1334 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1334 •
-WARREN COUNTY, NEW YORK
• oqCD
•
G. En eman
PERMISSION is hereby granted to • g
OWNER of property located at Donner Pass - Street,Road or Ave. 0
in the Town of Queensbury,To Construct or place a liXXCRXg. Addition to Dwelling
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
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address -
Same
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address
Same
6. TYPE of Construction-(Please indicate by X)
X)Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specificationsd
O
No. As per plot plans.
8.-Proposed Use.
Ned
• Addition_porch �-
$ 2.00 PERMIT FEE PAID—THIS PERMIT EXPIRES 11-1— 19 71
(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 26
Day of July 1971
SIGNED BY - iP for the Town of Queensbury .
Buildi and Zoning Inspector
t
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for \1)I)I]Call(Iftti . o . .I (;
Pc rill it Issued ' IS1. .
BUILDING AND ZONING PERMIT PeriuDATE ... . . .....1 . .:.2-.''-• I. • 19.
Zoning District -
• vol... of Work S � _
THREE (3.1 Copies of a PLOT PLAN, Drawn to scale AN))-(((('(11BtILDING•&• ZONING .INSPF_CT..OF
showing the actual dimensions of the lot to be built IRymark\. . .. .TOWN :OF. QUEENSBURY. .
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 Q'UEENSBUF Y
[ V. _ r
DATE r
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1 9-r G-P i0 I ' "
. ANSWER ALL OF THE FOLLOWING. )!i I G J 1971
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 s ecifi- 7 8 9110111II�01I2I3I 1 t 5I
P P , I, I , I , I . , ► ,
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: .- .
s i5 .. . .p .L.a. . .SSI
. . . .e. Y1: `�... . . . . . . . . . . . . . . . .
(NA.,E) (P.O.ADDRE " �" _
The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS)
Name of Builder lt> e Address
Name of Plumber \`-1 0 N C Address .
Name of Mason Noses C Address
'
Lot Number Unit Estimated value of proposed work$ 3 D •
Name of Village sCs .kt :Q �5 b 1^`t'( -
n
Name of Street �(2 Y'1'e`c \ e`5S Side of street: north 53, east 0, south P. west El2
Nearest Cross Street \ S`ra-r-4o(i --u.ti--�'-'• Distance from this cross street Ft.
•
Property is north 0,south ❑,east i 1,west ❑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 Buiiitting
I Addition to a building. One-family dwelling . .
❑ Alteration to a building. Two-family dwelling ❑
O Demolition of a building. -family apartment house • ❑
• Store building • ❑
-car attached garage ❑
Other:
/o-J39;71 1s (1-t°0i Q3)-,PCr "to add +D 14o 0 re Accessory Building
, ,-/ , / ,. �oY One-car detached garage ❑
O Other work. Describe: Two-car detached garage ❑
,S1-oro l-e r( `i'l -el000di lam)H lit o tie.i/ el— Private chicken house • ❑
Private storage building' ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
1, Indicate on the plot plan street names, the location and
size of the property, the location, site and setbacks of pro-
No H posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
Lb9__ CO huilding(s) in solid line.
v.. if I a J ft. x
:pi
Size of property / GS ft
Size and use of existing buildings, if any
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc2 (A)(),fl(,� -cYalut
Will any second-hand lumber be used? N e If so, for what?
Material of foundation walls `k31 C.1( Thickness 7.r��
Depth of foundation walls below grade Continuous foundation? . .tk¢5
Will there be a cellar? Na If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs x 4-( ", spacing "o.c., length • ft.
Size, floor beams, 1st floor "x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor "x 4<! "? . . .:", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams 2-. "x S ", spacing "o.c., span ft.
Exterior finish cu06ci /7.h e/ 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 AFFIIDAVIT
County of Warren Ss.
State of New York
I swear that to the best of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete 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 e proposed work s lh l be complied with,whether specified or not,
and that such work is authorized by the owner. �y
Sworn to before me this Signature WNER,OWNER'S AGENT, CH .CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
AZ-441
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b APPROVE
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DATED
)41- •
BUILDING & ZONING INSPECTOR
TOWN Or:
/74 /717