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1986-868 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-868 ( WARREN COUNTY, NEW YORK 0q(0 PERMISSION is hereby granted to William P. Leonard Route 9 OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations to office building (new windows) 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. r• 1. OWNER'S Address is Rt. 9 — Lake George Road Glens Falls, New York to O 2. CONTRACTOR or BUILDER'S Name p Byron B. Rist CD 3. CONTRACTOR or BUILDER'S Address RR #1 Lake George, NY 12845 ° G 4. ARCHITECT'S Name rtrD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) rt ( )Wood Frame ( ) Masonry ( I Steel ( ) W rt. 7. PLANS and Specifications ° 0 No. replacing windows, new siding, enclose front porch per ,r specifications and application submitted. 0 8. Proposed Use ff' hh Office Building m o-' G r• $5.00 0/0 $ 1 8.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1987 cpa (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 19th Day of �} December 19 86 SIGNED BY °4 a �"' for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. cc77 Application No. i Jown of Qucen.ihur, Permit Issued 19 IO NoP. oC1ee`Ns.suR�r ,�BUILDING and ZONING DEPARTMENT Permit Expires 19 I�6 L IF- Il i ,, Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation OA `` Queensbury, New York 12801 Variance No. DEC* 18 , ;86 Site Plan Review No. U� ' p a c)3 Fee- �.Mx. 6 0 , /_/6 Approved by: ` - ({{71 E 19��. 1 �1' 1 1 21 31 41 5 16 APPLICATION FOR f 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: 0//!`4GY! J? /-e ,,i 0,,c7- P.O. Address ,2 'f. /' Lida K-e<,�. .Q hi,. , CG^i�4i,� /��/ .7z/:-V /z_ Tel. 7G,_f'90,e Property Location: Tax Map No. 5 / s/ Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE/ FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: U �^e- i 2'yl l s• _ Name P.O. Address Tel. No. Name of builder X'Ivzn,, - • k(S-t Address 2 D f 1.-,/7p Te ,9-e Tel. 77,P 1 / Name of plumber /1f/ & Address Tel. Name of mason ./f4.yv 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), ,,Q ,4c4 �Ic c * set-back dimensions from property lines. Give /1A.-% S•iC„5', � dotes �'0„��,,z-,r,�y 3* street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ft X ft. * Existing building(s) Size 2p4`' ft X 72-'41 ' ft. * PROPOSED BUILDING AND USE: - * Existing building(s) Use 1S//v7,10c.,,e ao cvctAacr `JtSize of new structure ft X ft * . .Q : [C� Foundation-pier/slab/crawl/partial/full Proposed building, distance from property line (circle one) * * Front yard " ' ft Rear yard ft 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) * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms *. One family dwelling Primary heating system Type of fuel * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * ! Business BUILDING STYLE, PRIMARY STRUCTURE Industrial CRac� Contemporary Log cabin * Other n Raised ranch Mansion Duplex If addition, what will use be? 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 $--� DOS * 7 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wo frame fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? 4,�1 Foundation wall material 2,f X/ .5 7-f C7 Thickness Depth of foundation below grade (to bottom of footing) X ,•C 771-/G Will there be a cellar?eX, Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof slope'/flat/shed/other Material• of roof Size, wood stu. "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft- - .,-rce s`y Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses (pre-engineered) spacing "o.c. span ft. Exterior wall finish V1�, I S „ak p S 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 AFFIDAVIT STATE OF NEW YORK County of 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 ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature___ O er, weer s ,ent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By ���� ;VRON 8. RI.ST �Gi=NERAL CONTRACTOR ® ��� � � i� - ----`" T E L : 5 18/798- 1 881 cc...d' DATE 11-1—c-L • T,' it-) AaFaCii51:rai . ,, -; i r� �U`. Oias'lai* U , u ' Viz_ . -s '44. k -.5..A r. 0 t '2_....4,,, imiiii ---.. \ ii ' ' 1 :1ft1 ...go lt is ' i` -� i'- ', , �� ti t _3-ift ,tent©® o I �` MINA DI s. 2 T I. :.�s ,1.31.t1.c.ctt(',1�,1. 11.... - Ali-t- r 1 rill llt t- $ ' _4 � 4 t , !. f r (� _ tr':_4 swift ;- .. ,- i may) ` vL r' 1 . fin' 1 titi,a , -s - , i , • : E I .mil _.. s - • .) .Si • c — la 1 : -t I. , ,,,,a.L:: mi leg% gi i NI F 1 t Sa c inn : • !` ."--- �. 1' , t` i • BYRON B . RIST • GENERAL CONTRACTOR aos Qdv`ci✓4 TES : 518/798- 1881 p DATE i2= Ct�-6 6 ,c...._._j 3‘.- I - . . di—� —%It _. -. -d, ti.:H -N. ' __-1.... : 1 L 1 --_I._._ ! • .. . .. 1 . --{-_._.,- i^ • • j '. I I. r • I 41 1 .N. A_ CS i �` Q t/1 (. . -!- -t . ) no -it--- . . . • ,. ..„, kti ,. .