5851 BUILDING PERMIT
TOWN OF QUEENSBURY No. 5851
WARREN COUNTY, NEW YORK
XI(tlf -KR)
Jeffrey Combs
PERMISSION is hereby.granted to
buying on contract
61WRECif property located at Montray Road Street, Road'or Ave.
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in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) n
at the above location in accordance to application together with plot plans and other information hereto filed and N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
.
1. OWNER'S Address is Coleman Woodward
79 R Links Ave.
Hadley, N. Y.
2. CONTRACTOR or BUILDER'S Name
Ray Lortie
3. CONTRACTOR or BUILDER'S Address
R. D. #1
. Glens Falls, N. Y.
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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)
X )Wood Frame ( 1 Masonry ( )Steel (
7. PLANS and Specifications
No. 16 'x30 ' per plot plan, specifications and application
submitted.
8. Proposed Use
One—Family Dwelling (additional living area)
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10 . 00 /
$ PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 80
(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.)
O -.
Dated at the Town of Queensbury this 4th Day of June 19 79
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SIGNED BY 1 �J �i � � for the Town of Queensbury .
uilding and Zoning Inspector •
TOWN OF QUEENSBURY (Space inside block to lx fill(() in by
WARREN COUNTY, NEW YORK Building Inspector)
A Iicatioe for Application No.
PP 1'(.rmit Issued - 19. .
BUILDING AND ZONING PERMIT ► ermit Expires. • 19.
%("ii"� I)istri(t
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THREE (31 Copies of a PLOT PLAN, Drawn to scale •\1'l"."`(•(I h •
showing the actual dimensions of the lot to be built It(•,,,:,r1GS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
. /73 TOWN OF QUEENSBURY
�.---? 6 DATE
WORK � : , pJ2 B
A PERMIT MUST BE OBTAINED BEFORE BEGINNING O
ANSWER ALL OF THE FOLLOWING. t- J u 4 (�/
The undersigned hereby applies for a permit. to do ,the following work A.M. P.M.
which will be done in accordance with the description, plans and specifi- ,718I911O111I12)1I2I3I4I5I6
cations, end such special condition as may be indicated on the permit.
The owner-of this property is:
0 Omar ) OO w c�.�6, �0Rk1.r1kS. . .fi�Ue.,.1 ��. . . . .
(NA' E1 (P.O.ADDRESS)
The person responsible for supervision of the work in of�ar a Building Code and the Zoning Ordinance apply is:
(NAME) Nye (P.O ADDRESS)
Name of Builder C'�� Lo r �' c Address . . . .Y,/a -1• • • �•�k- •PCS-AS . . •
Name of Plumber t'� LL • �� Address
•
Name of Mason.•��V.O.%It\. •6e�� Address CGr' oo.. � . ,, e1�.
Lot Number. . ,.J. • • . • • Unit Estimated value of proposed work I .�5. bb C7
Name of Village 0v •e_._1-,- \3b v 9Name of Street . m •`O �•�`• • I (ka Side of street: north 0, east 0, south awest Et
Nearest Cross Street C�e-h . \C-k Distance from this cross street 1 t 0 Ft.
Property is north rg,south ❑,east i i, west ❑from Cross Street
If on Corner, which corner, northeast Li, northwest ❑, southeast ❑. 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
. X' Addition to a building.. One family dwelling
❑ Alteration to a building. Two-family dwelling • ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
• • I.
Ci 1 One-car detached garage ik
❑ Other work. Describe �. Two-car detached garage ❑
��`�r Li JA!f1_ / U Private chicken house El'Cl/l� Private storage building ❑
. ..f:‘ /il/•z �y�J'. 2`,fiz:/" - 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
,.-i✓rivet,Ic huilding(s) in solid line.'
Z f4L
Size of property ft. x ft.
n( •
Size and use of existing buildings, if any
i` F
I- Il �J`
�. "`F m Size of proposed buildings f '. . . ft.x -'� D ft.
. ie
Height(from grade to ridge) f '8 ft.
ft.
4, Front yard T( v5 ft.
Side yards : - ft. and
Rear yard .7...) 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.' W° 6 cc \e,
Will any second-hand lumber be used? . . . . :r... . . If so, for what
Material of foundation walls . . Ct.\`�2�C1 . • •�- 1tl��� Thickness 6. .�.`41 t..S
Depth of foundation walls below grade ' C C) Continuous foundation? h
Will there be a cellar? . . .f •5 If so, material of cellar floor Q.,-R Vc\CA-A
Type of roof: Sloped or flat? . . �.14. �C-. . . . Material of roof .1�-5�? . . .
Size, wood studs o�►• " x q ", spacing I . . ."o.c., leng`fh i. . . . ft.
Size, floor beams, 1st floor. " x I b ", spacing te- "o.c., span ft.
Size, floor beams, 2nd floor " x jj ", spacing "o.c., span ft.
Size, ceiling beams ^ • " x lfr ", spacing I �- "o.c., span / �t-. . ft.
Siie, roof rafters or beams .a. " x •l9. ", spacing "o.c., span 1 g ft.
Exterior finish kia bb With what material? Vt 1 l O+-p
Finish of interior walls. . S.�C�t. roc (
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 bet eengarage and building?
Kind of heating system . .ar 1�-C 1• 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?. . . 1.(3. . . . . . . . . . . . . . . . . .'
Will a kitchen sink be installed and connected to water supply? . f" 0
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
State of New York
I swear that to it. 17cd r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are-a true and coa. 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 •
Q 1•
1OWNER:'OWNER•S AGE T-A •3mITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
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By
TOWN OF ourzmmvps
WA4MN COUKTY, NEW YORK
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TOWN OF QUEENSBURT
uiidi g. Department
•
In pectoers Report Date
Name!9ex :,5
Location , ,-)1)t'•y
Permit No. J h' S 1 Weather
Remarks
Excaation
Footing Forms
•
Footing & Piers
Foundation
Cement Coat
Waterproofing y
Backfill > �
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. i
Relief Valves (/
Wall Board
Ext. Porches
Finished Floor /`
Interior Trim
Stairs & Railings
Cellar Dr. Tile /' \
Concrete Floors
Plbg. Fixtures
Gar: Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling '
Building In pector
' REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date (O/ 5/7
Name fr2. .5 -e p L S
Location 3 ? E'r) ' f.o a_4
Permit No. ,c R S/ Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
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 t.
Ext.Porches
Finished Floor
Interior Trim
Stairs& Railings ti
Cellar Dr.Tile \
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
41
J Building Inspector
REMARKS