1985-519 BUILDING PERMIT
TOWN OF +QUEENSBURY No _S— sl
WARREN COUNTY* NEW 'YORK
� • 1C3 `" � `� 1 �
PERMISSION is hereby granted to Stenhen P (D
OWNER of property located at F-nnetn R I r)w nnel Street, Road or Ave_
� 11 �
in the Town of Queensbury, To Construct or place a Arl- di t ion to rlw.e l l inq ( Re^5rr` h Volj neg a t ; on) 0
at the above location in accordance to application together with plot plans and other information hereto filed and N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. F1_
1 . OWNER'S Address is RD - Honey hollow Road.
Glens Falls , N * Yo
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2. CONTRACTOR or BUI LDER 5 Name 0
f'h
same
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3. CONTRACTOR or BUILDER'S Address
0
same
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4. ARCHITECT'S Name 0
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-
V�
0
S. ARCHITECT'S Address �
O
P)
6_ TYPE of Construction — (Please indicate by X)
{ I wood Frame I I Masonry 11 steel 1
7. PLANS and Specifications
12 ' xl4 ' porch slab ( cone/block foundation ) per
No. plot plan , specifications and application submitted .
ti rj-
S. Proposed Use
O
One-Family Dwelling - porch foundation z o
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$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 19. 86 00 N
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of theti
I �•
town of QueensburV before the expiration date.) tiiZ a
Dated at the Town of Queensbury this 12th Day +o*f Septem ter 1985 —
SIGNED BY 4 /-° for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY lspace inside block fro Ix, filled ill by
flEN COI.INTY. NEW YORK Building* Inspector)
4�►N' � ppliratimi Nit)..�a�" � � ,► Application for I't-1 III It ls,t,ed lQ
BUILDING AND ZONING PERMIT 1's •1.111it E-<pir+e% . In
THREE 131 Copies of a PLOT PLAN, Drawn to scale
showing the actual dimensions of the lot to be built ILc •ix,:ir "
upon, The exact site. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
r TOVVPi OF QIJSENS91.3RY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1J
ANSWER ALL OF THE FOLLOWING. SEE q94T
The undersigned hereby applies for a permit to do the following work A.M. ( 0 �2L7 - J; A-4P .M.
which will be done in accordance with the description. plans and specifi- 718191IN&" 1 ) 21314 !
cations, and such special conditions as may be indicated on the permit.
Th��e77 downer oft is property is,
IMA •cI ') .
F e person responsible for supervision of the work insofar as the Buildin Code and the Zonin Ordinance apply is:
;NAMEI supervision
- . fP O AOi,RESS} . 7. . -
Name of Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Plumber . . . , Address . . . . . d .
Natite of Mason . 1.0 I. s ► % . . . . . . . . . . . . . . . . . . . . . . . . . Address AAZk 44CCK . Y.
Lot Number . . 1VJ6 - - - . . . Unit , . . , , . . . . . Estimated value of proposed work S . -��.>•� . . . . . . . I _ . . . . . . . - . . - .
Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . .
. . . . . . . .
Name of Street I. OACYAL)"L-C4�0c .. . . . . . . . , , . . . . . . . . . . . . Side of street: north 0 east 0 . south ❑ . west ❑
Nearest Cross Street . .Z1��aL • • • • • • • . . • • Distance from this Bross street . . -f G. C' • - - . . . Ft.
Property is north O . south O , east i i , west N from Gross Street
If on Corner, which corner, northeast 1� . northwest 0 . southeast L . : outhwest
},Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
0 Construction of a new building. Main B,%L*ding
s� .:Addition to a building. - Fcnds ..,.l,o UP0 a{ ` 1" One-family dwelling
I� Alteration to a building. Two family dwelling
-family apartment house '71
L1 Demolition of a building.
Store building 0
. . . . - - . . -car attached garage Cl
Other:
Accessory Building
p One-car detached ,garage
Other work. Describe: . r . ! !� � • . • J �' C Two-car detached garage
C'GA1 CI fS$ee e�.� ,x=G e� sD 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, site and setbacks of pro-
NORTH posed buildings, and the Location of all existing buildings.
Shaw proposed building(s) in dotted litre and existing
lc�alJFLX 14�L1C� huilding(s) in solid line.
Size of property . . . . . . . . . . . . . . . ft. x . . . . . . . . . . . . ft.
Size and use of existin buildings if any . ;36VO,L� � � � -
Size of proposed lsus g
Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft.
Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft_
+C{ Side yards . . . . . . . . . . . . . . . ft. and . . . . . . . . . . . . . . . ft.
Rear yard
. ft.
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.
73
fO'VER}
:7O . IM
(cont'd.)
BUILDING SPECIFICATIONS4
Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Willany second-hand lumber be used? . . If so, for what? . . . . . . . . I . . . . . . . , . . . . � . . . . . . . . . . , . . . . .
Material of foundation walls . . . ea9�,��- . . . . . . . . . . . . . . Thickness . . . 8t `.+. . . . . . . . . . . _ . . .
Depth of foundation wails bej9w grade . . . .` -. . -i � • Continuous foundation? . . , . . . . . . .
Will there be a cellar? . . . . . . . . . - . . If so, material of cellar flt ~r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Type of roof. Sloped or flat? . . . . . . . . . . . . . . . . • . Material of roof . . . . . . . . -
Size, wood studs d " x . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . ."o.c_, length . . . . . . . . _ . . . . ft_
Size, floor beams. 1st floor . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . . , . . . ft.
Size, floor beams, 2nd floor . _ . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing - . - . . , . , , . . . "o.c., span . . . . . . . . . . _ . . . ft.
Size, ceiling beams - - - - . , . . . . . . 4 - , . " x . . . . . . . . . . . . . . . ". spacing . . . . . . . . . . . . . "o.c., span . . , - - . . . . . . . . _ ft.
Siie, roof rafters or beams . . . . . . . . . _ . . " x . - - . - . . ", spacing 4 . . . . . . . . . . . . . "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 he constructed?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , - . . . . -
Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kind of heating system , . . - . , , . . . . . 1 . . . . . . . . . . . . . . . . . . . . . . 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 (public water 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 to it ,bda auf my knowledge and belief the statements contained in this application, together with them and specificotians snb-
mitted, are a true and cu.,. lete atatement of all proposed work. to be done on the deaen pre sea and diet of the BUILD-
ING CODE, THE ZONING ORDINANCE, and jilt other Iowa pertaining to proposed k a be complied 'rather specified or not,
and that such work is authorized by the owner.
Sworn to Oefore me Qiis Signature
4 ER, OWHER'$ 1 H7, AftC N1Yt:C7, CON7R ACTOR
( r . . . -. . . .. day of . . . . li ._ . __ . . . .. . . . 19 .
. . . . . ... . .. . . . . . . .. . . . . . . . . ..
NOTARY PUBLIC, WARREN COUPATY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT.
By ... . .. .. ..... .,. . -
't owt4 C>F QUEENSOURY
SUDS,din! D'*pp xt,ent
Rq"°rt Cd {
Name 07 W eywthar
1.aa►
Remarks
Exc4a t on
root in Forms
Footin & Piers
Foundation
Cement coat
Water roofin
aac)cfill e ► c
Final Surve
Framin
Sheathin
Roof Fel It
Roof-in
Sidin
K veneer
asonr
Rou h Pl
Relief valves
wal IBoard
Ext . Porches
Finished Floor
Xnterior Trim
Stairs 6 Railin s
Cellar Dr • Tile
Concrete Floors
Pl . Fixtures
Gar . Fire roofin
poor Closers
Chimne inst •
Water Pieter
Se tic A roval
Foundation
Xnsulatzon WWal�
Ceylxn
uild.I spector
Rg�,t4KS
TOWN OF CUEENSBURY
Building Department
Inspectors Report Bate
Name `_
Location
Perl No._, - 5 r �/ Wasatlaer
Remarks
Sxcavat3on
Foot i Farms
Foot Ing & Piers
c
Foundation
Cement Coat
Water raofin
Ba ckfi l l
Final Sszrve
Framin
Shea bin
RoOfin
r-
Sidi
Masonr veneer
Rota h Pl
Relief Valves
Wall, Board
Sxt . porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr . Tile
Concrete Floors
pl . Fixtures
Gar . Fire roofin
,Door Closers ---
Cttimne
Water Meter Inst •
Se tic A royal
Floors �-
Founda tion
Insulation walls
Ce.il i n
r�ilding rnspectar
REMARKS
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