1862 BUILDING PERMIT
TOWN OF QUEENSBURY No. 1862
WARREN COUNTY, NEW YORK z
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PERMISSION is hereby granted to Char1 Ps F. Adamson
OWNER of property located at Assembly Point Road Street, Road or Ave. rri
cn
in the Town of Queensbury,To Construct or place a 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
Assembly Point.
Lake George, New York
12845
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
Owner
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
Cl)
7. PLANS and Specifications cn
m
No. 26'X48' as per plot plan submitted.
8. Proposed Use id
0
I-1
Living Area H
$ 24..00 PERMIT FEE PAID —THIS PERMIT EXPIRES //_1., 19 73 C7
(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 21 Day of June 19 72 /fri �,*/
SIGNED BY for the Town of Queensbury �®1--73
ilding and Zoning Inspector CI�.�,
MOWN OF QUEENSBURY
;Spare inside block to 1x. filled in by •
WARREN COUNTY,Y, NEW YORK Building Inspector)
. Application for ''I•I)li(ati�,n Nu. . . . .
i'r rnrit l�tiurd pi
BUILDING AND ZONING PENMlT ►'r•rnrit 1•.\pires 1'r
Y1.rrnr, I)istrirI
alnr nt \V r'I. ') . . . . . . . . . . . .
THREE 131 Copies of a PLOT PLAN, Drawn to scale 'I'lir1, •uI by . . . . . . . . . . . . .
•
showing the actual dimensions of the lot to be built Imo., • . • . .
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
.2-/,, yLe //72._
ji W E D
DATA ,,y_6t) v
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �J J U N 2 1, 1Y[
2.
- ANSWER ALL OF THE FOLLOWING. A.M. _ P.M.
The undersigned hereby applies for a permit to do the following work 71819110111112111213141516
l , , , 1 1 1 t t / L,
_ which will be done in accordance with the description, plans and specifi- A
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
Charles F. Adamson Assembly Point, La e eo , ' . . 12845
(NA`IE) (P(-) ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Charles F. Adamson Assembly Point, Lake George , N .Y . 12845
(NAME) IP 0 ADDRESS)
Charles F. Adamson tr tt
Name of Builder Address
Name of Plumber Address . .
Name of Mason Address
Lot Number Unit Estimated value of proposed work S /. � CG"�
_ , -
Name of Village
Name of Street .t`? >r.V1E1.f r`'!ic.°'- li O/a,D Side of street: north `•,„east 0, south 0. west J{g
Nearest Cross Street .•.77 K:U1'% 6.rU'(.ii.. . . . /
G Ci C., Ft.
Distance from this cross street
Property is north ;),south ❑, east Ti, 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
1 Construction of a new building. Main Bting
CIAddition to a building. One-family dwelling En
❑ Alteration to a building. Two-family dwelling ❑
❑. Demolition of a building. . .-family apartment house ❑
Store building . ❑
-car attached garage ❑
Other:
• Accessory Building
Rebuilding of home One-car detached garage ❑
FOther w rk De ribe• Two-car detached arc e ❑
est oyect bV ! i:re. 'line original Private chicken house g ❑
ounaa ion remains & louse Y� i. be built
on that' -fo'undat'ion. Part—of—the- house Private storage building ❑
was constructed last summer & the septic Other: .
system is the same.
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate-on the plot plan street tames, the location and
,,..a.,,_
size of the property, the location, size and setbacks of pro-
Nos .�ar� posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
.. L ___ (--_c.•, _ building(s) in solid line.
c� �
J 1 I1�— Size of property . ..... .;! , V. I.r...• . ft. x ft.
1 I / MY R Ci( ) It.
I i 111... SP .��-..
_ 7 G / Size and use of existing buildings, if anyr. •%�= �
/ 1
1
(cont'd.) •
BUILDING SPECIFICATIONS.,
Wood
Kind of construction: Wood frame, fire safe. etc.?. :'. . • • • frame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'
Will any second-hand lumber be used? No - If so, for what
Material of foundation walls Presently existing, cinder block ....,.nickness 8 Inches
Depth of foundation walls below grade Continuous foundation?
Will there be a cellarrTaW. sPa.ce. If so, material of cellar floor
_ Type of roof: Sloped or flat? . ...522, rO Material of roof . . ../,'G'CC0 �,-"i,/ / /9JP///IL/ ..V9/4,'CL/-7,S
Size, wood studs '/V ' " x ", spacing Z' "o.c., length .Sr: ft.
'Size, floor beams, 1st floor x J ", spacing tJJ "o.c., span ,t�..? ft.
Size, floor beams, 2nd floor . " x (Sr" ", spacing 0�4" "o c., span ./ .- ft. .
Size, ceiling beams " x ", spacing iL "o.c., span . . . . � _' ft.
Site, roof rafters or beams ..2-.. . " x .Y ", spacing /. "o.c., span /7 ft.
Exterior finish . . . . J f.yt'��'.c.'.�� With what material? -'C1/)-- L) /k i) ��' f I Llt
Finish of interior walls. . . :=:rf),Iti: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to he attached. of what material is wall between garage and main bui,l&i.ng to be constructed?
Is there to be an opening between garage and building? . . .ke;•1L .
Kind of heating system (NJ- Oil burner or coal?
Will a flue-lined chimney be provided? /-git",,- 7':`,.' " . . . Depth of chimney foundation below grade . .:=�X./.cT7;G,'(�-.
Height of chimney above roof. . . ./4..l 47/'.'t:'A(• • AC.t;`e;'"e( /)Will'there be a fireplace? . . ./.!..k/,:7•/7P.'4"... . . . . . . . . Depth of fireplace hearth . . : kOS!/''. (- r 6
/ //
Will a toilet be installed? . ... /.) ./ it ). . . . . •.• • •Isf.&./2•(- • • • 17! E.
Will a kitchen sink be installed and connected to water supply? . . . f i f-7/Z
Water supply(public water supply or pump), .L/>K--
Distance of cesspool from any private well — feet
Will drainage system be provided with required traps, cleanouts, and vents? . . fP=S
AFFIDAVIT
Town of Queenshury
County of Warren ss.
State of New York
I swear that to the beat of my knowledge 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 pe 1 the p poae�L w ehal�tnlpliod with,whether specified or not,
and that such work is authorized by the owner. :��j_L%
Sworn to before me this Signet OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
...2-/ . day of. .. 19 7 Z
NOTARY PUBLIC. ARREN COUNTY, N. Y.
- -SPECIAL CONDITIONS_OF THE_PERMIT:-___ __. _ ,_
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