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87-266 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-266 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Eunice Engwer r• OWNER of property located at Moon Hill Road Street, Road or Ave. (1) t,j in the Town of Queensbury,To Construct or place a Addition to dwelling (screened porch) 4 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 RD #1 Lake George, New York 2. CONTRACTOR or BUILDER'S Name o Louis LaRock Jr. x r 3. CONTRACTOR or BUILDER'S Address West Road o Argyle, New York a. 4. ARCHITECT'S Name 5. ARCHITECT'S Address a, a, w r+ w 6. TYPE of Construction—(Please indicate by X) 0 rt (x)Wood Frame ( ) Masonry ( )Steel ( ) 0 CD 4 co 7. PLANS and Specifications No. 12'x12' per plot plan, specifications and application at? 8. Proposed Use n rt One—Family Dwelling (screenedporch added) m Co 0 m a• 0 $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 87 ii (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 18th Day of May 19 87 SIGNED BY Gi c( ‘ for the Town of Queensbury Building and Zoning Inspector g .) . TO BE COMPLETED BY BLDG. DEPT. { �/ / Application No. _lo[un ofQueen iur Permit Issued 19 I TOWN OF Q ED=:\'c BUILDING and ZONING DEPARTMENT Permit Expires 19 i Bayand Haviland Road, R.D. 1 Box 98 ZoningDesignation ' D ti ( �� _-u i_ _ WI IP ' , Queensbury, New York 12801 Variance No. F 1 ; y 7-I Site Plan Review No. MAY 151987 ot p ^ I_ 1 , Approved 1 APPLICATION FOR S BUILDING CODE Ip Q�1T. PUILDING AND ZONING PERMIT ._. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. The owner of this property is: 07 I- .J E yam ) u: ,... r P.O. Address , 'r + © G Al f/ i /!( / /2j Tel. 7 I .Z /f " Property Location: Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: y I Name P.O. Address Tel. No. Name of builder c. pp, e- Address Tel. Name of plumber Address Tel. Name of mason < c yn Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) ; c.. r , r, F,e„t * set-back dimensions from property lines. Give /'Al Poe c di • street street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property / , 0 ft X qcrd ft. * Existing building(s) Size .Z H ft X / 0 ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use l 9% m ri if Size of new structure /2, ft X IA ft * ICe I r ;P N ,' Foundation slab/crawl/partial/full * Proposed building, distance from property line (circle one) * Front yard 7' ft Rear yard 0' ft No. of stories (habitable space) Height (grade to ridge) %j ft. * Side yards / rr, ft and 3 77 (' ft If residential, no. of families * if on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms * 1 No. of bathrooms * PRIMARY BUILDING - (JkPrimary heating system * N One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed-7 * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other Ranch Contemporary Log cabin * If addition, what will use be? for v L Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other /V/X' CONSTRUCTION $ , ( * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. r-% c"' G ,4 1 K , fin Will any second-hand or ungraded lumber be used? If so, for what? A,,, 0 /✓ • Foundation wall material /' f a c / re , if, Thickness f , j t Depth of foundation below grade (to bottom of footing) 4/ efir li Will there be a cellar? A/ Heated or unheated? , f-' v Floor sq. footage / y y sq ft Will there be a basement? A/0 Will any portion be used as living space? // v (If so, what portion? sq.ft. - - Type/9f use? Type of roof - sloped/flat/shed/other /4:_m 4 cidaterial of roof < h ,'A;t, /e ., p/41� Size, wood studs 2 "X 1:( " spacing l L' "o.c. length ,e7 ft. Joists(floor beams) 1st. floor . "X = " spacing /1 "o.c. span /2 ft. Joists (floor beams) 2nd. floor — "X " spacing "o.c. span ---- ft. Overlays(ceiling beams) 2_ "X " spacing IC "o.c. span 1 ,1 ft. Roof rafters 2 "X (" " spaci g Ir o.c. span r ft. Roof trusses(pre-engineered) spacing "o.c. span — ft. Exterior wall finish : /1 ,",, i t" r Of what material? ; e q gf e f" Interior wall finish / 0( / Z. P v " ? kl C :t 4(/ Iv - L s, f a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. N) Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. ,,,/ separate application is necessary for any repair or new installation of septic system) gown of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done 'on the described premises and that all provisions of the BUILDING 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 4./44 ._ -- ---a'9 Owner, owner's agent,arcrY�Eect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By .own o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME ELIhiC LOCAT I ON h #:, // Dateb A, /I/ Permit No. tbi— (P ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing. Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey , Oh re-c , )dd. Next scheduled inspection (call when ready) Remarks- ;'. I,-{',. i L, /;:1 /1 1-;,/) ,,:i)e .5 t'''' ''' ' / /J/.. `"/// // Building Inspector 6/86 and-vl 1 _loom of Queenihur, el BUILDING and ZONING DEPARTMENT O Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME -e Jhcj' GJ2L LOCATION Obh I. ii Date 6//1 /2 7 Permit No. Ye7--2(p (P * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES ,/ NO Footing/Pier Forms Foundation Waterproofing Backfill (Framing nd,,�r4 din- jai ck. Roofing (" Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors t Plbg. Fixtures Gar. Fireproofing 'r Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- (4743 Building Inspector 6/86 and-vl _town of Queen iur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION JyfJ L , l Dates/f./ 7- Permit No. F7- 2-GC * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / ,ien;/Pie Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures �. Gar. Fireproofing '- Door Closers Smoke Detectors ! Chimney INSULATION: Foundation 1 I Floors Walls �` Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Cf Oedt- - - Building Inspector 6/86 and-vl 4 1 ) f 44.13 . 0 t- rq y) s i 1 a e . . . . ' . , . . 1 i , ' 1 , ' 1 I,' Z . , 5 I, k-es 11+ , .. . . . 2 oe e r/4 4 i, -1- as /3 c., r/1 • / ' - - - li............._,., I ' , 1 r-e.s,.,i- r e... .........-- L., , .,„... ,-. 1,, it,z-L) 6-tAcV--_,' -,'•::-:,',5-%-x3- ,,,,, _., 'C"- \' T • 4411 ..—-—--——i --"--:772:---------------""------.-.''------:'----------—_______' \ . • 4 h , w --1-:---------------------______: 1 1_ ."-- -----------____________:___:. ' -.. T11~` i rs 1 r Aks. t i 1 ���� 54. 1 L ",---� U, ,...t., V^^ 5^ \ 6 • 0 0 • x �V /" v � 4\ \ N j Z 1• 3 .s-C . \ ,<- . :, , APPR v n 8' s ZONING & BLOC TOWN Or c`::;,-: ; , --\ \ S o G I IN Y Y! a c f✓ / /I // /\ iP r�� � �/