1986-139 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-139
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Leona Beckerle
OWNER of property located at Rockhurst Road Street, Road or Ave:
in the Town of Queensbury,To Construct or place a Alterations to dwelling (basement)
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.
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Rockhurst Road - fD
1. OWNER'S Address is 0
Cleverdale, N. Y. w
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2. CONTRACTOR or BUILDER'S Name
Harvey Specialty Shop
3. CONTRACTOR or BUILDER'S Address 7y
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4. ARCHITECT'S Name to
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( 1 rt
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7.-PLANS and Specifications rt
No. 26'x24' basement under existing building per specifications and
applirntinn giihmitted_
8. Proposed Use
Dwelling
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Nov. 1 19 86
(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.)
- Co
21st
Dated at the Town of Queensbury this Day of April 19 86
SIGNED BY CtAL a r (J for the Town of Queensbury
Building and Zoning Inspector eJR
1
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW. YORK ' Building Inspector)
b Application for A pplication No. ;
Permit Issued 19.
BUILDING AND ZONING PERMIT P(Tmit Expires. I51. ,
/ icing District
. - \ :due Id Work, ,
THREE (31 Copies of a PLOT PLAN, Drawn to scale , •\ITI'i-med by
showing the actual dimensions of the lot to be built. Reniarkf
upon, The exact site, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. - '
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DATE try.ata -.. '' ::.! T .
A PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK • '' ' C� ? J pi, �'; r
ANSWER ALL OF THE FOLLOWING. .: ��1
The undersigned-hereby applies fora •pp ._ permit to do .the following work 1;R 1 6 6
..which will be done'in'accordance with the :description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
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The owner of this pr perty is: . °
,,a_e4,t2p_i-e_k , . Rerd(1,1 k -, 6-. 02,10_,- 1.23-66-
(P.O.ADDRESS)
•2-*- The person responsi • •for :sj}pervision'=of the work insofar as.the Building Code and the Zoning Ordinance apply is:
. C77/)../-e'r-t l'*: Wrg . . .-
(NAME) (P.O.ADDRESS) •
Name of•Builder. ,,.Address
Name of Plumber. ��f%� � / Address
d ess ,
Name of Mason Address
t . Lot Number Unit ' - Estimated value of proposed work 3 . ��
Name of Village Lek k G &E�r` e . .
RoCKa ®e Name of Street t�r57 ��� Side of street: north 0, east 0, south 0. west
Nearest Cross Street - Distance from this cross street Ft. •
Property is north'' ,-south. 0,east El,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 ' " . •
El . Construction of a new building. Main Bing
❑ Addition to a building. . , . One family dwelling'
'Alteration to a.building. Two-family dwelling, ' ❑
' d Demolition cola building. • . . . . . •-family apartment house E.
r>. Store building .• ❑
car attached garage ❑
. Other:
' Accessory Building
�� One-car detached garage_ '
I� Other work. Describe Two-car detached garage • • ❑
`60,,ds2a' J _ "ett !t t - • Private.chicken house , . ❑
Private storage building. . ❑
. Other: '
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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 buildings) in`dotted line and existing
. - l;uilding(s) in solid line.' 5 -
Size of property ft, x ft.
. • _ Size and use of existing buildings, if any •
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m Size of proposed building • 6 ft.x . . .4.�1 ft.
' Height(from grade to ridge) '. . . ... .IY)I` t. 1. . . . . ft.
' Front yard - // ft.
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Side yards . • dt ' ft. and If ft.
Rear yard ' S 1t 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.
(Ovea) ,
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.7
Will any second-hand lumber be used? p f so, for what? '�
Material of foundation walls eetAll ''`t�� AM .c,/ Thickness
Depth of foundation walls below grade .4 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.
Size, 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 . a feet
Will drainage system be provided-with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
_ State of New York -
I swear that to ill,b4 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.p•lets 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 the proposed ork shall be compli with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this. Signature
OWNER.OWNER'S AGENT,ARCHITECT.CO
:..day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT: •
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By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date �/�8/ '6
Name___ c_:•er 6-4-7
Location /e'c ck HOJJ.s$—
Permit No. ? G - /3 9 Weather
Remarks
FooniFo
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
\)<
Ext. Porches "
Finished Floor /
Interior Trim /
Stairs & Railings /
Cellar Dr. Tile / /��
Concrete Floors 1
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Flbbrs
Insulation Foundation
Walls
Ceilin
"—I/6
Building Inspector
REMARKS
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