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1985-576 BUILDING PERMIT TOWN OF QUEENSBURY No. S 5- 57 6 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to William Chambers 29 OWNER of property located at d Nelson Road Street, Road or Ave. 1 ' N- in the Town of Queensbury, To Construct or place a Addition to attached garacfe 9 at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r3' t. OWNER'S Addresses Lake George , New York to 2. CONTRACTOR or BUI L13ER'S Name McCormack Indus-tried O 3. CONTRACTOR or BUILDERS Address 7 Sarella St . , Glens Falls , New 'York lJ z m 4. ARCHITECT'S Name I^' O :rS 0 5. ARCHITECTS Address 0 6. TYPE of Construction — (Please indicate by X) ( N Wood Frame ( l Masonry 1 ) steel ( f 7. PLANS and Specifications 5 ' extension to existing garage per specifications Nam' and application submitted . 8. Proposed Use Y• rt Attached Garage o fi 0 $ lip . Q © PERMIT FEE PAID — THIS PERMIT EXPIRES May l 1986 Iv (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.) Pi Dated at the Town of Queensbury this 9th Day of October 19 85 , SIGNED BY for the Town of Queensbury P) H Building and Zoning Inspector L3 fU TOWN OF QUEENSBUR.Y ( Space inside black to he fillc•tl in by WARREN COUN`l`Y. NEW YORK Building lnspr(:torl Application for Apj)iitatioti No, I't-1-mit ls_,tletl 19 BUILDING AND ZONING PERMIT P4 .1 snit Fxpirvs ;/-( Pelt,;& Di.trirt \ ;rill(• 101 \\'fork $ ' THREE 131 Copies of a PLOT PLAN, Drawn to scale \ PP1-q1% 4.d i" showing the actual dimensions of the lot to be built Itt nt,, I f(f upon, The exact size. and location on the lot of the building to be erected or altered MUST BE SUB.. MITTED WITH THIS APPLICATION. TOWN 01 r��UEENsl3U yR{�Y { A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 0 t 3 ANSWER ALL OF THE FOLLOWING, �, � �p4M. The undersigned hereby applies for a permit to do the following work $ 121gJ .,�t5is which will be done in accordance with the description, plans and specifi- . 4 . • �' ' i cations, and such special conditions as may be indicated on the permit. The owner of this property is: . . . . . . . . . . . . . . . . . . 1 . ,N ' . .j f� . , . . . .C , 53,- . /1f�y' fNA 'F} IP O. ADDRESSI The person responsibica for supervision of the work insofar as the Building Lode and the Zoning Ordinance appiv is: Ts +N►.N. . _ . E 1'rA�.CCAN!►!ti, Y`r . I P I I I I [859 . .M1aC> 0. 00N. vg, . . . L . G - . . . . . . . (NAME) fP O A00RESS1 Name of Builder . . . . . W� .4)A M ^eK . A I.li.7 O V'tJ T PLOt3.. . Address . . 14 fi r . . . . . . Name of Plumber . . . Address Name of Mason . . . f`.^� Q11 "1 `T'Pc . C.Q .. . . . . . . - - - - Address - ./A } - . . . . . - . . - Lot Number . . . .'71. . . . . . Unit . , , . . . . . . . . . ,Estimated value of proposed work S - - - qa . ... Name of Village . . . . . Q.0 els 6iew . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . . .�ON. . . � . . . . . . . . . . . . . . . . . . . . Side of street : north lf , east ❑ , south ❑ . west Nearest Cross Street . . . /* F`1. . . . . . . . . . Distance from this cross street . , . . . . . . . l'G� G �'� . . - . . Ft . Property is north ❑ . south ❑ . east A . west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest [I southeast ❑ . southwest (Designate by marking with an "X1, in the correct space.l NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building Addition to a building. One-family dwelling ❑ ❑ Alteration to a building. Two-family dwelling Cl ❑ Demolition of a building. 11P I -family apartment house Store building if . . . . - -car attached garage Other, , , . I . . . . . . . . . . . . . . . . . . . . . . .� Accessory Building �' �� . . . . . . . . . . . . . . . . . . . . , t �� _ aril ❑ Oth--errhwork. Describe. . �. s �y .'� . . . . i 0 Priv to c is en �� ❑ 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 I}` size of the property, the location, sire and setbacks of pro- f NORTH posed buildings, and the location of all existing buildings. Show proposed buildings) in dotted line and existing ltuilding(s) in solid line. Size of property . . . . . . . . . . . . . . . ft. x ft. Size and use of existing bruildings, if any . . . . . . . . . . . . . s Size of proposed building . . . . . . . . - , fx, x . . . . . . . . . . ft. Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . . . . ft. Side vards . . . . . . . . . , , . . . . ft. and . . . . . . . . • , . . . . . ft, Rearyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft, SOUTM � F If on corner, setback from side street � - , • - • . - . . • • fx. Noxe: All distances are net, as measured from street side line to nearest part of building. FOVIER} 7— 73—M (cont'd.) BUILDING SPECIFICATIONIS., Kind of construction : Wood frame. fire safe, etc.? . . . . . - . - . - . . . . . . . . . . . . . Will any second-hand lumber be used' • - If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation wails . . . . . . . r►? . . . . r . . . . . . . . . . Thickness . . , � . . . . . . . Depth of foundation walls below grade . . . . . . . 45 . . . . . � - - � - • d d . I . . . . . . . 'Continuous foundation? . Will there be a cellar? . . . . A3.0 _ . . . . , . If so, material of cellar floor . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or fiat? . . . . ''�1,A�tr-w . • . . - Material of roof . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . Z- . . . . . . " x . . . . . . '44. . . . , , _ , spacing . . . . . . .f.GD. . . . . "a.c., length . . . . . _ ft_ Size, floor beams. 1st floor . . . "'� . " x . . . . . . . . . . . . . . . '", spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . . . Size, floor beams, 2nd floor . . . . " x . . . . . . . . . . . . . . . "', spacing . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . ft, Size, ceiling beams - - . . . . , Z-. " x . . . . . (p. . . . . . . . "', spacing . . . . . . . ,I Co. . . . ..o.c., span . . . . . . .. . . . , ft_ Size, roof rafters or beams . . . . �'--• . . . . . "' x f p. . . . . , ", spacing . , . . . . _ .E tp . . . "o.c., span . . . . . . . . . . . . . . ft. Exterior finish "` - �- .rt�. 1 V.04 }— . . . . . . With what material? - - -`g!4.1467 0.cr . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . d .al' L . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . 4 . . . . . . . . . . . . . . . . . I . I . . . Will a flue-lined chimney be provided? . . . . . • Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof . . . . F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . . _ . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . 4 . . . . . . . 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 . . . . . . ­ 4 . . . . . . . . . . . . . , . . , . , . . . . . . . . . . . . . . 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 tt. gharof my knaw,Jedge and belief the statements contained in this application, tosetlwr with thepians and specifications sub- mitted, are a true and ou,,: lete statement of all proposed work to be ForW,.! remtaes sod that all fro of the BUILD- ING CODE, THE ZONING ORDINANCE, and a!t other lawn pertaininp 11 complied . wvepacsfMedornot.and that such work is authorised by the owner. Sworn to before me this Signature . .. . . . ER, OIRPS' AGENT, AN ITECT. CONTRACTOR �. . . . . . . . . . . . ... day of . .. . .. . . . .. . . . . .. . . .. . ... . . . .. .. . _. . . 19C=50 . . . . . . . . . NOTARY FUU8 IC. WARREN COUNTY, N.. V. SPECIAL CONDITIONS OF THE PERMIT: By .. . . . .. .. . . ... . . . .... . . .... . . . .... ... . . ....... McCORMACK INDUSTRIES 7 SARELLA STREET - GLENS FALLS, NEW YORK 12801 • PHONE 793-7407 i-5.] l Lt_ rv♦ I �- AGLU J!7'- X � 7 tr �Gx �4 iC - ZILlaw— r�