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1987-089 BUILDING PERMIT 30 TOWN OF QUEENISBURY N©. 87-89 WARREN COUNTY, NEW YORK (7 �>J N PERMISSION is hereby granted to William Relchel H- is Hillerest Ave . m OWNER of property located at Street, Road or Ave. r• n in the Town of Queensbury, To Construct or place a Alteration to dwelling (roof ) CD 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. 1 . OWNER'S Address is 32 Hilleres t Ave . Queensbury . , NY 2. CONTRACTOR or 8UI LDERS Name CIO N Raymond Adams Fes, r t� 3. CONTRACTOR or BUILDERS Address r' H m 7 Cottage Hill Road r Queensbury , New York 12801 c 4, ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction - (Please indicate by X) l > Wood Frame I ) Masonry i ) Steel i ) 7, PLANS and Specifications alterations to roof per specifications and application No. i r rY Fil 8_ Proposed Use o q rt O One-Family Dwelling c� ra t- $ 10000 PERMIT FEE PAID - THIS PERMIT EXPIRES October 1 1987 llf 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.) t-t O O Dated at the Town of Queensbury this 25th day of March 19 87 V SIGNED BY for the Town of Queensbury Building and Zoning I nspector TO BE COMPLETED BY BLDG . DEPT , / Application No , VS�.i_iic'Y pLur� O teeert9fitll-!� Permit Issued 19 TOWN OF QUEZ BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 zoning Designation �iEJI'lL{Ji LI Fl ! Oueensbury, New York 12801 Variance No . MAR p c� Site;pa view MAR 2 3 1 �7 / 1 �7 APPr d {{� BLJfLC51NC Ek CC7E9E L]E APPLICATION FOR i t BUILDING AND ZONING PERMIT M* 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 : W �{ 4 T4Z' n r etk C �C1 t� / P . O . Address � y- 7 (40 � IL ` eS + A1 } e �.!� Tel . ?/ 7d� 631s Property Location : Zp � V4Z:5„ }- 1 .3 2 Tax Map No . / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF �W,�ORK AS REGARDS BUILDING CODES IS ; q© � / 3 at, )Csn1 � � r'�1�� ��s blame P . o Address/��L� �� T � ! �� � Tel . 3 ( t�_,�3 Name of bui.lder �yKN0 t) _ CR _r5 Address / - C jc `� � (-4 '0*J f Pd. Tel . <'� d�-.S ! O3 Name of plumber Address Tel Name of mason Address Tel . NATURE OF PROPOSED WClRK : 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) 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 of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . COMPLETE INFORMATION R.EQUIR.ED BELOW , Size of property (47� 4 ft X ft . Existing building ( s) Size _ f ft X j L ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use p t, 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 Height (grade to ridge ) ft .If residential , no , of families If on corner , setback from side street ft No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms No . of bathrooms PRIMARY BUILDING - Primary heating system LOne family dwelling Type of fuel Two family dwelling Multiple dwelling / Number of units No . of fireplaces to be installed 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 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 INFORMATION ON ]BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED3 Form EPA 4/86 and-v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? 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 to ed/flat/shed/other�p� Material of roof ' 1 �/� �, �h/ ,,�,I . ,, ram, Size , wood 11"X , spacing__"o . c . length �ft . �y�C Joists ( floor beams ) lst . floor lox11spacing 'o . c , span 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 f Warren County of Warren A F F I D A V 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 authorised by the owner . SWORN TO BEFORE ME THIS signature_. _ --_ --e_ �� Owner , wnr " s agent , architect, contrac or day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * IT * * * * * t * SPECIAL, CONDITIONS OF THE PERMIT : By BUILD 1NG an d �C7Cs1NG DE gox 98 �yay and H �,viland Newr Yo �ueensqury , E i EC'COR ' S REPdR� ; gt,.yltvDlfd� IN� F' . 011 E r_�__ ---- --- NAM �ocA-T ION ` Date * * *� * * pPPF+CVES] * -YESId 13o i. * * FQotin�3/Pa er go x tC+S. Foundation W at,erPr`�'f ing gac fill min9 Roof Veneer Mas�'r`r Pl 'bi Rough Re7, ief Valves t . Porcbes _-- _--� inistYea Floors_ ---- . or Tr3Lm ile Cellar Drain con re Floors Co r--- plbg - F ixf ro fin 9 ---'_` Gar , ire �- � Closers DC30r Detectors --- vno C,nirnne`1_ C)N xSVLATI0I3 Fc7un daC ion Floors Walls CTIOR -- _� Cr, ilin5 CAL I11SPE. It3 AL k LECTRS r--" oj] -ivF,N4X AF'PFQV C;,rve)yr Final Building :7 dadv) re-Newt s ' leed ins4 emotion (Call when hedu ftemaXks~ ryu i ldin5 InsPect.or qc aJ Rldge Cup �. y" p06 Ala}e KNEE vAll n r {lea 1 J,�i �ndefPc� w/UE1� 4� Exis ' Aid i� tON i i - - +' t -t i f 44}titt, ore IV FAZE j ro ; ,If exist 1N� a54�a1+ VEIN f siclin Exl$ ift4q 1 -7 i 1 k � � i i �