1987-191 BUILDING PERMIT
TOWN OF +QUEENSBURY No. 87-191
�-+� ] ` WARREN COUNTY, NEW YORK
�f 5 { - _ ��`` �
0( ,�[ Joyce Shovah
PE MISSION is her
grana0 r'
m
OWNER of property located at
on n tv ane Street, Road or Ave.
0
Two-Car Detached Garage/ Storage
in the Town of Queensbury, To Construct or place a
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.
1 . OWNER'S Address is 2 Conifer Drive
Queensbury , New York. 12801
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2. CONTRACTOR or BUILDER% Name Frederick R . Fuss y
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3. CONTRACTOR or BUILDER'S Address
Stephan Dr , -s
Hudson Falls , New York. 12839
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4. ARCHITECT's Name
O
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5. ARCHITECT"S Address '
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G. TYPE of Construction — (Please indicate by X)
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(K ) wood Frame i ) Masonry aI } Steel ( }
7. PLANS and Specifications
32 ' x24 ' per plot plan , specifications and application
No.
8. Proposed Use
Two—Car Detached Garage o
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$ 16 . Ca MIT November 1 fg87
PERMIT FEE PAID — THIS PER EXPIRES ' r
' n
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Ousensbury before the expiration date.) rb
G
April 87 0
Dated at the Town of Queensbury this 22nd Day of p i9 n
m
Q
SIGNED BY —
„r [ � for the Town of Queensbury
Building and Zoning Inspector
* To BE COMPLETED BY BLDG . DEFT.
Cc���■ Application No .
/ow" 0/ Q cei"i "ry Permit Issued _ 19 I OWN OF QUEt `A .
BUILDING and ZONING DEPARTMENT Permit Expires il'3
Bay and Hawiland Road, R.D. 1 Box 98 zoning DesignationLIJ
Queensbury, New York 12801 Variance No . 2 �a
Site Plan Revi o . A R v
Q Approved by
BUILDING & CODE DEP
pV
T.
APPLICATION FOR (tt �I y7 t 14� f ■ ,-y
BUILDING AND ZONING PERMIT /-.. l
u x x >F ,t
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 C3 C< - yam- i� t v � � lkk
P. O . Address e.� C�7 17 e r pr l c' f7 s {c I JY0 r Tel . 7<�) k-s o I S"
nt + . . V , ,
Property Location : � i 4- rx 1 a n - {��-1 `c 5 t � Y'c , 'y 2 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 :
Cr* 7E - ? 4t � ' J tr7 � � -• 7 .> r F 'rC�' r� rfi �rir - J_r1 + " +
P . O. Address el . No .
Name 4 _ Pub a,+� —7
_.s . .�, f`,q lI_S el . p1 'i 41 --' ' l J�•..._7
Name of builder � CC l i� 1 " ems s -- Address) �> c' � /r� - f-. `del .
Name of plumber ;' v � _ Address
Name of mason ?w ddress Tel
NATURE OF PROPOSED WORK : ZONING INFORMATION :
�J 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
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 t� 156 €t X S`.�- G ft .
* Existing building ( s ) Size , -- / ft X ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use �f
Size of new struct _re L3- 2 ft X �ip" ft '�
Foundation- pier sla ~ crawl/partial/full " Proposed buildingr distance from property line
(circle one) ft
,�
Noe of stories (habitable space ) f� `� Front yard £t Rear yard* ,Side yards ft and ft
Height ( grade to ridge ) z ft . If on corner . setback from side street ft
If residential , no . of families 7 zt
No , of morns ( excluding baths ) �f * OCCUPANt Y INFORMATION
ql
Noe of bedrooms �� PRIMA Y BUILDING --
No . of bathrooms {; One family dwelling
Primary heating system ,rf .�c
Two family dwelling '
Type of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed
* Permanent oc pancy
Will a wood stove be installed? f2 ,7 Transients. ccupancy
Central Air conditioning? x2c: Busines
BUILDING STYLE, PRIMARY STRUCTURE * Indus ial ' ,
Ranch Contemporary Log cabin if a diti , ' what il
onl use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow
C Cottage * ACCESSORY BUILDING-
ape Cod Catta
g / car
Colonial Row Town House * C Detached garage/one Car two ca�/
[ 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 COMPLETED [
7.r,r.., nnri A /Qc� ....a-..l
f
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .
Will any second-hand or ungraded lumber be used? If so, for what? 12<W)
Foundation wall material ' � r
t _ %1 < ,r"C /- -C Thickness
Depth of foundation below grade (to bottom of footing ) k C "
Will there be a cellar? 04', Heated or loor sq . footage sq ft
Will there be a basement? 11C Will any portion be used as living space? 2
( If so , what portion? sq . ft . - - Type of use?
Type of roof rt sloped/flat/shed/other 7J/ �(C Material of roof
Size , wood studs " X " spaq ing "o . c . length ft .
Joists ( floor beams ) lst . floor ' '"X " spacing "o . c . span ft .
Joists ( floor beams ) 2nd . floor -"x spacing� z,:, _"o . c . span /- ?_ ft .
Overlays ( ceiling beams ) "x, spacin span �?. ft .
Roof rafters " S { " spacing Zr. o . c . span !'-- - ft.
Roof trusses (pre-engineered) spacing " o . c . span ft .
Exterior wall finish !« A- K f what material? _ � ecyY -77e f
Interior wall finish
If a garage is to be attached , describe materials to be used for FIRE SEPARATION : � c:
Is there to be an opening between garage and dwelling? 1-2z. if so will a Fire--rated
door , enclosure , and self-closing device be rovided?
Will a flue-lined chimney be installed? -` iz Height above roof ft .
Depth of chimney foundation below grade /I _ ft .
Depth of fireplace hearth �C ft . in .
Water supply �},rMunxc3.pal or private well
SEPTIC SYSTEM/ Distance from ANY private we' ll ( including adjoining properties ft .
(A separate application is necessary forR.K any repair or new installation of septic system)
Town of flu ry
County of Warrenarren I A F F D A V I T STATE OF NEW YO
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
com� lete 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 p posed work shall be complied with, whether specified or not , and that such work is
author ed by the owner .
SWORN TO FORE; ME THIS Signature _ _
r', owner ' s agent , arcnxtect, contractor
clay 19
Ij
Notary PubAic , W en County , N . Y .
* *
SPECIAL/ ONDITIONS OF HE PERMIT :
By----- ---------------- ----------_ �--
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW VORIC BOARD OF FIRE LINDERWRITERS.
F1LE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED.
TEMP. N DATE
CITY OR �+
VILLAGE 4 %-d'.'V� - TOWNSHIP COUNTY
STREET AND N OR
ROAD AND POLE NO. suL A
WHAT TWO ,,ry,A +• POLE ND.�'
BETWEEN
CROSS STREETS IS / - - ' "
PREMISE LOCATED? EC7lON BLOCK LOT
OCCUPANT'S BUILDING
NAMElot OCCUPANCY !T ; '1
OWNERS NAME EL. #
AND ADDRESS ,..
CUR" T
SUPPLIED
By -dzFROM THEIR OFFICE
DEFECTS
IS BUILDING NEW OLD ❑ IWSORK NEW ADDITIONAL ❑ REMOVED Cf
LIST BELOW ALL EQUIPMENT WHICH YOU IN TALLED
No. at
NUMBER OF OUTLETS Lam FixB BRANCH
I1tP Racaptwinclr MOTORS HEAVERS CIRCUITS OFFICE USE
Loca- ONLY
lic" Side Attachtt Hp_ Watn A.W.G_
ceiling Wall Reoap'b Switch w.rdn.t Braokat No. Type Each No. EMI Na. Gouge INSPECTION
Out-
side
Suit
Sher
Baer
manrt
1st Ff.
2nd FI,
3rd FL
REMARKS: LI T OTHER ELECTRICAL BEVICES NOT SET FORTH ABOVE: OO NOT USE THIS SPACE,
This application is intended to cower the above-listed equipment to be inspected but it at time of Inspection there is found eddilional equipment not above listed,
you are authorized to make the impaction and adjust the fee to cover the additional equipment, as provided by the applicant.
512E OF ',? ELECTRIC SIGN TOTAL
MAINS 0 `(' ). z I ; „n FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO Be INUMBERI fCAPACITYl
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
UI OIN
INSPECTION FIEOUESTEO
ON OR AS NEAR AS 4L0
-T r- r
POSSIBLE N
/Y. E4111
AVOID DELAY BY GIVING FULL AND ACCU"ATE INFORMATION" ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME. AND ADDRESS
NAME Of ''� I4� p DATE OF
APPLICANT y�+'g ..`�s bi-�+� APPLICATION
STREET ADDRESS - - f�l '"1,i � , 'F�f\ Ao YELEPHOIJE #
CITY OR f C" } CODE , ` , _,__,^WHEN APZIP LICENSE PLICABLE
POST OFFICE tf" - / V
<e E� (REV. 4/an) A SEPARATE APPLICATION US BE FILED FOR EACH SEPARATE BUILDINIS
APPLICANT WILL REMOVE THESE COPIES AND RETAIN FOR HIS USE, AND BUILDING DEPT. USE, WHERE REQUIRED.
TO REMOVE PULL FROM BOTTOM WITH ONE HAND AND HOLD STUB WITH OTHER HAND.
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