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6714 BUILDING : PERMIT TOWN OF QUEENSBURY No. 6714 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ruby J. Mosher OWNER of property located at Leo St. and Upper Sherman Avenue Street, Road or Ave. in the Town of Queensbury,To Constructor place aAddition to dwelling (carport) 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. c-I 1. OWNER'S Address is R. D. #3 0 Glens Falls, New York m 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name r (D O 5. ARCHITECT'S Address W ci b 6. TYPE of Construction—(Please indicate by X) (D (A Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications lD 14 'x22' per plot plan, specifications and F1 No. application submitted and Variance #685 a granted 11-19-80. 8. Proposed Use Carport added to dwelling lz $ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 81 �R .(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n rt town of Queensbury before the expiration date.) b �% Dated at the Town of Queensbury this 4th Day of December 19 80 O rf. rt O R o � SIGNED BY ' �' V- for the Town of Queensbury Building and Zoning Inspector O N I—+ N. W TOWN OF 9VE NSBURY (Space inside block to Ix- filled in by WARREN COl�9�1 A� NEW YORK Building Inspector) _ � 11 aI ion for Application No. � ---- Permit Issued BUILDING AND ZONING PERMIT Permit 7(min, District \ itItw nl Work THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pprm cd h\ ghowin the actual dimensions of the lot to be built Iten,ar)(f upon, T1e exact size, and location on the lot of the . . building to b® erected or altered MUST BE SUB- MITTED WITH THIS .APPLICATION. ® ®w'�® _. . . . . . f . . . � . . . TOWN 1(IOF QUEEN\iy(/V]SEk:i-;. . %. . DATE D V 17 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 0EQ 419 80 ANSWER ALL OF THE FOLLOWING. The undersignad horeby applies for a permit to do the following work A.M. e a a a a a r'P���c�• which will be done in accordance with the description, plans and specifi- 7I8I9IIOI11II2)l I2I 3I4I6I6 e cations, and such special conditions as may be indicated on the permit. The owner f this pro ty is•` �L . . i?rN/ /� JT f✓J . . liG/P .'��'/ �t��zi✓-r.'. . . . . ll Cliff�1' (NA"E) (P.O.ADDRESS) The person res(ponsibie ffor supervision of the work insofar as/the Building Code and the Zoning O dinance apply is: . . . . . . . . . . . . . .. .. . .G - . ., �R sl . . . . . . . . . . . . . . c(NAME) P. Name of Builder. . . .`-y 4 1�? . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . Nameof Plumber. . . . . . . . . . : . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Naiiieof Mason. . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . Lot Nlumber. . . . . . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work S a?-0- . . . . . . . . . . . . . . . • • • • • . r� a.� -r Name,of`,pillage . . . . . . . . . . . . .u. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . Naive of§tree[ . . �. . . .: . .°� % `v C�`o• ide of street: north , east ❑, south ❑, west ❑ Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . Distance from this cross street . . . . . Ft. Property is north ❑,south ®,east ii,, west ❑from Cross Street If on Corner,which corner, northeast V), northwest 0, southeast Q, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑. Construction of a new building. Main Binding Addition to a building. One family dwelling El ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. • • • • • • • .-family apartment house ❑ Store building ❑ . . . . . . . .-c attached garage ❑ Other: . . � . Accessory Building � J � One-car detached garage ❑ Other work. Describe:. . . .p • • • id � Two-car detached garage ❑ lI Private chicken house ❑ . . . . . . . . . . . . . . . . . . . . . . . . . 9. . ®� Private storage building ❑ 0. 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- posed buildings,and the location of all existing buildings. NORTH L Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . . . . ?. . ft. a . . � . . . . ft. Size and use of existing buildings, if any . . . • • • • • • . . . . . . . . . . . . . . . . W m �. . . . • ft•xSize of proposed builng . . . . Height(from grade to ridge) . . . . . . . . . . • • . • • • • • ft. Front yard . . . . . . . ... . . . .. . . . . . . •jJ . . . . . . . ft. I Side yards . . . . . . . . . . . . ft. and . �. . . . . . . ft. D o� Rear yard . . . . . . . . . . . . . . . . . . . . J. . . . . . . . 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) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . C�-_,e • • • • • • • • • • • • • • • • • • • • • • • • • • • Will any second-hand lumber be used? . . . . • If so,Pr what?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . Jr12 ^� c�• • •/�•C4�f/S!• • • • • • • • - • • 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 . . . .�1�C . . . . . . . . . . . . . . . Size,woad studs . . . . . . . . . . . . . . . . .. . %�. . ./�2 .",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 Zkv-1114-A, spacing . . . . . . . "o.c., span . . . . . . ft. Sii?e, roof rafters or beams . . . . . . . .v . ' x Co. . . . . . . . . . . . . spacing . . . . . . .��. . . ft.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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . Town of Queensbury l AFFIDAVIT County of Warren State of New York I swear that to th-_bLrA9f my knowledge and belief the statements contained in this application,4.tl r with the plane and specifications sub- mitted, are a true and colplete 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 Iowa pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ........... .. ................ OWNE OWN S AGENT.ARCHITECT.CONTRACTOR ......................................day of..............................................f...19........ _ . . . . . ........ . ............................................ NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: TOWN OF QUEENSBURY Building Department Inspectors Deport Date /- e_81 Name I-_ dlr- Location Xv Permit No. 6 7/4 Weather Per Cent Remarks Complete Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Ht . Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plb .Fixtures Gar.Fire roofin Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS n a i y. f f . d e®� �-vo .a/ A a1r _ 3 '( S-n 9A I c 12 J