONING PERMIT Permit Expires
Zoning District
\ altte of Work S
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pj ruv.d by
showing the actual dimensions of the lot to be built Rcni:irk,
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
57TE 0 0 TOWN OF QUEENSBURY
REGIME
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK _
ANSWER ALL OF THE FOLLOWING. �� fi j�
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-
7M?11(111A1A 11111W
cations, and such special conditions as may be indicated on the permit. A
The o�w�r� �proper?"' `_ �.)( C
�� ,f �/� �3� �L.� � r -T,
��� (NA'4E) (P.O.ADDRESS)
The person responsibi for supervision of the work insofar as the uil in ode and the Zonin Ordinance apply is:
. .aoxio . . ............. L, �' 0 6
(NAME) `1 (P.O.ADDRESS)
�Name of Builder ✓O il 9 ne 1✓S Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$ . .5" CO' --�
Name of Village
Name of Street . .0 y 04Ct 4)A r0 - 1 Side of street: north 0, east Q south a west El
Nearest Cross Street( ei 'S arbee t we-) Distance from this cross street . ../0/3r21Ft.
Property is north ,south ❑,east i t,west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, 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
One-car detached garage ❑
Other work. Describe: 49-•^— Two-car detached garage ❑
Gt M�y1 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.
Show proposed building(s) in dotted line and existing
building(s) in solid-line. -
Size of property ✓0' ft. x 7S'/ ft.
Size and use'of.existing buildings, if any deer/451/Ge
F I-
Size of proposed building . eft.x .4 3. . . . ft.
Height (from grade to ridge) ✓4 ICS 70 At • 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) se �v Owl'
fpe SCerCN-
(cont'd.)
BUILDING SPECIFICATIONS., ��qq p
Kind of construction: Wood frame, fire safe, et .3 �`"'O /�%�-�'%�
Will any second-hand lumber be used? A)�Qiww If so, for what?. . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • • •
Material of foundation walls . . . 0=.- •C‹ Thickness
Depth of foundation wa_ Jssaow grade . . . . .7 . .6 CQ Continuous foundation. . . ,yG -
Will there be a cellar? 7 f-so material of cellar floor
Type of roof: Sloped or flat? 451"0o C Material of roof Lp1.0 -' P
Size, wood studs 2.1 "x V ",spacing /S. "o.c., length. . .�cf. ft.
Size, floor beams, 1st floor a-.-- "x G ", spacing // "o.c., span . . . .�� ft.
Size, floor beams, 2nd floor "x ", spacing "o.c., span ft.
Size, ceiling beams 4/04*/& "x ", spacing "o.c., span �,p — ft.
Size, roof rafters or bea s . . .2..)(i. . . "x ", spacing . . . ./. b "o.c., span . . .vnt°/C5 . ft.
Exterior finish J iC4'� �/ With what material? . . . . WO I.9
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main buiilding to be constructed?
Is there to be an opening between gars a and building?
Kind of heating system . . . . 0I a ./.4 Oil burner or coal? . . . . . .0/1/4.+-.
Will a flue-lined chimney be provided? . . .E 657-/.4bepth of chimney foundation below grade
Height of chimney above roof J' .2) ".
Will there be a fireplace? . . . . .)Q.577Ai Depth of fireplace hearth
Will a toilet be installed? • A.1 C ,
Will a kitchen sink be installed and connected to water s p 1 ?? ye---.5
supply(public water supply or pump) ,I
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 know,ledge and belief the statements contained in ' application, -_ 1 e plans and specifications sub-
mined, are a true and complete statement of all proposed work to be done 1 = 'bed �J�at all provisions of the BUILD-
ING
CODE,THE ZONING ORDINANCE,and all other laws pertaining to '.T/ wor al . ;J •lied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before m is Signature .NNW
OWNER, .WNER'S AGENT,A: ITECT,CONTRACTOR
g [e"" da of 19,/��
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SPECIAL CONDITIONS OF THE PERMIT:
ApptIovED
MAY 5 •
Ell 1970
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