5515 BUILDING PERMIT
TOWN OF QUEENSBURY No. 5515
WARREN COUNTY, NEW YORK
36A
PERMISSION is hereby granted to Mark Bransontd
OWNER of property located at 121 Dixon Road Street, Road or Ave.
in the Tow of Queensbury,To Construct or place a . Reconstruct storage building
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 121 Dixon Road
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Martin Celeste
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
C7
5. ARCHITECT'S Address H"
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry K 1 Steel ( 1
7. PLANS and Specifications
20 'x40 ' per plot plan, specifications and applicstion
No. submitted.
8. Proposed Use O
Storage Building (Industrial)
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 79 cct
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the co
town of Queensbury before the expiration date.) ft'
O
ri
13th October 78
Dated at the Town of Queensbury this Day of 19
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SIGNED BY , JJ? if• for the Town of Queensbury
Building and Zoning Inspector 1 -
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TOWN OF QUEENSBURY ( (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK Building Inspector)
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Application
Application for crni :,uco
19.
BUILDING AND ZONING PERMIT _ l',•n uit Expires. • lg. .
/:ol'lltli District _ •
• N.aluc nl \1'cork1
THREE (3) Copies of a PLOT PLAN, Drawn to scale \I'I ""'`I b •
showing the actual dimensions of the lot to be built ltcniar)GS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
_ — /
62 J TOWN OF QUEENSE3URV
RECE [IVE -..,..„.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK -'"4
ANSWER ALL OF THE FOLLOWING. - 0! T 1 4 1978
d)
The undersigned hereby applies for a permit. to do the following work A.M. id ' rPjg" ffn aP.M:
which will be. done in accordance with the description, plans and specifi- •
7I8I9il0IlII12I112�314I5IG
cations, and such special conditions as may be indicated on the permit. A
The owner of t is pr perty is:
f +CO `1 (NA_,E) • (P.O.ADDRESS)
The person responsible for •.supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) • (P.O AODRESS)
�}_
Name of Builder. .��-` .,1% Q Address
Name of Plumber - { Address
Nam r
e of Mason. . . %J`�'-1 -Q, Address _
J
Lot Number Unit Estimated value of proposed work 3 . . . boo
Name of Village C�-fit:, . a4-)c.:-;_c-5.4s 2- e , 6
Name of Street .p ,-..• • Side of street: north , east ❑, south ❑. west ❑
�
Nearest Cross Street . .C.i4 . .J.j2(:4 D • Distance frc:n! this cross street 12,.E I Ft.
Property is north asouth ❑,east i 1, west If from Cross Street
If on Corner, which corner, northeastt, northwest ❑, southeast D. southwest
. (Designate by marking with an "X". in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
�( Main Building
LJ Construction of a new building. One-family dwelling ❑
❑ Addition to a building. Two-family dwelling ❑
E. Alteration to a building. . . , , . -family apartment house ❑
fYi Demolition of a building. y, Store building ❑
calf �� /,--e" / ()V_ -car attached garage ❑
Other: yrr
Acces�+- k°
k %O/ -).? ' /iG sory Building
. le-car detached garage
Other work. Describe • • . AD,.. qx. . . Two-car detached garage
(� Private chicken house ❑
��� . �•.2.C��cLi� " t(�o�-`3 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-
- . _. _ _ _ - _ -____ _ __ ____.___ posed buildings,and the_location_of all existing buildings. _
NORTH Show proposed building(s) in dotted line and existing
• luilding(s) in solid line.
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' (Sc-e- C )nitt'O"' `{t k)6j
Size of property •.'°�C ft. x ft.
T - i-lkt�1� Size and use of existing buildings, if any a '
F �fTl�z7"0'6
i la Si a of proposed buildm c ft.x ft.
1-1 Height (from grade to ridge) a ft. .
�, . ft.
Front yard '`� . .f.J--'�
/•�" "-�
Side yards - ft. and ft.
p1•id►v 1Z,el . 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? I, If so, for what?
Material of foundation walls � lr'ri4 `) Thickness f-`'
Depth of foundation walls below grade 40 II
Continuous foundation? /-'5
Will there be a cellar? i G If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs "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 "x spacing "o.c., span ft.
Size, roof rafter beams " x ", spacing "o.c., span ft.
Exterior finish DA.� G�. G'9�•'�v.�'1� �, . .Ci► ALGIA With what material?
Finish of interior walls. .\I.t. .
If garage is to be attached, of wh 't material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? ;,/)/4
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 A
Will a toilet be installed? ' t/ i^
Will a kitchen sink be installed and connected to watev supply?
Water supply (public water supply or pump) . . . . %. .
Distance of cesspool from any private well it///4-
/5/() 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;-bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.p' lete 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.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY"
Building Department
Inspectors Report Date /(}-23- 7
Name J /c /&/./ 73 y'4-41 c 6 AI
Location y/4-1.1_ tr,
Permit No. s 5 / Weather
Per Cent
Complete Remarks
Excavation /�
Footing Forms v / J
Footing & Piers • �!
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
._57: j2
Building Inspector
REMARKS
PI c
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ADIRONDACK MACHINE CORPORATION
PLANT & OFFICE
121 DIXON RD.
GLENS FALLS, NEW YORK
TELEPHONE 518 792-2258 •
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