1864 BUILDING PERMIT
TOWN OF QUEENSBURY No. 1864
o (�� � �� I WARREN COUNTY, NEW YORK
PERMISSION is herebygranted
to Paul H. Naylor
OWNER of property located al J n1Vlsl0n Road Street, Road or Ave. Pt,
in the Town of Queensbury,To Construct or place a Breezeway
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.
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1. OWNER'S Address is
R. F. D. #2
Division Road
Glens Falls, New York 12801
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address _
Owner
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
�()Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No101X12t Breezeway as per plot plans o
H
8. Proposed Use Un
H
Breezeway 0
0
$ 6.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 111).— 1- 19 72
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the/ ` _7
town of Queensbury before the expiration date.) L /
Dated at the Town of Queensbury this 22 Day of June 19 72
SIGNED BY __eV ,00 Ar the Town of Queensbury
Building and Zoning Inspector
— 7)..ease Si Ai )Daek TOWN OF QUEENSBURY
(Space inside block to Ix. tilled in by
WARREN COUNTY, NEW YORK Building Inspector,
Application for \ppli(atie,e, No.
Permit Issued 1'e.
• BUILDING AND ZONING PER cT Permit Expires I •.
Y.(.nne, District
\ aloe nl Work s .
THREE (3.1 Copies of a PLOT PLAN, Drawn to scale \1'►"•h k d b • . . • . ' . . ' .
showing the actual dimensions of the lot to be built IZ''ei,:ie l.',
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- � •WlO 4 5RURY
MITTED WITH THIS APPLICATION. - , D ; �: .l .
G-°° Fe'P,U,,/D
DATE �J U N 2 21972
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A.M. P.M.
ANSWER ALL OF THE FOLLOWING. 7M?110NI12111M4A16
The undersigned hereby applies for a permit to do the following work A,
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
Thowner of t-Us property �ctt is: _... ... _ �o.._. ..
. 1 .l.7 1 I
. , D IC�• . 4' 2 "ba;v s : p
0 of 1�cQ ( * ? /
(N .c) (P 0 ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS)
Name of Builder Address
Name of Plumber S . Address . . .
Name of Mason Address
Lot Number Unit Estimated value of proposed work$ o 06 - `'e:)
Name of Village . .4 v '�.e""" ID'r�
Name of Street 1M-, "- 1-sl="' Side of street: north gl, east 0, south O. west 0
Nearest Cross Street Col";vs,71-4 1/- " Distance from this cross street ` 3 v Ft.
Property is north a south ❑,east Ti, west ❑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. Main Builthng
X•Addition to a building. One-family dwelling C
❑ Alteration to a building. Two-family dwelling ❑
❑. Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage • ❑
Other:
• Accessory Building
r z - Q nos One-car detached garage ❑
0 Other work. Describe: ""� Two-car detached garage ❑
Private chicken house ❑
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
huilding(s) in solid line.
., Size of property ft. x ft.
Size and use of existing buildings, if any
N iniii at
a w Size of proposed building . . ./. .O. . . . ft.x . . /2. . . . ft.
Height(from grade to ridge) / ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If on corner,setback from side street ft.. •.
Note: All distances are not, as measured from street side
line to nearest part of building.
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc. l.,✓.a-6 r.
Will any second-hand lumber be used? lv a If so, for what3
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? . . 14.p.c Material of roof
Size,wood studs 2., " x �J- ", spacing ,1 "o.c., length 8 • ft.
Size, floor beams, 1st floor . . . .2-. . . . . . " x ", spacing l L "o.c., span G 2 ft.
Size,'floor beams,'2nd floor " x ", spacing "o.c., span ft.
Size,ceiling beams " x G ", spacing /6 "o.c., span / 4- ft.
Site,roof rafters or beams " x ", spacing "o.c., span ft.
Exterior finish 5 ! " 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?
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?
Town of Queensbury AFFIDAVIT
County of Warren Ss.
State of New York
I swear that to the beet of my know,ledge and belief the statements contain ' this application,together with th and specifications sub.
mitted, are ■ true and complete statement of all proposed work to be e the described premises and provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' to e p posed work sh on, . with,whethec.specified or not,
and that such work is authorized by the owner.
Sworn to before me this '' Signature
0 R.OWNER'S+� , ARCHITECT,CONTRACTOR
day of 19. ....
NOTARY PUBLIC. WARREN COUNTY, N.Y.
SPECIAL CONDITIONS OF-THE PERMIT: --- -
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DATED . ‘-,.2-7z
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BUILDING & ZONING INSPECTOR
TOWN OF QUEENSBi1RY