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1987-182 BUILDING PERMIT TOWN OF QUEENSBURY No �7-182 WARREN COUNTY, NEW YORK >Dc � � Q5 Philip A . Rozell PERMISSION is hereby granted to 14 Homer Avenue Street. Road or Ave. OWNER of property located at Addition to dwelling (rear deck) in the Town of Queensbury, To Construct or place a a application together with plot plans and other information hereto filed and N at the above location in accordance to app ' rb approved and In compliance with the Town of Queensbury Building and Zoning r inance. w 1 . OwNE R'S Address is 14 Homer Ave . Queensbury , New York 2. CONTRACTOR or BUILDER'S Name same I� .C- 3. CONTRACTOR or BUILDER S Address 0 same B m �s c 4_ ARCHITECT'S Name (9 5. ARCHITECT'S Address 6_ TYPE of construction — {Please indicate by X} a F-� { ) Wood Frame I } Masonry { I Steel { } ^ N O 7. PLAINS and Specifications 0 12 ' x3O ' per plot and application C No. fi I- r a. Proposed Use One—Family Dwelling (rear deck added) m r r s PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 19 87 $ lO . 00 (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.? 87 Dated at the Town of Queensbury this 20th Day of 9 A ril 1 a 4 for the Town of Queensbury SIGNED BY Building and Zoning Inspecro TOWN OF QUEEN�U� TO BE COMPLETED BY BLDG . DEFT . J Application Na , 1[2 1► 4 (� _ Own of Quee►t .� hury Permit Issued 19 1 APR R 16 987 BUILDING and ZONING DEPARTMENT Permit Expires 19 t Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation BUiLDiNG & CODE DEFT. Queensbury, New York 12801 variance No . Site Plan Review N /4, i J Approve y 4 7 APPLICATION FOR E,UILDING AND ZONING PERMIT 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 tion . plans and specifications submitted , and such be done in accordance with the descrip special conditions as may be indicated on the Permit . _ ......... The owner of this property is : / • , If Tel . �t� 90- 3_�5't� P . O. Address ° Tax Map Noa / 0 Property Location : g s jr Street number or building lot number Subdivision name ( if applicable) --� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARD'S BUILDI�N-G� CODES IS : Name P . O. Address Tel . No . Name of builder �. /� Address / tf 1' Tel , Address Tel . Name of plumber Tex . Name of mason Address NATURE OF PROPOSER 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 , indicate all no change to exterior dimensions) whether existing or proposed and i2ther 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 REQUIRED BELOW , Size of property [ ft /�ft . Existing uilding ( s) Size eft ]i ( ft . 'b PROPOSED BUILDING AND USE : * Existing building ( s ) Use f / � Size of new structure -£t X C7__.ft distance £rom property line Foundation-pier/slab/crawl/partial/full * Proposed building , (circle one) Front yard c7 ft Rear yard ft No . of stories (habitable space) * Side 'yards - ._�ft and ,5"v ft Height ( grade to ridge ) ft ' If on corner , setback from side street ft If residential , no . of families * OCCUPANCY INFORMATION No . of rooms ( excluding baths) Noo of bedrooms PRI Y BUILDING - No . of bathrooms � L 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? * Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow apB COc3Y' Cottage Other ACCESSORY BUILDING- * Detached garage/one car/ two car/ car Colonial Row Town House car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONSIr 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 . 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? Will there be a basement? Will an Float sq_ footage sq £t ( If so , what portion? s _ portion se used as living space? q . ft . - Type of use? 'type of roof - Sloped/flat/shed/other Material of roof Size , wood studs "x of spacing "o . c . length JOists ( floor beams ) 1st . floor g ft . 7Oists ( floor beams) 2nd . floor „x " spacing "o . c . span ft . „x spacing "o . c . span ft . Overlays (ceiling beams ) "x " s acin '* Roof rafters p g o . c . span ft . Roof trusses (pre-engineered),� spacing Coco span ft. p gineered) 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 door , enclosure , and self-closing device be provided? Fire-rated Will a flue-lined chimney be installed? Depth of chimney foundation below grade ft , Height above roof 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 C T T� County Of Warren A F I [ D R V j T STATE OF NEW YORK I swear that to the best in this applicat of my knowledge and belief the statements contained ion , 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 wor authorized by the owner . k is SWORN TO BEFORE ME THIS ?gnature �`__ Owner , owner ' s gent , arcriaLect, c tractor - day of 19 Notary Public , Warren County , N . X . * * * * * * * * It * * * * * ,t * * It SPECIAL CONDITIONS OF THE PERMIT : By TO EVERTS AVE - TO BAY ROAD HOMER AVE �20 ' E S W - 24' - INTERIOR LOT � (� N I 1 HOUSE E 55 ' -- E Y+ f © ` 1 f-i � � a INTERIOR LOT o ` I ' f { , I DECK I 3-7 4C` TAX MAP #107-1-39 ao L 107- 1- 0 56, �k y f f � 165 x 143j rJ EARN PROPERTY LINE ' PROPOSED DECK , ALL PRESSURE `CREATED LUMBER 22 SAFETY (HOUSE) RAILING IX 2„ x 1 12 F'LOORJOIST ! 16 [) . C. �- --_ -- ' ' H'LOORING, 'SPACING' srnzRs 1 t 5 ' �� cessed SU PPOR'1' Poor 411 x 411 HEIGHT OF DECK 3 DEEP FROM GROUND LEVEL IN CONCRETE 22 '