6631 - BUILDING PERMIT
TOWN OF . QUEENSBURY No. 6631
I� 11 ,.j0WARRENCOUNTY, NEWYORK'
PERMISSION is hereby granted to Robert W. Hickey
OWNER of property located at 3 Morgan Drive Street, Road or Aver
in the Town of Queensbury,To Construct or place a Addition to dwel 1 ing (sunc ec-k) O
at the above location in accordance to application together with plot plans and other information hereto filed and a3'
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
3 Morgan Drive. - R. D. #2 •
Glens Falls, L'I-..Y. x
N.
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2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name •
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5. ARCHITECT'S Address C7
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6. TYPE of Construction—(Please indicate by X)
k )Wood Frame ( ) Masonry ( ) Steel ( ) -
7. PLANS and Specifications 12 'x16 ' per plot plan, specifications and
No. - application submitted.
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N.
8. Proposed Use rt
N.
One-Family Dwelling (sundeck added)
$- 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 81
(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.)
Imo•
Dated at the Town of Queensbury this 1st Day of October 19 80 _
SIGNED BY for the Town of Queensbury
Building an Zoning Inspector C N
=mow
r. December 16, 1981
. .
__Robert W.__Hickey
3 Morgan Drive
• Glens Falls, N. Y. 12801
to cys.-cb: 6631
Addition to, dwelling (sundeck) at 3 Morgan Drive .
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TOWN OF QUEENSBURY (Space inside block to be filled in
WARREN COUNTY. NEW YORK Building Inspector)
' Application for Application No.
Permit lssued 19.
BUILDING AND ZONING PERMIT Permit Expires. lg. .
•
-it'll in. District
.\aloe d)t Work%
THREE (31 Copies of a PLOT PLAN, Drawn to scale Komi
showing the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the. .
building to be erected or altered.MUST BE SUB-
MITTED WITH THIS APPLICATION.
s'1.;Pr. 3 0 I g e 0 TOWN OF QUEENSiiUIC
I' al w ,r /0,I 1 DATE E' 11 V E
0
A PERMIT MUST BE•OBTAINED BEFORE BEGINNING WORK SQC I 1 �9�
ANSWER ALL OF THE FOLLOWING.
P.M.
The undersigned hereby applies for a permit to do the following week A. . ' .M
which will be done in accordance with the description, plans and specifi- 7181911141111111213141516
. . . • •
cations, and such special conditions as may .be indicated on the permit.
The owner of this property is: S PALLS f,Z j
`-;V3 T . . .".'�".•. . .141cK.. . . . . . . . . .3. . M6 SAt". . .:if?RI.u. L. G(.t S P . . . .r. . . . . . . . . . . . . . . . . .
(NA''F) (P.0.ADDRESS)
The person responsible for supervision of the work insofar as the Building:Code and the Zoning Ordinance appl•
y is:
SIN ME ' NS Age tig: .
(NAME) • (P.O ADDRESS)`
Name of Builder 5 l M L Addr•es•s: ,
Name of Plumber Address
Name of Mason Address
Lot Number
Unit Estimated value of proposed work S `ki 3 Ll b
Name of Village •. ."
Name of Street SI\M t Side oletreet: north 0, east. D,south ❑.west 0
Nearest Cross Street Distance from this -ross street . . 1't•
Property is north 0,south 0,east i i,west 0 from Cross Street.
If on Corner,which corner,northeast 0, northwest 0, southeast C southwest
(Designate by marking with an"X"in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
One-family dwelling
Addition to a building. Two-family dwelling 0
❑ Alteration to a building. . , . . . . .-family apartment house �
❑ Demolition of a building. Store building 0
-car attached garage 0
Other:
- - - Accessory Building
• One-car.detached garage CI
❑ Other work. Describe. �k) 01=CF Two-car detached garage
Private chicken house 0
Private storage building 0
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 Show proposed building(s) in dotted line and existing .
huilding(s) in solid line.Size of property / I 1� ft. x !/
3 ft.
Size and use of existing buildings, if any
• *4
i m Size of proposed building . . . .f.2., . ft.x .e-b ft.
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Height(from grade to ridge) • . ft.
Front yard —O • ft.
Side yards 4-0 ft.and ft.
Rear yard ft.
7 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.;
(OVERT
7-73—M .
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(coned.)
BUILDING SPECIFICATIONS.,
0 0 ii•F‘6111t-
Kind of construction: Wood frame, fire safe,etc. . . . . . . . . . . .4-?
Will any second-hand lumber be used? tk, 6 If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade 3
Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof • •
Size,wood studs 11 x ",spacing "o.c.,length ft.
Size, floor beams, 1st floor x ", spacing • , "ip.c.,span ft.
Size, floor beams, 2nd floor " x 19, spacing . q•-••4•e' '-aeo.c., span ft.
Size, ceiling beams x ", spacing "o.c.,span ft.
Size, roof rafters or beams "x ", spacing "o.c.,span ft.
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?
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Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chifnuey 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 Queensbury
County of Warren
State of New York
I swear that to to A,..- of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and tluit euch work is authorized by the owner.
Sworn to before me this Signature PI'
OWNER.OWNERS AGENT.ARCMIT C CONTRACTOR
3 0 day of 19
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NOTARY PUBLIC, WARREN COUNTY. N. V.
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SPECIAL CONDITIONS OF THE PERMIT:
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