87-294 BUILDING PERMIT
TOWN OF +QUEENSBURY No. 87-224
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Bryan Webb
OWNER of property located at 17 Michael ' s Drive Street, Road or Ave.
s�
Two—Car Attached Garage e
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- (D
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1 . OWNER'S Address is
17 Michael ' s Drive
Queensbury , New York 12801
2_ CONTRACTOR or BUILDER'S Name
Mike Nassivera s✓
Argyle , New York �4
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3. CONTRACTOR or BUILDER'S Address �
iD
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4. ARCHITECT'S Name Fn+
C
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by Xlu di
y C�
I TLWood Frame I I Masonry I Steel 11 W
n
7_ PLANS and Specifications rrrr
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No. 26 ' x26 ' two-car attached garage per plot , specifications and t3
application submitted - see foundation permit 87-217 sl.
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8_ Proposed Use cu
Two—Car Attached Garage
$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES Dgcember 1
(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 28th Day of May .
SIGNED BY C.1 - for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT .
�] J Application No. T0WN C)F-
�latun n i� et�re3hul•t� Permit Issued 19 } fu
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation IN �lf
Queensbury, New York 12801 Variance No. MAY
1987
Site Plan Review No . sup IL.�,7ING
Approved k �E dEf'T
APPLICATION FOR
FUILDING 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 : . ruc ,.o Webb
I
P. O. Address 1 +�1� 1 " Y1f' 1 JI^ Telf 9 :3 L4 D
Property Location : �� � - Tax Map No .2L/�/..IL2
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING {CODES IS :
Name P. O. Address Tel . No . c� i J r*,
Name of builder y���+ ,`I�y('�y`���yJ 1'1p.rn _ Address (`� Tel as ` Q /V 9
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) * set-back dimensions from property lines . Give
* street and number or lot number and indicate
* whether interior or corner lot . Show location
FOR DEMOLITION PE IT , SATE 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 .
Size
* Existing building ( s) ft X ft .
PROPOSED BUILDING AND USE : Existing building (s ) Use
Size of new structure -ft X_ t
Foundation--pier/slab/crawl/partly ull * Proposed building , distance from property line
{ (1.. ►jjwge4a� (circle one )
No . of stories (habitable space) * Front rd . . . . ft Rear yard ft
Height ( grade to ridge ) g ft . * Side yaardss ft and ft
If residential , no _ of familids If on corner , seCk�ack from side street ft
No . of rooms ( excluding baths ) - r OCCUPANCY INFORMATION
No , of bedrooms
No * of bathrooms � PRIMARY BUILDING -
Primary heating system * One family dwelling
*. Two family dwelling
Type of Fuel
* Multiple dwelling / Number of units
No . of fireplaces to be installed_
Will a wood stove be installed? * Permanent occupancy
Transient occupancy
Central Air conditioning?
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other
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
I, CIRCLE ONE PLEASE ) * Attached garage/one car/CCwo ca _ ^_car
_Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION "f '«
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 , wood frame , fire safe , etc .-^\ ( -�, kmr ��^T _
Will any second-hand or ungraded lumber be used? If so , for what ? / (
{ t
Foundation wall material 4<� !� 4_Z `Z. Thickness
Depth of foundation below rade (to bottom of footin �f
Will there be a cellar?Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion. be ed as living space?
( If so , what portion? sq. ft . - - Type of use?
Type of roof slope flat/shed/other Material of r of
Size , wood studs " X r it
spacing length rft.
Joists ( floor beams ) 1st . floor "x spacing "o . c . span ft . -
Joists ( floor beams ) 2nd . floor "x spacing "o . c . span ft .
Overlays ( ceiling beams ) I "X it Dacing "o c . span 1 �7 ft .
Roof rafters — � "X�T�" spacing O . c . sp n�� ft.
Roof trusses (pre-engineered) spaci O . C ." span ftL� try�
Exterior wall finish CQI Of what material? T[
Interior wall finish
If a garage is to be attach, d descri materials to be used .for FI A]rTION :
Is there to be an opening &etween garage and dwelling? 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 ( includ±ng 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
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 dYL
Owne?' Ow_ � ---------------- -_--_-___
ner ' s agent , arcnztect, contractor
day of 19
Notary Public , Warren County , N . Y .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS ,OF THE PERMIT :
c.
TOWN OF QUEENSBUR'Y
BUILDING AND CODES DEPARTMENT
RAY & HAVILANID ROADS
1280
QUEENSBURY. NEW
yORK TELEPHONE (518 ) 792- 5832
BUILDING INSPECT R' S REPORT
/, 7/. '� 7
REQUEST OR INSPECTN REC IVED
NAME
LOCATI N . PE IT #
DATE d
c s�
^` APPROVED
YES NO
FOOTING/.PIERS FORMS
MONOLITHIC POUR ROOF NG
FO+U`NDATIONI DAMP
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-
INSULATION:
FOUNDATION
,'FLOORS
WALLS
CEILING
FINAL INSPECT ON :
CHIMNEY HET HT
ROOFING
SIDING --
EXTERNAL RCHESISTE
STAIRS-C RANCE & LF VALVE
PLUMBING XXTURESIRS OORS
INTERIOR IMIPRIVACY
FINISHED LOOPS
GARAGE F E ROOFING
DOOR CLO ER (S)
SMOKE DE ECTORS
FINAL ELEC ICAL INSPECTIO �^
_ FINAL APP OVAL OF CONSTRUC ON��
()K TO I ss C/o OFt C/c y "~--
BE
A SIGNED CERTIFICATE OF OCC NC
PARTMENT TBEFORE
HE
THESE P
OBTAINED ISESTARE OCCUPIEg
REMARK JA'G
o
DEP'AR T - INSPECTOR
oosa22 THE NEW YORK BOARD OF FIRE UNDERWRITERS _
ELECTRICITYBUREAU OF
if 41 STATE STREET. AL.BANY. NEW YORK 12207 �y � � f{ �
!La Duly 15 , 1987 Application 4"I on file 011871-87 1.s V La `
THIS CERTIFIES THAT
only the electrical egrsipment os described below and Introduced by the ayplfcant named on the above APPfice"Oft number fn the Pre"N'Ree of
Edward FaneR Pinion Pine Rd . F Queensbury , NY
2111111 in Lhefollatain'{ focaCio ,,r1c}_ela{aaement ❑ Inc Fl. ❑ 2nd Ff. outside Section Block Lot
was examined on II �� and found to be in compliance with the requirementa of this Board. �
I'IXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS �
OUTLETS FTAGLES SWITiC1EES INCANDESCENT FLUCRESCENT S
AMT. [. W, AMT. K- w. AMT_ K-w. AAVS. K. w. AMT.
Z!
1 1
DRYERS FURNACE MOTRS O FUTURE APPULANCE FEELIERS SMICIAL RECPT TIMECLOCKS gall UNIT HEATERS AL�YST! STUET DIMMERS
Ahl K. W. OIL H. P. GAS H. P. AMT. Na. A. w. G. AMT. AMP. oul AMPS, TRANS. AMT. H. ►, tilt,. MEET AMT, WhTTS
SERVICE DISCONNECT No, OF S f R V 1 C E
AMT, AAw. TVPE P. 1 A' 2w T X aw 9 .e ]W 3,W aw No. or CC. cGND. A w. G No. OF Hi-.-^ A. W. c. No. or NEUTRALS A. w. G.
PER x Ow CC. CfSNd. OF Hi-IEG CF NEUTRAL
IS
OTHER AP►ARATUI&
S
This certfficat= covers compliance at date of inspection only. Becauee of �
unusual enviroull :late it is advisable' to have frequent tests and or repairs
made by a qualified person.
A. Gordon Inc
13 Notre Dame Street l BRANCH MANAGER
rt . Edward , NY 12828 _
Per
This certificate must not be altered in any manner return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER .
BUILDING and ZgNING DEPARTMENT
Say and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date ?�/,V' 7 permit No .
APPROVED YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
V F raining ► 4r
/ 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
poor Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
l]RIVEWAY APPROV "ty.
Final Building Survey
Neact scheduled inspection Ccall when ready )
Rem rks-
t
ca
: IB3ui3l ing Inspec r
6/$6 and-vl
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