1986-103 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-103
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WARREN COUNTY, NEW YORK
Ol 'a'�/31 Ronald Raynor
P MISSION is hereby granted to
583 Dixon Road Street,Road or Ave. ;d
OWNER of property located ato
Alterations to dwelling N
in the Town of Queensbury,To Construct or place a 1'
a
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.
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1. OWNERS Address is 583 Dixon Road n
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
same
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Co3. CONTRACTOR or BUILDERS Address I"'
same km
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4. ARCHITECT'S Name o
P
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5. ARCHITECTS Address
6. TYPE of Construction— Please indicate by XI y
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1 I Wood Frame 1 1 Masonry I 1 Steel I I m
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7. PLANS and Specifications Y.
conversion of garage to bedroom per application submitted. oo
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No. rt
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B. Proposed Use E
One-Family Dwelling (garage converted to bedroom) I
$ 10.00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 1 19 86
Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Dueensbury before the expiration date.)
Dated at the Town of Queensbury this 10th Dayayt of n April 19 86
SIGNED BY � I.`/ K ' N for the Town of Queensbury
Building and Zoning Inspector f
TOWN OF QUEENSBURY
lgpwce inside Mork to he filled in In
WARREN COUNTY, NEW YORK • Budding higutatn)
Applicalion for .tptdfiati"n No. •
I•rrnut Issued le. .
BUILDING AND ZONING PERMIT P'nndt Eaphvs. 1g.
/..mine 11..aritl
• _.—. - %Any of Work It
One copy of a PLOT PLAN, Drawn to wale .t1'Iu''n tsl by
akewiaq the ante! dimeesiena of the let to be built Krmnik{
upon, The neat size, and location on the let of the
building to be erected w altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
• TOWN C$ 4=-t:NSELI Y
9 `-t 4-t/ aht4 Lt
DATE HESE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ' APR 2 1986
ANSWER ALL OF THE FOLLOWING. 00
The uaden(geed hereby applies for • permit to do the following work JUL �/�n����� P.M.
ankh will be done in accordance with the description. plus and speciti- 71fItPt�ll' i11213141919
canes, end such specie( coaditiees as inn be indicated on the permit. 06 0 7-4fe ,.
The o i rr of this ppr�q/perty is 9 ` 7
INS III / tr 0 AMOIE ill
The i'� rnp°nbie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: '
. . . . 11..C'.N. . . .K5'y eC CINAMr1 � Ir dlan 0 an
Name of Builder ICe �Li y N I AY Address 5455 A[X01-1Kci
Nance of Plumber "30 ' 't, Address
Nathe of Mason Lie 0 -0-, Address
Lot Number Unit Estimated value of proposed work s 1/1. 0.0 , C t'
Name of Village. . . .0N E R J1 S 6 M r y
Name of inset ✓1 icQ, .?C Side of street: nonh 0,an CI, not 0. wen CI
Nearest Cross Street . .C.9. .q. .e. N,11 Distance from this norm street -7 OG Ft.
Properly is north 0,south ❑,eut K.west 0 from Cross Street
II on Coner,which corner,norrheat ❑, nonhwest 0, southeast 0.southwest
(Designate by marking with an"K"in the comet space.)
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NATURE OF PROPOSED WORK • OCCUPANCY
❑ Conwunion of a new building. Main Building
❑ Addition to a building. One-family dwelling
t/9. Almntign to s building. Two-family dwelling
❑ Demolition of a building. . . . -family apartment how 0
Store building 0
tar attached pep 0
Other:
. Accessory Building
/' One-car detached garage 0
❑ Other work. Describe:.`a.h.).0 e- r51 O IJ Two-eer detached garage ❑
WS J 04 2-42-4c5 e / O act/rOOF4 Private chicken home0
F 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
site of the property,the location,aim and setbacks of pro-
MONTH posed buildings,and the location of all saluting buildings.
Show proposed building.) in dotted line and seining
buildings) in solid line.
Size of propeny It. a ft.
I CI Site and use of existing buildings. if any
7
e M Sire of proposed building h. •p ����• h.
L5'J Height(from grade o ridge �1,_.(s.(y'"t" It•
Front yard {��/'-, ft.
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}, Side yards . .NQ 4 h. and It.
',}t XO .0 Rd Rear yard Ai
It.
7 sours • If on corner,setback from side street It.
Note: All dinesro ore nap, es mzesured grow Weil side
liar so nearest part el building.
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BUILDING SPECIFICATIONS,
Kind of construction: Wood frame, fire safe,etc.? it-)C5en,
Will any second-hand lumber be used? UV If so,for whet
Material of foundation walls /O,sdcg.4kird . S(1}1.3r .IC-ys,S,nNU. _ Thickness ' N .7
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? V 0 If so, material of cellar floor
Type of roof: Sloped or flat? , .5 co 0.4P- Material of roof `34 4V.4.t,.*- --
Size,wood studs Z."a '-f " spacing ' 1(a "o.c.,length Tr- ft.
Size, floor beams, 1st floor a " spacing "car.,span 11.
Size, floor beams, nd fluor "a " spacing "oc.,span It.
Size,ceiling beams " spacing "o,c.,span ft.
Site, roof rafter;or pbeams 2— ."a '-( it,spacing /CD ."n.c.,span g', 11,(sgal-tzar,
ram.
Exterior finish . . .kXmAs4r(d_ With what materiel?
Finish of interior walls Q 4-�}.t.vis.4.. '
If garage is to be attached, of what material is wall between garage and main buUding to he constructed?
Is that to be an opening between garage and building?
Kind of heating system (&%.S TtMCA ,r%X 4etINGP . Oil burner or coal? Old- --
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 heanh ""—
Will a toilet be installed?
Will • kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump) . .
Distance of cesspool from any private well feel
Will drainage system be provided with required traps,cleanoub,and vents?
Town of Queenshury AFFIDAVIT
County of Warren
State of New York
I awra that to It. aurally knowledge and belief the MeteranIs orwlnsd le Oration wplttar vol.. er.ad rpseifrdor tab.
ranted, an • ohs y and asatarra won.tn al al wo to be done on Mood mtr pa .a el�ll'a8 ytovieaNu dr BUILD-
ING CODE,THE ZONIN HOINAN all other Iowa perwialas to the work shall he whit.w poly>soh
Bed that each work is as p, -
Swon b baton raw this
tttla Nra.OWNWII MFNT,ANC ,CONTRACTOR
NebaY nYaUe.W
SPECIAL CONDITIONS OF THE PERMIT'
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 3/z VS'(.
Name (ZR-f do 12,
' Location 5133 Thco A) MO.
' Permit Na (kare to= Weather
6 _ 03 Remarks
Excavation
Footing Forms
Footing s Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing V O KK_
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief rchess
Wall Board
Porches
Finished Floor
Interior Trim
Stairs s Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof ng
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Buil in Inspector
REMARKS
/,U i rests v 12 ilkari n ail s o vc4,