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1987-210 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-210 WARREN COUNTY, NEW YOR K PERMISSION is hey gated to Robert Frye OWNER of property located at Lot 79 Homestead Vil age Mobile Home aghreet, Road or Ave. O in the Town of Queensbury, To Construct or place a Alteration to mobile home (pitch roof ) at the above location in accordance to application together with plot plans and other information hereto filed and rt approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. tc t- OWNER'S Address is Lot 79 Homestead Village m Queensbury , New 'York 2. CONTRACTOR or BUILDER 'S Name Patrick Brean o rr 3. CONTRACTOR or BUILDER'S Address x RD 1 Box 130 Glens Falls , New York m rt m 4. ARCHITECT'S Name P' =4 C N- !✓ W N 6. ARCHITECT'S Address OR m e v' r• r 6. TYPE of Construction — (Please indicate by X) 'ro x ( } Wood Frame [ } Masonry ( } Steel f } M 7. PLANS and. Specifications P'7 �-t No. install pitch roof on mobile home per specifications and application 8_ Proposed Use Mobile Home Dwelling; (pitch roof added) 9 *o .r R $ 10 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES Dec . 1 1987 ::r o ' is EI Ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the o town of Queensbury before the expiration data,l rh F-�• v � ro Dated at the Town of Queensbury this 5th Day of Maw„ 19 87 0 i SIGNED BY for the Town of Queensbury Building and Zoning I nspector TO BE COMPLETED BY BLDG . DEFT . � ►1 Application No . �7oty" O j Qe�e�Penigury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 f " Bay and Hawiland Road, R. D. 1 Box 98 Zoning Designation L L I Queensbury. New York 12801 variance No . �PR 19p7 Site Plan Rev i V i^ hr. � Ala f"o r 17 �, � 4ryT Approved by : {{ !BUILDING Ek i:::UOE DE:PT- APPLICATION FOR i [ Q • �� � i 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 +� ' 4e P . O. Address 011 += HC! { � �� �i' C7 r Tel . Property Location : <' f l 1i r '� i_ r'� Y _7 r > Tax Map No . Street number or building lot number subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : a k t :I Name P . O. Address Tel . No . Name of builder .�' ?� �: r Address k Tel . v4'd` ._ 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 , _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) ��/_Lo, 'A * set-back dimensions from property lines . Give WOO r rN ��,y � 4 �`x 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 X ft . * Existing buildings ) Size ft X ft * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line ( circle one) �. Front yard ft Rear yard £t No . of stories (habitable space) Side yards ft and ft Height ( grade to ridge ) ft . If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths) '� OCCUPANc.:Y 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 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 Cape Cod Cottage Other ACCESSORY 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 SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET, TO BE C01PLETEDI Form BPA 4/86 md--vl BUILDING PERMIT APPLICATION CONTINUED - ~ BUILDING SPECIFICATIONS & Type of construction , wood frame , fire safe etc . e.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? Floor sq, footage sq ft Will there be a basement? _ Will any portion be used as living space? ( I€ so , what portion? sq . ft . - - Type of use? Type of roof - 0/flat/shed other Material of roof Size , wood studs or spacing "o . c . length ft . Joists ( floor beams ) 1st . floor "X " spacing "o . c . span ft . Jolsts ( floor beams) 2nd . floor "X if spacing gro * c . span ft . Overlays ( ceiling beams )-T.- "X_ " spacing 2_ 4010 . c . span Roof Roof rafters _ P�" K_ -„ 7 spacing 4 o . c . span ft * xr+ Roof trusses (pre-engineered) spacing 10o6co span -eft . 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 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 Queensbury County of Warren A F F 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 pro sions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws ,pertaining to the ' oposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO EFORE ME THIS Signature _ Owner , owner ' s agent , arcnxr ect, contractorF day f 19 Notary pub c , Wa en County, N. Y . SPE AL CONDITIONS OF PERMIT : � ZONING DEPAR�ME1d Road, R.O ' t 8ax 98 BUILDINGa^ t28C1t Bav and "aviland New York Queensbu'Vl BOj _OING INSPECIOR ' S REPORT OCA& f_ { � perm No 25 * * * 14 [S APF'Et(�'IEL1 _ YES pier Forms F oo t inq •,�r F r an,,in�3 J ,Roof in9 si.di.09 n�, Veneer 4asoh Belief Valve's___ �-- - t . Porches -�- Ein or .brim`_ ---`"'f znters & Railin<3s --- sta grain 'ri_le Cellar Floors Concrete tuxes _-- --�"_ Plbg - F in9 F i reproaf Gar - --- Closers — _- --- _ � - Smoke pretectors` 11 F<?un dat ions F3-oors Wa l'1.5 CTICR�,�---. Ceitin<3 7CAL Il4SPE T.EC PI? FIl3 �L ppR('sVAL� i]iLTVEWAY Sur'�'ey Final guiLdix►g a 9l e�I lns4eo (call when cCi n NexC Scl�edul g,ema r I<-G` Spec E,yildinq 6/s� and-vl trwre o Queen 'If BUILDING and ZONING DEPARTMENT Say and Haviland N a YprkD. i Box 98 Queensbury, 01 BUILDING INSPECTOR ' S REPORT NAME YZ LOCATION Vtc 1- 6 Date permit NC> APPROVED* - YES NO Footing/Fier Forms Foundation waterproofing sackfill �(F raining )awof 3.ng Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings cellar Drain 'rile Concrete Floors p,bg . Fixtures Gar . Fireproofing Door closers�_ Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAI4 ELECTRICAL INSPEcTIOPI_� �- DRIVEMAY AP'PROV Final. Building Surve action (call wt►en ready next schedul�fe e]d� insp Remarks- ate 0 0I64& r .6 Building Inspector 6/86 and-vl 17 -rl "12� ell + 1p QLAT-2 x y -- st 09 L� pz 04T"- . 4r°d ata OAsIrrip L. V4jftit� i