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1987-104 BUILDING PERMIT TOWN OF QUEENSBURY No. 87_104 cr WARREN CC]l1NTY, NEW Y©RK rt [ x PERMISSION is hereby granted to Robert Hebert: rt OWNER of property located at _ p Sherman Ave . Street, Road or Ave. Two—Car Detached Garage in the Town of Queensbury, To Construct or place a 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. t _ OWNER'S Address is Upper Sherman ave . Queensbury , New York c b b ra �-s 2. CONTRACTOR or SUb LDERZ Name � Byron B . Rlst T:;r ra n ru 3. CONTRACTOR or BUILDER 'S Address RR #1 Box 1469 � Lake George , New York 12845 CD i✓ 4. ARCHITECT'S Name 5. ARCHITECTZ Address B_ TYPE of Construction — (Please indicate by X) ( 3F Wood Frame { ) Masonry I I Steel l 1 7. PLANS and Specifications 24 ' x24 ' per plot plan , spectf1catlons and application submitted . a No. n w $. Proposed Use tv ro Two—Car Detached Garage w r3 ra- g 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES bctattier 1 1987 � n (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of theOQ py town of Queensbury before the expiration date.) M m Dated at the Town of Queensbury this ` 331st Day of March 1 _987 /' SIGNED BY w 6; for the Town of Queensbury Su i Id ing and Zoning Inspecto \TO BE COMPLETED BY BLDG . DEPT . �] / Application No . �lo"v1Z oftteere3hu[r� Permit Issued 19 # TOWN OF QIJE� Sui,' ` BUDDING and ZONING DEPARTMENT Permit Expires Bay and Haviland Road, R-0, 1 Box 98 Zoning Designation k�T�uS 1✓ ZZ'Z J��'�JJJj Oueensbury, New York 12801 Variance No , MAR 2 7 1987 Site Plan Rev ' No ._ Approved by * _ BUILDING Br CODE DEPT, APPLICATION FOR r FUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER AL-L 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-propertyis l�prj g,,. � _ � � u � '_____________ P . O . Address At Tel . - � Property Location : _ 'tx ,,, � ,, Tax Map Nrt� . /r� f / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address Tel . No . Name of builder „ �(w. � - . " Address ���. , Tel . Name of plumber 7 . rf7 Address Tel Name of mason kJ r-i a Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : V 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 i * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . * Size of property Q C> f t X 4?_0 C3 ft . * Existing buildings) Size ft X ✓+ 'ef'� -ft ' PROPOSED BUILDING AND USE : * Existing building s ) Use •- Size of new structure Z4 ft X . rgl ft * Foundation-pier slab crawl/partial/full Proposed buildi.ngr distance from property line circle one } ft � Front yard +� L7 ft Rear yard � No . of stories (habitable space ) Side yards i ft and ft Height ( grade to ridge) 14 ft . * if on corner , setback from side street ft If residential , no . of families No * of rooms ( excluding baths ) 'e;!C�,c,��" * OCCUPANCY INFORMATION No. of bedrooms PRIMARY BUILDING -- No , of bathrooms One family dwelling * Primary heating system * Two family dwelling Type of fuel ,� Multiple dwelling / Number of units No . of fireplaces to be installed—?- permanent occupancy Will a wood stove be installed?, Nca�lU * Transient occupancy Central Air conditioning? -_ Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial � Other Ranch Contemporary Lag cabin If addition , what will use be? Raised ranch Mansion Duplex Split level old style Bungalow " Cape Cod Cottage other ACCESSORY BUILDING- two ca� Colonial Row Town House ' Detached garage/one carf car ( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car * * * * * * * * * * + * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ - U � - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED ! Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS * Type of construction , wood fr m fire safe etc . Will any second-hand or railed lumber be used? If so , for what ? Foundation wall material a r•[ C _ ` [� Thickness , " Depth of foundation below grade (to bottom of footing ) Will there be a cellar?Heated or unheated? Floor sq, footage s ft Will there be a basement? q a Will any portion be used as living space? ( I£ so , what Aortic 7 sq . ft . - - Type of use? Type of roof - sloped lat/shed/other Material cf roof Size , wood studs "r spacing �.. .e{ "'o . c . length g ft . .foists ( floor beams ) 1st . loor "'X '" spacing of span ft . .Ioists ( floor beams) 2nd . floor "X „ spacing "o . c . span ft . Overlays ( ceiling beams ) "'X •• spacing "o . c , span ft . Roof rafters "X It spacing o . c . span ft . Roof trusses (Pre-engineered) spacing ems( "o . c . span�;r, t . Exterior wall finish ]= (Interior wall fin Of what material ?. is h � 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 1 7 1 y► County of Warren A F F D A I T 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 . ti SWORN TO BEFORE ME THIS Signature _ er ownerls gent , arcriitect, ontract day of 19 Notary Public , Warren County, N . Y . * * * * * * * * * ,r * * * * * * * * Ar * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By �eeee" it " ry 9,01v►t o 01EPARTMENT UL S LD%t4G and Zot4Roa , R-D 1 Box 98 F3ay and Haviiand Road QueensburY. New York i28�i BUILDING I "SP CT44t ' S {2EP04tT NAME �� LpCAT I OPI �` 12e �mit 1`lcz _� � � * / Date � ' . / _ �- « * * * * * _ YES NO Footing/Pier Forms F.o,�,dat ion Waterproofing gackfill Framing goof in9 Siding 1,asork% rt7ene Rough -plumbing geli.,ef 'Valves Ext . Porches Fii nshed Floors Interior Trim StaiarS a AailiyLgs Cellar Drain Tile Concrete Floors Plbg . Fi tures Gar , Fireproof �yoor Closers Smolte Detector Chimney nq Su AT I ON Fosndation Floors Walls C,eilin�F CTaL -,,,ISE PCT1011 F It3 AI - DTe.IVEWAY PpP 43v Survey Final Buildi en insFecti t, (call wh reaay� LyexC ached ed ns ectar Building E �g� and-vl n W" BUILDING and ZONING DEPARTMEh1'P Bay and Naviland Road. RA) i Box 98 pueensourY. New York 1280i BUILDING INSPECTOR ' S REPORT NAME t'L leve X� LOCATION 44 permit * Date � L * * k * * * * * ✓* APPROVED - YES NO 1,opting/Fier Foams Oundation Waterproofing Backfill Framing goofing r Siding Masonry Veneer Hugh Plumb' ing Relief Valves Ext , Porches .1.1shed Floors Interior Trim Stairs a gailings Cellar Drain Tile Concrete Floors Plbg . Fixtures-�--~— Gax . Fireproofing Door closers Smoke DetectOrs Chimney IreSULATTOt Foundation Floors Walls ceiling ELECTRICAL I135PlyCTION F,1NAL EL URIVEW Buildingv NL Fina SurveY l Next scheduled insp ectian (call when ready) RemarkJs�-� gui 1 g Inspector C, /8Ca and-vl � � '�lr�wn o� �eseerxsdure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road. Ft. D. 1 Box 98 oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME A. If Cy f P4e L 2S. AAii)� --ALf*S--K i5'ate j W Permit No . APPROVED YES NO .ijF'ooting/Pier Forms Foundation waterproofing 711,1ckfi11 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 INSUI.ATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION _ DRIVEWAY APPR(}VAL Final Building Survey _. 1Vext scheduled inspection (call when ready Remarks- i Fsuilding pector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORK! 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BU( LD(NG DEPT. WHEN REQUIRED. DATE CITY OR VILLAGE , [ �( STREET AND MO.POLE F .� ROAD AND PQE NO COUNTY_ 'F �s ,... - ...— BETWEEN WHAT TVYO POLE NO. C ROBS STREETS IS / + . f • �„w f PREINI OCATED7 F I OCCUPANT'S I ECTION BLOCK LOT NAME __ d/ BUILDING Ff r .�' f y ? OCCUPANCY MN OVER'S NAME K--F' AND ADDRESS ,/ TEL- BY��EB yy FROM THEIR 6 /..E,.I.i —r OFFICE BUILDINO, �y' WORK IS NEW ❑ OLD L'r1 1-y DEFECTS IS NEW Q ADDITIONAL ICI REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Lamp R mo� of Ixieaptfeclse MOTORS HEATERS BRANCH 1-'ea� CIRC4,tfTg OFFICE USE oon 6Bkq Side �ti ONLY WAN Brush Ardent Breekot NO. Type H p- No. Each Nix .W.GGeuvem INSPECTION Out- ■Ida Sub- base Bess• meat let FI. Srd Ff. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FOR ABOVE: OD NOT USE THIS SPACE, This appiicatiarf K iMendad to cower the ahoee-listeo equ liyxed, ipment to M in yw are authwiaad to make the i I � buI it at time Of iO$Pecti an there is feu rid evditioneq rquipmerH ,not ahnre resPecliOn and ed'ust [Irs iee to cows. the additional rquipm"l. as provided by thr applicant. SIZE OF MAINS FEEDERS ELECTRIC SIGN TOTAL CHARACTER LAMPS WATTS OF WORK EXPOSED GAS TUBE SIGN WORK TO BE CONCEALED TRANSFORMERS OF VA STARTED COMPLETED INUMBERI (CAPACITY) ,SERVICE SIZE OF SIGN ENTERS OVERHEAD UNDERGROUND BUI DI MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSIBLE NEW AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES OLD MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF NAME oNAIIAE AN ADDRESS ADORES$ r -+ APPLICATION y " C A+PPLICANT / - - �. __, ��r _ SIGNATURE �'`�� OF APPLICANT STREET ADDRESS / ✓ a' � ,C� , - 'Lf' TELEPHONE # !� ',/ ('�/ / CITY OR POST OFFICE .Cy .'("' . ,r- Y.. ZIP r LICENSE No v fff JJJ _ CODE I_„a,AtWV % -- VO4EN APPLICABLE 4e EL (REV. 1/") A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING tT L,�r C !sue 1" 1 our 04 I � � f f f , f �! 1. i :. Ttr� •: