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1223 BUILDING PERMIT TOWN OF +QUEENSBURY No. 1223 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Robert E . Qvitt ` �, CQd OWNER of property located at ''�^" K;ECA37�Luzerne Road Street, Road or Ave, in the Town of Queensbury, To Construct or place a ©pien porch � 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 R . L'►*#3 Luzerne Road- Glens Falls , No Ys 2. CONTRACTOR or BUILDERS Name Same 3. CONTRACTOR or BUILDER'S Address same sMr w 4. ARCHITECT'S Name + Same S. ARCHITECT'S Address Same 6 TYPE of Construction — (Please indicate by X) (x) Wood Frame ( ) Masonry I } Steel ( } 7. PLANS and Specifications No. 10 ' x22 ' as per submitted plans and specifications a. Proposed Use open porch ro $ 2 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES —1 -a1 19 (If a longer periiod is required an application for an extension must be made to the Building and Zoning inspector-of lY+ town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 2nd _Day of June _yo 71 SIGNED BY t'� �� for the Town of Queensbury Building and Z ng I nslxector T& OWN OF QUEENSBURY (Sparc inside block to Ix l7IIC•il in t,t WARREN COUNTY. NEW YC7RK Building;' Iuslxv( mr) Application for ' r �► BUILDING AND ZONING PERMIT THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale il. _ L_ 31NG & ,,"darcCTG1R showing the actual dimensions of the lot to be built TOWN OF Ql3FEfVSIJY upon, The exact size, and location on the lot of +he building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN C7 'fi QLJEENSt3UR 'Y A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK lI 971 ANSWER ALL OF THE FOLLOWING. A.M. P.M. The undersigned hereby applies for a 71819 1 1112 11213141516 pP permit to do the following work . . � .� . � } . r • . . r which will be done in accordance with the description, plans and specifi AL- cations, and such special conditions as may be indicated on the permit. 1-h = o rner oft is per xs: fNG 'FI - - . - �P P. Abb SI _ The person responsible far supervision of the work insofar as the Building Cade and the Zoning Ordinance apply i.s: gNAME, - Name of Builder . .. . . . . . . . . . . . . . . . . . . . . . Address . . . . . Name of Plumber P P - - - . . . . . . . . . Address Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - Address . . . . . . . _ . - Lot 'Number . . . . Unit , . . . . . . E . . stimated value of proposed work f . a. Name of Village � .� , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . , , . . . Side of street: north 0 , east 0, south west C Nearest Cross . . . . • . . , Distance from this cross streetsouth west . l• 3 Property is north 0 , south El , east ii , west 0 from Gross Street If on Corner, which corner, northeast [:] , northwest © , southeast 0 , southwest (Designate by marking with an "X" in the correct space. ) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main $ui}t3ing addition to a building. C3ne-family dwelling Alt,•ration to a building. Two-family dwelling (_I Demolition of a building. . . . -family apartment house - Store building - -car attached garage Other: . . . . . . . . . . . . . . . . . . . - . . . . . . . - . . . . Accessory Building; t c, rr work. Describe: . . . . - - . . . One-car detached garage ' . Two-car detached garage c Private chicken house Id Private storage building; . . . . . . . . . Otter- . . _ SPECIFICAT'IO:NS . 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 , sire and setbacks of p7o j NORTH posed buildings, and the location of all existing Show proposed building(s) in dotted line and exisr ; T ,9 --.� huilding(s) in solid line. i I Size of property _ . . . - . . . . . . . . ft. x . . . . . . . . . . . . : : Size and use of existing buildings, if any . . . . . . dt W Size of proposed bViie4rtg . . , - . / . r,_ _ ft. x Height ( from grade to ridge) . . . . . . . . . . . . . . . . . . . ft. Front yard ft . _- Side yards . . . . . . . . . . . . . . . ft. and . . . . . . . . tr. Rear yard . . . . . . . ft . SOUTH If on corner, setback from side street . . . . . . . . . . . . . . ft . Note: All distances are net, as measured from street stile I line to nearest dart of building- (OVER) [ 1I.131NG SPECIFICATIONS., Kind of construction. Woad frame, fire safe, etc-? , . . . . . . � Will any second-hand lumber be used? . . . . . . . . . . . . . . . If so, for what? . _ . . . . . . . . . . . . _ . . . . . . . . _ . _ . . . . . . . . . . . v . . . ' aterial of foundation walls . . . , . . . . . . • . . . • . . . . . . . . . . . . . . . . . . . . . , . . . . . . . I . Thickness . _ _ . . _ . , . . . . , . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . Will there be a cellar? . . . . . . . . . . . . . , . If so, material of cellar floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `i'-y pe of roof: Sloped or flat? Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size. wood studs " x . . . . . . . . . . ", spacing . . . . . . . . . . . . . ."o,c., length . . . . , . . .. . . . . . ft. Size, floor beams, 1st floor . . . . . . . . "', spacing . . . . . . . I . . . . . ."o.c., span . . . . . . . . . . . . . . ft. Size, floor beams, 2nd floor . . _ . . . . . . . . " x . . . . . . . . I . . . . . , ", spacing . . , , . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. Size. ceiling Kearns . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing _ . . . . . . . . . . . . . "O.c., span ft. Size, roof rafters or beams . . _ . . . . . . . . " x . . . . . . . ", spacing . . . . . . . . . . . . . . "a.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? Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system Oil burner or coal? . . . . . . . . . . . . . . . . . . . A . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . • • . Depth of chimney foundation below grade . . . . . . . . . I3eightofchimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . _ _ , . W ill there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . • . , . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . _ _ . . . . . . . . . . . . . . . . _ . . . . . . . A . . . . . . . . . Will a kitchen sink he 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 'f c+wn of Queenshury (:aunty of Warren ss. Sty■te of New York I swear that to the meet of my knowledge and belief the statements contained in this application, t #mher with the qpll�s�t� and spsrxf cntioas sub- mitted, are a true and complete statement of all proposed work to be done on the described premises and that aA of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied wkfi, whether spy or not' and that such work is authorized by the owner. :.��'}- q"orn 6o before me this Signature . . .- aWiiE/01 Wi4ER'S AGENT.EC'1'. CONTRACTOiiy �7 .. . . . .. . . . . . . . ... .day of. . . . ... . .__ . ___ ._.. . . _. . . __. . . ,... . . _. . . ... 19.. . . ... . µ0YARY YaSF-Ma WARREN GOUTY, N. y. SPECIAL CONDITIONS OF THE PERMIT: By .. .. .. . .. ... .. . ... . . ..... . . .. .. .. . . . ... .. . . ...... . . .... .. . ... . . . ...... .... ..... . .. .... . . ..... law Apptz ov Awk1 BUILDING & ZONING MSP CTOR TOWN OF QUEENSBU