1723 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1723
WARREN COUNTY, NEW YORK
. C
PERMISSION is hereby granted to Mrs. Ruth V. Firth
H.
H
OWNER of property located at Meadow Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition
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
Meadow Drive
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
Donald Harvey
Specialty Shop
3. CONTRACTOR or BUILDER'S Address
72 4th Street
Glens Falls, New York
19801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
x)Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No.
12' X16' as per plot plans submitted.
8. Proposed Use CD
Screened Porch g
v
N.
$ 6.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 9-1® 19 72
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 1 Day of May 19 72
SIGNED BY1/ pQ �i for the Town of Queensbury
V Building and Zoning Inspecto i�✓ _,,y� 0)VVVV �4,- v/t
N OWN OF QUEENSBURY
(Spare inside block to 1x. filled in by
`:VARREN COUNTY, NEW YORK Building Inspector)
Application for .%,,,t,it itiott No.
i'c•t•ntit I SU((I pi .
BUILDING AND ZONING PERNiT 1,c.rl„it (.,,,ire,
Y(.;Inf_ 1)',tri(i
\ ;ilil<• of Work '-, .
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'I"•""''i by . . . . . ' . . . ' • '
showing the actual dimensions of the lot to be buil+ Rim:il`, . • . . . . . . . .
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- L�—�
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
DAT. ; E. 0 PI
dED• A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK pD �
ANSWER ALL OF THE FOLLOWING. lD y ;,=.K` 1 I9I 2.
The undersigned hereby applies for a permit to do the following work A.M.which P.M.
will
such special conditions t+ash tmay behe rindicated aon the ns and specifi-
cations, ermt 7I I •I?cif?11 �1�2�`"'i�`5�6
The owner of this property is: !,�/�l'� ✓�� je�� A
(NA.tE) /. IP(t ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME); �@f1 7. "/i:f/-'YAy IP 0.ADDRESS) ,�,_, �7-•
Name of Builder. . . '��� f Address 2 ���� ✓C�} ���P�ll/$ !'C1.`$
Name of Plumber
Address
Name of Mason Address . . . .
Lot Number Unit Estimated value of proposed work$ ',/7 6 0 • o 0
Name of Village - •LEI-Q Name of Street . . . . . /../f.�t .eVo. .0/.0/ • •f/nn
• ye Side of street: north Bit, east 0, south ❑. west 0
Nearest Cross Street g/4,7�1' J?o et') Distance from this cross street 5 d° ` Ft.
Property is north ❑,south ❑,✓east its., west 0 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
El Construction of a new building. Main Btsifdang
Q Addition to a building. One-family dwelling
El Alteration to a building. Two-family dwelling El
❑. Demolition of a building. . .-family apartment house El
Store building . ❑
-car attached garage ❑
Other:
Accessory Building
• One-car detached garage ❑
•
Other work. Describe Two-car detached garage El
Private chicken house El
Private storage building El
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 off pro-
posed buildings,and the location of all existing buildings.
NORTH
Show proposed building(s) in dotted line and existing
building(s) in solid line.
I ql Size of property / " ft. x Zia-ft
Size and use of existing buildings, if any
l w Size of proposed Imiitling / Z ft.x ! 6 ft.
Height(from grade to ridge) ft.
�
I S' I n, . . Front yard
Side yards ft. and ft.
/v1,L:- -J'O2t/ DI2. 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)
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe. etc.?. . . . . . . . . . . D D �%N. ��
Will any second-hand lumber be used? D — If so, for what
Material of foundation walls o�IG r d'ie 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? 62,gbre Material of roof
Size,wood studs y" ", spacing "o.c., length 7 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 %Z " x 6 ", spacing /6 e. "o.c., span ft.
Size, roof rafters or beams �p x . . G. . . ", spacing "o.c., span �Lf ft. •
Exterior finish . . .0 t/.,,�^- tz. . ., With what material?
Finishof interior walls
If garage is to he attached, of what material is wall between garage and main buiRting 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 best of my knowledge and belief the statements contained in this application,torther with the plans and specifications rob-
mined, are a true and complete statement of all proposed work to be done on the described premises and that all provision 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 such
ef work is authorized by the owner. (�0 74 er,-40 ^�i
Sworn to before me this Signature C/
OWNER.OWNER'S AGENT,ARCMITE NTRACTOR
. day of. 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By •
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