1986-017 BUILDING PERMIT
TOWN OF QUEENSBURY 86-17
No.
WARREN COUNTY, NEW YORK
g-P1 I —.02;
PERMISSION is hereby granted to Michael J. Stevens
OWNER of property located at Pilot Knob Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and cn
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
P. 0. Box 2202 c'
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address H.
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Same '*
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 18'x23'10" per plot plan, specifications and application
No.
submitted and Var. 1049 granted 1-15-86.
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8. Proposed Use U 0
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One—Family Dwelling (rebuild retaining wall and add deck) °Q 0
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5.00 P3 H.
$ PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19 86CfQ
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p,
town of Queensbury before the expiration date.) CD
Dated at the Town of Queensbury this 20th Day of January 19 86
SIGNED BY 7m," �' ��/J � for the Town of Queensbury
Building and Zoning Inspector ��
TOWN OF QUEENSBURY •
(Space inside block to Ix. filled in by.
WARREN COUNTY, NEW YORK " ' " Building Inspector)
• Application for Application No.
pp Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. • lg.
//Amin District ,
\ aloe of Work.
•
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\I'1 •"`ecl 1"' i
showing.the actual dimensions of the lot to be built 1lcniarKf'
upon, The exact sire, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
`.. --- _ i _GZ/ • 1/1771:f9ATTOWN OF QUEENSE3URY
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A PERMIT MUST BE OBTAINED_ BEFORE BEGINNING WORK HI% l
ANSWER ALL OF THE FOLLOWING. J'l, \ 1 7 19 6
The undersigned hereby applies for a permit to do ,the following work � � /�,
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. ' 1819110)1'') ,/�')2)3)41516
The owner of this property is: . t` ..
/"1 'I CAe-t,- 5 S I U"�N S P,O , (3 6 '- g-a-o a- CAL w S P 1. --S P.
• (NA•''E) (P.O.• ADDRESS)
The person responsible for .supervision Of the work insofar as the Building Code and the Zoning Ordinance apply is:
wl1 hr-erLTST-C_ e_ bk1 s pO Boy p-a-pa GLes✓c /= 1-1_1s A
(NAME) (P.O.ADDRESS)
Name of Builder. . .....t..I.9` .-. . .S r.v.L 5. . ... . . . .Address G 0 13 b V D-a o Lei'''S /i31-L-S /1'/
Name Of Plumber Address f
Name of Mason ••S f- AA -- Address ci- v`1
Lot Number Unit Estimated value of proposed work$ . . . . i Qi
Name of Village . . .4 fl A:e. 6- e . 7-L
Name of Street Pi Loi- k.W n 6 )al"- ID Side of street: north 0, east ❑, south O. west
Nearest Cross Street .(?°V 1 e-- ? Z- I d y� Distance from this cross street . . . /6 (L Ft.
Property is north f',south. ❑,east i i, west. 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest
(Designate by marking with an "X" in the correct space.) .
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
. 0 Addition to a building. -, . . One-family dwelling
❑ Alteration to a building. Two-family dwelling
❑ Demolition of a building. . -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage • ❑
• Other work. Describe a4 Q4 i LQ)"'" O Two-car detached garage ❑
( .9. 1-qu.'r 'w w, 1 ',LA-- u, CT yv e, v.,• Private chicken house ❑
• Private storage building
01,0c,k, ON"i't? t3 Other: .\z ‘1.11.d"_�.K:0 .TEz p
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, sire and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH
Show proposed buildings) in dotted line and existing
• huilding(s) in solid line .
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Size of property .8O X 'I S 0 ft. x . .a.00 ft.
Size and use of existing buildings, if any
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. rt ` ) . F�•myL,( HOUSE. lw4L-`-ttu) 1)
a �� m" Size of proposed building . . .j. e!. . . . ft.x .a 3,./P. . ft.
u Height (from grade to ridge) . . . .a .. c/ ft.
• tr- Front yard SP ft.
s i 1
ya
rds ards . .1 a ft. and /.SO ft.
Rear/yard j S D( 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 .
(coned.)
' BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc2 W O C) Y) 554R Ie r,'l e O e_c lc
Will any second-hand lumber be used? . . . Cv. .0 If so, for what 8��
Material of foundation walls V. I/ r1 ►9"$0'Iv ,(2 0I-Q C- �J Thickness
Depth of foundation walls below grade 6, / T 2 S 7 isv2 Continuous foundation? .y.c,$
Will there be a cellar? y e S If so, material of cellar floor . . C.on.c. .(2..eTe, ,.
Type of roof: Sloped or flat? . ... ./' :& ... . . . Material of roof . . . a.�.13.6e.►z. -hf► 0-e 4•, i3e,rz
Size, wood studs 2 " x • • • •C- ", spacing . . . . 1.6.. "o.c., length ft.
Size, floor beams, 1st floor . . . .a "x i .-. ", spacing 1 G "o.c., span / 9 ft.
Size, floor beams, 2nd floor _ " x ", spacing "o.c., span ft.
Size, ceiling beams " x spacing "o.c., span ft.
Size, roof rafters or beams _ "x ", spacing "o.c., span �, ft.
Exterior finish . . C I- 19.e.0:com- a 5. . .Q.V:Q-.I?. ................g what material? .C .1)e ✓�. C-L s.p K3 r ID S
Finish of interior walls a t•-� C 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 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 r"—'
Will there be a fireplace? i -.- Depth of fireplace hearth —
Will a toilet be installed .r___— `
Will a kitchen sink be installed and connected to water supply? -
Water supply (public water supply or pump)
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Distance of cesspool from any private well / 00 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. Jo r i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.,.•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 shall be complied with,whether specified or not,
and that such work is authorized by the owner. r-
Sworn to before me this Signature ....... .. ...
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0 NER,OW ER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y. _ - - - --
SPECIAL CONDITIONS OF THE PERMIT: .
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