1403 BUILDING PERMIT
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TOWN OF QUEENSBURY No 1403 x
WARREN COUNTY, NEW YORK ed
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PERMISSION is hereby granted to William Wetherbee H
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OWNER of property located at Cleverdale— Mason Road Street, Road or Ave. H
in the Town of Queensbury,To Construct or place a Two car detached garage
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
Cleverdale, New York
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2. CONTRACTOR or BUI LDE R'S Name
A. E. Mason
3. CONTRACTOR or BUILDER'S Address
Cleverdale, New York
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4. ARCHITECTS Name Z
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5. ARCHITECT'S Address In
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6. TYPE of Construction—(Please indicate by X) D>
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(X)Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
24 'X24 ' 2 car detached garage as per submitted
No. plans and specifications.
8. Proposed Use
Garage .
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$10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 12-1-71 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 7th Day of September 19 71 tzi
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SIGNED BY j_,e7-4d_,4_20
for the Town of Queensburyuing Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued 14)
BUILDING AND ZONING PERMIT Permit Expires 19
Zoning District
Value of Work S
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1>1 "`('cl l)y .
showing the actual dimensions of the lot to be built itcniark
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
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TOWN OF QJEENS2U►<Y
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� S - ' " 3 1971
ANSWER ALL OF THE FOLLOWING. A.M.
F'hn
The undersigned hereby applies for a permit to do the following work 17 8 9 c1011ll12l 1 12I 3I46 f 5I
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of t erty is: ��/- • `-
fit/ 4. C`Et -sz
(NA',1E) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
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(NAME) (P.O.ADDRESS)
Name of Builder ��" P'�- Address
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Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$ . . . .,..C.4 i , �c
Name of Village egg' 'C-'' ��Z-f- -
Name of Street p�� Side of street: north 0, east 0, south ❑. west 0
�% /�-'Nearest Cross Street 4- Distance from this cross street Ft.
Property is north south ❑,east El, west ❑from Cross Street
If on Corner, which corner, northeast 0, northwest 0, 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: •
Two-car detached garage f/ ❑
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Private chicken house El
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, site and setbacks of pro-
NORTH - posed buildings,and the location of all existing buildings.
-6------- Show proposed building(s) in dotted line and existing
-Arg.t.t..,_ /ec . Iuilding(s) in solid line.
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• Size of property 4 9 ft. x . . ./ 7 4. . ft
Size andse of sting buildings,,if`any
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�' w Size of proposed building 7 ft.x )""e4 ft.
'Q Height(from grade to ridge) f t ft.
Front yard ft.
Side yards ft. and ft.
�--_ Rear yard ft.
so -Efs, 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.)
iUII.DING SPECIFICATIONS., - •
A�Kind of construction: Wood frame, fire safe, etc.?,i
Will any second-hand lumber be used? /V If so, for what? ��
Material of foundation walls Ct / per- thickness r
Depth of foundation walls below de 7- --- Continuous foundation? . . . .
Will there be a cellar? 40-24---g"--(1,—
If so, aterial of cellar floor
Type of roof: Sloped or flat? . . Material of roof � '----'2
f f
Size, wood studs "X ", spacing "o.c.,length,. L,� 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 r------ "x ", spacing "o.c., span ft.
Size, roof rafters or beams „-2.--.. "x 6 ", spacing /c. ... . ."o.c., span / )---/ ft.
Exterior finish 7s2-c1 f// With what material? . . , . v�
Finish of interior walls .e �iC_
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 chi y-foundation below grade
Height of chimney above roof
Will there be a fireplace? D 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 plans andspecifications sub-
mitted, are a true and complete statement of all proposed work to be done on the described pretmees and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or nut,
and that such work is authorized by the owner. /., /�7
Sworn to before me this Signature - S� _
i ,- ,J/ % OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
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NOTARY I , WARRE C[V' OUNTY, N. Y.
SPECIAL.CONDITIONS OF THE PERMIT: —~ _ - —
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By •
Cottage Rentals Contracting
TAKUNDEWIDE3 INC.
A. C. Mason
CLEVERDALE, N. Y. 12820
Tel. Kattskill Bay NL 6-9573
(Area Code 518)
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