5421 BUILDING PERMIT
TOWN OF QUEENSBURY . No. 5421
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Noble Counter
OWNER of property located at Michigan and Central Avenues Street, Road or Ave.
('carport),
in the Town of Queensbury,To Construct or place a Addition to one—car detached garage
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at the above location in accordance to application together with plot plans and other information hereto filed and1-1
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
R. D. #3
Glens Falls, N. Y.
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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 •
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6. TYPE of Construction—(Please indicate by X)
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Wood Frame. ( ) Masonry ( )Steel ( ) I-1
7. PLANS and Specifications (D
8 'x13 ' per plot plan, specifications and application
No. submitted. N
8. Proposed Use
One-car detached garage (carport added)
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$ 2 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 1979 �q fi
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D 0
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town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 2 9 th Day of August 19 78 0
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rCl SIGNED BY a P
for the Town of Queensbury rt
Bui ing and Zoning Inspe C)
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TOWN OF QUEENSBURY ' (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. .
PP Permit Issued ` 19 .
BUILDING AND ZONING PERMIT Permit Expires. . VI.
. iii„l. District
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THREE 131 Copies of a PLOT PLAN, Drawn to scale •\PI,r„r(d by
showing the actual dimensions of the lot to be built k&•n,ayKr.
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. .
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_ - i /a 2i h p TOWN OF QUEE��Y/RNSBUR't
7 o DATEO D 47 �YJ ll
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ek� ��D D
ANSWER ALL OF THE FOLLOWING. A U G 2 8 1978
The undersigned hereby applies for a permit to. do. the following work A.M. P.M.
pplans and s ecifi- . 7181911.011142)11213141516
which will be, don® in accordance with the description, p Ai 41 aaAl ,
cations, and such special conditions as may be indicated on the permit. .
The owner of this property is:, 64,9/6 f'
(NA.E) (P.O.ADDRESS)
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The person responsible for •supervision of the work insofar as the Building Code and the•Zoning Ordinance apply is:
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(NAME) (P.O ADDRESS),
Name of Builder 5 Address
Name of Plumber - . - Address
Name of Mason Address
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Lot Number Unit / Estimated value of proposed work I . . �.0 Q e t&
Name of Village . . f/: .CTLi S. .F4111-5
Name of Street t7/t,G,;.9a6. Avx d Ce -ra/ Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street . . /.)1i.&i ft n He Distance from this cross street Ft.
Property is north 0,south ®,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.) •
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. One-family dwelling Main Building ❑
El Addition to a building. Two-family dwelling 0
ElAlteration to a building. -family apartment house ❑
0 Demolition of a building.
Store building ❑
-car attached garage ❑
Other:
Accessory Building
0 One-car detached garage
Other work. Describe• C Q` r� ��o e 1 Two-cardetached garage ❑
-ro la Private chicken house ❑
n - '�0.!'. ' ' ��' �� - Private storage building. - • ❑
.'. . . . . gr.a. s • Other:
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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 . . . /0.0. . . . . . . ft. x 90 ft.
1 \ Size and use of existing buildings, if any 3 �
/f/•� , 3 X
a w Size of proposed building 4. ft.x . .1.2). . . . . ft.
Height (from grade to ridge) g. ft.
Front yard ft.
Side yards ft. and ft.
C.-2-'24 ty1/.4, - 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.
(OVER) .
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 below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . .S./dted eraterial of roof
Size,wood studs . "x ", spacing f "o.c., length „1,
ft.
Size, floor beams, 1st floor "x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor, " x 4 ", spacing "o.c., span ft.
Size, ceiling beams AX " x ", sRaffg15.y "0.c., span ft.
roof rafters or beams .gX " x ", sgacmg "o.c., span ft.
Exterior finish . . . . . . . . . . . . . . .. . . . . -1 what material?
Finish of interior walls Z-9
If garage is to be attached, of what material is wall between garage and main buiRting to be constructed?
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 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 Queensbury
County of Warren
State of New York
I swear that to tr, ;Oarof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.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 that such work is authorized by the owner.
Sworn to before me this. Signature
OWNER,OWNERS AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y. W12-0
SPECIAL.CONDITIONS OF THE PERMIT:
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