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87-400 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-400 0 WARREN COUNTY, NEW YORK ' O, N PERMISSION is hereby granted to Adirondack Nautilus I OWNER of property located at 91 Glenwood Ave. Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations for new exercise room 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 Queensbury Racquet Club 91 Glenwood Ave. a Queensbury, N. Y. 12801 n O 2. CONTRACTOR or BUI LDER'S Name ts. w A. J. Catalfamo Const. x z w 3. CONTRACTOR or BUILDER'S Address G rt H. 5 6th St. G Hudson Falls, N. Y. 4. ARCHITECT'S Name p r (D (D 5. ARCHITECT'S Address �j F-' m (D o• O �C O a � 6. TYPE of Construction—(Please indicate by X) C (�Wood Frame ( ) Masonry ( ) Steel ( ) ((DD rt 0 7. PLANS and Specifications F cr' No. Alterations for new exercise room, add stair case to utilize 2nd floor per application. 8. Proposed Use Office space and fitness room rt (D n w $5.00 C/O rt w 28.00 ° January 1, 1g88 0 (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 ti Dated at the Town of Queensbury this 25th Day of June 19 87 K SIGNED BYu/lci�". —Z�e�' X___for the Town of Queensbury Building and Zoning Inspector rD `d O O 0 TO BE COMPLETED BY BLDG. DEPT. Application No. lJ u U own o QueenJLry Permit Issued 19 JUN 231987 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation BUILDING & CODE DEPT, Queensbury, New York 12801 Variance ;2 / - /Q�` Site 'Pl n Review Ne Fv ^ I Appro d� / S* L APPLICATION FOR !/o 3j ` CIO BUILDING AND ZONING PERMIT & Ail 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. --------------------------------------------------------------=------------7------------------ The owner of this property is: Z)A, a l jC6' d a.g k N au T i ko P.0. Address t3ea,-�OW1 , r� 11 Tel.519-Z53-S3cS 3 Property Location: pooh , Y, Tax Map No. / / Street number or building lot number Subdivision name (if applicable) 63 Q N -e,, THE PERSON RESPONNSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of builder )9 '3 C?L4-si Address G 7� si ffi Z5S61,, E,=,-t S Tel. %y7 6 G 5 9 Name of plumber . Address Tel. Name of ddress/U ; ,Sp; -!✓j Tel. 3 y 7 3 z 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) �,lpp7-,,,,�C�,�L * set-back dimensions from property lines. Give street and number or lot number and indicate whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND 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 : �%u ft X 1 d ft. ,� . . . . . . . . . PROPOSED BUILDING AND USE: * g Existing building(s)(s) Use I?'�e C ire , Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) No. of stories (habitable space _ * Front yard ft Rear yard ft ) * Side yards ft and ft COHeight (grade to ridge) ft. * If on corner, setback from side street ft If residential, no. of families d. of rooms(excluding baths) * OCCUPANCY INFORMATION mod. of bedrooms PRIMARY BUILDING of bathrooms One family dwelling - Primary heating system x Type of fuel * Two family dwelling * Multiple dwelling / Number of units No. of fireplaces to be installed 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? C.`2F Ce S r ti Raised ranch Mansion Duplex n 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 CONSTRUCTION $---�����f/'�------ * 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. IA) d 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 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 it spacing "o.c. length ft. Joists(floor beams) 1st. floor "X Is spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) fix " spacing "o.c. span ft. Roof rafters fix " 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 A F F J D A V I T 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 donelon the described premises and that all L_. provisions of the BUILDING- CODE-,-THE ZONING ORDINANCE, and all other- laws pertaining to the proposed work shall be complied with;wheth specified;or n that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signat ____ _ _ ___________________ er, owner's agent,arcnirect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: B I, �jcc�� raAM �P' _ln f on of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING -INSPECTOR ' S REPORT I NAME Q Q11. 7 L111 LOCATION Date/ Permit No. "�/00 * * * * * * * * * * * * * * * * * * * * * * * 6� = 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. Fireproo ing Door Closers Smoke Detec ors Chimney INSULATIO Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Bu�irlding Inspector 6/86 and-vj