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1986-004 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-04 l n ` WARREN COUNTY; NEW YORK 0. P RMISSION is hereby granted to Kathy Worth OWNER of property located at - `B'y Rt d 4T-Yby J0.-�C_�. Street, Road or Ave. Po I . in the Town of Queensbury,To Construct or place a Addition to dwelling ,c at the above location in accordance to application together with plot plans and other information hereto filed and o approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n rt 0" 1. OWNER'S Address is Hudson Falls, New York 2. CONTRACTOR or BUILDER'S Name Tony Jones 3. CONTRACTOR or BUILDER'S Address 70 William St. Hudson Falls, New York td H. GQ 4. ARCHITECT'S Name td w • w a 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) (X)Wood Frame ( ) Masonry ( I Steel ( ) :.- a 7. PLANS and Specifications a, 18'x20' per plot plan, specifications and application submitted. rt No. H' 0 0 rt 8. Proposed Use o One-Family Dwelling S o H. 0 $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 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.) Dated at the Town of Queensbury this `�3rd Day of January 19 86 SIGNED BY j"72 ." _ ��CO� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by• WARREN COUNTY, NEW YORK Building Inspector) Application for Application pP Permit Issued 19 BUILDING AND ZONING PERMIT Permit Expires. f . 19 7.(ii,il, District aloe „1 work THREE (3l Copies of a PLOT PLAN, Drawn to scale '\I'1"."`utt by showing the actual dimensions of the lot to be built Item:IrKS' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QU ° .€?SFLIR.Y DATE D E -,.. V E Lijr A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Jf N '91,;,5 ANSWER ALL OF THE FOLLOWING. ANL /0 P.M. The undersigned hereby applies for a permit to do the following work 7Is19 iO11'12)it2)3j4!5i6 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. . . f4% Theowneric Jof this propertyis:���� H. V/) Se',i&' /,,L� f u', ,` �� ` E (P.O.ADDRESS) (NA"_) The person responsible: for ;supervision of the work insofar as the Building Code and the Zoning Ordinanf yc.apply is: y (NAME) > (P O.ADDRESS) Name of Builder (' " ��f �/> Address Name of Plumber - Address • Name of Mason Address Lot Number Unit • Estimated value of proposed work Name of Village 'C' t'lli`o- G/ / Name of Street /7 I1""�L� 7$\�' Side of street: north ❑, east ❑, south ❑.-vest ❑ Nearest Cross Street `l— # o"L. A Tit Distance from this cross street 'lG/iN/` ' Ft. Property is north ©lsouth ❑,east i i, west ❑from Cross Street If on Corner, which corner, northeast 0, 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 Building Ldition to a building. One-family dwelling �--- • ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ 5 jI��2i11►i- g G 41 t, -car attached garage ElOther: Accessory Building • . . One-car detached garage (] Other work. Describe: Two-car detached garage • Q- Add; r/ -t e ci q Private chicken house ❑ !/ / Private storage building CI 8 cka0 / 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 buildings) in dotted line and existing C c, I i ) ` l uildin s in solid line.C) �� 2-Size of property [ l ft. x ft. Size and use of existing buildings, if any /�tl t• /�' 1.- Ul ` Z i m Size of proposed building 2 q ft..x,„ e• ft. V- Height (from grade to ridge) 2-r ft. ,` Front yard .3ZZ G ft. 4\ Side yards /ZI ft. and ft. T fe..v ((fr t- Rear yard Ge ft. SOUTH If on corner,setback from side street U 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., F /' Kind of construction: Wood frame, fire safe, etc.?. . . . . • •J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . .. Will any second-hand lumber be used? /V v If o, for what? Material of foundation walls /��"� �R l� Thickness Depth of foundation walls below grade 7 Continuous foundation? Will there be a cellar? . . .}/l?-, >. . . . If so material of cellar floor C .mot' Cv-/`' Type of roof: Sloped or flat? 5��°n/`/ Material of roof Size, wood studs 2- " x t J ", spacing �. "o.c., length ft. Size, floor beams, 1st floor " x ", spacing . . . . .,/.'2 !. . ."o.c., span 1 . ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams Z " x (r ", spacing / "o.c., span / 4� �� ft. Size, roof rafters or beams "x ' ", spacing ,/ "o.c., span . . . ft. Exterior finish / /< ' G A With what material? Finish of interior walls. . . .4'4./. (k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 arage and building? Kind of heating system / - t' n ' 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 tr. b rof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.l, lete 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 work sha I be Moiled with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature OWNEFVO N S AGL/NT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • . r By TOWN OF QUEENSBURY Building Department Inspectors Report D to ^ Name e: Location ;Sc. Permit No. r Weather (�j(p °11 ,) i4^1 Remarl�s Excatia tion 1' Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill V & K, • 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 Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FOUndatiorl Walls Ceiling Building Inspector REMARKS TOWN OF QUEE sBURy Building Department Inspectors Report Date 2 :13 Name j ter{i 014(1' Location I C- [-) Permit No. y .6 - G `/ Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat _ Waterproofing Backfill Final Survey Framing �(.(^_ �} [..72Lot�j 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 y ' Plbg. Fixtures Gar. Fireproofing Door Closers Chimney _ \ Water Meter Inst. Septic Approval Floors ' Insulation Foundation Walls ' Ceiling tint Building Inspector • REMARKS uLtl'- pi Z0 Tl 1;2-5 v l S T t.f/}jk(G i f''s ( `» TOWN OF QUEENSBURY Building Department Inspectors Report Date //Z//g"6 Name i o r f c AJ s - CA-r4/f UAD�zrb¢ Location I it, A-f i p Permit No. 3(o -o Weather Remarks Excat)a ti on Footing Forms V 6M)It D Footing & Piers Foundation LN$?, 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 Plbg. Fixtures Gar. Fireproofin Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS Jo Sf -Zo 5-A0 Al© I1©cr f - j '" isPN/„LTWit-}i IUI, S /ik /. L ' ..r , Y2 cox e C __' r . -� Ss y V • , . . 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