5263 BUILDING PERMIT
TOWN OF QUEENSBURY No. 5263
ARREN COUNTY, NEW YORK
PERMISSION is hereby granted to aul A. Brandt
OWNER of property locatedl West Mountain Road Street, Road or Ave.
l
in the Town of Queensbury,To Construct or place a Addition-2 car attached garage and living N
at the above location in accordance to application together with plot plans and other information hereto filed anarea j'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. • CO
H
1. OWNER'S Address is R.
D. #2
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same - u
eh
4. ARCHITECT'S Name
0
C
r+
tv
5. ARCHITECT'S Address F'
PC,
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6. TYPE of Construction—(Please indicate by X)
) Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications
24' x34' two car attached garage and additional living area
No. per plot plan, specifications and application submitted
8. Proposed Use
N c+
One-Family Dwelling �'0 0
c¢
LO v o
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 ' 1979 H C
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D C) (D
town of Queensbury before the expiration date.) �~
Dated at the Town of Queensbury this 12th Day of June 19 78 Lou?
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•
SIGNED BY t —14a'11� � ,L.et +. 1� for the Town of Queensbury
Bu ding and Zoning I nspe'ctor ' (D
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TOWN OF QUEENSBURY ( (Space inside block to Ix filled in by•
WARREN COUNTY, NEW YORK Building Inspector)
• Application No.
pplication for
Permit lsaued 19.
BUILDING AND ZONING PERMIT ► ermit Expires. I g: .
i:,,nini. llistrirt
• \ Ale (,I Work.,%
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\11)"" •`I biY
showing the actual dimensions of the lot to be built Reim]KS
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
L? `~- ' /Z j/4.,� �� TOWN OF QUEENSBURY`� 4q:---......:_�.. ���..,....--,. DATE R' E
v `' � �\�NSB u
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A PERMI
T MUST BE OBTAINED BEFORE BEGINNING WORK ; -:
ANSWER ALL OF THE FOLLOWING. • u U I I, r /U �✓ G I
rG '9� �e.& pM!.
el
The undersigned hereby applies for a permit. to do the following work A.M, 1
which will be. done in accordance with the description, plans and specifi- 7181911Oill1Fin1M1519
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:r-Th vL A • 2/) �,�7-- '®'"(NA''E) . (P.O.ADDRESS)
• The person responsible for '.supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
u.`--. . . .J 4.-"N.p T 2 p Z lJti T /NIT /2.2•
. . . . . . . . . . . . . . . . . . . . . . . .
(NAME) . (P.O ADDRESS)
Name of Builder ' Address
Name of Plumber - Address
Name of Mason r J Address '.,
Lot Number Unit Estimated value of proposed work 5
SOod
Name of Village . —1"S9.U/2-
Name of Street /tick TT A17- 2>P• Side of street: north 0, east , south Q, west la"
Nearest Cross Street ./ 1 TGiyC-7"L. 42"' / Af/[ 7Ft.
Distance from thi:; muss street
Property is north X south - ❑,east 17), west ❑from Cross 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 Building
tg One-family. dwelling 0
Addition to a building. Two-family dwelling CI
Alteration to a building. -family apartment house ❑
❑ Demolition of a building.
Store building ❑
. . .Z -car attached garage
•
. Other:
. . • Accessory Building
• - One-car,detached garage ❑
❑ Other work. Describe Two-car detached garage ❑
c9 Gd'1'' /� #� /f"' 6�/� 4 �Private chicken house • ❑
,/ `'j-t. y
J Private storage building ❑
4-OD). • �7. . .'
. in i)9 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 buildings) in dotted line and existing
Ituilding(s).in solid line.
. Size of property . . . .1. ,�. .c. . . . ft. x
6o-d) ft.
Size and use of existing buildings, if any
I
i W Size of proposed buikiittg-. . .a • . ft.x . . .3 •J . . ft.
Height (from grade,to ridge) . . ft.
Front yard .1 , ft.
Side yards . . .i d ft. and ` ft.
• Rear yard \ ft.
SOUTH If on corner,set c rom 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.,
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Kind of construction: Wood frame, fire safe, etc.?. . . . . . M
Will anysecond-hand lumber be used? A/c If so, for what?
3
Material of foundation walls � L�-'�- Thickness /r/ 8"/
Depth of foundation walls below grade /may-' Continuous foundation?
Will there be a cellar? SGQ so, material of cellar floor
Type of roof: Sloped or flat? Material of roof . s���A « S��`t'�
Pe �
Size,wood studs z—"x ", spacing 7 ' "o.c., length • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor z— " x /o ", spacing l "o.c., span /Z ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams Z--- " x ", spacing /6 "o.c., span ft.
Exterior finish ���ti� �T�E� With what material? o d 7
Finish of interior walls. ' " /Lc,ci
If garage is to be attached, of what material is wall between garage and main building to be constructed?
L/
Is there to be an opening between garage and building? �Cr
Kind of heating system,boa `s���`���O` �� Oil burner or coal?
Will a flue-lined chimney be provided?Thiel-"1d3O-5 epth of chimney foundation below grade
Height of chimney above roof F./—
Will there be a fireplace? V O Depth of fireplace hearth
Will a toilet be installed? .474-
Will a kitchen sink be installed and connected to water supply? . A/C'
Water supply (public water supply or pump)
Distance of cesspool from any private well 6 0 f r � '�is i feet
Will drainage system be provided with required traps, cleanouts, and vents? �c=�
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to it bc',1 j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. 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 sed work shall be complied with,whe er specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature f�
OWNER.OWNER'S AGEN .ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By .
TOWN OF QUEENSBURY •
Building Department
•
•
Inspectors Report Date JO'26 `7�
Name 6./ya,,.,eli—
Location L( e_54- 1 -ram
. Permit No. 5 a 6,3 Weather
Per Cent Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
,Final Survey V
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
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
•
Septic Approval
Building Inspector
REMARKS
Roui, Q� O��°N►,uc �rCoorS �" GJfeuePo� P
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va'/ 6/o�env!I '����k�eS Dou � 1�
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TOWN OF QUEENSBURY
Building Department
Inspectors. Report Date l( ./L/ r
Nam w _P>>"a/Ort .�
Location ie)"<1 hss/. ,; /
Permit No. '�... In"3 Weather
Per Cent •
Complete Remarks
Excavation '
Footing Forms S
Footing & Piers \ '
Foundation \ •
Cement CoatI
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
Plbg.Fixtures
Gar.Fireproofing _
Door Closers
Chimney
Water Meter Inst.
Septic Approval r{
Building Inspector
REMARKS
TOWN *OF QUEENSBURY-
Building Department
7(/Inspectors Report Date !� / /i
Name f�g'// l �.
' Locationi c t 3
Permit No. %j 413 Weather
Per Cent
Complete , Remarks
Excavation /I/
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing 1 , ' / 14 t/71/ 17/11
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
Buil ' g In ector
MA S
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