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1987-175 BUILDING PERMIT TOWN OF QUEENSBURY Na. 87-175 WARREN COUNTY, NEW YORK rt Walter Dombek PERMISSION is hereby granted to i9 OWNER of property located at Meadowbrook Road Street, Road or Ave. in the Town of Oueensbury, To Construct or place a Mini—Storage Building — 5 /E 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 Lake Shore Drive Lake George , New York m w 2. CONTRACTOR or BUILDER'S Name t7 Glens Falls Insulation Co . a n a 0 x 3. CONTRACTOR or BUILDER'S Address 4 9 Marion Ave . R' si. Glens Falls , New 'York 4_ ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XI 1 1 Wood Frame 1 1 Masonry ( ) Steel f 334 Meta] tx Y• 7. PLANS and Specifications 20 ' x100 ' per plot plan , specifications and application rt No. o w B. Proposed Useton Mini Storage Building Y• ti sue. Y• (14 $ 48 . 40 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 19 $7 (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.} Dated at the Town of Queensbury this 24th Day of April 19 87 SIGNED BY _ ,/ �L^s 41• for the Town of Queensbury Building and Zoning Inspector TO bl-w CUM1'Lk-,. T'1:;L1 BY BIA)G . IJl•IT T * tlon Cii1/It F1 rtt�e►t3hfal' }rmitaIssuedo Pe 19 1J IE fiUILDkNG and ZONING DEPARTMENT permit Expires 1z3 B ,sy and Havikand Road, R.D, 1 Brix 98 Zoning Designation LLLIIILLLfff �� 1 � Queensbury, New York 12801 Variance No . Site plan Review No . 71 a Approved - BUILDING 8c CODE DEPT. �+ APPLICATION FOR v f Q PUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . AN5WER ALL OF THE FOLLOWING * 11he 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 sll<i�clal conditions as may be indicated on the permit . -----------________________........................____......... T h , owner of this property is ; 1AI NI Temw �CS" Erre c+ P . ,, Address,LAksL"�' '�•. tAomie "�+fh11E +(_,.l� tl 45er0o (11 • �-� 4 2 LsAS Tel . 6Go �+,,� Fr ,perty Location : Ic-A&Lo 0lmcsc a.ecw (0Q07 ( a IO'V Tax Map No Street number or building lot number Sui ,division name ( if applicable) Tli, . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS (fLEus _fr^ccs 'XL asuc ArrioAj go . _Q IMAeio#> 6yr ,- 'C"}+�._.Ews 'ems u*`t • I28o I � &�;; Ie -'792- 4 61Z a... Name - P . O. Address LLJ Tel . No . NLaiae of builder IDS IIl+OLE Address Tel . Nai:,t of plumber 'R 7ZWa{Ee. Address 2Z y k A W%C4 Tel . 6 9 2- nese I NaJLle of mason Address VV*ESr > rcft .r Igrrun . .�j . Tel . "I 2 - a �370 + NA I URE OF PROPOSE2k WORK : � l4 ,� ZONING I NFORMAT ION : VeCanstruction 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 POi. DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration i.L� 'ATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW , -- Size of property ft X ft . - * Existing building ( s) Size ft X ft . Pl2ciPOSED BUILDING AND USE : * Existing building ( s ) Use Sire of new structure cpcvo ft X /eo ft Io :,rldation-pier crawl/partial/full Proposed building , distance from property line (circle one ) No _ of stories (habitable space) ^ Front yard ft Rear yard .� � ft �� � Side yards ,�G"} ft and „5�� ft Huj.(ght ( grade to ridge ) g ft - id If on corner , setback from se street ft It residential , no . of families No . of rooms ( excluding baths ) �* * OCCUPAI~ICY INFORMATION No . of bedrooms ...* * PRIMARY BUILDING - No . of bathrooms YrjFt"ry heating system _ One family dwelling 'Lyj� f, a of fuel f Two family dwelling Nc of fireplaces to be installed -- * Multiple dwelling / Number of units WAIL a wood stove be installed'? --- * Permanent occupancy Cel , t�ral Air conditioning"? _Transient occupancy * � Business BUILDING STYLE, PRIMARY STRUCTURE �Industrial 1La, , ch Contemporary Lori cabin Other � ki:a i :.ed ranch Mansion Duplex If addition , what will use be * Sl, + it level Old style Bun glow 'al , Cod Cottage Utki .r/Y 71FG " ACCESSORY BUILDING- Co.ionial Raw Town House * Detached garage/one car/ two car/ car [ CIRCLE ONE PLEASE Attached garagee /one car/ two car/ car * * * * * * * * * x * * * * * * * Private storage building fir: : TIMATF. D MARKET VALUE OF Other C < HST' RUCTION 40 IN' 'ORMATION ON BUILDING SPECIE ICATIONS , ON REVERSE. SIDE OF THIS SHEET , TO BE COM.PLETEDI Fr• i m f3PA 4/86 and-vl ����.yl,�4040 fillLIDING PERMIT APPLICATION CONTINUED tsUILOJWV SPECIFICATIONS : * ti ►t 'i,ype of construction , wood framev fire safe , etc . AmC'5..1 me Will any second-hand. or ungraded lumber be used? If so , for what? h. i ' undation wall material P► [,.*1'S10E)�/ t Thickness o pth 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 port ' ? sq . €t , - - Type of use? ;'ype of roof - slop /flat/shed/other Material of roof ^� !1 • `tea . ize , wood stud lox "o . c . length ft . . luists ( floor beams ) 1st . floor "X is spacing "o . c , span ft . . lolsts ( floor beams) 2nd . floor " X, spacing "o . c . span ft , s iverlays (ceiling beams ) "X +' sparing " o . c . span ft. 1,00f rafters "X " spacing o , c . span ft . t:,00f trusses (pre-engineered) spacing "o . c . span £t . t :xterior wall finish LUl1 • :tF Of what material `? 2''Q4 -Q04G?CJ Ufa• �• , 'Tsk� E ,tteri.or 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 ? + 1 if so will a Fire-rated k;oor , enclosure , and self-closing device be provided? will a flue-lined chimney be installed? Height above roof. £to t ,,.-ppth of chimney foundation below grade ft , tx�pth of fireplace hearth ft . in , Water supply - Municipal or private well iI'ML/C" : EPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . ( A separate application is necessary for any repair or new installation of septic system) TcAwn of Queensbury A F F I D A V I T STATE of NEW YORK. G. junty of warren I swear that to the best of my knowledge and belief the statements contained ilk this application , together with the plans and specifications submitted , are a true and cc .csrplete 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 tl �e proposed work shall be complied with, whether specified or not , and that such work is ar+ Lhorixed by the owner . SWORN To BEFORE ME THIS Signature __- '`� owner , erg s agent . arcnizect, contractor day of 19 NL . r_ary Public , warren County . N , Y , * * IF * * * * * * * * * It * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * to S -L ,EC: IAL CONDITIONS OF THE PERMIT : `3 Crc`rn��x s Agftz d • , -- ( Sr€wofreTW rco �crr� (aEt� � TL Nrrt 1 Try "gyp I►n �"+ 12 �C.Mj t E.AC1 $y_-_ Y �� -- F -- - ------ -------�-___ f( _l�trrr� c+ Qu ,�,E,r ib "r � -� 1� U I�/j BUILDINBUILDINGand ZONINZONINGDEPP+RTaO%9S Bay and Haviiand Road. R.D . g Queensbury, New York 12801 LDiNG- INSPECTOR ' S REPORT N E LOCATION' Date_-; fi�.-�- PermitNo . * * * * * * * * * * * *r'* s APPRC1VEf7* - 'YES No Footing/Pier Forms Foundation waterprOOfing Rack f i l l Framing Roof ing Siding Masonry Veneer Roi,igh Plumbing Relief Va1Ves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar nrain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofin Door Closers Smoke Detector chimney I N SU i�AT T ON Foundation Floors Walls Ceiling F 1 I, ELECTRICAL Ii3SPEC'�ID[3 -- R F.WAY APPROVAL survey F al Building Next sc eduled insP action (call when ready ) Remarks_ i�ui ld ing I Pe r 6/B and-VI _.../own o f Quteerf 3hurr BUILDING and ZONING DEPAWTMIE T Bay and Haviland Road, R. Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /✓G� '/"t C /J/� d/� -�J 1, 0CAT I ON4_ W, r Dat Permit No . Q ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney .rNSUI.ATION Foundation Floors Walls Ceiling FINAL ELECTRTCAL INSPECTION DRIVEWAY APPROVAL. Final Building Survey Next scheduled inspection {call when ready Rema r ks- f1 , ley Building Inspector 6/86 and-vl `z..,,�� �.- � ice✓ f F � ' � �' �.,.�,: � � � i SSS i -30 si 41 � ►/�� ©fr/ s - f _ - 9 ry io-- ,S i M ggs 99 s 30 s 41 / ...- .''" 40 LD j.A16 / 00 . 'c , 4 l ! t 5 ;a � '', - � � � � � /, .5�'"PTlc. .5 Y S c: ,f= > (,t/ /L L /� � � — /d oC7 ;;, rL•G `' 1 � �� , � � ,� 9 �t% .:� �,...»'"�`'- �...• ;a t►. G / iJ nNsc�. � �. %!�? f G ` ".. 7-99 oel G'' ..'fir -1) V S-0 ,y X! 7 r /w f—G , � ; � � l" !I®-.•�,Q vi �o�. a c- 3 L !G f� Tlli/� - , S `/ r�'✓4x G //V �' !G • TG'�. / 7sIV 7' !v1 �u,vr�'D $E'LQ� /ta►F G riera*". ter'>/'�' .�' ����� � �-•, �.. P u:�: gip. � �`t�� ^i ,f i^ .�i�':.,.. r'!"t�• / y / � ti 5 7e /''L i, AI SCALE / /tr 20 / APO*04LD sY DRAWN. BY DATE XlolV 4/ 'jf/- R onw, / 9 REVISCZ arev`rnw eGTi Mf: FnNN IJn fn1-fil