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1985-288 C/o Paid CERTIFICATE +DTr OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 {{ Q 85 - 288 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Addition to one f am i 1 y dwe l l in;a Location ncr Peter and Cheryl LaRocque Ow By Clyder Town. Roard `rOW'N OF QUEENSBURY Building & Zoning Inspector CNEATIYC '-IMSTA" /NINTIMfi GLENS IALLS M Y 1280$ 1%181]9]-5690 4 BUILDING PERMIT TOWN 4F QUEENSBURY No. 85_ 288 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Peter and Cheryl LaRocaue OWNER of property located at 17 Westland Avenue Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addition to dwelling ( family room) , 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. �v (D t. OW rf•NER's Address is 17 Westland Avenue tD n Glens Falls , New 'York � 2. CONTRACTOR or BUILDERS Name f SameD rt �C 3. CONTRACTOR or BUILDER 'S Address Same ' 0 0 d. ARCHITECT'S Name Iti SI) 5. ARCHITECT'S Address I--f 6. TYPE of Construction — (Please indicate by M {1? (A (X ) Wood Frame I ) Masonry [ I Steel ( ► rI F- 7, PLANS and Specifications 14 ' x18 ' per plot plant specifications and application. > No. submitted . C (D G 8. Proposed Use � one-Family Dwelling ( family room added ) $ 5 . 00 C/O Paid RY $ 10 ; 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 1986 11-h Cu (If a longer qapplicationF `g period is required before e xirtifor to extension must be made to the Building and Zoning inspector of the I-+• rt town of Queensbury before the expiration data.? t✓ F,, �- a Dated at the Town of Queensbury this 14 th Day of June 1985 p G 5 SIGNED BY for the Town of Queensbury Building and Zoning Inspect tD r- TOWN OF QUEENSBURY ( Space inside block to lx• tilled in b. WARREN COiJi41'I'Y, NEW YORK Building lnslitectorf Application for +,,,)h( atiot, No. BUILDING AND ZONING F:PERMIT i'c rn7i, 1s„ 19 1'i �eiuii tls iter . t?7 , THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale ` i �� lrr . ,•,t In _� sbcFwinq the actual dimensions of the lot }o be built izr ' Pon, The exact six*, and location on the lot of the building to be erected or altered MUST BE SUB_ MITTED WITH THIS APPLICATION, A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK [E 0 E= li V [E ANSWER ALL OF THE FOLLOWING, U NN 1 4 19 [ i The undersigned hereby applies for a permit to do the following work / which will be done in accordance with the description, plans and specif;- p pyl. ! o� • p �' Cations, and such special conditions as may be indicated an the permit. 7181911Q 11121r1f45F 6 I r The owner of this property is. . ./,r r' ?� . G'�^�!C` 'x, r✓. 'C . ' .�4' /S'U C !7t, ..+ " . - s'`. c<.+� 5 i d.rrG' rP`G4 G C a=.c.a' 6..1G'!'S ,.[.+ / .Z INA .2Ci - W O. AVi7RESSI - l• - r J' / The person responsibik for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: {NAME( . . . - - . 1P ' Name of Builder . . . . . . . . . . . . . . . ,�,'�` � Address - - 4e Name of Plumber . . . . . . . . . . . . Address - . . . . . . . . . . . . . . . . . Name of Mason , . . . . . . . . . . . . . . . . . . . . . . . I . . . . . _ . . . . . . . Address . . . . L3 C? 0« ."'�. . . . - . . . . Lot Number . . . . . . . . . . . Unit . . . . . . . . - - . _ Estimated value of proposed work S csc} „- cs.d • . . . Name of Village . . . . . . . . <r��.,•-� 8�...eyy . . . . . LL Name of Street !f a Side of street: north 13 . east R south 0 . west Nearest Crass Street . . . . . . . . . . . . . . . . . . . . . . . Distance from this ^Toss street . . . . . . . . . . . . Ft . Property is north W south Q , east c i , west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest ❑ , southeast Cl , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main BuR ing ® Addition to a building. One-family dwelling ffi Alteration to a building. Two-family dwelling [] ❑ Demolition of a building. I - - - . . I -family apartment house fJ Store building ❑ - . . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building © Describe: (1 Other work. . . . . . . . . . . . . . . . . . . One-car detached ,garageTwo-car detached garage Private chicken house ❑ J 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 Jfl size of the property, the location, size .and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed buildings) in dotted line and existing Ituildines) in solid line. Size of property . . . Zram 0 . . . _ . . . ft. x . . / '� '. . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . Jt 1? Size of proposed Lnsiit3g . . . .ram . . . ft. {j x . !'� . . . . ft. r / Height (from grade to ridge) . . . . . • . . Ze . . . . . . . . . ft. Front yard . , . . . . . . . . . . . L'.�. . . . . . . . . . . . . . . . . . Ift. Side v_ ards . . . . !! . . . , . . . ft. and . . . . < . . . . . . . Rear yard . . . . . . . . . 74)1 . . . . . . . . . . . . . . . . . ft. SOUTH line on corner, setback from side street . . . . • ,� . . . . . . ft. Note : All distances are net, as measured from. street side line to nearest hart of huildiner. (cont'd.) BUILDING SPECIFICATIONS Kind of construction: Wood frame, fire safe, etc-? Will any second-hand lumber be used? . . 'I ' `' - . . . . . if so, for what? � - . , . . i ' thickness ° . . . . . . . . . . Material of foundation walls . . ' ` '` r r G� ' ' 'Depth of Foundation walls below grade . . . . . . � ! Continuous foundation? . . . . . . . . Will there be a cedar? . . . . . . �' `' . If �� material of cellar Floor �ocr�i� F� Gfi p . S t v r�c-�✓ Material of roof . I�G,Y� o up. / . , , . . . . i . . -. . . . 1 �. .�' ,. . . . . , ft. 'Type of roof: sloped or flat_ . . . "o.e., length . . . , . . . . . . . . .�� . . . . . . . " x , . . .`�'. . _ . . . . . . . . spacing � . . . . . . . . . . . . . Size, wood studs _ . . - -� . . . . . . " x . . . .f '. . . . . . , . . ", spacing . . . . !'. 6. . . . . - ."o.c., span . . . . . ! Y . . . . . . ft_ Size, floor beams, 1st Floor . , . . . " spacing . . . . . - "o.c., span . . . . . . . . . . . . . ft. -- x . . . . . . . . . . . . . . Size, Floor Kearns, 2nd floor . . . . . . [ " spacing / 6- . . . . . . "o_c., span . . . . !' . . . . . . . . ft. Size, ceiling; beams . . . . . . . . . . '' x . . . P g . . . . . . . . . . . . . ft. . 2 x . . - tS . . � £95$ spacing "o c , span . Site, roof rafters or beams C� Ca Z.I p ,v sr . . . . . . . . . . . _ . With what material. Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . - . ,S! C` �e:q r'�. . . . . . . . . . . . . . . attached, of what material is wall between garage and. main building to be constructed? If garage is to be Is there to be an opening between garage and building' / ice; + 4 .0 Kind of heating system Gt e'' 7' { . .��'�'s ., '0 .1 � 'a" it burner or coal ? . ? Droofepth of chimney foundation below grade d- . . . . �!' r. . . . . . . . . Will a flue-lined chimney be provide . Height of chimney above roof . . . . . .JI III 41 . . . Depth of fireplace hearth . . . . . . ", . . . . . . . . . . . . . . . . . Will there be a fireplace . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed. — . . . . - will a kitchen sink be installed and connected to water supply?1 . . . . . . . . . . . - . . . . (public water supply or pump) . . Water supply (p su l — . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Distance of cesspool from any private well . . . . . . . . . . . . . Will drainage system be provided with required traps, cleanouts, and vents? . . - • • - AFFIDAVIT Town of gueensbury county of Warren State of New York gpl• �t� with the ne and sgecifitcatioas ntb- I swear that to tr. bca`rot my knowledge and belief the statements cot+tained in this application,pr of the BUILi7- trtitced, area true and tx+.�. lets easement of all proIxmmed work to be lone o ddcribed gremtses and that �rwheiher ied or not, �w--orkk shall be corn{ flied . whether epees£ ING CODE, THE ZONINd ORpINANCE, and all other laws pertainirt6 �r and that such work is authorised by the owner. Signature . . . . . . . _ .-. . -- Sworn to before ttte this £f1. t]WhtER'S GENT. EC C ACTGH dayof . . . .. . . . .. . .. _. . d 19. . .. . . .. . . . . . . NOTARY IpUS8 1C. WARREN COUP4TY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: ?'C7WN OF QUEENSBURY Building Dapartmment fir. Rgso,rt Date 2 �— Nam=ft Location IZoe Pew No. T 'Weather Remarks Tsxca 7' tion Footin Forms Footing & Piers Foundation Cement Coat Water roofin DackFi l l Final Survey Prazaing 10200Af r Shea thi n Roof Felt Roof'in si din ------ MasonrU veneer Rough P1b Relief valves- --- Wall ,board Ext , Porches Finished Floor Intexior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fireproofing Door Closers Chimne Water Meter xnst . Se tic Approval Floors Insulation Foundation Walls felling Building xnspe� br REMARKS TOWN OF +C EENISBURY Builaius Dea;rto.ent Data .02. : 5 Location Rema z-ks T E'xca�Ya ti on . Footing Forms _ Footing & Piers _ Foundation Cement Coat waterproofing Ba clirfi l l _. Final survey Framing _ Shea thi n Roof Felt " Roofin Siding mason.ril Veneer Rough Pl Relief Valves Wall Board Ext . Porches - Finished Floor Interior Trim Stairs & Railings Ni Cellar Dr , Tile Concrete Floors Plbgw Fixtures Gar . Fire roofin Door Clpsers �» Chimne Water Meter Tnst .Septic Approval - Floors Insulation Foundation Walls » _ Cell! �X�& n Building Inspect REMARKS