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1985-370 BUILDING PERMIT TOWN OF QUEENSBURY No. 85 - 37' 0 -� WARREN COUNTY, NEW YORK PERMISSION is hereby granted to '� Thomas Hartnett OWNER of property located at if1 Jay Road , Glen Late Street, Road or Ave. in the Town of Queensbury, To Construct or place a Alteration to dwelling ( replace deck) 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_ 0 Sy 1 , OWNEWSAddressIs RR # 1 Box 1590 'Charles O . S )Lcar proper ao Lake George , New York x 2. CONTRACTOR or 8UI LDE R'S Name � same fD rt rt. 3. CONTRACTOR or BUILDER 'SAddress same C..i W 4. ARCHITECT'S Name °C d fu OA S. ARCHITECT'S Address E. TYPE of Construction — ('Please indicate by X) fx I wood Frame i t Masonry l ) Steel 11 7. PLANS and Specifications No. replace rotted deck and steps into dwelling 101x7 ' per plat plan , specifications and application F� S. Proposed use m Mobile Home Dwelling ( replace deck) A' A' l7 r+- [Q 0 f? � $ 5 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Fgeb 1 k X 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.( N Dated at the Town of Queensbury this 1 t h Day of j it 1 y _ 19 85 SIGNED BY _ 1'n 'zt'.C.v ef' for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSIBUFt.Y (Space inside Mock to be filled in bs WARREN COUNTY, NEW/ YORK Building Im:Is buiorI Application for �1 �1)Ii aIit.,, Nr,, 1•cI III 11 1"bktirlr•rI l9. BUILDING AND ZONING PERMIT Pl 't'nlit Eshirv% lid I ktrici THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale 31 wf 1% 4-ti 11%, showing the actual dimensions of the lot to be built upon. TU exact time. and location on the lot of the building to be erected or al+tired MUST BE SUB- MITTED WITH THIS APPLICATION. / TOWN Qg IQLfEEAI.C;Ftk_) PY r� DATE I A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. A.11i1: � �' P_W �y 1 213141516 The undersigned hereby applies for a permit to do the following work � +�� ;"� • • + which will be done in accordance with the descrip+ion, plans and specifi- cations, and such special conditions as may be indicated on the permit. The own his property /is: _ ti . . . .E. . . . Rk*. �. . . - 66--K, 4 L f N A`a F) [0 6. ADDRESS$ - The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance appiv is. . - tHANI£1 ' - .. . . . . . . . . . . . . . . IPO At]Di,ES51 . . . . . . - - - - - Name of Builder . . j yn — . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . . . - Address . . . . - - Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . . Address . . . . Lot Number . . . . . . . . . . . . Unit . . - . . . < < . . . Estimated value of proposed work $ . - 4-c. c' Nameof Village . . . . p. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street `,/`� , . . . Side of street: north 0, east 0, south CI . west Nearest Cross Street . .G. . 1. 4H . 'l' . . . M. - . . . . - Distance from this gross street . . . . . . . . . .. . Ft . Property is north 0 , south GK east itt . west © from Cross Street If on Corner, which cornier, northeast 0 , northwest ❑ , southeast 0 . sc,uthwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK 0CCUPANCY 0 Construction of a new building. Main 80attiing 13 Addition to a building. One-family dwelling L7 tg.,�Alteration to a building. Two-family dwelling [ Demolition of a building. -family apartment house Store building C] . . . . . . -car attached garage Other: ±�C+f�. I,G r'= . .F. fof 4.i:- , . . . . . . . . Accessory Building Other work Describe } � J / One-car detached garage C O . : . ! f �L2 Two-car detached garage [ d Private chicken house 0� Private storage building . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 size of the property, the location, size and setbacks of pro- posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing building(s) in solid line. Size of property . . . . . . ./� . . . _ . ft. x . . . . . . . . , . It. Size and use of existing buildings, if any Size of proposed building . 7. . . . . ft. . . >ieight (from grade to rydge) . . . • ft. . . Front yard . . . . 75 . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . . . . . . . . . . . . ft. end . . . . . . . . . . . . P . - ft. Rear yard - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. soun +s If ee carter, setback from aide street . . . . . _ rn sore 9 s fe line - All distances are used, as measured jra+n sunned side line to nearest port of building. tavE110 7-73 —M (con t'd, ) BUILDING SPECIFICATIONS., Kind of construction : Woad frame, fire safe, etc.? . . .ti. . . . . . . . . . Will any second-hand lumber be used? N. !?. - . . . , If so, for what? . . . . . Material of foundation walls . . . . . +!"�/ / . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . , . Depth of foundation wails below grad . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous fours ation? _ . . . . . . . , Will there be a cellar? . . . . . . . . . . . . . . . If so, material of cellar floor . . . . . . . . Type of roof: Sloped or flat? . . . . . . . . , , Material of roof . . . . . , . . Size, wood studs . . . . . . , . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . ."o.c., length . . . . . . . : . . Size, floor beams, 1st floor . . . . . , <=P- " x , . . . fp . . . . . , . . ", spacing • . . . . . . ft- Size, floor beams, 2nd floor . . . . . . _ . _ . . " x . . . . . . . . . . . . . . spacing . . . . . . . . . . . . . . "a-c_, span . . . . . . . . . . . . . . ft. Size, ceiling 'beams . . . . . . . . . . . . . . . . . . " x . . . . , . . , - . . . . ". spacing . . . . . . . lo-c., span ft. Sii+e, roof rafters or beams . . . . . . . . . . ' x ", spacing . . . . . . . . . . . . . . "o-c., span . . . . . . . , . Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . , Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . I . . . , . , . . . . - . . . . I . . I . , , . . . I . . . . . . . If garage is to be attached, of what material ids wall between garage and main bui fling to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between ga an buildi g? . . . . . . . . . . . . . . . . . . . . . . . . , . . . . Kind of treating system . . . . . . . . , . . . . . . . . . _ . . . _ . . _ . Oil burner or coal ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provo ? Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . epth of fireplace hearth . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . .`. . . . . . '. - . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . _ , . . . . . . . . . . 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 to tr A.-.j+of my knowledge and belief the state+rnents contained in this application, togedter with thepLans and speaificatioos suh- tnitted, area true and «,.,.• lets statement of a1l proposed work w be done onxle-described premixes and that r ions of the BUILD ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to �.hepmpased shr� co Food [th rw whether specified or not., and that such work is authorised by the owner. ��� � Co y Sworn to before me this Signature . . . . . . . .. . . UWMER, O NEq'S, GENT, AgCHI CCeNTRAfiTOq . . . . ... . . . . . . . . . . . .. . . . . .. . . . . . . day of . .. . . 19 NOTARY PUWLLIC, WARREN COUNTY. N. Y. - SPECIAL CONDITIONS OF THE PERMIT: By .. .. . . .... .. . ....... .... .. ..... . . . . ... . . . . .... . . .. .. . . . . . .. . . .... .. . ... .. . . .. . ........... TOWN OF QUEENSBURY Building Department Ids ara Repwt Date Name � Oqs � . L.oca►tinn �--- C Pcmait Na Weather Remarks -�' Exc"a t i on Poo ti ng Forms _ Footing & Piers _ Foundation Cement Coat Waterproofing 8acicfill _ Final Survey _ Frafr+in _ Sheathing - Roof Felt _ Roofing Siding _ Masonry veneer ! Rough Pl b . _ Relief Valves _ Wall Board Ext . Porches Finished Floor .Interior Trim _ Stairs & Railings _ Cellar Dr . Tile - Concrete Floors Plbgr. Fixtures � . Gar . Fire roofin Door Closers Chimney _ Water Meter Inst . Septic Approval Floors _ Insulation Foundation Walls Ceiling Building Inspector REMARKS 1 (1 i 9 a I I s r I I t 7 i � f II l F 6r•4 (1 I