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1985-133 TOWN OF QUEENSBURY WARRIEP4 kCOU 4IT'Y, i4lEW YORK i5))ace inside black Appfitafio t{. l,r• liner! b. BIN++ Ya//'MY n for Builtlinl ina:my trst } Y���D��7� �`{ Y +/� k`+f+ �/'w D yh r+ . ►1)111 it llk lSl,i �11{I_ AND ZONINY FERMI 'y{ 1'i T11k I oil it THREE Q ) Copies of a PLOT P "11111: f;;�krirk !!7 . if le,e Cal ►Ir ,!'i. ` showing #ka actual dimensions of+4 Drawn to to scale 1 �,� ,c, :� r•<1 I>,' ++Isoh, The'" sire. and location on the lot ofbe the building to be erected or MITTED WITH THIS altered MUST BE SUB. A PPL f CATION. A PERMIT MUST BE OBTAINED BEFORIE SEGI nATE i j+t ANSWER ALL QF THE FOLLOWfNC NIIVG WORK iJ 111 ii� j �� The' undersigned !+crib a APR � (j 0 � ([ 4flo p a be done in accordoncafwith tOr d herde:cr p#ioh, a fo and spa or A.M. / QJ / a cat+'+ohs, and such special conditlohs as141516 de the Plans ands work '] $ 91 3 1 Theo may be indicated her of this proper') roper is., ort the , . . . � 33j perrni#. The Person responsible for supervision of the work in as the Bcaildin fF © hDo E55i � r_,;.i . ./•s"-F:�C,.:s- - CT lawliei ' . . . . . g 'rxle and the Zoning Ordinance a Name of Builder . . . , PhlY i ,: }P D 4GdF ESSI " . • ' . . . ' . . . . . Name of Plum , . - 'G!-'.`-c.'..� . ber . . . - . ...--�-z. . . , . . . . . Address Maine of Mason . . . ... Address , . . . Lot Number . . . . 3� . . ,c�� . . . . . . . . - Address . Name of Village . . . �/"j Unit . . Est itnated value.of ra . Posed work SIameof $ � SG�Q.et . . . _ . Nearest Cross Street . , - cy p � . . . . . . . Side of street : nortft . . . . . . . . . . . . . . . . . . . . . . . ,.-�,.. 00 east C3 , south �st p Property is north tyd, south Distance from this cross street . , 3, Q¢, , east 1 i , west ❑ from Cross Street I1on Corner. which corner, northeast �.7 , rlortltwest Cl , r••� � Ft. southeast 1_• . se tetftwest (Designate by marking with an "X ., in the correct space.) NATURE OF PROPOSED WORK 0 Construction of a new building. OCCUPANCY Addition to a building. Main BuRding Alteration to a building. One-farnih dwelling Demolition of a building. Two-fatuity dwelling L+ • . . I -family apartment house Store building . - . . -car attached garage ED Other: Accessory Building . . . , . . . . . - Other work. Describe: . . , . } et � i�4!B One-car detached garage Two-car detached garage . . Private chicken house 0 ! Private storage building Other: , ONING 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, mite and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing ttuilding(s) in solid line. Size of property . . . /.' e59 t . . _ . . . ft. x . . ! 1' . . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . N m size of proposed building • . . ..`-'. C) . . . ft. x . . _ _ . . ft. W Height (froth grade to ridge) . . . . • . . . . • . . . . . . . . . . Et. Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side v_ ards . , . . . —t? V . . . . . ft. and . . . /` it. Rear yard . . . - . . . . . . ft, If on corner. setback from side street . . . . . . . . . . . . . . . ft. - �pytM !Nate : Aft distances nre net, as maastarad from striref side line to nearest part of building. tovt=R► TOWN OF QrUEENSBURY WARREN COUNTY NEW YORK (SPace inside block to he filic-d in b. Krstti•tc,r! ApRlttat�on• Building In for .i,l,ii[ atie>„ BUILDING AND ZONING PERMIT i a;;;�; wtir;;r,'• THREE l3 ! Copies of a PLOT PLAN, Drawn to scale �` „i » „rl showinel the actual dimensions of the lot to be built . I ,I ,r :� e•xl by upon, The exec# size, and location on the lot of the building to be erected or altered MU57 BE SUB- MITTED WITH THIS APPLICATION. a TOWN O GtJEi«1�a�8t]I�•r narr A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING APR 7 The undersigned hereby applies for e 9 A.M. permit to do the following work 71819 1 3 ] 5 which will be dons in accordance with the dascription. plans and specifi- ' cations, and such special conditions as ma be indicated on i s ' ; ha permit. The owner of this per is. / The person responsibie for supervision of the work insofar as the Building Grxle and the Zoning Ordinance a x Ir ,4. Name of Builder . . . �.,- ,�_ ice rP o A4bpESSY ' • ' �-`r -Name of Plumber . . . . . . - . Address ���. . . . r,.� r,.. .Name of Mason . . . I d Address Lot Number . . . . . . . . Address Unit . . . . - Estimated value of proposed posed work S Name of Village . . , . . . .�. .5`a✓'.4. . Name of Street _ . . .r. . . . . . . . . . . . . . . . . . . Nearest Cross Street a . . . . . Side of street : north ❑, east ❑. south Distance frx-,rn this ^toss street . . 3. c,Qe/ , . . , . �est ❑ Property is north tart, south © , east i i . west ❑ from Cross Street Ft . If on Corner, which corner, northeast V , northwest © , southeast ❑ , southwest (Designate by marking with an "X " in the correct space.) NATURE OF PROPOSED WORK 0 . Construction of a new building. OCCUPANCY Addition to a building' Main Stssltling Alteration to a building. One-family dwelling dwelling CI Demolition of a building. 0 -family apartment house Store building -car attached garage Other: Accessory Building Cl Other work. Describe: . . . , S f' . . . , . u r �f ; ,,, One-car detached garage 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 oocup2n.cy. . . . . . Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- posed buildings, and the locat Of all existing buildings. Show proposed building(s) in dotted line and existing ttuilding(s) in solid line. Size of property . . . ./ . . . . . . ft. x . .rf . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . W W# Size of proposed building . . . 3. 0 . . . ft. x �� .� _ . . ft' Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. Front yard . . . . . . . -. ":.s . . . . . . . . . . . . . . . . . . . . . . ft. Side yards � . . . . . ft. and Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. If on corner, setback from side street . . . . . . . - - . ft. - — '�aexIV 4 Note: All distances are net, as ns+esrerad from street side line to nearest wart of buildinbr: fOVERI gL3ILIDIS3G gPEC1FICA-{-IONS4 . . . . . . Woad frame, fire safe, etc.? . If so, for what? • . C d 'Thickness , . . Ls . . . . . . . . _ : . . Kind of construction: �.0. ,G. Continuous foundation? . VWi11 any second-hand lumber he ' d F ,� . . . . , . . - �. . . . . Material of foundation. s11laekes" grade . . . t'`/' ' ' `ram' ft. Depth of foundation material of cellar floor C1�f�'r � . .„o.c., length . . . . . . ft. /`/ , - . . . . I . . Material of roof . . ./ Will there be a cellar? .f L� �I - . . . . . . . . . ", spacing "o.c., span ft. type of roof: Sloped or flat? ", spacing . . . . . . . . . . . . . ,. x span . • 2 Ir rr' {t. x spacing ^o.c., span Sixe �, ood studs 1st floor a . . . . . . . . . . . . . . . /. ,/5ft. Sire, ;,00r beams, spacing d floor ill ,IG . . . . ."n-c.es�aYVe9►z ,p `w+ ood 5+ L�, �C f oe spacing.; � � t.^ � e yr.e 7 floor beams, 2nx � 7" . . . . . . " . . . . Size, . - . • . �} . . Sine, ceiling be . . . . . . . " x P � Crdith whit tnalertal? . , . . . . . . . . . . of rafters or beams ,[,F (w+g . Size, M' l J�/s? C �' . . / to be constructed, Fxterior finish �c L} . . . . . . . r� a and main bui �tng f/ e e . . between ga g of what material is wall be . . . . , . W �;? Finish of interior walls . . . . . . . . • If garage is to be attached. . . . . . . . . . . . . . . . . . . . . . �.#a . . - . . . . . . gat-age a and building? � • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . ar open between ga/�:1.%j �' . . ' . I]epth of chimney foundation below grade Is there to be p 7 Kind of heating system . . . . . ill a flue-lined chimney be provided. epth of fireplace hearth - . , . . . . . . . . . . . Reight of chimney above roof . / f 1 D 'Will there be a fireplace?Will a toilet be installed? - . a n• . . . , e d to water supply . . . . . . . . . . . . . feet kitchen sink be installed and connected - - • - - - . Willa um } Water supply (public water supply e Pump . . . . of from any private well � s cleanouts, and vents? , . . �"` �•� I)istance of cesspool [ be provided with required trap . Will drainage sy l A[�IrIDAVI`I L r.i..r witlo the pfatts mion of i�BUILD- Town of Queen ",e sdl , County of Warren fined in ifsis�p'P{+„bSym be onm�' `�'1 • wlt�etbet' spy+�►'Od or ttot. State of New Yark krtowl+ ands belief the wt,crner+tE done on the tr, bcs`i of ttty __��7 work to n the proposed war - ` . . I swear that to Lete atatetnent of A p>vt^� pertaining tnitted, are a THE and co, 6 O bDIN aweer' and all other laws ING CODE, $igttrl%tre .. . . WNER. Qyyµ ER`5 AGEN7, ARCHITECT. CdNrRAC7DR and that such work is autltoriaed y Sworn to before me this l9 day of. . . -. . .. . . ._. . . . . iy bYARY PUg>-}G� WARREN CrlMMM. , N. Y• . Jill SPECIAL +CONDITIONiS of THE PERMIT: r f i r JOr .. Y ,a �i BUILDING SPECIFICATIONS., . . , . . Kind o{ construction. Wood frame, fire safe. etc.? .� . L f so, far what? . . .0 .e' {'/. ..� '.�. . . . . . . . . . . . . .ram . . . . . . . . , . . . -thickness will any second-hand lumber be used? 2 1.Q .� . . . . I . . . " ` 1�, . . . Continuous foundation? . . . . . . . - - " . . . f Material of foundation walls " • . H . . . . . . . . . . . . . . . . . Depth of foundation walls below ode f s material of cellar floor . , . y �= 5 110V.d,� . /41 M w . . . . . . " . ft Will there be a cellar? �'. . , . MaterZI! ial of roof . , . ,o c length , . . . . . . . . ft. -Type of roof: Sloped or flat?, . . � 0. f „ x ``1" . f . . , . . , . ", spacing " . . . . . . . . . . . . ."a.c-, span . . . . . . . . . . . . . Sue, wood studs _ " x . . . . . . . . . . . . . . . ", spacing . 1st floor . - . . spacing . . . . . . . . . . . . . ."o c , span . _ . . . ft Size, floor beams, x . .l.k . . . . a.c., span /?`r3� ft. Si: e, floor beams, 2nd floor . . . . . !f' � ;", spacing � Z!f . . . . x . spacing - . "o.c., span f7vwe Si v, / Size, ceiling bearns . . _ _ . . , . . .; " « x 3 . . . . _ �. Ai X /G> t"J ✓sled NrP rz d . . . . . , . . . . , . Size, roof rafters or beamsfi ' nJith whrnaerial? Exterior finish /C'p .G . . . to be constructed? Finish of interior walls . - , . S" f+ , garage and main buil7tltng If garage is to be attached, of what material is wall between ga f3 c Is there to be an opening between garage and building? . . . ". . - . . . . . . i L�- ` /Y J - , Oil burner or coal? . Kind of heating system . rrovided? _/ -"r"t7 . . . . . . . Depth of chimney foundation below grade . . . . . . Will a flue-lined chimney be 1? . Depth of fireplace hearth . . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . . , . . . . . . . . . Will there be a fireplace? - : . • . . . Will a toilet be installed? . . . . h/" t}. . . . . . . . . . . . r" F, . . . . . . . . . . . . . . . . . . : " . . . . . . , . . . . . . . . . Will a kitchen sink be installed and connected to water supply or um ) . _ . feet Water supply [public water supply p p . . . . . . . . . . . . . . I . . I . - . . . Distance of cesspool from any private well . Will drainage system be provided with required traps, cleanouts, and vents? , . . /�` �•� AFFIDAVIT Town of Queensbury County of Warren torldwr with the sno ,r d "WPM-or" tions sub State of Nev*' Park 7�u and that Est or, ow of my knowAed6e and belief the s wo�rk�w be donee on the do cribed pr be oom�� whetk�er specified o the r twt, I swear that xn ac bds`j Pertaining the proposed work mitred, are a true and a+.k•plete statement oI all p1 6t'ved f ING CODE, THE zONIN Olif)INANGE, and sll other laws f and that such work is authorised by the °""nr' signature � I- WNE.R. OWNER`S AGENT, AticHkii:0GT, CpNTRACTaR Sworn to before me this I9P . . . .. oar Of . . . . .. . . .. . . . NOTAtiY Ptp 7;L7Cq IINIA s'N COUNTY. N. Y. . SPECIAL COQNDITIONS OF THE PERMIT: f By ... - . . . . . . .. . TOWN OF QUEENSBURy Building Depa►ttta..t samw p � wel Rerrrarxs �xCa14.111% t on Footin Forms Footin & Piers Foundation Cement Coat Water roofin , BacJkfill Final Surve Framin Shea thin Roof Felt Roofin S-idin -Masar-lixtj Veneer Roar h Pl Relie-F Valves Wall Board E'xt . Porches Finished Floor Interior Trim Stairs & Rail-In s Cellar Dr. Tile Concrete Floors PI Fixtures Gar , Fire rvofin Door Closers ch"Immetj Wa ter Meter Irist , Se tic AErproval -2chors Insulation �''ounda tIon Wall s Ceilln C _� Building Inspector REMARKS TOWN OF QUEENSBURY Building Department mac. Report Dane_ eW2c t_ azl� 24 .+�, s Location _ea 62zasaa C/�i7i/� Peeanie No. ' .3 L.�?_ Weather Remarks Excat>a Lion FootIng Forms Footina & Piers Foundation Cement Coat Water rootFin Backfiil Fine 1 S:.rrve Framin Sheathing Roof Felt Roofin SIdIng Masonni veneer Rou h Pl Relief valves Wall. Board Ext , Porches Finished Floor anterior Trim stairs & Railings Cellar Dr . Tile Concrete Floors Pl Fixtures Gar , Fire roofin Door Chasers Chimney _ Water Meter rnst . Septic Approval Floors I Foundatiba! nsulation _._ Walls Ceili Bux ding rn4UPector REMARKS BulLI)1 tit & Ll 5L.RB(TYp) ---- t N o7 C `HERE WILL BE A 6RICK 'LGOGE IN FRQNT OF THE FROST [AIALL APPtoXf11ATE 6RA0E Foo-r i ti G 8 K I Z ZG' R16HT EL.EVA710N SCALLF FRONT" E LG V^T 10 N Y A a a. , . :. •., a ...... ,., .. .: .e.... .. - ...: : t v . .".d...., U� r ) Ong P ro ---------— --- - ' r Or ti5/*Vwx dw t ry� , gyp¢ �G7�•d�./�/ � W