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1985-566 BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 566 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ronald Robinson ] OWNER of property located at Minnesota Avenue Street. Road or Ave. ( roof ) in the Town of Queensbury, To Construct or place a Alterations to mobile home o at the above location in accordance to application together with plot plans and other information hereto filed and t:r Fj- approved and in compliance with the Town of Queensbury Building and Zoning ordinance. ul 0 1 . OWNER'S Address is RD # 2 Minnesota Ave . Glens Falls , New York 2. CONTRACTOR or SUI LDER S Name J . Belsko 3. CONTRACTOR or BUILDER 'S Address 14 Goodwin Ave . Glens Falls , New York (D to 4. ARCHITECT'S Name O rr W C S. ARCHITECT'S Address 6, TYPE of Construction — IPlease indicate by X) ) Wood Frame I 1 Masonry ( ) steel I i Oro 7. PLANS and Specifications ~ rt No gable roof over mobile home per specifications and n application submitted . W S_ Proposed Use 0 Mobile Home Dwelling ( new roof ) O Ln Q o Ifi $ 10 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES may 1 19 86 tos fJ• (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I town of Queensbury before the expiration date_) fU Dated at the Town of Queensbury this 2nd Day of October 19 85 0 m �^ SIGNED BY _ { ! T for the Town of Queensbury Building and Zoning Inspects TOWN OF QUEENSBURY iSpace inside block to lxo fillcsl in h} WARREN COUNTY, NEW YORK Building ins ircior) Application for `ppl it ` timi No. I*to Fntlt I %k..t,sA !Q BUILDING AND ZONING PERMIT 511 „ k:;hires le THREE 131 Copies of a PLOT PLAN. Drawn to scale Al q pr"` ,od Its• showingy the actual dimensions of the lot to be build It: :,:� � Kf 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 OF' QUEENSE3URy A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SLP G ANSWER ALL OF THE FOLLOWING. tru 01985 The undersigned hereby applies fer a permit to do the fallowing work OLM• '� � �^ c P.M. which will be done in accordance with the description, plans and specifi- „ 1819p* 2� 3 41 16 cations, and such special conditions as may be indicated on the permit. The p ner of thi ropertytris: o r+q.�' .L7rJin f . !V. . . . . . . .� . . . /�1 !w tr Y ti b + -e.+ e� . . . i'✓. �'. . P . .-. . The A�# !P 4. ADDRESS) son responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply . - . . t��NjjAIMEI ' -f - - RG iJ AD,CYRESSI ,.�. Name of Builder . . . . . . . . . . . . . . . . . . . . Address Name of Plumber . . . . Address . . . I/ Name of .Mason - . - - . - . . - , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . - - . . 4 4 . , . . - . . . . . . . . . . Lot Number . , - . . . . . . Unit . . . . . . - . . - . Estimated value of proposed work S ;Z16 "* . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . , . . . . . . . . . . . . . . . . . . . . . . . Name of Street G'f: d . . . . . . . . . . . . . . . . . . . Side of street : north 0, east 0 . south CI . west M., Nearest Gross Street . . 4 . _ _ _ """". . . . . . . . . . . Distance from this cross street _ _ Ft. Property is north Vo south C1 , east i i , west ❑ from Cross Street If on Corner, which corner, northeast U , northwest 0 , southeast 0 . %outhwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Bt%%R ling O Addition to a building. One-family dwelling ®� Alteration to a building. Two-family dwelling [� Demolition of a building. - I . -family apartment house Store building 4 . . - - . . - . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Accessory Building �,�. One-car detached garage 0 Other work. Describe: ,�, ���.�la . .�`"''�?! '' . . . . . . . . . two-car detached � Private chicken house rp? . . '2*j.'�! . . . . . . ,I!I!: G at . . . . . . . . . . . . . . . . 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 atreet 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. Show proposed buildings) in dotted line and existing & ' �" o' 'V"7 huilding(s) in solid line. Size of property . . . . . . . . . . . . . . . ft. x . . . , . _ . . . . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . ► . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Roo "' Size of proposed building . . . . . . . . . . ft, x ft. Height (from grade to ridge) . . . . . ft. 3; Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . . . . . . . . . . . . ft. and . 1 . 1 . . . . . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft- SOUTH if oncorner, setback from side street . . . . . . . . . h. Note : All distances are ace, as naeesrered freans m street street side line to nearest kart of building. *7 ;4VER7 7-73 —M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction. Wood frame, fire safe, etc,? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber he used? . . . 44oe P" . . , . . . If so. for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . thickness . . . . . . . . . . . . _ _ . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . • . ' . . . . . . . . Continuous foundation? . . . . . . . . . . Will there be a cellar? . . . - If material of cellar floor . . . �} Type of roof: Sloped or flat? Material of roof . . . . . . . . . // Size, wood studs . . . . . . . . . . . . . . . . . . x . . . . . . , , . "', spacing . . . . . . - . . . . . . .c_, length . . . . . . _ _• . . . . . ft. Size, floor beams, Ist floor . . . . , - . . . . . . " x . . . . . . . . . . . . . . . ", spacing . , . . , . . . . • . . . . '"o.c., span , . . . . , . , , , . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . . . " x . _ . . _ . . . . , spacing . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. size, ceiling beams . , - . . . . . . ... . . . " x spacing, . . . . . . . ..O.c., span . . . . . . . . . . . . . . ft. Site, roof rafters or beams . . . . . . . . . . . . " x - . . - . . . . . . . spacing . . , . 2,. � . . . . "o_c., span . .7 . . . . . . ft, Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . - With what material? - . - . . 4 . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . . I . . . . I . I . . . , , . , . . . . . , , , . . . . Is there to be an Opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . _ . . . _ . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney he 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AFFIDAVIT Town of Qtxeensbury County of Warren State of New York I swear that to tr,, &eii of my knowledge and belief the statements contained in this application, together with the plans and spacirwations vAb- rrtitted, are a true and cv... lete statement of all proposed work to be done on the described pretmses and that Provisions of the BUII.D- ING CODE, THE ZONING an ORDINANCE, snd all other Iowa pertaining to the sod w hall be co plied with, whether spedf"ted or not, and that ouch work is authorised by the owner. C Sworn to before me this signature ER. OWrIER'S gt,,ETiT, ARCHIt'ECT, COTi TKtACYOR day of. _ . . .. 19. . . .. . . . .... . . . . . . _ NoYARY PUEIL1C, WA04REN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: a ... . . . . T xj- b _ _—---- i i it � PPP i ` f 1 ��(�Ifiac;ya)