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.
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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.
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t- OWNER'S Address is Lot 79 Homestead Village m
Queensbury , New 'York
2. CONTRACTOR or BUILDER 'S Name
Patrick Brean o
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3. CONTRACTOR or BUILDER'S Address
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RD 1 Box 130
Glens Falls , New York m
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4. ARCHITECT'S Name P'
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6. ARCHITECT'S Address OR
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6. TYPE of Construction — (Please indicate by X) 'ro
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( } Wood Frame [ } Masonry ( } Steel f }
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7. PLANS and. Specifications P'7
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No.
install pitch roof on mobile home per specifications and
application
8_ Proposed Use
Mobile Home Dwelling; (pitch roof added)
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$ 10 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES Dec . 1 1987 ::r o
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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-�•
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Dated at the Town of Queensbury this 5th Day of Maw„ 19 87 0
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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 • �� �
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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&
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{ � 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
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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
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Building Inspector
6/86 and-vl
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