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1987-173 BUILDING PERMIT TOWN OF QUEENSBURY No_ $7-173 WARREN COUNTY, NEW YORK Michel Legault r ranted to � PERM1S5101+4 is hereby 9 Street, Road or Ave. M 16 sylvan Ave . Y, pWPyE13 of property' located at S (porch) t� Addition to dwellin Cp M w in the Town of QueensburY, To Construct or place a ether with Plot plans and other information hereto filed and 0 application tog r� at the alcove location in accordance to aPP Buildingand Zoning Ordinance. approved and in compliance with the Town of Oueensbury 16 Sylvan Avem t . OWNER'S Address is Queensbury , NY 12801 5-+ 2. CONTRACTOR or BUILI3@R'S Name rn cn same "4 w 3. CONTRACTOR or BUILDER`S Address same C ro G m 4. ARCHITECT'S Name 5. ARCHITECT'S Address G. TYPE of Construction — (Please indicate by Xl Ix? Wood Frame { I Masonry [ ) steel [ 1 7. PLANS and Specifications nd applieation 151x211 per plot , specifications a t+1o. a. Proposed Use porch added) One—Family Dwelling (screen P Nov . 1 i9 87 S AIL) — THIS PERMIT EXPIRES (if a longer Period is required an applicatyon for an extension must be to the Building and Zoning inspector at t 10000 PERMIT FEE P he town of pusensburY before the expiration date.) April 19 $7 Dated at the Town of flteeensbury this 20th ©ay of for the Town of Clueensbury 07 SIGNED BY i Suiidstg and Zoning lnspec[ar I TO BE COMPLETED BY BLDG . DEPT . k �7 f Application No . 19 10Wr 4F _town of QueenJ6urry Permit Issued 19 € (` I {; .' s1� ' ? BUILDING and ZONING DEPARTMENT" Permit Expires a Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Mu Queensbury, New York 12801 Variance No . _ APR 16 RJ87 -� q Site Plan Rev! - Nv . ! l ,Z, •- .'�+ts Approved by : BUILDIN G 6c QIDE DEFT. Ifw ( .fi-rYJ 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 - .... ,g� -- � C �u/ ------- The owner of this property is : P . O . Address Tel . Tax Map No . Property Location : Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name IQ P . O. Address Tel No Name of builder Address Tel . Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : _Construction of a new building * A PLOT PLAN MUST BE PREPARED AND' SUBMITTED , * drawn reasonably to scale and attached hereto , Addition to a building Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions) * whether existing or proposed and indicate all ether work (describe) set-back dimensions from property lines . Give street and number or lot number and indicate * whether interlor 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 )pt? ft X / S 'J ft - * Existing buildings) Size_g$ _ft X qg ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use (;AA C Z * Size of new structure 14- ft X�ft ert line Foundatlon-pierr slab/crawl/partial/full * Proposed building , distance from prop y {circle one} * Front yard ft Rear yard ft No . of stories (habitable space) ,� Side yards js ft and Height ( grade to ridge ) ) 3 ft • if on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION * No . of bedrooms PRIMARY BUILDING - No . of bathrooms one family dwelling NBN 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 Bun alow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row wn 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 $ �- � L^j _ _ _ _ _ _ _ _ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDE Form BPA 4/86 and-vl t BUILDING PERMIT APPLICATION CONTINUED - a BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . k/ orpP�ty0 / Will any second-hand or ungraded lumber be used? If so , for what ? �!(a Foundation wall material GCMG Rgrr_ Thickness g /1 " Depth of foundation below grade g (to bottom of footing ) yg Will there be a cellar? NO Heated or unheated? Mp_AV e Floor s foots a Will there be a basement? hrQ Will an q . � � r 5 sq ft ( If so , what portion? srl . ft _ - Type of as living space? Grp Type of roof - sl< pe*d/flat/Vhed/other �� y� � � ZdP Material of roof 5` IAWj6@05 Sine , wood studs_!& ' y1 spacing 'I' . c , length a I ft . Joists ( floor beams) 1st , floor x �. Joists ( floor beams ) 2nd . floor „ spacing rf so . c . span ft . OverZa spacing o . c . span ft . y ( ceiling beams ) X spacing "'o . c . span ft . Roof rafters SC fQ spacing o . c , spanj4E..ft . Roof trusses (pre-engineered). spacing " o . c . span ft . Exterior wall finish 00,41AI Of what material? ierps�! 51iCr�y� Interior wall finish / Al V: & 04040 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 sslf-closing device be provided? Will a flue-lined chimney be installed? Height above roof Depth of chimney foundation below grade ft , ft . Depth of fireplace hearth ft _ in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties gt . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren. A F i c 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 autho " zed by the owner . XPII-C E THIS e of Signature _ _ _ _ `,`tia Owners owner ' s agentearcnztect , contractor 19 ren County, N. Y . '* * * * yr * * * * * „r * 7t ,t x alr # * *OF THE PERMIT : -___._________________ " Qen .l� tar+� BUIUoiNG and Z0 Nj?,4G C?EPARTME T Bay and Haviland Road, R.D. 96 Queensbury, New Ydrk 12601 BuI LD i NG I NSPEC,,T^-OW S/ REPORT [*NAME LOCATION e'zj01Vp &0 'flake T i,erlr, it Noa .. 1 1 3 * * * * " * * * •* * APPROVED* - NO E,S noting/Pier Forms Foundation waterproofing Sack€ill Framing Roo€ ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors 2nterior Trim Stairs & Railings Cellar Drain 'Fife Concrete Floors Ialbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL F FL C`S'RICAL INSPECTION pRIVAL F.WAY ApPRi)V Sury y Final Building, Next scheduled in ection (call when ready sp Remarks- elf- ee Fiui 1 ing Ins]Pector �,/86 and-VI _Jocurt 401 Quee" JbfAry s,UILDING and ZONING DEPAnTMENT Say and Haviland Road, R.D . 1 Box 98 Queensbury, New YOck 12801 13UILDING INSPECTOR ' S 'REPORT NAME LOCATION S Permit No . * * * * * * * • * �* * * * * * * NO F,PPRC>VED - YES . Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding masonry Veneer _— Rough Plumbing Relief Valves Valves Ext . Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar . Fireproofing Dnor Closers smoke Detectors Chimney IN su T..ATION Foundation Floors Walls Ceiling FINAL gLECTRICAL INSPE'C'41C)" -- y]ItIVFWAY APFROV purvey Final. Building d insl' ection all when fready) Next schedule Remark::- Fiuilding Inspector 6/86 and-vl F vJ I 6fi 6 F ---. 21CO {J �, 1J ! u 1� G1`Fft 1 y GJ ' 5C FFIV I � coof r 4.