1985-365 BUILDING PERMIT
TOWN OF QUEENSBURY
""`� }1 ►'" WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gertrude Henry
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OWNER of property located at 11 BuenaVista Drive Street, Road or Ave. m
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in the Town of Queensbury, To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and �C
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1 . OWNER'S Address is 11 Buena Vista Drive
Glens Falls , New York
2. CONTRACTOR or BU1 LDE R'S Name
James Bell
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3. CONTRACTOR or BUILDER'S Address �
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4. ARCHITECT'S Name Y +-
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5, ARCHITECT'S Address
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6_ TYPE of Construction — (Please indicate by X)
I ) Wood Frame [ } Masonry ( } Steel ( )
7. PLANS and Specifications
10rxl2 deck per plot and application suhffnitted
No.
a. Proposed Use C`
One-Family Dwelling ( deck added ) +`r
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$ 5 _ DO PERMIT FEE PAID — THIS PERMIT EXPIRES Feb . 1 1986 PV o
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Ilf a longer period is required an application for an extension must he made to the Building and Zoning inspector of the ¢'
town of Queensbury before the expiration date_) t(U
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Dated at the Town of Queensbury this 16th Day of July 19 85
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF Q jEENSBUIRY ; space inside block tc31x• fillc•tl in b%
WARREN CQIJNTY* NEW YORK
Bttilclinl; ,nsfstctt3r)
piic ; 6oii No.
Application for 13,', ,,,;, l.,tivil l9
BUILDING AND ZONING PERMIT E%pir" lC
.y � ]i ft'f It A•4l l35'
THREE ( 3 ) Copios of a PLOT PLAN, Drawn to scale It s ,r3:,, )tC5
showingg the actual dimensions of the lot to be built
upon, TI+* exact six*. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
Towta OF QR3E>~NSSURY
`l BEGINNING WORK 41 Ll
A PERMIT MUST BE OBTAINED BEFORE , � �A � 0 1985
ANSWER ALL OF THE FOLLOWING* n
The undersigned hereby applies for a permit to do the following work A11213141516
which will be done in accordance with the description. plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
(y� - . 1 . ti.. . . i(/�" . !J f 7 � ou 15� . . 1l f .'" t�'r�I . . . . . . . . . . . . . .
�Na •_� ''C W o ADDRESS,
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The person respansibie for srup�ervision of the work insofar as the ode and the Zoning Ordinance apply is;
. G, . .I {. 4ti. ti? j, - . . .
. . . - . . . . . . . - . . . . . . crwAnnE1 1, . . . . . . . . . . . . . � iP o a,crbt��ssr
Name of Builder . - . . " - - r . . . . . - . . . Address . . .. .. 'w• � �`- "
Name of Plumber . - . .-- .
Address . . . - . . . . . . . . . . .
- Address
Natixe of Mason . : . . . . . . . . . . . . . . . mat ed vat . . . - - . . . .
. . Unit . . . . . • . . . E tiue of proposed work S
6, a`J
Lot Number . . - . . .
Name of Village . . . . . . . . . . . . . . . . . .
❑ . wise ]
Name of Street . . . . . - . . . , . . . . . • • 'Side of street: north ❑ , east ❑ , south
. . . . . . . . . . . . . . . .
. . Distance from this 7ross street . . . . . . . . , Ft .
Nearest Cross Street . . . . . . . . .
Property is north ❑ , south m east ji , west ll from Cross Street
If on Corner: which corner, northeast V , northwest O , southeast lam . snothwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building.
Main Byiltiing
Q
One-family dwelling
Addition to a building. Two-family dwelling
d Alteration to a building. -family apartment Douse
C� Demolition of a building. Stare building
. . - - . -car attached garage n
Other: . . . . . . . . . . . . . . . . . . . . . .
Accessary Building E]
y� j � � �����_ One-car detached garage �
❑ Other work. Describe- . , ./� �^ / Two-car detached garage
Private chicken house
. 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.
NORTH Sbow proposed building(s) in dotted line and existing
buildings) in solid line.
Size of property . . . . . / . . ft, x , . , d . . it.
Size and use of existing buildings, if any . . . . . . . .
Size of proposed building . . . . . . f. ft. IL ft,
ridge} . . . . - ,
Height (from grade to ft.
Front yard . . . . . . . . . . . . . . . . . . . . . . . . ft.
WE SideYards - . . . . . . ?. . . . . . ft. and . . . . . . . . . . . . . . . ft.
ERear yard . . it.
SOUTH
If on corner, setback from side street . . . . . . . . . . . . . . . ft.
Note: All distances are net. as measured from street side
line to nearest part of building.
(OV ER1
7 -73_M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction. Wood frame, fire safe, etc-? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . .
Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . . .
Depth of foundation walls belo ade . . . . . . . . . . . . . . . . . . .
e. Continuous foundation? . . . .
Will there be a cellar? . . . . , - If so, material of cellar floor . . . . .�~ ,L
Type of roof: Sloped or flat? - ./, - f . . . . . . . Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . .
Size. wood studs " x . - - . " spacing . . . . , . . . . . . . . . "o.c., length . +�-. . . . ft.
Size, floor beams, 1st floor . . . . , . . " x . . - - , , . . . ", spacing . . . . . , /67 . , •
o.c., span . . . . . <''t� . , , . . ft.
Size, floor beams. 2nd floor . . . . . . . . . . . " x . . . . . . . . . . . . . . . " spacing . . . . . . . . . . . . "o.c., span . . . .pa . . . . . , . . . ft_
Size, ceiling beams . - - - , . . . . . . I . . . . . . " x . . , . . . spacing. . . . . . . sP g "o.c., span - . . . . . .
Size, roof rafters or beams . - . . . . . 4 . . 4 - ' x T . . . . . . ft-
. . . . . - . . . . spactng . . . . . . . . . . . . . . . . ft_
. . . o,c_, span . . , . . . - .
Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material ?
Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached„ of what material is wall between garage and main building to be constructed?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . - . . . . . . . . . . . . . . . . . .
Is there to opening between garage and building? . . . . . . . �.� ..
. . . . . . . . . . . . . . . . . . . .
Kind of heating sy m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � rf-burner or coal? . . . . . . . . . . . . . . . . . , . . . . . . . . . . .
Will a flue-lined chim y be provided? . . . . . . . . . . . . . . . th of chimney foundation below grade . . . . . . . .
Height of chimney above f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? . . . . . . . . . . . . . . . . . . . , - . Depth of fireplace hearth . . . . . . . . . . . . . . . , .
Will a toilet be installed? . . . . .
Will a kitchen sink be installed a nnected to water Supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Water supply {public waters ly o ump] . - - _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . .
Distance of cesspool fro y private we . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet
Will drainage syste provided with re -red traps, cleanouts, and vents? . . . . . . . . . . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to ir. bp,,aTof my knowjedge and belief the statements contained in this application, fo r with the plans and specifications sub-
mitted, are a true and cw.i. lete statement of all proposed work to be done on the described pretauee and that a0 provuAmm of the BUILD-
INGa CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall he ocinglied with, whether
and that such work is authorized by the owner, sP °d or nwo"t'
Sworn to before me this signature
t3 ER- NER'S AGENT, ARCHITECT, CONTRACT MO - - --
. .. . .... . .. . . . .
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONSI OF THE PERMIT:
By .. .. . . .... . . . ... .. .. . ... .... ... . . . . . . . . . . . . .... . . . . . .. . ...-.. . .... ........ .. .. .... . ......... .... . ... . . .,.. .. .
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