1986-280 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-280
30G\ ` '`....(t, I dtolX„
ARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Myrtle Ramsey
OWNER of property located at 8 Rozelle St. Street,Road or Ave.
Addition to dwelling (porch)
in the Town of Queensbury,To Construct or place a
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at the above location in accordance to application together with plot plans and other information hereto filed and r
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 'g
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1. OWNERS Address is 8 Rozelle St. cc
Glens Falls, New York t
2. CONTRACTOR or BUILDERS Name Robert R. Munger
3. CONTRACTOR or BUILDERS Address
3 First St.
Gansevoort,NY co
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4. ARCHITECT'S Name 0N
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5. ARCHITECTS Address :t
6. TYPE of Construction—Meese indicate by X)
1 xi Wood Frame I I Masonry 1 1 Steel 1 1
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7. PLANS and Specifications p'
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7'x26' porch on existing slab per plot plan, specifications and rt
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application submitted. G
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B. Proposed Use 0
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One—Family Dwelling (porch added) sc
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Jan. 1 19 87
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n
town of Queensbury before the expiration date./ itCo
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Dated at the Town of Queensbury this 4th Day of June Ig 86 a
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SIGNED BY for the Town of Queensbury n
Building and ZoningInspectorP .�.
TO BE COMPLETED BY BLDG. DEPT.
Cc77 Application No.
_lou/n of Quvvndtury Permit Issued 19
TOWN OF J!IEENS±✓
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BUILDING and ZONING DEPARTMENT Permit Expires 19 V �1� II )� L L
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Oueensbury, New York 12801 Variance No. ;,,lit i 0 19hC: o�
Site Plan Review No. /0 4� /- .e-c '
3 Y - 41 ^ 2Y Approved by: Ai
m' 1 2 3 4 5 B
APPLICATION FOR 1,//V(/l J 0it
BUILDING AND ZONING PERMIT
* * * * * * * * • • * * • • * * * • • • • • * * * * * w a • • • • • • • * •::*
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.
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The owner of this property is: 9-Pin '/S ,mse>/
P.O. Address 91 Tel. 79.E-//,70.2.
Property Location: O RO 7 G//e SJ 7-- Tax Map No./3 Y / G / 1. r
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS FFFARDS BUILDING CODES IS:
Name // �7 ,y/ P.O. Address Tel. No.
Name of buildeCOAre Lp- - ///UN Address C. / /Q 57 4/59-aLb,T'rel. 79,1 -743 ''
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATIOJ:
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)
* set-back dimensions from property lines. Give
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S de-0 To * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. *
of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /b-5 ft X /Sb ft.
* Existing building(s) Size 36 ft X ,24 ft.
*
PROPOSED BUILDING AND USE:
Existing building(s) Use /-/oiyrs_-
Size of new structure 7 ft Xighft *
Foundation-pier crawl/partial/full * Proposed building, distance from property line
/9/2e-✓/ovs/y ."iFcle one) Poulteo "
ce * Front yard ft Rear yard ft
No. of stories (habitable spa
Height (grade to ridge) ft. * Side yards ft and ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms * One family dwelling
Primary heating system
Type of fuel * Two family dwelling
No. of fireplaces to be installed * _Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * _Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial -!J I/
Ranch Contemporary Log cabin * 70ther 5ceeeAi `O/acn' 061 ' i9&OF1/"4)Se
Raised ranch Mansion Duplex * If addition, what will use be? ,:7-4.-raz,,ge ,.(✓Split level Old style Bungalow * 54/9.0 tQA-5 Th v2e42 . r FOQ(
Cape Cod Cottage _.:i___ * ACCESSORY BUILDING-
Colonial Row Town House /Detached garage/one car/ two car/ / car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * kPrivate storage building /o' c /0/
ESTIMATED MARKET VALUE OF * -
CONSTRUCTION $ -7o 0-
INFORMATION ON BUILDIING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
arm IiY- 1/C6 m.I vl
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45: BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:Type of construction, wood frame, fire safe,etc. ,,zn OOD fia?9yna qL Sc.,2e.e4'
Will any second-hayed o} ungraded lumber be used? If so, for what?
P0094. F,,vm A62 E02 /P2? -,n 'Kj d- ,Q /5-/arca.e.
Foundation wall material P/2Lytov5/`/ Dade Thickness
Depth of foundation below grade (to bottom of footing) --
Will there be a cellar? 7-JO Heated or unheated? A/O Floor sq. footage /(off sq ft
Will there be a basement? ,Af(dWill any portion be used as living space? A/
(If so, what portion? ^ sq.ft. - - Type of use? a
Type of roof - sloped/flat/shed/other 0 e Material. of roof 9/j",Q ,b4,7e. 5,VtNt/es
Size, wood studs '„L "X Al " spacing / o.c. length 7 ff!
Joists(floor beams) 1st. fluor ^ "x " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) X �{ " spacing l "o.c. span 7 ft.
Roof rafters ,2 "Xpaci g /2 o.c. span ft.
Roof trusses(pre-engineered) spacing c--"o.c. span ft.
Exterior wall finish Of what material? 8 G2aeN''SCY
Interior wall finish No
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? ,gts, If so will a Fire-rated
door, enclosure, and self-closing device be provided? —
Will a flue-lined chimney be installed? , t 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
County of Warren AFFIDAVIT 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.
SWORN TO BEFORE ME THIS Signature_-l/� �' �
Owne , Owner's agent,OCnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSB
Building Department
le— Report Date G, ',, /
Name (,'.': of I
Location Sc 1%ve 9 tl
Permit No. 36 - alb Weather
Remarks
Excatation
Footing Forms
Footing a Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing L' ,.
Sheathing
Roof Felt
Roofing f�
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Nall 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
Floors
Foundation
Insulation Walls
Ceilin
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Buillding Inspector
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REMARKS
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