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1987-174 BUILDING PERMIT TOWN OF QUEENSBURY No 87_174 WARREN COUNTY, NEW YORK t C) -25 - � `) 5 00 M 00 Joseph and Suzanne Seybolt ":5PERMISSI0N is hereby granted to OWNER of property located at IJ fester Drive Street, Road or Ave. p- rn in the Town of Queensbury, To Construct or place a TWo—Car Detached Garage tom: 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. m cn ro 1 . owNER s Address is gD #2 5 Lester Drive � Queensbury , New York 12801 F� r* 2. CONTRACTOR or BUI LDE R"S Name same 3. CONTRACTOR or BUILDER'S Address same v, r m a� 4. ARCHITECT'S Name rt t9 rK ty rs N C S. ARCHITECT'S Address rc 6_ TYPE of Construction — (Please indicate by X) iXI wood Frame I Masonry I } Steel I I H 7. PLANS and Specifications (D I No. 24 ' x24 ' per plot plan , specifications and application tv m B. Proposed Use cr w n Two—Car Detached Garage 4'7 w H $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 1987 � m {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 20th Day of April 19 87 SIGNED BY _ :?il a a for the Town of Queensbury Building and Zoning Inspector ��---�FOWN C7F QUEE i+�a�" ' c� // ApplTO ication No. BY BLDG . DEFT . [N E M U �:I N _lawn o/ Queen3bttrt Permit Issued 19 APR 15 BUILDING and ZONING DEPARTMENT Permit Expires 19 t Bay and Haviland Road, R.D, 1 Box 98 Zoning Designation BU1LCANG & CPPE DEPT. Queensbury, New York 12801 variance No . Site Plan Review No . Approved I APPLICATION FOR BUILDING 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 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 : �-c rt P. O. Address d Q 5 '��""/� -'�J rJ '��-- _Tel "i 5 3r 3 `�'r r Property Location :_—..e j ,7-�r ,/'� �/' Tax Map No . Street number or building lot n ber 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 Tel . Address ^ _ ,. s -",.. F s. ' Name of plumber Address Tel Name of mason Address Tel . NATYRt OF PROPOSED WDRK : � 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 REQUIRED BELOW . * i. Size of property f. )--r) ft X /�� (o ft . Existing buildings) Size ft X jn� ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use n i 6:�' Size of new structure ft X ..) ft ^T Foundation-pier/slab/crawl ar is /?till Proposed building , distance from property line (circle one ) * �' `�`� No . of stories ('habitable space ce £t � — Front yard ft Rear yard Height ( grade to ridge ) ft . * Side yards ft and a,7' 5:e ft If residential , no . of Families * if on corner , s tback 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 * Two family dwelling Type of fuel— '� � Lar Number of units Multi le dwellin No . of fireplaces to be installed x' f3 / Will a wood stove be installed? Permanent occupancy � Transient occupancy Central Air conditioning? * 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 * ACCE ORY 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 COMPLETED ! Form BPA 4/a6 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILidING SPECIFICATIONS : Type of construction , wood f` rame, fire safe , etc . Will any second-hand or ung a lumber be used? if so , for what? Foundation wall material ,�: � �01 CI'C Thickness --e Depth of foundation below grade Cto bottom of footing ) Will there be a cellar? l � Heated o un eater? Floor sq. footage .74n sq ft Will there be a basement .> A/C.-,Will an portion be used as living space? ( If so , what portion? sq_ ft * - - Type of use? Type of roof - sloped/ lat/shed/other Material of roof Size , wood studs„_ 'Ikx A " spacing"o . c . length �_ft . Joists ( floor beams ) 1st , f oor "X spacing "o . c . span ft . 3oists ( floor beams ) 2nd . floor "X " spacing "o * c . span ft . Overlays ( ceiling beams ) "X.22.Vt_" spacing "O . cl span ft . {K'i Roof rafters rat "X "' spacing-o . c . span c2 `' ft . Roof trusses (pre-engineered) spacin�" o . c . span c>24 ft . } Exterior wall finish what material?_ �H / 11" ►J t ✓t'-� � � � '/ �.�J Interior wall finish_ ✓7[ >n49" 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 Queensbu.ry County of Warren F F I D A V I T STATE OF NEW YORx 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 , an hat such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature er , o " s agent , archize , ontractor day of 19 Notary Public , Warren County , N . Y . * * * * * It * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Not SPECIAL CONDITIONS OF THE PERMIT : ---------------------- or /// �7 4e ! �,o+uvrr a� �ueerrS� etrt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D_ 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME l�� LOCATION S T " 0 Date `7 I r _ Permit No J ✓ = APPROVED - NO *7fiooting/Pier Forms �n G Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Interior 'Prim Stairs & Railings Cellar Drain Tale Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks-- Building Inspector 6/86 mdl vl - �o e r frA. L� f7