1778 BUILDING PERMIT
TOWN OF QUEENSBURYtri
No. 1778 H
WARREN'COUNTY, NEW YORK V Z
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PERMISSION is hereby granted to John G. R Fmma M_ Keating o
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Z OWNER of property located at SeP1 ye Road Street, Road or Ave. 0
in the Town of Queensbury,To Construct or place a Addition
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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, N.Y.
• 2. CONTRACTOR or BUILDER'S Name -
Rich Alum. Co. - -
3. CONTRACTOR or BUILDER'S Address V V
- V So. Glens Falls, New York
- 4. ARCHITECT'S Name V
5. ARCHITECT'S Address
6, TYPE of Construction—(Please indicate by X) M
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�)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications -
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No.4')(11' as per plot plans submitted.
8. Proposed Use -
Enclosed Porch V
$ 6.00 • PERMIT FEE PAID —THIS PERMIT EXPIRES 9-1- 19 72
(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 16 Day of May V 19 77 -
SIGNED BY ' Xe" for t e Town of Queensbury
Building and Zoning Inspector rnl )
TOWN OF QUEENS BURY
(Space inside block to he filled in fiv
WARREN COUNTY, NEW YOFiI< Building Inspector)
Application for ,,,,,1;'.rt;"rr No. . . . . . . . . . . . .
Permit issue(( I't
BUILDING AND ZONING PERK' 1°'.0,,;t (•Noire~ 1,
Y,ntnr:c I)istrit t .)
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• THREE (31 Copies of a PLOT PLAN, Drawn to scale \i)I,r„„',l 1'k• . •
. . . . . . . . . .
showing the actual dimensions of the lot to be built k' n':,rl ,
. . . . . . . . . . . . . . . .
upon, The exact size, and location on the lot of the
. building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
'Nat /G F �- TOWN OF �� u�:RY
OATS
A PERMITtipE ,,LEPirED
b e. parp0
MUST BE OBTAINED BEFORE BEGINNING WORK AY 1 6 197
ANSWER ALL OF THE FOLLOWING. �►{
The undersigned hereby applies for a permit to do the following work A.M. PAC
7�8�9�10�11�12�1�2�3�4�6��
which will be done.in accordance with the description, plans and specifi- �. _.__.__._ ._ _. _.__. � a'
cations, end such special conditions as may be indicated on the permit. A
The owner of this property is:
• . . 0141 .G, 44b 6MtnA• 01, 1<66.%tdc CLEv,Y-FJ,, ^1. y
_ (NA"E) ;P O ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0.ADDRESS(
Naive of Builder. . . I C L UlYt C. Address Sc.- 4i'✓J S' �,q�ts
Name of Plumber Address . .
Nance of Mason Address . . . . .
Loi Number Unit Estimated value of proposed work S 6(TL s- i,r-2) •
Naive Of Village
Name of Street •S'EC-LYii ;' 0 Ib Side of street: north 0, east 0, south ❑, west
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south 0,east E 1, west 0 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
El ' Construction of a new building. Main 13uMding
(E1 Addition to a building. One-family dwelling Z
❑ Alteration to a building. Two-family dwelling El
❑ Demolition of a building. -family apartment house El.
Store building ❑
• ' -car attached garage ❑
Other: •
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Accessory -wilding
One-car detached garage . ❑
(] Other work. Describe-
. Two-car detached garage - . ❑
Ls.4 a 0s•4/ pia 1i 'j, 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 setbacl(s of pro-
►ORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
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-huilding(s) in solid line.
Size of property /63 r X I va r ft. x ft.
Size and use of existing buildings, if any
I- F ,'
• w • a - Ai m or r
m Size of proposedl3 ldjng ft.x (( ft.
~ an Height(from grade to ridge) 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)
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(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe. etc.?. . . •e " ? . • • . . . . . - • • • • • • • • • • • • •
Will any second-hand lumber be used? If so, for what
Material of foundation walls thickness, -
Depth of foundation walls below grade 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 4 ryS "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.
Site, 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 bui ing 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 AFFIDAVIT
County of Warren SS.
State of New York
I swear that to the best of my knowledge end 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 provision of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the .posed ork shall be oo1xelslied with,whether specified or not,
and that such work is authorized by the owner.
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Sworn to before me this Signature
OWNER.OWNER' AGENT.AR IT CT.CONTRACTOR
day of 19
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NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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BUILDING & ZONING INSPECTOR
8' TOWN OF QUEENSBURY