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BUILDING PERMIT
TOWN OF QUEEINSBURY No. 87-227
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Pamela G . Granger ro
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OWNER of property located at Boulevards Street, Road or Ave. p'
in the Town of Queensbury, To Construct or place a Pole Barn Storage Building
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, pom
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1 . OWNER'S Address is 43 W. Notre Dame St .
Glens Falls , New York
2. CONTRACTOR or BUILDER'S Name Adirondack Paving
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3. CONTRACTOR or BUi LDER 'S Address 19 Homer Ave . G
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Queensbury , NY 12801 C
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4_ ARCHITECT'S Name
5. ARCHITECT'S Address
e• TYPE of Construction — (Please indicate by X)
( I Wood Frame 11 Masonry I ) Steel k ole barn
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7. PLANS and Specifications
40 ' x120 ' per plot plan , specs€ ications and application to
No.
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B. Proposed Use
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Storage Building OQ
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$ 40 . 00 PERMIT FEE: PAID — THIS PERMIT EXPIRES Dec , 1 19 87 0~�
(if a longer period is required an application for an extension music be made to the Building and Zoning inspector of the �
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this Sth Day of May 19 87
SIGNED BY / / ` for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT .
�j Application No . 4T YWN 40jr QUEWEI4SBURY
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 �" (E IE �11 1W [E
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No . OCT . 5
r� r Site Plan view No . i
Approve by = � l9a 11214
APPLICATION FOR 1
EUILDING 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 : 1 y �+1 t�� .^_ ,� A . p
P . O. Address '�`^� C3 rE �"`�('! L` Tel . ;7 C1d /7
Property Location : � _ IJ 13 +� (-+ ? l�.1.4.�C1 - Tax Map No .
Street numb =_r or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
r
Name P. O . Address Tel . No .
Name of builder ��rt.,e Address_ � , . . �-. Tel . 7 Z,O e 7
Name of plumber fl Address Tel .
Name of mason Address Tel .
NATURE OF PROPOSED WORE: : 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
'r 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 AFFECTEDo
of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft X ft .
Existing buildings ) Size ft X ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new struc a -dt3 ft X JZA ft "
Foundation-pied la crawl/partial/full Proposed building , distance from property line
(circle one )
* Front yard ft Rear yard ft
No . of stories (habitable space ) -� ____ ft a d ft
!re(grade to ridge) Z � ft . Side yards n
If residential , no . of families i=. 1-4— If on corner , setback from side street ft
No . of rooms ( excluding baths ) to * OCCUISANCY INFORMATION
No . of bedrooms '+ PRIMARY BUILDING -
No . of bathrooms " One family dwelling
Primary heating system Two family dwelling
Type of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed R
Permanent occupancy
Will a wood stove be installed? w
Central Air conditioning? ■ r 'Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin _ Other
rr will l use be�^
Raised ranch Mansion Duplex If addition , what w .
Split level old style Bun alow
Cape Cod Cottage Other Fetoa '�'�'�' SORY BUILDING-
Colonial Row own 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
CONSTRUCTION 1'8
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED !
Form EPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction wood frame , fire safe , etc . _
Will any second-hand lumber be used? If so , for what ? C►
fr
Foundation wall material CM hgc}cness
Depth of foundation below grade "g ( to bottom oting )
will there be a cellar? Heated or leaf ted7) Floor sq. footage sq f
Will there be a basement? 'IDWill any portion be used as living space:? Ate>
( I£ so , what par q . ft . - - Type of use?
Type of roof - ope lat/shed/other Material of roof
Size , wood studs " X spacing "o . c . length ft ,
00 ists ( floor beams ) 1st . floor "X to spacing "o . c . span ft .
Joists ( floor beams) 2nd . floor "x ,'; spacing "o . c . span ft .
Overlays ( ceiling beams ) "x to spacing "a . c . span ft .
Roof rafters "x " spacing. a . c . span ft .
Roof trusses (pre-engin rod) s acxngAA&."o . c . span V V ft .
Exterior wall finish TaAM,0 r _- of what material ? kLw� . .
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? I so will a Fire-rated
door , enclosure , and self-closing device be provided? " pq
Will a flue-lined chimney be installed? We Height above rfoof ft .
Depth of chimney foundation jAplow grade ft .
Depth of fireplace hearth in .
Water supply - Municipal or rivate well nzt-y,f.,.! '��.
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties _ t .
(A separate application is necessary for any repair or new installation of septic system)
Town of A F F I D A V I T STATE OF NEW YORK
ry
Warren County off Warren
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 ORDINP C , and all oth / laws pertaining to
the proposed work shall be complied with, whether s ified or n and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature
r )
Owner , owner ' s gent , arcnic ct , contractor
day of 19
Notary Public , Warren County , N . Y .
* * * * * * * * * * * * It * * It * * * * * * * * * * * * * * * * * * * * * * It.
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWN OF QUEENSBURY
,BUILDING AND CODES DEPARTMENT
BAY & HAVILA ADS 32809-
QUEENSBURY, NEW YORKTELEPHONE (518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
ooe
LOCATION
DATE � ,PERMIT #
APPROVED
yes NO
FOOTINGIPIERS Qf
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP" PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
,FLOORS
WALLS
,/CABLING
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTEPS�r_
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTU ESIRELIEF VALVE
ALV E
INTERIOR TRIM/
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE 1OCCUPIED '
REMARKS :
P
��," [�c+�d �s c
INSPECTOR
!. 1 BUILDING and ZONING DEPARTMENT
Tay and Naviland Road, R.D. 1 'Sox 98
Queensbury, New York 12801
J
BUILDING INSPECTOR ' S REPORT
NAME��
15:2/f
y
Permit No . P "
✓ APPROVED - YES N0
Footing/Pier Forms
Foundation
Waterproofing
H,,��c]tf
L-F naming J1t"
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
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 In ector
6/86 and-vl
flown o/ Q aeen .4"r y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R-D. i Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Ba M e y-
LOCATION 41? ! V
Datel�G'/� 9 / Permit No . X 7 -- r . /
APPROVED NO
yFooting/Pier Forms
/+,Foundation
waterproofing
Back.fill
Framing
Roofing
Siding
Masonry veneer
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior Tram
Stairs & Railings
Cellar Drain Tile
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 )
Remarka-
Bu ding inspector
6/86 and-vl
To Queensbury Building Department From D . Granger & Sons
Bay* & Haviland Rds . 167 Ridge St .
Glens Falls , N . Y . 12801 Glens Falls , N . Y . 1_2801
Attn . Vic Le Febvre
SLahyect Date
Septic System ( Becker property ) 3f 3/8`3
Message Dear Vic ,
Per our telephone conversation yesterday I am writing this note ,
to confirm the f&d`C that we did indeed hook into the pre - existing
system . The tank is a 1000 gallon precast by Stanley Granger
concrete products , and two drywel.ls ( 5 "X 5 ' each ) . The system
was functioning normally when the building was destroyed , and
has continued to function through 13 months of use without any
signs of a problem . Before puting the system back in u we d '
pump the Septic Tank . 'Thanks , N ]dale . Gra* +g�. 4 -
D _ E
Reply
AYational ' :: .. . 147 223 ---
M< (W , us.: THIS COPY FOR PERSON ADDRESSED