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88-363 BUILDING PERMIT TOWN OF QUEENSBURY No. 88-363 170 WARREN COUNTY, NEW YORK 0 James & Deborah Mason PERMISSION is hereby granted to OWNER of property located at Old Assembly Point Rd. Street,Road or Ave. in the Town of Queensbury,To Construct or place a Addition — Deck 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 sv % RR1 — Box 1198 Lake George, N.Y. 12845 2. CONTRACTOR or BUILDER'S Name Sunsoval, Inc. ai 3. CONTRACTOR or BUILDER'S Address Cl everda l e, N.Y. 12820 4. ARCHITECT'S Name O sZ tri 5. ARCHITECT'S Address CD tr 0 6. TYPE of Construction—(Please indicate by X) rt 1 1 Wood Frame ( ) Masonry ( )Steel ( 1 �y 7. PLANS and Specifications No. 10' X 20' as per plot plan, drawings and application ra N. rF 8. Proposed Use ti 0 Addition — Deck tD 0 $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 89 (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 9th Da of June ig 88 SIGNED BY c/I/2” for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. Application No. awn O� Queenitur, Permit Issued 19 I-G N Q BUILDING and ZONING DEPARTMEN Permit Expires 19 f2 (71 y} ; ,. • Bay and Haviland Road, R.D. 1 Box 98 Zoning Designatio �/�-1 L L; Queensbury, New York 12801 Variance No. V Site Plan Review No. MAY 231 8 r Approved by: BUILDING & CODE Z. APPLICATION FOR een 'e5 BUILDING AND ZONING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * *' * * * * * * * * * ..;;51. 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: James and Deborah Mason P.O. Address RR #1 , Box 1198 , Lake George , NY 12845 Tel. 656-9316 Property Location: Old Assembly Pt . Road Tax Map No. 5 / 1 / 26 Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Sunsoval, Inc . P.O. Box 86 Cleverdale 656-9956 Name P.O. Address Tel. No. Name of builder Sunsoval , Inc. Address Cleverdale Tel. 656-9956 Name of plumber Address Tel. Name of mason 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 X Other work (describe) rebuild * set-back dimensions from property lines. Give existing deck with treated lumber * 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 ft X ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existingbuilding (s) Use 9 residential Size of new structure 10 ft X 20 ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) *• Front yard ft Rear yard ft No. of stories (habitable space) * Side yards ft and ft Height (grade to ridge) ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms * No. of bathrooms • PRIMARY BUILDING - Primary heating system * X One family dwelling Type of fuel * Two family dwelling * Multiple dwelling / Number of units No. of fireplaces to be installed * X Permanent occupancy Will a wood stove be installed? Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Otter * 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 CONSTRUCTION $ 2000 . 00 * r 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. wood frame Will any second-hand or ungraded lumber be used? If so, for what? no Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage 200 sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material of roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor 2 "X 8 " spacing 12 "o.c. span 10 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? Interior wall finish If 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. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT County of Warren STATE OF NEW YORK 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. II// SWORN TO BEFORE ME THIS Signature wner owner's agent,arcnitect,contractor 19th day of May 19 88 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By dick, e t (+- J/"fl) treated l c cnibt - �---- !,a` HouaC 1.AM,OS of z? G'4t XS /11-S L,AMQS of J'o yct Fot SC,') I oLQ AS ccMl3L Y PO/il/T /za.4,D . ex i si-'nqq d c}c.I 4--0-4 1-1- ' -k I d eck►n% o'b e,rebuff t-�- \ N.\\\\\:\ sl \\.\\ EcAT MOUSE APART MENT O��t'^ ,- ??" g,+ �+ b E Bok H �l/9 soni I �AME,E� I 5CALS I PROP61.Ty TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT s7 REQUEST FOR INSPECTION RECEIVED ��4S NAME // /✓ LOCATION �� / /"5` 1t 6 DATE //- '? PERMIT # A'I'ROVED IL9J--esk Y S NO FOOTING/P RS MONOLITHIC OUR FORMS FOUNDATION/D P-PROOFING BACKFILL APPROVAL ROUGH PLUMBING'', P1�AMING ELECTRICAL ROUGH N INSULATION: FOUNDATION FLOORS WALLS ILING NAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARA E & RAILS PLUMBING FIX/ RES/RELIEF VALVE INTERIOR TR M/PRIVACY DOORS FINISHED F •ORS GARAGE F 'EPROOFING DOOR C 'SER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION \ FINAL APPROVAL OF CONSTRUCTION / / A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR