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1985-154 BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 154 'WARREN COUNTY, NEW YC1RK PERMISSION is hereby granted to Robert Simmons 12 Pinewood Avenue Street, Road or Ave. 0 OWNER of property located at 1:7' fD in the Town of Queensbury, To Construct or place a Addition to dwelling-one car attached at the above location in accordance to application together with plot plans and other information hereto filec�k�age Cn approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ' O 1 . OWNER'S Address is ::$ 12 Pinewood Ave . �+ Glens Falls , New York 2. CONTRACTOR or BUILDERS Name Ruggles Construction 3. CONTRACTOR or DUI LDER'S Address 5 Wincrest Drive ~ lV Glens Falls , New York r 4. ARC141TECT'S Name O O C3+ 5_ ARCHITECT'S Address fD B. TYPE of Construction — (Please indicate by X) K I Wood Frame d ) Masonry ( ) Steel t } 7. PLANS and Specifications �+ 14 r 8 '" x24 r per plot plan, specifications and p, No. application submitted . o` r• rt r• S. Proposed Use 0 One-Family Dwelling - one car attached garage added . I 0 c fD $ 5 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 1985 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F l town of Queensbury before the expiration date.k Iy Dated at the Town of Queensbury this 2tY1 Day of Apra 19 $ 5 :zr SIGNED BY �for the Town of Queensbury Building and Zoning lnspecto IL F'1 LU fD TOWN OF "QU EENSSUR i L F,ace inside block it, lx• filled ill b% �M�7 Building ln%rX%ycVrl WARREN COUNTY, NSW YORlC icln No.Application for ssued fg BUILDING AND ZQNIN6 PERMIT .)i%tres19 Z( 11111 1 \\•oeed by THREE t3l Copies of a PLOT PLAN. Drawn to :cafe :hawingg the actual dimensions of the lot to be built upon, Tha exact six*. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATiC7N. TCCWN OF (:)UEEN!5E3LJRy A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A ANSWER ALL OF THE FOLLOWING, A.M. S Ices fora permit to do the following work 71819PLO11213141516, . 4 , . The undersigned hereby a PP which will be done in accordance with the description, plans and specift. cations, and such special conditions as may be indicated on the permit. .�� ro »7 O r7 5` The owner of thi ro rty s. e' . . . . . . . . _ ��7) fNP . .cS ing, Ordinance apply The person responsihie !� � ,r+ supe •sion of he work insofar as the B%siiding Code and the Zon d �3� � rk yP O AC}ORE551 c r. . . - ��'� ? "�. f' . . . . . - . . Address Name of Builder . . . . . . . . . . Address . . . . . . . . Name of Plumber . . . , Address _ . . . . . . Name of Mason - . . . . . . . . . .fl . . . . , . . . - - . ©. .. . . . . . . . . . . . . . . . Lot Number - Unit . . • - • - Estimated value of proposed work S ... Name of Village . , . . . , . .y Side of street: north ❑ , east . south ❑ . west C] Name of Street , . . ,/� Z . . . G / . . . . . . . . . . . . . . . - . . 1 t . - "�� � �y . . • . . . 'Distance from this roes street . Nearest Cross Street Property is north JR, south ❑ . east , west 0 from Cross Street If on Corner, which corner, northeast L1 , northwest 0 . southeast L� . scluxhwest (Designate by marking with an "X " in the correct space.) OCCUPANCY NATURE OF PROPOSED WORK Main Busltling © Construction of a new building. One-familv dwelling Q Addition to a building. Two-family dwelling C . [� Alteration to a building. . . . family apartment Rowse 0 Demolition of a building. Store building � -car attached garage Other: Accessory Building . . . . . . . . . . . . . . . . . . . . One-car detached garage Two-car detached garage [] Other work, Describe • private chicken house rfrfrt I- !"'1• - � . c3. !� 1 . �1. . . . . private storage building Other: . . . . . . . . . . . . . . . . . . ZONING sPECIFI CATIONS- 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. lsl in dotted line end existing TH Show proposed building huilding(s) in solid line. 1 4. . . . . . . Size of property ft. , . . . . . . . . , . 1 Size and use of existing buildings, if any . iu W Size of proposed building # de to ridgel / '?'i` ft. Height (from grad ► ft. Front yard . . . . . • . . t1r. . . . . . . . . . ?- . . . . Ft. Side yards 7/ ft. and . . . . . Rear yard . . . . . . . . . /. , ? . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street . Note : All disdances are nee, as measured froth street side line to nearest part of building. } tover+3 7 -73 -m BUILDING SPECIFICATIONS,, (cont'd.) Kind of construction : Wood frame, fire safe, etc.? . , . . . . . . .Ltr�'7 Will any second-hand lumber be used? . . . . s�/�1/ . . . If so, for what? . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . `. G` !C+. . . . . . . . . _ . . . . . . . . . Thickness Depth of foundation wails below grade . . . . . . . , . '. . . . . , . . . . Continuous foundation? . . . Will there be a cellar? . . . .e;�-j .p. . . . . . If so, material of cellar floor Type of roof; Sloped or flat? . . � , . . , . . Material of roof _ . . / �t .l 0 Size, wood studs . . .2c-, . - , , . . . . . . - " x " . . . . . . . . . . . . . . . . . . . . . Size, floor beams, Is[ floor . . . . . . . . spacing . . . . ..,.% �/, u . . . _"o.c., length it. " x . . . . . . . . . . . Size, floor beams, 2nd floor _ . . . . . . . . . . "' ,a• spacing . . . . . . . . . . . . . . "o.c., span _ . . , . . . _ . . . _ . . ft. a Size, ceiling beams . . . . . . . spacing . . . . '"o,o:_, span . . . . - "�. _ . . " x . . . . . .f� . . a.c., span . ee ft. . . . . . , . . . p . . . . . . _ ft. spacing , ! ,fir " . , fig` . . , . . . . Size, roof rafters or beams . . . , . . . �. . . " x . . . . . . . ", spacing Exterior finish r/ / + "o-c., span . . /. .� . . ft. Wih h . . . . Finish of interior walls . . . . . t what material?. . . _ _ , d::� ' . • • • • . If garage is to be attached, of what material is wall between garage and main buijding to be constructed? Is there to be an opening between ga ge and ilding? . . . . . . . . . Rind of heating system . . . . . . �. 4i1 burner or coal ? Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below wade roof .Height of chimney above rf. . . . . . . . . . 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? . . " " ' . . . . . . _ . . . _ . . . . , . . . . . Ater supply (public water supply or pump) . . . . . . . . . . . - . Distance of cesspool from an ` • • • � � � � • � � - • Pam' Y private well . . . . - Will drainage system be provided with required traps, cleanouts, and vents? . . _ . feet Town of Queem%hury AFFIDAVIT County of Warren State of New York I swear that to tr AI:,ieof my knowledge and belief the statements contained in this a licatitm, r with the muted, are a true and ou.:, iete statement of all Proposed *Fork to be done on d }�] �� plans and apecificatkMe Sul), ING CODE, THE ZONINdORDINANCE, and all other laws and that a }rov ions of the BUILD- and that such work is authorized the Pertaining t0 the t" s oo puled with, yrltather specified or not, by owner, m Sworn to before me this Signature BwHER. G1WNfR N ' _ " ' d YR IFEC - -�dsy of . . . ._. - E'T�i7. w . . .. . . . . NOTARY PUBLIC, WARREN COUNTY, ty. Y. SPECIAL CONDITIONS OF THE PERMIT_ By .. .. .... .. . . ....... DI; E L*77 M M(7NS " RUES CO"ISTRVTTI' "'V CORP Gim Falls, ii. Y. 121;,�3 TEL (518) 793.0566