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6530 BUILDING PERMIT . TOWN OF - QUEENSBURY No. 6530 WARREN COUNTY, NEW YORK PERMISSION is hereby'granted to Ruby Mosher OWNER of property located at Upper Sherman Ave. and Leo St. Street, Road or Ave. G in the Town of Queensbury,To C�gWRt or place a Demolition of a dwelling at the above location in accordance to application together with plot plans and other information hereto filed and p approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (D 1. OWNER'S Address is R. D. #3 Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address C b (D F1 4. ARCHITECT'S Name !v 5. ARCHITECT'S Address - C (D 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) r 7. PLANS and Specifications O ' 221x30' dwelling per application No. submitted. ' 8. Proposed Use Demolition of a dwelling ti $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 19 80 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) F� rt F'- Dated at the Town of Queensbury this 15th Day of August 19 80 o SIGNED BY for the Town of Queensbury rn Building and Zoning Inspecto C7 TOWN OF QUEENSBURY (Space inside block to Ix- filled in be WARREN COUNTY, NEW YORK Building Inspector) pplication for Application No. Pcrmit Issued 19. . BUILDING AND ZONING PERMIT Permil Fxpires. 11.7. %uuinw District \ a I tic „l \\'ork.$ THREE 13) Copies of a PLOT PLAN, Drawn to scale Ai'1'rm cd by showing the actual dimensions of the lot to be built Itc n�:�rKS upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. Fri A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ALIJij )90 ANSWER ALL OF THE FOLLOWING. /b � f=P. . d The undersigned hereby applies for a permit to do the following work A'M" t 111112ff 1 2 3 6 which will be done in accordance with the description, plans and specifi- 71819110t �•�� cations, and such special conditions as may be indicated on the permit. The owner this ropert : 3 �v �.. . . . . . . . .7t? !�. c . -. . . . . . . . IN P. .A0DRE SI The per n esponsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: t-A � � . . . .C'. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (NAME) (P 0.ADDRESS) Nameof Builder. . . . . . ... . .. . . . . . . . . .. . . . . . ... . . . . . . . . . . . .Address . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . ... . . . . Nameof Plumber. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . ... . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . Nameof Mason. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .Address . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot Number. . . . . . ... . . . . Unit . . . . . . . . . . . . Estimated value of proposed work 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . „ryf•. . . . . . . . . . . . . . . . . . . . . _ Name of Street . . . : • . Side of s eet: n��❑, east ❑, south ❑, west ❑ Nearest Cross Street . . . -fi0 . . •.5/ '• . • • • • • • • • • • • • • • • . Distance from this cross street . . . . . . . . . . . . . . . . . . . . Ft. Property is north ❑,south C1,east i i, 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 ❑ Construction of a new building. uii Main Blding ❑ Addition to a building. One-family dwelling ❑ El 'Alteration to a building. Two-family dwelling ❑ �ifDemolition of a building. .-family apartment house ❑ Store building ❑ .-car attached garage ❑ Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,•• • • • • • . . . • • Accessory Building One-car detached garage 0 Other work. Describe:.. . . . . . . . . . . . . . . . . . . . . . . . . . • Two-car detached garage ❑ 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, site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing building(s) in solid line. . Size of property . . . . . . . . . . . . ft. x . . . . . . . . . . . . ft.. Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m Size of proposed building . . . . . . . . . . ft.x . . . . . . . . . . ft. 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 Dart of building. (OVER) 7-73—M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . • • • • • • • • • • • • . • • • • • • . . . . . . • . . . . . . . . . . . . . • • • • • • Willany second-hand lumber be used? . . . . . . . . . . . . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . • • • • • • • • • • • • • • • • • • . • • . • • • • • • • • • • • • • • • • • • • • thickness . . . . . . . . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation. . . . . . . . . . . Willthere be a cellar? . . . . . . . . . . . . . . . If so, material of cellar floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . ... . . . . . . . . . . . . . . . Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "x ", spacing ...o.c., length. . Size,wood studs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . ft. " ", spacing Size, floor beams, 1st Hoar . . . . . . . . . . . . x . . . . . . . . . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . . . .. x . . . . . . . . . . . . . . .... spacing . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . ft. " x % spacing . . Size, ceiling beams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . . . ft. Siie, roof rafters or beams . . . . . . . . . . . ...x . . . . . . . . . . . . . . .. . spacing . . . . . . . . . . . . . ."a.c., span . . . . . . . . . . . . . . ft. Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finishof 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 AFFIDAVIT County of Warren State of New York I swear.that to tt; brj f of my knowledge and belief the statements contained in this application,together with the plane and apecificatione sub- mitted, area true and co.,.plete statement of all proposed work to be done on the described prermses and that aIIprovisions of the BUILD- ING CODE,THE ZON1NG ORDINANCE,and all other laws pertaining to the proposed work eha be complied with ot,whether specified or n and that such work is authorized by the owner. Sworn to before me this Signature ............ ............... ...........:........................................................ .... Ow R,0 ER'S AGENT,ARCHITECT.CONTRACTOR ......................................day of..................................................19........ ..... .................... NOTARY PUBLIC. WARRENS COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By ..............................................................................................:................