1985-218 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85 - 218
[� WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ,-, William Hughes __
ky
OWNER of property located at �W Luz ern e Road Street, Road or Ave. zii
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in the Town of Queensbury, To Construct or place a Alteration to dwel 1 ing ( n r=w 7rntnf
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 . OWNER'S Address is Box 203 Lu z er ne Road
Glens Falls , New York (v
2_ CONTRACTOR or BUI LIDER "S Name
Same
3. CONTRACTOR or SUI LDE R'S Address
Same
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4. ARCHITECT'S Name (Q
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W
IPA
$. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
{ } Wood Frame ( } Masonry ( ) steel ( 1
7_ PLANS and Specifications
new roof structure for dwelling per � @
No. specifications and application submitted .
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S. Proposed Use 0 0
One-Family Dwelling (new roof ) �
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$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 19R9__ I�—
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the w
town of Queensbury before the expiration date.} W•
ta
Dated at the Town of Queensbury this 21st Clay of May 19.__ R y
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QU EENSBU RY L
pace inside block to lx• filler) in by
Htrilclini lnzptxerrrl
WARREN COUNTY* IVEW YORK
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Application for 1ti.ric tl !
BUILDING AND ZONING PERMIT F slrirc, . !�
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THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale S`
shawinIthe actual dimensions of the lot to be 'built
}w ldot of the
iny to abet erected or size. and o altered cation o MUST I BE SUB
MITTED WITH THIS APPLICATION,
I T�.� TO�rvN oa" +�z.aEra�a��xjY�REGE
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ��Y � 'I M5 1L�JJ
ANSWER ALL OF THE FOLLOWING. w
The undersigned hereby applies for a permit to do +he following worst A mof/II M.
r111213 4 56
which will be done in accordance with tare description. plans and specifi- 71819 # .
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cations, and such special conditions as may be indicated on the permit.
The owner yf this property. i : d 0
tNA"k1 (P D. ADDRESS)
The person responsible for ! f upervision of the work insofar as the Building Corse and the Zoning Ordinance appiv is-
W . . . . . . . . . . . . . . . . . . .v .a ADDRESS I ' . . . . . . . . . . . . . . . . . . .
RjNAM ES
{ f .-� e .�,1 4. -� . . . Address - . . . - . . . . . . . . . . . . . . .
Name of Builder . . . - . . \. . .i Y 1 - - . . .
. . . .
Name of Plumber . . . . . . . . . . . . . . . . . . . . . .
. - Address - . . . . . . . . . . . .
. . . . . . . . . . . .
Narhe of Mason . . . . . . . . . . . . . . . . . . . . . . . Address
Estimated value of proposed work S
Lot P3umber . . - . . . . , ,
Unit. . . . . . . . . �. . . . . . . .
Name of Village . . . . . . . . . . . . . . . . . . . . . . .
Name of Street . , . . . . . . • . . Side of street; north ❑ , east ❑ , south D . west ❑
Nearest Cross Street . . . . . . . . . . . . . . .
Distance from this �ross street . - , . . . . . . . . Ft .
Property is north ❑ , south ❑ . east c i , west ❑ from Cross Street
If on Corner, which corner, northeast 0 , northwest ❑ . southeast ❑ . cc,utfrwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main BvMing
❑ Construction of a new building. f]ne-family dwelling
❑ Addition to a building. Two-family dwelling ❑
„ Alteration to a building. . -family apartment house ❑
❑ Demolition of a building. Store building ❑
. -car attached garage
Other:
Accessory Building
One-car detached garage Q
Other work. Describe'. . . 040.OV4574.0 . . R6�. " Two-car detached garage ❑
.— private chicken house
E O
U• = . ' ' ' . ' ' • . Private storage building
Other: . . . . . . . . . . . . . . . . . . . . .
ZONING SPFCIFICATIONS. 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.
monTm Shove proposed building(s) in dotted line and existing
buildings) in solid line.
Size of property . . . . . . . . . . . . . . . ft. x ft.
Size and use of existing buildings, if any . . • • • • . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
"' ft.
i Size of proposed building ft, x . . . .
w . .. .
)Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . ft.
Front yard . . . . ft.
. . .
Side yards . . . . . . . . . . . . . . . ft. and • • ft.
ft.
Rear yard . . , . . . . . . . . . . . . . . .
SOVTH
If on corner, setback from side street £t.
,Note : All distances are nee, as measured from street side
line to nearest part of building.
1M (QVERY
7 -73—M
(coni'd.)
BUILDING SP:ECIFICATIONS.,
Kind of construction. Wood frame, fire safe, etc.? . . . . . . . . . . . . , - . . . . " " . . .
Will any second-hand lumber be used? . " . . - . . . . . . . . . . If so, for what? . . . . . , . . . . , . I . .
Material of foundation wails . . . , , . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'thickness . . . . . . .
Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . -e - . . . . . . . . - Continuous foundation? . . . . . - .
Will there be a cellar? . . . . . . . . . so, material of cellar floor .
+/1 ype of roof: Sloped or flaO 0. )es4 . Material of roof . . . . . . . l,.AJ C? 'r''ci.0 . , . . . . . .
t/S�ize, wood studs . . . - . . . . " . . . . . . . , " x . . . /y spacing . . - . . ��. !r. . . . ."o.c., length . . . . .
Size, floor 'beams, 1st floor . . . . . . . - - - . . x , spacing . . . " . . . . . - " . . . "o.c., span . . . . . . .
Size, floor beams, 2nd floor . . . . . . , . . " . . . . ft.
x . . . . . . . . . . . . . ", spacing . . . . . . . . . . " . . "o.c., span . . . " " . . . . . . . . . ft.
Size, ceiling beams . . . . . . . . . . . . . " x . . . . �- . . . . . . . . " spacing . - - . - . . "o.c., span ft.
, s actn . . . - _
a?e, roof rafters or beams . , , . . . . x ", spacing , . . . - f'`G�a . 'o"c., span . . . . . " . . . . ft.
Exterior finish . . . . . . . . . . . . . . " , . . . . . . . . . . . . . . . , . . . . . . - - With what material? - " . . . . . . . , - . . . .
Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . ,
If garage is to be attached, of what material is wall between garage and main bui~l4ing 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 (publicwater 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 m tr. j t uE my knowledge anti belief the statements cosuained in this application, to�et6sr with the plant and apecirmatione rub,
mitted, are it true and co.a.Aete statement of all proposed work to be done on the described prenums and that all } ions of the BUILD-
ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall he complied with,wh&hethsu' specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature A!
_- . . . -r . . . 7WN N
day of . --. 4V ' R"5 AGEN7, ARCHITECT. CONTRACTOR
. . .. -. .
- -- -
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By .. . . . .... . ..... . . ... .. . . .. .. .. . . . . . .--. . . .. .. .. . .... .. . ..
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